Report
of the
Secretary's (Commission
on
Pesticides
and
Their Relationshij
Environmental Health
Parts I and II
U.S. DEPARTMENT OF HEALTH, EDUCATION, AND WELFARE
December 1969


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of the
Secretary's Commission
on
Pesticides
and
Their Relationship
to
Environmental Health
U.S. DEPARTMENT OF HEALTH, EDUCATION, AND WELFARE
For sale by the Superintendent of Documents, U.S. Government Printing Ofllcc
Washington, D.C. 20402 - Price $3.00
December 1969

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TABLE OF CONTENTS
Page
Letter of Transmittal				v
Acknowledgments
Membership of the Commission		vi
Membership of the Commission Subcommittees		viii
Membership of the Advisory Panels		ix
Acknowledgements to Other Contributors		xiii
Part I. Commission Recommendations on Pesticides		1
Letter of Transmittal		3
Introduction		5
Commission Recommendations		7
Summaries of Subcommittee Reports		21
Part II. Subcommittee and Panel Reports		39
Chapter 1. Uses and Benefits		41
Chapter 2. Contamination		99
Chapter 3. Effects of Pesticides on Nontarget Organisms
Other Than Man		177
Chapter 4. Effects of Pesticides on Man		229
Chapter 5. Carcinogenicity of Pesticides		459
Chapter 6. Interactions		507
Chapter 7. Mutagenicity of Pesticides		565
Chapter 8. Teratogenicity of Pesticides		655
Hi

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DEPARTMENT OF HEALTH, EDUCATION, AND WELFARE
December 5, 1969
Dear Mr. Secretary:
The complete report of your Commission on Pesticides and Their
Relationship to Environmental Health (Part I & Part II) is
included herein<.
Part I, which I submitted to you on November 11, 1969, contains
the Commission's unanimous recommendations along with summaries
of the reports of four Subcommittees to the Commission.
Part II contains the complete reports and conclusions of four
Subcommittees and the four Advisory Panels to the Commission,
upon which findings the Commission based its recommendations.
Over 5000 references to published or ongoing scientific research
were reviewed and evaluated. Since each report was prepared by
the membership of the Subcommittee or Advisory Panel involved
with the particular subject under review, these reports by
themselves do not necessarily reflect the unanimous opinion
of the Commission1s entire membership, although each Commission
member has reviewed all drafts of all reports. However, the
recommendations of the Commission were adopted unanimously.
On behalf of the Commission, its entire staff, and speaking for
myself, I would like to thank you for the superb support you and
your Department have given to the Commission. We hope that our
recommendations will be considered for early implementation by
all Departments concerned with the use of pesticides.
Honorable Robert H. Finch
Secretary
Department of Health, Education,
and Welfare
Washington, D. C.
Enclosures
Sincerely yours
Emil M, Mrak
Chairman
Secretary's Commission on Pesticides
and Their Relationship to Environmental
Health

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MEMBERSHIP OF THE
COMMISSION
Db. Emil M. Mkak—Chairman
Chancellor Emeritus, University of California at Davis
Db. William J. Darby—Vice Chairman
Chairman, Department of Biochemistry, Vanderbilt University
Dr. Edwin F. Alder
Vice President, Agricultural Research
and Development
Eli Lilly and Company
Dr. Lamont C. Cole
Professor and Chairman, Department
of Zoology
Division of Biological Sciences,
Cornell University
Dr. Julius E. Johnson
Director of Research
Dow Chemical Company
Mr*. Virginia Knaucr
Special Assistant to the President for
Consumer Affairs, The White House
alternate; Francis McLaughlin,
Director, Producer Marketing
Relationships, President's Com-
mittee on Consumer Interests
Dr. Eugene Cronin
Director and Research Professor,
Natural Resources Institute and
Chesapeake Biological Laboratory
University of Maryland
Dr. Leon Qolberg
Scientific Director, Research Profes-
sor of Pathology Institute of Experi-
mental Pathology and Toxicology
Albany Medical College
Dr. Gordon Guyer
Chairman, Department of Entomology
Michigan State University
Prof, Morton S. Hilbert
Department of Environmental Health,
University of Michigan
1 Resigned—insufficient time available.
Dr. Thomas H. Milby
Chief, Bureau of Occupational Health
and Environmental Epidemiology
California Department of Public
Health
Dr. Daniel A. Okun
Head, Department of Environmental
Sciences and Engineering
University of North Carolina
Dr. David Pimentel
Head, Department of Entomology and
Limnology
State University of New York College
of Agriculture, Cornell
Dr. Leonell C. Strong1
Director, Leonell C. Strong Research
Foundation
W

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Commission Staff Members
Dr. Ai-heht (.5. Kolbyk, Jr., Executive (Secretary and Staff Director
Special Assistant (for Standards and Compliance) to the Deputy Administrator,
Consumer Protection and Environmental Health Service
Dr. Dale R. Linosay, Special Assistant to the Commission
Associate Commissioner for Science, Food and Drug Administration
Dr. John R. J>avies, Special Assistant to the Commission
Community Studies on Pesticides, Dade County Department of I'uWic Health, Flu.
» • •
Mr. W. WaijeTalbot, Executive Officer
Chief, I,al>orator,v Services Brunch, Bureau of Science
Fowl and Drug Administration
Mr. IlKitscmu, F. Ci-khnbli
Inventions Adviser, Health Services and Mental Health Administration
Mr. Ikving Gerkixu
Executive Secretary, Special Study Sections
Division of Research Grants, National Institutes of Health
Dr. Ti IOMAS W. IIaiNKS
Office of Grants Management, l'ultlic Health Service
U.S. Department, of Health, Education, and Welfare, Region IV
Mr. Robert li. Hahwick, Previous Executive Officer,
Secretary's Commission on Pesticides
Executive Otficer, Environmental Control Administration
Dr. Rob S. McCutcheon
Executive Secretary, Toxicology Study Section
Division of Research Grants, National Institutes of Health
Dr. G. BUKROUGHs Mideu
Acting Deputy Director, National Library of Medicine
Mr, LesselL. Ramsey
Assistant Director for Regulatory Programs
Bureau of Science, Food and Drug Administration
Mr, ,T. Stijakt Rich
Printing Officer, Social Security Administration
Mr. Jamks G. Tkuiiill, Jr.
SfH-'ciul Assistant to the Administrator
Consumer Protection and Environmental Health Service
Dr. William M. Upholt
Executive Secretary, Federal Committee 011 Pest Control
Food and Drug Administration
Dr. Harold W. Wolf
Director, Division of Criteria and Standards, Bureau of Water Hygiene
Environmental Control Administration
vii

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MEMBERSHIP
OF THE COMMISSION
SUBCOMMITTEES
Subcommittee on Uses and Benefits of Pesticides
Dr. Gordon E. Guyer, Chairman	Dr. Lamont C. Cole
Dr. Edwin F. Alder	Dr. Thomas W. Haines, Staff
Subcommittee on Contamination
Dr. Daniel A. Okiin, Chairman	Dr. Harold W. Wolf, Staff
Professor Morton S. Hilbert
Subcommittee on the Effects of Pesticides on
Nontarget Organisms Other Than Man
Dr. L. Eugene Cronin, Chairman	Dr. David Pimentel
Dr. Julius E. Johnson	Dr. William M. llpholt, Staff
Subcommittee on Effects of Pesticides on Man
Dr. Leon Golberg, Chairman	Dr. John E. Davies
Dr. Thomas H. Milby	Mr. James G. Terrill, Jr., Staff
Subcommittee on Criteria and Recommendations
Dr. William J. Darby, Chairman	Dr. Leoaell C. Strong
MrB. Virginia Knauer	Mr. Lessel L. Ramsey, Staff
Mr. Francis McLaughlin—Alternate
viii

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MEMBERSHIP OF THE
ADVISORY PANELS
Advisory Panel on Carcinogenicity of Pesticides
Dr. William J. Darby, Chairman
Chairman, Department of
Biochemistry
Vanderbilt University School of
Medicine
Dr. Ian A. Mitchell, Panel Executive
Secretary
Assistant Director, National Cancer
Institute
Dr. Harry P. Burehfleld
Director, Division of Biological
Sciences
Gulf South Research Institute
Dr. David Gaylor
Mathematical Statistician, Biometry
Branch
National Institute of Environmental
Health Sciences
Dr. Paul Kotin
Director, National Institute of
Environmental Health Sciences
Dr. James A. Miller
Professor, Department of Oncology,
University of Wisconsin
Dr. Norton Nelson
Director, Institute of Environmental
Medicine
New York University Medical
Center
Dr. Marvin A. Schneiderman
Associate Chief, Biometry Branch,
National Cancer Institute
Mr. Carroll Weil
Senior Fellow, Carnegie-Mellon Uni-
versity
List of Nonmember Participants in the
Meetings of the Advisory
Panel on Carcinogenesis1
Richard R. Bates, M.D.
National Cancer Institute
Mr. Joseph Cummings
Food and Drug Administration
Kent J. Davis, D. V. M.
Food and Drug Administration
Samuel S. Epstein, M.D.
Children's Cancer Research
Foundation
Hans Ij. Falk, Ph. D.
National Institute of Environmental
Health Sciences
1 The panel is grateful to the above-named participants for their suggestions and valuable
contributions to this document. However, It should be noted that the judgments recorded
In the panel report are those of the panel members.
ix

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O. Garth Fitzhugh, Ph. D.
Food and Drug Administration
John Gart, Ph. D.
National Cancer Institute
Mv. Irving Gerring
National Institutes of Health
Leon Golberg, M. B.
Albany Medical College
Mr. Stuart L. Graham
Food and Drug Administration
Adrian Gross, Ph. D.
Food and Drug Administration
Mary Ellen Kitler, Ph. D.
Johns Hopkins University
Albert C. Kolbye, Jr., M. D.
Consumer Protection and
Environmental Health Service
Douglas Lee, M. D.
National Institute of Environmental
Health Sciences
Marvin S. Legator, Ph. D.
Food and Drug Administration
Dale R. Lindsay, Ph. D.
Food and Drug Administration
Rob S. McCutcheon, Ph. D.
National Institutes of Health
Joseph McLaughlin, Ph. D.
Food and Drug Administration
G. Burroughs Mider, M. D.
National Library of Medicine
Emil Mrak, Ph. D.
University of California at Davis
James Peters, D. V. M.
National Cancer Institute
Mr. L. L. Ramsey
Food and Drug Administration
Umberto Safflotti, M. D.
National Cancer Institute
Mr. James G. Terrlli, Jr.
Consumer Protection and Environ-
mental Health Service
Advisory Panel on Interactions
Dr. Kenneth DuBois, Chairman
Professor, Department of Pharmacol-
ogy, University of Chicago
Dr. Rob S. McCutcheon, Panel Execu-
tive Secretary
Executive Secretary, Toxicology Study
Section
Dr. John Casidu
Professor of Entomology, University
of California
Dr. Cipriano Cueto, Jr.
Chief, Pharmacology Section, Perrine
Primate Research Branch
Food and Drug Administration
Dr. John Doull
Professor of Pharmacology, University
of Kansas Medical Center
Dr, Richard D. O'Brien, Vice Chair-
man
Professor and Chairman, Section of
Neurobiology and Behavior
Cornell University
Dr. John P. Frawley
Chief Toxicologiat, Hercules Incor-
porated
Dr. Christopher Wilkinson
Assistant Professor, Department of
Entomology
Cornell University
Dr. Samuel E. Epstein, Liaison
Chief, Laboratories of Environmental
Toxicology and Carcinogenesis
Children's Cancer Research Founda-
tion, Inc.
X

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Advisory Panel on Mutagenicity of Pesticides
IJr. Samuel 8. Epstein, Chairman
Chief, Laboratories of Environmental
Toxicology and Carcinogenesis
Children's Cancer Research Founda-
tion, Inc.
Dr. Marvin Legator, Panel Executive
Secretary
Chief, Cell Biology Branch, Bureau of
Science
Food and Drug Administration
Dr. James Crow
Professor, Department of Genetics and
Medical Genetics
University of Wisconsin
Dr. Ernest Freese
Chief, Molecular Biology, Laboratory
of Molecular Biology
National Institute of Neurological Dis-
eases and Stroke
Dr. Albert C. Kolbye, Jr.
SiH'cial Assistant (for Standards and
Compliance) to the Deputy Admin-
istrator
Consumer Protection and Environ-
mental Health Service
I>r. Heinrich Mailing
Biology Division, Oak Ridge National
Laboratory
Dr. John Neumeyer
Professor, Medicinal Chemistry,
Northeastern University
Dr. Warren Nichols
Head, Department of Cytogenetics,
Institute of Medical Research
Mr. Irving Gerring, Staff
Executive Secretary, Special Study
Sections
Division of Research Grants, National
Institutes of Health
Dr. Rob S. McCutcheon, Staff
Executive Secretary, Toxicology
Study Section
Division of Research Grants, National
Institutes of Health
Dr. Christopher Wilkinson, Liaison
Assistant Professor, Department of
Entomology
Cornell University
Nonmember Contributors
Mr. Seymour Abrahamson
University of Wisconsin
Dr. P. J. Bottino
Brookhaven National Laboratory
Dr. L. A. Schairer
Brookhaven National Laboratory
Dr. A. H. Sparrow
Brookhaven National Laboratory
Dr. J. S. Wassom
Oak Ridge National Laboratory
Advisory Panel on Teratogenicity of Pesticides
Dr. Joseph McLaughlin, Jr., Cock air-
man
Food Toxicology Branch, Bureau of
Science
Food and Drug Administration
Dr. David Gaylor
Mathematical Statistician, Biometry
Branch
National Institute of Environmental
Health Sciences
Dr. Samuel S. Epstein, Cochairman
Chief, Laboratories of Environmental
Toxicology and Carcinogenesis
Children's Center Research Founda-
tion, Inc.
Mr. Irving Gerring, Staff
Executive Secretary, Special Study
Sections
Division of Research Grants, National
Institutes of Health
xi

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Dr. Michael D. Hogan, Statistician,
National Institute of Environmental
Health Sciences
Dr. Harold Kalter
Associate Professor of Research Pedi-
atrics, Department of Pediatrics
Children's Hospital, Cincinnati, Ohio
Dr. Cecil T. G. King
Chief, Pharmacology Section, Labora-
tory of Biochemistry
National Institute of Dental Research
I>r. Albert C. Kolbye, Jr.
Special Assistant (for Standards and
Compliance) to the Deputy Admin-
istrator, Consumer Protection and
Environmental Health Service
I)r. Rob S. McCutcheon, Staff
Executive Secretary, Toxicology Study
Section
Division of Research Grants, National
Institutes of Health
Dr. Robert W. Miller
Chief, Epidemiology Branch, National
Cancer Institute
Dr. James A. O'Leary
Director, Division of Experimental
Gynecologic Surgery
Department of Obstetrics and Gynecol-
ogy, University of Miami
Dr. Herbert J. Schumacher
Associate Professor, Environmental
Health
College of Medicine, University of Cin-
cinnati
Mr. James G. Terrill, Jr., Staff
Special Assistant to the Administrator
Consumer Protection and Environmen-
tal Health Service
xii

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ACKNOWLEDGEMENTS TO
OTHER CONTRIBUTORS
Gratitude is expressed by the Commission to the Consumer Pro-
tection and Environmental Health Service which provided continuing
administrative services and staffing support throughout the Com-
mission's deliberations and contributed substantially towards the fund-
ing of the Commission's objective. Appreciation also is extended to
the National Institutes of Health and the National Library of Medicine
for providing additional support and resources.
Special thanks go to members of the staff of the Office of the
Secretary of Health, Education, and Welfare: Mr. B. Michael Kahl,
Assistant to the Secretary for Public Affairs; Mr. W. Phillips Rocke-
feller; and Mr. Robert V. Pauley.
The Commission is indebted to the Public Printer and the staff of
the U.S. Government Printing Office for the superb and efficient man-
ner in which this report was produced.
The following is a partial list of persons who have contributed
valuable information or services to the Commission. The Commission
would like to express its deep appreciation to them and to the many
other individuals who inadvertently may not be listed herein.
Mr. Harold G. Alford
U.S. Department of Agriculture
Col. Robert M. Altaian
Walter Reed Army Medical Center
Dr. Robert Anderson
U.S. Department of Agriculture
Dr. Harold Baer
National Institutes of Health
Dr. John R Bagby
National Communicable Disease
Center
Mr. S. C. Billings
U.S. Department of Agriculture
Dr. Alexej Borkovec
U.S. Department of Agriculture
Dr. Blair Bower
Resources for the Future,
Washington, D.O.
Dr. A. M. Boyce
Consultant to Rockefeller Foundation
Dr. Parke C. Brinkley
National Agricultural Chemical
Association
Dr. A. W. A. Brown
World Health Organization,
Switzerland
xiii

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Dr. Philip A. Butler
U.S. Department of the Interior
Mr. E. Buyckx
Fowl & Agriculture Organization of
the United Nations
Mr. Thomas A. Calabresa
Wisconsin Department of Natural
Resources
Douglas D. Caton
Agency for International
Development
Department of State
Mr. G. V. Chambers
ES'SO Research and Engineering
Co.
Baytown, Tex.
Dr. John E. Christian
Purdue University
Mr. G. S. Christopher
Tennessee Valley Authority
Dr. Ronald A. Chung
Tuskegee Institute
Mr. Roland C. Clement
National Audubon Society
Dr. Patricia A. Condon
National Agricultural Library
Mr. J. William Cook
Food and Drug Administration
Dr. J. M. Coon
Jefferson Medical College
Dr. Oliver B. Cope
U.S. Department of the Interior
Dr. Lawrence R. Cory
St. Mary's College of California
Dr. Robert D. Courter
Food and Drug Administration
Dr. Reynold G. Dahms
U.S. Department of Agriculture
Mr. Velmar W. Davis
U.S. Department of Agriculture
Dr. William B. Deichmann
University of Miami
xiv
Mr. Elmer C. Denis
Doane Agricultural Services, Inc.
St. Louis, Mo.
Dr. Hugh Dierker
Executive Secretary and Director
of Health, State of Kansas
Dr. Alan W. Donaldson
Health Services and Mental
Health Administration
Dr. William F. Durham
Food and Drug Administration
Dr. Eugene Dustman
U.S. Department of the Interior
Mr. Walter W. Dykstra
U.S. Department of the Interior
Dr. Chris M. Elmore, Jr.
Gulf Coast Mosquito Control
Commission, Gulfport, Miss.
Mr. George H. Engle
Ohio Department of Health
Dr. William Ennis
United States Department of
Agriculture
Dr. Mostafa Fahim
University of Missouri School of
Medicine
Dr. Henry Fischbach
Food and Drug Administration
Mr. Charles Fisher
Coast Laboratories, Fresno, Calif.
Dr. Joe Fisher
Resources for Future
Washington, D.C.
Mr. Austin S. Fox
U.S. Department of Agriculture
Dr. John P. Frawley
Hercules, Inc.
Dr. Virgil H. Freed
Oregon State University
Dr. E. D. Goldberg
University of California
San Diego, La Jolla, Calif.
Dr. Vernon A. Green
The Children's Mercy Hospital
Kansas City, Missouri

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Dr. H. B. Gunner
University of Massachusetts
Dr. Wayland J. Hayes, Jr.
Vanderbilt University Medical School
Dr. Harry W. Hays
U.S. Department of Agriculture
Dr. Joseph C. Headley
University of Missouri
Dr. Ralph Heel
National Pest Control Association,
Elizabeth, N.J.
Dr. Don R. Heinicke
U.S. Department of Agriculture
Dr. Alexander Hollaender
Oak Ridge National Laboratories
Dr. C. G. Hoskin
Illinois Institute of Technology
Chicago, 111.
Dr. George B. Hutchison
Michael Reese Hospital, Chicago, 111.
Dr. George Irving
U. S. Department of Agriculture
Dr. Ray Johnson
U.S. Department of the Interior
Dr. Georg Jorgeson
Boyee-Thompson, Yonkers, N.Y.
Dr. Thomas H. Jukes
University of California,
Berkeley, Oalif.
Dr. Robert L. Kaiser
National Communicable Disease
Center
Dr. Donald Kaufman
U.S. Department of Agriculture
Dr. Philip Kearney
U.S. Department of Agriculture
Dr. Jubee Kim
California State College, Long Beach
Calif.
Mr. Ivan Kinney
Bitelle, Inc., Columbus, Ohio
Mr. C. W. Klaasen
Illinois Department of Public Health
Dr. E. F. Knipling
U.S. Department of Agriculture
Dr. Herbert C. Knutson
Kansas State University
Mr. Kenneth K. Krausche
National Agricultural Chemical
Association
Dr. Herman F. Kraybill
Food and Drug Administration
Dr. L. W. Larson
U.S. Department of Agriculture
Dr. Edwards R. Laws, Jr.
Johns Hopkins Hospital
Mr. Allen Lemon
California Department of Agriculture
Dr. E. P. Liechtenstein
University of Wisconsin
Mr. L. A. Liljedahl
U.S. Department of Agriculture
Dr. G Lofroth
University of Stockholm
Mr. Bernard Lorant
Velsicol Chemical Corp.
Dr. Kenneth J. Macek
U.S. Department of the Interior
Dr. Howard I. Maibach
University of California, San Fran-
cisco, Calif.
Mr. Marion C. Manderson
Arthur D. Little, Inc.
Mr. Vernon G. McKenzie (Retired)
Public Health Service
Dr. David R. Metcalf
University of Colorado Medical Center
Dr. Robert L. Metcalf
University of Illinois
Dr. Dudley P. Miller
Grafton, Vt.
Mr, Arthur D, Moore
Pacific Southwest Forest and Range
Experimental Station,
Berkeley, Calif.
XV

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Mr. Alfred A. Mullikesn
Chemical Specialty Manufacturers As-
sociation
New York, N.Y.
Mr. Kenneth B. Nash
U.S. Department of Agriculture
Dr. Ralph Nash
U.S. Department of Agriculture
Dr. Gordon R, Neilson
University of Vermont
Dr. William A. Niering
Connecticut College
Dr. Robert Olson
Stanford Research Institute
Mr. John Osguthorpe
U.S. Department of State
Dr. George W. Pearce
National Communicable Disease
Center
Dr. Tony J. Peterie
Ohio State University
Mr, George Peterson
Agency for International Development
Mr. B. A. Poole
Indiana State Board of Health
Dr. Hans Popper
Mount Sinai School of Medicine
Mr. Arthur Poulos
Chemical and Engineering News,
Washington, D.C.
Dr. Ken Quarterman
National Communicable Disease
Center
Dr. Griffith E. Quinby
Wenatchee, Wash.
Dr. William Reals
St. Joseph's Hospital and Rehabilita-
tion Center, Wichita, Kans.
Dr, L. B. Reed
U.S. Department of Agriculture
Dr. J. Robinson
Shell Research Limited,
London, England
Dr. Recce 1. Sailer
U.S. Department of Agriculture
Dr. Arthur J. Samuels
California Hematological Institute,
Los Angeles, Calif.
Dr. Herbert F, Schoof
National Communicable Disease
Center
Dr. David Sencer
National Communicable Disease
Center
Mr. W. B. Shafer
Stauffer Chemical Co.
Dr. Donald R. Shepherd
U.S. Department of Agriculture
Mr. M. J. Sloan
Shell Chemical Co.
Dr. Philip J. Spear
National Pest Control Association,
Inc., Elizabeth, N.J.
Dr. S. W. Simmons
Food and Drug Administration
Dr. James V. Smith
National Communicable Disease
Center
Dr. Ira I. Somers
National Qanners Associations,
Washington, D.C.
Donald A. Spencer
National Agricultural Chemical
Association
Dr. Lucille M. Stickel
U.S. Department of the Interior
Mr. William Stickel
U.S. Department of the Interior
Dr. J. O. Street
Utah State University
Dr. John E. Swift
University of California, Berkeley,
Calif.
Dr. Irene Till
Social Security Administration
xvi

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Dr. Fred Tschirley
U.S. Department of Agriculture
Dr. B. G. Tweedy
University of Missouri
Dr. B, Dwain Vance
North Texas State University
Dr. Charles H. Van Mlddelem
University of Florida
Mr, John E, Vogt
Michigan Department of Public
Health
Mr. Charles Walker
U.S. Department of the Interior.
Mr. Justus Ward
U.S. Department of State
Dr. George W. Ware
University of Arizona
Mr. Richard O. White
U.S. Department of Agriculture
Dr. James L. Whittenberger
Harvard University
Dr. Frank G. Wilkes
University of North Carolina
Dr. Christopher F. Wilkinson
Cornell University
Dr. J. Henry Wills
Albany Medical College
Dr. George Woodwell
Brookhaven National Laboratory
Mr. Ross Wurn
Ross Wurn and Associates, Modesto,
Calif.
Dr. Charles F. Wurster, Jr.
State University of New York
Dr. Anne R. Yobs
Food and Drug Administration
Dr. Gunter Zweig
Syracuse University
The following U.S. Department of Health, Education, and Welfare administra-
tive staff contributed to the preparation of this report Thanks is also extended to
Mr. Lacy L. Vaughn, Chief Reproduction Services and members of his Branch
for the expedient support given to the Commission. Special appreciation is ex-
tended to Mrs. Dorothy I. Richards and Mrs. Sara J. Timmons:
Mrs. Elizabeth R. Barber	Miss Carolyn L. Osborne
Miss Marian DeCamp	Miss Marjorie V. Stover
Miss Jeanette C. Harris	Miss Rosemary Tobin
xvif

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Part I
Commission Recommendations
on Pesticides

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DEPARTMENT OF HEALTH, EDUCATION, AND WELFARE
November 11, 1969
Dear Mr, Secretary:
Attached are the unanimous recommendations of your Commission on
Pesticides and Their Relationship to Environmental Health. As
you know, the reports of the Commission, eight*in all, are in the
process of publication as you have directed.
These recommendations are arranged in an action priority order as
seen by the Commission; however, this order has no significance as
to their relative importance. In my own view the recommendations
support the following principles:
1.	Chemicals, Including pesticides used to increase food
production, are of such importance in modern life that
we must learn to live with them;
2.	In looking at their relative merits and hazards we must
make Individual judgments upon the value of each chemical,
including the alternatives presented by the non-use of
these chemicals. Ue must continue to accumulate scientific
data about the effects of these chemicals on the total
ecology; and
3.	The final decision regarding the uBage of these chemicals
must be made by those governmental agencies with the
statutory responsibilities for the public health, and for
pesticide registration.
On behalf of the Commission and all of the staff assigned to help
the Commission, I want to express our thanks for the support you
have given us in carrying out this task. We hope that our efforts
will be helpful to you in carrying out your awesome responsiblliteB.
Honorable Robert H. Finch
Secretary
Department of Health, Education,
and Welfare
Washington, D.C.
Enclosures
Sincerely yours,
Chairman
Secretary's Commission on Pesticides and
Their Relationship to Environmental Health
3

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INTRODUCTION
Our society 'has gained, tremendous benefits from the usage of pesti-
cides to prevent disease and to increase the production of foods and
fibers. Our need to use pesticides and other pest control chemicals will
continue to increase for the foreseeable future. However, recent evi-
dense indicates our need to be concerned about the unintentional effects
of pesticides on various life forms within the environment and on hu-
man health. It is becoming increasingly apparent that the benefits of
using pesticides must be considered in the context of the present and
potential risks of pesticide usage. Sound judgments must be made.
The Secretary's Commission on Pesticides and Their Relationship
to Environmental Health was appointed in April 1969 and charged
with the responsibility of gathering all available evidence on both the
benefits nad risks of using pesticides, evaluating it thoroughly, and
reporting their findings and recommendations to Secretary Finch.
After carefully reviewing all available information, the Commission
has concluded that there is adequate evidence concerning potential
hazards to our environment and to man's health to require corrective
action. Our Nation cannot afford to wait until the last piece of evidence
has been submitted on the many issues related to pesticide usage. We
must consider our present course of action in terms of future genera-
tions of Americans and the environment that they will live in.
The Commission's unanimously approved recommendations, devel-
oped after careful evaluation of all available evidence, are presented
in this document. Part II of this report currently is in preparation for
printing and will be made available in the near future. This represents
the review of over 5,000 references to scientific research, and will con-
tain a full presentation of each Sub-Committee's Report to the Com-
mission, including special Advisory Panel Reports on carcinogenesis,
interaction, mutagenesis, and teratogenesis. We must consider the total
problem of pesticide usage not only in the context of what is presently
known but also in the context of the many unknowns still to be deter-
mined, Some of these unknowns may never be precisely determined.
Corrective action is recommended now to prevent further environ-
mental contamination from pesticide residues and to protect the health
of man.
5

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COMMISSION
RECOMMENDATIONS
Recommendation 1:
Initiate closer cooperation among the Departments of Health, Edu-
cation, and Welfare, Agriculture, and Interior on pesticide problems
through establishment of a new interagency agreement.
The registration of pesticides is now vested only in the Secretary
of Agriculture under the Federal Insecticide, Fungieide, and Rodenti-
cide Act (FIFRA). The regulations implementing FIFRA state that
the purpose of the act is "to protect the public health before injury
occurs rather than to subject the public to dangers of experimentation
and take action after injury." 1 However, the present interagency
agreement requires the Secretaries of DHEW and USDI to produce
scientific evidence clearly demonstrating a present hazard to health
or to the environment in order to remove from registered use or pre-
vent the registration of any specific pesticide. In regard to health pro-
tection, the burden of proof should rest upon the manufacturer to
demonstrate to the Secretary of HEW that appropriate tests do not
produce untoward effects upon two or more species of mammals which
might indicate a hazard to health. Such a procedure is entirely in
keeping with the purpose of the act as stated above.
A new interagency agreement is needed to strengthen cooperative
action among the Departments of HEW, USDA, and USDI to protect
public health and the quality of the environment from pesticide haz-
ards. Approval by the Secretaries of DHEW and Interior as well as
Agriculture should be required for all pesticide registrations. Pesti-
cide uses deemed by any of the three Secretaries to be hazardous should
be restricted or eliminated.
The agreement should further require a continuous review of new
scientific information on pesticides now in use, with a formal review
made 2 years after initial registration and subsequent formal reviews
by the three agencies at 5-year intervals.
1CJ.H., Title 7, Cr. 11, Sec. 302.106(d) (1).
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Such an agreement and the closer interagency cooperation it would
produce would have other distinct advantages:
•	It would call attention to evidence suggesting concern and expe-
dite appropriate action;
•	It would encourage cooperative approaches to public education,
applicator training, research 011 the biological effects of a pesti-
cide, and promote the development and use of improved methods
of pest control; and
•	It would provide a mechanism for focusing the concerns and
skills of each agency and to coordinate action on pesticide
problems.
If the objective of providing to the Secretary of DHEW the au-
thority to meet his responsibility for control of health hazards of pesti-
cides cannot be attained by a new interagency agreement, it will be
necessary to amend the Federal Insecticide, Fungicide, and Rodenti-
cide Act (FIFRA).
Recommendation 2:
Improve cooperation among the tuition* elements of the Department
of Health, Education, and W elf are which are concerned with the effects
of pest control and pesticides.
The diversified and significant responsibilities associated with the
Department of Health, Education, and Welfare pesticide and pest-
control activities lack sufficient coordination and direction. Several
segments of DHEW have direct and implied responsibilities for pro-
teciton of public health in relation to the use of pesticides. The prob-
lem of achieving cooperation appears to be intensified by recent reor-
ganizations. Mechanisms should be developed to assure exchange of
information between all pertinent segments of DHEW. There is a
need for reappraisal of the vector control activities, educational pro-
grams, research responsibilities, monitoring, State aid programs, and
other activities involving pesticides.
Recommendation 3:
Eliminate within two yearn all men of DDT and DDD in the, United
States excepting those uses essential to the preservation of human
health, or welfare and approved unanimously by the Secretaries of the
Departments of Health, Education, and Welfare, Agriculture, and
Interior.
The uses of DDT and DDD as pesticides should be limited to the
prevention or control of human disease and other essential uses for
which no alternative is available. Such uses should be clearly identi-
fied and individually evaluated in relation to human hazard from ex-
posure, movement in the natural environment concentration in the food
8

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chains of the world, and other environmental considerations. Unani-
mous approval by the Secretaries of DHEW, USD A, and USDI
(who in turn are expected to call on Federal, State and private ex-
perts for advice) would provide for Identification of essential uses
and assure that such approval will be based on sound judgment.
Abundant evidence proves the widespread distribution of DDT
and its metabolites (principally DDE) in man, birds, fish, other aqua-
tic organisms, wildlife, soil, water, sewage, rivers, lakes, oceans, and
air. Evidence also demonstrates that these materials are highly in-
jurious to some nontarget species and threaten other species and bio-
logical systems. Elimination of all nonessential uses should be achieved
and the period of 2 years is recommended to assure achievement with-
out excessive economic disruption.
Unavoidable residues of these persistent pesticides will continue
to occur in the soil, water, air, and food supplies for a period of years
despite restriction of usage in the United States. Reasonable methods
must be established for the use of as much of the food supply as
possible without hazard to human health.
Despite diminution of DDT usage, the Commission urges that
research be intensified to gain further understanding of the ecological
dynamics and public health implications of this example of a persist-
ent chemical widely distributed in the environment.
It should be recognized that DDT is used in developing nations
in the prevention and control of malaria, typhus, and other insect-
borne diseases, and in the production of food and fiber. The control
of such uses is the responsibility of those nations. They should, how-
ever, receive from the United States the full benefit of all available
information and assistance on hazards, safe and effective uses of
pesticides, and alternative methods of pest control.
Recommendation 4:
Restrict the usage of certain persistent pesticides in the United
States to specific essential uses which create no known hazard to human
health or to the quality of the environment and which are unanimously
approved by the Secretaries of the Departments of Health, Education,
and Welfare, Agriculture, and Interior.
Several pesticides other than DDT are persistent and cause or can
cause contamination of the environment and damage to various life
forms within it. These include aldrin, dieldrin, endrin, heptachlor,
chlordane, benzene hexachloride, lindane, and compounds containing
arsenic, lead, or mercury. We may anticipate that decreased use of
DDT and the above chemicals will result in an increased use of other
chemicals such astoxaphene. While there is no evidence that toxaphene
undergoes biological magnification, its chemical properties suggest
9

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that it should receive close surveillance. Furthermore, the use of or-
ganometallic compounds and salts of heavy metals other than arsenic,
lead, or mercury should be periodically reviewed.
The uses of persistent compounds should be fully reviewed in light
of recent advances in understanding the undesired effects of some
pesticides. The acceptable uses should be selected and approved
unanimously by the appropriate departments. Such usage should be
retricted to essential purposes, limited to the lowest effective dosage
required for the production and protection of essential foods and
fibers, and replaced by safer alternatives wherever possible.
It is, however, impractical to attempt to eliminate the residues
of such pesticides from foods by the application of zero tolerance
limits. Modern techniques have greatly increased the sensitivity of
the analytical methods available when the zero tolerance concept
was advanced. This fact must be recognized in judging the possibilities
of hazards and establishing tolerance limits with a sufficient margin
of safety to protect human health and welfare.
Recommendation 5:
Minimise human exposure to those pesticides considered to present
a potential health hazard to man.
Decisions on restriction of human exposure to pesticides should be
made by the Secretary of the Department of Health, Education, and
Welfare. In reaching such decisions, consideration must be given to
both the adequacy of the evidence of hazard to human health and pos-
sible consequences to human welfare that flow from the imposition of
restrictions on human exposure to pesticides.
Accordingly, it is of utmost importance that the results of screening
tests be scientifically and rationally considered. The correct interpreta-
tion of hazards to human health is sometimes extraordinarily difficult.
It must involve the transfer of the results of animal experiments to pre-
diction of human effects. In addition, the screening process frequently
involves preliminary examination of the effects of massive dosages, pos-
sible contamination of test samples, and other factors which affect
proper interpretation.
The health and welfare of the public must be effectively protected.
However, it is not in the best interest of the public to permit unduly
precipitate or excessively restrictive action based only on anxiety.
In recent screening studies in animals employing high dosage levels,
several compounds have been judged to be positive for tumor induc-
tion. In similar screening studies other pesticides have been judged
to be teratogenic. The evidence does not prove that these are injurious
to man, but does indicate: (1) A need to reexamine the registered uses
of the materials and other relevant data in order to institute prudent
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steps to minimize human exposure to these chemicals; and (2) to un-
dertake additional appropriate evaluatory research on representative
samples of these substances in order to guide future decisions. It is
further important to have detailed knowledge of sample composition
and purity. These materials are: aldrin; amitrol; aramite; avadex;
bis (2-chloroethyl) ether; chlorobenzilate; p,p'-DDT; dieldrin; hep-
tachlor (epoxide); mirex; n-(2-hydroxyethyl)-hydrazine; strobane;
captan; carbaryl; the butyl, isopropyl, and isooctyl esters of 2,4-D;
folpet; mercurials; PCNB; and2,4,5-T.
The imposition of restrictions on exposure, particularly from pesti-
cide residues in food and water, should be accompanied by periodic
review and adjustment of pesticide residue tolerances. Indiscrimi-
nate imposition of zero tolerances may well have disastrous conse-
quences upon the supply of essential food and threaten the welfare of
the entire Nation. Stepwise lowering of pesticide tolerance may in some
cases be an effective and flexible instrument with which to execute
policy.
Currently our national resources of funds, manpower, and facilities
will not permit the concurrent testing of all pesticidal compounds.
Priorities for testing must be established. Effective national implemen-
tation of this policy will require continuing development and evalua-
ton of scientific information concerning the hazards of pesticides to
human health. Additional chemicals are being or should be investi-
gated and evaluated for potential hazards to human health, as re-
sources permit.
Recommendation 6:
Create a pesticide advisory committee in the Department of Health,
Education, and Welfare to evaluate information on the hazards of
pesticides to human health and environmental quality and to advise
the Secretary on related matters.
The Secretary of the Department of Health, Education, and Wei*
fare is obligated to protect and enhance human health and welfare.
In relation to pesticides, this requires that he draw upon a wide
range of expert opinion and guidance. Excellent competence in some
areas exists within the staff of the Department, but the advisory serv-
ices of a group drawn from the professional, industrial and academic
specialists in related fields can provide unique and essential services.
A Pesticide Advisory Committee should be created and should in-
clude experts on human health and welfare, on environmental and
agricultural sciences, and from appropriate economic and industrial
areas of knowledge and experience.
In assisting the Secretary, the Pesticide Advisory Committee would:
• Intrepret new information from scientific sources and from in-
creased national experience with pesticides.
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•	Assess the potential hazards of specific pesticides, based on
consideration of persistence of residues, possible distribution
and magnification in biological systems, and potential hazards
to human health and welfare.
•	Recommend improvements in administrative procedures relat-
ing to pesticides; areas requiring intensified research atten-
tion ; adequate programs for monitoring and interpreting pesti-
cide distribution; and, in conjunction with the U.S. Depart-
ment of Agriculture and the U.S. Department of the Interior,
recommend educational and training programs designed to im-
prove usage of pesticides and reduce deleterious effects.
•	Evaluate the complex risks and benefit considerations necessary
for making responsible judgments on the uses of pesticides, and
suggest means for maximizing benefits and minimizing risks.
•	Provide advice on suitable standards and tolerances for pesticide
content in food, water, and air to protect the public health and
the quality of the environment.
•	Identify gaps in knowledge and advise on needed research.
•	Review and recommend test procedures and protocols to be
employed by manufacturers in establishing the safety of
pesticides.
The committee should receive the full benefit of the information and
professional competence present in the Department of Health, Educa-
tion, and Welfare, maintain strong liaison with any comparable
advisory groups in other Federal agencies, and have free access to
specialists and experts throughout the nation.
Recommendation 7:
Develop suitable standards for pesticide content in food, water, and
air and other aspects of environmental quality, that; (1) protect the
public from undue hazards, and (0) recognize the need for optimal
human nutrition and food supply.
In setting tolerances for pesticide residues in or on foods, the De-
partment of Health, Education, and Welfare should be cognizant
of the need for optimal human nutrition and food supply. Because
widespread environmental contamination by DDT and other persist-
ent pesticides can cause unavoidable residues in many raw foods,
the new Pesticide Advisory Committee should examine the problem
of tolerances carefully. Total human exposure, actual daily intake,
and total body burden of pesticide residues should be minimized when-
ever feasible, but unavoidable residues should be realistically con-
sidered. (See next recommendation).
There is need to abate widespread contamination of the environment
in order to reduce unavoidable residues of pesticides in food, water,
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and air. Of equal importance is the need to take anticipatory regulatory
action to prevent future problems caused by other pesticides.
The fact that DDT residues are widespread throughout the environ-
ment has lead to unusual difficulties for certain food industries. For
example, the fact that DDT is concentrated from contaminated waters
into the fat of coho salmon and other fish is not the fault of the fishing
industry. DDT contamination of lakes, rivers, and oceans is not sus-
ceptible to immediate correction and reduction will require concerted
action to prevent DDT entry from various sources. Tolerances for
DDT residues in fish should be subjected to immediate review and
reflect the relative importance of the food in the diet. Concurrent
efforts should be made to apply processing methods capable of re-
ducing the DDT content of fish.
The Pesticide Advisory Committee may wish to consider a graded
series of regulatory actions developed in proportion to the extent of
environmental contamination or risk thereof, in relation to total human
exposure, actual daily intake, and total body burden of pesticide
residues. Such a series might be as follows:
Grade I: No significant environmental contamination or risk
thereof is judged to exist. Only periodic surveillance
and confirmatory evaluation is required.
Grade II: Some environmental contamination or risk thereof is
judged to exist. Active surveillance is required, in-
cluding the assessment of total human body burden
of pesticide residues; investigation of their relation-
ships to various sources; evaluation of reductions by
variations in food harvesting, processing, and dis-
tribution techniques; and routine regulatory controls.
Grade III: Substantial environmental contamination or risk
thereof is judged to exist. Restrict total usage with
active program of replacing present usage with alter-
native pesticides, and approve use by permit only.
Grade IV: Widespread or severe environmental contamination
or general risk thereof exists. Ban all nonessential
uses and remove from the general market. Approve
use by permit only.
If indicated by the best available evidence, the above-graded series
of regulatory actions would permit immediate classification of a pesti-
cide into grade III or IV, thus requiring approved use by permit only.
Anticipatory action can prevent harmful environmental contamina-
tion by pesticides and their movement into food, water, and air.
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Recommendation 8:
Seek modification of the Delaney clause to permit the Secretary of
the Department, of Health, Education, and Welfare to determine when
evidence of carcinogenesis justifies restrictive action concerning food
containing analytically detectable traces of chemicals.
The effect of the Delaney clause 2 is to require the removal from
interstate commerce of any food which contains analytically detectable
amounts of a food additive shown to be capable of inducing cancer in
experimental animals. This requirement would be excessively con-
servative if applied to foods containing unavoidable trace amounts
of pesticides shown to be capable of inducing cancer in experimental
animals when given in very high doses. If this clause were to be en-
forced for pesticide residues, it would outlaw most food of animal
origin including all meat, all dairy products (milk, butter, ice cream,
cheese, etc.), eggs, fowl, and fish. These foods presently contain and
will continue to contain for years, traces of DDT despite any restric-
tions imposed on pesticides. Removal of these foods would present a
far worse hazard to health than uncertain carcinogenic risk of these
trace amounts.
Commonly consumed foodstuffs contain detectable amounts of un-
avoidable naturally occurring constituents which under certain experi-
mental conditions are capable of inducing cancer in experimental ani-
mals. Yet, at the usual low level of intake of these constituents they are
regarded as presenting an acceptable risk to human health.
Exquisitely sensitive modern analytical techniques which became
available since enactment of the Delaney clause permit detection of
extremely small traces of chemicals at levels which may be biologically
insignificant. Positive response in carcinogenic testing has often been
shown to be dose-related, in that the carcinogenic response increases
with increasing dose levels of the carcinogen; when the dosage of a
carcinogen is minimized, the risk for cancer is also minimized or
eliminated.
The existence of such dose responses of carcinogens must be taken
into account by evaluating the balance of benefits and risks as is com-
monly done in assessing any toxic ehemica]. Ignorance concerning the
possible role of environmental chemicals in causation of human cancer
reinforces the case for caution in making such judgments. In addition
to the complexities of determining a "no effect" level of a weak car-
cinogen in a given experimental species, the extrapolation of the sub-
stance's effects to other species including man is of such intuitive na-
ture that a wide margin of safety must be allowed. Nevertheless,
compelling considerations of the increasing need for food may lead
3 Federal Food, Drug, anil Cosmetic Act, as amended, sec, 400 (c) (3) (A).
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to acceptance of ari undetectable small risk in order to obtain the
benefit of adequate food.
The recommendation for revision of the Delaney clause is made in.
order to permit determinations essential to the protection of human
health, not to justify irresponsible increases in the exposure of the
population to carcinogenic hazards.
Recommendation 9:
Establish a Department of Health, Education, and Welfare clearing-
house for -pesticide information and develop pcxticide protection team#.
The sources of information on pesticides are exertmely diverse and
scattered, including Federal and State agencies, universities, private
research centers, and industrial laboratories. The urgent problems of
pesticide management require rapid access to scientific information.
At the same time, a most serious information gap exists in the absence
of reliable sources of data on local activities, progress, and problems
throughout the Nation. Therefore, the establishment of a clearinghouse
for pesticides is recommended and the organization of pesticide pro-
tection teams is strongly urged.
The clearinghouse should:
•	Collect and organize information on pesticides and their rela-
tionships to human health and the quality of the environment in
a modern system for storage, retrieval, and dissemination, and
secure evaluations of such data.
•	Provide bibliographies, reprints, and summaries upon request
from the Secretary of the Department of Health, Education, and
Welfare, appropriate Federal and State agencies, research cen-
ters and others with a valid need for knowledge.
•	Receive continuously information from the pesticide protection
teams and provide for its proper summary and distribution,
with special attention to dangers or improvements related to
methods of pest control.
•	Maintain liaison with national and international bodies active
in the field of pesticide safety.
•	Receive, summarize, and distribute data from pesticide monitor-
ing programs related to human health and welfare.
Pesticide protection teams should be developed from existing local
personnel and coordinated with Federal and State personnel and
facilities from agriculture, wildlife and public health. They would:
•	Augment existing agricultural extension and fish and wildlife
efforts relating to pesticides and thereby guide local usage and
safeguards.
15
371-074 O—'69	

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•	Improve local surveillance of pesticide contamination, facili-
tate monitoring of human tissue residues of pesticides, and
investigate usage patterns and episodes of human toxicity.
•	Provide a rapid flow of local information based on the above
activities, to and from the clearinghouse, especially concerning
any emergency related to pesticides.
•	Inform the public, users of pesticides, local government and
enforcement agencies, and others in the proper and safe uses
of pesticides, techniques for disposal, and other matters.
•	Stimulate local awareness and constructive concern essential
for optimal use of pesticides.
Recommendation 10:
Increase Federal support of research on all methods of pest control,
the effects of pesticides on human health and on the ecosystems, and
on improved techniques for prediction of human effects.
The scientific talent of the Nation should be mobilized more effec-
tively to resolve the problems associated with the control of pests.
This will require increased Federal support of intra- and extra-
mural research and development by all Departments concerned with
pesticides.
In order better to assess the toxic effects of pest control agents on
nontarget organisms and on human health, research should be ex-
panded relative to the metabolism and degradation of pesticides
and their effects 011 the integrated systems by which organisms de-
rive energy, build protoplasm, and reproduce. Additional studies
on teratogenesis, mutagenesis, and carcinogenesis must be supported.
Epidemiologic and pathologic relationships as may exist between
pesticides and hematologic, metabolic, neurologic, cardiovascular, and
pulmonary diseases, pregnancy losses, and cancer must be studied in
appropriate communities and population groups.
The nature and extent of any interactions that may exist between
pesticides and other factors in the environment require further elucida-
tion. Improved scientific methods and protocols should be developed
to assess dose-response and metabolic phenomena related to the bio-
logical effects of pest control chemicals in various species in order
to increase the accuracy of extrapolative predictions concerning human
effects.
The economic costs of pesticides should be evaluated. This should
include the hidden costs to man resulting from the uses of pesticides.
Accurate quantitative data on environmental contamination and
damage to nontarget species by pesticides should be obtained in order
to assess the impact of the total global burden of pesticide residues.
The Department of Agriculture undertakes to determine the economic
16

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impact of changes in pesticide usage, and such information should be
incorporated in this evaluation.
Cooperative Federal and State programs of research, training, and
demonstration aimed at the solution of practical pest control problems
should be expanded. The U.S. Department of Agriculture and the
Department of the Interior should make greater use of cooperative
agreements and grant support for these purposes. Such support would
lead to:
a.	Better evaluation of the benefits of pesticides used for various
purposes in the context of alternative methods of pest control,
including combinations of pest control methods ;
b.	Development of less hazardous pest control chemicals with
high target specificity and minimal environmental persistence;
c.	Comprehension of the nontarget effects of pesticides; and
d.	Reduced damage to the environment.
Recommendation 11:
Provide incentives to industry to encourage the development of
more specif/: pent control chem icals.
Incentives should be provided to industry to encourage the develop-
ment of safer chemicals with high target specificity, minimal environ-
mental persistence, and few, if any, side effects on nontarget species.
Developmental costs will be disproportionately high in relation to
profits from the lower volume of sales of more specific chemicals
which will be used selectively. The high cost of development will
discourage investments unless incentives are provided.
In order to encourage joint developmental efforts by Government
and industry, consideration should be given to the applicability of the
present patent laws and practices. The working life of a patent is in
effect shortened by the extended period required to secure approval
and registration. Moreover, the assignment of patents to public owner-
ship rather than to licensees reduces the incentive for private enter-
prise to undertake the financial burden of approval and registration.
Recommendation 12:
Review and consider the adequacy of legislation and regulation
designed to:
1. Improve the effectiveness of labeling and instructions to users.
a.	Advertising inconsistent with the label should be
prohibited.
b.	An entirely new scheme of denoting relative toxicity
should be devised. The average consumer does not under-
stand the progression from caution, to warning, to poi-
son. A need exists for a nonlanguage (graphic or numeri-
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cal) representation of oral inhalation and dermal toxicity
to enable consumers to select less hazardous materials.
c.	Effective labeling practices and instructions to users re-
quire use of common (generic) names for all pesticides,
and the conveying of clear directions for and information
about proper use, dangers, and first aid. Printing should
be readable and multilingual when that is appropriate.
d.	When the chemical is known to be especially hazardous
to some type of organism, as toxaphene is for fish, this
should be stated.
e.	Instructions should also offer clear directions for safe
disposal of the empty container and of any unused
material.
2.	Extend the present concept of experimental permits as a mech-
anism to register pesticides initially on a restricted basis to
enable close observation, documentation, and reassessment of
direct and indirect effects under conditions of practical usage.
3.	Improve packaging and transportation practices in order to
minimize dangers of spillage and the contamination of ve-
hicles and of other merchandise.
4.	Provide for monitoring and control of effluents from plants
manufacturing, formulating, and using pesticides.
5.	Provide uniform indemnification to parties injured by mis-
takes in pesticide regulatory actions by Federal and State
authorities.
Recommendation 13:
Develop, in consultation with the Council of State Governments,
model regulations for the collection and disposal of unused pesticides,
used containers, and other pesticide contaminated materials.
The current model pesticide law recommended by the Association
of American Pesticide Control officials does not cover the important
problems of disposal of surplus pesticides and of used pesticide con-
tainers. Kegulations to control these important sources of contamina-
tion and of accidental poisonings properly belong in State or local
codes.
An additional feature that should be included in a model law is
registration, possibly by social security number, of all workers em-
ployed in manufacturing or applying especially hazardous pesticides.
This would facilitate implementation of measures to protect them
from hazardous exposures as well as to expedite epidemiological in-
vestigation of adverse effects of pesticides on human health.
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Recommendation 14:
Increase participation in international cooperative efforts to promote
wfe and effective mage of pesticides.
DDT is widely distributed throughout the global environment.
If present usage patterns continue, or if other persistent pesticides are
used in large quantities, the contamination of the environment may
increase with time. An international problem exists and it will require
international cooperation to solve it.
Government and industry should increase their participation in
international cooperative efforts to assist developing nations to promote
safe and effective usage of pesticides for disease prevention and the
production of essential foods and fibers. The risk-benefit considera-
tions differ somewhat from country to country depending on the
particular problems encountered. Both benefits and hazards of using
a pesticide must be evaluated carefully in order to determine the appro-
priateness of use in a given area.
The U.S. Government should assume leadership in studying the
inherent health hazards of pesticide usage and cooperate in the training
of technical personnel from other countries.
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SUMMARIES OF SUBCOMMITTEE
REPORTS
USES AND BENEFITS OF PESTICIDES
Summary and Conclusions
The production and use of pesticides in the United States is expected
to continue to grow at an annual rate of approximately 15 percent.
Predictions are that insecticides will more than double in use by
1975 and herbicides will increase at an even more accelerated pace.
The foreign use of pesticides will likewise continue to increase with
the organochlorine and organophosphorous insecticides continuing to
represent a significant part of the foreign market.
The use of DDT in domestic pest control programs is rapidly de-
clining with the major need reported to be associated with cotton
production in the Southeastern United States. Although the total
production is declining, an increasing quantity is being purchased by
AID and UNICEF for foreign malaria programs.
Most other persistent pesticides have continued to decline in use
since 1957, a trend that will continue with the remaining uses being
primarily nonagricultural. The shift to nonpersistent pesticides will
continue at an accelerated rate, however, there will be a continued
need for use of persistent materials for the control of selected pest
problems.
Although imaginative and exciting research is in progress, non-
insecticidal control techniques are not likely to have a significant
impact on the use of insecticides in the foreseeable future. There is
evidence of an increased appreciation for the use of integrated con-
trol in the management of pest populations with less persistent and
more selective insecticides playing an important part.
There is a serious lack of information available on pesticide use
patterns, particularly as they relate to nonagricultural uses. Likewise,
available data are usually not obtainable for a proper evaluation of
the economic implications of pesticide use. The United States activity
in international pest control programs is complicated by the magnitude
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of involvement and the complexity of diplomatic and agency respon-
sibilities. There are many factors that are influencing the changing
use patterns of pesticides. In addition to new pest infestations, resist-
ance to selected pesticides, alterations in the economics of crop pro-
duction, and changing agricultural and social patterns, the impact of
public opinion is having a growing influence on the use of pesticides.
The increased concern for new legislation and regulation of the
manufacture, sale, and use of pesticides must not be so structured
as to destroy the incentive for development of new pesticides more
compatible with other desirable environmental qualities.
CONTAMINATION
Summary and Conclusions
The subgroup on contamination has examined the present status of
knowledge on the dissemination of pesticides into the environment, the
mechanisms and rates at which they accumulate in various elements
of the environment, and methods by which pesticides might be con-
trolled so that their presence in the environment would pose a minimal
hazard to society consistent with the benefits to be obtained from
their use.
The subgroup has examined: a) The air route by which pesticides
are applied and distributed in the biosphere; b) the water route;
c) the food route; d) soil contamination; e) household uses of pes-
ticides; f) occupational exposures resulting from the manufacture
and application of pesticides, and accidents that may occur in their
use; g) alternatives to the use of persistent pesticides; h) the monitor-
ing of pesticides in the environment; i) systems analysis of pesticides
in the environment.
Much contamination and damage results from the indiscriminate,
uncontrolled, unmonitored and excessive use of pesticides, often in
situations where properly supervised application of pesticides would
confine them to target areas and organisms and at the concentrations
necessary for their beneficial use without damage to the environment.
Research investigations, demonstrations, and monitored operations
reveal that the careful application of many of the pesticides and the
use of techniques presently available and being developed can be
expected to reduce contamination of the environment to a small frac-
tion of the current level without reducing effective control of the target
organisms.
The present piecemeal involvement of various Federal agencies in
pesticide control requires more than the existing type of coordination.
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As human health and welfare are the values of prime concern, the
DHEW should provide a lead in the establishment of a mechanism
for administering pesticide control programs.
Ad hoe studies of pesticides in the environment are not adequate to
assess the inputs of pesticides to the biosphere, their degradation,
translocation, movement and rates of accumulation. Monitoring is con-
ducted by a large number of agencies, but in each instance the monitor-
ing is related to a specific mission of the agency. Therefore, a single
agency should take the initiative to insure the effective monitoring
of the total environment, and the filling of gaps in data such as for
oceans and ground water, as they are identified. A continuous systems
analysis of pesticides in the environment needs to be conducted.
Aerial spraying should bo confined to specific conditions of lapse
and wind that will preclude drift. Regulations to limit aerial applica-
tion to specific weather conditions would be helpful in providing
guidance for regulatory programs. Increased engineering development
effort is needed for the design of equipment for, and the adaptation
of helicopters to the aerial spraying of pesticides.
The use of low volume concentrated sprays should be encouraged.
Since this technique, if it is not properly controlled, can be more haz-
ardous to workers, effective regulations must precede its increased use.
Increased information is needed on the degree of exposure of the
general population to pesticides used for household, lawn, and garden-
ing purposes. More effective means for regulation and control of pesti-
cide use by the general public should be instituted, possibly by licensing
of distribution outlets.
The use of lindane and similarly toxic materials which act by evapo-
ration must be discontinued where humans or foods are subject to
exposure, such as in homes, restaurants, and schools.
There is a vastly increased need for the education of the general
public in the management of pesticides and in the training of profes-
sional applicators. Public communications media, schools and univer-
sities all have important roles to play.
Labeling regulations must also be improved. Print should be en-
larged and language should be made intelligible for the lay public.
A need exists for nonlanguage, internationally intelligible insignia or
markings that will advise the user of the degree of toxicity and per-
sistancc of the product, its method of application, and the target
organisms.
More vigorous effort is needed to replace the persistent, toxic, and
broad-spectrum pesticides with chemicals that are less persistent and
more specific. Certain of the less-persistent pesticides, however, may
be more toxic to humans and therefore effective regulation of their
application is required to insure against injury to personnel.
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Integrated control techniques for the control of select pests promises
to effect n reduced usage of pesticides. Such alternative techniques
should be more widely applied.
Licensing of commercial pesticide applicators, as well as other large-
scale applicators of hazardous materials should be required.
Analytical methods, although extremely good, require further de-
velopment. Need exists for standardizing or referencing additional
techniques, even on an international basis. There is need for both
less sophisticated techniques for field use as well as for automated
techniques for wide-scale monitoring.
Standards for selected pesticides should be included in the Public
Health Service "Drinking Water Standards". Although guidelines
and criteria for some pesticides have been delineated, they have never
been officially established.
Prior to application of pesticides to waters for the control of -weeds,
snails, mosquitoes, and in other aquatic uses, a careful analysis should
be made of the proposed pesticide characteristics with respect to the
uses of the target area. Special concern is indicated where domestic
water supply is involved, or where food-chain concentration may
occur.
Steps should be taken to prevent the simultaneous shipment of
pesticides and foodstuffs within the same vehicle. Comprehensive
regulations for pesticide transportation are required.
Safe methods of disposal of pesticides, their wastes, and containers
are needed to prevent the contaimination of the environment and to
protect individuals from contamination and accidents.
Intensified research and development is needed in the following
areas, among others:
~.	Prediction of the micrometeorological conditions suitable
for aerial spraying.
~.	Application of systems analysis to the pesticide-enviromcnt
problem.
c.	Pesticide chemodynamics, with emphasis on reservoirs of
storage.
d.	More intensive development of less-persistent pesticides
with narrow spectra of toxicity.
e.	Continuing development of spray devices with narrow
spectra of droplet sizes.
/. Continuing development of alternatives to chemical control
of pests.
g. Creation of more suitable materials for pesticide packaging
and containers to facilitate safe transfer, handling use, and
disposal.
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h.	Treatment processes for the elimination of pesticides from
domestic water supplies as well as from wastewaters.
i.	Immediate studios of the effects of pesticide residues on
ftlgal photosynthctic activity.
EFFECTS ON NONTARGET ORGANISMS OTHER
THAN MAN
Summary and conclusions
Man is an integral part of the living system, which includes about
200,000 species in the United States- Most of these are considered to
he essential to the well-being of man. Pesticides are now affecting indi-
viduals, populations, and communities of natural organisms. Some,
especially the persistent insecticidal chemicals such as DDT, have re-
duced the reproduction and survival of nontarget species.
Pesticides are dispersed via air, water, and the movements of organ-
isms. The most significant concentrations are found in and near the
areas of intensive use, but traces have been found in the Antarctic and
other ureas far from application. Pesticides have reduced the popula-
tions of several wild species. Both extensive field data and the results
of excellent controlled experiments demonstrate that certain birds,
fishes, and insects are especially vulnerable. There are suggestions that
pesticides in the environment may adversely affect processes as funda-
mental to the biosphere as photosynthesis in the oceans.
However, the scarcity of information concerning the influences of
pesticides on natural populations prevents adequate assessment of
their total effects. Less than 1 percent of the species in the United
States have been studied in this connection, and very few of these
have been subjected to adequate observation. Present methods and pro-
grams for determining the influences of pesticides on nontarget organ-
isms are inadequate. Little data exists on the distribution, location, and
impact of various pest control chemicals in the natural living systems
of the world.
The general nature of the effects of pesticides on nontarget species
populations and communities can now be suggested. Although there
is usually greater similarity of reaction between closely related species,
each species reacts differently to specific pesticides. DDT, for example,
causes egg shell thinning in ducks and falcons, but not in pheasants
and quail. Pesticides from the air, water, and soil may be concentrated
in the bodies of organisms. The concentrating effect is frequently en-
hanced as one species feeds on another and passes the pesticide from
one link to another in the food chain. Hence, predators like some birds
25

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.and fish may be exposed to levels several thousand times the concen-
tration in the physical environment. Some nontarget organisms can,
under highly selective pressure from pesticides, evolve resistance to
them. The surviving resistant individuals may pass extremely high
concentrations to their predators. In communities exposed to pesticides,
the total number of species is usually reduced and the stability of popu-
lations within the community is upset. Often, beneficial species are
unintentionally eliminated. Such a reduction in the number of species
is frequently followed by outbreaks or population explosions in some
of the surviving species, usually those in the lower parts of the food
chain. When a vital link low in the food chain is eliminated, many
predators and parasites higher in the food chain are often also
destroyed.
The Committee has reached the following conclusions:
1.	Adequate methods should be developed and utilized for evalu-
ation of the hidden costs of the uses of pesticides.
Such evaluation is essential as part of the development of use-
ful estimates of all of the benefits and costs to society. Some
partial estimates of the direct benefits are available and useful.
Adequate data are not available on such indirect costs as losses
of useful fish and wildlife, damage to other species, and any
esthetic effects. These are required to guide rational decisions
on the proper uses and control of pesticides so that the net gains
will be as great as possible while the net losses are minimal.
2.	Persistent chlorinated hydrocarbons which have a broad spec-
trum of biological effects, including DDT, DDD, aldrin, chlordane,
dieldrin, endrin, heptachlor, and toxaphene, should be progressively
removed from general use over the next 2 years.
These pesticides are causing serious damage to certain birds,
fish, and other nontarget species among world populations.
Some of these species are useful to man for food or recreation,
some are essential to the biological systems of which he is a part,
and some merit special protection because they are already
endangered.
These pesticides have value in specific circumstances, and
we suggest that they be used only under license and with spe-
cial permits. The system for assuring this careful use should
be established as the unrestricted use of these materials is
phased out over the 2-year period.
I). The release of biocidal materials into the environment should
be drastically reduced.
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In addition to restriction of tlie use of hazardous pesticides,
many techniques can be applied which will minimize the re-
lease of pest, control chemicals. In industry, improved chem-
ical and engineering processes could reduce the quantity of
contaminated wash water; more effective methods can be
developed for disposal of unused stocks and residues of pesti-
cides; and improved surveillance of effluents would be de-
sirable. For home use, improved materials and methods of
application can be created and employed with greater discre-
tion on the part of the individuals involved. For large-scale
applications, conversion to integrated methods of pest control,
care in the selection and application of specific chemicals, and
preference for short-lived pesticides would reduce release to
the environment.
These efforts, combined with increased research and educa-
tion, would slowly but effectively reduce the damage to non-
target species.
4.	The U. S. Department of Health, Education, and Welfare
or another Federal agency should negotiate a contract with a suitable
national professional organization to develop a system, complete
with standards of training, testing, and enforcement, for the effective
restriction of use of selected pesticides known to be especially haz-
ardous to man or to elements of the environment.
To achieve an adequate and prompt further reduction in
the use of certain pesticides and still permit their use where
no adequate substitute is acceptable, there must be a system
of regulation based upon State or local authority but using
uniform national standards. This system should provide for
use of the selected pesticides only by or under the immediate
supervision of a licensed operator meeting certain standards
of training, competence, and ethics.
5.	Educational efforts relating to the proper and improper usages
of pesticides should be improved and expanded.
The most important element in the wise use of pesticides
is the individual person who selects the chemical to be used and
decides upon the methods of application. Suggestions have
been provided elsewhere for the proper training of all large-
scale applicators. It is equally important that homeowners,
gardeners, students, legislators, civic officials, and others receive
adequate and correct information and develop proper atti-
tudes. Such education could contribute greatly to wise use of
pesticides, and also to rational response to governmental efforts
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to protect public health and welfare while graining as much
advantage as possible from pest control methods.
6. All pertinent Federal and State agencies should review and
improve policies suid practices of pesticide use.
The beneficial uses of pesticides have been accompanied by
a wide variety of policies and practices which have sometimes
been wasteful, unnecessarily destructive, or ineffective. We
offer the following suggestions to be included among the guide-
lines for wise use of pesticides:
a.	Pesticides should be applied only when there is evidence
that pest densities will reach a significant damage threshold.
b.	Effective pest control does not usually require eradication
of the j^est species, and should be directed toward optimal
management of pest densities.
c.	Support for research and demonstrations should be pro-
vided to projects based on the systems approach to pest manage-
ment and control.
d.	Diversity of species is biologically desirable since it con-
tributes to the stability and efficiency of life systems.
e.	No species should be eradicated except as a carefully se-
lected i>est and when compensating human gains are ecologicalty
sound and clearly established.
f.	Special care must be taken to prevent any damage to the
species and mechanisms which are of fundamental importance
to biological systems. For example, oceanic phytoplankton pro-
duces most of the oxygen necessary for the earth's biological
system.
g.	Requirements for food quality should not be so high as to
require excessive use of pesticides. Customer preference, and
regulatory requirements, for unblemished fruit and vegetables
and the complete absence of insect parts have encouraged heavy
use of pesticides.
h.	New pesticides should be given interim approval which
permits contained use in limited but typical circumstances
prior to general approval. The pattern of careful progressive
risks would encourage new developments without endangering
the public interest.
i.	Effective incentives should be established to encourage the
development of improved pest control techniques. The cost of
entering a new product or test ing a different control technique is
high. Since effects on the national welfare are involved, proper
governmental encouragement of private industrial efforts may
be appropriate.
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7.	Registration requirements should be strengthened and rede-
signed to permit initial provisional approval, then general use ap-
proval, and to require periodic review and re-registration of materials.
Registration of pesticides offers the most important oppor-
tunity for estimating potential benefits and costs in advance
of wide usage. In addition to present registration application
information, useful estimates should be provided of the per-
sistence of the pesticide, on the breadth of its biological impact,
and on its fate. These will disclose the nature and possible mag-
nitude of the nontarget effects. If approval is appropriate, we
suggest that it be for a short-term period and for use under
defined circumstances where risks are confined, and that general
use be considered after such field experience. Since some of the
significant effects in nontarget species are subtle, sublethal, and
difficult to detect, we recommend that all pesticides be subject
to periodic review and approval.
8.	All commercial applications and other large-scale applications
of pesticides should be performed under the supervision of competent
trained persons.
The complex responsibilities of pesticide application involve
both achievement of the greatest possible benefit and maximum
prevention of damage. These require considerable knowledge of
the management of crops, the biology of desirable and unde-
sirable species, the effects of weather, and the effects of biocidc
in the ecosystems. They also require application of professional
judgment and use of professional standards of conduct and
responsibility. We suggest that all such applicators should be
properly trained, required to demonstrate their competence, and
awarded evidence of their ability. Incentives in the forms of
salary and recognition will be needed to encourage such pro-
fessional training.
Training programs for pest management specialists of all
types, including applicators, should include the concepts of sys-
tems approaches to pest control and emphasize the relationships
between pest management activities and the total biological
community affected.
Since new information is emerging rapidly in pest manage-
ment, refresher courses for county agricultural agents, appli-
cators and others involved in the uses of pesticides and other
control techniques would be of special value,
9.	The production of additional information and comprehension
should be encouraged and supported on many aspects of pesticide use
and effects.
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Experience with pesticides has revealed many serious gaps in
available knowledge. Research is urgently needed on many gen-
eral and specific problems. The following problems are all re-
lated to nontarget effects of pesticides, and many of them are
also pertinent to other areas of pesticide use, to successful man-
agement of animals and plants, and to fundamental science.
a.	What are the acute effects of the common pesticides when
used on the many species of wildlife and other organisms which
may be exposed to them (
b.	What are the effects of indirect and chronic exposure ?
c.	What is the nature and magnitude of the effects of insecti-
cides on beneficial insects and other species ?
d.	What are the normal patterns and variations in natural
biotic communities, as baselines for understanding future pesti-
cide pollution effects!
e.	What mechanisms exert natural control on various pest
populations ?
f.	How can we best estimate pest populations and predict,
their trends?
g.	What are the full potentials and realistic limitations of the
pest control methods which are suggested as alternatives to
chemical pesticides, including predators, parasites, pathogens,
cultural control, sterilization, attractants, repellants, genetic
manipulation, and integrated approaches ?
h.	What improvements are possible for pesticide packaging
and disposal (including degradable containers) to minimize
threats to nontarget species?
10.	A vigorous specific program should be created to bring the 100
most serious insect pest species of the United States under optimal
control.
These require about_80 percent of the insecticides now in use.
Dramatic focusing of attention on the "100 worst*' could lead to
rapid improvement in the species-specific insecticides, bio-
logical control methods, or integrated control programs.
11.	The responsibilities of the several Federal agencies involved
in pesticide regulation and control must be more clearly defined and
certain specific activities should be improved or initiated by appro-
priate agencies.
Procedures and patterns for the regulation and control of
pesticide use have emerged during the last 30 years in response
to changes in law, evolving practices in agriculture, production
of new chemical materials, changing public concern with health
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effects and nontarget damage, emerging scientific comprehen-
sion of benefits and costs, and other unstructured events. Both
benefits and costs are now so large as to merit the national allo-
cation of responsibilities. We suggest careful review and
reassignment, by law if necessary, of the proper role of—
a.	The Department of Interior, charged with protection and
enhancement of nonagricultural resources and with water
quality control.
b.	The Department of Agriculture, charged with assisting in
the maximum production of food, fibers, and other culturable
crops in ways which are not detrimental to other interests.
c.	The Department of Health, Education, and Welfare,
charged with protection and improvement of human health and
welfare.
d.	The National Science Foundation, responsible for im-
proved comprehension of fundamental processes and assisting
in their application for human benefit.
e.	The Environmental Quality Council, Federal Committee
on Pest Control, and other coordinating agencies.
Other agencies are, of course, involved as users of pesticides
and in other functions. Those listed above, however, appear
to comprise the areas of primary attention. In addition to pres-
ent programs and activities related to pesticides, we suggest
the following services for new or additional emphasis:
a.	A taxonomic and identification service should be estab-
lished to provide increased knowledge and reference standards
for biological investigations related to all fields of pest control.
b.	Broader monitoring should be undertaken of the types
and quantities of pesticide transmitted by various means and
reaching nontarget species. Bioaccumulators like oysters and
other molluscs can be unusually useful as indicators, and the
levels of concentrations in predatory species are of special
importance.
c.	Early indications of undesirable effects must be detected
effectively and followed by appropriate action. When the early
warning system suggests a potential pollution hazard in the
environment, the acquisition of additional pertinent informa-
tion by the scientific community should be supported.
d.	Multidisciplinary investigations of alternative control
techniques should be carried out whenever present control meth-
ods are shown to contain potential hazards.
e.	A single agency should assume the responsibility for
assimilating information on the effects of pesticides on nontar-
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get species and transmitting it to appropriate regulatory and
educational centers.
f. Measurable predictors of potential hazards from pesti-
cide use should be agreed upon and might be made the basis
of a handicap tax to be applied to each pesticide in proportion
to its pollution hazard.
EFFECTS OF PESTICIDES ON MAN
Summary and Conclusions
The scope of this report is intended to encompass the present state
of knowledge concerning the nature, extent and consequences of hu-
man exposure to pesticides. Data relating to exposure of experimental
animals have been reviewed only insofar as they contribute to our
understanding of phenomena encountered in man or provide knowl-
edge in areas where human data are meager or totally lacking.
No human activity is entirely without risk and this maxim holds
for pesticide usage in the human environment just as it does for all
other exposure to chemicals. There are formidable inherent difficulties
in fully evaluating the risks to human health consequent upon the use
of pesticides. In part, these difficulties stem from the complex nature
of the problems involved, the fact that many facets of these problems
have been recognized only recently, and the general backwardness in
this area of research in man, as distinct from work in laboratory ani-
mals. Above all, one must not lose sight of the large number of human
variables—such as age, sex, race, socio-economic status, diet, state of
health—all of which can conceivably, or actually do, profoundly af-
fect human response to pesticides. As yet, little is known about the
effects of these variables in practice. Finally, one must realize that the
components of the total environment of man interact in various subtle
ways, so that the long-term effects of low-level exposure to one pesti-
cide are greatly influenced by universal concomitant exposure to other
pesticides as well as to chemicals such as those in air, water, food and
drugs. While all scientists engaged in this field desire simple clear-
cut answers to the questions posed by human exposure to pesticides,
the complexity of the human environmental situation seldom allows
such answers to be obtained. Attempts to extrapolate from the results
of animal experiments to man are also beset with pitfalls. Hence, the
greatest care needs to be exercised in drawing conclusions regarding
cause-and-effect relationships in human pesticide exposure.
The available evidence concerning such human exposure to pesti-
cides derives from three main sources: planned and controlledadmin-
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istration of pesticides to human subjects; case reports of episodes of
accidental or other acute poisoning; and epidemiological studies,
which in turn comprise surveys of occupationally-exposed groups (in
accordance with a variety of retrospective and prospective ap-
proaches) , and studies of the general population.
Indices of exposure of human beings to pesticides constitute a vital
link in the chain of evidence that must be forged in order to reveal,
interpret, and maintain effective surveillance of, pesticide exposures.
Hitherto, the view that, exposure of the general population was pre-
dominantly associated with the presence of pesticide residues in food
has been reflected in the efficient monitoring of total diet samples and
individual foods, but only sporadic attention to other sources of ex-
posure. It is now evident that much can be learned by monitoring the
end-product of human exposure in the form of pesticide levels in body
fluids and tissues of people. The information thus obtained is quite
distinct from, and at least as valuable as, the data on residues in food;
the two types of data complement each other admirably. Provision
of information on human levels, in adequately detailed coverage of
various groups within the general population is seen as the single
most immediate step towards a better understanding and surveillance
of total exposure from all sources of pesticides.
Sophistication achieved through the use of modern techniques has
made possible the study of absorption, disposition, metabolism and
excretion of some pesticides in man. Experience derived from animal
studies has provided guidance in directing the appropriate procedures
to the investigation of the behavior of pesticides in the human body.
To date, the most significant information of this sort relates mainly to
two organoehlorine pesticide groups, namely DDT and allied com-
pounds as well as the aldrin-dieldrin group. Knowledge of the dy-
namic aspects of the behavior of these two pesticide groups in the
human body is far from complete, but already some important facts
have been established. In general, for any given level of pesticide in-
take, an equilibrium level of pesticide is attained in blood and body
fat, despite continuing exposure. The precise concentration at which
the plateau is established is directly related to the level of exposure
but also to other determining factors. In the case of aldrin-dieldrin,
the blood level appears to l>e a reliable measure of exposure. It appears
further, that DDT in blood is directly related to recent exposure, while
in contrast DDE in blood is a reflection of long term exposure.
A detailed survey of case reports of incidents involving accidental
poisoning by organochlorine pesticides reveals that their general ac-
tion is to increase the excitability of the nervous system. Some of these
compounds also damage the liver. Their capacity to penetrate intact
human skin varies from one compound to aftother; in the case of en-
33

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drin, for example, percutaneous penetration plays an important part
in clinical intoxication. Within the organochlorine group of com-
pounds there is a wide range of potential for acute toxicity: DDT is
relatively safe in terms of acute intoxication, while di el drin and endrin
have produced many cases of serious poisoning. Lindane presents a
special problem, inasmuch as it lias been implicated, largely on the
basis of circumstantial evidence, in the causation of hematological
disorders. A characteristic of organochlorine poisoning is the dif-
ficulty of establishing the correct diagnosis. This is especially true in
cases of mild poisoning that result in nonspecific symptoms and signs,
since except in the case of dieldrin there are no established criteria for
diagnosis on the basis of blood levels. Specific therapeutic measures
do not exist.
Inhibition of cholinesterase enzymes by the organophosphate pesti-
cides appears to be the only important manifestation of acute or
chronic toxicity produced by this class of compounds. Great variation
in acute toxicity from one compound to another characterizes this
group, which includes some of the most toxic materials used by man.
Cholinesterase inhibition results in a well-defined clinical pattern of
intoxication which can be readily diagnosed. Specific therapeutic
measures are available and, provided they are pressed with sufficient
speed and vigor, are highly effective. Skin penetration by organophos-
phates may be substantial. In view of the toxic potential of these com-
pounds, protection of workers exposed to them assumes utmost impor-
tance. Protective measures should include education, training, proper
equipment design, suitable personal protection devices, careful medical
surveillance and well-organized facilities ready to treat cases of poison-
ing with a minimum of delay.
Carbamate pesticides are also cholinesterase inhibitors but, because
of rapid in vitro reactivation of the enzyme, measurement of cholines-
terase activity is not a reliable guide to exposure. As with organo-
phosphates, the toxic potential of some members of the carbamate
group is very great.
Controlled exposure of human volunteers to pesticides under close
medical supervision constitutes the most reliable approach to the
unequivocal evaluation of long-term effects of low levels of pesticide
exposure. The difficulties involved in maintaining such studies have
inevitably resulted in very small groups of subjects being exposed for
any appreciable length of time. The longest studies on record have
lasted less than four years and the results can only reflect the period
of study. Consequently, the findings, especially when they are negative,
are open to question when taken by themselves. It appears, however,
that present levels of exposure to DDT among the general population
have not produced any observable adverse effect in controlled studies
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on volunteers. The same is true of aldrin-dieldrin. These findings ac-
quire greater force when combined with observations on other groups,
such as occupa ti on ally -exposed persons.
With organophosphate pesticides, the problem, of human residues
does not arise "because these compounds are not stored in body fat.
Here the risk is one of acute poisoning. Much accidental poisoning is
attributable to public ignorance of the toxicity of these chemieals and
neglect of appropriate precautions in their use and storage. In de-
veloping countries serious accidents result from storage of pesticides
in unlabeled bottles and of food in used pesticide containers. Epi-
demics of acute poisoning follow spillage of concentrated organophos-
phates into bulk food or water sources. The hazard to human life is
shared by fish and wildlife. Regional pesticide protection teams are
suggested as a means of investigating, recording and ultimately pre-
venting accidents of this sort.
Industry has made much progress towards safe handling of pesti-
cides. Nonetheless, a very real occupational hazard exists, and exten-
sion of preventive measures should include regular blood testing for
evidence of organophosphate exposure. A limit for DDT and other
organochlorine pesticides in blood should be established to prevent
overexposure.
Pesticide exposure experienced by the population at large is in part
the legacy of earlier excessi ve or in j udicious use of persistent pesticides.
Residues of these compounds have been, and are still being acquired
from all articles of diet and a variety of other environmental sources.
This is the major source of public concern. Although a number of per-
sistent pesticides can be identified, attention is centered on DDT,
and closely-related compounds, the most ubiquitous and predominant
of all pesticide residues in man. The consequences of these prolonged
exposures on human health cannot be fully elucidated at present. Evi-
dence from workers who are subject to vastly greater exposure than the
public is reassuring but far from complete. Animal experiments clarify
certain issues but the results cannot be extrapolated directly to man.
On the basis of present knowledge, the only unequivocal consequece of
long-term exposure to persistent pesticides, at the levels encountered
by the general population, is the acquisition of residues in tissues and
body fluids. No reliable study has revealed a causal association between
the presence of these residues and human disease.
Despite such reassurance, realization of the paucity of our knowl-
edge in this area flows from increasingly sophisticated studies on hu-
man residues of DDT and related compounds. There appears to be
marked geographical stratification of DDT residues in our population,
the average levels in the cooler isotherms being one-half of those in
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the warmer climates. None of these observations apply to residues of
die-ldrin. Such finding cast serious doubt on accepted beliefs that
food is the predominant source of DDT residues and that the entire
general population has reached equilibrium as regards acquisition of
such I'esidues.
Reopening these questions emphasizes the inadequacy of present
monitoring of exposure by relying mainly on analysis of food. This as-
pect was stressed above. It also renders more urgent the need to con-
tain and eventually greatly reduce the extent of human and animal
contamination by pesticide residues. Existing knowledge confirms the
feasibility of inducing active withdrawal of pesticide residues from the
human body but further research to achieve a practical means of at-
taining this goal is needed.
A survey of the reported effects of pesticides on laboratory animals
has furnished information on factors and experimental conditions
that could not easily be reproduced in human studies. For example,
the influence of diet on pesticide toxicity, and particularly lack of
dietary protein, has revealed substantial increases in acute toxicity
of some pesticides. In this, as in some other sections of our report ref-
erence is made to the capacity of organochlorine pesticides to bring
about a great increase in the activity of liver enzymes responsible for
the metabolism of foreign compounds. This phenomenon of enzyme in-
duction has been extensively studied in animals and is discussed in de-
tail in the report of the Panel on Interactions. Comparable enzyme in-
duction in the human liver is brought about by many drugs and also by
DDT, It is a sad comment on the dearth of knowledge of human physi -
ology to point out that the threshold dose of DDT for induction of
metabolizing enzymes in human liver is unknown.
Special sections of the report deal with the possible effects of pesti-
cides in bringing about heritable alterations in the genetic material
(mutagenesis), effects on reproduction, including malformations in the
fetus or newborn infant (teratogenesis) and increasing the incidence
of various forms of cancer (carcinogenesis). The data available relate
only to experimental animals or to lower forms of life. At the present
time we do not know whether or not such results are applicable to
man. While there is no evidence to indicate that pesticides presently
in use actually cause carcinogenic or teratogenic effects in man, never-
theless, the fact that some pesticides cause these effects in experimental
mammals indicates cause for concern and careful evaluation. It is pru-
dent to minimize human exposure to substances producing these ad-
verse effects in mammals while additional investigations are under-
taken to assess the potential of such suspect pesticides for causing ad-
verse effects in man. There is a need to develop standard protocols
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for safety evaluation that are sufficiently flexible to permit an individ-
ual approach to the particular and often unique problems presented
by each pesticide. Assurance of safety to man demands special tech-
niques, not only for extrapolation of animal data to man, but also for
evaluation of controlled human expsure. Much effort will be required
to attain these objectives. Research in these areas should be expanded
and imbued with a greater sense of urgency than that manifested
before.
The Panel on Interactions has provided a valuable analysis of the
manner in which pesticides can interact with one another, and with
drugs and other environmental agents, in exercising effects on man
and animals. Once again one is struck by the complexity and impor-
tance of these interrelationships and by the extent of our ignorance of
effects on man.
To sum up, the field of pesticide toxicology exemplifies the absurdity
of a situation in which 200 million Americans are undergoing life-
long exposure, yet our knowledge of what is happening to them is at
best fragmentary and for the most part indirect and inferential.
While there is little ground for forebodings of disaster, there is even
less for complacency. The proper study of mankind is man. It is
to this study that we should address ourselves without delay.
37

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Part II
Subcommittee and Panel Reports
to the Commission on Pesticides

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CHAPTER 1
Uses and Benefits of Pesticides
Contents
Page
Summary and conclusions					43
General history of pesticides		44
Pesticides production and use		46
Factors influencing changing use patterns				58
Pesticide groups and general uses				61
Belated materials and their uses				73
Legislation and regulation relating to pesticide production and
use						75
Problems of introduction of new pesticides		78
Advantages and disadvantages of substitute methods of pest
control		80
Appendix—international aspects of pest control by chlorinated
hydrocarbons		83
Selected bibliography		-	92
41

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USES AND BENEFITS OF PESTICIDES
Summary and Conclusions
The production and use of pesticides in the United States is expected
to continue to grow at an annual rate of approximately 15 percent.
Predictions are that insecticides will more than double in use by
1975 and herbicides will increase at an even more accelerated pace.
The foreign use of pesticides will likewise continue to increase with
the organochlorine and organophosphorous insecticides continuing to
represent a significant part of the foreign market.
The use of DDT in domestic pest control programs is rapidly de-
clining with the major need reported to be associated with cotton
production in the Southeastern United States. Although the total
production is declining, an increasing quantity is being purchased by
AID and UNICEF for foreign malaria programs.
Most other persistent pesticides have continued to decline in use
since 1957, a trend that will continue with the remaining uses being
primarily nonagricultural. The shift to nonpersistent pesticides will
continue at an accelerated rate, however, there will be a continued
need for use of persistent materials for the control of selected pest
problems.
Although imaginative and exciting research is in progress, non-
insecticidal control techniques are not likely to have a significant
impact on the use of insecticides in the foreseeable future. There is
evidence of an increased appreciation for the use of integrated con-
trol in the management of pest populations with less persistent and
more selective insecticides playing an important part.
There is a serious lack of information available on pesticide use
patterns, particularly as they relate to nonagricultural uses. Likewise,
available data are usually not obtainable for a proper evaluation of
the economic implications of pesticide use. The United States activity
in international pest control programs is complicated by the magnitude
of involvement and the complexity of diplomatic and agency respon-
sibilities. There are many factors that are influencing the changing
use patterns of pesticides. In addition to new pest infestations, resist-
ance to selected pesticides, alterations in the economics of crop pro-
43

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duction, and changing agricultural and social patterns, the impact of
public opinion is having a growing influence on the use of pesticides.
The increased concern for new legislation and regulation of the
manufacture, sale, and use of pesticides must not be so structured
as to destroy the incentive for development of new pesticides more
compatible with other desirable environmental qualities.
General History of Pesticides
A pesticide is a, chemical used to cause the death of nonhuman orga-
nisms considered by man to be "pest"; i.e., inimical to human interests.
Rather arbitrarily the following are excluded: pathogenic microor-
ganisms, viruses, bacteria, protozoa generally, endoparasites of man
and other animals, and a host of organisms causing special problems
such as the marine fouling organisms. Technically materials such as
chemotherapeutic agents can be classed as pesticides. However these
are regarded as outside tlie scope of consideration of the commission.
Space does not permit us to trace the history of pesticide usage back
to the dawn of recorded history. For example, it h&s been claimed that
Marco Polo brought pvretlirum to Europe from the far east as a pon-
derous compound of secret origin. Rather, our emphasis will be on the
changes in uses and attitudes toward pesticides which occurred quite
suddenly in the mid-1940's, The insectieidal properties of DDT were
discovered in 1939; it was used in the field, mostly by the military, in
the early 1940's, and became commercially available to the public in this
and other countries about 1945. Similarly1 plant hormones and close an-
alogs were objects of research in the late 1930's, and from these studies
came the herbicide 2,4-D which was released commercially almost
simultaneously with DDT. From that start a liost of new materials
has been produced, a major new industry has come into being, and
agricultural and public health practices have been revised. Education
and research efforts in these areas have not kept pace with develop-
ments in industry, agriculture, and public health. As a result, there
has developed a public fear and public concern over the usage of these
new pesticides. Thus we shall concentrate our attention on this sudden
shift in pesticide practices that developed about 1945.
Pesticides before 1946
Perhaps the earliest pesticides to be used were organic materials of
natural origin. It is not known when pyrethrum was first used to kill
insects nor red squill to kill rats. Preparations of the plant sabadilla
have been used as louse powders by South American natives for cen-
turies. As early as 1763 ground tobacco was recommended in France
to kill a;phids and the active ingredient, nicotine, was discovered in
1809. Plant materials containing rotenone were used as insecticides as
44

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early as 1848. Petroleum, kerosene, creosote, and turpentine were also
introduced as insecticides in the 18th century. They proved highly
toxic to plants as well as insects but the petroleum oils came into wide
use as larvicides for mosquitoes. Late in the 19th century highly
refined oils with low toxicity to plants were introduced in emulsion
form and gained wide usage. A number of other natural organic
materials were developed as pesticides and are still in use today al-
though their relative importance has diminished.
Inorganic compounds also came into early use as pesticides. The
arsenical, Paris Green, was used against the potato beetle in the Rocky
Mountain region as early as 1865. To combat scale insects in California
lime sulfur washes and fumigation with hydrogen cynanide (not
strictly an inorganic compound) were introduced in 1886. The use of
hydrogen cyanide led to what is one of the earliest recorded instances
of an insect developing resistance to an insecticidal chemical; by 1916 it
was observed that the red scale insect was no longer killed by HCN,
and as this resistance spread geographically the use of this control
gradually declined. Lead arsenate was introduced as an insecticide
against the gypsy moth in Massachusetts in 1892. Sodium arsenite
found use both as an insecticide and a weed killer.
Gradually a number of metal salts, including those of copper, zinc,
chromium, and thallium, came into pesticide use, as well as some
extremely toxic compounds of fluorine and sulfur. Some of the metallic
salts such as cryolite (sodium fluoaluminate) and various salts of
arsenic, lead, mercury, and selenium are extremely persistent in soils
and are removed only by weathering, erosion, or in the bodies of plants
that absorb them from the soil (in the case of mercury some escapes
into the air by volatilization).
The use of synthetic organic pesticides also began before World
War IX. Dinitrophenols found very limited use in Germany as early
as 1892, and such extremely simple compounds as HCN, carbon disul-
fide, and methyl bromide were used very early. Unsuccessful attempts
to synthesize pyrethrum were begun in the 1920's. Naphthalene and
paradichlorobenzene came into use early in the 20th century, and a
few thioeyanates and cyclohexylamines were recognized as potential
insecticides in the 1930's. The insecticidal properties of DDT were
recognized in Switzerland in 1939, and those of benzene hexachloride
(BHC) about 1940 in France and England.
With the advent of World War II our-supplies of pyrethrum for
louse control and red squill for rat control were largely cut oS and
it was imperative to find substitutes for military purposes. DDT then
came into military use and a crash program of screening by the U.S.
Fish and Wildlife Service developed the very poisonous compound
1080 (sodium monofluoroacetate) as a rodenticide. The success of DDT
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in halting a typhus epidemic in Italy in 1943 and 1944 was an un-
precedented achievement which heralded the postwar era of unpar-
alleled benefits in the use of pesticides for human health.
Pesticides after 191$
As DDT came into wide use and its extraordinary insecticidal effects
were recognized there were predictions that all major insect pests
would be eradicated. The dangerous malarial mosquito Anopheles
gambiae had been eradicated in Brazil in the 1930s using pyrethrum
as the principal chemical weapon, and the availability of a low cost
synthetic substitute raised hopes for many more such triumphs. How-
ever, very soon, limitations to DDT use began to be recognized.
The promises of chemical control were viewed with such optimism
that research and agricultural practices often shifted away from tech-
niques such as cultural methods that had formerly been used. Major
efforts were devoted to finding new pesticidal chemicals without the
limitations that had appeared for DDT. It was found that insects
that were resistant to DDT were also often resistant to other related
organochlorine compounds thus the search began for insecticidal com-
pounds with distinctly different chemical structure. Then the organo-
phosphates came into use but resistance often rapidly developed. At
present we are witnessing an expansion in the use of carbamate
insecticides.
Following the appearance of resistance to DDT a tremendous num-
ber of new pesticides has appeared. There are now in the United
States some 900 active pesticidal chemicals formulated into over
60,000 preparations. These include insecticides, fungicides, herbicides
and plant growth regulators. Modern food production programs and
modern public health programs are dependent upon the use of these
pest control agents.
Pesticide Production and Use
The production and use of pesticides in the United States continues
to grow in response to the demands of the U.S. users and the increased
demand for export. Surveys and reports of government and industrial
economists indicate that synthetic organic pesticide production is
increasing at approximately an annual rate of 15 percent with an indi-
cation of more than $3 billion sales by 1975. This is in contrast to in-
creases of approximately 37 percent for the 5-year period, 1963 to 1967.
The total dollar value of all pesticides produced in this country was
$440 million in 1964; this has increased to $12 billion in 1969. Herbi-
cide sales, as indicated by U.S. Department of Agriculture surveys,
have risen 271 percent since 1963 which represents more than double
the rate of increase for all pesticides. Predictions are that insecticides
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will more than double in use by 1975 to more than $600 million, while
herbicide uses will increase to more than double that of insecticides
($11^ billion) during that same period. The value for all herbicides
produced increased from $200 million to $800 million in a 5-year
period from 1964 to 1969 and is expected to reach $1,350 million by
1974.
Foreign uses for pesticides lias continued to expand as indicated by
U.S. exports, as well as by surveys of European agricultural chemicals.
U.S. exports in 1967 were approximately $196 million. Insecticides
were responsible for approximately 60 percent of the international
movement. Approximately 45 percent of these exports were repre-
sented by the organophosphorous and organochlorine insecticides
which were about equally divided. In 1967, there was a reduction in
DDT exports and an increase in other organochlorine and organophos-
phorous materials. Sizeable quantities of pesticides continued to be
shipped from the United States to eastern European countries in 1967,
with the largest share going to the Soviet Union.
The United States produces from 50 to 75 percent of all pesticides
manufactured in the world. However, it is predicted that the percent-
age of the U.S. contribution is likely to be reduced as other countries
develop capacities or increase existing capacities to make these chemi-
cals. It is likewise predicted that insecticides and fungicides will
continue to dominate the international market for some considerable
period of time.
Insecticides
Although the rate of growth for insecticides is not as spectacular
as that for herbicides, manufacturers' sales of synthetic organic insec-
ticides in 1967 reached 301 million, which was 10 percent above the
previous year and represented 38 percent of the total share of the
pesticide sales. In 1967 the United States exported $150 million worth
of insecticides which was an increase of about 14 percent over the
previous year. These increases resulted largely from exports of tech-
nical organochlorine and organophosphate technical materials.
A 1964 survey by the U.S. Department of Agriculture indicated
that U.S. farmers used approximately 2 million pounds each of 12
different insecticides, which accounted for 85 percent of the total vol-
ume. Toxaphene was used in largest volume, followed closely by DDT;
these two made up 46 percent of total pesticides used in 1964, The same
survey indicates that farmers applied two-thirds of the total quantity
of all insecticides used 011 farms on three crops: Cotton, corn, and
apples. The cotton market accounted for more than half of the total
including about 80 percent of the methyl parathion, 86 percent of the
endrin, 70 percent of the DDT, and 69 percent of the toxaphene. The
47
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corn market accounted for 10 percent of the total, including 96 percent
of the aldrin and 84 percent of the heptacblor, Latest data made
available by the USDA Economic Research Service from their 1966
pesticide-use survey indicates that farm use of pestieides in 1066 (in
terms of active ingredients) was up about 10 percent over 1964. Over-
all, insecticide and fungicides use (exclusive of sulfur) remained about
the same as in 1964 even though the use of insecticides on cotton was
down because of the large reduction in acreage. However, herbicide
use was up more than 33 percent. Leading products among the insecti-
cides continue to be toxaphene, DDT, and aldrin, accounting for over
half of ail insecticides used by farmers in 1066. Shifts in ingredient
usage among insecticides from 1964 to 1966 showed a slight decrease
in the use of chlorinated hydrocarbons and an increase in the use of
organophosphorous compounds. The latest production figures (1967)
indicate that the organochlorines continue to make up approximately
one-half of the U.S. production and of these approximately 50 percent
is DDT.
Persistent insecticide use patterns
DDT.—U.S. DDT production during 1967 was 103 million pounds,
down approximately 27 percent from 1966. Exports during 1967 were
82 million pounds, down approximately 10 percent. Over half of all
DDT exports were in the form of 75 percent wettable powder used
primarily for mosquito control. In 1967 five countries: India, Thai-
land, Brazil, Nepal, and Mexico, received over two-thirds of the export
tonnage of this formulation. Economic Research Service surveys indi-
cate that the U.S. output of DDT is approximately 40 percent less
than the peaks reached in 1960 to 1963, Exports are claiming an
increased share, approximately 70 percent of this production. Domes-
tic uses were reduced nearly 50 percent between 1958 and 1966, DDT
has been replaced by less persistent pesticides in many States. Of
special significance has been the reduction in its use for large-scale
forest insect control programs, mosquito larvicide and in some
instances, mosquito adulticide programs, as well as many agricultural
uses. The use of DDT on agricultural crops ranges from the more than
200 entries in the Federal recommendations to emergency uses only
in certain States.
Large amounts of DDT are used in this country for the production
of food and fiber, for control of mosquitoes and bats and for other
limited purposes. Substitute products are usually more expensive
and sometimes less effective. Many of the substitutes have acute tox-
icities representing greater degrees of hazards to the user than DDT.
Other substitutes have a lower mammalian toxicity, but present a
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much greater hazard to pollinating insects. Still others are more toxic
to fish and wildlife.
It is not possible to summarize the advantages and disadvantages
of substitute chemicals that are presently available since there are
no general substitutes. Several available partial substitutes have a
variety of disadvantages including increased mammalian toxicity,
lack of tolerances on food commodities, decrease in insecticidal value,
high cost, increased toxicity to bees and pollinating insects, and
increased toxicity to fish and wildlife. The biological impact of large-
scale use of many substitute chemicals is as yet unknown.
The usefulness of noninsecticidal control techniques has been demon-
strated on a laboratory scale for several of the major economic insects.
The utilization of the sterile male technique and attractants plus
pesticides have been used for the control of the screw worm in cattle
and of certain fruit flies, both in the United States and on certain
Pacific Islands.
Although the total production of I)I)T is declining, an increasing
quantity of this compound is being purchased by AID and TJNICEF
for foreign malaria programs. It is estimated that more than half
of the total U.S. production of DDT is exported by AID and UN IC E F
for malaria eradication. It is evident from the production data that
the use of DDT in domestic pest control programs is declining and
this appears likely to continue.
It is reported by well informed scientists that as far as insect vectors
of disease are concerned there are none known which are normally
susceptible to DDT that cannot be controlled with a substitute. How-
ever, stopping the production of DDT in this country would be a very
serious blow to foreign malaria eradication programs, now being
supported largely by AID. These are normally under the actual super-
vision of WHO teams. AID records over the past several years indi-
cate shipments of DDT have varied but the trends are slightly
downward. The consensus of AID personnel is that an abrupt with-
drawal of other organochlorine compounds would create immediate
and critical problems for growers throughout much of the developing
world, and could have a deleterious effect on world food production
and protection of public health. A gradual withdrawal, alow enough
to permit substitution and demonstration of organophosphate, carba-
mate, and other chemicals, would minimize the impact of such action.
Such a change would require a vast educational program. Reports
from authorities interviewed indicated that it was likely that malaria
programs would gradually be discontinued if they were forced to use
substitutes for DDT.
The persistence of DDT is the essential characteristic that makes it
effective as a malarial eradication frool. A malarial victim may re-
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main infective for many months to mosquitoes that feed upon him. To
interrupt malaria transmission, constant protection against bites from
infected vectors must be provided for several years. The maintenance
of an insecticidal residue on interior surfaces of homes provides this
type of protection. The magnitude of the areas to be covered and the
inaccessibility of remote rural areas in underdeveloping countries
makes frequent spraying of houses impractical and expensive. "With
DDT one or two treatments annually are usually sufficient. The appli-
cation of DDT to the interior surface of houses results in a minimum
contamination of the outdoor environment. A recent WHO release
summarizes the status as follows: "In considering the pesticide prob-
lem, we must not forget the enormous benefits insecticides have brought
to humanity. DDT has been instrumental in controlling some of the
most important vector-borne diseases of man. The concept of malaria
eradication rests completely on its continued use. The record of safety
of DDT to man has been outstanding during the past 20 years and its
low cost makes it irreplaceable in public health at the present time.
Limitations on its use would give rise to greater problems in the ma-
jority of the developing countries."
It has also been suggested that banning the use of DDT in this coun-
try and at the same time sending it overseas for malaria programs
would be looked on with disfavor by recipient countries.
Recent reports by the World Health Organization indicate that the
control of many of the most important vectors of human diseases is
still entirely dependent on insecticides and no effective or economically
feasible alternatives are available. There luis been some reduction in
the use of DDT in vector control programs partly as the result of
progress in malaria eradication and partly due to the development of
insect resistance. It is very difficult, if not impossible, to obtain an
accurate figure on the amount of Federal money spent on the chemical
control of vectors domestically or in foreign countries. In the past
10 years it is well over a half-billion dollars. AID and its predecessors
have spent at least this much on foreign malaria programs since they
were initiated in the early 1950's. If the crisis with respect to the use
of pesticide chemicals for vector control is to be overcome, a large
increase in funds for research is mandatory. A substantial investment
will be necessary to provide a solution to the problems involved in
controlling insect vectors without the use of presently available chemi-
cals. Although DDT is still involved in some of the international food
production programs sponsored by U.S. agencies, there is a feeling
that a withdrawal or systematic reduction of DDT would have a
minimum effect.
There is a principle of international diplomacy which recognizes
that a free and independent nation has a right to make its own choice
50

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without dictation by any other power. For example, pesticides shipped
to a foreign purchaser on his own specifications are exempt from the
requirements of the Federal Insecticide, Fungicide, and Rodenticide
Act of 1947, as amended. Accordingly, information on pesticide usage
must be volunteered by the foreign user or his government rather than
demanded by AID as a basis for authorizing loans under which pesti-
cides are to be purchased. All pesticide purchase requests handled
under AID or comparable funds should be funneled through an
appropriate scientific staff, A followup of the use patterns and effec-
tiveness of the material shipped should be an important prerequisite
to any fund release or shipment. Such reports should include a sum-
mary of efficacy, reports of accidents to humans or other animals, as
well as any adverse effects on wildlife. Such input will require a new
philosophy as well as substantial reorganization and increased support
for proper handling of future pesticide shipments to foreign countries.
Methoaychlor.—In comparison with DDT, methoxychlor produc-
tion and usage are at much lower levels. Use levels have been quite
stable over the past 15 to 20 years, although its pattern of use has
varied and changed somewhat over this period.
Currently, about 75 percent of the methoxychlor sold is used for
fly control on cattle and in farm buildings, with the remainder divided
between crops, control of elmbark beetles (Dutch Elm disease), grain
bin treatment, home garden and household insecticides. The largest
recent shift has been in crop use; from primarily fruits and vegetables
in earlier years, to forage crops particularly alfalfa weevil control.
Restriction in use of the "persistent" insecticides should have only
minor effects on use of methoxychlor: (1) Methoxychlor is not very
effective against a number of the pests controlled by these com-
pounds—for example, soil insects such as corn rootworm, wireworms,
etc., (2) Other compounds (such as various organophosphates or
carbamate insecticides) are available and registered for many uses,
and would probably be used more extensively, if the persistent insecti-
cides were banned.
A moderate increase (5-10 percent) in methoxychlor usage is pro-
jected in the uses for which methoxychlor already is accepted (cattle,
farm buildings, etc.) plus possible increases for area control of mos-
quitoes, blackflies, etc.
Aldrin.—This compound has been an effective and extensively used
soil insecticide. Roughly one-half of the U.S. corn acreage treated
with soil insecticide last year was treated with aldrin. Particular
insects of economic importance that were controlled are ants, cut-
worms, wireworms, flea beetles, Japanese beetle grubs, seed corn
beetles, seed corn maggots, European chafer grubs, white grubs, corn
bill bugs, sugarcane beetles, webworms, white fringe beetle grubs,
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crickets, and corn rootworm larvae. In areas of rootworm resistance
to organochlorines narrow spectrum materials are used at rates suffi-
cient to control rootworm. The highest sales for aldrin were in 1966.
In 1968 sales of aldrin had dropped 30 percent and by 1972 the
estimates indicate a reduction of 60 percent from the highest sales
year.
Dieldrin.—This compound is used widely to control a variety of
pests, especially when a long lasting residual effect is desired. These
residual uses for dieldrin include its application for termite control,
insect control on lawns, turfs, ornamentals and flowers, and at the
present time household residual sprays and permanent moth proofing
of fabrics. The bulk of the material is used for termite control. In
1968, 81 percent of the aldrin and dieldrin agricultural use was for
corn soil insects. Other agricultural uses made up 11 percent and non-
agricultural specialty uses including termite control. Government
programs and so forth, an additional 8 percent.
The highest sales year for dieldrin was in 1956. Usage has steadily
decreased because of resistance in the cotton boll weevil and certain
other agricultural pests. This is a 70-percent drop in a 12-year period.
Estimates indicate that usage will drop another 10 percent by 1972,
practically all remaining uses being for nonagricultural purposes.
Endrin.—The major domestic use for endrin is as a cotton insecti-
cide. The projected use of endrin for this purpose indicates a decrease
between 1969 and 1973 as a result of increased insect resistance.
Projected use in international areas for endrin indicated a relatively
stable use pattern or possibly a slight decrease. All uses of endrin
in the United States are on a no-residue basis. Substitute insecticides
for endrin are being evaluated in many developing countries. How-
ever, economic factors have limited the introduction of substitute
materials; for example in India, studies indicate that substitute insec-
ticides for control of rice and cotton insects would increase the cost
of treatment 80 to 95 percent.
Heptachlor.—This compound is primarily a soil insecticide. It is
anticipated that the heptachlor used in the United States will be
primarily for control of the soil insect complex in corn, which will
represent between 55 and 75 percent of the domestic use. The second
most significant use of heptachlor is in the commercial pest control
field. At present this usage for primarily structural termite control
represents about 15 percent of the use pattern and is expected to in-
crease to some 34 percent by 1973. In 1960 there was a 50-percent de-
crease in the use of heptachlor over 1959. This was in response to the
Food and Drug Administration's concern for the residues of its
metabolite heptachlor epoxide. An important use for heptachlor in
early years was the control of alfalfa weevil. A significant reduction
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in the use of heptachlor occurred between 1963 and 1964 as a result of
the residues reported in milk and subsequent removal of heptachlor
for this use.
Chlordane.—The agricultural usage of chlordane is primarily as a
soil insecticide. It has been especially important in the home, lawn, and
garden pest control market. These markets represent its major use,
which is estimated at about 70 percent of the total use between the
years 1969 through 1973. Approximately 50 percent is estimated to
be used in the pest control market for primarily structural termite
protection and about 10 percent in the home, lawn and garden use,
primarily for turf treatment. About SO percent is estimated for agri-
cultural usage.
Structural pest control is expected to continue its current rate
of expansion of about 10 percent per year. The same expansion can be
expected in the industry pesticide purchases, which are now about
$40 million per year at the wholesale level. Further use of persistent
pesticides in the pest control industry is likely to be influenced by
development of resistance in important pests. In the mid-1950's,
diazinon replaced chlordane as the dominant insecticide in general pest
control, because of resistance. Diazinon resistance has not been a major
problem. A carbamate insecticide, such as Baygon, might rise in im-
portance if substantial resistance to diazinon should materialize.
Resistance in termites appears to be unlikely as a factor affecting
choice of insecticides in the foreseeable future.
The commercial structural pest control industry indicates that it
has approximately 18,000 men rendering periodic service. Each tech-
nician may treat 10 to 20 premises a day and use a persistent insecticide
in almost every one. The principal pests controlled are cockroaches,
ants, fleas, ticks and pests of fabric, stored food, and wood products.
Practical control requires an insecticidal residue to be available at
such time as the pests emerge from concealment, from pupation, or
from the egg. Aldrin, chlordane, dieldrin, and heptachlor are the
materials primarily used for subterranean termite control. An example
of the magnitude of this problem is provided by figures available from
the State of Georgia where 46 thousand termite jobs are performed
each year. Massachusetts reports nearly a thousand inquiries per year
by the public regarding termite control. It has been calculated that
three out of five houses in the Midwest can be expected to become
infested with termites. This applies to the Detroit, Louisville, Kansas
City and Milwaukee areas and assumes a house to have a life expectancy
of 35 years. The USDA calculations indicate that the annual cost
to U.S. homeowners is approximately half a billion dollars from
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termite damage. The persistent pesticides indicated above provide
18 to 20 years protection in most instances.
Noninsecticidal control techniques are not likely to have any sig-
nificant impact on future use of pesticides in household and structural
pest control.
The commercial pest control operator is using a small and decreasing
amount of DDT. These uses are often involved with the control of
bats in structures, house mice where control is not possible with
other acceptable materials, and limited uses for ants, cockroaches,
garbage pests, scavengers, and ectoparasites.
A large portion of the pesticides used by the Department of Defense
is shipped overseas. More goes to Vietnam than to any other country.
Relatively little persistent insecticide is used for area control of insects.
The Department of Defense does little mosquito-larvae control and
malathion or naled are the insecticides most frequently used for adult
mosquito control. Mirex is used for fire-ant control on some of the
installations in the southern U.S. and 10 percent dieldrin is used on
small areas when recommended by the U.S. Department of Agriculture
Plant Pest Control Division. Persistent insecticides are used for ter-
mite control, some for residual spraying in warehouses and other
quarters and for selected inseets. The Department of Defense has
pest control operations on military properties in the United States
and overseas. The Armed Forces Pest Control Board provides co-
ordination and each service conducts programs tailored to resolving
a specific problem. None of the Department of Defense budget is
commonly allocated for pesticide regulation, and no employees are
occupied full time on this matter. The importance of such regulation
is recognized and many measures are taken to insure that pesticides
are utilized properly. In 1969 $li/£ million was allocated for pesticide
research by the Department of Defense. The majority of the money
was used to support research conducted under contract or grant with
only six Department of Defense professional personnel devoting more
than 50 percent of their time to pesticide research.
The Department of Defense conducts pest-control programs as re-
quired on the 30 million acres of property that it controls in the United
States. These programs are regarded as essential for the protection of
the buildings and perishable stored products that are required for the
Armed Forces. The protection of forest and recreation areas is also of
major importance. Pest control to protect the health and welfare of
citizens residing on and adjacent to military installations is also im-
portant. While price data are not readily available, current costs of
the Department of Defense Pest Control Program in the United States
is approximately $7.7 million per year.
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The organochlorines are used extensively on several of the quaran-
tine programs. These materials are considered to be the most practical
and in some cases the only means of treating products as well as
processing of cargo areas to prevent the spread of several important
insect pests. The organochlorines are the backbone of the present
regulatory program for whitef ringed beetle, Japanese beetle, Euro-
pean chafer, fire ant, and sweet potato weevil. These scientists responsi-
ble for regulatory decisions have indicated that there is no satisfactory
substitute for these chemicals to meet the requirements for regulation
under provisions of the quarantine laws. There is also the joint agree-
ment with the committee concerning the enforcement of similar quar-
antine regulations on four domestically quarantined pests—namely,
European chafer, Japanese beetle, cereal leaf beetle, and gypsy moth.
The Republic of Mexico is also concerned about certain of the U.S.
domestic quarantine pests, but it accepts our regulatory programs and
certification thereunder for movement in Mexico as it relates to these
pests. Some organochlorines are also employed as a basis for allowing
movement into the United States of certain products of foreign origin.
The principal commodities involved in these regulatory programs are
nursery stock, sod, bulbs, corms, and plant crowns, stone and quarry
products, industrial supplies, timber products, sweet potatoes, Irish
potatoes and transplants. Additional regulatory responsibilities are
included with the treatment of areas around processing plants, truck
and rail transportation centers, trailer camps, campgrounds, and
airports.
Summary of foreign insecticides uses
In general, there is limited information available on the economic
impact of pest infestations on foreign agriculture and related pesti-
cide use patterns. However, the summary provided the Commission
by Shell Chemical Co. scientists gives an updated appraisal of the
international uses of persistent pesticides and is included as appendix
A of this report.
Specific data are not available from most foreign countries on past
use; however, the Indian report published in 1967 by the Special
Committee on Harmful Effects of Pesticides has provided, interesting
and relevant statistics regarding the use and projected use of insecti-
cides. In India the use of pesticides has increased from the treatment
of 10,120 hectares in 1946-47 to about 6.15 million hectares in 1961-62
and has risen to 17.4 million hectares in 1965-66. This latter figure
represents about 11.2 percent of the total crop area. The amount of
DDT used in plant protection is expected to quadruple from 600 metric
tons in 1964-65 to 2,400 metric tons in 1968-69. The amount of aldrin,
dieldrin, lieptachlor, and chlordane is expected to increase from about
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90 metric tons in 1964-65 to 1,050 metric- tons in 1968-69, a factor of
12. The report indicates that these increases in the use of organo-
chlorine insecticides are not likely to result in any increased hazard
to human, beings and domestic animals, but that they may have a sig-
nificant effect on wildlife. The increase in the use of DDT in plant
protection will be accompanied by a planned decrease in its use in
public health from 8,426 tons of technical material in 1964-65 to 3,456
metric tons in 1968-69. In 1967, approximately 20,326 metric tons of
pesticides, technical grade, were being used, of which 16,262 metric
tons were manufactured in India and the remaining imported. Pre-
dictions were for the requirement of 77,509 metric tons of technical
material for use in 1968-69. Within the period of 1965-66 to 1968-69,
it is predicted that the area to be treated with pesticide will increase
more than 5% times and will cover 85 million hectares (54 percent of
the total crop area).
Pesticide economics
Prior to 1945 it was common to find statements in the literature
estimating the loss to pests of crops and stored commodities in the
United States at "10 percent," or "at least 10 percent." One standard
textbook of economic entomology (Metcalf and Flint, 1939) attempted
to be more thorough and to estimate for individual crops and com-
modities the loss from insect pests as of 1936 both in percentage of
the crops destroyed and in dollar values. The latest revised edition
of that textbook gives a revised estimate based on 1957 data showing
percentage losses to insects of various crops and stored products which
are virtually identical to the 1936 figures. The dollar values of the
losses, however, have approximately doubled in most cases, in part
reflecting increased prices. In the appendix we have added a final
column giving the percentage of the potential crop production lost
to insects outside North America.
The economics of pest control is made up of the interrelationships
of the benefits, costs, and side effects. That is, the incremental benefits
of another unit of control must be equal to or greater than the asso-
ciated incremental costs. This is not an easy task because in pest con-
trol there are many different kinds of pests. Each may be associated
with many different damages and there are numerous ways to control
each pest. At present, research in this important area has been pri-
marily involved with an attempt to measure in aggregate the effects
on farm sales associated with varying levels of pesticide use. The
only source of data for this work has been the secondary data from
the agricultural census and other data variables from the USDA,
such as the pesticide use surveys of 1964 and 1966.
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The funds allocated to the Economic Research Service by the Agri-
cultural Appropriations Act of 1965 ($500,000) provided for research
on the cost and benefits of alternative methods of controlling' plant
and animal pests, and the collection of basic data on current uses of
pesticides and costs and methods of controlling pests. This research
was divided into three phases: (a) Biennial surveys of a nationwide
sample of farms to obtain data on practices farmers employ to control
pests by the use of chemicals, and the costs of these practices; (5)
analysis of selected alternative methods of pest control with emphasis
on comparative costs and returns in selected areas; and (c) analysis of
the economic implications of alternative methods of pest control both
on the farm and for agriculture as a whole.
The economic analysis of the benefits of pesticides is largely an
undeveloped area. A full cost-benefit appraisal of pesticides in the
American economy or in agriculture has not been made. Gaps in pres-
ent knowledge of the technical relationship of pesticides in the fields of
agriculture, health, and natural resources make such an evaluation
difficult.
Available data are not adequate to properly evaluate the economic
implications of pesticide use. Estimates of the total volume of pro-
duction of these chemicals are reasonably accurate, but only aggregate
estimates are available to indicate the extent that chemicals are used
in agricultural production. Little information is available to indicate
the use of the many chemicals in the production of specific crop and
livestock commodities. Costs of side effects have not been evaluated
for inclusion in the analyses.
Headley, who has pioneered in this area, is quick to point out that
there is not a large body of time series data available and, therefore,
cross-section studies have been used. These estimates are inadequate in
several respects. They are not generated experimentally and they may
be measures only of association and not measures of the contribution
of pest control with other things constant. In addition, the cross-sec-
tional analysis measures change in farm sales at the prices determined
for the year of the cross-section measurement, based on supply and
demand in that year, Headley's early results show an incremental con-
tribution of about $4 to $5 per $1 of pesticide expended by a farmer.
A later study shows contributions per ounce of technical material by
production region. The impact of chemical pesticides is strongest over-
all in the area south of the Ohio River and west of the Mississippi. The
Pacific region, South Plains, and Northeast also devote more produc-
tion resources to chemical pesticides than does the Corn Belt, North
Plains and the mountain regions. Headley points out that part of these
differences is due to resource values such as land and labor, but it
seems reasonable that they also reflect pest problems, such as biological
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conditions for pests and the product orientation of agriculture region-
ally such as cotton, vegetables, tobacco, and fruit, as compared with
cereals. Sufficient experimental data are not available nor do they seem
to be in the process of development. The general needs appear to be:
1.	Functions that relate pest infestation to crops or livestock yields
both quantitative and qualitative, and that are representative for prod-
ucts produced, pest infestations, and regions.
2.	Functional relationships that relate pest control by the various
methods, compounds, cultural pratices, biological control methods, to
pest infestation, not only for average seasons but over time, to indicate
population trends, target pest species, and also associated pest species.
3.	Information that relates a level of use of a pest control method
to the known side effects in order to ascertain changes in side effects
resulting from different levels of pest control methods. From this
kind of information estimates of the damage prevented as a result
of the changes in control could be developed for products by regional
products by pest. In addition, estimates of pest population changes
due to the control change could be generated and, finally, changes in
side effects as a function of changes in control could be estimated and
related to yield damages prevented.
Factors Influencing Changing Use Patterns
New pest problems that can have an effect on pesticide usage come
about through several means. Many pest problems develop from new
introductions either coming into the United States or from one area
to another within the country. The introduction of such insect pests as
the gypsy moth, and more recently the cereal leaf bettle, have had a sig-
nificant effect on the use patterns of insecticides. When new pest
problems are recognized, efforts are often initiated to restrict their
migration usually through quarantines, and attempts are then made to
eradicate the pest. Widespread control measures may become neces-
sary when the new species become widely distributed.
Pests can develop a change in the preferred host plant and thus
alter their economic significance. New problems which affect pesticide
usage are created when previously undeveloped areas are utilized for
public recreation. Such pest problems as disease-bearing mosquitoes
and ticks and noxious weeds such as poison ivy and ragweed are typical
of such situations.
When a new agricultural crop is produced more intensively new
pest problems will often occur. Other occasions arise where an insect
becomes a pest because factors such as temperature, moisture, food
supplies, etc., are optimum to bring about a high population density.
Examples of this are the various species of grasshoppers which in
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certain years build up to tremendous numbers and in other years may
not be a problem.
Pest resistance.—The term "resistance" is applied to formerly sus-
ceptible species whose populations can no longer be controlled by a
given pesticide at the rates normally recommended. The earliest in-
stance of resistance in the United States was noted in 1908 when the
San Jose scale resisted lime sulfur sprays in a few orchards in Wash-
ington. Early resistance to DDT was seen in the housefly by 1946 in
Sweden. Fortunately, acquired resistance to DDT apparently does
not involve a cross-resistance to cyclodiene derivatives, nor to organic
phosphate compounds, and vice versa.
Resistance is a character developed by selection within a population
of a species normally susceptible to n particular pesticide. It is an
inheritable characteristic, developing only in populations that already
have the factors for resistance, and not inducible by habitation during
the lifetime of the pest organism.
Some 224 species of insects and acarines in various parts of the
world have developed resistance to one or more groups of insecticides;
of these, 127 are agricultural pests and 97 are pests of medical and
veterinary importance. Resistance can be discussed in three major
categories; DDT, cyclodiene, and organophosphate resistance. Of these
three, DDT resistance occurs in 89 species, cyclodiene resistance in
116 species, and organophosphate resistance in 39 species. There are
many populations in which two or three of the resistance factors are
present simultaneously.
Since resistance is the result of Darwinian selection, it should be
expected to develop wherever insects are exposed for long periods to
selecting levels of the insecticide that causes some degree of mortality
short of 100 percent. The change toward resistance will be more abrupt
when the selecting level, in terms of percent mortality, is higher, and
there will be less delay in its development when the area treated is
wider and the surrounding untreated population is smaller. Residual
insecticides are ideal selecting agents because they persist such a long
period at selecting levels of contamination. The practical outcome of
resistance to chlorinated hydrocarbon compounds has been the intro-
duction of a variety of new organophosphate and carbamate
compounds.
A'ew pesticides.—To meet the residue problems associated with many
uses of persistent pesticides, a wide range of organophosphate and
carbamate insecticides has been developed. For example, malathion,
carbaryl, and related materials are now used for the control of many
insects where it is essential that crops or livestock are not treated with
persistent materials. Ciodrin and dichlorvos are now available for the
control of flies in dairy barns and milking areas, and for direct use
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on livestock. For gypsy moth control, DDT is being replaced in many
iireas by Sevin (carbaryl). Abate, a compound with selectivity for
mosquito larvae, is replacing DDT in many areas.
New soil insecticides have replaced aldrin and dieldrin for certain
agricultural insect control programs. Many newer organic phosphate
compounds, such as phorate and disulfoton are applied as plant sys-
temic insecticides in the form of granules.
New methods of application.—New application methods are being
used to decrease the pesticide contamination hazards and to increase
pesticide efficacy. Improved forecasting of outbreaks of pest infesta-
tions has often resulted in a reduction in the number of pesticide appli-
cations necessary for adequate control.
Direct incorporation of pesticides into soil has resulted in a reduc-
tion of such hazards as spray drift and residue on standing foliage. By
direct furrow soil application, a smaller amount of pesticide can be
used and still provide effective control.
The current interests in the use of chemical abtractants and chemo
sterilants involve using baits which, in some instances, can control
the insect pest without contaminating the environment. The chem-
osterilants and the poisons used with the attract ante are moderately
toxic to mammals but there are newer ones on the way that are expected
to be much safer.
Alternate control techniques.—Mechanical and cultural control
measures are associated with normal agricultural procedures and gen-
erally involve certain changes in normal farming techniques rather
than the addition of special procedures. Although widely used in the
past, many cultural control techniques have been replaced by labor-
saving chemicals.
Rotation of crops is often an efficient way to reduce weeds and
insects. Another cultural practice that has been very effective is the
development of insect and/or disease-resistant plant varieties. In gen-
eral, breeding for pest resistant varieties is extremely slow and tedious
and must be directed at a single type of pest. To be effective, resistance
to a given disease or insect must be combined with desirable agronomic
or horticultural characteristics.
The successful use of biological control techniques has been respon-
sible for the control of a limited number of pest species. Most success-
ful cases to date have involved the use of parasitic or predaceous
insects. There are at least 18 such successful examples in the United
States where noxious insects have been controlled by other insects.
Microbial control of certain insect pests has received increased
attention in recent years. Nematodes, protozoans, bacteria, fungi, and
viruses have been tested experimentally.
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Availability of materials to work with is the limiting factor in
using pathogens in control programs. There are also problems of
registration of labels and quality control assays which need to be
worked out for each organism.
The potential use of chemosterilants on a wide scale to control insect
populations is an intriguing one. The development of suitable com-
pounds, acceptable application methods, and a better understanding
of insect habits nre areas of research which must be fully explored
before any serious effort can be made to use chemosterilants on a wide-
spread commercial basis. It is likely that through continued research by
universities, government agencies, and the chemical industry, relatively
safe and specific chemosterilants will be developed for field use.
The potential uses of pheromones and other insect attractants fall
into two categories: (1) population density surveys and (2) direct
behavioral control. Although early work has been promising under
controlled conditions, there are many questions yet to be answered
before pheromones will have a major role in insect control.
Availability of Labor.—The availability of labor in agriculture
today is forcing a tremendous push toward completely mechanized
farming. It is a well-known fact that the trend is toward bigger and
fewer farms, and it is becoming more and more uneconomical to employ
hand labor to care for and harvest crops. As a result, there is a greater
reliance on pesticides.
Economic Pressures.—Economic pressures are put on the grower
from a number of sources.
The public demands top quality produce and the grower must meet
these demands to obtain the premium market price. This requires pro-
tection of the produce from planting through harvest and until it
reaches the consumer.
Certain regulatory pressures concerning contamination of processed
foods with pest fragments have a strong influence on pesticide usage
in order to reduce or eliminate the pests.
Pesticide Groups and General Uses
INSECTICIDES AND MITTCIDES
Insecticides may be classified in several different ways. One system
that has been widely used is based on the mode of entry of the insecti-
cidal agent into the insect—stomach, contact, and fumigant poisons.
Stomach poisons are materials which are ingested by the insect and kill
primarily by action on or absorption from the digestive system. Their
effectiveness is generally limited to the control of chewing insects. Con-
tact poisons are absorbed through the body wall and must come into
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direct contact with the insect to kill. They are usually required against
sucking insects. Fumigants enter the tracheal or respiratory system in
the form of a gas and are effective against insects found within an
enclosure.
Because of the large degree of overlap found when using this system
of classification, insecticides are more frequently discussed in terms
of their chemical nature. The major divisions are inorganic and
organic. Organic insecticides are further broken down into oils, botani-
cals, and synthetic compounds. The synthetic compounds are by far
the most widely used and are further subdivided on the basis of their
chemistry.
1. Inorganic Insecticides.—Although inorganic insecticides have
largely been replaced by more efficient organic compounds, some still
find a place in agricultural pest control. Lead arsenate is used primarily
on trees and shrubs to control chewing insects. It may also be used in
baits for the control of ants and cockroaches. Other inorganic insecti-
cides occasionally used are: calcium arsenate, various sulfur deriva-
tives, and Paris green. Their general use is restricted because of toxicity
to man, persistence, and the advent of newer and better insecticides.
Oils.—These are used in an emulsion and are employed as insecti-
cides in a number of ways. They may be used as solvents or carriers for
insecticides, such as diesel fuel in aerial applications. Oils also serve to
carry insecticides over water for mosquito control or even oil alone may
be used for this purpose. Highly refined oils, which are relatively non-
phytotoxic, are applied to tree foliage. These are known as summer
oils and are effective in controlling aphids, mites, and scale insects on
fruit trees. The dormant oils, which are less refined, are restricted in
use to application when no foliage is present. They are effective in
eliminating over-wintering eggs of mites and aphids, and in control-
ling scale insects.
3. Botanicals.—A number of plant extracts are in active demand as
insecticides despite the variety of synthetic organic compounds now
available. These extracts, or botanicals, break down into harmless
compounds soon after application and with a few exceptions may be
handled with relative safety. They are quite specific in their effective-
ness, being limited largely to soft-bodied insects such as aphids, thrips,
and certain caterpillars, particularly the younger stages. The more
important toxicants include pyrethrins, rotenone, and a few related
compounds. All are of complex structure, and there has been little
success in their development by synthesis, with the notable exception
of allethrin, which is a synthetic "pyrethrin."
Pyrethrin and allethrin are formulated as dusts, sprays, and aero-
sols, usually with a synergist to increase insect toxicity. They are noted
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for rapid knockdown of insects through action as a nerve poison. Their
low mammalian toxicity makes them very suitable for use around live-
stock and as household sprays. Rotenone is a selective insecticide that
kills by inhibiting oxygen utilization by the insect. It may be used
with relative safety around most animals, although swine are highly
susceptible to its toxic action. Its greatest use as an insecticide has
been for control of cattle grubs and external pests of livestock. Other
botanicals of lesser importance include sabadilla, ryania, barthrin,
dimethrin, and nicotine.
4- Synthetic Organic Insecticides and Miticides.—The synthetic
organics dominate the insecticide field today. Rapid developments
makes an up-to-date classification difficult, but they can be broadly
grouped into general chemical classes.
a. The organochlorines or chlorinated hydrocarbons have been
widely used since 1945. The outstanding feature of this group is the
prolonged residual effect by both contact and stomach action. They
are essentially insoluable in water, and have little or no tendency to
be absorbed systemically into the plant. They have shown effective
persistence for over 10 years in tests where massive soil treatments
were used as in termite control. Contrary to popular belief, the or-
ganochlorines are rather specific in their action, being highly poison-
ous to insects in certain groups, and comparatively ineffective in
killing others.
Resistance to these insecticides has developed in a growing number
of pests during their period of use. The development of resistance
to one organochlorine is usually followed by resistance to others.
Hazards to applicators are minimal when these insecticides are used
according to directions with the exception of endrin which must be
handled with extreme care.
The problem of illegal residues persisting after harvest usually
comes from this group of insecticides.
The most widely used organochlorine, as well as the most publicized,
is DDT, which belongs to a class of Compounds known as diphenyl
aliphatic chlorinated hydrocarbons. Other compounds related to DDT
are: Rothane (TDE), Marlate (methoxychlor), Kelthane (dicofol),
Acaraben (chlorobenzilate), Acaralate (chloropropylate), as well as
a few more of lesser importance, including Dimite, Karathane (dino-
cap), Bandane, and Dizane. These compounds are used at rates of
1 to 2 lb/A as insecticides and 2 to 4 l'b/A as miticides.
A second class consists of chlorinated aryl hydrocarbons. This group
contains a number of widely used compounds again mostly in agri-
culture. Examples are benzene hexachloride, chlordane, heptachlor,
aldrin, dieldrin, endrin, endosulfan, toxaphene, and several more
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of lesser importance. Of these compounds, chlordane, aldrin, and
dieldrin are widely used in structural pest control; e.g., termites.
b.	Organophosphorous insecticides.—Organic phosphates have a
wide range of insecticidal effectiveness. They are mainly contact insec-
ticides, although many have fumigant action.
The organic phosphates act as inhibitors of the enzyme, cholinester-
ase. Often the effect is not immediately obvious and a worker may be
exposed to the poison on successive days without apparent ill effects.
However, grave symptoms appear when the critical level of enzyme
inhibition is reached. The hazards of using the phosphates vary
widely, depending on the compound, but they are generally considered
to be more toxic than many of the organochlorines.
The phosphates as a whole do not have a long residual action. This
makes some undesirable where a long period of protection is needed,
but many of the phosphates are most important where residue toler-
ances limit the choice of available insecticides, and in control of insects
resistant to chlorinated hydrocarbons.
Agriculture provides the major market area for the organic phos-
phates although a few are of importance in the area of public health
(dichlorvos, Abate, and fenthion). A few also find limited use in
home and garden products. Heterocyclic derivatives of phosphorous
compounds are applied in the range of 1 to 5 lb/A. Examples are:
Co-Ral (coumaphos), Dursban, diazinon, Guthion (azinphosmethyl),
and several others of lesser importance.
A second group of organic phosphates is the phenyl derivatives. Ex-
amples of this group are: Nitrox (methyl parathion), Thiophos (para-
thion), Ronnel, Baytex (fenthion), Abate, Ciodrin, plus a large num-
ber of lesser importance. Application rates of these compounds are
typically in the range of 0.5 to 2 lb./A.
The third class of organophosphorous compounds is the aliphatic
derivatives. This group includes such compounds as Dylox (trichlor-
fon), Dibrom (naled), Vapona (dichlorvos), Phosdrin (mevinphos),
Bidrin (dicrotophos), Systox (demeton), Thimet (phorate), Meta-
Systox-R (oxydemetomethyl), malathion, Cygon (dimethoate), plus
a number of others. These compounds are recommended to be used in
the general range is 1 to 5 lb./A.
c.	Carbamate insecticides.—The carbamate insecticides are of com-
paratively recent development and represent a unique class of insecti-
cidal compounds of considerable diversity. These apparently owe
their activity to action against the enzyme, cholinesterase, as do the or-
ganophosphates. However, unlike the phosphates, they are competitive
rather than irreversible inhibitors of this enzyme. They are rapidly
detoxified and eliminated from animal tissues and, thus are not ac-
cumulated in fats or excreted in milk. One of the surprising features is
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the synergistic action of carbamates which results from their combi-
nation with piperonyl butoxide, sesamex, sulfoxide, MGK 264, and
other materials used as pyrethrin synergists.
The carbamates act by contact or stomach poisoning and are not
fumigants or vapor toxicants. Their major area of use is on agricul-
tural crops where recommended application rates range from 1 to 10
lb./A. The chief exception is Baygon, which is restricted to use by pest
control operations for spot treatment in the control of cockroaches and
other pests of public health importance. Other examples of carbamate
insecticides are: Bux-10, Furadan (carbofuran), Lannate (methomyl),
Sevin (carbaryl), Zectram, and several others of lesser importance.
d. Miscellaneous insecticide compounds.—There are several insecti-
cides available that do not fit in the above-mentioned groups. They
typically have a more limited activity spectrum and tend not to be as
widely used. This group includes such materials as creosote and penta-
chlorophenol, which are used primarily to prevent termite damage to
fence posts and foundations. Compounds of the nitrophenol group,
such as dinitrocresol and dinitrobutylphenol have limited use in
agriculture at 1 to 3 lb./A.
Several fumigants are available and are used both in agriculture and
for public health. These include methyl bromide, hydrogen cyanide,
and para-dichlorobenzene, which are applied at about 1 lb,/1000 cubic
feet of area. Fly sprays for use around the home and also in livestock
structures may contain organic thiocyanates, Lethane, or Thanite.
Fungicides and bactericides.—These chemicals are toxic to fungi
and bacteria. With plant diseases, these chemicals act to prevent the
plant from suffering detrimental effects of the particular disease.
To be effective, the fungicide or bactericide must be capable of prevent-
ing a disease from becoming established, or arresting the disease if
it is already present. To accomplish this, an effective material to be
used on crops or desired plants must have four attributes, in addition to
relative safety to the crop and low hazard to the consumer of the
product and applicator of the compound: (1) The material must be
able to penetrate the microbial membrane or change these membranes
to establish itself at the active locus; (2) it must enter into reaction
with normal cell metabolism to disrupt the biochemical processes of
the cell essential to its growth and functioning; (3) the toxicant must
be selective so it will not enter into extraneous reactions in the plant
cell and become detoxified or become attached to relatively inert cell
structures such as spore wall; (4) the molecule must be sufficiently
stable to permit its effective use as a spray deposit, chemotherapeutant,
or as occurs in a few examples, to generate fungitoxic decomposition
products as required.
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The discussion of fungicides and bactericides in use today can best
be accomplished through a classification based on chemistry. As with
other pesticides, antimicrobial action can be related to molecular
composition.
1.	The inorganic fungicides are the oldest known fungicides and,
despite the onset of new synthetic organic compounds, are still relied
on by many growers. Their use is almost completely restricted to agri-
culture, with some application in the golf course and turfgrass indus-
try, but with only minor penetration in the home and garden market.
Recommended rates range from 1 to 20 Ib./A. Examples of inorganic
fungicides on the market are: Bordeaux mixture, copper sulfate, cop-
per oxide, copper zinc chromate, sulfur, lime sulfur, mercuric chloride,
Clorox, cadmium chloride, plus a few other related compound
mixtures.
2.	Considerable effort has been expended on the development of
antibiotics as fungicides and bactericides to control diseases of plants.
A number of effective materials have been discovered but have not been
reduced to commercial use. One of the major problems has been photo-
toxicity. Agrimycin (streptomycin) is a bactericide that has proven
itself to be an effective control agent when used anywhere from 0.5 to
200 Ib./A depending upon the target bacterial disease. Actidone (cyclo-
heximide) exhibits similar activity as a fungicide when used in a
range of 5 to 100 grams per 100 gallon spray solution.
3.	Organic mercury compounds are used as fungicides for seed treat-
ments and for bulb and corm treatments. A few organic mercury com-
pounds are used as foliar sprays. Areas of use are chiefly agriculture
with a small market in the specialty area; i.e., golf courses and sod
industry. Examples of products using organic mercury formulations
are: Phenyl mercuric acetate, Semesan, Ceresan M, Panogen, Chip-
cote 25, Emmi, and Memmi. Recommended treatment rates of these
compounds range from 0.25 to 5 ounces per bushel of seed or 0.5 to
5 lb,/A.
Several metal organic fungicides are available and used chiefly for
treatment of handling, harvesting, and storage equipment. They also
are used to prevent rot and mildew in wood and fabrics. These products
are recommended to be applied to a 1- to 5-percent solution. Examples
are: Copper naphthenate, copper oxinate, quinolinolate, and Du-Ter.
5. The dithioaarbannate fwngickles have their greatest use for foliar
disease control of agricultural crops. Many are also effective when
used as a soil drench. Recommended rates of application range from
1 to 15 l'b./A. They are, for the most part, the metallic salts of dithio-
carbamic acid derivatives. The metallic salt form provides them with
the necessary stability to remain effective long enough to control the
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target disease organism. Examples of dithiocarbamates being used
today are: Yapam (SMDS), Zerlate (ziram), Parzate (nabam), Man-
zate (maneb), Dithane Z-78 (zineb), Arasan (thiram), Fermate
(ferbam), and Poly ram (metiram).
6.	Chlorine-containing fungicides are effective against a large num-
ber of agricultural crop diseases. They may be used as foliar sprays,
soil drenches, seed treatments, or dormant sprays. They are effective
against turf diseases, powdery mildew, scab fungi, and several other
pathogens. Depending on the compound, they are used at rates ranging
from 0.25 to 5 or 10 lb./A. Examples of this class of fungicides are:
Penta (PCP), Terrachlor (PCNB), Hexachlorobenzene, Captan,
Difoltan, Phaltan (folpet), Phygon (dichlone), Lanstan, Spergon
(chloranil), Dyrene, Daconil 2787, Terrazole, Demosan, and Botran
(dichloran).
7.	There are a number of fungicides of variable chemical nature
that fall into a miscellaneous grouping. They are used both in agricul-
ture and in the sod and turf industry. Recommended rate ranges are
from 0.2 to 3 lb./A. Examples are: Karathane (dinocap), Morocide
(binapacryl), Dexon, Cyprex (dodine), Diphenyl, Dowcide A, Glyo-
din, Morestan, and Creosote.
Herbicides, defoliants, and desiccants
There are almost 100 different chemicals and combinations of chemi-
cals that are used effectively as herbicides. There are three basic types
of herbicides depending upon their effects on plants: Contact, systemic,
and soil sterilants.
Contact herbicides kill plant parts through direct contact with the
foliage. Generally the effects are acute and the plant dies quickly.
Contact herbicides may be selective in their action or they may be
nonselective and kill all plants.
Systemic herbicides can be absorbed by either the foliage or the
roots and may be translocated through the entire plant system. They
are usually selective in their toxicity and they usually have a chronic
effect on susceptible plants.
Soil sterilants are chemicals which prevent plant growth when
present in the soil. The length of time for effectiveness may range
from less than 48 hours to more than 2 years.
The greatest area of use of herbicides is in agriculture, although,
considerable amounts are used in maintenance of rights-of-way, water-
ways, maintenance of industrial areas, in the home lawn and garden,
and by various Governmental agencies.
1. Inorganic herbicides are derivatives of inorganic acids where
hydrogen has been replaced by a metal. In sufficient concentration these
provide a contact burning effect. The rates of application are usually
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high, ranging from 100 to 1,200 lb./A. Examples are: Sodium arsenite,
calcium arsenate, sodium chlorate, and sodium borate.
2.	Metal-organic compoundh include those having a metal ion com-
plex combined with an organic portion of the molecule. These com-
pounds are usually used to control large areas of weeds such as on
railroad and highway rights-of-way. A few are selective and are used
to control crabgrass in desirable turf lawns. Examples are: Disodium
methane arsonate, cacodylic acid, phenyl mercuric acetate, and several
other similar products.
3.	Carboxylic aromatic herbicides.—This large group of synthetic
herbicides has chemistry with two characteristic moieties, a carboxyl
group and an aromatic group. Their activity includes contact, systemic,
and soil sterilant action, depending upon the compound and the rate
and method of application. They can be divided into five types:
Phenoxy acids, phenylacetic acids, benzoic acids, phthalic acids, and
phthalamic acid herbicides.
a.	Phenoxy herbicides are a selective group of compounds used
for broadleaf weed and woody plant control. They are systemic in
nature and in warm moist soil persist 30-60 days. They are only
slightly toxic to man and other animals. Examples are: 2,4-D, 2,4,5-T,
silvex, sesone, MCPA, erbon, dichloroprop, and others. The recom-
mended rate range for use is from 0.25 to 2 lb./A.
b.	Phenylacetic acid.—The single phenylacetic acid of note is
fenac. It is used at 4 to 20 lb./A for a variety of purposes including1
agriculture, aquatic weed control, and right-of-way weed removal. It
is more persistent in the soil than the phenoxy herbicides but would not
be expected to accumulate from 1 year to the next. It also has a low
toxicity to mammals,
c.	Benzoic acid compounds.—The benzoic mid herbicides have a
longer soil persistence than the phenoxy compounds and have a low
toxicity to mammals. Their major use is in agriculture where they are
effective against annual and perennial broadleaves and grasses. Several
show some crop selectivity. Examples are: Amiben, Banvel D (di-
camba), Benzac (PBA), and Trysben (2,3,6-TBA). Application
rates range from 1 to 4 lb./A.
d.	Phthalic add compounds.—The phthalic acid herbicides are
preemergence herbicides that prevent weed germination. They are per-
sistent for only about 30 days in the soil and they are relatively non-
toxic to mammals. They are used in agriculture at 6 to 12 lb./A. Ex-
amples are: Dacthal (DCPA) and endothall.
e.	Phthalamic acid compounds.—The phthalamic acid herbicides
are preemergence compounds with selective activity. They are applied
at 2 to 8 lb./A and are used almost exclusively for agriculture. They
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are relatively safe to humans and other warm-blooded animals. ITo re-
sidual toxicity is expected to remain in the soil from one year to the
next. The best example is Alanap (naptalam or NPA) which is avail-
able in several forms.
4.	Aliphatic Acid Herbicides.—The chemicals in this group are ali-
phatic compounds containing a carboxyl group. They are grass killers
with limited toxicity to broadleaf species. At low rates of 3-6 Ib./A
they are agricultural herbicides, but at 10-50 lb./A they are tem-
porary soil sterilants. They are only slightly toxic to humans and
warm-blooded animals and present no health hazard under normal
use. Examples are: Dowpon (dalapon) and trichloracetic acid (TCA).
5.	Substituted Phenol Herbicides.—Substituted phenols are used for
contact killing of all weeds hit by the spray. They are applied to rail-
road and highway rights-of-way and industrial areas as well as on
agricultural crops. They are also used as preemergence herbicides.
Their persistence in the soil is only about 3 to 5 weeks, and they are
not translocated in the plant. Examples are: dinoseb (or DNBP)
and pentachlorophenol. Their toxicity to mammals is considered mod-
erate to very toxic.
6.	Heterocyclic Nitrogen Derivative Herbicides.—-The heterocyclic
nitrogen derivatives are agricultural herbicides with loTf mammalian
toxicity. When applied at 1 to 4 lb./A, they demonstrate good selec-
tivity, some possessing preemergence and some postemergence activity.
At higher rates of 10 to 40 lb./A, a few are effective soil sterilants.
At rates of less than 4 lb./A and under a warm, moist environment
they seldom persist in the soil for more than 1 year. Examples are
Aatrex (atrazine), Princep (simazine), Milogard . (propazine),
prometone, and amitrol.
7.	Aliphatic Organic Nitrogen Herbicides.—Aliphatic organic
nitrogen compounds can be subdivided into three general types: the
substituted ureas, carbamates, and other amides.
a. Substituted Ureas.—Urea is a common agricultural nitrogen
fertilizer. Replacement of some of the hydrogen atoms in the urea
molecule with other substituents has provided a number of effective
herbicides. They are absorbed easiest through the roots and will nor-
mally persist in the soil 3 to 6 months at preemergence rates (1 to 4
lb./A) and up to 24 months at soil sterilant rates (20 to 50 lb./A).
They are relatively safe to warm-blooded animals and fish when used
at agricultural rates. Examples are: Telvar (monuron), Karmex
(diuron), Dybar (fenuron), Lorox (linuron), Cotoran (fluometuron),
Tenoran (chloroxuron),Herban (norea),andTupersan (eiduron).
7>. Carbamates.—A number of carbamates have been proven to
be quite effective as agricultural herbicides when used at rates ranging
from 1 to 6 lb./A. They are most effective in preemergence applica-
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tions, and are relatively nonpersistent in moist, warm soils. Although
a few carbamate herbicides will cause dermal irritations, they are
considered to be moderately safe to humans and warm-blooded ani-
mals. Examples are: Vegedex (CDEC), Chloro IPC (CIPC), Eptam
(EPTC), Tillam (pebulate), Sutan (butylate), Vernam (vernolate),
Carbyne (barban), Ordram (molinate), Avadex (dillate).
c. Other Amides.—There are several amide derivatives used as
herbicides in agricultural and home and garden products. They are
basically preemergent herbicides with a soil persistence of 1 to 3
months at the recommended rates of 1 to 10 lb./A. For the most part
they are only slightly toxic, but one, CDAA, is dermally toxic. Other
examples are: Dymid (diphenamid), Betasan (bensulide), Lasso,
dicryl, Clobber (cypromid, and Stam (propanil).
8. The dinitroanilme herbicides are preemergence compounds effec-
tive against annual grasses and some broadleaf weeds. They are ex-
tensively used in field and horticultural crop weed control and turf.
At the recommended rates of 0.5 to 3 lb./A, in warm, moist soil they
have a persistence of 2 to 6 months. Their toxicity to humans and
warm-blooded animals is only slight, making them safe to handle.
Examples are: Treflan (trifluralin), Balan (benefin) and Planavin
(nitralin).
0. The nitrile herbicides are used for preemergence broadleaf weed
control in small grains and also in orchards and nurseries. Moderately
toxic to mammals, they range in soil persistence from 1 month to over
2 years. The recommended application rates vary from 0.5 to 15 lb./A,
depending upon the compound and desired use. Examples are: Buctril
(bromoxynil), Certrol (ioxynil), and Casoron (dichlobenil).
10. Herbicides falling into a miscellaneous category include uracil
derivatives, chlorinated compounds, aldehydes, and others. The group
includes at least two compounds, paraquat and diquat possessing higher
mammalian toxicity. Others of this group are considered moderately
toxic. They are used in agriculture as well as in industry. Other exam-
ples include: Tordon (picloram), propachlor, Aqualin (acrolein).
Pyramin (pyrazon), Sinbar (terbacil), and bromacil.
Nenwticides
Nematode control requires the use of clean soil, clean planting stock,
and sanitation. Chemicals used to kill nematodes must not only be
efficient for killing the organism, but also must, leave no residues harm-
ful to plants. Preferably they should be easy to apply. The most effec-
tive nematicides have been those with fumigant action. The fumigant
action may come from a gas confined at the soil surface or from volatile
liquid or granular compounds actually placed in the soil. All are poison-
ous to man and animals.
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1.	Halogenated Hydrocarbon Nematicides.—These nematicides may
be injected into the soil or they may be gaseous fumigants applied to
the soil surface under gasproof covers. They have a residual activi-
ity of about 1-6 weeks during which time they can be harmful to plants.
They should be regarded as moderately to very toxic to the applicator.
Many are mixtures of two or more active compounds. Examples are:
Dowfume MC-33 (methyl dibromide+chloropicrin, D-D (dichloro-
propane+dichloropropene), Telone (mixture of chlorinated CB hydro-
carbons), Nemagon (dibromochloropane), and ethylene dibromide.
Rates of application recommended for these compounds are 1 to 2 lb./
100 ft.2 of fumigant or 12 to 20 gal./A of soil injected liquid.
2.	Organic Phosphate Nematicides.—A special formulation contain-
ing 4 lb./gal. diazinon controls soil insects and ecto-parasitic nematodes
of southern turf grasses. This product, Sarolex, has a recommended ap-
plication rate of 10 to 20 lb./A.
3.	Cyanate Nematicides.—Vorlex is a preplant soil fumigant that
controls weeds, fungi, insects, and nematodes. It is a mixture of methyl
isothiocyanate and chlorinated C3 hydrocarbons. This mixture is ap-
plied at about 20 gal./A. At least 2 weeks must be allowed before plant-
ing a crop. No cover or water seal is required.
4- Tkiophene Nematicides.—An example of a thiophene nematicide
is Penphene (tetrachlorothiophene, or TCTP). It is recommended for
controlling a number of nematode pests on tobacco. It kills by fumi-
gant action when injected into the soil at 6 to 8 lb./A. After 2 weeks
the soil must be aerated before the crop is planted.
Rodenticides and mammalian biocides
The interrelationships of man and animals have become increasingly
complex as human populations have increased. As wildlife habitats
have become altered, certain species have established new balances.
Thus some species have substantially increased in population density,
often creating problems that adversely affect man's interests and wel-
fare. There are numerous situations when control of predators and
rodents is essential to protect agricultural and pastoral interests as
well as human health and safety.
Of the various kinds of nuisance, destructive, disease-carrying, or
predatory mammalian pests, rodents are the main targets of control. A
number of chemical control measures have been developed for rodents,
many of which can be used on other mammalian pests such as coyotes,
skunks, raccoons, etc. Compounds which are toxic to rodents are usu-
ally also toxic to humans and should be handled with utmost caution.
J. Inorganic rodenticides.—There are a number of inorganic com-
pounds that are effective against such pests as rats, mice, moles, and
gophers where they are problems. Although most often used as 1 to 2
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percent baits, a few are active as fumigants. Examples of some inor-
ganic rodenticides are: arsenic trioxide, arsenic sulfide, barium car-
bonate, calcium cyanide, zinc phosphide, thallium sulfate, and sodium
fluorosilicate + zinc cyanide.
2.	Botanical rodenticides.—Certain plant extracts have toxic ac-
tivity toward rodents when used in baits at 0.5 to 1 percent. One of
these, red squill, is specific for rats and nontoxic to other warm-blooded
animals when used at specified rate ranges. Strychnine in both the
alkaloid and sulfate form is used chiefly in poison baits set for
squirrels, gophers, rabbits, and some lesser pests.
3.	Anticoagulant rodenticidea.—The anticoagulant rodenticides are
highly effective in controlling rats and house mice. They are essentially
odorless and tasteless and are effective in low doses. Action is not rapid
and usually 3 to 5 feedings from a 0.5 percent bait is required. Death
is due to internal hemorrhaging. These baits are recommended for
use only in protected situations where access by higher animals is pre-
vented. Examples of this class are: Fumarin (coumafuryl), Diphacin
(diphacinone), Warfarin (coumafene), Pival (2-pivalyl-l,3-inan-
dione),and Yalone (2-isovaloyl-l,3-indandione).
J+. Fluoride Rodenticides.—The fluoride rodenticides are extremely
toxic to warm-blooded animals and their application is restricted to
use by licensed pest control operators. They are odorless, tasteless,
and fast acting, chiefly affecting the heart, with secondary effects on
the central nervous system. Two such compounds are in use: Com-
pound 1080 (sodium fluoroacetate) and Fluoroakil 100
(fluoroacetamide).
¦5. Miscellaneous Rodenticides.—There are a few other rodenticides
available with a greater degree of selectivity toward rats. One of
these, ANTU (2-napthylthiourea) is specific for the Norway rat when
used as a 1 to 2 percent bait. Another is a specific single dose rat
poison for Norway and roof rats. This compound, Raticate (nor-
formide), is said to be nontoxic to a large number of other warm-
blooded animals.
MoMuscicides
There are several invertebrate poisons used to control molluscs
where their presence is undesirable. They are relatively specific and
are essentially nontoxic to fish and warm-blooded animals.
Polystream is a mixture of chlorinated benzene fractions that is
effective in oyster beds to control oyster drill, a predatory snail.
Bayluscide (chlonitralid) is used to control snails and lamprey in
flowing streams.
Matacil (aminocarb) is a carbamate insecticide that is also very
effective in controlling garden snails and slugs.
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Metaldehyde is a component of slug and snail baits that acts both as
an attractant and toxicant. It may be formulated with or without
calcium arsenate.
Piscieides
The use of piscicides is restricted to game and fish management for
improvements to public waters. The main objective is to remove rough
or trash fish prior to restocking lakes and rivers with more desirable
game fish.
Most widely used for this purpose is rotenone, a highly toxic fish
poison. Used in low dosages, it stuns the fish. As the fish surface,
desirable species are seined out and placed in fresh water tanks where
most revive. A second Jake application kills undesirable fish.
The antibiotic antimycin is finding increasing use as a fish toxicant.
Lampricide L-30-F (3-trifluoromethyl-4-nitrophenol) has been
used extensively in stream management to control populations of
lamprey.
Toxaphene has also been used oil occasions as a means of killing
undesirable fish in water management programs though it is not reg-
istered for the use and the manufacturer discourages it.
Amcides
Some of the most difficult control problems concern birds in cities,
at airports, around homes, and those which gather in great flocks and
cause damage to grain crops, animal feedlots, truck and fruit crops.
Some of the more troublesome species are pigeons, gulls, starlings,
and blackbirds.
Avitrol (4-aminopyridine) controls nuisance and destructive birds
as a treated grain bait. It causes individual members of the flock to
utter distress cries which, in turn, causes other members of the flock
to leave and avoid the "undesirable place." It is used to control pigeons
around city buildings, gulls at airports, and starlings in feedlots.
Another compound, Queletox (a formulation of Baytex insecticide),
is also used to repel birds by affecting a few individuals which frighten
others away.
Also used for bird control because of their repellent action are
imthraquinone and thiram. Thallium sulfate may be used in a bait to
control starlings but is restricted to use by Government agencies
because of dangerous cumulative poisonous properties.
Related Materials and Their Uses
REGULATORS OP PLANT GROWTH AND REPRODUCTION
The control of plant growth and differentiation through the use of
chemical substances is a new development. A number of chemicals are
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now known that have ii relatively broad spectrum of effects while
others merely mediate or block specific metabolic pathways. As a gen-
oral class of compounds, the plant growth regulators are considered
to be relatively nontoxic to humans and other warm-blooded animals.
Their persistence in soils is short, only 4 to G weeks.
Auxins.—Synthetic auxins were the first chemical regulators to
find widespread agricultural use. Kate levels of 10 to 50 ppm are use-
ful for promoting rooting of cuttings, setting of fruit, fruit thinning,
delaying prelmrvest drop of fruit, and for control of flowering of
pineapple. p]xamples of synthetic auxins in use today are: /?-indole-
butyric acid, m-napthaleneacetic acid, /3-napthoxyacet-ic acid, />-chloro-
phenoxyacetic acid, 2,4-dichlorophenoxyacetic acid (2,4-D), 2,4,5-T,
and silvex.
Gibberellimji,—A large number of varied respotises in plants are as-
sociated with the gibberellins. There is marked stem elongation; over-
coming of physiological and genetic dwarfism; acceleration of flower-
ing in cold-requiring biennials and long-day plants; promotion of
fruit setting; fruit enlargement; elimination of seed, bud, and vegeta-
tive dormancy; promotion of lateral bud growth; seed germination;
and growth at suboptimal temperatures. Rates of application vary
with the effect desired and may be from 1 to 3,500 ppm. The chief
example is gibberellic acid (gibberellin A3).
Oytokinins,—These compounds are of relatively recent origin with
their use potential being limited to favorable effects of prolonging
storage life of green, leafy vegetables and possibly in the enhance-
ment of fruit setting. They are applied at rates of 5 to 10 ppm and
are often combined with one of the other kinds of growth regulators.
Examples of the cytokinin group are: Nc-benzyladenine, Ne-benzyl-
9-tetrahydropyranadenine, and zeatin.
Growth RetardantH. The growth retardants, or inhibitors, may be-
come useful in the growing and handling of crops and in reducing
woody plant growth. They inhibit sprouting of onions and potatoes
in storage; they increase wheat yields by increasing tillering and
stimulating shorter and thicker stems to reduce lodging. A few are
used extensively to control growth of flowers and ornamentals. They
may increase cold resistance. Examples of growth retardants are:
maleic hydrazide, Cycocel, Alar, and Phosphon.
Chemical Repellents
Repellents have two principal advantages: since they need not kill
the pest species, the best repellents have low general toxicity and may
be used safely on man, beneficial animals, and food plants; and they
can provide protection for an individual man, animal, or plant with-
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out the necessity of destroying a huge segment of the pest populations,
with all the expense, difficulty and even hazard that this may involve.
Repellents also have some disadvantages. Because the pest population
is not destroyed, but only held at bay, the host must be completely
and continuously covered with the repellents to obtain protection.
Usually the repellents that protect man and animals are lost rapidly
by abrasion, evaporation, and absorption through the skin, necessitat-
ing re-treatment at. intervals of a few hours or days at most.
The uses of repellents include protection for domestic animals from
biting flies. These may be combined with a low level of pyrethrins.
Man uses repellents to help ward off biting and disease-carrying in-
sects such as mosquitoes, flies, and ticks. Repellents are also used to
prevent pests from infesting certain areas such as food and drink
containers, as well as termite-susceptible structures.
Some insect repellents available are: Ethyl hexanediol (6-12),
N, N-diethyl-m-toluamide, butoxy propylene glycol, dibutyl succinate,
and octyl propyl sulfoxide.
Attractants
Chemical attractants and associated agents serve useful purposes
as lures in traps. As insect attractants they are used to detect pest
infestations, estimate population densities and aid in control of the
pest either through traps or incorporated into poison baits.
Some chemical attractants are biologically active in extremely small
quantities. This is particularly true for those associated with sexual
behavior. Others are apparently feeding attractants. Although not
always true, insect attractants are usually quite specific for a given
species and often for a single sex of the species.
There are at least seven synthetic attractants available for use in
control of fruit flies and melon flies. They are methyleugenol, anisyl-
acetone, cuelure, siglure, medlure, and trimedlure. These have been
very effective in aiding with Mediterranean fruit fly control. Other
attractants are gyplure, bombykol, butylsorbate, and methyllinolate.
Legislation and Regulation Relating to Pesticide Production
and Use
Experimental labels, as currently administered, offer an opportunity
for a manufacturer to place a relatively small amount of a product
on the market in order to better determine the acceptance of the prod-
uct in the market and the need that it may or may not fulfill in the
marketplace. The advantages of this approach are that:
1. The manufacturer can get an early assessment of the future of
the product which may help him determine the amount of investment
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he must make in new manufacturing plants and further product
developments; and
2. It permits the regulatory agency to have a close look at any
problems that may be encountered by the product. Efficacy or safety
deficiencies will likely be brought out by the experimental label pro-
cedure without an overwhelming liability to the manufacturer or
threat to the environment or populace.
In recent years experimental labels have been more widely used.
Under present procedures it is necessary to account for all material
placed under the experimental label and to provide biological results
on the material used. This procedure is helpful, but a further stop
appears in order; namely, the limited sale in regular commercial
channels without the requirement of biological results on the material
should be permitted or even made mandatory for 1 year prior to a
full registration. This would go even further toward enabling the
manufacturer to assess the product in the marketplace but with a
limited exposure on his part, and would similarly provide the regula-
tory agency with a greater opportunity to assess possible threats to
man or his environment. The experimental label is not now a man-
datory procedure, though it is becoming much more widely used. If
the limited label concept is instituted, it is proposed that the limited
label be mandatory but that the experimental label remain discre-
tionary on the part of the applicant.
Improved Label Clarity
Efforts should be made to achieve label clarity. The purpose of the
label on pesticide containers should be to identify the product, explain
the use, and provide adequate directions for use and sufficient pro-
tection for the applicator. Specific improvements recommended for
greater clarity are:
1.	The use of the product should be prominently displayed on the
front panel in language familiar to the consumer; such as, "Weed
Killer," "Insect Killer," "Growth Regulator," etc.
2.	The ingredient statement should be simplified. It should use com-
mon names only (and every active ingredient should have a common
name) with no reference to chemical names as a footnote outside the
ingredient statement, no reference to licensing agreements, no patent
declaration, and no conversion to equivalents within the ingredient
statement. Otherwise, the style for the declaration of ingredients
could remain identical to current requirements of USDA. The entire
ingredient statement should be printed in such a way as to stand out
from the rest of the label copy; i.e., printed with a contrasting
background.
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3.	The label should specify what the product will and will not do.
Organisms to which the product is hazardous should be indicated.
For example, if a compound is known to be very toxic to specific
types of animals such as fishes or birds this information should be
highlighted on the label.
4.	The label should be dated in some manner—date of manufacture;
ail expiration date based on product shelf life or stability; or, at the
least, the date of label registration expiration.
5.	It is recommended that an entirely new scheme of denoting
relative toxicity be devised. The average consumer does not understand
the progression from caution, warning, to poison. A graphic or numer-
ical representation of the degrees of oral and dermal toxicity should
be developed to enable consumers to select less hazardous materials.
Professional graphic communicators should be consulted on this
project. Cautionary statements should clearly indicate the hazards
without undue cautionary statements.
6.	The manufacturer should be responsible for providing, on the
label, information on how to handle spillage and other accidents.
Complete instructions on the disposal of excess material and empty
containers should be provided.
Consideration of Experimental Stock m Commercial Channels
During the past quarter century of intensive organic chemical
pesticide development, many products and product forms have been
placed on the market. Today, with greater knowledge and better ana-
lytical tools, regulatory agencies would probably not allow some prod-
ucts on the market at all. Other products would require much more
restrictive labels. The problem is especially acute in the area of home-
owner products, where some highly toxic materials have been made
available to the homeowner in small packages and where other prod-
ucts have borne unrealistically restrictive labels such as "Wear rubber
gloves, mask and goggles," or "Wear protective clothing." Problems
of shelf life, chemical stability, and physical stability have undoubt-
edly arisen in many of these products. Packaging materials of several
years ago may be less satisfactory than would be permitted today.
At the present time, all pesticide products are registered with the
USD A for a 5-year period. This expiration date does not now appear
on the label. If it did, all obsolete stock not bearing a valid expiration
date should be collected and disposed of. Collection, of course, causes
the problems of financial responsibility to be brought forth. In many
cases the product might be returnable to the manufacturer. In cases
where companies have gone out of existence, some other means of
indemnification at public expense should be considered. It is impera-
tive that a realistic and workable collection and disposal system for
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both pesticide and containers he established, and it is suggested that
our present county agent system for rural areas and public health
officer system for urban areas might be the appropriate collection
center. The removal of all obsolete stock from commercial channels
would permit much better regulation of new products and would re-
move many potential hazards from the marketplace.
Problems of Introduction of New Pesticides—Costs
The development cost for any new pesticide is influenced by a num-
ber of factors. Some of these are related to the nature of the chemistry
of the pesticide; but the most important influences on cost are those
caused by the nature of our economy; i.e., labor costs, equipment cost,
facilities overhead, etc., and the intended use of the new pesticide; i.e.,
focxl crop or nonfood-crop use.
Some insight into the cost of developing a new pesticide can be
gained from a review in a recent publication on R & D costs which
appeared in the April 26, I960, issue of Chemical Week, page 38, The
following table outlines costs for various stages in pesticide develop-
ment and indicates the odds of reaching each stage.
Step
Average
cost per
compound
Chance of
reaching
next step
Cumulative
Total
R. & D.
cost
Synthesis and initial screening.
$400
1:100
1:100
$40, 000
Toxicity testing . _ _
100, 000
1:10
1:1, 000
1, 000, 000
Field evaluation. 	
400, 000
1:4
1:4, 000
1, 600, 000
Product development	-
200, 000
1:2
1:8, 000
400, 000
Process development and




pilot plant, _ _ 			
200, 000
1:1. ")
1:12, 000
300, 000
Test marketing	 	 -
200, 000
1:1. 5
1:18, 000
300, 000
Commercialization . -	
1 1, 000, 000
1:2
1:36, 000
2, 000, 000
Totals___	 	 ,
2, 100, 400 -


r>, 640, 000
Sales over $5 million/year	 1:10 1:360, 000
1 This assumes no marketing organization has been established. Otherwise, the commerclalliation step
would be reduced to $200,000. Source: Arthur 1>. Little, Figures arc for 1964, latest year for which they arc
available.
The value given for "toxicity testing" appears to be low, particularly
if a compound is to be used 011 a food crop. The overall figure of $2.1
million per compound appears to be a reasonable one. For pesticides
to be used on nonfood crops, this figure can be somewhat reduced. The
annual outlay for agricultural research by industry was reported at
$478 million in 1965, which represented 56 percent of all funds spent
by government and industry for this purpose (from the National Pro-
78

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gram of Research for Agriculture, USDA, 1966). Thus, the search far
new, more effective pesticides is an expensive one.
Reduced iiwentivea
An important part of every decision to develop a new pesticide is
the competitive situation in the marketplace. Quite obviously a new
compound which has better activity, is safer or more convenient to use,
or is less costly than competitive pesticides, has economic advantages
which may make the market attractive. However, in many cases these
factors are unknown or difficult to determine accurately in the early
stages of product development. Thus, a development decision is often
made on the basis of limited knowledge of the true potential of the
compound. Mistakes can be made which add to the development cost
prorated against successful products.
When faced with decisions regarding the commitment of several
hundred thousand dollars to compound development, research manage-
ment often looks to the profitability of the market for the compound.
When faced with such products as 2,4-D (selling wholesale at less than
40 cents per pound) and DDT (at less than 18 cents per pound), man-
agement has difficulty in justifying a large research expenditure for
a compound that has similar biological activity. In addition, if ade-
quate technical support is to be given a new product, there must be
sufficient return to finance such support over at least the initial years
of consumer use when he is learning to use the compound correctly. At
the outset when the ability of the new product to compete with existing
and perhaps lower cost materials is unknown, only those compounds
possessing distinct advantages over existing products have a chance
for success.
Increased regulatory requirements
Regulatory requirements can be expected to be increasingly more
stringent as the years go by. As our technology advances, there will be
many more questions to answer and requirements to be met. Each new
pesticide not only must satisfy existing requirements but in itself
creates new questions which must be answered.
In the quest to learn more about the impact of chemical pesticides
on the environment, there will be new information developed which
may alter present pesticide regulatory requirements. There will be
more interest in persistence, metabolites in plants and soils, water and
air pollution, etc. It can be expected that governmental regulatory
agencies will constantly modify requirements with changing patterns
of agricultural technology and cultural practices. Just as the science
of agriculture changes, the regulations governing pesticide develop-
ment and use will change as needed. We must insure that Buch changes
are well founded and beneficial to agriculture and mankind. Every
79
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technological advance is associated with certain risks. In the final
analysis the benefits to mankind must be weighed against the risks to
mankind.
Multiple regulations
As Federal Government regulatory requirements increase, it is
safe to predict that there will be greater interest on the part of State
and local governments. California has been a leader in the develop-
ment of a state regulatory program; other States have a good begin-
ning, and still others will follow suit. In all probability most State
regulations will follow Federal guidelines and will likely be less
demanding.
Limited markets
Two types of limited markets can be envisioned, one governed by
crop acreage, the other by competition. In the first situation, the crop
acreage potential for the pesticide is so limited as to make the market
too small for an economic return on research cost; e.g., a herbicide for
garlic or turnip greens. In the other situation, a large number of
efficacious, low-cost products on the market so limit the potential for a
new material of equal or slightly better activity that a return on
research investment cannot be realized.
Public reaction
While somewhat unpredictable, we can expect greater awareness by
the public of pesticides and their use. Everyone in government and
industry has a serious moral obligation to deal in facts to the public if
pesticide and agricultural technology are to advance. Reporting and
exaggerating the danger of pesticide usage without equal treatment
of the beneficial aspects of pesticides threatens to retard the advancing
technology required to meet food and public health demands around
the world.
Advantages and Disadvantages of Substitute Methods of Pest
Control
There is growing concern about the distribution of pesticide residues
in the environment the effects of these residues on ecological systems,
and possible effects on human health. Therefore, there is growing
interest in alternative means of controlling pests. Some of the proposed
alternatives themselves present hazards that should be carefully con-
sidered before they are put into widespread use. Our purpose here is
briefly to consider some of the consequences of replacing present
methods of control.
DDT is a very low cost material (17.5 cents per pound, 1968) and
it is unlikely that any effective insecticide will be produced that does
80

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not cost more on a unit weight basis. However, any control method
that does not have to be repeated frequently will cost less in the long
run, and any that do not have the damaging side effects on the environ-
ment that DDT exhibits will have rather intangible values that can at
least partially compensate for greater dollar costs.
It is felt that a reconsideration of cultural controls such as schemes
of crop rotation and trends away from monoculture of single crops
over huge areas is needed. It is widely taken for granted that such
methods would add greatly to labor costs, but we are unaware of any
cost-benefit analyses that have taken account of all relevant factors
including the savings in pesticide costs and the intangible benefits.
More emphasis should be placed on the development of resistant
varieties of crops. This is the only method of control that has proved
feasible against the stem rusts of cereals, and the approach should be
extended to other types of pests. Although, as with the rust fungi, pests
are likely to evolve the ability to exploit resistant strains of crops, the
availability of strains with different patterns of resistance to pests can
greatly alleviate the need for other means of control.
Research should be encouraged on the possibilities of displacing pest
species through competition with innocuous species. For example,
most species of blackflies will not bite man. It is conceivable that some
simple environmental modification could lead to displacement of
noxious forms.
These approaches, together with quarantine regulations and the
synthesis of insect pheromones which would be absolutely specific for
a particular pest species, are not regarded as involving any risks of
undesirable side effects. Some other proposed alternative controls
require further discussion.
Alternative chemicals
As the chemical insecticides currently in use are removed because
they have lost their effectiveness or have been recognized as hazardous,
consideration will be given to replacing them with other chemicals that
may be even more hazardous. For example, parathion is an extremely
poisonous chemical that can be absorbed through the skin. It has caused
a significant number of human deaths when used without proper
precautions.
While most of the organophosphate pesticides usually break down
quite rapidly in the environment they can affect various enzyme sys-
tems in man and domestic animals at very low concentrations. The
effect of prolonged exposure to minimal residues of other pesticidal
chemicals are unknown.
Very little is known about possible synergistic or antagonistic in-
teractions of various chemicals. It is known that when dieldrin and
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DDT tire present simultaneously, each affects the storage of the other
in fatty tissue. It has been reported that the presence of detergents in
bodies of water prolongs the residual time of organophosphates. Pesti-
cide residues are believed to have the potential for altering body re-
sponses to drags. These interactions are essentially unpredictable and
difficult to investigate experimentally, but are indicative of the in-
evitable risks involved in introducing new chemicals into the
environment.
Biological control
The principal hazard of introducing predators into ft new region
is the possibility that the introduced species will itself become a pest.
The mongoose was introduced into the West Indies for the purpose to
control rats but it became a scrouge of poultry raisers and of the
native ground nesting birds.
An outstanding success of biological control in Australia was con-
trol of the prickly pear cactus by a moth imported from Uruguay. In
this case, prior to the introduction, Australian scientists carefully
screened various potential control agents and rejected several because
it was found that they would feed on garden crops if they ran out of
cactus.
Care should also be taken with the introduction of bacterial and
fungal diseases to be certain that they are not going to attack bene-
ficial species. For example, the milky disease which is used against the
Japanese beetle attacks beetles of only one family which includes no
species known to be beneficial.
The great merit of biological control is that a one-time application
may permanently solve a pest problem if sufficient care is taken in ad-
vance to be certain of the characteristics of the forms to be introduced.
Another possibility which has not received nearly the attention it
merits is the encouragement of native species which have the potential
for aiding in pest control if ways can be found to encourage increases
in their numbers.
The widespread use of broad spectrum chemical pesticides has
sometimes had adverse effects on biological control. Scale insects which
had been adequately controlled biologically have broken out as a re-
suit of predacious insects being killed.
The sterile male technique
The spectacular success of the program to eradicate the screw-worm
fly in the Southeastern United States by releasing male flies that had
been sterilized by radiation has focused a great deal of attention on
this approach.
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In the program against the screw worm fly the males were sterilized
in the pupal stage in the laboratory by exposing them to gamma radia-.
tion. Now proposals are being made for sterilizing insects in the
field with chemosterilants. Some of the chemicals proposed for use
are powerful mutagens and carcinogens that may pose a threat to man
and beneficial organism. Even if chemosterilization were performed
in the laboratory, there seems to be no information about possible
effects on predators eating the sterilized insects.
Miscellaneous controls
Many additional methods of pest control have been proposed but
not yet developed to the point where they can be evaluated either with
respect to benefits or hazards. Ultrasound has been proposed for use
against insects and birds, but possible side effects are unknown.
In the more advanced orders of insects development of the adult
reproductive stage requires the disappearance of a "juvenile hormone."
Thus there is a potential for inhibiting insect reproduction by supply-
ing this hormone artificially. The most obvious side effect is damage to
beneficial insects such as bees, but there may be other effects.
Probably most plants and many animals have developed, in the
course of evolution, specific chemicals that serve as pesticides or re-
pellants. Some such as nicotine, pyrethrum, and rotenone are in use
as pesticides and others such as the oil of poison ivy and the cantharidin
of blister beetles are recognized as hazardous compounds. It seems at
present impossible to predict Avhat new and useful, or potentially
destructive, discoveries may be forthcoming in this field.
Finally, there are possibilities for controlling pests by such devices
as "trap crops" which are so attractive that the pests congregate where
they can easily be controlled. For example, certain pests of cotton
are preferentially attracted to alfalfa. An analogous case involving
animals is the old practice of releasing guinea pigs in buildings infested
with fleas for the purpose of collecting these parasitic insects. One
can imagine that under some conditions trap crops might attract new
pests as, for example, by bringing in undesirable weeds, but such
possibilities seem not to have been investigated.
Appendix
INTERNATIONAL ASPECTS OF PEST
CONTROL BY CHLORINATED HYDROCARBONS
The following breakdown on tonnage basis indicates the relative
importance of insecticides in various crop groups in the world and
83

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the dependence 011 chlorinated hydrocarbons (aldrin, BHC/lindane,
clilordane, DDT, dieldrin, endrin, heptachlor and toxaphene) is evi-
dent from second column (below). The source of this information is
Shell International Chemical Co.'s worldwide usage survey for 1966.
Percent
Total	chlorinated
insecticide' hydrocarbon
usage,	insecticides
Crop	thousand tons in total
Cotton			60.4	38.
Rice		12. 0	57
All other cereals					7. 6	85
Vegetables.										6.8	46
Potatoes		2. 8	61
Sugar beet				2. 4	55
Sugarcane				2. 1	74
Tobacco					2. 0	67
Oilseeds		-			1.9	77
Coffee		.8	81
Tea...			.5	19
Sweet potatoes		. 2	92
Fruit including citrus, represent a relatively unimportant use of
chlorinated hydrocarbons (CHI) on tonnage basis due to large
volume of spray oils, however, chlorinated hydrocarbons on olives
rate 55 percent and on vines 16 percent of total. DDT is used on fruit
in Japan, South Africa, Mexico, Italy, United Kingdom, and Argen-
tina, and BHC is used in Japan, India, and Algeria.
Each crop is discussed below in turn
Cotton,—Although only 38 percent of total, the chlorinated hydro-
carbons are essential to this outlet in view of unrivaled cost/perform-
ance effectiveness and also the need to alternate with organo phosphorus
products. Areas of major significance for use of CHI are: Mexico,
Nicaragua, Egypt, Sudan, Brazil, Guatemala, Colombia, Australia,
Turkey, Uganda, Ivory Coast and El Salvador for control of follow-
ing pests: boll weevils, leafworm, lace bugs, stink bugs, cutworms,
thrips, jassids, cotton stainers, tortrix larvae, lygus, mites, army-
worms, white flies, aphids, pink bollworm, spiny bollworm and
loopers, all of which are ubiquitous. Cyclodienes also play part in
control of soil pests such as wireworms (Agriotes), white grubs,
various coleopterious larvae, cutworms, and hylemya, either as seed
dressings or preplanting soil treatments. Cotton losses due to insects
compared with actual production (from Pflanzenschutz Nachrichten
Bayer, 1967) are as follows:
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Actual
Estimated


production
actual losses


despite pests
due to Insects
Percent total
Area
(thousand tons)
(thousand tons)
lost to Insects

(A)

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testation not severe) myriads, lepidopterious larvae, and tipulidae in
India, U.K., Mexico, Hautevolta/Niger, and Turkey. However, for soil
pest control, e.g. wireworms, white grubs, crickets, cutworms, coleop-
terous root worms, dipterous root worms, of which first four are
ubiquitous, there is really no substitute performance-wise for cyclo-
dienes aldrin, lieptachlor and dieldrin. Thus, these products are essen-
tial for these crops in France, Colombia, Chile, Mexico, Turkey, Spain,
India, Argentina, East Africa, Japan, and Greece. Aldrin or dieldrin
seed dressings give protection at extremely low cost and without risk
of phytotoxicity to large areas of cereal crop and are valuable produc-
tion tools especially in Argentina, Turkey, East Africa, Greece, India
with particular reference to wheat.
Losses due to insects for wheats oats, "barley, rye:
Actual	Estimated
production	actual losses
despite pests	due to Insects Percent total
Area (thousand tons)	(thousand tons) lost to Insects
(A)	(B)
Central Amerioa				2,403	164	6.0
South America			15,977	867	5.1
Europe					129,049	4,940	3.7
Africa				9,645	1,437	13.0
Asia		42,753	2,978	6.5
Oceania		1,374	837	37.8
Total			 201,201 11,213
Losses due to insects for millet and sorghum:
Area
Actual
production
despite pests
(thousand tons)
(A)
Estimated
actual losses
due to Insects
(thousand tons)
(B)
Percent total
lost to Insects
Central America			
South Amerioa				1,180	120	9. 2
Europe..		250	23	8.4
Africa			18,200	3,316	15.4
Asia				 .	19, 920	3,162	13.7
Oceania		219	22	9. 1
Total		39,809	6,643
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Losses due to insects for maize:
Actual	Estimated
production	actual losses
despite pests	due to insects Percent total
Area (thousand tons)	(thousand tons) lost to Insects
(A)	(B)
Central America...					8,450 			
South America				19, 057	6, 353 25. 0
Europe		28, 324	1, 647 5. 5
Africa		14, 920	9, 503 38. 9
Asia		16, 510	2, 620 13. 7
Oceania		200	12 6. 0
Total					 87,461 20,135
Vegetables (excluding potatoes).—BHC is important in India,
Japan, Mexico, Spain, but again where soil pests; e.g. agriotes, agrotis,
hylemyia sp. gryllotolpa, and melolontha, need to be controlled cyclo-
dienes are not replaceable on grounds of performance and lack of
taint. Thus in crops, e.g. onions, tomatoes, cliilies, and cabbage, where
residue levels are acceptable, cyclodienes are important in Japan, Italy,
Spain, 'France, and Portugal. DDT for control of cutworms, boll-
worms, white flies, jassids, fruit borers, webworms, cabbage moth, flea
beetles, weevils, and army worms is important in Mexico, Spain, Japan,
India, Chile, ILK., Thailand and South Africa.
Vegetable losses due to insects:
Actual	Estimated
production	actual losses
despite pests	due to insects Percent total
Area (thousand tons)	(thousand tons) lost to Insects
(A)	(B)
Central America		5,000	639	11.3
Europe						26, 645	866	3. 1
Africa				52,994	7,413	12.3
Asia					61,258	9,209	13.1
South America				35, 326	2, 634	6. 9
Oceania			836	104	11. 1
Total				 182,059 20,865
Potatoes including sweet potatoes,—Potatoes are heavily depend-
ent on cyclodienes for control of wireworms and other soil pests and
there are no suitable replacements. BHC is little used due to taint.
Areas of importance for soil pest control include France, Spain, Bra-
zil, Colombia, Peru, United Kingdom, Japan, Greece and Taiwan.
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Foliage use of DDT is prevalent in Brazil, C-olombia, Mexico, and
Australia against thrips, tuber moth, armyworm, blister beetle, flea
beetle and Colorado beetle.
Lohs due to insects:
Area
Actual
production
despite peats
(thousand tons)
U)
Estimated
actual losses
due to insects
{thousand tonB)
Percent total
lost to insects
Central America		537	108	16. 7
South America					7,942	1,022	19.5
Europe						141,543	9,904	6.5
Africa				1,760	782	30.8
Asia					11,600	2,035	14.9
Oceania-				720	74	9.3
Total		 164,102 14,825
Sugar beet.—In view of nature of the crop cyclodienes (aldrin and
heptachlor) again are very important for control of soil and ground
surface pests such as agriotes, agrotis, gryllotolpa, melolontha, blani-
ulus guttulatus (millipedes), lixus, cleonus and pegomyia, particularly
in Belgium, Italy, France, Spain, Greece, Chile and Turkey. Use of
CHI seed dressings are essential when considering germination re-
quirements of modern monogerm seeds, e.g. in U.K.; seed dressing in
other areas, e,g, Turkey, are also important aspect where estimated
75 percent are treated this way. BHC use is important for cleonus,
armyworm and beetles in Italy and Turkey and DDT is important in
Turkey and Spain for similar pests.
Sugar beet losses due to insects:
Actual	Estimated
production	actual losses
despite pests	due to insects Percent total
Area (thousand tons)	(thousand tons) lost to Insects
(A)	(B)
Central America			
South America		 1,034	229	18.1
Europe			 100,080	6,057	5.7
Africa	-							
Asia-.					 7,440 3,449	31.7
Oceania								
Total		 108,654	9,735
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Sugarcane.—BHC/lindane are dominant here and important in con-
trol of leaf hoppers, white flies, termites, soldier fly (Australia),1
borers and cane beetles, in Mexico, Australia, India and Brazil. Endrin
is important in certain areas; e.g. Ivory Coast, Taiwan and India, for
borer control. Also, dieldrin is particularly relevant in South Africa
where heteronychus licus is not controlled with any other product.
Aldrin and heptachlor are important for soil pest control in India,
Brazil, Mexico, Pakistan and Taiwan.
Sugarcane losses due to insects:
Actual	Estimated
production	actual losses
despite pests	due to insects Percent total
Area (thousand tons)	(thousand tons) lost to insects
(A)	(B)
Central America..			—	101,942	15,446	13.2
South America			117,070	31,358	21.1
Europe					410	27	6.2
Africa					30,000	15,450	33.3
Asia						188,120	134,372	47.7
Oceania	_		17,670	2,677	13.2
Total			 456, 112 199,330
Tobacco.—Foliage pests such as leaf worms, bollworma, thrips, horn-
worms, flea beetles, leaf miners, stink bugs, cutworms necessitate use
of DDT in Mexico, Australia, South and East Africa. Likewise small
quantity of BHC is used mainly in Mexico. Soil pests as previously
listed are important in Japan, Italy, South Africa, Mexico, Colombia,
Greece, and Spain, where cyclodienes are used instead of above two
products, especially where wireworms are present.
Tobacco losses due to insects:
Area
Actual
production
despite pests
(thousand tons)
(A)
Estimated
actual Josses
due to Insects
(thousand tons)
(B>
Percent total
lost to Insects
Central America					247	41	14.2
South America.-	_			244	77	24.0
Europe			704	46	6. 1
Africa	.			260	57	18.0
Asia				1,460	218	13.0
Oceania.							18	4	18.2
Total			 % 033	443
1 Due to resistance can now be controlled only by dieldrin.
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Oil Seeds.—These crops including sesame, soybeans, groundnuts,
sunflower, etc. are again heavily dependent on CHI. BHC is important
in India and Japan while DDT is used in Argentina, Brazil, India,
Japan, Colombia, and Nicaragua, Toxaphene also is important in
Colombia, France, Brazil, and Venezuela against lepidopterous larvae,
earworms, army worms, and loopers.
Losses due to insects:
Actual	Estimated
production	actual losses
despite pests	due to insects Percent total
Area (thousand tons)	(thousand tons) lost to insects
(A)	(B)
Central America				2, 854	255	8. 2
South America		5,614	381	6.4
Europe		5,095	1,378	21.3
Africa					8,785	2,269	20.5
Asia						19,765	4,971	20.1
Oceania				366	91	19.9
Total			 42,479	9,345
In addition to crop aspects there are certain other specific pest
problems to be taken into account:
Locusts.—Total world annual value loss is estimated at $1 billion
(Bayer 1967). In Asia and Africa more than 60 countries are liable to
invasion by locust swarms. Medium-sized swarm may contain 3 billion
locusts and consume 3,000 tons of food/day ("Pests and People,"
Shell). Several figures for value of crops destroyed in India, Kenya,
Morocco, Libya, Sudan, Senegal, Ethiopia, India between 1928 to 1962
are available if required (Anti-Locust Research Centre London, Hand-
book). Recession of swarms was experienced from 1962 to 1968 but
then a further outbreak started in 1969. However, this was checked
and 1969 now is unlikely to become a plague year due to spray cam-
paigns using BHC and dieldrin. The latter is still very important
for control of hopper bands. Other insecticides including organo-
phosphorus materials either are not so effective or more expensive.
Termites.—Total world annual value (excluding damage to wood-
work, buildings, etc.) is $165 million (Bayer 1967). Annual expendi-
ture in Australia for repairing damage done by termites is 3 million
A. pounds (Pans February 1965, vol. 2). Termites in agriculture are
covered where important in earlier sections. Nonagricultural use of
aldrin/dieldrin is particularly relevant in building construction where
many architects now specify dieldrin alone.
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Yellow fever and malaria.—The main insecticide used against Aedes
aegypti is DDT. One fifth of world's malaria has been eliminated
by use of pesticides (Pans A, Yol. 9, No. 4,1968). In India the number
of malaria cases dropped from 100 million in 1933-35 to 150,000 in
1966, and loss to economy in same period reduced from 1.3 billion
dollars to 2 million (World Health, April 1968). Dieldrin has played
a part in this spectacular progress but DDT is still important in at
least 24 countries for mosquito control and an estimated 16,000 tons
are used annually. This is of particular importance in India, Mexico,
Brazil, Venezuela, Columbia, Vietnam, Honduras, and Japan.
Chagas disease.—Kesidual house spraying with gamma BHC and
dieldrin is successful in Central and South America. At moment, CHI
are particularly important in Venezuela and Brazil.
Sleeping sickness.—This disease is transmitted by the Tsetse. Ac-
cording to "World Rev. Pest Control" (vol. 5, No. 1, 1966) between
1930 and 1946 half a million cases were reported and treated in
Nigeria alone.
Four and one half million square miles of Africa is denied to cattle
and horses with consequent inpoverishment of farming practice. DDT
is used in Nigeria and Zambia but more effective control is obtained
with dieldrin, which is widely used in Nigeria, Tanzania, Kenya,
Uganda, and Zambia. Some endosolfan also used in this outlet. Use
of organophosphorus insecticides is unsatisfactory.
River blindness (Onchocerciasis).—This is spread by simulium fly.
It is of particular importance in West Africa where DDT is used
in Nigeria* Ivory Coast, and Upper Volta.
Wood preservation.—In addition to public health, CHI are valu-
able in certain industrial uses, e.g. protection of wood products against
borers etc., in wood-producing countries.
Twcura (Grasshopper).—This is a particular problem in Argentina,
affecting 15 million hectares of which 7 million are natural grass and
support average of 3 sheep or 0.8 cows/Ha. Eight grasshoppers per
square metre eat equivalent to one animal/Ha. Thus, infested land
in dry years is unable to support stock by mid summer and these have
to be moved at great expense to tucara-free area or sold cheaply for
slaughter. Prior to the use of dieldrin, annual losses of cattle products
estimated at 90 million dollars despite extensive use of BHC. Dieldrin
and heptachlor were banned February 1968 due to residue problem on
USA imports, and subsequently four other products were approved:
Sevin (expensive, difficult to apply), malathion (more expensive than
dieldrin and average in performance) Diazinon (requires removal of
animals from treated area), and Dibrom (requires special equipment).
Sumithion trials were successful, but in practice control was poor,
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0U Seeds.—Those crops including sesame, soybeans, groundnuts,
sunflower, etc. are again heavily dej>endent on ("III. BHC is important
in India and Japan while DDT is used in Argentina, Brazil, India,
Japan, Colombia, and Nicaragua. Toxaphene also is important in
Colombia, France, Brazil, and Venezuela against lepidopterous larvae,
eanvonns, army worms, and loopers.
Losses due to insects:
Actual	Estimated
production	uctual losses
despite pests	due to insects Percent total
Area (thousand tons)	{thousand tons) lost to insects
{A)	(B>
Central America		2, 854	255	8. 2
South America		">,614	381	fi. 4
Europe		5,095	1,378	21.3
Africa		8,7K5	2,269	20. 5
Asia		19,765	4,971	20. 1
Oceania		366	91	19. 9
Total	 42,479	9, 345
In addition to crop aspects there are certain other specific pest
problems to be taken into account:
Locwitn.—Total world annual value loss is estimated at $1 billion
(Bayer 1967). In Asia and Africa more than CM) countries are liable to
invasion by locust swarms. Medium-sized swarm may contain 5 billion
locusts and consume ;1,000 tons of food/day ("Pests and People/*
~Shell). Several figures for value of crops destroyed in India, Kenya,
Morocco, Libya, Sudan, Senegal, Ethiopia, India l>etween 1928 to 1962
are available if required (Anti-Locust- Research Centre London, Hand-
book). Recession of swarms was experienced from 19P>2 to 196H but
then a further outbreak started in 1969. However, this was checked
and 1969 now is unlikely to become a plague year due to spray cam-
paigns using BHC and dieldrin. The latter is still very important
for control of hopper bands. Other insecticides including organo-
phosphorus materials either are not so effective or more ex|»ensive.
Termiteft.—Total world annual value (excluding damage to wood-
work, buildings, etc.) is $16.r) million (Bayer 1967). Annual expendi-
ture in Australia for repairing damage done by termites is 3 million
A. pounds (Pans February 1965, vol. 2). Termites in agriculture are
covered where important in earlier sections. Nbnagricultural use of
aldrin/dieldrin is particularly relevant, in building construction where
many architects now specify dieldrin alone.
90

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Yellow few and malaria.—The main insecticide used against Aedex
argifpti is DDT. One fifth of world's malaria has been eliminated
by use of pesticides (Pans A, Vol. S), No. 4,1968). In India the number
of malaria eases dropped from 100 million in 1933-35 to 150,000 in
196(5, and loss to economy in same period reduced from 1.3 billion
dollars to 2 million (World Health, April 1908). Dieldrin has played
a part in this spectacular progress but DDT is still important in at
least 24 countries for mosquito control and an estimated 10,000 tons
are used annually. This is of particular importance in India, Mexico,
Brazil, Venezuela, Columbia, Vietnam, Honduras, and Japan.
Chagax dUc/ixc.- Residual house spraying with gamma BIIC and
dieldrin is successful in Central and South America. At moment, CHI
are particularly important in Venezuela and Brazil.
Sleeping virkns/ift.—This disease is transmitted by the Tsetse. Ac-
cording to "World Rev. Pest Control'- (vol. .1, No. 1, lBfiO) between
11)30 and 1946 half a million eases were reported and treated in
Nigeria alone.
Four and one half million square miles of Africa is denied to cattle
and horses with consequent inpoverishment of farming practice. DDT
is used in Nigeria and Zambia but more effective control is obtained
with dieldrin, which is widely used in Nigeria, Tanzania, Kenya,
Uganda, and Zambia. Some endosolfan also used in this outlet. Use
of organophosphorous insecticides is unsatisfactory.
River blind-Mux (Onchocerciasis).—This is spread by simulium fty.
It is of particular importance in West Africa where, DDT is used
i n Nigeria, Ivory Coast, and Upper Volta.
Wood ¦preservation.—In addition to public health, CHI are vahi-
alile in certain industrial uses, e.g. protection of wood products against
borers etc., in wood-producing countries.
Turum (Grasshopper).—This is a particular problem in Argentina,
affecting 15 million hectares of which 7 million are natural grass and
support average of 3 sheep or 0.K cows/Ha. Eight grasshoppers per
square metre eat equivalent to one animal/IIn. Thus, infested land
in dry yeaiw is nimble to support stock by mid summer and these have
to be moved at great expense to tucara-free area or sold cheaply for
slaughter. Prior to the use of dieldrin, annual losses of cattle products
estimated at 90 million dollars despite extensive use of BHC. Dieldrin
and heptachlor were banned February l£>fi8 due to residue problem on
USA imports, and subsequently four other products were approved:
Sevin (expensive, difficult to apply), mahithion (more expensive than
dieldrin and average in performance) Diazinon (requires removal of
animals from treated area), and Dibrom ( requires special equipment).
Sumithion trials were successful, but in practice control was poor,
91

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likewise control by malathion. Carbaryl, Diazinon, Azodrin, Gardona
and Dimethoate gave poor or complete lack of control. At present
there hats been complete withdrawal of all approvals with resultant
confusion. Next season Tucura infestation is expected to be severe due
to lack of control this season, and if conditions are dry national dis-
aster may result. Al>o\e case study clearly underlines the drastic effect
that removal of the one essential agricultural weapon may have 011 an
agricultural economy.
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CHAPTER 2
Contamination
Contents
Page
Summary and conclusions		101
Pesticides and persistence		103
The air route		105
The water route		116
The food route		131
Soil contamination		143
Household use		145
Pesticide manufacture, occupational exposure, and accidents. _	152
Alternative pest control measures		161
Monitoring of pesticides in the environment		168
Systems analysis of pesticides in the environment		174
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CONTAMINATION
SUMMARY AND CONCLUSIONS
The subgroup on contamination has examined the present status of
knowledge on the dissemination of pesticides into the environment, the
mechanisms and rates at which they accumulate in various elements
of the environment, and methods by which pesticides might be con-
trolled so that their presence in the environment would pose a minimal
hazard to society consistent with the benefits to be obtained from
their use.
The subgroup has examined: a) The air route by which pesticides
are applied and distributed in the biosphere; b) the water route;
c) the food route; d) soil contamination; e) household uses of pes-
ticides; f) occupational exposures resulting from the manufacture
and application of pesticides, and accidents that may occur in their
use; g) alternatives to the use of persistent pesticides; h) the monitor-
ing of pesticides in the environment; i) systems analysis of pesticides
in the environment.
Much contamination and damage results from the indiscriminate,
uncontrolled, unmonitored and excessive use of pesticides, often in
situations where properly supervised application of pesticides would
confine them to target areas and organisms and at the concentrations
necessary for their beneficial use without damage to the environment.
Research investigations, demonstrations, and monitored operations
reveal that the careful application of many of the pesticides and the
use of techniques presently available and being developed can be
expected to reduce contamination of the environment to a small frac-
tion of the current level without reducing effective control of the target
organisms.
The present piecemeal involvement of various Federal agencies in
pesticide control requires more than the existing type of coordination.
As human health and welfare are the values of prime concern, the
DHEW should provide a lead in the establishment of a mechanism
for administering pesticide control programs.
Ad hoc studies of pesticides in the environment are not adequate to
assess the inputs of pesticides to the biosphere, their degradation,
translocation, movement and rates of accumulation. Monitoring is con-
ducted by a large number of agencies, but in each instance the monitor-
101

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ing is related to a specific mission of the agency. Therefore, a single
agency should take the initiative to insure the effective monitoring
of the total environment, and the filling of giips in data such as for
oceans and ground water, as they are identified. A continuous systems
analysis of pesticides in the environment needs to be conducted.
Aerial spraying should l>e confined to specific conditions of lapse
and wind that will preclude drift. Regulations to limit aerial applica-
tion to specific weather conditions would be helpful in providing
guidance for regulatory programs. Increased engineering development
effort is needed for the design of equipment for, and the adaptation
of helicopters to the aerial spraying of pesticides.
The use of low volume concentrated sprays should be encouraged.
Since this technique, if it is not properly controlled, can be more haz-
ardous to workers, effective regulations must precede its increased use.
Increased information is needed on the degree of exposure of the
general population to pesticides used for household, lawn, and garden-
ing purposes. More effective means for regulation and control of pesti-
cide use by the general public should be instituted, possibly by licensing
of distribution outlets.
The use of inclane and similarly toxic materials which act by evapo-
ration must be discontinued where humans or foods are subject to
exposure, such as in homes, restaurants, and schools.
There is a vastly increased need for the education of the general
public, in the management of pesticides and in the training of profes-
sional applicators. Public communications media, schools and univer-
sities all have important roles to play.
Labeling regulations must also be improved. Print should be en-
larged and language should be made intelligible for the lay public.
A need exists for nonlanguage, internationally intelligible insignia or
markings that will advise the user of the degree of toxicity and per-
sistance of the product, its method of application, and the target
organisms.
More vigorous effort is needed to replace the persistent, toxic, and
broad-spectrum pesticides with chemicals that are less persistent and
more specific. Certain of the less-persistent pesticides, however, may
be more toxic to humans and therefore effective regulation of their
application is required to insure against injury to personnel.
Integrated control techniques for the control of select pests promises
to effect a reduced usage of pesticides. Such alternative techniques
should be more widely applied.
Licensing of commercial pesticide applicators, as well as other large-
scale applicators of hazardous materials should be required.
Analytical methods, although extremely good, require further de-
velopment. Need exists for standardizing or referencing additional
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techniques, even on an international basis. There is need for both
less sophisticated techniques for field use as well as for automated
techniques for wide-so ale monitoring.
Standards for selected pesticides should be included in the Public
Health Service "Drinking Water Standards". Although guidelines
and criteria for some pesticides have been delineated, they have never
been officially established.
Prior to application of pesticides to waters for the control of weeds,
snails, mosquitoes, and in other aquatic uses, a careful analysis should
be made of the proposed pesticide characteristics with respect to the
uses of the target area. Special concern is indicated where domestic
water supply is involved, or where food-chain concentration may
occur.
Steps should be taken to prevent the simultaneous shipment of
pesticides and foodstuffs within the same vehicle. Comprehensive
regulations for pesticide transportation are required.
Safe methods of disposal of pesticides, their wastes, and containers
are needed to prevent the contaimination of the environment and to
protect individuals from contamination and accidents.
Intensified research and development is needed in the following
areas, among others:
a.	Prediction of the micrometeorological conditions suitable
for aerial spraying.
b.	Application of systems analysis to the pesticide-enviroment
problem.
c.	Pesticide chemodynamics, with emphasis on reservoirs of
storage.
d.	More intensive development of less-persistent pesticides
with narrow spectra of toxicity.
e.	Continuing development of spray devices with narrow
spectra of droplet sizes.
j. Continuing development of alternatives to chemical control
of pests.
g.	Creation of more suitable materials for pesticide packaging
and containers to facilitate safe transfer, handling use, and
disposal.
h.	Treatment processes for the elimination of pesticides from
domestic water supplies as well as from wastewaters.
i.	Immediate studies of the effects of pesticide residues on
algal photosynthetic activity.
Pesticides ajtd Persistence
Any examination of environmental contamination by pesticides must
include a consideration of persistence. Persistence in pesticides may
103

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be benefiicial or harmful. Lasting residuals provide control of target
organisms over longer periods of time and reduce needs for reapplica-
tion. However, lasting residuals may also affect nontarget flora and
fauna for long periods of time.
Major classes of pesticides may be grouped as nonpersistent, mod-
erately persistent, persistent, or permanent. Persistence times are
those periods required for a 5- to 100-percent loss of the pesticides'
activity under normal environmental conditions and rates of applica-
tion (1). Accordingly, nonpersistent pesticides may be characterized
as having persistence times of 1 to 12 weeks; moderately persistent
pesticides, 1 to 18 months; and persistent pesticides, 2 to 5 years. Perm-
anent pesticides are virtually permanent as they are not degraded. The
overlaps and gaps simply illustrate the generality of the above defi-
nition of persistence time. Varying the environmental situation varies
the persistence.
Important nonpersistent pesticides are organophosphorous com-
pounds. They include malathion, methyl parathion, and parathion.
which are widely used for the control of cotton and other pests. Mala-
thion lias also f>een developed for use as an undiluted ultra-low-volume
spray. Another class of nonpersistent pesticides is the carbamates,
which contain neither chlorine nor phosphorus, but are classified with
most of the organophosphates in their low persistence. Oarbaryl is the
most used carbamate and was the third most used insecticide in the
United States in 1964. Cotton, apples, and soybeans accounted for 62
percent of its total agricultural use. Its persistence is approximately
that of malathion and parathion.
Most pesticides fall into the moderately persistent grouping. Nearly
half of the total quantity of pesticide used in 1964 was used on corn,
wheat, and cotton. 2,4—D and Atrazine, together, made up 54 percent
of the total agricultural usage of herbicides in 1964. In 1967, herbicide
sales in the United States exceeded insecticide sales for the first time.
The persistent group of pesticides include most of the chlorinated
hydrocarbons. Of this group, DDT is still the insecticide most widely
used worldwide although the overall demand for DDT. both in the
United States and abroad, has declined. Most DDT exported is used in
malaria-control operations. Within the United States, use will
undoubtedly decline further, especially in view of mounting
restrictions. The cyclodiene organochlorines include aldrin, dieldrin,
endrin chlordane, heptachlor and toxaphene. Aldrin is currently used
as a soil insecticide to control the corn root worm. Dieldrin is used for
the control of pests when a long-lasting residual effect is required.
Toxaphene accounted for about 25 percent of all crop insecticides used
in 1964,69 percent having been applied to cotton.
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The permanent group of pesticides are based on such toxic elements
as mercury, arsenic, and lead. Once applied, these materials remain
unless physically removed as by leaching with water. Since their water
solubility is low, they tend to remain where applied.
CITED REFERENCES
(1) Kearney, P. C., R. G. Nash and A. R. Isensee. "Peristenee of Pesticide Resi-
dues in Soils", pp. 54-67, In: M. W. Miller and G. G. Berg, Eds., "Chemical
Fallout", Thomas. Springfield. 111. (1960).
The Air Route
The introduction of pesticides into the environment for the control of
insects or unwanted plant growths is most generally accomplished by
aerial or surface applications. In all such cases, air is the medium
through which pesticides move to their intended targets. The character-
istics of the air medium affects the efficiency of the application on the
target and the dispersion, of the pesticide outside the target area. A
clear understanding of the ways in which air characteristics influence
pesticide applications and of the presence and persistence of pesticides
in air is necessary both for the efficacious application of pesticides and
for the proper control of the possible harmful effects which these toxic
chemicals may exert on nontarget organisms and the human
populations.
In 1963 the State of California used about 20 percent of the total
U.S. pesticide production (1). Approximately 80 percent of pesticides
applied by commercial applicators were applied by aerial treatment
and 20 percent by surface application. Problems associated with the
application of pesticides by aircraft are therefore of primary im-
portance. These considerations include the effect of the aircraft and its
operation on the dispersal of the pesticide and the influence of meteor-
ological conditions on aerial pesticide treatments. In addition, param-
eters such as wind drift, pesticide formulation and particle size, which
are common to all pesticide applications, must be evaluated.
The application of pesticides by aircraft has increased over the last
30 years. Fixed-wing airplanes have been the dominant means of ap-
plication but the use of helicopters has increased and is expected to
increase further. Aircraft have been used to apply dusts, aerosols,
granular materials and sprays.
Regardless of the pesticide formulation, the pattern of release from
fixed-winged aircraft is from the craft into the air wake created by the
wings. The wake carries the material outward to the wingtips, then
drops it in a swath of about wingspan width. Two distinct vortices
develop at the wingtips. The strong central propeller wash skews the
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wake to one side of the aircraft. The velocity of the particles is greater
in the propeller wash than in the vortices. The wake which an aircraft
produces is a function of the weight of the airplane and its load and the
configuration of the wing and external applicating equipment. There-
fore, the lighter and more aerodynamically clean the aircraft, the less
turbulent is the wake and the more efficient and controllable the
application.
The configuration of the particle movement behind a helicopter is
similar to that of winged aircraft. Outer vortices develop but they are
different in intensity due to the change in pitch of the rotor blades.
The velocity of the particles is greater at the center of the rotor than
in the wash created by the outer blades. Contrary to earlier opinion,
the down wash of the helicopter rotor does not, at normal operating
speeds, aid in the application of pesticides. In fact, above speeds of
15-25 mph forward speed, the helicopter does not exert any greater
downwash than a winged aircraft. Only when the helicopter ap-
proaches hovering velocities does any significantly greater downwash
occur. The spray pattern from helicopters is, however, better than that
of an airplane due to the lack of a propeller wake.
The helicopter has other advantages over fixed-wing aircraft. It is
highly maneuverable and is capable of flight at low levels and in moun-
tainous terrain. The helicopter also has the ability to takeoff and
land in small openings and it is not as dependent on airport facilities
as fixed-wing craft. This reduces the turnaround time for reloading
and may overcome the helicopter's two main disadvantages, its high
cost and lower carrying capacity. On flat terrain or over forests where
aircraft must fly faster than 45 mph and at heights of 50 feet or more
above the treetops, slow, low flying fixed-wing aircraft are as efficient
in application as helicopters and are less expensive to operate.
The spraying equipment used on fixed-wing aircraft and helicop-
ters are similar in design. Dusts and granular materials are usually
spread by means of a centrally located venturi device which mixes the
material with air and discharges it into the trailing wake. Sprays are
atomized by hydraulic atomizing nozzles and are distributed through
a wing length boom. Nio benefit has been found by using Ionger-than-
wing-length booms because the aircraft wake limits and controls the
distribution of the particles. Booms are used on both fixed-wing air-
craft and helicopters. Jet type nozzles aimed with the airstream have
been used but produce a relatively coarse spray not suitable for all types
of insecticide spraying. In most forest spraying, standard boom and
nozzle spray systems have been used. They usually deliver 1 gal/acre
at an atomization of 150 to 200 p. mass median diameter with the maxi-
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mum drop size often exceeding 500 p. Aircraft used for low-volume ap-
plications have been equipped with smaller nozzles or mini-spins cali-
brated to release 8 to 16 fl. oz./acre at a slighty finer atomization,
usually 125 to 150 p mass median diameter with a maximum drop size
between 300 and 500 ft.
The atomization during low-volume spraying of mini-spin rotary
units operating at three speeds and of three, small orifice, flat spray
nozzles was investigated by Isler (2). An increase in the rpm of the
mini-spin unit from 4000 to 8000 resulted in a decrease in the average
mass median diameter (m.m.d.) of maltvthion drops from 184 to 120 ju.
The best performing flat spray nozzle exhibited a range of m.m.d. of
112-158 with an average m.m.d. of 128, a value only slightly higher
than that of the mini-spin at 8,000 rpm. The mini-spin, however, pro-
duced a narrower distribution of drop sizes than did the nozzle. At
the low end of the spectrum, 25 percent of the spray volume of the
mini-spin was in drops smaller than 90 p., compared to 42 percent with
the nozzle. The performance of the mini-spin, therefore, was more
desirable than that of the nozzle because it resulted in fewer small
drops which would be subject to drift, and fewer large drops which
would result in overdosing and inefficient spray application. This study
demonstrates that the selection of the appropriate spray equipment is
an important consideration in effectively applying agricultural chemi-
cals.
MwrocUmatology effect.—The dispersal of particles during an aerial
application ia dependent on wind and thermal conditions at the site
of application- At the time of application, calm wind conditions should
prevail to minimize drift and allow for greater control of the pesticide
application. Thermal conditions are also important since temperature
gradients present in the area of application affect the movement and
dispersion of the particles.
Akesson and Yates (3) state that the following measurements should
be made for proper control of spraying: 1) The temperature gradient
between 8 and 32 feet; 2) wind direction and velocity at 8 feet; and
3) the relative humidity at 8 feet. The temperature gradient between 8
and 32 feet will yield information as to the thermal condition present.
There are two main types of thermal conditions. When the temperature
decreases with elevation a lapse condition is said to exist When the
reverse is true and the temperature increases with height from the
ground, the thermal condition termed inversion exists. Under various
combinations of lapse conditions, the main particle movement, is verti-
cal whereas under conditions of inversion the main particle movement
is in a lateral direction. The measurement of the temperature gradient
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between 8 and 32 feet indicates the degree of lapse or inversion con-
ditions which exist. According to Akesson and Yates (
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Surface Treatment
Aerial Treatment
BHC	2.6-12.5 mg/m1 air			4.1-53.7 mg/m1 air.
DDT	4.6-25.5 mg/m" air	 18.9-170.9 mg/m4 air.
Thus, it is quite evident that the increased use of aerial applications is
accompanied by an increased hazard from drift as well as a possible
loss in the efficiency of the application.
Akesson et al. (6) measured the drift downwind after a DDT
application of 1 lb./acre to 40 acres under both windy and calm weather
conditions. They found the following:

Concentration
(p.p.m.) 100 feet
downwind
Distance (ft.) 0.01
p.p.m. found
downwind
Calm conditions			
Windy conditions	
1.5
		 8.0
8, 000
20, 000
The amount of drift, therefore, is highly dependent on wind
conditions.
The amount of drift is also related to the size of the treated area
and to the rate of application of the pesticide. The larger the area
treated, the greater the number of swaths that must be made by the air-
craft and the greater the potential for drift, but the lower the loss per
unit area treated. Also, the greater the application rate, the greater
the residue at given distance downwind.
Gerhardt and Witt (6) compared the drift of spray and dust for-
mulations of DDT and found that under the same climatic conditions
and at an application rate of 1 lb./acre, the spray resulted in a con-
centration of 0.1 p.p.m. DDT 2,640 feet downwind and the dust
1.4 p.p.m. at the same distance. This effect was due to the difference
in particle size between the two formulations, the dust particles being
smaller than the spray droplets.
Yeo (7) studied the effect of liquid particle size on drift and found
that particles of less than 5 p diameter exhibited little deposition and
drifted in air currents for many miles. Particles of 10-50 n diameter
were deposited several miles from the source. Unless the wind was
high, particles of 100 ju exhibited little drift hazard and when the par-
ticles were greater than 200 n diameter, 80 percent were deposited
within short distances downwind. Akesson and Yates (3) studied the
effect of dust particle size on drift and found that when released 10
feet above the ground into a wind 3 m.p.h., 2 p diameter particles
traveled 21 miles, 10 n particles 1 mile and 50 n particles 200 feet.
Akesson and Yates (3) sprayed a field with toxaphene dust and
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spray and measured the drift of each as well as that of fine (95 to
150/u, diameter) and medium size (150 to 300/* diameter) particles. They
found that in all cases the ground fallout due to drift away from the
target area was 4 to 10 times as high for dust than for sprays. Also,
the ground residue from applications of fine drops was twice as much
as medium drops at distances up to 1,000 feet. They also observed that
in some cases, the amount of pesticide in the air downwind was 30 to
40 times that on the ground.
These studies indicate that as far as drift is concerned, the greatest
potential nontarget contamination hazard occurs with smaller diam-
eter particles. Since dusts contain a greater percentage of these smaller
particles than do conventional liquid sprays, dusts constitute a greater
drift hazard than sprays. Sprays, however, are not uniform in drop
size and, with atomizers currently used, there is no way to eliminate
the production of a wide distribution in drop sizes. Both large and
small drop sizes will bo produced. Moreover, the control of drop size
in favor of the larger drops to reduce the drift potential results in a
decrease in the efficiency of spraying since the efficiency is an inverse
function of drop size. More large drops fall to the ground but the
extent of coverage is less. Therefore a compromise in drop size must be
reached between those sizes which minimize drift and a size which
yields a high efficiency of application. Since a wide distribution in
drop size is inevitable with commonly used spray equipment, and fine
drops will inevitably be created, dependence upon large droplet size
to control drift is not appropriate. The measurement of micrometeoro-
logical conditions, therefore, is of paramount importance in determin-
ing the safety of a proposed application.
This point is illustrated by a study conducted by Quinby and Door-
nink (8) in which the absence of wind and the presence of a thermal
inversion caused problems even though calm weather prevailed at the
time of the application. During an aerial application of TEPP (tetra-
ethyl pyrophosphate), a thermal inversion and static air conditions,
as well as topography which impeded the movement of the dust laden
air and the presence of tall crops with dense foliage which constricted
air movement, all combined to prevent the pesticide from dispersing
with the result that persons and livestock near the dusting area were
affected by the pesticide. The conditions of application were those that
had been used successfully for 16 years prior to the date of the acci-
dental poisoning. Therefore, for each individual application, appro-
priate measurements of microclimatology must be made and evaluated
in order to insure that a safe and effective treatment is carried out,
because as this work shows, while it is normally considered desirable
to have little or no wind when spraying pesticides, such weather con-
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ditions may create a problem as serious as that caused by windy
conditions.
Given good micrometeorological renditions, the size of pesticide
particles or drops determines the efficiency of the application, i.e., the
rtctual amount of pesticides which impinges on the target organisms.
If the application efficiency is high, contamination by pesticides caused
by particles which fall on liont argot organisms and/or foliage and
soil, is minimized. If, in addition to more efficient application, pesti-
cides less toxic to nontarget organisms and more selective to target
organisms are used, then a reduction in environmental contamination
will result.
In a study on the spray application for the spruce budworm, Mimel
and Moore (.9) attempted to resolve these problems. They felt that
the spray operation should meet three conditions: (1) An insecticide
which would be more toxic to the spruce bud worm than to other orga-
nisms should be used; (2) the insecticide should be amendable to
breakdown in the forest ecosystem and thus not be accumulated in plant
and animal systems; and (->) the pesticide should be directed to the
target insect with a higher degree of efficiency than to other organisms.
Zcctran, a carbamate insecticide, was selected for use because it
demonstrated a high degree of selectivity for the budworm. It is more
toxic to the budworm than DDT and has a relatively high acute oral
toxicity, which are the main potential hazards in field use. Also, Zec-
tran and its metabolites are readily broken down by sunlight and in
plant and animal systems. The problem of directing the spray to the
spruce budworm with greater efficiency than to any other organism was
then studied.
It has been demonstrated that most forest spraying has been con-
ducted with particles of 150/x mass median diameter, i.e,, 50 percent
of the particles are of drop sizes greater than 150m diameter. This was
true even though earlier work indicated that drop sizes of more than
lOOju, penetrated vegetation only slightly or not at all. Moore made a
study of the drop sizes which would most efficiently penetrate the forest
canopy. Fine fluorescent particles were suspended in the spray. These
particles distributed themselves according to the spray volume in
any given drop. By counting the number of flourescent particles
remaining after a given drop had evaporated, it was possible to
determine the approximate original size of that drop.
When the size and number of spray drops impinging on each spruce
budworm larvae was studied, it was found that no significant number
of drops larger than lOOp diameter and only a small number of drop-
lets between 50 and 100^ diameter reached the target insects. Only
drops below 50ju diameter reached the budworm larvae with any
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degree of efficiency. This is significant when it is considered that 95
percent of the spray volume of spray systems normally used in forest
insect control are larger than 50/x diameter. Thus, a great proportion
of this spray fails to reach the target insect and becomes a major
source of environmental contamination. This study resulted in the
development of a spray system which eliminated all drops above 120p
diameter.
Potential exposure hazards.—Pesticides vary in their toxicity to
humans. The potential exposure of a person to a given pesticide often
is determined by the formulation and particle size of the material.
Thus, a compound which may not be considered toxic to humans but
that has been formulated in a way which promotes easy entry into the
body, may be potentially more harmful than a more toxic pesticide
with a more difficult entry path. Particle size is an important factor.
The three main modes of entry of pesticides into the body are by:
(I)	inhalation; (2) skin absorption; and (3) ingestion. Hayes (10)
has rated the three major pesticide formulations (gases, dust, and
sprays) according to their potential for entry by the above routes. For
respiratory intake, the most hazardous formulation is a gas. Next are
dusts and the least dangerous are sprays. Thus, the danger from this
route of entry decreases with increasing particle size. The maximum
danger due to skin absorbtion is from sprays and liquids, with dust
posing the lowest threat. Hayes noted that some gasses can pass
through the skin.
The effect of particle size on exposure was studied by Wolfe et al.
(II).	The dermal and respiratory exposures to parathion of workers
using both conventional dilute spray machines and low-volume con-
centrate sprays were compared. The particle size of the concentrate
spray is smaller (20 p to 100 /i diameter) than that of the conventional
spray machine (over 150 n diameter). The potential dermal and
respiratory exposures associated with the two spraying methods were
found to be as follows:
Concentrate spraying	Conventional dilute
technique	spraying method
Dermal exposure	27.9 mg./hr		19.4 mg./hr.
Respiratory exposure	 0.055 mg./hr—	0.02 mg./hr.
Most of the difference in the dermal exposure was attributed to a
greater hand exposure with the concentrate machine. The difference in
respiratory exposure was considered to be caused by the smaller drop
size produced by the concentrate spraying method.
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The potential danger of pesticides to handlers and operators is well
known. The literature is replete with accidents which have occurred
with adverse, sometimes lethal, consequences. There is less information
available, however, concerning the pesticide exposure to the general
population. Such information is vital if the proper assessment of the
risk to the general population is to be determined.
Risebrough et al. (12) measured the concentration of pesticides over
Barbados, ail area remote from the agricultural use of pesticides, and
found that the total amount of pesticides in the air ranged from less
than 13X10-° nanograms per cubic meter of air to 880X 1(H ng/m?.
By contrast, the air at La .Folia, Calif., an area adjacent to agricultural
areas where pesticides are used, contained an average of 7.0 X10 2
ng/mz. Thus, the authors concluded that pesticides are universally
present in air and that their distribution from application sites is
dependent on the prevailing patterns of wind circulation and the rates
of fallout.
In 1965, the occurrence of a dust storm of unusual intensity allowed
a study of the transport of pesticides over long distances and the subse-
quent precipitation to earth by rainfall to be conducted {13). The dust
storms were spawned on January 25 in the southern high plain's of
Texas. The dust-bearing air mass gradually moved eastward, spreading
out in a north-south direction and narrowing in an east-west direction
due to airflow patterns within the air mass, and by January 26, parts of
the dust had reached Cincinnati, Ohio. Dust was collected in Cincin-
nati and analyzed for its pesticide content. The major pesticide com-
ponents of the dust were DDT and chlordane with concentrations of
0,6 and 0.5 p.p.m. respectively based on the air-dried weight of the
dust. DDE and Ronnel followed closely in concentration. These four
pesticides, together with three other pesticides, heptachlor epoxide,
2,4,5-T and dieldrin, which occurred in lesser amounts, made up the
major portion of the pesticide content of the dust.
This study gives evidence that pesticides may be transported over
long distances when attached to dust particles in the air. These parti-
cles may be washed out of the air by rainfall and deposited on the
ground. Evidence is also provided that the pesticides can survive
degradation by photochemical reactions in the atmosphere and can be
deposited over land surfaces remote from their point of application.
A study was carried out by Stanley (74) with the express purpose
of determining the atmospheric contamination by pesticides in the
United States. Sampling sites were established at nine locations: Bal-
timore, Md., Buffalo, N.Y,, Dothan, Ala., Fresno, Calif., Iowa City,
Iowa, Orlando, Fla,, Riverside, Calif., Salt Lake City, Utah, and
Stoneville, Miss. Both urban and rural sampling sites were chosen.
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Chlorinated, hydrocarbons such as DDT, BHC, DDE, lindane, diel-
drin, and aldrin, and organophosphorus pesticides such as parathion
and malathion were sought. Only DDT was found at all localities.
The DDT concentrations were highest in the agricultural areas of the
South, Pesticides were found from the lowest level of detection (0.1
ng/m3 air) to as high as 1560 ng/m3 p-p' DDT, 2520 ng/m? toxaphene
and 465 ng/m? parathion.
The highest pesticide levels were found when spraying was re-
ported to have occurred just prior to the sampling. There was no cor-
relation between pesticide levels and rainfall. In most cases, when the
pesticide levels decreased after a rainfall had been reported, it was
also noted that spraying activities had also ceased because of the rain.
The decrease in pesticide levels oould therefore have been due to the
cessation in spraying operations.
The kinds and levels of pesticides found varied with the agricul-
tural activity in a given area. The pesticide levels varied from season
to season according to the chemicals used and crops grown during
each season. Most pesticides were present in the atmosphere as par-
ticulates. There was little correlation between the pesticide level and
the time of day. These concentrations, even the highest levels meas-
ured, are below those encountered by the general population from
other sources. For example, Durham et al. {15) analyzed 12 restaurant
and 17 household meals and found that, based on the food in the meals
analyzed, the mean daily intake of DDT was 1.99 X 10 l ing. If a per-
son inhales 7000 l./day of air containing 1560 ng/m? DDT, he will
inhale 1,092 X10'2 mg/day.
It is obvious from this study that broader sampling programs must
be undertaken in order to establish the pesticide levels to which the
general population is exposed. In the study just mentioned, both urban
and rural sampling sites were chosen, but in different localities. It
might be more meaningful to take both urban and rural samples at
the same locality rather than to try to compare pesticide levels of
rural Mississippi with urban California or New York. In order
to study the pesticide levels in the United States, perhaps one section
of the country should be concentrated on at a time. An area in which
a large amount of pesticides is being used, for example the South-
east, could be selected for study. Within this area, urban and rural
samples would be collected in order to establish the amounts of pes-
ticides transported from the rural spraying areas to the urban center.
In this way, urban exposure could be related to the spraying activities
in the surrounding rural area.
Persistence of pesticides in air.—The presence of pesticides in air
is a function of their chemical nature, physical state, method of ap-
plication, and atmospheric conditions. The persistence of pesticides in
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the air—i.e., the length of time the particles remain in the air—is also
a function of these factors. Pesticides may be lost from the air by sev-
eral means. Gravitational fallout and washout by rain are perhaps the
two major factors which cause pesticide removal from the air. Ex-
posure of pesticides in air to sunlight and reactive compounds results
in degradation or modification of the compounds by photolysis and
catalysis, but the amount of pesticides removed from the air by these
processes is unknown.
The persistence of pesticides in the air is also a function of their
volatility, particularly with spray operations. Spray particles decrease
in size as they fall, due to evaporation and codistillation. If they evapo-
rate completely before they fall to the ground, dust particles remain
and are more liable to drift.
CITED REFERENCES
(/) Middleton, J. T.: The presence, persistence, and removal of pesticides in
air. In Chichester, C. O. (Ed.) : Research in Pesticides. New York, Aca-
demic, 1965, pp. 101-197.
U) Isleb, D. A.: Atomization of low-volume malathion aerial spray. J. Econ.
Entomol. 59:6S8-691, 1966.
(J) Akesson, X. B., and Yates, W. E.: Problems relating to application of ag-
ricultural chemicals and resulting drift residues. Annual Rev. Entomol.
9:285-318, 1964.
(Jf ) Wassebmax, M. Ii.iescu, S., Mandric, G., and Horvath, P.: Toxic hazards
during DDT-and BHC-spraying of forests against Lymantria Monacha.
A. M. A. A rc. In
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(1$) Stanley, C. W.: Study to determine the atmospheric contamination by
pesticides. Final Report Midwest Research Institute, 1968, 99 pp.
(15) Durham, W. F., Armstrong, J. F., and Quinby, G. E.: DOT and DDE
content of complete prepared meals. Arch. Envir. Health 11:641-647, 1965.
The Water Route
The introduction of pesticides into the water environment can occur
even before the raindrop comes into contact with a pesticide-treated
surface. Rainwater was collected continuously over a 12-month period
in the British Isles at seven widely distributed sites. At all sites and
throughout the year, rainwater contained alpha-BHC, gamma-BHC,
dieldrin, pp'DDT, pp'DDE, and pp'TDE. The concentrations were
extremely minute, being of the order of parts/1011 or parts/10" (1).
The major pathway of pesticides into the water environment occurs
through direct application to surface waters and surface run off. The
major recipients of surface run off are streams, lakes, and coastal
waters.
Grownd waters.—Some pesticides ultimately find their way into
ground waters, but the contribution of pesticides to a surface water
such as a perennial stream from a ground water source is—like rain-
fall—minute. Many variables are responsible for the small concen-
trations of pesticides usually found in ground waters. These include
the type of pesticide, its solubility, formulation, and mode of appli-
cation, the soil types, climate, season, amount of soil organic matter,
microbiological populations, and yet other factors. Organochlorines,
for example, have been demonstrated to move only short distances in
soils via the leaching process (2). Another study concluded that it was
most unlikely that parathion could contaminate underground water
supplies by leaching, under normal rainfall conditions (3). Russian
workers found that lindane and heptachlor do not contaminate ground
waters when used in quantities encountered in agricultural practice,
but concluded that to avoid the possibility of contamination, these
organochlorines should not be used oftener than once every 2 or 3
years (4). Working with dieldrin, Eye (5) concluded that it cannot be
transported through soils into subsurface waters in significant amounts
by infiltrating water because of the extremely long time—several
hundred years—necessary to transport the dieldrin in solution through
the top 12 inches of soil. However, ground waters must be vigilantly
protected since, once polluted, the contamination can persist for long
periods of time. That they can become polluted is documented in the
Montebello, Calif., and Colorado arsenal incidents, both of which
involved 2,4-D (6).
The Environmental Control Administration's Bureau of Water
Hygiene recently (summer 1969) queried several States about inci-
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dents of well water contamination by pesticides. The reply from Illi-
nois, succinctly characterizes the response from all the States: "* * *
To our knowledge we have never had a. public well water supply con-
taminated with pesticides. Through the years we have had several
instances of private wells being contaminated by and large through
accidental spills and back siphonage directly into the well. A typical
example is a well in Adams County where a farmer was making up
a tank of pesticide. He left a power pump in operation while he went
into his farm home for lunch. While he was there the motor stopped
and the total content of the tank was hack siphoned into the well.
We have rarely had an example of a well being contaminated by
underground infiltration. The few instances where we have had such
condition have been the result of the application of termite control
materials in a trench immediately adjacent to a water supply well."
From Wisconsin it is reported that it took several months to remove
the residual taste from the water of wells accidently contaminated
by 2,4-1) during which time cattle would not drink the water. An
analysis of a private well water in Ohio showed 0.0033 mg. of chlor-
dane per liter but no information was available on the. route of entry.
Another well contained 2A—D in a concentration of 0.0155 mg./l,
which gained entry through run-off from an area sprayed by the
State Highway Department.
The Indiana response stated: "We have learned to expect requests
for help in three or four cases of chlordane in wells every spring or
early summer when exterminators treat for termites. The pesticide
normally associated with termite control is chlordane although one
of the labels sent to us this spring included one percent of an extract
of Lindane." One of the property owners whose well was contaminated
during termite extermination reported that his water still tasted of
chlordane a year later.
In connection with the State's Ground Water Quality Control Act
in Michigan, consideration was given "to the possibility of pollution
of the soil or ground water from the mixing and preparation of spray
materials, fertilizers, or chemicals,*' and that a 150-foot isolation
distance is specified between a well and the preparation or storage
area for such chemicals.
Preliminary results from a Hureau of Water Hygiene survey of
private well water supplies in one State indicate that pesticide pollu-
tion of ground waters is more wide-spread than commonly realized,
although the concentrations are very low. At the time of writing
only nine samples had been analyzed, but all nine showed DDT. In
addition, three contained endrin, two contained chlordane, and on©
each contained dieldrin and heptachlor. Although all concentrations
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were less than one microgram per liter, the possibility of concentrations
increasing with time must be considered.
Surface 'runoff.—The 1967 production of pesticides of 1050 x 10° lbs.
if applied continually to the annual U.S. runoff (1.16X10° million
gallons per day) would result in a concentration of 0.3 mg./l(7).
Although this exercise is purely academic (most of the production
is exported and most of that which is used is degraded or tightly
bound to soils) it does point out the extensive use of pesticides by
our society.
Because of the tight binding characteristics of pesticide residues to
soil particles, it is suggested that the general pollution of water by
pesticides occurs through the transport of soil particles to which the
residues are attached (8). Problems of sampling and analysis preclude
the use of systems designed to give continuous read-out of pesticide
concentrations in water. It is a common finding in water analysis that
fish may contain pesticides in excess of Federal tolerances, yet water
samples from the same environment may fail to reveal the presence of
residues at levels of 1 X 10~3 mg./l. (9). It is not surprising, therefore,
that shellfish—known for their accumulating characteristics—have
been proposed as monitors of water quality for pesticides. Laboratory
experiments showed that oysters and other bivalves remove chlori-
nated hydrocarbon pesticides from experimentally contaminated water
and store them in tissues. In clean water, the residues are flushed out at
uniform rates. Using oysters, Butler (10) conducted a 3-year, 170-sta-
tion study of estuaries that demonstrated that pesticide pollution is
primarily the result of agricultural practices in the associated river
basins, and that in specific locations, industrial or municipal wastes
and noxious insect control programs are major sources of pollution.
The Public Health Service Laboratory at Dauphin Island, Ala.,
clearly demonstrated the seasonal variation in pesticides content of
oysters in Mobile Bay. Peak total DDT levels occurred in late winter
and early spring months, coinciding generally with the maximum
fresh water inflows and minimum salinities of the Bay waters (11).
Nicholson (12) notes the close affinity of pesticides to soil particles
and suggests that the soil-loss equation used in guiding conservation
farm planning be applied to the prediction and control of pesticide
pollution associated with rural run off. The affinity may also be a basis
for water pollution control recommendations based on geographic
zones.
Lakes.—Geologically speaking, lakes are usually transitory bodies.
They are born, they live and age, and they die. Their aging process is
termed eutrophication. That man's influence grossly accelerates the
process is well documented; witness Lake Erie. Lakes and oceans are
veritable sinks for man's wastes- But lakes are infinitely more sus-
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ceptible to man's negligence because of their much smaller size. Even
larger lakes, however, are not immune as witness the Lake Michigan
Coho salmon and Lake Erie eutrophication problems. To illustrate the
concentrations of pesticides present in Lake Michigan water, the re-
sults of grab samples taken from the two intakes to the Chicago filtra-
tion plant during April 1969, showed the following:
Concentration—ppm
Pesticide	Plant 1	Plant 2
Lindane				0. 020X10 "» 0. 010X10-®
Heptachlor epoxide		0. 049X10	0. 019X10 ~s
Aldrin		0. 019X10-"	
DDT				0.058X10-' 0.034X10-'
pp' DDT				0. 122X10"' 0.029X10-=
A limited number of surface samples collected by the Bureau of
Commercial Fisheries, Ann Arbor Biological Laboratory, from Lake
Michigan in 1968 showed the following:
DDT 			2.0-2.8 ppmxlO"6
DDD	0.3-0.5 ppmX10-e
DDE 	0.8-1.4 ppm x 10"®
Lakes with waters of lesser amounts of dissolved minerals are more
biologically sparse than more eutrophic lakes. An interesting experi-
ment was performed in Oregon wherein two mountain lakes were
treated with the organochlorine toxaphene. One lake was deep and
biologically sparse, the other was shallow and rich in aquatic life.
The deeper lake could not be restocked with trout for 6 years because
of toxic quantities of toxaphene remaining in the water. Trout were
restocked in the shallow lake within one year. Explanations offered
for the slow recovery of the deeper lake include thermal stratification
due to depth, a slow rate of dilution from small tributaries, and
markedly less plant and animal life (13).
An important aspect—perhaps the most important aspect—of
chemodynamics of a lake and which is fundamental to the life of the
lake as well as to the effects of pesticides therein involves the sediment-
water-chemical interchange. These relationships are well suited to
modern systems analysis and mathematical modeling and deserve
increased study.
The possible buildup of pesticides in the bottom sediments of lakes,
with the result that they become, in effect, reservoirs of pesticide resi-
dues, has received little study. If this phenomenon occurs in lakes
which undergo thermal stratification, the pesticides could theoreti-
cally be resuspended with the sediments during the fall overturn and
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present aquatic organisms with additional exposure to higher con-
centrations than would be expected. Such periodic exposure could
lead to an increased biological accumulation in the food chain.
Most of the studies that have described the fate of pesticides intro-
duced into aquatic systems have found that the decrease in water pesti-
cide concentration which occurs with elapsed time after the applica-
tion is accompanied by an increase in the concentrations of pesticide
found in the bottom sediment and/or the organisms. For example,
Bridges et al. (14) applied 0.02 p.p.m. DDT to a farm pond and ob-
served that the surface water concentration decreased from 0.08 p.p.m.
one-half hour after treatment to zero in 4 weeks. The concentration of
DDT in the bottom mud prior to treatment was found to be 0.08 p.p.m.
One-half hour after treatment, DDT concentration in the mud was 0.21
p.p.m., and after 8 weeks the mud contained 0.19 p.p.m. At this
time vegetation samples contained 5.1 p.p.m. DDT. Twelve months
after treatment, the vegetation had returned to pretreatment levels.
Fish accumulated 3 to 4 p.p.m. DDT and its metabolites within 1
month after the treatment. The levels declined to 2 to 3 p.p.m. 15
months later. Cope (15) reports on a study in which 20 p.p.m. DDT
were added to a microcosm system containing water, mud, vegetation,
sunfish and snails. The water concentration decreased to 0.42 p.p.b. in
14 days but the mud concentration had increased to 6 p.p.b. and the
vegetation to 15.6 p.p.m. The fish contained 1.0 p.p.m. DDT after 2
weeks and the snails 160 p.p.b.
Undoubtedly not all pesticides exhibit the same phenomenon. For
example, the water in a pond contaminated by endrin as a result of
aerial spraying of an adjacent field at the rate of 6 oz. of active ingredi-
ent per acre was found to contain 0.04 p.p.m. endrin 4 days after treat-
ment (16). The water concentration declined for 21 days after which
no more endrin was detected in the water. Endrin concentrations in
the mud after 45 days were found to be 0.35 p.p.m. after which time
the endrin disappeared.
Although some pesticides may not exhibit long-term accumulations
in aquatic systems, the possibility exists that reservoirs of pesticides
became available for recycling back into biotic systems. Therefore,
studies on the rates of pesticide interchange across mud-water inter-
faces and between vegetation and water and the magnitudes of the
pesticide levels involved should be conducted.
Estwarine tvaters
Pesticides are a matter of serious concern to the shellfishing and
finfishing industry as well as to sports fishing enthusiasts. Water qual-
ity standards for pesticides as a means of protecting fish resources ap-
pears to be of value for shellfish but the evidence is not so clear for
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game fish. The studies of Mobile Bay oysters by the Public Health
Service (//) demonstrates the ability of shellfish to cleanse them-
selves of pesticides. Butler (17) reported an ability of shellfish to
cleanse themselves of 0.03 to 1.5 p.p.m. of various organochlorines in a
10-20 day period when placed in clean water. A similar ability for
finfish has not yet been demonstrated.
Although estuarine areas wherein oysters are found would appear
highly vulnerable to pesticide contamination, continuing surveillance
demonstrates that the need for standards is not urgent (18). However,
a surveillance program is highly recommended (19).
The importance of estuarine areas as the nursery areas of the world's
marine food production is discussed by Butler (20). He states that
industrial and domestic pollution of many estuaries has already so
degraded the environment that only the most tolerant of organisms
can persist, and that the remaining uncontaminated estuaries are of
major importance. As pristine qualities cannot be restored to degraded
estuarine environments, consideration must be directed toward the
provision of estuarine hatcheries similar to those used for fresh waters.
The inhibition of marine algal photosynthesis by DDT was investi-
gated by Wurster (21). Four algal species, including a diatom from
Long Island Sound, a coccolithophore and a green alga from the
Sargasso Sea and a neritic dinoflagellate, were tested, as well as a
marine phytoplankton community, by exposing them to DDT and
measuring their photosynthesis as indicated by the fixation of C14.
In all cases an increase in the concentration of DDT from 1 p.p.b. to
100 p.p.b. produced a decrease in photosynthesis from the photosyn-
thetic level of unexposed control algae to approximately 10-40 percent
of the control photosynthesis. At a constant 10 p.p.b. DDT, the inhibi-
tion of photosynthesis decreased with increasing cell concentration
due, according to the author, to a decrease in the amount of DDT in
solution per cell. Wurster states that his laboratory experiment demon-
strated that reduced phytoplankton populations in nature might be
caused by DDT. DDT might also encourage blooms of some algal
species after the selective stress of the chemical has produced a decrease
in other, less tolerant, community phytoplankters. Continued increases
of concentration of persistent pesticides in the marine environment
might then have long-term impact on total photosynthetic activity,
perhaps inducing a change in oxygen and carbon dioxide partial pres-
sures in the atmosphere.
Potable water supply
The Public Health Service Advisory Committee on Use of the PHS
Drinking Water Standards recommended limits for select pesticides
(22). These limits were derived for the Advisory Committee by an
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expert group of toxicologists as being safe if ingested over extensive
periods. The limits for four of the pesticides (aldrin, heptachlor,
chlordane, and parathion) were set at even lower values because of
their organoleptic properties. The pesticides and their limiting con-
centrations are:
Pesticide	Concentration, mg./l.
Aldrin 	0. 017
Chlordane 	0.003
DDT 	0.042
Dieldrin 	0. 017
Endrin	0. 001
Heptachlor	0. 018
Heptachlor epoxide			0. 018
Lindane 	0. 056
Methoxychlor 	0. 035
Organic phosphates plus carbamates	0.11
Toxaphene	0.005
2,4=D+2,4,5=^+2,4,5= TP 	0.1
1 As parathion in chollnesterase inhibition. It may be necessary to resort to
even lower concentrations for some compounds or mixtures.
It should be noted that these criteria have never been officially
adopted by the Public Health Service in their Drinking Water Stand-
ards although the operating program, the Bureau of Water Hygiene,
utilizes the criteria as guidelines.
Water quality criteria related to recreation as used by the Public
Health Service contain no limits for specific pesticides. The need for
their control is emphasized in terms of satisfactory conditions being
preserved through watershed management; viz., evaluation of poten-
tial health hazards through consideration of the toxicity, persistence,
and exposure hazards of any pesticides to be used (23).
Water is a vehicle for transporting wastes and most waste-treatment
plants use biological processes. The effects of pesticides on these bio-
logical stabilization processes are so far not of great importance at
the concentrations usually encountered (24). However, effects can be
disastrous at the high concentrations that might result from spills or
accidents.
The removal of pesticides by standard water treatment processes
has been found to vary with the individual pesticide and the concen-
trations encountered. In general, it is much more difficult to remove the
low levels of pesticides that occur through continuous contamination
from runoff, etc., than to reduce the high levels which result from
direct application and accidents.
Cohen et al. (25) studied the effectiveness of standard water treat-
ment processes for removing rotenone and toxaphene and concluded
that the single most effective treatment was the use of activated carfion.
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Rotenone and toxaphene at concentrations of 100 p.p.b. were reduced
to 3 p.p.b. and 7 p.p.b., respectively, with 5-6.6 p.p.b. carbon. Alum
coagulation failed to remove either pesticide. Chlorine and chlorine
dioxide were ineffective in reducing the concentration of toxaphene but
did oxidize rotenone. The concentrations required, however, were so
high that the residual oxidants had to be removed by dechlorination.
Aly and Faust {20) {27) found that activated carbon was the most
effective method for removing the herbicide 2,4-D from water. At an
initial concentration of 1 p.p.m., 13.6-16.2 p.p.m. carbon was required
to reduce the 2,4-D concentration to 0.1 p.p.m. The authors found that
precipitation with limestone products did not remove 2,4-D from the
water because of the high solubility of calcium and magnesium salts.
Neither oxidation by chlorination or potassium permanganate nor
coagulation with ferrous sulfate and alum at concentrations of 100
p.p.m. removed 2,4-D from water.
The removal of low concentrations of toxaphene and BHC by carbon
adsorption at a municipal water treatment plant was studied by
Nicholson et al. {28). During a 4-year period, the concentrations of
toxaphene in untreated water was measured at 7 to 270X10 ® p.p.m.
while the concentration of toxaphene in treated water during the same
period ranged from 5 to 410 X10-8 p.p.m. The concentrations of BHC
ranged from 7 to 1,004 X10-6 p.p.m. in untreated water and from 9 to
640 X 10_c p.p.m. in treated water. It was concluded that the treatment
process used was ineffective in removing the low concentrations of
toxaphene and BHC.
The use of other techniques for the removal of low levels of pesticides
from water has not received extensive study and requires further
evaluation. Such methods involve the use of other adsorptive media,
ion exchange resins, selective membranes and pH adjustment and
require that the chemical characteristics of the specific pesticide that
is to be removed be taken into account.
The available data suggest that periodic occurrences of high pesti-
cide levels in water may be reduced to acceptable concentrations by
water treatment practices and that adsorption by activated carbon
is the most effective such treatment. Low level, long-term contamina-
tion, however, is much more difficult to remove and evidence indicates
that current water treatment methods do not eliminate this possible
source of human exposure.
The Report of the National Technical Advisory Committee to the
Secretary of the Interior {22) on water quality criteria for most
industrial uses does not indicate pesticide contamination to be a major
concern. However, water required for food and kindred products and
for the leather industries is specified to be of drinking water quality.
Pesticides can have detrimental effects on irrigation water quality,
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directly or indirectly. The phenoxy acid herbicides (2,4-D has been
mentioned in the Montebello, Calif., and Colorado arsenal incidents)
are suspected contaminants of irrigation water. Brans (29) found that
when 2,4-D at 6 lbs. per acre in irrigation water was applied to red
Mexican beans in the seedling stage, the root systems were severely
damaged and the yield was reduced by 40 percent. When applications
at the same level were made at the bloom stage, the loss rate dropped
to 29 percent.
Tentative guidelines have been suggested for certain herbicides and
for specific crops (22). An example is provided by:
Concentration
Herbicide	Type of application	Heference crop	mg./l.1
Acrolein	Furrow
Sprinkler
beans		60
corn		60
cotton		80
soy beans		20
sugar beets		60
corn		60
soy beans		15
sugar beets		15
' Crop injury threshold in irrigation waters.
For most pesticides, however, too little is known about their ultimate
fate and their influence on irrigated agriculture. However, tihus far
evidence does not indicate that under normal use insecticide contami-
nation of irrigation water is detrimental to plant growth or accumu-
lates in or on irrigated plants to toxic concentrations.
Pesticide-laden irrigation waters may be a source of contamination
to nearby streams as a result of flooding and/or runoff. Miller et al.
(30) observed the movement of parathion from cranberry bogs treated
at the rate of 1 lb. per acre into a nearby irrigation ditch and drainage
canal. A parathion concentration of 30 p.p.b. was found in the drainage
canal, immediately after spraying as a result of water seeping through
the floodgate. After 24 hours, the concentrations had decreased to
3 x 10"3 p.p.m. At this time 2,4-D was also detected 50 and 150 yards
down the drainage canal indicating movement of the pesticide from the
point of application. The use of a water tight floodgate would mini-
mize seepage but the overflow of the bog and irrigation ditch as a result
of a heavy rain would remain as a potential source of contamination
of waters and soils in nontargefc areas.
In* a study of the fate of aldrin in rice paddies, it was found that
2 days after seeding with treated seeds at an application rate of 6 oz.
per acre,,the water in the paddy contained 1.6 p.p.b. aldrin plus deil-
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drin (31). After the third and last drainage of the paddy, 14 weeks
after seeding, the water contained 0.07 p.p.b. aldrin plus dieldrin. Up
to 0.027 p.p.b. aldrin plus dieldrin was found in the ditches into which
the paddies were drained after 14 weeks and the small stream which
received this water contained up to 0.44 p.p.b. The river into which
the stream flowed contained as much as 0.023 p.p.b. aldrin plus diel-
drin. Concentrations in the river decreased to below 0.006 p.p.b. after
several more weeks.
In the same study, 7 days after the treatment of a cotton field with
0.4 lb. per acre of endrin, a concentration of 0.66 p.p.b. endrin was
found in the runoff following a 1.15-inch rain. Used irrigation water
contained 0.11 p.p.b. endrin 3 days after spraying. Prior to irrigation,
the water had contained 0.08 p.p.b. endrin. These data indicate that
irrigation water applied to fields following the application of pesti-
cides may be contaminated after use. The degree of contamination
depends on the time interval between the pesticide application and
the irrigation water use, as the water concentrations decrease with
elapsed time. The concentrations of pesticide in runoff after heavy
rains, following pesticide application may be significant, Godsil and
Johnson (S£) studied the pesticides in water used to irrigate the areas
surrounding the Tule Lake and Lower Klamath Lake Wildlife
Refuges located in northern California. Approximately 156,000 acres
of land lie upstream from these lakes and extensive use of pesticides is
made in the area. Water is used and reused throughout the irrigation
system and samples were taken at a point where the water had been
recycled an estimated 5.2 times. Endrin, because of its abundant usage
in the area as well as its high degree of persistence, was found in the
irrigation water in greater amounts than any other chemical. The con-
centrations of endrin in the irrigation water increased during the
growing seasons and decreased to the limits of sensitivity between
seasons. The endrin concentrations of submerged plants, clams and fish
followed a similar pattern. A maximum of 0.10 p.p.b. endrin in the
water and 198 p.p.b. in tui ehubs was found during one growing season.
Thus, the pesticide concentration of irrigation water and aquatic biota
were directly associated with the agricultural activities in the area.
Between growing seasons, both the water and the organisms returned
to low levels of contamination. No mortalities were observed as a result
cf -this contamination. Although these results indicate that short-term
pesticide contamination does not result in a permanent residual con-
centration of pesticides in aquatic organisms, the possible long-term
hazards may onty be postulated.
Direct xpraying.—Pesticides are applied directly to waters for the
control of mosquitoes, obnoxious or undesirable weeds, and snails. In
order to minimize the potential harm of such applications, both to non-
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target biota and to human consumers of water, an analysis of the pro-
posed pesticide's characteristics with respect to uses of the target area
must be conducted prior to its application. An example of a successful
large-scale direct application of a pesticide to waiter which serves both
as a recreational facility and as a water supply is provided by Smith
and Isom (33) who describe the application of 2,4-D for the control
of Eurasian watermilfoil growth in TVA reservoirs. Very stringent
controls were required in order to preserve the aquatic components
of the system as well as to minimize the contamination of drinking
water taken from the impoundments.
Eight hundred and eighty-eight tons of a 20 percent 2,4-D butoxy
ethanol ester granular herbicide were applied to 8,000 acres in seven
reservoirs at rates varying from 40 to 100 pounds of 2,4-D acid equiva-
lent per acre. Prior to the application, laboratory experiments deter-
mined that concentrations of 2,4-D much in excess of the concentra-
tions that would be encountered in the field, were not completely toxic
to mosquito larvae. This indicated that the aquatic fauna would not be
adversely affected by the concentrations resulting from the application.
Following the application of 2,4-D, raw water samples were ana-
lyzed by activated carbon absorption at nine water treatment plants.
At eight of the plants, concentrations in the raw water of less than
1 p.p.b. 2,4-D were found, and at the ninth, 1 to 2 p.p.b. were detected.
Treated water from the ninth treatment plant contained less than 1
p.p.b. 2,4-D. Significant mud concentrations were observed following
treatment, however, and these residues remained high for a consider-
able period of time. In the Watts Bar Reservoir, for example, 58.8
p.p.m. 2,4-D butoxy ethanol ester was found 10 months after treatment.
In the reservoirs examined, no significant change was observed be-
tween pre- and post-treatment numbers of burrowing mayflies, indicat-
ing that the benthic invertebrate populations had not been harmed.
The elimination of the watermilfoil did, however, result in a significant
loss of aquatic insects which utilized submerged vegetation as a habitat.
Although little uptake of 2,4-D by fish was observed, instances of the
accumulation of the herbicide by freshwater mussels were observed.
The large-scale application of a herbicide for the control of nuisance
aquatic plant growth with a minimum of harm to the aquatic eco-
system is demonstrated by this study. The results could not have been
obtained had not the herbicide used been carefully selected.
In another investigation, preliminary studies failed to reveal all
the hazards involved with the proposed direct application of a pesti-
cide to a lake for the control of a nuisance organism. The insecticide
DDD was applied directly to Clear Lake in California for gnat control
in 1949,1954, and 1957 by pouring a liquid concentrate of DDD from
barges (34). The resulting water concentrations were estimated to be
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14 p.p.b. in 1949, and 20 p.p.b. in 1954 and 1957. It was determined
before the applications that DDI) at these concentrations was not
toxic to fish and other aquatic organisms. Dead western grebes, how-
ever, were found in 1954,1955, and 1957 in areas surrounding the lake.
An analysis of the fatty tissue of the birds which died in 1957 indi-
cated that DDD was present at a concentration of 1600 p.p.m. Sub-
sequent DDD analyses were made on members of the fish populations
and it was found that all fish contained DDD, and that carnivorous
fish contained more than plankton-feeding fish. It was concluded
from this study that the grebe losses, occurring after the DDD appli-
cations, were caused by chronic DDD poisoning resulting from eating
DDD-contaminated fish. Therefore, studies prior to the application,
which indicated that the DDD concentrations used were not toxic on
a short-term basis, did not take into account the biological concen-
tration of the pesticide through the food chain.
Mosquito control.—Current mosquito control practices utilize both
larvacide and adulticide techniques. The Southern operations—includ-
ing the States of Alabama, Florida, Georgia, Louisiana, Mississippi,
South Carolina, and Texas—rely on light oils applied with spreading
agents in their larvaciding operations. Aircraft application is used
for large areas at the rate of 5 gallons per acre. Paris green pellets are
also applied by some districts, and, again, sometimes the aerial route
is used. Resistance is the primary reason that organochlorines and
organophosphates are not used.
The Southern operations also rely extensively upon engineering and
drainage techniques. These are not too amenable to Western activities,
however, where irrigation is a prime cause of mosquito burdens.
These areas have also met with extensive resistance problems and
have gone through chemicals such as DDT and Abate. Last year,
Dursban was utilized in large-scale tests because it appeared that this
chemical would be a more economical choice than oils or Paris green
pellets.
Adulticiding operations utilize ground equipment such as the new
Leco ULV (ultra-low-volume) and chemicals such as malathion and
Naled. Aircraft—fixed-wing and helicopters—have been used to apply
Baytex, and organophosphate. ULV and fogging operations are often
conducted in populated areas.
Mwnicipal and industrial waste discharges,—As with many other
industrial processes, the wastes of the pesticide manufacturing and
formulating industries usually may not safely be introduced directly
into receiving bodies of water. The treatment required to reduce tho
toxicity of the wastes to levels which will not endanger aquatic sys-
tems varies with the components of the wastes themselves. Some com-
pounds are amenable to treatment by chemical and biological processes
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371-074 O—
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while others are more resistant to conventional treatment. Settling
basins are often used to allow time for waste decomposition and for
impoundment during periods of low flow. Solid and heavy liquid
wastes may be incinerated effectively, often in combination with the
scrubbing of effluent stack gasses for removal of harmful vapors.
Adequate incinerator operation is essential. The deep well disposal of
wastes may be practical in some instances but, because of the risks in-
herent in this disposal technique, a thorough evaluation of the geologi-
cal characteristics of the area and the nature of the waste involved is
required in each specific instance before this method is employed.
Water concentrations.—As part of the National Water Monitoring
Network, samples of a water-suspended sediment mixture from 11
streams in the Western part of the United States were analyzed
monthly for 12 different pesticides beginning in October 1965 (35).
The compounds for which analyses were made included aldrin, DDD,
DDE, DDT, dieldrin, endrin, heptaclilor, heptachlor epoxide lindane,
2,4-D, 2,4,5-T and silvex. All insecticides were found at one time or
another but not at all stations. The amounts observed were small,
ranging from less than p.p.t. (parts per trillion) lindane, to 110 p.p.t.
DDT. Insecticide concentrations of 5 p.p.t. or more were found in
slightly more than 50 percent of all positive samples. No herbicide was
found at any time at any station.
Although no definite seasonal pattern could be noted in pesticide oc-
currence, positive results were more frequently found in February,
March, April, and May, Lindane was the most frequently found in-
secticide and occurred in 46 of the total 165 positive results. The most
infrequently occurring pesticide was aldrin which was observed only
four times at all stations. The most frequent occurrence of pesticides
was at the Rio Grande River station below Anzalduas Dam, Tex.,
where 20 percent of the total positive results were observed. The least
number of positive results was observed at the Snake and Columbia
River stations each of which recorded only seven pesticide occurrences.
Since the amounts of pesticide applied in the various areas could not be
ascertained, no relationship could be made between residues in the
water and the agricultural use of pesticides.
Studies of the chlorinated hydrocarbon pesticide content of sedi-
ments in water from the lower Mississippi River and its tributaries
were conducted in 1964, 1966, and 1967 to determine the extent of
possible sources of agricultural pesticides in the streams of the Delta
(36). There were two areas of significant pesticide contamination, one
in Memphis, Tenn., and the other in Mississippi. Both were in associa-
tion with chlorinated hydrocarbon pesticide manufacturing plants.
Pesticide residues were detected from both agricultural and nonagri-
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cultural areas. There was, however, 110 evidence of a general build up
of chlorinated hydrocarbons in the sediments of these streams from the
agricultural use of pesticides. DDT analogs and associated metabo-
lites were found in some of the tributary streams where no known for-
mulators were located. These data indicate that the large amount of
chlorinated hydrocarbon pesticides applied to crops in the Mississippi
River Delta have not created widespread contamination of the water
and sediments in the area.
As a part of a nationwide program to determine the levels of cholori-
nated hydrocarbon pesticides in estuaries, nine California estuaries
were sampled during 1966 and 1967 (-57). Shellfish were used as sam-
pling organisms because of their ability to concentrate low pesticide
levels in the marine environment. Among the pesticides found were
lindane, heptachlor, aldrin, heptachlor epoxide, DDT, dieldrin, and
endrin. Based on the wet weight of homogenized oyster, mussel, and
clam tissue, DDT, DDD, DDE, dieldrin, and endrin were found in
estuaries in concentrations from 10 to 3,600 p.p.b. High levels of DDT,
DDD, DDE were observed from offshore exposure, as the king crab
contained 2,739 p.p.b., and the ova from a cape salmon 668 p.p.b. The
pesticide levels of shellfish in estuaries receiving runoff from agricul-
tural and urban areas were found to be as high as 11,000 p.p.b. The
pesticide residues in estuaries geographically isolated from agricultural
areas seldom exceeded 100 p.p.b.
From 1958 to 1965, samples taken at more than 100 stations in the
major river basins of the United States were analyzed by carbon
adsorption for their chlorinated hydrocarbon content (38). Dieldrin,
endrin, and DDT concentrations as high as 0.100 p.p.b., 0.116 p,p.b., and
0.148 p.p.b., respectively, were found at various sampling stations.
The results of this study indicate that the most widely found chlori-
nated hydrocarbon pesticide was dieldrin which occurred most fre-
quently in all river basins. Endrin was found occassionally in the early
years of the survey with increases in incidence occurring in 1962 and
1963.	The maximum frequency of occurrence of endrin was found in
1964,	particularly in the lower Mississippi River, after which endrin
levels decreased. DDT and its associated compounds were found regu-
larly from the beginning of the study with a slightly increasing trend
in evidence.
CITED REFERENCES
(/) Tahbant, K. B., and Tatton, J.: Organochlorine pesticides in rainwater
in the British Isles. Nature 219: 725-787, August 1968.
(2) Lichtenstein, E. P.: Movement of Insecticides in soils under leaching and
nonleaohing conditions. J. Boon. Entomol. 51: 380-388, 1058.
129

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(3)	Swoboda, A. R. and Thomas, F. W.: Movement of parathion in soil columns.
J, Agr, Food Chem. 16 : 823 027, Nov-Dec. 1068.
(4)	Tsapko, U. U. and Kupyrov, V. N.: Pollution of the soil and ground waters
by agricultural chemicals. Oiqiena Sanit, 33 : 6-9, 1968.
(5)	Eye, J, D.: Aqueous transport of dieUlrin residues in soils. J. Water Poll.
Contr. Fed, Suppl. 40: R 316-332,1968.
(6)	McKee, J. E. and Wolf, H. W. : Water Quality Criteria (ed. 2) Sacra-
mento, Water Resources Agency of California, State Water Quality Con-
trol Board Pub. 3A, 1963, 548 pp.
(7)	U.S. Tariff Commission : United State* Production and Sales of Pesticides
and Related Product*, 1961. Washington, I).C., 1968.
(5) Lichtenstein, E. P., Schulz, K. R., Skrentny, R. F., and Tsukano, Y.:
Toxicity and fate of insecticide residue in water. Arch. Envir. Health 12:
199-212,1966.
(9) Anonymous: Ecological effects of pesticides assessed. Envir. Sci. and
Tech. 3, 619-621, 1969.
(10)	Butler, P. A.: Monitoring Pesticide Pollution. U.S. Fish and Wildlife
Service, Gulf Breeze, Fla.
(11)	Casper, V. L. Hammerstrom, R. J., Robertson, E. A., Jr., Bugg, J. C., JR.,
and Gaines, J. L.: Study of Chlorinated Pesticides in Oysters and
Estuarine Environment of the Mobile Bay Area. U.S. Dept. Health, Edu-
cation, and Welfare, Public Health Service, Bureau of Water Hygiene,
Cincinnati, Ohio, 1960, 47 pp.
(IS) Nicholson, H. P.: Occurence and significance of pesticide residues in
water. J. Wash. Acad. Sci. 59: 77-85,1969.
(13)	Tebriere, L. C., Kiigemagi, U., Geblach, A. R., and Borovicka, R. L.:
The persistence of toxaphene in lake water and its uptake by aquatic
plants and animals. J. Agr. Food Chem. 14 : 66-69,1966.
(14)	Bridges, W. R., Kallman, B. J., and Andrews, A. K.: Persistence of DDT
and its metabolites in a farm pond. Tram. Am. Fish Soc. 92: 421-427,
1963.
(15)	Cope, O.B.: Agricultural chemicals and fresh-water ecological systems.
In Chichester, C. O. (Ed.) : Research in Pesticides New York, Academic,
1965, pp. 115-127.
(16)	Bridges, W. R.: Disappearance of endrin from fish and other materials of
a pond environment. Trans. Am. Fish Soc. 90: 332-334,1961.
(17)	Butler, P. A.: Pesticides in the environment and their effects on wildlife.
J. Applied Ecology 3 (Suppl.) : 253-259,1966.
(18)	Hammerston, R. J., Russell, R. T., Tyo, R. M., Robertson, E. A., Jr.,
Gaines, J. L. and Bugg, J C„ Jr. : Study of Pesticides in Shellfish and
Estuarine Areas of Louisana. U.S. Dept. Health, Education, and Welfare,
Public Health Service, Cincinnati, Ohio, 1967, 26 pp.
(19)	Mason, J, W. and Rowe, D. R.: Dieldrin and Endrin .Concentrations in
Oysters. Dept. Civil Engineering, Tulane Univ. (undated).
(20)	Butler, P. A.: The problem of jjestlcides in estuaries. Amer. Fish Soc. Sp.
Pub. No. 3.1966, pp. 110-115.
(21)	Wurster, S. F., Jr.: "DDT reduces photosynthesis by marine phytoplank-
ton." Science 159:1474-1475 (1968).
(22)	U.S. Department of the Interior : Water Quality Criteria. Reports of the
National Technical Advisory Committee to the Secretary off the Interior.
Federal Water Pollution Control Administration, Washington, D.C.,
1968, 234 pp.
130

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(S3) U.S. Department of Health, Education, and Welfare : Health Guidelines
for Water Resource and Related Land Use Management, Bureau of
Water Hygiene, Environmental Control Administration, Rockville, Md.,
II-8, 1968.
(24) Gxjyeb, G. E., Barclach, J. A., and Kenaga, E. E.: Report of the Governors
Pesticide Advisory Panel, 1968. Michigan, 1968,13 pp.
(2o) Cohen, J. M., Pickering, Q. H., Woodward, R. L., and Van Heuvelen, W.:
Effect of fish poisons on water supplies. Part 3. Field study at Dickinson.
J. Am. Water Works Assoc. 53; 233-246,1961.
(26) Aly, O. M. and Faust, S. D.: Studies on the removal of 2,4-D and 2,4-DCP
from surface waters. Proc. 18th Ind, Waste Cont. 115: 6-8,1964.
(37) Faust, S. D. and Aly, O. M.: Water pollution by organic pesticides. J.
Am. Water Works Assoc. 56 : 267-275), 1964.
(28)	Nicholbon, H. P., Grzenda, A. R., Lauer, G. J., Cox, W. S., and Teasley,
J. I.: Water pollution by insecticides in an agricultural river basin. I.
Occurrence of Insecticides in river and treated municipal water. Lint-
nol. and Oceanog. 9: 310-317,1964.
(29)	Beuns, V. F.: The response of certain crops to 2,4-dichlorophenoxyacetlc
acid In irrigation water. Weeds 1: 359-376,1951.
(30)	Miller, C. W., Tomlinbon, W. E., and Nobgen, R. L.: Persistence and
movement of parathion in Irrigation waters. Pest. Mon. J. 1: 47-48, 1967.
(31)	Spabr, B. I., Appleby, W. G., DeVries, D. M., Osmon, J, V., McBride, J. M.,
and Foster, G. L.: Insecticide residues in waterways from agricultural
use. In Gould, R. F. (ed.) : Organic Pesticides in, the Environment. Wash-
ington, D.C., Advances In Chemistry Series, American "Chemical Society,
1966, pp. 146-102.
(82) Godsil, P. J. and Johnson, W. C.: Pesticide monitoring of the aquatic
biota at the Tule Lake National Wildlife Refuge. Pest. Man. J. 1; 21-26,
1968.
(33)	Smith, G. E. and Isom, G. G.: Investigation of effects of large-scale ap-
plications of 2,4-D on aquatic fauna and water quality. Pest. Mon. J.
1: 16-21, 1967.
(34)	Hunt, E. G. and Bischoff, A. I.: Inimical effects on wildlife of periodic
DDD applications to Clear Lake, Cal. Fish and Game 46 : 91-106, 1960.
(35)	Brown, E. and Nishioka, Y. A.: Pesticides in selected western streams.
A contribution to the national program. Pest. Mon. J. 1:38-46, 1967.
(36)	Babthel, W. F., Hawthorne, J. C.t Ford, J. H., Bolton, G. C,, McDowell,
L. L., Gbissingxr, E. H., and Parsons, D. A.: Pesticide residues In sedi-
ments of the lower Mississippi River and its tributaries. Pest. Mon. J.
3 : 8-66, 1909.
(37)	Modin, J, C.: Chlorinated hydrocarbon pesticides In California bays and
estuaries. Pest. Mon. J. 3:1-7,1960.
(38)	Bbeidenbach, A. W.. Gunnehson, C. G., Kawaha&a, F. K., Lichtknberg,
J. J., and Gbeen, R. S.: Chlorinated hydrocarbon pesticides in major
river basins, 1957-65, Pub. Health Repts. 82:139-156,1967.
The Food Route
CROP APPLICATION
There is a tendency toward the overuse of pesticides both in agri-
cultural as well as in domestic activities. In large-scale operations the
131

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dusting or spraying operation is frequently conducted with the avowed
purpose of serving as a prevention of blight or insect infestation in
order to assure against potential loss. In some cases an assessment of
the actual existing infestation or evidence to indicate the exact dosage
required would lead to considerably smaller amounts of pesticides
l>eing used.
Excessive household use of pesticides occurs because of the complete
lack of a scientific approach to their employment. In cases where large
scale applications are made by plane, commercial spraying or fogging
equipment, attention must be given to problems of drift associated
with wind and air currents. Depending upon the degree of infestation
and the nature of the meteorological conditions, occasions have arisen
where the felt need for pesticide application did not allow the post-
ponement of the spraying operation until more favorable meteorolog-
ical conditions existed. In such cases, drift has been experienced to a
distance as great as 100 miles.
Systemic versus surface-type pesticides.—Some research has been
conducted on plant systemic pesticides which allow the pesticide to be
picked up by the roots of the plant and carried through the plant
system. To date, while some applications of this type have been suc-
cessful, the overall prospects for wide-scale adoption do not appear
to be very promising. In addition to the potential of reducing the
waste of the more conventional types of application such an approach
would increase contamination of the soil. Questions have also been
raised in regard to the use of plant systemic pesticides in relation to
the possibility of the contamination of the fruit and plant which
are subsequently used for human or animal feed.
Pesticides from soil to plants.—Crops may absorb pesticides from
soil previously treated. In areas where short-term crops are raised,
such as in truck farming where the crops have relatively short grow-
ing periods and where repeated applications of pesticides may be used
for each crop, there is evidence that a considerable amount of pesti-
cide residue remains in the soil and is picked up by the plant and
deposited in varying amounts in the food product.
For example, Lichtenstein et aI, (1) found that cucumbers grown
on soil treated once a year for 5 years with aldrin, dieldrin, and hep-
tachlor at the rate of 5 pounds per inch-acre contained up to 0.011,
0.102, and 0.23 p.p.m., respectively. Similar residues were found in
both the upper and lower halves of the cucumbers. The pesticide
residues had penetrated the root system and were translocated to the
fruit. In the same study, it was found that alfalfa grown on soil con-
taining 0.5 p.p.m. per inch-acre of aldrin or heptachlor would contain
approximately 0.005 p.p.m. of aldrin and dieldrin or 0.015 p.p.m. of
132

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heptachlor and heptachlor epoxide. Similarly, Wood et aJ. (&) found
that alfalfa grown on fields treated 4 and 5 years earlier with dieldrin
at 5 pounds/acre contained as much as 0.03-0.04 p.p.m. dieldrin. The
residues of corn grown on the same fields did not differ greatly from
those of the alfalfa,
Bruce et al. (3) studied the relationship between the pesticide resi-
dues in several crop seeds, the soil concentration and fat content of
the seeds. Their results are as follows:

Seed
Soil residue
p.p.m.
Seed residue
p.p.m.
Heptachlor and heptachlor epoxide.
Corn	-
0. 5-4.
0
0. 002-0. 01

Barley	
0. 5-4.
0
0. 002-0. 02

Oats		
0. 5-4.
0
0. 008-0. 08
Aldrin and dieldrin		 		
Corn		
0. 35-3.
5
0. 002-0. 008

Barley __
0. 35-3.
5
0. 006-0. 015

Oats
0. 35-3.
5
0. 007-0. 08
Seeds with high fat content such as soybeans and peanuts contained
greater pesticide residues than did seeds of lower fat content.
Nash (4) grew wheat in soils treated with DDT and dieldrin at
0.5,2 and 10 p.p.m. Dieldrin residues in the wheat seedlings increased
in direct proportion to the soil application rate. DDT residues also
occurred in the seedlings but to a lesser extent. After 3 weeks, dieldrin
seedling residues were approximately 18 percent of the soil concen-
tration and DDT residues approximately 3 to 10 percent. The transfer
of pesticides contained in a soil to crops via the root system can there-
fore be a significant source of food contamination.
Metabolism of pesticides by the plant.—Studies of the ability of
plants to metabolize pesticides which have been applied either to the
surface of the plants or which may be found in the soil have indicated
that in some cases this process can serve as a means of reducing the per-
sistence of the pesticides. For example, the destructive hydrolysis of
organophosphate insecticides on plant surfaces and within plant
cells (especially for systemic insecticides) allow such strong pesti-
cides as TEPP, Phosdrin and Mevinphos to be used safely on edible
fruits and vegetables within a day or two of harvest. Persistent chlo-
rinated hydrocarbon insecticides, on the other hand, do not undergo
degradative reactions in such short time periods.
In other cases, however, more harmful and/or persistent compounds
may be reduced by metabolic processes. It is well known that within
plant cells aldrin may be converted to epoxide dieldrin and hepta-
chlor to heptachlor epoxide. The vapor pressure of the epoxide com-
pounds are lower than that of the parent chemicals with the result
133

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that the half-life values of the pesticides increase from about 1 day to
7-8 days.
The effect of plant characteristics on residue.—A number of plant
characteristics require additional application of pesticides at various
stages of production. These include growth rate of the plant, foliage
density, shape of the plant, surface characteristics of the leaves, stems
and brandies, problems of the enzyme systems of the plant, and the
metabolic rates of the plant. The amount of residue which actually
conies in contact with the plant and remains effective depends to a
great extent on all of these factors.
Time factor.—The pesticide residue carried to human food may
depend on the period of time between the application of the pesticide
to the crop and the harvest and processing of the crop. The intensity
of the application, growth, dilution, and degradability are coupled
with the time and method of processing. All of these factors must be
considered in the assessment of the amount of pesticide which reaches
the ultimate consumer.
Mann and Chopra (5), for example, found that carbaryl residues on
cabbage and eggplants decreased exponentially from the day of appli-
cation. Their results, after spraying the plants at three different rates
every 3 three weeks for 9 weeks, are as follows:

Initial residues—p.p.m.

0.55 pound/acro
1.1 pound/acro 2.2 pound/acre
Cabbage (0 day)	
Cabbage, washed (0 day) _ _ _
Eggplant (1 day)	
	 14. 80
	 0. 97
	 8. 33
23. 83 33. 86
1. 34 1. 25
12. 22 16. 86

7-day residues—p.p.in.

0.65 pound/acro
1.1 pound/acro 2.2 pound/acre
Cabbage, 	
Cabbage, washed	
Eggplant	 _ -
	 2. 50
	 1. 44
	 3. 05
3.	94 5. 13
2. 17 2. 94
4.	31 40
The rate constant was 0.17-0,28 per day for both vegetables and the
half-life values for cabbage and eggplant were 3 and 3.2 days respec-
tively. These results indicate that ample time must be allowed for
pesticide die off before processing, even though carbaryl and other
pesticides do exhibit a rapid residue loss rate. It is therefore important
that the rate of residue loss is known by the farmer and food processor,
in order that pesticide application and crop harvesting and processing
may be coordinated. These results also indicate the process of pesti-
cide dissipation may be speeded up by such procedures as washing.
134

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The use of the crop.—The route of pesticides to man may depend
upon the use of the crop in question. For fiber products, the residue
on the crop may cause less concern, except in cases of those persistent
pesticides which may cause dermatitis or which are toxic by skin
absorption.
Some food products which are subjected to a series of pesticide
applications are consumed by the public without extensive processing.
In other cases, the processing of the food may remove a portion of the
pesticide residue while in other cases the food processing method may
serve to concentrate and accentuate the pesticide problem in the
food product.
Surveys of food in the markets of the nation indicate varying
amounts of pesticide residues in many commercial foods. The total
dietary exposure varies from one part of the country to the other
and depends upon the dietary habits of the individual or family.
Few, if any, foods are completely free from some degree of pesticide
residue.
The dietary intake for pesticide chemicals in the United States from
June 1966 to April 1968, is reported by Duggan and Lipscomb (
-------
their greater persistence and wide use. The daily intake of chlorinated
hydrocarbons has been relatively consistent since 1964. DDT and its
analogs comprised approximately two-thirds of the chlorinated hydro-
carbon residues found during the 1967 and 1968 periods. DDT alone
accounted for approximately one-fourth of the total intake of chlori-
nated hydrocarbons. The major sources of the chlorinated hydrocar-
bons were those food classes representing products of animal origin,
namely, "dairy products and meat, fish and poultry." These foods were
the source of approximately one-half of the total intake of chlori-
nated hydrocarbon residues. In view of the fact that these products
received little direct application of pesticide chemicals, their presence
must be due to indirect and environmental sources. Grain, fruits,
and garden fruits combined to account for about 40 percent of this class
of pesticides. The dietary intake from the remaining seven food classes
studied: Potatoes; leafy vegetables; legume vegetables; root vege-
tables; oils, fats, and shortening; sugars and adjuncts; and beverages,
accounted for about 10 percent of the chlorinated hydrocarbon
residues.
Dieldrin, lindane and heptachlor followed DDT and its analogs in
magnitude of dietary intake. The incidence and amounts of other
chlorinated hydrocarbons detected in the study were too low to be of
any dietary significance.
Organophosphate insecticides.—Approximately one-third of the
organophosphate insecticides were found in grains and cereals. Mala-
thion accounted for 80 percent of the calculated daily intake of organ-
ophosphates. The average daily intake for this 2-year period was 0.009
mg./day. The incidence and intake of the remaining seven organophos-
phorous insecticides detected were too low to be considered as regular
components of the diet.
Herbicides.—About 50 percent of the herbicide residues detected
during the 1967 and 1968 periods were in foods of animal origin, that
is, dairy products and meat, fish and poultry. This is again idicative
of environmental contamination since herbicides are not used directly
on these products. The two most frequently found herbicides were
2,4-D and PCP.
Carbamate insecticides.—The incidence and amounts of carbamates
were very low in both study periods. The insecticide carbaryl was found
in four composite samples in 1967 but was not found at all in 1968.
For 1967 its calculated daily intake was 0.006 mg./day. This group of
chemicals did not occur at sufficiently high levels of frequencies to be
considered as contributors to the daily intake of pesticide chemicals.
Dithiocarbamate residues were found in a few samples in both study
periods. Evidently this class of insecticide decomposes sufficiently dur-
136

-------
ing harvesting and processing so that it is not regularly found in
ready-to-eat food.
Inorganic residues.—Inorganic bromides were found in approxi-
mately 80 percent of all samples examined during the 1967 and 1968
periods. Bromide residues were found in all food classes, but the highest
residues were found in the grain and cereal class. The average daily in-
take for the 2-year study period was approximately 24 mg.
Arsenic residues were detected in 10 percent of the composite samples
examined in 1967 and in 18 percent of the samples analyzed in 1968.
The daily intake of arsenic, calculated as A8203f was 0.33 mg. for 1967
and 0.137 mg. for 1968.
When the dietary intake of pesticide chemicals is compared with the
acceptable daily intake proposed by the Food and Agricultural Or-
ganization of the United Nations and the World Health Organization
Expert Committee on Pesticide Residues, it is found that no acceptable
daily intake value was exceeded by food residues during the 1965-1968
period. The daily dietary intake for practically all pesticides was at
least one order of magnitude (1/10) or more below that considered
safe by the FAO-WHO reports. The average combined level of aldrin
and dieldrin, however, was approximately equal to the acceptable
daily intake values. This is significant because, except for DDT and its
analogs, dieldrin is the pesticide most frequently found in food. The
following table compares the FAO-WHO acceptable daily intake
values with the dietary intake of several pesticides during the 1965-
1968 period.
FAO-WHO Expended dietary intake1
acceptable 		
i
laily intake'
1966
I960
1967
1968
Aldrin and dieldrin	
0. 0001
0. 00009
0. 00013
0. 00006
0. 00006
Carbaryl	
. 02
. 0021
. 0005
. 0001 .
				
DDT, DDE, TDE	
. 01
. 0009
. 0010
. 0008
. 0007
Lindane	
. 0125
. 00007
.00006
. 00007
. 00004
Heptachlor and





heptachlor epoxide	
.0005
. 000033
. 00005
. 000021
. 000031
Malathion.- _ _ .
.02

. 0001
. 0002
. 00004
Parathion			
.005 .

. 00001
. 00001
. 000001
All chlorinated hydro-





carbons			

. 0012
. 0016
. 0012
. 0011
All organophosphates	


. 00014
. 00025
. 00007
All herbicides	

.00012
. 00022
. 00005
. 00006
' (mg/kg. body wt./day).
In summary, the kinds, frequency and levels of chlorinated hydro-
carbon pesticides found in the total diet samples during 1967 and
1968 do not differ significantly from those found from 1964 and 1966.
137

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Chlorinated hydrocarbon residues were commonly found in all diet
samples and in all food classes except beverages. The incidence of
organophosphorus pesticides increased during the 4-year study period.
Malathion was the major contributor of this group to dietary intake.
The incidence and levels of herbicides have remained low throughout
the 4-year study. No herbicide residues were found in legume and
root vegetables and garden fruits. The incidence of carbaryl and
carbamate chemicals were too low for these pesticides to be consid-
ered as regular constituents of the diet.
Foods of animal origin were the main source of chlorinated hydro-
carbon residues in the diet. These foods comprised about one-fourth
of the diet used in the study. These foods were the source of about
one-half of the intake of total chlorinated hydrocarbon residues and
DDT compounds and were the source of even a greater proportion of
heptachlor epoxide, BHC and dieldrin. Since the residue levels of
aldrin and dieldrin are about the same as the acceptable levels of these
compounds, it is possible that the acceptable daily intake may be ex-
ceeded under certain dietary patterns. Reductions in residue levels
in foods of animal intake would be the most effective means of re-
ducing the dietary intake of pesticides, particularly the more toxic
pesticides.
The exposure of the general population, therefore the impact of
pesticides on the health of man, is much greater through the food
route than either air or water. Although "market basket" studies indi-
cate that the exposure of the population to pesticides through food
over the last few years has generally not increased, present levels of
intake, particularly for aldrin and dieldrin, may be some cause for
concern. At any rate, so far as the health of the general population
is concerned, the greatest emphasis in pesticide control should be on
reducing the concentration in foods. Methods for such reduction are
available and are being applied on an increasing scale.
Animal feed.—Market basket surveys indicate that foods of animal
origin contain relatively high levels of pesticide residues. As meat and
dairy products are not directly treated with pesticides, the consumption
of contaminated feed is probably responsible for the subsequent build-
up of pesticides in animal tissues. The wide variety of components such
as fish, soybeans, and cottonseed contained in animal feed increases the
potential contamination of the feed by pesticides.
The length of time that the residues remain at high levels in animal
tissue varies with the pesticide and the concentrations consumed. Often
the tissue residues decrease after the cattle stop eating contaminated
feed. If the cattle were killed and prepared for human consumption
while still eating contaminated feed or immediately after they had
13*

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stopped eating such feed, however, significant residue levels in the meat
might be found if they were originally high. The build-up of pesticide
residues in cattle tissue was studied by Rusoff et al (7) who measured
the residues of heptachlor epoxide in the fatty tissue of cattle which
grazed on pasture treated with 0.25 lbs./acre heptachlor. The cattle
were allowed to begin grazing on the field at intervals of 1, 8, 15, 29,
and 43 days following the application of the pesticide. The cattle
which began grazing 1 day after treatment contained 2.5 p.p.m. hep-
tachlor epoxide in the fat. No pesticide was found in the cow which
began grazing 43 days after treatment indicating that the pesticide
level in the forage had declined. The fatty tissue residues decreased
with increased elapsed time before grazing began. Several cows were
allowed to begin grazing on a field during an application of 0.25 lbs./
acre heptachlor. The average fat content in these cows was found to
contain 3.45 p.p.m. heptachlor epoxide after 29-30 days. The concen-
tration decreased with increasing time from the application. Less than
1 p.p.b. heptachlor epoxide residue was found in the raw and cooked
meat of cattle which had grazed for 125 days. This study indicates
that although pesticide residues do build up in tissues as a result of
eating contaminated feed, the residues are reduced after such feeding
is terminated.
Claborn et al(8) found that after feeding toxaphene to cattle
over an 8-week period at rates of 60,100, and 140 p.p.m., fat residues
were 8.4,14.3, and 24.3 p.p.b. respectively. Claborn et al, (5) also found
that no residues of Sevin were found in the tissues of cattle, sheep,
goats, and hogs after they had been sprayed four times in 2 weeks
with a 1 percent suspension. One goat contained Sevin in the fat
of the brain. The tissues of Hereford steers fed 50 and 20 p.p.m. Sevin
for 27 days also contained no residue.
The excretion of pesticides in milk after cattle have consumed for-
age previously treated with pesticides can also be a problem. Cows
fed DDT in their diet at rate of 0.5,1.0, 2.0, 3.0, and 5.0 p.p.m. DDT
in alfalfa exhibited DDT in their milk at all feeding levels except
0.5 p.p,m. (10). At 1 p.p.m., residues of 0.01 to 0.03 p.p.m. were
consistently present in the milk after 19 days. As the DDT feed levels
increased, the DDT contamination in milk increased. At a feeding
rate of 5 p.p.m. DDT, significant DDT levels appeared in the milk
from a Guernsey cow. The milk concentration during the feeding
period ranged from 0.16 to 0.32 p.p.m. Cows were also fed toxaphene
at rates of 2.5, 5,10,15, and 20 p.p.m. for 77 days (11). The milk con-
centrations increased with the amounts in the food. The residue levels
in the milk plateaued after the 28th day except for the 2.5 p.p.m.
level at which a plateau was reached after the 9th day. Plateau levels
199

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in the milk at the 2.5, 5, 10, 15, and 20 p.p.m. toxaphene feeding level
were 0.043, 0.076, 0.100, 0.17ft, and 0.179 p.p.m. respectively. A rapid
decline in pesticide milk residues was observed after the feeding of
toxaplieue was terminated and, 14 days after the termination, almost
all the cows produced milk with non detectable amounts of toxaphene.
Thus it appears that milk residues as well as tissue residues* decrease
after termination of the feeding on contaminated forage. Not all pesti-
cides produce residues in milk. Loeflier et ah. {12) found that Guthion
did not produce detectable residues in milk at feeding levels of 4.2 to
33.3 p.p.m. Guthion metabolites were detected, however, but disap-
peared within 3 days after treatment was discontinued.
The spraying of cattle with insecticides for insect control may pro*
due© milk and tissue residues. Claborn et a?., (5) sprayed cows with
toxaphene and strobane in a 0.5-percent emulsion, a 0.5-percent sus-
pension, and a 2-percent oil spray. These concentrations are entomo-
logically effective. The emulsion and suspension were used twice at 3-
week intervals and the oil spray twice daily for 21 days. The maxi-
mum residues in milk (0.61-0.71 p.p.m.) occurred 1 or 2 days after
the first spraying with the emulsion and suspension and then decreased
to low values at 21 days {0.05-0.12 p.p.m.). There was no significant
difference in residue levels between the two formulations or two insec-
ticides. The residues of both toxaphene and strobane reached the
maximum (0.28-0.41 p.p.m.) about the third day of oil spraying then
remained at approximately the same level for 18 days. Since no resi-
dues are permitted in milk, these insecticides are not recommended
for use in the control of cattle insects. Thus, animals which are fed
on feeds containing pesticide residues or which are sprayed with
pesticide for insect control may serve as an additional source of
pesticides to the consuming public,
Moubry et al., (IS) studied the decline of chlorinated hydrocarbon
pesticides in the milk of cows. After pesticide residues were detected
in the milk of several herds, all efforts were made to remove the cows
from exposure to pesticides by removing the cows from contaminated
food and/or dermal spraying for insect control. After removal from
the pesticide sources the residues eventually declined to a point below
actionable levels. Dieldrin had the longest retention time in milk, ap-
proximately 100 days. DDT and its analogs, BHC, lindane, endrin, and
methoxychlor follow in that order. The amount of DDT, DDD, DDE
residues in milk varied in relation to each other depending upon
whether the animal exposure was by ingestion or dermal application.
This knowledge is useful when determining the source of pesticide
exposure.
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Direct exposure.—Various foods receive a direct exposure to pesti-
cides during the growing season and, depending upon the methods of
processing, may contribute considerable pesticide to the diet of the
food customer. The problem to the consumer in this situation depends
upon the degradability of the pesticide, the time factor between the
application and the final processing, the time factor in shipping and
the amount of pesticide applied. The degree of penetration of the pesti-
cide into the food material is also of concern with certain types of
food.
Koivistoinen et aH. (14) studied the fate of malathion residues from
post-harvest treatments during food processing of gooseberries, plums,
tomatoes, apples, and stringbeans. The approximate residue reduction
produced by the various processing techniques were: Canning, 50 per-
cent or more; processes with a cooking period of 15 to 20 minutes, 30
to 50 percent; juice making by pressing or steaming, 70 to 90 percent;
drying at 75° C. for 1 to 2 days, 90 to 100 percent; and freezing, 40 to
50 percent. Losses of from 0 to 79 percent were obtained by washing
the fruits in running water for 1 minute. Virtually no malathion was
lost when the processed materials were stored at 4° C. for up to 8
months.
The removal of DDT, malathion, and carbaryl from tomatoes by
commercial and home preparative methods was studied by Farrow
et aL., (15). Commercial canning and juicing operations removed prac-
tically all DDT, malathion, and carbaryl residues. All but trace
amounts of DDT and malathion were removed by the home canning
of whole tomatoes and tomato juice. Approximately 92 percent of the
carbaryl residue was removed by canning whole tomatoes and 77 per-
cent removed by the home canning of tomato juice. Home preparation
removed approximately 85 percent of the DDT residue, 96 percent of
the malathion and 69 percent of the carbaryl residue. Raw, unwashed
fruit stored at 55° F. exhibited no significant decrease in DDT or
carbaryl. Malathion residues, however, decreased by approximately
30 percent during a 7-day storage period.
The effect of commercial and home preparation on DDT residues in
potatoes grown on soil treated by from 19.1 to 23.2 lbs./acre DDT was
investigated by Lamb et al., (16). Commercial washing operations re-
moved approximately 20 percent of the total DDT residue from po-
tatoes whereas lye peeling plus washing removed about 94 percent.
Following washing, commercial processing further reduced the resi-
due to insignificant levels. Peeling removed more than 91 percent of
the residue during home preparative procedures. No significant loss
of DDT residue was exhibited by potatoes stored at 45° F. for a period
of 6 weeks.
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Gunther et al(17) found that the half-life values for Guthion
under dry field conditions was 30 to 38 days for lemons and 340 to 400
days for oranges. Rainfall or washing markedly decreased the Guthion
residues. Guthion is largely nonpenetrating, therefore, and relatively
persistent on these f raits, but may be removed easily.
CITED REFERENCES
(J) Lichtenstein, E. P., Schtjlz, K. R., Screutny, R. F., and Stitt, P. A.:
Insecticidal residues in cucumbers and alfalfa grown on aldrin- or hep-
tachlor-treated soils. J. Econ. Eutomol. 58: 742-746,1965.
(2)	Wood, T. K., Gyrisco, G. G., Gutenmann, W. H., and Edwards, C. H.: The
presence and persistence of dieldrin on forage crops from soil treatments
for alfalfa snout beetle (Brachyrhinua liqustici) control. J. Econ. Entomol
59 : 472-473,1966.
(3)	Bruce, W. N., Decker, G. C., and Wilson, J. G.: The relationship of the
levels of insecticide contamination of crop seeds to their fat content and
soil concentration of aldrin, heptachlor, and heptachlor epoxide. J. Econ.
Entomol. 59:179-181, 1966.
(4)	Nash, R. G.: Plant absorption of dieldrin, DDT, and endrin from soils.
Agron, J. 60: 217-219,1968.
(5)	Mann, G. S., and Chopra, S. L.: Residues of carbaryl on crops. Pat.
Mon. J. 2:163-166,1969.
(6)	Duggan, R. E., and Lipscomb, G. Q.: Dietary intake of pesticide chemicals
in the United States (II), June 1966-April 1968, Pest. Mon. J. 2:153-
162,1969.
(7)	Rusoff, L. L.t Temple, R. S., Myers, R. G., Newsom, L. D., Burns, E. C.,
Barthel, W. F., Corley, C., and Allsman, A.: Residues in fatty tissues
and meat of cattle grazing on pastures treated with granular heptachlor.
J. Agr. Food Chcm. 11: 289-291,1963.
(S) Claijorn, II. V., Mann, H. D., Ivey, M. C., Radeleff, R. D., and Woodard,
G. T.: Excretion of toxaphene and Strobane in the milk of dairy cows.
J. Agr. Food Chcm., 11: 286-289,1963.
(9) Claborn, H. V., Roberts, R. H., Mann, H. D., Bowman, M. C., Ivey, M. C.,
Weidenbacii, C. P., and Radeleff, R. D.: Residues in body tissues of
livestock sprayed with Sevin or given Kevin in the diet. J. ]Agr. Food
Chcm. 11: 74-76,1963.
(10)	Zweio, G., Smith, L. M., Peoples, S. A., and Cox, R.: DDT residues in
milk from dairy cows fed low levels of DDT in their daily rations. J. Agr.
Chcm. 9: 481-484,1961.
(11)	Zwexg, G,, Pye, E. L., Sitlani, R., and Peoples, S. A.: Residues in milk
from dairy cows fed low levels of toxaphene in their daily ration. J. Agr.
Food Chcm. 11: 70-72,1963.
(12)	Loeffler, W. W., Jr., Trimberqer, G. W., Fox, F. H., Ridgeway, R. L.,
Lisk, D. J., and Gyrisco, G. G.: Extent of residues in milk resulting
from use of Guthion-treated forage. J. Agr. Food Chcm. 14 : 46-47, 1966.
(13)	Moubby, R. J,, Myrdal, G. R., and Sturges, A.: Rate of decline of
chlorinated hydrocarbon pesticides in dairy milk, Pent. Mon. J. 2: 72-79,
1968.
(14)	Koivistoinen, p., Kononen, M., Karinfa, a., and Roine, p.: Stability of
raalathion residues in food processing and storage. J. Agr. Food Chem.
12: 557-560,1964.
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(15) Farrow, R. P., Lamb, F. C., Cook, R. W., Kimbali., J. R., and Elkins, E. R.:
Removal of DDT, malathion, and carbaryl from tomatoes by commer-
cial and home preparative methods. J. Agr. Food Chcm. 16: 65-71, 1968.
(IS) Lamb, F. C., Farrow, R. I\, Elkins, E. R., Cook, R W., and Kimball, J. R.:
Behavior of DDT in potatoes during commercial and home preparation.
J. Agr. Food Chcm. 16: 272-275,1968.
(17) Guntiier, F. A., Carman, G. E., Blinn, R C., and Babkley, J. H.: Per-
sistence of residues of Guthion on and in mature lemons and oranges and
in laboratory processed citrus "pulp" cattle feed. J. Agr. Food Chcm.
11: 424-427,1963.
Soil Contamination
The fall-out of pesticides following sprayed applications in the di-
rect treatment of soil has led to a build-up in the soil of various
amounts of pesticides. Soil residues may, therefore, be a cause for con-
cern since they may reach man by a number of routes: uptake from
soil by consumable crops; leaching into water supplies; volatilization
into the air: and by direct contact with the soil. The magnitude of the
problem is directly related to the amount supplied to the soil and the
rates of pesticide degradation in the soil. The problem can be minimized
by reducing the amounts of pesticides reaching the soil by more effec-
tive application procedures, by using pesticides that have a low per-
sistence so that once they reach the soil they remain only for Short
periods or by the use of pesticides of relatively low toxicity.
In order to reduce the hazards of soil contamination, it is necessary
to understand and utilize the mechanisms which affect pesticides per-
sistence in soil so that for any given application the correct parameters
may be measured and evaluated. The factors which must be considered
include: (1) Pesticide type and formulation; (2) pesticide adsorption;
(3) soil type; (4) soil moisture and temperature; (5) uptake by
plants; (6) leaching of pesticides from soil by water; and (7) wind
erosion.
Pesticide type mid formulation,—The persistence of a pesticide is
related to all of the factors enumerated above as there are many bio-
logical, chemical and physical mechanisms of pesticide removal from
soil, each acting differently depending on the chemical structure of
the pesticide. For example, chlorinated hydrocarbon compounds are
less amenable to bacterial breakdown than are the organophosphates.
The formulation and application method used may influence a pesti-
cide's longevity in soil. Lichtenstein (7), for example, found that
aldrin residues on the soil surface decreased more rapidly than resi-
dues beneath the surface, no doubt because of a greater exposure of the
chemical and physical effects of weathering. It was also found that
granular applications of Guthion were more persistent than emulsions.
Pesticide adsorption and soil type.—The phenomenon of pesticide
adsorption is intimately related to the particular pesticide in question
143
37J.-O70: O—60,	11

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and the type of soil in which it is found. The nature of the colloidal
soil particles, whether they are high in organic content or are of clay
or sandy composition, affects adsorption. The solubility of the pesti-
cide and the pH of the soil also affect soil adsorption. Some pesticides
are absorbed more rapidly under moist conditions and some under dry.
Most pesticides are adsorbed to a greater extent at cool temperatures
than under high temperature conditions but not all. In short, there
are few general statements about adsorption that can be made con-
cerning all pesticides. Each compound reacts to the influencing fac-
tors in an individual manner.
Soil moisture and temperature.—In addition to affecting adsorption
raites of pesticides on soil particles, the moisture and temperature of
the soil may also affect microbial activity. High moisture content en-
hances the degradative process of hydrolysis by microorganisms. Tem-
perature also affects the biological breakdown of pesticides, the solu-
bility of the pesticides, and the amount of volatilization which occurs.
Uptake by plants,—Some pesticides are translocated from the soil
into plants or crops. Lichenstein (2) found that potatoes, radishes,
and carrots grown on a loam soil treated with aldrin at 1 lb. per acre
contained 0, 0.03, and 0.05 p.p.m. respectively. Heptachlor-treated
soils yielded greater crop residues than did those treated with aldrin.
Thus, this mechanism constitutes a potential exposure hazard for man
since edible crops will take up pesticides from the soil.
Leaching of pesticides from soil by water.—Pesticides held in the
soil may be carried by water with possible subsequent contamination
of water courses, water supplies, and groundwater. Run-off after
either rainfall or irrigation may physically transport particles to
which pesticides adhere or the water may leach the pesticide from the
soil particles. Water was percolated through soils treated with 1 p.p.m.
(=2 lbs. per 6-inch acre) aldrin or parathion (
-------
Tarzwell and Henderson (5) found that the dieldrin concentration
of runoff water from a grassy area treated with 2.66 lbs. per acre de-
creased with time. The dieldrin concentration of water following a
rainfall which occurred one day after treatment was found to be 0.13
p.p.m. The concentration of dieldrin in runoff following a third rain
which occurred 9 days after the treatment was 0.025 p.p.m. No dieldrin
was detected in the runoff following a rainfall later in the 9th day after
treatment.
Nowhere is the argument against using the permanent types of pesti-
cides (e.g. mercury, arsenic and lead) better illustrated than in orchard
areas of the United States where arsenic-containing pesticides have
been in use for decades. In many such areas the arsenic has accumu-
lated in the soil to the point where the soil is toxic, shortening the life
of trees and making difficult the profitable use of orchard lands for
the forage crops that normally follow orchards in rotation (6).
Wind erosion.—Another possible hazard to the general public from
soils contaminated with pesticides is that of wind erosion. With appro-
priate conditions of soil, moisture, humidity, and wind, pesticide resi-
dues from the soil may find their way into the air and be transmitted
for great distances from the original source of application. (See section
C, The Air Route.)
Cited, References
(J) Lichtenstein, E. P.: Soil and plant interactions with pesticides. Progress
Rept, Univ. "Wisconsin, Madison, 1966,28 pp.
(2)	Lighten btein, E. P.: Persistence and behavior of peetlcidal residues in soils.
1Arch. Envir. Health 10:825-826,1965.
(3)	Lichtenstein, E. P., Schulz, K. R,, Skrentny, R. F., and Tsdkano, Y.:
Toxicity and fate of insecticide residues in water. Arch. Envir. Health
12:199-212,1906.
(4)	Nicholson, H. P., Webb, H. J., Laves, G. J., O'Brien, R. E., Gbzenda, A. R.,
and Shanklin, D. W.: Insecticide contamination in a farm pond. Tran».
Am. Fish 8oc. 91:213-222,1962.
(5)	Tarzwell, C. M. and Henderson, C.: Toxicity of dieldrin to fish. Trans.
Am. Fish Soc. 86: 245-257,1956.
Jones, J. S. and Hatch, M. B.: Spray residues and crop assimilation of
arsenic and lead. Soil Science, 60: 277-288,1945.
Household Use
The use of pesticides for domestic purposes has become widespread.
Accompanying this increased application is an increased danger of
misuse, accidental poisoning and increased contamination of the home
environment. Homeowners are seldow acquainted with the scientific
rationale of safe application and frequently fail to read and under-
stand the instructions contained in the label. Thus, problems of over-
145

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use and misapplication have reached the point where contamination
by household pesticides may constitute a significant proportion of
the total population exposure.
Of special concern is the development of a large number of pesti-
cide dispensing devices intended to simplify the reduction of pests
in the household. Shelf paper impregnated with pesticides and evapo-
rators intended to produce an insecticide aerosol for insect control
are examples of potentially hazardous installations in closed environ-
ments. Pesticides have been incorporated in paints, furnace filters,
swimming pool chemicals for algae control, and in various types of
automatic dispensers, all of which may provide problems of exces-
sive pesticides in the living environment of the household. Garden
hose atomizers have been developed for home use with a variety of
pesticides. These devices have the potential of causing back-siphonage
in which situations highly toxic pesticide materials can be intro-
duced into the home drinking water system.
Little information is available concerning the total amounts of
household pesticides used in the United States. A study of Salt Lake
County, Utah, from July, 1967, to July 1968, is illustrative of the
amounts of household chemicals in use and indicates the proportion
of the total amount of pesticides applied that may be attributed to
domestic use (J).
In Salt Lake County, with an area of 764 sq< miles and a population
of about 440,000, a total of 200,811 lbs of pesticide were applied during
the 1-year study period. The amounts used in the various types of
application are as follows:
Use	Pound»
Domestic	102,490
Agricultural
Farm		36,511
Commercial Applicators		18,722
Fruit		14,540
Government Agencies		12, 871
Mosquito Abatement		12,871
Live Stock		2,860
Total 	 200,865
In this county, therefore, domestic pesticide use accounted for ap-
proximately one-half the pesticides. These amounts would vary de-
pending on the degree of agricultural activity in a given area but
illustrate the large amounts of pesticides that are being used domes-
tically in some areas.
Of the 102,490 lbs applied domestically, the amounts of the impor-
tant pesticides used were as follows:
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Pesticides	Pounds
Arsenic 	81, 783
Chlordane	 5, 876
2,4,5-T and 2,4-D	 5, 790
DDVP	 2,890
Malathion	 1, 380
DDT 	 1,108
Other	 3, 663
The inorganic pesticide arsenic, therefore, accounted for approxi-
mately 80 percent of the domestic pesticides used.
A different usage pattern was found in Arizona by the Arizona
Community Pesticide Studies Project which contrasted the domestic
usage of pesticides with agricultural usage for the year 1968 (2). The
findings were based on 475,362 households in the state and a crop
acreage of 1,204,000 acres and are presented below.
Pesticide group	House and garden Agricultural use—
use—1968	1968
lbs. tteh.	Ibi. tech,
material	material
Chlorinated hydrocarbons	
	 28,
600
4,
202,
000
Herbicides	..		
	 12,
690

870,
000
Organophosphates . - 	
	 11,
590
2,
839,
200
Miscellaneous insecticides
	 5,
600

263,
600
Fungicides..		 - -
	 2,
600

126,
000
Carbamates	 	
	 1,
900

153,
400
Defoliants and desaicants.


1,
084,
100
Total	 	
	 62,
980
9,
538,
300
Thus, in contrast to the findings in Salt Lake County where a high
arsenic domestic usage was found, the group of chlorinated hydro-
carbon pesticides accounted for approximately 45.5 percent of the
pesticides used domestically. Also, whereas the domestic usage of pesti-
cides in Salt Lake County accounted for approximately 50 percent
of the total, domestic usage in the state of Arizona accounted for only
about 0.6 percent of the total.
All people, of course, do not use pesticdes in their homes and
gardens in equal amounts. Finklea et al. (3), for example, surveyed
Charleston, South Carolina, and found that whereas 83 percent of
the white families sampled used pesticides in their home, 97 percent
of the nonwhite families employed household chemicals for pest con-
trol. It was observed that the homes of nonwhite families were more
frequently infested with roaches, mosquitoes and flies. Nonwhites
therefore applied pesticides inside their homes more intensely than
did whites. Yard and garden applications, however, were found prin-
147

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cipally among whites. Thus, the differences in application were prob-
ably attributable to differences in economic status and housing quality.
Both white and nonwhite families commonly ignored safety precau-
tions in the use of household chemicals. Locked storage was not em-
ployed by 88 percent of all families; 66 percent stored the pesticides
within easy reach of small children; 54 percent stored the chemicals
near food or medicine; and 66 percent never wore protective gloves dur-
ing use or washed their hands after the application.
This stxidy indicates that lower socioeconomic groups may use
pesticides in greater amounts than higher socioeconomic levels but that
both groups tend to disregard safe practices in the application and the
storage of these poisons.
Da vies and Carter (4) observed differences in DDE blood levels in
children living in different ureas of Dade County, Florida. Some of
the children in the poorer sections exhibited DDE blood levels as high
as those found in adults. The authors hypothesized that the pesticide
blood levels could be correlated with the dust levels in the homes, as
the poorer homes tended to have higher dust levels than other homes.
Poorer homes had many roaches and therefore a greater dependence on
insecticides prevailed in these homes. Also, since DDT is one of the
cheaper pesticides, the poorer families favored its use. The younger
children, therefore, would be most likely to be exposed to the dust as
they crawled upon the floor. To test this hypothesis, kittens were placed
in a clean home in good repair and in one of the poorer homes. The kit-
ten in the clean home exhibited no increase of DDT and DDE blood
levels during the study period of four months. The kitten in the
poorer home, however, exhibited a rise of DDT from 12 p.p.b. to 120
p.p.b. and in DDE from 10 to 20 p.p.b. during this same period. The
average blood DDE in the four children in this house was 39 p.p.b.
Both, homes were given the same cat food. Therefore, even though
the number of kittens in the experiment was not large, a demonstrable
difference in blood DDT and DDE levels was observed, indicating that
general household conditions may have an effect on the possible expo-
sure to children when all other factors are equal.
Several studies have attempted to correlate environmental pesti-
cide levels attributable to domestic usage with pesticide blood levels
or respiratory performance. Weiner and Worth (J) studied two
groups with similar income, educational level, occupations, residences,
and ethnic background to determine the relationship between insec-
ticide use and respiratory impairment. The heavy-use group applied
pesticides once a week or more often and the light-use group used
pesticides less than once a week. Tests of forced expiratory volume
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and forced vital capacity revealed that people in the consistently
light pesticide use group performed significantly better than those
in households vising insecticides heavily. There was no definite corre-
lation between respiratory impairment and a particular pesticide
nor could any other environmental variable be attributed to the dif-
ferences in respiratory function. More asthma and chronic sinusitis
were observed in the heavy-use group and perennial nasal allergy
was twice as common in this group.
A comparison of the exposure to lindane from home vaporizers
with that of occupational exposure levels is provided by a study in
California (6). Several groups of people, ea/ch having various expo-
sures to lindane were studied. Lindane blood levels and air concentra-
tions to which they were exposed were sampled. The results are
summarized below:
Lindane in whole
blood—p.p.b.	Lindane air
		concentration—
Sample population Mean Range	mgXHH/m1
Control—No exposure	 0. 46 0. 3-0. 9
Nonproduction workers in lindane plants.	
0.
S3
0.
3-2.
5
9. 0-49
Production workers in plant 1 with little or no






skin contact - _ . __ _ _ 	
4.
6
1.
9-8.
3
31-1800
Production workers in plant 2 with little or no






skin contact— 			
4.
1
1.
0-8.
9
11-1170
Production workers in plant 2 with ample






skin contact		
30.
6
6.
0-93. 0
11-1170
Lindane exposure from home vaporizers only—
2.
2
0.
9-5.
2
1. 0-110
The exposure to lindane home vaporizers produced greater blood
concentrations than nonproduction workers experienced in lindane
plants and in some cases, as evidenced by the overlapping ranges,
produced blood levels higher than in production workers in lindane
plants. Lindane air concentrations attributable to lindane home vapor-
izers were at times as high as those concentrations in the lindane
manufacturing plants.
In summary, the data presented indicate that the use of household
pesticides, while high for all groups, is greater in lower socio-eco-
nomic levels than in high. This fact, together with the generally less
clean conditions found in poorer homes, indicates that people of
lower economic levels may receive a higher exposure to household
pesticides than other segments of the population. All groups tend to
disregard the labeled instructions for safe application and storage.
Respiratory impairment and high blood pesticide levels have been
correlated with heavy pesticide use.
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An additional potential household exposure is provided by contact
with wearing apparel that has been treated with pesticides for moth-
proofing. A survey of dry cleaning establishments in three counties of
Mississippi was conducted by the Mississippi Community Studies
Pesticide Project in an attempt to detetrmine the number of firms
which employed such practices and the pesticides involved (7). Forty-
one dry cleaning firms were questioned about their mothproofing pro-
cedures during the year 1968. Of the dry cleaners studied, 16 used no
mothproofing agents while 25 did use such products. When mothproof-
ing agents were employed, it was generally the practice to mix a quan-
tity of tihe agent with the regular dry cleaning fluid. Thus, in these
firms, every article of clothing which was dry cleaned was moth-
proofed as well, regardless of whether the customer had requested
mothproofing. Mothproofing generally began in April or May and
ended in July, August, or September. One dry cleaning firm used moth-
proofing year round.
Four main mothproofing chemicals were used: Sanex, Milo, Tri-
pruf, and Sanitone. All four products contained DDT, although Sam-
tone, which was 100 percent DDT, was the only product in which the
DDT concentration was identified. The maximum volume of moth-
proofing chemical used during 1968 by any firm was 20 gallons; the
maximum weight was 75 pounds.
In most cases, only one or two employees in a given firm had direct
contact with the mothproofing chemical. The estimated number of
families affected, however, was always in the hundreds, and in some
instances, it was in the thousands. A large number oif customers was
therefore exposed to DDT by the mothproofing practices of these dry
cleaning firms.
Commercial pest control.-—Throughout the nation there are large
numbers of commercial pest control operators who work extensively
in private dwellings and institutions in the control of household pests.
In 1963 there were 5223 firms concerned with structural pest control
and exterminating services and the number continues to grow. The an-
nual gross income from these operations is estimated to be over 450
million dollars of which about 30 to 40 million dollars is spent on the
purchase of pesticides (5).
The 10 most important pests controlled by pest control operators in
1965 were as follows:
1.	German roach.
2.	House mouse.
a Norway rat.
4.	Subterranean termites.
5.	House ants.
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6.	American roach.
7.	Carpenter ants,
8.	Oriental roach.
9.	Fleas.
10.	Brown dog tick.
The German cockroach and the two commensal rodents are the
three most important pests encountered and require frequent, usually
monthly, control. Although fourth on the list of important pests, ter-
mite control accounts for about 35 percent of the industry's income.
The most important insecticides for household use are as follows:
1.	Diazinon spray.
2.	Chtordane spray,
3.	DDVP Spray additive.
4.	"Kepone" pellets.
r>- DDT dust.
6.	Pyrethrins and synergist
7.	"Baygon."
8.	Sodium fluoride.
0. DDVP spray.
Diazinon is an organophosphate, is the most frequently used insec-
ticide for indoor work and is effective against most chlorinated hydro-
carbon resistant roaches. Chlordane is very effective against ants and
most species of cockroaches and is used for the control of many minor
pests because of its long residual action, low odor and moderate
mammalian toxicity. DDVP is used to provide a quick knockdown in
conjunction with more persistent chemicals such as Diazinon and
chlordane. The use of Kepone pellets as baits has increased even
though it is relatively slow acting. DDT dusts are used as a trailing
powder to control mice and for the control of cockroaches. Pyrethrins
are used as knockdown sprays and in food processing and storage.
Baygon, a carbamate, is used to control chlorinated hydrocarbon re-
sistant cockroaches. Sodium fluoride is often mixed with pyrethrum
for dusting walls and concealed areas.
Anticoagulants, such as Kepone pellets referred to above, are used
extensively by pest control operators for the control of rodents. Their
nse is primarily as a bait to maintain low population levels after
the rodent numbers have been reduced. Water solutions of anticoagu-
lants are sometimes used, as are tracking powders, but the most com-
mon method employed is that of solid baits. Although anticoagulants
are slow acting, their low toxicity makes them quite attractive from
the safety standpoint. These compounds are ineffective against some
rodent populations, however, because of a natural tolerance or resist-
ance and more toxic rodenticides are required in these situations.
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Proper commercial pest control dictates that the chemical and tar-
get pest organism be matched effectively. The pesticide which will
accomplish the greatest kill in the shortest possible time and in the
safest manner is the chemical which should be used. The toxicity of
the pesticide must be balanced with its persistence, however, since
many pest organisms require frequent control. Nonpersistent pesti-
cides may result in uneconomical control frequencies as, for example,
in termite control. More persistent pesticides are therefore often
required and their application must be properly administered to avoid
long-term contamination.
Most commercial pest control operations are under the licensing
jurisdiction of local units of government and in some cases under
State control. The operators, in the main, have demonstrated an
interest in the protection of the health of their employees as well as
protection of the health of the public. The National Pest Control
Association, an organization composed of and sponsored by commer-
cial pest control operators, promotes the safe use of pesticides and
helps in the production and evaluation of new chemicals and control
techniques.
CITED REFERENCES
(1)	Utah Community Studies Pesticide Project: Annual Report. Division of
Community Studies, Food and Drug Administration. 1968.
(2)	Arizona Community Studies Pesticide Project: Unpublished Data. Divi-
sion of Community Studies, Food and Drug Administration, 1909.
(8) Finklea, J. F„ Keel, J, E„ Sandifer, S. H., and Gadsden, R. H.: Pesticides
and pesticide hazards in urban households. J. 8. Carolina Med. Assoc. 65:
31-33, 1969.
(b) Davies, J. E. and Carter, H.: Annual Report. Florida Community Studies
Pesticide Project. Division of Community Studies, Food and Drug Admin-
istration, 1968.
(5)	Weiner, B. P. and Worth, R. M.: Insecticides: Household Use and Respira-
tory Impairment Hawaii Med. J. 28: 283-283,1969.
(6)	Milby, T. H. and Miller, D. P: Annual Report. California Community
Studies Pesticide Projeet. Division of Community Studies, Food and Drug
Administration, 1968.
(7)	Mississippi Community Studies Pesticide Project: Quarterly Report, Di-
vision of Community Studies, Food and Drug Administration, 1969.
(8)	Spear, P. J.: Insecticide needs of pest control operators. Soap and Chemical
Specialties, March, April 1967.
Pesticide Manufacture, Occupational Exposure and Accidents
In the processes of manufacturing and formulating pesticide mate-
rials, industrial employees may be exposed to pesticide gases, fumes,
and dusts, and to skin contact with these chemicals. In many of the
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large manufacturing plants, industrial hygiene and medical super-
vision are available. Among the small manufacturers throughout the
country, however, little attention is given to industrial hygiene prac-
tices and medical supervision is not available.
Hazards to manufacturing employees can be reduced through a
variety of methods, as for example, the installation of appropriate
ventilation equipment. Hartwell and Hayes (1) observed workers
in two organophosphate formulating plants, one with adequate and
the other with inadequate facilities for respiratory protection against
inhalation of airborne contaminants. In both plants, the workers who
loaded and packaged the formulation mixture, the most hazardous
job in the manufacture of pesticides, were studied. Cholinftsterase
activity depressions as a result of pesticide poisoning occurred 41 times
in 26 subjects in the plant with inadequate protection during the first
year of the study. When the plant installed a system which distributed
uncontaminated compressed air to facemasks worn by each worker,
the incidence of pesticide poisoning decreased drastically. The other
plant studied had such a compressed air system but poisonings occurred
due to a faulty design in the air system which allowed a back syphonage
of pesticide-laden air to occur. When this situation was corrected, the
incidence of pesticide poisoning decreased.
Protective clothing may also be employed to protect the workers.
The training and instruction of the workers regarding the hazards
involved in the manufacture of the pesticide, the techniques used for
self-protection, the reasons for this, protection and the procedures to
be followed in case of accidents are perhaps the most important pre-
ventive actions.
It is well known that workers in plants producing persistent pesti-
cides, such as DDT, accumulate much higher levels of the pesticide in
their adipose tissue than the general population. However, Laws et al.
(2)	found that even though 35 workers with exposures of more than
11 years at a DDT manufacturing plant had accumulated 38 to 647
p.p.m. DDT as compared to 8 p.p.m. in the general population, no ill
effects were evident. The long-range effects of such high exposures
and accumulation rates are less certain.
Agricultural applications.—In California during 1966, 1,347 acci-
dents were attributed to pesticides and other agricultural chemicals
(3).	Accidents in the agricultural use of these chemicals numbered 820
while all other occupations accounted for 527 accidents. The number
of accidents involving these chemicals in terms of the industry where
the accident occurred and the occupation of the injured persons is
reported below.
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By industry	By occupation
Accident Agricul- Marmfac-	Farm
Agricultural Chemical	total tural turlng Other1 laborers Other"
Total	 1,347 820 204 323 704 623
Organophosphates	 253 183 46 24 152 101
Parathion	 102 88 12	2 79	23
Other	 151 95 34 22 73	78
Chlorinated Hydro-
carbons	 94 49	18 27 42	52
DDT, chlordane,
lindane, kolthane..	40	19	7	14	17	23
Methyl Bromide		30	17	6	7	17	13
Other		24	13	5	6	8	16
Lead and/or arsenic
compounds		10	7	1	2	7	3
Herbicides		145	90	12	43	80	65
Fertilizers		133	73	37	23	48	85
Other				s 712	418	90	204	375	337
' Includes: Construction; transportation; trade; structural peat control; government; and unspecified.
'Includes: Professional; clerical and sales workers; truck drivers; gardeners; and unspecified.
3 Includes: Fungicides; carbamates; sulfur; and 438 unspecified.
Of the accidents caused by known compounds, the organophos-
phates were involved more than any other group. Of these, para-
thion accounted for approximately 40 percent. Herbicides and ferti-
lizers, with approximately the same number of accidents, were
involved in the next highest number of accidents where the pesticide
or chemical was specified. Chlorinated hydrocarbons were involved in
the fourth largest number of accidents. Within this group, DDT,
chlordane, lindane, and Kelthane accounted for approximately 43
percent of the cases and methyl bromide, 32 percent.
There were approximately four times as many accidents involving
agricultural uses as there were industrial accidents. More agricultural
accidents than industrial accidents occurred with every pesticide
group listed.
Farm laborers were involved in more accidents than all other
workers combined, accounting for approximately 5*2 percent of all
reported accidents. The accident rate for each pesticide specified
was higher for the farm laborer category than for any other working
situation.
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Exposure to pesticides from agricultural applications may be ex-
perienced by individuals who apply the pesticide or by agriculture
workers who work in the fields where the pesticide has been applied.
Wolfe et at. (4) studied the health hazards associated with the agri-
cultural application of endrin and dieldrin, two of the more toxic
chlorinated hydrocarbons. The dermal exposure of workers wearing
normal clothing while spraying a 1-percent formulation of endrin
dust on potato fields was calculated to be 18.7 mg./hr. The respira-
tory exposure was calculated to be approximately 1.8 percent of a
toxic dose per hour of exposure. While spraying endrin on orchard
cover crops and dieldrin on pear orchards, the calculated exposure
was 0.2 percent and 0.3 percent, respectively, of a toxic dose per
hour. Even though the exposure levels were far below toxic levels,
the fact that chlorinated hydrocarbons are stored in the body fat
must be taken into account when evaluating the hazards of repeated
exposures.
It has been estimated that an average orchard sprayman who wore
no hat or protective clothing on his arms would be exposed to approxi-
mately 7.7 percent of the toxic dose of parathion per hour (5). After
about 13 hours of spraying, therefore, the individual could theoret-
ically become poisoned. Experience has shown that this is not neces-
sarily true, however, and this may be attributed to the slow and/or
incomplete absorption of the pesticide which impinges on the skin.
Therefore, toxicity data must be tempered with knowledge of the
mechanisms of pesticide entrance into the body.
Wolfe et al, (6) determined values for dermal, respiratory, and total
exposure in terms of the fraction of toxic dose for 31 different work
activities associated with the pesticide application of 10 different pesti-
cides. Wind was the most important environmental condition studied,
as the amount and direction of wind directly affected exposure levels.
For each pesticide, there appeared to be a significant variation in the
hazard depending on the type of activity in which the worker was
engaged. For example, the hazard from the indoor house spraying of
DDT was about four times as great as flagging for airplane dusting
of fruit orchards, about seven times as hazardous as outdoor house
spraying, and over 30 times as hazardous as operating an air blast
spray machine in a fruit orchard. The loader received about three times
as much exposure as the pilot and about 4y2 &s much as the flagman.
The method and rate of application also affected the potential ex-
posure. For example, the potential exposure while operating an air
blast machine spraying tree orchards with parathion was about 12 times
as great as the exposure when spraying the same compound on row
crops with a boom-type sprayer. The air blast machine sprays the
pesticide up into the air where it is more subject to drift whereas the
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boom-type sprayer directs the spray downward. Increases in the appli-
cation rate would also be expected to increase the possible exposure.
In the same way, the amount of time the workman worked at his par-
ticular job would also increase the pesticide exposure.
The potential dermal exposure to each pesticide was much greater
in every work situation studied than the potential respiratory ex-
posure. The respiratory exposure for the various work situations stud-
ied ranged from 0.02 to 5.8 percent of the total exposure. The use
af low-volume concentrate spraying of parathion in fruit orchards
resulted in a respiratory exposure about three times as great as that
observed for similar parathion applications using conventional high-
volume spray. This is undoubtedly due to the fact that the low-volume
concentrate spraying results in particles of significantly smaller size
than conventional sprays.
Only three of the compounds studied, endrin, parathion, and TEPP,
were involved in operations in which the mean value for the percentage
of toxic dose potentially absorbed per hour exceeded 1 percent. The
highest potential exposure was observed for workers who loaded air-
planes with 1 percent TEPP dust. They received 44.2 percent of the
toxic dose per hour of work. Although the fraction of toxic dose re-
ceived during application of some of the less toxic chlorinated hydro-
carbon pesticides was comparatively low, these compounds are, as
noted previously, stored in the body fat following absorption. No
manifestations of such pesticide exposure have been observed, however.
In cases where poisoning did occur, it was possible to show an obvious
disregard of one or more of the safety regulations. Thus, this study
affirms that pesticides can be used safely provided recommended pre-
cautions are followed.
Quinby and Lemmon (7) studied the potential exposure of workers
engaged in picking, thinning, cultivating, and irrigating various crops
to which parathion had been applied. Eleven cases of poisoning in-
volving more than 70 persons occurred from contact with the parathion
residues. Since the air concentration of parathion over the crops
was extremely low, it appeared that most of the affected workers were
exposed primarily by the dermal rather than the respiratory route.
Also, it was observed that many of the workers removed their protective
clothing and wore contaminated clothing for long periods of time.
Thus, these poisonings were a direct result of working with and
handling contaminated crops.
In all cases where individuals work with pesticides, it is essential
that they be made aware of the problems peculiar to the particular
chemical exposure and that they become familiar with methods of
protection.
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Transportation.—In the consideration of problems associated with
contamination of the environment, the possible contamination through
the transportation of pesticides from the point of manufacture to the
point of final application must be considered. The equipment designed
for transportaion of large volumes of pesticide, which in case of acci-
dent could cause hazard to numbers of individuals, require a design
such that accidents would be prevented insofar as possible. Tank cars,
trucks, and pesticide containers need to be designed in such a manner
that mishandling, which frequently occurs in shipment, will not cause
accidents to the individuals handling the material or to the general
public. It is essential that equipment used in handling and disseminat-
ing pesticides be adequately and properly maintained, so that spills
and the escape of pesticides is avoided.
There is also a need to prevent food contamination with pesticides,
particularly in shipment. A number of cases have been reported in
which pesticide materials shipped with foodstuffs contaminated large
volumes of food, thereby causing subsequent illness and death.
To minimize such occurrences, the simultaneous shipment of pesti-
cides and foodstuffs should be avoided. In fact, vehicles used for bulk
pesticide shipment should be single-use vehicles; i.e., their use should
be confined solely to the transport of pesticide chemicals.
Contamination of water supplies by accidental spills and the con-
tamination of grain used subsequently to make flour has also been ex-
perienced. In all cases, consideration must be given to the instruction
of the individual handling the material concerning the hazardous na-
ture of the chemical involved.
Accidents.—A large number of accidents from pesticides occur each
year. For example, in 1961, 8.5 percent of all cases of accidents and
poisoning of children younger than 5 years of age in the United States
was attributed to pesticides (5). Of the 32,034 reported cases, 16,119
were caused by medicines, 1,726 by petroleum products, and 2,709 by
pesticides.
In South Carolina, between 1957 and 1966,38 deaths were attributed
to pesticide usage (9). Most poisonings occurred in areas of high pesti-
cide application and 60 percent of the fatalities occurred in children
under 5 years of age. Parathion accounted for 34.2 percent of the poi-
sonings and arsenic 31.6 percent.
In Dade County, Fla., studies of the pesticide mortality records for
the years 1956-67 revealed that children under 5 years of age ac-
counted for 23 percent of the fatal poisonings (10). These deaths were
primarily due to accidental ingestion of the pesticides in and around
the home. In addition to the children, young to middle age adult
mules who were occupationally poisoned and middle age to older adults
who suicidally ingested pesticides accounted for the majority of the
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fatal and nonfatal pesticide poisonings. Organophosphate pesticides
accounted for 53 percent of the fatal poisonings.
McLeod and Herban (11) studied the pesticide mortalities which
occurred in Louisiana between 1958 and 1967. Pesticides were the cause
of 102 deaths during this period. The 10-year cumulative death rate
from pesticides per 100,000 population are as follows:
Pesticide ingestion accounted for 75 out of the 102 cases. Mo9t of
the poisonings in infants and children were accidental whereas poison-
ings in adults were primarily suicides. Only three deaths were occupa-
tional and these were all agricultural. Arsenic accounted for 37 deaths;
unknown pesticides 21; inorganic phosphorus 12; fluoride 10; and
organophosphates 9.
McLeod (12) also studied the 107 cases of pesticide poisoning in
patients admitted to Charity Hospital in New Orleans from July
1965, through June 1967. Children less than 5 years of age accounted
for 77.6 percent of these cases. In comparison with the total admis-
sions to the hospital, a greater proportion of the pesticide poisoning
patients were Negro. Most of the adult poisonings were the result of
suicidal attempts whereas the poisoning of children occurred through
accidental ingestion. Pesticide mixtures accounted for 26.1 percent
of the poisonings; Fumarin and Warfarin 20.6 percent; organophos-
phates 15.9 percent; and chlorinated hydrocarbons 4.6 percent.
The above studies indicate that children who accidentally ingest
pesticides in the home account for a large proportion of the accidental
poisonings attributable to pesticides. Efforts aimed at the reduction
of accidental poisonings, therefore, must be directed toward the mini-
mizing of children-pesticide contact in the home environment. No
single pesticide or pesticide formulation has been incriminated as
being a major cause of accidental poisoning. The availability or ease
of access to the pesticide would seem to be more important than the
type of chemical involved.
Accidental exposures to pesticides occur through inhalation, direct
consumption of contaminated food, and through skin absorption.
Coble et al. (13) reports the accidental poisoning of several people
by flour contaminated with endrin. Although no human fatalities
resulted, the bread which caused the poisoning killed a rat within
12 hours after feeding and caused dogs to convulse. Extracts from
White:
Accidents
Suicide. _.
0.	48
1.	94
Nonwhite:
Accidents
Suicides..
2. 21
0. 62
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the flour sacks killed a dog 2 hours following ingestion. How the flour
became contaminated was not known.
The packaging of pesticide products is an important consideration
in the reduction of accidents, whether in the manufacturing plant,
during shipment, in stores or in homes, Defective packages or pack-
ages which might rupture during rough handling must be avoided.
The use of package materials which will not weaken during long
periods of storage due to degrad&tive processes such as corrosion
should be made mandatory.
Another problem is that of the disposal of used pesticide containers.
Large containers may contain appreciably amounts of pesticides
after use. For example, Wolfe et al (14) fofand that 22 empty 5-gallon
metal drums which had obtained 45.6 percent parathion emulsifiabJe
concentrate contained an average of 2.73 gm. of technical parathion
in suspension. Tests indicated that rinsing the containers twice with
water removed almost 98 percent of the removable parathion. The
disposal of the rinse water presents additional problems, the solu-
tion to which may be the shipment of unrinsed bulk containers back
to the manufacturer who, presumably, would have the facilities neces-
sary to clean the containers, dispose of the rinse water and dispose of
or reuse the containers, and at the same time insure that the con-
tainers would not be reused for packaging foods or the like.
The incorrect disposal of containers used for household pesticides
constitutes a hazard to man and hi8 environment. It is important,
for example, that glass or metal containers be disposed of soon after
their contents have been emptied in order that they may not be used
for drinking water jugs or other household purposes or remain avail-
able for possible contact with children. The present day disposal meth-
ods, namely incineration (as presently practiced, time-temperature
aspects are insufficient for pyrolysis) or burial in the ground, are
unsatisfactory in that even though they minimize the immediate
dangers of exposure, they contribute to the buildup of environmental
contamination. A solution offered for the disposal of bulk containers
may not be practical with regard to the many smaller bags, bottles,
boxes, cans, etc., sold to the public each year. Obviously, a more sat-
isfactory solution to this problem must be found. In this connection,
information as to the proper disposal of old, unsold stock or of dis-
continued pesticides should be made available to all pesticide users.
The accidental incorporation of massive levels of granular or powder
insecticides in animal feed in place of the intended mineral is a pri-
ma^ source of pesticide problems in livestock. Animals that die from
such exposures are disposed of in rendering plants and end up in
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meat scraps and tankage fed to animals, thus contributing to
pesticide residues in foods for humans.
In order to prevent accidents of the types listed above, one of the
important aspects is that of labeling, coloring, or otherwise clearly
marking pesticides in such a manner that will bring to the atten-
tion of users the hazards which exist. It is important that the user
of pesticides be thoroughly and forcibly warned of the hazardous
nature of the material and the reasons for the precautions which are
recommended. Problems of storage need to be given adequate atten-
tion, particularly in relation to storage of household pesticides so
as to prevent their availability to children.
The possibility of sales control through appropriate registration
of the more hazardous pesticides should be given attention.
CITED REFERENCES
(1)	Hartweli,, W. V. and Hayes, G. R.: Respiratory exposure to organic phos-
phorus insecticides. Arch Envir. Health 11 :r>64-568, 1965.
(2)	Laws, E. R., Curley, A., and Bibos, F. J.: Men with intensive occupational
exposure to DDT. A clinical and chemical study. Arch Envir. Health
15 :766-775,1967.
(3)	California, State of: Occupational Disease in Calfornia Attributed to
Pesticides and Other Agricultural Chemicals—1966. Department of Pub-
lic Health, Bureau of Occupational Health. Berkeley, Calif, (undated),
25 pp.
ib) Wolfe, H. R., Durham, W. F., and Armstrong, J. F.: Health hazards of
the pesticides endrin and dieldrin. Arch Envir. Health 6:458-464, 1963.
(5)	Wolfe, H. R.: Health hazards in the agricultural use of economic poisons.
Wash. St. Weed Control Proc., 1960, pp. 3—8.
(6)	Wolfe, H. R., Durham, W. F., and Armstrong, J. F.: Exposure of workers
to pesticides. Arch. Env. Health 14:622-633, 1967.
(7)	Quinby, G. E. and Lemmon, A, B.: Parathion residues as a cause of poison-
ing in crop workers. J. Am. Med. Assoc. 166:740-746, 1958.
(8)	Cann, H. M.: Pesticide poisoning accidents among young children. Am. J.
Pub. Health 53 :1418-1426, 1968.
(9)	Pietsch, R. L., Finkxea, J. F., and Keil, J. E.: Pesticide poisoning in South
Carolina. J. S. Carolina Med. Assoc. 64:225-228, 1968.
(10)	Retch, G. A., Davis, J. H., and Davies, J. E.: Pesticide poisoning in South
Florida. An analysis of mortality and morbidity and a comparison of
sources of incidence data. Arch. Envir. Health 17:708-775, 1968.
(11)	MoLeod, A. R. and IIerban, N. Ij. : Mortality from pesticides in Louisiana,
1958 to 1967. J. Louisiana St. Med. Soc., (In press).
(12)	McLeod, A. R.: An epidemiologic study of pesticide poisonings in patients
admitted to Charity Hospital, New Orleans. J. Louisiana St, Med. Soc,,
(In press).
(13)	Coble, Y. Hildebrandt, P., Davis, J., Raascii, F., and Curley, A.: Acute
endrin poisoning. J, Am. Med. Assoc. 202: 489-493,1967.
(14)	Wolfe, H. R„ Durham, W. F., Walker, K. C., and Armstrong, J. F.:
Health hazards of discarded pesticide containers. Arch. Envir. Health
3:531-537,1961.
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Alternative Pest Control Measures
Alternatives to persistent pesticides may be of two main types. First,
nonpersistent pesticides may be substituted for persistent materials.
Secondly, pest control procedures which do not utilize toxic chemicals
may be employed. Such alternative methods are usually of a biological
or physical nature but their use has been limited up to this time, al-
though much research has gone into the development of these tech-
niques. An increased emphasis is being placed on nonpesticide control
methods, with more than 50 percent of the Agricultural Research Serv-
ice entomological research budget in 1967 devoted to these alternative
techniques. Since more than 90 percent of the total amount of pesti-
cides used are employed for the control of fewer than 100 species of
pest organisms, the reduction of these specific pest populations by non-
chemical methods would significantly reduce the pesticide burden.
In some situations, the establishment of a goal for pesticide treat-
ment of less than a 100 percent kill would not only reduee the amount
of pesticide needed but also would allow the maintenance of beneficial
predators in the community enabling them to continue exerting a nat-
ural population control of the pest organisms.
Development of nonpersistent pesticides.—The development of non-
persistant pesticides has had high priority for the last several years.
The results of this intense effort are already becoming evident as the
trends in pesticide application are to the use of the less persistent
pesticides. For example, the organophosphate compounds are under-
going increased production and use whereas the persistent chlorinated
hydrocarbon compounds are, in general, declining in use. Although
many of the less persistent pesticides are more toxic than the persistent
chemicals, and therefore can exert a greater potential toxic effect on
pesticide handlers and on nontarget organisms, the fact that they
remain viable in the environment for shorter periods of time reduces
the possibility of their entrance into ecological systems with possible
harmful consequences.
Resistant crops,—One of the best methods for protecting crops
against insect injury is the development and use of resistant plant
varieties. The expense of applying sprays and dust, the hazard of
chemical residues, and the danger of developing resistance to pesticides
are all avoided. The development of resistant crops, therefore is a con-
tinuous process of discovery, breeding, and selection of resistant strains.
As the diseases are constantly changing, the resistance of crops to plant
diseases may also vary. Rainfall, temperature, fertility, planting dates,
and soil condition all influence the degree of resistance shown to a
crop disease.
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Resistant plants that have been developed frequently show an im-
provement in yield and quality as a result of more normal growth.
Various strains of wheat, oats, and barley and other grains have been
developed which are resistant to leaf blights and rusts. Various strains
of nongrain plants such as alfalfa, cotton, tobacco, beans, potatoes,
and tomatoes have been developed which are resistant to specific dis-
eases caused by various fungi, bacteria, viruses, and nematodes. The
goal is the development of strains of each type of crop which are re-
sistant to all major types of diseases.
Plants which are resistant to attack by inserts, as for example the
Hessian fly, have been developed. Corn varieties are available that re-
duce cornborer losses by 70 percent. Wheat and alfalfa strains which
are resistant to the particular insects which attack these crops are
being developed and cotton strains resistant to attack by the boll
weevil have been found. The development of resistant, varieties ap-
pears to be the most successful of all noncliemical control methods.
bisect parasites and predators.—The introduction of beneficial para-
sites and predators not native to a particular location and their artifi-
cial growth and distribution is one method by which pests may be
controlled. In addition to the potential lower pest control costs and
avoidance of chemical residues, the widespread substitution of par-
asites or predators for chemical applications would aid in preventing
the danger of developing insect resistance and would also reduce the
possible pesticide injury to the host plant.
There are now at least 95 species of imported parasites and predators
established in the continental United States. Many of these were
brought from Europe to control the gypsy moth, the brown-tail moth,
the European cornborer, and the alfalfa weevil. A large majority of the
introduced species are parasites. There are at least 32 species of par-
asites used in California against scale insects and mealy bugs. Tachinid
flies are used principally against forest and shade tree insects. The
development of techniques which allow for an economical production
of great numbers of parasites has been a large factor in the success
of these efforts. This is necessary so that effective numbers can be re-
leased in areas infested by pest insects.
In spite of some success, there have been only 106 insects anywhere in
the world including 46 in the United States, that have been partially,
substantially or completely controlled by parasites or predators in-
troduced into an area by man (/). For reasons of easier geographical
and ecological control, the greatest successes in this type of treatment
have occurred on islands. This is also true of other means of biological
control and it is a fact that large volumes of pesticides still must be
used to control the organisms to which biological control methods have
been applied despite some success.
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Insect pathogens.—Since insects are subject to infection by disease-
causing organisms, namely, bacteria, viruses, fungi, protozoa, and
nematodes, the use of these organisms offers potential control of pest
insects. The organisms which attack insects are very seldom the same
organisms which attack higher plants and animals, which make them
relatively specific by nature. Various attempts have been made to de-
velop control methods by utilizing disease-producing organisms.
Studies have been made on chinch bugs, grasshoppers, the brown-
tail moth, and the citrus white fly, using fungi as a disease-produeing
agent. The propagation and distribution of fungi, however, is largely
dependent on weather conditions and the results of field studies have
been difficult to evaluate. Another problem with the use of insect fun-
gus diseases is that atmospheric moisture and temperature greatly
affect their dissemination. Warm humid conditions are usually re-
quired for the use of fungi in the control of insects. Bacteria, viruses,
and protozoa, on the other hand, are not so dependent on high relative
humitity for growth and dissemination as are the fungi, These orga-
nisms may be ingested with food or carried by the insect's predators
and parasites, by wind and rain and irrigation water. Weather con-
ditions are important, however, in developing the population densi-
ties required for the control of pest organisms.
Bacteria have been utilized for the control of the Japanese beetle.
Large numbers of beetle grubs are first infected with the bacterium
Bacillus sp. The grubs are then refrigerated until ready for use. At
that time, the grubs are ground up, a dust base is added, and the spore
powders are distributed through areas infested with Japanese beetles.
The bacteria spores are resistant to dryness, moisture, cold and heat,
and may live in the soil for years infecting grubs feeding on grass
roots.
The control of the alfalfa caterpillar has been accomplished by in-
fection with the virus Borrelina campeoles. Infection of these cater-
pillars by this virus can reduce caterpillar populations below economi-
cally important levels in from 5 to 7 days. Supplies of the virus may
be augmented by the continued collection of infected larvae in the
field and their processing to conditions amenable to dissemination.
Micro-organisms used for insect control should not pose a threat to
higher animals or plants. The main difficulties of this type of control
involve the manufacture and dissemination of large amounts of the
microbial material. Also, most of these biological agents are specific by
nature and affect only one pest, allowing other pest insects to live and
flourish once their competition has been reduced. Pathogens also gener-
ally do not produce the quick kills which farmers prefer. Thus, despite
some promise, the pathogenic control of pest organisms must be
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improved substantially before it can become an effective control
technique.
Cultural or environmental control.—The so-called cultural or en-
vironmental techniques for pest control are essentially modifications
of the ecological systems within which the insects operate. One such
approach is the use of induced sexual sterility in which the basic be-
havioral patterns of the insect provide the mechanism of insect control.
In this technique, insects which are sexually sterilized are released
to mate with normal insects thus reducing the population's repro-
ductive potential. If the number of sterile matings is sufficiently
greater than the number of normal matings, the population will
decrease with each generation instead of increasing. When, by con-
tinued release, the number of sterile insects is maintained at a con-
stant level, while the number of normal insects declines, the ratio of
sterile matings to normal matings will increase rapidly in successive
generations.
In many eradication programs, such as the screwworm and melon
fly programs, sterility was induced by irradiation. Since this tech-
nique requires the rearing of insects in the laboratory in large numbers,
it is not applicable to species which are not suited to such laboratory
rearing. In these cases, chemical sterility of a large proportion of the
existing natural population would provide the answer. Ohemosteri-
lants are effective in the control of species in which the males and
females that are produced over a sizable area mix thoroughly before
mating takes place. If both sexes remain near the site at which they
molt to adults until after mating has taken place, chemosterilants
would not be as effective as toxic chemicals. All of the chemosterilants
which are presently in use are presumably mutagenic agents. For this
reason, contact between these chemicals and man or beneficial animals
should be avoided. Species that are attracted to baits and other
attractants are particularly susceptible to such methods. As of
1966 chemosterilants were not recommended for the control of any
species and no large scale experiments in their use had been con-
ducted. Research was under way to develop safe chemosterilants and
to devise safe and effective methods of application.
Regardless of whether the sterility is induced by chemosterilants
or by irradiation, there are certain characteristics necessary for a
species to be controlled by sexual sterilization. The first necessity,
particularly in reference to air-radiation produced sterility, is that
the species be able to be raised economically in large numbers. Species
that produce a large number of eggs per female and have a short
life cycle are most readily amenable to this type of rearing. However,
it is also essential that the sterilized insects do not in themselves con-
stitute a nuisance or a source of injury. Such insects as houseflies
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and cockroaches, or insects which serve as disease vectors, are not
species that can be acceptably controlled by sexual sterility. Species
which are widely distributed or have economic significance also would
not be practically controlled by sexual sterility. Sexual sterility will
achieve maximum success only with species in which the males and
females mix over a considerable area before mating occurs. If the
insects are restricted in their movement it may be difficult to obtain
adequate distribution and placement of sterile insects in required
numbers to compete successfully with the normal insect in the various
parts of the total area. And finally, it is necessary to be able to steri-
lize the species without too serious effects on its vigor, longevity,
behavior, or mating competitiveness.
Another method of effective sterilization of insects is to inject into
the adult insects synthetic juvenile hormones. Juvenile hormones are
produced by the insect's body during metamorphosis to retard the de-
velopment of the adult characteristics. During the final stage of meta-
morphosis the juvenile hormone is not produced, allowing adult
characteristics to develop. When large amounts of synthetic juvenile
hormone are introduced into adult insects, the insects are effectively
sterilized by the degeneration of the adult characteristics. Williams
and Bobbins (2) report on research by Roller which determined that
20 mg. of synthetic juvenile hormone was fully effective in controlling
codling moth infestations in individual apple trees. In other experi-
ments it was found that when the high dose of 1 mg. of synthetic
juvenile hormone was injected into a body of an individual male adult
of Pyrrhocoris apt eras ^ normal females received sufficient juvenile
hormone to sterilize them when mated to the treated male. The con-
taminated females were then in turn able to infect normal males
during later matings, and in many cases, these infected males passed
along sufficient hormone to sterilize yet a further group of normal
females. Thus, if this technique could become effective, the dissemina-
tion of the sterilizing chemical would be enchanced by the normal
activity of the insects themselves.
However, the juvenile hormone may be considered a broad-spectrum
insecticide with a potential for killing beneficial fauna, and hence,
care in its application must be exercised.
Physical pest control methods.—Various types of physical pest con-
trol methods have been developed and are undergoing study in order
to develop their practicality and usefulness. Nelson and Seubert ($)
reviewed new methods of pest control which utilized forms of electro-
magnetic, sonic, and ultrasonic energy.
The use of radiofrequency (RF) electromagnetic energy for the
control of insects has been investigated. Although it has been postu-
lated that RF energy of some particular frequency would be effective
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in killing insects by virtue of some resonance phenomenon, this has
never been demonstrated. It is thought the main lethal action of RF
energy on insects is produced by the heating of the RF electric fields.
The use of RF heating in the control of insects in a large area is im-
practical. The main application of the RF heating effect has been in
the insect control of grain, foodstuffs, and wood. RF heating has been
used to control insects in stored grain without damage to the grain
itself. RF heating has been used for wood disinfestation where in some
cases it might l>e more practical than conventional heating and chem-
ical methods by virtue of its deeper penetration. Little of the RF
energy spectrum has been studied but from the results obtained thus
far this type of electromagnetic energy merits further investigation.
Infrared energy has been used for insect control by radiating grain
on conveyor belts and maintaining lethal temperatures. The use of
infrared energy for the control of insects within large areas has not
proved practical. Attractants which utilize infrared light sources
have had some success.
Visible light, has been used for many years to attract insects. Most
of the common light traps employ blacklight, fluorescent lamps a9the
attractant source. These lamps emit strongly in the ultraviolet region
and attract large numbers of photo{x>sitive insects. Light traps have
been used as an entomological survey device, for detection and quar-
antine work, for the detection of population changes, and the predic-
tion of insect infestations. The use of light traps for the direct con-
trol of insects has been effective in small areas such as vegetable crops
or garden plots and there has been some evidence which suggests thai
the control of insects in larger areas by this method may be possible.
Light traps at a density of three traps per square mile over a circular
area 12 miles in diameter reduced the tobacco hornworm population by
approximately 65 percent in one season. Light traps in combination
with other techniques offer promise. With certain insects, light traps
containing caged virgin females exhibited a higher catch of male
insects than either separately. Light traps might possibly be used in
combination with chemosterilants.
Visible light may be used in other ways to control insects. For ex-
ample, during critical times in the life cycle of certain insects, if the
normal dark period is interrupted by a momentary flash of light, nor-
mal development is prevented, More research into the seasonal cycling
and development of individual insect species must be undertaken so
that techniques such as this can be used effectively.
X-rays and gamma rays, located at the high-energy end of the elec-
tromagnetic spectrum, are extremely penetrating types of radiation.
The effect of their ionizing tissue atoms can lie very damaging if suffi-
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cient energy absorption results from radiation exposure. One use of
ionizing radiation in insect control is that of the sterilization of male
insects as discussed previously. The use of irradiation for disinfecting
grain has also received much attention. Various dose levels applied
to grain are used to either sterilize or kill insects without harming the
grain. Wheat irradiation with 20,000 to 50,000 rads from gamma
sources providing energies of not greater than 2.2 Mev. has been ap-
proved by the Food and Drug Administration. Since studies of gam-
ma irradiation of citrus fruits have shown that low doses of radiation
are effective in controlling eggs and larvae of the Mexican fruit fly,
approval of gamma irradiation for such fruits is also being considered.
When the design of radiation equipment allows it to be used to disinfect
large quantities of grain and other products and the costs of such treat-
ment become more competitive, it is likely that ionizing radiation will
be used to much greater extent in lieu of chemical insecticides.
Other forms of radiant energy, such as sound and ultrasound, have
also been considered for tlheir pest control applicability. They can be
used in two main ways : (1) By causing death directly by heating,
injury to vital organs, or by applying intense energy levels, and (2)
by using lower intensities to which the pests are attracted or their be-
havior affected. Killing pests directly with high intensity sonic and
ultrasonic energy appears impractical because of the cost of produc-
ing the required energy and because the energy can only be applied in
a restricted area. Artificial sounds and recordings of an insect's own
sound have been used to attract insects.
Integrated control techniques.—The joint utilization of several suit-
able techniques to eradicate pests or manage their population levels
is termed integrated control. Integrated control utilizes chemical, bio-
logical, and physical techniques either concurrently or in sequence to
reduce pests to acceptable levels. Integrated control requires a thorough
understanding of the ecology of the pest populations and relies not
only on chemical pesticides, but also natural enemies and all other
factors in the environment which tend to limit pest populations.
Integrated control is desirable because the flexible nature of the
ecosystem allows it to react or adjust to stress in various ways. Thus,
to counteract the reactions of the ecosystem or to lessen the impact
which causes undesirable side reactions, more than one control method
is desirable. For example, rather than applying a large amount of
pesticide for the control of Hessian fly on wheat, smaller amounts of
pesticide together with delayed seeding and the planting of resistant
strains of wheat lessens the flow to the ecosystem, does not produce
such a large ecosystem reaction, and controls the Hession fly in a
more effective and economical manner than by using pesticides alone
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A similar type of integrated control would be the use of light to at-
tract insects to a bait which had been impregnated with a chemical
poison.
The effectiveness of integrated control in pest management is well
illustrated with control of the spotted alfalfa aphid. More than a dozen
insecticide treatments were initially employed for aphid control. When
use of natural enemies and insecticides were judiciously combined,
insecticide treatments were reduced to one. However, integrated con-
trol involves techniques that may appear quite subtle to the nonecol-
ogist, such as special plantings of certain tree types (bald cypress)
on reservoir shorelines (4). Hence, integrated control is likely to be em-
ployed only where knowledgeable personnel are available to initiate
and supervise such a program.
In short, integrated control is the manipulation of all the chemical,
biological, and physical components of the environment for the control
of the pest organism. The proper analysis of the techniques and mea-
sures to be employed requires that a systems design be developed for
the ecosystem in which the pests are found. Ecosystems contain dy-
namic interactions, therefore successful management of the system
must also be flexible and dynamic. To augment integrated control
techniques, fundamentals of ecology, genetics, plant pathology, agron-
omy, and entomology, as well as system analysis, economics, and
biomathematics must be employed.
CITED REFERENCE
(1)	DeBach, P. (Ed.) : Biological Control of Insect Pests and Weeds. New York,
Reinhold, 1064, 844 pp.
(2)	Williams, C. M and Robbins, W. E.: Conference on insect-plant interactions.
Bioscience 18 r 791-799,1968.
(3)	Nelson, S. O. and Seobert, J. L.: Electromagnetic and sonic energy for pest
control. In Scientific Aspects of Pest Control. National Academy of Sci-
ences—National Research Council, Pub. 1402, 1966, 470 pp.
(¦i) Smith, E., Pickard, and Hall, J. F.: Tree plantings for mosquito control.
Mosquito News 29: 161-166, 1969.
Monitoring of Pesticides in the Environment
The initiation of specific monitoring programs for pesticides has
been the result of the very specialized interest of individual govern-
mental agencies. As described below, the Departments of Agriculture,
Interior, and Health, Education, and Welfare all have substantial
roles in pesticides monitoring. Even within these agencies, the respon-
sibilities are divided according to the specific missions of the sub-
agencies such as the Food and Drug Administration, the National Air
Pollution Control Administration and the Environmental Control
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Administration in HEW and the Federal Water Pollution Control
Administration and the U.S. Geological Survey in Interior.
Recognizing the proliferation of studies and responsibilities, a Fed-
eral Committee on Pest Control was established which is charged with
coordination of activities and exchange of information amongst the
agencies involved in pesticide management. The Committee has no
responsibility for initiating activities. Consequently, there are con-
siderable gaps in the monitoring program with the result that an
assessment of the level of pesticides in the biosphere, and how it is
changing, is almost impossible to make. For example, among the
largest reservoirs for the storage of pesticides being added to the
environment are the oceans and yet no agency of the U.S. Government
has responsibility for monitoring pesticide levels in the oceans.
Many ad hoc studies of pesticides in the environment are being made
by various research agencies, and many of these are being reported
in the literature, but there is a need for evaluation of the entire bio-
sphere, the inputs of pesticides to the biosphere, their degradation,
translocation, and storage and their rate of accumulation in the vari-
ous elements of the biosphere. This would help identify elements in
the environment that should be monitored, and help indicate priorities
for the control of pesticide use.
Amongst the more obvious needs in a monitoring program are the
following:
(1)	An agency with initiative for instituting monitoring programs
where they are necessary. Such an agency would have responsibility
for overall assessment of pesticide use.
(2)	Studies of pesticide levels in the oceans, groundwaters, lakes,
rain, water supplies, waste waters, and in the air.
(3) Studies of pesticides use and levels in the environment outside
the United States. The use of pesticides in agriculture in developing
countries is only in its infancy. Indiscriminate and excessive use of
pesticides, which can be expected because of the technological and
educational level in these countries, will virtually assure that consid-
erable fractions of these pesticides will find their way outside the
countries of application and into the United States amongst other
countries, just as their use in the United States and other industrial-
ized countries has resulted in pesticide accumulations elsewhere in the
world.
(4) Assessments of pesticides levels in biota, with special attention
to levels in fatty tissues of all species of life. For example, bacteria
concentrate pesticides and the accumulation of pesticides in bacteria
in all phases of the environment may involve bacteria as a significant
storage reservoir.
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In addition, there needs to be a large investment in improvement in
analytical methods for monitoring pesticides in all environmental
media, with emphasis on automated monitoring so that data can be
readily stored and amenable to analysis by computer. The continuous
analysis of data gathered in a comprehensive monitoring system would
reveal points of potential danger and permit regulatory control meas-
ures to be instituted before permanent damage is done.
Pesticides in food and feed.—The Federal program for monitoring
pesticide residues in food and feed is comprised of: (1) Surveillance
programs operated by the Food and Drug Administration, U.S.
Department of Health, Education, and Welfare, and (2) pesticide
residues studies of meat samples provided by the Livestock Slaughter
Inspection Division, Consumer and Marketing Service, U.S. Depart-
ment of Agriculture. The objective of this program is to determine pes-
ticide levels in unprocessed and commercially processed consumer food
commodities, animal feeds and composites of food items prepared
for human consumption. Studies include: (1) A continuing market
basket study to determine pesticide levels in the basic 2-week diet of
a 19-year-old male, statistically the Nation's largest eater, and (2)
the nationwide surveillance of unprocessed food and feed.
The Department of Agriculture in 1964 initiated a program spe-
cifically designed to establish pesticide residue profiles in limited
areas. Pilot studies are being conducted in five areas in the Mississippi
River Delta and in Yuma, Ariz., and Grand Forks, N. Dak. Repre-
sentative farms are selected where records of the kinds and amounts
of pesticides used have been kept for 10 to 15 years. The program is
designed to determine existing pesticide levels in soils, sediment, water,
crops, livestock, and certain species of aquatic and land animals
inhabiting the study areas. In addition, soil samples have been ana-
lyzed from 17 locations having high pesticide use histories; 13 loca-
tions where pesticides were used occasionally such as forests and
range lands; and 13 locations on Forest Service lands and national
wildlife areas where no pesticides were reported to have been used.
In the surveillance of domestic and imported meat more than
5,000 samples were obtained in 1965 and 1966 from animals slaugh-
tered in federally inspected establishments.
The Food and Drug Administration surveillance program was ex-
panded substantially in 1963. For several years thereafter, FDA col-
lected and examined about 25,000 samples annually, subjecting them
to multiresidue methods of analysis using gas-liquid chromatography.
Presently, about 9,000 samples are examined annually. Most of these
samples are "objective"; that is, not related to any specific suspicion of
excessive residue and therefore expected to be representative of the
food supply as a whole.
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Pesticides in fish and wildlife.—Efforts to determine pesticide levels
in fish and wildlife are being carried out by the Bureau of Sport Fish-
eries and Wildlife, U.S. Department of the Interior. The monitor-
ing of pesticide levels in clams, oysters, and estuarine sediments is a
ment of the Interior and the Food and Drug Administration of the
Consumer Protection and Environmental Health Service, Department
of Health, Education, and Welfare.
The objective of these programs is to determine on a national scale
the levels and trends of pesticides in the bodies of selected forms of
animals and in estuarine sediments. Fish and wildlife at or near the
top of the food chain are being sampled at each sampling location.
The species selected are not extremely sensitive to chemicals, are geo-
graphically well distributed, reasonably numerous, and easy to collect.
Residues in these organisms reflect residues in organisms at lower
levels of the food chain. The species chosen for monitoring of pesti-
cides in wildlife include the mallard or black duck, starling, and the
bald and golden eagles. The monitoring of pesticide levels in estu-
aries is done by the determination of pesticide levels in oysters and
clams. The upper estuarine sediment is also being sampled.
Pesticides in surface waters.—The program for the monitoring of
pesticides in surface waters is being carried out by the FWPCA and
Geological Survey of the U.S. Department of the Interior. The purpose
of this program is to provide information on the extent of pesticide
contamination of the Nation's water resources. Monitoring is cur-
rently confined to the surface waters in the major drainage rivers
of the United States. Sampling sites have been chosen according to
the following criteria: (1) Locations have been selected at or near
the mouths of major river drainages throughout the country; (2)
other sampling sites on river systems have been chosen when it is
believed that a reasonable measure of pesticide contamination cannot
be obtained by sampling at the mouth; (3) sites have been selected
at or near stream-gaging sites; (4) sites have been located where the
quality of river water is now being affected by the use of pesticides;
(5) if possible, the locations have been chosen where other kinds of
water quality data have been or are being collected; and (6) stations
have been located, if possible, at points from which historical data in
the form of carbon filter extracts are available. Fifty-three sampling
locations have been selected. In general, lakes and ground waters,
as well as ocean waters, which constitute the largest reservoir of
pesticides, are not being monitored.
Pesticides in soil.—Most of the soil monitoring program has been
carried out by the U.S. Department of Agriculture. Other aspects are
being conducted by the U.S. Department of Agriculture in cooperation
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with State and other Federal agencies. The objective of this program is
to determine levels of pesticide residues in soils of selected areas in the
United States and to detect any significant changes in these levels.
Soil monitoring sites were chosen where possible to coincide with
sampling sites of other agencies in the Federal pesticide monitoring
network so that soil data may be correlated with pesticide levels in
other environmental media. Soils in areas of high pesticide usage as
well as areas of low usage are being monitored.
Pesticides in air.-—An air monitoring network, eventually to include
pesticides, is being established by the National Air Pollution Control
Administration. Because of the considerable variability of pesticides
in air, their fallout and washout and the uncertan patterns of air
in air, their fallout and washout and the uncertain patterns of air
movement over the earth, the results of such monitoring will require
sophisticated interpretation.
Pesticides in people.—The monitoring of pesticides in people is
being carried out by the Division of Community Studies of the Food
and Drug Administration, CPEHS, HEW, at the Communicable Di-
sease Center in Atlanta. The purpose of this program is to determine
on a national scale the levels and trends of some of the commonly
used pesticides, both in the general population and in population seg-
ments where increased exposure levels are known or suspected. The
present monitoring program hopes to provide statistically and epi-
demiological^ sound information for use in the evaluation of the sig-
nificance of man's total exposure to pesticides. Such items as geo-
graphic area, conditions of exposure, type of pesticide, sex, and body
tissue samples are taken into account and evaluated. Two types of mon-
itoring studies are being conducted—a limited national survey of the
general population and an indepth study of selected communities in
high-use areas. Three population groups are being sampled: (1) Oc-
cupationally exposed workers (agricultural applicators, workers in
pesticide formulating plants, pest control operators, greenhouse work-
ers and aerial spray pilots); (2) individuals not occupationally ex-
posed but known to be repeatedly exposed (people living in agricul-
tural areas); and (3) the general urban population (people whose
exposures are largely limited to pesticide traces in food, water and air).
With long-term epidemiological data, it may be possible to distinguish
the effects of continuous low levels of exposure to pesticides on human
populations.
Analytical methods.—The accurate measurement of environmental
pesticide levels requires the continuing development of analytical meth-
ods sensitive enough to measure the low concentrations present. The
instrumentation, its correct operation and analysis of the results ob-
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tained by these techniques require highly trained and experienced per-
sonnel. Therefore, the proper monitoring of the pesticide levels in
such major environmntal components as food, air, and water is a
highly sophisticated operation.
Less complicated techniques are available but suffer from a lower
sensitivity. If insensitive procedures are adopted to save costs for
some monitoring operations, the use of a highly toxic compound could
be approved because of the poor method of analysis used, while the
use of another, less toxic compound is denied because a sensitive
method of analysis is available that indicates the presence of an in-
finitesmal amount. Clearly, in order to measure environmental pesti-
cide levels and evaluate their effects meaningfully, the most modern
and sensitive techniques available must be employed regardless of the
cost and complexity involved.
The measurement of pesticide residues in food is perhaps the most
advanced of all such techniques. The time required per analysis is rela-
tively low, the differentiation of the many different pesticide chemicals
may be reliably carried out, and the sensitivity is high, allowing the
accurate measurement of concentrations well below established toler-
ance limits. These techniques are also capable of determining ac-
curately a number of significant metabolic or alteration products.
Equipment of relatively high initial cost is required, however, and
highly qualified personnel must perform the analyses and interpret
the results.
The technique of measuring pesticide levels in air is not as highly
developed as those for food and water. The measurements are most
generally accomplished by passing a known volume of air through an
organic solvent contained in a gas scrubbing device. Ethylene glycol
is used most generally as the solvent. Care must be taken to obtain a
reagent blank free of compounds which would interfere with either
the electron capture or flame ionization gas liquid chromatography
systems. The presence in the atmosphere of so many compounds in
small concentrations requires that the analyst be certain that all the
peaks produced originated from the scrubbed air.
These compounds also present problems in identification and differ-
entiation amongst pesticides and other organic compounds, both syn-
thetic and naturally produced, that are found in the environment.
Competent analytical chemists capable of interpreting environmental
polution data must be employed.
Continuously operating monitoring systems are desirable because of
the large amount of air which may be sampled, but such systems re-
quire an inline calibration in order to obtain accurate measurements.
These are expensive to acquire and operate.
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The sensitivity of commonly used procedures is as low as 0.1 p.p.b,
and is limited by the volume of air sampled and the cleanup efficiency.
In general, the sensitivity of the methods now in use is not adequate
for the proper evaluation of pesticide levels in urban areas.
The two most commonly used procedures for extracting pesticide
residues from water are the batch method and the continuous extrac-
tion method. In the batch procedure, a definite volume of water,
usually 1 liter, is extracted with an organic solvent such as chloro-
form, hexane, etc. The continuous extraction method involves the
passage of a large volume of water through an extraction apparatus.
The carbon absorption method of extraction whereby pesticides are
absorbed onto activated carbon and then extracted has not proven to
be of sufficient sensitivity so is not used to any great extent at the
present time.
Using the parameters described in the Food and Drug Administra-
tion Pesticide Analytical Manual, as little as 1 p.p.b. heptachlor
epoxide, for example, can be measured by the batch technique. The
sensitivity of this method may be improved at the expense of system
stability. The sensitivity of the continuous extraction procedure is
limited by the volume of water extracted. Once again, trained analy-
tical chemists are required to interpret the data.
Analytical Needs.—In addition to refining existing methods and de-
veloping new methods where no suitable procedures are now available,
research leading to the development of automated instrumentation is
urgently needed. This report identifies the many sectors of the en-
vironment that are not now being adequately monitored, and pro-
poses extensive new investigations to identify epidemiological and
other hazards in the environment. The implementation of the recom-
mendations will require a considerably greater investment in pesti-
cide analysis. In the long run, the most economical approach to these
massive operations will have to be through automation.
Systems Analysis of Pesticides in the Environment
Guides to policy decisions for institutional management of pesti-
cides in the environment require the continuous assessment of (1) the
rates of input of the various pesticides into the environment; (2) their
various rates of degradation and formation of toxic degradation prod-
ucts and in turn the rates of degradation of these products; (3) the
mechanisms and rates of translocation of pesticides among the sev-
eral media of the environment; (4) and the storage and rates of accu-
mulation of pesticides in the various elements of the biosphere. The
concurrent examination of these changing rates and amounts consti-
tutes a "systems analysis".
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Such systems analysis research would have several objectives: It
would identify the data that need to be obtained to permit the analysis
to be made; it would permit an evaluation of the trend of accumula-
tion of pesticides in the environment and it would enable a cost-benefit
analysis to be made that could serve as a guide to pesticide utilization.
The first step would be to establish a conceptual systems analytic
framework for the evaluation of interregional and intraregional
movements of persistent pesticides as they are dispersed into the envi-
ronment, while the second step would be to develop an operational
regional model within the United States for the movement of persist-
ent pesticides, including the import and export of residues into and
out of the region. While the construction of a global model would be a
desirable goal, operationally the task is not a feasible one under rea-
sonable limitations of time, effort, money, and data availability. Em-
pirically derived inferences can be drawn from a regional model that
perhaps could limit the added value of a global model.
An essential part of the research, and possibly one of its most valu-
able contributions, would be an assessment of the adequacy of current
research and data collection activities upon which such models will be
built and upon which policy decisions must be made. The value of such
data and research can be measured only in terms of uses to which they
can be put.
The attached schematic diagram depicts a regional system for pesti-
cides movement among the air, biological, water and soil storage and
transport media. Also represented are additions of pesticides through
imports from other regions and direct application within the system
while losses are represented by export and decay. By constructing a
mathematical model of the regional system using established relation-
ships among its components and calibrating the model with the best
available estimates for model parameters, it is possible to assess the
impact on system response of alternative policies relating to rates and
methods of application. System response, measured by the amounts of
pesticides in any component at any time, can be translated into eco-
nomic, health, and ecological consequences, some of which have previ-
ously been established.
Because pesticides include a wide variety of chemicals which are
applied and dispersed by a number of processes and because persistent
pesticides are of primary concern in protecting environmental quality,
the research might initially be directed toward the behavior of the
persistent pesticides, the chlorinated hydrocarbons, with the other
pesticides being introduced after the model has been designed and
verified.
175
371-074 0—89	13

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IMPORT
DIRECT APPLICATION
EXPORT
Air borne
Sources
Biota
fl
ux
Water borne
Sources
assimi lotion
BIOTA
death
excretion
assimilation
I
WATER
adsorption
leeching
Air borne
Exports
Harvest and
biota flux
Water borne
Exports
DECAY
Flow diagram for regional system for pesticide movement in the environment.
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CHAPTER 3
Effect of Pesticides on Nontarget
Organisms Other Than Man
Contents
Page
Summary and conclusions		179
Introduction		186
Routes of exposure		192
The effects of pesticides		202
Alternative pest control practices and their potential danger
to nontarget organisms				215
Costs and value to society		220
Training and testing of pesticide users		221
Bibliography				222
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EFFECTS ON NONTARGET ORGANISMS OTHER
THAN MAN
Summary and conclusions
Man is an integral part of the living system, which includes about
200,000 species in the United States. Most of these are considered to
be essential to the well-being of man. Pesticides are now affecting indi-
viduals, populations, and communities of natural organisms. Some,
especially the persistent insecticidal chemicals such as DDT, have re-
duced the reproduction and survival of nontarget species.
Pesticides are dispersed via air, water, and the movements of organ-
isms. The most significant concentrations are found in and near the
areas of intensive use, but traces have been found in the Antarctic and
other areas far from application. Pesticides have reduced the popula-
tions of several wild species. Both extensive field data and the results
of excellent controlled experiments demonstrate that certain birds,
fishes, and insects are especially vulnerable. There are suggestions that
pesticides in the environment may adversely affect processes as funda-
mental to the biosphere as photosynthesis in the oceans.
However, the scarcity of information concerning the influences of
pesticides on natural populations prevents adequate assessment of
their total effects. Less than 1 percent of the species in the United
States have been studied in this connection, and very few of these
have been subjected to adequate observation. Present methods and pro-
grams for determining the influences of pesticides on nontarget organ-
isms are inadequate. Little data exists on the distribution, location, and
impact of various pest control chemicals in the natural living systems
of the world.
The general nature of the effects of pesticides on nontarget species
populations and communities can now be suggested. Although there
is usually greater similarity of reaction between closely related species,
each species reacts differently to specific pesticides. DDT, for example,
causes egg shell thinning in ducks and falcons, but not in pheasants
and quail. Pesticides from the air, water, and soil may be concentrated
in the bodies of organisms. The concentrating effect is frequently en-
hanced as one species feeds on another and passes the pesticide from
one link to another in the food chain. Hence, predators like some birds
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and fish may be exposed to levels several thousand times the concen-
tration in the physical environment. Some nontarget organisms can,
under highly selective pressure from pesticides, evolve resistance to
them. The surviving resistant individuals may pass extremely high
concentrations to their predators. In communities exposed to pesticides,
the total number of species is usually reduced and the stability of popu-
lations within the community is upset. Often, beneficial species are
unintentionally eliminated. Such a reduction in the number of species
is frequently followed by outbreaks or population explosions in some
of the surviving species, usually those in the lower parts of the food
chain. When a vital link low in the food chain is eliminated, many
predators and parasites higher in the food chain are often also
destroyed.
The Committee has reached the following conclusions:
1.	Adequate methods should be developed and utilized for evalu-
ation of the hidden costs of the uses of pesticides.
Such evaluation is essential as part of the development of use-
ful estimates of all of the benefits and costs to society. Some
partial estimates of the direct benefits are available and useful.
Adequate data are not available on such indirect costs as losses
of useful fish and wildlife, damage to other species, and any
esthetic effects. These are required to guide rational decisions
on the proper uses and control of pesticides so that the net gains
will be as great as possible while the net losses are minimal.
2.	Persistent chlorinated hydrocarbons which have a broad spec-
trum of biological effects, including DDT, DDD, aldrin, chlordane,
dieldrin, endrin, heptachlor, and toxaphene, should be progressively
removed from general use over the next 2 years.
These pesticides are causing serious damage to certain birds,
fish, and other nontarget species among world populations.
Some of these species are useful to man for food or recreation,
some are essential to the biological systems of which he is a part,
and some merit special protection because they are already
endangered.
These pesticides have value in specific circumstances, and
we suggest that they be used only under license and with spe-
cial permits. The system for assuring this careful use should
be established as the unrestricted use of these materials is
phased out over the 2-year period.
3.	The release of biocidal materials into the environment should
be drastically reduced.
In addition to restriction of the use of hazardous pesticides,
many techniques can be applied which will minimize the re-
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lease of pest control chemicals. In industry, improved chem-
ical and engineering processes could reduce the quantity of
contaminated wash water; more effective methods can be
developed for disposal of unused stocks and residues of pesti-
cides; and improved surveillance of effluents would be de-
sirable. For home use, improved materials and methods of
application can be created and employed with greater discre-
tion on the part of the individuals involved. For large-scale
applications, conversion to integrated methods of pest control,
care in the selection and application of specific chemicals, and
preference for short-lived pesticides would reduce release to
the environment.
These efforts, combined with increased research and educa-
tion, would slowly but effectively reduce the damage to non-
target species.
4.	The U. S. Department of Health, Education, and Welfare
or another Federal agency should negotiate a contract with a suitable
national professional organization to develop a system, complete
with standards of training, testing, and enforcement, for the effective
restriction of use of selected pesticides known to be especially haz-
ardous to man or to elements of the environment.
To achieve an adequate and prompt further reduction in
the use of certain pesticides and still permit their use where
no adequate substitute is acceptable, there must be a system
of regulation based upon State or local authority but using
uniform national standards. This system should provide for
use of the selected pesticides only by or under the immediate
supervision of a licensed operator meeting certain standards
of training, competence, and ethics.
5.	Educational efforts relating to the proper and improper usages
of pesticides should be improved and expanded.
The most important element in the wise use of pesticides
is the individual person who selects the chemical to be used and
decides upon the methods of application. Suggestions have
been provided elsewhere for the proper training of all large-
scale applicators. It is equally important that homeowners,
gardeners, students, legislators, civic officials, and others receive
adequate and correct information and develop proper atti-
tudes. Such education could contribute greatly to wise use of
pesticides, and also to rational response to governmental efforts
to protect public health and welfare while gaining as much
advantage as possible from pest control methods.
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6. All pertinent Federal and State agencies should review and
improve policies and practices of pesticide use.
The beneficial uses of pesticides have been accompanied by
a wide variety of policies and practices which have sometimes
been wasteful, unnecessarily destructive, or ineffective. We
offer the following suggestions to be included among the guide-
lines for wise use of pesticides:
a.	Pesticides should be applied only when there is evidence
that pest densities will reach a significant damage threshold.
b.	Effective pest control does not usually require eradication
of the pest species, and should be directed toward optimal
management of pest densities.
c.	Support for research and demonstrations should be pro-
vided to projects based on the systems approach to pest manage-
ment and control.
d.	Diversity of species is biologically desirable since it con-
tributes to the stability and efficiency of life systems.
e.	No species should be eradicated except as a carefully se-
lected pest and when compensating human gains are ecologically
sound and clearly established.
f.	Special care must be taken to prevent any damage to the
species and mechanisms which are of fundamental importance
to biological systems. For example, oceanic photoplankton pro-
duces most of the oxygen necessary for the earth's biological
system.
g.	Requirements for food quality should not be so high as to
require excessive use of pesticides. Customer preference, and
regulatory requirements, for unblemished fruit and vegetables
and the complete absence of insect parts have encouraged heavy
use of pesticides.
h.	New pesticides should be given interim approval which
permits contained use in limited but typical circumstances
prior to general approval. The pattern of careful progressive
risks would encourage new developments without endangering
the public interest.
i.	Effective incentives should be established to encourage the
development of improved pest control techniques. The cost of
entering a new product or testing a different control technique is
high. Since effects on the national welfare are involved, proper
governmental encouragement of private industrial efforts may
be appropriate.
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7.	Registration requirements should be strengthened and rede-
signed to permit initial provisional approval, then general use ap-
proval, and to require periodic review and re-registration of materials.
Registration of pesticides offers the most important oppor-
tunity for estimating potential benefits and costs in advance
of wide usage. In addition to present registration application
information, useful estimates should be provided of the per-
sistence of the pesticide, on the breadth of its biological impact,
and on its fate. These will disclose the nature and possible mag-
nitude of the nontarget effects. If approval is appropriate, we
suggest that it be for a short-term period and for use under
defined circumstances where risks are confined, and that general
use be considered after such field experience. Since some of the
significant effects in nontarget species are subtle, sublethal, and
difficult to detect, we recommend that all pesticides be subject
to periodic review and approval.
8.	All commercial applications and other large-scale applications
of pesticides should be performed under the supervision of competent
trained persons.
The complex responsibilities of pesticide application involve
both achievement of the greatest possible benefit and maximum
prevention of damage. These require considerable knowledge of
the management of crops, the biology of desirable and unde-
sirable species, the effects of weather, and the effects of biocide
in the ecosystems. They also require application of professional
judgment and use of professional standards of conduct and
responsibility. We suggest that all such applicators should be
properly trained, required to demonstrate their competence, and
awarded evidence of their ability. Incentives in the forms of
salary and recognition will be needed to encourage such pro-
fessional training.
Training programs for pest management specialists of all
types, including applicators, should include the concepts of sys-
tems approaches to pest control and emphasize the relationships
between pest management activities and the total biological
community affected.
Since new information is emerging rapidly in pest manage-
ment, refresher courses for county agricultural agents, appli-
cators and others involved in the uses of pesticides and other
eontrol techniques would be of special value.
9.	The production of additional information and comprehension
should be encouraged and supported on many aspects of pesticide use
and effects.
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Experience with pesticides has revealed many serious gaps in
available knowledge. Research is urgently needed on many gen-
eral and specific problems. The following problems are all re-
lated to nontarget effects of pesticides, and many of them are
also pertinent to other areas of pesticide use, to successful man-
agement of animals and plants, and to fundamental science.
a.	What are the acute effects of the common pesticides when
used on the many species of wildlife and other organisms which
may be exposed to them ?
b.	What are the effects of indirect and chronic exposure?
c.	What is the nature and magnitude of the effects of insecti-
cides on beneficial insects and other species?
d.	What are the normal patterns and variations in natural
biotic communities, as baselines for understanding future pesti-
cide pollution effects?
e.	What mechanisms exert natural control on various pest
populations?
f.	How can we best estimate pest populations and predict
their trends?
g.	What are the full potentials and realistic limitations of the
pest control methods which are suggested as alternatives to
chemical pesticides, including predators, parasites, pathogens,
cultural control, sterilization, attractants, repellants, genetic
manipulation, and integrated approaches?
h.	What improvements are possible for pesticide packaging
and disposal (including degradable containers) to minimize
threats to nontarget species?
10.	A vigorous specific program should be created to bring the 100
most serious insect pest species of the United States under optimal
control.
These require about 80 percent of the insecticides now in use.
Dramatic focusing of attention on the "100 worst" could lead to
rapid improvement in the species-specific insecticides, bio-
logical control methods, or integrated control programs.
11.	The responsibilities of the several Federal agencies involved
in pesticide regulation and control must be more clearly defined and
certain specific activities should be improved or initiated by appro-
priate agencies.
Procedures and patterns for the regulation and control of
pesticide use have emerged during the last 30 years in response
to changes in law, evolving practices in agriculture, production
of new chemical materials, changing public concern with health
effects and nontarget damage, emerging scientific comprehen-
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sion of benefits and costs, and other unstructured events. Both
benefits and costs are now so large as to merit the national allo-
cation of responsibilities. We suggest careful review and
reassignment, by law if necessary, of the proper role of—
a.	The Department of Interior, charged with protection and
enhancement of nonagricultural resources and with water
quality control.
b.	The Department of Agriculture, charged with assisting in
the maximum production of food, fibers, and other culturable
crops in ways which are not detrimental to other interests.
c.	The Department of Health, Education, and Welfare,
charged with protection and improvement of human health and
welfare.
d.	The National Science Foundation, responsible for im-
proved comprehension of fundamental processes and assisting
in their application for human benefit.
e.	The Environmental Quality Council, Federal Committee
on Pest Control, and other coordinating agencies.
Other agencies are, of course, involved as users of pesticides
and in other functions. Those listed above, however, appear
to comprise the areas of primary attention. In addition to pres-
ent programs and activities related to pesticides, we suggest
the following services for new or additional emphasis:
a.	A taxonomic and identification service should be estab-
lished to provide increased knowledge and reference standards
for biological investigations related to all fields of pest control.
b.	Broader monitoring should be undertaken of the types
and quantities of pesticide transmitted by various means and
reaching nontarget species. Bioaccumulators like oysters and
other molluscs can be unusually useful as indicators, and the
levels of concentrations in predatory species are of special
importance.
c.	Early indications of undesirable effects must be detected
effectively and followed by appropriate action. When the early
warning system suggests a potential pollution hazard in the
environment, the acquisition of additional pertinent informa-
tion by the scientific community should be supported.
d.	Multidisciplinary investigations of alternative control
techniques should be carried out whenever present control meth-
ods are shown to contain potential hazards.
e.	A single agency should assume the responsibility for
assimilating information on the effects of pesticides on nontar-
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get species and transmitting it to appropriate regulatory and
educational centers.
f. Measurable predictors of potential hazards from pesti-
cide use should be agreed upon and might be made the basis
of a handicap tax to be applied to each pesticide in proportion
to its pollution hazard.
Introduction
The earth supports a complex system of living organisms of which
man is an integral part. The system also involves the chemical and
physical environments of the earth's crust, the oceans, the atmos-
phere, and the interfaces between them. In these environments, mil-
lions of kinds of organisms have evolved, each species with a specific
set of requirements.
Certain basic ecological principles are well established. Only the
plants can synthesize organic compounds, through photosynthesis.
Some animals feed on plants, some on other animals, and some on
both. Bacteria and a few other organisms participate in the break-
down processes which return the chemical elements to simple forms
which can be reused and recycled. This master cycling is accompa-
nied by lesser cycling of specific elements and compounds in ways
which are only partially understood. Events on land, in the sea, and
in the air can affect the processes and rates over a very wide area
of the earth, since this is a single global life system.
Only in recent centuries has the human species had more than
trivial impact on biological events in the world. In the century since
the industrial revolution, man has brought large areas under con-
trol, changed populations and, eventually, collected and used such
large quantities of some materials as to modify parts of the bio-
sphere. Improved agricultural yields and grave pollution problems
are both aspects of these accomplishments.
THE FOOD NETWORK
For the present discussion, the significant questions are whether
or not man's uses of chemicals to kill or control pest species at spe-
cific sites has caused serious damage to nontarget species, popula-
tions, and processes in the world life system.
Solar energy captured by photosynthesis is available for biological
use by herbivores, then (in quantities which rapidly decline) to omni-
vores, carnivores, supercarnivores, and organisms of decay. This
sequence is easily stated, but rarely occurs in nature. There, the energy
transfer process is more accurately described as a network, since
186

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different stages of each species play differing roles and since an
enormous number of species are involved.
When a persisting chemical compound is made available to this
biological network, its movements and biological effects may involve
many species, locations, and degrees of effect. So it is with some of
the persistent pesticides. Among the benefits the world has received
from the use of DDT, high value should be placed on the increased
knowledge and appreciation which has been gained of the global
unity of the biological network and, therefore, of the global effects
of local chemical usages.
Such chemicals are directed toward a pest species. Release places
the chemical on or in the target and, invariably, on or in other species
and parts of the environment. The chemical begins its movement
through the ecosystem. We cannot quantitatively describe the trans-
port of DDT or other chemicals, except for a short period in a river
or pond, 'but evidence is sufficient to prove the constant movement of
part of the material into and through living organisms. There, the
chain effect of feeding patterns may create increasing concentrations
in subsequent food levels. In general terms, only about 10 percent of
the energy in one trophic level will be transferred to the next level,
and the rest will be used for respiration or released as wastes. Chemi-
cals whidh are preferentially absorbed into living organisms and
stored for extended period, as are DDT and its derivatives, may, there-
fore, be concentrated greatly up the food chain. At any point, the
chemical may reach a species which is susceptible to it and damage
will result. The nature of the food web and the distribution of a pesti-
cide are partially illustrated in figure X, from the article in The Scien-
tific Americam, 'by A. M. Woodwell.
If release of sudh a chemical is terminated, the quantity in the eco-
system will gradually decline in accordance with the rate of natural
conversion of the substances to compounds or elements which do not
have the same effects. This decline in biological organisms will occur
over a long period, related to the length of life of various involved
species and many other factors. Eventually, the amount of chemical
compound will be insignificant in the ecosystem.
SPECIES ANT) SPECIFICITY
Since the appearance of the first organism on earth some 4,000 mil-
lion years ago, about 99 percent of all species have become extinct.
Gradually, species after species has been replaced by those better
adapted to the new environmental conditions which also have been
continually changing. The evolutionary process and the development
of new species take thousands of years; a slow process and especially
187

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BILlFtSH IJJ7
MUO SNAIL\M
FLUKE 1JI
PLANKTON .04
CLAM «
GULLS
I, m
MINNOW .M
CHPFERA JO
KINGFISHER
REDWING BLACKBJRO
The food web is a complex network through which energy passes from plants to
herbivores and on to carnivores within a biological community. This web show-
ing some of the plants and animals in a Long Island, estuary and along the
nearby shore was developed by Dermis Puleston of the Brookhaven National
Laboratory. Numbers indicate residues of DDT and its derivatives (in parts
per million, wet weight, whole-body basis) found in the course of a study made
by the author with Charles F. Wurster, Jr., and Peter A. Issaeson.
Permission to use granted by The Scientific American. From Woodwell, O. M.:
Toxic Substances and Ecological Cycles. The Scientific American. 216: Vol. 216,
March 1967.
slow relative to man's life span. Today an estimated 2 million plant
and animal species exist on earth. Most of these species are found in
the favoralble tropical regions with fewer species existing in the tem-
perate regions and only a few able to endure the harsh polar climates.
No one knows how many of these estimated 2 million species are
necessary in man's environment for his survival and welfare. Cer-
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tainly he cannot survive with only his crop plants and domesticated
animals. Most natural species interact in maintaining1 a functional
life system. Understanding the biology of the life system is most diffi-
cult because of vast numbers of species and the complexity of their
interactions. Current knowledge suggests great caution in evaluating
the worth of a particular species.
There is a pattern of basic characteristics common to all organisms,
including a genetic code, a reproductive system and a structure pri-
marily dependent upon carbon, oxygen, hydrogen, and nitrogen. These
characteristics plus the basic requirements of life (energy, matter, and
a suitable environment) form a set of similarities which are applicable
to all forms of life.
The study of plant and animal classification has revealed both simi-
larities and specificity in organisms. Each species is a unique biochem-
ical entity; therefore, species react to each pesticide in a different
manner.
The ancestral system of life and the various lineages provide a
recognized organization and pattern for life in general and species
groups in particular. The more similar the species group, the more
likely its members will respond to environmental factors in a like
manner.
PESTICIDES AND TOXICITY
Approximately 900 chemicals are registered with the USDA-PED
as pesticides for 
-------
continue to be impossible to generalize on either the pathophysiology
or population effects of pesticides on other target and nontarget species.
Akamine, E. K. Persistence of 2,4-D in Hawaiian Soils. Botan., Qaz. 112: 312.
1001.
Alexander, M. and Aleem, M. I. H. Effect of Chemical Structure on Microbial
Decomposition of Aramatic Herbicides, Ag, & Food Ohem. 9:44-47, 1961.
Audus, L. J. 'and K. V. Symonds. Further Studies on the Breakdown of 2,4-
D ichlorophenoxyaoetic Acid by a Soil Bacterium. Ann, Appl. Biol. 42 :174—182,
1955.
Audus, L. J. The Biological Detoxification of Hormone Herbicides in Soil, Plant
and Soil 3:170-192,1951.
Bell, 6. R, Studies on a Soil Achromobacter Whieh Degrades 2,4-dlchloro-
phenoxyacetic Add. Can. J. Microbiol. 0: 325.1960.
	¦ Some Morphological and Biochemical Characteristics of a Soil Bacterium
Which Decomposes 2,4-dichlorophenoxyacetic Acid. Can. J. Microbiol, 3:821-
840.1967.
Bubgeb, K, I. C. MacRae, and M. Alexander. Decomposition of Phenoxyalkyl
Carboxylic Acid. Soil Sci. Soc. Amer. Pro., 26: 243. 1962.
Chandra, P. HerMcidal Effects on Certain Soil Microbial Activities in Some
Brown Soils of Saskatchewan. Weed Res. 4: 54-63.1964.
Clovis, S. F. Action of 2,4-D and TCA on Nitrification of Ammonia. Univ. Rural
Pernambuco, Comun. Tech 4 : —. 1909.
DeRose, H. R. Persistence of Some Plant Growth Regulators When Applied to
the Soil in Herbicidal Treatments. Botan. Gaz. 107: 583.1946.
Fijeg, O. and Pfaff. The Migration and Decomposition of 2,4-D in the 'Soil and Its
Influence on MtfcrobioLoglcal Transformations. Landw. Forsch. 3:113-123.
1951.
Fox, C. J. S. The Effects of Five Herbicides on the Numbers of Certain Inverti-
brafce Animals in Grassland Soil. Oanad. J. Plant Sci. 44:405-509. 1964.
(iuTEMANN, W. H. and D. J. Lisk. Conversion of 4 (2,4-DB) to 2,4-Dlchloro-
phenoxyerotonic Acid (2,4-DC) and Production off 2,4-D from 2,4-DC in Soil.
J. Agile. Food Ohem. 12: 322-323.1964.
Gutemann, W. H., M. A. Loos, and M. Alexander, et al. Beta Oxidiatlon of
Phenoxyalkanoic Acids in Soil. Soil Sci. Soc. Amer. Proc. 28:205-207. 1964.
Hanks, R. W, Removial of 2,4-Dichlorophenoxy Acetic Acid and Its Calcium Salt
From Six Different Soils by Leaching. Botan. Gaz. 108:186. 1946.
Hernandez, T. P. and G. F. Wabben. Some Factors Affecting the Hate of Inac-
tivation and Leaching of 2,4-D in Different Soils. Proc. Am. Soc. Host Set.
56:287.1950.
Tun, A. M. The Question of the Effect of the Herbicide 2,4-D on Soil Microorga-
nisms. Mikrobiologiya 30.1060-1051.1961.
Jensen, H. L. and H. I. Petersen. Decomposition of Hormone Herbicide by
Bacteria. Acta. Agr. Seand. 2:215-231.1952.
Kzytjchnikov, L. Y. and A. N. Petbova. The effect of the Frequent Use of Herbi-
cides on the Soil Microflora. Mikroibiologiya. 238-241.1960.
Kozlova, E. I. and T. A. Dikaeeva, Effect of Herbicides on Microflora of Rhizo-
sphere of Some Agricultural Plants. Agrobiologiya. No. 1. 82-87. 1963.
Khatochvil, D. E. Determination of the Effect of Several Herbicides on Soil
Microorganisms. Weeds 1: 25-31.1953.
Mabttn, J. P. The Hormone Weed Killer 2,4-D. Calif. Oitrograph. 31:264. 1946.
190

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Martin, J. P. Influence of Pesticide Residues on Soil Microbiological and Chemical
Properties. Residue Reviews 4:96-129,1963.
Mashtakov, S. M., E. S. Gurinovich, T. G. Zimenko et al. Effect of Herbicides on
Soil Microflora. Mikrobiologiya, 31: 85-89.1962.
Minakov, N. A. leaching of the Herbicide 2,4-D from Soil. Pochvovedenie. No. 7.
105-107.1963.
Newman, A. S„ J. R. Thomas and R. L. Walker. Disappearance of 2,4-Dichloro-
phenoxy Acetic Acid and 2,4,5-Trichloro
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Woodfokd, E. K. and G. R. Sagar. Herbicides and the Soil. Blackwell Scientific
Publications, 88 pages, i960.
Zemanek, J. Herbicides and Soil Microorganisms. Stud, Inform. Pudoznal. 10:
49»-548. 1963.
Routes of Exposure
This section of the report will deal with various aspects of manu-
facturing, transportation, and distribution of pesticides wherein leaks,
spills, and waste disposal are potential, and sometimes documented,
sources of environmental pollution; hence, exposure of nontarget
organisms.
Manufacturing of the active ingredient.
Any leakage which occurs may or may not be intercepted by "fail-
safe" effective traps. This "leakage" is usually slow and the contribu-
tion of pollution to air or water may be of an inconsequential
magnitude; but with today's technology, detection systems can 'be de-
signed to monitor such losses. Materials which are toxic, or less degrad-
able materials which tend to accumulate in food chains, require and
generally receive more rigorous surveillance and control so that leak-
age, if not eliminated, is trapped or impounded for subsequent waste
treatment procedures.
There is a greater pollution hazard when manufacturing requires
direct contact between processing water and the pollutant because
much of this processing water returns to the stream. If the intervening
steps (extraction, neutralization, decomposition, biodegradation, ad-
sorption, etc.) for removal of contaminants from the water are inade-
quate to lower the pollutant to an acceptable level, then this waste
water is troublesome and expensive to deal with (see waste disposal
paragraph below). Improved processes and engineering systems which
require the use of less water for washing extraction and cooling are
being developed for modern-day plants.
Accidental spills or sudden releases of contamination to the water
or air contrast with leakage which is slow, continuous and less obvious.
Methods of interception are important to contain and confine hazard-
ous materials in the event of an accidental release or spill. Intercep-
tion systems may be simple and obvious, such as dikes around storage
tanks or separate sewerlines leading to special impoundments. In
some cases elaborate systems may be installed to prevent escape of
contaminated liquid, dust, or vapor from enclosed buildings. The rela-
tive hazard presented by the materials must be a prime consideration
in the design and operation of any manufacturing plant.
Formulating plants are confined largely to mixing, blending, and
packaging operations and are generally less complex than manufac-
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taring plants; because of this, less demanding of skill and sophistica-
tion, Leaks and spills are as likely, and perhaps more likely, than from
manufacturing plants but the total quantity which potentially could
be released to the environment at one time would be less than a similar
accidental release from a primary manufacturing plant. There are
more formulating plants, less specialized and handling smaller vol-
umes compared to manufacturing plants where "economy of scale"
permits large and specialized operations. Chemical and biological
waste disposal techniques have proven successful for a large variety
of compounds; others are more resistant to degradation. Incineration
of solid and heavy liquid wastes is a procedure now being used more
extensively. Effluent stack gases are further scrubbed to remove
troublesome vapors. Deep well disposal of waste is a method gaining
in popularity, but this method is not without substantial risks. A
thorough knowledge of the geological structure and the nature of
material to be pumped into the well is essential to avoid escape of
these wastes from the intended strata.
Transportation of the Pesticide or Formulations Thereof
Environmental pollution which occurs during transportation re-
sults from defective packages or from rupture and consequent spills.
Design of the package adequate to survive rough handling during
transport is an important way to minimize this type of accidental
pollution. Corrosion also leads to failure of the container, particularly
when long periods of storage are involved. This can be prevented by
selection of a suitable container but the costs are higher. Serious in-
stances of spills and leaks during transportation have been reported.
Market Distribution
Leaks and rupture of packages while in the stocks of distributors
and dealers are directly related to package design and care in han-
dling. Generally the incidents that happen while in the hands of dis-
tributors or dealers contribute little to the overall contamination of
the environment. Obsolete stocks can range from small packages sold
in hardware stores and garden centers to drum quantities sold by
distributors and dealers.
Disposal of old stocks and disposal of used but dreg-laden containers
does present a practical problem which requires better practices.
Stocks or containers indiscriminately discarded constitute an acute
toxicity hazard to the people nearby and also serve as a source of
pollution as rain washes any liberated pesticides into the drainage
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water. Few, if any, communities have adequate means of destroying
large quantities of toxic materials in municipal waste disposal sys-
tems. For the small quantities of pesticides involved in wastes from
urban homeowner use including those adhering to empty containers,
burial in an approved sanitary landfill appears to offer reasonable
protection to nontarget organisms. If wrapped, to discourage animals
or children from removing them, and then placed in trash cans for
collection by municipal authorities, they should find their way into
incinerators or suitable landfills. Pesticides should not be flushed down
sanitary or storm sewers.
Under rural conditions, burial away from water supplies is the best
available method to dispose of such waste and small used containers.
Larger containers can be handled by professional drum reconditioners
Improved methods of waste and container disposal are deserving of in-
creased emphasis and support.
Glasses of Applicators
1.	Homeowners and amateur gardeners purchase small packages
and are largely instructed through labels, leaflets, books and articles,
and assistance from the dealer who sells the product. The extension
service as well as State agencies conduct programs to instruct the
homeowner but it is difficult to instruct this class of user in a meaning-
ful way. The large majority of homeowners are not discriminating
in the selection and use of pesticides. It is difficult and expensive for
both the manufacturers and dealers to educate the homeowner beyond
the most rudimentary aspects of proper use and disposal of unused
materials. Convenience in application requires special packaging and
application devices, and these, coupled with formulation techniques,
can lead to more sparing use of pesticides. The homeowner needs ma-
terials which cannot pose a threat to his safety nor introduce harmful
pollutants into the environment.
The typical urban housing development is not a natural environ-
ment for any major part of the biota and thus any damage done by
the use of pesticides is local in nature. The same may not be true in
larger estates or even suburban residential areas of relatively low
housing density. In such situations, the total effect of pest control
activities by many homeowners may have a significant effect on birds
and soil organisms. Use of weedkillers can cause significant damage
to neighboring sensitive plants.
2.	Ornamental trees deserve special mention. It is difficult for the
homeowner to do an effective job of spraying a large tree. Usually a
commercial spray service will be employed. Whether around the
home, or around muncipal parks and streets, trees are prized, and
especially when they are threatened. Budgets for preventive measures
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are usually restricted, hence low cost pest control is stressed. The
combined pressures of citizen concern, costs, and urgency to save the
trees often promotes overuse of less costly and more persistent ma-
terials, particularly DDT. Golf courses receive intensive application
of pesticides, on greens particularly.
3,	Pest control as it applies to structures (termites, ants, etc.), fumi-
gation and sanitation in manufacturing plants, and specific pest control
problems—generally in urban environments—is practiced by a trade
generally known as pest control operators. The successful ones are
usually knowledgeable and in many cases licensed under municipal
or State laws. This class of applicator is in a good position to under-
stand the economics, limitations and hazards sufficient to select and
use pesticides properly and minimize environmental pollution. Struc-
tural pest control, if done by well-trained and careful operators, is not
apt to expose the natural biota because pesticides are directed to areas
in and adjacent to buildings where little natural wildlife is found. As
always, the disposal of used containers and waste mixes presents a
problem. Leaching or erosion of soil treated for termite control may
present a hazard to surface and ground water. Recognized and ac-
cepted practices to minimize this hazard have been developed.
4.	In 1964,42 percent of all pesticides produced in the United States
that year were used in agriculture. The remainder went for export
and for domestic nonagricultural purposes. Of the agricultural use,
93 percent of the volume was used in treating crops, 3 percent for
livestock, and 4 percent for other agricultural use. Many large agri-
cultural operators employ contract applicators and aerial sprayers.
Others purchase specialized equipment for more effective and eco-
nomical application. Smaller growers vary widely in their practices.
Use on farms, including orchards, is commonly considered to be
the most important source of pollution of the soil. Much farm uBe
involves soil treatment or application by coarse sprays, but there is also
a large amount by aerial application, mist spray, or dust. Determi-
nations of spray patterns have indicated that only about hall of the
pesticides applied by air or by mist sprays reach the soil directly
under the application. Some of the remainder is retained on plants
for variable periods of time before it reaches the soil as residues on
foliage. There is evidence of drift of herbicides for several miles
and there is no satisfying data on how much becomes relatively
permanently airborne. Neither is there any information on how much
reaches the air through vaporization, "codistillation," or wind ero-
sion of soil, though it has been speculated that all three methods
may be important. The relative importance of farm uses as sources
of contamination of air and water remains largely speculative based
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upon volume of use and some meager evidence of the relative con-
tribution of pollution to streams flowing through farmland and
urban areas.
Livestock and poultry raisers use a variety of pesticides. Pollu-
tion of the environment from this source contributes little pollution
burden with one possible exception, that of dipping vats or spray
tanks. When these vats or tanks are emptied and cleaned they have
been known to contribute harmful concentrations of pesticides into
streams.
Many of the forest areas of the United States are managed under
Federal supervision. Large tracts, however, are privately owned. In
either case, the management of forest pests has involved widespread
applications of pesticides and documented cases of environmental
pollution. Control of pests of shade and ornamental trees as well as
those of forests is a rather direct hazard to birds and related forest
biota. Direct hazards to the aquatic environment usually are minimized
by avoiding lakes and larger streams. It is impractical to avoid small
streams and there is always the possibility of drift and surface
erosion. Ordinarily such applications are not necessary on an annual
basis so there is some opportunity of recovery of natural biota between
applications, depending, of course, on the persistence of the pesticide
and the frequency of application. Economic constraints are severe and
aerial application is required for widespread insect control.
5. State, Federal, and other governmental pest programs conducted
for control or quarantine purposes are directed at destructive agri-
cultural and forest pests. In addition, pesticide applications are made
to control disease-carrying insect vectors, particularly mosquitoes (as
for yellow fever, encephalitis, and malaria). If these are applied only
as residual treatment of interior surfaces, little environmental con-
tamination results. Insect abatement districts are commonly estab-
lished on a county or regional basis in order to reduce the nuisance of
mosquitoes. Noxious weeds are also the object of governmental con-
trol programs. Economic constraints are a major factor in the choice
of methods and materials. Larvicidal treatments for mosquito control
require direct treatment of water with the pesticides. If the materials
used are persistent (which favors effective mosquito control and less
cost), there is a high probability of pollution of the environment and
exposure of nontarget aquatic organisms.
Organized mosquito control involves two very distinctive ap-
proaches: larval control and adult control. With the exception of
domestic mosquitoes such as Aedes aegypti, larval control presents
hazards to certain nontarget organisms in the aquatic environment
whether it is done by the application of insecticides, the control of
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weeds by herbicides, or even by water management by drainage or
level control. With each of these techniques, the safeguards lie in the
careful selection of chemicals, control of dosage, and timing of oper-
ations. Evening or nighttime operations minimize exposure to polli-
nating insects and to birds. Fogging or mist sprays for adults depend
upon small particle size which may increase the contamination of air.
Governmentally sponsored control operations to prevent the spread
of pests or to eradicate infestations under certain conditions often
result in heavy rates of application of pesticides in an effort to achieve
100 percent control. Ideally, such applications are pinpointed to
specific areas of infestation and are restricted to one or a very few
applications, both of which tend to localize the exposure of natural
biota. Large-scale agricultural or community health programs, on
the other hand, tend to involve larger areas at a specific time than
do private control operations.
6.	A growing volume of pesticide is being applied by commercial
applicators who are hired to make applications for home owners,
growers, governmental units, road commissions, etc. Aerial applica-
tion of insecticides, brush control along utility rights of way, weed
control along roads and railroads, mosquito control and forest insect
control are examples of spray applications comjnonly made. In urban
areas commercial sprayers perform this service for homeowners in-
cluding mosquito control, ornamental pest control, weed control iii
lawns, and a variety of other procedures around the premises.
7.	The final class of applicator mentioned here is associated with a
manufacturing or treatment plant wherein the pesticide is deliberately
applied to the processed article in order to prevent subsequent attack
by insects, rodents, molds, bacteria, marine organisms, etc. This may
involve fabric treatment (moth, or mold proofing), wood treatment
(insects, fungus, marine borers), preservatives and antifoulants for
paints and coatings (marine paints included). As with manufacturing
and formulating of pesticides, leaks, spills, and waste disposal asso-
ciated with treatment plants present a hazard to nontarget organisms.
The escape of the pesticides from the treated articles or coating is not
known to have contributed significantly to environmental pollution
with the possible exception of antifoulant paints where sand blasting
prior to repainting has transferred particulate matter to water and
muds.
Methods of application whereby pesticides enter the environment
1. Fumigation of enclosed space (chambers, vaults, sealed struc-
tures, and space enclosed by impervious tarps) involves the use of toxi-
cants which are volatile, penetrate rapidly, escape rapidly when re-
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leased and do not leave objectionable or toxic residue. The quantities
used are small compared with other common pesticides. The released
gases escape to the atmosphere but quantitat ively contribute little to air
pollution at today's usage levels. Nontarget organisms are not harmed
unless accidentally confined within the enclosed space.
2. Applications of pesticides to soil range from mass treatment at
one extreme wherein large volumes of soil are exposed to the pesti-
cide, to seed furrow treatment where the pesticide is confined to a small
fraction of the total soil mass. Between these extremes is a wide
variety of application methods designed to match the pesticide proper-
ties with the vulnerability of the target organism and to do so without
damaging the desired plants.
a.	Volatile liquids and gases are employed for the control of
pests in soil, particularly nematodes. Soil used for seedbeds may be
treated for weed, fungus, and insect control. The volatility of methyl
bromide requires that a tarp be used to prevent escape of the gas. Less
volatile liquid fumigants such as l,3-dichloropropene-l,3 dichloro-
propane mixtures or ethylene dibromide are applied by preplant
application using chisel or plow applicators after which the toxicant
slowly diffuses through the top 12-24 inches of soil depth (if the plow
soil is broken up, it is possible to achieve greater depths of penetration)
to reach the nematodes. Volatile liquids (l,2-dibromo-3-chloropro-
pane for example) which are less phytotoxic to growing plants can be
applied by side dressing using chisel applicators or by irrigation with
water containing accurately metered concentrations of the pesticide.
Nontarget organisms are also affected throughout the exposed soil
mass.
In time, ranging from a few hours to a week or more, the volatile
fumigants will disappear from the soil. Effects on soil organisms do
not last beyond 1-3 years. Fumigants containing bromine such as
methyl bromide or ethylene dibromide leave a bromide residue in soil
which can be absorbed by certain plants and become incorporated in
feed or food. Growing peanut plants, for example, are unusual in their
ability to transfer bromide ion from the soil to the foliage. Only a
small fraction of the total enters the nuts. Cows fed peanut hay trans-
fer bromide to the milk. For this reason, bromine containing fumigants
are not registered for use in soil where peanuts are to be grown. A more
detailed discussion concerning soil fumigants will be presented in a
later section on nematocides.
b.	The use of water as a transport vehicle to permeate the soil
mass and reach subsurface target zones was mentioned above relative
to the volatile nematocide l^-dibromo-3-chloropropane. Other water-
soluble materials can be applied in this way but the practice is very
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limited. Careful metering and timing is required to prevent over-
dosage or underdosage. Moreover, soils with high sorptive capacity
(organic and clay soils) restrict uniform penetration of the active in-
gredient throughout the soil mass. Sandy soils with low sorptive
capacity are most adaptable because a comparatively even penetration
of the dissolved pesticide advances throughout the sand with the
carrier water.
c.	Mechanical mixing of pesticides into the soil mass to achieve
uniform distribution is a specialized method but not widely practiced.
Vigorous mixing or rotary tilling is required. Both solubility and vola-
tility are physical properties which aid penetration beyond the original
zone of deposition and this results in greater exposure of the soil mass.
Insoluble materials move very slowly beyond the point where they
are mechanically deposited.
d.	Seed furrow treatment is more commonly practiced with insect-
icides and fungicides. Sprays, dusts, or granules can be incorporated
during the planting operation. Proximity of the pesticide to the
planted seed can be regulated by positioning the pesticide entry rela-
tive to the planter shoe, regulation of rates of addition, and turbulence
of the returning treated soil as the seed is deposited and the furrow
closed. (Furrow treatment may also be combined with pre-emergent
surface treatment to be described below.) Furrow treatment results in
high local concentrations limited to a very small fraction of the soil
mass. The zone treated is selected to control destructive organisms
during germination and early growth stages of the seedling.
e.	In highly specialized situations it may be desirable to establish
barriers to pesticides to prevent movement of organisms into and
through uncontaminated areas. Barriers have been applied to prevent
the spread of nematodes to adjoining citrus groves and to prevent the
invasion of structures by termites. The applied concentrations are high
to afford lasting protection.
3. Granules and pellets afford a means of controlled mechanical
application of pesticides without excessive airborne drift beyond
the desired area treated. Granules can be applied from ground or
aerial equipment. Bates of release of pesticide from the granule can
be regulated. In some cases, as with granular application of insecti-
cides, it is desirable to bind the pesticide more tightly to the carrier
substance thereby limiting the exposure to direct contact by the insect.
In other cases, the granular or pellet composition is designed for release
and transference of the contained pesticide to the soil. Subsequent
movement depends upon the solubility and sorption of the ingredients.
Granules are quite commonly used for the application of insecticides
to soil and turf. There is growing use of granular and pellet applica-
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tion of herbicides for selective control of deep rooted perennials and
woody plants. Granules are used for general vegetation control around
industrial sites, tank farms, railroad yards, highways and areas where
complete avoidance of vegetation is desired. The use of granules by
homeowners for lawn care involves a variety of formulations and
combinations of pesticides with plant nutrients. Dense granules and
pellets are used as carriers for aquatic herbicides where bottom treat-
ment is desired. In aquatic application, nontarget organisms are ex-
posed to high concentrations in the direct vicinity of the granule.
Beyond that, trace amounts of the liberated pesticide would be
encountered unless the material is rapidly hydrolyzed and degraded.
Granular and pellet application offer the advantages of localizing the
toxicant and minimizing direct contact of nontarget organisms.
Granules can be applied where they are directed but subsequent
washing rains can cause surface movement of the granules (partic-
ularly on light weight carriers) but such incidents are not commonly
encountered unless applications have been made to embankments and
slopes. Once the pesticide is released from the granule the potential
influence on nontarget organisms follows the same principle of move-
ment, degradation and fate regardless of the method of application.
4. The treatment of seed for the control of insects and soil-born
pathogens is commonly practiced. The hazard to nontarget organisms
is of minor significance once the seeds have been planted. The chief
hazard of seed treatment results from accidental consumption by farm
animals or poultry. The disposal of surplus treated seed poses a possi-
ble hazard if a grower should take the irresponsible measure of selling
treated seed in regul ar channels of trade.
Analytical procedures are sensitive enough to detect this kind of
violation even where treated seed grain is blended with untreated
grain. The greatest hazard is to livestock and poultry and no environ-
mental hazard from the disposal of such seed is cpeated unless treated
grain is dumped where wildlife eat it.
In England, the death in 1960 and 1961 of large numbers of birds
such as wood pigeons, pheasants, rooks, and chaffinches and a few
mammals including foxes and hares was attributed to cereal seed
dressings containing aldrin, dieldrin, and heptachlor. Voluntary re-
ductions in the use of these materials as seed treatment were followed
by a considerable reduction in the number of reported bird deaths.
Reforestation is difficult without taking measures to protect seeds
and seedlings, Repellants and toxicants have been employed to dis-
courage or kill mice in particular. Seed treatments have not met with
uniform success. This practice, however, does not produce significant
hazards to wildlife.
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5.	Dispersion of pesticides via sprays and dusts is the most common
method of application. The purpose is to achieve an effective control
of the pest with the minimum cost.
a.	High volume sprays with larger droplets (or granules as de-
scribed above) can be better and more accurately directed to the target.
b.	Low volume applications involve a small droplet size or ex-
tremely small particles which cover well but drift easily in air currents
and wind.
c.	Invert emulsions and particulate gels have been employed to
a limited extent to control particle size and reduce the fine droplets
and thereby prevent spray drift of highly potent herbicides.
A wide variety of ground and aerial equipment is available but
additional research on effective formulation distribution and place-
ment would substantially help to optimize integrated control pro-
cedure. In addition, more effective placement would reduce the quanti-
ties of pesticides needed to control the pest.
6.	Aerosols, even more than sprays and dusts, are easily carried far
beyond the intended target by wind and convection currents. In finely
divided form, the pesticide can more easily vaporize and contaminate
the atmosphere.
Household aerosols likewise introduce fine droplets into the room
air. This requires materials which are safe if inhaled by man. The
quantities that escape are comparatively small, however, and have
little, if any, effect outside of the immediate area sprayed.
7.	The terminal operation associated with application involves
clearing of tanks and equipment, disposal of empty containers and
occasional disposal of packages which are no longer useful. Washing
these materials into streams and sewers can contribute damaging levels
of pollution and serious local effects on aquatic organisms. As stated
earlier, this is a recognized problem but one not yet solved in a totally
satisfactory manner.
In general, the major significance to the environment of pesticides
used in and around homes is associated with the disposal of wastes.
Used containers, surplus mix, and unwanted concentrates are apt
to be rinsed down the drain, dropped in the garbage, or left on the
soil or gutter to be washed down the storm sewer. There is no good
way to dispose of such wastes. The most practical method today is
to place them in the garbage if municipal wastes will be disposed of
in a properly operated and located sanitary landfill or an effective
incinerator. The pesticide that goes through the sewage treatment
plant will end up either in the sludge or in the effluent to some
stream, as does that that goes down the storm sewer. In either case,
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it becomes a part of the pollutants in the aquatic environment. Any
surplus diluted mix dumped on the ground has the possibility of being
decomposed by soil biota, retained, absorbed in the soil, or washed
by surface erosion into storm sewers and thus into the aquatic
environment.
Wasteful application of pesticides and the inadequate disposal of
wastes continue to be the two most important sources of pollution
regardless of the nature of the pest control program.
In each of the steps (manufacturing, formulation, packaging, trans-
portation, distribution), the attitudes of management and operating
personnel have varied widely. Some have been diligent in the control
of pollution, others have not. When the operator or owner is under
heavy economic pressure, there is a temptation to cut corners in order
to reduce costs. More effective monitoring of waste effluents will help
to identify the offenders.
The applicator is a key factor in the total series of events which
governs the magnitude and nature of environmental pollution by
pesticides. The occasional user has little knowledge, whereas the com-
mercial applicator or contract sprayer requires considerable knowledge
to stay in business. Between those extremes is almost every variation
of individual interest, capability, and awareness. Any regulatory proc-
ess must take into account the importance of this human element in
fostering good choices and practices.
The Effects of Pesticides
The principal classes of pesticides now in use in the United States
are listed in this section. For each, a brief statement is presented
dealing with the general extent of use, the nature of the effects of
pesticides on target organisms, if that is known, and illustrative
examples of the impact on nontarget species and groups. It is not
possible to summarize all of the available literature in this report
but an overview of the nontarget effects is presented.
Many fungicides involve heavy metals such as copper, zinc, or
mercury, often in an organic molecule, though inorganic salts of
copper and zinc are still used in significant quantities (as plant nutri-
ents as well as fungicides). Elemental sulfur accounts for by far the
greatest volume of fungicides; combined forms of sulfur are also
used. Dithiocarbamates, phthalimides, and quinones are commonly
used as fungicides. Wood preservatives, which are at least partly
fungicidal in action, include creosote, coal tar, pentachlorophenol, and
some chromium compounds.
The wood preservatives are the only fungicides that are widely con-
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sidered as potentially hazardous to nontarget organisms other than
man, but because of the nature of their use, there seem to be few, if any,
documented cases of damage. Similarly, the heavy metals must be con-
sidered potentially serious environmental pollutants, but their use is
rather restricted and so they are apparently adequately diluted with-
out documented hazards, except to the host crop if misused.
Antibiotics are used in the control of certain bacterial diseases of
plants. There is always some concern that human exposure may result
in sensitization and conceivably beneficial bacteria could be destroyed.
No other hazard to nontarget organisms is apparent.
Herbicides, as presently used, do not present serious and widespread
hazards to nontarget organisms. With few exceptions, most herbicides
have a low order of toxicity to aquatic and terrestrial animals. One of
these exceptions is sodium arsenite which is sufficiently toxic and per-
sistent to warrant special precautions and possibly added regulatory
consideration. Dinoseb is rapidly degraded but accidental contamina-
tion of lakes or streams is hazardous to aquatic organisms.
The (most frequently observed nontarget effect caused by herbicides
results from spray drift where sensitive plants are damaged. To a
smaller extent volatility, movement via soil run-off and carry-over
from one crop season to another have caused damage to plants, shrubs
or trees. This type of damage can be minimized and controlled by
proper formulation and application. Secondary effects from massive
kills of aquatic plants can be serious.
2,4-D is known to be readily decomposed by soil microorganisms
and this fact has been well established by many investigators. In addi-
tion a mechanism for degradation of some related compounds such as
4 (2,4-dichlorophenoxy) butyric acid to 2,4-D seems definite.
Several organisms have been isolated from various soils that can
utilize 2,4-D as an energy source.
The persistence of 2,4-D in the soil varies with environmental con-
ditions such as the soil type, temperature, and moisture. Field appli-
cations for weed control at usual rates have been reported to last from
2 to 14 weeks.
2,4-D breaks down quite rapidly in the soil under normal condi-
tions and is considered to be a transitory herbicide.
Martin's review points out that 2,4-D, MOPA, and 2,4,5-T
disappear in the soil and that this is caused chiefly by the activity of
soil microorganisms. However, while 2,4,5-T breaks down in soil this
occurs at a much slower rate than 2,4-D. There is considerable varia-
tion reported in the time for disappearance of 2,4,5-T in soil. Alex-
ander and Aleem found 2,4,5-T present after 205 days as shown by
ultraviolet absorption. Whiteside and Alexander found no evidence
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of a microbial attack on 2,4,5-T as measured by soil respiration. They
also point out in this work that there is no microbial effect of 2,4-D or
2,4,5-T when applied at dosages used for weed control. Burger et oil.
reported complete disappearance of 2,4,5-T after 103 days as shown by
a bioassay test. Audus found complete detoxification after 270 days.
Warren using 8 lbs. of 2,4,5-T in both an amine and ester formulation
found that both forms of 2,4,5-T disappeared after 2 weeks in a
farmed muck soil. However, in a mineral soil while the amine salt of
2,4,5-T disappeared between 4 and 8 weeks there was evidence of
2,4,5-T activity from the ester formulation after 8 weeks. Woodford
and Sagar point out that 2,4,5-T decomposes slower in soil than 2,4-D
taking 47.5 days for 80 percent detoxification compared to 16 days for
2,4-D.
There were only a few references found that referred to the isola-
tion of specific soil organisms capable of utilizing 2,4,5-T as an
energy source.. Reid, however, also states this was done in his work
although no specific organism was named.
2,4,5-T is not usually considered to be a very long lasting herbicide
in the soil although it is generally considered to last 2 to 3 times as
long as 2,4-D.
There has been a great deal of work done on the effect of the
chlorophenoxy acids upon the soil microflora and fauna.
Kratochvil (203) pointed out applications as high as 16 lbs. 2,4,5-T
per acre had no significant effect on soil microorganisms as measured
by the carbon dioxide production of treated soils. Perhaps this can
best be summarized by quoting Audus "on the whole the great
majority of observations show that with normal practical rates of
application there are no adverse effects of the phenoxy herbicides on
the total number of microorganisms in the soil." While originally
published in 1964, it still seems to be correct. It is of course dangerous
to say there can be no harmful effects on all soil organisms but so far
there seems to be little practical hazard.
There was little work found on the effect of these herbicides on
higher soil organisms. Fox reported that 2,4-D did not affect the num-
bers of wireworms, springtails, and mites in a grassland soil. Satchell
reported that 2,4-D and MCPA had no effect on earthworm popula-
tions when used at normal rates.
The rates of movement and decomposition of herbicides in soils is
highly dependent upon soil type, temperature and moisture levels.
Organic matter and clay retard the rate of leaching and organic mat-
ter helps to accelerate the rate of microbial decomposition of herbi-
cides in soil. Some herbicides are persistent enough to carry over from
one season to another and adversely affect sensitive crops planted in
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the second season. Although an economic loss to the grower, this per-
sistence has not resulted in serious ecological disturbance. Trichloro-
benzoic acid and picloram are slow to degrade in soils and tend to
leach to deeper soil horizons. Specialists in wildlife management have
used selective herbicides as a imethod of habitat improvement. How-
ever, the extensive use of herbicides can damage the habitat of wildlife
by removing cover species.
The use of herbicides is growing rapidly because of rising costs of
mechanical methods of weed and brush control. Continued research
on nontarget effects, coupled with close observation of results in the
field, will reveal early indications of unexpected ecological change.
In this connection, close observation of effects on algae and phyto-
plankton are particularly important.
Plant growth regulators are closely related to herbicides, and in fact
are sometimes the same chemicals used to kill weeds. On the basis of
total pounds used annually, plant growth regulators are small in vol-
ume compared to herbicides. Brush killers and agents for control of
woody plants are considered under the herbicide section. Of the ma-
terials presently used, few present a meaningful hazard to nontarget
organisms. Of these, sodium arsenite, used to a limited extent as a
potato vine killer, and arsenic acid, used as a preharvest desiccant on
cotton, have levels of toxicity and persistence sufficient to be of con-
cern. Dinoseb, although readily degraded, is very toxic to fish and care
must be exercised to avoid the direct contamination of water.
Paraquat (a postemergence herbicide and dessiccant) and diquat
(an aquatic herbicide) have not been considered harmful to fish and
wildlife; however, it would be prudent to maintain close surveillance
of these compounds in view of their toxicity through skin contact
or inhalation.
Nematocides and soil fumigants.—The current national usage of
nematocides and soil fumigants, when compared with insecticides or
herbicides, is small both in total pounds applied and area treated.
The observed effects on nontarget organisms are largely restricted to
the direct action on other forms of plant and animal life within the
treated soil.
When a nematocide is applied to the soil in sufficient concentration
to kill pi ant-root parasites, other soil microorganisms are either killed
or reduced in population. Similarly the invertebrates inhabiting the
soil are killed. The actual degree of population reduction depends
upon many factors such as soil type, moisture content, temperature,
chemical agent and method of application.
After the initial kill or reduction in numbers, certain organisms
repopulate the soil quickly (some reach numbers far in excess of
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those in untreated soils) while others repopulate slowly. With time,
which may be a year or longer, the populations tend to re-establish
and approach the conditions observed in the untreated soil.
The organisms which oxidize ammonium ion to nitrate and nitrite
ions are relatively sensitive to soil fumigants. Their activity may be
reduced from several weeks to several months. During this time,
ammonium ion accumulates from the decomposing organic fraction
of the soil and any added ammonia or ammonium fertilizer will remain
as ammonium. If concentrations of ammonium ion are too high, sensi-
tive crops may be injured.
Although transient population imbalances have occurred in treated
soils, there is no present indication that soil fumigants and nemato-
cides present a meaningful threat to nontarget organisms which would
require special attention beyond continued observation and research
in their proper use.
Insecticides and mdtieides.—There are approximately 400 chemi-
cals registered as insecticides and miticides with USDA-PRD. These
toxicants kill insects and mites by interference with essential biologi-
cal mechanisms but in most cases the exact mode of action is unknown.
This applies as well to the arsenic compounds used since the 1800's. The
best guess is that arsenic poisoning is due to tissue breakdown and pro-
tein precipitation.
DDT affects the nervous system in such a way as to cause death in
insects. Mites, however, are relatively tolerant to DDT. Parathion
and other organo-phosphorus insecticides are thought to generally
inhibit cholinesterase enzymes of the neuromuscular system. A similar
mode of action apparently occurs with carbamate insecticides.
There are numerous other insecticides and miticides but generally
less is known concerning their mode of action than those mentioned.
Hundreds of reports and summaries now exist describing the effects
of insecticides on nontarget species. Dramatic incidents of losses of
fish, birds, and other species created concern which has resulted in
a large number of descriptions of observed natural field mortalities,
a limited number of experimental field observations, and a variety
of laboratory experiments. Since insecticides are used in large quan-
tities and have a wide spectrum of biological effects, they have been
the center of attention.
Research has not yet completed the urgent task of providing predic-
tion of the significant effects of the uses of these pesticides, but enough
is now known to provide reliable examples and suggest some general
patterns. Principal attention here is given to the persistent insecticides
and miticides, since nontarget effects are more probable because of
persistence. Certain vivid cases of effects from short-lived materials
are also cited. The following examples are intended to be illustrative,
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not definitive. Not enough knowledge yet exists to permit quantitative
summary of any of the nontarget effects.
a. Phytoplankton
Drifting plant cells in natural waters carry on a large portion
of the photosynthesis on the earth's surface. They synthesize most
of the earth's organic material, produce most of the oxygen of the
atmosphere, and participate in other essential ways in the chemi-
cal cycles of the biosphere. Evidence that pesticides may significantly
reduce such processes is unusually important. Controlled 4-hour ex-
posure to 1.0 p.p.m. of aldrin, chlordane, DDT, dieldrin, heptachlor,
methoxychlor, or toxaphene reduced productivity by 70-94 percent
and endrin, lindane or mirex reduced it 28-46 percent. Concentrations
of a few parts per billion of DDT have been shown to reduce photo-
synthesis in laboratory cultures of four varied species of coastal and
oceanic phytoplankton, and 100 p.p.b. lowered production 50-90 per-
cent. Swedish research showed that the alga Chlorella undergoes great
morphological change and decreased photosynthetic rates after 3 days
of exposure to 0.3 p.p.b.
These and other observations do not measure total photosynthetic
damage, but suggest that such effects may be important and that there
is urgent need for further investigation of the effects of pesticides on
phytoplankton.
i. Benepyial Insects
Naturally occurring parasitic and predaceous insects control many
insect pests. There is no evidence that parasite or predators as a
class are more susceptible to insecticides and miticides than are
pest species. However, when the plant-feeding species are severely
reduced, their parasites and predators are more severely reduced
and may be eliminated from the community because they depend
upon the plant feeders for their survival. For example, when parathion
was applied to a cole crop the number of predaceous and parasitic
species were reduced by 95 percent whereas the number of plant-
feeding species were reduced by only 8 percent. Following this type
of disruption, population outbreaks of the plant feeders occur. Because
the parasitic and predaceous species are absent, the plant feeding
species increase explosively.
Some parasitic and predaceous species are eliminated in crops be-
cause some parasitic and predaceous species are more susceptible
to certain pesticides than are plant feeders. In orchards, for example,
when DDT was applied for control of apple pests, populations of
certain predaceous lady bird beetles which were highly susceptible to
DDT were eliminated. Since these beetles were the principal control-
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ling agents for the pest red mite, the mite population subsequently
reached outbreak levels and caused severe damage to the apple trees.
This particular mite species is not susceptible to DDT and, therefore,
was hardly influenced by the chemical which killed the beetle.
Differential susceptibility is also found in the bee pollinators. The
honey bee and wild bee pollinators are more susceptible to the insecti-
cide canbaryl than are many other species of insects. Therefore,
the continued widespread use of this chemical may have severe effects
upon bee pollinators and, in turn, may reduce the pollination of both
cultivated and wild plants.
e. Marine invertebrates
In the coastal environment, several kinds of organisms are unusually
susceptible to chemicals contained in waters flowing from land. Sessile
animals, including shellfish and many other benthic species, must
tolerate whatever reaches them since they cannot escape. Arthropods
such as shrimp, crabs, and most zooplankton are biologically similar to
insects and mites and highly sensitive to some of the arthropod poisons.
Data are quite inadequate for assessment of all effects, but some cases
have been documented.
Worms form an important part of the diet of many aquatic species,
but only a single observation on pesticide effects has been seen. Many
worms were found dead after treatment of a tidal marsh by 0.2 pounds
of DDT per acre.
Molluscs have received considerably more attention, because they
are unusually valuable and because they are exceptionally useful as
indicator organisms. Oysters and mussels are used in a broad monitor-
ing program for estuaries, and data on pesticide content are available
from 175 sites. These soft-bodied animals have notable capacities for
biological concentration of pesticides (as well as of heavy metals and
virus), and oysters have been noted to accumulate DDT to 70,000 times
the concentration in ambient water. DDT, dieldrin, and endrin and
other insecticides have been observed in many coastal populations.
Organochlorine insecticides are deleterious to some molluscs at an
ambient concentration of 0.1 p.p.b. and they are as a group con-
sidered to be about 100 times as toxic as herbicides. A series of tests
of the effects of 52 pesticides on the sensitive larval stages of oysters
and clams was especially revealing. Survival and growth rates were
sometimes reduced, and many of the tested compounds interfered
with embryonic development, so that only a portion of the larvae
succeeded in metamorphosing to the post-larval stage. This wide-
spectrum series showed vividly that each compound must be tested
thoroughly, that each species differs in tolerance, and that each
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stage in the life history may be physiologically different in its re-
sponse to a chemical.
Crustacea have been observed to receive both direct and indirect
damage. Twenty-four hour exposure of blue crabs to 0.5 p.p.m. of
DDT killed 50 percent of the crabs, and 0.3-0.4 p.p.b. of heptachlor,
endrin or lindane destroyed 50 percent of exposed shrimp in 48 hours.
Application of 0.2-0.3 pounds per acre of DDT nearly extirpated
populations of small amphipods and isopods in a marshland ex-
periment, and the numbers were reduced for many months. Blue
crabs were reduced 10 to 40 percent when exposed to 0.3 pound per
acre of DDT, and by 95 to 97 percent when that level was applied
several times each year. As with many other sepcies, larval stages
are especially sensitive. A study which is now in press demonstrates
that 5 p.p.b. of DDT, exposed to crab larvae for 72 hours, caused
100 percent mortality. Baytex and endrin killed 100 percent at 10
p.p.b.; sevin and toxaphene wiped out all larvae at 50 to 100 p.p.b.,
with lesser toxicity occurring from malathion, phosdrin, and aldrin.
Some indications were obtained of the effects of prolonged exposure
to sublethal loads, since growth was significantly reduced at 0.75
p.p.b. and 0.50 p.p.b., although not at 0.25 p.p.b.
Indirect toxicity has been seen in heavy mortality among crabs
feeding on fish killed by dieldrin, and fiddler crabs feeding on DDT-
laden detritus became so uncoordinated as to lose usual defense
mechanisms
For a vast array of invertibrate nontarget species, no data or under-
standing of pesticides are now available.
d. Fish
Lake Trout.—In 1955 when the fish hatchery on Lake George lost
100 percent of nearly 350,000 eggs removed from lake trout, DDT was
suspected. Until recently, about 10,000 lbs. of DDT had been dis-
tributed for control of gypsy moth and biting flies yearly in the water-
shed associated with Lake George.
Careful study revealed that DDT completely inhibited reproduc-
tion of lake trout in Lake George and several other heavily contam-
inated lakes in the adjacent Adirondack region. Although the trout
eggs contained relatively small amounts of DDT, the fry were killed
at the time of final absorption of the yolk sac when they were ready
to feed. At 3 p.p.m. of DDT in eggs, few fry survived and at 5 p.p.m.,
DDT, the mortality was 100 percent.
Again the specific effects of each toxicant upon each species should
be emphasized. In the case of lake trout, DDT was the chemical which
hindered reproduction. The fish, however, contained larger amounts
of DDE, a metabolite of DDT, but this had no detectable influence on
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the survival of the adult fish. In some birds such as mallard ducks,
DDE is the toxicant which had deleterious effects upon reproduction
and DDT showed little effect.
Marine.—There are now enough records of kills of fish in
open waters and of the result of experimental studies to permit a
degree of summarization for fish. Losses of natural populations in
which pesticides have been implicated include death of over 1 million
fish of 30 species in a Florida marsh during sandfly control efforts
with dieldrin, the loss of over 5 million fish in the lower Mississippi
River, and many lesser mortalities.
The literature on pesticides and fishes was thoroughly reviewed in
a paper in the Transactions of the American Fisheries Society in 1968
by D. W. Johnson, and many aspects of the associated problems and
research needs were summarized. The acute effects usually involve the
central nervous system and result in instability, respiratory difficulty,
sluggishness, and, sometimes, death. Chronic exposure may produce
massive residue accumulation in fats, damage to liver and kidneys,
injured gills, reduced reproduction, slowed response to external stim-
uli, loss of appetite, restricted growth, lowered resistance to disease
and other stress, changed blood composition, the seeking of abnormally
warm waters, modified salt metabolism, cholinesterase inactivation, in-
creased oxygen consumption, and other effects.
Any of these may be lethal to the individual and some are obviously
threatening to the affected population.
Increased resistance to specific pesticides has been noted in a few
fish, but the response of the scientific community to those observations
has been mixed. The species of fish are more likely to survive con-
tinuing exposure, but the resistant fish apparently contain higher
concentrations of the pesticide—and pose an increased threat to con-
sumers, including man.
The availability of the persistent insecticides to nontarget fish is
suggested by the report that all 16 commercial fish foods tested for
use in a Canadian trout hatchery contained DDT and its metabolites,
and some caused 30 to 90 percent mortality among fry and fingerlings.
It is now extremely difficult to avoid DDT and its effects.
e. Birds
Much of the significant evidence on the worldwide effects of in-
secticides have been provided by birds.
Public and scientific concern were alerted by early reports of heavy
mortalities among robins which had fed upon earthworms contami-
nated during insect control programs. This concern was heightened by
later evidence on eagles and falcons and their failure to produce young.
There are now many important records of field observations linking
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insecticides to bird injury, and several definitive reports from ex-
perimental studies. Only the principal conclusions are summarized
here.
There is a syndrome typical of bird poisoning from DDT. Birds
can fly poorly or flutter along the ground, then become totally dis-
abled, undergo convulsions and die in a very stiff position with legs
extended. Such deaths have been observed at many locations and the
evidence links losses to DDT, dieldrin, and other insecticides. Dutch
elm disease control reduced robin populations from 185 pairs to zero
over a 4-year period in one area. In another area, total bird popula-
tions in succeeding years were 31, 68, and 90 percent below previous
levels (robins were 69, 70, and 98 percent reduced). Toxaphene has
been seen to cause unusual mortalities of fisheating water birds, in-
cluding white pelicans, egrets, grebes, great blue herons, and gulls.
Georgia quail populations declined after treatment of land with
heptachlor, and had not recovered after 3 years.
The effects of sublethal exposure of birds to insecticide residues are
only partially known. Experimental evidence has shown a wide variety
of changes in response to stress, behavior, liver functioning, testicular
development, delay in ovulation, metabolism of steroids, and, es-
pecially, failure in the deposition of calcium in sheila of eggs. The latter
is failure of one of the most basic physiological characteristics of birds.
It has been difficult to relate such evidence to occurrences in wild
mobile populations, however, and the possible relationships between
pesticides and several great population changes has required utilization
of several kinds of evidence. The best known cases of population
crashes or drastic declines since the mid-forties are among the raptorial
hawks and eagles which are carnivores at the ends of food chains.
Serious declines have been noted in various regions for the European
sparrow hawk, Scottish golden eagle, English kestrel, sharp-shinned
hawk, Coopers hawk, osprey and bald eagle. In each case, there is indi-
cation that reproductive success has declined, and that the failure is
similar to that caused by persistent chlorinated hydrocarbons. For the
osprey, Scottish golden eagle and European sparrow hawk a correla-
tion has been observed among frequency of egg breakage, decrease in
eggshell weight, subsequent status of breeding populations and ex-
posure to these pesticides. Not all hawks, owls, eagles, and other car-
nivorous bids show these effects.
The most widely observed species, however, is the peregrine falcon.
The population levels in Europe and North America were critically
reviewed in 1965 in a conference at the University of Wisconsin, and
the proceedings, supplemented by more recent observations, were pub-
lished in 1969 with Dr. Joseph J. Hickey as editor. Many observations
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on falcons were provided, including notes on eyries which have been
known for centuries but which became vacant in the sudden popula-
tion losses of the last 20 years. Drastic declines in Finland, Germany,
France, Britain, Switzerland, Ireland, Belgium, Sweden, Latvia, and
the total loss of nesting peregrines in Eastern United States are de-
scribed and considered. Several factors may be involved, and they vary
from place to place. Reproductive failure is the most probable cause,
in the opinion of the conferees, and has involved a failure to lay eggs,
decreased number of eggs, egg breakage and eggeating, inability to
renest, and decreased viability of the young. In the words of the con-
ference summary, "The ecological case against the chlorinated hydro-
carbon insecticides as the pervasive factor in these phenomena is es-
sentially complete." This pattern of evidence is convincing if the por-
tions drawn from different sources point in complementary ways to
the same conclusions.
Rigorous experiments to examine the effects of some of the suspected
insecticides have recently been established, and results of exceptional
interest and significance are now available. The American sparrow
hawk, in the same genus as the peregrine falcon, has been bred in cap-
tivity and experimentally exposed to a mixture of dieldrin and DDT.
One group received low dosage, equal to the residues often found in
raptor food items in the field (0.28 p.p.m. dieldrin and 1.4 p.p.m.
DDT, net weight); a second high dosage group received a level calcu-
lated to be just short of lethal; controls were maintained; observations
were continued through the second generation; and partial replica-
tion of the entire experiments was achieved. Treated birds showed
reduced reproductive success, involving disappearance of eggs, thinner
shells, and possible egg eating by parents. The authors, Porter and
Wiemeyer of the U.S. Bureau of Sport Fisheries and Wildlife, con-
clude "The remarkable similarity in pattern of reproductive failure
between oijr experimental hawks and wild raptor populations strongly
supports the hypothesis that recent reproductive failure in several
raptor populations in the United States and Western Europe were due
to common physiological and behavioral responses to intakes of sub-
lethal amounts of persistent chlorinated hydrocarbons." Experimental
evidence has also been obtained on mallard ducks, and DDE severely
impaired reproductive success, reducing shell thickness and the hatch-
ability of eggs with uncracked shells. DDD was less severe, but also
reduced success.
These experiments appear to forge the last link in the chain of evi-
dence that DDT and its derivatives have been the direct and principal
cause of widespread and significant reductions in bird populations.
The full extent of the damage cannot yet be determined.
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/. Mammals
Insecticide damage to mammals has apparently not been as frequent
nor as serious as in birds and fish, although the available data are
scarce. Occasional mass mortalities have been reported after use of
aldrin, endrin and dieldrin.
Field sampling has shown that DDT and its derivatives are present
in the fat of many species of wild mammals, including those in areas
which are not known to have received pesticidal exposure. A young
crabeater seal in the Antarctic contained a small quantity.
The pathways, pharmacology and effects of insecticides in mammals
are not well known for wild species, although considerable work has
been done on the species useful in laboratory studies (which are treated
in more detail in relation to the effects of pesticides on humans). In
deer, dieldrin at the rate of 25 p.p.m, reduced reproductive success,
with lowered survival and birth weight of fawns. The effects of isomers
apparently vary, since o,p'-DDT, which usually makes up 15 to 20%
of commercial DDT, acts like estrogen in rats and some birds whereas
the more common p,p'-DDT does not.
Only a few wild mammals have been sampled, but it is probable that
many or all have now been exposed to the persistent pesticides, that
many have accumulated measurable quantities, and that some have
been adversely affected.
Piscicides.—In the establishment and maintenance of sport fisheries
and management of w&.twf
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discouraged by TJSDI insistence that Federal aid for fish restoration
funds cannot be approved or allocated for this unregistered and
hazardous use.
Avicides.—A considerable amount of research has been devoted to
the search for avicides that are effective in controlling pest species
of birds without damaging desirable species. The development of
avicides is carried out by personnel who also have a very real respon-
sibility for the protection of desirable species of birds, and their
screening tests rule out many candidate chemicals that have unwanted
characteristics.
Only a part of the problem is associated with disagreement as to
whether or not a particular species, such as pigeons, should be con-
sidered a pest. The more important problem is developing the necessary
specificity. Much of this problem is solved by formulation and place-
ment of the poison. Thus, there are now chemicals available that can
be so placed in feedlots that they are reasonably effective in killing
the pest starlings without contaminating the cattle feed. Undoubtedly,
some desirable species of birds are also killed, but few of them frequent
the feedlots during the wintertime when most treatments are made,
so the problem is not acute.
Unforeseen hazards usually come to light during the research and
developmental stages of a new compound. For example, one experi-
mental chemical was used on bait placed around a corn field. The
following year, wheat was grown on the area, and it was noted that
the chemical residue in the soil was phytotoxic to the growing grain.
It must be said that avicides pose a very great hazard to desirable
species of birds, but they are not generally used where such problems
are serious.
Rodenticides and other mammal biocides.—Certain rodenticides
still in use are among the most hazardous pesticides both to man and
domestic animals. Sodium arsenite, strychnine, sodium fluoracetate
(1080), phosphorous paste, and zinc phosphide are all in this category.
Restrictions on labeling and marketing have reduced actual danger
to a minimum. In fact, none of these compounds is now generally avail-
able and, currently, reports of poisonings of dogs, cats, or children
from these materials are very ram
When these materials are used in the control of predators for rabies
control or for plague control, one would expect considerable secondary
killing of grazing animals or of scavengers. It is a tribute to the care
with which these materials are handled that there seem to have been
no massive kills of nontarget animals.
Anticoagulants, red squill, and other rodenticides available for
household use perhaps have killed some cats but even this is rare
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because they are generally of low toxicity to cats. In the case of the
anticoagulants, the necessity of repeated exposure has been a signifi-
cant safety factor.
Repellents.—Several kinds of chemicals are used for repelling
insects, birds, and mammals. Insect repellents are applied directly to
man and his animals to prevent pests such as mosquitoes and other
biting flies from biting and feeding. Repellents may also be applied
to the bird roosts to force the birds to move and roost elsewhere. Most
of the insect and bird repellents are nontoxic, highly volatile, and
degrade rapidly. How these repellents function to repell these pests
is not known. Other than causing discomfort to the target organism
or nontarget organism which comes within range of the repellent, there
is no documented evidence of danger to nontarget organisms.
Various mammal repellents, such as mountain lion dung used
against deer, are employed to prevent mammals from entering crop
areas. Repellents serve to alter or modify the behavior of mammals as
well as other animals without harming the particular species of
animal.
Alternative Pest Control Practices and Their Potential
Danger To Nontarget Organisms
Whenever pesticide pollution is discussed, the use of alternative pest
control practices are suggested as a means of reducing pollution and
hazards to nontarget organisms. Most of these alternate controls have
been employed against a wide variety of pests during the past 100
years or more. Although research on these alternate pest control prac-
tices has increased during the past 10 years, relatively few successes
have been achieved and the list of alternate controls remain small. The
pri[me reason for the slow development of these alternate methods is
that generally this research requires a great expenditure of time and
money. This aspect of pest control deserves greater attention and the
research effort should be both encouraged and supported.
Just as there has been some pollution hazard associated with the
use of pesticides, there are also dangers associated with some of these
alternative controls. Below is a listing of several alternative pest con-
trol practices, with comments on their potential danger to nontarget
organisms.
Parasites and predators.—In nature, parasites and predators play
important roles in the control of many animal species. Although they
usually do not provide full control of pest species, parasites and pred-
ators are valuable assets in providing partial control of many pests.
Parasites and predators have also provided effective control of in-
dividual pest insect and weed species. For example, vedalia beetle im-
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ported in 1888 from Australia was highly effective in controlling the
Cottony cushion scale insect which caused serious damage to the Cali-
fornia citrus crop.
Shortly after 1952 the imported Klamath weed was controlled by
an imported weevil (Chrysolina gemellata) which originally came
from England. This resulted in a restoration of large acreages of pas-
ture in California. A recent instance (1964) of successful biological
control involves the use of small wasp parasites (Apkytis macuUcomis
and Cocophagoides utilis) against the (Parlatoria oleae) olive scale
in California. Annual crops such as vegetables and cereals are generally
unsuited for control by parasites and predators.
The crop environment which is relatively stable and includes peren-
nial plant types is effective in maintaining parasite and predator pop-
ulations. Partial control by parasites or predators used in combination
with insecticides (integrated control) can be of great value and result
in a decrease in the amount of pesticide used for control. This would
have obvious benefit to nontarget organisms.
Biological control with parasites and predators is, however, not
without danger to nontarget species. Probably the best example of
biological control resulting in environmental deterioration is illus-
trated by the Indian mongoose. The mongoose was introduced into
Jamaica in 1870 and subsequently the U.S. island of Puerto Rico for
rat control in sugar cane. Within 15 years the presence of mongoose
had caused a change in rat species. The ground nesting Norway rat
population was reduced by the introduced Indian mongoose. With the
removal of its competitor, the tree nesting rat population increased
and caused damage to the cane. The mongoose also became a pest itself
by preying on poultry and ground nesting bird species and became
a reservoir for rabies on the island.
Imported insect parasites and predators may also attack beneficial
insect parasites or predators and thus destroy an established pest con-
trol program.
In general parasites and predators offer several opportunities for
achieving pest control with reduced pollution hazard. If new importa-
tions are selected and established with great care there should be
few dangers to nontarget organisms.
Pathogens,—The use of pathogens which cause disease in pest insect,
and weed populations is the subject of continuing investigation. Under
natural conditions viruses, bacteria, fungi, protozoa, and nematodes
can be effective control agents. In the United States the introduced
Japanese beetle is being controlled to a consideralble degree by a bac-
terium which caused a milky disease in the insect population. Spores
of the milky disease bacterium may remain viaJble in the soil for 20
years, so one© an area is infected it remains this way for a long period.
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Another bacterium, badllus thuringiensis, can be applied like an
insecticide against pest caterpillars which feed on some crops. Using
this bacterium, however, is like employing an insecticide because the
active agent is a crystalline chemical which is toxic to the caterpillars
and other insects. This bacterium does not cause disease epidemics in
the pest population like the milky disease.
Several viruses, like the polyhedral virus of the cabbage looper, can
give excellent control of pest insects. Although today there is no
evidence of danger to humans, they are not being utilized because
there are no exact criteria for determining safety to humans and other
nontarget species.
Based on the available information about bacteria, viruses, and
the other pathogens, there appears to be little danger to nontarget
species because of the specificity of most pathogens. Exceptions in-
clude Bacttlm thvrmgiensh and other pathogens in which elaborated
toxins may be involved.
Host resistance to pests.—In nature host resistance is one of the
dominant forces limiting the numbers of animal populations. It follows
then that host resistance in plants and animals is potentially one of
the most effective and safest alternative methods of control.
Host resistance has been used with relative success against several
species of plant pathogens. Although plant resistance to insects is
known to be common in nature, the method has not been widely ex-
ploited. Use of host resistance discourages some economic biologists
because of the long period of time needed for selecting and breeding
commercial varieties of crops.
Cabbage yellows, for example, has been effectively controlled by
breeding resistant cabbages. Hessian fly, a serious pest of wheat, is
primarily controlled by host resistance.
Host resistance has several advantages. There is no hazard to either
man or nontarget species. The method can be employed jointly with
other alternate methods and pesticides without interfering with the
effectiveness of the combined control technique.
Environmental manipulations (cultural control).—Many pest pop-
ulations can be reduced or controlled by modifying crop and live-
stock cultural practices. Some of these techniques are listed below,
and it should be noted that generally these cutural controls offer little
hazard to nontarget species. At present, some of these have practical
limitations which might be overcome through research and additional
experience.
1. Plant spacing.—Pest damage to crops can sometimes be re-
duced by altering the spacing of the crop plants. With new crop man-
agement techniques which include better control of water and ferti-
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lizer needs, crop plants can be grown in more dense stands. In this
way the productivity of the plant population per unit time and area
may be increased with the net result of a reduction in pest damage per
unit plant area.
2.	Species diversity.—Monoculture in modern agriculture is a
necessity, but with some crops species diversity can be increased by
strip cropping or interplanting. Increasing species diversity could
result in reducing pest population numbers by increasing the num-
ber of enemy species present and improving their efficiency. For ex-
ample, the white pine weevil causes less damage to white pine grown in
mixed stands of trees than when the white pine is in a pure stand,
3.	Timing.—Planting time of a crop may be altered such that
planting is done after a pest species emerges from its winter resting
stage. In this way the pests die before they find suitable crop plants.
Hessian fly infestations are partially controlled by planting wheat
following the spring emergence of this pest.
4.	Crop rotation.—Crop rotation is useful in pest control because
it prevents the build-up of pests which live on a crop grown contin-
ually in the same area. By following a crop (corn) with a new and
unrelated crop (legume), for example, it is possible to avoid large
populations of the corn rootworm.
6. Water management.—Braining flooding, and water level con-
trol can be used effectively in pest control, but may have drastic eco-
logical effects. With increased control of water use in crop produc-
tion, additional means are available for pest control. For example,
flooding of the soil can drown certain soil pests such as nematodes and
soil fungi. Both flooding and draining can destroy some nontarget
species in the soil.
6.	Fertilizers.—Host plant nutrition affects the longevity and
fecundity of a substantial number of pests. By altering the applica-
tion of nitrogen, potassium, and phosphorus used in crop culture, it is
possible to reduce the number of some pests. The longevity and fecun-
dity, for example, of spider mites are adversely affected when their
host plants are cultured in soils which are deficient in nitrogen, phos-
phorus, or potassium.
7.	Soil preparation.—Pests, primarily insects, which overwinter or
live in the soil during part of their life may be killed by either plow-
ing and/or disking the soil. It has been shown that 98 percent of the
pupae of the corn earworm overwintering in the soil is killed by a
thorough disking and breaking of the soil.
8.	Sanitation.—Various pests can be controlled either by eliminat-
ing their alternate hosts or by eliminating the source of infection before
it spreads. For example, 90 percent control of the Dutch elm disease is
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possible in a town or community if a sound sanitation program is
carried out. Spraying the elms with an insecticide improves control
of the disease from 2 to 5 percent.
Induced sterilization.—Control of the screw-worm fly in Florida and
other areas by the mass release of radiation sterilized male flies has
been well demonstrated. This sterile male method has many advantages
but unfortunately its application for control of many species of pests
is somewhat limited. Various chemical sterilants are under investi-
gation for pest control, but these chemicals can be extremely danger-
ous to nontarget as well as target species. Distribution methods might
be found to place the poisons inside protected feeding stations, where-
by these chemosterilants would reach only pest species.
Physical methods.—Light can attract various insect moth pests to
traps. Light reflections from aluminum foil have been employed to
keep aphids from attacking some host plants. Sound may be em-
ployed in a similar manner to draw mosquitoes into a trap. Other pos-
sibilities of pest control using physical factors need investigation.
These appear to have little or no effect on nontarget species.
Genetic manipulation of pest populations.—In the laboratory it
has been demonstrated that lethal genes may be released in a pest popu-
lation to reduce the viability or the numbers of a particular pest pop-
ulation without affecting any other species present in the habitat.
Because the method is specific there is no danger to nontarget
organisms.
Pheromones and hormones.—Naturally occurring chemicals which
are produced by the pest or its host may be employed for pest control.
1.	Sex pheromones.—Some insect species may be attracted to traps
from up to a mile away by chemical secretions produced by either
males or females. Generally these chemicals are quite specific for the
insects they attract and, therefore, are not hazardous to other species.
2.	Developmental pheromones.—Various chemical messengers
which control specific phases of development and growth occur in or-
ganisms. These included the juvenile hormone of arthropods which
inhibits moulting and development into adult stages. This pheromone
has general activity to most arthropods and, therefore, is of potential
danger to a wide variety of species. Before these hormones are declared
safe for widespread use, information on their spectrum of activity
on nontarget organisms should be established, otherwise they may per-
form as broad spectrum chemical pesticides. The danger to nontarget,
beneficial insects and other beneficial arthropod species such as shrimp,
crabs, and lobsters could be great,
3.	Plant hormones,—Various hormones, which influence growth
and development in plants may also influence the susceptibility of
219

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these plants to pest attack by insects or plant pathogens. It might be
possible to control some of these pests by judicious use of these plant
hormones.
Costs and Value to Society
The economic value of pesticides as they relate to crop protection is
difficult to quantify, but an assessment of the hidden costs of nontjtrget
effects is even more difficult. A few observations may be gleaned, how-
ever, which may be useful approaches to the intangible associated
values.
There is indirect evidence of the value that the public places on fish-
ing and hunting. Out of a population of 130 million over 12 years of
age in the United States, there were about 50 million hunters and
fishermen who spent 650 million recreation-days and approximately
3.9 billion associated recreation dollars in 1960. The Department of
Commerce has estimated 33 million hunters and fishermen (23 percent
of the population over 12 years of age) in 1965.
The extent of national land resources and the time spent by our
people also give indirect evidence of value attached to recreational
environment.
Acres	Visits
National parks (1967)	
National forests (1967)			
State parks (1967)			
State parks and recreation areas (1965)
28, 000, 000 140, 000, 000
228, 000, 000 150, 000, 000
		 440,000,000
40,000,000 	
Estuaries and the continental shelf represent an area receiving the
outflow of water from all land sources and this marine environment
supplies 60 percent of the seafood products of the United States with
an annual estimated value of $225 million at dockside. Nearly 4 million
people hunt and fish in estuarine environments of the country.
Public concern over environmental pollution and threats to certain
wildlife species is additional indirect evidence of value although will-
ingness of many to dump beer cans, litter and trash gives evidence
that pollution is the "other guy's" problem!
Well-planned changes may have a favorable effect on an ecosystem
but if not well conceived may induce a series of complex changes which
are subtle and hard to correct. The direct costs of environmental con-
tamination are indicated by the loss of food in which residues exceed
established tolerance levels (as in the case of Coho salmon), injury to
crops and resulting damage claims, water purification costs and
damages resulting from known contamination and spills. These are
hard to estimate with any degree of accuracy.
220

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Some relationships of pesticide costs to our economy might be use-
ful as a background for judgments as to whether the added costs
of improved materials or practices would be an excessive burden to
producers or consumers of food and fiber.
In 1968 total farm production expense in the United States was
$33-$36 billions and the cost of all pesticides at the consumer level
totaled $1.7 billion of which $1 billion was spent for direct use
in growing food and fiber. Approximately 3 percent of farm operating
costs resulted from pesticide materials. (This varies greatly crop
by crop.) The cash receipts received by growers for food and fiber
were $44 billion; therefore, the pesticide cost of $1 billion represented
2.3 percent of total farm product value and 3 percent of farm operat-
ing costs. It is estimated therefore that the cost burden of pesticides
necessary for the production of food and fiber would range between
1.0 and 1.3 percent of the retail purchases of food and clothing by
the consumer. This leads to the conclusion that the economy is able
to afford better methods and improved pesticides.
The agricultural productivity of this country can easily be taken
for granted in times of plenty. This productivity is a source of great
international economic strength for the United States. Incentives are
needed to encourage improvement of present pesticide practices and
develop new ones which optimize the relation between man and
environment.
Training and Licensing of Pesticide Users
There has been a reduction of about 50 percent in the use of DDT
in the United States since the peak year of 1958-59. If dramatic addi-
tional reductions in the use of this and other pesticides are to be
obtained, some system of regulatory restrictions on use will doubtless
be necessary. Existing Federal regulations affect use other than by
aerial applicators only indirectly (through labeling and through
restrictions on residues permissible on produce at marketing).
Two methods of regulating use of potentially harmful substances
without completely prohibiting them have been used extensively.
One is restricting use to licensed applicators who are expected to
use good judgment in their applications; the other is to permit their
purchase only on prescription from professionally qualified experts
who are expected to use good judgment in instructing the user.
The licensing method has been used by many States in regulating
certain types of pesfc control operators such as structural pest control
operators, aerial applicators, or contract agricultural sprayers, etc.
This technique has seldom, if ever, been used to restrict use by a
farmer or other individual who is making his own application,
221

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The second method is well-established in the restriction of use of
dangerous drugs in the treatment of humans and domestic animals.
A related method has been used in California for some pesticides
where a permit to purchase must be obtained from a County Com-
missioner of Agriculture,
If either method is to be effective nationally, some method must be
found to set nationwide standards for its operations. Since there
are already many States employing the licensing mechanism for one
or more of several types of applicators, this has the advantage of a
core of laws and regulations from which to start. However, the vari-
ability of these laws and regulations may make achievement of a
national standard more difficult than to start fresh with the second
method. Moreover, the licensing of each individual user may be more
restrictive of the rights of individual citizens than is necessary.
Either method will require a system of training and testing the
licensed user or prescriber and of assuring his compliance with the
criteria of use. The basic standards of training, testing, and criteria
for use should be set by a national board operating under the aegis of
a suitable national professional society such as the American Institute
of Biological Sciences, and financed initially by a contract from the
Department of Health, Education, and Welfare or other appropriate
Federal agency. State or local counterpart boards should be established
to carry out the details in their own jurisdictions.
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1965.
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CHAPTER 4
Effects of Pesticides on Man
Contents
Page
Summary and conclusions		231
Needs		236
Preface				242
Introduction		243
Interpretative pitfalls		246
Toxicological complexities		246
Epidemiological complexities		250
Analytical complexities					257
Complexities of terminology				258
Need for perspective				261
Pharmacokinetics		263
Routes of Entry				263
The pharmacokinetics of organochlorine insecticides. _	263
Human Effects				295
Controlled human exposures		295
Epidemiology of pesticides			304
Clinical case reports				344
An appraisal of hazards to man from long-term
exposure to pesticides				381
Specialists Reports on Potential Health Effects		398
Cutaneous aspects				398
Behavioral effects of pesticides					406
Experimental animals			423
Preventive and therapeutic measures					442
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EFFECTS OF PESTICIDES ON MAN
Summary and Conclusions
The scope of this report is intended to encompass the present state
of knowledge concerning the nature, extent and consequences of hu-
man exposure to pesticides. Data relating to exposure of experimental
animals have been reviewed only insofar as they contribute to our
understanding of phenomena encountered in man or provide knowl-
edge in areas where human data are meager or totally lacking.
No human activity is entirely without risk and this maxim holds
for pesticide usage in the human environment just as it does for all
other exposure to chemicals. There are formidable inherent difficulties
m fully evaluating the risks to human health consequent upon the use
of pesticides. In part, these difficulties stem from the complex nature
of the problems involved, the fact that many facets of these problems
have been recognized only recently, and the general backwardness in
this area of research in man, as distinct from work in laboratory ani-
mals. Above all, one must not lose sight of the large number of human
variables—such as age, sex, race, socio-economic status, diet, state of
health—all of which can conceivably, or actually do, profoundly af-
fect human response to pesticides. As yet, little is known about the
effects of these variables in practice. Finally, one must realize that the
components of the total environment of man interact in various subtle
ways, so that the long-term effects of low-level exposure to one pesti-
cide are greatly influenced by universal concomitant exposure to other
pesticides as well as to chemicals such as those in air, water, food'and
drugs. While all scientists engaged in this field desire simple clear-
cut answers to the questions posed by human exposure to pesticides,
the complexity of the human environmental situation seldom allows
such answers to be obtained. Attempts to extrapolate from the results
of animal experiments to man are also beset with pitfalls. Hence, the
greatest care needs to be exercised in drawing conclusions regarding
cause-and-effect relationships in human pesticide exposure.
The available evidence concerning such human exposure to pesti-
cides derives from three main sources: planned and controlled admin-
istration of pesticides to human subjects; case reports of episodes of
accidental or other acute poisoning; and epidemiological studies,
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which in turn comprise surveys of occupationally-exposed groups (in
accordance with a variety of retrospective and prospective ap-
proaches) , and studies of the general population.
Indices of exposure of human beings to pesticides constitute a vital
link in the chain of evidence that must be forged in order to reveal,
interpret, and maintain effective surveillance of, pesticide exposures.
Hitherto, the view that exposure of the general population was pre-
dominantly associated with the presence of pesticide residues in food
has been reflected in the efficient monitoring of total diet samples and
individual foods, but only sporadic attention to other sources of ex-
posure. It is now evident that much can be learned by monitoring the
end-product of human exposure in the form of pesticide levels in body
fluids and tissues of people. The information thus obtained is quite
distinct from, and at least as valuable as, the data on residues in food;
the two types of data complement each other admirably. Provision
of information on human levels, in adequately detailed coverage of
various groups within the general population is seen as the single
most immediate step towards a better understanding and surveillance
of total exposure from all sources of pesticides.
Sophistication achieved through the use of modern techniques has
made possible the study of absorption, disposition, metabolism and
excretion of some pesticides in man. Experience derived from animal
studies has provided guidance in directing the appropriate procedures
to the investigation of the behavior of pesticides in the human body.
To date, the most significant information of this sort relates mainly to
two organochlorine pesticide groups, namely DDT and allied com-
pounds as well as the aldrin-dieldrin group. Knowledge of the dy-
namic aspects of the behavior of these two pesticide groups in the
human body is far from complete, but already some important facts
have been established. In general, for any given level of pesticide in-
take, an equilibrium level of pesticide is attained in blood and body
fat, despite continuing exposure. The precise concentration at which
the plateau is established is directly related to the level of exposure
but also to other determining factors. In the case of aldrin-dieldrin,
the blood level appears to be a reliable measure of exposure. It appears
further, that DDT in blood is directly related to recent exposure, while
in contrast DDE in blood is a reflection of long term exposure.
A detailed survey of case reports of incidents involving accidental
poisoning by organochlorine pesticides reveals that their general ac-
tion is to increase the excitability of the nervous system. Some of these
compounds also damage the liver. Their capacity to penetrate intact
human skin varies from one compound to another; in the case of en-
drin, for example, percutaneous penetration plays an important part
in clinical intoxication. Within the organochlorine group of com-
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pounds there is a wide range of potential for acute toxicity: DDT is
relatively safe in terms of acute intoxication, while dieldrin and endrin
have produced many cases of serious poisoning. Lindane presents a
special problem, inasmuch as it has been implicated, largely on the
basis of circumstantial evidence, in the causation of hematological
disorders. A characteristic of organochlorine poisoning is the dif-
ficulty of establishing the correct diagnosis. This is especially true in
cases of mild poisoning that result in nonspecific symptoms and signs,
since except in the case of dieldrin there are no established criteria for
diagnosis on the basis of blood levels. Specific therapeutic measures
do not exist.
Inhibition of cholinesterase enzymes by the organophosphate pesti-
cides appears to be the only important manifestation of acute or
chronic toxicity produced by this class of compounds. Great variation
in acute toxicity from one compound to another characterizes this
group, which includes some of the most toxic materials used by man.
Cholinesterase inhibition results in a well-defined clinical pattern of
intoxication which can be readily diagnosed. Specific therapeutic
measures are available and, provided they are pressed with sufficient
speed and vigor, are highly effective. Skin penetration by organophos-
phates may be substantial. In view of the toxic potential of these com-
pounds, protection of workers exposed to them assumes utmost impor-
tance. Protective measures should include education, training, proper
equipment design, suitable personal protection devices, careful medical
surveillance and well-organized facilities ready to treat cases of poison-
ing with a minimum of delay.
Carbamate pesticides are also cholinesterase inhibitors but, because
of rapid in vitro reactivation of the enzyme, measurement of cholines-
terase activity is not a reliable guide to exposure. As with organo-
phosphates, the toxic potential of some members of the carbamate
group is very great.
Controlled exposure of human volunteers to pesticides under close
medical supervision constitutes the most reliable approach to the
unequivocal evaluation of long-term effects of low levels of pesticide
exposure. The difficulties involved in maintaining such studies have
inevitably resulted in veiy small groups of subjects being exposed for
any appreciable length of time. The longest studies on record have
lasted less than four years and the results can only reflect the period
of study. Consequently, the findings, especially when they are negative,
are open to question when taken by themselves. It appears, however,
that present levels of exposure to DDT among the general population
have not produced any observable adverse effect in controlled studies
on volunteers. The same is true of aldrin-dieldrin. These findings ac-
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quire greater force when combined with observations on other groups,
such as occupationally-exposed persons.
With organophosphate pesticides, the problem of human residues
does not arise because these compounds are not stored in body fat.
Here the risk is one of acute poisoning. Much accidental poisoning is
attributable to public ignorance of the toxicity of these chemicals and
neglect of appropriate precautions in their use and storage. In de-
veloping countries serious accidents result from storage of pesticides
in unlabeled bottles and of food in used pesticide containers. Epi-
demics of acute poisoning follow spillage of concentrated organophos-
phates into bulk food or water sources. The hazard to human life is
shared by fish and wildlife. Regional pesticide protection teams are
suggested as a means of investigating, recording and ultimately pre-
venting accidents of this sort.
Industry has made much progress towards safe handling of pesti-
cides. Nonetheless, a very real occupational hazard exists, and exten-
sion of preventive measures should include regular blood testing for
evidence of organophosphate exposure. A limit for DDT and other
organochlorine pesticides in blood should be established to prevent
overexposure.
Pesticide exposure experienced by the population at large is in part
the legacy of earlier excessive or injudicious use of persistent pesticides.
Residues of these compounds have been, and are still being acquired
from all articles of diet and a variety of other environmental sources.
This is the major source of public concern. Although a number of per-
sistent pesticides can be identified, attention is centered on DDT,
and closely-related compounds, the most ubiquitous and predominant
of all pesticide residues in man. The consequences of these prolonged
exposures on human health cannot be fully elucidated at present. Evi-
dence from workers who are subject to vastly greater exposure than the
public is reassuring but far from complete. Animal experiments clarify
certain issues but the results cannot be extrapolated directly to man.
On the basis of present knowledge, the only unequivocal consequece of
long-term exposure to persistent pesticides, at the levels encountered
by the general population, is the acquisition of residues in tissues and
body fluids. No reliable study has revealed a causal association between
the presence of these residues and human disease.
Despite such reassurance, realization of the paucity of our knowl-
edge in this area flows from increasingly sophisticated studies on hu-
man residues of DDT and related compounds. There appears to be
marked geographical stratification of DDT residues in our population,
the average levels in the cooler isotherms being one-half of those in
the warmer climates. None of these observations apply to residues of
dieldrin. Such findings cast serious doubt on accepted beliefs that
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food is the predominant source of DDT residues and that the entire
general population has reached equilibrium as regards acquisition of
such residues.
Reopening these questions emphasizes the inadequacy of present
monitoring of exposure by relying mainly on analysis of food. This as-
pect was stressed above. It also renders more urgent the need to con-
tain and eventually greatly reduce the extent of human and animal
contamination by pesticide residues. Existing knowledge confirms the
feasibility of inducing active withdrawal of pesticide residues from the
human body but further research to achieve a practical means of at-
taining this goal is needed.
A survey of the reported effects of pesticides on laboratory animals
has furnished information on factors and experimental conditions
that could not easily be reproduced in human studies. For example,
the influence of diet on pesticide toxicity, and particularly lack of
dietary protein, has revealed substantial increases in acute toxicity
of some pesticides. In this, as in some other sections of our report ref-
erence is made to the capacity of organochlorine pesticides to bring
about a great increase in the activity of liver enzymes responsible for
the metabolism of foreign compounds. This phenomenon of enzyme in-
duction has been extensively studied in animals and is discussed in de-
tail in the report of the Panel on Interactions. Comparable enzyme in-
duction in the human liver is brought about by many drugs and also by
DDT. It is a sad comment on the dearth of knowledge of human physi
ology to point out that the threshold dose of DDT for induction of
metabolizing enzymes in human liver is unknown.
Special sections of the report deal with the possible effects of pesti-
cides in bringing about heritable alterations in the genetic material
(mutagenesis), effects on reproduction, including malformations in the
fetus or newborn infant (teratogenesis) and increasing the incidence
of various forms of cancer (carcinogenesis). The data available relate
only to experimental animals or to lower forms of life. At the present
time we do not know whether or not such results are applicable to
man. While there is no evidence to indicate that pesticides presently
in use actually cause carcinogenic or teratogenic effects in ipan, never-
theless, the fact that some pesticides cause these effects in experimental
mammals indicates cause for concern and careful evaluation. It is pru-
dent to minimize human exposure to substances producing these ad-
verse effects in mammals while additional investigations are under-
taken to assess the potential of such suspect pesticides for causing ad-
verse effects in man. There is a need to develop standard protocols
for safety evaluation that are sufficiently flexible to permit an individ-
ual approach to the particular and often unique problems presented
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by each pesticide. Assurance of safety to man demands special tech-
niques, not only for extrapolation of animal data to man, but also for
evaluation of controlled human expsure. Much effort will be required
to attain these objectives. Research in these areas should be expanded
and imbued with a greater sense of urgency than that manifested
before.
The Panel on Interactions has provided a valuable analysis of the
manner in which pesticides can interact with one another, and with
drugs and other environmental agents, in exercising effects on man
and animals. Once again one is struck by the complexity and impor-
tance of these interrelationships and by the extent of our ignorance of
effects on man.
To sum up, the field of pesticide toxicology exemplifies the absurdity
of a situation in which 200 million Americans are undergoing life-
long exposure, yet our knowledge of what is happening to them is at
best fragmentary and for the most part indirect and inferential.
While there is little ground for forebodings of disaster, there is even
less for complacency. The proper study of mankind is man. It is
to this study that we should address ourselves without delay.
Needs
Improvement in the present situation requires:
I.	Organization of resources for effective continuing action.
II.	Improved registration and review practices.
III.	Clarification and strengthening of laws and regulations
IV.	Action to improve the health of the public.
V.	Initiate programs to evaluate and provide a system of graded
actions for existing contamination or contamination which can-
not be controlled at the source.
"VT. Research and investigations.
VII. Industrial cooperation.
I. Organization of resources
In view of the current organization of the Departments involved
in the control of pesticides, and inter-Departmental relationships,
there is a need for a single organizational unit that might be called
a pesticide board at the level of the Department of HEW to make
the final risk-benefit judgments for the guidance of the Secretary.
The board through a central staff and peripheral operational units is
intended to fulfill the following functions:
1. Organization crnd legislation.—Supervise the regulatory, registra-
tive and review activities either directly or through other operating
units; serve as the principal planning and budgetary organization for
the Secretary in the pesticide field; coordinate and promote an overall
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Federal pesticide control program with the other Departments having
a major interest in pesticides, i.e., the Department of Agriculture,
Department of the Interior, and the Office of Science and Technology.
The board should consider the most effective way or organizing
existing resources currently designated as pesticide activities, spe-
cifically the activities of the Bureaus of Science and Medicine of the
Food and Drug Administration. It should also consider pesticide
resources currently related to the National Institutes of Health, the
Health Services and Mental Health Administration, other Admin-
istrations of Consumer Protection and Environmental Health Service,
and the regulatory, review, laboratory and investigative resources in
the Food and Drug Administration.
2. Service.—Establish investigative teams and monitoring systems;
collect data on pesticide contamination of man and his environment;
set up educational and preventive programs throughout the opera-
tional units.
The board should initiate plans for a coordinated surveillance sys-
tem based upon giving first priority to measurements of human ex-
posure or measurements which can be quantitatively related to human
exposure. This involves supplementation of programs which monitor
food for regulatory purposes. Preferably, human tissues and body
fluids should be the basic indices. The system should provide informa-
tion for the board on its risk-benefit judgments, and data to give
perspective to the regulatory programs related to specific media (food,
air, water) or formulations (pesticide registration). All information
from Federal, State and foreign sources regarding any aspect of
pesticide usage, pesticide related human morbidity and mortality ex-
perience, ecological impact, etc., should be put into retrievable form.
This information should be made available to governmental agencies,
the news media, industry and the public-at-large. A principal use of
this data bank would be the identification of areas of ignorance. It
could also inform the public of progress being made toward safe use
of pesticides.
The board could develop a plan to focus existing training and educa-
tion activities and to determine deficiencies and develop resources to
fill the most significant gaps.
Education of the public should begin at the earliest possible age
and continue throughout the school and college career. How to live
with-toxic chemicals should be as ingrained into the public mind as
the precautions necessary to cross a highway. Parents, teachers, chem-
ists and everyone else in any way involved should be encouraged to
participate in the development of general awareness and understand-
ing of the principles of safe use of pesticides and other toxic chemicals
in and out of the home.
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3.	Information.—Obtain, analyze and publish relevant information
on the effects of pesticides on human health and environmental quality.
Expert interpretation of the significance of the findings is an essential
part of this function.
The board could also immediately consider methods of improving
and consolidating the existing periodicals related to pesticides, the
Pesticide Monitoring Journal of the Federal Committee on Pesticide
Control and the Health Aspects of Pesticides into a periodical
providing information on all the health aspects of pesticides. Expert
critical interpretation of the significance of this information has
hitherto been lacking, and should be provided.
4.	Research.—Establish priorities for research related to exposure
and effects, methods of sampling and analysis, and epidemiology;
establish investigative teams, monitoring systems, and evaluative
organizations.
//. Registration and review in order to reduce present and futwre
exposures
The registration of any pesticide, persistent or otherwise, should
be subject to periodic review and reapproval by the board and in no
event should a pesticide registration be effective for a period longer
than two years.
A.	The present residue tolerances and registration of persistent
pesticides should be reviewed immediately to restrict the various
uses presently authorized by current registrations only to those that
are essential for protection of public health or essential for high
priority production of food and fiber where no effective non-persistent
pesticide or alternative control methods are available. The use experi-
ence of each registered pesticide should be reviewed every 2 years.
Provision should be made to withdraw registration wherever use
experience is unfavorable for health reasons or ecological reasons.
Input from health agencies, agricultural agencies, universities, con-
servation groups, etc. should be sought.
B.	Registrations granted for new pesticides should initially be
granted only on a provisional basis with restricted usage while eco-
logical and biomedical data on persistence, biomagnification, and
adverse side effects on man's health or his environment are being
developed.
C.	New pesticides characterized as persistent (as defined in report
of contamination in Chapter 2), or likely to undergo significant bio-
magnification, or potentially threatening man's health or the quality
of his environment should not be granted a provisional registration
unless deemed necessary for protection of public health and/or
essential production of food and fiber.
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III.	Legislative and interdepartmental agreements
The Federal Insecticide, Fungicide and Rodenticide Act should be
modified so that any use of a pesticide can only be registered: 1. with
the approval of the Secretary of the Department of Health, Education,
and Welfare; 2. after consideration of possible consequences and
environmental contamination.
As an interim step, the interdepartmental agreement (Federal
Register, May 1, 1964) should be clarified so that procedure of label
review for TJSI)A by HEW and USDI shifts the burden of proof
from the Federal agencies to industry (the applicant for registration).
Specifically, section 2(d) of the Agreement should be revised to delete
the requirement that the Federal agency which objects to a label regis-
tration must support its objection by "appropriate scientific evidence."
Both industry and government should be expected to supply sufficient
evidence to enable the proposed HEW pesticide board to reach a
decision.
IV.	Action to impro'oe 'protection of the health of the public
A.	Strict limitation of permitted uses of DDT to those that are
essential for public health purposes.
B.	No extension in present limited uses of aldrin, dieldrin, hepta-
chlor and heptachlor epoxide, BHC and lindane.
C.	Discourage home use of persistent pesticides.
D.	Prohibit introduction of pesticides of intermediate or high toxi-
city into the home.
E.	Exercise more ingenuity in the design and development of home
baits to reduce the hazard of human and animal intoxication.
F.	Monitor effluent from pesticide manufacturing, formulating and
distribution plants.
G-. More efficient application of pesticides by means of improved
equipment and better-trained personnel (see other sub-group recom-
mendations) .
V.	Provide for a system of evaluation and graded actions for con-
tamination unsusceptible to control at the source
Many persistent pesticides in the environment will continue to con-
taminate foods and other media even though their use is discontinued
in a given part of the nation or world. The quantities in the oceans
will continue to build up for many years and the biological magnifica-
tion processes will focus on some specific food chains that reach man.
This type of contamination is not susceptible to control at the source.
Further, it is not caused by the food producer or food processor. There-
fore, rather than exerting control through a single numerical tolerance
level at which the food is removed from the market, it is recommended
239
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that a series of graded levels and actions be established for pesticides,
leading to the decisive action of removal from the market. These might
include:
Grade 1—Levels of concentration requiring only general surveil-
lance.
Grade 2—Levels of concentration requiring measurements relat-
able to exposure in humans.
Grade 3—Levels of concentration requiring assessment of human
intake and exposure and initiation of actions to reduce
concentration through variations in harvesting, proc-
essing, and distribution techniques.
Grade 4—Levels of concentration requiring removal from the
market.
Such a series of graded actions would probably be unique for each
group of pesticides and perhaps for each active substance, and in some
cases for specific combinations as they exist as contaminants. Consid-
erations for evaluations, while related generally to concentration levels,
must basically relate to exposure of a susceptible group of the popula-
tion. The consumption of a food and its replaceability in the diet
must be given adequate consideration as the several gradings are estab-
lished. Likewise, the state of the evaluatory art and science, and the
capability of the sampling and analysis systems must be weighted in
the grading of the pesticide with regard to both the concentration in
a given food product and the health implications of human exposure
to the pesticide.
VI. Research and investigations
A. Urgent research needs:
i.	To achieve more detailed understanding of the mechanisms
of absorption, distribution, metabolism, storage and elimination
of pesticides in man.
ii.	To define the impact of other environmental chemicals on
the pharmacokinetics of pesticides on man.
iii.	To elucidate the effects, if any, of pesticide exposure on
human exposure to drugs and other environmental chemicals.
iv.	To delineate the influence of age, sex, various nutritional
and disease states and climatic conditions on these aspects of man's
response to pesticides.
v.	Areas of special concern : these relate to studies on human
volunteers aimed at investigating under conditions of controlled
exposure such aspects as sensitization; behavioral effects; signifi-
cance of lowering of blood cholinesterase; reduction of body
burden of pesticides by dietary and therapeutic measures.
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vi.	Development of improved methods for detection of hepatic,
renal and CN"S effects of pesticides in man.
vii.	Investigations in animals. It is imperative that work in
animals be directed more closely to a practical objective: the
need to maximize our understanding and control of the effects of
pesticides in man. Accordingly, attention should be given to more
detailed study of the following aspects of pesticides:
a.	Effects of exposure on hemopoiesis, heme synthesis and
other biosynthetic processes.
b.	Carcinogenesis, mutagenesis and teratogenesis brought
about by pesticides, including the development, evaluation
and interpretation of testing procedures.
c.	Interaction among pesticide effects and between pesti-
cides and other chemicals found in the environment.
B. Investigative needs—pesticide protection teams: The pesticide
protection team is envisaged as being a area-wide three-man multi-
disciplinary team with investigationary, recording, and health and
safety promotional responsibilities. The investigationary role will
call for the exploration, investigation and documentation of
episodes of pesticide poisoning and environmental contamination.
Prevalence levels of pesticide residues obtained by collecting mean-
ingful samples from man and wildlife will be monitored and sur-
veillance of cholinesterase and other biological indices of exposure in
the exposed worker promoted. In addition, the uses of pesticides will
be documented and reviewed. By example and education a more in-
formed and safer community atmosphere will be engendered. It is
proposed that a sanitarian, a representative from the county agricul-
tural agency, and a representative of fish and wildlife form this three-
man team, reflecting the participation of health, agriculture and
wildlife ecology. Their functions can be described under the following
categories: investigation and reporting of episodes, surveillance,
monitoring and education.
a. Investigation a
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5. Surveillance :
i.	The regular clinical surveillance of the occupationally ex-
posed worker should be promoted. Clinical intoxication should be
prevented by routine cholinesterase testing. Workers should be
withdrawn from further exposure when blood studies are indica-
tive of hazardous absorption. The program should be extended
to cover agricultural laborers, part-time employees, migrants, crop
dusters and swampers, formulators and manufacturers.
ii.	Pesticide practice both in urban and rural communities
would be reviewed. From time to time appropriate soil and water
samples would be collected to ascertain that -chemicals are not
being misused or inappropriately used. Obvious environmental
sources of pesticides such as smoke and waste effluents from manu-
facturing and formulating plants would be monitored on a regular
basis.
YIl. Iindustrial cooperation
A. Higher standards should be set in respect to:
i.	Design of containers; lips, closures, proof against mishan-
dling, corrosion.
ii.	Labeling of containers including simplification of names on
domestic pesticide containers.
iii.	Disposal of containers: Systems should be considered which
will insure the return and/or proper disposal of containers. These
should include a plan for disposal in the application for registra-
tion, and notification to public health authorities of the nature of
the pesticide, and the precautions that must be taken to avoid
hazards to the public health during the disposal processes.
iv.	Limitation of "-blunderbuss" pesticide or pesticide-fertilizer
products.
Preface
The sections of this report were developed in several ways, varying
from individual authorship and review by the Subcommittee to sec-
tions developed by the Subcommittee as a whole. The sections on Inter-
pretative Pitfalls were written by the Subcommittee.
Pharmacokinetics of OrganocftZorine Insecticides was written by
Dr. J. Robinson, Tunstall Laboratory of Shell Research Limited,
London. Dr. Wayland J. Hayes was the principal author of Controlled
Human Exposures. Epidemiology of Pesticides was largely the work
of Dr. John E. Da vies and Dr. Thomas H. Milby. OliniccH Case Re-
ports was authored jointly by Drs. Dudley P. Miller, Griffith E.
Quinby, and Thomas H. Milby. Dr. George B. Hutchison was the
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author of An Appraisal of Hazards to Man from Long-Term Expos-
ure to Pesticides.
Cutaneous Aspects was prepared by Dr. H. I. Maibach. Behavioral
Effects of Pesticides was developed by Dr. Griffith E. Quinby. Dr. Wil-
liam F. Durham wrote the section on Experimental Animals. Dr. J. H.
Wills prepared the document on Preventive and Therapeutic Measures
from which the final version was developed.
The other sections were initially drafted by one member of the
Subcommittee but generally reflect the thinking of all the members. It
should be noted that Dr. John E. Davies, while officially listed as a
special assistant, served as a full member of the subcommittee.
The Commission recognized that some aspects of the biological
effects of pesticides required special study. Carcinogenesis, Mutagene-
sis, Teratogenesis, and Interaction were designated as Panels by the
Commision in order to reflect the special interest attached to these
subjects and to facilitate in-depth evaluations of the available scien-
tific evidence by additional experts in biomedical sciences. The subcom-
mittee on Human Effects had liaison association with the Panels, but
their organization, evaluations, summaries, and conclusions were
determined by the Panel membership, not the Subcommittee on Human
Effects.
INTRODUCTION
We accept that today, as throughout man's history, safety is a rela-
tive term. In any of his activities, whether awake or asleep, man cannot
achieve absolute safety. While the risks to health that abound in the
home, in the street and at work are accepted as inevitable and are
limited as far as possible, the hazards to health that stem from environ-
mental exposure to chemical agents are usually beyond the capacity of
the individual to control. By their very nature—such as chronicity or
subtlety of effects produced—the risks deriving from this source
constitute an altogether different dimension from all others (except
for radiation) in their threat to human safety. Pesticide exposure is
but one sector of environmental chemical hazard, yet its problems
typify the complexities of the chemical sophistication of our society.
Our concern here is with the impact of pesticide exposure in all its
facets on the broad perspectives of environmental health in man. In
this context our definition of health necesarily encompasses more than
the absence of disease. Included in our view of health is the feeling of
well-being and capacity for happiness that derives from a suitable
environment: suitable in the sense that it makes possible the enjoyment
of nature and her bountiful provision of flora and fauna. From this
standpoint therefore any factor or activity that detracts from the
variety of the environment, that reduces its capacity to contribute to
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health, is fundamentally undesirable. This broad generalization must,
however, be tempered by the practical realities and priorities of human
existence on the earth.
The need to provide food and other crops and to prevent or eradi-
cate insect-borne disease constitute problems which many countries
must necessarily regard as outweighing in importance the potential
or even actual hazards to health involved in the use of pesticides.
Hence we must recognize at the outset that protection of human health
involves a system of priorities which are necessarily different from
place to place. A good example from another field, that of food addi-
tives, is provided by the use of hydrogen peroxide to preserve milk.
This practice would not be tolerated in countries where the customary
methods of milk distribution are available. Yet the Joint FAO/WHO
Expert Committee on Food Additives recognized that in some areas
of the world safe milk would not be available at all unless a preserva-
tive could be added, and hydrogen peroxide appears to be effective for
this purpose.
Much of this section of the report is taken up with discussion of
toxicological complexities, epidemiological uncertainties and a frank
acknowledgement of the vast areas of ignorance in our understanding
of the effects of pesticides on man. Some of the reasons for this state
of affairs will be discussed below. It is appropriate here to consider
two aspects: What degree of proof is necessary or desirable for a
decision to be reached that a health hazard exists; and who has the
burden of proof in this regard ?
On the question of degree of proof, a course must be steered be-
tween the two extremes usually encountered, namely the tendency
to jump to hasty conclusions not warranted by the available data
and the insistence on complete and irrefutable evidence before action
can be taken. The problems have to be considered from the standpoint
of a reasonable man, fully cognizant of the present state of the art
in the sciences that constitute the basis of safety evaluation and
apprised of all the facts at present available on the pesticide problem.
Actions based on conclusions that go beyond the available information
are only warranted if there are reasonable grounds for the belief that
the risks of present practices outweigh the benefits. The risk verus
benefit equation thus enters into this, as into all other judgments on
safety-in-use of chemicals.
The burden of proof that the benefit derived from the use of a pesti-
cide exceeds the risk is usually considered to lie with the manufacturer.
Regulatory authorities, both national and international, already insist
on substantial evidence of safety and efficacy which takes into con
sideration the nature and amounts of residues on various commodities.
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In recent years the manufacturers have also had to pay increasing
attention to ecological implications of the use of their products. As
times goes on, however, and the realization* grows of the wide dimen-
sions of the problems presented by pesticide usage, it is becoming
abundantly clear that no manufacturer nor group of manufacturers
can be expected to investigate and deal with the repercussions of
pesticides in our society. They may be rightfully expected to contribute
to the cost of surveillance and research in the broad areas of epidemi-
ology, but the organization and execution of this all-important task
is the responsibility of the community. It is the province of govern-
ments and international authorities to concern themselves with inves-
tigations and subsequent decisions regarding proof of safety to human
health.
The judgment arrived at by reasonable and informed opinion
involves an intelligent appraisal of possibilities, an assessment of un-
certainties with a measured degree of confidence. In weighing potential
health risks against potential benefits it must never be forgotten that
even the most far-seeing view may be proved erroneous by unexpected
new scientific developments or by an altered attribution of those risks
considered to be of utmost importance. An instance may be cited in
the area of nonnutritive sweeteners. Earlier safety evaluations took
into account softening of stools as the likely risk presented by high
intake of cyclamates. Now one source of concern is the possibility of
carcinogenesis brought about by these products or materials derived
from them.. Thus safety evaluation is an edifice whose, construction
is never completed; nor does it remain functional without periodic
reconstruction. Strangely enough, both regulatory agencies and the
public view as loss of face the frank recognition that many earlier
decisions 011 safety must inevitably be proved wrong as scientific
knowledge grows. There is nothing absolute about such decisions. All
that we have a right to expect at the time they are made is that they
should be the products of scientific competence and experience, mature
judgment and full possession of all existing data.
The decisions that now confront us with regard to DDT exemplify
the issues at stake in the judgments to be made concerning pesticides.
Firstly, there are the quantitative aspects of the amounts accumulated
in man's environment and their very slow rate of diminution, even
when all further cumulation ceases. What is true outside man is equally
representative of internal storage of DDT and DDE in his tissues.
In attempting to relate this situation to any possible health hazard
to man we must not fail to take into account the implications of chemi-
cals that may be used as alternatives to DDT. Such substitutes, and
the problems associated with them, have been referred to in earlier
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sections of this report. We must also recognize that not every "effect"
brought about by DDT in man is necessarily detrimental. For example,
the capacity of DDT to stimulate liver processing enzymes, a phenom-
enon discussed in detail below, has been put to therapeutic use in a
case of familial unconjugated non-hemolytic jaundice. The patient
was rendered anicteric and remained so 7 months after cessation of
treatment with DDT. The possibility always exists that the pesticide
of today may find application as the drug of tomorrow. Such active
agents also offer opportunities for "depestdcidation," that is the safe
withdrawal of pesticide residues from the body.
Naturally, these lines of thought invite the objection that a treat-
ment beneficial in the context of a clinical situation is not necessarily
a boon to healthy individuals and even less so to patients with other
illnesses, to the very young, to pregnant mothers and their unborn
infants, and to the aged and infirm. Exposures that exercise a negligi-
ble, hence acceptable, effect in normal healthy individuals have to be
assessed quite separately in their impact on these special groups of the
population. For control of hazard one needs to take into account the
most susceptible members of the community and to delineate selec-
tively the possible toxic effects which each human condition may
involve.
INTERPRETATIVE PITFALLS
This section seeks to explain some of the reasons why simple answers
are not readily forthcoming to most of the questions concerning human
exposure to pesticides. By having in mind the complexities and diffi-
culties of the situation we are better able to attain the objective of
reasonable assessment set out above.
Toxicological complexities
a. General.—Toxicology is directed towards the evaluation of safety,
basing its conclusions on studies of chemical composition and reactivity,
physical properties, degradative or metabolic transformations under-
gone by the materials involved and biological effects of potentially
injurious agents. Such biological effects are assessed by means of ob-
servations of alteration of structure, function and response in living
systems.
Just as a physician relies on a grounding in basic sciences to achieve
clinical understanding, so—to an even greater extent—does the toxi-
cologist for the variety of systems and organisms with which he has to
deal. Effective consideration and elucidation of the complex relation-
ships that exist between dose of pesticide, route and duration of ex-
posure, time of observation and target organs affected necessitates a
multifaceted approach. In DDT we have a striking instance of acute
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effects directed towards the central nervous system, while long-term
exposures involve the liver as a primary organ of attack. For each
compound; in each experimental or epidemiological situation, only a
comprehensive review of the problems is likely to provide the correct
perspective. Anything less than an all-embracing approach can lead
to serious distortions of fact and errors of interpretation. A wide range
of scientific disciplines needs to be brought to bear on each problem so
that their contributions may be integrated into a well-rounded overall
assessment of hazard, from which flows the necessary balanced judg-
ment on safety-in-use.
While it is desirable that those involved in safety evaluation have
as broad a scientific background as possible, so many types of expertise
are involved that toxicology inevitably becomes the effort of a multi-
disciplinary team. Even with the participation of several individuals,
each skilled in his own specialty, the pace of scientific advance is such
that an increasing timelag has developed in the application to toxi-
cology of new knowledge generated in the basic sciences.
Other factors also militate against progress in toxicology com-
mensurate with that occurring in other branches of science: the small
number of adequately-trained toxicologists, the limited facilities avail-
able for training such experts, the lack of understanding and hence
of interest of the academic community in the problems of toxicology.
Most serious of all is the handicap to progress presented by toxicology's
heritage from its past. The procedures for evaluation of safety devel-
oped by the early pioneers represented attempts to grapple with press-
ing problems, using mainly intuition based upon the body of knowl-
edge available at that period. The effluxion of time has hardened these
approaches into concrete routes for achieving acceptance of a product
by the regulatory authorities. Departures from established routines
involve risk and expense. Accordingly there exists a built-in incentive
encouraging repetive performance of old procedures and discouraging
innovation, particularly the exploration of radically-new routes to
safety evaluation.
Just how serious the consequences of such attitudes are will become
clear from consideration of the many areas of ignorance to which this
report will call attention. Realization that such gaps in 'knowledge
exist is the first step towards remedying the situation; but further
steps will necessarily be slow in coming as long as the application of
new knowledge is dependent on workers in the basic sciences. Here
toxicology must fend for itself. Hence there must be provided within
toxicological laboratories multidisciplinary teams of critical size that
will have as their primary task the development of new approaches to
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the many unsolved problems in the area of pesticide effects on the
human body.
b. Special features of pesticides.—The large heterogeneous group
of compounds covered by this report comprises distinct and well-
defined classes whose properties—physical, chemical and biological—
bear little relationship to one another. Their pattern of use is a com-
plex and changing one, with the result that human exposure assumes
highly intricate and often unpredictable characteristics, depending on
place, time and other circumstances to be discussed below.
Although pesticides lend themselves to consideration in groups, it
is essential to realize that each product, even more than each compound,
is an individual problem peculiar to itself. The ideal of selectivity, that
is specificity of action limited to one type of insect or plant, is the
theoretical objective to be aimed at in developing the "perfect" pesti-
cide. We must recognize frankly that this goal is unattainable. Just
as no drug can be expected to restrict its effect to the desired receptor,
so with any biologically-active compound one must anticipate a wide
range of actions on a broad variety of living systems. We have learned
to live with this inescapable fact in the case of drugs. We must accept
it as fundamental in our consideration of pesticides. Thus from the
standpoint of human health, selection of one pesticide rather than
another involves a balance of risks which are not qualitatively com-
parable ; in other words, there are as many differences as similarities
in metabolic pathways, pharmacodynamics and biological effects be-
tween groups of pesticides and within each group. It is this diversity
that militates against sweeping generalizations and dogmatic
conclusions.
Of all the particular features of pesticides that make their con-
sideration a special problem in toxicology, the quality of persistence
has special significance for man and animals, as it has for all other
parts of the environment. Prolonged retention in the body is by no
means an exclusive feature of pesticides. Components derived from
food or other sources are also stored in tissues, by virtue of their
lipophilic character coupled with resistance to metabolic degradation,
or their tendency to be taken up by the reticuloendothelial system.
Storage may serve the purpose of conservation, for instance of iron,
or of segregation, as with heavy metals or lipofuscin pigments, render-
ing materials potentially dangerous to the cell as innocuous as possible
while they remain in storage. While pesticides are not unique in being
stored, nevertheless they probably represent in many instances the
highest levels of foreign material present in adipose tissue and perhaps
in liver. The very fact that certain pesticides have been studied fairly
intensively from this point of view makes possible a consideration of
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the phenomenon of persistence, whereas little useful of the sort could
be said about other classes of exogenous compounds finding their way
into storage sites in the body.
g. Agent and environmental variables.—Some of the complexities
of the pesticide problem arise from the fact that these are technical-
grade materials often containing by-products and other impurities
whose nature and proportions may vary from one source to another,
may vary (in countries where adequate control is not exercised) from
one batch to another from the same manufacturer and may change
under conditions of storage. The accompanying impurities may them-
selves play an important part in the biological effects of a pesticide,
for instance in human sensitization to a product. Moreover, the
impurities may interact with one another and with other compounds
present in a pesticide formulation. This raises the question of the
many formulating agents that are used and the effects of storage on
the toxicity of the vehicles.
Changes in the compounds involved in the application of a pesticide
also occur under the influence of environmental factors such as tem-
perature, sunlight, plant metabolism and degradation in the soil,
depending on terrain, pH, humidity and intensity of ultraviolet irra-
dation. Translocation through the environment occurs by a variety of
mechanisms discussed earlier in this report. Together with food-chain
magnification, the changes undergone by the pesticide in the course
of translocation tend to complicate the picture further.
d. Limitations of studies wnder experimental conditions.—No ac-
count of toxicological complexities would be complete without refer-
ring, however briefly, to the animals in which biological effects are
studied. While some progress has been made in recent years in the
provision of healthier and more uniform stocks of laboratory animals,
variations in the response to a chemical will always continue to be
manifest as a result of species, strain, sex, age and individual differ-
ences in susceptibility.
One objective of toxicological investigation is to delineate at least
some of these differences and to ascertain in the most sensitive animal
species the maximum level of exposure that elicits no adverse effect.
Using this level as a basis for extrapolation, an "acceptable daily
intake" for man is arrived at by applying an arbitrary "safety factor."
Some of the weaknesses of this approach are readily apparent. Prac-
tical considerations must always limit the number of species, strains,
etc.ofjmimals investigated. The criteria used and tests applied to ascer-
tain that no adverse effect has occurred are often the best available,
but methodology has not yet been developed specifically for this pur-
pose, to a degree permitting measured confidence that adverse effects
have not been overlooked. Much more work is needed in this area, both
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in the direction of sensitive and specific methods of detecting changes
and in an attempt to distinguish more clearly between those effects that
represent physiological adaptation and those which constitute patho-
logical change.
The study of pharmacodynamics and metabolic disposition of a
pesticide in one or more animal species is an important part of the
investigation of that compound. In conjunction with the other animal
studies just referred to, delineation of metabolic pathways helps to
validate the exposure of hutnan volunteers to the compound. For how-
ever extensive and thorough the animal experiments may have been,
extrapolation of the results to man is still fraught with uncertainty,
which may be reduced substantially by investigating the compound
in man.
The considerations, limitations and safeguards that enter into the
use of human volunteers for research of this sort are now well recog-
nized and widely accepted. Limited though such studies must neces-
sarily be, both in duration and level of exposure, they do yield in-
valuable information, obtained under controlled conditions, that no
other approach can provide.
Epidemiological compleadties
Man, the definitive host in the epidemiological interreaction with
his environment, has been found to possess many variables over and
above his overt pesticide exposure potential, each of which donates
subtle additions to the magnitude of his body burden. Thus, beside
his occupation, the amount of physical protection that he uses through
wearing of clothing and masks, his age, his diet, his race, his socio-
economic state, his home, the drugs he is taking; all are factors which
make a significant contribution to the amount of pesticide he absorbs.
Human experience represents a continuum, both of intensity and
duration of exposure. The greater part of the American public fall at
one end of this continuum, ingesting and absorbing very small amounts
of pesticides as residues in foods. In addition, an appreciable number
of this general population group receive further exposure to
pesticides applied in their homes and gardens for pest control pur-
poses. The relative contribution of these two sources, diet and casual
home use, to overall general population exposure has not been fully
studied. It is probably safe to say, however, that both sources con-
tribute significantly and each must be considered in any detailed assess-
ment of pesticide-health effect relationships.
Workers who manufacture, formulate, apply, or otherwise come
into contact with pesticides in the course of their occupation may be
generally considered as moderately exposed to these poisons and
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thought of as occupying the mid-range of our pesticide exposure
continuum.
On the extreme exposure end of the continuum are those unfortunate
individuals who, through accident or design, contact and assimilate
large quantities of .poison and case a result suffer acute, overwhelm-
ing and sometimes fatal intoxication.
As the term continuum implies, there is no clear demarcation between
these exposure groups. However, experience has shown that each can
be identified with sufficient precision to allow investigators to make
meaningful observations of pesticide assimilation, accumulation and
elimination; study morbidity—mortality patterns as they relate to
pesticide exposure; and to a limited extent, determine dose-response
relationships in human subjects.
The epidemiological approach.—Since all persons have some degree
of pesticide exposure, the epidemiological comparison of exposed and
nonexposed is impossible. Comparison of health experiences have to
be made between persons or populations with relative degrees of pesti-
cide exposure. Insofar as acute poisoning is concerned, this is a rea-
sonably simple procedure. The effect is an acute toxicological phe-
nomenon and the contributions of person, place, and time to this,
together with information provided from toxicological data, make it
possible for causal factors to be identified and methods of prevention
readily determined.
Acute or overwhelming exposure to one or more pesticides followed
by overt illness has in many instances been documented in the medical
literature. Knowledge obtained from reports of homicides, suicides,
and accidental ingestions of pesticides has provided most of the scanty
information available from which dose-response estimations can be
developed. These events, along with overwhelming occupational expo-
sures, have provided clinicians with opportunities to describe the acute
effects of many of the pesticides. Some indication of age, sex, and race
difference in susceptibility have been observed and reported. In addi-
tion, acute poisoning events have provided sound evidence that some
pesticides may produce permanent damage to health.
More complex, however, is the investigation of the consequences of
the less intense but more sustained exposure. Here man is exposed
either by occupation or by incidental exposure such as is experi-
enced by the population at large. The contribution of dose and the
duration of exposure is very important. In these two situations two
populations, the occupationally exposed and the general population
have been studied and the epidemiological strategy has been somewhat
different with respect to those two different population groups.
Studies of the occupationally exposed.—Investigation of the occupa-
tionally exposed has two goals.
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1.	To assess the health consequences of occupational exposure and
to explore the hazards of the industry, to identify areas where the
skills of industrial hygiene and occupational health can be applied to
protect the health of workers.
2.	To investigate the health experiences of the exposed worker with
the purpose of using information of a disease occurrence for the pur-
pose of extrapolation to the health effects in the general population.
This utilizes the dose effect principle of toxicology and presumes that,
if any health hazard which is the result of pesticide exposure is ob-
served, then it will be most frequently and intensively found in the
pesticide worker whose exposure is more intensive and prolonged.
Work-related exposure to pesticides among manufacturers, formu-
lators, applicators, field workers and others in related occupations can
best be described as infinitely varied. Not only is there great variation
in intensity and duration of exposure but in type and combination of
pesticides involved.
Scientific studies of pesticide exposed workers have generally been
of two types. The first, and most common, of these has been the study
of acute pesticide induced illnesses related to single large or multiple
small exposures. This kind of event and the information to be gained
from its understanding will be discussed in the following section. A
second type of study to which occupationally exposed groups lend
themselves is the comparative epidemiological investigation.
This form of study may be used to compare virtually any number or
combination of health related observations made among pesticide ex-
posed workers to like observations made among workers not so ex-
posed. If properly designed and controlled, the comparative epidemi-
ological investigation is potentially the most sensitive measure of varia-
tions in morbidity and mortality experienced by groups exposed to
any agent suspected of affecting human health. Once variations are
identified, hypotheses regarding causation can be formulated and
tested. Unfortunately, there has been a disappointing paucity of com-
parative epidemiological studies among pesticide exposed workers.
Moreover, several studies which have been reported are of limited value
because of faulty design. As a result, although a very large number of
workers have been significantly exposed to a multitude of different
pesticides during the last decade and a half, surprisingly little is under-
stood of the long-term health consequences involved. An additional,
perhaps more significant loss may have accrued from our failure to
adequately document the presence or absence of adverse health effects
related to long-term occupational exposure to pesticides. It has been
suggested that illnesses related to long-term exposure to pesticides are
likely to be detectable first in workers who are heavily exposed in
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comparison to the general population. If so, our lack of information
in this area may, in effect, deny us the knowledge necessary to predict
or anticipate specific pesticide related health effects destined to become
apparent in the general population only after many years of low level
exposure.
Theoretically, four permutations of cause and effect variables exist
in studies such as these. Thus, all pesticides and all diseases can be in-
vestigated, or single pesticide and all diseases, or all pesticides and a
single disease, or a single pesticide and a single disease can be studied.
Methodologic and interpretative pitfalls exist in all four of these
designs.
All pesticides—all diseases.—The null hypothesis here is that occu-
pational exposure to pesticide has no adverse effect on health experi-
ence. Retrospective or prospective studies have reviewed mortality or
morbidity experience in the pesticide worker, comparing them with
these experiences in a population not so exposed. If the null hypothesis
is accepted, no greater incidence of mortality or morbidity patterns
would be observed than was found in the general population controls
stratified by age, race and sex. The pitfalls herein are essentially con-
cerned with the type of population comparisons. It is easy to obtain
age, race and sex specific mortality data from National or State general
population groups. In almost all studies where mortality experience of
a single occupational group is compared with a general population
group, rates tend to be lower in the specific occupational group than
the population at large. This is to be expected since the availability
of being employed or occupied is a priori, a characteristic of health.
Comparisons then would be more meaningful with another occupa-
tional group using as close a match for physical and social character-
istics of the two occupations as possible. Thus, it is preferable to
compare pesticide exposed workers with another occupational group
rather than the general population. Samples of such comparison groups
are policemen, postal workers, and the like.
Single pesticides—all diseases.—Several studies have reviewed
morbidity data from manufacturing or formulating plants wherein
exposure has been predominately to one insecticide. Studies such as
these have two interpretative pitfalls which tend to limit the potential
information which can be extrapolated to the general population.
These are: (1) the number of persons studied is inevitably small and
even if expanded by person-years computations the numbers are
usually still small, (2) they provide information on survivors only,
since mortality and morbidity experiences of dropouts is usually un-
available. Recently in the United States, an attempt has been made to
overcome the problem of small numbers of occupationally exposed
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workers by supporting community pesticide studies in 16 States and
combining the clinical data of occupationally exposed persons in all
these areas. In addition to recording incidences of established diseases,
by subjecting the group to a uniform battery of multiphasic screening
tests, information on pre-clinical disease is also being accrued. Thus, a
sizeable cohort of workers heavily exposed to pesticides has been made
available for an in-depth evaluation. The inclusion of multiphasic
screening techniques has highlighted the problem of interlaboratory
variability, making interpretation of results difficult. Differences may
be observed, which are still within the range of the accepted norms.
Even if scrupulous care is used to define the criteria of exposure,clearly
differentiating them from the control population not only by occupa-
tional history but by their biologic indicies of exposure as well, the
blood chemistry differences may be adaptive or compensatory rather
than injurious. In addition, an exhaustive search for dropouts is es-
sential, and any significant failure to do this would seriously jeopardize
the interpretation of results. No better example of the consequences of
this omission can be given than was the case with workers occupa-
tionally exposed to asbestos. Mesothelioma, a well known complication
of pulmonary asbestosis was not recognized for several years, because
dropouts from this industry were not traced.
All -pesticides—single disease,—As with other studies of the occupa-
tionally exposed, the relative risk due to pesticide exposure must be
very high and the incidence of the disease very high for an effect to
be recognized in studies where the number of participants is small.
Singh pesticide—smgle disease.—Investigation in this situation
usually follows earlier epidemiologic or toxicologic leads. The implica-
tion of pesticides in a causal role is established following either toxico-
logic or hypersensitivity principles or with planned human or animal
exposure.
Prospective versus retrospective studies.—The problems of these
types of studies are chiefly methodological and logistic. The limita-
tions of prospective studies are their cost, the need for a large num-
ber of participants in the cohorts, and the time or period of observa-
tion. The turnover of personnel in the pesticide industry is high, which
in itself -presents a serious logistic problem. Retrospective studies are
easier since they are less costly, and the required information is pro-
vided in a shorter period of time. However, by and large, only mortal-
ity data are available and difficulties due to a small relative risk might
occur, making it possible that the disease effect might be missed. Mean-
ingful interpretation can only be deduced from such studies if there is
reasonable evidence that a large proportion of the dropouts have been
accounted for. Retrospective studies usualy precede the more costly
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prospective studies, and if a specific disease entity is identified in the
former an association only (with no causal connotation) is identified.
The evidence for causality is usually obtained from a prospective
study and is strengthened by the demonstration of dose and temporal
associations. Lastly, studies such as these, even if showing illnesses
which appear to be causally associated with the occupational exposure
to pesticides, provide little information as to which is the specific
offending pesticide.
General population, studi-en.—The conventional approach of assess-
ing the health effects of pesticides in the general population has been
to find the dose relationship in the occupational exposed and to
extrapolate from this to the general population. This was one of the
approaches in radiation studies but was found to be of questionable
validity since the diseases were different with different dose ex-
posures. Thus with the continuum of radiation exposure, marrow
aplasia, thyroid malignancy, and leukemia was observed. An alterna-
tive approach that was used was to do studies of the background
radiation level itself. The same approach is possible with pesticides
using the human pesticide residue as the marker; but here, as with
radiation, work must first be done on the pestieide level itself. Fat and
blood have been the tissues of greatest interest*, DDT and its meta-
bolic derivatives the principal pesticide studied. The reasons for
these choices are clear. Blood and fat are relatively easy to obtain
by venepuncture or biopsy at surgery or post mortem examination.
Chemical analysis of these tissues has proved to be informative both
on an individual and general population basis. DDT has received a
major share of interest because of its widespread use, the ease by
which it can be identified, and its almost invariable presence in de-
tectable amounts in human adipose tissue (fat).
As discussed elsewere in this report, a few other pesticides of the
organochiorine family can often be found in adipose tissue samples
obtained from the general population sources, but these pesticides have
received much less interest and attention than DDT. Pesticides of the
organophosphate type are not found in the adipose tissue or blood of
the general population.
It is surprising and somewhat disturbing to note that despite the
tens and perhaps hundreds of thousands of adipose tisane analyses done
in this country and elsewhere, there are still important gaps in our
knowledge of the storage, metabolism, and significance of DDT in
human tissues. For example, there appears to be no convincing evidence
available at the present time to clearly indicate whether tissue storage
of DDT and its metabolites is increasing, decreasing, or remaining
constant.
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In the face of this mosaic of host agent environment interreaction,
it is not surprising that the question as to whether long-term exposure
to pesticides is harmful or not remains unanswered. It will require the
combined contribution of physiology, toxicology, pathology, chemistry,
and epidemiology to answer the question with any degree of totality.
Case reports.—In the past 25 years, thousands of clinical case reports
of human illness apparently caused by pesticides have appeared in the
medical literature of dozens of countries. An effort has been made here
to organize representative examples of this vast body of information
in a coherent way. Findings have been critically assessed, and those
which appear scientifically tenable have been arranged according to
the human organ system which seemed most affected, or according to a
disease entity or syndrome when that was more appropriate.
Case reports in which pesticides are implicated typically describe
clinical observations of an individual patient (occasionally more than
one), pathological findings, etiology or causal relationships, and a
regimen of treatment and its outcome.
Whenever information permits, a consideration of dose-response
relationships is included here. However, in the very nature of the phe-
nomenological approach, there is often little or no opportunity for
clear documentation of extent of exposure. The patient does not seek
medical attention until his illness is overtly manifested; by then, it
is often impossible to recall or reconstruct how much of a given pesti-
cide was ingested, inhaled, or absorbed. There is a danger of post hoc,
ergo propter hoc reasoning in this approach.
Errors of omission, however, may be even more serious than errors
of commission. The reporting physician, for example, may have failed
to study some physiologic system, such as the central or peripheral
nervous system, when in fact there was an effect. Once errors of either
commission or omission find their way into print, they are often
exceedingly difficult to correct.
Studies of groups occupcbtionally exposed.—At least two basic aims
should be borne in mind, when designing studies of individuals ex-
posed to pesticides in the course of their employment. Ideally, such
studies should generate information on exposure—effect relationships
which can be extrapolated from the more heavily exposed occupa-
tional group to the less heavily exposed general population. But in
addition to this pure research purpose, an applied research purpose is
always implicit: Such studies should provide the basis for develop-
ment of preventive medical programs to preserve the health of the
exposed workers. All reasonable efforts must be made to protect
workers from harmful exposures at all times. However, should low
level exposures be unavoidable, or should massive accidental expo-
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sures occur, opportunities to make meaningful observations of health
consequences should not be overlooked.
Extrapolations from occupationally exposed populations to the
general population always require qualification. The most significant
difference between the two groups is that the general population in-
cludes large numbers of very young, very old, ill and disabled, while
such persons are found rarely or not at all among the occupationally
exposed. These individuals are often least resistant to the effects of
toxic agents; it is therefore apparent that dose-response relationships
based on studies of formulators or other occupational groups may be
extrapolated to the general population only with great caution.
A iiolytical complexities
An appreciation of some of the more important analytic and in-
terpretive problems peculiar to the organochlorines is essential for
perspective in this area.
A recently-discovered source of error in analysis of DDT and re-
lated materials by gas chromatography is the presence of poly-
chlorinated biphenyls (PCB). Since 1929, polychlorinated biphenyl
liquids, resins, or solids have been spread widely in our environment
in oils, hydraulic fluids, adhesives, plastics, building materials, fuels,
fire retardants, heat transfer agents, electrical equipment, paper, and
many other industries. The presence of PCB has caused serious
analytical errors in the nonspecific gas chromatographic analysis of
the chlorinated hydrocarbons (Jensen, 1966; Richardson, 1969;
Reynolds, 1969). It is clearly necessary to confirm qualitatively the
determination of DDT residues and not to be confused by gas chroma-
tographic peaks that overlap DDT but represent totally different
materials (Schechter, 1968). Such false peaks have been reported in
gas chromatograms from some wildlife samples, along with organ-
ochlorine pesticides (Roburn, 1965). Cod liver oil from Norway gave
rise to gas chromatographic peaks in the region expected for DDT,
DDE, and TDE, but paper chromatography indicated the presence
of halogenated compounds which were not known pesticides at all
(Eidelman, 1963), In samples for the Nature Conservancy in Britain,
compounds were detected interfering with detection of p,p'DDT and
p,p'TDE (Harrison, 1966). Since 1966, the presence of PCB has also
been noted in the British (Holmes, et al. 196?; Holden and Marsden,
196T; Robinson, undated reference cited in Richardson, 1969), Dutch
(Koeman, et al. 1969), and North American (Risebrough, et al, 1968)
environments.
Polychlorobiphenyls have been identified in fish, wildlife, and the
environment as cited above, but no attempt appears to have been made
to look for them in human tissues or excreta. Pooled samples of
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human milk from Colorado Springs and eight individual samples
from Berkeley, Calif., were positive for PCB (Risebrough, 1969;
personal communication). Past reports of levels of chlorinated hydro-
carbon pesticides might thus have been too high as a result of the
presence of PCB. A further source of error might be introduced by
storage of specimens in plastic containers (Quinby, 1966).
Analyses of environmental samples must be supported by qualita-
tive and quantitative confirmation of the results. Too many papers
have been published that incorporate no such quality controls; nor
haye potential sources of error been considered. Especially when the
results are reported as positive near the lower limits of detection of
the gas chromatographic method (which is often the case), the results
may be absolutely misleading. The mass of material in question is
then also insufficient for qualitative and quantitative corroboration of
the results by other techniques of analysis.
CITED REFERENCES
Eidelman, M.: Determination of micro quantities of some chlorinated organic
pesticide residues in edible fats and oils, J of the Assoc Offic Agricul Chem,
46:182-6, 1963.
Harbison, R. B.; J. Sci. Fd. Agric. 17:10,1906.
Holden, A. V., Marbden, K.: Organochlorine pesticides in seals and porpoises.
Nature. 216:1274-6,30 December 1967.
Holmejs, D. C., Simmons, J. H., Tatton, J. O'G.: Chlorinated hydrocarbons in
British wildlife. Nature. 216: 227-29, 21 October 1967.
Jensen, S.: New Scientist. 32: 612,1966.
Koemast, J. H., Ten Noever De Bbauw, M. C., De Vos, R. H.: Chlorinated bi-
phenyls in fish, mussels and birds from the River Rhine and the Netherlands
Coastal Area. Nature. 221:1126-28,22 March 1969.
Reynolds, I. M.: Polychlorobiphenyls (POB's) and their interference with
pesticide residue analysis. Bull Environ Contamin Toxicol. 4:128-43, 1960.
Richardson, A.: Organochlorine compounds other than insecticides in the en-
vironment. "Shell" Research Limited. Tunstall Laboratory, Sittingbourne,
Kent, England. February 1969.
Risebrough, R. W., Hitggrtt, R, J., Griffin, J. J., Goldberg, E. D.: Pesticides:
Transatlantic movements in the northeast trades. Science. 159:1233-36,
15 March 1968.
Robinson, J.: Undated reference. "Shell" Research Limited. Tunstall Labora-
tory, Sittingbourne, Kent, England.
Roburn, J: A simple concentration-cell technique for determining small amounts
of halide ions and its use in the determination of residues of organochlorine
pesticides. Analyst. 90: 467-75, 1965.
Sctiechteb, M. S.: The need for confirmation (Editorial). Pesticide Monitoring
Journal. June 1968.
Complexities of Terminology
A large body of information has been published regarding the health
consequences of human exposure to pesticides. Review of these publi-
cations reveals that the scientific terminology is often imprecise and
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nonuniform from one publication to another. Particularly troublesome
and confusing are adjectives commonly used to qualify the terms
"exposure" and "effect". Terms frequently used to describe exposure
are acute and chronic, high level and low level, and short term and
long term. Among the terms that have been used to describe effect are
acute and chronic, transient and permanent, and immediate and
delayed. While it is not within the scope of this report to propose a
standardized exposure-effect nomenclature, the absence of uniformity
among authors in this respect must be emphasized.
The terms "acute toxicity" and "chronic toxicity" also deserve com-
ment. Acute toxicity usually implies overwhelming intoxication with
overt illness or death. Often only one pesticide is involved and the
diagnosis is relatively clear-cut. The term chronic toxicity is, as a rule,
more difficult to interpret. The author usually refers to illness resulting
from long term, relatively low-level exposure to pesticides. The data
concerning intensity and duration of exposure are often unclear or
incomplete.
Contributing to these interpretative pitfalls is the concept of the
acute LDso. This term refers to the quantity of pesticide which, when
administered in a single dose, is lethal to 50 percent of a group of test
animals. The LDB0 is usually expressed as milligrams of pesticide per
kilogram of animal body weight (mg./kg.). The species, strain, age,
and sex of the experimental animal, route of administration, concen-
tration of test material, and vehicle in which active agent is adminis-
tered must be specified. Even the most carefully established LD80 data
cannot be extrapolated to man except in a general fashion. Thus, while
it is true that pesticides which are highly toxic to the experimental
animal are usually quite poisonous to man, dose-response relationships
are usually very different.
This is only one of the uncertainties involved in extrapolating ani-
mal data to man. In recent years, a great deal of attention has been
devoted to this question. The conclusion that emerges is that only
studies in man can provide definitive answers to the questions posed
by human exposure to pesticides and other chemicals. Results of exper-
imental studies in animals are at best a guide, providing what are often
valuable clues to the nature of the effects that should be looked for in
human studies. The fact that every man, woman, and child' in this
Nation is exposed to pesticides in one form or another demands that
answers be forthcoming that are known to be valid for man.
The available information on the effects of pesticides in man usu-
ally relates to episodes of acute and often single massive exposure in
individuals not previously conditioned or adapted to such exposure.
Much uncertainty attends any effort to use this type of information as
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a basis for conclusions regarding exposures that are long term, low
level, and continuous or oft-repeated. These are the types of exposure
experienced by the general population. Nor does information relating
to healthy adult volunteers or to occupationally-exposed workers nec-
essarily apply without serious modification to the large number of
other categories of the general population: the very young, the old,
the debilitated, in-pregnancy, and in disease states.
It is in this context that one must consider the interpretation of
"no effect." In animal studies whose results are used for regulatory pur-
poses, the term "no effect" refers to absence of adverse effects. The
line of demarcation is often not clearly drawn between physiological
adaptation, which is presumably a beneficial response to exposure,
and pathological change, which constitutes a breakdown of the body's
defense mechanisms. As increasingly sensitive tests are applied in
animal studies, so more and more effects are observed that cannot,
in the present state of knowledge, be assigned with any certainty to
either the physiological or pathological category. For a variety of
reasons, such tests have not yet been applied in man, and hence the
absence of effect as judged by conventional criteria is not an adequate
expression of what might be found by application of methods com-
bining greater specificity and sensitivity for detection of pesticide
effects.
In the course of considering manifestations of pesticide exposure,
a clear distinction should be drawn between measures of exposure and
measures of effect. For example, pesticide levels in blood and tissues
are indicators of exposure. In themselves, they do not constitute evi-
dence of an effect, however, striking the level may be. In the case of
plasma or erythrocyate cholinesterase level, moderate or extreme
lowering—though not invariably correlated closely with the clinical
state of the subject—is a sufficient danger signal to be regarded with
due concern and appropriate remedial action taken. A variety of
changes in clinical biochemical parameters have been reported in
individuals exposed to pesticides. While some of these may ultimately
be shown to be useful measures of exposure, or reflect physiological
changes within the body, we have no evidence that any one of them is an
indicator of toxic effect.
Questions of terminology enter into our discussion of many issues
concerning pesticides. It must be made clear that the term "persistent"
has no application in physiological terms. The fact that a compound
remains in the environment for a sufficient length of time to be carried
over from season to season or from one crop to the next, bears no
direct relationship to its capacity to be stored in, and mobilized from,
human adipose tissue.
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The context in which the term "health" is used is important. As
mentioned in the introduction, health encompasses, in addition to hu-
man health and well-being, the healthy existence of beneficial flora and
fauna in man's environment. Public health refers to questions con-
nected with specific human diseases. Environmental health is that
aspect of human health dependent upon, or conditioned by, man's
environment. Finally, the expression "environmental quality" (as dis-
cussed in various sections of the Commission's report), is distinctly
different from health, despite the dependence of health on environ-
mental quality. Environmental quality has significance in a scientific
sense, an administrative sense, and both nationally and internationally.
There is no simple direct relationship between human health and envi-
ronmental quality, and caution must be exercised in order to avoid
drawing conclusions based on the assumption that such a relationship
exists.
Need for perspective
Some general explanatory comments are needed on the subject of
irreversible long-term effects of pesticides. From the standpoint of
the toxicologist all such effects are equally undesirable, whatever their
nature, or whatever the organ system involved. In other words, to
the expert in the field, the hazard of development of peripheral
neuropathy or aplastic anemia must be taken just as seriously as
risks of carcinogenesis, teratogenesis, or mutagenesis. There is a
tendency on the part of the lay public, the news media, and even
among some scientists who specialize in the areas of cancer, or birth
defects, or genetics, to regard these particular hazards as transcend-
ing all others and, therefore, claiming most immediate and urgent
emphasis.
Whatever one's point of view, there is an inescapable factor in this
situation that is often overlooked. This is the difficulty of establishing
with any certainty carcinogenic, teratogenic, or mutagenic potential
for most compounds that are only weakly active in one or other or all
these directions. A| powerful carcinogen such as diethylnitrosamine or
anatoxin (or unequivocal mutagens such as some alkylating agents),
presents no difficulty in clearcut characterization of effects in animals
and in assessment of the carcinogenic hazard presented to man. But
pesticides do not pose such straightforward problems. Methods for
detecting weak carcinogenic potency are still inadequate to provide
.unequivocal results and hence leave room for differences in interpreta-
tion, Methods for evaluating weak mutagenic potential in mammalian
systems are even more primitive, and the results even more difficult
to apply for practical purposes. Even in the area of teratogenesis
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it can be said that extrapolation of animal results to man is fraught
with great uncertainty.
Such being the present parlous state of the art, one need hardly be
surprised that differences of opinion should exist among scientists
knowledgeable in the field of toxicology. Even more diverse are the
views expressed regarding regulatory action to be taken on the basis
of experimental findings. It may be argued that any well-founded
suspicion against a compound should suffice to have its use restricted
or totally prohibited. Prudence, it would seem, demands no less. At
the risk of appearing to be imprudent, one must point to the inescap-
able fact that there is no chemical present anywhere in our environ-
ment, and especially any natural component of our diet, that is
incapable of yielding alarming results in some biological system at
high enough levels of exposure. Consequently, the circumstances of
intended use of the material, and particularly the likely levels of
exposure, are of fundamental importance in assessing safety.
Viewed in this light, the attitude that it is impossible to define
a safe level for man of a weak carcinogen, or a weak mutagen, is a
retrogressive approach to a problem that will not be solved by pro-
hibiting from use every compound possessing an index of suspicion,
however low. The argument is indisputable that, despite our state of
ignorance, or even because of it, we ought not to add to the existing
burden of carcinogens, or mutagens, in our environment. But a gen-
eralization of this sort must be tempered by quantitative considera-
tions. If the additional hazard represented by a compound is in all
probability trivial, then we have a responsibility to weigh those
benefits conferred by use of the compound against the hazard that
its presence in the environment represents.
The key issue posed by this line of reasoning is the determination of
what constitutes a trivial addition to the existing burden in the envi-
ronment. The sad fact we have to face is the almost total absence of
information on the existing burden of carcinogens, mutagens and
teratogens naturally present in food, drink, water, air, etc. Not the
smallest effort has been made to assess this background, using the
available tests, so as to achieve some perspective in judging the results
of these same tests with new compounds. Man's exposure over countless
generations to a wide variety of naturally occuring toxicants, and the
known effects of such exposure (in terms of morbidity and mortality)
should be used as a firm baseline from which to judge additional haz-
ards. For example, we know that man and animals constantly ingest
in food and drink a variety of agents that are liver toxins and carcino-
gens. One might therefore anticipate that liver cancer would be a
major problem throughout the world. In fact it is so rare that those
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localized areas of high incidence are almost certainly attributable to
special circumstances peculiar to the regions involved. In the United
States the incidence of liver cancer is low and there is no evidence
that it is rising. Thus, despite lifelong exposure of the entire popula-
tion to numerous weak—and even potent—natural carcinogens in food
and drink, the actual hazard in practice is, as far as we can tell, very
small. It is background information of this sort that is urgently needed
before assessment of hazard to man from new compounds can be based
on realistic judgment.
PHARMACOKINETICS
Routes of Entry
Pesticides may gain entrance to the body through the intestine subse-
quent to ingestion; through the lungs as a result of inhalation of air-
borne pesticide-laden dusts, vapors and aerosols; by penetration
through the intact skin; and (rarely) by absorption directly into the
bloodstream through the broken skin.
The relative importance of these pathways varies, to a large extent,
according to the population group under consideration. In the general
population, ingestion of residues remaining on foods is probably the
major route by which pesticides enter the body. Inhalation may be a
factor, particularly in lower-income households, where "bug-bombs"
are used in the effort to control cockroaches and other pests. It is
unlikely that percutaneous absorption is an important route of entry
among members of the general population, at least insofar as acute
intoxication is concerned. A possible exception may exist when unre-
stricted sales of highly toxic pesticides, such as parathion, are permit-
ted for household and garden use. Home poisoning cases are usually
accidental, usually involve children, and ingestion is overwhelmingly
the most common route of entry.
Occupationally exposed persons, on the other hand, are at risk of
hazardous absorption of pesticides primarily through inhalation of
dust or droplets generated during pesticide manufacture, mixing, or
application. Under some conditions of work—most notably agricul-
tural employment—skin contamination followed by percutaneous
absorption may constitute a significant pathway.
The pharmacokinetics of organochlorine insecticides
The dynamics of an organochlorine insecticide in vertebrates may
be discussed phenomenologically, that is, the experimental results
per se may be considered without any preconceptions. Such a treat-
ment of the results may take various forms but it is convenient to dis-
cuss them with respect to four different relationships, relationships
which are relevant to various aspects of the interpretation of the epi-
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demiological data. These relationships between the experimental vari-
ables are: Those between the concentrations of an insecticide in the
body tissues and the intensity of the exposure; those between the dura-
tion of exposure and the concentrations in the tissues; those between
the concentration in the blood and the concentrations in other tissues;
and, those between the concentrations in tissues and the time since ex-
posure ceased. Subsequently, we may consider the implications of these
relationships, the theories or models that may be proposed as explana-
tions for these empirical relationships and, finally, the inferences that
may be made in relation to the epidemiology of these compounds in
man.
I. Review of experimental studies of the dynamics of organocMorine
insecticides.— (i) Relationship between the intensity of exposure and
the concentrations in tissues: The entry of an organochlorine insecti-
cide into the body may occur either by ingestion, inhalation, or
percutaneous absorption. Ingestion is the only route of entry which
has been systematically studied in relation to the residues arising in
body tissues. Fortunately, this also appears to be the major route of
entry of the insecticides into the bodies of most members of the general
population.
DDT: Laug and Fitzhugh in one of the earliest studies of the store
of DDT in tissues concluded that the concentration of DDT in fatty
tissue of rats was correlated with the level of DDT in the diet in the
range 100-800 p.p.m. (1) Hayes (£) reviewed the evidence up to about
1958 and concluded that "when other factors are kept constant, the
peak storage of DDT in each tissue varies directly with the daily
dose." That this conclusion was warranted by the data he reviewed is
shown by figures 1 and 2 which are reproduced, for convenience, from
Hayes' review. The results obtained by Durham et al. (3) in a study
of the storage of DDT in the body fat of Rhesus monkeys also show
that there is an obvious correlation between the concentration of DDT
in body fat and that in the diet of the monkeys (see fig. 3). In a study
in which DDT was given to human volunteers Hayes et al. (4) con-
cluded that the storage of DDT in man was proportional to the dosage.
Using the results of this trial, and those of a second trial (5), Durham
et al. (6) derived a graphical relationship between dosage and storage
of DDT in man. The results used by Durham have been used to con-
struct figure 4. The relationship between the mean (arithmetic) con-
centration of DDT in subcutaneous fat and the daily dose of DDT has
been calculated:
logio 0 = 0.0142 + 0.6539 logio (10JX daily dose of DDT, mg.)
(±0.105)
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where C is the concentration of DDT in fat, p.p.m.; where the value
±0.105 in parentheses is the standard error of the slope of the regres-
sion line. The relationship is not exact as arithmetic means have been
used in deriving an equation involving the logarithms of the variables ;
strictly the geometric means should be used but the published results
do not allow these to be calculated.
Dieldrin: It has been shown that the concentrations of HEOD in
the tissues of rats and dogs (7) are related to the daily intake (see fig.
5). Gannon et al. (8) concluded that in steers, hogs, lambs, cows, and
sheep the amount of dieldrin stored in the body fat appeared to be
proportional to the rate of intake. An examination of their results (see
fig. 6) indicates that they have been rather cautious in drawing such a
tentative conclusion. In man, it has been shown that the concentrations
of HEOD in whole blood and adipose tissue were correlated with the
daily intake of that compound (9,10), and explicit relationships have
been derived (10) • these are:
{(concentration of HEOD in blood)
(¦aeration of HEOD i» fat)/
0.0185
Conclusion: All the available experimental evidence indicates that
the concentrations of DDT and HEOD in the tissues of experimental
animals and of man are related to the dietary intake.
(ii) Relationship between the duration of the exposure and the
concentrations in tissues—DDT: Hayes (2) concluded that the degree
of storage of DDT in the adipose tissue of rats varied directly with
the number of doses until a peak or plateau was reached, but that the
true-dosage relationships were much less well-understood for other
organs. Results consistent with this concept of an approach to an upper
limit of storage, characteristic of the particular daily intake, have
been obtained by Ortega et al, (11) in the ca3e of the rat (see fig. 7),
and by Durham et ail, (3) in the Rhesus monkey (see fig. 8^ Hayes
et al. (4) concluded that human males achieve storage equilibrium for
DDT in about a year (see fig. 9), but that further observation was
necessary to establish this conclusion firmly. Hayes (#) commented
that after the plateau concentration had been achieved there was a
tendency for the concentration of DDT in the body fat of rats to
decline. There is an apparent tendency for a similar decline in the
concentration of DDT in the body fat of the Rhesus monkey (see fig.
8), but Durham et al. (3) suggested that this may be an artifact caused
by random variation and the loss of some animals from their respec-
tive groups.
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Dieldrin; The concentrations of HEOD in the tissues of rats and
dogs approach an upper limit of storage characteristic of the daily
intake (7), and this phenomenon is illustrated in figure 10, based upon
the results obtained by Deichmann et al. (12) in a trial in which a diet
containing 50 p.p„m. dieldrin was fed to female rats. Richardson et al.
(IS) determined the concentration of HEOD in the blood of dogs
given daily doses of 0.1 mg. dieldrin/kg. for 128 days. These workers
reported a highly signficant relationship between the logarithm of the
concentration of HEOD in the blood and the logarithm of the con-
centration of HEOD in the diet (i.e., a power-function relationship).
The implications of such a relationship are discussed below, but it was
considered desirable to fit the data to an asymptotic relationship of
the form fitted to the human data (seebelow):
(l-«-*<)
where C is the concentration at time t, C w is the concentration at t= ®,
and k is a constant. A comparison of the goodness of fit of the two
relationships is given in table 1.
Table 1,—Comparison of the goodness of Jit of the concentration—time relationship
for HEOD in the blood of dogs

Dog No.
C CO
k
Residual variance—
about about
asymptotic power-
relationship function
?,

-- 429 (±167)
0.0045 (±0.0020)
0. 004574
0. 004598
4

... 126 (±13)
0.0171 (±0.0028)
0. 004494
0. 00568
6

- 89 (±25)
0.0119 (±0.0047)
0. 01664
0. 0206
It will be noted that the residual variance about the asymptotic rela-
tionship is smaller than that about the power function. For the reasons
discussed below it is considered that the asymptotic function is the
more appropriate relationship.
Keane and Zavon(/4) studied the concentration of HEOD in the
blood of dogs which had been given 1 mg./HEOD/kg. body weight/
day for 5 days, followed by 0,2 mg. HEOD/kg./day for a further 54
days. They concluded that the concentration of dieldrin in the blood of
all the animals remained very constant during the last 53 days of the
trial, that the ratio of the concentrations of dieldrin in the fat to that
in the blood remained relatively constant for each dog during the ex-
periment, and that a storage equilibrium existed during the latter part
of the trial. The validity of some of the conclusions of these authors is
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doubtful,1 but these doubts do not affect the general conclusion given
below.
The experiment in which HEOD was given daily to volunteers for
2 years gave (9,10) results which have been analyzed in detail (10) and
shown to be consistent with an asymptotic relationship.
The concentration of HEOD in the blood of dogs tends to decline
after reaching a maximum (unpublished results, Tunstall Laboratory).
Conclusion: The concentrations of DDT and HEOD in the tissues
of rats, dogs, and man do not increase in a rectilinear manner as the
time of ingestion increases; the concentrations approach an upper
limit, or asymptote, characteristic of the daily dose. If the exposure is
continued for a sufficient period of time there are indications that the
concentrations in tissues tend to decline.
(iii)	Relationships between the concentrations in various tissues—
DDT: It appears from figure 10 of Hayes* review (#) that the con-
centrations of DDT in the various tissues are correlated.
Dieldrin: Significant correlations were found between the concen-
trations of HEOD in the blood and other tissues of rats (7,12) (see
fig. 10), dogs (7) and man (0,10). Keane and Zavon (15) determined
the concentrations of dieldrin in the blood and body fat of dogs given
daily doses of dieldrin and found a significant correlation between
them. The results of Deichmann et al. (IS) also show that the concen-
trations of dieldrin in body fat and liver are correlated with that in
the blood (see fig. 11). These correlations are implicit in the relation-
ships of type I and II discussed above and their explicit demonstration
is, in that sense, an example of redundant information. Heuristically,
however, it is convenient to discuss these correlations explicitly. The
quantitative relationships between the concentrations in the various
tissues are also of direct practical interest.
Conclusion: The concentrations of HEOD in the blood are signifi-
cantly correlated with those in the other tissues and it is probable
that corresponding correlations exist in the case of DDT.
(iv)	Relationship between concentrations in tissues and time since
exposure ceased—DDT: The concentration of DDT in the adipose
tissue of monkeys (#), and rats (11), and cows (16) has been found
'to decline when exposure ceased. The change in concentration is not
related to time in either a linear or exponential manner (see figs. 12,
1 For example, Keane and Zav
-------
13, and 14) and McCully (16'), for example, suggested that the power
function could be fitted to their results. That their results could be
fitted to such a relationship is quite probable, but a more plausible
relationship is one involving two exponential terms; this type of rela-
tionship is shown in figure 14. The decline in the concentration of DDT
in the tissues when exposure is terminated implies that DDT is being
lost from the body, either as unchanged DDT or as metabolites. Studies
of the concentration of DDT or its metabolites in excreta are therefore
relevant to this topic.
From the results obtained by Durham et al. (5) in their study of
DDT storage in Rhesus monkeys it may be shown (see fig. 15) that
the concentration of DDT and DDA in the excreta are related to the
intake of DDT. As the concentration of DDT in the body fat is also
related to the daily dose (see sec. I(i) above) the concentrations of
DDT and DDA in excreta are also related to the concentration of
DDT in the fat. The results of Hayes et al. (4) and Durham et al. (17)
indicate that the concentration of DDA in the urine of man is also a
function of exposure (see figs. 16 and 17).
Dieldrin: The concentrations of HEOD in the tissues of rats decline
during the postexposure period (18). There are differences in the
rates of change of the concentrations in the various tissues (see figs.
18 >and 19), and the following empirical relationships, for example,
have been derived from the experimental observations:
CWt —13.5 exp( — 0.0671)
Cv i var=0.71 exp (— 0.541) 4- 0.233 exp (— 0.0681)
The concentration of HEOD in the blood of workmen has been
found to decline when their industrial exposure to aldrin and dieldrin
was terminated (19) (see fig. 20), and the mean concentration of
HEOD in the blood of volunteers who had been given known daily
doses of HEOD was also found to have decreased significantly during
the 8-month postexposure period (10).
The results obtained by Korte and his coworkers in studies of the
metabolic fate of "CMabeled cyclodiene insecticides (20) showed that
metabolites of these compounds occurred in the excreta of rats and
rabbits. In one experiment rats were given "^7-aldrin daily for 12
weeks, and it was found that after about 8 weeks the total amount
of "^-activity in the excreta was equal to the daily administered
dose (21). It was also found that the majority of the activity was in
the form of hydrophilic metabolites. These results, in which the activ-
ity eliminated per day eventually balanced the amount administered
per day, are the obverse of the approach of the concentrations of
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HEOD in the tissues to upper limits, and are analogous to the results
obtained in relation to the excretion of DDA by subjects treated with
DDT.
Conclusion: The concentrations of DDT and HEOD in body tis-
sues decline when exposure ceases; the relationship between the con-
centrations in tissues and time during the postexposure period depends
upon the compound and the tissue: the declines in the residues of DDT
in the body fat of rats, monkeys, and steers appear to deviate signifi-
cantly from a simple exponential decline, whereas HEOD residues in
the body fat of rats do so decline. The residues in HEOD in the liver
and blood of rats can be fitted to a relationship involving two exponen-
tial terms.
(v)	Dynamics of other organochlorine insecticides or related
compounds: In surveys of the occurrence of organochlorine compounds
in human adipose tissue it has been found that, apart from pp'-DDT
and HEOD, residues of pp'-DDD, pp'-DDE, isomers of benzene hexa-
chloride (mainly /S and y), and heptachlor epoxide are also present.
The dynamics of the behavior of these compounds in man are there-
fore of interest. Unfortunately, the evidence available is slight, but
such studies as have been made indicate that their dynamics are of a
similar form to those of DDT and HEOD. The most important of
these other compounds (as regards the dimension of the residues
found) are pp'-DDE and 0-BHC, and further information on the
kinetics of these two compounds in experimental animals and man is
desirable.
(vi)	Excretion of organochlorine insecticides in milk and eggs:
A number of experimental studies, particularly of DDT and HEOD,
have been made of concentrations of organochlorine insecticides in
cows milk, and of the eggs of chickens and other birds, in relation to
the intensity and duration of exposure. Most of the studies have been
concerned with determining empirical relationships and the analysis
of the results in relation to the dynamics of these compounds has not
usually been carried out. However, the results appear to be generally
consistent with the four conclusions drawn above from studies of the
concentrations in the body tissues of rats, dogs, steers, and man.
II. Inferences from the empirical relationships,—In part I of this
review particular stress has been placed upon the relationships be-
tween the different variables. A number of inferences may be drawn
from the relationships between these variables. In addition to these
inferences it is desirable to establish, if possible, a theory or model
which will provide a rational basis for the relationships and the deduc-
tions based on them. Such a model is required if the results of animal
269

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trials are to be used in the interpretation of the epidemiological sig-
nificance of residues in the general population.
(i) Inferences drawn from the empirical relationships between
variables: In the case of HEOD it has been shown that the concentra-
tions of this compound in various body tissues are related to the con-
centration in the blood in both the exposure and postexposure periods,
i.e., there is a concerted change of the concentration of HEOD in the
blood and other tissues. Such an inter-relationship may be explained
in several ways but the most plausible is that there is a reversible inter-
change of HEOD between the circulating blood and the other body
tissues. Such a reversible process is not unexpected in view of the
physico-chemical properties of HEOD, and is analogous to the parti-
tioning of HEOD between different liquid phases. The other organo-
chlorine insecticides will also partition themselves between different
phases, differences between them being reflected in the partition coef-
ficients characteristic of the different compounds.
A second inference may be drawn from the observed decline in the
concentrations of organochlorine insectides in the body tissues when
exposure is terminated. Some of this decline may arise from elimina-
tion of the compounds from the body without chemical change (e.g.
small amounts of pp'-DDT and HEOD are found in the faeces).
However metabolities of DDT and HEOD, for example, have also
been found in excreta. This indicates that they undergo biochemical
conversion in the body. The rate of conversion at a site(s) of reaction
may be expressed in general terms:
Where n is the order of the reaction with regard to the substrate
molecule. The concentration of the substrates, in relation to whole tis-
sue, are very low (about 10~W or lower), it is probable that the
concentrations at the site(s) of action are also very low. In these cir-
cumstances a zero-order reaction (i.e., n=o, in which case the rate of
metabolism is independent of the concentration) is unlikely. The
simplest rate equation is that corresponding to a first order reaction
(n== 1), and the rate of reaction in this case is given by:
It is easily shown that this corresponds to an exponential relation-
ship between the concentration at the sits(s) of reaction and the time
since entry of HEOD to the site of reaction was terminated:
C'=C0exv(-kt)
where C is the concentration at time t and G0 is the initial concentra-
tion at the site(s) of reaction.
270

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The concentration of substrate at the site of reaction when there is
a continuing steady rate («) of injection of the substrate may be
derived by integration of the relationship:
!+fe=«
whence: G~^ (1— e~u)
(it has been assumed, for simplicity, that the concentration of the
substrate at the site of reaction was zero before the ingestion of the
substrate at a known rate).
With continuing injection of substrate, i.e. as <—* ¦», the concentra-
tion at the site(s) of reaction approaches a finite upper limit of asymp-
CL	•
totic (=7). This treatment may be generalised to the case:
k
and in all cases for n>o, it can be, shown that the concentration at the
site (s) of reaction approaches a finite upper limit
Unfortunately we are unable to measure the concentrations of sub-
strates at the site(s) of reaction; only the concentrations in tissues or
subcellular fractions can be measured. Consequently these inferences
regarding the concentrations at the site(s) of reaction are of academic
interest unless we make some other assumptions,
(ii) The eompartmental model and its application to the pharma-
cokinetics of organochlorine insecticides: The eompartmental model
has been used, with great success in the study of the dynamics of drugs,
lipids, metallic ions, etc. and there appear to be no a-priori reasons for
not applying such a model to the organochlorine insecticides (#0,
The basic concepts of the model are as follows. The animal body
is considered to consist of an infinite number of infinitesimal elements
of volume. Collections of elements form sets,, the defining property of
each set being that within a set any ehange in the chemical potential
of a substrate in any element of that set results in an instantaneous
and equal change of chemical potential of the substrate in all other ele-
ments (note that chemical equipotential does not entail equal concen-
trations of the substrate in all the elements of a set). Such a set is
called a compartment. The volumes of the compartments are assumed
to be constant, and the boundary between contiguous sets or compart-
ments is regarded as an interface. Some interfaces allow a reversible

as time increases.
23,24),
271
(371-074 0—169	'18

-------
movement of substrate molecules between compartments, such move-
ments continuing (and therefore taking a finite time) until the chem-
ical potential in all the compartments has approached the same value.
In at least one of the compartments biochemical conversion of the sub-
strate may occur, and the rate of conversion is assumed to be of the
first-order. Substrates may be eliminated from the organism via one
or more compartments. The simplest model is one in which there is
only one compartment, and the equations for the behavior of a sub-
strate in such a system are similar to those given above for the con-
centration of an insecticide at the site(s) of conversion. With models
containing two or more compartments, the compartments may be ar-
ranged in series, parallel, or combinations of series/parallel.
The compartmental model has been presented above in general
terms, and a more specific model, representative of the behavior of
org&nochlorine insecticides, is as follows.
It was argued above that the experimental results indicate a rever-
sible transfer between the circulating blood and other tissues. This
corresponds to the so-called mamillary model consisting of a central
compartment with one or more peripheral compartments in parallel
with it. Direct transfer of the substrate between peripheral compart-
ments cannot be excluded on a priori grounds, but the simplest multi-
compartmental models are those in which such interchange does not
occur. A two-oompartmental model has been suggested for HEOD
in the rat and the experimental results are in good agreement with
the predictions of this model (18). The results of studies of the
decline of the concentration of DDT in the body fat of rats, monkeys
and steers differ from those obtained with HEOD in that a simple
exponential relationship does not appear to represent adequately the
results (see Figures 12,13 and 14). More detailed studiess of this point
are required, but if there is a real departure from a simple exponential
decline it is tempting to speculate that this may arise from DDT in
the fat cell behaving as if the latter contained two compartments.
Results of studies of the metabolism of lipids in the fat cell have been
interpreted on such a basis (25).
The compartmental model, in the form proposed above for organo-
chlorine insecticides, is very flexible, even with the contraints used in
that model. One or more of the contraints, e.g. constancy of the volumes
of compartments or of the partition ratio between peripheral compart-
ments and the central (blood) compartment, may be unrealistic in
some circumstances. Thus, in a rapidly growing animal the compart-
mental volumes are obviously not constant. The phenomenon of enzyme
induction may require a change in the assumption concerning the rate
of metabolism of a substrate, etc. The mathematical models become
272

-------
very complex in these cases and there is insufficient quantitative data
at present to justify further development of the model.
(iii) Pharmacokinetics of organochlorine insecticides in relation to
the results of epidemiological surveys: The results of studies of the
dynamics of DDT and HEOD in experimental animals (including
man) have certain implications in regard to the occurrence of residues
of organochlorine insecticides in the general population:
1.	The concentrations of these compounds in blood or adipose tissue
may be used as indices of total body burden, and of exposure to these
compounds.
2.	continuing exposure to these compounds will riot result in a con-
tinuous arithmetic increase of their concentration in body tissues. The
upper limit of storage in each tissue for a particular exposure, and
the time required to approach this upper limit, are characteristic of
each compound*,
3.	changes in the absolute or relative sizes of the compartments in
the human body will result in changes in the concentrations in these
compartments,
4.	when the level of continuing exposure is reduced the concentra-
tions in the body tissues decline; the rates of decline are again charac-
teristic of each compound.
CITED REFERENCES
(1)	Laug, E. P. and Fitzhuoh, O. G., (1946), J. Pharmacol, exp. Therap., tffi,
18-23.
(2)	Hayes, W. J., Jr., (1959) DDT, The insecticide dichlorodiphenyl-trichlo-
roethane and its significance, Vol. II Human and veterinary medicine,
ed. S. W. Simmons, pp. 11-247. Birkh&user Verlag, Basel.
(3)	Dubham, W. F., Ortega, P. and Hates, W. J., Jb., (1963), Arch. int.
Pharmacodyn., 141, 111-129.
(4)	Hayes, W. J., Jr., Durham, W. F. and Cueto, C., (1956), J.A.M.A., 162,
890-897.
(5)	Hayes, W. J., Jr., Dale, E. and Pirkle, C. I., Unpublished work.
(6)	Durham, W. F., Armstrong, J. F. and Quinby, G. E., (1965), Arch.
Environ. Health, 11, 641-647.
(7)	Walker, A. I. T., Stevenson, D. E., Robinson, J., Thorpe, E. and Roberts,
M., (1969), Toxicol. Appl. Pharmacol., 15, 345-373.
(5) Gannon, N., Link, R. P. and Decked, G. C., (1959), J. Agr. Fd. Chem,,
7, 826-828.
(9) Hunter, C. G., and Robinson, J., (1967), Arch. Environ. Health, 15,
614-626.
Hunter, C. G., Robinson, J. and Roberts, M., (1969), Arch Environ.
Health., 18,13-21.
*The tendency of the concentration of pp'-DDE in human blood in the U.S. to increase
with the age of the subject may be a consequence of the long time required for this
compound to approach its equilibrium concentration in the tissues of man.
273

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(11)	Ortega, P., Hayes, W. J., Jb., Durham, W. F. and Mattson, A., (1956),
DDT in the diet of the rat. Monograph No. 43, U.S. Dept. Health,
Education and Welfare.
(12)	Deichmann, W. B.t Dressler, I., Keplinger, M. and MacDonald, W. E.,
(1968), Industr. Med. Surg., 37, S37-839.
(13)	Richardson, L. A., Lane, J. R., Gardner, W. S., Peeler, J. T. and Campbell,
J. E., (1967), Bull, environ. Contamination Toxicol., 2, 207-219.
(1£) Keane, W. T. and Zavon, M. R., (1968), Bull, environ. Contamination
Toxicol., 4,1-16.
(15)	Keane, W. T. and Zavon, M. R. (1969), Arch. Environ. Health, 19, 36-44.
(16)	McCully, K. A., Vii.leneuve, D. C., McKini.ey, w. P., Phillips, W. E. J.
and Hidiroglou, M., (1966), J. Assoc. Off, Agr, Chem., 43, 966-973.
(17)	Durham, W. F., Armstrong, J. F. and Quinsy, G. E., (1965), Arch.
Environ. Health, 11, 76-79.
(18)	Robinson, J., Roberts, M., Baldwin, M. and Walker, A. I. T., (1969), Fd.
Cosmet. Toxicol., (in the press).
(19)	J ages, K. W., Unpublished work.
(20)	Korte, F., (1967), Scientific Pest Control, 82, 46-59.
(21)	Ludwig, W., Weis, J. and Korte, F., (1964), Life Sciences, 3, 123-130.
(22)	Robinson, J., (1967), Nature, 215,33-35.
(23)	Robinson, J. and Roberts, M.t (1968), Physico-chemical and Biophysical
Factors affecting the activity of pesticides, Monograph 29, Soc. Chemistry
and Industry, 106-117.
(24)	Robinson, J., (1969), Canadian Med. Assoc. J., 100,186-191.
(25)	Wertheimer, H. E., (1965), Handbook of Physiology, Section 5. Adipose
Tissue, ed. by A. E. Renold and G. F. Cahil\ Jr., p. 6. American Physio-
logical Society, Washington, D.C.
274

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10,000
7A
Duration of exposure
Sex
7A
01
• Male
~ Female
O Male
V Unstated
6 months
2 years
01
1,000
T
4V
10
10
¦S 100
60
10
5#
7 •

100
1,000
DDT in diet, ppm.
Figure 1.—Storage of DDT in the tissues of rats fed diets containing different
concentrations of that compound (based on Figure 10 of Hayes' review *; the
numbers refer to literature citations in the review).
275

-------
10.000
/ 3#
3* 3%
3* /
1A
1,000-
1A
50
2G
4A
100
1A
lA
O Rhesus mookey
~ Cow
A Dog
• Turkey
0.1
0.01
DDT dosage, mg/kg/day
Figure 2.—Storage of DDT in the adipose tissue of several species of animals
given different daily doses of tkat compound (based on Figure 11 of Hayes'
review2; the numbers refer to literature citations in the review).
276

-------
10000
5000
100
V	200 ppm. technical DDT
•	200 ppm. pp'-DUT
A	£0 ppm. technical DDT
O	5 ppm. ODT
200
Concentrations of DDT in diet, ppm.
Figure 3.—Relationship between the concentration of DDT in the ItoAyfat of
rhesus monkeys and the concentration of DDT in the diet {based, on Durham
ct oi8).
277

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1000.0
500.0
•8100,0
10.0
O Mean.
J standard error of mean
1.0
0.01
10.0
0.1
Daily dose of DDT, mg/day
Figure 4.—Relationship between the concentration of DDT in the bodyfat of man
and the daily dose of that compound (based on Hayes et al' and Durham
et al 8).
278

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10.0
on
e 0.01
0.001
•	Female rats
~	Male rats
O	Liver, male dogs
P	Brain, male dogs
0,0001
0.01
0.1	1.0
Intake of HEOD per day: mg/kg bodyweight; rats, /tg/g in diet
10.0
m
Figube 5.—Relationship between the coneentration of HEOD in the tissues of
rats and dogs and the daily intake of that compound (based on Walker
etaV),
279

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10 0
5.0-
4.0
3.0
2.0
0.5
0.4.
0.3
0.2
• Steers
~ HO08
A Lambs
0,75
Concentration of dieldrin in diet
0.25
Figube 6.—Relationship between the concentration of dieldrin in the body-fat of
steers, hogs and lambs, and the concentration of dieldrin in the diet (based on
Gannon et ala).
280

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1000
100
r 40
Time of treatment, months
Figube 7.—Increase of the concentration of DDT in the body fat of male rats
fed 5 ppm. technical DDT in their diet for 6 months (based on Ortega
et alu).
281

-------
1000.0
500.0
100.0
50.0
q 10.0
5.0
V	200 ppm, technical DDT
•	200 ppm. pp'-DDT
Jk	SO ppm. technical DDT
O	6 ppm. technical DDT
0.5
Th
Time of treatment, years
Figure 8.—Increase of the concentration of DDT in the bodyfat of rhesus mon-
keys with continuing exposure to DDT (based on Durham et al *).
282

-------
1000
500
100
>¦ 50
O 35mg. pp'-DDT/man/day
• 3.5 mg. pp'-DDT/man/day
lo?
300
Time of treatment, days
100
400
600
600
Figure 9.—Increase of the concentration of pp'-DDT in the todyfat of men with
continuing intake of pp'-DDT (based on Hayes etal*).
283

-------
1000.0
300.0
Fat
100.0 -
Liver
£j 10.0
° 1.00-
Blood
0.01
180
Time of treatment, days
Fiqube 10.—Relationship between the concentration of HEOD in the tissues of
female rats and the time of ingestion of a diet containing 50 ppm. of HEOD
(based on Deichmann etala).
284

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500.0
300.0
200.0
100.0
• •
1S.0 <5
Oo
••
210.0
10.0
OO
0.01
0.20 0.30
0.10
Concentration of HEOD in blood, ppm.
0.05
Figure 11.—Relationship between the concentration of HEOD in the bodyfat and
liver of female rats and that in the Mood (based on Deiehmann et alM).
285

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3000f
1000
.100
0
|
5
1
g
o
10
oiz:
Time since exposure ceased, years
Figube 12.—DecUne of the concentration of DDT in the body fat of rhesus mon-
keys after exposure has ceased (based on Durham etal*),
286

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10000
1000
A	Rats fed 400 ppm. DDT
•	Rats fed 200 ppm. DDT
A	Rats fed 50 ppm. DDT
O	Rats fed 15 ppm. DDT
~	Control rats (<0.6 ppm. DDT in diet)
~
I
£ 9
§100
S
E
a
A
5	10
Time since treatment ceased, months
15
Figube 13.—Decline of the concentration of DDT in the bodyfat of mate rati
during the pott-enpoaure period (Tweed on Ortega et al").
287
,371-074 O—89	00

-------
10000
O Mean
[ standard error of mean
1000
I 500
100
100
150	200
Time since exposure ceased, days
250
300
Figure 14.—Decline of the concentration of pp'-DDT in the bodyfat of steers
after exposure has ceased (based on McCully et alM}.
288

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4.0
*5
. ^

3	A
Dosage 
-------
100.0
50.0
• 35 mg pp**DDT/day
O 3.5 mg pp'-DDT/day
A 0.184 mg pp'-DDT/day
10.0
5.0
0.05
0.01
1	300
Time of treatment, days
100
400
500
600
Figube 1ft—Relationship between the concentration of pp'-DDA in the urine of
man and time of treatment with pp'-DDT (based on Hayes et al *).
290

-------
100.0
0	Mean
1	standard error of mean
10.0
0.1
0.01
i53T
Concentration of pp'-DDT in body fat, ppm.
100
500
Figure 17.—Relationship between the concentration of pp'-DDA in the urine of
man and the concentration of pp'-DDT in bodyfat (based on Durham et al17).
291

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20.Or
10.0
ai
« 1.0
0.01
100
Time (days) since termination of exposure to HEOD
Figube 18.—Decline of the concentration of HEOD in the adipose tissue of rats
during the post exposure period.1*
292

-------
CO
I 0.01
C-0.71 e*p(-0.54t) +
+ 0.233 exp(-0,068t)
0.001
cx10*"542 o*p(-0.535t)
+298 exp(-0.0529t)
0.0001
100
Time since exposure ceased, days
Figube 19.—Decline of the concentration of EEOD in the blood and Uver of rats
during the post exposure period?*
293

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1.0
0.5
0.4
0.3
0.2 -
0.05
0.04
0.03
0.02
0.01
Time since industrial exposure ceased, months
Figure 20.—Decline of the concentration of HEOD in the Mood of workmen after
industrial exposure has teen terminated (based on Jager ").
294

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HUMAN EFFECTS
In this section, published reports on the relationship between pesti-
cide exposure and human health are grouped according to three major
classes of evidence: (1) Controlled human exposures; (2) epidemio-
logical evidence, involving retrospective or planned prospective obser-
vations of defined human populations exposed to pesticides, and
preferably involving also an unexposed "control" group and (3)
clinical case reports, in which one or several human subjects have
apparently been made ill as a result of exposure to a single pesticide
or a combination of pesticides.
Conclusions reached from these forms of evidence vary in validity
and reliability. Evidence based on controlled human exposure is the
most reliable of all but obviously relates only to the dosage employed
and other conditions of the study. Also, the subjects selected can never
adequately represent the wide variety of exposed population groups
to which reference was made above.
Clinical evidence is vital to the physician in his efforts to under-
stand the symptomatology of human intoxication, and discover effec-
tive courses of therapy. However, this kind of evidence is sometimes
the source of unprovable conjectures and allegations about cause and
effect relationships.
The epidemiological approach may provide statistically significant
evidence of differences in morbidity and mortality patterns between
exposed and control groups. This allows investigators to focus upon
specific disease entities or syndromes which are particularly prevalent,
to identify the "weak link" in the chain of causation, and to plan
programs of prevention. Unfortunately, the complexities and cost of
study design and execution tend to discourage widespread application
of this valuable technique.
Controlled human exposures
Because of the complexities of extrapolation of animal data to
humans, the literature cites many examples of human volunteer
studies where pesticides have been given or applied to human volun-
teers. Such persons have received a prescribed dose of pesticide, single
or in combination for a prescribed duration of time. The main purpose
toxicological doses, or to evaluate the route of absorption or the effect
of such variables as protective clothing, temperature, etc. or the
characteristics of the pesticide vehicle (dust versus emulsifiable
concentrate). In addition, considerable information on the pharmaco-
dynamics of and storage of pesticide has been obtained from several
well-conducted studies. Insofar as oral doses of organophosphates are
concerned, the works of Rider, J. A. and Moeller, M. C. and their estab-
295

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lishment of incipient oral toxicity levels of the more commonly used
organophosphates should be especially cited. Utilizing as indicative of
minimal toxicity that amount which when ingested over a period of
several weeks will produce a symptomless average decrease in choline-
sterase activity of 20-25 percent below control values. Doses for para-
thion, systox, octamethyl pyrophosphoramide (OMPA) and methyl
parathion in man were 7.5 mg., 6.75 mg., 1.5 mg., and between 11 and
19 mg.'s per day respectively. (Rider, et al, 1967). Hartwell, et al
(1964) conducted a controlled respiratory exposure study on human
volunteers using parathion. Their results indicated that the respiratory
route was the more toxic and that ambient temperature was a signifi-
cant factor in toxicity. Dermal exposures of human volunteers were
conducted of Hayes, G. R., et al, 1966. Parathion dust and emulsion
produced no cholinesterase inhibition when applied to the arms, but
when the subjects evolving, excluding the head was exposed a 56 per-
cent decline in plasma values was observed with dust.
Studies in volunteers,—DDT, DDD, methoxychlor, and dieldrin
have been studied in volunteers. One of them, DDT, has been tested
to learn how much would be dangerous under very adverse conditions
of use. All have been explored to learn the safety of repeated doses
much larger than those ever contacted by ordinary people and at least
somewhat larger than those usually encountered by men who make or
mix the compounds.
When it became apparent during World War II that DDT was
effective for controlling the vectors of malaria, typhus, plague, and
certain other diseases of tremendous military importance, the toxicity
of the compound was studied by teams of investigators in several
countries. Since the results of animal tests were encouraging, the
studies were carried to volunteers to explore the safety of military use
and even the effects of accidental ingestion. Following the war, volun-
teers were studied to learn the effects of daily ingestion of large doses.
Experimental respiratory exposure to DDT.—In order to determine
the consequence of frequent and indiscriminate use of DDT, Fennah
(1945) inhaled 100 mg./day for a total of 11.5 months. No ill effects
were observed. Neal et al. (1944) reported almost continuous daily
exposure to aerosols sufficient to leave a white deposit of DDT on the
nasal vibrissae of the volunteers. This exposure produced moderate
irritation of the nose, throat, and eyes. Except for this irritation dur-
ing exposure, there were no symptoms, and laboratory tests and phys-
ical examination, including neurological evaluation, failed to reveal
any significant changes.
Experimental dermal exposure to DDT.—In three subjects, experi-
mental dermal exposure to DDT was followed by fatigue, aching of
the limbs, anxiety or irritability, and other subjective complaints.
296

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Recovery was delayed a month or more (Wigglesworth, 1945; Case,
1945).	In neither instance was there an independent control. Although
the dosage was unmeasured, the amounts of DDT absorbed must have
been much smaller than those involved in subacute oral tests and very
much smaller than minimal single oral doses (6 to 10 mg./kg,) that
have led to mild illness. One of the studies involved self-experimen-
tation by one man. A similar but somewhat more severe test on six
volunteers produced no toxic or irritant effect at all (Dangerfield,
1946).	In view of all other experiments and extensive practical expe-
rience, it must be concluded that the illnesses reported by Wiggles-
worth and by Case were unrelated to DDT.
With the exceptions just mentioned, dermal exposure to DDT has
been associated with no illness and usually no irritation (Domenjoz,
1944; Cameron and Burgess, 1945; Dangerfield, 1946; Chin and T'Ant,
1946; Wasicky and Unti, 1944; Draize et al., 1944; Haag et al.. 1948;
Fennah, 1945). In fact, Hoffman and Lendle (1948) reported that
even subcutaneous injection of colloidal suspensions of DDT in saline
in concentrations up to 30 p.p.m. caused no irritation. Zein-el-Dine
(1946) reported that DDT-impregnated clothing caused a slight,
transient dermatitis, but the method of impregnation was not stated
and the absence of solvent was not guaranteed. Other more thorough
studies of DDT-imgregnaied clothing have found it not irritating
(Domenjoz, 1944; Cameron and Burgess, 1945).
Chin and T'Ant (1946) applied small pads impregnated with dif-
ferent formulations of DDT to the inner surface of the forearm of
32 volunteers whose cutaneous sensation had previously been measured
for a period of 4 weeks. Pads impregnated with all the elements of
the formulation except DDT were applied to the corresponding posi-
tion of the other arm as a control. Powdered DDT and 5 percent
solutions of DDT showed little effect. Ten percent and 20 percent
solutions in olive oil and petrolatum showed no remarkable effect on
sensation of pain, cold or heat, but reduced tactile sensation in most
cases so that the minimal pressure which could arouse the tactile
sensation was 1 to 2.5 g./cm.2 higher than in the control.
Experimental oral exposure to DDT.—Careful study of volunteers
who ingested one or a few large doses of DDT have established that
10 mg./kg. is the threshold dosage that leads to significant discomfort
in some people but no detectable effect in others. That the observed
difference is due to individual variation of the subjects is indicated
by the results of accidents in which dosage of 10 mg./kg- (or in a single
instance, 6 mg./kg.) led to mild poisoning in some persons but no
effect in others (Hsieh, 1954). However, it is also possible that in-
297

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vestigators have differed in their evaluation of completely subjective
changes attributed by some to dosages of about 3.5 mg./kg.
Velbinger (1947a, 1947b) reported that doses of 250 or 500 mg,
of DDT in the form of a suspension or a solution in oil produced no
effect except a variable, slight disturbance of the sensitivity of the
mouth. Doses of 750 or 1000 mg. in oil solution led to disturbance of
the sensitivity of the lower part of the face, uncertainty of gait,
malaise, hypersensitivity to contact, cool moist skin, but no change in
reflexes. Discomfort reached a peak about 6 hours after ingestion. A
dose of 1500 mg. in oil solution produced prickling of the tongue
and around the mouth and nose beginning about 2.5 hours after the
dose. Disturbance of equilibrium, dizziness, confusion, and tremor of
the extremities gradually increased. A peak reaction characterized by
malaise, headache, fatigue and delayed vomiting was reached about
10 hours after ingestion. Becovery was almost complete in 24 hours.
Other investigators (Domenjoz, 1944; MacCormack, 1945; Neal
et alr 1946) found this same range of doses (250 to 1500 mg.) were
without clinical effect. The difference was not associated with failure
of absorption, for excretion of the metabolite DDA was measured in
connection with one study (Neal et al., 1946) and it was noted that
lice were killed when fed on a man 6 and 12 hours after he had
ingested 1500 mg. of DDT dissolved in butter (MacCormack, 1945).
It has been noted in the course of tests with volunteers that dilute
colloidal aqueous suspensions of DDT are odorless and tasteless
(Domenjoz, 1944; Hoffman and Lendle, 1948). Saturated alcoholic
solutions of DDT have a weak aromatic taste or rather odor. Some
people find these solutions slightly anaesthetic to the tongue (Hoffman
and Lendle, 1948). The taste of DDT in vegetable oil is so slight that
many persons can not identify capsules containing 0, 3.5 and 35 mg.
of DDT when they are presented separately but can arrange them in
proper order when one of each is available for comparison.
The possible clinical effects of many repeated doses of DDT were
first explored by Fennah (1945). Because of his interest in predicting
the results of indiscriminate use, he expressed the exposures in terms
of environmental levels rather than as dosage units. The exposures
were clearly higher than those ordinarily encountered. In one test,
lasting a total of 11.5 months, Fennah daily inhaled 100 mg. of pure
DDT and drank water dusted at the rate of 3,240 mg./m.2. Much
of the inhaled dust must have been deposited in the upper respiratory
tract and swallowed. Later, for 1 month, Fennah ate food all of which
had been sprayed at the rate of 2,160 mg./m.2 after it had been served.
No ill effect of any kind was observed.
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Later, studies of DDT in volunteers were designed to explore the
details of storage and excretion of the compounds in man and to search
for possible effects of doses considered to be safe. In the first of these
studies, men were given 0, 3.5 and 35 mm./man/day. These doses,
plus DDT measured in the men's food, resulted in dosage levels of
0.0021-0.0034, 0.038-0.063, and 0.36-0.61 mg./kg./day, respectively,
the exact value depending on the weight of each individual. Six
volunteers received the highest dose of technical DDT for 12 months,
and three received it for 18 months. A smaller number of men ingested
the lower dose of technical DDT or one of the doses of recrystallized
DDT for 12 or 18 months. No volunteer complained of any symptom
or showed by the tests used any sign of illness that did not have an
easily recognizable cause clearly unrelated to the exposure to DDT. At
intervals, the men were given a systems review, physical examination,
and a variety of laboratory tests. Particular attention was given to
the neurological examination and liver function tests, because the
major effects of DDT in animals involve the nervous system and the
liver (Hayes et al., 1956). The same result was obtained in a second
study in which the same doses were given for 21.5 months and the
volunteers were observed for a minimum of 25.5 additional months
(Hayes et dl., 1961).
In both studies, storage of DDT was proportional to dosage. Men
who received p,p'-DDT at the average rate of 0.5 mg./kg./day stored
concentrations ranging from 129 to 659 p.p.m. in their fat, with an
average of 325±62.2 p.p.m. Those receiving technical DDT at the
same rate stored 105 to 619 p.p.m. with an average of 281 ±79.5 p.p.m.
The results were statistically indistinguishable in the two studies.
When dosing was started, the urinary excretion of DDA increased
rapidly at first and then more gradually until a steady state was
reached in 6 to 8 months in different groups of men. A longer period
(18.8 to 21.5 months) was required to approach a steady state of stor-
age in fat. The greater storage of p,p'-DDT was matched by lesser
excretion; during the steady state the average urinary concentration
of DDA derived from p,p'~DDT was 1.88 p.p.m., while that from
technical DDT was 2.98 p.p.m. During the latter part of the dosing
period, it was possible in the two groups receiving recrystallized and
technical DDT at the rate of 35 mg./man/day to account for an
average of 13 percent and 16 percent, respectively, of the daily dose
in terms of urinary DDA. The excretion of DDA was relatively con-
stant in each individual, but marked difference was observed between
men receiving the same dose. For example, over a period of 48 weeks
the highest rate measured for one man was 0.11 mg./hr. while the
lowest rate for another in the same group was 0.15 mg./hr. Their
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mean rates during this period were 0.081 and 0.270 mg./hr., respec-
tively. The difference was highly significant (P<0.001).
DDT was lost from storage in fat slowly after dosing was stopped.
The concentration remaining following 25.5 months of recovery was
from 32 percent to 36 percent of the maximum stored for those who
had received 35 mg./man/day but was 66 percent for those who re-
ceived only 3.5 mg./man/day, indicating slower loss at lower storage
levels.
Recently, DDT has been used on an experimental basis at dosage
rates varying from 0.3 to 3 mg./kg./day for periods up to 7 months in
an attempt to decrease serum bilirubin levels in selected jaundiced pa-
tients. No side effects were observed. No improvement was noted in
patients with jaundice based on cirrhosis who had no demonstrated
liver enzymes deficiency. However, in a patient with familial, non-
hemolytic, unconjugated jaundice based on a deficiency of glucuronyl-
transferase, treatment with DDT rapidly reduced the plasma bilirubin
level to the normal range and relieved the patient of nausea and
malaise from which he had suffered intermittently. The liver function
tests as well as other laboratory findings remained normal. The im-
provement was maintained during the 6 months when DDT was ad-
ministered, and had persisted for 7 additional months at the time the
report was written. In this case, a dosage of 1.5 mg./kg./day produced
a steady rise in plasma levels of p,p'-DDT from an initial level of
0.005 p.p.m. to a maximum of 1.33 p.p.m. at the end of treatment. At
this time, the concentration in body fat was 203 p.p.m. Plasma levels
fell slowly after dosing was stopped (Thompson et al1969). The
highest daily intake in this series was six times greater than the high-
est level administered in earlier studies and about 7,500 times greater
than the DDT intake of the general population. The highest value for
p,p'-DDT in serum observed in the entire series was 1.330 p.p.m.
compared to 0.996 p.p.m., the highest value reported by Laws et al.
(1967) for formulating plant workers.
Experimental oral exposure to DDD.—DDD is an insecticide in
its own right and a metabolite of DDT. An attempt has been made
to use the compound as a drug to control different forms of adrenal
overproduction of corticoids in man. The attempt was originally based
on the demonstration that DDD (Nelson and Woodard, 1948; 1949),
especially o,p'-DDD (Cueto and Brown, 196*2) causes gross atrophy
of the adrenals and degeneration of the cells of its inner cortex in dogs.
This essentially experimental use has met with limited success. The
dosage given has varied from 7 to 285 mg./kg./day, but a dosage of
approximately 100 mg./kg./day for many weeks has been necessary
to produce any benefit in man (Bergenstal et al., 1960; Bledsoe et al.,
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1964; Gallagher et al1962; Southern et al1966a, 1966b; Verdon et
al1962; and "Wallace et al., 1961). In contrast, a rate of only 4 mg./
kg./day is required to produce marked atrophy of the adrenal in the
dog. Kupfer (1967) reviewed the extensive literature indicating that
the effect in man and other species except the dog is caused by stimu-
lation of oorticoid metabolism by massive doses of o,p'-DDD and not
to any direct effect on the adrenal. Southern et al. (1966a, 1966b)
agreed that the effect was predominantly extra-adrenal in man when
the drug was first given but offered evidence that adrenal secretion of
Cortisol was eventually reduced.
Even large doses of o,p'-DDD cause no histological alteration of the
adrenals in man (Wallace et al., 1961) Doses in the therapeutic range,
(specifically those between 110 and 140 mg./kg./day) produced no
detectable injury to the liver, kidney, or bone marrow. All patients
treated in this way experienced significant anorexia and nausea, and
some showed central nervous system depression varying from
lethargy to somnolence. These toxic effects cleared when dosing was
discontinued (Bergentstal et al,, 1960).
Experimental oral exposure to methoxychlor.—Men were fed
methoxychlor at dosage levels of 0, 0.5, 1.0, and 2.0 mg./kg./day for
8 weeks. Careful clinical observations were made, and repeated samples
were taken for hematology, biochemistry, and urinalysis. At the end
of the study, biopsies of fat, testis, bone marrow, liver, and small intes-
tine were obtained for multiple basic studies including biochemistry,
electron microscopy, and gas-liquid chromatic lipid analyses. The
studies indicated the safety of methoxychlor at 200 times the maximum
permissible limit which is far greater than the actual intake of me-
thoxychlor by people in the general population (Stein et al., 1965).
Experimental oral exposure to dieldrin.—In order to determine
the relationships between absorption and accumulation of dieldrin in
man, a pharmacodynamic study was carried out with four groups of
volunteers (3 to 4 people per group) who were given daily dosages
of the active ingredient in gelatin capsules for 2 years (Hunter and
Robinson, 1967; Hunter et al., 1969). The dosage levels were 0, 0.01,
0.05, and 0.211 mg./man/day. These intentional doses were in addition
to an estimated daily intake of 0.014 mg. from food. In view of the
weight of the men involved, the highest total intake was in the range
of 0.0028 to 0.0036 mg./kg./day. Dieldrin concentrations in the blood
and adipose tissues, urinalysis, EEG studies, polygraphic recording
of cardiorespiratory function, electromyographic studies, blood chem-
istry, estimation of blood plasma protein and urea, activity of plasma
alkaline phosphatase, SGPT, SGOT, and the activity of erythrocyte
and plasma cholinesterase were determined on the volunteers. Full
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clinical examinations were made during the 3d, 9th, 15th, 18th, and
24th months of exposure.
The subjects selected were 13 healthy men without a history of
recent occupational exposure to pesticides and whose ages ranged from
21 to 52 years.
The results of all ancillary observations showed no differences be-
tween the exposed and control subjects.
The only changes found in the exposed subjects were increases in
the. concentration of dieldrin in the samples of adipose tissue and
blood. A relationship was established between concentrations of the
compound in whole blood or adipose tissue, and the daily dose and
duration of exposure. This relationship is of a curvilinear type with a
finite upper limit (asymptote).
The upper limits of storage were 0.0202 p.p.m. in blood and 2.85
p. p.m. in adipose tissue of the men given 0.211 mg./man/day.
The concentration of dieldrin in adipose tissue was related to that
in whole blood, the ratio of the concentrations being 136 (confidence
limits, j>=0.95,109-170).
An estimate of the half-life of dieldrin in the blood of man, based
on the decrease in tissue levels during the first 9 months post-exposure
period was 369 days.
In summary, this study demonstrated three major facts:
First, the lack of any effect of the ingestion of amounts of dieldrin
up to 0.225 mg./man/day over a period of 2 years on the health of
male volunteers and on the results of a very extensive battery of lab-
oratory tests, including the measurements of hepatic and nervous
system function.
Second, the development of a steady state of storage associated
with the continued intake of specified quantities of dieldrin.
Third, the existence of a dependable relation between the level of
intake and of storage in blood and adipose tissue. This relation allows
the calculation of levels of intake or absorption by the simple deter-
mination of dieldrin levels in blood, or in fat of people at the steady
state of storage.
The dynamics of storage in man lias been explored more thoroughly
from a mathematical standpoint for dieldrin than for DDT. However,
it is clear that the general pattern is the same for both. It is a pattern
well established in pharmacology and it fully explains the steady
state of storage corresponding to each level of intake. The experi-
mental results, in combination with an understanding of the principles
involved, offers assurance there will be no increase in storage in
different population groups in the absence of increased exposure.
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Bebgenstal, D. M., R. Hertz, M. B. Lipbett, and R. H. Moy: Chemotherapy
of adrenocortical cancer with o, p'-DDD. Ann. Intern. Med., 53: 672-682, 1960.
Bxxdsoe, T., D. F. Island, R. L. Ney, and G. W. Liddle: An effect of o,p'-DDl)
on the extra-adrenal metabolism of Cortisol in man. J. Clin. Endrocrinol.
Metabol., U: 1305-1361, 1964.
Cameron, G. R., and F. Bukoess: The toxicity of 2,2-bis-(p-chlorophenyl)-l, 1,
1-tricbloroetbane (DDT). Brit. Med. J., 1: 865-871,1945.
Case, R. A. M.: Toxic effects of 2,2-bis-(p-chlorophenyl)-l,l,l-trichloroethane
(DDT) in man. Brit. Med. J., 2 : 842-845,1945.
Chin, Y., and C, T'Ant: The effect of DDT on cutaneous sensation in man.
Science, 103 : 654, 1946.
Cueto, C., and J. H, U. Bbown: Biological studies on an adrenocorticoiytic
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Dangerfield, W. G.: Toxicity of DDT to man. Brit. Med. J., 1:27, 1940.
Domenjoz, R.: Experimented erfahrungen rnit einem neuen insektizid (Xeocid
Geigy), ein beitrag zur theorie der kontaktgiftwirkung. Schweiz. Med. Wschr.,
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Draize, J. H., A. A. Nelson, and H. O. Calveby : The percutaneous absorption of
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Fennah, R. G.: Preliminary tests with DDT against insect of foodcrops in the
lesser antllles. Trop. Agric. 22:222-226,1945.
Gallagher, T. F., D. K. Ftjkushima, and L, Hellman : The effect of ortho,
para'DDD on steroid hormone metabolites in adrenocortical carcinoma. Metabol.
Clin. Exp,, 11:1155-1161,1962.
Haag, H. B., J. K. Finnegan, P. S. Larson, M. L. Dreyfuss, R. J, Main, and
W. Riese : Comparative chronic toxicity for warm-blooded animals of 2, 2-bis-
(p-chlorophenyl)-l, 1,1-trichloroethane (DIKP) and 2,2-bis-(p-chlorophenyl)-l,
1, l-dichloroethane (DDD). Industr. Med. Surg., 17 : 477-484, 1948.
Hayes, W. J., Jr., W. F. Durham, and C. Sceto, Jr. : The effect of known repeated
oral doses of chlorophenotbane (DDT) in man. J.A.M.A., 162 : 890-897, 1956.
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doses of DDT. WHO Expert Committee on Insecticides (Toxic Hazards to
Man) Working Paper No, 6.12, Oct. 11,1961.
Hoffman, I., and L. Lendle : Zur Wirkungsweise neuer ineektizider stoffe. Arch.
Bxp. Path. Pharmak., 205: 223-242,1948.
Hsiek, H. C.: DDT, Intoxication in a family of Southern Taiwan. A.M.A. Arch,
Industr. Hyg. Occup. Med., 10:344r-346,1954.
Hunter, C. G., and J. Robinson ; Pharmacodynamics of dieldriri (HBOD). Part
I. Ingestion by human subjects for 18 months. Arch. Environ. Heaith, 15: 614-
626, 1967.
Hunter, C. G., J. Robinson, and M. Roberts : Pharmacodynamics of dieldrin
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exposure for 8 months. Arch. Environ. Health. 18; 13-21,1969.
Kupfer, D.: Effects of some pesticides and related compounds on steroid function
and metabolism. Residue Rev. 19:11-30,1967.
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MaoCormack, J. D.: Infestation and DDT. Irish. J. Med. Sci., fi: 827-634,1945.
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Nkai^ P. A., T. R. Sweeney, S. S. Spicer, and W. F. von Oetttngen : The excre-
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with clinical observations. Public Health Rep. 61:403-409, 1946.
Nelson, A. A., and G. Woodard: Adrenal cortical atrophy and liver damage
produced in dogs by feeding 2,2-bis,(parachlorophenyl>-l,l-dichloroethane
(DDD). Fed. Proc., 7:276-277,1948.
Nelson, A. A., and G, Woodard : Severe adrenal cortical atrophy (cytotoxic) and
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dichloroethane (DDDor TDB). Arch. Path., 48:387-394,1949.
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Stypulkowski : The effect of 2,24>is- (2-chIorophenyl-4-chIoropheriyL) -1,1-
dichloroethane (o,p'-DDD) on the metabolism of infused cortisoI-7-"H. Steroids,
7:11-29,1966a.
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Gordon : Remission in Cushing's syndrome with o,p'-DDD. J. Clin. Endocrinol.
Metab. 26:268-278,1966b.
Thompson, R. P. H., G. M. Stathebs, C. W. T. Pilcher, A, E. M. McLean, J.
Robinson and R. Williams: Treatment of unconjugated jaundice with di-
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Stein, A. A., D. M. Serrone, and F, Coulston : Safety evaluation of methoxychlor
in human volunteers. Toxic. Appl. Pharmacol. 7: 499,1965.
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Gesundh. 2: 356-358,1947a.
Velbinger, H. H.: Beitrag zuer Toxikologie des DDT-Wirkstoffes Dichlor-
diphenyltrichlormethylmethan. Pharmazie, %: 269-274, 1947b.
Verdon, T. A., Jr., J. Bruton, R. H. Herman, and W. R. Beisel: Clinical and
chemical response of functioning adrenal cortical carcinoma to ortho, para'-
DDD. Metab. Clin. Exp., 11: 226-234,1962.
Wallace, Z. E., J. N. Silverbtein, L. S. Villadolid, and S. Weisbnfeld : Cushing's"
syndrome due to adrenocortical hyperplasia. New Eng. J, Med., 265:1088-1093,
1961.
Wasioky, R., and O. TJnti. Dicloro-difenil-trichloroetano (DDT). Ulterl pesquisas
sObre as suas propriedades e apUeacOes. Areh. Hig., S. Paulo, 10: 49-64,1964.
Wiggles worth, V. B.: A case of DDT poisoning in man. Brit. Med. J., 1: 517,
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Epidemiology of pesticides
Man, today, is in a dilemma as to how to further proceed with his
chemical control of pests. On the one hand, the very obvious benefits
that his society has attained by past pest control practices have vastly
improved his comfort and standard of living. Now in many areas of
the world he is no longer bothered by vector borne infectious diseases;
in many countries his improved food and fiber technology resulting
from pesticide usage has somewhat simplified his problems of hunger
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and starvation. On the other hand, the visible costs of this environ-
mental manipulation are more obvious. The ecological signals from
fish and birds are of concern. Even the health implications of his own
residues for himself and his progeny are still not satisfactorily an-
swered. Reassurances based upon the reports of the health and well
being of pesticide workers or information on animal experimentations
have not been sufficient to totally remove these doubts. Animal studies
on carcinogenesis, mutagenesis, and the demonstration of enzyme in-
duction are all events which have caused him to reappraise his future
policies. Naturally, therefore, the continued use of certain persistent
pesticides comes under review. Herein lies the crux of his dilemma.
If specific restrictions are introduced, what will be the consequences
of shifting to shorter acting pesticides? Will there be greater incidence
of acute pesticide poisonings since for the most part toxicity, espe-
cially dermal is greater? What effects will this produce on the price
of food and the cost of living? What will be the repercussions of
changes on the developing countries, where the need for increased food
production and malaria control is paramount? Although such ques-
tions can only be totally answered by synthesizing the recommenda-
tion of many disciplines, epidemiology is one which can provide a
significant contribution. This section of the report, reviewing the evi-
dence from the more recent and pertinent literature assesses the health
hazards from an epidemiologic point of view, measuring the health
effects consequent upon both acute and chronic pesticide exposure.
The epidemiology of acute pesticide poisonings.—Before reviewing
the agent host attributes of acute pesticide poisonings, some informa-
tion on the incidence data is important. Poisonings by pesticides is
not in most areas a notifiable disease, so that the acquisition of true
incidence is deficient in the more developed countries and practically
impossible in developing countries.
In the United States, the mortality rate has been given as 1 per 1
million and the ratio of fatal and nonfatal poisonings expressed as
1 to 13 in one study and 1 to 75 in another study depending upon the
criteria of severity (Hayes, W. J., 1964). The death rates associated
with accidental poisoning by solids and liquids have remained rela-
tively stable since 1939. Between 1945 and 1959 there was a decrease
in the death rate associated with accidental poisoning by gases and
vapors. Since 1939 the death rates associated with solids and liquids,
and gases and vapors have been about equal totaling 2 per 100,000
population for all types. Pesticides contribute a substantial proportion
of cases caused by all solids and liquids, a proportion which has
ranged from 12.8 percent and 6 percent in different years (McCarthy,
M. A., 1967). A physician and a medical examiner reviewed in 1961
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assessed that 90 percent of poisons due to pesticides were correctly
diagnosed (Hayes, W. J.; Pirkle, C. I., 1966). In spite of this how-
ever, it has been found that many deaths ultimately shown to be due
to pesticides were not correctly diagnosed until they came to autopsy.
Thus, of eight cases of organophosphate insecticide poisonings occur-
ing in Dade County in 1963, six were totally unsuspected until coming
to autopsy and chemical analysis (Davis, J. H., 1963). In a review of
1,000 deaths subjected to medico-legal death investigation over a 10-
year period 9.7 percent were due to pesticides and in the under 5-year-
age group pesticides were the leading cause of death (49 percent) far
exceeded deaths due to all medications including aspirin (24 percent)
(Davis, J. H., 1967). Parathion was the leading cause in this series
and the indiscriminate use of this chemical in the home and the ready
availability of the discarded pesticide containers were significant
contributory factors (Plates A and B).
Another variable that has to be considered is reflected in the avail-
ability of medical facilities for death investigation. Between one-half
and two-thirds of the approximate 3,000 counties of the United States
have little or no professional facilities for death investigations (Davis,
J. H. et al., 1969). In Puerto Rico, pesticides are the leading cause of
fatal poisonings (Kaye, S., 1967). The limitation of present incidence
data based upon nationwide mortality data has been described (Hayes,
W. J., 1964; Hayes, W. J.; Pirkle, C. I., 1966; Reich, G. A. et al., 19*68).
A special survey of death due to solids and liquids was conducted in
1964 (Reich, G. A. et al.*, 1968). Eighteen hundred and seventeen
deaths were so categorized. Two hundred and eighty-three of these
were assigned to category E888 (W.H.O., Geneva, 1957). Ninety of
these were due to pesticides and more than one-third of the deaths
occurred in. preschool children. In Dade County, both fatal and non-
fatal poisonings by pesticides fell into one of three distinct groups:
(a) Young children who accidently ingested pesticides, (b) young to
middle age adult males who are occupationally exposed, and (c) mid-
dle age to older adults who suicidally ingest pesticides (Reich, G. A.
et al.*, 1968; Davies, J. E. et al., 1967). The case fatality rates in these
three groups was 22 percent, 4 percent, and 70 percent; and the per-
centage due to organophosphates was 72 percent, 96 percent, and 60
percent. Parathion was by far the most significant organophosphate
insecticide.
This century has seen marked improvement in the safe handling of
these chemicals even though the extent of such use has increased
greatly. Testimony to this is the reduced case fatality rate in the
occupationally exposed group mentioned in the previous page.
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In the countries where there are less government controls and the
inherent problems of toxicity are ill understood, incident data is
usually provided by reports of epidemics of pesticide poisonings.
Some of these are listed in Table I (Anderson, L. S. et al., 1965; Cam,
C., Nigogosyan, 1963, Coble, Y. et al., 1967; Davies, G. M., Lewis, I.,
1956; Gomez tJlloa, M. et al., 1967-68; Haq, I. U., 1963; Jalili, M. A.,
Abbasi, A. H., 1961; Kanagaratnam, K. et al., 1960; Karunakaran,
C. O., 1958, Lange, P. F., Terveer, J., 1954; Lemmon, A. B., 1956;
Marquez Mayaudon, E. et al., 1968; McGee, L. C. et al., 1966; Quinby,
G. E., Lemmon, A. B., 1958; Milby, T. H. et al., 1964; 01 Achrafi, T.,
1963; Ordonez, J. V. et al., 1966, Przyborowski, T. et al., 1962; Schmid,
R., 1960, Warren, M. C. et al., 1963; Weeks, D. E., 1967; Wishahi, A.
et al., 1958; West, I., 1965; Armstrong, R. W. et al., 1969; Hatcher &
Wiseman, 1969).
Morbidity data can best be extrapolated from areas where reporting
occupational poisoning by pesticides is mandatory. In California such
reports are required if work injury involves the approximately 80
percent of employed persons in that State covered by the California's
Workmen's Compensation Law (West, I., Milby, T. H,, 1965). Be-
tween 1960 and 1963, the number of reports of work injury from
pesticides has ranged from 827 to 1,013 annually. The number of per-
sons at risk is estimated to be approximately 250,000 (California De-
partment of Public Health, 1960,1961, 1962,1963). About one half of
these reports deal with skin disease and about one third with systemic
illness. During this same period pesticides caused 21 deaths in Cali-
fornia. Of the total, five were associated with occupational exposure
while 16 other deaths, largely of children, were not occupational in
origin (West, I., Milby,T. H., 1965),
Agent factors.—Table II lists the pesticide production 1960-66 in
the United States. Seventy-nine different types of pesticides have been
reported as causing human poisonings. Of these there were 19 different
organophosphato compounds, 20 organochlorine compounds, five car-
bamates, eight herbicides, and miscellany of other materials. Figures
I and II from A.P.H.A.'s manual "Safe Use of Pesticides, 1967)
show the relative dermal and oral toxicities of the more commonly
used organophosphates and organochlorines. Understandably agent
contribution to the epidemiology of acute pesticide intoxication is
largely a reflection of toxicity and availability. It has been shown that
insofar as occupational exposure is concerned, the dermal LD50 is more
indicative of what can be expected from poisoning in people; thus
parathion causes more poisoning than methyl-parathion, a feature
which might be explained on the basis of the greater dermal toxicity
in the former (Hayes, W. J., 1964),
307

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In the United States, parathion and phosdrin, are the organophos-
phates which have caused the most number of pesticide poisonings.
In Dade County, Florida, 46 percent of 72 pesticide fatalities between
1959 and 1965 were due to parathion (Davies, J- E. et al., 1967). In
south Texas, in a study of 129 pesticide poisonings, 70 of which oc-
curred in 1964, 98 percent were caused by ethyl or methyl parathion
and the route of exposure was dermal in 98 percent of these (Reich.
G. A. et al., 1968 0),
The host.-—In the United States, epidemiologically two population
groups are recognized in pesticide poisonings—children and adults.
The essential demographic characteristics are figuratively shown in the
attached description of 145 organophosphate poisonings occurring
in south Florida (See Figure 3) (Davies, J.E., et al., 1969). In this
area, the child problem can almost entirely be equated with the ac-
cidental ingestion of parathion by a 2y2 year old Negro male infant.
Recently with legislation prohibiting the use of this insecticide, in an
urban city, the position has improved considerably. The problem of
accidental poisoning by a child with insecticides is really a totally
preventable problem. With education and legislation this problem
could end (and is) being improved. An extensive nationwide program
is currently operational advising parents of the dangers of these
economic poisonings and advocating storing them out of reach of chil-
dren and instructing them on the careful and safe disposal of con-
tainers with added warnings of the hazards of putting pesticides in
other bottles or containers, such as pop bottles or nursing bottles.
Insofar as adult poisonings are concerned, if suicide or homicide are
excluded, the problem is being met by an extensive agricultural educa-
tional program. Education, surveillance, improved safety technology
in the production levels of pesticides and in the removal and destruc-
tion of air and water effluent are also contributing factors together
with the use and changing of protective clothing and the favoring of
pesticides of an intermediate human toxicity.
In the developing countries the problem seems to be due to gaps in
storage and transportation and ease which used containers are subse-
quently acquired and used domestically for storage of food. Legislation
toward the separate handling of pesticides and food in transportation
(sea as well as on land) would lessen the occurrence of epidemics of
poisonings. The domestic use of the used container is a common source
of food contamination in these situations. A universal policy on con-
tainer manufacture, storage, and disposal is urgently needed and would
benefit the so called "developed" and developing countries alike. In
the former areas, warning notices of toxicity and use should be spelled
out in the language of the particular country.
306

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In the United States, a special area of concern has stemmed from the
availability of chemicals for roach control. Thalium was an example of
a highly toxic material which was far too dangerous to be used in the
home and it is only within the last 2 years and after several hundred
poisonings that this material has been removed from the market
(Reed, D. et al., 1963). The same situation existed with white phos-
phorous paste, which has been responsible for 13 deaths in Dade County
between 1956 and 1968, and only recently has this material been with-
drawn from local stores; the use of materials such as these for roach
and rodent control are surely examples of over kill.
Nationwide statistics on fatal and nonfatal poisonings are hard to
come by, so that those agencies who carry the burden of responsibility
of pesticide approval and labeling are not able to obtain a true picture
of the acute toxicity effects in the nation. Only by means of a compre-
hensive pesticide monitoring network can the total health effects of
acute intoxication be truly assessed.
309

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Table I.—Epidemics oj poisoning by pesticides
Material con-	Number Number
Kind ol accident	Pesticide involved	taminatlon	of cases	of death	Location	Reference
Spillage during trans- Endrin		Flour	
port or storage.	Endrin	Flour	
Endrin	Flour	
Endrin	Flour	
Dieldrin		Food	
Diazinon	Doughnut mix
Parathion	Wheat	
Parathion	Barley	
Parathion	Flour	
Parathion	Flour	
Parathion	Sugar	
Parathion	Sheets	
Mevinphos	Pants	
159
0
Wales		
. _ _ Davies & Lewis, 1956.
3
0
Egypt	
	Coble et al., 1967.
691
24
Qatar	
	Weeks et al., 1967.
183
2
S. Arabia	
	Weeks et. al., 1967.
21
0
Shipboard	
	Przyborowski et al., 1962.
20
0
U.S.A	
	West, 1965.
360
102
India	
	Karunakaran et al., 1958.
38
9
Malaya	
. ^. Kanagaratnam et al., 1960.
200
8
Egypt	
		 Wishahi et al., 1958.
600
88
Colombia 	
- Gomez Ulman et al., 1967.
300
17
Mexico	
	Marquez Mayaudon et al.,



1969.
3
0
Canada	
Anderson et al., 1965.
6
0
U.S. A	
- - _ Warren et al., 1963.

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Eating formulation	Hexachlorobenzene. „ Seed-grain	
Organic mercury	Seed-grain	
Organic mercury	Seed-grain	
Organic mercury	Seed-grain	
Warfarin	Bait	
Improper application	Toxaphene	Collards	
Toxaphene	Chard— 		
Nicotine	 Mustard	
Parathion b	
Miscellaneous	Parathion	Crops	
Pentachlorophenol	Nursery linens
Parathion	Crops	
>3,000
• 3-11%
Turkey	
.. Cam & Nigogosyan,



1963; Schmid, 1960.
34
4
West Pakistan	
.. Haq, 1963.
321
35
Iraq_ 	
Jalili & Abbasi. 1961.
45
20
Guatamala	
. _ Ordonez et al., 1966.
14
2
Korea	
Lange & Terveer, 1954,
4
0
U.S.A	
McGee et al1952.
3
0
U.S.A	
. _ McGee et al., 1952.
11
0
U.S.A	
Lemmon, 1956.
>17
15
Iran_ 			
Ol Aehrafi, 1963.
>400
0
U.S.A	
. _ Quinby & Lemmon, 195B,



Milby et al., 1964.
20
2
U.S.A	
.. Armstrong el al., 1969.
23
0
U.S.A	
. _ Hatcher & Wiseman,
1969.
« 3 to 11% annually in different years.
1 Used as a treatment for lice.

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u>
to
[] TEPP (ORAL LD50-1, DERMAL LD50*2.4)(1)
QTHIMET (ORAL-1.1, DERMAL" 2-5")
3 DI-5Y5TON (ORAL-2.3, DERMAL. 61
3 DEMETON (Systox) (oral-2.5, dermal-8.2)
3 PARATHION (ORAL-3.6, DERMAL-6-8)
] PHOSDRIN (oral*3**5 dermal-4.2)
[
c
TRITHION (ORAL- 10, DERMAL -27)
GUTHION (ORAL" 11, DERMAL-220)
METHYL PARATHION (oral-u, dermal-67)
] CO-RAL (ORAL- 15.5, DERMAL -860^
BIDRIN (ORAL-22, DERMAL-225)
DELNAV (ORAL-23, DERMAL-63)
PHOSPHAMIDON (ORAL-23.5 DERMAL-107)
DDVP (ORAL-56, DERMAL-75)
RONNEL ( ORAL - 1250)
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10 20 30 40 50 60 70 80 ' 600 700
ACUTE LD50 in mg/kg
800
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ALDRIN (ORAL-39, DERMAL = 98)
I ] DIELDRIN CORAL- 46, DERMAL.60)
.	•- TOXAPHENE (ORAL-80, DERMAL-780)
I	LINDANE (ORAL. 88, DERMAL-900)
HEPTACHLOR (oral-ioo, dermal«i95)
DDT ( ORAL* 113, DERMAL-2510)
CHLORDANE (oral-335, dermal-690 >
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It
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=3t
KELTHANE (oral=iooo, dermal-tooo)
CHLOROBENZILATE (oral-1040, dermal-?)
DDD (ORAL= 3400)
PERTHAME (oral-4000)
METHOXYCHLOR (oral-6000)
mo
200
300
400
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1000	2000
ld50 in mg/kg
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4000
5000
6000
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-------
Figure 3.
—Epidemiology of pesticide poisoning eases in Dade County, Fla., 1968-
1968.
ADULTS (85)
Mean Age =35, Range 16-82
CHILDREN
Mean Age =3, Range 3/12-12
19
NON-WHITE
WHITE
RACE
11111 w
iiu
NON-WHITE
WHITE
I
MALE
FEMALE
SEX
MALE
FEMALE
mmm




II18H

ill


lift! 11
38

MANNER
100
mmm




OCCUPATIONAL
ACCIDENTAL SUICIDE-
HOMICIDE
ACCIDENTAL
PARATHION
OTHERS
mmm


1 ill Hi

lijjljjji Ijijljijjj jjjjjljjj


jlj: :• -j;:; • jjijiij

ill 1


l\l !; {jlj;! jj'ij ; jlj jl;

52
POISON
1 si Willi
39



iiii iiii !l i!i i! il ill iiiii i i

PARATHION
OTHERS
Source: Davies, J. E. et al., 1969 (Reference No. 6)
314

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Table II.—U.S. pesticide production annual production
[Thousand pounds]
Compound
1960
1961
1962
1963
1961
1965
1966
Calcium arsenate	 . 		. . _ 		
6,590
7,944
4,660
3,310
6,958
4, 192
2,890
Lead arsenate. .. ... 			
10, 062
10,446
9,990
7,842
9,258
7,098
7,328
Copper sulfate				
116,000
97, 168
79,968
83, 272
83,768
94,656
103,416
Aldrin-toxaphene group 1			
.... 99,671
103, 763
106,276
105, 986
105, 296
118, 832
130,470

37,444
25, 080
171, 438
12, 022
167,032
6,778
178,913



DDT	 	 		
164, 180
123, 709
140, 783
141, 349
Methyl bromide		
... 12,659
12, 892
12, 757
17, 394
16, 994
14, 303
16,345
Methyl parathion-- _ 	
... 11,794
18,527
16, 156
15,999
18,640
29, 111
35, 862
Parathion. 		 . _ - . . 		
7,434
8,423
3, 091
8,786 .

12, 768
1, 838
16, 607
19, 444
1,379
Ferbam		 __ _ <	 			
2,529
2,966
2,500
2,384
Naham
2, 978
3,675
4,216
2,420
2,251
2,489
2,053
Zineb				

8,313 .

3, 755
6, 664
53,714
5, 075
63, 320
4,721
68,182
2,4-D acid	 _ _ 	
... 36,185
43, 392
42, 997
46, 312
2,4,5-T acid				
6,337
6,909
8,369
9,090
11, 434
11, 601
15, 489
Other organic pesticides *		
277,229
305,600
348, 967
380, 021
437, 043
477,148
577, 816
» Includes the chlorinated compounds aldrin, chlordane, dieldrin, endfin, heptachlor,
andtoapbew.
* Gross production (gamma isomer content was 7.7 million pounds in 1961,3.4 million
pounds In 1962, and 1.8 million pounds in 1963): no data since 1963.
» Includes such materials as dithiocarbamate fungicides, malathion, methoxychlor,
captan, TDE, organic rodenticides, etc.: does not include some fumigants.
Source; U.S. Dept. of Agriculture, Agricultural Statistics 1968.

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PJCOBTHOj;^r
LAWN DISEASE
CONTROL
TWO*
Double
springs

Plate A
(By permission and courtesy of Dr. J. H. Davis, Med. Ex. Oatfe County)
316

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wniwatid
Plate R
(By permission and courtesy of Dr. .T. H. Dnvls, Med. Ex. Dade County)
CITED REFERENCES
A.NDEHSON, L.S., Wabneb, D. L., Pabkeb, J. E., Rluman, N., Page, B. D. Paratliion
Poisoning Flannelette Sheets. Oanad. Med. Assoc, J. 92 : 809, 1965,
Armstrong, R, W., Eichner, E. R., Klein, D. E., Barthel, W. F., Bennett, J. V..
Johnson, V., Bruce, II., Loveless, L. E. Pentachlorophenol Poisoning in a
Nursery for Newborn Infants; J. Pediatrics 7.1(2) : 317,1960.
(Jam, C., Nigogosyan. Acquired Toxic Porphyria Cutanea Tarda Due to Hexa-
clilorobenzene. J. Amer. Med. Assoc. 183 : 88,1903.
Coble, Y., Hidebrandt, P., Davis, J., Raasch, F., Cubley, A. Acute Endrin
Poisoning, J. Amer. Med. Assoc. 202 : 489,1907.
Davies, G. M., Lewis, I. Outbreak of Food-Poisoning from Bread Made of
Chemically Contaminated Flour. Brit. Med. J. 2: 393,1950.
Davies, J. E., Jewett, J. S., Welke, J. O., Babquet, A., Freal, J. J. Epidemiology
& Chemical Diagnosis of Organophosphato Poisoning. "Pesticide Symposium"
by Deicbman, W. B. & Radomski, J. L, (Eds.) Ind. Med. Publ. Co., Miami.
Fla. 1969. In Press.
Davies, J. E., Davis, J. H., Frazier, D. E. Disturbances of Metabolism in Or-
ganophosphate Poisoning. Ind. Med. & Surg. 36: 58,1967.
Davis, J. H. The ("banging Profile of Fatal Poisonings. Ind. Med. & Surg. 5: 840,
1907.
Davis, J. H. Medical Examiner's Digest-Dade County, 1903.
Davis, J, H., Davies, J. E„ Fisk, A. J. Occurrence, Diagnosis and Treatment of
Organophosphate Pesticide Poisoning in Man. N.Y. Acad, of Sci. 100, 1,383,
1909.
317

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Gomez Ulloa, M., Velasco, F.f Lavekde de Fandino, H., Guerrero, E. Epidemio-
logical Investigation of the Food Poisoning which Occurred in the Municipality
of Chiquinquira. Ministry of Pub. Health, Columbiat South America, 1967-68.
Haq, I. U. Agrosan Poisoning in Man. Brit. Med. J. 1:1579,1963.
Hatcheb, B. L. and Wiseman, J. S. Epidemiology of Pesticide Poisoning in the
Lower Rio Grande Valley in 1968. Texas Med. Vol. 65(8) : 40, 1969.
Hayes, W. J. Epidemiology of Pesticides. U.S. Dept. of Health, Education, and
Welfare, 109,1964.*
Hayes, W. J. Occurrences of Poisonings by Pesticides. Arch. Environ. Health
9:621,1964."
Hayes, W. J., Pibkle, C. I. Mortality from Pesticides in 1961, Arch. Environ.
Health, 12 : 43,1966.
Jalili, M. A., Abbasi, A. H. Poisoning by Ethyl Mercury Toulene Sulphonailide.
Brit. J. Industr. Med. 18: 303,1961.
Kanagabatnam, K., Boon, W. H., Hoh, T. K. Parathion Poisoning from Con-
taminated Barley. Lancet 1: 538,1960.
Kabunakaban, C. 0. The Kerala Food Poisoning. J. Indian Med. Assoc. 31: 207,
1958.
Kaye, S. Toxicology of Parathion, Bol. Assoc. Med. P.R., 1967.
Lange, P. F., Tebveeb, J. Warfarin Poisoning. Report of Fourteen Cases, U.S.
Armed Forces Med. J. 5 : 872,1954.
Lemmon, A. B. Bureau of Chemistry Annual Report for the Calendar Year 1955.
36th Ann. Rep. Dept. Agr, Staff of Calif. 45 :128,1956.
McCarthy, M. A. Selected Types of Poisoning as Causes of Accidental Death,
United States, 1964. Public Health Rep. 82:1025,1967.
McGeb, L. C., Regd, H. L., Fleming, J. P. Accidental Poisoning by Toxaphene.
Review of Toxicology & Case Reports. J. Amer. Med. Assoc. 149:1124, 1952.
Mabquez Mayaudon, E., Fujiqaki Lechuga, A., Moguel, A., Aran da Reyes, B.
Problemas de Contaminacion de Alimentos con Pesticidas. Caso Tijuana
(1967). Salud Pub. Mexico 10(5) : 293,1968.
Milby, T. H., Ottoboni, F„ Mitchell, H, W. Parathion Residue Poisoning among
Orchard Workers. J. Amer. Med. Assoc. 189 : 351,1964.
Ol Achhafi, T. Sur Douze Deces Dus a Pemploi d'un Insecticide Anti-Cholin-
esterase: Parathion. Description pharmacologlque, symptomes et traitement
Rev. Med. Moyen Orient 20(5) : 429,1963.
Ordonez, J. V,, Cabbillo, J. A., Miranda, M., Gale, J. L. Estudio Epidemiologico
de Una Enfennedad Conslderada como Encefalitis en la Region de los Altos
de Guatemala. Bol. Ofic. Sanit. Panamer. 55:510,1906.
Pbzybobowbki, T. Rychard, J., Tybatcowski, M. Mass poisoning on a Ship
Caused by the Insecticide Dieldrin. Bull. Inst Marine Med. Gdansk. 13:185,
1962.
Qttinby, G. E., Lemmon, A. B. Parathion Residues as a Cause of Poisoning in
Crop Workers. J. Amer. Med. Assoc. 166: 740,1958.
Reich, G. A., Davis, J. H., Davies, J. E. Pesticide Poisoning in South Florida:
An Analysis of Mortality and Morbidity and a Comparison of Sources of In-
cidence Data. Arch. Environ, Health, 17 : 768,1968".
Reich, G. A., Gallagher, G. L., Wiseman, J. S. Characteristics of Pesticide
Poisoning in South Texas. Tex. Med. 64: 56,1968b.
Sohmid, R. Cutaneous Porphyria in Turkey. New. Eng. J. Med. 283:397, 1960.
Wabben, M. C., Cosbad, J. P. Jb., Bocian, J. J., Hayes, M. Clothing-borne
Epidemic. Organic Phosphate Poisoning in Children. J, Amer. Med. Assoc.
184:266, 1963.
318

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Weeks, D. E. Endrin Food Poisoning: A Report of Four Outbreaks Caused by
Two Separate Shipments of Endrin Contaminated Flour. Bull. Wld. Hlth. Org.
37: 499, 1967.
West, I. Public Health Problems are Created by Pesticides. Calif. Hlth. pp. 11,
1965.
West, I., Milby, T. H. Public Health Problems Arising from the Use of Pesticides.
Residue Reviews 11:1965.
Wishahi, A., Aboul-Dahab, Y. W., Sherif, Y., El-Daeawy, Z. Parathion Poison-
ing (Phosphorous Compound). A Report on 22 Children in an Outbreak. Arch.
Pediatrics 75: 387, 1958.
Epidemiologic studies of the effects of 'pesticides on the general
population.—Apart from the occurrence of acute poisoning, the only
long term effect which can be unequivocally attributed to sustained
exposure to organochlorine pesticides is the acquisition of a tissue
residue. No casual association of these levels with disease has as yet
been demonstrated, their magnitude being used largely as an epidemio-
logic tool reflective of national, geographic or secular doses of
pesticides.
In the past epidemiological studies of the effects of pesticides on the
general population using these tissue residues as biological indices of
exposure, have either sought to demonstrate their association with
health or disease, or they have compared differences in health experi-
ence associated with those variables of person, place and time which
were uniquely reflective of the differentials of human pesticide ex-
posure (e.g. occupational exposure, rural versus urban exposures or
exposure in the pre and post DDT eras).
Human pesticide residues. A changing profile, introduction.—Al-
though qualitative and quantitative pitfalls in pesticide analytical
chemistry still persist in certain areas, the improvements of metho-
dology and instrumentation have reached a degree that permits mean-
ingful epidemiological interpretation of the human pesticide preva-
lance (Robinson, J., 1969). The last decade has seen a substantial
growth of information on both the qualitative and quantitative nature
of the pesticide spectrum in man. Thus, qualitatively, different surveys
have demonstrated traces of the isomers of DDT and its metabolites
(Hayes, 1958; Laug et al., 1958; Hayes et al., 1956; Hayes et al., 1958;
Quinby et al., 1965; Dale and Quinby, 1963; Hoffman et al., 1964;
Zavon et al., 1956; Hayes et al., 1965; Schafer, M. L. and Campbell,
J. E., 1966; Radomski et al., 1968; Davies et al., 1968; Fiserova-Ber-
gerova, V. et al., 1967; Davies et al., 1965; Hoffman et al., 1967; Cas-
arett, L. J. et al., 1968; Read and McKinley, 1961; Maier-Bode, 1960;
Hunter et al., 1963; Egan et al., 1965; Robinson et al., 1965; Hayes et
al., 1963; Denes, 1962; Dale et al., 1965; Wasserman et al., 1965;
Brown, J. R., 1967; Engst, R. et al., 1967; Robinson, J. and Hunter,
C. G. 1966; Cassidy, W. et al., 1967; Abbott, D. C. et al., 1968; Kanitz
319
371-074 0—60	22

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S. and Castello, G., 1966; Del Vecchio, V. and Tjeoni, V., 1967; Paccag-
nella, B. et al., 1967; Bick, M., 1967; Wasserman, M. et al., 1968; Maes,
R, and Heyndrickx, A., 1966; Halacka, Iv. et al., 1965; Weihe, M., 1966;
de Vlieger, M. et al., 1968; Wasserman, M. et al., 1967; Brewerton, H.
Y. and McGrath, H. J. W., 1967; Bronisz, H. et al., 1967; Llinares,
V. M. and Wasserman, M., 1968), BUG and its isomers, dieldrin,
heptaehlor epoxide in various population mrveys (Dale and Quinby,
1963; Hoffman et al., 1964; Zavon et al., 1965; Hayes et al.,
1965; Hunter et al., 1963; Egan et al., 1965; Robinson et al., 1965;
Hayes et al., 1963; Dale et al., 1965; Schafer, M. L. and Campbell, J.
E., 1966; Fiserova-Bergerova, V. et al., 1967; Hoffman, W. S. et al.,
1968; Edmundson, W. F. et al., 1968; Radomski, J. L. et al., 1968;
Casarett, L. J. et al., 1968; Robinson, J. and Hunter, C. G., 1966;
Abbott, D. C. et al., 1968; Cassidy, W. et al., 1967; Bick, M., 1967;
Wasserman, M. et al., 1968; Kanitz, S. and Castello, G., 1966; Del
Vecchio, V. and Leoni, V., 1967; Paccagnella, B. et al., 1967; Brown,
J. R. 1967; de Vlieger, M. et al., 1968; Maes, R. and Heyndrickx, A.,
1966; Denes, A., 1966; Brewerton, H. V. and McGrath, IT. J. W., 1967;
Engst, R. et al., 1967). At this time, residues of polychlorinated bi-
phenyl's have not complicated pesticide residue interpretation in hu-
man adipose surveys. In addition to adipose surveys concentration of
pesticide levels in blood have recently been studied (Dale, W. E. et al.,
1966; Robinson, J., 1963; Schmit, J. A. et al., 1964; Ivadis, V. W. and
Jonasson, O. J., 1965; Schaefer, M. L. and Campbell, J. E., 1966;
Brown V. K. H. et al., 1964; Robinson, J. and Hunter, C. G., 1966;
Davies, J. E. et al. 19693; Nachman, G. A. et al., 1969).
Quantitatively, greatest emphasis has been placed on the prevalence
of DDT and its metabolites, dieldrin and BHC; considerable infer-
ences have been placed on secular and geographical interpretation
of these levels; thus data were used to express the magnitudes of hu-
man contamination in different countries and were quoted as indices
of pesticide intake of the country. In addition, comparisons be-
tween countries were made, and when collected at different periods
of time were used as indices of secular change (Hoffman et al., 1964;
Quinby et al., 1965; Hoffman et al., 1967; Brown, J. R., 1967; Hoffman,
W. S., 1968). Several authorities claimed the United States exposure to
certain persistent pesticides were going down based on data from
samples collected from different years. Smaller residue studies by
comparing levels in meat abstainers and meat eaters sought to iden-
tify the special contributions of certain special food items such as
meat (Hayes, W. J. Jr., 1958.).
More recently a new interpretative function of pesticide residue
levels can be seen in the literature. Levels have been described in
specific diseases; some have demonstrated an association of pathol-
320

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ogies with high residue value of DDT and its metabolites (Radomski,
J. L. et al., 1968; Cassarett, L. J. et al., 1968), whereas others have
found no association with a wide variety of pathologies (Robinson,
J. et al., 1965; Hoffman, W. S. et al., 1967). This new and strictly
epidemiological use of pesticide residue highlights the urgent need
for an understanding of the significance of pesticide tissue residues
in the normal individual before interpretations can be made of levels
in the sick.
The epidemiology of adipose and blood residues of DDT and DDE
in humans—Interpretation of the "level".—In the more recent pop-
ulation surveys of pesticide residues, two methodological improve-
ments have contributed much to the better understanding of human
pesticide residues. The first of these was the presentation of adipose
data of DDT and its metabolites and dieldrin from larger and more
stratified samples of populations (Wasserman, M., et al., 1967; Davies,
J. E., et al., 1968; Edmundson, W. F., et al., 1968; Davies, J. E., et al.,
1969a; Yobs, A., 1969). All over the world meaningful understanding
of human pesticide residues has been severely restricted by the small-
ness of sample size and by the absence of stratification. Thus, the larg-
est survey from an area of the United States was provided by data
from 944 adipose samples collected by Hoffman, from Chicago. In
response to a request from the Secretary's Commission on Environ-
mental Health Aspects of Pesticides, most useful, valuable, and un-
published material has been provided by the human monitoring
program of the Division of Community Studies, OPS, FDA, Atlanta,
Ga. (Dr. Ann Yobs). A more meaningful description of the qualitative
character of the U.S. human pesticide residue profile is provided in
table III for the fiscal year 1967. These are data from 734 samples
(88 of whom were Negro) collected from 10 States of the Union.
Table IV, presenting cumulative data from the United States of
America for 1968, stratified by age and race, providing information
on the prevalance of DDT and its metabolites and dieldrin from
4,696 adipose residues obtained from the human monitoring program.
The second event has been the development of methods for measure-
ment of organochlorine pesticides in blood; blood leyels for DDT-
derived materials and dieldrin were found to correlate significantly
with dipose levels (Robinson, J., 1969; Davies, J. E., et al., 1969®;
Schaefer, M. L., and Campbell, J. E., 1966). Thus, a far more accept-
able and readily obtainable tissue was made available, permitting
larger sampling and greater stratification of various study groups.
Review of these data, provided by blood and adipose surveys, sug-
gest that whereas dieldrin levels are essentially extremely homoge-
nous, there are significant contributions of person, place, and time to
321

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the epidemiology of DDT residues in man. These are discussed
hereinafter.
Personal variables.—Besides the obvious contribution of occupation,
significant differences of DDT and DDE, but not for dieldrin have
been associated in fat and blood with sex, race, age, and socioeconomic
variables.
Sex differences.—Insofar as DDT and its metabolites are concerned
whereas some investigators have found a significant association of
Residues with sex, others have failed to find any differences, and others
again have found in the Negro race only. Thus, positive association
of DDT residues with males was demonstrated in adipose surveys by
Wasserman, M., et al., 1965; Dale, W. E., et al., 1965; Robinson, J.,
et al., 1965; Laug, E. P. et al., 1951; Hayes, W. J., Jr., et al., 1958;
Davies, J. E., et al., 1969®. HEOD or dieldrin residues showed no sex
differences in the United States (Edmundson W. F., et al., 1968;
Hoffman, W. S,, et al., 1967), but in four surveys in the United King-
dom higher levels of dieldrin were observed in males than females
(Robinson, J., et al., 1965; Hunter, C. G., et al,, 1963; Egan, H., et
al., 1965; Abbott, D. C. et al,, 1968). The reason why some surveys
have shown this association and others have not may be reflective
of small sample size. In the largest survey from the United States
of America provided by data from the human monitoring program,
no differences due to sex were observed for dieldrin or DDT residues.
Ethnic differences.—In Israel no ethnic differences were observed
in the comparison of levels of DDT-derived materials from adipose
specimens obtained from Ashekenazim, Sephardim, native Israelis,
Yemen, and Indian (Wasserman, M., et al., 1967). In contrast, in the
United States, levels of DDT-derived materials were signficantly high-
er in nonwhites than in whites. This has been seen both in blood and
fat from community pesticide studies in California and Florida, and
from studies in Chicago (Hoffman, W. S., et al., 1967); in the data
from the monitoring program both for the fiscal years of 1967 and
1968, residues of DDT were significantly higher in the Negro than in
the white. In the Hawaiian community pesticide studies, residues of
DDT were no higher in residents of Caucasian decent than in native-
born Hawaiians or persons of Japanese decent. In contrast to DDT,
no race differences were observed for dieldrin from 146 autopsies (44
Negro) from persons accidentally killed in Dade County in 1965-1967
(Edmundson, W. F.,et al., 1968) though in Chicago, Negro males (23)
had levels of BHC significantly higher than in whites (346) (Hoff-
man, W. S., et al., 1967). At the present time, the race-associated dif-
ferences observed for DDT appears to be unequivocal and is confirmed
by data from the human monitoring program for 1967 and 1968; race
322

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associated differences for the other persistent pesticides was not sug-
gested by these data.
Age differences.—Most adipose surveys have not included a sizable
number of pesticide residues from the younger groups so that informa-
tion on the effect of age has been limited. Where surveys have been
published presenting data from a significant number of younger per-
sons, levels of DDT residues appeared to be lower in children under
10 years than in the older age groups. This is shown in table V from
data from Israel (Wasserman, M., et al., 1967) and from south Flori-
da (Davies, J. E., et al., 1968). In Israel the mean total DDT in fat
from 71 children was 10.2 p.p.m. compared to 18.1 p.p.m for 133 per-
sons in older age groups. In Florida the mean was 5.5 p.p.m. from
white children under 5 years old as compared to 8.4 p.p.m. in the older
age group, and 7.8 and 16.7 p.p.m. respectively for the Negro popula-
tion. The same observation was noted from studies in Chicago (Hoff-
man) and by the community pesticide studies reports from Hawaii
(Klemmer, H., Hawaiian community pesticide studies progress re-
ports). This age effect was not seen for dieldrin (Edmundson, et al.,
1968). The positive age association for DDT or DDE is very obvious
for the United States of America from the nonwhite population in the
data from 4,969 analyses shown in figure 3. When these data were
brokeh down into Northern and Southern States the age effect for
DDT residues was still striking for the Southern States but less ob-
vious from the Northern States. Dieldrin data suggests no age asso-
ciation (fig. 4).
Socioeconomic differences.—Apart from the effects of occupation,
information on the contribution of socioeconomic factors to human
pesticide residues is not available. The association of greater fat and
blood levels of DDT-derived materials with the Negro race in the
United States is striking and begs for interpretation. The most plaus-
ible explanation would attribute this to socioeconomic factors and
would incriminate such mechanisms as poor housing, inadequate gar-
bage collection, deficient window screening, all furthering the multi-
plication of pests and the need for greater domestic use of insecticides.
Reasonable though this hypothesis may seem, at this point in time it
is still conjectural and it is probably too premature to conclude with
any certainty, whether such differences are race associated or race
dependent.
The effect of drugs,—Recently it has been shown that residues of
DDT and its metabolites can be significantly lowered in persons taking
phenobarbital and/or phenytoin (Davies, *T. E., et aL, 1909b). It is
very probable that tile future will see a growing body of knowledge
on the potentiating and inhibiting effects of drugs on pesticide resi-
dues, and it is essential that the possible contribution of these drugs
323

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be assessed in all epidemiological studies wherein pesticide residue
levels in disease States are being compared.
Place variable.—Since persons occupationally exposed to pesticides
have higher values of DDT residues, it is not surprising that general
population comparisons also show differences due to those attributes
of place which are reflective of greater pesticide usage. In warmer
climates, pests are more of a problem, and greater levels in tropical
and subtropical climates would be anticipated. In Europe, residue data
of DDT-derived materials were shown to be higher in the south and
east (Robinson, J., 1969) and in the Middle East and Asia highest
levels of DDT residues were seen in Israel (Wasserman, M., et al.,
1965; Wasserman, M., et al., 1967) and in India (Dale, W. E., et al.,
1965). Figures 5 and 6, depicting preliminary data of the prevalance
of DDT-derived residues and dieldrin from 22 States in the con-
tinental United States, are presented on a race specific basis (Human
Monitoring Data, fiscal year 1968). It will be seen that if States are
grouped according to their mean monthly temperature, very obvious
differences of DDT distributions associated with the mean monthly
temperature become apparent. An arbitrary mean monthly tempera-
ture of 56° F. was taken for subdividing the States into low or cool
temperatures and States with high or warm temperatures. In the
data from the human monitoring program of adipose residues from
4,165 white persons, the mean total DDT for the cooler or low tempera-
ture States was 4.85 p.p.m. and for the warmer or higher States the
mean was 9.21 p.p.m.; in contrast the dieldrin was 0.13 p.p.m. in both
areas of the continent. The same place differences were noted for the
Negroes. From adipose residues in 804 Negroes the total DDT was
7.86 p.p.m. in the cooler or lower temperature States and 14.37 p.p.m.
in the warmer or high temperature States, whereas the dieldrin was
0.14 p.p.m. in the low or cooler States and 0.13 p.p.m. in the high or
warmer States.
Time variable.—On an individual basis Hayes demonstrated that
volunteers in various groups ingesting daily doses of DDT ranging
from 0.0021 to 0.61 mg./kg./day reached a steady state of storage in
fat in 18.8 to 21.5 months. Increased storage was only observed with
increased exposure {Hayes, W. J., et al., 1956). Extrapolating from
this study of individuals therefore to populations, we would expect
pesticide residue levels to remain constant with age if the exposure
did not change. Thus, age data on pesticide residues can provide
information on societal equilibrium. If there is no increased exposure
to DDT, then the various age groups should have the same mean DDT
residues. If mean levels in the individual quinquenniums exhibit a
stepladder effect then the concept of national equilibrium with regard
to pesticide exposure must be questioned. As has been mentioned, age
324

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dependency of DDT residues has been observed in Israel, Chicago,
Florida, and from the human monitoring data shown in figures 3 and 4.
In the latter figure, increments of mean DDT residue values with each
age group can be seen for both white and nonwhite up to the 21-to-25-
year age group in the Southern States. Since DDT only became com-
mercially available in 1948, the DDT age of our society today is
approximately 21 years, we would expect that older age groups would
all have the same average DDT residues. This is seen in the Chicago
and Florida data and is suggested from the human monitoring data
for the United States of America 1968. Why there is no leveling off
in the nonwhite age group is not clear at this time, but since the
numbers sampled in the older age group are very much larger than
those in the younger age group this apparent steady increase may
be an artifact due to the small numbers in the younger age groups.
Whatever the explanation it is obvious that increased monitoring data
in the future would clarify the secular changes of DDT tissue resi-
dues in our society.
Discussion.—In the light of these more recent data concerning the
epidemiology of certain persistent pesticides, the data should be used
to try to reappraise existing concepts and beliefs related to national
levels, sources of pesticides time trends, and reported associations of
certain diseases such as cancer, hypertension, and liver disease with
high residues of DDT. It should be stated at the outset that the epi-
demiology of DDT and dieldrin appear to be very different, with
striking associations of person, place, and time being noted insofar
as human DDT residues are concerned but not seen with dieldrin
residues. This finding sugests that for dieldrin it is relatively simple
to speak of national levels and national time trends since large and
stratified samples do not appear to be necessary, and furthermore the
homogeneity of residues suport the concept that food is the main source
of residues of this insecticide in man. The same cannot be said for
DDT, and four epidemiological uses of DDT residue data can be
reviewed and questioned in the light of these data on the distribution
of DDT residues in our society.
1. National prevalence and international comparisons: Without
demographic stratification and an appropriate adjustment for the
contribution of location (including temperature) it does not seem
correct, even today, to speak with any degree of confidence of the
magnitude of national prevalence of DDT residues in man in the
United States, Similarly international comparisons are really not very
meaningful. Only when sufficient data becomes available from various
national monitoring programs collecting tissues from meaningful
strata of healthy populations, selected from areas which are reflective
325

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of climatic and other environmental variables of this country, we will
lie able to describe the- levels of DDT in man in the United States.
'2. The role of dietary sources of persistent pesticides to the human
body burden tissue load: Several investigators have concluded that
food residues of DDT are of major importance as sources of human
residues of this insecticide. Food is stated as contributing 89 percent
of the total intake of DDT (Campbell, J. E. et ah, 1965). Evidence
supporting the major contribution of food is based upon feeding ex-
periments. The marked heterogeneity of DDT residues of the various
strata of our society together with the very obvious climatic differences
observed in hot and cold areas of the world are strongly supportative
of the significant contribution of nondietary sources of this pesticide
to the human body burden. Consider the Human Monitoring Data.
Mean values of DDT residues in fat were twice as high in the warmer
Southern States than in the north. Negro levels, which were twice
as high as whites, demonstrated the same geographical delineation.
Theoretically, therefore, three possibilities come to mind :
(1)	Southern persons eat different food than Northerners. This
explanation would have to hold good for white and blacks alike and
would have to explain areas outside of the United States.
(2)	Food residues are higher in the south than in the north. This is
unlikely because of the widespread interstate commerce and because of
the existing food monitoring program.
(3)	Food may be only partially contributive to the human body
burden of DDT and nondietary sources of DDT may make up as much
as 50 percent of the total body burden in warmer climates. Now what
are the possible sources of this nondietary contributant? The amounts
of DDT detected in air and water are present in very small concentra-
tions. Air sampling techniques of pesticide residues are however still
not entirely satisfactory and the available information on air and water
sources of pesticide is very much less than what is known in the case
of food.
Supportive of the nondietary contribution to body burden of DDT
is the data from Alaska. Adipose residues from Alaskan eskimos for
total DDT and DDE was 3.0 p.p.m. and 2.2 p.p.m. respectively (Dur-
ham, W. et al., 1961). The eskimos ate a predominately native diet
shown to contain little or no DDT; the same type of information was
observed in a study of nonambulatory institutionalized patients on
a prolonged tube feeding gastrostomy diets whose diet was shown to
be virtually free of DDT residues,* adipose residues of total DDT-
derived material and DDE were 1.47 p.p.m, and 1.28 p.p.m. respec-
tively (Davies, J, E. et al., 1969b).
326

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In a comparison of DDE residues in blood in patients taking and
not taking anticonvulsant drugs, nondrug taking controls, both white
and Negro, more than 10 years old, fully ambulant and on normal
diets and having similar values of DDE in blood to those observed
in the normal population, exhibited the same race associated differences
in spite of being institutionalized for many years. The persistence of
this race associated difference under identical environmental conditions
suggested acquisition of DDE levels prior to institutionalization.
Clustering of DDE levels shown in table VI has been observed in
families in Dade County and suggested that it was the home condition
which contributed to the level. Thus, the role of the place variable
reflected environmental exposure acquired early in life and from the
home environment. To explore the nondietary source of DDT of the
home environment, the authors carried out a small experiment using
sentinel cats which were placed in homes of two families, representa-
tive of high and low blood residues. The sentinel cats were fed the
same commercial pet food. The cat placed in the home characterized
by high DDE levels, acquired a DDT blood level 10 times that observed
of its litter mate placed in a family with low DDE levels. The explana-
tion afforded was that the cats picked up soil and dust in the home
on their fur, which they subsequently consumed in the process of clean-
ing themselves. The data from this study suggested that dust was a
significant cotributant of nondietary sources of DDT in the home
(Edmundson, W. F. et al., 1969).
Supportive of the dust concept were data provided by Aldrich,
F. D. et al., 1967-68, in the Community Studies on Pesticides Project
in Colorado (Progress Reports No. 11 and No. 15, 1967-68 respec-
tively). Serum concentrations of DDT and DDE were studied in 70
families in 1966 and 1967 and were compared with values of this
insecticide in soil and household dust collected from vacuum cleaner
bags. Their data suggested that DDT and DDE concentrations in
the home environment in random household samples were reflective of
the serum values of the resident families. Household dust was used
as a single index reflective of the pesticide input to the home, exclusive
of dietary sources. Again in 1968, using 20 families, 12 of whom were
high exposed (one member of the family being occupationally exposed
to pesticides), the study was repeated and once again a strong associ-
ation between levels of DDT and DDE in blood in the house dust was
demonstrated. In addition, a strong association of blood levels of DDT
and DDE in husband and wife of exposed families was demonstrated
and concentrations were higher in the Colorado winter than summer.
Collectively, therefore, these new data call for a reappraisal of the
327

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dominant role assigned to food as the major contributant of body
burden residues of DDT. Data such as these make a strong case for the
importance of pesticide research in the soil and dust as one of the
sources of man's contamination of DDT. Whether such dust is con-
taminated by translocation of particulate DDT from remote sources,
or from the overenthusiastic use of this insecticide in the home needs
to be investigated.
3.	Secular changes: Opinions have differed as to whether various
national residue levels were on the increase, stationary or declining.
In Canada, two surveys in 1949-50 and 1966 (Read, S. I., and
Mclvinley, W. P., 1961; Brown, J. R., 1967) suggested levels were
stationary and the same conclusion was reached in the United King-
dom 1963-64 (Abbott, D. C., et al,, 1968) and 1965-66 in Israel
(Wasserman, M. et al., 1965). In Great Britain levels of BHC, diel-
drin and DDT were thought to have dropped and IIEOD levels were
lower in 1968 than in an earlier survey of the southeast of England;
Quinby concludes that there was no change in levels in the United
States between 1960 and 1961-62 (Quinby, G. E. et al., 1965) and
Hoffman stated that levels of DDT-derived materials and BHC were
lower in 1964r-66 in Chicago than in 1962-63 (Hoffman, W. S. et al.,
1967). Although significant race and sex differences were described
no adjustment for these variables were made in reaching this con-
clusion. Qaife, M. L. et al., 1967, were the first to question the validity
of these inferences and at the present it would appear that the ques-
tion still remains not proven because of stratification weaknesses.
4.	Pesticide levels and disease: Maier-Bode, H. (1961) was the first
to explore the association of residues of DDT and DDE with diseases.
He found no essential differences of DDT and DDE in 21 persons
dying of cancer and .39 persons who died of other diseases. In a statis-
tical survey, using the standard normal variation, and comparing the
normal and abnormal tissues from 688 autopsies, Hoffman concluded
that there was no significant correlation of levels of DDE, DDT, and
of liexacychlorocyclohexane residues in fat with the presence or absence
of abnormalities in the tissues (Hoffman, W. S. et al., 1967). However,
although significant differences of DDT levels due to sex (approxi-
mately half of the samples were females) and race were observed, the
authors made no provision for these variables in determining the
significance of differences between pesticide residues in the normal and
abnormal tissues. Others, such as Casarett, L. J. et al., 1968, and
Radomski, J. L. et al., 1968 have found association of high levels of
DDT-derived materials with several pathologies. In a study of 44
autopsies, Casarett, D. J. et al., 1968 noted that subjects with the highest
total residues in tissues were those with evidence of emaciation, a
328

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variety of cancers, iind extensive focal or generalized pathologic
conditions of the liver.
Their data suggest that these changes might be the consequence
rather than the cause of the disease. Radomski, J. L. et al., 1968, in
comparison of adipose and liver residues of DDT and its metabolites
in healthy controls (persons accidentally or violently killed) and
persons dying from diseases of the liver, the central nervous system
and miscellaneous pathologies including several types of malignancies
demonstrated: (1) A strong association of DDT residues with some
central nervous system pathologies, carcinoma in different tissues,
portal cirrhosis and hypertension and (2) an equally strong associa-
tion of these pesticide residues in the sick with histories of the domestic
use of insecticides. In discussing these results they were careful not to
conclude that the disease association was causal but it was not clear
whether the domestic use of insecticides were significantly higher in
persons with terminal diseases than it was in healthy controls. In
addition, they failed to stratify their data by race and since 69 percent
of the control population were white, the differences observed could
have been due to race associated differences if the disease population
was largely Negro.
It is very probable that the future will see a steady increase of
epidemiological studies investigating the prevalence of human pesti-
cide residues in disease. Problems will arise as to whether evaluations
are the consequence of the disease itself, or the drugs being used to
treat the disease or whether they are the result of weight loss or the
consequences of the body's inability to detoxify chemicals generally.
All such possibilities will have to be discounted before causal roles can
be inferred. DDT has recently been used to treat unconjugated bili-
rubinemia being more effective than phenobarbitone in promoting and
sustaining enzyme induction. Enzyme induction and lowering of
plasma bilirubin was first observed when plasma concentrations of
DDT increased and was obviously active at concentrations of 200
p.p.b.; with continued DDT medication levels reached 1,300 p.p.m.
(Thompson, R. P. H. et al., 1&6&). Plasma levels in excess of 200 p.p.b.
are frequently observed under conditions of occupational exposure to
DDT, so if one can extrapolate from the case, there may be significant
liver microsomal enzyme induction under these circumstances. While
this hepatic response is reflective of detoxifying mechanism, and is
therefore, in one sense, an adaptive phenomena, the consequences may
not always be beneficial. Because of enzyme induction the pharma-
cologic responses to a wide variety of drugs (and possibly steroids)
may be significantly altered and much research in man is needed in
this area as well as organochlorine surveillance in blood under condi-
tions of extreme occupational exposure.
329

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Besides being useful as an epidemiologic tool in studies of disease,
the tissue residue is the single most useful expression of our total intake
of persistent pesticides. Since food residue levels are reflective of only
part of our pesticide intake, it is more necessary than ever to monitor
our environmental health by studies of persistent pesticides from
living tissues from man and from other biological sentinels in his
environment. Only in this way can we measure the prevalence and
secular changes of these persistent pesticides in our society.
330

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Table III.—Human monitoring survey—Laboratory findings oj pesticide residue levels adipose tissue specimens* fiscal year
1967

laboratory
ppDDT
opDDT
ppDDD
ppDDE
opDDE
To .al
DDT Eq.
Pet.
DDE
Hept.
Epos.
Dieldrin
ac-BHC
0-BHC
7-BHC
A (n=457>
	 Max	
— 7.12
0. 41
1. 30
17.42
0. 73
25.47
100.0
0. 44
1. 26
0. 20
1. 84
0.48

X	
-- 0.85
0.01
0.05
2. 88
0.04
4. 17
79. 5
0. 02
0. 12
0. 00
0. 22
0. 01

Med	
— 0.56
0. 00
0. 00
2.34
0. 00
3. 32
80.9
0. 00
0.07
0. 00
0. 17
0. 00

Min	
— 0.00
0. 00
0. 00
0. 00
0. 00
0. 00
0.0
0. 00
0. 00
0. 00
0. 00
a oo
B (n=89}_
	Max	
18. 33
0. 91
1. 85
29. 13
2. 96
39. 06
100. 0
0. 40
0.97
0. 00
8. 44
0. 00

X	
-- 2.03
0. 03
0. 24
5. 78
0. 03
a 80
71. 8
0. 09
0. 07
0.00
0. 45
0. 00

Med	
... 1.50
0.00
0. 17
4. 35
0. 00
6. 60
75. 0
0. 07
0.00
0. 00
0. 32
a oo

Min_
0.00
0. 00
0. 00
0. 06
a oo
0. 07
16.9
0. 00
0. 00
0. 00
O 00
0. 00
C (n=164)
_ Max
-- 27. 23
I. 54
4. 17
43.43
0.49
68. 34
95. 7
1. 56
2. 38
0. 19
L 79
0. 72

X	
2. 15
0. 20
0.28
7. 01
0. 04
10. 54
73.4
0. 11
0. 31
0. 02
0. 36
0. 03

Med	
1. 20
0. 13
0. 20
4.86
0. 00
6. 94
75. 7
0. 09
0. 23
0. 00
0. 27
0. 00

Min	
— 0.00
0. 00
0.00
0. 00
0. 00
0. 00
0.0
0. 00
0. 00
0. 00
0. 00
0. 00
D (n=24).
	Max	
— 6. 98
0. 17
0. 81
23. 77
0. 00
34 07
100. 0
0. 16
0. 00
0. 30
0. 00
a oo

s	
— 1.58
0. 02
0. 21
6. 92
0. 00
9. 54
79. 2
0. 02
0. 00
0. 05
0. 00
0. 00

Med	
1. 04
0. 00
0. 20
4.41
0. 00
6. 92
76.9
0. 00
0. 00
0. 00
0. 00
a oo

Min_	
— 0.00
0. 00
0.00
0. 13
0. 00
0. 14
47. 1
0. 00
0. 00
0. 00
0. 00
0. 00
~Adipose tissue residue levels given in parts per million (p.p.m.).
All values for opDDT were 0.00.

-------
n
M
Table IV.—ADIPOSE RESIDUES UNITED STATES, HUMAN MONITORING DATA, fiscal year 1968; Pesticide
Residue Levels in the General Population; Adipose Tissue (p.p.m.); Human Monitoring Survey, Division of
Community Studies, OPS, FDA (See Figure 3 following these tables.)
Age
Sample

ppDDT
opDDT
ppDDE
Dieldrin
Total DDT i
W
NW
W
NW
W
NW
W
NW
W
NW
W
NW
0-5	
	 72
31
Max
. 6.59
6. 79
1. 03
0. 51
15. 50
16. 16
1. 16
0. 53
19. 73
22. 93



Min	
. 0. 0
0. 0
0. 0
0. 0
0. 0
0. 06
0. 0
0. 0
0. 0
0. 07



X	
_ 0. 88
1. 48
0. 06
0. 11
3. 19
4. 06
0. 11
0. 12
4. 50
6. 10



S.D	
1. 03
1. 62
0. 19
0. 15
3.46
4. 20
0. 17
0. 15
4. 63
5. 78
6-10	
	 16
8
Max	
1. 46
5. 60
4. 69
0. 56
35. 12
12. 69
0. 71
0.47
40. 41
16. 91



Min_ _
_ 0. 0
0. 29
0. 0
0. 0
0. 0
0. 35
0. 0
0. 0
0. 67
0. 72



X	
0. 78
2. 22
0. 52
0. 11
3. 85
4. 79
0. 14
0. 12
5. 59
7. 66



S.D
0. 49
1. 99
1. 18
0. 21
8. 45
4. 23
0. 21
0. 17
9. 48
5. 31
11-15	
	 30
8
Max	
- 28.46
6. 35
1. 50
0. 57
28. 88
12. 52
0. 36
0. 13
62. 13
20. 87



Min
_ 0. 0
0. 32
0. 0
0. 0
0. 16
1. 18
0. 0
0. 0
0. 18
1. 92



X	
- 2. 13
1. 81
0. 14
0. 07
3. 95
4. 27
0. 07
0. 04
6. 67
6. 64



S.D
5. 74
1. 99
0. 31
0. 20
5.72
4. 19
0. 11
0. 05
12. 32
6.63
16-20 	
	 61
22
Max,
_ 14.44
10. 79
0. 55
0. 47
38. 20
35. 11
0. 32
0. 29
57. 49
50. 37



Min	
_ 0. 0
0. 0
0. 0
0. 0
0. 0
0. 0
0. 0
0. 0
0. 0
0. 0



X	
- 1. 02
1. 96
0. 09
0. 12
3. 56
6. 19
0. 06
0. 09
5. 08
8. 98



S.D	
1. 93
2. 42
0. 16
0. 16
5. 45
8. 04
0. 08
0. 08
7. 88
11. 17

-------
21-25 	
69
32
Max	
. 90.00
7. 12


Min	
. 0.0
0. 34



X	
- 3. 77
2.20



S.D
15. 04
1. 75
26-30 	
- _ . 100
18
Max	
7. 12
3. 45


Min_
. 0.0
0. 0



X	
- 0.96
1. 53



S.D
1.09
1. 01
31-40.- 	
	 233
82
Max. _
- 10. 14
22. 97


Min	
_ 0.0
0. 0



X	
- 1. 18
2. 01



S.D
1. 29
2. 79
41-50 _ -
494
140
Max	
. la 33
16- 93


Min	
. 0. 0
0.0



X	
1. 21
2. 26



S.D	
- 1.63
2.47
51-60	
	 848
154
Mm
. 60. 55
90. 00


Min	
- 0.0
0.0



X	
_ 1.22
3. 40



S.D
2.29
7. 92
61-70-. 	
	 1,013
119
Max
. 90. 00
15. 00


Min	
. a 0
0.0



X	
1. 46
2. 57



S.D	
. 4.24
2. 30
u
u
u
0.86
a o
0.08
0. 17
0. 76
0. 0
0.07
0. 14
5.34
0. 0
0. 11
0.40
2. 00
0. 0
0.07
0. 18
4. 74
0. 0
0. 08
0.26
20. 00
0.0
0. 12
0.91
0. 81
0. 0
0. 14
0. 19
0.47
0. 0
0. 08
0. 15
0. 53
0. 0
0. 11
0. 15
4. 96
0. 0
0. 18
0.	47
1.	55
0. 0
0. 16
0. 26
2.	26
0.0
0. 17
0. 29
12.63
0. 0
4.	09
3. 48
39. 22
0. 0
3.99
5.	14
25. 77
0. 0
4.22
3. 54
33, 50
0. 0
4.30
3. 93
39. 80
0.0
4.46
4.02
47.20
0.0
4.70
4.43
23.44
0. 89
6.08
4.90
18. 23
0. 32
6.54
4.94
28. 35
0.0
6.75
6. 13
59. 79
0. 0
8.61
8.	58
44. 58
0. 10
9.	00
a 66
67. 31
0. 0
8.11
8. 02
0. 53
0. 0
0. 09
0. 11
0. 40
0.0
0. 08
0. 10
0. 78
0. 0
0. 11
0. 13
2.	61
0. 0
0. 12
0. 20
3.	11
0.0
0. 13
0. 20
3.31
0. 0
0. 12
0. 16
0.33
0. 0
0. 07
0. 10
0. 35
0.0
0. 10
0. 13
0. 54
0. 0
0. 09
0. 12
0. 64
0. 0
0. 11
0. 13
3. 71
0. 0
0. 17
0.	35
1.	25
0. 0
0. 13
0. 19
90. 48
0. 0
8.41
15. 06
51. 01
0. 0
5.	47
6.	74
39. 76
0. 05
5. 99
5.	06
47.22
0.0
6.	08
5.	71
62. 76
0. 0
6.	27
5.	57
90. 59
0. 0
6.	82
7.	21
31. 38
1. 54
9. 11
6. 70
22. 96
0. 47
8.	89
6. 15
54. 55
0. 0
9.63
9.	16
70. 18
0. 0
12.	04
11. 35
90. 46
0. 16
13.	58
14.	14
89. 98
0. 0
11. 77
10.63

-------
u
fc>
*
Table IV.—ADIPOSE RESIDUES UNITED STATES, HUMAN MONITORING DATA, fiscal year 1968; Pesticide
Residue Levels in the General Population; Adipose Tissue (p.p.m.); Human Monitoring Survey, Division of
Community Studies, OPS, FDA. (See Figure 3 jolio wing these tables.)—Continued
Sample	ppDDT	opDDT	ppDDE	Dieldrin	Total DDT1
W	NW	W	NW	W	NW	W	NW	W	NW	W	NW
71-80	 813
119
Max. _
- 44. 80
90. 00
4. 00
2. 58
51. 34
87. 60
4. 11
4. 62
104. 05
102. 55


Min	
.. 0. 0
0. 0
0. 0
0. 0
0. 0
0. 13
0. 0
0. 0
0. 0
0. 14


X	
.. 1.34
4. 07
0. 08
0. 21
4. 52
10. 94
0. 12
0. 17
6. 46
16. 46


S.D
2. 07
8. 87
0. 21
0. 38
4. 50
11. 94
0. 21
0. 48
6. 72
17. 55
81-90	 331
40
Max. _
._ 20.00
20. 00
1. 78
2. 29
26. 54
30. 96
0. 89
1. 30
43. 86
40. 01


Min
0.0
0. 0
0. 0
0. 0
0. 0
0. 73
0. 0
0. 0
0. 14
1. 03


X	
1.34
3. 35
0. 10
0. 22
4.28
10. 16
0. 10
0. 15
6. 20
14. 89


S.D
2. 15
3. 59
0. 21
0. 45
4. 04
7. 97
0. 14
0. 24
5. 80
11. 34
90 and over _ _ 85
31
Max
_ 17.50
20.51
1, 40
1. 85
31. 11
84. 47
2. 38
0. 89
53. 01
109. 05


Min
- 0.0
0. 0
0. 0
0. 0
0. 0
0. 0
0. 0
0. 0
0. 0
1. 92


X	
1.56
5. 19
0. 09
0. 32
4. 66
15. 50
0. 14
0. 14
6. 85
22. 78


S.D	
_ 2.47
5.61
0. 22
0. 46
4. 87
19. 48
0. 30
0. 23
7. 83
26. 67
Total	 4, 165 804
i Total DDT=ppDDT+opDDT+ppDDE (1.114).

-------
Table V.—Effects of age on total DDT residues in adipose tissue
Couuntry	Age (years) No.	Race	DDE "x (p.p.m.) DieJdrtn
total DDT
Israel (Wasserman,	0-9	71 No differ- 5,6 10.2
M. et al., 1967).	ence.
10-89	133 ...do—	 9.9 18.1
Florida (U.S.A.)	0-5	17 White	- 2.8 5.5
(Davies, J. E. et al., 6+	90 —do	 5. 5 8. 4
1968.
0-5	17 Negre	 4. 1 7. 8
6+	35 ...do..	10.8 16.7
Florida (U.S.A.)	0-5	14 White			 0.23
(Edmundson, W. F. 6+	88 —do	 .23
et at., 1968).	0-5	15 Negro				 .21
6+	29				20
371-074 o—m	m
335

-------
Table VI.—DDT and DDE, in ppb, in whole blood of children and by
family unit, in a general population group, Dade County, 1968
Age Race and DDT DDE Family Range DDT X DDE Range DDE
sex	X DDT
	1	
	2	
	4	
	5	
	6	
Area:
	2	
	3	
	4	
	5	
Area:
	1	
	2	
	3	
5	
Area:
2	
2	
5	
Area:
2	
	4	
	5	
Area:
	4	
	5	
Area:
	2	
	4	
Area:
	5	
	6	
Area:
	3	
	4	
6	
Area:
nw/f	 8.75
nw/rn._ 19. 48
nw/f	 16.27
nw/f— 18.28
nw/m.. 23. 75
South Miami,
nw/f— 10. 96
nw/m.. 21.36
nw/m.. 9. 83
nw/m.. 9. 17
Richmond Heights
nw/m.. 52. 97
nw/f	 48. 55
nw/f... 21.58
nw/f	 21,58
Homestead,
nw/m.. 70. 04
4. 33
16. 63
23. 52
20. 61
39. 46
a 35
11. 37
7. 23
11. 67
nw/m. _
nw/m..
Goulds.
nw/f	
nw/m. _
nw/f...
70. 55
51. 11
5. 83
4. 58
9. 07
Richmond Heights.
w/m	 7. 34
w/m	<4. 02
Homestead,
nw/m.. <5. 85
nw/m.. 9. 13
Richmond Heights.
w/f	
w/f	
Miami,
w/m—
w/f	
w/f	
Goulds.
4.	02
5.	47
<2. 26
2. 68
2. 18
~ 17. 34 8. 75-23. 75 20. 71 4. 33-39. 46
12. 83
45. 81
43. 32
14. 62
22. 78
69. 42
57. 15
37. 75
4. 73
6. 22
11. 67
9. 55
6. 07
3. 97
9. 53
11. 74
13. 85
63. 9
6. 45
3. 67
7. 49
4. 74
9. 17-21. 36 9. 93 7. 23-11. 67
36- 17 21. 58-52. 97 31. 63 14. 62-45. 81
51. 11-70. 55 54. 76 37. 71-69. 42
4. 58- 9. 07
<4. 02- 7. 34
<5. 85- 9. 13
4. 02- 5. 47
7. 5	4. 73-11. 67
7. 81	6. 07- 9. 55
6. 75	3. 97- 9. 53
12. 79 11. 74-13. 85
2. 57 2. 18- 2. 68 4. 36 2. 48- 6. 58
336

-------
16
15
14
13
12
11
10
9
8
7
6
5
4
3
2
1
0
Figure S.—Adipose levels of DDE (ppm)by age and race, U.S. 1968.
(Data Human Monitoring Program)
S| -I rol SI m| 51 SI 51 SI §1 -1 "
pi 001
Oi CO I	| OI rot Os| •—i Or toj —I
a sl 3 sl d s! 3 Si ^ 001
15.5C
- Whites
= Nonwhites
;'v'v
viv/
16-20 I 21-25 i 26-30
AGE GROUPS
10.94
00 = ri sampled
4.79
4.06

-------
Figtjue 4.—Comparison of human adipose residues (ppm) of total DDT and
dieldrin, by age and race in northern and southern states, U.S.A., 1968.
NORTHERN STATES
Dieldrin (ppb)
0.20 _
0.10
0.00
TOTAL DDT (ppb)
20
(N-Samplet)
15 -
10 _
5 -
0-5 6-10 11-15 16-20 21-25 26-30 31-40 41-50 51-60 61-70 71-80 81-90
AGE GROUPS
338

-------
Figure 4.—Comparison of human adipose residues (ppm) of total DDT and,
dieldrin, by age and\ race in northern andr southern states, U.S.A., 19G8. (cont'd)
SOUTHERN STATES
Dieldrin (ppb)
u^Trco>or^,«ocor^'or-.cNrNCMroocNr^oo'*jo •— ui n co
co
-------
w
o
Fmbbe 5.—Adipose residues of p,p' DDE (ppm), dieldrin and total DDT in general population U.8.A. human monitoring data
fiscal year 1968.


LOW




_
_
X


X
X
TOT

(>F)
ODE
DIELD
DDT
MO.
56.0
2.90
0.11
4.27
WASH.
53.2
2.95
0.06
4.70
S.D.
45-7
3.66
on
5.73
CONN.
49-3
3.48
0.14
5.31
MASS.
51.4
2.97
0.09
4.23
NEV.
48.8
2.98
0.05
4.23
fND.
52.1
3.45
0.09
5.06
ILL.
50,9
2 78
0.13
3-98
N.Y.
54,5
3 50
0.10
4 94
OHIO
55.2
3.44
0.09
5.08
PA.
54,6
3.11
0.11
4.53
DEL.
54,1
2 96
0.09
4.38
wise.
45. T
3.97
0.15
5 53
(n=255)
- (n=459)
Del. (n-124)
S. Dak.
(n=249)
(n=422) Vn=276* (n=421)
t>LC.
(n=418)
Terin. (n=269)
AioT\Go.
(n-28) \ (n=110)
(n=202)
(n=:190)
X DDE
WHITE {4,165)
HIGH LOW
6.55 2.14
X DIELDRIN 0.13 0.13
X TOTAL DDT 9.21 4.85


HIGH

_


_
_
X


X
X
TOT

(°F>
ODE
DIELD
DDT
LA.
70-4
6.24
0.10
8.55
CALIF
62.5
6.66
0.16
9.35
TEX.
66.5
7.B6
0-21
10.73
GA-
61.6
685
0.10
9 68
ARK.
61.7
8.75
0.21
13.23
TENN
62.1
6.27
0.17
9.28
NM
56.9
6.40
0.14
8.50
N.C.
59.5
5.50
0.11
7.73
ALA.
67.2
4.90
0.01
5.92

-------
Figure 6Adipose residues of p,p' DDE (ppm), dieldrin and total DDT in general population U.S.A. human monitoring data
fiscal year 1968.
CO
4k


LOW




_
_
X


X
X
TOT

<°F)
DDE
DIELD
DOT
MO.
56.0
5.82
9.22
8.98
WASH.
53.2
-
-
-
S.D.
45.7
14.56
9.99
1858
CONN.
49-3
6.65
0-11
9 39
MASS.
51.4
-


NEV.'
48.8
-
_
-
INO.
52.1
6.39
0.14
9.70
ILL.
50.9
3.92
0.17
584
N.Y.
54,5
3.31
0.04
5,21
OHIO
55.2
5.13
0.13
7.65
PA.
54.6
6.50
0.21
9.54
DEL.
54.1
5.06
006
7.52
wise.
45,1
4.26
0.20
6.11
(n=255)
S. Dak
[n=249)
(n=460)
(n=459)
(n=559) / (n=17)
(n=421)
Del. (n=124)
lenn.
(n=202)
(n=28) V (n=110
La.
(n=193)
(n=l 90)
NEGRO (804)
HIGH LOW
X DDE	9.75 5.26
X DIELDRIN 0.13 0.14
X TOTAL DDT 14.37 7.86


HIGH

y


X
X
A
TOT

<°F)
DDE
DIELO
DDT
LA.
70.4
10.56
0.06
14-75
CALIF.
62.5
9.28
0.16
12.76
TEX.
66.5
13.28
0-27
18.64
GA.
61.6
7.62
0-19
11.70
ARK.
61.7
19 75
0.10
28.86
TENN.
62.1
9.0T
0.08
14.14
N.M
56.9
11.57
0.38
15.15
N.C.
59.5
8.29
o.n
13.21
ALA.
67.2
10.20
0.00
1136

-------
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E
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Schmit, ,T. A., Wynne, R. B., Peter, U. J. Pesticides in Human Serum. Biochem.
GC Notes, F&M Sci. Corp., Avondale, Pa.. 1964.
Thompson, R. P. H., Stathers, G. M., Piltoheb, C. W, T,. McLean, A. E. M.,
Robinson, ,T., Williams, R. Treatment of Unconjugated Jaundice with Di-
cophane. Lancet il: 6,1969.
Wasserman, M., Gon, M., Wasserman, D., Zellebmayer, L. DDT and DDE in
the Body Fat of People in Israel. Arch. Environ. Health (Chicago) 11:375,
1965.
Wasserman, M., Wasserman, D., Zellermayer, L., Gon, M. Storage of DDT in
the People of Israel. Pest. Monit. J. 1 (2) : 15,1967.
Washerman, M., Kurnow, D. H„ Forte, P. N., Groner, Y. Storage of Organo-
chlorine Pesticides in the Body Fat of People in Western Australia. Ind. Med. &
Surg. 37(4) : 296,1968.
Weike, M. Klorerede insktlcider i fedvaev fra mennesker. Ugeskr. Laeg. 128 : 881,
1966.
Yobs, Ann. Human Monitoring Program, 1969. Unpublicshed Report.
Zavon, M. R., Hine, C. H., Parker, K. D. Chlorinated Hydrocarbon Insecticides
in Human Body Fat in the United States. J. Am. Med. Ass. 193: 837,1965.
Clinical Case Reports
Mortality and morbidity studies.—Other studies have sought to ex-
plore the long term effects of pesticides on man by comparison of mor-
tality and morbidity in population groups whose differential pesticide
exposure is measured, not by residue level, but by reason of exposure
variations associated with person (occupational studies), place (ur-
ban, rural differences, proximity to agriculture), and time (incidence
rates per and post DDT eras, summer, winter variations).
Mortality studies.—One of the only comprehensive reviews of mor-
tality data on persons occupationally exposed to pesticides is the retro-
spective mortality study of Florida registered structural pest control
workers, who by law had to register with the Florida State Board of
Health beginning 1948 (Boorde & Downes, 1969). This presents mor-
344

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tality data for the years 1948-65 made up of more than 20,000 person-
years of observation comparing their mortality rate trends with the
rate of the Florida white male population 20 years old and over. The
age-adjusted mortality rates of this single occupational group showed
a rising death rate for structural pest control workers against a fairly
stable age-adjusted rate for the entire population (Figure 7). It should
be pointed out that even during the last few years of this study, the
age-adjusted rate for the Florida white male population were still
somewhat above rates for pest control workers. This could be inter-
preted as an improvement in the quality of study data rather than a
rising death rate among the study group.
(Figure 7 is on p. 346.)
On the other hand, a review of age specific rates for pest control
workers 35-44, the group with the most years of observation, shows
they have a death rate in excess of that for the same Florida white
male age group. Among another pivotal age group, 55-64, age specific
death rates for the study group are practically on the same level as
the Florida white males and it would be expected that the general
population mortality rates would significantly exceed rates for any
supposedly healthy occupational group. These data were derived from
a mailed questionnaire survey which had a nonresponse rate of 32 per-
cent. An intensive followup effort in one county suggests the mortality
experience of the nonrespondents was approximately the same as the
respondents. If this assumption is made the survey suggests that long
term exposure to pesticides may have an adverse chronic effect on
human health and supports the need for continued view of possible
health hazards. Comparisons of causes of death for 180 structural pest
control workers against a matched control group showed no significant
differences in cause distribution. If pesticides are a health hazard and
no single disease entity can be demonstrated as being casually asso-
ciated we may be dealing with a phenomenon through which an in-
creased risk of mortality exists for a whole spectrum of diseases. Such
a situation would greatly complicate epidemiological research on this
subject. From any point of view additional prospective morbidity and
mortality studies are required to prove or disprove cause and effect
relationship between specific pesticides and disease classifications.
Morbidity effects of occupational exposure,.—Numerous morbidity
surveys have been conducted in workers exposed to a single or group
of pesticides. Thus, for the organophosphate compounds, the health
effects of occupational exposure for the following pesticides have been
described: azinphos-methyl (Simpson, 1965), demeton (Kagan et al.,
1958), dichlorvos (Witter, 1960; Gratz et al., 1963; Funckes et al.,
1963; Stein et al., 1966; Zavon & Kindel, 1966), fenitrothion (Vande-
kar, 1965), fenthion (Taylor, 1963), malathion (Grech, 1965) methyl
345

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2 Figube 7.—Comparison of Florida white male population, 20 years
o> and older with structural pest control workers registered in
i per 100,000
FWMP 20+
a.
_1_
1949 1950 1
Florida 1948-1965 Dy age-adjusted* mortality rates per 100,000.
Florida State Board of Health.
r 1916
kSPCW
"FWMP 20+
FWMP - Florida White Male Population
SPCW — Structural Pest Control Workers
.1	i	l	I	I	I	 I .A
8 9 1960 1 2 3 4 5
"Indirect Method. Standard: FWMP 204, July 1r i960

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demeton (Asribekova, 1963), parathion (Brown & Bush, 1950, Ingram,
1951; Kay et al., 1952; Lieben et al., 1953; Simpson & Beck, 1965;
Davies et al., 1965), thiometon (Rosival & Rajnoha, 1961). For the
carbamate compounds: carbaryl (Best & Murray, 1962; Vandekar,
1965), 3-isopropylphenyl N"-methylcarbamate (Vandekar, 1965). For
the chlorinated hydrocarbons: DDT (Krasnyuk, 1958; Ortelee, 1958;
Krasnyuk, 1964; Quinby et al., 1965; Laws et al., 1967; Edmundson
et al., 1969a; Edmundson et al., 1969b; Edmundson & Davies, to be
published); BHC (Bogushevskii & Burkatskaya, 1951; Brzozwski
et al., 1954; Burkatskaya et al., 1959), chlorodane (Alvarez & Hyman,
1953; Fishbein et al., 1964), dieldrin and related compounds (Fletcher
et al., 1959; Hoogendam ct al., 1962, 1965; Van Raalte et al., 1970).
p-dichlorobenzene (Pagnotto & Walkley, 1965), dichloroethane
(Brzozowski et al., 1954), trichloroethane (Frant & Westendorp,
1950). For combination of compounds: Barnes & Davies, 1951, Princi
& Spurbeck, 1951; Fowler, 1953; Sumerford et al., 1953; Culver et al.,
1956; Bruaux, 1957; Hayes et al., 1957; Paulus et al., 1957; Quinby
et al., 1958; Vengerskaya et al., 1959; Wasserman et al., 1960; Klhuf-
kova & Pospisil, 1961; Lyubetskii & Vengerskaya, 1961; Ruprich,
1961; Stein & Hayes, 1964; Davignon et al., 1965; Hartwell & Hayes,
1956). The results of these health surveys can be discussed under the
categories of organophosphates, carbamates, organochlorine insecti-
cides and herbicides.
Organophosphates—The organophosphates particularly parathion,
phosdrin, and TE'PP are health hazards because of their high toxicity
and ease of absorption by ingestion and the dermal or respiratory
routes. The disease they produce in workers are chiefly acute poison-
ings, but may in addition leave sequelae of acute intoxication which
are probably anoxic sequelae. However, there is an additional hazard
to workers which may not be recognized; this is because undue ex-
posure resulting in cholinesterase inhibition from chronic exposure
may predispose the worker to poisoning when he is exposed subse-
quently (to an exposure not expected to be noxious) with the result of
clinical signs of poisoning. Somewhat similar hazards occur when
pesticides in plants e.g. orchards build-up slowly from repeated spray-
ing with residues of organiphosphates to the point that orchard work-
ers are affected gradually by dermal or respiratory contact with the
plant material (Milby, 1964).
Continued long term exposure to organophosphates appear to have
other subtle effects. Evidence has been presented to alter renal tubular
functions in a small percentage of workers when measured by phos-
phorous reabsorption tests (Mann, J. B. et al., 1966). These findings
wrere attributed to renal tubular damage from the metabolite parani-
347

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trophenol. A change in protien metabolism as indicated by a modest
increase in amino acid levels as measured in blood serum may be
reflective of liver damage or more probably represent an adaptive
response on behalf of the liver, in response to enzyme induction
changes necessary for the general detoxification of pesticides
(Davies, J. et al., 1969; Tocci, P. M. et al., 1969). In other studies,
chronic exposure to organophosphates were considered to produce slow
reaction times, memory defects and to cause workers to become in-
creasingly irritable; motor or sensory defects were not observed but
electroencephalographic studies revealed more than usual incidence of
abnormalities (Metcalf, 1969).
Carbamate Exposure—Cases of obvious carbamate poisoning are
uncommon, and are not usually associated with occupational exposure.
Undoubtedly many intoxications occur but these are usually mild and
are unreported since they involve workers in the initial stages of
exposure to these chemicals (inception illness); as adaptation oc-
curs, symptoms usually subside. Carbaryl (Sevin) is the most com-
monly used of the carbamate insecticides and causes few problems in
the course of application. Baygon
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and exposure was to other chemicals as well) (Ortelee, 1958), nor
was disease identified in a study of volunteers who were fed up to
35 mgms. of DDT per day for 21 months (about 200 times the normal
dietary intake of 0.0026 mg./kg./day). The storage of DDT (but not
DDE) was proportional to dosage and attained a constant level, de-
spite dosage, after 1 year or more (Hayes et al., 1956).
Elsewhere in a study of 400 persons exposed to organochlorine pesti-
cides it was suggested that these workers experienced a higher fre-
quency of cardiovascular diseases of various types than was expected;
the conclusion was reached based on electrocardiographic changes in
persons working with organochlorine insecticides (Krasynuk, 1964).
The Diene Group—aldrin, dieldrin, endrin.
Studies have been reported in plants manufacturing these insecti-
cides. Seventeen patients (5 percent of the work force) developed
epileptiform convulsions (Hoogendam et al., 1965). Efforts were made
to pinpoint the hazard; these were noninformative. Potential dermal
exposure by estimation of dose with dermal absorbent pads were not
considered worthwhile. Abnormalities of the encephalogram were
demonstrated in the cases; these were always temporary and were
associated with specific incidents of overexposure. No oases of perma-
nent, partial or complete incapacity were recorded and no claims for
compensation were filed. Rates of sickness, observation, skin sensitiza-
tion reactions, abnormalities of liver function tests were no different
in 300 workers studied than in the nonpesticide workers, and the occur-
rence of epileptiform convulsions in the 17 cases was the only abnor-
mality demonstrated. A biologic index of intoxication (concentrations
of dieldrin in the blood of 15 ng/100 g.) appeared to be the threshold
level denoting the appearance of symptoms of intoxication and the
procedure was recommended both as a diagnostic test and a surveil-
lance tool (Brown et al., 1964).
One of the same investigations carried out on human volunteer ex-
periment using doses representative of normal adventitious exposure
(estimated 0.025 mg.m./day and occupational exposure 0.21 mg.m.,
day) for 18 months. No signs of ill health were demonstrated and lab-
oratory investigation which included alkaline phosphatase, RBC and
plasma cholinesterase, EEG, ECG and electromyographic studies were
all within normal limits. Dieldrin concentrations in blood and fat
were proportional to daily dosage and were up to 10 times greater than
general population levels. There was no significant effects on the total
DDT in fat nor were there changes in the DDE levels in blood. It was
concluded that dieldrin in doses of 200 /ig./day were without effects on
humans (Hunter and Robinson, 1967).
In another study of 71 men of which 49 were production workers
349

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(in a plant manufacturing dieldrin, aldrin, endrin and organophos-
phates) no meaningful correlation of sick leave with dieldrin levels
in fat, blood and urine was demonstrated. Concentrations of dieldrin
in fat reached levels more than 19 times the level of the general popu-
lation and blood levels were more than nine times greater than general
population blood levels. A correlation of levels in blood with total
duration of exposure was demonstrated and blood samples were rec-
ommended for monitoring workers (Hayes and Curley, 1968).
Other Chlorinated Hydrocarbons—Other chemicals of this class
have been suspected of causing adverse health reactions. Lindane lias
been incriminated directly or indirectly with 18 cases of blood dyscra-
sias, and the California Board of Health, and more recently the U.S.
Department of Agriculture have passed resolutions recommending
against the use of lindane vaporizers. There is an admitted lack of
technical data on which to base sound regulations but the suspicion
that lindane is a hazardous chemical (West, 1967), A recent unreported
study of 70 persons highly exposed to lindane demonstrated slight
changes in blood when compared to matched controls (elevated poly-
morphonuclear, and total white count, and slightly reduced creatinine)
(Milby, 1969).
In a factory manufacturing phenoxy chemicals (the herbicides—
2-4D, 2,4,5 T) a number of workers were found to have hyperpigmen-
tation and fragility of the skin, eruptions on exposed areas and acne
lesions. Porphyria was observed in 37 percent of the 29 workers tested.
It was postulated that the disturbed metabolism was due to a toxic
action on the liver by one or more different chemicals being used in the
factory although no direct relationship between clinical signs as the
degree of chemical exposure was demonstrated; the diseases were con-
sidered to be the result of individual susceptibility (Bleiberg et al.,
1964). Porphyria has also been described following ingestion of
hexachlorobenzene (Schmid, 1960). In a group of 250 agricultural
workers and 45 workers engaged in crop spraying for 3 years using
2,4—1), excessive fatigue was reported. In addition, they complained of
headaches, epigastric pains, anorexia and occasional upper respiratory
tract symptoms and several demonstrated impaired taste sensitivity
(Fetisov, 1966).
Apart from occurrence of overt disease as expression of effect, the
Community Pesticide Studies Program of the U.S.P.H.S. is currently
involved in a 16 State collaboration research, wherein prospective mor-
bidity data is being collected from groups of occupationally exposed
workers. The incidence of disease as well as biocemical differences is
being studied. Although as yet, no correlation of data is available,
an impression is being gained of the occurrence of certain biochemical
350

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changes in occupationally exposed groups when compared with
controls.
Thus, from Hawaii, in studies of 59 persons occupationally exposed
to a wide variety of pesticides, significant differences in hematocrit,
white blood count, serum albumin, alkaline phosphatase, potassium and
PBI (protein bound iodine) were observed. Gastrointestinal disturb-
ances, obesity, diabetes, thyroid and neurologic dysfunctions were the
principal findings.
In Iowa (Long et al.}, demonstrated significant correlation of hema-
tocrit, hemoglobin and prothrombin values with high pesticide usage.
Significant correlations were found between total pesticides employed
and the blood uric acid find bilirubin 1-minute values (Ijong et al.,
1969).
In Florida, levels of certain biochemistries, reflective of kidney or
liver function changes were observed in 67 persons heavily exposed
to pesticides when compared with healthy normal controls. The ex-
posed group showed unusually high levels of several amino acids,
SGOT, alkaline phosphatase, serum osmolality and creatinine (Tocci
ct al., 1969).
Thus by interstate collaborative research, changes of certain bio-
chemical parameters are beginning to observe in large groups of per-
sons occupationally exposed to pesticides. Several notes of caution
should be respected with these types of findings. Firstly, differences are
mostly within the normal range of the biochemical parameters, and
thereby are not considered pathological, secondly, associations only has
been demonstrated and no causal inference concluded, thirdly, criteria
of pesticide exposure varies from State to State and uniform methods
of degrees of pesticide exposure between States is difficult if not im-
possible and lastly, some of the biochemical changes observed may be
adaptive or compensatory rather than reflective of an adverse health
effect so that changes rather than disease entites are being reported.
In concluding the section of review of studies of the occupational
exposed group, an illustration of the epidemiologic worth of such
studies can be seen from the findings of a medical survey of persons
working with aldrin and dieldrin (Jager, 1969).
In this excellent study of 826 plant employees, detailed morbidity
data are presented on 233 persons representing 1,728 years of exposure
to aldrin and dieldrin including significant data on exposure; diseases
included glomerulonephritis (1) peptic ulcers (3) nephrolithiasis (4)
ischaemic heart disease (2) reticulosarcoma (1) carcinoma of the
stomach (1) and glioma (1). In addition, an intensive medical survey
of highly exposed workers revealed no significant incidence of any
disease occurring in the plant when compared with findings from
351
371-074 O—69	'M

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employees less exposed in the plant. Thus, the data supported the con-
cept that hazards of working with pesticides were slight. However,
interpretation of the incidence rates of the above mentioned diseases
which were seen to occur, is difficult and calls for comparison with in-
cidence rates of the general population. If our interest is the investi-
gation of diseases with long incubation periods, such as cancer, then
this approach will have to be followed in future studies. The problem
of tracing dropouts is also exemplified and demonstrates the ease of
using occupational studies as measures of occupational risk, but the
complexity of such studies when used to extrapolate as to health effects
of the pesticide exposure of the general population.
Miscellaneous general population studies.—The literature contains
examples of several studies which have explored place and time vari-
ables as possible indications of greater pesticide exposures. Thus, in-
creases in upper respiratory diseases, including asthma, sinusitis and
bronchitis have been associated with the greater domestic usage of
pesticides in Hawaii (Weiner and Worth, I960). Because of the lindane
findings due to neoplasia by lymphatic and hematopoietic tissues and
aplastic anemia in Kern County were compared with the total Cali-
fornia experience (Mengle et al., 1967). No significant differences
were observed in these two areas. Ganelin has explored the effects of
incidental exposure to parathion on the general population and asth-
matics (Ganelin et al., 1964). Their data suggested that the effects of
such incidental exposure was negligible.
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1951.
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Quinby, G. E., Lemmon, A. B. Parathion Residues as a Cause of Poisoning in
Crop Workers. J.A.M.A. 166 : 740,1958.
Quinby, G. E., Hayes, W. J, Jr., Armstrong, J. F., Durham, W. F. DDT Storage
in the U.S. Population. J.A.M.A. 191:175,1965.
liosivAt, L. Rajnoha, F. Orcrana zdravia pri vyrobe intrationu. Cs. Hyg. 6:
287, 19Q1.
Ruprich, J. Zkusenosti ze zdravotnitkeuo zabezpecni provadeni postriku a
zalivky organickymi fosforovymi insekticidy. Prak. Lek. 13: 408, 1961.
Schmid, R. Cutaneous Porphyria in Turkey. New Eng. J, Med. 263 : 397, 1960.
Simpson, G. R. Exposure to Guthion During Formation. Arch. Environ. Health
10:53, 1965.
Simpson, G. R., Beck, A. Exposure to Parathion. Arch. Environ. Health 11: 784,
1905.
Stein, W. J., Hayes, W. J. Jr. Health Survey of Pest Control Operators. Industr.
Med. & Surg. 311; 549,1964.
Stein, W. J., Miller S., Fetsseh, L. E. Studies with Dichlorvos Residual Fumi-
gant as a Malaria Eradication Technique in Haiti III. Toxicological Studies.
Amer, J. Trop. Med. Hyg. 15: 672,1966.
Sumerfobd, W. T., Hayes, W. J. Jr., Johnston, J. M., Walker, K., Spillane,
J. Cholinesterase Response and Symptomatology from Exposure to Organic
Phosphorous Insecticides. A.M.A. Arch. Industr. Hyg. Occup. Med. 7 : 383, 1953.
Taylor, A. Observations on Human Exposure to the Organophosphorus Insec-
ticide Fenthion in Nigeria. Bull. WHO 29 : 213,1963.
Tocci, P. M., Mann, J. B., Davies, J. E., Edmunoson, W. F. Biochemical Differ-
ences Found in Persons Chemically Exposed to High Levels of Pesticides.
Industr. Med. & Surg. 38: 40,1969.
Vandekar, M. Observations on the Toxicity of Carbaryl, Folithion and
3-isoprophylphenyl N-methylcarbamate in Village Scale Trial in Southern
Nigeria. Bull. WHO 33 :107,1965.
Vkngerskaya, Kh. Y., Liubetskii, Kh. Z,, Tareva, G. A, Uslovija trude pri
ispytanii novyh fosfor-organisceskih insekticidov. Gig. Sanit. 24(5) : 12, 1950.
Wassermann, M., Iliescu, S., Mandric, G., Horvath, P. Toxic Hazards During
DDT and BHC Spraying of Forests against Lymantria Monaeha. A.M.A. Arch.
Industr. Health 21: 503, 1960.
Weiner, W. P., Worth, R. M. Insecticides Household Use and Respiratory Im-
pairment. Hawaii Med. J. 28: 283,1969.
West, I. Lindane and Hematologic Reactions. Arch. Environ. Health 15: 97,
1967.
Witter, R. F. Effects of DDVP Aerosols on Blood Cholinesterase of Foging
Machine Operators. A.M.A. Arch. Industr. Health 21: 7,1960.
Zavon, M. R., Kindel, E. A., Jr. Potential Hazard in Using Diehlorvos Insecticide
Resin. Adv. Chem: Ser. No. 60:177,1966.
Conclusion and recommendations.—An epidemiologic appraisal of
the total health effects of pesticides occurring under the categories of
acute, general population and occupationally exposed recognizes the
adverse health effects or areas of uncertainties in all three exposure
situations. Recommendations are suggested with the intent of pre-
venting these adverse effects or in the hope of obtaining greater infor-
mation in those areas where gaps in our knowledge seem to exist.
The summation of the findings resulting from acute pesticide ex-
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posure indicate that in the United States, the main offenders are the
more toxic of the organophosphates. More poisonings can be expected
with greater usage of this group. Children and adults are the two
different population groups involved. The former reflect the readily
reachable chemicals in the home. Their prevention is dependent upon
such factors as the better public awareness of their hazards, improved
legislation prohibiting the more toxic members from home use, indus-
trial improvements in packaging and labeling, and in the case of
roach baits, substitution of the more toxic baits by less toxic but equally
effective substitutes.
Disregarding the suicide component of pesticide intoxications, adults
are most frequently poisoned accidently in the home or while at work.
At home the problem is often the result of storage in improper con-
tainers and the answer again is a better awareness. Occupationally,
the pesticide industry demonstrates a steady improvement with re-
gard to acute poisoning. The virtue of protective clothing and other
protective devices have been well disseminated—the dangers often
resulting from the employment of transient laborers, such as high
school students on their summer vacation, or workers who cannot read
or do not understand the nature of the toxicity of the chemicals with
which they are working. There is great need for field investigation of
the more serious cases and facilities are suggested for better investi-
gation, documentation, and reporting of such events. An areawide
pesticide protection team is suggested to this end, whose members
would be drawn from representatives of the local health departments,
the country agricultural agent and a representative of Fish and Wild-
life. Episodes of human and wildlife poisoning would be investigated.
In addition, advice and recommendation toward the design and dis-
posal of containers, occupational aspects of safe handling of pesticides
would be promoted.
In the area of occupational exposure two conclusions can be reached.
The first relates to surveillance. With improved technology the
occupational hazard to the worker is decreasing. Cholinesterease test-
ing is known to prevent overt and detect incipient toxicity. In man-
ufacturing situations, formulation and antimalarial spraying, clin-
ical surveillance against organochlorine toxicity or excessive exposure
is now practicable and probably worthwhile; particularly is this so
with dieldrin and could be extended to DDT surveillance. In view of
the possible consequences of enzyme induction in situations of extreme
exposure to DDT, a ceiling for DDT blood levels might be determined
if significant enzyme induction is demonstrable and proved harmful.
The second conclusion relates to future research in this area and is
based upon the findings of the increasing age-adjusted mortality rates
observed in structural pest control operators. These findings together
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with the information of abnormal chemistries from several of the
Community Studies Programs warrant continued intensive clinical
and biochemical surveillance of selected groups of high-exposed pesti-
cide operators. The main function of such investigations would serve
to determine whether a chronic occupational hazard exists from ex-
posure to cetrain selected pesticides.
Insofar as the general population is concerned three recent events
have occurred which have prompted a resurgence of public concern of
the health effects of the persistent pesticides on mankind and his en-
vironment. The first of these was the occurrence of obvious adverse
ecological effects of pesticides on certain predator birds and the high
levels in certain fish (Coho salmon). The second stems from the dem-
onstration of enzyme induction by DDT and the uncertainty of the
human consequences of the adaptive mechanism. The third is the re-
cent findings of the Bionetics report (Innes, J. R. M. et al, 1969)
wherein carcinogenic potential of DDT and several other insecticides
has been demonstrated in mice.
This review of the literature on the effects of incidental exposure
to persistent pesticides, and to DDT in particular, indicate that the
only certain demonstrable effect of this exposure in man is the tissue
residue. What the data also suggests is that we do not fully understand
the epidemiology of these levels and perhaps that some of the several
assumptions that have been made need to be reappraised. Thus, the
significantly higher levels of DDT-derived residues in the Negro in
the United States necessitates a deevaluation of conclusions which
did not adjust for this difference; without straification we cannot de-
scribe the average residue level in the country. The age association of
levels of DDE in all age groups certainly requires further investiga-
tion and explanation. The geographical stratification conflicts with the
concept of the dominant role of dietary sources of DDT. If nondietary
sources are of significant consequence, then monitoring of human resi-
dues will assume as great an importance as food monitoring for these
biological residues are the most important expressions of the magni-
tude of the environmental contamination. Finally, there appears to
be so many areas which require further investigation and exploration,
and since in the United States we have no need to use as much DDT
and as indiscriminately as we have done so in the past, few will ques-
tion the merit of striving to reduce or at least contain the amount of
human and animal contamination that results from this insecticide.
Research endeavors in all areas which strive to further the reduction of
this environmental contamination seem warranted and timely, and it
should not be necesary to have to wait for proof that the exposure is
harmful before some action is taken.
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Clinical case reports
In the past 25 years, thousands of reports of human illness ap-
parently caused by pesticides have appeared in the medical literature
of dozens of countries. An effort has been made here to organize
representative examples of this vast body of information in a coherent
way. Where possible, findings have been critically assessed, and those
which appear scientifically tenable have been arranged according to
the human organ system which seemed most affected, or according
to a disease entity or syndrome when that was more appropriate.
Case reports in which pesticides arc implicated typically describe
clinical observations of an individual patient (occasionally more than
one), pathological findings, etiology or causal relationships, and a
regimen of treatment and its outcome.
Whenever information permits, a consideration of dose-response
relationships is included here. However, clinical case reports, by their
very nature rarely provide an opportunity for clear documentation
of exposure factors. Characteristically, the patient does not seek medi-
cal attention until his illness is overtly manifested and he often is
unable to relate how much toxin was ingested, inhaled, or absorbed
or to accurately reconstruct the events leading to the poisoning.
The clinical picture of acute pesticide intoxication may vary in
severity from quite mild to critical or even fatal. Depending upon the
agent involved, the diagnosis may be clear-cut or may be exceedingly
difficult to firmly establish. The diagnosis is often most difficult in the
case of mild to moderate acute poisoning by the organochlorine group
of insecticides. This is particularly true when exposure factors are
not well documented. The criteria upon which a diagnosis of organo-
chlorine intoxication may be convincingly based are not clearly estab-
lished. Marked elevations in serum organochlorine levels with or
without alterations in electroencephalographic patterns, if present,
may provide the only objective clinical evidence of chronic poisoning.
Subjective evidence such as irritability, insomnia, anorexia, head-
ache, nausea, malaise may be extremely difficult to evaluate in instances
of low level organochlorine exposure.
Because of these diagnostic complexities, unproved or specious post
hoc, ergo propter hoc associations attributing human illness to pesti-
cide exposure are not uncommonly encountered in both the lay press
and the scientific literature. Errors of omission may be equally as
serious as errors of commission. The reporting physician, for example,
may have failed to study some organ system, such as the central or
peripheral nervous system, thereby failing to observe and report a
response which did, in fact, occur. Once errors of either commission
358

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or omission find their way into print, they are often exceedingly
difficult to correct.
Effects on the nervous system.—It is evident from the acute effects
of chlorinated insecticides, organophosphate and carbamate insecti-
cides 011 mammals that these compounds exert their characteristic
toxicity by affecting the nervous system. There is evidence of both
peripheral and central effects.
The nervous system effects of acute DDT poisoning have been
reviewed by Hayes (1959) in an extensive treatise on that compound
and von Oettingen (1955) has reviewed these effects for most of the
chlorinated insecticides in his book 011 the halogenated hydrocarbons.
Koelle (1963) has edited an extensive volume on the effects of anti-
cholinesterase on the nervous system and both Heath (1961) and
O'Brien (1960,1967) has each published a book on this subject. How-
ever, there is 110 review 011 the nervous system effects of low-level
prolonged exposure to insecticides. This is primarily due to the fact
that there are very few publications to be reviewed in this area.
Chlorinated hydrocarbons: There is extensive evidence that the
acute action of chlorinated insecticides, particularly DDT, can be
detected under certain conditions in the cerebrum, cerebellum, brain-
stem, spinal cord, and peripheral nerves (Bromiley and Bard, 1949;
Shankland, 1964), Thus the acute poisoning effects of these com-
pounds appear to be a diffused nervous system effect thought to be
caused by interference with nerve impulse conduction and/or trans-
mission. Acute DDT poisoning is characterized at the onset by marked
paresthesias of the tongue, lips, and face, along with malaise and
headache. In more severe poisoning, paresthesia may extend to the
extremities. Ingestion of large doses is followed by vomiting with or
without diarrhea. Disturbances of equilibrium, dizziness, confusion
and tremor soon follow. In very severe poisoning, convulsions may
appear. Blood pressure and temperature remain essentially normal.
Except in the most severe cases, recovery is near complete within 24
hours. However, residual weakness has persisted for 5 or more weeks
after severe intoxication. A number of deaths have followed ingestion
of DDT in solvent solutions, but there appears to be no well-described
fatal case of DDT poisoning uncomplicated by other pesticides or
solvents.
Epidemiologic searches for chronic DDT effects have been carried
out with negative results in the Northwest (Sumerford, 1953; Hayes,
1957; Hayes, 1958; Durham, 1964; Durham, 1965), the Southwest
(Hartwell, 1965; Rappolt, 1968), the Southeast (Fowler, 1953; Hayes,
1955; Quinby, 1958; Ortelee, 1958; Witter, 1959; Hayes, 1965; Davies,
1966; Fiserova-Bergerova, 1967; Davies, 1968) in Hawaii (Casarett,
359

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1968), in Alaska (Durham, 1961), and in the United States (Hayes,
1968; Hayes, 1958; Dale, 1963; Durham, 1965a; Durham, 1965b; Foter,
1966). These studies have been summarized recently (Hayes, 1967;
Hayes, 1969). Human volunteer studies involving DDT are described
elsewhere in this report as are epidemiological studies of workers ex-
posed to DDT in the course of their occupation.
Endrin, chlordane, heptachlor, heptachlor epoxide and toxaphene
also bring about increased excitability of the nervous system, as seen
with DDT. The rapidity of onset of symptoms and signs, and the
duration and severity of effects varies from one compound to another.
Organophosphates: The effects of the organophosphorous com-
pounds are principally attributable to their ability to inactivate certain
enzymes, the most important of which are the cholinesterases (See
section on Enzymes).
Systemic effects,—In dosages sufficient to produce systemic manifes-
tations, the clinical picture of organophosphorus intoxication is de-
pendent upon the route of exposure and rate of absorption as well as
upon the chemical nature of the organophosphorus compound involved.
Both topical and systemic effects may occur, but frequently only the
systemic effects can be observed.
Initial signs and symptoms of intoxication are headache, nausea,
abdominal pain, vomiting, diarrhea, sweating, and weakness. In mod-
erate to severe cases of poisoning, there may also be salivation, lacrima-
tion, dyspnea, cyanosis, muscle fasciculation, convulsions, cardiac
arrhythmias, shock, coma, and death. Death, when it occurs is usually
due to respiratory failure.
At least one organophosphate pesticide, Isopestox (Mipafox) (bis-
isopropylamido fluorophosphate) has been shown to be capable of
causing demyelination of peripheral nerve fibers with resutlant neuro-
pathy (Bidstrup, 1953). This compound has not been used in the
United States. Scattered reports are available which suggest that two
of the more commonly used organophosphate compounds, parathion
(Petry, 1951) and malathion (Petty, 1958) may also be capable of
causing peripheral europathy. The evidence cited in these reports is
not convincing. Furthermore, if these two widely used compounds
were, in fact, neurotoxic, it would be reasonable to expect that over the
years, a multiude of cases of neuropathy would have been reported
and attributed to them. That this has not been the case strongly sug-
gests that the original allegations were incorrect.
Topical effects.—Skin—Contamination of the skin by organophos-
phorus pesticides may produce localized sweating, erection of hair, and
fibrillation of the muscles underlying the exposed area (Hayes, 1964).
For additional information on the effects of organophosphorus com-
360

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pounds on the skin, the reader is referred to the special report on Cu-
taneous Sensitization,
Eye—Contamination of the eye by organophosphorus pesticides
produces miosis, loss of accommodation, headache, eye pain, dimness
of vision, nausea and vomiting, conjunctival edema and hyperemia,
rhinorrea and nasal congestion (Grob, 1953). When the miosis is uni-
lateral, there is also a loss of kinetic but not static depth perception
(Upholt, 1056). More detailed considerations of the effects of organo-
phosphorus compounds on the eye are presented in section on the
eye.
Pulmonary—A discussion of the local effects of organophosphorus
compounds 011 the tracheo-bronchial tree and lungs will be found in
the Section of this report on the respiratory system.
Gastro-intestinal—The local effects of organophosphorus com-
pounds on the gastrointestinal tract have not been clearly described,
probably because these effects are obscured by systemic manifestations
resulting from gastroenteric absorption of the toxicant. In cases of
ingestion of massive amounts of direct cholinesterase inhibitors, death
or recovery with reactivation antidotes occur so quickly that clinical
evidence of local effects on the gastro-intestinal tract are difficult to
recognize. However, after ingestion of organophosphorus compounds
which are slower enzyme inactivators such as diazinon or malathion, it
may be possible to distinguish the explosive and uncontrollable diar-
rhea that persists during chloinesterase reactivation therapy. Such un-
controlled diarrhea often persists for some time after the other
systemic signs and symptoms have been controlled by treatment.
Sloughing of the intestinal mucosa has also been observed, however,
this may be due to the effect of the solvent in which the pesticide is
formulated rather than to direct chemical damage from organophos-
phorus compound (Quinby, unpublished data).
Carbamates and carbamoyl oximes: Many of the carbamates arc
rapid but reversible inactivators of cholinesterase and, as such, may
produce serious human intoxication. These compounds may also affect
the eyes and the mucous membranes of the mouth and throat topically
in a manner similar to organophosphate compounds. (Babione, 1966;
Quinby, unpublished data).
Field tests with Baygon (2-isopropoxyphenyl N-methylcarbamate),
carried out in Nigeria and Iran resulted in overt poisoning among
applicators and residents alike and indicated that clinical manifesta-
tions of intoxication correlate poorly with both red blood cell and
plasma cholinesterase levels in the stricken individual (Vandekar,
1965 j Vandekar, 1968). Carbaryl (1-Naphthyl N-methylcarbamate)
has also caused poisoning among workers (Hayes, 1963 Clinical
361

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Handbook). Temik (2-Methyl-2-(methylthio) propionaldhyde O-
(methylcarbamoyl)oxime) caused a near fatal case of fulminating
intoxication in a woman who ate the tip and several leaves of a mint
plant which had grown adjacent to rose plants whose roots had been
treated with Temik (Quinby, unpublished data).
Chlorinated phenoxy-acid compounds: Several authors have
attributed peripheral neuropathy to exposure to 2,4-Dichlorophenoxy-
acetic acid (2,4 I)) (Goldstein, 1950; Fullerton, 1968). In all cases,
signs and symptoms followed gross overdose resulting from exposure
of the skin to the liquid compound for many hours.
Organic mercurial compounds: Organic mercurial compounds are
commonly used as fungicides. Poisoning by organic mercurials is char-
acterized by signs and symptoms of nervous system involvement such
as headache; paresthesias of the tongue, lips, fingers, and toes; fine
tremors of the fingers and hands; and general incoordination. Irri-
tability and bad temper are often early manifestations of over
exposure. Sever intoxication may produce total incapacitation or death.
Acute human poisoning by organic mercurial compounds has been
reported infrequently but there have been many cases of chronic
poisoning, most of which were associated with the manufacture of
organic mercurial compounds, their use for treating seed, or the eating
of treated seed (Hayes, 1963).
Effects on the nervous system,—Inorganic arsenicals: Acute
inorganic arsenical poisoning produces a clinical picture involving
multiple organ systems. Following ingestion of trivalent arsenic,
there is a characteristic delay of from one-half to several hours. Early
symptoms include a feeling of throat constriction with difficulty in
swallowing. Violent abdominal pain accompanied by vomiting and
profuse, watery diarrhea follow. Other manifestations of systemic
involvement include muscular cramping, headache and, in severe
poisoning, convulsions, coma and death, Buchanan, 1962)
Studies carried out on several hundred wine growers who were
exposed for long periods to arsenical insecticides revealed electro-
cardiographic evidence of cardiac damage (Butzengeiger, 1949: Cited
by Buchanan, 1962). In California, during the period 1951 to 1963,
there were 42 fatal arsenic poisoning cases involving children. The
compound most often responsible was a sodium arsenite-containing
herbac-ide. The removal in California of this dangerous product from
the home market in 1961 was accompanied by a reduction in fatal
childhood arsenical poisoning. (West, Mil by, 1965)
Chronic arsenical poisoning may be divided into three phases. In
the first phase, the victim complains of weakness and loss of appetite.
There may also be nausea and vomiting. The second phase of intoxica-
362

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tion is characterized by symptoms of coryza, hoarseness and mild
bronchitis. Perforation of the nasal septum is a common finding. Skin
manifestations are common at this stage of poisoning. The third phase
of chronic arsenical intoxication is marked by peripheral neuritis,
which is often mild, at first, but which may progress to motor paralysis
in more severe cases (Buchanan, 1962).
Thallium: Thallium sulfate is used as an insecticide and roden-
ticide. Human poisoning is usualy the result of ingestion by a child
of thallium containing bait. Between 1954 and 1959, over 130 children
in southern Texas, alone, were poisoned by thallium in this manner.
(Reed, 1963)
Thallotoxicosis is characterized by polyneuronitis, epilation, gastro-
intestinal symptoms, encephalopathy and retrobulbar neuritis. A
bluish line may appear in the gums. The gastrointestinal and neurolog-
ical manifestations appear 12-14 hours after ingestion of the toxin
(Grunfeld, 1964). Epilation beginns in 10 to 14 days. Persistent
neurological damage was found in 54 percent of children who had
recovered from thallium poisoning. (Reed, 1963)
Effects on the skin.—It has been suggested that, although pesticides
are used extensively, they do not appear to produce skin disease as
frequently as certain other groups of chemical agents such as house-
hold chemicals and cosmetics (Fregert, Hjorth, 1968). Since little or
no relevant data are available from other states, reports published by
the California Department of Public Health indicate that this may
not actually be the case. These reports suggest that pesticide-induced
skin conditions are more likely unrecognized or unreported than
uncommon. The table summarizes reports of occupationally-related
skin conditions attributed to pesticides and other agricultural chem-
icals which were received by the State of California during the years
1964-1968. Since equivalent data are not available from other states,
the national picture can only be surmised.
For additional information, the reader is referred to the report on
the effects of pesticides on the skin which may be found elsewhere in
this section.
Chlorinated hydrocarbons: The chlorinated hydrocarbons do not
appear to be an important producer of dermatoses among the general
population. DDT has been applied directly to the skin and clothing of
countless thousands of individuals as a disease vector control agent
with few or no problems referable to the skin. Workers engaged in
the production of lindane have been reported to suffer dermatitis as
a result of exposure to an impurity, delta-heptachlorocyclohexane.
(Hegyi and Stota, 1965; cited by Hjorth, 1968). Purified lindane has
been used for several decades in the United States as a treatment for
scabies and lice with little problem (Hjorth, 1968).
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In Turkey, hexachlorobenzene-contaminated grain was ingested by
several thousand people in 1956. As a result a number of cases of
acquired porphyria cutanea tarda symptomatica occurred (Cam, 1959;
Schmid, 1960). Severe skin manifestations including photosensitivity,
bullae formation, deep scarring, permanent alopecia, and skin atrophy
characterized this condition.
Organophosphorus compounds: The direct cholinesterase inhibitors
(such as TEPP and Phosdrin) and the rapidly activated inhibitors
(parathion, demeton, disulfoton, etc.) may cause topical effects at
heavily exposed sites. These include excess sweating, erection of hair,
and twitching of the muscles just beneath the site of application
(Hayes, GR, 1964).
Previously existing dermatitis speeds absorption of organic phos-
phorus compounds and of other substances. A few of these compounds
or their formulations have been established as a cause of either contact
dermatitis or allergic dermatitis, TEPP (Quinby, unpublished data),
malathion (Milby, 1964), and DDVP (Cronce, 1968). In each of these
reports, patch tests were positive for the pesticide compound in the
purest form available. In the case of malathion, however, at least the
etiologic agent was not malathion itself but a reactant, diethyl fuma-
rate (Kligman, 1967).
Parathion, like malathion, has been shown to be a strong sensitizer
in man (Palmienteri, 1964). However, occupational dermatitis from
parathion has not yet been recorded.
Kaled caused dermatitis in 12 female chrysanthemum workers in
Florida, Exposure of the workers began only two hours after spraying.
Patch tests were positive in 3 out of 4 tested (Edmundson, 1967).
Dithiocarbamates: Practically all of the dithiocarbamates cause at
least mild dermatitis due to primary irritation (Hayes, 1963). Ziram is
extensively used and it has often been reported as the causative agent
(Quinby, unpublished data),
Chlorinated carbamates: Morestan causes erythematous to bullous
dermatitis in spray men photosensitized to this insecticide because of its
qumoxaline ring structure, which is common to a number of other
chemicals that likewise do so (Quinby, unpublished data).
Rosaniline dyes: Gentian Violet, a mixture of Rosaniline dyes has
been reported to irritate skin at low levels of exposure and to cause
hemorrhages in the skin and mucous membrane in persons accidentally
or occupation ally exposed to high concentrations of the chemical,
either as a dust or in solution (Quinby, 1968).
Chlorinated phenols: Acneiform or eczematous dermatitis has been
observed widely in industries using pentachlorophenol (Hayes, 1963).
Acute erythematous dermatitis was produced from contact with a
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mixture of a paint cleaner and pentachlorophenol. The patient excreted
pentachlorophenol in his urine for over 50 days (Benvenue, 1967).
Phenolic derivatives: Sodium orthophenylphenates and other salts
of that compound have caused contact and allergic dermatitis in almost
100 percent of workers sorting fruits and vegetables treated with this
fungistatic chemical (Scott, 1949). Even with every reasonable pre-
caution, a significant percentage of contact dermatitis still occurs
(Quinby, unpublished data).
Nitrogen compounds: Fine cases of skin irritation by herbicides
have been reported in England and Africa (Smith, 1966). Exposure
of the hands to Paraquat and Diquat has caused discoloration, soften-
ing and even shedding of fingernails from the topical destruction of
cells in the nail matrix (Samman and Johnston, 1969). One case of
nail damage from field use, three cases from manufacturing, and four
cases from formulation were reported from all over the world (Smith,
1966). Random application was followed in three workers by contact
dermatitis with erythema, violaceous erythema, encrustations, bullae,
edema, and exudative intertrigo (Spencer, 1966).
Captan fungicide was recently reported as a cause of occupational
dermatitis from apple-spraying (Fregert, 1967).
Difolatan, a carboximide fungicide, caused 264 cases of dermatitis
in orchard workers in tangerine groves of Japan in 1966 (Takama-
tsu, 1968). The lesions and course suggested that photosensitization
played a role. Barrier creams failed to control the disease.
Chlorinated acid derivatives: Twenty-nine workers engaged in the
manufacture of 2,4-D and 2,4,5-T developed either chloracne, or
porphyria cutanea, tarda (Bleiberg, et alr 1964). Hyperpigmentation
of sun-exposed areas was limited to the head, neck, and hands. Acnei-
form rash and scarring had a similar pattern. Excess growth of hair
involved the lateral half of the eyebrow and the temporal half of the
scalp. The 29 workers were exposed to a wide range of chemicals in this
process as well as hexachlorobenzene. The authors, however, were un-
able to find either of these two skin diseases in patients exposed to
finished formulations of 2,4-D, or 2,4,5-T.
Simple chemical compounds: Reports of dermatitis from sulphur,
polysulphide, and lime sulphur mixtures are so old that it is hard to
find recent citations (Shepard, 1939). Safety manuals usually refer
to the transient irritation of the skin, eyes, and respiratory tract
(Plunkett, 1966).
Metallic derivatives: Exfoliative dermatitis occasionally follows ex-
cessive exposure to arsenic compounds and milder dermatitis follows
occupational exposure (Neal, 1941; Patty, 1962). Complete loss of
hair following chronic poisoning with thallium sulfate has been re-
365

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Reports of Occupational!]/ Related Skin Conditions Attributed to Pesticides and
Other Agricultural Chemicals, California, 198^-68
Agricultural chemical
Total
1964
i96a
1966
1967
1988
Total . - 	 . 	
.. 2, 186
470
468
452
430
336
Organic phosphate pesticides (all) —
91
17
17
26
15
16
Parathion		
20
2
6
6
3
3
Systox 	 —	
4
1
1
1
1
	
TEPP	 	
2
1



1
Phosdrin	 - . ,	
1



1

Malathion _ 	 	
19
3
4
7
2
3
Trithion- - 	 	 _ _
3
2


1

Thimet	 _ _ 	-
5
3
2



Guthion__ 	 		...	
7
1
1
2
1
2
Bidrin	 - _ -
1



1

Other and unspecified— 			
29
4
5
10
3
7
Chlorinated hydrocarbon pesticides (all)	
93
21
12
22
17
21
DDT, chlordane, lindane, ke] thane _	
57
15
8
14
7
13
Endrin, aldrin, dieldrin, toxaphene. .
3

2

1
			
Other and unspecified	,
33
6
2
8
9
8
Lead and/or arsenic compounds _
21
4
5
4
3
5
Herbicides	 	 	 „	
-- 256
52
56
43
62
43
Fertilizers. 	 	
-- 143
35
35
22
29
22
Organic-mercury compounds	
17
2
2
2
7
4
Fungicides, n.e.c.1		 			
62
11
10
11
15
15
Phenolic compounds-			 	
101
20
16
36
15
14
Carbamates	 	 „ _
5
1
1
1
1
1
Sulfur	 	 	 	
.. ! 77
a
a
33
21
23
Other specified agricultural chemicals	
147
57
64
12
11
3
Unspecified. _ 			
1,144
242
246
235
224
197
1	Not elsewhere classified.
2	Sulfur included with other specified agricultural chemicals prior to 1066.
Source.—State of California, Division of Labor Statistics and Research, Doctor'* Firrt Report of Work
Injury, Statistics compiled by State of California Department of Public Health, Berkeley, Calif.
ported (Mathews, 1968). The organic mercurials cause a wide variety
of dermatoses including allergic reactions according to degree and
type of exposure (Patty, 1962).
Effects on the eye.—The eye may be affected by pesticides from both
direct topical contamination and indirectly as a consequence of systemic
poisoning. Reports from California for 1966 indicated that the eyes
were involved in 27 percent of all reported occupational accidents or
poisonings attributed to pesticides (California State Department of
Public Health, 1966). Most of these injuries were conjunctivitis due
to the irritative effects of these compounds.
Chlorinated hydrocarbons: Thermal decomposition of chlorinated
hydrocarbon produces various chlorine containing compounds which
are highly irritating to the eyes. Other than nonspecific irritation, there
366

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appears to be no important effect of chlorinated hydrocarbons on the
eye.
Organophosphorus compounds: When eye contamination is bilateral,
direct cholinesterase inhibitors cause signs and symptoms clinically
identical to the optic disturbances seen in systemic poisoning. Contami-
nation of one eye with TEPP, Phosdrin, Schradan (OMPA), Bidrin,
and other direct inhibitors causes excess tearing, miosis, increased near
and far accommodation, decreased light perception, and defective
kinetic, but not static, depth perception. Either unilateral or bilateral
miosis caused by contamination produces symptoms of mild headache,
sensations of pressure in the orbit, burning of the eyelids, rhinorrhea,
and improved distant vision (through camera effect).
One hundred and fourteen men poisoned in 1960 with organophos-
phorus compounds in California were questioned 3 years later to
identify sequelae of acute poisoning (Tabershaw, 1966). Eight of
these complained of continued disturbances of vision. Six of these
were attributed by the patients to the acute episode. In all six cases, an
etiology other than pesticides had beeu named by the attending
physician.
In 76 necropsies on patients dying from diazinon poisoning in India,
vascular pathology in the eyes, heart, brain, spinal cord, and genito-
urinary systems was attributed to diazinon (Limaye, 1966). However,
no consideration was given to other toxicants in the formulations
involved.
Bidrin was accidentally splashed into one eye of a worker when a
hose ruptured. Within 24 hours, the eye constricted and did not react
to light as did the other eye. The following day, both eyes were miotic
suggesting systemic absorption of the toxicant. There were no se-
quelae reported (Gallaher, 1967).
Carbamates and carbamoyl oximes: Topical ophthalmic effects of
the carbamate Baygon, appear to be clinically identical to those pro-
duced by organophosphorus compounds except that the duration of
signs and symptoms is shorter (Vandekar, 1968). The rapid and
spontaneous reversibility of the cholinesterase inactivation probably
explains this difference.
Chlorinated aliphatics: There have been a number of individual
cases and neighborhood outbreaks of moderately severe eye irritation
produced by the chlorinated aliphatic fumigants in connection with
their agricultural use as nematocides (Quinby, unpublished data). The
three compounds known to have produced these episodes are dichloro-
propane, dichloropropene, and chloropicrin.
Chlorinated phenols: Three cases of monocular retrobulbar neuritis
were attributed to a mixture of chemicals used for treating furniture.
These mixtures contained pentachlorophenol, ortho- and para-di-
367
ari-074 O—<6©	25

-------
chlorobenzene, and DDT (Campbell, 1952). The only chemical in com-
mon was pentachlorophenol which is not known to produce neuritis
(Hayes, 1963). One case of bilateral retrobulbar neuritis followed ex-
posure to a mixture of pentachlorophenol, dieldrin, and other unstated
ingredients in a mixture used for treating furniture (Jindal, 1968).
Chloro-2 phenylphenol and sodium orthophenyl phenate have
caused mild conjunctivitis as well as dermatitis in apple sorters (Scott,
1949; Quinby, unpublished data). Conjunctivitis also occurs after ex-
posure to Gentian Violet dust is in the air, but the predominant symp-
tom is nosebleeds.
Nitrophenols: Dinitrophenolic pesticides have not been shown spe-
cifically to cause optic disease under either approved use or accidental
ingestion (Hayes, 1963). However, in 1933, 2,4-dinitrophenol was
advocated as an oral agent for treatment of obesity. The consequences
were disastrous when cataracts appeared as delayed effects throughout
much of the U.S. (Horner, 1935).
Nitrogen compounds: Although Paraquat characteristically causes
injury to the lung, it also is very erosive to the eyes (Howe, 1965). As
part of the local irritant action of Paraquat, the concentrated material
is capable of causing eye damage. The full extent of the injury is not
apparent immediately but requires 24 hours to develop. The damage is
superficial, with extensive stripping of conjunctival and corneal
epithelium. Provided secondary infection is avoided and adequate
ophthalmologic care available, complete healing is possible within a
month. A farmer lost bulbar and tarsal conjunctiva a week after
accidental contamination of the eye with fluid concentrate of a Para-
quat/Diquat mixture. There was also partial loss of the cornea and
reactive anterior uveitis. All tissues healed between the 11th and 18th
days after exposure with conjunctival adhesions complicating recovery
(Cant and Lewis, 1968a). The same authors (Cant and Lewis, 1968b)
reported other cases of ocular burns with permanent corneal scarring.
Six milder cases of eye inflammation were reported from manufactur-
ing and formulating Paraquat (Smith, 1966).
Sulfur, polysulphides and related compounds: Sulfur, polysulphides
and related compounds used as acaricides, insecticides, and fungicides
(Shepherd, 1939), have produced moderately severe conjunctivitis in
formulators and spraymen (Quinby, unpublished data).
Metallic derivatives: Organic mercurial pesticides irritate the
mucous membranes of the eyes. Chronic exposures of workers handling
treated seeds have also produced optic neuritis with loss of irregular
portions of peripheral fields of vision (Bidstrup, 1964) and atrophic
changes of the fundus (Katsunuma, 1963).
Elemental pesticides: The crude lime-sulphur cooked or uncooked
mixtures used as fungicides on fruits since the latter part of the 19th
368

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century (Torgeson, 1967) have caused mild to moderate dermatitis
and conjunctivitis apparently from the primary irritating character-
istics of either oxides of sulfur or polysulphides formed in the heating
process (Quinby, unpublished data).
Vehicles: Reversible corneal injury from chemical keratitis caused
by accidental contamination of the eyes with propellants in aerosol-
type dispensers of pesticides has been reported (MacLean, 1967a).
Effects on the Respiratory System
Chlorinated hydrocarbons: Chlorinated hydrocarbons are not known
to affect the respiratory system directly but may be absorbed through
this route like most other chemicals (Hayes, 1963). Thermal decom-
position products of lindane (Hayes, 1963) and of Perthane (Quinby,
unpublished data) irritate the respiratory tract.
Organophosphorus compounds: Organophosphate compounds exert
a profound effect upon the respiratory tract. Systemic poisoning by
these toxins is accompanied by broncho-constriction and hypersecre-
tion of bronchial fluids and in severe cases, pulmonary edema. These
manifestations are a result of intense parasympathetic stimulation
which characterizes the action of organophosphorus pesticides. Of
even greater consequence to the act of respiration is the effect of or-
ganophosphates on the voluntary muscles of respiration, which is to
interfere with transmission of nerve impulses across the neuromus-
cular junction. During the early phase of poisoning this interference
gives rise to muscle fasciculation and weakness. In the severe case,
muscle paralysis and death from respiratory insufficiency follow.
Bronchoconstriction resulting from topical application of TEPP
(Tetraethyl pyrophosphate) has been reported (Quinby and Door-
nink, 1965).
The organophosphorus compounds have been reported by some ob-
servers to cause or exacerbate bronchial asthma (Weiner, 1961). How-
ever, other investigators have been unable to substantiate these find-
ings (Sumerford, 1953; Hayes and Dixon, 1957a; Ganelin, 1964a;
Jegier, 1965; Jegier, 1964b; Gardner, 1968; Fowler, 1953; Davignon,
1965).
Carbamates and dithiocarbamates: Both spraymen and inhabitants
who breathed dust swept from dirt floors in houses treated with Bay-
gon complained of bitter taste in mouth, and irritation of the lips, and
nose and coughing for a short time after exposure (Quinby, unpub-
lished data).
Similar but more severe signs of respiratory tract irritation is fre-
quently seen in workers exposed to dithiocarbamate dusts such as
ziram (Hayes, 1963).
Chlorinated aliphatics: The respiratory irritation caused by
369

-------
chloropicrin has been well-known since World War I, but its use as a
nematocide in California has also caused instances of respiratory irri-
tation so severe, that local residents had to leave their homes until the
gas cleared. Dichloropropene is another nematocide which may pro-
duce the same effect (Quinby, unpublished data).
Chlorinated phenols: Pentachlorophenol causes irritation of the res-
piratory tract even at dosages that do not produce systemic diseases
(Hayes, 1963). Dusts containing 2-ch.lorophenylphenate and sodium
orthophenylphenate also cause nasal and bronchial irritation as well
as nosebleeds (Scott, 1949; Quinby, 1968).
Nitrophenols: The nitrophenolic pesticides cause remarkably little
respiratory irritation even when quite large amounts are being inhaled
and the skin deeply stained. Skin staining with dinitrocresols or dini-
trophenols does not mean that the worker has been poisoned. However,
fatal cases have also shown staining of the lungs with edema and
hemorrhages (Hayes, 1963).
Nitrogen containing pesticides: Paraquat causes fatal poisoning if
swallowed in sufficiently large amounts. All deaths have been a result
of proliferation of cellular elements in the lung with attendant im-
pairment of ventilation. No systemic poisoning has resulted from its
use in agriculture where only local irritant manifestations on skin,
eye, or nasal mucosa have been observed.
Paraquat is absorbed poorly from the intestine and the fraction
absorbed is excreted rapidly in the urine; the bulk of it is excreted
unchanged within 48 hours. Because of the progressive nature of the
pulmonary fibrosis, death was often 3 or more weeks after ingestion
(Barnes, 1968). Individual case reports are available for more de-
tailed description of the clinical picture of Paraquat poisoning (Howe,
1965; Clark, 1966; McKean, 1968; Anonymous, 1967; Almog, 1967;
Manktelow, 1967; Matthew, 1968; Campbell, 1968).
Among the many cases that have recovered from Paraquat poison-
ing have been some manifesting severe hepatic and renal involve-
ment, where steroid therapy was instituted early (Weidenbach, 1969).
Miscellaneous: Weiner and Worth (1969) reported a positive cor-
relation between history of asthma, chronic bronchitis, and sinusitis,
and exposure to household insecticides. No specific causal association
has yet been established.
Effects on the cardiovascular system—Chlorinated hydrocarbons:
Animals killed with large doses of chlorinated hydrocarbon insecti-
cides show dilation of blood vessels and small hemorrhages secondary
to convulsions (Hayes, 1963). Health surveys of workers with intense
occupational exposure to chlorinated hydrocarbons have not detected
cardiovascular changes (Laws, 1967). The possibility that elevated
370

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DDT derived materials in body fat and the existence of hypertension
may be associated has been raised (Radomski, 1968) but no definitive
case for such a relationship has been established. A discussion of this
observation may be found elsewhere in this report.
Organophosphorus compounds: While there is no known direct ac-
tion of organophosphorus compounds on the cardiovascular system,
the following changes have been observed by various investigators:
1.	Hypertension or hypotension
2.	Hyperglycemia or hypoglycemia
3.	Bradycardia or tachycardia
4.	A-Y block and dissociation, exaggeration, and inversion of
T-wave
5.	Disappearance of P-wave
6.	Cardiac arrest
7.	Sub-epicardial hemorrhage
8.	Acute toxic myocarditis
(Hayes, 1963 Limaye, 1966; Orlando, 1967; Comstock, 1967).
Nitrogen containing pesticides: Paraquat ingestion has been fol-
lowed by myocarditis (Bullivant, 1966) and cardiac arrest (Oreopou-
las, 1968).
Miscellaneous pesticides: Ingestion of elemental yellow phosphorus
used as rat poison causes the usual signs of phosphorus intoxication.
Symptoms of severe gastrointestinal irritation occur as soon as one-
half hour after ingestion. This early stage may be followed by a latent
period lasting from a few hours to a few days depending on the
amount ingested. Later manifestations include abdominal pain, nau-
sea, vomiting, hematemesis, and other hemorrhagic manifestations,
jaundice, hepatomegaly, oliguria, toxic psychosis, convulsions, coma,
and shock. Severe damage to heart, liver, and kidney may occur with
death at any time. Cirrhosis of the liver has been reported following
recovery from acute poisoning (Hayes, 1968). Electrocardiographic
pattern simulates acute infarction of the anterolateral wall of the
left ventricle. X-ray confirms cardiac enlargement (Pietras, 1968).
Sodium fluoroacetate (1080) may cause death from ventricular
fibrillation or cardiac arrest (Deichman and Gerarde, 1964).
Hematological effects of pesticides.—Few systematic studies of the
effects of pesticides on the blood-forming organs have been conducted.
Most published information consists of case reports which describe
one or more patients who suffer some form of hematologic disorder
and who have had recent or, in some cases, remote exposure to pesti-
cides. While in most cases the hematological diagnosis is supported by
convincing evidence, pesticide exposure factors are often poorly docu-
mented. Since hematologic disorders are not uncommon and the use
371

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of pesticides is widespread, opportunities for a chance, rather than
a causal relationship must be carefully considered.
Lindane is the pesticide which has been most often implicated as a
cause of hematologic disorders (West, 1967 • Sanchez-Medal, 1963;
Stieglitz, 1967) but other pesticides have also received attention in
this regard: DDT (Sanchez-Medal, 1963); chlordane (Huguley,
1966); and parathion (AMA, 1965). However, it has been pointed
out that national trends in death rates from aplastic anemia, purpura,
and agranulocytosis have not changed from 1949 to 1958, a period of
increasing pesticide usage {Hayes, 1961). A study in California re-
viewed death certificates for the period 1954 through 1963 filed in a
county in which pesticides are used extensively. Comparative data
were acquired from statewide statistics. No significant differences
were rioted between death rates from aplastic anemia, and neoplasms
of the lymphatic or hemopoietic system when these two populations
were compared (Rappolt 1968).
Several authors have called attention to weaknesses inherent in
allegations relating pesticide exposure and hematologic disorders
(Mastromatteo, 1964; Christophers, 1969; Milby, 1968). There does
not appear to be sufficient evidence available at the time of this writ-
ing to categorically accept or deny this relationship.
Efleets on the gastrointestinal tract.—Chlorinated hydrocarbons:
It became apparent early through toxicological studies involving
animals that DDT and most other chlorinated hydrocarbons could,
and would, cause liver damage and dysfunction if dosage was suffi-
ciently high and exposure sufficiently prolonged (Hayes, 1963). Actual
experience, however, has not indicated that liver involvement is an
important consideration in connection with human exposure to most
of the chlorinated hydrocarbon pesticides. For example, Chlordane
has not been found to cause detectable liver damage in cases of acci-
dental ingestion (Curley, 1969) or in manufacturers with extensive
prolonged exposure (Fishbein, 1964).
In the course of a very unusual incident, hexachlorobenzene-con-
taminated grain was ingested by several thousand residents of Turkey.
As a result, a large outbreak of acquired porphyria cutanea tarda
symptomatica occurred (Cam, 1959). The characteristic disturbances
of porphyrin metabolism involved the liver (Schmid, 1960).
Over a period of 13 years, 826 workers engaged in the manufacture
of chlorinated hydrocarbons were observed. No evidence of liver
damage was found even in clinically poisoned men (Jager, 1968).
Organophosphorus compounds: The topical effects of organophos-
phorus compounds on the gastrointestinal tract have been presented
elsewhere in this report.
One group of authors believed that organophosphorus compounds
372

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have a specific toxic effect upon the liver (Gitelson, 1965). They sug-
gested that this was due to prolonged anoxia accompanying severe
intoxication and not to the pesticide itself. Liver damage has not been
demonstrated in recovered patients who did not suffer prolonged
anoxia.
Nitrogen compounds: Esophageal casts have been vomited by
patients who have ingested Paraquat formulations (O'Dwyer, 1968).
Ulcers of the tongue, pharyngitis esophagitis and gastric ulcers
resulted from an attempted suicide (Fennelly, 1968). Hemorrhagic
esophagitis was found in another case (Duffy, 1968). In a review of
fatal cases of Paraquat poisoning by ingestion, liver damage varying
from cellular swelling with fatty change to necrosis was noted (Kerr,
1968).
Effects on the genito-urinary system.—Chlorinated hydrocarbon:
While there is no recognized damage to the kidneys of man in uncom-
plicated poisoning with chlorinated hydrocarbon pesticides, there is
growing evidence in experimental and wild animals that high dosage
rates produce alterations in steroid mechnisms and in the reproductive
cycles of certain birds. A more detailed discussion of this phenomenon
is found elsewhere in this report.
Organophosphorus compounds: The effects of organophosphorus
compounds on the genito-urinary system differ with dose and with the
nature of the metabolic products of degradation.
Patients who have experienced profuse diaphoresis during acute
poisoning may follow with a period of oliguria.
Moderate albuminuria, acetonuria, and glycosuria may be present
during the late acute and early convalescent stages of poisoning
(Hayes, 1963; Quinby, 1963). Paranitrophenol excreted in the urine
of individuals exposed to parathion may cause mild dysuria (Hayes,
1963).
One group of workers noted generalized aminoaciduria in five of
nine organophosphorus poisoning cases (Davies, 1967). In a later
publication, these authors concluded that the aminoacidemia and
aminoaciduria which they observed did not represent a pathological
process. Present knowledge indicates that these disturbances of amino-
acid excretion may be individual biochemical differences (Tocci, 1969).
Chlorophenols: Sodium chlorophenylphenate has been reported to
cause mild nocturia and dysuria among workers exposed for prolonged
periods. This effect was observed in apple sorters. One patient devel-
oped dysuria and nocturia after using a new mouth wash containing
the same chemical used as a germicide. Complaints cleared when the
mouth wash was stopped (Quinby, unpublished data).
Pesticide content of human milk.—In 1951, results of analysis of
373

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32 samples of breast milk for DDT were reported in the United States
(Laug, et al., 1951). Values ranged from 0.00 p.p.m. to 0.77 p,p.m.*
with a mean concentration of 0.13 p.p.m. In none of the cases could the
high values be correlated with unusual exposure of DDT. The authors
concluded that "as yet clinical data are not available to assess whatever
danger may be associated with the DDT stored in the fat or excreted
in human milk in the quantities reported.71
Additional reports have followed from the United States and a num-
ber of other countries which describe levels of DDT-derived materials,
dieldrin, and hexachlorocyclohexane in human milk (West, 1964;
Egan, et al, 1965; Quinby, et al, 1965; Lofroth, 1968; Ourley, et al,
1969).
While the findings reported in these studies vary rather widely, it
appears that presently in the United States the content of DDT-
derived material in human milk ranges from 0.05 to 0.S7 p.p.m., prob-
ably averaging about 0.1-0.2 p.p.m. Because so few observations are
available and because of differences in analytical techniques used by
various investigators, these data are not suitable for the formulation
of comparisons either by time or place. Thus, with regard to human
milk, we do not know whether the level of DDT-derived materials
has changed during the last 15 years or whether differences between
various geographic areas exist. Precisely the same can be said for
dieldrin and hexachlorocyclohexane, although both appear to be pres-
ent in human milk in somewhat smaller quantities than DDT-derived
materials.
Of even greater importance than our lack of knowledge regarding
temporal and geographical variations in the content of organochlorines
in human milk is our ignorance of the health implications of their
presence. It has been estimated that the average breast-fed child
ingests daily about 0.02 mg. DDT-derived materials per kilogram of
body weight (Lofroth, 1969). This amounts to twice the acceptable
daily intake (ADI) of DDT-derived materials recommended by the
World Health Organization. The difficulty of interpreting this ADI in
terms of risk to the nursing infant is reflected in the fact that neither
the scientific community in the United States or elsewhere in the
world has recommended that breast feeding be abandoned in favor of
other methods of infant nutrition. Quite the contrary has been the case
in that specific recommendations against abandonment of breast feed-
ing have been made (Lofroth, 1969).
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377

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An appraisal of hazards to man from long-term, exposure to pesticides
A large variety of chemical substances has been applied on a world
wide basis in recent years for control of pests. The pests against which
this defense is developed include insects and arachimids, fungi, nema-
todes, rodents, and herbs. The substances are used by agricultural
workers to combat crop pests, by health workers to combat infectious
disease vectors, and by individual householders to combat home and
garden pests. Some 14 compounds or chemically allied groups of com-
pounds constituted about half the total volume of pesticide produc-
tion in 1966 while a large number of individually uncommon substances
constituted the remainder. (Table 1.) Many of these materials have
been developed during World War II and more recently. During
the decade of the 1960's production of the 14 most common compounds,
considered as a group, has been generally constant, with about half
the compounds falling off moderately in volume and half increasing.
The total volume of the numerous less common substances has approxi-
mately doubled as a consequence of introduction of new compounds
and increased production of a number of the previously little used
substances.
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Table 1.—U.S. Pesticide Production, 1966
[Thousand pounds]
Calcium arsenate	 2, 890
Lead arsenate	 7, 328
Copper sulfate	103, 416
Aldrin-toxaphene group	 130, 470
Benzene hexachloride	 16, 778
DDT 	141,349
Methyl bromide	 16, 345
Methyl parathion	 35, 862
Parathion 	 19,444
Ferbam 	 1,379
Nabam 	 2,053
Zineb 	 4,721
2,4-Dacid 	 68,182
2,4,5-Tacid 	 15,489
Other organic pesticides	 577, 816
*1963 production.
Among: the more common group the best known and most common
is DDT, and this compound has fallen off moderately in production.
Another well known group consists of sevei il related compounds, the
most common of which are aldrin and dieldrin, and this group has
increased moderately, approaching DDT in volume in recent years.
The sharpest increase has been in parathion and methyl parathion,
which have approximately tripled but are still produced in only about
one-third the volume of DDT.
Acute toxicity associated with gross overexposure to most of the
common compounds has been observed, and it may be assumed that all
are capable of toxicity and death in sufficient dose. Susceptibilities of
various species expressed as LD50 values, have been assembled by
Hayes (23) for many pesticides and have been compared with human
clinical susceptibility where this information is available.
It is clear that vastly extensive use of such toxic compounds might
have effects on human health not recognizable as acute toxicity syn-
dromes. Recognition of the true nature of such effects might be ob-
scured either by the mildness of symptoms or by the long latent period.
Much research has been reported, largely in the past 15 years, con-
cerned with these potential effects. This paper will summarize the
principal findings of this literature, will discuss the implications of
time trends that have been investigated, and will attempt to identify
areas where further research is needed. The findings can be conven-
iently presented in three general categories, namely studies of the dis-
tribution of pesticides in man's environment, studies of tissue levels of
pesticides, and studies of health of exposed groups.
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Pesticides in man's environment—Accidental exposure: Haynes (9)
lias described the known episodes of poisoning "epidemics", in which
groups of people have been made ill by some common circumstance of
exposure. The present paper is not concerned with single exposures,
as were involved in all these epidemics, but the nature of exposure
involved in these accidents is relevant to considerations of illness due
to long continued exposure. In no instance did an acute poisoning
episode result from minor carelessness with specified tolerances. Rather
these episodes followed gross spillage of bulk pesticides. In most
episodes the pesticide was spilled on food, but in one instance it was
spilled on boy's pants. Poisoning resulted from contact when the pants
were worn. In another instance a fungicide used for seed treatment
caused poisoning when the seeds were eaten. The treatment was a
preparation for planting, and it was never intended that the seeds
should be eaten.
Occupational exposure: Durham and others (31) described occupa-
tional exposures in a series of job categories, ordered in terms of
relative intensity of exposure. From greatest to least exposures these
were (a) mixing plant personnel, (b) ground applicators, (c) pilots
(of spraying planes), (d) loaders and flagmen, and (e) warehousemen.
Laws and others (36) classified individual workers according to the
subjective rating given by their supervisors and the workers them-
selves as to intensity of exposure.
Some of the difficulties of such a classification become apparent in
Stein and Hayes' study (3) of pest control operators. For this study
the cooperation of the National Pest Control Association was obtained.
It was learned tl at the average number of employees of member com-
panies of the association was 6.2. Laws' study showed that of 1,098
former employees of one large company, in operation for 19 years, only
292 had worked for 6 months or more.
This then is in large part a group of small businesses with
highly transient workers. Workers move from one type of work to an-
other within this occupation and deal with a variety of pesticides from
day to day. Recognized occupational toxicity is heavily concentrated
in body surface injury, skin conditions, eye conditions, and chemical
burns. Respiratory conditions are less common. Systemic poisoning
accounts for a large proportion of cases, and it may be presumed that
the routes of intake include skin absorption, respiratory tract absorp-
tion, and oral ingestion.
Quantitative estimates of occupational exposures have been made
for DDT and dieldrin by reference to accumulated deposits of these
compounds in body fat of the workers. Darham (36) has prepared a
graph from data of various investigators indicating concentrations in
383
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fat corresponding to constant dietary intakes of DDT and dieldrin.
By use of this relationship it is possible to say that a specified occupa-
tional exposure is "equivalent" to a known constant dietary intake
of pesticide. In this sense Laws' hifjli-exposure workers have an intake
corresponding to a dietary intake of 18 mg. per day DDT, while his
medium- and low-exposure men have intakes corresponding to 6.2 and
3.6 mg. per day, respectively. These values may he compared with an
estimated 0.2 mg. per day DDT in diets of "general populations," to be
discussed below. Thus some workers appear to have chronic occupa-
tional exposures almost 100 times common general population
exposures.
Heavy environmental exposure : Quimby and others (1) have studied
populations living within 500 feet and within 5,200 feet of regions
undergoing agricultural application of pesticides. No actual measures
of air concentration or food contamination for these people are re-
ported, but in terms of fat concentrations no unusual intake appears
to have occurred as a result of this proximity to pesticides.
General population exposure : A number of investigators have made
estimates of exposures to pesticides relevant to general populations.
Campbell and others (32) give the following estimates for the total
of DDT and its most common degradation product DDE (table 2).
The estimate for food in table 2 is derived from a number of
detailed studies, discussed further below. The estimates for air and
water are based on very few observations and the category "Other"
is largely speculative. The principal conclusion drawn by the authors
is that the food component is of overwhelming importance. While this
pattern of exposure probably represents the great majority of the
U.S. population to a reasonable approximation, there is reason to
suppose that the picture is rather different for a substantial minority.
This conclusion follows from the population distribution of pesticide
Table 2.—Annval intake DDT plvs DDE
DDT plus DDE
Annual intake	Concentration	mg.
Air	 13,000 ma	2X10-4 microgm per m3	 0.03
Water	 0.364 m3	 0.02 parts per billion..-		 0.01
Food	 560 kg	0.08 parts per million		44.8
Other'	 5.0 (?)
Total				50. 0 (?)
1 Other includes skin adsorption and intake resulting from individual household
use.
364

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concentrations in fat, to be discussed below. This distribution charac-
teristically shows up to 10 percent of individuals with pesticide con-
centrations in fat higher than reasonably explained by observed
distributions of these substances in diet. While some of these are prob-
ably individuals with occupational exposures not identified in the
research, it must be considered that the category "Other" in table 2
may become the predominant component of pesticide intake in many
instances. This could occur with habitual unregulated household use
and other unusual habits of exposure practiced by a few percent of
general populations.
The principal quantitative data on exposure to pesticides for general
populations comes from food studies. Duggan and Weatherwax (30)
have reported one such study and have reviewed a number of others.
These studies establish the ubiquitous distribution of a wide variety of
pesticides in U.S. diets. Chlorinated organic pesticides are present at
detectable levels in all foods except beverages. Approximately half the
consumed pesticide load is in meat, fish, poultry, and dairy products.
It may be mentioned that the pesticide in these foods results from
consumption of pesticide by the animals involved and not from direct
application of pesticides to the animal products.
Hayes (6) has shown a significant difference in dietary intake for
the following dietary categories: (a) low values in diets of "meat
abstainers" (individuals who permit only certain limited use of meat
in their diets), (b) intermediate values, in the range of 0.2 to 0.3 mg.
per day of DPT plus DDE, in institutional meals of restaurants,
prisons, and hospitals, and (6 paper had shown no increase in DDT concentration
since 1950.
Campbell and others (2) have assembled a number of detailed
reports indicating concentrations of a variety of pesticides in a number
of foods and in various parts of the United States.
Pesticides in body tisanes.—An extensive literature describes the
findings of many investigators who have studied pesticide levels in
body tissues. The greatest part of these reports concerns studies of fat
obtained at autopsy. A smaller number of biopsy samples, usually ob-
tained at the time of surgery for a variety of operative procedures,
generally agree with autopsy findings. Radomski and others (16) in
1968 extended this type of study to include concentrations in liver and
brain, and Casarett and others (17) studied some 12 different tissues.
Davies and others (21) have studied blood levels and have emphasized
385

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the value of this technique for obtaining samples from large numbers
of living individuals with minimal trauma.
Hayes (37) has studied volunteers exposed to doses of 3.5 mg. per
day and 35 mg. per day DDT. The establishment of an equilibrium
level of DDT in fat has been shown to result in about 12 months on
these levels of exposure, and the attained equilibrium level has been
shown to increase with increased exposure. The principal degradation
product of DDT is DDE, and this compound is also stored in fat. The
equilibrium condition between oral intake, deposited DDT, and de-
posited DDE is not attained within 12 months and is the subject of
continued study.
Variations of DDT concentrations in body tissue with age, sex, race,
geographic location in the United States, and in a number of countries,
occupational exposure, diet, and time have been studied. Davies and
others (21) have done an extensive study of this sort, based on a vari-
ety of available populations, including autopsies, mothers undergoing
Caesarean section, newborns, children, certain employee groups, and
institutional inmates. The total of these populations is 509 individuals,
and demographic subgroups by age, race, and sex are in many cases
represented by very small numbers. Some findings of this study are
the following:
Newborn infants and cord blood have easily detectable levels of
DDT and its products.
Race and sex differences are not demonstrable at birth with the
sizes of samples used.
Levels at age 6 to 10 years are substantially higher than those of
infants, but for most groups there are no substantial further
increases in concentration with age 10 and higher.
Levels for Negroes are substantially higher than those of whites
at similar ages, same sex.
Sex differences are small and inconsistent for white populations,
but for Negroes male levels are higher than female.
These findings agree in general with those of other investigators.
Pesticides other than DDT and DDE have been studied in tissue
deposits in several investigations, but the wealth of detail has not yet
been obtained. Wasserman and others have demonstrated dieldrin in
autopsy tissue from several countries (5). Robinson and others (5)
failed to detect endrin or heptachlor but did demonstrate lindane in
small quantities and HEOD (residue of aldrin and dieldrin) in mode-
rate quantities in England. Casarett and others have reported levels
of heptachlor and of dieldrin in a number of autopsy tissues (17).
Dale and others (18) have shown levels of hexachlorcyclohexane,
dieldrin, and heptachlor in populations of India. Edmundson and
386

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others (%0) have studied variations of dieldrin by age, sex, and race,
with the general observation that these variations are less than corre-
sponding demographic differences for DDT levels. Hoffman and others
have shown that in Chicago lindane is the only pesticide other than
DDT found reguarly in autopsy fat (27 and 35). Zarvon and others
(£8) have failed to demonstrate endrin but have found lindane and hep-
tachlor epoxide in samples from four areas within the United States.
A number of geographic comparisons, within the United States and
between countries, are presented in the above material on both DDT
and other compounds. Edmundson and others (W) have emphasized
the need for caution in most such comparisons because of lack of in-
formation as to demographic characteristics of the population samples
used in different studies.
One of the most important correlates of pesticide levels from the
point of view of assessing general population hazard is time. Campbell
and others (32) have presented table 3 as indicative of time trends:
Table 3.—Percent distribution ojDDT levels in human fat, as determined
by several investigators

Range p.p.m.
1951
1966
1958
1903
0		

	 20
0
3
1
0.1 to 1 	

	 9
0
0
20
lto5	__

			 28
25
69
65
5 to 10	

			 28
61
25
13
10 to 20	

. . 	 12
14
3
1
Over 20	

	 3
0
0
0



Total. ..

	 100
100
100
100
Hoffman and others (55) in discussing these and similar data for
DDT and other compounds conclude that the storage of DDT products
in human fat has not increased in the period 1951 to 1966. Davies and
others {21) argue against accepting this conclusion in view of the
lack of strict comparability of populations. It may be noted that
Edmundson (20) and Davies (£/) are correctly pointing out potential
errors in data analysis but are not showing that the deficiencies noted
have, in fact, resulted in any error in interpretation of trends.
Medical findings in relation to pesticide exposure.—To assess the
hazard of pesticides to health, studies have been made of physical
findings, symptoms, and laboratory findings.
Laboratory studies may serve both as measures of exposure and as
measures of resulting pathology. The tissue levels of chlorinated
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hydrocarbons, discussed above, are generally interpreted as measures
of exposure. Similarly levels of DDA in urine, the principal degrada-
tion form of DDT in urine, and paranitrophenol in urine, the major
metabolite of parathion, reflect exposure and are not considered
measures of pathology.
This distinction between measures of exposure and measures of
effect is not always clear. Thus Casarett and others (17) and Hayes
(£3) have discussed the possibility that DDT levels in fat may them-
selves constitute a health hazard. Rapid mobilization of fat in nutri-
tional deprivation may result in sufficiently high residual DDT levels
to produce conventional toxicity. Hayes notes that this is theoretically
possible, since the elimination of fat is more rapid than that of DDT.
It is not possible to see such a result with stored dieldrin, since dieldrin
is excreted more rapidly than fat. Such toxicity has actually been
demonstrated for DDT in rats in laboratory experiments.
Decrease in plasma cholinesterase frequently serves as an indicator
of exposure to organic phosphorus insecticides, but extreme depression
of cholinesterase, seen in acute toxicity, is itself an emergency path-
ologic finding. Whether chronic mild reduction of cholinesterase is
pathologic, and if so at what level, is not known.
Similar considerations are relevant to abnormal distributions of
serum and urine amino acids in agricultural pesticide workers described
by Davies and others (12), to abnormal renal phosphorus reabsorp-
tion described by Mann and others (7,12), and to stimulation of liver
microsomal enzymes discussed by Radomski and others (16), Thomp-
son and others (34-), Davies and others (33), and Hayes (23). These
laboratory findings are not known to be associated with any sympto-
matic illness. The possibility is under investigation, however, that one
or another of these deviations may interfere with physiologic response
to disease or with metabolism of drugs or of other toxins.
The reports to be discussed in the following paragraphs are con-
cerned with relations between pesticide exposure and measures of
morbidity and mortality. These include studies of specific diseases in-
vestigated because of suspicion raised by the toxicologic nature of the
drugs or because of acute toxicity effects. Also included are studies of
general diagnostic distributions, designed to identify diagnoses as-
sociated with pesticide exposure but not suggested by any prior in-
formation, and studies of such general measures as overall morbidity,
overall mortality, work absenteeism, and length of hospital stay.
1. Specific morbidity conditions: (a) Blood dyscrasim.—Three
pesticides, chlordane, gamma benzene hexachloride, and parathion
were categorized by the American Medical Association in 1965 as
known hemotoxic, with effects aplastic anemia (all 3 pesticides),
388

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thrombocytopenia, leukopenia erythroid hypoplasia (chlordane and
gamma benzene hexachloride are listed as associated with the last 3
effects). Hayes (9) and Christophers (13) have questioned the evi-
dence on which these listings are based. Brown (19) has received the
studies reporting associations and lists an increased leukopenia in a
group of apple growers (39), a myelogenic blood dyscrasia following
exposure to benzene hexachloride, and a number of case reports of
blood dyscrasias associated with lindane (gamma benzene
hexachloride).
(&) Neurologic abnormalities.—Durham and others (31) investi-
gated the familiar complex of central nervous system symptoms
following severe poisoning by organic phosphorus compounds to de-
termine whether a mild form of this complex was found at low levels of
exposure. In a study of workers with a variety of degrees of pesticide
exposure together with a group of individuals with no known exposure
these authors were unable to demonstrate any correlation between
mental alertness and exposure. They did repeat the finding of previous
studies of a decrease in alertness as part of the symptom complex of
acute poisoning, and they concluded that these symptoms were dem-
onstrable only at exposure levels sufficient to cause other clinical signs
of systemic illness. Hayes (9) came to a similar conclusion in a study
of lapses of attention following pesticide use.
Davignon and others (39) studied 441 apple growers together with
smaller numbers of persons living in the environment of the apple
growers, but not involved in the care of the orchards. A control group
of 162 people with neither occupational nor environmental exposure
was studied. Neurologic abnormalities were identified both by medical
history and by special neurologic physical examination. Growers
showed increased objective neurologic signs, and environmentally ex-
posed persons showed intermediate rates between growers and con-
trols. A similar conclusion was found by relating frequency of find-
ings to duration of exposure for the growers. Subjective, neurologic
symptoms were reported significantly more often in the growers and
environmental contacts, with the contacts showing a somewhat higher
frequency than the growers. The authors note age and sex differences
among the three groups studied and suggest that a part of the neuro-
logic differences described may be attributable to these two variables.
No analysis is undertaken to take this into account.
(c.) Respiratory symptoms and signs,—One study of home use of
pesticides in Hawaii showed reduced ventilatory function and higher
prevalence of asthma associated with frequent application of spray
insecticides.
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3. General measureh of morbidity and- mortality.— (a.) Stein and
others (£) obtained data on the entire illness history of employees of
firms belonging to the National Pest Control Association and their
household members, including: household members who had died with-
in 15 years prior to study. These data were obtained by means of a
mailed questionnaire. The authors conclude that the data give no in-
dication that exposure to pesticides lias affected health of personnel
to any significant degree.
A number of methodological problems were encountered in this
report. Response was obtained from only 12 percent of member com-
panies and from only 20 percent of employees. The survey was directed
only at employees currently active at the time of survey so would not
include persons who had left employment except in the case of in-
active employees who were reported as members of households of ac-
tive employees. Although the questionnaire asked about all present
and past illness excluding colds, influenza, and childhood disease, only
14 percent of employees who returned questionnaires reported any dis-
ease at all. This is compared by the authors with the finding of 40
percent found to have disease in a health examination survey in an-
other industry. The principal comparison as to illness is made between
servicemen, clerks, and administrators. Only 7 percent of clerks re-
ported any illness and over half of these failed to answer the question
as to years of pesticide exposure. As the authors note, the clerks ap-
parently thought the questionnaire did not apply to them. It, is not.
clear that administrators had greatly different exposure history from
servicemen. At least, 83 percent of servicemen and 78 percent of ad-
ministrators had worked with pesticides for over a year, and the
median number of years exposed is actually greater for administrators.
Thus methodology seems to invalidate any comparison with other
studies, and the only available internal comparison involves two
groups whose differential exposure is unknown and may be very small.
(b) Hayes (9) and Hayes and others (37) have described the health
of volunteers who ingested DDT 3.5 mg. per day and 35 mg. per day
for 21 months and were observed for another 27 months. The study
has given some of the most satisfactory data available on metabolism
of DDT in humans. The general health of the participants was also
studied, but methodologic problems limit the usefulness of that part
of the study. The authors report that no illness was observed that did
not have an easily recognized cause clearly unrelated to exposure to
DDT.
The study included 34 volunteers assigned to ingestion of DDT at
either 3.5 mg. per day or 35 mg. per day. One of these dropped out
390

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before the first dose and two more dropped out in the first month.
Only 10 completed 1 year, three on the 3.5 mg. per day schedule and
seven on the 35 mg. per day schedule. Only four completed 18 months,
all on the 35 mg. per day schedule. An extensive health evaluation with
special reference to neurologic findings was made at the time of ending
study for each individual. A variety of symptoms reported by one
volunteer are attributed by the authors to "psychoneurosis," though
no psychiatric evaluation is reported. It is said that changes were ob-
served in various volunteers in weight, blood picture, and vital signs,
but none was correlated consistently with increased dosage of DDT or
with increased duration of exposure. Clearly with these small numbers
of subjects a correlation would have to be very high indeed to become
apparent, and one could hardly anticpate a statistically significant
result. An extensive series of neurologic tests was done, including tests
for loss of coordination and tremor. All participants remained normal
in regard to these.
(c)	Brown (19) reviews two additional studies of general health
of heavily exposed groups. One study showed no ill effects, while the
other showed only transient changes in electroencephalograms with
complete recovery on removal from exposure. This latter study in-
volved 300 workers observed over 1,300 man years' exposure. Brown
concludes that there is little evidence to suggest a threat to health from
current use of organiochloride pesticides.
(d)	Laws and others (36) made an intensive study of 35 heavily
exposed DDT production workers. Workers were categorized as high,
medium, or low exposure subjects. A large number of abnormalities
of physical examinations and laboratory tests are reported. These are
not listed separately for the three exposure groups, though with the
small total it is understandable that no such comparison was attempted.
The authors note that none of several other population health studies
is appropriate for comparison. Two findings are thought to represent
possibly increased frequency of pathology, namely 8.6 percent diabetes
mellitus (three cases) and 14 percent increased lymphocyte/granulo-
eyte ration (five cases). The authors conclude that their findings over-
all do not differ significantly from those one might expect from a group
of similar age and socioeconomic status without DDT exposure.
(e)	Three studies present data from autopsy material relating pes-
ticide levels to pathology (16,17, 35). The principal positive finding
reported by Casarett and other (17) was an increased level of orga-
nochloride pesticides in patients with all three of cachexia, carcinoma,
and liver disease. Radomski and others (16) found increased pesticide
concentrations in patients with any of the conditions cirrhosis of liver,
carcinoma, or hypertension. The third paper (36) found no positive
391

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associations between pathology and pesticide level. The specific triad
noted by Casarett was not investigated in this paper, though liver
diseases and cancer considered separately were investigated and
showed no suggestive relationship.
The authors of the two studies with positive findings carefully avoid
implying a causal effect of pesticides. Radomski and others, however,
are able to exclude the explanations of length of hospital stay or inani-
tion as mechanisms for producing artifactual associations,
D isoussion.—The material that has been described points to two
suggestive conclusions. First, it is suggested that pesticides currently
in use are responsible for little or no human morbidity or mortality
other than that of acute toxic episodes due to massive exposure. Second,
it is suggested that a physiologic equilibrium has been reached with
the present level of exposure to DDT and that continued exposure
at this level will result in no additional tissue accumulation in humans.
1. Hazards of current pesticide use.—A number of exceptions to the
first conclusion have been noted. These include the following;
(a) Leukopenia in apple growers
(5) Neurologic signs and symptoms in apple growers
(c)	Respiratory signs and symptoms in home sprayers
(d)	Transient changes in electroencephalograms in organo-chlo-
ride pesticide workers
(e)	Cachexia, carcinoma, liver disease, and hypertension asso-
ciated with elevated pesticide tissue levels at autopsy.
In addition individual case histories of certain hematologic condi-
tions in persons with pesticide exposure have been interpreted by some
as evidence of hemotoxicity. Finally certain laboratory findings unas-
sociated with clinical disease have been proposed as evidence of organ
damage with potential delayed effects in morbidity or mortality. The
paucity of conditions listed here and the general lack of confirmation
among studies gives only weak support to the argument of a health
hazard from occupational or general population exposure to pesticides.
A number of negative studies have also been described, and we can
examine the strength of this negative evidence. Several of these in-
volve extremely small numbers of exposed individuals. Such small
samples are, of course, appropriate only for identifying extremely
common conditions at the exposure levels studied. Methodologic prob-
lems have been discussed which largely negate the findings of a mailed
questionnaire study (2). Several studies of occupational groups are
concerned with the health of presently employed individuals but pre-
sent no information on discontinued employees. Autopsy studies are
as unsatisfactory in presenting negative evidence as with positive
associations.
392

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Hayes {23) lias presented an excellent review of toxicological prin-
ciples related to the present problem. He points out the generality of
dose-response relationships and the necessity of taking advantage of
these relationships in studying hazards associated with low doses. Low
level DDT exposure is essentially universal, thus making unexposed
controls unavailable. Nevertheless much can be determined about low
level hazards from study of populations exposed at a variety of rela-
tively high levels. As a general rule, if the incidence of some path-
ologic condition has been determined at some high dose, the same
condition may be expected at low incidence at some lower doses, often
with a longer latent period. The dose-incidence relationship may be
such as to suggest a zero incidence at some finite dose, the "threshold"
dose, and all lower doses. The dose-latent period relationship may im-
ply a latent period longer than life expectancy for some low dose.
Commonly a given dose is more toxic when administered over an ex-
tended time period than when administered in a single exposure. This
increased effect with long-term exposure is often of the order of a
doubling effect and is rarely as much as a 10-fold effect. As Hayes
points out, the concept of zero incidence is of limited usefulness and
must be taken in relation to the size of population under consideration.
If an apparent threshold has been established in studies of 100 exposed
individuals, it must be understood that a lower apparent threshold
would probably be found in studies of 1,000. These general principles
do not permit any precise quantitative extrapolations from high dose
to low dose risks. One can, however, speculate as to the nature of dose-
response relationships and the consequent low dose risk.
Hayes has given 6 mg. per kg. as the lowest DDT single oral dose
with known clinical effect, while 10 per kg. is said to result in clinical
effect in 50 percent of exposed persons. If the lowest dose with clinical
effect has been determined in observations of populations of 100 ex-
posed to this rather massive dose, it implies an observed incidence of
at least 1 percent. It may be further supposed that the observed inci-
dence was probably less than 10 percent, since, if as many as 10 indi-
viduals had shown a clinical effect at this dose, several would probably
have shown an effect at a somewhat lower dose. Occupational expo-
sures and experimental exposure of volunteers have involved repeated
daily oral doses of 0.5 mg. per kg., or one-twelfth the lowest single oral
dose with known clinical effects. Whether daily doses of 0.5 mg. per
kg. continued for periods of months constitute a greater or less insult
than a single oral dose of 6 mg. per kg. is not clear, but it seems reason-
able that these may represent similar orders of magnitude. These
heavily exposed workers and volunteers were therefore probably at
393

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risk of 1 to 10 percent clinical effects, and with the small sizes of
populations studied it is not surprising-that no effect was demonstrated.
Lightly exposed workers and some individual heavy pesticide users
probably experience lower exposure by a factor of 10, and present
day populations with only dietary and incidental exposure experience
lower exposures by a factor of 100 (i.e. 0.005 mg. per kg. per day or
0.35 mg. per day for an average sized man). If we imagine linear
dose response curves with no threshold, the incidences of clinical
effects would be 0.1 to 1 percent for lightly exposed workers and
0.1 to 1 per 1,000 for present day populations. The available negative
studies generally involve populations too small to identify incidences
in this range. Long latent periods may occur at low doses, and most
present studies are inappropriate for investigating such effects. It has
been noted that studies of active workers, without followup of dis-
continued workers, will systematically tend to miss any serious condi-
tion whose prodromes influence continuing employment. The mild
neurologic symptoms (39), respiratory symptoms (.£), and "psycho-
neurosis" (37) noted in various studies could result in such a selective
bias.
If only trivial diseases are involved, incidences of the order of 0.1
to 1 percent in occupational exposure and 0.1 to 1 per 1,000 in general
populations can probably be accepted as commensurate with the bene-
ficial results of pesticides. If, however, serious conditions with obliga-
tory latent periods, such as malignancies requiring a cell multiplica-
tion interval for recognition, are involved, these risks may not be
acceptable. Other late appearing conditions that may be considered
are neurologic degenerative conditions and chronic obstructive respi-
ratory disease. The possibility of malignancies is suggested by corre-
lations found in autopsy material (16, 17) and by laboratory animal
studies {38). It should be emphasized that the authors of all these
reports have cautioned against a causal interpretation in human malig-
nancies but rather have indicated an area in which positive findings
remain unexplained.
2. Time trends of hazards.—The principal data relative to time
trends relate to tissue levels of DDT, and the general finding is a con-
stant level over recent years or a moderate fall in level. Methodologic
difficulties with this evidence have been discussed and relate to lack
of comparability of survey procedures at different periods of time.
The difficulties might work either to exaggerate or to obscure time
trends. There is no evidence specifically suggesting that increasing
hazards have been overlooked.
A similar conclusion comes from observations of DDT levels in
foods being consumed by humans.
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Durham (14) has suggested that a similar steady state has been
reached for dieldrin. For other pesticides time studies are unavail-
able or inadequate for judging trends.
Summary.—A review of published reports of epidemiological studies
of human hazards from long exposure to pesticides fails to demon-
strate any definite increase in morbidity or mortality attributable to
these compounds. Exposure is found to be essentially universal
throughout developed and "developing" countries of the world, over
all social classes, over ages from newborn to all adult ages, and for both
sexes. Wide variations of exposure exist, with extremely high levels
being associated with occupational exposures.
Published data similarly demonstrate no increase in exposure in
recent years to the most commonly used pesticides.
While the two above conclusions argue against a present or imminent
hazard, a number of deficiencies in the available evidence have been
cited. Studies are not adequate for recognizing conditions of low inci-
dence, of the order of 0.1 to 1 per 1,000 in a short interval following
exposure. Studies are not adequate for identifying diseases first appear-
ing after latent periods of several years.
There is no clear evidence linking human malignancy causally with
pesticides. Associations of malignancy with pesticide level in autopsy
material, however, remain unexplained. Carcinogenesis has been
demonstrated in experimental animals, rodents and fish, from pesticide
doses that have no counterpart in human exposure.
The following types of studies are recommended in relation to the
above observations:
1.	Continued study of pesticide levels in foods for human con-
sumption, Standard methods for food sampling and for pesti-
cide analysis for the common compounds should be established
in order to make interpretation of time trends possible.
2.	Pesticide levels in human tissues should be studied in popula-
tion samples selected to represent general populations. The
availability of techniques for analysis of pesticide levels in
blood makes such studies feasible. Standard sampling and
analytic methods should be adopted for time trend analysis.
3.	Epidemiologic studies appropriate for identifying low inci-
dence conditions should be carried out.
4.	Epidemiologic studies appropriate for identifying conditions
appearing after latent periods of several years should be carried
out.
5.	Longitudinal studies of heavily exposed populations should be
carried out. Populations to be investigated may include: (a)
Workers with high and medium occupational exposure, (b)
395

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persons who have experienced one or more acute toxicity epi-
sodes, (c) persons with very high tissue pesticide levels not
apparently related to occupational exposure.
CITED REFERENCES
(1)	Quinby, G. E., Hayes, W. J., Armstrong, J. F., and Durham, W. F. DDT
storage in tlie U.S. population. JAMA 191: 175-175). 1965.
(2)	Stein, W. J. and Hayes, W. J, Health survey of pest control operators.
Industrial Med. and Surg. 33: .549-555. 1964.
(;3) Washerman??, M., Wassermann, D., Zellermayer, L., and Gon, M. Pesti-
cides in people. Storage of DDT in the people of Israel. Pesticides Monitor-
ing J. 1:15-20. 1967.
(4) Wkiner, B. P., Worth, R. M. Insecticides, Household use and respiratory
impairment. Hawaii Med. J.28: 283-285.1969.
(.7) Wassermann, M., Curnow, D. H., Forte, P. N., and Groner, Y. Storage of
organochlorine pesticides in the body fat of people in Western Australia.
Industrial Med. and Surg. 37: 295-300.1968.
(6)	Hayes, W. J. Monitoring food and people for pesticide content. In Scientific
aspects of pest control. Pub. No. 1402. NAS-NRC. Washington, D.C., 1966.
pp. 314-342.
(7)	Mann, J. B., Davies, J. E., and Shane, R. W. Occupational pesticide ex-
posure and renal tubular dysfunction. In Acute Glomerulonephritis. Proc.
Seventeenth annual conference on the kidney. Little, Brown and Co.
Boston. 1966.
(8)	Robinson, J,, Richardson, A., Hunter, C. G., C&a.btbee, A. N., and Rees,
H. J, Organo-chlorine insecticide content of human adipose tissue in south-
eastern England. Brit. ,T. Industr. Med. 22 : 220-229,1965.
(,9) Hayes, W. J. Epidemiology of pesticides. Chap, 13 in Proc. of the short
course on the occupational health aspects of pesticides. Univ. of Oklahoma.
Norman, Okla. 1964. pp. 109-130.
(16) Davies, J. E., Edmundson, W. F., Schneider, N. J., and Cassadv, J. C.
Pesticides in people. Pesticides Monitoring J. 2 : 80-85. 1968.
(11)	Hayes, W. J. Pesticides and human toxicity. Ann. N.Y. Acad. Sci. 160
(1) : 40-49. 1969.
(12)	Davies, J. E., Mann, J. B., and Tocci, P. M. Renal tubular dysfunction and
amino acid disturbances under conditions of pesticide exposure. Ann.
N.Y. Acad. Sci. 160(1) : 323-333.1969.
(13)	Christophers, A J. Hematological effects of pesticides. Ann. N.Y. Acad.
Sci. 160(1) : 352-355. 1969.
(14)	Durham, W. F, Body burden of pesticides in man. Ann. N.Y. Acad. Sci.
160(1) : 183-194. 1969.
(15)	Menole, D., Hale, W., and Rappolt, R. T. Deaths due to neoplasms of
lymphatic and hematopoietic tissues and aplastic anemia in Kern County,
Calif., compared with the total California experience. California pesti-
cides study. State of California Department of Public Health. Pages 1-6.
(Unpublished).
(16)	Radomski, J. Tj., Deichmann, W. B., Clizer, E. E., and Rey, A. Pesticide
concentrations in the liver, brain, and adipose tissue of terminal hospital
patients. Food and Cosmet. Toxicol. 6: 209-220. 1968.
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(1?) Casaeett, li. J., Fryeb, G. C., Yangeb, W. L , and Klemmee, H. W. Organo-
chlorine pesticide residues in human tissue. Hawaii. Arch. Environ.
Health 17 : 306-311.1968.
(18)	Dale, W. E., Copelastd, M. F., and Hayes, W. J. Chlorinated insecticides
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(19)	Bbown, J. R. Organochlorine pesticide residues in human depot fat. Canad.
Med. Assoc. J. 97: 367-373. 1067.
(20)	Edmundsoft, W. F., Davies, J. E., and Hull, W. Dieldrin storage levels in
necropsy adipose tissue from a South Florida population. Pesticides
Monitoring J. 2 : 86-89. 1968.
(21)	Davies, J. E., Edmund son, W. P., Maceo, A., Barquet, A., and Cassady, J.
An epidemiologic application of the study of DDE levels in whole blood.
Arch. Env. Health. 3 : 209-211.1961.
(22)	Read, S. I. and McKinley, W. P. DDT and DDE content of human fat.
Arch. Env. Health. 3: 20&-211.1961.
(23)	Hayes, W. J. Toxicity of pesticides to man: risks from present levels.
Proc. Roy. Soc. B. 167; 101-127. 1967.
(24)	Edmundbon, W. R., Davies, J. E., Nachman, G. A., and Roeth, R. L.
P,p'-DDT and p.p'-DDE in blood samples of occupationally exposed
workers. Pub. Health Rep. 85: 53-58.1969.
(25)	Davies, J. E., Welke, J. O., and Radomski, J. L. Epidemiological aspects
of the use of pesticides in the South. J. Occupational Med. 7:612-618.
1965.
(26)	Wassebmann, M., Gon, M., Wassebmann, D., and Zellermayer, L. DDT
and DDE in the body fat of people in Israel, Arch. Env. Health 11:375-
379.1965.
(27)	Hoffman, W. S., Fishbein, W. I., and Andelman, M. B. The pesticide
content of human fat tissue. Arch. Env. Health. 9:387-394. 1964.
(28)	Zavon, M. R., Hire, C. H., and Pabkeb, K. D. Chlorinated hydrocarbon
insecticide in human body fat in the United States. JAMA 193 : 837-839.
1965.
(29)	Hayes, W. J., Quinby, G. E., Walkeb, K, C., Elliott, J. W., and Upholt,
W. M. Storage of DDT and DDE in people with different degrees of
exposure to DDT. Arch. Industrial Health. 18 : 398-406. 1958.
(80) Duggan, R. E. and Weatherwax, J. R. Dietary intake of pesticide chemi-
cals. Science 157:1006-1010.1967.
(31)	Durham, W. F., Wolfe, H. R., and Quinby, G. E. Organo-phosphorus insec-
ticides and mental alertness. Arch. Env. Health. 10: 55-66.1965.
(32)	Campbell, J .E., Richardson, L. A., and Schafeb, M. L. Insecticide residues
in the human diet. Arch. Env. Health, 10:831-836.1965.
(S3) Davies, J. E., EdmundSon, W. F., Cabteb, C. H., and Babquet, A. Effect
of anticonvulsant drugs on dicophane (DDT) residues in mail. Lancet.
2: 7-9. July 5,1969.
(34)	Thompson, R. P. H„ Stathebs, G. M., Pilcheb, C. W. T., McLean, A. E. M.,
Robinson, J,, and Williams, R Treatment of unconjugated jaundice
with dicophane. Lancet. 2: 4-6. July 5,1969.
(35)	Hoffman, W. S., Adleb, H., Fishbein, W. I., and Bauer, F. C. Relation of
pesticide concentrations in fat to pathological changes in tissues. Arch.
Env. Health 15 : 758-765.1967.
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(36) Laws, E. R., Ctjrley, A., and Biros, F. J. Men with intensive occupational
exposure to DDT. Arch. Env. Health 15 :766—775,1967.
(87) Hayes, W. J., Durham, W. R., and Cueto, C. The effect of known repeated
oral doses of chlorophenothane (DDT) in man. JAMA 162 : 800-897.1956.
SPECIALISTS REPORTS ON POTENTIAL HEALTH EFFECTS
Cutaneous aspects
Allergic contact dermatitis refers to an inflammatory process of the
skin mediated by an as yet uneharacterized antibody which adheres
to circulating white blood cells. This implies that on first contact with
a pesticide there will be no reaction. There then ensues an incubation
period of approximately 1 week, at which time the next exposure leads
to a dermatitis. Not everyone contacting the pesticide will react; only
those with antibodies. A common example of this phenomenon is poison
oak-poison ivy dermatitis.
Extent of the problem.—Inherent in diagnosing allergic contact
dermatitis is the method of proving this scientifically. Inasmuch as
the antibody has not yet been characterized, the only available method
is the patch test. This consists of application of a low chemical con-
centration to the skin under adhesive tape occlusion to increase pene-
tration. If an individual has antibody, the disease is reproduced in
miniature under the pitch in 24+ hours.
Patch testing is generally done when an allergen is suspect. It is
legend in the field of occupational dermatitis that a diagnosis cannot
be made until an allergen is suspected and a proper knowledge of
patch testing is available. Unfortunately, there is very little knowl-
edge available on proper methods of patch testing with pesticides.
Many physicians are unwilling to do this for fear that the amount of
material under an occluded patch test may produce systemic toxicity.
Many agricultural workers attempt to make their own diagnoses and
struggle with their disease. There are only a few centers in the United
States extensively involved in diagnostic patch testing. Of these, none
have specialized in developing methods that could be recommended
for use by the general physician.
Published literature.—Hjorth and Wilkinson recently reviewed con-
tact sensitization to pesticides (./). It was their general opinion, from
the minimal information available, that dermatitis from pesticides is
uncommon. They reviewed largely single case reports. Perhaps the
most meaningful were those of Fraegert. This author is one of the few
dermatologists in the Western world working full time on occupa-
tional dermatitis. It is unlikely that any problems he finds exist only
in the area of Sweden in which he works. It is more likely that he is
trained, has the time and energy, and is thus able to make specific.
398

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diagnoses. He demonstrated an allergic dermatitis in agricultural
workers to several pesticides, including Rodannitrobenzene, Captan,
Phaltan, and an ingredient, of 4-chloro-2-methyl-phenoxyacetic acid
(2-4-)• The latter pesticide was very important insofar as technique is
concerned; the diagnosis would have been missed by routine patch test-
ing for he reacted only to an intermediary product and not to the com-
mercially available material.
Edmundson and Davies reported a small epidemic due to Naled in
9 out of 12 workers in a chrysanthemum farm (5). Spencer docu-
mented allergic contact sensitization to 2-ehloro-N,-diallyl acetamide
in 3 farmers (6).
Milby and Epstein had the opportunity of surveying a population
of California agricultural workers exposed to Malathion and quickly
demonstrated sensitization in 4 out of 157 (3 percent). The most im-
portant outcome of this study was that sensitization was not due to
the compound they tested (Malathion), but to an intermediary prod-
uct—diethyl furnarate. The practical significance was that when this
information came to light the manufacturer decreased the amount of
this intermediary product present in Malathion which then presum-
ably decreased the incidence of future sensitization (7, 8).
Recently, Takamatsu et el., surveyed an outbreak of dermatitis in
tangerine orchards in Japan due to a new fungicide (Difolatan) which
sensitized 25 percent of involved workers in 1966, and 38 percent in
1967 (9). This incidence of sensitization as of significance, in terms of
the suffering and costs involved.
Interpretation.—At the moment, no hard figures are available to
determine the extent of the allergic contact sensitization problem in
man. From the experiences of Milby and Epstein, Fraegert, Spencer,
and Takamatsu et al., we suspect that sensitization is probably much
more common than is generally realized.
Recommendation.—Basic science information on allergic contact
dermatitis is, of course, a great help. But more specifically, certain
areas of information are urgently required for which technology is
available and costs are minimal. First priority would be given to
defining proper patch test concentrations so this information could be
made readily available to all physicians involved in diagnosing occu-
pational and agricultural dermatitis. Only when this is accomplished
can proper diagnoses be made and valuable epidemiological data be-
come available.
Secondly, we need relative information on allergic sensitization
potential of commonly used pesticides. This can be accomplished in
the guinea pig and rabbit using currently available modifications of
the Draize-Landsteiner techniques. (10). It would also be advisable to
399
37.1-07,4 O—8®	27

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verify this information in terms of ranking the severity of sensitiza-
tion potential in human volunteer testing, using the well-established
human Draize test (11).
CITED REFERENCES
(1)	Hjorth, N. and Wilkinson, D.: Contact dermatitis, II. Sensitization to
pesticides, Brit. J. Derm. :272-274,
(2)	Fraegert, S.: Allergic contact dermatitis from the pesticides Gaptan and
Phaltan, Contact Dermatitis Newsletter (London) 1:11,1967.
(3)	Fraegert, S.: Allegic contact dermatitis from P-chloro-o-cresal in a pesti-
cide, Contact Dermatitis Newsletter 2:9,1968.
(4)	Fraegert, S.: Allergic contact dermatitis from the pesticide rodannitro-
benzene, Contact Dermatitis Newsletter, No. 2, July 1967, p. 4.
(5)	Edmcndson, W. F. and Davies, J. E.: Occupational dermatitis from Naled,
Arch. Environ. Health 15 :89-91,1967.
(6)	Spencer, M.: Herbicide dermatitis, J.A.M.A. 198:169-170, 1966.
(7)	Milby, T. H. and Epstein, W. L.: Allergic contact sensitivity to Malathion,
Arch. Environ. Health 9:439,1964.
(8)	Kligman, A. M.: The identification of contact allergens by human assay,
J. Invest. Derm. 47:393,1967.
(3) Takamatstj, M., Futatsuka, M., Arimatsu, Y.t Maeda, H., Inuzuka, T,,
and Takamatstj, S.: Epidemiologic survey on dermatitis from a new
fungicide used in tangerine orchards in Kumamoto prefecture, J. Kuma-
moto Med. Soc. 42:854-859,1968.
(10)	Maguire, H. C. and Chase, M. W.: Exaggerated delayed-type hypersen-
sitivity to simple chemical allergens in the guinea pig, J. Invest Derm.
4:460-468,1967.
(11)	Marztjlli, F. N., Carson, T. R., and Maibach, H. I.: Delayed conract
hypersensitivity studies in man and animals, Proc. Joint Conf. on Cos-
metic Sci. April 21-23,1968.
Substantivity
Substantivity is a term derived from classical 19th Century dye
chemistry. It concerns the mordant effect of a dye. In cutaneous
physiology it pertains to a chemical's ability to adhere to skin, no
matter what the physical or chemical explanation.
Extent of the problem.—If a compound is rapidly washed off the
skin by workers, there should be less chance of percutaneous penetra-
tion, and therefore less risk of toxicity. If the materials are not readily
removed, opportunity for penetration (and toxicity) increases.
Literature,—The only pertinent study of which we are aware is that
of Fredrikkson who studied the decontamination of human skin with
Parathion (/). Using P32 labeled material he demonstrated that a soap
and water wash for 30 seconds (which is far longer than most workers
would wash) removed only 36 to 48 percent of the applied dose, if
the wash was delayed for 6 hours. An alcohol wash (in which Para-
thion is soluble) still allowed 10 percent of the dose to remain.
400

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Interpretation.—The substantivity of pesticides for human skin is
of great practical importance in terms of long term toxicity.
/iecowms-ndation.—Methods such as those used by Fredrikkson and
some more recently elaborated by others, allow a, practical system to
determine the substantivity of pesticides. Data should be obtained on
standard pesticides, not only measuring the degree of substantivity
but demonstrating fool-proof and practical methods of removing these
chemicals by workers. The technology is available, the risks to human
volunteers extremely minimal, and the decrease of potential toxicity
great. Obtaining this information clearly deserves a high priority.
CITED REFERENCES
(1.) Frederick son. T.: Percutaneous absorption of Parathion and Paraoxoo, IV.
Decontamination of human skin from Parathinn. Arch. Environ. Health
3:185-188, (Aug.) 1961.
Cutaneous metabolism,
Extent of the problem.—Human skin is, contrary to older beliefs,
an active metabolic organ. This not only includes viable cells in the
epidermis and dermis, but also the presumably dead stratum corneum.
There are numerous enzymes in this stratum corneum that can hydro-
lyze many ehemicals, including DNA and RNA.
Implicit in the study of animal toxicology is the fact that skin ex-
posure allows the penetration of chemicals analogous to that which is
injected into animals. If the materials are first hydrolyzed and ab-
sorbed as different materials, the animal toxicology may not be rele-
vant. We know that Parathion is not hydrolyzed on animal or human
skin, but this is the only pesticide for which we have such informa-
tion (1).
Interpretation.—Cutaneous metabolism, apart from that of other
organs, is an area of great potential significance.
Recommendation.—With the ready availability of radio-labeled ma-
terials, it is recommended that the ability of skin to metabolize com-
monly used pesticides be obtained. If these products of hydrolysis are
indeed different, then animal toxicology should be obtained on them.
CITED REFERENCES
(J) Fkedeikkbon, T., Farmor, W. and Witter, R.: Studies on the percutaneous
absorption of Paratliion and Paraxon, I. Hydrolysis and metabolism with
the skin, Acta Derm.-Venerol. 41:335-343t 1961.
Percutaneous penetration
Percutaneous penetration refers to the amount of a chemical that
gets from the skin's surface into its various components and is even-
tually absorbed into the systemic circulation; it is then available either
401

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to be excreted in urine and stools or stored in an organ such as fat (i.e.
as with DDT).
Extent of the problem.—Classical pharmacology has not often in-
cluded studies of percutaneous penetration. This science has involved
itself mainly with the effect of drugs, usually taken either orally or
parenterally. In the case of pesticides, exposure is more likely to be
cutaneous than parenteral. Although respiratory exposure is of im-
portance, investigators such as Wolfe, Armstrong, and Durham have
clearly demonstrated quantitatively that exposure is far more cuta-
neous than respiratory (1, 2). For instance, they demonstrated that
when Parathion concentrate is used with spray equipment the respira-
tory exposure is less than 0.1 mg./hr., whereas cutaneous contamina-
tion is 27 mg./hr. They demonstrated examples such as air blast spray-
ing equipment where cutaneous exposure reached over 750 mg./hr.
These doses must clearly be considered in the range of drugs.
It has classically been assumed that cutaneous barriers are so com-
plete that few chemicals can penetrate, and that penetration is only of
significance if one deals with the most potent of chemicals, such as the
war gasses. Recent data has clearly demonstrated that the cutane-
ous barrier is far from complete, and that many chemicals pass through
the skin with ease (3}.
Techniques of observationa.—Until recently, human experimenta-
tion involving percutaneous penetration was rarely done. Classical
experiments included comparison of the LD-50 in the skin as compared
to parenteral administration. This information is valuable as far as
acute toxicity was concerned, but of little value in determining body
exposure in long-term usage. Fredrikkson studied the penetration of
Parathion and Paraoxon in vitro (4). This involved use of a small
glass chamber in which chemical was applied on the skin and the ma-
terial studied as it came through the derma] side. He compared this
data to that of percutaneous penetration measured by the surface dis-
appearance technique. Here, a radioisotope detection system is used
on the surface of the skin and its disappearance noted. It is assumed
that as the counts decrease the material is being absorbed. It should be
noted that this technique can only be used for very hard rays as
weaker rays are unable to reach the counter. He noted there was far
less penetration in the in vitro chambers than the in vivo, utilizing the
disappearance technique.
Nabb, Stein, and Hayes (W. J.) studied the dermal absorption
of Parathion and Paraoxon in rabbits and found penetration rates of
0.059 /igm./minute/cm,2 and 0.3 ftgm./minute/cm.2, respectively (5).
When Hayes (G. R.), Funckes, and Hartwell studied the percutane-
ous penetration of Parathion in man using urinary excretion of P-
402

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nitrophenol, they noted as much as 23 mg. of P-nitrophenol in urine
per day '(G). Recently, Milby, Feldmann, and Maibach undertook a
systematic study of percutaneous penetration in man in which radio-
labeled chemical was applied to the skin and its penetration quanti-
tated by the appearance of radiolabel in urine (and, in some
instances, feces) (7). The advantage of this system is that when radio-
labeled compounds are available one need not be concerned about de-
veloping methods to isolate each metabolite but can study the radiolabel
itself. This enabled the authors to rapidly screen a series of com-
pounds. As a requisite control to this method, a tracer dose is injected
intravenously to determine how much compound is excreted in the urine
or stool. Knowing how long the material remains in the human body
allows one to determine the risks or more properly interpret the classi-
cal animal data. In other words, if the compound is rapidly excreted
there should be less toxicity than if it is stored or slowly excreted, all
other things being equal.
They showed a wide divergence in the penetration of the first pesti-
cides studied. Dieldrin, Parathion, and Malathion all penetrated in
significant amounts but were only moderate penetrants. Their pene-
tration rates ranged from 6 to 8 percent of the applied dose (4.0
cm.2). However, Carbaryl was virtually a complete penetrant in that
almost 75 percent of the same dose was accounted for in the urine.
Needless to say, interpreting LD-50 data becomes far more meaningful
when such penetration data is available. If 1 percent of the dose
penetrates as compared to T5 percent, this will greatly alter this
interpretation.
These studies also showed that penetration through the skin of this
and many other compounds is extremely slow. One can identify the
material in urine for at least 5 days after a single application. This
long-term passage has profound importance in terms of chronic
toxicity of man.
Effect of delivery vehichs on penetration.—Very little work has
been done in this regard. It is generally assumed that vehicles will
significantly increase or decrease the penetration of certain mole-
cules. A specific example is the study of fcTcDermot, Finkbeiner, and
Wills and Heggie in which they quantitated the effect of DMSO
on the percutaneous penetration of Seman (pin-acetyl-methyl-
phosphonofluoridate) (S). They noted that DMSO increased the
potency ratio (LD-50) almost 6 times on normal skin and 4 times on
stripped skin. Brown recorded significant changes in LD-50 of
carbamates with varying solvents (9).
Interpretation.—Percutaneous penetration of pesticides is obvi-
ously a critical area in terms of chronic toxicity to man. This has
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only been minimally investigated because appropriate techniques have
only recently become available. It is likely, from the very slow and
delayed penetration through the skin and the very significant amounts
of chemical penetrating the skin that this is an area of crucial im-
portance in terms of man.
Recommendations.—As a minimum, we should have quantitative
penetration data on the various commonly used pesticides. At the
moment, human studies with radio-labeled materials appear the most
practical for quickly obtaining data of direct relevance (//, 1%). Other
methods should also be developed to see if they are relevant to the
human situation, This includes ranking of known common pesticides,
using various in vitro systems, and other animal systems. Although
we are concerned about the acute poisoning of humans through the
skin (such as recently summarized by Eitzman and Wolfson who
demonstrated seven of -30 deaths as clearly being due to skin contact),
we are more concerned about the insidious long-term effects which this
route of exposure allows (10).
Examination of varying vehicle systems should be considered in
an attempt to decrease the skin penetration of these pesticides.
CITED REFERENCES
(J) Wolfe, H. R., Armstrong, J., and Durham, W.: Pesticide exposure from
concentrate spraying. Arch. Environ. Health 13 : 340-344,1966.
(2)	Wolfe, R. R., Durham, W. 1\, and Armstrong, J. F.: Exposure of workers
to pesticides, Arch. Environ. Health 14 : 622-633, (Apr.) 1967.
(3)	Feldmann, R. J., and Matbach, H. I.: Absorption of organic compounds
through skin in man, presented at the Society for Investigative Derma-
tology, Inc., June 16-18,1968.
(4)	Fredrikkson, T.: Studies on the percutaneous absorption of Parathion
and Paraoxon, III. Rate of absorption of Parathion, Acta Derm.-Venereol.
41:353-362,1961.
(5)	Nabb, D, P., Stein, W. J., and Hayes, W. J.: Rate of skin absorption of
Parathion and Paraoxon, Arch. Environ. Health 12 : 501-505, (Apr.) 1966.
(6)	Hayes, G. R., Funckes, A. J., and Hart well, W. V.: Dermal exposure of
human volunteers to Parathion, Arch. Environ. Health 8: 829-833, (June)
1964.
(7)	Milby, T., Feldmann, R., and Maibach, H.: Unpublished data.
(8)	McDermot, H. L., Finkbeiner, A. J., Wills, W. J., and Heggie, R. M.: The
enhancement of penetration of an organophosphorus anticholinesterase
through guinea pig skin by dimethyl sulfoxide, Can. J. Phys. Pharm.
45:229-303,1967.
(9)	Bbown, V. K.: Solubility and solvent effects as rate-determining factors
in the acute percutaneous toxicology of pesticides, Society of Chemical
Industry Monograph No. 29,1967.
(10) Eitzman, D. V., and Wolfson, S. L.: Acute Parthlon poisoning in children,
Am. J. Dis. Child. 114 : 397^00,1867.
404

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(11)	Maibach, H. I., and Feldmann, E. J.: The effect of DMSO on percutaneous
peneratton of hydrocortisone and testosterone in man, Ann. N.Y. Acad.
Sci. 141:423-427, (Mar.) 1967.
(12)	Feldmann, R. J., and Maibach, H. I.: Percutaneous penetration in vivo in
man, Proc. Joint C-onf. on Cosmetic Sci., Washington, D.C., April 21-23,
1968, pp. 189-203.
Effect on other cutaneous organs
It is known that certain pesticides affect other keratin-producing
structures in skin, such as the nails and hair. Samman and Johnston
have shown that Paraquat and Diquat will produce abnormal finger-
nails (1). Presumably the mechanism of action is penetration through
the nail-plate with a direct effect on the nail matrix.
Haustein (£) claimed he observed dystrophic human hair follicles
after improper use of Fekema ES-30-9 (DDT and gamma-HCC8).
This has not yet been substantiated.
Although our knowledge in this area is too minimal to allow
informed interpretation, these observations suggest the hair and nail
should be more closely looked at than previously in regard to an index
of toxicity. Certainly, the animal hair follicle has proved an extremely
sensitive index of x-radiation damage. The same information should
be sought in man for pesticides.
CITED REFERENCES
(/) Samman, P. D., and Johnston, E. N. M.: Nail damage associated with
handling of Paraquat and Diquat, Brit. Med. J. 1: 818-819,1969.
(2) Haustein, V. F.: Chlorkohlenwasserstoffhaltiges pestizid a Is Ursache
einer toxischen Alopezia, Haut.-Geschl. Krkh. 43:105-108,1968.
SAMPLE SKIN MATRIX

Parathion Malathion
Dleldrin
Carbaryl
Percutaneous penetration:



Animal. 	
Moderate —
penetrant


Man-. _
Moderate Moderate
penetrant
Moderate
Moderate
Substantivity. -
Very sub- —
stantive
"""

Contact sensitiaation	
Possible mini- Prohable
mal risk problem


Metabolism 	
Not hydro- —
lyzed on
skin


Nails dystrophy.
Not known —
—
—
Hair dystrophy	
Not known —
~

Note.—Dashes (—) indicate inadequate information available.
405

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Behavorial effects of pesticides
The word "behavior" has a number of meanings in common parlance
and several idiomatic applications in different branches of medicine
and science. These include the meanings "to carry, conduct, comfort,
manage, bear, discipline, handle, restrain, regulate, act, conduct one-
self, or to act in relation to the environment." One of these is the so-
called "behavioral" effects of pesticides. Unfortunately, there have
been some misunderstandings and misapplications of the meaning
usually applied in this context. In its strictly literal sense, "behavioral
effects" of pesticides are any influences the chemicals exert on the
nervous system or body that alter normal or usual physiological
responses in an environment containing pesticide. However, almost
all pesticides in sufficient dosage are capable of causing such alterations
in response. These are the usual signs and symptoms of acute or chronic
poisoning. The term "behavioral toxicity" as applied in clinical toxicol-
ogy has generally excluded the established signs and symptoms espe-
cially during the acute phase of poisoning. Conversely, many investi-
gators have at first regarded as "behavioral" one or more unusual
effects of pesticides not then known to be expected signs or symptoms.
The subsequent better and more complete understanding of the actions
of such a particular pesticide has often moved such behavioral effects
over into the area of established signs and symptoms. For example, in
the late 1940's, airplane pilots began to complain of disturbances of
vision (depth perception and night blindness) during application of
the then newer pesticides. These unusual signs were often reported
in the absence of other evidences of toxicity Accidents and fatal crashes
were blamed on these unusual effects then regarded as behavioral.
More than 5 years of study {Upholt, 1956) established that the
responsible pesticides were the direct cholinesterase inhibitors (mostly
TEPP). The effect was caused by topical exposure of one or both
eyes without extensive exposure otherwise. Bilateral miosis caused
night blindness. Unilateral miosis and paralysis of muscles of accom-
modation from unilateral exposure caused disturbances of kinetic
depth perception. As these local or topical effects became more widely
recognized, most toxicologists no longer regard these as behavioral
effects but rather as logical expected effects of acute topical exposure.
The inclusion of unusual or poorly understood effects of pesticides
in the group of behavioral effects will continue to plague and confuse
those concerned with health hazards of pesticides whether they are
officials, authors, or the public. Unfortunately, in some instances pes-
ticides are blamed for such effects when the causal relationship has
not been well established. An example of this is the blame placed on
2,4,D as a cause of peripheral neuritis (Goldstein et al., 1959). For
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convenience of arrangement, the clinical syndrome of peripheral neu-
ritis without other behavior change is presented in the section on
"Effects on the Nervous System."
Understanding of the area considered as behavioral effects also
requires an understanding of the difference between topical or local
poisoning, and systemic or body-wide poisoning. Acute and chronic
poisoning has always been best known as systemic poisoning wherein
there has been sufficient absorption and circulation of the toxicant to
cause the signs and symptoms of poisoning expected from the known
modes of action of the pesticide. On the other hand, pesticides, like
other chemicals or drugs, may act in a site-specific point in the body
usually because the exposure has been limited to that part of the
anatomy, such as the eye, the nose, the mouth, or a restricted area of
skin. In too many instances, the local effects of a pesticide have been
assumed to be the more hazardous systemic poisoning with consequent
overconcern and overprecautious reduction of the exposure.
Undoubtedly the most obvious and yet the most problematic
behavioral effects are the ones effecting the brain and nervous system.
Our behavior is influenced most by our nervous system (with the
possible exception of the reproductive system in active adults). Rarely
in the general population, but more frequently in agricultural workers,
applicators, formulators, and others exposed to pesticides, there have
been many reports of abnormalities of behavior in the absence of
other usual signs or symptoms of pesticide intoxication.
In summary, "behavioral effects" of pesticides are those behavioral
signs or symptoms other than the usual and expected effects seen in
either acute or chronic poisoning. They may be premonitory effects,
sequellae, or after effects suspected to be, but not necessarily directly
causally related to the pesticide exposure. Unfortunately, because of
the sound grounds for technical disagreement over the status of any
one finding or allegation of a behavioral effect, the area of discussion
known as "behavioral effects" has been a hodgepodge of data, con-
flicting reports, and emotional publications. Some workers have
avoided the field of behavioral effects, calling it a "never-never land."
Nevertheless, careful consideration and study of the behavioral effects
of pesticides has elucidated many health problems posed by pesticides
and should continue to do so in the future. False allegations of magical
deviltry of pesticides are discredited, and sound suspicions of un-
appreciated effects are confirmed as expected effects when the mode
of action has been established. Appropriate precautions and regulatory
actions can then be taken.
The term "behavioral toxicity" was first used at the conference on
the evaluation of pharmacotherapy in mental illness in the fall of
1956 by Brody (1959) to describe the adverse effects of drugs on
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psychological functioning in animals. Although the concept of be-
havioral toxicity arose from Brody's study of objective responses in
the operant situation, any broad consideration of behavioral toxicity
in man must take into account both the subjective mood changes and
the objective performance changes induced by drugs.
Clinical behavioral toxicity.—The most impressive characteristic
of the psychiatric drug literature is the absence of serious concern
about adverse effects these drugs may have upon behavior (Uhr H.,
Miller J. C. 1960).
The Ciba Foundation convened a symposium on the neurological
basis of behavior in 1957. The early definitions and histories of be-
havior were reviewed and 18 other papers were presented on specialty
aspects of behavioral studies in man and experimental animals. The
last of these papers concerned the relevance of some neurophysiological
data to behavior disorders. Such idiomatic terms as "consciousness,"
"awareness," and "personality changes" were defined and discussed
in the psychiatric sense. Mainly this symposium was produced by
physiologists, anatomists, neurologists, pharmacologists, psychiatrists,
endocrinologists, and biologists. Toxicologists were conspicuous by
their absence. A number of techniques were presented on measuring
"behavior" objectively (Wolstenholme, 1958).
A number of good books have been written on the behavioral effects
of pesticides as reflected by the expected effects of acute poisoning on
the nervous system by chlorinated insecticides (Yon Oettinger, 1955)
and by anticholinesterase compounds (Koelle, 1963; Heath, 1961, and
O'Brien 1960,1967).
The chlorinated hydrocarbon insecticides, especially DDT, have
been known to act in the cerebellum, brainstem, spinal cord, and periph-
eral nerves (Bromiley and Bard, 1949; Shankland, 1964). Thus
the acute effects of these compounds appear to be scattered widely
throughout the nervous system. Moreover, they have topical action
on the nerve endings in the mucous membrane (Hayes, 1963) and may
extend their action proximally on the nerve pathways as shown by
various case reports. For over 20 years, toxicologists have studied
pesticides mainly by investigating morbidity, mortality, growth,
pathology, and storage in experimental animals and man. Much less
attention has been given to the possible behavioral effects of dosages
below those required to effect gross clinical signs and yet sufficient to
possibly alter the behavior of man and animals. Studies on the ef-
fects of pesticides on sensitive indicators of brain function have not
received appropriate attention (Ruffin, 1963) and almost as little at-
tention have been given to psychobiology.
A group of industrial toxicologists in Holland followed 826 workers
408

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in the manufacture of chlorinated hydrocarbons (aldrin, dieldrin,
telodrin) for 13y2 years. They found no behavioral effects past the
"temporary signs and symptoms of specific intoxication (Hoogendam,
1962; Hoogendam, 1965; Jager, 1968).
Toxicologists in Russia have naturally fallen under the influence of
Pavlovian behavioral physiological training (Ruffin, 1963). These
Russian workers are trained differently and reason differently than
do American psychologists, physiologists, and toxicologists. One of
these Russian toxicologists has extensively reviewed the application
of studies of conditioned reflexes of experimental animals in response
to the more important groups of pesticides (Medved, 1964). They
have established definite changes in behavior of animals far below levels
required to produce symptoms or at levels of cholinesterase activity
just under the preexposure range. Changes were also noted in reflexes
before they could detect functional or chemical changes in their liver
and carbohydrate metabolism. Both of the usually reversible changes
studied as well as totally irreversible changes such as caused typically
by organic mercurial pesticides.
Behavior changes in workers manufacturing DDT and related chem-
icals have already been mentioned under another-section of this report
(General Effects: Clinical Effects from Case Reports) by another
Russian but translation difficulties limit interpretation of that report
(Paramonchik, 1969). This latter industrial toxicologic was con-
vinced he observed "the asthemic syndrome and autonomic dystonia"
in some workers. Unfortunately these people were also exposed ad-
mittedly to many other chemicals as well—not given in their exposure
histories—and no mention was made of the workers' habitual con-
sumption of alcohol that may account for some symptoms.
As early as 1962, one American toxicologist stressed the importance
of mechanics of "toxic stress" in industrial toxicology and environ-
mental pollution. However, as of 1969, far too few studies are in
progress in this country attempting to measure behavior and other
effects below that sufficient to cause frank, acute toxic signs (Stok-
inger, 1962). Over a decade ago a behaviorist conclusively showed
that rats respond to stressful agents producing radical changes in
behavior (Richter, 1958). The center in the brain suspected of reflect-
ing this disturbance was the hypothalamus.
The altered locomotion patterns of rats fed as little as 100 p.p.m.
of DDT was demonstrated by study of track patterns in charcoal-
dusted runways (Khaiiy, 1959).
Conditioned reflexes in cats treated with aldrin were changed from
the eighth to the 13th day after starting daily oral dosage with only
1 mg./kg. of aldrin. Changes returned to normal responses thereafter
409

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but sometimes the restoration of normal function was cyclic in pat-
tern (Spynu, 1964).
Stumptail monkeys showed altered behavior at. dosages considered
no greater than some people ingest daily for a period of weeks. The
treated group showed depression of arousal and emotional levels.
There were other observations of lessened response to environmental
conditions (Thomsen, 1969).
In another study of adolescent stumptail monkeys (Mfwaca speciosa)
orally treated with low dosages of endrin, search was made for sub-
clinical or clinical subacute effects based upon biochemical, physiologi-
cal, hematological, pathological, histological, and behavioral changes.
In general, few changes were detected when there was no toxic
patterns in individuals or groups. Results indicated that only the differ-
ential white blood cell count could be used as a valid indicator for tox-
icity in future pesticide research (Barth, 1967).
An experimental carbamate pesticide closely related to several now
in growing use in this country such as carbaryl and Eaygon dimin-
ished the self-protective responses of rats (Goldberg, 1963). The rats
had previously been trained to avoid shock by pushing a lever as a
response to a light. Prior to treatment with the carbamates the rats
were able to respond with 95 percent or better; efficiency decreased to
ast low as 50 percent 30 minutes after the administration of the carba-
mate at a dosage of 1 mg./kg. intraperitoneal^. Those doses were con-
siderably lower than those which produce symptoms of anticholin-
esterase activity. A comparison of the ED 50 with the LD 50 revealed
a ratio of about 1 to 25. However, the cholinesterase inhibition in both
the brain and the erythrocytes paralleled the behavioral changes. Thus
there appears to be no behavioral changes with these compounds with-
out cholinesterase inhibition. In fact, dose-response studies indicate
that the threshold effects on discrete avoidance studies are associated
with about a 50 percent inhibition of brain cholinesterase.
Without more closely controlled data on human exposure, more con-
sideration must be given to pertinent experimental toxicology in ani-
mals. A neurochemical approach was made with a study of brain chem-
istry in rats exposed to carbaryl (Hassan, in press). In acute and
chronic dosage producing no signs or altered behavior, levels of brain
norepinephrine, serotonin, and 5-hydroxy-3-indolylacetic acid in-
creased but dopamine did not. This means that biosynthesis is increased,
certain biogenic amines are released and catabolism is increased (with-
out signs detected). Thus, some biochemical basis for behavioral
changes in rats can be detected before the changes themselves.
Studies on altered behavior due to anticholinesterase effects received
more research attention than those due to chlorinated hydrocarbon
410

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pesticides. One of the best reviews by a Russian worker (Medved, 1964)
in English presented extensive information on the effects of organo-
phosphorous insecticides on conditioned reflexes of animals. Changes in
these reflexes appear to be evident only after detectable cholinesterase
inhibition. A return to normal reflexes occurs after prolonged low-
grade exposure to the cholinesterase inhibitors. This indicates adjust-
ment of the central nervous system to the increased content of acetyl-
choline. Thus, the biphasic effects of chlorinated hydrocarbon insecti-
cides as an initial change in function, followed by a return to a normal
state despite continuing action of the chemical under test, is also
apparent with the anticholinesterase compounds.
Without tests of subclinical activities of pesticides, the capability of
clinical toxicologists to resolve maximum-allowable-concentration
controversies or to safety establish maximum daily intake allowance
has been aptly questioned (Ruffin, 1963).
Using mainly clinical and laboratory toxicologic methods includ-
ing electroencephalography, Dutch industrial toxicologists surveyed
826 insecticide workers in mainly chlorinated hydrocarbons without
finding more than temporary signs and symptoms of acute toxicity
(Jager, 1968; Hoogendam, 1962).
An Italian group of workers (Giachetti and colleagues, 1966) re-
ported that male rats treated with 0.24 mg./kg. of parathion on alter-
nate days for 1 month do not develop blood cholinesterase inhibition
but do exhibit a slight inhibition of brain cholinesterase and the
learning of a conditioned avoidance reflex was hindered. At this low
level of dosage, there was no interference with the conditioned reflex
once it was learned. Thus it appears that the learning of a conditioned
reflex may be a very sensitive indicator of the functional effects of ex-
posure to cholinesterase inhibitors. This decrease in learning capabili-
ty obviously should receive further study.
Other American workers (Grob, 1953; Holmes, 1964; Holmes, 1965;
Bowers, 1964) reported similar effects on the behavioral changes in man
following anticholinesterase administration. The syndrome observed
has been broadly classified as a state of altered awareness, fatigue, in-
creased irritability, difficulties in coordination, slowed mental processes,
forgetfulness, muscular aches and pains, malaise, and lack of self-
control. Some of these effects have been observed over a year after
last exposure.
One of the military toxicologists tested only a classified nerve or-
ganophosphorous agent capable of rapid skin absorption (Bowers,
1964). By applying minute doses of the war agent to the skin, he pro-
duced marked behavioral changes as the blood cholinesterase level
fell more often before gastrointestinal symptoms set in than after-
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wards. At these low dosage levels, there occurred no muscular, optic,
pulmonary, or lower bowel signs or symptoms as should be seen in
classic organophosphorus poisoning. Sometimes the behavioral changes
occurred several hours before two other classic expected gastrointes-
tinal signs occurred. In a significant fraction of the volunteers, only
behavioral signs appeared when cholinesterase levels went as low as
10 percent of preexposure level. Thus, no correlation of psychologic
and gastrointestinal symptoms were found. Behavior changes usually
did not occur until the whole blood cholinesterase fell to 40 percent
of control or lower. Atropine treatment improved mental function as
had been found by prior workers (Grob, 1947).
The military toxicologist attributed the behavioral syndrome to a
slight excess of physiologically active acetylcholine in the central
nervous system (Bowers, 1964). People concerned about the validity
of these behavioral effects, which are disputed by most toxicologists,
should be aware of a deficiency of logic on the part of one of the
originators of the contention that behavioral effects occur during and
after exposure to organophosphorous compound (Holmes, 1964;
Holmes, 1965). Just because symptoms disappear after treatment with
atropine does not mean they were due to concurrent exposure to or-
ganophosphorous compounds. Something else is more likely tc be caus-
ing these symptoms if they are not typical of organophosphorus poi-
soning and accompanied by significant cholinesterase inactivation. For
example, a pesticide mixer went to his doctor in 1954 with "symptoms
typical of a severe cold which proved on further examination to be
due to anticholinesterase insecticide poisoning (Holmes, 1964). The
symptoms disappeared promptly after atropine therapy." The symp-
toms of a cold should always be benefited by treatment with atropine
whether the man was exposed or not. Just because he was exposed did
not make the exposure the cause of the symptoms. If the worker had
other symptoms clinically suggesting organophosphorus poisoning,
they should have been presented in sufficient detail to be convincing.
Until such convincing data becomes available, the contentions of their
observer must always be considered as reflecting some ungrounded bias.
He overlooked the greater probability of a cold instead of organophos-
phorus poisoning. This worker also studied 24 patients receiving an
organophosphorus drug, echothiophate iodide, as eyedrops daily for
glaucoma. Of these 24, 84 percent experienced, within 8 months, pro-
nounced red cell cholinesterase inactivation as great as the pesticide
workers' acute exposures. Although nine patients developed symptoms,
six did not. Of these with symptoms, none must have been definite be-
havioral changes or the author would have made a special point of
them. Moreover, the distributor of echothiophate has followed the use
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of this drug for at least 7 years and has not detected behavioral changes
such as have been alleged to pesticides (Anonymous, 1969).
In addition to functional disturbances, neuronal lesions of the nerv-
ous system were recognized early as caused by a pesticide by a British
toxicologist. Mipafox produced classic signs for polyneuritis in three
manufacturers in 1951 but this pesticide has never been used in the
United States of America. (Bidstrup, 1953). Even earlier, the same
pathology had been recognized in far earlier manufacture of a related
nonpestioidephosphate (TOCP) (Hunter, 1944).
Following the earliest publication of recognition of subclinical and
postclinical or postintoxication behavioral effects produced by organo-
phosphorus compounds in a limited percentage of those exposed, many
clinicians in many countries began to report all sorts of minor be-
havioral deviations all the way up to complete psychosis. In 1958,
two cases of mixed-type damage to the nervous system were attributed
to mixtures of pesticides (Petty, 1958). The first case was exposed to
parathion, EPN, DDT, dieldrin, and lead arsenate; the second to DDT
and malathion, Although there is no doubting, the neurologic lesions
produced, the exposure history and the clinical courses were not at all
indicative that pesticides were responsible. Febrile illnesses and drug
treatments also complicated the interpretation.
Two Australian workers surveyed in 1961 a fruit-growing area ex-
tensively using organophosphorus pesticides and found 16 cases of
psychiatric sequelae they attributed to pesticides (Gershon, 1961).
They compared no control population. The type of psychotic sequelae
were mainly depressive and schizoid tendencies but practically all the
other behavioral symptoms were detected in the exposed population
as they should have also been measured in comparable populations.
Perhaps some, but not likely all of these cases should be attributed
to organophosphorus compounds. The compounds suspected were
malathion, guthion, parathion, trithion, and others.
This study, in part, triggered an epidemiological investigation in
Australia to determine psychiatric sequelae—especially schizophrenia
and depressive states—of exposure to organophosphorus compounds.
The results revealed no such relationship (Stoller, 1965).
Another nonpesticide phosphate drug (DFP) caused reactivation
of florid psychotic attacks in patients with this prior history (Rown-
tree, 1950). These psychotic changes persisted for some months. On
the other hand, schizophrenics were improved by the intravenous injec-
tions of acetylcholine (Fiamberti, 1946). In a rebuttal to the above
Australian's allegations that schizoid and depressive states were caused
by organophosphorus poisoning, a critique by an English authority
pointed out that if eight of 10 greenhouse workers in one greenhouse
413

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had psychiatric changes from pesticides, then the world experience
should have produced psychotic tendencies in 80 percent of people
with comparable exposures. Such an exorbitant incidence would have
been obvious in all areas of extensive use of organophosphorus com-
pounds such as fruit growing areas. This means there is something
wrong with or peculiar to the Australian situation not attributable to
pesticides at least at this rate (Barnes, 1961).
Federal aviation workers in 1964 contended that chronic exposure?
of pilots to organophosphorus insecticides were followed with anxiety,
uneasiness, giddiness, insomnia, somnambulism, lassitude, drowsiness,
tinnitus, nystagmus, dizziness, pyrexia, paralysis, paresthesias, poly-
neuritis, mental confusion, emotional lability, depression with weeping,
schizophrenic reaction, dissociation, fugue, inability to get along with
family and friends, and poor work performance.
Another group of public health toxicologists searched very closely
from 1960 through 1962 and less intensively from 1954 to date (1969)
in the Northwest without finding confirmation of the so-called behav-
ioral effects of pesticides (Durham, 1964 and subsequent unpublished
studies). Tests of mental alertness were not influenced by exposure to
organophosphorus poisoning unless symptoms of poisoning appeared
accompanied by cholinesterase levels low enough to explain the symp-
toms. One very dramatic mild poisoning case did illustrate the prin-
ciple that it is very likely for a poisoned patient to have such mild
clinical signs and symptoms that he will not report them to his physi-
cian or employer unless he notices a more drastic change in his own
behavior such as driving his car carelessly across a sidewalk in a very
dangerous place. Pilots have reported similar incidents to explain
erratic behavior causing crashes.
The most important conclusion from this paper is that there have
occurred changes in behavior in workers that threaten the life of them-
selves and others even though they do not realize it and are not aware
that they are poisoned. Consequently, it is most likely these behavioral
changes are being missed frequently under usual conditions of expo-
sure not being closely surveyed. It is also likely that similar behavioral
changes occur at least temporarily at lowered blood cholinesterase
levels without other detectable clinical findings. This has been clearly
established in experimental animals many times cited elsewhere and is
similar to reports from chronically exposed workers (Holmes, 1965;
Dille, 1964; Quinby, 1958).
An Egyptian studied 25 cases of spraymen's poisoning with Meta-
isosystox and appropriate matched controls. After the acute symptoms
of organophosphorus poisoning had subsided, headache, dizziness, and
414

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muscular weakness, especially in the eyes, persisted for "varying
periods" (Hegazy, 1965).
Canadian health workers surveyed for 3 years 441 apple orchard
workers whose occupations involved occupational exposure to organo-
phosphorous compounds, chlorinated hydrocarbons, and other pesti-
cides considered usual for spraying fruit and other work in sprayed
orchards. About 26 percent of the people exposed for from 1 to 14
years developed one or more signs and symptoms of acute poisoning
in the 3-year period. Unfortunately, no distinction was made between
topical and systemic poisoning. A total of 170 people living in the
sprayed environment and 162 people living out of the sprayed environ-
ment were followed as controls. These workers found no signs of pro-
longed effects from pesticides after the cessation of acute symptoms in
an unstated number of poisonings (presumably some less than 26 per-
cent of the cases with symptoms) (Davignon, 1965).
Clinical toxicologists and epidemiologists have made a number of
smaller epidemiologic surveys searching for behavioral effects attrib-
utable to heavy exposures to various pesticides, especially organophos-
phorus compounds and chlorinated hydrocarbons. These have all been
reported as essentially negative in Mississippi (Fowler, 1953; Quinby,
1958), in Arizona (Ganelin, 1964), in Washington (Summerford,
1953; Hayes, 1957).
Two occupational health specialists retrospectively surveyed 235
persons reported by physicians as poisoned by organophosphates in
California in 1960. Of the 235 reported, 114 were considered to have
had organophosphorous poisoning; six everely, 54 moderately, and
54 mildly. Followup was conducted for 3 or more years. Of these,
43 had complaints that persisted up to 6 months and 33 still had com-
plaints after 3 years. These complaints were: optic, gastrointestinal,
headache, cardiorespiratory, neuropsychiatric, and miscellaneous.
There were no psychotics. Ten individuals had persistent symptoms
primarily referable to the central nervous system. None felt it was
caused by organophosphorus poisoning. There were other likely ex-
plainable causes for six of these 10. Intolerance of odor of pesticides
was mentioned by 20 (17 percent) of the poisoned patients and was
believed to be psychogenic conditioning. The authors believed they
would have detected serious sequelae of high incidence but would likely
have missed minor after effects or major one of low incidence (Taber-
shaw, 1966).
The Colorado encephalographers examined sleep patterns of two
people with histories of varying degrees of organophosphate exposure.
Teenage and occupation-matched controls were compared. Exposed
workers had EEM (rapid eye movement) times not significantly differ-
415
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ent on the first night from controls. However, the exposed group
showed a high proportion of unusually long REM periods, six out of
44 periods exceeding 50 minutes and three of these six prolonged
periods were longer than 1 hour. In the control group, one REM period
exceeded 50 minutes out of 34 REM periods. One exposed subject
showed unambiguous REM periods of 107 minutes duration. While
the authors present this in such a way that considerable significance
might be attached to the differences, only the one prolonged REM
period of 107 minutes differs from the longest control. No details of
history are given to explain this difference (Stoyva. 1968).
In an earlier paper, the same group found nine of 12 subjects with
narcoleptic sleep patterns and two with disturbances of normal cycling
of sleep stages with unusually long stage I sleep. If these are the same
12 patients as reported in their later paper, the other unexposed con-
trols had almost as long REM periods as all the exposed with the one
patient excepted. The paper also listed a long list of psychiatric differ-
ences between the exposed and unexposed controls. The differences
cited are open to statistical question.
There have been two earlier reviews of sequellae of organophos-
phorous poisoning. In 1965, the first reviewer from California classified
the neurologic sequellae that were known or suspected to occur after
poisoning with organophosphorus compounds: (1) Immediate muscu-
lar weakness persisting long after the disappearance of other signs
and symptoms; (2) irreversible paralysis with demyelination; and
(3) psychiatric disturbances. The one British report of Mipafox
causing peripheral neuritis was accepted as completely beyond ques-
tion but that reviewer concluded there was found no convincing evi-
dence to causally relating organophosphorus exposure to psychiatric
disorders in the United States (Milby, 1965).
Dr. Irma West of the California State Department of Public Health
had followed occupational pesticide poisoning in that State for 14
years. She considered that brain anoxia from respiratory failure dur-
ing acute poisoning as the most easily identifiable sequella of the
nervous system and this has been recognized as a residual in cases with
severe cyanosis. Overtreatment with atropine and hyperthermia was
pointed out as another likelihood but has not been reported as such.
Phenothiozine tranquilizers have increased the severity of poisoning
and might add to brain damage but this has been reported only once
(Arterberry, 1962). No clear-cut cases of behavior changes were re-
ported from California in this paper (West, 1968).
For 1 to 3 months each during 2 years, four WHO toxicologists and
staffs closely followed teams of sprayers, in El Salvador, Nigeria, and
Iran who were treating houses for malaria mosquito control with the
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carbamate Baygon (Babione, 1965; Babione, 1966; Davies, 1967;
Quinby, 1967; Vandekar, 1965; Vandekar, 1966). They detected up
to 100 percent attack rates of acute mild anticholinesterase poisoning
in spraymen and about 1 percent in the inhabitants. However, no
sequellae or behavioral effects were detected beyond the 2 days of acute
poisoning in each case. No epidemiologic search was possible on a
systematic basis on the inhabitants living in treated homes. However,
the reporting of complaints was routinized and some homes were
treated three times in three cycles about 100 days apart closely ob-
served. The investigators in El Salvador noted that new spraymen
were poisoned more quickly than employees without prior repeated
exposures to both DDT and Baygon.
A practitioner, coroner, and public health toxicologist noted marked
behavioral changes in a mentally defective man poisoned with phosdrin
and/or parathion (Arterberry, 1962). On the ninth day of recovery, he
was given a phenothiazine tranquilizer for mental unmanageability.
His anticholinergic signs and symptoms recurred so severely that he
died. Naturally, this led to the assumption that there must be an un-
appreciated potentiation of organophosphorus compounds by pheno-
thiazine derivatives. When suggested, this was later confirmed in
animals by laboratory coworkers (Gaines, 1962).
Two internists attributed two cases of polyneuropathy to aldrin and
endrin respectively. However, their grounds for belief for causal rela-
tionships are not convincing (Jenkins, 1964).
A pediatric toxiocologist in a poison-control center conducted de-
tailed psychometric-psychologic evaluations on 41 children 18 months
to 14 years after an acute central nervous system poisoning. No overall
differences were seen in these children when compared to control pa-
tients who had ingested other toxic agents not suspected to affect the
nervous system. The eight children who had had convulsions only from
their intoxication, however, showed decreased learning ability and
seven of the eight had behavioral difficulties. Chlorinated hydrocarbon
pesticides were the principal cause of convulsions in this group of eight
children (Angle, 1968).
Behavioral effects of solvents.—Kerosene or xylene and related dis-
tillates in the air can cause dizziness, poor coordination, and confusion
leading to coma if the patient does not get better ventilation (Hayes,
1963). Some victims have been mistakenly believed to be drunk on
alcohol until the proper history was obtained.
Undiluted DMSO produced a depression of spontaneous motor
activity without an effect on hexobarbital sleeping time or the condi-
tioned avoidance response of rats (Weiss, 1967).
Behavioral tests.—The Continuous Performance Test measured the
417

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ability of a subject to react to different 0.92-second sequences of
letters within 0.69 seconds (Rosvold, 1956).
Seconal and chlorpromazine will act to disturb the cortical activat-
ing system of the brain and produce impairment in performance on
the Continuous Performance Test (Mirsky, et al., 1959).
Nonfocal (centroencephalic) patients perform more poorly than
focal epileptics on the test of attention, whereas, there was no differ-
ence on the memory test (Mirsky, et al., 1960).
Sleep loss caused decreased performance on the Continuous Perfor-
mance Test (Kornetsky, 1959).
Both sleep deprivation and chlorpromazine produced marked im-
pairment in the performance of the attention test, less so with the
former—all subjects showed slowing of the electroencephalogram,
increased respiratory length and increased finger pulse amplitude as
compared with performance of subjects when in normal state (Mirsky,
1962). A hypothesis was presented to explain the dissociation of the
effects of various control acting drugs and other agents (Ed note:
Such as pesticides) on performance on the Continuous Performance
Test and the Digital Symbol Substitution Test. The tests were affected
differently because they depended on a functioning of different neuro-
logical organizations in the brain (Mirsky, 1964).
In the pharmacological context of behavioral effects of drugs, there
should be no questioning that organophosphorus compounds, whether
they be drugs or pesticides, do have behavioral effects changing the
response of the patient to dosages of neurotropic chemicals sufficient
to produce them. Psychosis, reactivated by DFP (Rowntree, 1950),
persisted for months after the dosage stopped. On the other hand,
schizophrenics improved with injection of acetylcholine (Fiamberti,
1946). As in dosage response to drugs, there is a great range of dosage
response levels in patients to pesticides. Subjective mood changes have
been carefully measured for drugs but not as well for pesticides. Con-
ditions of observation for pesticides have not been as well controlled
except in experimental animals where conditioned reflexes and other
behavior changes have been well documented. Many clinicians have
described all degrees of behavioral changes from brief inattentiveness
to violent mania in acute organophosphorus poisoning. Some observers
have found these less severe behavioral changes in exposed patients
without other classic signs of poisoning.
Confounding the causal relationships of pesticides to behavioral
effects are the many other undisputed causes of behavior changes :
1. Highly prevalent psychoneuroses and psychoses of nonpesticide
origin. This includes the toxiphobias and emotional antipathies to
pesticides that are indirectly caused by pesticides. Direct causal effects
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have been established of pesticides causing psychogenic odor, abhor-
ence, and even nausea with vomiting. Unfortunately, too many epi-
demiologic studies of behavior changes from pesticides have not
included adequate control populations to measure all these non-
pesticide-caused behavioral changes.
2.	Sleep deprivation and its severe effect on behavior is insufficiently
appreciated by investigators and the public. Many pesticide workers
endure sleep deprivation during and after exposure.
3.	The influence of alcohol upon behavior is well-known but diffi-
cult, if not impossible, to measure in conditions of occupational or
population study.
4.	Drugs have been proven to interact and potentiate acute poison-
ing but studies below obvious poisoning levels in humans are unre-
ported if not undone.
5.	Financial motivations:
Money changes human behavior in relation to pesticides. Medical
insurance payments, rewarding or loss litigation, and industrial com-
pensation have caused patients to malinger and industries to minimize
or conceal toxic effects.
6.	Other miscellaneous causes of behavior changes such as aging,
trauma, and hormonal changes in behavior have been documented
before the patient was aware that he was poisoned and sought medical
diagnosis and care.
Needless to say, a great deal of more careful study needs to be done
on behavioral effects of pesticides on humans and in experimental ani-
mals in order to define which should be attributed solely to pesticides,
to interacting causes, and to nonpesticide causes.
Conclusions.—There are obvious behavioral effects of organo-
phosphorus pesticides during and after the acute and chronic clinical
poisoning periods. There are conflicting reports of the extension of
these postpoisoning symptoms for up to 2 years or longer. In experi-
mental animals, there are behavioral changes long before onset of
other classic signs of poisoning, but there is only suggestive conflicting
evidence that this has occurred in man from pesticides. The proof is al-
ready available from special nerve-type chemical war agents. As with
other mental aberrations, there is indisputable proof that behavioral
changes dangerous to the patient and the public occur before he realizes
he is poisoned with pesticides and seeks medical care. There is no doubt-
ing the damage to the nervous system up to 2 years caused by one
fluorine-containing organic phosphorus pesticide (mipafox) but this
pesticide has not been used in the U.S.A. Regrettably, but as expected
the literature is confused by an assortment of unconfirmed allegations
that organic phosphorus and chlorinated hydrocarbon pesticides
419

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cause "bizarre changes in behavior that presently make no sense at all
to clinical toxicologists, psychiatrists, clinical psychologists, epidemi-
ologists, and public health physicians. Pesticides per xe have not
been established as a cause of schizophrenia or depressive psychoses
even though preexisting attacks may be exacerbated by organo-
phosphorous compounds certainly at clinically toxic levels it not be-
low, Chemical war agents are known to do so, however.
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Experimental animals
The toxicity of pesticides has been studied in a variety of experi-
mental animals in an attempt to learn about the toxicity of these
compounds to man.
A correlation has been shown to exist between acute toxicity levels
as determined in experimental animals and the occupational hazard
of pesticides to man based on actual use experience (Gaines, 1960).
Gaines has also presented evidence that there is a closer relationship
between acute dermal LD00 values and the occurrence of occupational
poisoning than between oral LD#0 values and occupational poisoning.
The prediction of occupational poisoning for man may be improved
somewhat by studying the effect of repeated dermal doses of a pesti-
cide in animals (Hayes, 1960).
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There also appears to be a correlation between toxicity values from
experimental animals and the occurrence of fatal poisoning in man.
Hayes and Pirkle investigated the 119 deaths in the United States in
1961 which were attributable to pesticides. Six of these deaths were
caused by chlorinated hydrocarbon insecticides, 24 were due to organic
phosphorus pesticides, and 58 were caused by inorganic and botanical
compounds.
These proportions are in general conformity with the relative acute
oral LDr,o values for these materials. In general the acute toxicity of
the organic phosphorus pesticides is greater than that of the chlori-
nated hydrocarbon compounds; however, the persistence of the latter
is greater. In the fatal cases, only 17 (16 percent) were occupational
while 80 cases (72 percent) involved oral ingestion.
It is difficult to obtain data to confirm that the expected relationship
exists between the toxicity of repeated doses of a pesticide in experi-
mental animals and the hazard of repeated low-level exposures to
the same chemical in man for the newer synthetic pesticides, since
most of these compounds have not produced poisoning in man at low
exposure levels.
The selection of an animal species to provide indications of hazard
to man is important. There are some manifestations of toxicity which
apparently can only be produced in certain species. For example, the
delayed neurotoxicity ("ginger paralysis" or "jake-leg") produced
in man by triorthocresyl phosphate and certain organic phosphorus
insecticides, could be induced only in chickens and calves among vari-
ous experimental animals tested.
Some toxic effects seem to have great quantitative variations be-
tween species, such as the liver histopathology seen with low dosages
of DDT in rodents, but only with much higher dosages, if at all, in
other species. There are also differences in the metabolic pathways of
foreign chemicals, including pesticides, between different species. For
example, the rat and man convert DDT to DDE while the monkey
seems to lack this capacity.
In addition to studies in experimental animals, some interesting
work has also been done on pesticide toxicity in tissue culture (Gab-
liks, 1965). This technique has been little used to date but may have
potentiality as an easily standardized and controlled indicator of
toxicity to animals and man.
Acute and chronic toxicity.—The most basic information on pesti-
cide chemicals is the acute toxicity (usually in the form of the LDSq
value) to an experimental species (usually the rat). These studies are
very widely done by manufacturers, consulting laboratories, univer-
sities, and Government agencies. An up-to-date publication on the
424

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subject which lists LD50 values for many of the currently important
pesticide chemicals has recently appeared (Gaines, 1969), The LD50
values given in this paper should be useful in providing estimates of
relative toxicity of these compounds since all the tests were carried
out under standardized conditions using the same rat stains.
Also obtained from these studies of acute toxicity is information on
the symptomatology produced. In general, experience has shown that
symptomatology for poisoning by a given compound tends to be simi-
lar in different species. Thus, this information is useful for man.
The principal, if not the exclusive, acute action of DDT and the
other chlorinated hydrocarbon pesticides is on the nervous system.
The exact nature of the action is unknown.
In animals, the earliest apparent effect of DDT poisoning is abnor-
mal susceptibility to fear, with violent reaction to stimuli that nor-
mally would be unnoticed (Hayes, 1965). There is definite motor
unrest and an increased frequency of spontaneous movements. A fine
tremor appears and becomes constant, interfering with normal activ-
ity. As the nervous system involvement progresses, there are attacks
of epileptiform tonoclonic convulsions. Death may result from
ventricular fibrillation.
In addition to their major effect on the neuromuscular system, DDT
and the other chlorinated hydrocarbon pesticides produce minor
changes in the liver, especially in rodents (see later discussion) and,
to a still lesser degree, in other organs.
These compounds are cumulative, being stored in body fat. Illness
in experimental animals caused by repeated exposure to DDT is essen-
tially identical with illness caused by a single dose of sufficient size.
Effective therapy is forthwith apparently restricted to efforts to
remove the poison and to control tremor, convulsions, and other central
nervous system effects. Short-acting barbiturates are used to control
central nervous system hyperactivity. A very high dosage—en-
ough to produce anesthesia under normal conditions—may be re-
quired and is tolerated without undue depression in the presence of
poisoning. Although these various aspects of treatment were worked
out in studies with experimental animals, they appear to be applicable
in man.
The organic phosphorus pesticides appear to act primarily, if not
entirely, through inhibition of the enzyme, cholinesterase. Symptoma-
tology is associated with over stimulation of the parasympathetic
nervous system. Differences in activity levels of cholinesterase in vari-
ous species presents somewhat of a complication in making compara-
tive studies.
425

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However, suitable modifications can be made in the cholinesterase
methodology (for example, Frawley et 
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There are both qualitative and quantitative differences between
species with regard to pesticide metabolism. Thus, although monkeys
(Durham et al., 1963) and rats (Hayes et al., manuscript in prepara-
tion) fed DDE store the compound in adipose tissue, and although
DDE is found in the fat of rats fed DDT, monkeys on DDT diets
store little-or no DDE. It appears that the failure of monkeys fed
DDT to store DDE is not due to an inability to absorb and to store
DDE but rather to an inability to convert DDT to DDE. The monkey
does excrete DDA in the urine, as do men and rats. The sex differences
for DDT and DDE storage (Durham et al., 1956) and for suscepti-
bility to parathion (DuBois et al., 1949) and to some other organic
phosphorus pesticides (Gaines, 1960) that occur in rats have not been
noted in other species studied. However, not enough is known at the
present time about the response in man to either DDT or parathion to
know whether or not a sex difference exists.
2. Age.—Newborn animals of several species have an almost com-
plete lack of ability to metabolize certain drugs (Fouts and Adamson,
1959). However, this capacity increases quite rapidly during the first
few weeks of life.
The lack of microsomal activity in the neonatal liver correlates well
with the observed sensitivity of the newborn of several species to some
pesticides. Thus, the toxicity of EPN (Murphy and DuBois, 1958),
and of ethyl fenthion (DuBois and Puchala, 1961), was found to be
much higher in 23-day-old male rats than in adult rats of the same sex.
In a very complete study, Brodeur and DuBois (1963) compared
the acute oral toxicity of 16 anticholinesterase insecticides to weanling
and to adult male rats. All of the phosphorothioates and phosphorodi-
thioates tested were more toxic to weanlings than to adults. The great-
est age differences were seen with EPN and carbophenothion (Tri-
thion) to which weanlings were about five and four times, respectively,
more susceptible than adult males. Weanling rats were only slightly
more susceptible than adults to mevinphos, trichlorofon, and carbaryl.
DEF (Folex) was about twice as toxic to weanlings as it was to adults.
On the contrary, a phosphoroamide, schradan (OMPA), differed from
all of the other compounds tested in that adult males were more sus-
ceptible than weanlings. The factor of difference was about five.
Lu et al. (1965) have studied the comparative oral toxicity of mala-
thion, DDT, and dieldrin to rats of different ages. They found the
toxicity of malathion increased in the following order: adult, pre-
weaning, newborn. However, for both DDT and dieldrin, adult rats
were more susceptible than newborn rats. With the exception of the
newborn rats, only small differences were noted between the other age
groups tested. The toxicity of DDT increased in the following order:
427

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newborn, preweaning, weanling, middle-aged, young adult. For diel-
cirin (he order was newborn, adult, pre weaning.
The greater susceptibility of the young observed in experimental
animal studies with pesticides seems also to be applicable in man. In
instances in which parathion-contaminated food has l>eeu eaten by
people of different ages, death has occurred mainly or exclusively
among children (Kanagaratnam et al., 1960). Children ;"> to 6 years old
were killed by eating an estimated 2tmg. of parathion, a dosage of about
0.1 mg./kg. In contrast, daily doses of 7.2 rag. (about 0,1 mg./kg.)
given to adult volunteers for a period of 42 days produced no signs of
poisoning and no symptoms other than a moderate decrease in blood
cholinesterase level (Edson, 1957).
3. Sex,~The acute oral toxicity to white rats of DDT does not ap-
pear to be significantly influenced by the sex of the animals tested. The
LI):o values are 113 mg./kg. for males and 118 mg./kg. for females
(Gaines, 19(>0). However, female rats are somewhat more susceptible
to repeated doses of the insecticide than are male rats (Fitzhueh and
Nelson, 1947; Haag et al., 1948). Female rats also store more DDT in
their fat than male rats fed at the same dosage level (Hayes, 1959).
Sex differences are apparent in the effect of DDT on liver cell morphol-
ogy and in fat storage of the compound and its metabolite DDU. Male
rats show much more frequent, and extensive histological changes in the
liver than female rats when both sexes are exposed repeatedly at mod-
erate dosagne levels (Ortega et al., 1956),
The evidence for or against a sex difference in DDT storage for other
species is not so clear. However, in studies on pigs (Harris et al., 1953)
and monkeys (Durham et al,, 1963), no sex differences with respect to
DDT storage were noted.
In the rat, a species in which both storage and toxicity frequently
show sex differences, these differences may be modified by sex hormones.
Durham et. al. (1956) studied the influence of hormones and of gonad-
ectomy on the storage of DDT and DDE in the rat- Testosterone pro-
pionate or oophorectomy decreased DDT storage in female rats while
diethylstilbestrol or testectomy increased DDT storage in male rats.
The effects on DDE storage were similar but of lesser magnitude.
In in vitro studies, Murphy and Dubois (1958) showed that the con-
version of azinphosmethyl and of EPN to active anticholinesterase
agents was two to three times greater in the livers of adult males than
of adult female rats. No sex difference in enzyme activity was noted for
animals less than 30 days of age. The low enzyme activity in the livers
of adult female and of young male rats was increased by testosterone.
The high enzyme activity in the livers of adult males was decreased by
castration and by progesterone of diethylstilbestrol.
428

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Administration of a male sex hormone to female rats and of a fe-
male sex hormone to male rats tended to equalize their susceptibility to
a single dose of parathion (DuBois et al,, 1949).
DuBois and Puchala (1961) demonstrated that ethyl fenthion had
a high toxicity to female rats, male and female mice, and male guinea
pigs, while male rats "were much more resistant. There was no sex
difference in the toxicity of the oxygen analogue to rats.
In comparison of LD50 values for male and female rats of 44 pesti-
cides, the male rat was more resistant in 22 cases (50 percent), the
female rat was more resistant to five compounds (11 percent), and
the sexes were about equally susceptible to 17 compounds (39 percent)
(Durham, 1967). There were greater differences between the sexes
in susceptibility to poisoning for the organophosphorus than for the
organochlorine compounds.
There appears to be little or no data on relative susceptibility to
poisoning by pesticides for men and women. However, some data is
available on sex differences in DDT storage levels for man.
Conclusions regarding the effect of sex on the tissue storage level
in man of DDT and other organochlorine pesticides have been differ-
ent in various studies of the matter. In study of 254 human subjects in
Israel, Wassermann et al. (1965) did not find significant differences
in storage of DDT or DDE in relation to sex. Laug et al. (1951), and
Read and McKinley (1961), found that sex had no significant effect
on storage level of DDT or its metabolites which were studied. How-
ever, 2avon et al. (1965) noted a tendency toward a somewhat higher
concentration of dieldrin, o,p'-DDT, p,p'-DDT, DDE, and heptachlor
epoxide in men than in women, although the differences were not con-
clusive. Robinson et al. (1965) reported higher concentrations of
DDT, DDE, and dieldrin in adipose tissues from males as compared
to females. On the other hand, Hayes et al. (1965) found that females
stored significantly higher levels of p,p'-DDT and of toeta-BHC
than did males. Application of a recently developed procedure has
indicated that concentrations of several organochlorine pesticides
occur at higher levels in blood from males than from females in the
general population (Dale et al. 1966).
4- Disease.—Diseased animals have been shown, under certain con-
ditions, to have different responses to the added stress of exposure to
a pesticide than do healthy animals.
The interaction of DDT and trichinosis has been studied in rats
(Hayes and White, manuscript in preparation). Trichinosis was
chosen for investigation because it was easily transmitted but pre-
sented minimal danger of unintentional spread and because, with
selected dosages, it produced a disease which, although severe, was
429

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generally nonfatal in the absence of other stress. The administration
of repeated doses of DDT, known to produce extensive storage of the
compound in fat, increased mortality in rats infested with Trichina
only slightly. Infestation with Trichina larvae caused a dramatic loss
of weight which was similar in rats which received DDT and in those
which did not. The changes in storage of DDT and DDE which were
seen in rats infested with Trichina could apparently be accounted for
by the weight loss which occurred.
Under ordinary conditions, methoxychlor has a low order of toxicity
for rats and shows little tendency for accumulation in the fat and
other tissues. However, in rats whose livers had been severely damaged
by carbon tetrachloride, the toxicity of methoxychlor was increased
markedly as was its propensity for storage in body fat (Laug and
Kunze, 1951). However, in an acute study there was little difference
in DDT toxicity noted between normal rats and rats with carbon
tetrochloride-induced liver damage (Judah, 1949). One might inter-
pret these data as indicating that, under these circumstances, the
liver—and perhaps the liver microsomal enzymes—were of consider-
able importance in the metabolism of methoxychlor but of less conse-
quence for the handling of DDT, However, Judah (1949) did note
that rats and rabbits with extensive, long-standing liver damage were
more susceptible to DDT poisoning than were control animals. Par-
tially hepatectomized rats showed a somewhat greater susceptibility to
dermally applied dieldrin (LD.™, 50 mg./kg.) than did control animals
(LD50, 90 mg./kg.) (Durham and Hayes manuscript in preparation).
There is also some information available on the effect of disease on
susceptibility to pesticide poisoning in man.
An individual who was said to be "sickly" and hungry at the time
of eating the compound, became ill following the ingestion of 6 mg./
kg. of DDT (Hsieh, 1954). In other persons in this same incident and
in other reports from different situations, illness followed ingestion of
doses of 10 mg./kg. or greater, but smaller doses generally have not
produced poisoning (Hayes, 1955).
Maier-Bode (I960 found no essential difference in storage of DDT
or DDE between 21 persons who died of cancer, and 39 persons who
died of other diseases. Robinson et al. (1965) detected no differences
in total DDT-derived material or dieldrin between 50 biopsy and 50
necropsy samples. Nor was there any correlation for the necropsy
samples between storage levels and cause of death, classified as neo-
plasm, cardiovascular disease, infection, or accident.
The metabolism of parathion in man, as measured by excretion
levels of p-nitrophenol, was influenced by intercurrent disease, and
skin and kidney pathology (Davies et al., 1965).
430

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5. Nutrition.—In the case of the organochlorine materials, which
have been of most interest in this regard, the mass of body fat present
in the well-fcd animal serves as a protective mechanism by storing the
insecticide and, thus, shielding the senstitive nervous tissue from the
poison. In the starved animal this protective mechanism is either ab-
sent or is ])resent in reduced amount. The lowered liver microsomal
enzyme activity of starved animals may influence their susceptibility
to poisoning. Furthermore, if the starved animal had already stored
a significant amount of one of the organochlorine pesticides prior to
starvation, then the amount of insecticide mobilized along with the fat
during starvation might be decisive in determining the outcome of a
new exposure to the same or a related poison (Dale et al., 1962).
It has been shown that both mammals (Spicer et al., 1947) and fish
(Hoffmann and Surber, 1949) which are in good condition, especially
those which are fat, are more resistant to DDT poisoning. DDT poi-
soning in birds is accentuated by starvation. Eats which had been
given relatively large dosages of DDT to produce significant fat stor-
age levels of the compound developed characteristic DDT tremors
during starvation (Fitzhugh and Nelson, 1947). However, attempts
to produce symptoms of poisoning in animals previously dosed with
dieldrin by starvation have not been successful (Hayes, unpublished
data).
Both the mouse and the rat showed increased toxic effects from DDT
when the percentage of fat in the basal diet was increased from 5 to 15
percent (Sauberlich and Baumann, 1947). A reduction in the level of
dietary fat to 0.5 percent decreased the toxicity of DDT to both spe-
cies. All lipids tested, including a highly saturated fat (hydrogenated
coconut oil), moderately saturated fats (butter and lard), and highly
unsaturated fats (peanut oil or corn oil), produced essentially equal
effects. The effect of the fat was not modified by the addition of chol-
esterol at a dietary level of 0.5 percent. The authors reasoned that the
increased toxic effect of DDT when the compound was given in a high
fat diet was due primarily to promotion of absorption of the toxicant
by the fat. Varying the protein content of the diet produced opposite
effects from changes in the fat moiety. Thus, an increased protein con-
tent (above 20 percent) tended to be associated with a smaller DDT
effect, while a decreased protein content (10 percent) apparently re-
duced resistance to DDT.
The changes in storage and excretion of DDT in rats as a result
of starvation have been studied by Dale et al. (1962). In these starva-
tion tests, mobilization of body fat resulted in an increased concen-
tration of DDT-derived material in that tissue, and a corresponding
increase in other tissues studied (plasma, brain, liver, and kidney).
431
371—074 O—60.	29

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An augmented excretion of metabolites oeiirred during starvation in
spite of decreased intake of DDT. The increased excretion was inade-
quate to prevent the increase in concentration of DDT-derived mate-
rial in the body tissues studied, although it tended to do so. In this work
no effort was made to assess the role of the liver microsomal enzymes^
or the effect of starvation on their function. However, such a study
would be complicated by the apparent large increase in DDT dosage
produced by release of the compound from mobilized fat.
The effect of the level of dietary protein on the sub-acute toxicity of
dieldrin added to the diet has been studied in rats (Lee et al., 1964). A
low (10 percent) protein diet accentuated the toxic effect of dieldrin
as measured by increased mortality, increase in liver lipids, decrease in
total liver content of vitamin A, and more marked histopathology in-
volving cellular edema and fatty infiltration. However, total liver
weight in dieldrin-fed rats was unaffected by a low protein diet but
was increased by a high protein {25 percent) diet.
A dietary deficiency of riboflavin or nicotinic acid can accentuate
dieldrin toxicity in rats (Tinsley, 1966). Also, dieldrin appears to
interact in the metabolism of unsaturated fatty acids and accentuates
an essential fatty acid stress.
Dietary DDT at levels of 10 to 100 p.p.m. decreased the utilization
of vitamin A and carotene in the rat as measured, by liver storage
of vitamin A (Phillips, 1963).
6, Temperature.—Baetjer and Smith (1956) have reported that
parathion is more toxic to mice at higher environmental temperatures.
The temperature effect was less marked when the parathion was in-
jected intravenously than when it was given intraperitioneally. The
authors interpreted this difference as an indication that variation in
the rate of absorption was probably the most important factor causing
the increased toxicity at higher temperature. Sarin was more toxic to
monkeys at an environmental temperature of 38° C. than at 25° C. fol-
lowing either percutaneous or respiratory exposure (Craig et al., 1959).
However, sarin -was more toxic to hibernating than to warm, nonhiber-
nafcing hamsters (Scaife and Campbell, 1958). Rats held at ordinary
room temperature withstood 4,000 p.p.m. malathion without showing
signs of intoxication (Marton et al., 1962). However, when these rats
were clipped and exposed to an ambient temperature of 1.5° C. they
survived for a much shorter period in the cold environment than did
control animals not receiving malathion.
DDT, warfarin (Keplinger et al:, 1959), and azinphosmethyl (Was-
sermann et al., 1963) are more toxic to rats at 36° C. than at lower
temperatures (4° to 8° C.). Warfarin differs from the other compounds
tested in that it is least toxic at an intermediate temperature (26° C.)
432

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and then becomes more lethal as the animals are cooled or warmed
(Keplinger et al,, 1959).
Temperature has also been shown to interact with pesticide exposure
in affecting the physical performance of rats. Thus, rats repeatedly
fed amounts of DDT in their diet which did not otherwise produce
symptoms showed a decreased ability to swim in cold (20° C.) water
(Toxicology Section, unpublished data).
It is well known that the nitrophenoJs, including those used as pesti-
cides, are more toxic at higher environmental temperatures (Sollmann,
1948). The toxicities of DNOC and dinitro-o-phenol to rats are sig-
nificantly greater at 36° C. than at 10° C. (Keplinger et al., 1959).
The same is true of pentachlorophenol. These compounds act by
increasing the oxidative metabolism and, therefore, the heat produc-
tion of the body, chiefly by direct peripheral action (Hayes, 1963).
Some observations in man also indicate an effect of temperature on
the toxic effect of pesticides. Volunteers given dermal doses of para-
thion showed an increase in their excretion of p-nitrophenol associated
with an increase in ambient temperature (Funckes et al., 1963; Dur-
ham et al.,manuscript in preparation).
In studies of workmen exposed to parathion while spraying under
field conditions, excretion rates of p-nitrophenol for men with appar-
ently similar contact with the poison were generally higher during the
hot days of July than during the cool days of May (Durham et al.,
manuscript in preparation).
It has long been the observation of physicians and others in certain
agricultural areas that poisoning from the organophosphorus insecti-
cides occurs more often in unusually hot weather than under cooler
conditions. However, more spraying is done in the warmer weather;
therefore, any valid conclusion based on epidemiological data relating
to the effect of temperature on poisoning would have to take into
account the intensity of exposure and the size of the population at
risk.
7. "Light.—Insofar as pesticides are concerned, light seems to be a
much less important environmental factor than is temperature in
effect on toxicity.
However, ultraviolet light can catalyze the oxidation of a number
of organophosphorus pesticides, including parathion which was con-
verted to the more toxic oxygen analogue, paraoxon (Cook, 1955;
Frawley et al., 1958).
Photosensitivity has been demonstrated in rats with hexachloro-
benzene-induced porphyria (Pearson and Malkinson, 1965).
Pathology.—With the exception of the neurotoxic effect which
occurs with certain compounds, the pathology associated with exposure
to the organic phosphorus pesticides is not noteworthy. However, the
433

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chlorinated hydrocarbon compounds do produce significant histopath-
ology, particularly of the liver, in animals which are subjected to high
levels over long periods of time.
The histopathology associated with pesticides which lias caused
the most discussion occurs in animals given repeated doses of DDT
or of certain other of the chlorinated hydrocarbon compounds. His-
tological changes occur in the livers of rats even at very low levels of
DDT in their diet. These changes were first reported by Kunze et al.
(1949). These workers reported that histopathology could be detected
in the livers of rats maintained for six months on a diet containing 5
p.p.m. of DDT. However, Cameron and Cheng (1951) were unable
to demonstrate any pathology in rats sacrificed after being dosed
for more than a year at levels corresponding to food concentrations
up to approximately 350 p.p.m. Some other workers, including Deich-
inann and colleagues (1950) and Treon and Cleveland (1955), re-
ported liver changes induced by relatively low dosages of DDT, while
Haag and associates (1948) and Greenwood and coworkers (1953)
failed to find such changes. Ortega et al. (1956) reported that liver
cell necrosis occurred with dosages in excess of 1,000 p.p.m. but not
at lower levels. Histological changes restricted to the liver occurred
at levels as low as 5 p.p.m., but liver function, as measured by brom-
sulphthalein excretion, was not affected in rats fed 400 p.p.m. or less.
The histological changes in the parenchymal cells of the liver con-
sisted of an increased deposition of fat, margination of cytoplasmic
granules, hypertrophy of the cells, and most characteristic—the for-
mation of complex, lipoid cytoplasmic inclusion bodies termed "lipo-
spheres". Ortega (1962) has more recently reported additional details
of these cytoplasmic alterations as noted in studies using both light
and electron microscopy.
The similarity in both etiology and appearance of these histologic
changes with those characteristic of microsomal enzyme induction
have led some observers (Ortega, 1962; Ferrigan et al. 1965) to label
them as adaptive rather than as a pathologic process. The DDT-
induced histologic changes have never been correlated with hepatic
dysfunction. The changes in liver cell morphology occur in the rat
at a much lower dietary level of DDT than do other "toxic" effects.
The fact that histological changes similar to those noted with DDT
occur with phenobarbital and are correlated with enzyme induction
suggests a similar view for the DDT-produced changes. There are
several bits of experimental evidence to support such a view. Ortega
(1962) has noted that chronic feeding of DDT produced a consider-
able increase in the amount of SER in the liver cells with a partial
displacement of rough-surfaced reticulum. Most significantly, Ferri-
434

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gan et al. (1965) have pointed out that, for rats fed dieldrin in their
diet, these specific structural changes in the liver were related more
to intensity and duration of exposure than to intoxication. In fact,
the liver changes were not found in intoxicated rats, only in unin-
toxicated ones.
Monkeys develop liver histopathology only with relatively high
dosage levels of DDT (Durham et al. 1963). No liver histopathology
occurred in monkeys fed DDT at dietary levels of 200 p.p.m. or less
for periods of up to 7.5 years. One of six monkeys fed 5,000 p.p.m. of
DDT did develop the cytoplasmic inclusions which have been charac-
teristically associated with chlorinated hydrocarbon poisoning in
the rat.
Chlorinated hydrocarbons other than DDT also produce these liver
changes in rats (Ortega et al. 1957). The lesions were produced at
minimum dietary levels of 2.5 p.p.m. for dieldrin and clilordane and
50 p.p.m. for lindane and toxaphene.
It is generally agreed from studies in a wide variety of species of
animals that large doses of DDT can cause liver cell necrosis (Hayes
1959b), but this effect must not be confused with the reversible effects
of small doses discussed above.
It is interesting to note that, in rats poisoned with large doses of
chlorinated hydrocarbon pesticides, increases in liver weight and in
liver fat content have been noted for DDT (Sarett and .Fandorff 1947)
and for dieldrin (Durham et al., manuscript in preparation).
DDT has been shown to cause atrophy of the adrenal cortex (Nel-
son and Woodard 1949). This finding is of particular interest in view
of the fact that, in animals exposed to DDT, high levels of DDT are
stored in the adrenal gland in comparison with other tissues. This
effect has been shown to be due to the o,p'-DDT isomer present in
the technical product (Cueto, Brown, 1958).
Storage.—Pharmacodynamics is being considered in a separate
section of this report. However, the good correlation between tissue
storage for the chlorinated hydrocarbon pesticides between experi-
mental animals and man is worthy of brief comment here.
On a constant dosage of DDT both experimental animals (Hayes
1959) and man (Hayes et al. 1956) show increased fat storage of the
compound for a time but eventually reach a plateau level beyond which
further accumulation does not take place even though dosage is con-
tinued. Loss of the compound from storage is slow in both experimental
animals and man. The rate of loss is proportional to the storage.
Induction of liver microsomal enzymes,—One of the important
pharmacologic properties of the chlorinated hydrocarbon pesticides
is their capacity to stimulate activity of the drug-metabolizing
435

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enzymes in the liver microsomes. This effect was first noted for
ehlordane among the chlorinated pesticides (Hart et al., 1963) but
since has been reported for an additional number of these compounds.
There also seems to be considerable variation between different
phyla, classes, groups, and species of animals with regard to micro-
somal enzyme activity. In some species, such as the rat, there are
sex-related differencess in enzyme level. There are also differences
between aquatic and terrestrial animals. For example, these enzymes
seem to be almost completely lacking in fish (Brodie and Maickel
1962). Many of the differences between various species with regard
to susceptibility to certain chemicals including pesticides, can be ex-
plained on the basis of these differences in microsomal enzyme
activity.
The microsomal enzymes are essentially absent in the newborn, but
build up rapidly in the early days or weeks of life (Fouts and Adamson
1959).
The changes in activity of the liver microsomal enzymes have been
shown to be accompanied by characteristic changes in the ultrastruc-
ture of the liver cell. Thus, Fouts (1962) and Remmer and Merker
(1963) have shown that increases or decreases in liver microsomal
enzyme activity are paralleled by similar changes in the amount of
SER in the liver cells. Fouts and Rogers (1965) have published excel-
lent photomicrographs which illustrate the differences between normal
liver cells and liver cells from enzyme-stimulated (phenobarbital-
treated) rats. As discussed above under pathology, these histologic
changes are thought by some observers to be identical with those
caused by low levels of DDT and other chlorinated hydrocarbon
pesticides and labelled as pathologic.
Although the matter of interaction is being considered by another
reviewer, one aspect of this subject shows so beautifully the extension
of animal findings into man that it deserves to be mentioned here.
Street (1964) reported that the storage of dieldrin in fat of female
rats was markedly depressed when DDT and dieldrin were fed simul-
taneously. On the other hand, addition of methoxychlor to the diet
did not affect the dieldrin storage pattern. A similar effect on fat
storage of dieldrin in the rat was also produced by certain drugs,
including phenobarbital (Cueto and Hayes 1965), aminopyrine, tol-
butamide, phenylbutazone, and heptabarbital (Street et al. 1966).
Very recently, Da vies et al. (1969) have described lowered blood
levels of DDE in patients taking the anticonvulsant drugs phenobar-
bital and diphenylhydantoin (dilantin). The microsomal inductive
effect of DDT has been utilized therapeutically by Thompson et al.
436

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(1969) in the treatment of a case of familial unconjugated nonhemo-
lytic jaundice with DDT.
Reproduction.—There is now a considerable volume of data avail-
able oil the effect of pesticides on reproduction in experimental ani-
mals. A two generation study in two species is required for compounds
to be granted a tolerance level in food. In general, the results of these
studies have been reassuring. In few instances have effects on re-
production occurred in the absence of other signs of toxic effect.
In addition to any possible effects 011 reproduction, DDT and the
other chlorinated hydrocarbon pesticides may also poison the young
by way of the mother's milk, since these compounds are excreted in
the fat moiety of the milk in exposed animals.
Some workers have postulated an estrogenic effect for DDT or its
congeners based on general steric similarity to diethylstilbestrol. Bur-
lington and Lindeman (1950) showed that DDT produced a strik-
ing inhibition of testicular growth and secondary sexual characters
of cockerels. Welch et al. (1969) reported that technical DDT; p,p'-
DDT; o,p'-DDT; and methoxychlor had estrogenic effects in the rat
as shown by an increase in uterine net weight.
However, Fisher et al. (1952) concluded that p,p'-DDT did not
have estrogenic activity since it failed to maintain estrus in ovariecto-
mized rats, although an analog (2,2'-bis(^-hydroxyphenyl)-l,l,l-
trichloroethane) did show such activity.
In addition to this possible direct estrogenic effect, DDT and the
other chlorinated hydrocarbon pesticides may affect reproduction
through their microsomal inductive activity. This increase in drug-
metabolizing enzyme activity is accompanied by an increased con-
version of steroids to polar metabolites (Kupfer, 1969; Welch et al.,
1969). The significance of this effect for mammalian reproduction has
not yet been shown. However, it has been postulated (Wurster 1969)
that this action is responsible for the decreases in eggshell thickness
observed in certain bird species fed chlorinated hydrocarbon pesti-
cides (Stickel, 1969).
There have been reports of a number of wild bird species, notably
the peregrine falcon and the bald eagle, which are showing declin-
ing reproductive success and population numbers. This decline has
been attributed to chlorinated hydrocarbon pesticides by some ob-
servers (Risebrough, 1969; Wurster, 1969). The estrogenic and enzyme
effects noted above indicate a possible mechanism for such an etiology.
However, there seems at this time to be a very reasonable doubt that
residues of the chlorinated hydrocarbon pesticides are found in the
natural feed of these birds at levels equivalent to the dosage neces-
sary to produce these effects.
437

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In studies with the developing chicken embyro involving more than
400 chemicals, including a number of pesticides, high and specific
teratogenic activity was noted with 3 fungicides—captam, folpet, and
difolataii (Verrett et al., 1969). Captan has also produced mutagenic
effects in bacteria, in a heteroploid human embyronic lung cell line,
and in a cell line derived from the kidney of the rat kangaroo (Lega-
tor et al., 1969).
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PREVENTIVE AND THERAPEUTIC MEASURES
Since the end of World War II, many new chemicals for the pro-
tection of crops and the abatement of nuisances arising from the
presence of various types of pests have come into use. Pesticides, be-
cause they are designed to injure some living species, may have a
potential for harming man. Such harm may arise as a result of use
of consumption of stored or agricultural products treated with pesti-
cidal chemicals or of handling such chemicals during their application
to stores or produce. Here, we shall be concerned only with risks to
man from the handling and application of pesticidal chemicals.
California, the State that uses about one-fifth the total amount of
pesticidal chemicals consumed within the entire United States per
year, requires its physicians to report attendance upon any injured
worker (section 6407 of the California Labor Code). This system has
allowed the Bureau of Occupational Health of the California Depart-
ment of Public Health to report that, during the years 1965 and 1966,
the greatest number of occupational illnesses attributed to economic
poisons was held to be due to organophosphorus compounds. The next
highest number of illnesses (about 79 percent of that attributed to
organophosphorus compounds) was due to herbicides, with phenolic
compounds, halogenated hydrocarbons, fungicides, compounds con-
taining Pb or As, organomercurial compounds and carbamates follow-
ing in order of decreasing activity in causing sickness.
Although the experience of California with pesticidal chemicals
may not be typical of the entire United States (in New York State,
the majority of poisonings by pesticides reported by Poison Control
Centers within the State are due to insecticides; rodenticides cause
about 25 percent of the reported cases and herbicides only about 4
percent whereas in California herbicides initiate apparently about 28
percent of the illnesses), that State's figures for the incidence of dis-
ease due to economic poisons may serve as a guide to what the other
States may expect as their agricultural activities become more intensive
in response to the need to provide food for a progressively increasing
human population.
In the total of illnesses caused within California by economic poi-
sons, the most common type of effect was the development of some sort
of skin condition, with an eye condition, a generalized intoxication,
a chemical burn and a respiratory condition following in order of
decreasing incidence. When one considers individual types of economic
poisons, one finds that herbicides and phenolic compounds ha\ e similar
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hierachies of effects, with an eye condition leading the other sorts of
actions as the most common and being followed in order by a skin
condition, a chemical burn, a respiratory condition and a generalized
intoxication. The other 6 types of economic poisons have various, and
possibly characteristic, hierachies of toxic actions. All these heirarchies
are summarized below, in units of the incidence of the least common
effect for each type of economic poison.
8kln Eye General Chemical Resplra-
condltion condition Intoxica- Burn tory
tlon	condition
Organophosphorus derivatives	
21. 5
13. 5
149. 0
1. 0
3. 5
Halogenated hydrocarbons _
4. 8
4.2
3. 0
1. 4
1. 0
Pb or As derivatives.	_
4. 5
2, 0
3. 0
1. 5
1. 0
Herbicides	
12. 4
19. 0
1. 0
6.4
1. 2
Organo-Hg derivatives . _
4. 0
2. 0
1. 0
8. 0

Fungicides	 _ __
10. 5
8. 5
1. 0
2. 5
3. 0
Phenolic compounds
26. 0
32. 0
1. 0
20. 5
2. 0
Carbamates...	
1. 0 -

1. 0 _


This compilation shows that the only type of economic poison that
is especially likely to cause generalized intoxication is the organophos-
phorus derivatives. Either the skin or the eye is the part of the body
most likely to be injured by most of the other types of economic
poisons, with a chemical burn being the most common type of injury
by the organomercurials. Hence protection of the eyes and skin from
accidental contact with pesticidal chemicals is important for all prin-
cipal types; in the case of organophosphorous compounds especially,
protection from inhalation or ingestion of pesticides is important also.
7, Preemployment examinations.—Because the skin is at least to some
extent a barrier that denies access to the interior of the body by ex-
ternal influences and because the skin is injured also by many economic
poisons, a normal, healthy skin without a previous history of exanthe-
matous or other sorts of pathologic changes should be a primary re-
quirement in any preemployment medical examination of a prospective
employee who may be exposed more or less continuously to pesticides.
Similarly, the eyes should be examined carefully by the use of fluores-
cein or other appropriate dye for evidence of previous ulceration or
damage.
Because both the organophosphorus and the halogenated hydrocar-
bon compounds can induce the electrical seizure patterns in the EEG,
an EEG examination, including voluntary overbreathing, should be a
part of any thorough preemployment physical examination of a pros-
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pective pesticide operative. Good general physical condition of a new
pesticide operative should be assured medically; this involves the
examiner's taking special care to assure himself that the respiratory
and cardiovascular systems have not been damaged in any way and
that hepatic, renal and gastrointestinal functions are normal.
2. Personal protection against exposure.—Although employers can
institute rules and procedures for the safe handling of pesticides, the
individual worker is the final arbiter of his own safety when using
these poisons. In particular, he must understand both the need for,
and the correct use of, such protective clothing as rubber gloves, rubber
boots, rubber apron, impermeable raincoat, goggles, face shield, imper-
meable hood, dust mask and rubber face mask with protective
cannister.
It is the responsibility of the employer to assure that his personnel
understand the correct use, and indications for the use, of the protec-
tive items mentioned above and that the articles appropriate for the
work that the employee will be required to perform are available to
him. It is the responsibility of the employee to conscientiously use
the protective items and procedures appropriate to the work that he
performs. The pesticide operative's supervisor has responsibility for
assuring both that the employee knows the proper use of the protec-
tive items made available to him and that the employee makes correct
use of the protective items and procedures that pertain to his handling
of particular pesticides.
Whenever the more potent organophosphorous compounds (such as
demeton, or systox, and dimefox) are handled or any potent pesticide
is applied as an aerosol within a greenhouse, a full face mask with a
protective cannister and an impermeable hood should be woni. In other
situations, goggles, a face shield or a dust mask, as appropriate, is
usually sufficient protection to the head and neck region.
For protection of the body in general from the most toxic materials,
boots, rubber gloves and either an impermeable coat or a tightly-
woven coverall and a rubber apron should be worn whenever con-
centrated pesticidal chemical must be handled by the employee. After
the concentrated material has been diluted for use, spraying from the
ground should be performed when wearing rubber gloves, rubber
boots, and an impermeable coat or, at the least, a coverall and rubber
apron. If spraying is done overhead, an impermeable hood should be
worn in addition to any other protection of the head and neck region.
The pesticide operative should be acquainted with several addi-
tional general procedures relating to his own safety during mixing and
spraying operations:
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1.	Do not smoke during diluting and spraying operations. Ciga-
rettes or other items of tobacco should not be carried on the
person during these operations.
2.	"Wash face and hands well before smoking, eating or drinking
during the workday.
3.	Shower or bathe thoroughly at the end of the workday.
4.	Do not try to clear a blocked nozzle by sucking or blowing with
the mouth.
5.	Avoid spray drift-.
6.	Clean protective clothing and equipment frequently and store
carefully to avoid tearing or creasing that may lead to breaks.
Permeable clothing should be laundered after each day's use,
at least. In case of a spill onto such clothing, the contaminated
article should be removed at once and replaced by a fresh item.
A number of studies have been made of exposures of industrial and
agricultural workers to pesticides (1-16, for example). These find in
general that industrial workers suffer more intense exposures to pesti-
cides than agricultural workers. In a study of workers using DDT
under various situations, Wolfe, et al. (17) found that a man spraying
DDT inside a house received a total exposure to this chemical about
7.3 times that of a man applying the same spray outside a house, re-
ceiving about 64.5 times as great an exposure by the respiratory route
and about 7.2 times as much by dermal contamination. Durham and
Wolfe (3) reported that a man spraying apple trees with DDT had
essentially the same exposure to that insecticide as a man spraying out-
side a house for vector control. Dermal contamination contributed
2,246 times as much exposure to DDT in these outside situations as
inhalation. Durham and Wolfe (4), in a similar study with parathion,
found that dermal contamination contributed about 1,550 times as
much exposure to this organophosphorus compound as inhalation.
When aerosolized chlorthion was dispersed, Culver, et al. (19) found
that cutaneous contamination was only 10 times as important as in-
halation as a route of exposure. When a mist of parathion was sprayed
on tomato plants, Simpson and Beck (19) found that cutaneous ex-
posure was slightly less than 31.4 times as contributory to intoxica-
tion as was inhalatory exposure.
Intoxication by pesticides is a particular hazard to aeroplane pilots
engaged in custom application of such compounds because each man's
safety depends on his being constantly alert and vigilant in making the
small adjustments required to keep the plane flying at the proper alti-
tude in its flight pattern. In an analysis of accidents to aerial appliers
of agricultural chemicals between 1963 and 1966, Reigh and Berner
(10) reported that the accident rate for aerial appliers was three times
445

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as liigh as that for such commercial flying as operation of an air taxi.
Factors relating to the condition of the pilot were considered causative
in D3 to 70 perce.it of all crashes during the 4 years of the study. In 12
fatal crashes studied, the blood choli nest erase levels of the pilots were
significantly lowered in 8. The importance of this factor is emphasized
by the cases reported by Smith (//), which illustrate the value of the
pesticide operative's being aware of the significance of subjective
changes. As an example, one case reported by Smith was of a pilot
who had experienced blurred vision and extreme fatigue for 3 weeks
but refused to take time off or to have the cliolinesterase activity of his
blood checked. The pilot lost control of his plane at about 200 feet and
crashed; he died 3 days later, but of pesticide poisoning rather than of
trauma.
The experiences summarized in the two preceding paragraphs rein-
force the general suggestions stated previously for safe handling of
pesticides. They mirror particularly clearly the importance of protec-
tion of the skin from contamination by pesticides in liquid preparations
and of protection of the respiratory system whenever pesticide aerosols
are used, especially when such aerosols are generated within enclosed
spaces.
3. Personal indicators of overexposure.—At the present time, the
two groups of chemicals used most widely as pesticides are the chlori-
nated hydrocarbons and the inhibitors of cholinesterase (including
organophosphorus, carbamate and bisquaternary amine types). Types
of pesticides of some importance are thiocyanates, dinitro derivatives
of phenol and cresol, anticoagulant compounds, fluoracetate and fluor-
acetamide, such herbicides as di (jKp'-N-methylanilinium chloride), or
paraquat, and a number of others. The characteristics of poisoning by
pesticides of various types are summarized in handbooks {20-22, for
example). No attempt will be made to summarize them here, but, em-
phasis is placed on the importance of the worker's taking steps to
familiarize himself with the effects to be expected from the materials
with which he works. The worker must be impressed with the ideas
that a stout heart, and strong muscles to do not necessarily protect
against poisoning by pesticidal chemicals, that prudence in taking
proper measures to prevent poisoning is good sense rather than coward-
ice, and that recognition of incipient poisoning in himself and seeking
appropriate medical assistance, or avoiding further contact with the
offending chemical for a time, is the course of astuteness and wisdom
rather than of courage.
For the two most widely used groups of pesticides, the meet usual
early symptoms and signs are:
Chlorinated hydrocarbons: Hyperexcitability, nausea and vomiting,
446

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tremors, depression, dermatitis, urticaria, and the results of liver and
kidney damage.
Inhibitors of cholinesterases: Running nose, sensation of tightness
in the chest or of shortness of breath, cough, dimmed or blurred vision,
tearing, headache, drowsiness, dreaming and disturbed sleep, increased
fatiguability and inability to concentrate attention on a given task.
Jf.. Clinical diagnostic techniques.—The diagnosis of poisoning by
pesticides requires no particularly unusual techniques other than the
use of specific analytic methods to detect individual compounds. The
general problems of diagnosis of poisoning by pesticides have been
discussed (£3, &£)•
The chlorinated hydrocarbon pesticides are stored in the body fat
of people in various countries of the world to varying degrees, but
residues of these materials appear even in Alaskan Eskimos (&5-3h
for example). A method for preparing samples of tissue and fat for
examination for pesticides has been published {35). The methods of
thin-layer chromatography of Kovacs (36) are extremely sensitive and
are useful in detecting small amounts of chlorinated hydrocarbon and
organophosphorus compounds, respectively, in biological samples.
Although the chlorinated hydrocarbons are stored in fat, which can
frequently be sampled readily by simple aspiration, their concentration
there bears no fixed relation to the degree of intoxication exhibited by
the individual (37). The severity of intoxication seems to be correlated,
at least in the rat, with the concentration of chlorinated hydrocarbons
in the brain (38). Blood and urine are biological fluids that are more
closely in chemical equilibrium with the brain than is body fat. There-
fore, methods for estimating the concentrations of these materials in
urine and blood have been sought. Durham et al. (39) found that the
urinary excretion of DDA, a metabolic product of DDT, by 39 subjects
from the general population was about 4 percent of that by 40 workers
in formulating plants and about 32 percent of that by eight men who
ingested 3.5 mg./day of DDT. Durham et al. concluded that a more
sensitive method was needed, because their method gave values below
the limit of sensitivity for about three-fourths of subjects from the
general population. Cueto and Biros (1/J) described a more sensitive
gas chromatographic method, with which they were able to identify 11
chlorinated hydrocarbon insecticides. This method indicated that peo-
ple in the general population excrete in their urines about 70 percent as
much total DDT congeners as a group of people exposed to DDT
occupationally. The general population excreted in its urine slightly
more than 3 percent as much dieldrin as a group of occupationally
exposed men.
The urine has been found to be a reasonably good indicator of ex-
447
i37L-0T4 O—*69	40

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posure to a number of other types of pesticides: arsenic (.£/), lead
(#?), mercury (4-1), DNOC (M), DNOSHP (/.#), EPN (1(5), PCNB
(46) 2,4-D (4-7), 2,4,5-T (48), atrazine (48), Haygon (49), carbaryl
(2), Ciodrin (50), p-dichlorobenzene (Si), Kuron (48), malathion
(52), methyl parathion (45), parathion (45), Silvex (48), Simazine
(46), and Zectran (53). All these methods may not have been applied
to human urines, but they should be so applicable with some modifica-
tion, perhaps.
In some cases, analyses of urine may afford a more sensitive index
of the presence within the body of significant concentrations of toxic
chemicals than analyses of blood even. This seems to be true particu-
larly of parathion (54) and to a lesser extent of the other organophos-
phorus compounds that yield p-nitrophenol on hydrolysis (EPN and
methyl parathion). The urinary excretion of p-nitrophenol can be a
valuable indicator during the treatment of poisoning by parathion,
or EPN or methyl parathion, of the continued need for therapy until
the excretion of this metabolite falls to a low level. In the case of
malathion, urinary excretion of ether-soluble organic phosphate is
proportional to dosage (5°2) and also affords a useful monitoring
method for deciding whether it is safe to discontinue therapy of serious
poisoning at a particular moment.
Saliva is another readily obtainable biological fluid that is to some
extent equilibrated with the blood. Heavy metals, including mercury,
appear in the saliva (55-57). Joselow et al. (6) found a high correla-
tion between the concentrations of mercury in parotid saliva and in
blood, suggesting that saliva may be of diagnostic value in detecting
and treating poisoning by organic mercurial fungicides. These com-
pounds have caused severe and fairly common poisoning in Sweden,
where they seem to have been used to a greater extent than in this
country. Early signs of poisoning by mercury, which should be known
to anyone who uses organic mercurial fungicides on repetitive occa-
sions, include fine tremors of the hands, loss of peripheral vision, in-
coordination of speech, gait and stereognosis, and headache and
irritability.
In some cases, analysis of blood for pesticidal chemicals may be an
important aid to recognition of the cause for an intoxication. Probably
the greatest emphasis has been placed on the development of analytical
methods for chlorinated hydrocarbon insecticides, but methods are
available also for such compounds as pentachlorophenol (58), DNOC
(44) and 2,4-D (59), Dale et al. (60) described a method whereby
eight different chlorinated hydrocarbon chemicals could be detected
in blood samples taken from representatives of the general population
or from subjects occupationally exposed to aldrin and dieldrin. A more
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efficient method for determination of chlorinated insecticides in blood
was described by Dale et al. (61). Another modification of the method
of Dale et al. (60) was used by Edmundson et al. (62), who found
that the concentrations of DDT and DDE in blood samples from non-
white subjects were consistently higher than those from white subjects
in the same occupational groups. Curley and Kimbrough (63) reported
that human milk may contain about 18 times the concentration of
DDT in plasma, something more than seven times the DDE, about 50
times the DDD, about 13 times the total DDT congeners, about six
times the BHC, only slightly more heptachlor epoxide and about eight
times the dieldrin.
In poisoning by inhibitors of cholinesterases of any chemical type,
measurement of the cholinesterase activities of plasma and red cells
may be a useful procedure. Differential inhibition of cholinesterases of
the pseudo and true types can be helpful in recognizing the cholines-
terase inhibitor involved in addition to giving some rough indication
of the severity of poisoning. When organophosphorus compounds are
involved, any of a number of methods for estimation of cholinesterase
activity may be used; when a reversible inhibitor is concerned, the
cholinesterase activity is estimated the most accurately by the pH-stat
method (64,66).
Symptomatology is another important aspect of diagnosis of intoxi-
cation by economic poisons. In a study of illnesses reported from 36
States by 1,105 employees of pest control companies, Stein and Hayes
reported (12) that the most common complaints were dermatitis,
infection (including pneumonia), headache, gastrointestinal upset,
cardiovascular disturbances, joint pain, and dizziness. In a somewhat
similar study, Reich, et ail. found (66), that the most common signs
and symptoms of 129 cases of poisoning by pesticides in southern
Texas were vomiting, nausea, miosis, weakness, abdominal pain, dizzi-
ness, sweating, increased salivation, headache, tachycardia, and hyper-
tension. Most of the second set of signs and symptoms of poisoning by
insecticides are referable to inhibitors of cholinesterases whereas the
first set contains symptoms that could arise from intoxication by
chlorinated hydrocarbon insecticides as reasonably as from that by
inhibitors of cholinesterases.
The greatest uncertainty in the diagnosis of poisoning by pesticides
relates to hypersensitivity. As reported by Stein and Hayes (12),
dermatitis was the most common complaint by pesticide appliers work-
ing in 36 different States. West reported (13) that dermatitis was
among the most frequently reported diseases of farm laborers. The
differentiation of dermatitis arising from hypersensitivity to a chem-
ical from that depending upon a direct irritant or other cutaneous
449

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effect of a chemical taxes the diagnostic ability of the dermatologist,
yet the distinction is important because the methods of treatment
differ widely in these two situations.
The demonstration by Bleiberg et al. (67) of both chloracne and
photosensitive hepatic porphyria in workers who had been exposed to
2,4-1) and 2,4,f>-T is taken to show tlu> involvement in the dermal effects
of these two pesticides of botli direct effects on the skin and of photo-
sensitization of the skin. The latter effect results from deposition of
uroporphyrins in the skin as a. result of damage to the liver. The same
sort of effect has been reported from Turkey when flour made from
wheat grown from seed treated with BHC was ingested. This toxic
form of photosensitive hepatic porphyria can be differentiated from
the hereditary form of the disease by estimation of the concentration
of delta-aminolevulinic acid in the urine. This will be normal in the
presence of markedly increased concentrations of uroporphyrins and
coproporphyria in the toxic form of the disease but markedly ele-
vated also in the hereditary form.
5. Therapy.—Treatment for intoxications by most classes of pesti-
cides is nonspecific and oriented around the signs and symptoms ob-
served in the patients under treatment. Good diagnosis of the cause
of the signs and symptoms is important, however, because, to give one
definite example, use of atropine to treat poisonings by the pesticides
dinitrophenol and pentachlorophenol, which resemble those from in-
hibitors of cholinesterases in having as symptoms sweating, marked
fatigue, nausea, vomiting, occasional diarrhea, and convulsions, may
be rapidly fatal whereas it can be lifesaving in actual cases of poison-
ing by cholinesterase inhibitors. Probably the best indicator for dif-
ferentiating poisoning by the nitro or chlorophenols from that by
inhibitors of cholinesterases is that a definite to severe hyperpyrexia
will occur in poisoning by the phenol derivatives whereas the body
temperature in poisonings by the inhibitors of cholinesterases tends
to be depressed, at least in the acute type of poisoning.
In any poisoning in which the causative agent may have entered
the body through the mouth, gastric lavage with several liters of water
is indicated. In a conscious subject, the same result may be accom-
plished by administration of syrup of ipecac or some other emetic.
Catharsis by sodium sulfate (30 gm. in 250 ml. of water), may be
useful also. A slurry of activated charcoal (5-6 heaping teaspoons
of activated charcoal in 200 to 250 ml. of water) may be placed in
the stomach after cessation of vomiting or gastric lavage in the
absence of any more definitive treatment.
When the causative agent of poisoning may have contaminated the
skin, as during spraying operations, the skin should be well scrubbed
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with soap and water. The administration of oxygen or artificial ven-
tilation arc obvious therapeutic procedures in cases of anoxemia and
cyanosis or apnea, respectively.
In treating poisonings by the chlorinated hydrocarbon insecticides,
sympathomimetic compounds, such as epinephrine, are contraindicated
because of the danger that they will induce ventricular fibrillation.
Useful drugs are such central depressants as phenobarbital and pento-
barbital. Diphenylhydantoin also may be of value in controlling con-
vulsions. Calcium gluconate may be useful. Patients who convulse
should be observed carefully for several days to a week for signs of
secondary or persistent effect. EEG recordings are useful in detecting
prolonged cortical dysfunction but are not useful per se in diagnosis
of poisoning; inhibitors of cholinesterases and chlorinated solvents
(carbon tetrachloride, tetrachlorethylene, etc.) may yield EEG pat-
terns similar to those due to the chlorinated hydrocarbon insecticides.
Repeated administrations of barbiturates and anticonvulsant drugs
may actually reduce the body burden of chlorinated hydrocarbon
insecticides (68).
Materials that may be useful in treating poisonings by other pesti-
cides that have no definitive therapies include amyl nitrite (pearls),
cold water (for rectal and colonic irrigation in hyperthermia), glucose
(sterile 5 percent solution), morphine, phentolamine, sodium, nitrate
(sterile 3 percent solution), sodium sulfate (sterile 10 percent solution
as well as crystals or powder), and sodium thiosulfate (sterile 10 per-
cent and 25 percent solutions).
Only three classes of pesticides can be said to have fairly specific
therapy for poisonings by them: The inhibitors of cholinesterase, the
anticoagulant rodenticides, and heavy metal compounds. The anti-
coagulant rodenticides have as an important part of their toxic actions
inhibition of the production of prothrombin by the liver, although this
may not be their sole mechanism of action (especially true for the
indanedione derivatives). Vitamin Ki (phytonadione), is a specific
antidote for the hemorrhagic effects of these compounds. This may be
administered by slow intravenous drip. Initially, in severe poisoning,
transfusion may be desirable to furnish an increased concentration of
prothrombin extrinsically until the liver can be enabled by the admin-
istered phytonadione to increase the supply of intrinsic prothrombin.
Ascorbic acid and ferrous sulfate may be useful adjuncts to phytona-
dione in recoveiy from serious poisoning by an anticoagulant rodenti-
cide, particularly so when the poisoning has entailed significant loss
of blood.
Poisonings by heavy metal derivatives (of arsenic, copper, lead,
manganese, mercury, and zinc), can be combatted in two ways: By
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preferential affinity and removal from active sites in tissues, and by
chelation, witli the formation of complexes from which the metallic
atom is no longer free to diffuse. Dimercaprol (BAL) accomplishes
both these mechanisms of antagonism for such metals as arsenic and
mercury that seem to react with sulfliydryl groups in target tissues
or organs. Calcium disodium edetate (EDTA) and penicillamine are
less specific than dimercaprol and accomplish only the second of these
general mechanisms of antagonism to heavy metal poisonings. Dimer-
caprol is particularly useful in poisonings by preparations containing
arsenic or mercury; its effectiveness in lead poisoning is questionable.
Dimercaprol is injected intramuscularly as a solution in oil. EDTA
is administered preferably by intravenous or intramuscular injection
in serious poisonings, but can be given by mouth. With the last route
of administration, chelation within the intestinal lumen of lead, for
example, may result in enhanced absorption of the metal. Copper,
lead, manganese, mercury, and zinc can be effectively detoxified by
chelation by EDTA. Penicillamine is a less versatile chelating agent;
after oral administration, it L effective in removing copper and lead,
and possibly mercury, from the body. Even more specific is deferoxa-
mine, which seems to be capable of chelating only iron. It can be given
by either intramuscular injection or oral administration to treat acute
intoxication by iron, which occurs in the fungicide Ferbam but is not
a usual component of pesticidal chemicals.
The final group of compounds with more or less specific therapeutic
measures available is that of inhibitors of cholinesterases. This group
is heterogeneous chemically although all its members have a common
mechanism of action. It includes bisquaternary amines, carbamates
and organophosphorus derivatives. The first two subgroups differ from
the third one in that inhibition of cholinesterases by them is more
readily reversible than that by the organophosphorus compounds. In
all cases, a prominent, although perhaps not the only, source of toxic
activity is accumulation of acetylcholine within the blood and various
tissues of the poisoned individual. Atropine is a competitive antagonist
of acetylcholine at many nerve endings in effectors of the body {espe-
cially in muscarinic effectors innervated by the parasympathetic divi-
sion of the autonomic nervous system and less so within the central
nervous system). Atropine is an effective antagonist of poisoning by
many inhibitors of cholinesterases up to the level of intoxication by
2 to 3 LD5Ci doses, where effects on nicotinic effectors (particularly
neuromuscular junctions) by the accumulated acetylcholine become
important. When this generalization is untrue, as in the case of
carbaryl, one has to think that the pesticide has some other important
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mechanism of action. Atropine will antagonize only about 1.4 LDa0
doses of carbaryl.
To antagonize the paralysis of muscles caused by doses of inhibitors
of cholinesterase above about 2.5 to 3 LDS0 doses, the oxiraes have come
into use. The only one of these compounds available for clinical use
within the United States is N-methyl, 2-formyl pyridinium oxime,
employed as the chloride (2-PAM CI), the bromide (2-PAM Br) or
the methane sulfonate (P2S) or "Contrathion". Also available and
used fairly widely in Europe and the Far East is Toxogonin (bis
[N-methyl, 4-formyl pyridinium oxime] ether), used as the dichloride
or dibromide salt. In intoxications by some inhibitors of cholinester-
ases, Toxogonin seems to be effective even when 2-PAM is only
partially effective (69). The mechanisms of action of both 2-PAM
and Toxogonin in overcoming block of neuromuscular transmission
seem to be that the oximes reactivate the inhibited cholinesterase by
being themselves phosphorylated by the phosphoryl group that previ-
ously had inactivated cholinesterase by reacting with its active site.
The phosphorylated oximes in some cases are themselves potent in-
hibitors of cholinesteraaes, so that stable phosphorylated oximes may
induce a secondary poisoning having the same characteristics as that
induced originally by the organophosphorus insecticide. In many cases,
however, the phosphorylated oximes are unstable and undergo hy-
drolysis within the body, the products of this hydrolysis then being
excreted in the urine. In this way, the oximes in many cases accelerate
the loss from the body of the phosphoryl moiety that inactivates
cholinesterase in various tissues and organs.
The statement has been made that the oximes should not be used
in treating intoxications by carbamates. This is nearly as untrue as the
generalization that oximes should be used in treating intoxications by
all organophosphorus anticholinesterase compounds. In poisonings by
some carbamates, the oximes seem to be quite useful; in poisonings by
some organophosphorus compounds, the oximes are almost completely
ineffective and in a few cases (morphothion, for example) seem to en-
hance the toxicity of the organophosphorus compound. What is needed,
therefore, rather than a blanket approval of the use of oximes in treat-
ing intoxications by organophosphorus compounds and a blanket pro-
scription against their use in intoxications by carbamates, is precise
knowledge of the intoxications in which the oximes may be expected to
be useful, of those in which the oximes accomplish neither harm nor
benefit and of those in which the oximes are likely to be dangerous.
Because of the phenomenon of aging of phosphorylated cholin-
esterase, whereby the phosphoryl moiety loses one of its alkoxy groups
in exchange for a hydroxyl group and becomes inaccessible to such a
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nucleophilic molecule as an oxime, the oximes become progressively
less effective antagonists of the toxic actions of some of the organo-
phosphorus insecticides and miticides. For optimal effectiveness in
treating appropriate poisonings wherein marked weakness is evident,
oxime must be administered as early as possible after poisoning. The
administration of oxime should always be coupled with, or at least
followed closely by, the use of adequate doses of atropine. In marked
or severe intoxication by inhibitors of cholinesterase, the doses of
atropine that are adequate may be very large by usual standards (20
to 50 or more rag of atropine sulfate to a patient during the first day
or so of treatment). The objective in using atropine is to produce and
maintain a comparatively dry mouth and a dry skin.
In experiments with mice, Andrews and Miskus (7D) have reported
that tetraethylammonium chloride is less damaging than atropine
when used to treat poisoning by single oral LI)r,0 doses of the carbam-
ates Zectran, Lannate and NIA-10242. The toxic effects of another
carbamate, Matacil, that produced delayed deaths (12 to 20 hours
after oral administration of the carbamate) were not antagonized by
tetraethylammonium chloride. The latter material was ineffective
against the organophosphorus compound parathion also. Tetraethyl-
ammonium chloride seems not to have been used in treating intoxica-
tions by anticholinesterase compounds in man.
(For a more detailed discussion of the therapy of intoxication by
inhibitors of cholmesteraseu, see reference 71.)
6. Surveillance and epidemiologic studies.—Although acute poison-
ing by pesticides has received considerable attention and there have
been a few studies of occupational groups that were exposed to pesti-
cides during long periods as a consequence of their chosen em-
ployment, no systematic study of this sort on a countrywide basis has
yet been undertaken. The objectives of such a study might be:
1.	To characterize localities throughout the counrty on the basis
of their experience with sickness due to exposure to pesticides.
2.	To identify the factors related to usage of pest icides that deter-
mine differences between localities.
3.	To identify the factors related to personnel that determine
differences between localities.
4.	To identify the factors related to each environment that deter-
mine differences between localities.
5.	Within individuals localities, to identify the factors relating
to usage of pesticides that determine differences between
persons.
6.	Within individual localities, to identify the factors relating to
454

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separate persons that determine the different experiences of
these persons with pesticides.
7. Within individual localities, to identify the factors relating to
the environment of the person that determine differences be-
tween persons in their experience of sickness due to pesticides.
Two situations seem necessary for collection of the data required
for such a study:
1.	That poisoning be made reportable in the same way that in-
fectious disease is reportable.
2.	That each locality be provided with at least one team of two
observers, one of whom would be trained in the economic
aspects of the usage of pesticides and who could judge whether
the right pesticide was being used at the proper period, the
correct frequency, and the appropriate dosage and method of
application to achieve control of the target pest. The other
member of the team would be trained in the health aspects of
the usage Of pesticides and would be able to judge whether
proper precautions in the handling of pesticides were taken,
whether people were affected by pesticides despite their protes-
tations to the contrary or their lack of direct contact with such
chemicals and whether effects of pesticides on individuals re-
sulted from direct toxicity, from allergy or from anaphylaxis.
In the reporting of sickness due to pesticides, not only should the
fact of illness be reported but also the exact locality and circumstances
of the inception of the illness. Necropsies, whether or not death was
attributed to pesticides, should include examinations of blood, urine
and selected tissues for pesticidal chemicals. At the same time, attempts
should be made to characterize the immediate environment of the de-
ceased for its content of pesticides. To quote Dr. Simmons (72), "We
need to know	who gets poisoned with what, and where, when,
how and why."
Selby et at. (73) have attempted to use a measure derived from
answers to a questionnaire as an index of exposure to pesticides but
found that there was no association between an individual's calculated
exposure and analytical values for pesticide in blood, adipose tissue
or placental tissue. They conclude that the impact of pesticides upon
people in a general population must be assessed on a basis of analytical
values rather than of memories and impressions of exposure to pesti-
cidal chemicals. This is useful guidance in the design of a surveillance
program in support of an epidemiologic study.
7. Conclusions.—The foregoing discussion has attempted to sum-
marize some aspects of the medical consideration of exposure to pesti-
cides. The summary shows the following needs:
455

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1.	Surevillance over the use of pesticides by teams of two, one
trained in the practical aspects of the use of pesticides and the
other in the health aspects.
2.	Obligatory reporting of illness due to poisoning by pesticides
and systematic study of all necropsies to delineate the deceased's
exposure to, and accumulation of, pesticides.
3.	Thorough physical examination and indoctrination in safe
procedures for working with pesticides of all who regularly
contact, pesticides.
4.	Wide dissemination nf ways whereby individuals can recognize
that they are being affected adversely by pesticides and indoc-
trination with the fact that pesticides are inherently dangerous
materials, which must be handled with respect.
5.	Wide dissemination of knowledge on first-aid procedures in
poisoning by pesticides.
6.	Complete knowledge of the mechanisms of action of all pesti-
cides in use, including effects on organizing embryos, develop-
ing fetuses and growing young as well as on adults.
7.	Specific treatments for intoxications by all types of pesticides,
with clear indications of differences in response to therapy of
poisonings by specific pesticides within each group.
8.	Better diagnostic procedures for recognizing poisoning by
specific types of pesticides, including improved and simpler
analytical methods, biochemical tests and clinical examination
procedures.
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Wolfe, H. R., W. F. Durham, and J. F. Armstrong, Arch. Env. Hlth.
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Simpson, G. ]{. and A. Beck, Arch. Env. Hlth. 11: 784,1065.
Hayes, W. J., Jk., Clinical Handbook on Economic Poisons, U.S. Govern-
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Toxicology of Commercial Products, 3d ed., Williams and Wllkins, Balti-
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IIayes, W. J., Jr., Arch. Env. Hlth. 3: 49,1961.
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Wagner, J. Dairy Sci. $6 :1435,1963.
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G. Junker, Am. J. Epidemiol. 89:241,1969.
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CHAPTER 5
Carcinogenicity of Pesticides
Contents
Pare
Summary			 461
Introduction	 462
The evaluation of carcinogenic hazards	 464
Conclusions on specific pesticides			 468
General conclusions		 478
Appendices		 481
Appendix A—A Review of the National Cancer Institute
Study	 481
1.	Majority opinion	 481
2.	Dissenting opinion, including com-
ments on some of the conclusions
and judgments recorded by the ma-
jority of the Panel	 483
Appendix B—Relations between chemical structure and
tumorigenicity in the National Cancer
Institute Study	 488
Appendix C—Animal studies of pesticides tumorigenicity:
Dose-Response Relationships and Extrapo-
lation to "No-Effect" levels	 492
Appendix D—Studies of human populations	 495
References—All reports examined in respect to individual pesti-
cides, and other source documents		 498
459

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CARCINOGENICITY OF PESTICIDES
Summary
The Technical Panel on Carcinogenesis examined the available
reports on tests of tumorigenicity conducted on about 100 pesticidal
chemicals. From these reports it separated those which did not pro-
vide information sufficient for it to reach a judgment as to tumori-
genicity. The remaining reports provided a basis for assigning each
of 79 pesticides to one of three major groups:
A.	Those judged "not positive for tumorigenicity."
B.	Those judged "positive for tumorigenicity."
C.	Those for which the evidence was considered insufficient for
judgment.
All other pesticides fall into Category D: "Available information
insufficient to justify any comment."
On the basis of its conclusions of tumorigenicity of specific pesti-
cides the Panel has recommended the following actions:
Group A pesticides.—No action be taken to alter current practices.
Group B pesticides.—Exposure of human beings be minimized and
use of these pesticides restricted to those purposes for which there are
judged to be advantages to human health which outweigh the potential
hazard of carcinogenicity.
Group G pesticides.—Graded priorities for additional testing based
upon findings recorded in this document plus other indications for
concern, coupled with suggestions for similarly graded reductions of
human exposure to some of these pesticides.
Group D pesticides.—Appointment of a body of scientists to take
up a continuing search of all sources of reports on tests of tumori-
genicity of pesticides, and to assign the remaining pesticides to appro-
priate categories of priority for additional studies and regulatory
action. In this regard, exemption of selected pesticides from require-
ments for testing, where based upon a "grandfather clause," is re-
garded as unsound.
The Panel has also offered a number of general recommendations
as to:
1. Regulation of use practices;
461

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2.	Routine testing for tumorigenicity for regulatory purposes,
as well as augmentation of metliodologic and other research;
3.	Availability of information on pesticides testing results;
4.	Legislative needs.
One member of the panel of eight dissented from several of the
above-stated opinions. The dissenting opinion is stated in full on
pages 483-488 of this document.
INTRODUCTION
This Technical Panel on Carcinogenesis was charged with respon-
sibility for interpreting available reports on the carcinogenicity of
pesticides, with the purpose of estimating, insofar as possible, the
carcinogenic hazard which these substances might pose to human
health and the development of recommended courses of action based
on these findings-
Reports on the tumorigenicity testing of pesticides exist principally
in three sources: the general scientific literature, the files of the Fed-
eral regulatory agencies, and the files of the pesticides manufacturing
industry. The general scientific literature contains only a fraction of
the reports of tests which must have been conducted, Unpublished
reports in the files of industry and of Federal regulatory agencies are
less accessible than the general scientific literature. Of the pesticides
listed in the report by Neumeyer et al. (1), studies of carcinogenicity
have been reported in the general scientific literature for but about one-
fifth, and this figure includes those pesticides reported for the first
time in the June 1969 issue of the Journal of the National Cancer
Institute (#). The Food and Drug Administration made available re-
ports in response to specific requests. Industry's files were not exam-
ined. Accordingly, the Panel cannot state the completeness of its infor-
mation. It appears probable, that some of the carcinogenicity testing
which has resulted 111 negative findings has not come to the attention
of the Panel. Such negative data are not readily accepted for publica-
tion by most scientific journals.
The quality of evidence in some of the reports was another source
of difficulty. Many of the reports, published and unpublished, failed
to provide enough data to permit judgments as to the safety of some
pesticides. Details of the experiments (numbers of animals, descrip-
tion of controls, duration of the experiments) were sometimes missing.1
1 Information ou the purity of the cliemlcals tested wuft not unlformlx available to the
Panel except In the instance of the study conducted at the Blonetics Research Laboratories
for the Nationul Canter Instftute. While the report of this stwJy (2) does not contain tills
information, it may be obtained by writing to the Research Information Branch, Office of
the Director, Natiocai Cancer Institute, National Institutes of Health, Setheeda, Rid. 20014.
462

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The conclusions of the Panel, noted below, are based on examination
of the available data on experience with laboratory animal systems.
The Panel is fully aware of the difficulties 111 extrapolating from
laboratory experience with experimental animals to the human situa-
tion. However, the epidemiologic approach to study of a near ubiqui-
tous environmental contaminant, such as certain persistent pesticides,
is equally complex. Very little acceptable epidemiologic data exist
concerning pesticides in relation to chronic disease in man. These topics
are addressed more completely in later sections of this report.
During its discussions, the Panel frequently was reminded of the
complexity of the total environment, not only in respect to pesticides
but also to other chemicals, pharmaceuticals, and biological agents af-
fecting the human organism. Attention is drawn to this matter because
intelligent management of pesticidal agents requires a comprehensive
understanding, with due attention to all sources of human exposure.
Germane to this issue is the potential for interaction among pesticides,
of pesticides with other chemicals, and suspected factors in cancer
causation. The Panel recognized the complexity of the potential inter-
actions in carcinogenesis and the extreme difficulty of the task of un-
raveling them. In this context, the sparseness of reports on the topic
of interactions among pesticides in carcinogenesis indicates a need
for further attention to this aspect of the problem.
In developing its recommendations, the Panel was cognizant of the
uses and benefits of pesticides. The Panel concluded that these matters
were beyond its expertise and responsibility, and were properly the
responsibility of other committees of the Commission. It developed its
recommendations 011 the basis of issues of carcinogenesis and public
health only while recognizing that the recommendations of the Com-
mission as a whole with respect to specific pesticides must he based
upon a comprehensive consideration of all factors. In the case of DDT,
for example, it appears probable that health benefits resulting from its
judicious use in certain selected circumstances may exceed such hazards
present in terms of carcinogenicity for man. This topic is addressed
specifically in Conclusions on Specific Pesticides (pp. 470-472) and
General Conclusions (p. 478).
CITED REFERENCES
(J) Neumeyer, J., Oibbons, D., and Thask, H.: Pesticides. Chemical Week,
Apr. 12,1969.
(2) Innes, J. R. M., Ulland, B. M., Valerio, M. G., Petrucelli, L., Fishbein, L.,
IIaht, E. R., Pallotta, A. J., Bates, R. R., Falk, H. L., Gabt, J. J., Klein, M„
Mitcheix, I., and Peters, J.: Bioussay of Pesticides and Industrial Chemicals
for Tumorigenicity in Mice: A Preliminary Note. J. Nat. Cancer In«t. 42:
1101-1114, June 1969.
463
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The Evaluation of Carcinogenic Hazards
The Technical Panel ou Carcinogenesis first considered factors in-
volved in the evaluation of carcinogenic hazards of environmental
agents, particularly pesticides.
An important mode of widespread human exposure to pesticides is
through foods, and criteria established for the evaluation of carcino-
genic hazards of food additives are applicable to pesticide residues.
Additional criteria have to be applied for the control of other modes
and sources of exposure by other routes (skin, inhalation, occupational
exposure).
The Technical Panel on Carcinogenesis has reached the following
positions:
1.	The presence of carcinogenic substances (of both synthetic and
natural origin) in food might be a significant factor in the occurrence
of what is commonly referred to as "spontaneous" cancer in man and
animals. Thus, an important objective in cancer prevention is the
elimination, or reduction to a minimum achievable level, of all sub-
stances in the diet of man proven to be carcinogenic in either man or
animal.
2.	Since the effects of carcinogens on target tissues leading to tumor
formation appear irreversible, with accumulation of effects over ex-
tended periods of exposure, the reduction of exposure to carcinogenic
substances to the lowest practicable level may be one of the most effec-
tive measures towards cancer prevention.
3.	Many different factors may influence dose-response in carcino-
genesis in man and animals. Their complexity is such that no assuredly
safe level for carcinogens in human food can be determined from ex-
perimental findings at the present time.
General principles and criteria for evaluation of carcinogenic haz-
ards have been laid down by several expert committees convened in the
last 15 years by scientific and public health agencies such as the World
Health Organization, and Food and Agricultural Organization (i, 2.
'i. 4, '5), the International Union Against Cancer (6\ 7), the National
Academy of Sciences—National Research Council (£), the European
Committee on Toxicity (Eurotox) (9, 10), and the Food and Drug
Administration Committee on Protocols for Safety Evaluation (11).
Recommendations made in these reports express a remarkably unani-
mous view on the general principles and criteria to be followed for
carcinogenesis safety evaluations, widely accepted in principle by the
scientific comunity (12, 13, 1J+, 15).
464

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Testing procedures
Gfeneraf requirements for testing procedures iiave been out/inoxi in
the past (<3, 7, A3, 11). They can bo summarized as follows:
1- Identity of tented materials.—Purity, stability, chemical and
physical characteristics, and source of the sample to be tested should be
established. Selection of materials to be tested should emphasize the
substances and formulations to which human populations are exposed,
which is to say, the materials should represent as closely as possible
those with which the populations come into contact.
2.	Animals?—The species most practical for testing are rats, mice,
and—as more recently shown—hamsters. Strains and colonies should
be selected to provide adequate sensitivity to tumor induction, as re-
vealed by positive control tests with known care'mogens. Their spon-
taneous tumor incidence should be recorded. Treatment should begin
when the animals are young; the animals should be kept as free as
possible from infectious diseases and parasites.
3.	Route of administration.—Experience since 1959 has failed to
validate the use of other than the oral route of administration for the
routine examination of food additives: however other modes of admin-
istration should be used for studies which are intended to assess
carcinogenicity of pesticides entering the human population by other
routes.
4.	Number of animals.—The number of animals in each test group
should be sufficient throughout the tests to yield statistically significant
results- It is important to stress that the detection of positive results in
these bioassays depends on the development of tumor incidences sig-
nificantly above the threshold of detectability for a given number of
animals. Any carcinogenic effect below these levels will not be detected
by the bioassays used. For example, when a zero incidence is observed
in controls, negative results on 100 test animals at a high dose level
only establish with a 95 percent confidence that the incidence does rot
exceed 3 in 100 under the condit ions of the test.
5.	Maintenance and diets of the animals.—All of these experimental
conditions should be controlled, frequently monitored, and adequately
reported.
6.	Pathologic evaluation.—It is recognized as essential that a com-
3 The use of nonrotient species, recommended in the earlier reports, lias now been sub-
stantially dropped. A suitable, practical nontode-nt species would be useful but It is not
available at this time. Carcinogenicity teste of food-borne pesticides require routine lifetime
feeding of chemical compounds. While dogs have been employed for tests of carcinogenicity,
with noteworthy success in selected cases (bladder carcinogenicity of aromatic amines), the
requirement of lifetime feeding makes this Species too expensive, In terms of time and
funds, to be employed routinely.
465

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plete post-mortem examination be performed on all animals by, or
under the supervision of, scientists trained in pathology and familiar
with the diseases of laboratory animals, particularly tumors. As a
minimum, all organs showing suspect macroscopic lesions should be
examined histologically. Certain organ systems require sjjecial tech-
niques, such as distention of the urinary bladder with a fixative. Tu-
mors should be classified according to recognized standards for car-
cinogenesis studies.
Evaluation of experimental animal tumors should l)e made by
pathologists with full knowledge of the biological Iteliavior of the
tumors in the animal strain under study. All tumors that metastasize
are considered malignant. However, many malignant animal tumors
have little tendency to metastasize. The evaluation of their benign or
malignant nature depends largely upon their histologic characteris-
tics. In some cases it is not possible to diagnose, on the basis of mor-
phologic grounds alone, whether a tumor is malignant or benign. In
such oases, transplantation studies and knowledge of the life history
of the tumor type under consideration may provide additional diag-
nostic help. However, the majority of the Panel recognizes that benign
tumors may become malignant. The Panel is unaware of the existence
of any chemical which is capable of inducing benign tumors only,
which is to say, in the light of present knowledge, all tumorigens must
be regarded as potential carcinogens. Thus, the majority of the Panel
accepts tumorigenicity as an index of potential carinogenicity.
Interpretation of the, remits and validity of animal testa
Interpretation of results of bioassays on a test material includes
consideration of the accuracy and significance of the experimental
studies, i.e., experimental design, details of information on test mate-
rials, dosage, route of administration, metabolism, excretion and re-
tention, controls (positive and negative), experimental animals and
methods, survival, description and time of appearance of toxic and
pathologic effects, number, type, and individual distribution of tumors.
Extrapolation from¦ animal data to num.—The evaluation of car-
cinogenic hazards for man is based on a judgment of all available in-
formation; on bioassay, on toxicologic, metabolic, and pharmacologic
.studies, on the extent and route of exposure of man, and on epidemio-
logic studies. Each compound must Ik* evaluated individually on the
basis of all data on its use and effects, including whether residues may
occur as a result of use of the particular compound, the nature of its
metabolites in man, the storage or retention and excretion, etc. The
position of this Panel is that the different qualitative and quantitative
466

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responses of various animal species, including man, to carcinogens
make meaningful extrapolation from "no-effect" levels in dose-response
studies in animals to man currently impossible. (See appendix C).
In brief summary: (1) Food additives and contaminants should
only be permitted if evidence is provided Of no carcinogenic effect after
adequate long-term bioassays. The minimum requirements for such
bioassays should include: Adequate numbers of animals of at least two
species and both sexes with adequate positive and negative controls,
subjected for their lifetime to the feeding of a suitable dose range of
the test material, including doses considerably higher than would be
present in food; (2) any substance which is shown conclusively to
cause cancers in animals, when tested under these conditions, should
be considered potentially carcinogenic for man and therefore not
innocuous for human consumption. Tests which yield benign tumors
will nevertheless raise the level of suspicion.
CITED REFERENCES
(/) Joint FAO/WHO Expert Committee on Food Additives: First Report.
General Principles Governing the Use of Food Additives. World Health
Organization Technical Report Series, No. 129, 1957.
(2)	Joint FAO/WHO Expert Committee on Food Additives: Second Report
Procedures for the Testing of Intentional Food Additives to Establish
Their Safety for Use. World Health Organization Technical Report Ser-
ies, No. 144,1958.
(3)	Joint FAO/WHO Expert Committee on Food Additives: Fifth Report.
Evaluation of the Carcinogenic Hazards of Food Additives. World Health
Organization Technical Report Series, No. 220, 1961.
(J) Prevention of Cancer: Report of a WHO Expert Committee. World Health
Organization Technical Report Series, No. 276, 1964.
(J) Procedures for Investigating Intentional and Unintentional Food Addi-
tives: Report of a WHO Scientific Group. World health Organisation
Technical Report Scries, No. 348,1967.
(6)	International Union Against Cancer. Report of Symposium on Potential
Cancer Hazards from Chemical Additives and Contaminants to Food-
stuffs: Resolutions. Acta UICC. Vol. 13, No. 2, 1957.
(7)	Bebenbltjm, I. (Ed.) : Carcinogenicity Testing, Vol. 2, UIOC Technical
Report. Geneva, International Union Against Cancer, 1969, 56 pp.
(8)	National Academy of Sciences—National Research Council. Food Protection
Committee, Food and Nutrition Board; Problems in the Evaluation of
Carcinogenic Hazard from Use of Food Additives (December 1959). Can-
cer Research 21: 429-456,1961.
(9)	Summary of a meeting of West European Scientists on the prophylaxis of
cancer. Deutsche Forschungsgemeinschaft, Bad Godesberg, 1954.
(10) Permanent Kuopean Committee for Research on the Protection of tiie Pop-
ulation against Chronic Toxicity Hazards (Eurotox). Report of the 3d
Meeting. Travaux tic chitnie alimentaire et d'hygiene, Vol. 48, fasc. 4,
1957.
467

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(//( ReiH>rt of Siilxoniiiiittee on Carcinogenesis of FI>A Committee on Protocols
for Safety Evaluation, ltlGU.
<12) Khuhik, I'., mid Sice, J.: Chemical Carcinogenesis as a Chronic Toxicity
Test: A Review. Cancer Rmvarch 1(!: 728-742,
(IH) Clayton, D. II:	CarcinotjcncHi,?. FJttle, Urown and Company,
Boston, Mass., 1902.
(/•}) Weisbukoek, J. H., and Wkisbuboer, E. K.: Tests for Chemical Carcinogens
In Jttisch, H. (Ed. i : Method« in Cancer Re&carch. Academic Press. Vol. 1,
Chapter 7, 1967.
(fj> Aiscos, J. C., Ancrs, M. I*', and Wolf, G.; CheuvwaI /windton. o/ Cancer.
Academic- Press, Vol. I, Chapter 4, Section 3: Testing Procedures, 196&
Conclusions on Specific Pesticides
The Pane] has examined the data available to it on the tumorigenic-
ity of pesticides in animals. These data have been reviewed oil the basis
of the principles stated in The. evaluation of carcinogenic hazards of
this chapter and the specific criteria which follow.
The Panel reviewed relevant reports and considered as acceptable
data on bioassays only those which included the following
information:
1. Number, strain, and sex of the animals used;
¦2. Biometrically adequate numbers of test animals and controls;
3.	Adequate period of observation (at least 18 months in the case
of rodents) ;
4.	Evidence of pathologic examination of the animals and of
classification of the observed tumors;
5.	Definition of the materials tested, their mode of administration
and dose;
6.	Evidence that the dose levels tested included one near t he maxi-
mum tolerated level, in the case of negative reports;
7.	Evidence that the experimental conditions (e.g., selection of
animals, age at start) provided a sufficient sensitivity to detect
tumorigenic activity if present.
For each pesticide, the Panel reached one of the following
judgments:
A.	"Not positive,—Data acceptable, testing adequate, results
judged negative for tumor induction in at least two species."'
B.	"Positive.—Data acceptable, testing adequate, results judged
positive for tumor induction in one or more species and sig-
nificant at the 0.01 level."
468

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C. "Evidence insufficient to fudge.—Additional data needed3 ac-
cording to the following priorities:
Priority group 01.—Tumor incidence significant at the
0.01 level but compound concluded to be less active
than the mean of a group of positive controls em-
ployed in the screening operation.
Priority group 03.—Tumor incidence significant at the
0.02 level but compound concluded to be less active
than a group of positive controls employed in the
screening operation.
Priority group 03.—Tumor incidence increased in com-
parison with the negative controls but statistical sig-
nificance was less than 0.02,4 possibly because too
few animals were observed.
Priority group GJ^.—Tumor incidence not elevated in ade-
quate studies conducted in one species only but cur-
rent guidelines require negative results in two animal
species for judgments of negativity."
D.—"Information available is insufficient to justify any comment
On the basis of the foregoing criteria the pesticides have been as-
signed to the following categories. In this respect, it should be noted
that a judgment of "not positive" for tumor induction does not con-
stitute. assurance that the specific compound is entirely lacking in
carcinogenic potential.
The recommendations relevant to each category constitute the best
judgment of the Panel, based upon available data.
A.—Compound* judged Knot positive" for tumor induction on the
basis of tests conducted adequately in two or more species.
[Registered for use on food crops i]
Name
References Species
Chlorpropham (CIPC)		 . .

Rotenone	 	 . _ - ..

Sevin (Carbaryl)	 ...

[Registered but not (or use on food crops '—None]
' This Information with respect to pesticides in Categories A, B, CI through C4 provided by the Food
and Drug Administration.
3 In many cases this will require conduct of additional tests.
* A statistical significance of 0.02 U greater than 0.05 and less than 0.01.
469

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It is recommended that no action be taken to alter current practices
with respect to the pesticides in this category, "A".
B.—Compounds judged "-positive" for tumor induction on the basis
of tests conducted adequately in one or more species, the results being
significant at the 0.01 level.
[Registered for use on food crops]
Name	References	Species
Aldrin				5	Mouse.
Aramite					2,6	Mouse, dog.
Chlorobenzilate		2	Mouse.
p,p'-DDT	 2, 7,i 8 1	Do.
Dieldrin		5	Do.
Mirex		2	Do.
Strobane		2	Do.
Heptachlor2				9,10	Do.
[Registered but not for use on food crops]
Amitrole		2	Mouse.
Avadex (Diallate)		2	Do.
Bis(2-chloroethyl) ether		2	Do.
N-(2-hydroxyethyl)-hydrazine		2	Do.
PCNB						2	Do.
i Supportive evidence.
3 Assigned to this group because a metabolic product, heptachlor epoxide, was judged positive for tumor
induction, results being significant at the 0.01 level.
It is recoivvmended that the exposure of human beings to pesticides
in this category "B" be minimized and that use of these pesticides be
restricted to those purposes for which there are judged to be advan-
tages to human health which outweigh the potential hazard of car-
cinogenicity. In making this recommendation, the Panel has taken
cognizance of the difficulties inherent in and resulting from its imple-
mentation. Accordingly, the following comments and observations are
intended for consideration in interpreting this recommendation.
The case of DDT deserves special comment because of its prominent
place in the pesticides armamentarium and because, in many respects,
it is a good illustrative example. It is a substance which has con-
tributed and could contribute important health benefits. It is also a
substance which is widely used and with which we have now accumu-
lated substantial experience and knowledge. Indeed, our knowledge of
the biological effects of DDT, inadequate though it still is for wholly
reliable judgment of safety, far outstrips thait of any other insecticide
of this type.
470

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The evidence for the carcinogenicity of DDT in experimental ani-
mals is impressive and the Panel takes no exception to the conclusions
as to DDT recorded in the JNCI report of the National Cancer Insti-
tute study. This study has demonstrated that DDT increased the inci-
dence of cancer in mice under the experimental conditions employed.
However, this does not prove carcinogenicity for human beings at the
very nvuch lower levels to which they are a-etually exposed.
Since tests with groups of laboratory animals comparable in size to
large populations of humans are impractical, and because wide species
differences exist, high levels of exposure are used. Whether or not this
device is adequate for extrapolation from experimental results to the
human situation remains very uncertain, for research on induced can-
cer is replete with examples of differences in responses of different
species to various carcinogens. Furthermore the metabolism of many
chemicals varies with dosage level.
Evaluation of human experience with DDT has revealed little if
any evidence of long-term adverse health effects from its use. On the
other hand, the observations of human experience have not been suf-
ficient to eliminate the possibility that continued chronic exposure may
slowly induce a low level of cancer in man (see appendix D).
Accordingly, with the evidence now in, DDT can be regarded neither
as a proven danger as a carcinogen for man nor as cm assuredly safe
pesticide; suspicion has been aroused and it should be confirmed or
dispelled.
In the resolution of this issue, mere repetition of the tests conducted
at Bionetics Research Laboratories would be of only limited value.
Of greater importance will be:
1.	Studies conducted on several animal species,
2.	A much more critical study of human experience,
3.	Development of knowledge relative to comparative metabolism
and factors controlling dose-response relationships which may
reinforce and improve ability to extrapolate from the findings
of animal studies to man,
4.	Studies on very large groups of animals, at a range of dose
levels including those comparable to human exposure,
5.	Evaluation of interaction of or potentiation of DDT with or
by other materials, and
6.	Studies of the tumorigenicity of DDT administered to several
successive generations of one or more animal species. (The
Panel is aware that studies of this nature have been initiated.)
In planning and assessing this additional work, consideration should
be given to such factors as exposure to other similar or coacting ma-
terials and other routes of exposure.
471

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It is the opinion of the Panel that, in view of the important benefits
arising from tlie use of DDT, the current evidence is not sufficient to
justify unqualified banning of the insecticide. On the contrary, the
benefits from its use in the control of a number of insect-borne dis-
eases, such as malaria and typhus, probably outweigh the possible dan-
gers of carcinogenesis from its use.
However, suspicion of danger is present and prudence requires that;
(1) Usage be reduced by restricting it to high-priority applications
until more decisive information can be developed; (2) meanwhile the
issue must be clarified, as noted above, while (3) at the same time
alternates for DDT should be sought. In the latter endeavor a warning
must be urgently sounded that a replacement not be accepted which,
being new and poorly studied, may yet, in fact, be more dangerous
than DDT.
The high priority uses which should continue include such examples
as the control of malaria and typhus where these are major public
health problems. Normal agricultural and nonessential mosquito con-
trol usage should be abandoned as soon as possible.
But, discontinuance of such lower priority DDT usage will by
no means immediately eliminate DDT or other persistent pesticides
as contaminants of our foodstuffs. DDT is now a contaminant of crop-
producing soils and of water in many parts of the country. Although
this contamination will decrease with time, and realistic means for
acceleration of its disappearance must be sought, trace contamination
of the American diet with DDT will continue. With the presently
high levels of sensitivity of analytical detection it can be anticipated
that such trace contamination will be detectable in a very significant
part of the foods making up the American diet for some years to
come. Accordingly, strict interpretation of present legislation would
present, through rejection of a major part of our food sources, a far
worse health hazard than the uncertain carcinogenic risk of these
trace amounts. In short, we should:
(1)	Now reduce food residues through elimination of the use of
DDT and DDD in food production,
(2)	Reduce contamination of soils and water insofar as possible,
(3)	Not deny a major food need to our country because of the
detection of trace quantities of DDT resulting from previous
use of this pesticide.
G.—Compounds on which additional data are needed.—Pesticides
are listed in groups which are arranged according to priorities for
additional testing. These priorities have been established on the basis
of the Panel's judgment of significance of the available data indicating
tumorigenic potential; additional priorities could be established on the
472

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extent of use of the compounds or on their structural	relationships to
known chemical carcinogens.
Priority group 01.—The following compounds yielded an increased
tumor incidence significant at the 0.01 level but were considered less
tumorigenic than the mean of a group of positive controls, These com-
pounds have first priority for additional testing.
[ Registered for use on food crops]
Name Reference	Species
p,p',-DDD	 2	Mouse.
Monuron	 2	Do.
Perthane	 2	Do.
Piperonyl butoxide	 2	Do.
Piperonyl sulfoxide	 2	Do.
[Registered but not for use on food crops]
Azobenzene	 2	Mouse.
CCC				 2	Do.
Chloranil	 2	Do.
Cyanamide	 2	Do.
Vancide BL			 2	Do.
Zectran	 2	Do.
Priority group 02.—The following compounds yielded an increased
tumor incidence significant at the 0.02 level. Similarly, they were
concluded to be less tumorigenic than the mean of the same group of
positive controls. These compounds have second priority for addi-
tional testing.
[Registered for use oil food crops]
Name
W
1
§
Species.
Biphenyl		-	- -
2
Mouse.
Gaptan	
2
Do.
2,0-Dichloro-4-nitroaniline 1	
2
Do.
Gibberellic Acid	 		 		
2
Do.
2-Mercaptobenzothiazole (Captax)		
2
Do.
Ovex (Chlorfenaon)		 - 	
2
Do.
[ Registered but not for use on food crops]
Genite-R&9		-
2
Mouse.
IPC (Propham)		
2
Do.
i Active ingredient in the formulation sold as Botran. See also Botran in priority group C4.
473

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Priority group G3.—The following compounds yielded an increased
tumor incidence in comparison with the negative controls but tlie level
of significance was less than 0.02, possibly because too few animals
were observed. These compounds have third priority for additional
testing.
[Registered for use on food crops]
Name	References Species
a-(2,4~Dichlorophenoxy) propionic acid		2	Mouse.
2-(2,4-DP)		2	Do.
2,4-D Isopropyl ester		2	Do.
n-Propyl isome		2	Do.
Pyrethrin		11	Rat.
Zineb				12,13	Do.
[Registered but not for use on food crops]
1-Naphthalene	acetamide		2 Mouse.
2-(2,4,5-Trichlorophenoxy)	propionic acid		2 Do.
Triphenyltin acetate belongs in this group but is not registered as a
pesticide. However, Triphenyltin hydroxide is a pesticide registered
for use on both food and nonfood items. Triphenyltin hydroxide was
not tested for carcinogenicity.
Name
Reference Species
Triphenyltin acetate		
	 2 Mouse.
Priority group C^.—The following compounds were tested appro-
priately in one species only and judged not positive in that species.
However, current guidelines for testing require negativity in two
species. These compounds have fourth priority for additional testing.
474

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[Registered for use on food crops]
Name	References Species
Atrazine		2	Mouse.
Botran			2	Do.
Butacide!		2	Do.
2,4-D		2	Do.
2,4-D Butyl ester							2	Do.
2,4-D Isooctyl ester				2	Do.
Dehydroacetic acid. 				2	Do.
Dichlone		2	Do.
Diuron		2	Do.
Dodine		2	Do.
Orthophenylphenol		2	Do.
Endosulfan	 14, 15	Rat.
Ferbam				2	Mouse.
Folpet						2	Do.
Glyodin					16	Rat.
Maleic hydrazide				2	Mouse.
Maneb					2	Do.
Methoxychlor		17	Rat.
Methyl Zimate (Ziram)				2	Mouse.
Nabam						2	Do.
Phenothiazine		2	Do.
Planofix: N.A.A				2	Do.
Propazine				2	Do.
Simazine		2	Do.
Tetradifon		2	Do.
Thiuram (Thiram)		2	Do.
Tillara-6-E		2	Do.
(Registered but not for use on food crops]
ANTU				2 Mouse.
Cacodylic acid				2	Do.
Copper 8-Hydroxyquinoline		2	Do.
Dicryl						2	Do.
Diphenatrile			2	Do.
Dowcide-7'		2	Do.
Hercules 7531 (Norea)		2	Do.
Isolan				2	Do.
Karathane		—	2	Do.
Pma; Phenylmercuric acetate		2	Do.
2-Sec.-butyl-4,6-dinitrophenol			2	Do.
2,4,5-T				-	2	Do.
>	Botran. Compare with aotlve ingredient 2-9-Dlcbloro-4-Nitroanlllne which has been assigned to priority
group C2.
1 Butacide. Compare with aotlve ingredient plperonyl butoxide which has been assigned to priority
group CI.
>	While Dowcide-7 is registered for nonfood uses, Its use in food containers and packaging materials is per-
mitted under registration. Wooden fruit (berry) boxes may contain up to SO ppm.
475

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/1 is recwmnended that:
1.	Pesticides in Priority Group Gl be immediately subjected to addi-
tional testing: for tuinorigenicity and that human exposure to all
sources of these pesticides be restricted to a minimal level until the
results of such additional testing permit development of judgments
as to probable hazard to man.
2.	Exposure of the general population to food sources of the pesti-
cides in Priority Groups C£ and G3 be reduced as much as possible
pending the conduct and evaluation of additional testing of tumori-
genicity. Exposure of occupational groups should be minimized in
respect to all modes of contact with these pesticides pending comple-
tion of such studies.
3.	Pesticides in Priority Group C% be the subject of a thorough
search for additional information in the very near future, and such
additional studies as may then be needed to meet the criteria for judg-
ments of safety be conducted. Until further search for information
reveals a cause for suspicion of potential carcinogenicity, no interim
action to modify current use practices in this Priority Group is
indicated.
{It should be noted that the basis for the differences in priorities lor Groups
CI, C2, and C3 is the tumorlgenic potency of the compounds as revealed in the
animal test systems.)
D.—Available information insufficient to justify comment in any
respect.
All pesticides not listed in one of the above groups (A, B, CI, C2,
C3, C4) are assigned to this category (D) until reports can be located
and appropriate judgments made, as indicated below.
It is recommended that responsibility for continuing the search for
and evaluation of reports on pesticides in this category be assigned to
a duly appointed body of scientists which would have full access to the
files of Federal agencies concerned with regulation of pesticides use,
and which would seek the cooperation of the chemical industry to ob-
tain such additional information as its members may have accumu-
lated on this topic. Following completion of such search and evalu-
ation, it should be the responsibility of the appointed body of scientists
to assign further priorities for study and regulatory action with
respect to each pesticide.
It is further recommended thai the existing agencies of the Federal
Government which are concerned with the regulation of pesticides
use take immediate steps to require orderly testing of tumorigencity
of pesticides listed in groups CI through 04 above. The concept of a
"grandfather clause" exemption from testing may be justifiable in
respect to the hazards of inducing reversible disease. It is not justifi-
476

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able, however, in respect to the hazards of inducing diseases which
are not reversible, especially where the latent period is very long and
the hazard may go unrecognized. Cancer is one of those diseases.
CITED REFERENCES
(References on which judgments were based in the assignment of pes-
ticides to Categories A, B, CI, C2, C3, and C4 in Conclusions and
Recommendations on Specific Pesticides of this document.)
(/) Larson, 1*. S., Crawford, K. M., Smith, R. B., Henniqar, G. R., Haag,
H. B., and Finnegan, J. K.: Chronic Toxicologic Studies on Isopropyi
N-(3-chlorophenyl) Carbamate (CIPC). Toxicology and Applied Phar-
macology 2: 659-673,1960.
(2) Innes, J. R. M., Ulland, B. M., Valerio, M. G., Petrucelli, L,, Fishbein,
L., IIart, E. R., Pai.lotta, A. J., Bates, R. R,, Falk, H. L., Gakt, J. J„
Klein, M., Mitchell, I., and Peters, J.: Bioassay of Pesticides and In-
dustrial Chemicals for Turaorigenieity In Mice: A Preliminary Note.
J. Nat. Cancer Inst. 42: 1101-1114, June 1969.
(.i) Hansen, W. II., Davis, K. J., and Fitziiugh, O. G.: Chronic Toxicity of
Cube. Toxicology and Applied Pharmacology 7 : 535-542, July 1965.
(4)	Carpenter, C. P., Weil, C. S., Palm, P. E., Woodside, M. W., Nairt J. H.,
and Smyth, H. F.: Mammalian Toxicity of 1-Naphthyl-N-inetbylcar-
bamate (Nevin Insecticide). J. Agric. Food Chcm. 9: 30-39,1961.
(5)	Davis, K. J. and FrrzuuaH, O. G.: Tumorigenic Potential of Aldrin and
Dieldrin for Mice. Toxicology and Applied Pharmacology 4: 187-189,1962.
(6)	Sternberg, S, S., Popper, H., Oser, B. L., and Oser, M.: Gallbladder and
Bile Duct Adenocarcinomas in Dogs after Long Term Feeding of Aramite.
Cancer 13 : 780-789, 1960.
(7)	Fitziiuoii, O. G., et al.: A Summary of a Carcinogenic Study of DDT In
Mice. Unpublished data from Bureau of Science, Food and Drug Admin-
istration. August 1969.
(8)	Tarjan, R., and Kemeny, T.: Multigeneration Studies on DDT in Mice.
Fd. Cosmcf. Toxicol. 7 : 21.V222,1969.
(9)	Davis, K. J., Hansen, W„ and Fitzhugh, O. G.: Pathology Report on Mice
Fed Aldrin, Dieldrin, Heptachlor or Heptachlor Epoxide for Two Years.
FDA Memorandum, July 19,190T>.
(10)	Witiiebup, S., et al.: The Physiological Effects of the Introduction of
Heptachlor Epoxide in Varying Levels of Concentration Into the Diet of
CFN Rats. Kettering Laboratory Report, November 10,1959.
(11)	Food and Drug Administration. Unpublished report (1951).
(12)	Blackwell-Hmith, It., Finnegan, ,T. K., Larson. P. S., Sahyoun, P. F.,
])keyfit88, M. L., and IIaao, II. U.: Toxicologic- Studies on Zinc and
Disodlum Ethylene Bisdithiocarbamates. J. Pharm. & Exp. Therapeutics
109: 159-166, 1953.
(13)	Kampmeier, ort, 1959.
(15)	Food and Drug Administration Files.
(Iff) Carpenter, l\ P., Weil, C. S., and Smyth, H. F.: Toxicity of an Imidazoline
(or Glyoxalidine) Fungicide. AM A Arch, of Industrial Health 4 : 494-503,
1951.
477

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(17) Cleveland, F. P.: A Summary of Work on Aldrin and Dieldrin Toxicity at
the Kettering Laboratory. Arch. Environ. Health 13: 195-198, 1966.
General Conclusions
1. Use practices—regulation in respect to potential hazards of
carcinogenicity
Although cancer is only one of many possible toxic responses to
noxious chemicals in food, certain characteristics of this disease re-
sponse justify its separate consideration. These characteristics include:
a.	A generally slow, prolonged, and covert development;
b.	Essential irreversibility of the lesions once the malignancy de-
velops; and
c.	The present uncertainty in making reliable predictions of cancer
hazard for man by laboratory tests.
Accordingly, it is recommended that the use of any amount of a
potential carcinogenic pesticide, such that a food residue results, be
allowed only if:
a.	Health values to the public are such that banning the use would
itself constitute a more certain detriment to public health, and if
b.	No adequately proven noncarcinogenic alternative is available.
In thi9 regard, the recommendations for action on pesticides in
Group B (Conclusions on Specific Pesticides, pages 470-472 of this
document) are in need of urgent attention.
When the complete ban of use of a carcinogenic5 pesticide proves
impossible for these reasons, its use should be reduced to the minimum
possible extent compatible with its benefits for public health, and non-
carcinogenic substitutes should be actively sought. The public should
be informed of the potential hazards resulting from exposure to the
compound.
In seeking substitutes for potentially carcinogenic pesticides prefer-
ence should be given to the less persistent candidates, provided they do
not present other more immediate and serious hazards. All other fac-
tors being equal, the degradable pesticides are regarded as less haz-
ardous in respect to carcinogenicity than the persistent pesticides.
2. Hazard# f Carcinogenicity) evaluation—routine tenting practices
for regulatory purpose*
Some pesticides which leave residues in foods have been tested for
tumorigenicity; others, to the knowledge of the Panel, have not. The
methods employed in the studies examined by the Panel vary substan-
tially in their quality and reliability; some of the tests conducted must
be concluded to be inadequate.
• Carcinogenic to animal species but not proven to be carcinogenic (or man.
478

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Testing of chemicals for tumorigenicity by present methods is expen-
sive and slow. There is a need for an augmented effort to develop more
efficient systems of predicting human response to chemical substances
in respect to carcinogenicity. Such systems must be examined for
relevance and reliability by comparing their predictive performances
with actual human experience. Judgment as to potential carcinogenic
hazard must take into account not only the laboratory tests but all
other relevant information, including experience of humans exposed
to these or related compounds. Existing epidemiologic data in respect
to carcinogenicity of pesticides are scant. The observations of which
the Panel is aware have been limited to small groups of people who
have been observed for relatively short segments of the human life
span. Such studies do not provide a basis for final assessment as to
safety or carcinogenic hazard of pesticides. (The needs for epidemio-
logic studies are discussed more fully in appendix D.) Once tolerances
are established for individual pesticides and these pesticides are ap-
proved for use, surveillance of human populations should be under-
taken on a continuing basis to verify earlier predictions as to safety.
Accordingly, it is recommended, that:
a.	All existing pesticides whose use may leave residues on consum-
able food be subjected to tumorigenicity tests performed according
to the guidelines discussed in The Evaluation of Carcinogenic Hazards
of this chapter.
b.	Approval to use new pesticides which may leave residues on con-
sumable food be conditional upon prior testing for tumorigenicity
according to the guidelines discussed in The Evaluation of Carcino-
genic Hazards of this chapter.
c.	Development of priorities for testing of existing pesticides for
tumorigenicity 'be based upon such considerations as chemical struc-
ture (suggestive of tumorigenic potential), extent and patterns of
usage, and levels of residue left in consumable foods. In developing
priorities for additional testing, the finding of tumorigenicity in prior
studies should be given close attention. On this basis, the pesticides
listed in priority group CI of this document merit prompt action.
d.	Research to develop more efficient laboratory methods of pre-
diction of carcinogenicity of pesticides for man be augmented
substantially.
e.	The predictive reliability of laboratory methods, both existing
and those to be developed, be corroborated as completely as possible
by comparison of the predictions with human experience.
479
•871—074 O—«8—~-(32

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f. A surveillance network of epidemiologic studies of carcinogen-
icity of pesticides in man be established and that special attention be
directed to populations experiencing high levels of pesticide exposure
(see appendix D of this chapter).
3.	Availability of information
The reports of tests of the tumorigenicity of pesticides are scattered
among several sources and have been difficult to assemble for review.
In the interest of efficiency and effectiveness of future efforts there is
a need for development of an information system capable of respond-
ing promptly and completely to individual requests.
Accordingly, it is recommended that reports of tumorigenicity test-
ing be made available oil request by the establishment of a Government
clearinghouse and repository for the complete test data. Th Govern-
ment agency should then be required to publish a listing which will
identify these reports, thus making them accessible for review. In-
cluded should be the scientific basis 011 which decisions were made to
register a pesticide and to establish tolerances. It in further recom-
mended that there be established a standing committee of advisers to
the Secretary to oversee the operation of this facility and to insure
continuing re-evaluation of all extant information on the health
hazards of pesticides, and other related matters.
4.	Legislative needs
The deliberations of the Panel have disclosed disturbing gaps and
disparities in the present regulatory laws aimed at insuring safety of
the public (and occupational groups) from chemical exposures. Thus,
although the pesticide and the food additive legislation provide for
reasonably detailed and thorough testing and safety assessments, the
Hazardous Substances Act covers only some household products and
deals very inadequately with long-term effects, such as cancer. Some
materials are inadequately covered by existing legislation and, for
all practical purposes, receive cursory examination or, indeed, may
escape review entirely. In addition, the present regulatory provisions
give either inadequate or no consideration to simultaneous human
exposure through several routes, an example being the inhalation of
pesticides by the home gardener using spray cans of the same or simi-
larly acting compounds and ingesting pesticides in food and water.
Finally, imposition of a zero tolerance, which conceivably could occur
as the result of an interpretation of the Delaney clause,0 could, in the
example of DDT, present a major national nutritional problem. New
legislation should take into account the need for reconciliation of
« The Delaney clause of the Food Additives Amendment of 1958 to the Federal Pood,
Drug, and Cosmetic Act, Public Law 85-929, 85th Cong., H.R. 13254, Sept. 6,1958.
480

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public interests, the implications of advancing technology which has
increased the sensitivity of chemical detection more than one thousand-
fold in the past 15 years, and the problems of safety evaluation of
chemicals as discussed in this document.
Accordingly, it ift recommended that legislation aimed at protecting
the public health in respect to pesticides and other foreign chemicals
be completely reviewed and appropriately revised to minimize hazard,
taking due regard of the patterns of usage and the modes of entry of
the chemicals, while preserving the beneficial uses of the chemicals as
much as possible.
Appendixes
appendix A
A revieio of the National Cancer Institute study*
1. Majority ojrinion.—In recognition of the prominent position
which the National Cancer Institute Study (1) occupies in the spec-
trum of efforts to characterize the carcinogenicity of pesticidal
chemicals, the Panel believes it appropriate to address a few remarks
to the methods employed in this study.
At the outset, it should be pointed out that the pesticides selected
for study were not chosen in a random fashion. Rather, they were
chosen on the basis of three criteria: (a) evidence of toxicity, de-
scribed in the literature, suggesting potential hazards to man;
(b) widespread use of the chemicals; or (r?) chemical structure sug-
gesting possible carcinogenicity.
The methods selected by the investigators sought deliberately to
maximize the probability of discovery of carcinogenic potential
possessed by the chemicals selected for study. For this purpose, very
large doses were employed, in most cases, and administration of the
chemical to the mice was commenced as early as possible after birth
and continued for the lifetime of the animals.2
The test animals were chosen to combine identified advantages in
their parent strains and thus yield a maximum amount of information
as to tumorigenicity of the test compounds. The numbers of animals
per group were sufficiently large to provide a sound basis for statistical
analysis of the results. Both negative and positive control groups
were employed; their numbers and varieties were fully adequate to
the requirements of the study. Although randomization of litter mates
to groups could not be accomplished because the experiments were
*	Conducted at Blonetl.cs Research Laboratories under contract Nos. PH43-64-B7 and
PH4&-&7-735.
*	in this case, lifetime equates with the period of observation, which was 18 months.
481

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initiated in the preweaning period, a number of analyses of the
results have satisfactorily excluded significant- litter effect on those
results.
Periods of observation of the test and control animals varied to
an insignificant degree. It is the opinion of the Panel that this vari-
ation is not a basis for explaining the differences between the test
and control groups.
The end point employed in the study was tumors. This term was
used to include the benign and the maligna lit neoplasms and those neo-
plasms whose malignancy could not be ascertained on the basis of histo-
morplxology alone. Difficulty in diagnosing malignancy on the basis
of histomorphology alone was encountered in respect to the tumors of
the liver and lung; it was not encountered in respect to other tumors
such as the lymphomata. This use of the term "tumor," in the opinion
of the panel, is both useful and admissible for the purposes of quanti-
tating chemical carcinogenicity in animals. Its admissibility is based
upon two facts: (a) No adequately tested chemical has been found to
produce only benign neoplasms and, (b) a substantial percentage of
benign-appearing tumors in mice has been demonstrated ultimately
to eventuate in cancer.
A major test of the validity of a system employed as a measure of the
tumorigenicity of specific pesticidal chemicals in animals is the con-
sistency of its results with what has been found in other animal systems
which have been and continue to be accepted as valid. In this study
the test system responded to the negative and the positive controls in
the appropriate manner. Among the positive controls, the degrees of
potency revealed in this study were in agreement with earlier findings
in other systems.
Several questions arise. The most prominent is the relevance of
animal responses to those of human beings in respect to any given
kind of noxious agent. The next question is the relevance of findings
experimentally induced in animals to diseases occurring in men, not
only in terms of the general conditions of exposure but also in terms
of the exposure levels. These questions are germane not only to the
National Cancer Institute study but also to all laboratory tests of car-
cinogenicity of specific chemical pesticides. As is indicated elsewhere
in this document, uncertainties as to relevance and extrapolation are a
cause for concern and caution in interpretation of results. It should be
noted, however, that a remarkable degree of concurrence has been
found to exist between chemical carcinogenesis in animals and that in
man where it has been studied closely.
In brief summary, the National Cancer Institute study should be
482

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regarded as a fine-mesh screen designed to identify as many as possible
of the carcinogens submitted to it. It has performed this task with
considerable success. It should be emphasized, however, that this
system detects a capacity for injury of the experimental animal; it
is not purported to define "no effect levels," the existence of which
is debated. Neither is it purported to predict the response of human
beings to the noxious agents, either at the dose levels actually admin-
istered to the experimental animals, or at the dose levels commonly
encountered by human populations.
2. Dissenting opinion.— (Mr, Carrol Weil's critique of the National
Cancer Institute study, and his other comments dissenting from the
opinions and judgments of the majority of the Panel.3)
The following are some statements in reference to the experi-
mental design and subsequent analysis of data of the Bionetics
study:
I.	Doxage regimen.—The concentrations in the diet employed in
the BRL studies were large by almost any standard but they were
not actually the maximum tolerated. Because the maximum
tolerated dosage was determined in very young animals and dos-
ages were not increased in a constant relation to the weights or
surface areas of the individual mice as they grew, the dosages ad-
ministered actually receded from the maximum tolerated by the
young mice by 3 to 4 fold. It is possible therefore that some of the
chemicals studied might have been capable of inducing cancer
had larger doses been employed.
II.	Route and time of adminmtration.—The wisdom of admin-
istration of the test substances to animals during the preweaning
period, especially by intubation, has been questioned. The basis
for the concern expressed has been the presumed extraordinarily
high peak dose of the material reaching the target organs in a
short period of time each day of administration, which is to say,
extraordinarily high in contrast with those reaching the target
organs following administrations via the diet. The major objec-
tion to this former method of administration is that it is not com-
parable to the human situation and might have been the reason
for results which would not, if the materials were only fed in the
» Bach of the issues raised by Mr. Weil was dlseuKsert !n the panel sessions and eventually
resolved in the manner presented In tin- main body of this report. In particular, following
the original statement of these erltlelwniK liy Mr. Well, which appear In aecs. IV nnd V of
his dissenting opinion, the data were reexamined on n litter basin, in keeping with the
Epstein-Mantel approach, rather than on the KlnRle-iiiilmal-lxiHiH employed in the Journal
of the National Cuneer Institute report, All compoundu which had been judged positive for
tumor induction (significant at the 0.0 f level, or utrnnger) remained ponitivi.
483

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Dissenting Opinion
diets, have occurred. The implication has been that the experi-
menters have taken undue advantage of a period of peculiar and
excessive responsiveness of the test animal in a manner which
has no relevance to the potential hazard of the materials in the
human situation.
The newborn and very young mouse differ from the adult in
many ways. Toth, Magee, and Shubik (/) stated that "the activ-
ities of certain liver enzymes in newborn mice were shown to be
five times smaller than in adults. Moreover, it was demonstrated
that I)MBA persists for a longer period of time in newborns than
in adult mice. In accord with this finding, the catabolic rate of
urethan was reported considerably higher in adult mice than in
younger and newborn animals." Kaye (2) stated that "the rela-
tionship between the greater retention of urethan by young than
by old mice and the greater response of younger mice to carcino-
genic action of urethan suggests that the length of time urethan
remains in the body is a critical factor in determining tumor
yield."
Giving doses by repeated oral intubation also eliminates possi-
ble maternal metabolism of the material. Because of this possible
conversion into a less carcinogenic metabolite, the high daily
peaks which would not occur if the materials were fed in the diets
and the fact that intubation into the young without maternal
passage is foreign to any human hazard route, this method of
administration is not recommended for any future studies. (1)
Toth, B., Magee, P. N., and Shubik, P.: Carcinogenesis study with
dimethylnitrosamine administered orally to adult and subcutane-
ously to newborn BALB/c mice. Cancer Research 21^: 1712-1722,
1964. (#) Kaye, A. M.: A study of the relationship between the
rate of ethyl carbamate (urethan) metabolism and urethan car-
cinogenesis. Cancer Research 20:%37-241, 1960.
III.	Age at start.—Some aspects of the use of 7-day-old mice
were referred to above. It can be argued that a parallel could
exist with human infants or with cow's milk only if a pesticide
had been included in the diet of the test animal, not when it was
given by gastric intubation in the preweaning period.
IV.	Group size.—The mice were not assigned to the various
test groups at random. Entire litters were assigned to particular
materials. Therefore, the number of experimental units for each
material was not 18 animals in a given sex/strain group but the
number of litters. Assuming a maximum of 12 pups per litter, six
of each litter per group, a maximum of three of each sex per litter
484

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Ditixentiny Opinion
would havre been used resulting in an N of approximately six
instead of 18.
In studies such as this previously described by Epstein and
Mantel {int. J. Cancer: 3, p. 333, 1968), the following1 statement
is made:
"In toxicity and carcinogenicity testing with neonates, it is
necessary, for practical reasons, to treat all animals in each litter
alike. This imposes limitations on the statistical consideration of
all animals as individuals, according to conventional practice,
without reference to possible litter influences."
This is what D. Mainland (in Elementary Med. Statistics, 2d
ed., W. B. Saunders, 1963, pp. 59-60) terms "the error of wrong
sampling units or spurious enlargement of samples or counting
the same thing over again." He states, "it was not obvious to a
distinguished worker in nutrition and dentistry who reported on
the caries in 36,196 teeth in the mouths of 1,870 children. By exam-
ining about 20 teeth per child, the investigator had measured over
and over again the same tendency (or resistance) to caries, but in
the analysis each tooth was counted as if it gave an independent
piece of information. The proper sampling units were children,
and one way to express the information would he by the numbers
of children with, and without, caries. A finer measure would be
the number of carious teeth per child."
Other references by Epstein et al on the same subject are:
Nature 213, p. 1389 (1967), "* * * tumors (hepatomas) were not
randomly distributed between various litters."
Cancer Research 37: p. 1901 (1967), in reference to the hepato-
carcinogenicity of griseofulvin "an apparent litter influence on the
the distribution of hepatoma was noted."
Nathan Mantel discussed this in his talk "Some statistical view-
points in the Study of carcinogenesis,given at the International
Symposium on Carcinogenesis and Carcinogen Testing, Boston,
Mass., Nov. 8 and 9,1067. He stated: "I will start with the premise
that in work with newborn mice, all animals in a litter must
ordinarily be treated alike. If this is the case, any data forthcom-
ing from a carcinogenesis trial must be analyzed so as to take
possible litter difference into account. To illustrate, suppose 10 of
100 treated mice develop a particular neoplnsm while no such neo-
plasms occur among 100 control mice * * * highly signifi-
cant * * *. But suppose that all 10 neoplasms had occurred in u
single litter which had been assigned as a whole to the drug treat-
ment group. The observed result should no longer be considered
485

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Dissent irtf/ Opinion
significant and the data would lend themselves to the interpreta-
tion that the particular litter which was going to get the neoplasms
anyway had by chance, with f>0-perc.ent probability, been assigned
to the treatment group."
V.	Randomization,—The unit of comparison for statistical
analysis between treated and control groups, must be litters,
and not individual mice. There were approximately six litters
per sex/strain and the mictions to these should have been com-
pared to the concurrent controls. As the litters were not randomly
assigned to the materials under test—compounds of high code
numbers were started near the end of the program, e.g.—com-
parison to combined control groups is not proper. In fact, lack
of randomization, to protect against unsuspected bias or non-
random assignment of inherited characteristics, casts doubt on
any statistical consideration.
Further, as the incidence in the subgroups differed (when mice
were used as the unit), there is no valid biological or statistical
reason to combine and compare the results of both sexes in one
strain, or to combine and compare each sex in both strains or to
combine and compare grand totals of both xexeit in both strains.
VI.	Negative controls.—All of the combined, control mice
should not have been considered as to be used for comparison
with all of the combined test mice, Xt, for any material because of
the nonrandom assignment of entire litters to the materials, which
were also not randomly started.
VII.	Distinction between compounds which "resulted in an
elevated tumor incedenee" and those tohich "require additional
evaluation—For the following reasons, the materials reported
to (a) have produced an elevated incidence of tumors in mice
or (6) which require additional evaluation in the Hionetics study
need additional testing before any of them can be considered to
be a hazard to man or other animals:
(1)	The mice were not assigned to the various test groups at
random. Entire litters were assigned to particular materials.
Therefore, the number of experimental units in each study was
not 18 mice of each sex and strain, but the number of litters per
subgroup.
(2)	As the litters were not randomly assigned to the materials
under test—compounds of high numbers were started near the
end of the program, for example—comparison to combined con-
trol groups is not proper. In fact, lack of randomization, to pro-
486

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Dissenting Opinion
tect against unsuspected bias or assignment of inherited tenden-
cies, casts doubt on any valid statistical comparison.
(3)	As the incidence in the subgroups differed, there is no
biological reason to combine results of males and females in a
strain, or to combine males or females in both strains, or to make
and compare grand totals. Furthermore, as stated in (1) all com-
parisons should be only on litters as the units, not mice.
(4)	The dosages were not maintained at a constant level—the
proper method to use to assay the toxicity or carcinogenicity of a
material.
(5)	No assay was made of interim effects of the materials on
tissues. All or most of the eventual effect may have resulted from
the repeated intubation of large doses to the mice before wean-
ing. This intubation route, with no maternal metabolic passage
which might have detoxified the material, is completely foreign
to any potential hazard route for humans. Therefore, concur-
rently dosed groups should have been run with the materials in
the diets of the parent before the litters were weaned. Or, alter-
natively, this latter method should have been the only test method.
(6)	While gastric papillomas might not have been accurately
counted, they were recorded in vol. 1 of the report by the Bionetics
Research Laboratories to the National Cancer Institute. They
were, furthermore, listed on pp. 45, 46, and 47 of that report as
being one of a "class of tumors requiring virtually no explanatory
comment." The incidence of gastric papillomas was statistically
significantly higher in the female R603F1 negative control mice
than in eight of the 11 "experimental compounds which resulted
in an elevated tumor incidence" in table 2 of the Innes, et ol. pub-
lication. Therefore, some doubt is cast on the significance of the
increase in incidence of hepatomas when the gastric papilloma
incidence is concurrently decreased. Reasoning in (1) and (2)
make both types of comparisons unreliable.
(7)	As the hepatomas were generally not considered cancers,
and as the incidence of lymphoma was quite low compared to the
controls in each sex of each strain, and could have been the result
of litter effect described in (1) and (£), none of the materials
have been definitely "found to induce cancer when ingested by
man or animal"—Section 409(c)3 (A) of the Food, Drug and
Cosmetic Act—in this study. Therefore, no action is required by
the Secretary of the Department of Health, Education, and
Welfare.
VIII. The significance of the bionetics study.—The Bionetics
study was conceived as a screening test to evaluate a series of
407

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Dimtcntlnff Opinion
pesticides and industrial chemicals for potential tumorigenic.ity.
As a screening test it indicated that (/) the positive controls in-
creased the incidence of hepatomas {£) a number of compounds
were found to also increase tumor incidences under the condi-
tions of the test and (3) negative results were obtained on many
compounds.
A large enough number of animals were used in each test to
expect, the results obtained to he significant statistically, although
because randomization was not practical, the experimental unit
should have been considered to be litters, rather than mice. How-
ever, because of the large number of chemicals and animals used,
the newness of the test procedure, large differences between re-
sults obtained using different strains and sexes of mice, and the
fact that the tests were carried out in one laboratory only, the
work should be regarded as indicative but not conclusive. The
results clearly point out the need for confirmatory tests pref-
erably by a collaborative interlaboratory effort. Therefore, until
the results of these are available, no sweeping statements should
be made that certain pesticides are carcinogenic and/or should
be banned. It would be in order to point out however that un-
necessary human exposure to suspect compounds might be mini-
mized until more evidence is available.
IX.—Pathologic evaluation.—The statement is made on page
466 that "The Panel is unaware of the existence of any chemical
which is capable of inducing benign tumors only, which is to
say, in light of present knowledge, all tumorigens must be re-
garded as potential carcinogens. Thus, the majority of the Panel
accepts tumorigenicity as an index of carcinogenicity.'"
If only benign tumors result during the life-span of the ex-
perimental animals, as has happened in many studies, the above
statement for these materials does not apply. If only benign tumors
result, the material under test does not "induce cancer", which
by definition of the term, is a malignant growth of tissues * * *
associated with ill health and progressive emaciation.
APPENDIX B
Relationships between chemical structure and tumorigenicity in the
National Cancer Institute study1
In general, the data obtained in the National Cancer Institute study
show a consistent relationship bet ween chemical structure and tumor-
1 Some of the chemicals listed In this appendix are not registered as pesticides; they are
included in the list for illustrative purposes only.
418

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igenicity." Certain uniformities appear if one groups the compounds
according to chemical structure and classifies them according to the
tables in the report of the National Cancer Institute study (1) :
1.	compounds which resulted in elevated tumor incidence,
2.	compounds which require additional evaluation, and
S. compounds which did not cause a significant increase in number
of tumors:t in the one animal species studied.
(Ihlorinc-contaiving compounds.—A number of compounds which
contain chlorine appear to be tumorigenic; however, chlorine sub-
stitution by itself does not impart tumorigenicity, Tumorigenicity
is evidently regulated by other substituents in the molecule. The
most important result is that all of those compounds in the experi-
ment which are structurally related to DDT had ratings of 1 or 2.
p,p'-DDT		1
Chlorobeazilate				1
Perthane		2
o,p'-DDD 		2
o,o'-DDD 		2
Two other compounds containing chlorine atoms and two containing
both chlorine atoms and nitro groups but unrelated to DDT also
yielded positive or borderline results.
Mirex	 1
Strobane		1
PONS 		1
Vanclde PB				2
The second most important group of compounds which produced
elevated tumor incidence contain chloroethyl or chloroallyl groups.
Aramite (positive control)						1
bis( 2-chloroethyl) ether		1
Avadex (DIallate)		1
2- (chloroethyl) trimethylammonium chloride (OOC)				2
Several chlorophenols exhibited borderline activity, but an insuffi-
cient number of compounds of this class was included in the test to
lend importance to this observation.
2,4,6-Trichlorophenol	 2
2,2-Thlobls(4,6-(Jiehlorophenol) 	 2
Pentachlorophenol	 3
a Caution: Notwithstanding the Internal consistencies between chemical structure and
tumorigenicity observed In this study, not enough 1b yet fcnown about structure-function
relationships to permit one to rely strongly upon similarities and dissimilarities of structure
to predict tumorigenicity.
* At tbe 0.01 level of significance.
489

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Compounds which contain nitrogen or pentavalent sulfur in addi-
tion to chlorine atoms were essentially non-tumorigenic in the test
circumstances at the 0.01 level of significance.
Class
Rating
urea	
	do	
amine	
	do	
anilide	
carbamate-
sulfite	
sulfonate. _
	do	
sulfone	
2
3
3
3
3
3
3
3
3
3
Compound
Monuron		
Diuron		
Botran	
2,6-Dichloro-4-nitroaniline >_
Dicryl	
CIPC	
Endosulfan	
Ovex	
Genite R-99	
Tetradifon	
< Same as Botran in chemical structure. Botran and this compound administered to separate experimental
groups.
Also, many pesticides which are potential biological alkylating
agents were inactive in the test circumstances. These include the fol-
lowing herbicides and fungicides:
Compound	Class	Rating
Chloranil (obsolete)	quinone		2
DichLone	do		3
Captan	phthalimide		3
Folpet			do.			3
Simazine	triazine		3
Atrazine	do		3
These results seem inconsistent with prior data since some biological
alkylating agents have been shown to be carcinogens as well as car-
cinostats. However, if the compounds are too reactive chemically to
be translocated, permeate cells, or be stored in tissues in sufficient
amounts, then they may not be tumorigenic.
2,4-Dichlorophenoxyacetic acid (2,4-D) and five compounds closely
related to it structurally were found to be nontumorigenic in the test
circumstances.
Of the chlorine-containing compounds investigated, two out of seven
main groups exhibited a significant degree of tumorigenicity. The
results were internally consistent throughout.
Dithiocarbamates.—The dithiocarbamates can be classified into three
main groups as follows:
490

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Derivatives of diethylamine and bis(hydroxycthyljaminc
Dithiocarbamaites:	Rating
selenium, diethyl	1
tellurium, diethyl	2
potassium, bis {2-hydroxyethyl)	1
sodium, diethyl	2
ainc, diethyl			3
cadmium, diethyl	3
Bid (diiethylearfoamoyl) disulfide	2
Derivatives of ditnethylamine
Dithiocarbamates:	Rating
lead 	2
selenium —„			3
zinc			3
iron 	3
copper 	 3
bismuth	3
dimebhylammonium	3
Bls(diiiiethylcarbamoyl)
-------
Ureas.—An insufficient number of urea derivatives was evaluated
to give [i clear picture of their activities. Ethylene, thiourea, an oxida-
tion product of nabam, was tumorigenic while inonuroii was border-
line. Diuron did not produce a significant resj>onse.
Hydrazine deri rati res.-—Hydrazine has been rejxwted previously
(2) to produce hepatomas in mice. In this study N-(2-hydroxyethyI)
hydrazine was found to be tmnorigenic but nialeic hydrazide was not.
If free hydrazine were liberated enzymatically, tumorigenicity should
ensue. It may i»e that animals differ in tlieir abilities to liberate free
hydrazine from nialeic hydrazine. This could account for the con-
flicting reports which appear in the literature 011 the effects of nialeic
hydrazide.
Amine* and an Hide*.—None of the amines and anilides tested ex-
hibited statistically significant tumorigenicity at the 0.01 level. These
include Dicryl,' Botran and 2,6-dichloro-4-nitroaiiiline.
Methy edioxyphenyl derivatives.—Compounds of this group were
classi tied borderl ine or negative.
Compound:	Rating
Piperonyl butoxide-	12
Piperonyl sulfoxide	 2
11-Propyl isomer	 3
Butaelde	*3
1 Piperonyl butoxide was also tested as BatacMe (piperonyl butoxide in a solvent vehicle).
Because of the presence of the solvent, they were given at different gross dose levels. The
difference In category assignment (2 versus 3) comes about because for piperonyl butoxide,
5 of 15 strain X male mice developed lymphomas (sig-olflcflntly greater than the negative
controls—at the 1 percent level) and for Butaelde, '.l of 16 anlmalB (strain X, male mice)
developed lymphomas. Three out of 16 was not significantly greater (at the 1 percent level)
than the control levels (for the same strain and ses) while 5/15 was—hence the assignment
of the two materials to two different categories. However, 5/15 Is not significantly different
from 3/10.
CITED REFERENCES
(1)	Innes, J. R. M., Ulland, B. M., Valekio, M. G., Petruceixi, L., Fishbein, L.,
Hart, E. R„ Paixotta, A. J., Bates, R. R., Falk, H. L., Gakt, J, J., Klein,
M,, Mitchell, I., and Petebs, J.: Bioassay ot Pesticides and Industrial
Chemicals for Tumorigenicity in Mice: A Preliminary Note. J. Nat. Cancer
Inst. 42: 1101-1114, June 1969.
(2)	Biancifiorj, C.. Bl'cciabelij, E„ Clayson, D. B., and Santiixi, F. E.: In-
duction of hepatomas in CBA/Ob/Se mice by hydrazine sulphate and the
lack of effect of croton oil on tumor Induction in Balb/c/Ob/Se mice.
Brit. J. Cancer 18 : 543-550, 1964.
APPENDIX C
Animal studies of pesticides tumorigenicity: Dose-response relation-
ships and extrapolation to "no-effect" levels
Dose-response studies are useful in demonstrating whether a response
at a given dose with no gradations of response at lower doses is more
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suspect as "accidental" than a graduated response seen at graduated
doses. Two possibilities in the biology of the response place restraints
on the interpretations of the dose-response relationships, however:
1.	Dose-spacing is very important. Given a very steep dose-response
curve, too widely spaced doses could yield responses ranging from
100 percent at a given dose to zero percent at the next lower dose. This
gives the appearance of an artifact when there is none. Similarly, a
shallow dose-response with doses spaced too closely can give the appear-
ance of no dose-response relationship, when, in fact one does exist.
2.	The plateau phenomenon can obscure a dose-response relationship.
That is, there may be a range of doses for which a dose-response does
occur—up to some upper limit of response. At higher doses other toxic
effects or other causes of death may intervene—and the tumorigenic
action of the material may appear to be impaired. The plateau phenom-
enon is common in animal studies and has also been seen in humans.
Notwithstanding these limitations in their interpretation, dose-
response studies remain almost the only way to provide an estimate
of a possible "safe" dose.
Reproduced below is part of a discussion of extrapolation to a "safe"
dose, as presented in The Report of the Subcommittee on Carcino-
genesis of FDA Committee on Protocols For Safety Evaluation (1969).
The concerned statisticians at the National Cancer Institute concur
in these remarks.
"* * * the only practicable basis for estimating a safe dose is by
extrapolation downwards from results obtained at some level well
above the actual use level. But this extrapolation introduces serious
uncertainties, which must be recognized if rational methods of safety
evaluation are to be developed." [The basic problem is that extrapola-
tion outside the range of observation must be based on a generally
unverifiable assumption about the mathematical nature of the dose-
response relationship near zero dosage. (Technical Panel on
Carcinogenesis.) ]
"It might be thought that the basis for such an extrapolation could
be provided by observations in the observable range. To show how far
from being the case this actually is, we give below three different dose-
response curves, mathematically defined over a dosage range of 256
fold. All three have the same TD501 and TDl01. The first is a probit
curve, the second a logistic curve, and the third the so-called one-
particle curve.
1 TDw=<^09e which results In tumor* In 50 percent of the animals: TDi«=tumor doae for
16 percent of the animals, etc.
493

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Expiated percent of animals with tumors
Actual dose
Probit

Logistic
One-particle
TD so
curve

curve
curve
16
98

96
100
8
93

92
99 +
4
84

84
94
2
69

70
75
1
50

50
50
%
31

30
29
Y*
16

16
16
'A
7

8
8
}{a
2

4
4
It will he noted that below the TI)r,„ the three curves differ by little
and that in any experiment, of practicable size (say less than several
thousand animals) it would not be possible to conclude from the actual
observations which one of the three best described the data. As shown
below, however, the TI) Oooi (one in a million dose) and the TD.oooooi
(one in one hundred million dose) obtained by extrapolation of these
three curves differ markedly. Thus,
Extrapolated values of "safe" doses for three different dose-response curves describing
observed responses in the 2 percent to 50 percent response range equally well
Probit curve	Logistic curve One-particle curvo
TD,		.040	.022	.014 4
TD.,	 . 015 5	. 003 15	. 001 44
TD.oooi	 • 001 36 . 000 009 8	. 000 001 44
TD.ooowi				. 000 412 . 000 000 16	. 000 000 014
TD,	
TD.oooooi		100	100,000	1,000,000
The one in one-hundred million dose, which Mantel and Bryan call
the 'virtually' safe dose is one-hundredth the TI)j using the probit
curve, one-hundred thousandth using the logistic and one one-mil-
lionth using the one-particle curve. Thus, even with an experimentally
well-determined TDj, or dose at which Pmax==-^lj the 'virtually' safe
dose is obtained by using a safety factor which can vary from 100 to
1,000,000 depending on the curve selected.
"The extreme unreliability of extrapolations outside the observable
experimental range was the basic source of the failure of the early
safety evaluation program for the Salk vaccine, even though the
observed curve connecting log titer and inactivation time had some
494

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theoretical physical-chemical basis. Nor is the uncertainty attaching to
an extrapolated value surprising, since even a relationship with as firm
a molecular basis as Boyle's law breaks down at extremes of pressure
and temperature. Clearly extrapolation from the observable range to
a safe dose has many of the perplexities and imponderables of ex-
trapolation from animal to man and it would be imprudent to place
excessive reliance on mathematical sleight of hand, particularly when
the dose-response curves used are largely empirical descriptions, lack-
ing any theoretical physical or chemical basis.
"Nothing that has been said bears on whether a threshold dose does
or does not exist. What does seem clear is that more fundamental
experimentation than that of the usual toxicological dose-response
investigation in intact animals is necessary to shed much light on the
question."
The uncertainties in the extrapolation have led the FDA Subcom-
mittee to the following conclusion.
"Although it is possible in principle to estimate 'safe' levels
of a carcinogen, uncertainties involved in downward extrapolation
from test levels will usually result in permissible levels that are
the practical equivalent of zero."
APPENDIX D
Studies of human populations
The relationship between pesticides and chronic disease, including
cancer, has not been adequately studied in man. A review of available
literature, including a MEDLARS search, reveals that most studies
to date were done on small sample sizes, for short periods of time, and
without adequate follow-up. This deficit points up the need for de-
finitive epidemiologic studies on man to answer questions about varia-
tion within and among individuals, identification of "high-risk" and
"low-risk" populations, relationship between exposure and risk, and
establishment of human dose-response curves. A correlation between
exposure to DDT (industrial and home use) and tissue concentration
has been shown. However a correlation lias not been established be-
tween tissue concentration and subsequent disease. Radomski et al.
{Food Cosmet. Toxic., 6:209-20, August 1968) have compared the
organochlorine pesticide concentrations in fat and liver of 271 patients
with known liver, brain, and other disease, against "control" levels
found in an earlier autopsy study. They reported elevated pesticide
concentrations associated with various diseases including a 2- to 3-
fold increased concentration in patients with carcinomas of lung,
stomach, rectum, pancreas, prostate, and bladder. No specific asso-
ciation was shown between increased concentration and any particular
495
371-074 O—G91	«3

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neoplastic disease. The authors postulated no cause-and-effect relation-
ship. It should be noted that cachexia, accompanied by disturbances
and shrinkage of fat deposits, may alter levels of fat-soluble pesticides
in adipose and other tissues. Accordingly, it is possible that high
concentrations of DDT in the remaining fat may not necessarily reflect
the level of exposure of the individual.
To date there have been no large-scale, well-controlled, epidemiologic
studies capable of revealing a negative or positive cause-and-effect
relationship. At least one consequence of this lack of appropriate
work is that there is also no evidence to prove that there is a safe
threshold.
WHAT IS BEING DONE NOW
The majority of work in the field of pesticide data gathering on
human exposure is being done by the Food and Drug Administration's
Division of Pesticides in Chamblee, Ga. In 1949, the National
Communicable Disease Center in Atlanta established a toxicology
laboratory to begin studies on pesticides. In November, 1964, an Office
of Pesticides was established to provide a mechanism for responding
to a number of health-related recommendations which followed a
study of pesticides by the Life Sciences Panel of the President's
Science Advisory Committee. In August 1966, the office was trans-
ferred to Atlanta and renamed the pesticides program. It then included
12 community study locations. The program was transferred to the
FDA on July 1,1968.
The pesticides program, in addition to its community study projects,
is currently conducting a Human Monitoring Survey, measuring adi-
pose and serum pesticide levels and obtaining the following informa-
tion: (1) name, (2) sex, (3) race, (4) age, (5) hospital and other
identification, (6) up to three clinical diagnoses, and (7) up to three
pathologic diagnoses. Specimens of tissue (or blood), removed rou-
tinely during surgery or autopsy, were obtained from collaborating
pathologists. Demographic data were obtained from hospital admission
sheets. Individual patients or families of deceased patients were not
contacted. Due to the difficulty in getting accurate or complete infor-
mation, data such as patient's occupation are omitted.
The data gathering has grown in an informal way. Between 70-80
pathologists around the United States were contacted initially. Later,
attempts were made to improve national coverage by including pathol-
ogists from geographic areas initially omitted. No formal procedures
exist to minimize bias in specimen collection. There are now 15 com-
munity study projects. The number of "occupationally exposed" indi-
viduals has been increased to 1,400. Numbers of controls have also been
increased. The program over the last several years has reflected, as
496

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well as developed, improved technology for detecting and examining
trace materials. Data handling lias not developed satisfactorily. Each
community study stores its own records, and there is no centralized
data storage and retrieval system, though copies of records are avail-
able centrally.
From the Human Monitoring Survey data, the Pesticides Program
is trying to obtain information concerning the incidence of various
diseases (or mortality from several diseases) as related to pesticide
levels. As of September 1969, the Program prepared a partial list of
diseases (by IC1)A classification) and the number of patients in the
study with each disease. These data are not suitable for computing
mortality rates. It is the intent of these studies to throw some light on
causes of death, or diseases associated with high pesticide levels.
The major limitations of the current work are: (1) Incomplete
demographic data collection, (2) non-representative population, (3)
difficulties in computing rates of mortality, or disease incidence,
(4) problems of identification of "high-risk" individuals, and (5) slow
and uncoordinated data-processing procedures.
WHAT CAN BE DONE
A definitive, large-scale study is needed to examine the relationship
between pesticides and disease. Such a study must be planned with a
statistically sound sampling procedure including identification of
low- versus high-exposure groups, multiple-tissue-per-p&tient exami-
nation, and adequate demographic data collection. Possible inter-
actions of materials must be considered. Some of this is now being
done on a limited scale. The data must be examined in various com-
binations in addition to the tabulation of incidence of disease by
different tissue levels of pesticide. To identify increased incidence of
rare diseases will require large sample sizes.
The sample sizes depend on the desired sensitivity of the study, the
desired power of the study to reveal differences, if they exist, the
incidence rate of the disease being studied, and the magnitude of
change in disease occurrence that is meaningful to attempt to find. If
one sought to find an increase in a relatively rare cancer, such as liver
cancer, which animal studies indicate may be importantly affected by
pesticides, then large numbers would be needed. (In 1966 there were
approximately 2,000 reported cases of death due to primary liver
cancer in the United States. This is a death rate of about 1/100,000.)
At the 5-percent sensitivity level, close to 5,800,000 individuals would
have to be studied to pick up a doubling of the death rate due to
primary liver cancer. A sample large enough to pick up such an
increase in liver cancer would, of course, be able to detect smaller
497

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increases in more common cancers. Consider cancer of the pancreas.
At the 5-percent sensitivity level, a study of 5,800,000 individuals
could reveal ail increase of 33 percent in the death rate from cancer
of the pancreas; to detect a doubling in the rate it would be necessary
to study about 760,000 individuals. Major forms of cancer showing
recent increases in incidence that might be related to pesticides include
cancer of the colon, cancer of the bladder, and cancer of the pancreas.
"By stretching out the study over several years, and by concentrating
on age and occupation groups believed to be at high risk, the number of
people who need to be followed can be reduced. T^ong term studies have
the disadvantages of loss to follow-up, and protection against this
needs to be built into them. This means increased initial sample size.
One other possibility exists that is worth considerable attention.
That is to invert the process and, instead of looking at individuals and
finding their diseases or causes of death, to look at causes of death, and
find the characteristics of the individuals to whom these causes occur.
This might be accomplished through a national death index.
A National Dealth Index—with all deaths within the United States
tabulated by cause—would permit easier investigation of the pesticides
problem. Where specific causes of death were suspected of possible as-
sociation with pesticides, the Index would permit an identification of
the individuals who died from these causes. Follow-up studies could
reveal their occupations, possible exposures to pesticides, etc. Evidence
of presumed clustering (in time and space) of deaths has stimulated
epidemiologic investigations into possible etiologies of leukemias and
lymphomas—with some profit. It might be worthwhile seeking in-
formation on clustering with respect to deaths presumed to be associ-
ated with pesticide exposure.
Without large-scale, well-planned, controlled epidemiologic studies,
the true importance of the long-term effect of pesticides on the human
population will be difficult to document with any accuracy. The Direc-
tor of the Division of Community Studies, FDA, has remarked about
the importance of "maintaining an overall stable program with
statureThe Technical Panel on Carcinogenesis concurs.
CITED REFERENCES AND BIBLIOGRAPHY
(All reports examined by the panel in respect to tumorigenicity test-
ing, arranged according to individual pesticides.)
The report of the National Cancer Instltute/Bionetics study (Journal of the
National Cancer Institute 42: 1101-1114, June 1969, Inne«, et al.) is cited at this
point because it applies to the majority of pesticides listed below. (It is also
referenced in relation to specific pesticides in Section IV of this report.)
498

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Aldrin
Cleveland, P. P, : A Summary of Work on Aldrin and Dieldrin Toxicity at the
Kettering laboratory. Arch. Environ. Health 13: 195-168, August 1966,
Davis, K. J, and Fitzhuoh, O. G.: Tumorigenic Potential of Aldrin and Dieldrin
for Mice, Toxicology and Applied Pharmacology 4: 187-189, 1962.
Davis, K; J., Hansen, W., and Fitzhttgh, O. G.: Pathology Report on Mice Fed
Aldrin, Dieldrin, Heptachlor or Heptachlor Epoxide for Two Years. FDA
Memorandum, July 19,1965. Examined in FDA Files.
Deichman, W. B., Keplinger, M. Sala, F., and Glass, B.: Synergism Among
Oral Carcinogens. IV. The Simultaneous Feeding of Four Tumorigens to Rats.
Toxicology and Applied Pharmacology 11: 88-103,1967.
Fitzhuoh, 0. G., Nelson, A. A., and Quaife, M. L.: Chronic Oral Toxicity of
Aldrin and Dieldrin in Rats and Dogs. Fd. Comset. Toxicol. 2: 551-562, 1964.
Song, J. and akvillk, W. E.: Carcinogenicity of Aldrin and Dieldrin on Mouse
and Rat Liver. Federation Proceedings 23 : 336,1964.
Treo.v, J. F. and Cleveland, E. P,: Toxicity of Certain Chlorinated Hydrocarbon
Insecticides for Laboratory Animals, with Special Reference to Aldrin and
Dieldrin. J. Agric. and Food Chem. 3: 402-408,1955.
Amitrol
Alexander, N. M.: Antithyroid Action of 3-amlno-l,2,4-triazole. J. Biological
Chemistry 234: 148-150, January 1959.
Jukes, T. H. and Shaffer, C. B.: Autithyroid Effects of Aminotriazole, Science
1?2 : 296-297,1960.
Falk, H. L,, Thompson, S. J., and Kotin, P.: Carcinogenic Potential or Pesticides
Arch. Environ. Health 10 : 847-858, June 1965.
Aramite
Deichmann, W. B., Keplinger, M., Sala, F., and Glass, E.: Synergism Among
Oral Carcinogens. IV. The Simultaneous Feeding of Four Tumorigens to Rate.
Toxicology and Applied Pharmacology 11: 88-103,1967.
Lehman, A. J.: Chemicals in Food: A Report to the Association of Food and
Drug Officials on Current Developments. Part II. Pesticides. Part II, Section
III. Subacute and Chronic Toxicity. Part II, Section V. Pathology. Quarterly
Bull., Assn. of F&D Officials of U.S. 15: 122-133, 47-60. 126-132, 1951.
Oser, B. L. and Oseb, M.: 2- (p-tert-Butyphenoxy) Isopropyl 2-Chloroetbyl Sulfite
(Aramite). I. Acute, Subacute, and Chronic Oral Toxicity. Toxicology and Ap-
plied Pharmacology 2 : 441-457,1960.
Sternberg, S. S., Popper, H., Oser, B. L., and Ober, M.: Gall-Bladder and Bile
Duct Adenocarcinomas in Dogs after Long Term Feeding of Aramite. Cancer
13 : 780-789, 1960.
Oser, B. L. and Oser, M.: 2- (.p-tert-Butylphenoxy) Isopropyl 2-Chloroethyl sulfite
(Aramite). II. Carcinogenicity. Toxicology and Applied Pharmacology 4: 70-
88, 1962.
Popper, H., Sternberg, S. S., Oser, B. L., and Ober, M.: The Carcinogenic Effect
of Aramite in Rats—A Study of Hepatic Nodules. Cancer 13: 1035-1046, 1960.
Radomski, J. L., Deichmann, W. B., Mac Donald, W. E., and Glass, E. M.: Syn-
ergism Among Oral Carcinogens. I. Results of the Simultaneous Feeding of
Four Tumorigens to Rats. Toxicology and Applied Pharmacology 7: 652-656,
1965.
499

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B{phenyl
Ambrose, A. M., Booth, A. X., Deeds, F., and Cox, A. .T.: A Toxicologic 1 Study
of Biphenyl, A Citrus Fungistat. Food Research 25 : 328-386,1960.
Oap tan
Industrial Bio-Test Laboratories, Inc. Unpublished report submitted to Cali-
fornia Chemical Co., 1961. Examined in FDA Files.
Weir, R. J.: Unpublished report of Hazelton Laboratories, 1956. Examined in
FDA Files.
Chlordanc
Ambrose, A. M., Christensen, H. E., Robbins, I). J., and Rather, L. J,: Toxi-
cological and Pharmacological Studies on Chlorfiane. AM A Arch, of Industrial
Health 7 : 197-210,1953.
In"olk, Ij. : Chronic Oral Toxicity of Chlordan to Rats. AM A Arclt. of Industrial
Health 6: 357-367,1952.
Lehman, A. J.: Chemicals in Food: A Report to the Association of Food and
Drug Officials on Current Developments. Part II. Pesticides. Part II, Section
III. Subacute and Chronic Toxicity. Part II, Section V. Pathology. Quarterly
Bull., Assn. of FdD Officials of U.S. 15: 122-133, 47-60, 126-132, 1951.
Obtega, P., Hayes, W. J., and Durham, W. F.: Pathologic Changes in the Liver
of Bats after Feeding Low Levels of Various Insecticides. A.M}A. Arch, of
Pathology 64 : 614-622,1957.
Chlorobemilate
Horn*, H. J., Bbuce, R. B., and Paynter, O. E.: Toxicology of Chlorobenzilate.
J. Agric. and Food Chem. 3 : 752-756,1955.
Chlorfenson (Ovex)
Dow Chemical Co., Midland, Mich. Unpublished data, 1962. Examined in FDA
Files.
Dow Chemical Co. Unpublished report, 1965. Examined In FDA Files.
Chlorpropham. (CIPC)
Larson*, P. S., Crawford, E. M., Blackwell-Smith, R., Henmqar, G. R,, Haag,
H. B., and Finnegan, J. K.: Chronic Toxicologic Studies on Isopropyl N-
(S-Chlorophenyl) Carbamate (CIPC). Toxicology and Applied Pharmacology
2:659-673, I960.
DDT
Cameron, G. R., and Cheng, K.-K.: Failure of Oral DDT to Induce Toxic
Changes in Rats. Brit. Med. J. 2: 819-821,1951.
Deichmann, W. B., Keplinger, M.t Sala, F., and Glass, E.: Synergism Among
Oral Carcinogens. IV. The Simultaneous Feeding of Four Tumorigens to Rats.
Toxicology and Applied Pharmacology 11: 88-103, 1967.
Durham, W. F., Ortega, P., and Hayes, W. J.: The Effect of Various Levels of
DDT on Liver Funtion, Cell Morphology, and DDT Storage in the Rhesus
Monkey. Archives Internationales de Pharmacodynamic et dc Therapic 141:
111-129, Jan.-Feb. 1963.
Fitzhugh, O. G, and Nelson, A. A.: The Chronic Oral Toxicity of DDT (2,2-bis
(p-chlorophenyl-l,l,l-trichloroethane). Joum-al of Pharmacology and Experi-
mental Therapeutics 89: 18-30, 1947.
Fitzhugh, O. G., et al.: A Summary of a Carcinogenic Study of DDT In Mice.
Unpublished data from Bureau of Science, Food and Drug Administration,
August 1969. Examined in FDA Files.
500

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Haag, H. B., Finnegan, J. K., Larson, P. S., Dreyfubs, M. L., Main, B. J., and
Riese, W. t Comparative Chronic Toxicity for Warm-Blooded Animals of
2,2-l>is-(p-chlorophenyl)-l,l,l-trichloroethane (DDT) and 2,2-bis- (p-ohloro-
phenyl)-l,l-dichloroethane (DDD). Industrial Medicine 17 : 477-484, Decem-
ber 1948.
Halver, J, E.: Crystalline Aflatoxin and Other Vectors for Trout Hepatoma.
Thout Hepatoma Research Conference Papers. Bureau of Sport Fisheries and
Wildlife Research Report 70: 78-102, 1967.
Kimbrougii, R., Gaines, T. B., and Sherman, J. D.: Nutritional Factors, Long-
Term DDT Intake, and Chloroleukeinia in Rats. J. Nat. Cancer Inst. 33:215-
225, August 1064.
Kemeny, T, and TarjAn, R,: Investigations on the Effects of Chronically Admin-
istered Small Amounts of DDT in Mice. Kxperieniia 22: 748-749,1966.
Klimmer, O. R.: Experimentelle I'ntersuchungen liber die Toxikologie insecti-
cider chlorierter Kohlenwasserstoffe. Naunyn-Hchmiedeberg's Aretiiv fur
I'harmakoloyie und experimentelle Pathologic 227: 183-195, 19fW>.
Lehman, A. J.: Chemicals in Food: A Report to the Association of Food and
Drug Officials on Current Developments. Part II. Pesticides. Part II, Section
III. Subacute and Chronic Toxicity. Part II, Section V. Pathology. Quarterly
Bull., Akhv. of F&T) Official* of U.S. 15:122-133, 47-60, 126-132, 1951.
Radomski, J. L., Deichmann, W. B., MacDonald, W. E„ and Glass, E. M.:
Synergism Among Oral Carcinogens. I. Results of the Simultaneous Feeding
of Four Tumorigens to Rats. Toxicology and Applied Pharmacology 7 : 652-656,
1965.
Tarjan, R. and Kemeny, T.: Multigeneration Studies on DDT in Mice. Fd. Cos-
met. Toxicol. 7: 21.>-222. 1969.
Treon, J. F. ani> Cleveland, F. P.: Toxicity of Certain Chlorinated Hydrocarbon
Insecticides for Laboratory Animals, with Special Reference to Aldrin and
Dieldrin. J. Agrie. and Food Chcm. 3: 402-408,1955.
Weisbuhqer, J. H., Hadidian, Z., Fkedrickson, T. N., and Weisburger, E. K.:
Carcinogenesis by Simultaneous Action of Several Agents. Toxicology and
Applied Pharmacology 7 : 502, 1965.
mazinon
Bruce, R B., Howard, J. W., and Elsea, J. R.: Toxicity of 0,0-Diethyl 0-(2-
Lsopropyl-6-inethyl-4-pyritnidyl) Phosphorothioate (Diazinon). J. Agric. and
Food Chcm, 3:1017-1021, 1955.
Dieldrin
Cleveland, F, P.: A Summary of Work on Aldrin and Dieldrin Toxicity at the
Kettering Laboratory. Arch. Environ. Health 13: 195-198,1966.
Davis, K. J., Hansen, W., and Fitzhugh, O. G.: Pathology Report on Mice Fed
Aldrin, Dieldrin, Heptachlor or Heptachlor Eivoxide for Two Years. FDA
Memorandum, July 19,1965. Examined in FDA Files.
Davis, K. J. and Fitzhugh, O. G.: Tuinorigenie Potential of Aldrin and Dieldrin
for Mice. Toxicology and Applied Pharmacology 4 : 187-189,1962.
Fitzhitgii, O. G., Nelson, A. A., an» Quaife, M. L.: Chronic Oral Toxicity of
Aldrin and Dieldrin in Rafts and Dogs. Fd. Cosmet. Toxicol. 2 : 551-562, 1J964.
Ortega, P., Hayes, W. J, and Durham, W. F.: Pathologic Changes in the Liver
of Rats After Feeding Low Levels of Various Insecticides. A.M.A. Arch, of
Pathology 64 : 614-622, 1957.
Song, J, and Harville, W. E.: Carcinogenicity of Aldrin and Dieldrin on Mouse
und Rat liver. Federation Proceedings 23: 336,1964.
501

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Treon, J. F. and Cleveland, F. P.: Toxicity of Certain Chlorinated Hydrocarbon
Insecticides for Laboratory Animals, with Special Reference to Aldrin and
Die!drin. J. Agric. and Food Ghctn. 3: 402-408, lf>55.
Dimethoate
Sanbersow, D. M. and Edson, E. F.: Toxlcological Properties of the Orgrano-
phosphorus Insecticide Dimethoate. Brit. J. Industrial Med. 21:52-64, 1964.
Diuron
Hodge, H. C., Downs, W. L., Panner, B. S., Smith, D. W., Wayward, E. A.,
Claytott, J. W., and Rhodes, R. C. : Oral Toxicity and Metabolism of Diuron
[N-(3,4-Dichlorophenyl)-N', N'-dimethylurea] in Rats and Dogs. Fd. Cosmet.
Toxicol. 5: 513-531, 1967.
Dodinc
American Cyananiid Company. Unpublished report, 1958. Examined in FDA
files.
Endosulfan
Hazleton Laboratories. Unpublished report, 1959. Examined in FDA Files.
EPN
Hodge, H. C., Maynabd, E. A.f Hubwitz, L., DiStefano, V., Downs, W. L.,
Jones, C. K., and Blanchet, H. J.: Studies of the Toxicity and of the Enzyme
Kinetics of Ethyl p-Nitrophenyl Thionobenzene Phosphonate (EPN). Jour-
nal of Pharmacology and Experimental Therapeutics 112: 29-39, 1954.
Ferbam
Hodge, H. C., Maynard, E. A., Downs, W. L., Coye, R. D., and Steadwan, L. t. :
Chronic Oral Toxicity of Ferric Dimethlydithiocarbamate (Ferbam) and
Zinc Dimethyldithiocarbamate (Ziram). Journal of Pharmacology and Ex-
perimental Therapeutics 118:174-181,1950.
Folpet
Industrial Bio-Test Laboratories, Inc. Unpublished report, 1960. Examined in
FDA Files.
Qlyodln. (Olyoxalidine)
Carpenter, C. P., Weil, C. S., and Smyth, H. F.: Toxicity of an Imidazoline (or
Glyoxalidine) Fungicide. AMA Arch, of Industrial Health 4 : 494-503, 1951.
Heptachlor
Davis, K. J., Hansen, W., Fitzhugh, O. Q.: Pathology Report on Mice Fed
Aldrin, Dieldrin, Heptachlor or Heptachlor Epoxide for Two Years. FDA
Memorandum, July 19,1965.
Jolley, W. P., et al.: The Effects of Feeding Diets Containing a Mixture of
Heptachlor and Heptachlor Epoxide to Female Rate for Two Years. Kettering
Laboratory Report, January 28,1966.
Velsicol Corporation. Unpublished report, 1959. Examined in FDA Files.
Witherup, S., et al.: The Physiological Effects of the Introduction of Heptachlor
Epoxide in Varying Levels of Concentration into the Diet of CFN Rats.
Kettering Laboratory Report, November 10,1959.
Witherup, S., et al.: The Physiological Effects Induced In Experimental Ani-
mals by the Absorption of Lethal and Sublethal Amounts of Heptachlor
Epoxide. Kettering Laboratory Report, November 10,1959,
502

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I And one
Fjtzhuoii, O. G., Nelson, A. A., and Fsawley, J. P.: The Chronic Toxicities of
Technical Benzene Hexachloride and its Alpha, Beta, and Gamma Isomers.
Journal of Pharmacology and Experimental Therapeutics 100 : 59-66, 1050.
Klimmer, (). R.: Kxi>eriinen-telle IJntersuclmngen tiber die Toxikologie insecti-
cider ciiloriertwer Kohlemvasserstoffe. Naunyn~8chmicdcbcrg's Archiv fur
Pharmakologic und cxpcrimcntclle Pathologie 227: 183-195, 1955.
Ortega, P., Hayes, W. J., and Durham, W. F.: Pathologic Changes in the Liver
of Rats After Feeding Low Levels of Various Insecticides. A.M.A. Arch of
Pathology 04: 814-622,1957.
Malck) Hydrazide
Barnes, J. M., McGee, P. N., Boyland, E., Haddow, A., Passey, R. D., Btjllougii,
W. S-, Cruickshank, C. N. D., Salaman, M, H., and Williams, R. T.: The
Non-Toxicity of Maleic Hydrazide for Mammalian Tissues. Nature 180: 02-&4,
July 1957.
Epstein, S. S. and Mantel, N. : Hepatocarcinogenicity of the Herbicide Maleie
Hydrazide Following Parenteral Administration to Infant Swiss Mice. Inter-
national Journal of Cancer 3 : 325-335,1968.
Epstein, S. S., Andrea, J„ Jaffe, H., .Tosiii, S., Falk, H., and Mantel, N.:
Carcinogenicity of the Herbicide Maleic Hydrazide. Nature 215: 1388-1390,
1967.
Naugatuck Chemical Division of U.S. Rubber Co. Unpublished report, 1954.
Examined in FDA Files.
Maneb
Clayton, J. W., et al.: American Industrial Hygiene Association Quarterly,
1957. Examined in FDA Files.
2-HcrcaptobcnzotMazolc plus Dlmcthyldithiocarbamate a* Vancidc-S
Niagara Chemical Division, Food Machinery and Chemical Corp. Unpublished
report, 1957.
Methoxychlor
Deichmann, W. B., Keplinger, M,, Sala, F., and Glass, E.: Synergism Among
Oral Carcinogens. I,T. Tlie Simultaneous Feeding of Four Tumorigens to
Rats. Toxicology and Applied Pharmacology 11: 88-103,1967.
Hodge, H. C., Maynard, K. A., and Blanchet, H. J.: Chronic Oral Toxicity
Tests of Methoxyclilor (2,2-di-(p-Methoxyphenyl)-l,l,l-triclilorethane) in
Rats and Dogs. Journal of Pharmacology and Experimental Therapeutics
104 : 60-66,1952.
Lehman, A. J.: Chemicals in Food: A Report to the Association of Food and
Drug Officials on Current I*evelopments. Part II. Pesticides. Part II, Section
III. Subacute and Chronic Toxicity. Part II, Section V. Pathology, Quarterly
Bull, A»»n. of F&D Officiala of U.S. 15: 122-133, 47-60, 126-132, 1951.
Nelson, A. A. and Fitzhuoh, O. G.: Pathological Changes Produced in Rats by
Feeding of Methoxychlor at Levels up to 0.2% of Diet for Two Years. Office
Memorandum, United States Government, October 23, 1951. Examined in
FDA Files.
Radomski, J. L,, Deichmann, W. B., MacDonald, W. E„ and Glass, E, M.:
Synergism Among Oral Carcinogens. I. Results of the Simultaneous Feeding
of Four Tumorigens to Rats. Toxicology and Applied Pharmacology 7 : 652-
656,1965.
503

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Monuron (Telvar)
Hodge, H. C., Maynard, E. A., Downs, W. L., and Coye, R. D.: Chronic Toxicity
of 3-(p-Chlorophenyl)-l,l-Dimethylurea (Monuron), AM A Arch. of Industrial
Health 17: 45-47,1958.
Orthophenyl Phenol (Dowicide)
Home, H. C., Maynabd, E. A., Blanchet, H. J.t Spencer, II. C., and Rowe, V. K,:
Toxicologies 1 Studies of Orthophenylphenol (Dovvieide 1), Journal of Pharma-
cology and Experimental Therapeutics 104 : 202-210,1352.
Parathion
Food and Drug Administration. Unpublished report, 1949. Examined in FDA
Files.
Hazelton, L. W. and Holland, E. G.: Pharmacology and Toxicology of I'ara-
thion. Advances in Chemistry Series 1:31-38,1950.
Piperonyl Butoxldc
Epstein, S, W„ Jobhi, S., Andbea, J., Clapp, P., Falk, H., and Mantel, N.:
Synergistic Toxicity and Carcinogenicity of Freons and Piperonyl Butoxide.
Nature 214 : 526-528,1967.
Sables, M. P. and Vandegbift, W. B.: Chronic Oral Toxicity and Belated Studies
on Animals with the Insecticide and Pyrethrum Synergist, Piperonyl Butoxide,
Amcr. J. Tropical Med. and Hygiene 1: 862-883,1952.
Propham (IPC)
Engelhorn, R.: Uber den Einfiub des Athyl-Urethans und des Phenyl-Carbamin-
saure-Isopropylesters auf das Lungengewebe der Ratte. Arch, cxper. Path. u.
Pharmakol, 223:177-181,1954.
Huepeb, W. C.: Carcinogenic Studies on Isopropyl-N-Phenyl-Carbamate. Indus-
trial Med. and Surff. 21: 71-74,1952,
Pyrethrin
Food and Drug Administration. Unpublished report, 1951. Examined in FDA
Files.
Rotenone
Hansen, W. H., Davis, K. J., and Fitzhugh, O. G.: Chronic Toxicity of Cube.
Toxicology and Applied Pharmacology 7: 535-542,1965.
Lehman, A. J.: Chemicals in Food: A Report to the Association of Food and
Drug Officials on Current Developments. Part II. Pesticides. Part II, Section
III. Subacute and Chronic Toxicity. Part II, Section V. Pathology. Quarterly
Bull., Assn. of FdD Officials of U.S. 15 . 122-133, 47-60, 126-132, 1951.
Scvin (Carbaryl)
Carpenter, C. P., Weil, C. S. Palm, P. E., Woqdside, M. W., Naib III, J. H., and
Smyth, H F: Mammalian Toxicity of 1-Naphthyl-N-methylcarbamate (Sevln
Insecticide). J. Agric. and Food Chem. 9 : 30-39,1961.
Mellon Institute of Industrial Research. Unpublished report, 1963. Examined
in FDA Files.
Sulphenone
Hazelton Laboratories. Unpublished report, 1954. Examined in FDA Files.
Thiuram (Thiram)
Esch, G. J. van : Verslagen en Mededelingen Betreffende de Volbsgezondheid.
The Hague, Netherlands, 1956, p. 166. Examined In FDA Files.
504

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Oriepentroo, F.: Turnorartige Sohilcldrnsenveranderungen in chronlsch-toxi-
kologiweheu Tierversuehen mit Thiuramen. (Tumor-like Thyroid Gland
Changes in Chronic Experimental Tliiuram) Beitrage fur Pathologischcn
Anatomic 12
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Donniger, C. and Wright, A. S,: Liver Cell Changes Induced by the Oral Ad-
ministration of Dieldrin and Phenobarbitone to Rats. Report by "Shell" He-
search Limited. Tunstall Labortory, Slttingbourne, London, 1967.
Wright, A. S, and Don winger, C.; Liver Cell Changes Induced by the Oral
Administration of Dieldrin and Phenobarbitone to Female Dogs. Report by
"Shell" Research Limited, Tunstall Laboratory, Sittingbourne, London, 1968,
Other Relevant Reports Provided to the Panel
GENERAL
Interagency Environmental Hazards Coordination-Pesticides and Public Policy.
Report of the Committee on Government Operations, United States Senate,
made by its Subcommittee on Reorganization and International Organizations,
Report No. 1879. Govt. Print. Off., 1966, 85 pp.
Golberg, L.: Effect of Age. Unpublished report submitted to the Technical Panel
on Carcinogenesis, September 19,1969.
Problems in the Evaluation of Carcinogenic Hazard from Use of Food Additives,
December 1959. Food Protection Committee, Food and Nutrition Board,
National Academy of Sciences-National Research Council, Publication 749,
1960,44 pp.
Frost, D. V.: Arsenical® in biology—retrospect and prospect. Federation Proceed-
ings 26:194-208, January-February 1907.
Sizable, C. E.: Tumor Initiatory Activity of Some CMoromononltrobeuzenee and
Other Compounds. Cancer Research 26:12-17 January 1966.
506

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CHAPTER 6
Interactions
Contents
Page
Summary		509
Introduction		511
Pesticide interactions through inhibition of esterases		512
Pesticide interactions through alteration of hepatic microsomal
enzymes		516
Pesticide interactions at the target level		523
Relation of interactions to tissue storage of persistent pesti-
cides		525
Exogenous physical factors influencing pesticide toxicity		531
Appendix A	 		536
Pesticide interactions with synergists		540
Appendix B		541
507

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INTERACTIONS
Summary
Under experimental conditions, 3 kinds of interactions can readily
be demonstrated, (a) in a few pairs of organophosphates one can
block an enzyme (aliesterase) which normally degrades the other, and
thus enhance its toxicity greatly; (b) most chlorinated hydrocarbons
can, at fairly low concentrations, and especially if administered regu-
larly, increase the level of the drug metabolizing system of liver
microsomes. This increase produces a variety of effects, decreasing or
increasing the toxicity to some pesticides which might be taken in
later, but also altering the body's response to many drugs, and also
changing the level of several circulating hormones; (c) piperonyl
butoxide and related compounds, whose only commercial use is to
improve the toxicity of pyrethroid insecticides, can at relatively high
concentrations block the liver microsomal system mentioned above,
and this blockade increases the toxicity of a variety of insecticides
which are normally degraded by that system.
Although the above effects can be shown experimentally, the
amount-s of pesticide normally ingested, either by food intake or by
those occupationally exposed, does ,not appear to be enough to create
any hazardous interaction for compounds for which data are available.
The amounts taken in by the general public are substantially less than
enough to produce even detectable changes, and such just-detectable
changes would have, in our opinion, no hazardous consequences. How-
ever, this opinion is necessarily based to a large extent upon data
obtained with laboratory animals.
Although this report makes no recommendation specifically related
to carcinogenesis, some consideration is given this aspect in appen-
dix B.
There are two and possibly more conditions under which investiga-
tions are a cause for concern. One is when gross misuse or suicidal
intent give rise to massive intakes. Under such conditions, the dangers
of two compounds together will, for certain pairs of compounds, be
greater than the sum of the clangers from each separately. The second
is when individuals with a high occupational level of exposure to
chlorinated hydrocarbon insecticides undergo therapy with certain
599

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drugs. Their response to these drugs may be quantitatively different
from that anticipated.
Conclusions
1.	Studies on the inhibitory action of anticholinesterase pesticides
on plasma and liver aliesterases should be required as part of the rou-
tine toxicological evaluation studies because of the established im-
portance of this inhibitory action as a cause of potentiation of toxicity.
2.	Research should be conducted to establish the level of aliesterase
inhibition by anticholinesterase pesticides that alters the rate of metab-
olism of ester drugs at therapeutic dosages.
3.	Additional studies should be conducted to evaluate the signifi-
cance of aliesterase inhibition in man, and especially liver aliesterase
and amidase. If there is an increased use of organophosphorus insecti-
cides and carbamate pesticides and a consequent increase in exposure
of the population, especially those occupationally exposed, this in-
creased health hazard must be monitored carefully to prevent an
increase in the toxic action of other chemicals through inhibition of
aliesterases. There is a need for methodology that will provide mean-
ingful information on aliesterase levels in man.
4.	The cumulative effects of anticholinesterase insecticides on
cholinesterase and aliesterase activity of wildlife should be evaluated
to aid in preservation of desirable species.
5.	Tests for enzyme induction should be made a part of the required
studies on all new pesticidal chemicals. Quantitative measurements of
the potency of a pesticide as an enzyme inducer should be made using
subacute or chronic tests unless separate experiments of a short-term
type show that the pesticide is not capable of causing enzyme induction.
6.	More research is needed to establish ways of predicting enzyme
induction on a structure-activity basis.
7.	More research is needed to establish qualitative and quantitative
criteria to indicate similarities and differences in drug metabolism in
various species. The extent to which the low levels of microsomal
enzyme activity in extra-hepatic tissues such as lung, gastrointestinal
tract, kidney, and adrenal cortex is induced by pesticides should be
studied.
8.	Additional research is needed on the development of practical
quantitative methodology for measuring enzyme induction in animals
and man. Consideration should be given to the development of model
substrates with low toxicity whose metabolic products can be easily
measured. When such methods are available monitoring studies should
be conducted on individuals exposed in the manufacturing and appli-
cation of pesticides.
510

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9.	Additional research designed to characterize the mechanism(s)
and the significance of pesticide interactions should include the study
of the effects of the total environment, i.e., chemical, physical, and
social factors.
10.	At sufficiently high levels, insecticide synergists inhibit the
metabolism of insecticides. Information is needed a) on human intake
of these synergists both by consumption of food in the normal diet and
by inhalation exposure to aerosols as normally used, b) on the interac-
tions resulting from intakes of this magnitude, first with experimental
animals and subsequently with humans.
11.	Further work should be encouraged on the effect of combina-
tions of household detergents and pesticides and on storage of the
latter compounds.
Introduction
The term interaction is commonly used to describe an increase or
decrease in the biological activity of a chemical agent by the prior or
simultaneous exposure to another chemical agent or other exogenous
factor. Strictly additive toxic effects from chemicals having the same
pharmacological actions are not classed as interactions, nor are those
decreases in toxicity which are due to opposite pharmacological
actions.
Interactions can be caused by several mechanisms. By far the most
prominent mechanism responsible for known pesticide interactions
is interference with the activity of drug metabolizing enzymes. Thus
the ability of organic phosphate insecticides to inhibit esterases that
detoxify other organic phosphates and some drugs represents one im-
portant type of interaction. Increases in the level of drug-metabolizing
enzymes through induction by chemical agents represents another
important mechanism. A third important mechanism involves inhibi-
tion of the activity of hepatic microsomal drug-metal>olizing enzymes.
Some drugs (as distinct from pesticides) produce interactions by
blocking excretion of other chemicals, some by competing for binding
sites on plasma proteins, some through interference with intestinal
absorption, some by blocking the transport of another chemical to its
site of action, some by direct sensitization of the target site. The Com-
mittee has attempted to examine all types of potential interactions,
but has found no documented cases of pesticides involved in these other
types of interactions.
Therefore, the Committee focused attention on pesticide interac-
tions that involve the three identified mechanisms. Careful considera-
tion was given to the question of whether or not interactions could
occur at the practical dose levels to which the population of the United
511
371-074 O—60*-	34

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States is normally exposed. Additionally, the Committee has consid-
ered the same question in relation to individuals who are exposed to
higher dosages through their occupation. When insufficient information
was available the Committee made recommendations for further
research.
Pesticidk Interactions Tiikouc.ii Inhibition of Esterases
Pesticides having the same pharmacological action are generally ad-
ditive in their toxicity and this has been recognized in regulations of
the Food and Drug Administration (CFR 120.3) which prohibits
the combined residues of more than one related compound 011 food
commodities from exceeding the weighted average calculated from the
individual tolerances.
Combined actions of an additive nature are readily predictable and
understood in evaluation of potential hazards from pesticides. How-
ever, some pesticides exert more than an additive effect on the toxicity
of other pesticides and present a combined health hazard in excess of
that ordinarily expected. In 1957, it was reported that the simul-
taneous administration of two organic phosphate pesticides, EPN
and malathion, gave acute toxic effects 50 times greater than a simple
additive effect (1). It was also reported that subacute feeding of both
compounds produced a ten-fold increase in toxicity as measured by cho-
linesterase inhibition. Protection of consumer health from such unex-
pected and unexplained "potentiation", as we shall call it, between
organophospliorus insecticides was instituted by a change in FDA
regulations to require the testing of each pesticide of this type in
combination with each other organophospliorus insecticide (CFR
120.o5). With the development of other cliolinesterase inhibiting pesti-
cides, namely the carbamates, this requirement was extended to in-
clude all combinations of organophospliorus pesticides and carbamates.
Tinder the test procedures, if evidence of potentiation was observed in
acute tests, subacute studies were required to define the level without
toxic effect.
Partly because of this requirement, several other organophospliorus
insecticides were uncovered which potentiate the. toxicity of malathion
and other organophospliorus insecticides {2-H). However, the ma-
jority of combinations studied did not cause significant toxicity be-
yond the expected additive action. Consequently, tolerances for
cliolinesterase inhibiting pesticides have been established with knowl-
edge and evaluation of their potentiating effects in experimental
animals. Confidence in this practice was obtained through administra-
tion of combinations of potentiating pairs at tolerance levels to human
volunteers demonstrating no effect on cliolinesterase (7-fi).
512

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More recently the biological mechanism for this type of potentia-
tion of the toxicity of carboxyesters, like malathion, has become
understood (4,10,11,12,13,11).). A few other interactions of lesser mag-
nitude, not involving carboxyesters, have been reported whose mecha-
nism is associated with competitive binding and other reactions (S,15,
16). In the case of the more common and more marked cases of po-
tentiation, it has been demonstrated that all organic phosphate and
carbamate pesticides inhibit certain other esterases in addition to
cholinesterase. Among these enzymes is a group referred to as alies-
terases. One or more of these aliesterases rapidly hydrolyzes malathion
to yield products which are devoid of anticholinesterase activity, thus
influencing detoxification of malathion. A metabolite of EPN possesses
a greater inhibitory effect on aliesterase than on cholinesterase and
when sufficient EPN is administered simultaneously or prior to mala-
thion, inhibition of this aliesterase interferes with the normal de-
toxification of malathion. As a consequence, malathion is available
to inhibit cholinesterase in the same manner as other phosphates. A
parallel mechanism has been shown for EPN action upon the degrada-
tion of dimethoate, a carboscyamide (30).
After the mechanism of EPN potentiation of malathion became ap-
parent, other phosphate and carbamate pesticides have been examined
for their inhibitory effect on aliesterase enzymes (17-19). All orga-
nophosphorus insecticides inhibit the aliesterases that hydrolyze tri-
butyrin and diethylsuccinate as well as cholinesterases but the marked
potentiators of malathion toxicity inhibit aliesterases at a lower die-
tary level than the level necessary to inhibit cholinesterases (18).
As a consequence of these observations, the FDA has modified its
regulations on testing for potentiation (CFR 130.35) to "require spe-
cial experimental data" on a ease by case basis as deemed necessary,
rather than requiring measurement of the toxicity of each possible
combination. In light of present knowledge, studies on the inhibition
of plasma and liver aliesterase should be required on aU anticholin-
esterase pesticides.
Because all organic phosphate and carbamate insecticides inhibit
aliesterases as well as cholinesterase, and because aliesterases are
known to metabolize many natural food ingredients, food additives,
drugs and industrial chemicals (20-24) the public should be protected
from exposure to levels of these insecticides that alter the metabolism
of other compounds. To define the level for each pesticide that will
significantly alter the metabolism of other chemicals, subacute studies
have been conducted with rats for most of these insecticides (18).
When diethylsuccinate and tributyrin were used as substrates, dietary
levels as low as 0.5 p.p.m. of some commercial organophosphorus
513

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compounds produced 50% inhibition of the activity of these ali-
esterases. This degree of inhibition significantly reduces the resistance
of rats to malathion (18). This is important for occupational exposure.
However, it is not known whether this degree of aliesterase inhibition
significantly alters the rate of metalxilism and toxicity of lower doses
of malathion or other substrates when the enzyme system is not over-
loaded. From available evidence (/, 17) it appears that it does not, but
more definitive studies should be undertaken. In addition to measuring
the effect of aliesterase inhibition on the metabolism of other pesti-
cides, studies should be undertaken to establish the level of aliesterase
inhibition that affects the rate of metabolism of ester drugs at thera-
peutic dosages.
The role of aliesterases in detoxification reactions in man are poorly
defined. The relatively low toxicity of malathion in the rat is dependent
on detoxification by aliesterase (s) primarily in the liver. In man the
blood aliesterase activity for substrates such as diethylsuccinate (25,
%6) is extremely low and the more important information concerning
levels in the liver has not been obtained. The amidase which degrades
dimethoate is less active in human liver than in liver of six other
vertebrates (31). If the aliesterase activity in the liver of a man
parallels blood in being much lower than it is in rats, this may provide
an explanation for the higher toxicity of malathion to man than to
experimental animals (0, 27). Comparative studies on the suscepti-
bility of experimental animals and man to aliesterase inhibition have
been conducted with only one organophosphorous insecticide (26) and
it only involved measurements on the activity of blood of man. Al-
though tributyrinase activity was more strongly inhibited than cholin-
esterase in the case of the rat, there was no significant difference in
susceptibility of the enzymes in the blood of man.
Therefore, from available evidence on one aliesterase in blood, the
significance of aliesterase inhibition from organic phosphates to human
health would appear to be less important than cholinesterase inhibition
except perhaps for occupational exposure. This conclusion, how-
ever, is based on less than adequate information on human susceptibility
to aliesterase inhibition. Additional studies should be conducted to
evaluate the significance of aliesterase inhibition in man and especially
liver aliesterase; and to study the relation between aliesterases and
amMases.
Current total diet studies establish that the level of organo-
phosphorus insecticides and carbamates in the diet of man from agri-
cultural use is below the level which affects cholinesterase and
aliesterase activity (28). Occupational exposure of applicators and
farm workers, however, has frequently resulted in measurable cholin-
514

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esterase inhibition and presumably aliesterase inhibition (39). An
increase in the use of organic phosphate and carbamate pesticides
will increase the exposure of both agricultural workers and consumers
of agricultural products. This increased health hazard must be
monitored carefully to avoid an increase in susceptibility of the popu-
lation to toxic actions of other chemicals. The cumulative effect on
cholmesterase and aliesterase activity of wildlife which receives a,
greater exposure sould also he evaluated to preserve desirable species.
Although carcinogenic and potential carcinogenic or mutagenic
interactions are important, a full consideration of the pharmacological
results of interaction in these regards has been left to the respective
subcommittees appointed to assist with these topics.
BUM MART
The most pronounced cases of known interaction associated with
pesticides have involved organophosphorous insecticides. The mecha-
nism for these interactions has been demonstrated to be due to in-
hibition of the detoxifying enzymes referred to as aliesterases. Al-
though all commercial organophosphorus and carbamate insecticides
inhibit aliesterase(s) as well as eholinesterases, the marked poten-
tiators inhibit aliesterases at a lower dosage than is required for cholin-
esterase inhibition. It is prudent to require information on the effect of
all anticholinesterase pesticides on aliesterase activity. The evidence on
experimental animals indicates that the current level of pesticides in
the diet does not inhibit ¦aliesterase(s). However, occupationally ex-
posed individuals may have reduced activity and may be more suscep-
tible to other compounds. Additional work is needed to define the
significance of aliesterase activity in man and his relative sensitivity in
relation to experimental species.
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(J) Frawlky, J, P., Fly at, H. N., Hag a re, E. C,, Blake, J. R., and Fitzhvgh,
O. G.: J. Pharmacol. Exptl. Tkerap. 121 :fltt-106, 1957.
(2)	DrBois, K. P.: A. M. A. Arch. Ind, Health, 18:488-496,1658.
(3)	Murphy, S. D., and Dubois, K. P.: Federation Proc. 17:397, 1958.
<4) Murphy, S. D,, As person, R. L., and DtjBoib, K. P.: Proc. Soc, Exptl. Biol.
Med 100:483-48T, 1959,
(5) Seume, F. W., and O'Brien, R. D.: Toxicol. Appl. Pharmacol. 2:195-603,
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(fi) Casida, J. E., Baron, R. L., Ero, M,, and Engm* J. L,: Biochem. Pharmacol.
12:73-83, 1983.
(7)	Fbawley, J. P., Weir, R., Tubing, T., DuBois, K. P., and Calandra, J. C.:
Toxicol. Appl. Pharmacol. 5:605-624,1963.
(8)	DuBois, K. P.: Advances Pest Control Res. 4:117-151,1961.
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Cook, J. W.. Hi-ake, J. R., iiiul Williams, it. W. : -/. Ahsoc. Off. Af/r. t'hcm.
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("hem. 41:399-411,
Kn.uk, J. 1!.. and O'Brien, 11. It.: ¦/. Ayr. Food Chciti. S :19K-203, liXJO.
Mei'-mk, F. W., and O'Brien, R. I).: ¦/. Ayr. Foot! Chcni. N :36—II, 1960.
Eto, M., (\\sii)A, J, K. and Eto. T.: fiinrhvm. Pliartnacnl. 11:337-352, 1962.
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Rosenherg, P., and Coon, J. M.: I'ror. 8oc. Exptl. Biol. Med. .97 : 836-839,
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DuBois, K. P., Kinoshita, F. K., and Frawley, ,T. 1'.: Toxicol. Appl.
Pharmacol. 12:273-284,1968.
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Compound* and Studies on the Tojcicolouj) of a Xctr Pftnaphorumidc.
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Pesticide Interactions Through Alteration of Hepatic Micro-
somal Enzyme Activity
The second important mechanism by which pesticides are known to
produce interactions is by altering the activity of the enzyme systems
in hepatic microsomes that catalyze the metabolism of many foreign
chemicals. These microsomal enzymes, which are frequently referred
to as mixed function oxidases or drug-metabolizing enzymes, are
readily induced by many chemical agents and inhibited by a few types
of chemical compounds. A pesticide capable of causing induction or
inhibition of these enzymes will alter the susceptibility to drugs or
other chemicals that are normally metabolized by these enzymes.
516

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During recent years a tremendous amount of attention has been
given to induction of hepatic microsomal drug-metabolizing1 enzymes
by various chemical agents. It is well established that elevation of the
levels of these enzymes will accelerate the biotransformation of many
substrates (pesticides, drugs, and other chemicals) that are normally
metabolized by these enzymes. Acceleration of the metabolism usually
results in more rapid detoxification but in some cases the metabolites
are more toxic than the parent compounds. The extent to which this
type of interaction occurs from combinations of pesticides, drugs, and
other chemicals has become a question of considerable concern. The
number of combinations of pesticides and other chemicals is too great
to permit assessment of their potential for interactions by toxicity tests
011 every possible combination. Thus an understanding of the mech-
anisms responsible for interactions seems to offer the most practical
approach to the development of procedures for measuring the capacity
of one agent to alter the toxicity of another substance. This approach
is the one that is considered most feasible to detect interactions that
may be caused by enzyme induction.
The initial observation that certain foreign compounds may stimu-
late microsomal enzyme activity was made by Brown, Miller, and
Miller (1) and extended by Conney, Miller and Miller (#) who demon-
strated that several carcinogenic hydrocarbons stimulate the synthesis
of certain oxidative drug-metabolizing enzymes in liver microsomes.
This observation was followed by the finding (3) that barbiturates
induce microsomal enzyme activity. At the present time more than
200 drugs, carcinogens, pesticides and other chemicals have been
reported to cause induction of microsomal enzyme activity. This sub-
ject has been extensively reviewed by Conney (4) and the classes of
chemicals that have been observed to cause enzyme induction at some
dose level in one or more species have been tabulated.
The ability of drugs and other chemicals to induce synthesis of
microsomal enzymes is of considerable importance in connection with
pesticide toxicology since the toxicity of many pesticides would be
expected to be altered by changes in the level of drug-metabolizing
enzymes in the liver. The possible practical significance of drug-
induced increases in microsomal enzyme levels in connection with
alterations in pesticide toxicity is difficult to evaluate because many of
the observations to date have been made using high doses of the drugs
and methodology which is not sufficiently quantitative.
Additional interest in enzyme induction as it relates to pesticide
toxicology followed the accidental discovery that chlordane sprayed
in animal rooms caused induction of drug-metabolizing enzymes (5).
This finding had greater significance than many of the observations
using high doses of drugs because enzyme induction by chlordane
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occurred under practical conditions of use thus demonstrating that
enzyme induction can occur from environmental contamination. The
observation that chlordane causes enzyme induction was soon followed
by experiments (0-11) which indicated that DDT and other chlori-
nated hydrocarbons produce this effect. No other class of pesticides
has been demonstrated to resemble chlorinated hydrocarbons in potency
as enzyme inducing agents.
Tlie organic phosphate insecticides do not cause enzyme induction.
Instead some of these compounds have been reported to be inhibitors
of microsomal enzymes. In this connection Rosenberg and Coon
(12) found that organic phosphates prolong hexobarbital sleeping
time. Welch et a/. (IS) found that several organic phosphates inhibit
the metabolism of testosterone possibly by serving as competitive
substrates for microsomal enzymes. Recent unpublished experiments
(Hi) in which nearly all of the organic phosphates for which tolerances
have been established were given daily to mice at one-fifth of the acute
LD.™ for 5 days indicated that a few of these compounds caused
moderate inhibition of the activity of two microsomal enzymes but
most of them had no effect on drug-nietalxilizing enzymes. It, therefore,
seems reasonable to conclude that the organic phosphates would not
inhibit, drug metabolism catalyzed by microsomal enzymes at the
levels of the organic phosphates that are normally in the environment.
The toxicity of organic phosphates and carbamates is altered by
exposure of animals to enzyme inducing agents. In nearly all cases
this interaction renders these anticholinesterases less toxic. A recent
study of the effects of pretreatment of rats and mice with phenobar-
bital on the toxicity of 15 organic phosphates showed that the enzyme
inducer either had no effect or reduced the toxicity except for one
(octamethyl pyrophosphoramide) whose toxicity was increased (15).
In mice, pentobarbital increased the toxicity of two organophosphates
and decreased the toxicity of three organophosphates and two car-
bamates (20). It thus seems likely that exposure to broad spectrum
inducers such as phenobarbital or chlorinated hydrocarbons will not
often increase the toxicity of organic phosphates. This generalization
apparently cannot l»e extended to the more selective inducers because
enzyme induction by .*>-niethylcholanthrene increases the toxicity of
Guthion (10) probably because of acceleration of the activation
process to a greater extent than detoxification.
The substituted urea herbicides represent another class of pesticides
that cause induction of hepatic microsomal enzymes (17. 18). How-
ever, the no-effect dietary level for enzyme induction by these com-
pounds appears to be between 100 p.p.m. and 250 p.p.m. and their
potency as enzyme inducers is, therefore, much less than that of the
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chlorinated hydrocarbons. Enzyme induction has not yet been observed
with most other types of pesticides. Some of the compounds that have
been considered for use as chemosterilant insecticides would be ex-
pected to decrease the activity of hepatic microsomal enzymes since
alkylating agents (19) are inhibitors of microsomal enzymes in vivo
probably through inhibition of protein synthesis.
The number of drugs and other chemical agents that cause enzyme
induction is impressive but the percentage of chemicals used for all
purposes that produce this effect is unknown because negative results
are usually not reported. In a survey of a large number of miscellane-
ous industrial chemicals, pesticides, and drugs being conducted at the
present time (%0) by repeated parenteral administration of sublethal
doses to rats and mice enzyme induction has been a rare occurrence.
The incidence of enzyme induction among pesticides is nevertheless
sufficiently high to warrant consideration of this effect in the toxico-
logical evaluation of new pesticides. It 'is recommended that tests for
enzyme induction be made part of the required studies on all new
pesticidal chemicals. Since many pesticides are used not only on agri-
cultural crops but also in a variety of formulations for household and
other uses, the initial tests for enzyme induction could be done using
doses higher than those to which exposure would occur under any
condition of normal usage. Enzyme induction is a dose-related effect.
If no induction occurs with repeated high doses no further considera-
tion would need be given to the possibility of interactions due to
enzyme induction at lower doses.
If enzyme induction is observed in the initial tests with high doses
of a pesticide, it is important to ascertain dose-response relationships
for the effect. Quantitative measurements of enzyme induction should
be made during the subacute or chronic experiments as part of the
toxicological evaluation unless separate experiments of a, short-terra
type as described above have shown that the chemical agent is not
capable of producing this effect.
Relatively little attention has been given to measurements of the
no-effect dietary level for pesticides that cause induction, although
this information is essential for determining whether or not enzyme
induction could occur from the permissible and the actual levels in
food. This type of study has been done with DDT and toxaphene by
measuring the effects of various dietary levels on the activity of three
microsomal enzymes (£1). Dose-related increases in activity of the
enzymes was observed and the lowest dietary levels that caused a
significant induction of one or more of the enzymes was 1 p.p.m. of
DDT and 5 p.p.m. of toxaphene. The theoretical intake of DDT cal-
culated from major U.S. tolerances for the period of 1964 to 1907 was
519

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6.79 mg. per day and the actual intake in the IT.S. total diet for that
period was 0.037 mg. per day (22). Both of these levels are below
those needed to produce enzyme induction in rats on an equivalent
weight basis.
There is need for quantitative data on enzyme induction by low
dietary levels of other chlorinated hydrocarbons. Such measurements
are in progress for chlordane, gamma chlordane, heptaclilor, endrin,
aldrin, dieldrin, mcthoxychlor, lindane, and heptachlor epoxide fed
at various levels in the diet to rats (23). Other experiments are in
progress which indicate (24) that a dietary level of 0.5 p.p.m. of
dieldrin increases the metabolism of 6-chloro-17-acetoxy progesterone
ill dogs.
The extent to which additive induction is obtained by combinations
of chlorinated hydrocarbons and by chlorinated hydrocarbons plus
drugs is a logical extension of work on individual compounds. Infor-
mation of this type is needed before a final judgment can 1k> made
concerning the significance of the total intake of enzyme inducers from
the standpoint of interactions.
In view of the large number of different types of chemicals that
are used as pesticides or that, might be developed for that purpose in
the future, more research aimed at finding ways to predict enzyme
induction on a structure-activity basis 'is needed.
Species differences in response must bo considered in the extrapola-
tion of enzyme induction data obtained on experimental animals to
man. More research is needed to establish quantitative and qualitative
criteria to indicate similarities and differences in drug metabolism
in various species. The extent to which the low levels of microsomal
enzyme, activity in extrahepatic tinman such ax lung, gastrointestinal
tract, kidney, and adrenal cortex is induced by pesticides should be
studied.
Accomplishment of much of the needed research is dependent upon
appropriate methodology. Methodology applicable to human studies is
especially needed. In general, enzyme induction can be demonstrated
by measuring (a) levels of microsomal enzymes in liver preparations,
(b)	duration of action of drugs known to be metabolized by micro-
somal enzymes such as hexobarbital, phenylbutazone and antipyrine,
(c)	urinary excretion of natural substrates such as ascorbic acid and
6-b-hydroxycortisol, and (d) changes in liver weight and hepatic
endoplasmic reticulum. All of these measurements are concerned with
the end-result of a biochemical process which is not yet understood
at the molecular level. Thus there are probably more limitations to
their predictive value than would l>e the case if direct measurement
could be made of the reactions affected. For example, some organic
520

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compounds containing trifluoromethyl groups selectively induce O-de-
in ethyl use- activity -without causing detectable changes iti liver weight
and without affecting the metabolism of drugs by other microsomal
enzymes (25). More research is needed 011 the development of prac-
tical quantitative 'methodology for measuring enzyme induction in
animals and man. Consideration should be given to the development
of model substrates with low tonicity whose metabolic products can
be easily measured. Substrates of this type would be extremely useful
for measuring enzyme induction in man by following the rate of
appearance of metabolites in the blood. They would also be useful in
chronic animal toxicity tests where periodic testa for enzyme induction
seem desirable in view of the tendency of some chemicals to produce
an initial marked induction followed by a return toward normal levels
(21). A worthwhile goal would be the development of methodology
for measuring enzyme induction that could be applied as readily as
the standard liver function tests. When a. suitable method is available
for determining the level of enzyme induction in man, momtorvng
ttndies should be conducted on individuals exposed in the mcaiufactu/re
and application of pesticides. Whereas dietary levels of chlorinated
hydrocarbons do not appear to be high enough to induce microsomal
enzymes, there is insufficient quantitative data to form a conclusion
regarding induction from occupational exposure.
SUMMARY
The ability of some pesticides, especially the chlorinated hydro-
carbons, to induce hepatic microsomal drug-metabolizing enzymes
has been well established in both experimental animals and human
beings. Thus, there is a possibility that practical levels of these pesti-
cides could cause interactions by altering the rate of metabolism of
drugs, other pesticides, and industrial and environmental chemicals.
However, where quantitative data are available for the dose-response
relationships for enzyme induction and for the dietary intake of pesti-
cides, it is concluded that the present intake is insufficient to cause
interactions resulting from enzyme induction- For DDT sufficient
information is available to permit this conclusion with reasonable cer-
tainty, unless man responds to a greater extent than experimental
animals.
Less is known about the effects of occupational exposure to pesti-
cides on microsomal enzyme levels and it is possible that some of these
exposures may cause an alteration in the metabolic rates of drugs
and other chemicals. More attention should be given to enzyme induc-
tion as new pesticides are developed and there is a great need to
quantitate the enzyme inducing effects so that their significance ftt
521

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practical dose levels can be estimated. Additional research is needed
on methodology for measuring enzyme induction in various species
and especially in man.
REFERENCES
1.	Brown, It. R., Mii.lkr, J. A., and Mii.lek, E. C.: The metabolism of
methylated amioazo dyes. IV. Dietary factors enhancing deuiethylntion
in, vitro, ,T. Biol. Chcm. 200 : 211-227,1954.
2.	Conney, A. H., Miller, E. and Miller, J. A.: Substrate-induced synthesis
and other properties of henzpyrene hydroxylase in rat liver. J. Itiol. Chcm.
228 : 753-766, 1957,
M. Remmeb, H.: Die beschleunignng des evipanabbaues unter der wirkung von
barbituraten. Naturwiniicnchaften 45:189-190, 1958.
4.	Connery, A. H.: Pharmacological implications of microsomal enzyme induc-
tion. Phwrm. Rev. 19: 317-366, 1967.
5.	Hart, Ij. G., Siiultice, R. W.t and Fouts, .T. R. *. Stimulatory effects of
chlodane on hepatic microsomal drug metabolism in the rat. Toxicol.
Appl. Pharmacol. 5: 371-386, 1963.
6.	Hart, I.. G., and Fouts, J. R, : Effects of acute tind chronic DDT adminis-
tration on hepatic microsomal drug metabolism in the rat. Proc. Soc.
Exptl. Biol. Med. 114 : 38S-392,1963.
7.	Gerboth, G., and Sciiwabe, IL : Einfluez von gewebespeicliertem DDT auf
die Wirkung von Pharmaka. Arch. Exp. Pathol. Pharmakol. 246:469-483,
1964.
8.	Hart, L. G., and Fouts, J, R.: Further studies on the stimulation of hepatic
microsomal drug metabolizing enzymes by DDT and its analogs. Arch. Exp.
Pathol. Pharmakol. 249: 486-500,1965.
9.	Cram, R. L., and Fouts, F. R.: The influence of DDT and gainma-cfalordane
on the metabolism of hexobarbital and zoxazolamine in two mouse strains.
Biochem. Pharmacol. 16:1001-1006,1967.
10.	Tebbiere, L. C.: The oxidation of pesticides: The comparative approach. In
Hodgson, E. (Ed.) : Enzymatic Oxidation of Toxicanta. North Carolina
State University, 1968, pp. 175-196.
11.	Street, J. C.: Modification of animal responses to toxicants. In Hodgson, E.
(Ed.) : Enzymatic Oxidation of Toxicants. North Carolina State Univer-
sity, 1968, pp. 197-226,
12.	Rosenhekg, P., and Coon, J. M.: Increase of hexobarbital sleeping time by
certain anticholinesterases. Proc. Sac. Exptl, Biol Med. 98:650-652, 1958.
13.	Welch, R. M., Levin, W., and Conney, A. H.: Insecticide Inhibition and
stimulation of steroid hydroxylases in rat liver. J. Pharmacol. Explt.
Therap. 155:167-173, 1967.
14.	DuBois, K. P., and Flynn, M.: Effects of organic phosphate insecticides on
microsomal enzyme activity. Unpublished.
15.	DuBoie, K. P., and Kinoshita, F. K.: Influence of induction of hepatic
microsomal enzymes by phenobarbital on toxicity of organic phosphate
insecticides. Proc. Soc, Eorptl. Biol. Med. 129: 699-702,1968.
16.	Murphy, S. D., and DuBois, K. P.: The influence of various factors on the
enzymatic conversion of organic thiophosphates to anticholinesterase
agents. J. Pharmacol, Exptl. Therap. 124:194-202, 1958.
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17.	Kifobhita, F. K., and DuBois, K. P¦: Effects of substituted urea herbi-
cides activity of beyatic mlcrosoBxal enzymes. Toxicol. Appl, Pharmacol.
10:410,1967.
18.	Kinoshita, P. K., and DuBois, K. P.: Induction of hepatic microsomal
enzymes by Herman, diuron, and otber substituted urea herbicides. Toxicol.
Appl. Pharmacol, Submitted for publication, Aug. 1969.
19.	Tasdibt, K. G,, and DuBois, K. P.: Inhibition of hepatic microsomal enzymes
by alkylating agents. Arch. Internat. Pharmacodyn. 177:445—456, I960.
20.	DuBois, K. P., Flynn, M.. and Kinoshita, F. K.: Effects of drugrs, industrial
chemicals, and pesticides on microsomal enzymes. Unpublished.
21.	KitfosHiTA, F. K., Fbawley, J. p., and DuBois, K. P.: Quantitative meas-
urement of induction of hepatic microsomal enzymes by various dietary
levels of DDT and toxaphene in rats- Toxicol. Appl. Pharmacol. 9 : 505-513,
1006.
22.	Dtjgqan, R. E.: Pesticide residues in foods. Annate N,Y. Acad. Sci. 160:173-
182, 1969.
23.	Ki^oshita, F. K„ and Kempf, C.: Measurement of no-effect levels for
enzyme induction by chlorinated hydrocarbon insecticides. Unpublished
work in progress. Univ. of Chicago.
24.	VigEK, W. J.: Unpublished work in progress at Cornell Univ., Ithaca, N.Y.
25.	DuBois, K. P., Kinoshita, F. K., Flynn, M., and Root, M.: Toxicity and
enzyme inducing activity of 4-fluoro-4'-trifluoromethyl benzopheflone
guanylbydrazone hydrochloride. Toxical. Appl. Pharm. In press.
26.	O'Bbien, R. D.: Effects of Induction by pentobarbital upon susceptibility of
mice to Insecticides. Bull. Env. Contam. d Toxicol. 2:163,1967.
Pesticide Interactions at the Target Level
As indicated in the intoduction to this report, the Committee focused
attention on mechasims of established importance as a cause of pesti-
cide interactions. It was concluded that interactions at the target or
receptor level were among those for which there is no documented
evidence. However, there have been two claims that interactions involv-
ing insecticides result from events occurring at the central level. It
was, therefore, considered necessary to present the reasons for the opin-
ion that interactions at the target level have not been adequately
demonstrated.
In 1962 Karczmar (J) reported that when EPN was given after
malathion synergism still occurred and he doubted whether under these
delayed conditions the effect could be attributed to blockade by EPN
of malathion metabolism. However, this opinion ignored the possibility
that there was, at the time of administration of EPN, enough
malathion left to produce a toxic effect in which case blockade of its
degradation would be expected to give rise to synergism. Later
Karcssmar et al, (#) showed that in dogs and cats, EPN and malathion
were synergistic with respect to promptly elicited effects on the neuro-
muscular junction and the brain (as judged by their own electro-
encephalogram recordings). They postulated either a joint eflect upon
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the receptor or a "sensitization" of cholinesterase by one of the com-
pounds. Although the purity of the sample of malathion used in these
studies was not stated, the in vitro anticholinesterase activity reported
for the compound (8 X10~'GM) indicates that it was extremely impure.
The interpretations placed on these findings by Karczmar have not
been accepted by others (3). It seems especially unlikely that for this
pair of compounds, for which such ample evidence exists that the inter-
action is due to EPN blockade of degradation, effects occur at the level
of the receptor.
It is extremely difficult to imagine a mechanism by which two in-
hibitors acting upon a single target, whether it is cholinesterase or a
receptor, can synergize each other. As in the strictly parallel case of the
action of one enzymo upon two substrates, the interactions can only be
additive or antagonistic. However, the possibility of synergism could
arise with two compounds whose final effects are upon a single system
yet mediated through two different mechanisms. One plausible pos-
sibility would be an axonic agent (for instance a chlorinated hydro-
carbon) which gave rise to hyper-excitability of the axon and there-
fore enhanced release of transmitter substance such as acetylcholine at
the synapse; coupled with an anticholinesterase agent which impaired
the ability for acetylcholine destruction at the synapse. The possibility
of such an interaction has not been explored in any detail, and it cer-
tainly deserves a modest research effort. The only relevant observation
in the literature is that of Ball et al. (4) and Crevier et al. (5) who
found a contrary effect. After feeding aldrin, chlordane, or lindane
there was marked protection of rats against subsequent parathion
poisoning. It is now believed (6) that this effect was due to stimulation
of the liver microsomal enzymes by the chlorinated hydrocarbons.
Consequently, such experiments do not provide the ideal context in
which one might observe synergism at the target level.
SUMMARY
No cases of interaction at the target level have ever been satisfac-
torily demonstrated. The possibility of such interaction may always
exist, but until demonstrated it cannot be a significant factor in evalua-
tion of health hazards. No special search was made for carcinogenic
or mutagenic effects of interaction at the target level.
CITED REFERENCES
2. Karczmab, A. G., A wad, 0., and Blachut, K.: Toceicol. Appl, Pharmacol
32:133-147, 1962.
2. Karczmar, A. G., Blachut, K., Ridlon, S. A., Gothelf. G., and Awad, O.:
Int. J. NeuropharmacoI. 2:163-180,1063.
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3.	O'Bbien, R. D.: Ann. Rev. Entomol. 11: 369,1966.
4.	Ball, W. L., Sinclair, J. W., Cbeviek, M., and Kay, K.: J. Biochem. Physiol.
32:440, 1954.
5.	Cbevieb, M., Ball. W. L., and Kay, K.: Am. Med. Assoc. Arch. Ind. Health
9:306, 1954.
6.	O'Bbien1, It. D.: Insecticides-Action and Metabolism. Academic Press, New
York.
Relation op Interactions to Tissue Storage op Persistent
Pesticides
The storage and elimination of pesticides from tissues is a process
that can be affected by the ability of pesticides or other chemicals to
stimulate or inhibit the detoxification processes discussed in the first
two sections of this report. For this reason it was considered important
to include information on the effects of interactions on the storage of
pesticides in tissues.
In recent years a considerable amount of information has been ob-
tained regarding the occurrence in human tissues of small residues of
several of the more persistent pesticides, particularly those compris-
ing the organochlorine insecticides and their several metabolic prod-
ucts. Among the most important materials in this group are p,p'-DDT,
p,p'-DDD, p,p'-DDE, o,p'-DDT, the isomers of BHC, and the cy-
clodienes, dieldrin and heptachlor epoxide. Of the total chlorinated
organic residues found in consumer products during the years 1966-
68, DDT and its analogs constituted approximately 67 percent, while
lindane (y-BHC), dieldrin and heptachlor epoxide combined, contrib-
uted an additional 12 percent (1). This section of the report will,
therefore, be concerned largely with these particular pesticides. Ap-
pendix A reviews the status of information about tissue levels of
these pesticides as a function of intake. The occurrence of significant
tissue residues of most other groups of commercial pesticides such as
the carbamates and organophosphates is in general obviated by their
rapid biodegradation and subsequent elimination from the body. These
compounds will, therefore, not be given further consideration.
Effects of interaction on pesticide storage. Much of the present data
on storage of the organochlorine pesticides has been obtained from
controlled laboratory experiments in which animals or human volun-
teers have been exposed to known amounts of a single pesticide. Al-
though the results of such investigations are often extremely useful,
the fact that the population is presently subject to simultaneous ex-
posure to a combination of many drugs, pesticides, air pollutants, food
additives and cosmetics, raises questions regarding the possibility of
interactions between these various synthetic chemicals. Furthermore,
in assessing potential hazards it is important to consider the possi-
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bility of storage interaction in those members of the population under
various types of physiological stress, such as those resulting from
weight loss or surgieal procedures.
Interactions could affect either the rate of accumulation of pesticides
in the tissues, the steady state level, or the rate at which tisue deple-
tion occurs following termination of exposure. It should be made clear
from the outset that very little data are available on interactions in-
volving storage.
The concentration of organochlorine pesticides in human tissue re-
sults from a dynamic equilibrium involving on one hand the rate and
level of intake, and on the other, the rate of metabolism and or elimi-
nation. Consequently, interactions which either increase the effective
intake or which decrease the rate of metabolism could conceivably
increase the steady state levels in the tissues.
The intake of a pesticide can be modified for example by the type
of formulation in which it is dispersed, and interaction with various
spray additives such as emulsifiers, surface active agents and organic
solvents could be particularly significant in determining tissue ac-
cumulations in the occupationally exposed. It is also possible that
interactions of pesticide residues with detergents used in the home
could lead to enhanced absorption of ingested materials from the ali-
mentary tract by the general population and indeed surface active
agents have been found to increase the oral toxicity of DDT and
other insecticides to the rat (2). The nonionic wetting agent "Tween
201' has been shown to increase tissue levels of the /J-isomer of BHC in
rats fed on a diet containing relatively high levels of a combination of
these materials (3, 4) • It was also shown that the level of storage in-
creased with the percentage of fat in the diet and it was concluded
that the increased storage of y-BHC was due to an enhanced gastro-
intestinal absorption. At trace residue levels, it seems probable that
efficient absorption takes place and dietary variation would not sig-
nificantly increase absorption or storage. However, no direct evidence
is available to support this conclusion.
Many household pesticide formulations contain insecticide synergists
of the methylenedioxyphenyl type which are added to enhance the
insecticidal action of the pyrethrum insecticides. As discussed else-
where in this report synergists of this type are able to inhibit the
hepatic microsomal enzymes that are largely responsible for insecticide
detoxification. Consequently, in the case of a material which must
undergo microsomal modification before excretion from the body the
presence of a synergist residue could conceivably prevent the elimina-
tion and result in enhanced tissue levels. The currently limited com-
mercial use of insecticide synergists (household formulations) and
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probably insignificant residue levels make this type of interaction
unlikely at the present time. However, in the event of the possible
widespread application of insecticide synergists to agricultural crops
at some future time and the possibility of the development of more
stable synergists, such interactions should be considered. Information
should then be obtained on the effect of insecticide synergists on tissue
levels of persistent pesticides.
A considerable amount of work has been carried out in recent years
on the storage interactions of combinations of organochlorine insecti-
cides, particularly dieldrin and DDT. Simultaneous feeding of rats
with dieldrin and DDT was observed to have a marked effect in de-
creasing the levels of dieldrin storage in the tissues (5, 6,7) and this
has subsequently been found to occur with all of the cyclodienes in-
vestigated. Similar but less marked effects have also been observed
with DDE, DDD, and DDMU. In combination with 50 p.p.m. of DDT
the levels of dieldrin and heptachlor (fed at 1 p.p.m. in the diet) in
rat adipose tissue were reduced by factors of 15 and 11 respectively as
compared with the controls. Significant reduction of dieldrin storage
was also observed with DDT at 5 p.p.m. A greater relative response in
terms of dieldrin storage results from both low dieldrin dosages and
higher levels of DDT. It is suggested that significant interaction might
be expected to occur at dietary levels of 0.5 to 1.0 p.p.m. of DDT and
0.1 p.p.m. of dieldrin (7). Although these levels are considerably
greater than the present total daily intake figures for the general popu-
lation (total diet studies) they are of the same order as the estimated
tolerance levels established by the FDA, and could certainly fall
within the levels resulting from occupational exposure.
It has been suggested that the mechanism through which these
storage interactions occur might involve microsomal enzyme induction
(7) which would result in a stimulation of metabolism and a conse-
quent enhancement of the rate of elimination of pesticides from the
body. Many of the chlorinated hydrocarbons are potent inducers of
liver microsomal enzymes (8, 9) and DDT is reported to be one of the
most potent in this respect (10). Certainly the depletion of dieldrin
from the tissues following administration of DDT is associated with
an enhanced excretion of hydrophilic products of dieldrin metabolism
in both the urine and feces (7, 11). The effect of DDT on dieldrin
storage was observed to become maximal after about 3 days and was
maintained at this level for up to 10 weeks with continued administra-
tion of DDT, thus indicating the establishment of a new steady state
level in the tissues. Following the termination of exposure to DDT the
effect on dieldrin tissue levels persisted for more than 6 weeks (7).
In addition to its effects on the storage levels of dieldrin and other
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cyclodienes, DDT has been shown to change the metabolism of lindane
(7) and of DDT itself (12) and it is, therefore, probable that metabolic
interactions of this type oould play a significant role in determining or
modifying the steady state storage levels of these materials.
Furthermore, it has been shown that a number of drugs including
phenobarbital (13), aminopyrine, phenylbutazone, tolbutamide and
chlorpromazine (7) all of which can induce microsomal enzymes, are
similarly able to significantly reduce the observed levels of dieldrin
storage. The one major question which challenges the suggestion that
microsomal enzyme induction by DDT is the sole cause of accelerated
dieldrin depletion is the repeated failure of inhibitors of protein
synthesis to inhibit the process (7). Both ethionine and actinomycin D
are inhibitors of protein synthesis and have been found to inhibit DDT
induction of microsomal enzymes (14) •
Much of the currently available data on insecticide interactions and
microsomal enzyme induction have been obtained from investigations
with laboratory rodents. That species differences may exist, particu-
larly with regard to storage interactions, should not be overlooked.
This is emphasized by the results recently reported by Deichmann
ei al. (16) who investigated storage interactions in dogs fed on diets
containing aldrin and DDT either alone or in combination. These
workers found that tissue levels of dieldrin remained essentially the
same in dogs fed for 10 months on a diet containing either 0.6 mg./kg.
of aldrin or a combination of 0.3 mg./kg. of aldrin and 12 mg./kg. of
aldrin and 12 mg./kg. of DDT. These results are in marked contrast
to those obtained by Street (7) using rats. Deichman et al. (IS) also
investigated the effect of aldrin on the tissue retention of DDT. Dogs
fed for a period of 10 months on a diet containing 24 mg./kg. of DDT
had tissue levels of this material of 547 p.p.m. Dogs fed on a diet con-
taining 12 mg./kg. of DDT plus 0.3 mg./kg. of aldrin, however, had
a considerably higher tissue concentration of 1,290 p.p.m. of DDT
after a similar 10-month period. Although at a much lower level, DDE
in the tissues of dogs showed a similar pattern. The results of pre-
liminary investigations on the concentration of DDE in the blood of
human volunteers fed for 2 years with 211 fig. of dieldrin per day
have shown no significant decrease in DDE levels during this time
(16). This is not entirely unexpected, however, since it is unlikely
that DDE levels would be affected by microsomal enzyme induction.
Neither the formation of DDE from DDT nor the subsequent metabo-
lism of DDE itself are known to be carried out by microsomal enzymes.
The relevance of these contrasting data to man is not known, and
more research should be carried out in this area.
Some possible beneficial effects from enzyme induction have recently
528

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been recognized and are currently being investigated by R. M. Cook
and colleagues at Michigan State University. Using nonpersistent
drugs suoh as phenobarbital, it has been found possible to flush out of
animals relatively high concentrations of persistent organochlorine
pesticides such as dieldrin. A successful application of this technique
has recently been reported (17) in which a dairy herd was accidentally
exposed to aldrin-contaminated feed. Treatment of the cows with
2 lbs. of activated charcoal per day plus 5 g. of phenobarbital resulted
in a marked decrease of dieldrin in only 39 days. Other experiments
along these lines are currently in progress (18).
There is also recent evidence that inducers such as phenobarbital
may have considerable therapeutic potential for decreasing the levels
of chlorinated hydrocarbons in humans, and may be particularly use-
ful in cases of accidental poisonings. A report by Davies et aJ. (19)
indicates that patients taking the anticonvulsant drugs phenobarbital
and phenytoin (diphenylhydantoin) for periods longer than 3 months
had strikingly lower blood levels of DDE than the general population.
Healthy controls, not taking the drugs had a mean concentration of
9.1 p.p.b. of DDE in the blood, compared with levels of 3.5 and 1.9
p.p.b. respectively in outpatients taking phenobarbital and phenytoin
alone and 1.7 for those patients taking both drugs. Levels of DDT-
derived materials in the adipose tissues of severely retarded, non-
ambulant inpatients not taking drugs indicated a mean value of 2.70
p.p.m., whereas similar patients undergoing regular anticonvulsant
therapy with one or both of the above drugs had a mean tissue level
of only 0.17 p.p.m. The mechanism of this effect is suggested to be
enzyme induction, although as previously suggested it seems unlikely
that DDE is metabolized by the microsomal enzymes. The fact that
phenobarbital is a known antidote for acute DDT poisoning is inter-
esting in that it may have a dual effect, acting not only to suppress
the acute central symptomology of DDT action, but also aiding the
body in eliminating the material.
Physiological interactions.—It has been suggested (20) that toxic
symptoms could result from an increase in dieldrin in the body tissues
following weight loss through either sickness, dieting, or increased
catabolism in response to injury. This phenomenon was first demon-
strated by Fitzhugh and Nelson (21) in rats starved completely after
being fed diets containing 600 p.p.m. of DDT. Subsequent investiga-
tion (22) showed that partial starvation of rats fed DDT at a rate of
200 p.p.m. in the diet led to increased levels of DDT-derived material
in all tissues resulting from the mobilization of body fat. The above
studies were, of course, carried out with intakes of DDT several orders
of magnitude greater than those encountered in pesticide residues.
529

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Recent evidence (16,23, #4) indicates that neither surgical stress nor
complete starvation causes any significant changes in the levels of
dieldrin in human blood in spite of considerable losses in the body
depot fat.
In the case of the lipophilic organochlorine compounds it is probable
that absorption of the materials from the intestine can be increased in
combination with high fat diets. Frawley (
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the effect of storage by combinations of pesticides with household
detergents.
(J) Dtjggan, R. K, and Lipscomb, G. Q.: Pest Monit. J. 2:153-162, 1909.
(2)	Weinberg, M. S., Mobgabeidge, K., and Osee, B. L.: Abst. Meeting Amer.
Chem. Soc. Phoenix, Ariz., 1966.
(3)	Frawley, J, P,; "A biochemical study of factors affecting the toxicity and
safety of the isomers of benzene hexaehloride." Ph. D. dissertation,
Georgetown University.
(4)	Fkawley, J. P., and Fitzhugh, O. G.: Fed. Proc. 9 : 273,1950.
(J) Street, J, G. i Science 146:1580,1964.
(6) Stbeet, J. S., and Blau, A. D.: Toxicol. Apph Pharmacol. 8 : 497, 1966.
(7) Street, J, O.: "Modification of animal responses to toxicants." In Hodgson,
E. (ed.), Enzymatic Oxidations of Toxicants, North Carolina State Uni-
versity, Raleigh, 1968, pp. 197-228.
(5)	Hart, L. G., and Fouts, F. R.: Proc. Soc. Exptl. Biol. Med. 114 : 388, 1965.
(9) Conney, A. H.: Pharmacol. Rev, 19 : 317-366,1967.
(10)	Schwabe, V., and Wendling, I.: Argneim-Forsck. 17: 614,1967.
(11)	Stbeet, J. C.f and Chadwick, R. W.: Toxicol. Appl. Pharmacol. 11: 68-71,
1967.
(12)	Moreixo, A.: Can. J. Biochem. 43:1289,1965.
(13)	Cueto, C.( and Hayes, W. J.: Toxicol. Appl. Pharmacol. 7: 481, 1965.
(14)	Lanoe, G,: Arch. Pharmak. Exptl. Path. 257: 230,1967.
(15)	Deiciimann, W. B., Keplingek, M., Dbessler, I., and Sala, F.: Toxicol.
Appl. Pharmacol. 14 : 205-213,1969.
(16)	Robinson, J.: Canad. Med, Assoc. J. 100:180-191,1969.
(17)	Reeder, N.: Farm. J. p. 25, August 1969.
(18)	Wilson, K.: Michigan State University (personal communication).
(19)	Davies, J. E., Edmundson, W. F., Cabter, C. H., and Babquet, A,: Lancet,
pp. 7-9, July, 1969.
(20)	Spalding, R. C.: R. Soc. Health 86:151,1966.
(21)	Fitzhugh, O. G., and Nelson, A. A.: J. Pharmacol. Exptl. Therap. 89:
18-30, 1947.
(2B) Dale, W. E., Gaines, T. B., and Hayes, W. J.: Toaicol. Appl. Pharmacol.
4 : 89-106, 1962.
(23)	Hunter, O. G.: "Human exposures to Aldrin and Dieldrin." In Symposium
on Science and Technology of Residual Insecticides in Food Production
with Special Reference to Aldrin and Dieldrin. Shell Chemical Co., 1968,
pp. 118-129.
(24)	Durham, W. F.t Abmstbong, J. F., and Qtjinby, G. E.: Aroh. Envir. Health
11: 641, 1965.
Exogenous Physical Factors Influencing Pesticide Toxicity
Most of the available information on pesticide interactions concerns
the ability of one chemical agent to modify the toxicity of another one
by the mechanisms discussed in previous sections of this report. How-
ever, there is growing recognition that physical environmental factors
such as temperature or even social factors (crowding) can also modify
responses to pesticides. Whether such modifications constitute an ex-
ample of pesticide-physical factor interaction in the same sense as
531

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occurs with pesticide-chemical factor interactions depends in part on
the magnitude of the effect and in part on how interaction is defined
(potentiation versus additive effects, reciprocal versus one-way actions,
etc.). It is evident, however, that in evaluating the hazards of pesticide
exposure, consideration must be given to the possibility that these
hazards can be influenced by variation in the physical as well as the
chemical factors of the environment. For this reason the present status
of this aspect of pesticide toxicology was considered worthy of inclu-
sion in this report.
The two physical factors in our environment that have been shown
to be capable of altering the response to subsequent pesticide exposure
are temperature and radiation. Diet is another exogenous factor that
has been included in this discussion because of the possibility that its
physical characteristics may influence pesticide response. However,
the majority of its known effects are related to chemical properties
such as alteration of the nutritional status of the subject, or the pres-
ence of food additives or other chemicals.
Diet. The feeding of low protein diets to rats has been reported to
increase susceptibility to the acute toxic effects of captan, lindane,
dieldrin, and chlordane but not to DDT {1-5). Similar effects have
been observed with the anticholinesterase insecticides banol and
parathion (4). These effects were of sufficient magnitude in the studies
with captan (where there was a 25-fold decrease in the acute oral
LD5o) to cause Boyd and Krijnen to suggest (/) caution in the use of
this agent in countries where the diet is low in protein. Dieldrin and
DDT appear to accentuate the effects of a diet deficient in the essential
fatty acids in the rat (6, 7) whereas an increase in the fat content of
the diet increased the storage and the acute toxicity of benzene hexa-
chloride (8) and altered the erythrocyte cholinesterase inhibiting
ability of parathion (9). On the other hand, dieldrin partially pro-
tects rats against the effects of thiamine deficiency but does not protect
against the deficiency symptoms of riboflavin and pyridoxine (10,11).
Possible mechanisms for the effect of these dietary variations on
insecticide toxicity include a reduced formation of the detoxifying
enzymes as a direct result of the low protein diet or a pesticide-induced
stimulation of the enzymes that desaturate fatty acids in the low fat
diet situation. Recent studies by Kato (12) have shown that sex
differences which exist in the drug-metabolizing processes of rats
fed high protein diets are reduced when the animals are fed low pro-
tein diets. A more general mechanism for the effects of dietary varia-
tion on pesticide response is that the dietary restrictions and/or the
pesticide exposure represent stress situations and the resultant inter-
actions are due to steroid-mediated effects on the microsomal enzyme
532

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systems. The enhanced toxicity of benzene hexachloride in the rats fed
a high fat diet can 'be attributed to increased intestinal absorption
and this effect can be increased further by the addition of a synthetic
emulsifier to the diet (IS).
Temperature. Rats fed malathion in the diet have been reported to
have a reduced ability to withstand the effects of exposure to a cold
environment (1%.) whereas a warm environment was observed to in-
crease the toxicity of parathion in rats (15) and sarin in monkeys
(16). Since the organophosphate insecticides as well as other cholines-
terase inhibitors have been shown to cause a temporary collapse of
thermo-regulation in animals (17-19), some types of demonstrable
interaction between pesticide exposure and both heat and cold ex-
posure might be anticipated. Similar studies do not appear to have
been carrried out with the chlorinated hydrocarbon insecticides or
other pesticides; however, diethyldithiocarbamate, pentachlorphenol,
and related pesticides are known to influence body temperature in
rodents and in man (20-21). It is difficult to predict the net result of
a combined exposure to pesticides and either heat or cold since body
temperature also affects the metabolism, distribution (including
protein-binding), and excretion of a variety of endogenous chemicals
including pesticides. Recent studies by Murphy et at. {22-2Jt) have
shown that exposure to organophosphate insecticides, chemical irri-
tants, and cold stress produce an increase in the activity of the plasma
glucocorticosteroid level with a resultant increase in the activity of
the glucocorticoid-inducible rat liver enzymes (tyrosine transaminase,
alkaline phosphatase, etc.). Furthermore, several of the organophos-
phate insecticides have been shown to be capable of inhibiting the
microsomal hydroxylation of testosterone in rats (25) and at least
one of these, chlorthion, inhibits the hepatic metabolism of desoxy-
corticosterone to its polar metabolite.
Radiation. DuBois et al. (26-28) have shown that the exposure of
young male rats to sublethal doses of whole-body x-irradiation pro-
duces a dose-dependent inhibition of the development of the micro-
somal enzyme system (s) responsible for the desulfuration of certain
organophosphate insecticides. Exposure of adult rats to the same
doses of radiation had no effect on microsomal enzyme activity. In
further studies (29), this was shown to be an abscopal effect which
could be prevented by shielding of the head during the radiation
exposure, and it has been suggested (30) that the effect is due to an
impairment of the normal hypophyseal regulation. The organophos-
phate insecticides do not protect animals against the toxic effects of
whole-body x-irradiation and such exposure does not markedly alter
533

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either the toxic effects of these insecticides or the ability of atropine
to antidote the effects of poisoning by these agents (31).
Other physical factors. Microsomal drug metabolism appears to
he inhibited by hypobaric hypoxia and to be stimulated by hyper-
baric oxygen exposure (32, 33). It is likely, therefore, that these
environmental situations will also influence the metabolism of pes-
ticides and, perhaps, their ability to induce liver microsomal enzymes.
Respiratory depression is a prominent feature of organophosphate
insecticide poisoning, and hyperbaric oxygen exposure could exert a
beneficial effect on the outcome of such an exposure. Other factors
such as humidity, forced exercise, aggregation, restraint, etc., in-
fluence both the toxic and therapeutic response to drugs and will
probably also do so with pesticides and other chemicals.
summary
Environmental physical factors are capable of influencing pesticide
response in animals and probably also in man. There is, at present, no
indication that the physical factors exert- a greater effect on pesti-
cide response than the chemical factors in our environment or that
these physical effects constitute a hazardous situation for the general
public.
Additional research, designed to characterize the mechcanism(s) and
the significance of pesticide interactions should include the study of
the effects of the total environment (chemical, physical, and social
factors).
CITED REFERENCES
(1)	Boyd, E. M., and Kbijnsn, C. J.: Toxicity of captan. and protein-deficient
diets. J, Clin. Pharmacol. 8: 225-234, 1968.
(2)	Boyd, E. M„ and Chen. C. P.: Lindane toxicity and protein deficient diet.
Arch. Ewviroti. Health 17: 156-163, 1968.
(3)	Lee, M., Hakhis, .J., and Trowbridge, H. J.; Effect ot the level of dietary
protein on the toxicity of dieldrln for the laboratory rat. J. Nutr. 84:
136-144,1964.
(4)	Cabterljne, J. L., ani> Williams, C. H.: Effect of pesticide adminis-
tration upon esterase activities in serum, and tisues of rate fed variable
casein diets, Tnx. & Appl. Pharmacol. 14 : 266-275, 1969.
(i5) Stoewsaxd, G. S., and Bourke, J. B.: The Influence of dietary protein
on the resistance of dieldrln toxicity in the rat. Ind. Med. and Surg. 37:
526, 1968.
(6)	Titjsley, I. ,7.: Nutritional interactions in dieldrln toxicity. J. Ag. and
Food Chcnt. 14 : 563-656,1066.
(7)	Tinsi.ey, I. J., and Lbwry, b. R.: N'utrltianal interactions and organo-
chlorine insecticide activity. Ami. Nctc York Acad. 8cf. 180:291-298,
1969.
534

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(8)	Frawley, J. P., and Fitzhuqh, O. G.: Factors affecting tissue distribution
following oral ingestion of lipid soluble substances. Fed. Proc. 9 : 273,
1950.
(9)	Kling, T. G., and Long, K. R.: Blood cholinesterase in previously stressed
animals subjected to parathion. J. Occwpat. Med. 11: 82-84, 1969.
(10)	Tinbley,*I. J.: An interaction of dieldrin with thiamine. Proc. Soc. Ecopt'l.
Biol. & Med. 129: 46&-465, 1968.
(11)	Del Vecchio, V., and Keoni, V.: Dieldrin and B-group vitamins in the
rat. Rie. Sci. Rw. 38 : 554, 1968.
(12)	Kato, R., and Gillette, J. R.: Effect of starvation on NADPH-dependent
enzymes in liver microsomes of male and female rats. J. Pharmacol. &
Exp, Therap. 150 : 279-284, 1965.
(13)	Fitzhuqh, O. G.: Problems related to the use of pesticides. Gonad. Med. J.
94: 598-604,1966.
(14)	Mahton, A. V,, Sellers, E. A., and Kalow, W.: Effect of cold on rats
chronically exposed to malathion. Ganad. J. Biochem. and Physiol. 40:
1671-1676,1962.
(15)	Baetjer, A. M., and Smith, R.: Effect of environmental temperature on
reaction of mice to parathion, an anticholinesterase agent. Amer. J.
Physiol. 186: 3^-46, 1956.
(16)	Craig, F. N., Bales, P. D., and Frankel, H. M.: Lethality of sarin in
a warm environment. J. Pharmacology and Ecopt'l. Therap. 127 : 35-38,
1959.
(17)	Meeter, E., and Wolthuis, O. L.: The effect of cholinesterase inhibitors
on the body temperature of the rat. European J. Pharmacol. 4: 18-24,
1968.
(18)	Lomax, P., and Jenden, D, J.: Hypothermia following systemic and in-
tracerebral injection of oxltremoral in the rat. J. N euro-Pharmacol. 5:
353-359,1966.
(19)	Hulst, S. G. T. and De Wied, D.: Changes in body temperature and water
intake following intracerebral implantation of carbachol in rats. Physiol,
and Behav. 2: 371, 1967.
(20)	Babnett, A., and Raber, R. I.: The effect of diethyldithiocarbamate and
L-dopa on body temperature in mice. J. Pharm. Pharmacol. 20 : 600-
604,1968.
(21)	Hayes, W. J.: in Clinical Handbook on Economic Poisons, U.S. Dept of
Health, Education, and Welfare, PHS, Comm. Disease Center, Atlanta, Ga.
(22)	Murpiiy, S. D.: Response of adaptive liver enzymes to acute poisoning by
organophosphate insecticides. Tow. & Appl. Pharm. 8 : 266-276, 1966.
(23)	Murphy, S. D., and Porter, S.: Effect of toxic chemicals on some adaptive
liver enzymes, liver glycogen and blood glucose in fasted rats. Biochem.
Pharmacol 15: 1665, 1966.
(24)	Murphy, S. D.: Some relationships between effects of insecticides and
other stress conditions. Ann. New York Acad. Sci. 160 : 366-877, 1969.
(25)	Conney, A. H., Welch, R. M., Kuntzman, R., and Burns, J. J.: Effects
of pesticides on drug and steroid metabolism. CUn, Pharmacol, and Therap.
8:2-10,1967.
(26)	DuBois, K. P.: Inhibition by radiation of the development of drug-de-
toxification enzymes. Rad. Research 30 : 342-350, 1967.
(27)	Hietbrink, B. E„ and DuBois, K. P.: Influence of x-Irradiation on de-
velopment of enzymes responsible for desulfuratlon of an organic
535

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phosphorothioate and reduction of p-nitro benzoic acid in the livers of male
rats. Rati. Research 22: 598-605, 1964.
(28)	IIietbrink, B. E., Keshmiki, M., and DuBois, K. I'.: Influence of partial-
body x-irradiation on development of the enzyme system which cata-
lyzes the desulfuration of a phosphorothioate in the liver of young male
rats. Rail. Research 22: 195, 1964.
(29)	Hietbrink, B. E., and DuBois, K, P.: Influence of partial-body shielding
on development of phosphorothioate oxidase activity in the livers of male
rats. Rati. Research 27: 669-675, 1966.
(30)	Nair, V., and Bau, D.: Inhibition of a hepatic microsomal enzyme system
after head x-irradiation of rats. Proc. Soc. Expt'l. Biol. Med,. 126; 853-
856,1967.
(31)	Douix, J.: Pharmacological responses in irradiated animals. Rad. Re-
search 30 : 333-341, 1967.
(32)	Mustala, O. O., and Azaknoff, D. L.: Effect of hyperbaric oxygen and
hypoxia on drug levels and pharmacological action in the intact animal.
Fed. Proc. 28: 675, 1969.
(33)	Robinson, S. M.: Alteration of drug effect with acute and chronic ex-
posure to environmental extremes. Pharmacologist 11: 221, 1969.
APPENDIX A
TISSUE STORAGE OF PESTICIDES
As a result of the statistical analysis of data, obtained through tissue
studies of members of the general population combined with those
from selected segments of the population and experimental human
volunteers, it is now possible to make certain generalizations regarding
the pharmacodynamics of organochlorine insecticides based on a
compartmental model (2,18,19).
It is now clear that the amount of material entering the body, the
amount stored in different tissues, and the amount which is metabo-
lized and excreted from the body exists as a dynamic equilibrium. The
major storage reservoir is the neutral fat comprising the adipose tissue
and this undoubtedly reflects a physiocochemical partitioning of the
nonpolar organochlorine materials into these tissues. Thus, although
residues can be detected in the tissues of the other organs these are
usually markedly lower than the levels found in adipose tissue. Resi-
due levels of chlorinated hydrocarbon insecticides in the liver of hu-
mans, for example, are found to be approximately 10-fold lower than
those in adipose tissue while levels in kidney, brain, gonads, and blood
are smaller by a factor of greater than 100 (1). The concentrations of
an organochlorine pesticide in different tissues appear to be related to
to the function of the organ as well as to its fat content {£), and good
correlations have been observed between dieldrin levels in adipose
tissue and whole blood (3.4)? with the concentration ratio being 156:1.
The measurement of dieldrin in whole blood, therefore, reportedly
536

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constitutes a convenient method of assessing the total body burden of
dieldrin.
Factors determining storage.—One of the major factors which de-
termines the concentration of pesticide residues in human body tissues
is the level of human exposure which directly determines the average
daily intake. Thus, the storage of DDT in human adipose tissues has
been correlated directly with the exposure (mean daily intake) over a
dosage range of approximately 1,000 (5) and similarly good correla-
tions have been obtained from dieldrin levels in both whole blood and
adipose tissue (0, 4,6).
Clearly, considerable variation exists in the exposure levels of differ-
ent segments of the population. For the general population the major
source of continuous exposure results from residues in ingested food
materials. Reasonable estimates of the ingestion of pesticides in food
are provided by the total diet studies obtained by the Food and Drug
Administration (7). Such studies indicate that during the years 1965-
68 the average daily intake of DDT is approximately 0.03 mg., which
is equivalent to a dosage of about 0.0004 mg./kg./day for an average
70 kg. man, and results in storage levels in the adipose tissue of about
4 p.p.m. (8). Similar studies with dieldrin establish an average total
daily intake (total diet) of about 0.005 mg. and corresponding adipose
storage levels of 0.20 to 0.25 p.p.m. (#,£).
Intake and storage of other organochlorine pesticides are consider-
ably smaller and with the exception of dieldrin all are much lower
than the acceptable daily intake (ADI) figures established by the
FAO/WHO (9). The total daily intake of dieldrin is approximately
equal to the ADI figure, but is only about 2 percent of the estimated
tolerance intake established by the FDA and based on tolerance levels
of pesticides in foods (10), Actual daily intake of DDT and lindane
amount to only 0.5 and 0.4 percent, respectively, of the theoretical
intake calculated from U.S. tolerances. Because of large variations in
residue levels associatedwith different consumer products, intake and
storage levels of the organochlorine pesticides varies to some extent
with food preferences of the individual. Members of the population
who consume large quantities of meat, fish, poultry, and dairy products,
which when combined, account for over 50 percent of the total daily
pesticide intake, can be expected to have higher tissue levels of these
materials than meat abstainers (8, 10, 11).
Radomski and Deichmann (1) have recently established that consid-
erable variation in tissue residue levels within the general population
can result from household use of pesticides. Possibly as a result of the
prevalence of DDT in household pesticide formulations, residues of
DDT and DDE in the adipose tissues of individuals accustomed to
537

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heavy use of pesticides around the home were three and four times,
respectively, those found in people who used little or ho household
pesticides. A slight increase was also observed in the case of BHC
although no significant differences were found with respect to the cy-
clodienes, dieldrin, and heptachlor epoxide which are not commonly
employed in household formulations. It is clear that this type of ex-
posure may be more important than has been previously suspected.
In addition to the environmental exposure associated with household
use of pesticides, it is clear that populations living in areas where reg-
ular agricultural spray programs are effected are subject to further at-
mospheric exposures. Small but significant additional residues of DDT
and DDE have been found in the tissues of persons with this type of
environmental exposure (11,12).
Not unexpectedly, highest tissue residues of organochlorine ma-
terials are found in those members of the population whose occupations
bring them into regular and sustained contact with relatively high con-
centrations of pesticides. These include among others, spray formula-
tors, applicators, and employees in pesticide manufacturing plants.
Blood levels of dieldrin in samples of whole blood from workmen
handling aldrin or dieldrin have been found to be up to 80 times those
of the general population (4, 5, IS), and levels of DDT and DDE in
the adipose tissues of workers exposed to DDT are approximately
three- to four-fold those found in the normal population (11,12). It
is of interest and possible significance that the levels of DDT and DDE
in the tissues of the occupationally exposed are approximately the
same as that in nonoccupational exposure resulting from household
usage (1).
Another important factor which determines the accumulation of
pesticide residues in body tissues is the time of exposure to the material
(&, 4). The results of experiments in which human volunteers were
given known daily doses of dieldrin support the view that levels of
this material, measured in the blood, increase in a curvilinear manner
and show an asymptotic approach to an upper limit (3, 4)- This in-
dicates the establishment of a steady equilibrium, the level of which
is determined by the average daily intake (#). The validity of the exist-
ence of such a steady state is further substantiated by the levels of
organochlorine insecticides found in tissues of the general population
over a period of years. Following the introduction of DDT in about
1941 the storage levels of DDT and DDE in human tissues showed a
steady increase until 1950-55 (10). Since this time, storage levels have
remained more or less constant and there is even some indication of
a slight decline during the last few years. Quaife, Winbush and Fitz-
hugh (14), although contesting the evidence of a steady state for DDT
538

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between 1950 and 1958 (11) concur that it may have existed since
that time. Certainly no significant increases have been observed in
tissue levels of DDT or dieldrin in samples collected in the Chicago
area between 1962 and 1966 (15), and storage of dieldrin by the general
population of the United Kingdom has not changed significantly since
1961 (6). These data are in good agreement with the relatively con-
stant levels found for the dietary intake of pesticides in the United
States from 1965 to 1968. (8). From available information it can,
therefore, be reasonably concluded that storage of the organochlorine
pesticides has attained a steady-state level in tissues of the general
population, and under present pesticide usage patterns further sig-
nificant increases are unlikely.
An important fact which arises from considerations of the phar-
macodynamics of organochlorine pesticides is that when exposure to
the pesticide is terminated, residue levels in the various body tissues
are slowly depleted through metabolic and/or excretory processes.
The depletion of dieldrin in the adipose tissues of rats placed on a
normal diet after being fed for a period of 6 months on a diet con-
taining 10 p.p.m. of this material was found to follow approximately
first order kinetics (2). Dieldrin levels in adipose tissue fell from
approximately 13 p.p.m. to 0.07 p.p.m. in the 80 days following termi-
nation of dietary exposure. Although measured at considerably higher
levels, a similar decline in DDT-type residues has also been observed to
occur in adipose tissues of beef steers treated experimentally with
technical DDT (16), and to a lesser extent in dogs treated with either
DDT alone, or combinations of DDT and aldrin (17),
CITED REFERENCES
(1)	Radomski, J. L., and Deiohmann, W. B.: Pesticide levels In humans in
a variety of natural and environmental conditions. In Miller, M. W., and
Berg, C, G. (Eds.), ChemicalFaUout, Springfield, 111., Charles G. Thomas,
1969, pp. 297-314.
(2)	Robinson, J.: Canad. Med. A«soc. 
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(9) Food and Agriculture Organization of the United Nations, Committee
on Pesticides in Agriculture and World Health Organization Expert
Committee on Pesticide Residues : Evaluation of the toxicity of pesticide
residues in food : Report of a joint meeting, Geneva, Sept. 1963. Food and
Agriculture Organization of the United Nations, 1964.
(10) Kraybill, H. F.: Canad. Med. Assoc. J., 100: 204-215,1960.
Ill) Hayes, W. J., Quinby, G. E., Walker, K. C., Elliott, J. W., and Upholt,
W. M.: A.M.A. Arch. Indust. Health, 18: 398-406,1968.
(12)	Durham, W. F.: Arch. Em ir. Health, 10: 842,1965.
(13)	Hayes, W. J.: Storage and excretion of dieldrin and related compounds.
In Symposium on Science and Technology of Residual Insecticides in
Food Production with Special Reference to Aldrin and Dieldrin. Shell
Chemical Co., 1968, pp. 130-137.
(14)	Quaife, M. Tj., Winbitsh, J. S. and Fitzhugh, O. G.: Food Cosmct. Toxicol.
5:39,1967.
(15)	Hoffman, W. S.. Fishbein, W. I. and Andelman, M. B.: Arch. Envir. Health
15: 738,1967.
(16)	McCully, K. A., Villeneuve, I). C., McKinley, W. P., Phillips, W. E. J.,
and Hidihoglou, M.: J. Ass. Off. Agr. Chem. 49 : 966-973,1966.
(17)	Deichmann, W. B., Keplinger, M., Dressler, I., and Sala, F.: Toxicol.
Appl. Pharmacol. 14 : 205-213,1969.
(18)	Robinson, J.: Nature (London) 215: 33,1967,
(19)	Robinson, J., and Hunter, C. G.: Arch. Envir. Health 13 : 558, 1966.
Pesticide Interactions With Synergists
Chemical agents used as insectide synergists are of considerable im-
portance in connection with the subject of interactions since the basis
of their usefulness depends upon their ability to increase the toxicity
of insecticides to insects. Mechanisms similar to those involved in pro-
ducing increased toxicity to insects might also be operative to alter
detoxification systems or other reactions in man. Thus the possible
ability of insecticide synergists to produce interactions should be given
careful attention in evaluating their safety.
At the present time the methylenedioxyphenyl compounds, of which
piperonyl butoxide is a member, are the outstanding important ex-
amples of insecticide synergists. These agents at high concentration
act as inhibitors of hepatic microsomal enzymes in vitro and in vivo.
As such, they represent only one of the many types of compounds that
have the ability to alter the metabolism of drugs, pesticides, and other
chemicals. The implications of this type of action have been discussed
in previous sections of this report. However, because of the potential
importance of insecticide synergists and the need for greater dis-
semination of information about their toxicity, actions, and metabo-
lism, a rather detailed account of the toxicology of these compounds,
whicli goes beyond the scope of the immediate subject of this report,
has been prepared. This information is included below as appendix B.
540

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APPENDIX B:
TOXICOLOGY OF SYNERGISTS FOR PYRETHROID INSECTICIDE CHEMICALS
SUMMARY
Methylenedioxyphenyl synergists, such as piperonyl butoxide, which
are used to enhance the inseoticidal activity of pyrethroids, are
effective inhibitors, both in vitro and in vivo, of liver microsomal drug
metabolism. These compounds are also inducers of liver mixed-
function oxidase activity. Their potency in altering drug metabolism
in mammals, by either inhibition or induction, is not unique and fre-<
quently is lower than that of other inseoticidal and pharmaceutical
chemicals. Dramatic interactions with other toxicants or biologically
active materials can easily be demonstrated by treating mice or rats
with high doses of piperonyl butoxide or related compounds; however,
these doses are extremely high relative to normal use and exposure1
conditions. The MDP synergists are very useful in insect control,
function by a mode of action that is relatively well understood, and are
readily metabolized following oral administration. Although current
evidence does not indicate that the use of piperonyl butoxide is a
hazard to health, further investigation is needed to evaluate its effect
and metabolism. The possible interaction of piperonyl butoxide when
inhaled or ingested with a variety of other toxic substances such as
pesticides or environmental chemicals or air pollutants, also requires
further study. In development of additional synergists, and particu-
larly those of high potency and increased biological or environmental
stability, tests on mixed-function oxidase inhibition should be included
in the safety evaluation.
A synergist is generally used with pyrethrum to minimize the
amount of insecticide necessary for insect control, thus making it eco-
nomically feasible to use this expensive natural product for control
of household pests. The same situation applies to the synthetic pyre-
throids. Certain synergists also enhance the toxicity of several other
insecticide chemicals, including rotenone, carbamates, and certain
organophosphates and chlorinated hydrocarbons, although they are
not being used in many areas of insect control, because economic bene-
fits are not realized from such use. The information available on the
nature of synergism of these compounds is summarized in reviews by
Metcalf (1955,1967) and Hewlett (1960,1968).
The most important commercial synergist employed in insect control
is piperonyl butoxide, a methylenedioxphenyl (MDP) compound pre-
pared from dihydrosafrole in an amount of about 800,000 lb per year.
541

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Other important commercial or experimental MDP synergists are
-sulfoxide, prepared from isosafrole, and tropital, prepared from
piperonal. The use of these materials is limited not only by toxieologi-
cal and economic considerations but also by the fact that they are all
prepared from a natural product, safrole, which is available in the
amount of only about 1,400,000 lb per year (Hennessy, 1969).
There are also other compounds active as synergists for pyrethroids,
including MGK-264 which is used commercially and certain propynyl
phosphorus compounds and aryl propynyl ethers which arc under
consideration for development. The remarkable synergism noted for
the insecticidal activity of many carbamates, particularly carbaryl,
with MDP and other synergists has not proven economically beneficial
under actual field-use conditions. It is possible that, properly used,
synergists could help to (1) reduce the necessary dose of toxicant and
therefore of environmental contamination, (2) minimize the degree
of resistance in tolerant insect species or strains, and (3) permit the
use of biologically unstable, biodegradable, or nonpersistent com-
pounds by blocking detoxication mechanisms for these toxicants in
the pest. Although there is reason to believe that the use of synergists
will increase in the future, the area of immediate concern is the po-
tential hazard, if any, from the use of MDP compounds, and partic-
ularly of piperonyl butoxide,
MAMMALIAN TOXICOLOGY OF METHYLENEDIOXYPHENYL COMPOUNDS
Acute, subacute, and chronic oral toxicity and pathological studies
with piperonyl butoxide using different animal species were conducted
by Sarles and VandergrifF (1952). Piperonyl butoxide was found to
lie of relatively low toxicity to rats, dogs, goats, and monkeys. There
was little difference between sex and species in susceptibility to this
material, and no indication was observed of a cumulative toxic effect
upon the second and third generation of rats fed a diet containing up
to 10,000 p.p.m. of piperonyl butoxide. The outstanding biological
effects of ingestion of relatively large doses of piperonyl butoxide
were anoxia, wasting, reduced food consumption, reduced or lost
ability to reproduce, and accentuation of concomitant natural disease.
Although piperonyl butoxide was not carcinogenic for the liver, nor
did it exert a malignant tumorgenic effect upon the general tissues,
endocrine glands, or breast, it did produce nonspecific lesions in the
livers of the test animals. A safe human tolerance for chronic ingestion
of piperonyl butoxide was estimated, after allowing a 100-fold safety
factor, to be 42 p.p.m. in all the food eaten.
The present tolerances for piperonyl butoxide vary from exeanpt
from the requirement of a tolerance (when applied to growing crops
542

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in accordance with good agricultural practice) to 8 to 20 p.p.m. for
post harvest application to various vegetables, grain crops, tree nuts
and uses in or on certain processed or semiprocessed food or feed
products.
The effect of pesticidal synergists on bile acids and cholic acid ex-
cretion in the bile was examined by Fishbein et al. (1967a, 1967b,
1967c) after intravenous injection of MDP synergists into male rats.
No discernible effect in bile acid or cholic acid concentration was noted
after safrole injection. However, Tropital and piperonyl butoxide did
alter the bile acids and cholesterol level in the bile, sometimes re-
sulting in a concentration increase with time after synergist
administration.
Another important source of MDP derivatives is sesame oil. In
addition to its use in food (Budowski and Markley, 1951) it has'been
employed in cancer research as a lipid vehicle for other agents in
carcinogenesis studies. The cocarcinogenic activitiy of sesame oil in
sarcoma production was described by Morton and Mider (1939),
Dickens and Weil-Malherbe (1942), and Peacock and Beck (1938).
Separation of the nonsaponifiable fractions led to the isolation of
sesamin, found to be cocarcinogenic by DeOme et al. (1949) when
tested in conjunction with 3,4-benzpyrene (benzofo:] pyrene). Cocar-
cinogenic fractions were also isolated by Bischoff (1957). A weak,
carcinogenic effect on subcutaneous injection into mice was also de-
scribed for heated sesame oil (Steiner et al.. 1942) and for sesamol
fed to rats (Ambrose et al1958).
Several other MDP compounds are either carcinogenic when fed to
test animals at high levels over a prolonged period of time or are
capable of acting as cocarcinogens when tested in conjunction with
carcinogens. Safrole is a rat hepatocarcinogen following long-term
feeding at the 0.5- and 1-percent dietary levels. In both male and female
rats fed safrole in a riboflavin-deficient diet, hepatic damage and
nodular degeneration are produced in a much shorter time than by
the deficient diet alone. The hepatic damage in males and to a lesser
extent in females, under these conditions, is also manifested by marked
fibrosis and massive deposits of ceroid pigment (Long et al., 1963;
Homburger et al., 1962). Feeding of dihydrosafrole initiates cancer
of the esophagus in rats (Long and Jenner, 1963). Fatty livers have
been found in animals fed myristicin (Christomanos, 1927), a con-
stituent of nutmeg, which is used as a food additive and which also
possesses psychopharmacologic properties (Truitt et al., 1961; Shul-
gin, 1966). There is no evidence for psychotropic activity with any
of the commercial synergists for insecticide chemicals. The tumorigenic
potential of MDP synergists is not fully clarified in the light of recent
543
371-074 0—69—86

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findings. The results to date with mice treated at very high dosages
by subcutaneous injection or feeding for 18 months are inconclusive
and further evaluation is recommended (limeset o2„ 1969; Falk, 1969).
Several MDP compounds produced malignant tumor's of the lymphatic
system; these include piperonyl butoxide, sulfoxide, and AT-propyl
Jsome. As controls in this study, saf role and dihydrosafrole were found,
as expected, to produce liver tumors, but isosafrole was not very potent
in this respect. It is important to note, however, that no liver tumors
were observed in rats fed piperonyl butoxide for IB months at high
dose levels (1,000, 10.000, and 20,000 p.p.iru in. the diet) (Falk 1969).
See Bionetics Report, J. Nat. Canc-er Inst, 42: 1101-1114, 1959.
There is evidence that piperonyl butoxide and certain other MDP
synergists, at high dosage, have cocnrcinogenic activity and synergize
the toxicity and certain pathological effects of other toxicants. The
first of these reports was presented by Falk et al. (1965) on the cocar-
cinogenic potential of piperonyl butoxide and sulfoxide synergist and
their interference with the detoxification and elimination of the potent
environmental carcinogen, 3,4-benzpyrene. Administration of these
two MDP compounds by the oral, intraperitoneal, or intravenous
routes interfered with the rapid elimination of a radiolabeled sample
of 3,4-benzpyrene, following intravenous injection of the latter. De-
toxification of the carcinogen and biliary excretion were also decreased,
as was the total recovery of the administered radioactivity. The in-
ability to recover the administered radioactivity from treated rats as
compared to untreated rats prompted the suggestions that the car-
cinogen was not metabolized normally and that carcinogenic activity
might thus be increased. It was also established that the increased
retention and activity of the carcinogen was a result of hepatic damage
due to administration of 3,4-benzpyrene and the MDP synergist, and
hepatic damage was correlated with alteration of a specific detoxifica-
tion enzyme (s).
In a recent study by Kimbrough et al. (1968), the combined effect
of DDT, pyrethrum, and piperonyl butoxide on pathological changes
in rat liver was examined. Cytological observations established that
pyrethrum produced enlargement, margination, and cytoplasmic in-
clusions or lipospheres in the liver cells of rats. The severity of these
pathological changes was increased when piperonyl butoxide was in-
cluded in with the pyrethrum. These effects were proportional to dos-
age and similar in character to changes caused by DDT alone. When
DDT and pyrethrum were given in combination, the changes were
greater than when either was given separately at the same dosage.
When given at high dosages, a combination of DDT, pyrethrum and
piperonyl butoxide produced characteristic liver changes just as rap-
544

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idly as has been reported for DDT alone. An additive effect on liver
pathology was observed when rats were fed DDT at a dietary level of
only 50 p.p.m. and were kept in a room where a pyrethrum aerosol
(which could contain up to 0.8 percent piperonyl butoxide) was em-
ployed at a moderate rate only once every 2 weeks, a commonly em-
ployed procedure for pest control in animal rooms. It was also con-
cluded that variation in the extent of using synergized pyrethrum
(aerosol sprays) at different times has an effect on the variation of the
extent of liver cell changes observed by other investigators.
Similar studies were conducted to explore the synergistic toxicity
and carcinogenicity of "Freons" and piperonyl butoxide (Epstein
et al,, 1967b). "Freons" are fluorocarbons, with 1 to 4 carbon atoms,
fluorine and sometimes chlorine, bromine or hydrogen, which are
widely used as propellants with pressurized aerosols of foods or pesti-
cides. Generally, "Freons" have low toxicity after acute or chronic
inhalation exposures, with one or two exceptions. In the experiments
reported, solutions were prepared in redistilled tricaprylin, containing
the "Freon" (10 percent, v/v) and piperonyl butoxide (5 percent,
v/v). A high mortality was consistently observed (46-55 percent) when
preweaned mice (7 days old) were treated subcutaneously with the
"Freon" in conjunction with piperonyl butoxide; the correspond-
ing control mice had a lower mortality (14 percent) as did the groups
receiving the test substances separately. A 15-percent mortality was
observed after administration of piperonyl butoxide and 2-11 percent
from "Freon" treatment. This high mortality for the combination
treatment groups appears synergistic in view of the absence of such
mortality attributed to piperonyl butoxide alone.
In a separate expriment to ascertain any pathological damage which
might occur from administration of "Freons" and piperonyl butoxide
simultaneously, weaned mice (1 month old) were treated and the
liver tissue was examined cytologically at various times after treat-
ment. All treated males displayed hepatomata 51 weeks after treat-
ment with "Freons," although no tumors were obsreved in any of the
test animals treated with piperonyl butoxide. The incidence of hepa-
tomata was highest for combination treatment groups and particu-
larly high for the combination involving "Freon" 112 (1,1,2,2-
tetrachloro-l^-difluoroethane) and piperonyl butoxide as compared
with the solvent controls or groups receiving separate treatments of
"Freons" or piperonyl butoxide. With male mice more than 40 weeks
old, the incidence of hepatoma in combination treatment groups was
24 percent in contrast to an overall incidence of only 4 percent in
the groups receiving individual treatments. This striking difference
was shown statistically to be highly significant, and indicates that
545

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synergistic hepatocarcinogenicity results from the combination treat-
ment. The incidence of malignant lymphomata was low and only one
female developed mammary carcinoma.
The above report of synergistic toxicity and carcinogenicity between
two widely used and unrelated compounds suggested the need to
consider interactions with unrelated agents in the designs of toxcity
and carcinogenicity tests. An extension of the findings on synergistic
toxicity of piperonyl butoxide and other compounds was reported by
Epstein et al. (1967a). Enhancement by piperonyl butoxide of the
acute toxicity due to "Freon" 112 and "Freon" 113 (1,1,2-trichloro-
l,2,2,trifluoroethane) with 3,4-benzpyrene and griseofulvin (an anti-
fungal antiobotic) was examined. Mortality was generally highest in
the first week of life and, in all instances, was markedly enhanced by
combined treatment with piperonyl butoxide. This increased toxicity
with the various synergist and drug combinations was accompanied
by anomalous weight increase in surviving mice, generally being pro-
nounced by 21 days. The authors speculated on the possibility of a
toxic hazard, either synergistic or additive in nature, due to piperonyl
butoxide administration in conjunction with other drugs or environ-
mental pollutants, which should be further investigated.
Research on the ability of MDP compounds to synergize the toxicity
of insecticide chemicals or drugs in mammals is sparse. The joint oral
administration of piperonyl butoxide increased the toxicity of
Coumaphos (0- [3-chloro-4-methyl-umbelliferone] 0,0-diethyl
phosphorothioate) and its corresponding phosphate to mice fourfold
to sixfold. The same increase in toxicity was also found when the
synergist and toxicant were administered by different routes (Robbins
et al., 1959). This is the only reported case of synergism of insecticide
toxicity by MDP compounds in mammals. The effects of piperonyl
butoxide and sesamex on the duration of sleep induced in mice by
hexobarbital were examined by Fine and Molloy (1964). They demon-
strated that the synergists prolong sleep which is induced by the
barbiturate. Essentially the same results were obtained when either
synergist was injected simultaneously with the barbiturate. Piperonyl
butoxide was also found to extend the sleeping time of another bar-
biturate, sodium pentobarbital (Nembutal). Anders (1968) confirmed
the effect of piperonyl butoxide on hexobarbital sleeping time in rats
and showed that the in vivo metabolism of this barbiturate is also
inhibited by piperonyl butoxide, sesamex and Tropital. Zoxazolamine
paralysis time is also prolonged in mice by piperonyl butoxide, al-
though the synergist effect is less dramatic than on hexobarbital
sleeping time (Fujii et al., 1968).
546

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METABOLISM OF METHYLENEDIOXYPHENYL COMPOUNDS
The information available up until 1966 on the metabolism of MDP
compounds -was insufficient to clearly define the fate of the MDP
moiety or to establish the major pathways of metabolism of
MDP synergists in mammals. Mammalian metabolism of MDP com-
pounds results in modification of the side chain, Piperonylglycine, the
glycine conjugate of piperonylic acid, appears in human urine follow-
ing feeding of safrole and isosafrole (Hefter, 1895); piperonylic acid
is a metabolite in dog urine following administration of these two com-
pounds. Piperonal is excreted by rabbits as the ester glucuronide of
piperonylic acid: piperonylic acid is excreted by rabbits as its ester
glucuronide and glycine conjugate (Williams, 1959). In rats, piper-
onylic acid is excreted as the free acid and its glycine conjugate, 3,4-
methylenedioxycinnamic acid is excreted mostly as piperonylglycine
along with some 3,4-methylenedioxycinnamoylglycme, and piperic acid
is excreted as piperonylic acid, piperonylglycine, and 3,4-methylene-
dioxycinnamoylglycine, with no piperonylglycine (Acheson and
Atkins, 1961). Ester hydrolysis occurs on oral administration of 6-
chloropiperonyl chrysanthemumate (barthrin) to rats and rabbits and
the liberated 6-chloropiperonyl alcohol is converted to the acid, the
glycine conjugate, and the glucuronide of the acid (Ambrose, 1963;
Masri et al,, 1964). A massive oral dose of undiluted piperonyl butox-
ide is excreted in the feces of dogs to the extent of 78-88 percent
within 48 hours, the urine containing little more than trace amounts
of piperonyl butoxide as determined by colorimetric analysis (Sarles
and Vandergriff, 1952).
Fishbein and coworkers have utilized thin-layer chromatography
to determine the rate of appearance and nature of the metabolites of
safrole, isosafrole, dihydrosafrole, Tropital, and piperonyl butoxide
in rat bile and urine following intravenous administration (Fishbein
et al1967a, 1967b, 1967c, 1968). Analysis of bile revealed the fol-
lowing metabolites after administration of the respective compounds:
safrole-10 metabolites, five being MDP compounds (positive to
chromotropic acid reagent); isosafrole-7 metabolites, two or three
responding to chromotropic acid reagent; dihydrosafrole-1 chromo-
tropic acid-positive material and two additional metabolites not con-
taining the MDP grouping. Analysis of urine revealed a slightly
different pattern as follows: safrole-5 metabolites similar to the ones
detected in the bile, one responding to chromotropic acid reagent; iso-
safrole-3 metabolites responding positively and three negatively to
chromotropic acid; dihydrosafrole-1 metabolite responding positively
and four others negatively to the chromotropic acid reagent. Metabo-
547

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lites of safrole, isosafrole, and dihydrosafrole were not identified al-
though oxidation of the side chain to homopiperonylic acid and
piperonylic acid was postulated for safrole and isosafrole, respectively,
as was cleavage of the MDP moiety to the corresponding catechols,
Tropital and piperonyl butoxide were converted to unidentified ma-
terials and eliminated largely in the bile, but more slowly than the
compounds previously discussed. Methylene-C^-dioxyphenyl labeled
Tropital yields 14 metabolites m bile, some persisting for 560 minutes,
including pipero-nill as the major metabolite, and six other metabolites
responding to chromotropic acid reagent. The urine contains piper-
onylic acid as a minor metabolite, in addition to one other major
metabolite and one other minor metabolite, plus material remaining
at the origin on chromatography. No free Tropital was excreted in the
urine. The metabolites of piperonyl butoxide constitute a complex
mixture involving possibly nine MDP compounds in the bile and 11
in the urine plus nine catechols or their further degradation products
in the bile and 13 in the urine.
Microsomal preparations from both mammalian liver and insect
tissues metabolize tetr&chloromethylenedioxybenzene, in a reduced
nicotinamideadenine dinucleotide phosphate (NADPH) -dependent
reaction, to the corresponding tetrachlorocatechol (Wilkinson, 1967;
"Wilkinson and Hicks, 1969),
The above discussion does not consider the results of studies made
at Berkeley using C14-labeled MDP compounds. Prior to the synthesis
of several methylene-C^-dioxyphenyl (M-C14-DP) compounds (Ku-
watsuka and Casida, 1965), suitable analytical approaches were not
available for establishing the fate, in vivo and in vitro, of the critical
methylenedioxy portion of the molecule. These labeled materials were
used to ascertain the fate of MDP compounds in mammals and house
flies and enzyme preparations derived from these organisms.
The major metabolic pathway for piperonyl butoxide, the sulfoxide
diastereoisomers, dihydrosafrole, safrole, and myristicin in mice, after
oral administration, involves cleavage of the MDP moiety and expira-
tion of the methylene carbon as carbon dioxide. In contrast, oxidation
and/or conjugation of the side chain is the major metabolic pathway
for Tropital, piperonal, piperonyl alcohol, and piperonylic acid. Prod-
ucts in the urine, following piperonyl butoxide administration, include
many compounds lacking the MDP moiety along with small amounts
of 6-propylpiperonylic acid and its glycine conjugate, and those from
Tropital consist almost entirely of the glycine and glucuronic acid
conjugates of piperonylic acid. Mixed-function oxidases of liver mic-
rosomes demethylenate several MDP compounds to yield formate and
the corresponding catechol; with most MDP compounds, other prod-
546

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nets also form because of additional oxidation reactions at other func-
tional groups (Casida et al1966; Kamienski and Casida, 1969).
The tentative metabolic pathways found for piperonyl butoxide and
Tropital in mammals are given in figures 1 and 2, respectively.
The details of the portion of the study on the metabolism of the
same labeled MDP compounds in house flies has recently been pub-
lished (Esaac and Casida, 1968, 1969). It was clearly shown that most
of these compounds are oxidatively metabolized in living house flies
by attack at the methylene carbon in the M-C14-DP moiety, leading
ultimately to expiration of Cli02. Aliphatic side chain oxidation re-
sulted in the formation of the corresponding piperonylic acid deriva-
tives, followed by conjugation and excretion. Following injection of
piperonal, piperonyl alcohol, safrole, and Tropital, each MDP com-
pound was oxidized to piperonylic acid which was then converted into
five N-piperonyl amino acids, namely, the alanine, glutamine. gluta-
mate, glycine, and serine conjugates. In addition, cleavage of the
polyether side chain of piperonyl butoxide was observed, presumably
mediated by hydroxylation of the methylene carbons adjacent to the
ether oxygens by the microsomal-NADPH enzyme system. Summaries
of the metabolism of piperonyl butoxide and Tropital in house flies
are as follows: (See page 550.)
549

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Ul
tfl
o
r o
HO-
HO
vX/n/
+
r cx 1
LhcoohJ
HO
v/V/X/ I
\0/\y\s°\y^o^yOn \0AAs/o\/\oh \
-------
o
OH
Piperonyl alcohol
OH
HO
OH
OH
¦VVW
o/\/0\/\o/\
Tropital
r o
\A
ho' vo/\/0\y\o/^
o/X7(
/ ii
\	I
V-Vy
V Plperonal
O
\A
OH
A
Piperonyllc acid
O
W
»Vy"A,
/
O 0
yX
%"V\
I
\ /°v\
O
NH
•o^Y Y\h
"sA.
\ M
o
NH il
0AA/ Y\

NH
v A
Oil
OH
\>H

-------
At least 8 M— C'4—D P
metabolites in the urine
°vW
HO
HO-
_y\/x/
At least 7 metabolites
in the urine

°vW
0'v^X-C0sH
/°yV/\/
^o/v^^CNHCHiGOiH
II
O
/°vW
i°yyv
oWV^oV11 \oA/V/0\/\oh
+ HCOjH
c*o2
(70%)
Figure 1.—Tentative metabolic fate of piperonyl butoxide in mammals.

-------
f°\S\
| s°\y^o/\y°\y\/
HO
HO-I
/V
\rK
^\AoA/°\A/
o/\/0v/\o/\/\.
-ECOsO
G*Os
/V\
/ <
\0Ay^'
Ox.Ao^vV
OH
o/X/°vX\o/\/\.
r /O
L *o
l_[H01] l + H-<
-CHO |	I HO-I J-CHO I
/
HCOjH
H°-/X
OtH HO—J—COjH 		 [Conjugates]
(0.1-1.4%)
/
O
II
—CKHCHjCOiH
COiH
<2.0—6.7%)
Untaown Conjugates
of plpefoaylic
(0.1-0.9%)
Figokk 2.—Tentative metabolic fate of tropttal in mammals.

-------
In both insects and mammals, sulfoxide synergist undergoes de-
methylenation and oxidation at the sulfur (Esaac and Casida, 1969;
Kamienski and Casida, 1969). The comparison of synergist metabo-
lism with the fate of insecticide chemicals was recently reviewed
(Lykken and Casida, 1969).
MODE OF ACTION OF MKT IIYKENEDIOXYF11 EN YL COMPOUNDS
Studies with both insects and mammals have aided in formulating
hypotheses regarding the mode of action of MDP compounds. In
earlier proposals, synergistic action was supposedly due to stabiliza-
tion of the toxicant or formation of molecular complexes between the
synergist and the insecticide (Metcalf, 1955), but these proposals
have been discarded for Jack of experimental evidence. Presently, the
most widely accepted hypothesis to explain the mode of action of
MDP synergists is that they act by inhibiting the detoxification of
the insecticide chemical in insects (Casida, 1963; Metcalf, 1967) or
by reducing the rate of drug detoxification in mammals (Fine and
Molloy, 1964). These drugs or insecticides are metabolized almost
exclusively by the NADPH-dependent mixed-function oxidase system
of microsomes. The oxidative reactions mediated by liver and insect
microsomes have been extensively reviewed by Gillette (1963) and
Casida (1969).
In a more specific manner, synergists are proposed to exert their
effect by blocking oxidative detoxification reactions, presumably by
serving as alternative substrates (Casida et al1966; Wilkinson and
Hicks, 1969) or competitive inhibitors (Philleo et al.} 1965) for the
microsome-NADPH enzyme system, so that a lower initial dose of
the toxicant is effective. The inhibition of rat liver microsomal mixed-
function oxidases by piperonyl butoxide was competitive with two
substrates, but proved to be variable with other MDP compound-
substrate combinations and so generalization is not possible (Anders,
1968); difficulties in obtaining clear-cut interpretations from kinetic
studies of this type have also been encountered by many other workers.
Jaflfe et al. (1968) assayed the important MDP synergists and many
related compounds for in vivo inhibition of two hydroxylating systems
of mouse liver microsomes, using dimethylaminopyrine and hexo-
barbital as substrates. The structure-activity correlations were similar
to those for insecticidal synergism, indicating that synergists and
related compounds are probably of comparable toxicological signifi-
cance to mammals. The inhibition appeared, in general, to be relatively
nonspecific in character. These findings, combined with those of
Kamienski and Casida (1969) discussed above, suggest a possible
correlation, at any given time after administration, between the extent
554

-------
of demethylenation (or perhaps, as well, of other microsomal hydrox-
ylation reactions acting on the MDP compound) and the m vivo
inhibition of microsomal hydroxylations of other substrates. In utiliz-
ing this hypothesis, consideration must be given to the relative biologi-
cal stability of the MDP compound and the alternative substrate, and
to the inhibitor and substrate specificities of the liver mixed-function
oxidases system(s) (Kamienski and Casida, 1969). The effectiveness
of piperonyl butoxide as an in vivo and in vitro inhibitor of drug
metabolism in rats is markedly diminished by chronic treatment with
either phenobarbital or 3-methylcholanthrene, possibly because these
agents induce rapid metabolism of piperonyl butoxide to products
having minimal inhibitory capacity (Anders, 1968). Piperonyl
butoxide serves as an inducer of biphenyl metabolism, by both o- and
/>hydroxylation (Jaffe et al., 1969). In a separate and distinct
phenomenon from the induction, piperonyl butoxide stimulates
o-hydroxylation and inhibits p-hydroxylation of biphenyl by liver
microsomes of treated mice, a bimodal effect occurring shortly after
treatment which may represent an isozymic transformation shifting
the equilibrium between the two microsomal enzyme activities (Jaffe
et al1969b); this bimodal effect also occurrs in vitro (Jaffe et al.,
1969a).
MDP compounds have been shown to inhibit or retard, among
others, the following oxidative reactions in both insects and mammals
necessary for- detoxification or inactivation of the chemical in ques-
tion : oxidation of the ifraiw-methyl group of the isobutenyl moiety of
pyrethrin I and synthetic chrysanthemumates to the corresponding
carboxylic acid analogs in living housefles and isolated enzyme sys-
tems (Yamamoto and Casida, 1966; Yamamoto et al., 1969); in vitro
hydroxylation of TV-methyl groups of A^-methy land AyV-dimethyl-
earbamates by both insect preparations (Tsukamoto and Casida,
1967a, 1967b) and rat liver enzymes (Hodgson and Casida, 1960,
1961; Leeling and Casida, 1966); in vivo N-demethy 1 at ion of the
^^V-dimethylamide group of Bidrin insecticide in houseflies (Menzer
and Casida, 1965); 0-depropylation of Baygon in living houseflies
and isolated abdomen enzymes (Tsukamoto and Casida, 1967a, 1967b;
Shrivastava et al1969)ffi hydroxylation of aromatic hydrocarbons
such as naphthalene by house fly microsomal enzymes (Philleo et al
1965) or the aromatic nucleus of Z-naphthyl A^-methylcarbamate by
rat liver microsome-NADPH enzymes (Leeling and Casida, 1966);
oxidation of the methyl group of toluene and p-nitrotoluene by house-
fly microsomes to the corresponding benzoic acids (Chakraborty and
Smith, 1967); the NADPH-dependent conversion of phosphorofchio-
nates to the corresponding phosphate analog by American cockroach
555

-------

H H
r
/\; VV'V*'
—_l=o
c—
A
Fyrethrin I
CHLORINATED
HYDOK0CAE80N
C
I
CI—C-Cl
<3-rC>ci
H
t
DDT
BOTANICAL
OCHj
j= CHjO
iloleiioBe
OCl-i CH?
Aldnn
j=CHi
-»CHs
or
CHj
\
N
CH, \
CH, /
V
/
CHj
AHwtiiK
ORG ANOP HOSPHAT E
0 0
P	P
O
Schrodon
N/
/X
\
N
\
C1I3
CHi
CEj
CHj
NO
/
-*S OCtEs
O-V
T \iCjHj
Porothion

-------
CARBAMATE
O H
o—ii—
-	^CH,
T
Carboryl
MoLocll
METHYLENEDIOXYPHCENYl,
3YNERQIST
H—C
UC 10854
0 H
oJU/
A x°h-
Hj
CE,
Mesurol
O H
ojy
°\ /c\A v°Hs
c
si
Hs
Baygou
CH> O
\l-C-N
/
CH,
CEi
O
JU/
3H,
\.
CHs
j/'°VAycE!(OC!E1)!OCiHl
W-
Piperonyl butoiide
Dimetilon
0{CjHiC)iC*H,
rCH <-
0(CjH
-------
tfi
In
oo
547
Baygon
insectiiclde chemical
Detoxification product
(glucoside and other conjugates)
./
/

0 H
It /
O—C—N
CHj 0 '
\ / \/X
CH
\
CHj
CHj
HO
O H
II /
O—C—N
\
V
\-
\/
nix CH3 O
\ / \
CH
+ I
CHj 1
O II
II /
O—C—N
I \
CHj
C H3 O 1
\ / \/X
CH
\
\
O II
II /
O—C—N
\.
CH?CH
CH,

-/
Microsome-NAD PH2
enzyme system
/-
O
CH:
\A

-R
CH:
v\

"Si
-R-OH -f
/"

\/X
KOCH
-R
Met hylenediory phenyl
synergist
0
Synergist metabolite

HO-/X,
IICOOH +
CO;	110-
-R


-------
fat body microsomes (Nakatsugawa and Dahm, 1965) or by rat liver
microsomes( Dahm et a/., 1962); microsomal epoxidation of cyclo-
diene insecticides such as the conversion of aldrin to dieldrin (Lewis
ct al,, 1967; Nakatsugawa et al,, 1965); and the dehydrochlorination
of DDT to DDE by housefles (Perry and Hoskins, 1950, 1951). The
list of reactions, which continues to grow, is partially illustrated on
pages556 and 557. (Casida, 1969.)
The action of MDP synergists and related compounds in increas-
ing drug and insecticide potency possibly is the result of combination
of the MDP compound with an active side on the mixed-function
oxidases resulting in inhibition of normal detoxification mechanisms.
This is illustrated with Baygon insecticide chemical as the toxicant
or compound synergized. (See page 558 for illustration.)
There is a large body of structure-synergistic activity literature
which supports the hypothesis that the methylenedioxy moiety is the
critical portion of the molecule for synergistic activity. Even deuter-
ium in the methylene position reduces synergistic activity (Hennessy
and Whalen, 1966; Metcalf et al., 1966) suggesting that this is the site
of binding or reaction. Three observations or suggestions must be
considered in postulating a mode of action for the MDP compound
:U the molecular level. ITennessy (1965) suggested that synergism may
result from the formation of an enzyme-attacking electrophilic ben-
zodioxolium ion from the benzodioxole by loss of hydride (H"). Casida
et al. (1966) showed that the methylene group is hydroxylated by
the mixed-function oxidase system to give a hydroxymethylenediox-
plienyl intermediate; in this manner, the synergist is an alternative
substrate for the enzyme. Hansch (1968) and Cloney and Scherr (1968)
present physico-chemical correlations which suggest a free radical
enzymatic reaction to form a MDP* free radical and/or a reactive ben-
zodioxolium cation. These considerations lead to two pathways or
mechanisms (Kamienski and Casida, 1969; Hennessy, 1969):
Enzymatic free
radical mechanism
-00
jr
I H-or /° YS
\ II R Hydride \ *
\0Ay \<>A/
-R
rn\c/°v\
A
H0/\/

HO
-B
Enz
Altered Enzyme
ys
HCOOH +
HO^
-R
-R
Enz
Inhibited
Enzyme
559
I171-074. O—	iJ7

-------
Pathway A leads to direct formation of the benxodioJiolium ion or
accommodates the five radical mechanism in enzymatic format-ion of
flic, hydroxymetliylencdioxy-phenyl compound, which is the pseudo-
base of the benzodiheterolium ion. The honzodioxolium ion as ;vn aro-
matic system might form a n-bonded complex with iron or copper
Also, it might acylate the enzyme, subsequently hydrolyzing to for-
mate and the-catechol. Pathway R utilizes the MDP free radical as the
species reacting with the enzyme, thus :
A.	Fe++ + MDP+	[FflMPP|+++
H.	(>-,*->" + MD1J.
Kuwatsuka (I960} interprets studies of the different spectra of the
P-4S0 hemoprotein and of the kinetics of inhibition with different
substrates to indicate that the enzyme probably has different binding
sites for different substrates and the enzyme and inhibitor interact in
some other relationship than that of enzyme and substrate, i.e., ;t?lo-
sterio effects are involved.
Each of tliess) hypotheses requires that the ^-nergist binds tena-
ciously or alters the enzyme, and that the synergist, is metabolized more
slowly than tho insecticide. Insect microsomes are frequently more
sensitive if nut mammalian microsomes to MDP compounds (Lewis
et at, 1967) and metabolize the synergist more slowly (Esaac and
Oasida, 1069). The mechanism of reaction of the enzyme and synergist
studied with mammalian liver an
-------
conditions is poorly understood at present, although there is evidence
that the MJ>P synergist are photochemically unstable to sunlight.
(Casida, 1969.)
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564

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CHAPTER 7
Mutagenicity of Pesticides
Contents
Page
Summary and conclusion^ 				567
Importance of mutagenicity as a potential public health hazard-	568
Methodologies for mutagenicity testing		572
Ancillary methods		572
Mammalian methods			587
Population monitoring		599
Conclusions		601
A recommended program for mutagenesis testing		602
Basis considerations		604
Structure-activity relations		604
Usage patterns			610
Literature summary		611
Appendix		613
Bibliography		613
Literature review				638
565

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MUTAGENICITY OF PESTICIDES
Summary and Conclusions
Among the plethora of new chemicals in our increasingly complex
environment, a number are already known to be mutagenic, ie., capable
of producing genetic damage. When genetic damage occurs, the burden
of hereditary defects in future generations is increased.
One potential genetic hazard comes from pesticides. Although we
can point to no pesticide now in wide use that has been demonstrated to
be mutagenic, the overwhelming majority have, however, not been ade-
quately tested, although appropriate methodologies are now available.
We define mutations as any inherited alteration in the genetic ma-
terial. Such alterations in exposed individuals may lead to cancer and
to teratological effects. Our main concern, however, is for their de-
scendants; for such changes lead to a wide range of abnormalities, men-
tal retardation, physical and mental disease, and all the other inherited
weaknesses and debilities to which man is susceptible. Since these ef-
fects will occur in future generations and may be apparent only many
generations removed, by the time the effect is noticed, the damage is al-
ready irreversible. It is therefore urgent that any mutagenic chemicals
to which the population is exposed be promptly identified.
There are now about 400 substances that, in various forms and
combinations, are currently used as pesticides. It is feasible to test all
of these in the near future for mutagenicity in systems that are simple
and precise and yet relevant to man.
For these and other reasons detailed in the report., we recommend
that:
a.	All currently used pesticides be tested in the near future in four
systems (as indicated on p. 602). Pesticides should be tested at concen-
trations substantially higher than those to which the human popula-
tion is likely to be exposed. Test procedures should reflect routes of
human exposure. Apart from the obvious route of ingestion, particu-
lar and critical attention should be directed to the inadequately appre-
ciated route of inhalation, especially for pesticide aerosols and for
vaporizing pesticide strips which are widely used domestically.
b.	Pesticides found to be inactive in all these tests may be regarded
as safe, unless other evidence of mutagenicity appears. Use of muta-
genic pesticides must be rigorously restricted or banned unless
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thorough and impartial study demonstrates convincingly that, the
benefit outweighs the risk.
c.	No new pesticides should be registered until tested for
mutagenicity.
d.	Some disinterested scientific group or commission should be
charged with responsibility for continued surveillance of the whole
problem of pesticide mutagenesis.
Importance of Mutagenicity as a Public Health Hazard
A particular subtle danger from wide scale use of pesticides lies in
the possibility that some of them may be damaging to the hereditary
material. If this is so, we may be unwittingly harming our descend-
ants. Whether this is happening, and if so, what is the magnitude of
the effect, is regrettably unknown. Surely one of the greatest responsi-
bilities of our generation is our temporary custody of the genetic herit-
age received from our ancestors. We must make every reasonable
effort to insure that this heritage is passed on to future generations un-
damaged. To do less, we believe, is grossly irresponsible.
The first evidence that environmental agents under human control
might have some influence on the genetic constitution of future pop-
ulations followed the discovery that high energy radiation causes
mutations. The first convincing evidence of this came with the publi-
cation in 1927 of M, J. Muller's classical paper "Artificial Transmu-
tation of the Gene." Muller was quick to point out the potential health
hazard associated with indiscriminate use of radiation.
The discovery of nuclear energy brought a whole new dimension to
the problem, and a greatly increased public awareness of genetic haz-
ards. Out of this concern, originally confined largely to geneticists,
radiologists, and radiation biologists, but later including persons of
a great diversity of special interests, have come rigorous safeguards
to insure that radiation exposure is kept to the lowest practicable
minimum.
As soon as radiation-induced mutagenesis was discovered, there were
strong reasons to suspect that many chemicals would have the same ef-
fect, but proof of this did not come until World War II w hen mustard
gas was shown to induce mutations in fruit flies. Since that time, very
efficient test systems have been developed and a large number of chem-
icals of a great diversity of structure and activity have been shown to
be mutagenic. The likelihood that some highly mutagenic chemicals
may come into wide use, or indeed may already be in wide use, is great
enough to be a cause for real concern.
Pesticides are only a part of the plethora of new chemical com-
pounds that have become a part of our environment, but they are of
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particular concern because they are used so widely and in such enorm-
ous amounts. Furthermore, they are very potent biologically; if they
weren't they would not be effective pesticides. Although the mecha-
nisms by which most pesticides kill, or inhibit growth, or sterilize the
various animal and plant pests for which they are designed is thought
to be unrelated to genetic mechanisms, our ignorance of chemical mu-
tagenesis will not allow the assumption of safety without specific mu-
tagenic tests.
What are mutations and what effects will they have on the human
population ? In its broadest usage, the word mutation is used to desig-
nate any inherited change in the genetic material. This may tie a
chemical transformation of an individual gene that causes it to have
an altered function. Or the change may involve a rearrangement, or
a gain or loss, of parts of a chromosome. This kind of change is often
visible by ordinary microscopy. We shall use the word gene or point
mutation to designate changes of the individual gene and speak of
those changes which involve the larger chromosomal units as chromo-
some aberrations. In many experimental systems, these are easily
distinguished, but in human studies, classification of an individual
defect, as to whether it is due to a point mutation or a chromosome
aberration, is not always possible.
Mutations may occur anywhere in the body. Frequently, the result
is the death of the particular cell in which the change occurs. Most
of the time this causes only local and transient damage, for most
individual cells are quite dispensable. But if the change is of such
a nature as to change the genetic functioning of the cell while still
permitting it to divide, this change may be transmitted to descendant
cells and the damage is then less localized. The effect may be cancer
or it may be teratogenic; particularly if the change takes place during
embryonic development. We are especially interested, of course, in
those changes that occur in the germ cells—cells that are the progeni-
tors of future generations. A mutation or chromosome change that
is transmitted via the sperm or egg to the next generation can effect
every cell in the body of the descendant individual, with consequences
that may be disastrous.
What kinds of effects on the human being do mutations produce ?
Perhaps the most important fact to emphasize is that there is no
single effect. Since every part of the body and every metabolic process
is influenced by genes to a greater or lesser extent, it comes as no
surprise that the range of effects produced by gene alterations includes
every kind of structure and process.
At one extreme are consequences so severe that the individual can-
not survive, so-called lethal effects. If the death occurs very early in
569

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embryonic development, it may never be detected. If the death is at
a later stage, it may lead to a miscarriage. An appreciable fraction,
very roughly one-fourth, of spontaneous abortions, shows a detectable
chromosome aberration, and there is no way at present to know how
many of the remainder are caused by gene mutations or by chromo-
some aberrations too small to detect by the microscope. If the embryo
survives until birth there may be physical abnormalities. There are
hundreds of known inherited diseases and probably many more that
are unknown, all of which owe their ultimate cause to mutations.
These are individually rare, hut collectively account for a substantial
fraction of human misery. And, perhaps most tragic of all, genetic
factors play a role in the causation of mental deficiency and disease.
At the other extreme are genes with mild effects. Those with still
smaller effects finally become imperceptible. In between these extremes
are the whole gamut of minor to severe genetic defects. So, it is evi-
dent that the effect of an increased mutation and chromosome aberra-
tion rate is not something new, but rather an increased frequency of
diseases, abnormalities, weaknesses, and assorted human frailties that
are already occurring.
Many mutations produce effects that are similar to those produced
by other, nongenetic causes. And, we must remember that spontaneous
mutations are happening all the time. For all these reasons, the impact
of environmental mutagens is statistical rather than unique. This
problem is further complicated by the time-distribution of mutational
effects. Some mutant genes are dominant, in which case, the abnormal-
ity or disease will appear in the very next generation after the muta-
tion occurs. On the other hand, the gene may be recessive, that is
to say it may require the abnormal genes in both homologous chromo-
somes (one derived from the male and the other from the female
parent) to produce the effect. In this case, the disease or abnormality
may be delayed for many generations until some unlucky child inherits
a mutant gene simultaneously from each of his parents. The net effect
of all this is that, although the first generation probably will manifest
a larger effect than will any particular subsequent generation, the
overall effect is spread over many generations. What happens in the
first generation is only a fraction of the total impact of the mutation
process.
That the great majority of mutations should be harmful to a greater
or lesser extent (or at best, neutral), is both a deduction from the
principle of natural selection and an empirical fact well established
in experimental systems. In the human past, natural selection has
ruthlessly eliminated those individuals whose mutant genes caused
them to be abnormal, diseased, or even only slightly weakened. As
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a result, there lias been an approximate equilibrium between the
introduction of new mutant genes into the population by mutation
and the elimination of old genes by natural selection. But with our
present high standards of living and health care, many mutants that
in the past would have caused death or reduced fertility now persist.
So the equilibrium is out of balance and new mutants are being added
to the population faster than they are being eliminated. This, coupled
with the near eradication of many infectious diseases, means that now
and in the future our medical problems will be increasingly of genetic
origin.
A mutation, once it has occurred, is transmitted from parents to
siuvceeding generations. If the gene causes a lethal or sterilizing effect,
it will persist for only one generation and affect only one person. On
the other hand, if it causes only a slight impairment it may be trans-
mitted on from generation to generation and thereby affect, many peo-
ple. There is, therefore, generally an inverse relation between the
severity of the gene effect and the number of persons that will be ex-
posed to this effect. If it were not for this, we could dismiss as rela-
tively unimportant the effects of mild mutants. But in any overall
consideration, we must consider many persons mildly affected as being
of comparable importance to one individual severely affected. Experi-
ments on fruit flies show that mildly deleterious mutations occur with
much greater frequency than do more severe mutants—at least 10
times as frequently. All this makes it likely that, although an in-
creased mutation rate would cause a corresponding increase in severe
abnormalities and genetic diseases, the major statistical impact of
a mutation increase on the human population would be to add to
the burden of mild mutational effects. This would make the popula-
tion weaker, more prone to disease, and more likely to succumb to an
effect that otherwise would be resisted.
All these implications mean that it. is not possible to predict in
detail the kinds of effects that would occur following an increased
mutation rate, nor their distribution in time. Nor can we be at all ac-
curate in any quantitative assessment of the total harmful impact of
mutation on the population in comparison with other hazards. So,
in weighing benefits against risks of possibly mutagenic pesticides,
we have only a vague idea of the nature and magnitude of the risk.
We must remember, however, that genetic damage is irreversible by
any process that we know of now. The risk to future generations,
though difficult to assess in precise terms, is nevertheless very real. The
prevention of any unnecessary mutational damage is one of our most
important and immediate responsibilities.
Despite the extensive use of pesticides, our information on their
possible mutagenicity is grossly inadequate. Several have been tested
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in various test systems, but we believe that none has had the kind
of systematic testing that would be regarded as adequate. Such test-
ing, we believe, is entirely practical and feasible. There are nu-
merous widely used test systems that are precise, efficient and
relatively inexpensive. However, these mainly depend on microbial,
insect, or plant systems and there is a question as to their relevance to
man. For definitive testing, it is necessary to use systems that have a
high degree of presumptive human relevance. We believe that such
satisfactory systems now exist, that are practical, sensitive and rele-
vant. In this report, we recommend that a combination of these be
routinely applied to all pesticides.
Methodologies for Mutagenicity Testing
A variety of methodologies are now available for mutagenicity test-
ing. From the criterion of presumptive human relevance, they have
been categorised as ancillary systems and as mammalian systems.
The human relevance of data obtained from ancillary test systems
is uncertain, in view of factors such as cell uptake, metabolism, detoxi-
fication, dosage, and method of administration. The mammalian sys-
tems embody fewer of these drawbacks.
Since no single method can detect all possible types of mutations, a
combination of methods must be used. A positive result in any of the
mammalian systems represents evidence of a potential mutagenic
hazard. The danger inherent in the use of restricted and inappro-
priate test systems is apparent from recent contract-supported studies
in which mutagenic activity of pesticides was tested in microbial
systems. In these studies, the microbial systems could have detected
only point mutations, whereas structural considerations indicated that
the pesticides tested could only induce inactivating DNA alterations
resulting in chromosome breaks and aberrations. Additionally, some
of the pesticides required microsomal enzymatic activation which
could only occur in m vivo mammalian test systems.
In addition to these test procedures, human population monitoring
may reveal mutagenic effects of pesticides or any other environmental
agents that have escaped detection.
Ancillary methods
Bacterial.—A variety of relatively simple and inexpensive tests
are available for demonstrating point mutations, (i) However, these
systems are generally insensitive to chemicals inducing chromosome
breakage in higher cell forms. Reverse and forward mutations are
generally tested using biochemical markers; additionally, drug resis-
tance is used as a marker for forward mutations. These methods
include:
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a.	Reverse mutation system in Salmonella. Histidine-requiring mu-
tants exist which revert by single base pair changes, i.e., transitions or
base pair insertions or deletions. By selection of the proper strains,
most possible'point mutation mechanisms can be detected.
b.	Forward mutation systems based on resistance to streptomycin or
other antibiotics, can be used. It is, however, uncertain how many
places in the gene can mutate to give resistance mutants, and therefore,
it is a question whether all types of base pairs changes can be detected.
c.	Differential staining techniques (Eosin-Methylene blue), exist in
which lactose nonfermenting mutations can be detected and
quantitated.
CITED REFERENCE
(/) Whitfield, H, J., Martin, R., and Ames, D. J. Molecular Biology 21:
1M6.
N euroxpora.—Neuroxpora crazm is a haploid organism with seven
chromosomes and a normal meiotic cycle. However, by using a bal-
anced heterokaryon between biochemically marked strains, the diploid
phase of higher organisms can be mimicked. Chromosome deletions
as well as point mutations can thus be detected. Forward mutations
can be recovered in the ad-3 region of chromosome 1 (1), without apply-
ing selective techniques. Either growing cultures or spores (conidia)
can be exposed to chemicals under test. After the treatment, conidia
are inoculated into 10 litre Florentine flasks and incubated for 7 days.
Each flask can contain 106 colonies which are screened for presence of
purple mutants. The frequency of the different fractions of the conidia
population from the heterokaryon can be determined by plating on
di fferent substrates.
Very refined genetic analysis can be carried out on the mutants. The
frequency and the size of the chromosome deletion can be determined
(5), and the genetic alterations of the point-mutations can be iden-
tified at the molecular level (3. 4). From the plate counts, it is possi-
ble to distinguish between nuclear and cytoplasmic inactivation.
Mutations frequencies induced by 500 r can be easily and practically
detected. Neurospora is obviously metabolically different from mam-
mals; therefore, tests for mutagenicity should include mammalian
metabolites of the pesticide and the use of Neurospora in the host
mediated assay system (2).
CITED REFERENCES
(1) de Sehrks, P. J. and R. S. Ostebbinb: Estimation of the relative frequencies
of X-ray-induced viable and recessive lethal mutations in the ad-3 region
of Neurospora crassa. Genetics 47: 793-796,1062.
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(2)	Gabridge, M. and M. S, Legator: A host-mediated microbial assay for detec-
tion of mutagenic compounds, Proc. Soc. Exp. Biol. Med. 130: 831-834,
1909.
(3)	Maluso, H. V. and F. J. deSehhes: Identification of the genetic alterations
in nitrons acid-induced ad-3 mutants of Kenrottpora crajisa. MuiutUm Res.
2 : 320-327,1965.
(4)		: Relation between complementation patterns and genetic alterations
in nitrous acid-induced ad-3B mutants of Neurospora erfwtstt. Mutation Res.
4: 425-440,1967.
(5)	Webber, B. B. and F. J, deSebres: Induction kinetics and genetic analysis
of X-ray induced mutations in the ad-3 region of Neurospora crattm. Proc.
Nat. Acad. Sei. (U.S.) 53: 430-437,1965.
Phage and transformation (1) : Phage*.—Bacteriophage T4 is prob-
ably the best available system. Forward mutations to "r" phenotype
are of low sensitivity; reverse mutations of "rll"—type mutants are
of high sensitivity. Chemicals inducing point mutations, which alter
DNA either chemically (treatment of free phages) or during its dupli-
cation inside the bacteria can be detected. The sensitive assay of reverse
mutations induction responds only to those agents which induce the
required specific base pair change, e.g., _£rtr In order to detect all types
of base pair changes, a set of about 6 rll mutant strains having the
required base pair changes should be tested. Agents which induce only
inactivating DNA alterations rarely induce point mutations. They do,
however, inactivate phage, but only more detailed genetic tests can
verify that the inactivation is not caused by an alteration of phage
protein.
Transformation:—The ideal system is that of linked mutation induc-
tion, which at present, is limited to the induction of fluorescent mutants
in the tryptophan operon. Forward mutations to fluorescence are of
medium sensitivity. Reverse mutations to indole independence are of
high sensitivity. In these systems, inactivating DNA alterations can be
measured and quantitatively compared to mutagenic DNA alterations.
It has been shown that radical producing agents, known to induce both
chromosome breaks and large chromosome mutations, inactivate trans-
forming DNA but do not induce point mutations. Thus, in most
bacterial or phage systems, these agents would not induce mutations
and might be erroneously labeled nonmutagenic. Only agents which
directly act on resting DNA can be easily assayed. For agents, like
base analogs, which induce mutations in duplicating DNA, such
measurements are difficult.
CITED REFERENCE
(/ ) Frees h\ E. and Fbeese, E. B.: Mutagenic and inactivating DNA alterations.
Radiation Kea., JSvppl. 6: 97-140, 1966-
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Plants.—An extensive body of literature exists on the response of
higher plants to chemical mutagens and many of the techniques
laboriously worked out for experiments with physical mutagens should
be equally applicable to experiments with known or suspected muta-
gens (SO, 46", 67, JOS).
Since the literature indicates that many of the well known mutagenic
and/or chromosome breaking chemicals are as effective in plant ma-
terial as in animal test systems and since several of the plant systems
can detect effects of such substances applied in the gaseous state (95),
and since some, if not all, plant species are highly susceptible to chem-
ical mutagens, appropriate plant material should be included in the
battery of tests to be performed in screening or testing for mutagenicity
of various chemical compounds. Further, since plant chromosomes are
structurally more akin to mammalian chromosomes than are those of
viruses, bacteria and other prokaryotic organisms, responses of plant
chromosomes to chemical mutagens should provide valuable informa-
tion with respect to their possible mutagenicity in mammals. Also, the
factors determining the inherent radiosensitivity of plant cells are now
fairly well understood {102,) and this knowledge may offer valuable
guidance for work with chemical mutagens.
Plant test systems include many species and a considerable variety
of possible procedures at various stages of development (table 1).
It is not feasible to select a specific test as the best in all possible cases.
Circumstances and objectives of the experiment would determine
which test and which species should be recommended.
The efficiency of the various plant test systems varies widely. How-
ever, some of the most efficient ones compete favorably with other
nonplant tests and some e.g., Tradeacantia, have the advantage that
they can be used as monitors over long exposure periods. Inspection
of the flowers for somatic mutations once or twice a week should
reveal quickly whether or not a level of mutagen exposure has oc-
curred. Of course, the lower the level or the shorter the exposure, the
more effort is required to show a significant increase above the nor-
mal background rate. Tradescantia is especially sensitive to both
ionizing radiation (66, 97) and chemicnl mutagens (95), with the
effects of a few rods being readily detectable and saturation of the
somatic mutation rate occurring around 200 R of gamma rays (72).
Some other plant systems such as somatic mutation in Nicotiana are
also very sensitive (86); those in which mutations, chromosome aber-
rations or lethal effects are readily detectable in microspores or pollen
tend to be highly efficient (table 1).
A partial list of chemical mutagens and/or pesticides known to be
effective in higher plants is given in tables £ and ft. Several other
575
.Tn-074 O—09	*18

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pesticides are also known to be mutagenic in plants, e.g., cytrol (J 11),
hyvar (111), lindane (90), and vapona (i)0). An indication of relative
mutation rates produced by gamma rays and various chemical muta-
gens in several test systems is given in table 4.
A brief outline of the procedures considered to be most promising
for chemical mutagen studies follows. It includes methods for analyz-
ing various types of chromosomal aberrations, mutations and lethal
effects and includes the specific locus method. !
Mutation induction by need treatment.—Barley (//ordeum) has
been used extensively in the study of induced hereditary changes. This
plant can be recommended because of the extensive knowledge of its
genetics including numerous and distinct chlorophyll-deficient muta-
tions (76) and because of the low number (2n = 14) of relatively
large chromosomes. The seed is very easy to store, treat and handle,
and the seedlings are small and easy to grow. Responses to mutagen
treatment which may be measured include: (1) Chromosome aberra-
tions in shoot- or root-tip cells of treated seeds; (2) chromosome
aberrations in the pollen-mother-cells of Mt plants; (3) chlorophyll-
deficient mutations; (4) pollen abortion; (5) alteration of the ob-
served mutation spectrum of M2 seedlings; (6) seedling growth re-
duction,1 (7) survival; (8) spike fertility j and (9) yield of spikes per
plant.
The complete techniques for handling mutagen-treated barley seeds
(54-), as well as more detailed descriptions of both laboratory (70)
and field culture of seedlings (71) have been described. These tech-
niques are easily modified for use with seeds of many other higher
plant species.
The basic difficulty with progeny testing for mutation in higher
plants is the long generation time involved, liy growing the M2
generation in the greenhouse, the time has been reduced to less than 1
year with barley. However, this is still too long for rapid screening
of mutagens. The techniques with barley have been developed to the
point that it is known that there is excellent correlation between the
Mi seedling growth inhibition, and the M2 seedling chlorophyll muta-
tion frequency (77). This relationship also exists between seedling
growth inhibition and chromosome aberrations in the Mj shoot or root
tip (10). Therefore, in 1 week rapid data may be obtained concerning
the mutagenicity of a compound. Another possibility in seed muta-
genesis is to use small more rapidly growing plants such as Arabidop-
ais as has been done with much success by Redei and Li (S4-). This
plant is sensitive enough to detect low frequencies of mutation induced
by DNA base analogs (38).
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A limitation of the above method, namely progeny testing, is over-
come if seeds, heterozygous for a marker gene, are used. This specific-
locus technique was employed by Smith (93) on the Yg2/ygs
(light-green) locus in maize (Zea mays). The yg2 is nonlethal in
homozygous condition and the Ygjyg2 seeds are produced by crossing
Ygjyg.t to female ygjyg-i. This same technique could be employed in
barley, where efficient methods for production of hybrid seeds now
are available (82). A rabid opH/H gives the combined advantages of
somatic detection, a short generation time and small size (65, 84, 94)-
Boot tip method for chromosome aberrations.—Root tips of cer-
tain plant species provide excellent material for chromosome aberra-
tion studies and have been extensively used for this purpose following
exposure to chemical mutagens (61). Appropriate species are easy to
obtain and grow, easy to treat with aqueous solutions, and have several
large root tips providing a large cell population. Also, many have a
relatively small number of large chromosomes and hence analysis of
the numbers and kinds of aberrations produced is relatively easy.
Treatment periods are short (minutes to hours) but fixations should be
made up to 48 hours.
At the present time, chromosome scoring is done by eye but the small
number of large chromosomes should make plant material excellent
for computer assisted analysis. Recommended material with diploid
chromosome numbers are: Allium cepa (16) Bellevalia rom-cma (8),
Campelia zcmonia (16), Crept# capillaris (6), Haplopappm gracilis
(4), Hordeum (14) ¦> Lilium (24), Tradescantia (12) and Vicia fab a
(12). Suitable cytological methods are described in various publica-
tions, egDarling and LaCour (IS) and Sharma and Sharma (91).
The method can be developed for fairly rapid screening.
Somatic Mutation Methods.—Tradescantia plants heterozygous for
flower color provide a useful test system for physical or chemical
mutagens. This plant is relatively easy to grow under a wide range
of environmental conditions, blooms continuously throughout the year
thus providing material for somatic mutation analysis, has 12 large
chromosomes and, coincidentally, has a cellular radiosensitivity similar
to that of mammalian cells. Special clones, heterozygous for flower
color, can be used for easy detection of somatic mutations in both
petal and stamen hair tissues using only a dissecting microscope and
elementary laboratory techniques (4$, 67,72,97). These clones can be
readily propagated by cutting, and root easily to provide material for
chromosome analysis (99). Chromosome aberrations can also be studied
in various other tissues (petal, stamen hair (17), and during micro-
sporogenesis (25)).
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Young flower buds on intact plants or on cuttings may be exposed
to various mutagens in either a gaseous or aqueous state. Material for
cytological studies may be fixed within 24 hours after treatment; pollen
abortion in mature flowers may be observed with peaks at 5 to 7 and
16 to 20 days after treatment, reflecting injury induced during micro-
spore mitotic and meiotic stages respectively; loss of reproductive in-
tegrity of stamen hairs reaches a maximum at about- 14 days; and
somatic mutations and morphological changes in petals and stamen
hairs may be scored throughout a 10- to 20-day post-treatment period;
stamen hairs (17) and haploid pollen tubes (95) provide excellent
material for chromosome analysis.
Various other genera and species have also l>een used to detect
somatic mutation and morphological changes in petals and stamen
and should be equally useful in chemical mutagen studies (table 1).
Specific-locus method (waxy l-ocux) in pollen.—The waxy locus in
maize, barley, and rice determines the type of starch which is synthe-
sized in the triploid endosperm and in the haploid pollen grain. In
the case of the pollen grain the phenotype is determined by its own
genotype and not by the genotype of the plant. The dominant wx
pollen grains stain blue with an iodine-potassium iodide stain while
recessive wx pollen grains stain a reddish-brown color (73. 74) be-
cause wx pollen lacks the enzyme required in the last step of starch
formation. Since the wild type is wx, the frequency of induction of
wx can be assayed in millions of pollen grains relatively easily and
quickly. Furthermore, the phenotype appears in the treated genera-
tion, and does not require the time necessary to obtain an M, genera-
tion. This technique was used in barley by Eriksson (23) who irra-
diated plants homozygous for wx and analyzed the frequencies of
reversions from the waxy phenotype to the wild type, and Baldi, (3)
who studied the spontaneous back mutat ion rate at this locus in rice.
The frequency of intra-cistron recombination may also be measured
with this technique by crossing two wx mutants of independent origin
and collecting and staining pollen from the F, as done by Briggs and
coworkers (0. 7) for EMS- and radiation-induced mutations. This is
a very simple and rapid technique for detecting even very low fre-
quencies of induced mutations in higher plants.
CITED REFERENCES
(1)	Amano, E., Mutation Ren. 5: 41-46, 1967.
(2)	Amano, E. and Smith, H. H., Mutation Res, 2 : 344-351,1965.
(3)	Baldi, G., Rim 15: 3-12, I960.
(4)	Beatty, A. V. and Beatty, J, W.: Radiation Hotany 7 : 29-34, 1907.
(5)	Brewbaker, J. L. and Emery, G. C.: Radiation Hotany 1:101-154, 1961.
(6)	Brigos, R. W., Amano E., and Smith, II. H.: Nature 297 : 890-891, 1965.
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(7)	Bbigos, R. W. and Smith, H. H.: J. Hered. 56:157-182,1965.
(8)	BtriATTi, M. and Ron cm, V. N.: Caryologia 16: 397-408,1963.
<9) Chuky, J. and Buhjka, V.: Nature 163 : 27-28,1949.
(19) CONOEB, A. U, and Stevenson, H. Q.: Radiation Botany 9:1-14,HK59.
(11) D'Amato, P. nud IV A.watoAva>- zi. Mamie Gkazja : Carpolopia 6:134—150,
1954.
{12} D'Amato, F. and Avajvzi, Silvama; Varyologia 6: 77-#!), 1954.
(15)	D'Amato, F\, Hosckini, E., and Pacini, L.: Caryalogia 6: 77-89,1964.
(1i) Darlixotok, C. D. and Roller, P.: Heredity 1:187-221,1W7.
(,/5) Dahlintiton, C. D. and LaCour, L. F.: The Handling of Chromosomes (ed.
4}. fjtmdoii, Allen and UnwJnLtd.. 1862. 263 pp.
(16)	Daklikoton , C. I>. and McLei&h, J, *. 37at are 1ST: 407-408,1951.
(J7) Davies, D. K : Radiation He*. 20: 726-740,1963.
(7#| Ookey, D.: 4tm. flofaiitf {London ] 13:329-335,194 U.
{19) Ehrexberg, L.: In Ckcmischc Mutaffcnc«e. tirtcln-Haur-(JCdach-lni-nvwh:¦
zunfftn II. Berlin, Akademie-Vtriag, I960, i>p. 124-136.
(^0) Ehrenhem, L.: Genet. Affraria 12: 364-389,1960.
{21) Ehsenbebo, L. and Gustafsson, A.: Hercditas 43; 595-602,1957.
(22)	Ejibe.vbebo, L., Gustafsso.v, A. TjI'.vdquist, TJdda : Hcredita# 47; 243-
282, 1961.
(23)	Eriksson, G.: Radiation Botany 2: 35-30, 1962.
(2-fr) Eriksson, O. and Tavrin, E, : Jlcrcdita&TH: 156-169,1965.
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Ul
CO
to
Table 1.—Summary of experimental procedures for detecting various effects of chemical mutagens using certain higher-plant
test systems.
Analyses used for detecting various eflects
Microspores	Pollen
Stage treated	Somatic cells	Germinal cells or Pollen 		—	Species used and literature reference
tubes	Mutation	Chr. Ab.1
Mut. Chr. Ab. Mut. Chr. Ab. Chr. Ab. Phenotype4 Lethal Translocation
Seed or seedling	
Flowering:
Somatic Cells
Meiosis	
Microspore.
Pollen	
(2)
(2)
(2)
(2)
(*) C)(5)--- 0
(2)
(*)
«-
(2).
(2)-
(2)
(2)
(3) (s)
Allium** 90 Arabidopsis?9 65 Avena3t, Hor-
deum21» m 57 7» 108 ni} Oryzan 112, Triticum
Zea«
I Antirrhinum™, Cosmos31, Dianthus13, Gladi-
olusHaemanthus#s, Lilium#s, Petunia.9*,
Tradescanlia17 40 4142 M 75 #7, Tulipa.#7
iHordeum23, TradescantiaP 89, Trilliumm, Tu-
( lipan, ViciaM} Zea.2*
Campelia8S, Tradescantia* 26 28 89100 l05.
|Hordeumw, LiliumPetunia5, Tradescantia5 w
| Zeah.
> Mostly petals and stamen hairs.
*	Translocations produce pollen abortion.
*	P =progeny testing.
* Especially waxy locus In barley, maize and rice.
5 Micronuciei can be counted as a fast screening method.

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Table 2.—Partial list of chemicals known to produce mutations or
chromosome aberrations in higher plants with literature citation.
Chemical	Mutation Chr. Aber.
Acridine (and derivatives)		12
Alkaloids:
Colchicine		85	
Morphine				80
Scopalamine						80
Amines, and related compounds:
Acetylethyleneimine		79
2-chlorotriethyl amine		57	
Ethyleneimine		22	
Hydrazine				43	
Hydroxyurea		49
Maleic hydrazide		29 16, 29
N-methylphenylnitrosoamine.				48
Nitrosoamines						107	
Triethylene melaminc			8
Antibiotics, and related compounds:
Aminopterin		65	47
Streptonigrin					51
Nebularine (9-/3-D-ribofuranosylpurine)		110	
Bromine		9
Ceepryn		96
2,2-dichlorovinyl dimethylphosphate (Vapona)		90
Diethyl sulfate	 34, 57 	
Epoxides:
Diepoxybutane						21 		
Ethylene oxide					 34, 103, 110	95
Glycidol				19	
Food additives:
Butylated hydroxy toluene		90
Butylated hydroxyaniBole		90
Coumarin					11
Sucaryl				90
Hexachlorocyclohexan e						58
Isopropylphenyl carbamate					18
Mercury compounds:
Ethyl mercuric phosphate 				—			87
Methyl mercuric hydroxide					83
Phenyl mercuric hydroxide				63 63, 83
Mustards:
Sulfur mustard						14
Nitrogen mustard	 37, 60 14, 78
Nucleosides:
adenine arabinoside (arabinosyl-adenine)		52
adenine xyloside (xylosyl-adenine)		52
5-bromodeoxycytidine				38	
5-bromodeoxyuridine			38		
deoxyadenosine				47
583

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Table 2.—Partial list oj chemicals known to produce mutations or
chromosome aberrations in higher plants with literature citation—Con.
Chemical	Mutation Chr. Aber.
Nucleosides-—Continued
eytosinc arabinoside				47
5-fluorodeoxyuridine (FUdR)..		 47, 106
1-methyI-3-nitro-l-nitroso-guanidin	e		44
N-methyl-N'-nitrosoguanidine		92	
Pesticides: (See table III.)
/S-propiolactone	 96, 104
Purines:
2-aminopurin	e		32,53 		
caffeine (1,3,7-trimethyl-xanthine)		50
8-ethoxycaffeine	 45, 51
1,3,7,9-tetramethyluric acid				51
Sulfonic acids and derivatives:
methane sulfonate-bromoethyl		36 			
n-butyl	 57, 77 	
chloroethyl		36	
ethyl	 1, 2, 6, 84	
/S-hydroxyethyl			28	
0-methoxyethyl		28	
methyl		57, 68 	
isopropyl	 57, 77 -		
n-propyl	 20, 57 		
jj-methane sulfonyl oxybutane (Myleran)	 32,36,110	110
diethyl 1,3-propanedisulfonate		110	
o-sulfobenzoicimide (Saccharin)		90
Urethane s:
ethyl				80
N-nitroso-N-methyi		48
Table 3.—List of various pestieides (1,000 p.p.m., 12 hrs.) known to
produce mutations in barley and relative efficiency of each to con-
trol and to 5,500 R of X rays (Wuu and Grant, 111)
Treatment
Relative
efficiency
Lorox			30
Simazine		24
ENT-50612		14
Atrazine		10
Monuron		10
Embntox E _ _ 		9
Hevin		9
Banvel D		7
Treatment
Relative
efficiency
Botran	 		7
Phosphamidon			7
Alanap-3			4
Metepa		 _				4
Endrin		3
X rays		32
Control			 		t
584

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Table 4:.~Maximum percent mutations reported for a series of
mutagens tested, on several organisms (57)
Mutations at several loci
Mutations at specific loci
Agents
Barley (Hanteum)
Chlorophyll	Urosophila	Neurotpora	iScAUo, pombe
mutants	sex-linked	ad rever-	arg rever-
mutated spikes1	rec. lethals'	slons >	slons <
Gamma rays	
Diethyl sulfate (dES)	
Methyl methanesulfonate
(MMS)					
Ethyl methanesulfonate (EMS).
Chloroethyl methanesulfonate.
n-Propyl methanesulfonate
(nPMS)	
Isopropyl methanesulfonate
(isoPMS)	
n-Butyl methanesulfonate
(nBMS)	
Ethyl ethanesulfonate (EES)	
Nitrogen mustards:
2-chlorotriethylamine	
chlorodimethylamine	
Ethyleneimine	
Diepoxybutane	
Glycidol					
Ethylene oxide	
' After compilation by NILAN et al. (.78, 77).
i Data from FAHMY and FAHMY (17).
J After compilation by WE8TERQAARD (109).
i Data from HESLOT (55).
17	
43	 18	0-1200
33 11-6	 0*0220
57 39-0 17	0-0910
	 51 9-9220
26 						
20 	...
28	-8	
25 			...
15			 0-0009
	 1-7	
28	 16 	
	 85	0-0160
22	 34	0-0240
13	 17
Drosophila.—While there are a considerable number of mutation
tests that are capable of being carried out on Drosophila (J), we refer
here primarily to those which in general are simple, rapid and unam-
biguous in interpretation. They are also reasonably inexpensive to
perform. The types of tests described below may be run independently,
or two or more tests may be carried out on the same group of treated
individuals by using special stocks. Detailed procedures will not be
presented; however, many of the tests are discussed in general ge-
netics texts or in references listed below (2).
Probably the most widely used experimental procedure is the sex-
linked recessive lethal test. Either sex may be treated and mutation
frequencies from successive germ cell stages may be obtained. The
test requires that two generations be bred; however, chemical muta-
gens often produce delayed or mosaic effects and a third generation
may be necessary. Large numbers of progeny may be tested and since
585

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a lethal is indicated by the absence of an entire class of flies, the test
is objective. Lethnls are among the most commonW induced mutations.
While the number of gametes analyscablc will vary with the number
of persona employed, a staff of 2 or 3 can screen between 5,000 and
10,000 X-chromosomes a month.
The purpose of the experiment with mutagens should determine
the experimental precautions employed. Whenever quantitative mu-
tation frequencies are required in order to compare, for example, re-
sults from different mutagens or different cell stages etc., then the
age of the flies, the breeding periods, the cell sampling procedures
as well as other physiological and environmental variables must be
rigorously controlled. On the other hand, if only n relative index of
mutagenicity is sought, these variables need not be as stringently
controlled.
The two generation reciprocal translocation test is one that is in
general use in many laboratories. The test is similar to the sex-linked
lethal test, requiring single cultures for each F, individual tested.
Screening of F2 progeny is more difficult and time consuming than for
lethals, but the test is an objective and reliable index of chromosome
breakage. Meiotic and post-ineiotic male germ cells are most effectively
studied. Four to six weeks (if retests are carried out) may be required
to complete the translocation test.
Sex chromosome loss experiments are a one-generation test which
detect either complete or partial loss of the sex chromosomes, the loss
resulting primarily from chromosome breakage. The test is useful
because either sex may be treated, the phenotypes of the exceptional
classes of offspring are readily discernible from the normal progeny,
and large numbers of flies may be rapidly screened with each indi-
vidual representing a treated gamete. It should be possible to examine
a minimum of 5,000 progeny from treated gametes per day per investi-
gator. Although many more chromosomes can be tested per man hour
by this method than by the recessive lethal method, many mutagens
may be more effective at inducing lethals and other point mutations
than chromosomal loss.
A second one-generation test of great usefulness in detecting chro-
mosome rearrangements induced in either sex is the bithorax method
of Lewis (3). A conspicuous enhancement of the bithorax phenotype
signals a chromosome rearrangement, translocation or inversion, in-
volving chromosome 3 (one of the two large autosome pairs of Dro-
xophUa). Each F, represents a treated gamete and only the excep-
tional progeny need be further analysed to verify the transmission
and to determine the nature of the change. Probably no more than
586

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4,000-8,000 chromosomes can be analysed per week by a single worker.
^Spontaneous rearrangements are extremely rare.
A third chromosome breakage study applicable only to oocyte test-
ing involves detachment of attached X-cliromosomes (4, 5). A simple
phenotypic difference permits rapid classification of the normal from
the exceptional progeny. The spontaneous frequency of detachment
is of the order of 1 per 1,500 gametes. Probably 10,000-15,000 chro-
mosomes from an array of oocyte stages can be tested per week per
person. The mature oocyte is perhaps the stage of greatest sensitivity
to chromosome damage as indicated by irradiation studies.
All of the last three mentioned tests need not be counted "by hand".
The investigator can screen for the exceptional flies and the rest can be
counted rapidly and accurately by an electronic fly counter (f?).
CITEI) REFERENCES
(/) Auerbach, C., Mutation, Oliver & Boyd, London, 1962.
(2)	Muller, H. J. awl I. I. Ohter, Some mutational techniques in Droaophila,
in Methodology in Basic Genetics, ed, W. J. Burdette, Hoiden-I>Hj, Inc.
San Francisco, 1963.
(3)	Lewis, E. B., The theory and application of a new method of detecting
chromosomal rearrangements in Dronophila Mclanogaster. American
Naturalist 88 : 223-239,19M.
(4)	Muller, H. ,T. and I. H. Herskowitz, Concerning the healing of chromosome
ends produced by breakage in Droaophila Mclanogaster. American Na-
turalist, 88:177-208,1954.
(5)	Parker, D. B., Radiation induced exchanges Jn Droaophila females. Proc.
Nat. Acad. Sci. U.S., 40 : 795-800,1954.
(fi) Keiohley, G. and E. B. Lewis, Droaophila counter. J. Hered. 50: 75-77,1059.
M ammalian methods
Cytogenetics and somatic cell genetics.—In appraising any method
for mutagenicity testing, it is important to be clear as to what we are
asking of the method. After this, the advantages and disadvantages
of any test system can be better assessed. With a cytogenetic test
system, we are seeking for morphological evidence of damage to the
genetic material. With this in mind, some of the obvious advantages
are the wide number of species, including human, that can be examined
by these methodologies; the fact that it can be performed on both
in vivo and in vitro systems; the genetic material is being observed
directly, and the tests can be accomplished relatively rapidly with
limited expense. Disadvantages include the fact that it needs a well-
trained examiner for accurate results; there are possibilities of subjec-
tive errors; procedures need to be standardized, at least within certain
limits, in order to have the tests reproducible from laboratory to
laboratory; and there isn't complete agreement on definitions and
classification of breaks and gaps and the various abnormalities. How-
587

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ever, the primary disadvantage is that there is jio proof that seeing
cytogenetic abnormalities is an absolute indication of mutation. One
can visualize a spectrum of damage from such severe damage that
the cells die without ever getting1 into mitosis, to other cells that arc
made incapable of cell division but survive in a post-mitotic state,
with or without a change in functional proteins; and finally, gene
mutations, in which cells can still go on to divide but have alterations
in the functional proteins produced.
Evidence for the first two types of change seems well established,
and this is of course important in our consideration of damage to
genetic materia], and is a very important consideration in teratogenesis
and perhaps in aging. The mutations are less easily confirmed, how-
ever. If chromosome breakage is important in mutation, it would ex-
press the view that the breaks are an indicator system, since most of
*he cells with visible unstable chromosome abnormalities would prob-
ably go on to cell death. Work correlating mutation and chromosome
breakage after chemical treatments is in an early stage when compared
to the data available for X-rays. However, Kihlman has pointed out
that there is good correlation between substances that are capable
of producing mutations in various systems and those that can produce
chromosome abnormalities (3). There is almost 100 percent correla-
tion between chromosome aberrations produced in mammalian cells
in tissue culture and mutagenic effects whenever there was data avail-
able on both effects (see table 5) (3). The correlation between muta-
genesis and chromosome aberrations in plant root tips was good, but
not as good as for mammalian cells in tissue culture.
The absolute answer to this question of chromosome breaks serving
as an indicator for gene mutation will probably come from the studies
that are presently starting in somatic cell genetics when these are
correlated with, and studied in conjunction with, cytogenetics. The
type of work referred to here is the ability of an agent to induce drug
resistance in somatic cells which reflects the loss of functional enzyme,
as for example resistance to BUdR, because it is no longer incorporated
into the cell due to the loss or modification of the thymidine kinase
enzyme. This approach is well exemplified in recent studies in which
Chinese hamster cells were treated with BUdR and nutritionally
deficient mutants were selected by growing cells in restrictive media
in which the nutritionally deficient mutants cannot divide, and then
adding an agent that will kill dividing cells (>5). Similarly, selective
culture techniques have been used to isolate L glutamine auxotrophs
or 8-azaguanine resistant Chinese hamster cells and to compare the
incidence of these mutants in cultures treated with chemical mutagens
and control cultures (1). Human male cells and genes on the X-chromo-
588

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some have- been similarly studied(£). Loss or deficiency of the enayrne
hypoxant-hine-guanino phosphoribosyl transferase (HG-PET)
imparts resistance to purine annlogues. Since the gene for this enzyme
is located on the X-ohromosome, the use of male cells permits detection
of changes in the single gene-. Also, somatic cell genetic systems utiliz-
ing isoenzymes via their elcctrophoretic patterns, offer an excellent
definitive tool. Changes in these isoenzyme patterns can be proof of
mutation in the cultured cells. Resides confirming the relation of chro-
mosome breakage to mutation, these somatic cell genetic systems should
provide an excellent methodology for mutagenicity testing in their
own right, as they are further developed.
The importance of demonstrating whether or not breakage is an
indicator for mutations lies in the areas of carcinogenesis, germ line
mutation with increasing genetic load of the population, and perhaps
in some aspects of aging.
Concerning methodology itself, preparations can be made very rap-
idly from tissue cultures for in vitro preparations that have the advan-
tage of short time of experiments; such preparations additionally are
usually morphologically better than in vivo preparations. Readily
available cultures from Potorous^ designated PTK-1, are exceedingly
well suited for cytogenetic studies in that chromosomes are large,
distinct, and there are only 11 in number. The Chinese- hamster* with
22 chromosomes, lias many of the same advantages, and of course there
are both human leukocyte cultures and diploid human fibroblast cul-
tures that have the advantage of being from the human species. The
leukocyte cultures have the additional advantage that cell cycle is not-
initiated until phytohemagglutinin is added, so that timing for adding
various agents for various portions of the cell cycle can be done with
greater precision than in many culture systems.
The in vivo assays offer many of the same advantages of the host-
mediated assay utilizing bacteria. That is, breakdown products and
other metabolic products of the test agent have a chance to produce
effects as well as the agent itself. Bone marrow, spleen, and testes arc
especially suitable for in vivo preparations, as well as embryo homo-
genates and tissues.
From all of these materials, both metaphase and anaphase prepara-
tions can be made. Metaphase has the advantage of excellent morpho-
logic detail of each chromosome so that localization to specific chro-
mosomal areas can be accomplished. Anaphase has the advantage that-
the pretreatment is much reduced, and the rapidity with which ana-
phase preparations can be read is much greater, and the experience
necessary to become competent in anaphase evaluation is considerably
less than for a similar degree of competence with metaphase.
569

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Classification of chromosomal defects is not standardized at the
present time. Various factors are used in different classification
methods, and a brief appendix of some of the types of classifications
is included.
Some difficulties that have arisen in the past, as a differentiation
between gaps and open breaks, or the degree of significance of open
breaks vs. rearrangements, would seem on the basis of present infor-
mation not to be as big a problem as was once imagined. Gaps and
breaks both seem to increase in parallel in most of the systems studied
up to now, so any method of differentiation between the two, as long
as it is standardized, is adequate to compare control with experimental
material, even though it is arbitrary. Similarly, the difference between
open breaks and chromosome rearrangements would appear to be
whether or not cellular I)NA and/or protein synthesis is inhibited,
or can continue. In the absence of DNA and/or protein synthesis,
healing is inhibited, and it is the healing that permits rearrangement.
Many of the materials that have been shown to produce only open
breaks in acute studies, are seen to progress to chromosomal rearrange-
ments when chronic studies are carried out allowing a recovery period.
This difference stresses a need to carry out a portion of the studies in
a cytogenetic test system after the test substance has been removed and
a recovery period allowed.
In summary, cytogenetic studies would certainly seem to be one of
the best screening methods for testing of mutagenicity, but should be
used in conjunction with other additional methods. Cytogenetic testing
reveals a variety of damage to the genetic material in addition to
mutation, as well as a high correlation with mutagenic events when
both parameters are tested. It offers in vivo and in vitro methods for
a wide variety of species including the human. When cytogenetic
studies are a method employed for screening, standardization of pro-
cedures, high quality of preparation, and reading of coded slides are
essential for best results.
Classification of chromosome breakage.—Unfortunately, there is no
single classification of breakage, since different characteristics of
breaks have been used by various authors to classify them. This leads
to some confusion and redundancy, but in general, the various classifi-
cations are consistent, one with the other. The characteristic that has
been used to classify has frequently depended on the type of study
under way and the information sought.
One of the main characteristics used to classify chromosome breaks
has been whether one or both of the two chromatids of the chromosome
are involved in the defect. If both chromatids are involved, the defect
is called a chromosome break, while if one chromatid is involved it is
590

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Table 5.—Comparison between chromosome-breaking and mutagenic
effects of chemicals in plant and animal materials.
Chromosomal aberrations
Compound
riant root-tips
Mammalian
ceils in
tissue culture
Mutagenic effect
Adenine	
2,6-Diamine purine	
Caffeine	
8-Ethoxycaffoine	
Purine riboside	
Deoxyadenosine	
S-Fluorodeoxy uridine	
.l-Bromodeoxyuridine	
Cytosine arabinoside...
Maleic hydrazide	
Azaserine	
Streptonigrin	
Mitomycin C	
Ilydroxylainine	
Nitrogen mustard	
Triethylenemelamine	
Diepoxybutane	
+
+
+
—
+
+
+
±
+
+
±
±
—
+
+
+
+
No data
+
+
No data
—
+
+
—
+
No data
+
—
—
+
+
+
+ ¦
+
+
+
+
+

+
+
+
+
+
+
+
+
¦h
+
+
+ marked cfToct,
— no effect.
± effect very low, although just about significant.
From Actions of Chemicals on Dividing Cells, B. A. Kihlman, Prentice Hall,
1966, pp. 198.
Comparison between the Effects of Chemicals on Animal and Plant Cells.
termed a chromatid break. The factor that, determines which type of
lesion is produced is whether or not the chromosome is a single unit or
a double unit at the time of the insult that produces the break. This
in turn is dependent upon the stage of the cell cycle. If a chromosome
is in the GI phase of the cycle before DNA synthesis has taken place,
it is a single structure, and if a break is produced at this time, the
break is replicated along with the second chromatid during the S or
DNA synthesis period resulting in a chromosome break. If the break-
ing insult occurs during Cr2 or thereafter, after DNA synthesis, when
the chromosome is already a dual structure, then a chromatid break
is the usual result. During the period of DNA synthesis, a combination
of both types of breakage can be found in the same cell, depending on
whether the individual chromosome had not yet started, or had finished
synthesizing its DNA. It does occasionally happen that an event affects
both chromatids after they are a double structure, and in this case the
591
.•171-074 <>«»	,:tt>

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term "isochromatid break" is used, indicating that the lesion was one
introduced in chromatids, but that both chromatids were affected at
the same point. This is distinguished from chromosome breaks only
by the fact that other lesions in the same material are predominantly
chromatid breaks.
An additional type of breakage using these criteria has l>een de-
scribed by Ostergren and Wakonig and termed a "delayed isolocus
break''. These authors described a typical example of this kind of
breakage as a secondary constriction in one chromatid wit.li a corre-
sponding break in the isolocus position in the other. In addition to
this typical lesion, other chromosomes would exhibit everything from
only a secondary constriction in one chromatid to a complete break in
ljot.h chromatids, At the time of the description of this type of breakage,
the authors felt that a partial defect was produced in the chromosome
when it was si single unit, and then this partial defect was reproduced
in both chromatids at the isolocus point during IXNA synthesis. Mitotic
forces and pressures subsequent to this were thought to produce the
variety of possible changes at the isolocus spots in the chromatids.
An alternative explanation would be that this type of breakage
occurred during the period of DNA synthesis and affected different
chromosomes differently, depending on the state of synthesis- of that
particular chromosome.
A second important characteristic that has been used in classification
of chromosome breaks is dependent on whether or not healing or re-
union has occurred. If there is no healing, an open break or defect is
the result, and this has also been termed a "simple break" and a "termi-
nal deletion". In this type of breakage, a significant problem arises in
distinguishing between a break which is defined as a "complete discon-
tinuity" between the two chromosome pieces, and a "gap", which is
defined as an achromatic or unstained area in which chromatin still
exists but is difficult to see. Various methods have been used to make
this distinction. Some authors insist on displacement of the distal
fragment before considering it a break, while others, have established
an arbitrary distance between the two stained chromosome pieces as the
distinguishing factor. We recommend that any defect separated by at
least the width of one chromatid be regarded as a break, and anything
less than this as a gap. This is admittedly arbitrary, and undoubtedly
frequently incorrect, but serves as a basis of comparison between ex-
perimental material and control material. It is fortunate that in most
systems, gaps and breaks seem to increase and decrease in parallel, so
that the methods such as described although arbitrary and inaccurate
in the literal sense, enable valid comparisons between various test
materials.
592

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When healing or reunion occurs, it is possible for restitution to occur
if the broken ends reunite in their original positions. In this case no
defect is visible. If they do not heal in their original positions, then a
structural rearrangement is the result. These are often further divided
into an intra-change if the rearrangement is within a single chromo-
some, or an inter-change if the rearrangement involves more than one
chromosome. Roth of these can be further divided into symmetrical
and asymmetrical defects. A symmetrical defect is one in which no
mechanical difficulty results during mitosis, and either daughter cell
is deficient in chromatin material. An asymmetrical intra- or inter-
change is one in which either mechanical defects arise or the resulting
daughter cells are deficient in chromatin material (4).
Another term that is frequently used in a very similar context with
symmetrical and asymmetrical is stable and unstable rearrangement.
The primary factors that determine whether the open or simple type
of breakage will result, or the rearrangement will result, seems to be
whether the cell retains the ability to synthesize protein and/or DNA.
If either or both of these processes are interrupted, there is evidence
that reunion cannot take place and open breaks result.
In addition to these classifications used when the cells under study
are examined in metaphase, which affords greater morphologic detail
of individual chromosomes due to various pretreatments including
colchicine, hypotonic expansion, and air drying or squashing, it is
also possible to score defects in anaphase preparation. Here, none of
the previously mentioned pretreatments are used and the cells are
merely fixed and stained. The types of anaphase aberration that can
be distinguished include an acentric fragment, which is a paired seg-
ment of chromatids left at the equator of the cell resulting from a
chromosome break; an attached fragment in which a chromatid frag-
ment is away from the main body of anaphase chromosomes, but is
oriented in line with the chromosomes and seems to be attached by
an attenuated portion; a chromosome bridge which results from an
asymmetrical rearrangement as a dicentric chromosome or an inter-
locking ring chromosome; finally, pseudochiasmata, which are thought
to result from two chromosomes adhering to each other vm stickiness
or some other mechanism, and may very likely not represent true
defects.
CITED REFERENCES
(1)	Chu, K. H. Y. and H. V. Malling: Mammalian cell genetics, II. Chemical
induction of si>ecific locus mutations in Chinese hamster cells in vitro.
Proc. X. A. 8. 61:1306-1312,1968.
(2)	DeMars, R.: Personal communication, 196!).
(5) Kihlman, B. A,: Actions of chemicals on dividing cells. Englewood Cliffs,
N.J., Prentice-Hall, 1066, 200 pp.
593

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(4) Lea, D. E. : Actions of radiations on living cells. (2nd ed.) New York. Cam-
bridge University Press, 3062, 416pp.
(J) Puck, T, T,: and F. Kao : Genetics of somatic mammalian eella. V. Treat-
ment with T>-bro»iotU>oxyuri(]iiie and visible light for isolation of nutri-
tionaHy deficient mutants. Proc. AT.A.S. 38:1227-1234,1967.
The hoxt-mediated away?—A great deal of recent work in genetics
lias served to point out the universal nature of the genetic code. Al-
though the level of organization of genetic material in bacteria is
different from that in man, there is no basis for assuming that the
action of a mutagen will be markedly different. It is essential, however,
to properly define the ultimate mutagenic .agent occurring in the mam-
malian host. There are numerous examples of compounds that are not
mutagenic in micro-organisms, but are converted to active mutagens
in animals, and there are many compounds that are active in micro-
organisms but detoxified in mammalian systems. The host-mediated
assay was developed to determine the ability of laboratory animals to
either activate or detoxify compounds in regard to their mutagenic
activity.
In this assay, the mammal, during treatment with a potential chemi-
cal mutagen, is injected with an indicator micro-organism in which
mutation frequencies can be measured. It is important to note that
mutagen and organism are administered by different, routes. After a
sufficient time period, the micro-organisms are withdrawn from the
animal and the induction of mutants is determined. The comparison
between the mutagenic action of the compound on the micro-organism
directly and in the host-mediated assay indicates whether the host can
modify the compound and whether mutagenic products can be formed
as a result of host metabolism. The formation of mutagenic metabolic
products from dimet.hylnitrosamine, and the plant toxin, cycasin,
have been reported using this procedure.
Indicator micro-organisms presently being used in this procedure
include the hisfcidine auxotroph of Salmonella typkimurmm, and
Neurospora erassa, where scoring for forward mutations is carried
out. In the Salmonella system, a number of known auxotrophs are
injected intraperitoneally in an animal previously treated with the
chemical. After six generations, approximately 3 hours, the organisms
are recovered from the intraperitoneal cavity and the induction of
mutation determined. The effect in the animal is compared with the
effect of the chemical in an in vitro plate assay. In the Neurosytora
system, conidia from the Neurospora dikaryon described earlier can
be injected into the peritoneal cavity or subcutaneously in mice or rats.
In rats, the conidia can also be injected into the testis. After 48 hours,
50-70 percent of the conidia can be recovered with approximately
594

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50-60 percent viability. Since the conidia can be kept in the animal for
an extended period of time, it is possible to do meaningful feeding
experiments in which one can test for presence of mutagenic com-
pounds in the diet. After the conidia are recovered, they are tested for
presence of spontaneous and induced ad-3 mutations. A more ideal
indicator utilizing a forward mutation system in bacteria is presently
being developed. It is probable that the newly developed methodology
for scoring forward and reverse mutations in cultured cells might also
be adopted in this procedure.
In addition to flexibility in selection of indicator organism, almost
any laboratory animal can be used. Laboratory animals including rats,
mice, and hamsters have been successfully utilized. Not only can we
compare mutagenic activity between micro-organisms and mammals,
but also between different animal species. It should also be possible
to demonstrate any correlation between mutagenicity and carcino-
genicity in the same or different animals.
The host-mediated assay is an ongoing procedure that bridges the
gap between simple microbial tests and the effects of a potential muta-
gen in mammals. Similarity between mutagenic activity in micro-
organisms and animals, the ability of the mammal to detoxify muta-
genic or nonmutagenic agents, and the production of mutagenic
metabolites can be determined. Not only can comparisons be made
between micro-organisms and mammals, but also between different
animal species. It is quite possible to compare mutagenicity and car-
cinogenicity in the same system with this procedure. However, the
host-mediated assay in no way indicates the effect of DNA repair
mechanisms of the host in response to specific chemicals, and is only an
indirect measure of mutagenicity in terms of the mammalian host.
CITED REFERENCE
(/) (iABRH)GE, M. and M. S. Legator: A host-mediated microbial assay for detec-
tion of mutagenic compounds. Proc. Soc. Exp. Biol. Med. 130: 831-834.
ltm
Specific loam text. (1, 2)—The specific locus test is based on detec-
tion of newly induced mutation in seven coat-color and morphologic
loci in mice. The newly induced mutations can either be chromosome
deletions or point mutations. In this test, male mice that are homo-
zygous for the dominant trait are given the suspected mutagen and
mated with female mice that are homozygous for the recessive traits.
In this way, the occurrence of offspring with recessive characteristics
is indicative of mutation or loss in the gene.
The following potent mutagenic compounds: methyl methanesul-
fonate, ethylmethanesulfonate, propylmethanesulfonate, and isopropyl
595

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metlianesulfonate, were tested in t>oth the dominan lethal and in specific
locus tests. All four mutagens were highly positive in the dominant
lethal test, but only slightly positive or negative in the specific locus
test. However, the results are difficult to compare because sperm which
were used in the two tests derived from colls -which were treated at
very different stages of their development.
The number of animals which has to be used to detect a doubling
o
of mutation frequency is so great that the expense of this test makes
it quite impractical to use as a general screening technique. More seri-
ously, however, is the failure to detect a significant increase in muta-
tions with the above four strong mutagens, either because of lack in
statistical power or because of intrinsic defects in the test system,
strongly militates against the practical utility of the specific locus test.
CITED REFERENCES
(J) Russell, W. L.: X-ray Induced Mutations in Mice. Cold Spring Harbor
Symposium 16 : 327-366, 1951.
(2) Cattapjach, B. M.; Chemically-induced mutations in mice, Mutation Res.
3 : 346-353, 1966.
Dmnirumt lethal test.—-Dominant lethal mutants are convenient in-
dicators of major genetic damage which have been used in mammals
for measuring effects of X-rays (/), and more recently, of chemical
mutagens (2, J, 7, 8,13,15. 20). Data on induction of dominant lethal
mutants in mammals may be appropriately extrapolated to man, espe-
cially as most recognizable human mutations are due to dominant
autosomal traits {21). The genetic basis for dominant lethality is
the induction of chromosomal damage and rearrangements, such as
translocations, resulting in nonviable zygotes; evidence for zygote
lethality induced in mammals by X-rays and by chemical mutagens
lias been obtained embryologically (10, 25, 26), and cytogenetically
(4,15,17, 2J), respectively. Additional evidence for the genetic basis
of dominant lethality is derived from the associated induction of
sterility and heritable semisterility in F, progeny of males exposed to
X-irradiation (19, 25) and to chemical mutagens (5, Id, 14); translo-
cations have been cytologically demonstrated in such semisterile lines
in mice (7,18, 24), and in hamsters (20).
The induction of dominant lethal mutations in animals can be as-
sayed, with a high degree of sensitivity and practicality, following
acute, subacute or chronic administration of test materials, either orally
or by any parenteral route, including the respiratory. For these rea-
sons it is feasible to integrate such tests in the scope of routine toxi-
cological practice (0). Following drug administration to male rodents,
they are mated sequentially with groups of untreated females over
596

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the duration of the spermatogenic cycle. For mice, the entire duration
of spermatogenesis is approximately 42 days comprising- the following
stages: spermatogonia! mitoses—6 days, spermatocytes—14 days,
spermatids—9 days, testicular sperm—5.5 days, and epididymal
sperm—7.5 days* (1). Thus, matings within •> weeks after single drag
administration represent samplings of sperm exposed during post-
meiotie stages, and matings from 4-8 weeks later represent samplings
of sperm exposed during premeiotic and stem cells stages.
The classical form of the dominant lethal assay involves autopsy
of females aproximately 1:5 days following timed matings, us deter-
mined by vaginal plugs in mice and vaginal cytology in rats, and
enumeration of corpora lutea and total implants, as comprised by
living fetuses, lute fetal deaths, and early fetal deaths. The test can lie
considerably modified and simplified and hence made more suitable
for routine practice by sacrificing the females at a fixed time, e.g., 13
days in mice, following the midweek of their caging and presumptive
mating. Additionally, this allows determination of effects of drugs on
pregnancy rates. Similarly, corpora lutea counts, which are notoriously
difficult, laborious, and inaccurate in mice and afford a measure of
total fertilized zygotes, can be omitted and numbers of total implants
in test animals can be related to those in controls, thus affording a
simple measure of pram pi sulfation losses. Using such modified pro-
cedures together with computerized data handling, large numbers of
test agents can be simply and rapidly tested for mutagenic activity.
The assay can also Ik*, conducted with drug administration to female
mice, either before or in early pregnancy; however, this test has not
yet been developed for routine purposes.
Dominant lethal mutations are directly measured by enumeration
of early fetal deaths, and indirectly by ^reimplantation losses, as meas-
ured b}7 reduction in the number of total implants in test compared
w icl» control females. Results are best expressed as early fetal deaths
¦per pregnant female, rather than as the more conventional mutagenic
index, early fetal deaths x 100 per total implants, as the latter index can
be markedly altered by variation in the number of total implants (11).
^reimplantation losses offer a presumptive index of mutagenic, effects,
but there is no precise parallelism between preimplantation losses and
early fetal deaths. These should be regarded as concomitant and not
alternate parameters. Furthermore, the use of the mutagenic index pre-
supposes that the number of early deaths is proportional to the number
of implants regardless of preimplantation losses; this would anticipate
I hat absolute number of early deaths are lower in those animals with
reduced numbers of total implants. This has been shown experimentally
not to be so (11). Finally, an additional disadvantage of such ratios
597

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as measures of mutagenic effect is that their variability is high, as both
numerator and denominator are contributory, and estimates of stand-
ard deviation, hence, are complex.
Preimplantation losses, early fetal deaths, sterility and semisterility
constitute a spectrum of adverse genetic effects, of which early fetal
deaths clearly afford the most convenient and quantitatively unequivo-
cal parameter of mutagenicity.
Using these techniques, a wide range of chemicals to which man is
exposed in the totality of the environment, including pesticides, food
additives, drugs, air and water pollutants, have been tested for muta-
genicity in mice (10,13). Additionally, detailed dose-response studies
with the aziridine alkylating agents, TEPA and METEPA, which
have been used as chemosterilant pesticides, have revealed mutagenic
thresholds in the region of 0.04 mg./kg. and 1.4 mg./kg., respectively,
following acute single parenteral administration in mice.
These techniques are also ideally suited for the study of synergistic
or antagonistic effects on mutagenesis; caffeine, for example, lias been
shown not to induce dominant lethal mutations nor to synergize the
mutagenic effects of X-rays or of alkylating agents (10).
CITED REFERENCES
(J) Bateman, A. J. Mutagenic sensitivity of maturing germ cells in the male
mouse. Heredity 12 : 213-232, 1958.
(2)		The induction of dominant lethal mutations in rats and mice with
triethyleiienielamine (TEM). Cent. Rch. Camb. 1 : 381-302,1960.
(3)		Testing chemicals for mutagenicity in a mammal. Nature 210:
205-206, 1966.
(4)		Personal communication.
(5)	Cattanach, B. M. A genetical approach to the effects of radiomimetic
chemicals on fertility in mice. In Effects of Ionizing Radiation on the
Reproductive System (feds. Carlson,, W. D. and Gassner, P. X.), pp
415-426 (Maemillan Company, New York).
(6)	Cattanach, B. M. and R. O. Edwards. The effects of triethyleneinelamine
on the fertility of male mice. 1'roc. ltoy. Hoc. Edin. li. 67: ">4-64, 1958.
(7)	Cattanach, B. M., C. E. Pollard and J. H. Isaacson. Ethylmethane-
sulfonate-lnduced chromosome breakage In the mouse. Mutation Res. 6:
297-307, 1968.
($) Ehlinq, U, H.f R. B, Cumming, and H. V. Malung. Induction of dominant
lethal mutations by alkylating agents in male mice. Mutation Res. 5:
417-428, 1968.
(9) Epstein, S. fS. A Cateh-All Toxicologic 1 Screen. Ej-pericntta, 2o: 617,
1969.
(10) 	Unpublished data.
(//) Epstein, S. S., E. Arnold, K. Steinberg, IJ. Mackintosh, H. Shafneh and
Y. Bishop. Mutagenic and antifertility effects of TEPA and METEPA
in mice. Toxicol. Appl. Pharmacolin press.
< 12) Epstein, S. S., W. Bass, and Y. Bishop. Unpublished data.
598

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(IS) Epstein, S, S. and H. Siiafnur. Chemical mutagens in the human environ-
ment. Nature 210: 385-387,1968.
(14)	Falconer, I). S., B. M. Slizynski, and G. Auebbach. Genetieal effects of
nitrogen mustard in the house mouse. J. Genet. 51: 81-88, 1952.
(15)	Gexeroso, W. M. Chemical induction of dominant lethals in female mice.
Genetics fil: 461-470, 196!).
(10) Hertwig, I*. Vererbarer seinisterilitat bei Mausen naeh Rontgenbestrahluny,
veruracht (lurch reciproke Translokationen Z. Indnki, Abstamm.-U.
Vcrvrblchrc 79 : 1-27,1940.
(/7) Josni, S., E. Arnold, Y. Bishop, and S. S. Epstein. Unpublished data.
(18) Kollkis, P. C. Segmental Interchange in mice. Genetic# 20: 247-203, 15)44.
(tit) Koijkr, P. v., and V. Auerbacii. Chromosome breakage and sterility in
the mouse. Nature 148 : 501-502,1941.
(20)	Lavappa, K. 8. and G. Yerganian. Personal communication.
(21)	Report of the United Nations Scientific Committee on the Effects of Atomic
Radiation (United Nations, N.Y., 1906), p. 99.
(22)	Roiikiiorn, G. Mutagenicity teats in mice. Humangcwtik 6: 345-361, 1968.
(2:i) Russel, L. B. and W. K Russel. Pathways of radiation effects in (he
mother and the embryo. In Cold Spring Harbor Symposia on Quantitative
Biology. 19:50-59, 1954,
(24) Slizynski, H. M. Pachytene analysis of Snell's T(5:8) a translocation in
the mouse. J. Genet. 50: 507-510,1952.
{2.7) Snell, G. I)., E. Rodemans, and W. Hollander. A translocation in the
house mouse and its effect on development. •!. Exp. Zool. 67: 93-104.
1934.
(26) Snell, G. I>. and D. I. Picken. Abnormal development in the mouse caused
by chromosome unbalance. J. Genetics 31; 213-235, 1B35.
Population moruton/if/. Whatever tli© system of testing potential
pesticides before they are used may be, it can never be perfect. There
is always the possibility that some substance will not be revealed as
mutagenic by any of the test systems employed and yet represent a
mutation risk to man. An example might be a substance that is not
itself mutagenic, but which is specifically converted by the human
body into a substance that is strongly mutagenic. If such a compound
was widely used, we could he doing great harm to our descendants
and never discover this fact until the damage had already occurred.
And genetic damage, as we have emphasized, is irreversible as far as
is now known.
Is there any possibility of setting up a system to detect such a genetic
emergency if it should occur? The task would be enormously difficult,
for many reasons already ment ioned. For one thing, the damage caused
by mutations occurs in future general generations, not this one, so the
effect would not be- observed for some time. In the second place, the
effect might be spread out over many generations so that an enormous
total effect would still be small enough in the first generation not to be
noticed. Finally, the kinds of effects produced by mutations are not
unique, so if there were, for example, an increased disease or death
599

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rate it would be very difficult to be sure that this were due to mutation
and not some other cause.
We have to accept for the present the fact that any feasible system
of monitoring the human population could detect only a very gross
effect. But, of course, that is what is the most to be feared. So there
may be merit in setting up a system that would detect at the earliest
possible date a really large increase in the mutation rate—say an in-
crease of several fold—if this is occurring. Could such a system be
made workable, and not prohibitively expensive ? We don't have the
answers now, but we would like to suggest a few possibilities which
might merit further consideration. The problem is larger than
just pesticides, and would have to be considered in a wider con-
text of detecting any unsuspected environmental mutagen of high
potency.
A direct search for an increased rate of occurrence of malformations
and diseases of genetic origin would necessarily involve a delay of at
least 9 months, for any mutation that occurs in the parent will be seen
only after the child is born. In the future, intrauterine tests may be-
come feasible; at present the techniques are not adapted to the wide-
scale application that would be necessary is a general rise in mutation
rate were to be detected. It might be possible to select certain traits that
would be the most efficient indicators of an increased mutation rate.
Such indicator traits would have to be:
a.	Dominant, so the trait shows up in the next generation after the
mutation occurs;
b.	Present at the time of birth, or shortly after, so that there is no
long delay in the discovery;
c.	Conspicuous, so that they would be unambiguously and easily de-
tected by those attending the birth;
d.	Of a unique appearance not mimicked by other traits not of mu-
tational origin;
e.	Of such a nature that it is easy to distinguish new mutants from
those cases where the parent had the trait and transmitted it to the
child. This latter point could be ensured by having the trait of such
a nature as to lead to sterility so that every case is a new mutation.
The number of traits that meet these exacting criteria are very
limited; we know of none that does absolutely. But there are probably
several that come somewhere near. We are not qualified to suggest a
specific set, but we think the possibility ought to be investigated
further. As an alternative to choosing traits that are so conspicuous
and characteristic that they would always be recognized, one might
have those attending the birth simply report all instances where the
child is abnormal and then have a staff of specialists in congenital
anomalies visit each case. The proportion of births with obvious
600

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anomalies is in the vicinity of 1 or 2 percent, so by examination of a
tiny fraction of all children bora the specialist would have an excellent
chanco of selecting among these those with defects likely to be
mutational in origin.
The success of such a system would not only depend 011 getting good
observations at the source, but also on a system of prompt reporting
and data analysis so that any trend could be detected promptly. If an
increase is detected one could hope to identify the cause by such things
as the geographical pattern.
The monitoring of gross abnormalities may be too crude to produce
meaningful results. It may be advisable to use retined chemical pro-
cedures that can detect changes in the proteins that are the immediate
gene products. At present such tests are very expensive, but with in-
creased automation, these may be. shortly feasible. The rough and ready
and the retined methods are not mutually exclusive; both have their
advantages. We think it is likely that as our chemical environment
becomes increasingly more complicated that more and more elaborate
systems of monitoring will be necessary.
The cost of genetic monitoring such as we have been discussing
would be very great. It could probably be justified only if it were a
part of a system of monitoring for other environmental factors. A
natural one to couple with a mutation-detecting system would be a
search for new teratogens in the environment. Our memory of the
thalidomide disaster is a reminder of the need to have a system that
will reveal as promptly as possible any agent that is causing physical
abnormalities and disease, whether this be by increased mutation or
any other cause.
Another possibility for monitoring is to study the human popula-
tion, as before, but instead of looking at the next generation look
at this generation for changes that might foreshadow such changes
in the future. If mutations are induced in the germ cells, they are also
induced, in all probability, in other body cells. Therefore, a sensitive
system of monitoring mutation rates in the blood cells could give a
much quicker indication of an environmental change. Such tests could
be both chemical tests for altered gene functions and cytological ob-
servations for chromosome aberrations.
Conclusions
A number of procedures are presently available in mammals, the
majority of recent origin, that can be used to determine the mutagenic
activity of chemicals. Our ability to characterize mutagenic agents
no longer depends exclusively on nonmammalian systems, such as
Drosophila, bacteriophage, micro-organisms, and cell culture, although
601

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these procedures should be considered as ancillary to the available
mammalian tests. The mammalian tests which should be considered
as the basis for evaluating potentially mutagenic agents are the host-
mediated assay, cytogenetic studies, and the dominant-lethal test.
These procedures are as relevant to man as any other animal procedure
presently used in the field of toxicology. They are also practical. The
dominant lethal test can be concluded in less than 3 months, whereas
cytogenetic studies and the host-mediated assay can be carried out in
a few weeks. The cost of these tests is considerably less than that of
many of the procedures currently used in chronic toxicity testing.
It is anticipated that a testing protocol, relying on both the outlined
mammalian tests, and the ancillary procedures, should detect the
majority of mutagenic chemicals.
Since the mammalian procedures presently recommended are of
comparatively recent origin, continued improvements in these tech-
niques can be anticipated. Most important is the need for inexpensive
and sensitive tests that can detect point mutations in mammals. Par-
ticularly promising in this connection is the development of systems
in mice that combine genetically marked chromosomes with crossover-
suppressing inversions, which can be used to detect recessive lethal
mutations.
A Recommended Program for Mutagenesis Testing
There are several bases for choosing which pesticides are likely to
be mutagenic and which need most to be tested. Clearly, it is most
important to test those that are used on a wide scale and to which large
numbers of humans are exposed. In this context, pesticides that are
used in the home are more important than those that are used in areas
away from humans and human crops.
It is possible to make some predictions as to which pesticides are
most likely to be mutagenic. Substances which are known to be tera-
togenic, or carcinogenic, or which interfere with reproductive func-
tions are often mutagenic. Chemical structure sometimes can be a
useful guide to predicting possible mutagenicity. For example, many
alkylating chemosterilants could have been predicted to be mutagenic
in advance of actual tests.
If priorities are needed, we would put at the top of the list those
pesticides that are used in the largest amounts, with the greatest em-
phasis on those used domestically and on food crops. Particular atten-
tion must be directed to domestic exposure by inhalation of pesticide
aerosols and vaporizing pesticide strips. The possibility exists that
this may represent a major source of, hitherto unsuspected, human
exposure. It should also be stressed that labile pesticides, such as
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Captan with a half life of 10 seconds in serum, pose as potentially
serious, although perhaps less obvious, mutagenic hazards as do per-
sistent pesticides.
There are only about 400 substances commonly incorporated in
current pesticide formulations (1). It is feasible to test all of these,
using mammalian and ancillary procedures recommended in this re-
port within a reasonable period of time, say, a year.
Although we cannot foresee all contingencies, we recommend the
following as a general feasible protocol:
a.	Test all compounds now use in the following:
1.	Three mammalian systems, the dominant lethal, host-mediated,
and hi riro cytogenetics, by appropirate routes of administration, re-
flecting human exposure, and also parenterally, and at high-dose levels,
such as maximal tolerated doses.
2.	In ancillary microbial systems, preferably those detecting both
single nucleotide changes and effects involving more than one gene.
The precision of testing, both in mammalian and ancillary systems,
would be such that a doubling of the control level of mutation would
be statistically significant at the 5 percent level. A pesticide is regarded
as negative if none of the tests is significantly different from its con-
trol. If one or more of the three mammalian tests shows a significant
effect, the test is regarded as positive. If only the microbial test is posi-
tive, more detailed mammalian tests are indicated.
b.	If the compound is inactive in all systems, then it is tentatively
assumed to be safe. If the compound is widely used or if for any reason
there is the possibility of extensive human exposure, it is advisable that
more extensive tests be made. Those compounds which have the great-
est chance of having an effect on man should be additionally tested, to
take into account problems of possible interactions and duration and
rate of exposure.
c.	If the compound is mutagenic, a reasoned decision must be made
as to whether the benefit is great enough to warrant further detailed
evaluation, with appropriate interim restrictions on use, or whether
its use must be disallowed forthwith.
d.	The testing procedures recommended above must be constantly
updated and improved to reflect new techniques and new data. We
therefore recommend further that a group of disinterested, scientifi-
cally competent persons be assigned the problem of continuously re-
viewing the whole question of pesticide mutagenesis and test systems
to be employed.
CITED REFERENCE
(/) Neumkyer, J.: ct at. Chemical Week, April 12, 1969, pp. 3H-tf8; April 26,
1969, pp. 38-68.
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Basic Considerations
/S1 tructure-activity relations
Most pesticides have not been designed with the aim of attacking
the hereditary material of cells, but their activity has been discovered
by chance or they have l>een designed as analogs of known metabolic
inhibitors or activators (1, 6, 9). If their assumed metabolic effect is
actually responsible for their pesticide action, it should be possible
to replace mutagenic by nonmutagenic compounds. The known or
presumed major mode of action of pesticides as follows:
1.	Plants (herbicides, fungicides),
a.	Inhibition of photosynthesis (triazines; substituted ureas;
carbamates; bipyridylium quarternary salts).
b.	Inhibition of oxidative phosphorylation (dinitrophenol ana-
logs, such as toluidines; carbamates).
c.	Hormone (auxin) analogs (2^-1);	; benzoic acid
analogs; perhaps maleic hydrazide).
d.	Inhibitor of pantothenate synthesis (chlorinated aliphatic
hydrocarbons).
e.	Inhibitor of porphyrin, hence chlorophyll synthesis (amitrol),
which also inhibits purine synthesis.
f.	Unknown mechanisms (metals, sulfur).
2.	Animals (insecticides, ncmatocides).—Most of these are nerve
poisons.
a.	Inhibitors of acetylcholinesterase (organophosphates, carba-
mates).
b.	Inhibitors of neuromuscular junction (nicotinoids).
c.	Neurotoxicants with only partially known causes (chlorinated
or brominated hydrocarbons, pyrethroids).
An exception to the general rule are chemosterilants that are
designed to produce dominant lethal mutations in insects giving rise
to nonviable offspring (7,8). In the United States of America, chemo-
sterilants are not registered for use as pesticides. However, the Ento-
mology Division of the USDA is currently conducting experimental
field studies, in some of which the possibility of human exposure can-
not be excluded. More alarming is evidence of active commercial in-
terests in chemosterilants in Japan where extensive field tests are now
in progress (4)- It should be emphasized that chemosterilants must
never be employed outside the laboratory except under rigorously
supervised conditions.
Most reactions which alter the hereditary information in a cell seem
to be caused by a chemical or enzymic attack on I)NA itself. The
major exception to this rule is the effect of colchicine which inhibits
spindle formation and causes the production of polyploids. Agents
604

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that alter DNA itself produce either mutagenic or inactivating DMA
alterations. Mutagenic DNA alterations are minor alterations of the
DNA bases which do not prevent DNA duplication but which cause
a change in the base sequence of DNA. Such DNA alterations are
induced by base analogs (^-aminopurine, 5-bromouracil) which are
incorporated into DNA or by the chemical alterations of DNA bases
such as the deamination of adenine or cystosine by nitrous acid, the
hydroxylamination of cytosiiie by hydroxy]amine, the alkylation of
guanine by alkylating agents, or the intercalation of acridine dyes
between DNA bases. Mutagenic DNA alterations give rise to point
mutations.
In contrast, inactivating DNA alterations have more drastic effects
on DNA, since they inhibit the duplication of DNA across the altered
side. Such alterations arise when a DNA base is removed or the DNA
backbone is broken as a consequence of treatment by alkylating agents,
radical-producing agents, or base analogs which inhibit the duplica-
tion of DNA. Many inactivating DNA alterations can be repaired by
special cellular enzymes. Different organisms differ in the extent and
the specificity of repair mechanisms. DNA alterations that have not
been repaired lead to chromosomal breaks which are usually lethal
to the cell. If more than one chromosome break ocelli's within one cell,
large heritable chromosome aberrations can be produced (deletions,
translocations, inversions, etc.). Most, if not all, agents which induce
inactivating DNA alterations or chromosome breaks in vivo have also
been found to induce mutations, cancer, and teratogenic effects, when
examined in the proper test system (2, 3, 5) •
Most compounds affecting DNA produce both mutagenic and in-
activating DNA alterations but the relative frequency of these two
effects differs up to one million-fold for different compounds (0. J). A
mutagenic test system which is very sensitive for one compound, e.g..
transition type point, mutations, may therefore reveal no mutations
with another compound that produces only other types of mutations,
e.g., large chromosome alterations. There is also no correlation between
toxic and mutagenic effects because some highly mutagenic com-
pounds, e.g., certain base analogs, are barely toxic, whereas some highly
toxic compounds, such as cyanide, are hardly mutagenic.
On the basis of theoretical extrapolation from available data, pesti-
cides may be classified in three major groups by chemical structure:
A. Compounds known to alter DNA directly in some biological sys-
tem or compounds having chemical structures that are known to alter
DNA: alkylating agents, radical-producing agents, inhibitors of DNA
synthesis. Irrespective of any further tests, on these compounds, ex-
treme care with respect to human exposure is recommended.
605

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B.	Compounds which by their structure may possibly affect DNA
either directly or after enzymic activation into reactive compounds.
Among these are mercurials, some of which are known mutagens, and
carbamates, some of which may be converted by plant and animal
systems into N-hydroxy carbamates that produce chromosome breaks.
Due to problems of uptake, enzymic activation or inactivation, and
accumulation, it is not possible to make any safe prediction of the muta-
genicity of these compounds in mammals. But thorough testing is
necessary.
C.	Not suspected to produce genetic alterations because their
chemical reactivity with DNA or their mutagenicity have not been
tested and their structure does not suggest such activity. Among the
unsuspected chemical structures are cyclopropane rings, as found in
pyrethrins, triazines, 2,4-T) and other auxin analogs, and those
chlorinated hydrocarbons which do not belong to group A or B
(e.g., DDT). Nevertheless, our general ignorance concerning meta-
bolic conversions makes it desirable that all these compounds be also
tested for mutagenicity. Some triazines e.g., Aziridines also have
alkylating groups and for that reason belong in group A.
Chemical structures known or suspected to affect DNA and
pesticides having these structures are indicated as follows:
A. Compounds having chemical structures that are known to affect
DNA. Any compound having such a structure should be proven to be
harmless before humans are exposed to it.
a. Alkylating agents, induce both point mutations (transitions)
and large chromosome alterations.
1.	Epoxides (Ethylene oxide, En-
drin, Dieldrin).
2.	Ethyleneimines (Aziridines,
such as Apholate, TEPA,
thio-TEPA, METEPA).
3.	Sulphates (Aramite).
4.	Certain Bromides and Chlorides
(Bromomethane, Bromopro-
pane, Dichloroethane, Ethyl-
ene dibromide, Propargyl-
bromide),
o
\ / \ /
c	c
/ \
I
N
\ / \ /
c	c
/ \
-c—o—s-
606

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b). Radical producing agents, induce large chromosome alterations
but not point mutations.
1.	Hydrazines or hydrazides
^ / /N N\ (Maleic hydrazide, known
n—or o=c^ ^c=o	to break chromosomes).
2.	Bipyridylium quarternary salt
(Diquat, Paraquat). Known
^	j X ul uVj|UuliJ ¦ iVllU WII
fr/ 	/	to produce radicals and to
\ /	kill plants in the presence of
oxygen (presumably via per-
oxide radicals affecting
c). Base analogs	DNA).
5-Fluorouracil, fluoroorotic acid;
both DNA synthesis.
B. Compounds suspected to affect DNA or to be converted enzymatically
into effective compounds. These pesticides must be tested for their muta-
genicity in higher organisms,
a).	Unsaturated rings with -OH or SH groups. Some phenols and
cresols are known to produce chromosome breaks perhaps due to
radical formation in presence of oxidizing groups.
(Ioxynil, Niacide, Orthophenyl-
phenol, PCP, etc.)
b)	Carbamates and Thiocarbamates
(Barban; Bux Ten; Carbaryl;
/ \
x=o or s	pachlor; 2,3,6 TBA; Temik;
Thiram; Vapam; Ziram; and
many others).
Ethylcarbamate and several other carbamates are well-known to
produce chromosome breaks, cancer, and teratogenic effects. They
do not affect DNA directly but their enzymic products, such as
N-hydroxycarbamates and other intermediates which in turn produce
radicals, cause inactivating DNA alterations; thus, chromosome
breaks and large chromosome alterations, but not point mutations,
can be induced. Whether or not a particular carbamate is mutagenic
depends therefore on the presence of the N-hydroxylation (or other)
enzymes in the cells.
x	Carbofuran; Carzol; CDAA; Di-
N-C~x~~	metilan; Metham; Mobam; Pro-
607
371-074 O—60'	40

-------
c. Ureas
x
\ II /
N-C— N
/ \
X=0 or S
(Chloroxuron, DCU, Diuron,
Fenuron, Linuoron, Norea,
etc.) These compounds also
alterations if they are activated
N-hydroxylation).
d. Compounds having 2 or 3 nitrogens connected. If they should be
known to produce alkylating agents (certain nitroso compounds) or
radicals, they should be placed in Group A.
^ —NIIi
UN-	N
O
°
\ll
P—S-C—N
/	I
N
O
—N=N— S-ON2
II
O
e. Mercurials
-iig-
Triazoles (Amitrole)
Benzotriazines (Azinphosethyl,
Azinphosmethyl)
Diazo compounds (Dexon, also
alkylating?)
(Elcide, Emmi, Ethylmercury
chloride, Panogen, Ceresan,
Semesan Bel, and others)
Some mercurials are known mutagens, presumably owing to their
content of Hg.
f. Organophosphates
(Parathion, Methylparathion,
Malathion, Demeton, Disulfo-
tone, Dimethoate, HMPA
Phorate, Phosphamidone, Cy-
olane, Dimefax, Monitor,
Riielene and many others).
These compounds are phosphate triesters which are labile to hydroly-
sis. Although not tested, some of them may react with DNA by
transalkylation.
—	C-O X
/ \ll
P—Y—
\ /
—	C-0
/
X—O 01- S
Y=Q—, S—, 01 N <
608

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g)	Other reactive compounds
(Acrolein, Allyl alcohol, Acryloni-
trile [known to react with 4-
uridine, inosine, t-RNAl)
h)	Chlorinated cyclodienes having an unsaturated group in a ring
attached to the chlorinated one.
ci
ci
C1CC1
1
(Aldrin, Isodrin, Heptachlor)
These compounds are known to be converted into epoxides that are
found in body fat.
i) Base analogs
(Benlate, Isocil, Lenocil, Lavozil,
Bromacil, Terbacil)
Some of these compounds may possibly inhibit DNA sysnthesis.
j) Arsenates, Cacodylic Acids, inhibit phosphorylation
k) Potential Intercalating Compounds
(Anthraquinone, Morestan, Phe-
nothiazine)
Some of these compounds may act similar to acridines and intercalate
between DNA bases.
1) Certain antibiotics
(Griseofulvin)
CITED REFERENCES
(/.) Bbian, R, C. The classification of herbicides and types of toxicity. In The
Physiology and Biochemistry of Herbicides (L. J. Audus, ed.), Part 1,
p. 1-37, Academic Press, New York, 1964.
(2)	Fbeese, E. Molecular mechanism of mutations. In Molecular Genetics (J. H.
Taylor, ed.), Part 1, p. 207-260, Academic Press, New York, 1963.
(3)	Fbeese, E. and E. B. Fbeese. Mutagenic and inactivating DNA alterations.
Radiat. lies. Suppl. 6, 97-140,1966.
(4)	Japan Insect Sterilant Association, Vol. 3,1966-1967.
(5)	Kalteb, H. Teratology of the Central Nervous System, The University of
Chicago Press, Chicago, Illinois, 1968.
(6)	Kihlman, B. A. Actions of Chemicals on Dividing Cells, Prentice-Hall, Inc.,
Englewood Cliffs, New Jersey, 1966.
(7)	Kilgobe, W. W. Chemosterilants. In Pest Control (W. W. Kilgore and R. L.
Doutt, ed.), Part 1, p. 197-239, Academic Press, New York, 1967.
(8)	LovEr.Ess, A. Genetic and Allied Effects of Alkylating Agents, The Pennsyl-
vania State University Press, University Park and London, 1966.
(9)	O'Bbien, R. I). Insecticides, Academic Press, New York, 1967.
609

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Usage patterns
The expected increased need for pesticides in the next i>—10 years will
result in the greater use of currently registered chemicals. New prod-
ucts are also being rapidly developed and will no doubt replace a num-
ber of widely used pesticides. The enclosed summary lists the major
categories of pesticides that predominate the market.
Herbicide*.—Preemergence herbicides, such as atrazine (triazine
derivative), trifluaralin (a dinitrotoluidine), amiben (benzoic acid
derivative), lead the use of herbicides and are expected to continue to
grow over the next several years.
Posteinergence herbicides, such as phenoxy acetic acid derivatives
(i.e., 2.4-1), 2,4,5-T), contribute greatly to the use of pesticides and
represent a major use category.
Iwxectieide*.—For years DDT, along with other chlorinated hydro-
carbons, dominated the insecticide market. However, due to their per-
sistence and potential ecological and human hazards, they will prob-
ably be phased out of agricultural use in the IT.S. in the early future.
Malathion, a phosphate insecticide, will likely increase in usage over
the next several years and represents a major class of insecticides in
use. Carbaryl, a carbamate insecticide, is expected to continue to grow
in use and is now a major insecticide. Similarly, the systemic insec-
ticides, such as carbofuran, dimetlioate, disulfoton, methyl-demeton,
phorate, phosphamidon, are ma jor products in use today.
Based on U.S. sales at manufacturing levels, the following materials
can be considered the most widely used in agriculture:
Herbicides:
Atrazine	Propachlor, GDAA and related
Trifluralin	products
Amiben and related products
2,4-D
2,4,5-T
Nitralin
Pieloram
Paraquat
Dieamba
Insecticides:
Carbaryl
Malathion
Aldrin
Diazinon
Toxaphene
DDT
Methyl parathion
Parathion
Chlordane
Heirtac-hlor
Disulfoton
Phorate
Kelthane
Rux Ten
Kndrln
Aziuphosmethyl
Fungicides:
Dithiocarbamatea
Captan
Pentachlorophenol
Iktdine
610

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Fumigants:
Methyl bromide
Of these agriculturally important materials, several should be given
extra consideration because of their widespread usage in household
formulations. Among these are chlordane, DDT, and its analogs, BHC
and other chlorinated hydrocarbons, including the cyclodienes, and
certain orgnnophosphates such as Malathion. In addition, a number of
other products are used particularly for household purposes, especially
in aerosols and vaporizing strips, and should consequently be con-
sidered as priority compounds for mutagenic evaluation. Included in
this group are the pyrethroids and their synergists, i.e., piperonyl
butoxide, Dichlorvos, and such commonly applied insect repellants,
such as diethyltoluamide, and ethylhexanediol. Some of these materials
are particularly important, because human exposure occurs largely
through inhalation via aerosol sprays or vaporization or skin absorp-
tion, and to a lesser extent also by ingestion.
Literature Summary
General considerations. Approximately 400 chemicals are now used
in the control of weeds, insects, nematodes, rodents and plant
diseases(i). In the present literature search, more than 500 published
papers on the mutagenicity of pesticides have been located. Many of
these papers refer to compounds which are not currently in common
use in the United States, but which in some cases are used elsewhere.
Therefore, they represent a potential hazard to the population of the
United States, either as contaminants in imported foodstuffs, or
through future registration in the United States. In this preliminary
manual literature search, we located 42 papers referring to mutagenic
testing of some compounds in a recent listing (1). In total, 31 of the 32
compounds tested showed mutagenic activity in at least one system.
It should be stressed, however, that this represents a group of com-
pounds preselected as likely to be mutagenic. We have no doubt that
a more extensive search among the literature already in Environmental
Mutagen Information Center (EMIC) files would reveal that many
more of the commonly used pesticides possess mutagenic activity.
It is apparent from the literature that there has been no large scale
testing of pesticides for mutagenic activity. Existing reports are there-
fore sporadic. Most of the tests for mutagenic activity of pesticides
have been done on plants.
A detailed summary table of literature reviewed is given in the
appendix. The following examples are presented for illustration only:
a. Fum.igantH.—These are generally used in restricted areas. The
compounds will only reach the human population if they are persist-
611

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ent. As fumigants are often 'highly reactive, it is likely that their
breakdown j)roducts may reach the general population. For example,
ethyleneoxide is a highly reactive alkylating agent which lias been
shown to be mutagenic in many systems. If chlorine ions are present, in
fumigated material, ethylene chlorohydrin will be formed. This com-
pound, stable enough to persist in marketed material, induces point
mutations in Neuroxpora craxxa.
Several other fumigants which have shown mutagenic action include
formaldehyde, active in Newonpora and Dronophila, and ethylene di-
bromide, active in Neurospora.
b.	Mercury pesticides.—Twelve of the 317 pesticides in a recent
listing (1) contain mercury. Eight hundred thousand pounds of mer-
cury, representing 15 percent of the total amount of mercury marketed
per annum in the U.S., are used in the production of pesticides. Most
of the remaining 8a percent is used in mildew-resistant paints. In
nature, most mercurial compounds are finally converted into methyl-
mercury. This accumulates in fish and shellfish. Human consumption
of such seafood may lead to accumulation of methyl-mercury to even
lethal levels. Methyl-mercury causes nondisjunction in DrosopMla;
high levels of chromosome aberrations have been found among heavy
fish eaters in Sweden (2). In Japan, deaths and teratological effects
have been directly attributed to the intake of mercury containing sea-
foods (,?). It is known that mercurial residues can persist up to 100
years in polluted lakes. The use of many mercury pesticides is now
prohibited in Sweden.
c.	Organophosphate insecticides.—Many are triesters of phos-
phoric acid, and as such might be alkylating. The simplest triester is
trimetliylphosphate, while not, however, a pesticide, can induce point
mutations in Nuerospora eras*a and is highly active in the dominant
lethal mouse test (4)-
d.	M iscellaneou*.—Captan induces chromosome rearrangements
in rats and point mutations in Nuerospora cranm. Maleic hydrazide
breaks chromosomes in many plant systems, although inactive in the
dominant lethal test in the mouse. Lindane is also similarly active in
many plants systems.
Conclusion,—Although only limited information on the mutagenic
action of commonly used pesticides exists at present in the literature,
it is likely that automated procedures will be required to keep up with
an expanding literature.
CITED REFERENCES
(1)	Xeumeyer. J. < t at. Chemical Week April 12, llXii), pp 3K-68; April 2(i, ISHil),
pp 3S-68.
(2)	Lofroth, G. Personal communication.
612

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(8,1967.
(4) Epsteijt, S, H, IJnt>ublis.lie(l data.
Appendix
BIBLIOGRAPHY
The literature listings compiled in this search were obtained man-
ually or through MEDLARS. This literature search should still be
considered incomplete. In a few cases, key words have been added after
the literature references. The literature references have been sub-
divided into the following categories:
Induction of mutation, chromosomal effects, antimitotic effects, and
other effects related to mutagenc-ity.
Teratogenic effects.
Biochemistry.
DDT and related compounds, papers not included in the earlier
categories.
Distribution.
Reviews and symposia.
Effect on man.
i Induction of Mutation, VhromoHttmal Effort*, Antimitotic Effects, and Other
Effects Related to Mutagenicity)
Adekab, G. Changes in the Human Ovum in E 605 Poisoning. Deutsch Z. Ges
Gerichtl Med, 58: *248-200,1966.
Alderson, T. H. Culture conditions and mutagenesis in Drosophila melanogaxtcr.
Nature (London) 1T9 : 974—075, lt>57,
	Mechanisms of mutagenesis induced by formaledhyde- The essential role
of the 6-aniino group of adenylic acid in the mediation of the mutagenic ac-
tivity of formaldehyde. Nature (London) 1.01; 251-253, 1961.
	The mechanism of formaldehyde-induced mutagensis. The monohydroxy-
methylation reaction of formaldehyde with adenylic acid as the necessary
and sufficient condition for the mediation of the mutagenic activity of formal-
dehyde. Afutat. /ten. 1:77-8o, 1964.
	 Significance of ribonucleic acid in the mechanism of formaldehyde-in-
duced mutagenesis. Nature (London) 183 : 004-907,1960.
Alekperov. If. K.p A. F, Kolom.veth. and V. K, Schebbakoh. Antimutagenlc Ac-
tivity of Paraquat. Daklatly Atcadcmii Nouk 8SSR, 176(1) : 190-201, 1967.
Alexander, M. L.. and E. Glanges. Genetic Damage Induced in the Germ Cells
of Drosophila melanoyuxtrr with Ethyleneimine. Genetics 50: 231-232, 1©64.
Alexander, M. L. Genetic damage induced in the sex chromosome and auto-
somes, with X-ray atid ethyleneimine treatments. Bad. Kc#. 31: 614, 1967.
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Roman, E. Sensitivity of DDT of the larvae of mosquitoes from Lyon from 1945
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Rybakova, M. N. Comparative toxic effect of sevin and DDT used on food crops.
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Tadano, T., and A. W. Brown. Genetical linkage relationships of DDT-resistance
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Tatton, J. O., and J. H. Ruzicka. Organochlorine pesticides in Antarctica. Na-
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Wesley, R. L. et al. Depletion of DDT from commercial layers. Poultry Sci.
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Wood, R. J. The use of discriminating concentrations in genetical studies on
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Wursteb, C. F. Jr., and D. B. Wingate. DDT residues and Bermuda petrels.
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Yasuno, M., Y. Purivftthaya, and C. Harinasuta. Dieldrin and DDT resistance
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Elkins, E. R., F. C. Lamb, R. P. Farrow, R. W. Cook, M. Kawai, and J. R. Kim-
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Ferguson, D. E., J. L. Ludke, and G. E. Murphy. Dynamics of endrin uptake
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Ferguson, D. E„ and C. P. Goodyear. The pathway of endrin entry in black
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Fomin, A. P. Biological effect of epichlorhydrine and its hygenlc significance as
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Getzendaner, M. E., A. E. Doty, E. L. McLaughlin, and D. L. Lindgren. Bro-
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Conservation Federation, Washington, D.C. Pesticide Pollution, Part I. Consumer
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Gutenmann, W. H, et al. Metabolic studies c,o-o-diethyl 0-(3,5,6-triebloro-2-
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Food Chem. 16: 45-47, 1968.
636

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Lamb, F. C., R. P. Farrow, E. R. Elkins, J. R. Kimball, and R. W. Cook. Re-
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637

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LITERATURE REVIEW
These data have been collated from flies of the Environmental Mutagen
Information Center and are presented for illustrative purposes only. They are
not presented as comprehensive listings.
638

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Dose	EMIC
Pesticide1 Organism In which tested Assay system —		Biological effect registry
Range Minimum	No.
effective dose
Acrylonitrile	Yeast	t-RNA			 Cynoethylation		569
Do	do	 Pseudo-uridine modification		568
Atrazine	Barley	Anther	 1,000 p.p.m.—Soaked	Slight effect on meiosis (C,)		70
Slight effect on meiosis (Cj)		70
Capt&n	Human embryo	L-132 cells	 10 mcg/ml	Inhibition of DNA synthesis		426
Do	 Mice	 Sperm	9 mg./kg	 Negative induction of	23
500 mg./kg.	dominant leth&ls.
Do	Bat kangaroo	Somatic and 1.25 to 5.0 mcg./ml	 Chromosome aberrations		426
germ cells.
Carbaryl	Barley	Anther	 1,000 p.p.m.—Soaked	No effect oil meiosis (Cj)		70
500 p.p.m.—Sprayed	Abnormal meiosis (CO		70
Do	Plant	Boot tips	0.5 and 0.25	Abnormal mitosis		1
Saturated.	Chromosome Aberrations.
Chloroform	AUium cepa	do	Saturated to 0.005%	 0.025%	C-mitosis chromosome aberra-	553
tions.
Do	do	do	 C-mitosis		535
Chlorphrophan	Plant cells	 2.5, 5, 10, 20, 40, 80 	C-mitotic effect				95
p.p.m.	Nuclear disintegration.
2,4-D	Narcissus	 Root tips	0.01, 0.05, 0.1%	 C-mitosis		391
Chromosome aberrations.
2,4-D	Cotton {Ada 44) __ Cotyledons	10~l to 10-' M	Effects nucleic acid synthesis		277
2,4-D	Allium cepa	Root tips	0.01,0.05,0.1%	 C-mitosis		391
Chromosome aberrations.
2,4-D	Viciafaba	do	0.001% to 1.0%	0.001%	Abnormal mitosis		60
2,4-D	AUium cepa	do	25 to 500 ppm	25 ppm	Chromosome aberrations		291

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o
¦U
O
Pesticide 1
Organism in which tested
Assay system
Dose
Range
Minimum
effective dose
Biological effect
EMIC
registry
No.
2,4-1)	Tradescantia	 0.001% to 1.0%	0.001%	Abnormal mitosis		60
DCNA	Barley	Anther	 1,000 p.p.m.—Soaked	Slight effect on meiosis (Ci)		70
500 p.p.m.— Sprayed	 High abnormal meiosis (C2)		70
DDT	 Mice	 Sperm	 105 mg./kg	 Negative induction of dominant	23
Lothals.
DDT	 _ Allium cepa	 Root tips	Saturated solution	 C-mitosis and chromosome	40S
breaks.
DDT	 Trigonella foreum 	do	Saturated solutions	do		408
graecum.
Dichlorvos	Onion	do	 0.5 to 6.0 sq. cm	 Chromosome breaks		396
Dicomba	Barley	Anther	 1,000 p.p.m.—Soaked	Abnormal meiosis (C\)		70
500 p.p.m.—Sprayed	 Abnormal meiosis (C2)		70
Dieldrin	Crepis capillaris— Sprouts	 10% solution	 C-mitosis effect, no chromo-	40
some breaks observed.
Endothall	 Plant cells	 Chromosome aberrations		570
Endrin	Barley	 Anther	 1,000 p.p.m.—Soaked	 No effect on meiosis (C])		70
500 p.p.m.—Sprayed	 No effect on meiosis (C2)		70
Ethylene oxide	Fungi	 0.025 M	 Point mutations and reverse	258
mutations.
Do	 Neurospora crassa- Conidia	0.14 M	 Point mutations and reverse	34
mutations.
Do	 Maize	 Plant cells	1 part E.O. to 20 	 Chromosome breaks		25
parts air.
Ethylmercury Triticum	Root tips	 0.5 to 1%	 Mitotic aberrations		357
chloride.
Do	Secale cereale	do	do	do		357

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Ferbam	Aspergillus nigerSpores	 1,000 p.p.m	Morphological mutants and	49
reverse mutations.
Do	Allium cepa	Root tips	 240 p.p.m	Chromosome aberratlns		49
Formaldehyde	Drosophila Sperm	 0.033—0.05 M	Induced very low incidence of	404
melanogaster.	recessive lethaLs but enhanced
the effect of X-rays.
HCN	 Mammalian Heart, spleen and 0.20X 10-J to 	Some nuclear abnormalities	460
embryo.	liver cells.	0.88 X 10~®.	induced.
Do	Viciafaba	Root tips	4X10~*M	Chromosome breaks		510
Isocil	Barley	Anther	 1,000 p.p.m.—Soaked	Abnormal meiosis (Ci)		70
500 p.p.m.—Sprayed	Abnormal meiosis (Ca)		70
KOCN	Viciafaba	Root tips	 400 ^iM/L	Chromosome breaks.
1,000 4M/L.
Lindane	Onion	do	 1/20,000 to 1/80,000	do		396
Do	AUium cepa	do	 0.00125%	Induced aneuploidy and	478
chromosome fragmentation.
Do	do	do	2 to 0.0006%	 0.00125%. _ Induced C-mitosis		571
Do	Zeamays	 Root tips, stems Solid particles			Chromosome aberrations		502
Coleoptilc
tissue.
Do	 Trilicum vulgare	do	do	do		502
Do	 T. Monococcum	do	do			do		502
Do	 T. cotnpacium	do	do					do		502
Do	Secale cereale	do	do	do		502
Do	Setaria Haiica	do	do	do		502
Do	 Helianthv* annu*	do	do	do		502
Do	 Crepis capillar™	do	do			do		502
Do	Viciafaba	do	do			do		502
Do	V. saliva		do	do	do		502
Do	Brassica nigra	do	do	do		502

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£
M
Dose	EMIC
Pesticide1 Organism in which tested Assay system 			Biological effect registry
Range Minimum	No.
effective dose
Linuron	Rhizobium	Cells	 0-500 jug./ml	 200 #ig./mL. Forward mutation induction		32
Do.		Barley	Anther	 1,000 p.p.m.—Soaked	 No effect on meiosis (Ci)		70
500 p.p.m.—Sprayed	 No effect on meiosis (C2)		70
MH	 Plant cells	 10~4 M	 Chromosome breaks		33
MH	Viciafaba	Itoot tips	do	 Chromosome breaks, sup-	517
presses mitosis.
MH	do	do	do	 Chromosome breaks		19
MH	do	do	 0.0005 to 0. 0001 M		Chromosome aberrations		19
MH	do	do			 Chromatid breaks		24
MH	Drosophila Sperm	0.4%	 No recessive lethal induction		378
melanogaster.
MH	 Guinea pig	Tissue cultured 0.01 M	 No morphological effect		6
ear cells.
MH	 Tomato	 Root tips	 10~s M, 10~3 M, 10~4 M	Chromosome aberrations		329
10-4 M.
MH	 Mice	 Sperm	 500 mg./kg	 Negative induction of dominant	23
lethals.
Monuron	Barley	 Anther	 1,000 p.p.m.—Soaked	Abnormal meiosis (Ci)		70
500 p.p.m.—Sprayed	Abnormal meiosis (C2)		70

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Napt&lam	do		--do	 1,000 p.p.m.—Soaked	Abnormal ineiosis (Ci)		70
500 p.p.m.—Sprayed	 Abnormal meiosis (C2)		70
Paradichloro- Viciafaba	 Root tips.		 Saturated solution		Abnormal mitosis		64
benzene. Chromosome breaks		64
Chromosome fragmentation		64
Par&thion	Allium cepa	do	 0.01,0.005,0.0075%..		Induced C-mitosis		476
PCP	 Plant cells	Saturated solution	 Meiotic effect		2
Phosphamidon	Barley	Anther	 1,000 p.p.m.—Soaked		Slight effect on meiosis (Ci)		70
500 p.p.m.—Sprayed	Slight effect on meiosis (C2)		70
Propham	Avena saliva	Root and stem 0.1 to 5.0 p.p.m	 Mitotic aberrations		314
tips.
Do	Plant cells	 2.5, 5, 10, 20, 40, 80 	C-mitotic effect		95
p.p.m.
Do	 Plant cells	do	do	 Nuclear disentigration.
Do	 Avena and allium	do	 Anaphase bridges, blocked,	312
nuclear fragmentation.
Simazine	Barley	Anther	 1,000 p.p.m.—Soaked	Slight effect on meiosis (Ci)		70
500 p.p.m.—Soaked	 No effect on meiosis (C2)		70
2,4,5-T	AUium. cepa	Root tips	25 to 500 p.p.m	25 p.p.m	Chromosome aberrations		294
2,4,5-T	Apricot	Fruit cells	100 mg./L	 Sl'ght antimitotic effect		445
t Name according to Neumeyer et al., "Chemical Week," Apr. 12 and 26,1909.

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EMIC
registry-
No.
References
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Naphthyl Carbamate 'Seviu'. Cytologia (Tokyo), 30,175-181. 1965.
2	Ames, S. M.. and E. M. Ali.: Cytological Effects of Pesticides. II. Meiotic
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6 Barnes, J. M. ET al.: The non-toiicity of maleic hydrazide for mammalian
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19 Dari.inc.ton", C. D., and McLeisH, J.: Action of Maleic Hydrazide on the Cell.
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23	Epstein, S. S., and H. Shafner: Chemical Mutagens in the Human Environ-
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24	Evans, H. J., and D. Scott: Influence of DNA Synthesis on the Production
of Chromatid Aberrations by X-rays and Maleic Hydrazide in Vicia faba-
Genetics (Princeton) 49:17-38.1964.
25	Faberqe, A. C.: Types of Chromosome Aberrations Induced by Ethylene
Oxide in Maize. Genetics (Princeton) 40; 571. 1955.
27 Fletcher, K.: Production and Viability of Eggs from Hens Treated with Para-
quat. Nature 215:1407-1408. 1967.
32	Kaszubiak, H.; The effect of herbicides on RAfeofrium: III. Influence of herbi-
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33	KimjLAN, B. A.; On the radtomimetic effects of cupfeiron and potassium
cyanide. J. Biophys. Biochem. Cytol. 5: 351-353.1959.
34	Kilbey, B. J,, and H. G. Kolmark. A Mutagenic After-effect Associated with
Ethylene Oxide in Neurospora Crassa. Mol. Gen. Genet. 101: 185-188. 1968.
40 Mabkaktan, D. S.; Effect of dieldrin on the mitosis in Crept* eapUarit sprouts
Qenetika 3: 55-58. 1967.
49 Prasad, I. Genetic effects of ferbam on AtuergiUvt nigtr and .Allium crpa.
Phytopathology 58:1188-1189. 1968.
60 Sawamura. 8. Cytologlcal studies on the Effect of Herbicides on Plant Cells
In Vivo. I. Harmonic Herbicides. Cytologia (Tokyo) 29: 86-102. 1964.
64 Brtvastava, L. M. Induction of mitotic abnormalities in certain genera of tribe
vicieae by paradichlorobensene. Cytologia 31(2): 166-171 1966.
TO Wuu, K. D.t and W. F. Grant. Chromosomal Aberrations Induced by Pesti-
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95 Manx, Jay Dand William B. Storey: Rapid action of carbamate herbicides
upon plant cell nuclei. Cytologia 31(2): 203-207. 1966.
258 Wkstergaard. M.: Chemical Mutagenesis in Relation to the Concept of the
Gene. Eiperientia Vol XIII/0: 224-233. 1955.
277 B abler, E., and K. Naxazawa: Effects of 2,4-D on nucleic acids of cotton
cotyledon tissue. Bot. Gaz. 122: 228. 1961.
294 Croebr, B. H.: Effects of 2,4 dichlorophenoryacetic acid and 2,4,5-trichloro-
phenoryaoetic acid on mitosis in oUium cepa. Bot. Gaz. 114: 274-283. 1953.
314 Ennis, W. B., Jr.: Some cytological effects of O-isopropyl N-phenylcarbamate
upon Avena. A.). Bot. 35; 15-21.1948.
329 Grast, W. F.: Cytogenetic effects of maleic hydrazide treatment of tomato
seed. Can. J. Genet. Cytol 2: 162-174. I960.
EMIC
registry
No.
Reference
357 KoaTOFF, D.: Effect of the fungicide "Granosan" ou a typical growth and
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378 Nasrat, G. E.: Maleic hydrazide, a chemical mutagen inDrmopliUa relanogaiter.
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391 Ryland, Alice G.: A cytological study of the effects of colchicine, indole-3-
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396 Sax, K., and H. Sax.: Possible Mutagenic Hazards of Some Food Additives,
Beverages, and Insecticides. Japan J. Gen. 43(2); 89-94. 1968.
404 Sobels, F. H.: The effect of formaldehyde on the mutagenic action of X-rays
in Drotophtta. Experientia 12(8): 318. 1956.
408 Vaarama, A,: Experimental studies on the influence of DDT pesticide upon
plant mitosis. Hereditas 33: 191-219. 1947.
426 Legator,M.^Mutagenicity of Captan. Ann. N.Y. Acad. Sci. et al. 160- 344-351.
1969.
445 Bradley, M. B., and J. C. Crake: The effect of 2,4,5-Trichlorophenoxyacetic
acid on the cell and nuclear size and endopolyploidy in parachyma of apricots.
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460 Danes, B., and P. Leixfelder: Cytological and Respiratory Effects of Cya-
nide on Tissue Cultures. J. Cell. Comp. Phys. 37: 427-446.1951.
476 Gimexez-Martin, G., and J. Lofez-Saez: Accion a-Mitotica del Parathion.
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478 Gimenez-Martix, G., and J. Lofez-Saez: Acction del gamma-hexaclorociclo-
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502 Kostoff, D.: Induction of cytogenetic changes and atypical growth by hexa-
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510 Lilly, L. J., and M. Thoday: Effects of cyanide on the roots of Vicia faba.
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535 OsterGren, G.: Colchicine mitosis, chromosome contraction, narcosis and
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553 Steivegger, E„ and A. Levan: The effect of chloroform and colchicine on
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568	Yoshida, M., and T. Ukita: Selective Modifications of Inosine and ~-Uridine
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569	Rake, A. V., and G. M. Tenek: Effect of Cyanoethylation of Yeast Transfer
RNA on its Amino Acid Acceptor Activity. Biochem. 5(12): 3992-4002.
570	Cytological and Genetic Effects of the Defoliant Endothall. J. Heredity 47:
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571	Gimezez-Martix, et al.: Accion del gamma-heraciorociclo-liexano sobre la
division celular. 4>tT0N 14(2): 61-78,

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Addition Data on Cited Compounds*
Products, producers
U.S.
patents
Chemical name and formula
Physical
properties
Product
form
Oral
toxicity
LDs(
Major end-uses
AcrylonitrUe
Aeritet*
Staufler
Carbide
Monsanto
CytoumKl
Fu
Acrylonitrile
chf=chcn
Colorless liquid
b.p. 77.3-77.5 C
S3 Fumigant for stored grain, tobacco,
nuts, and dates to control insects
H
Atratrone
Qesatamin
O-32293
Geigy
2-(Ethylamiiio)-4-(isopropylamino)-6-methoiy-s-triaxine
OCHs
A	Colorless,
j	crystalline
" „	CHi	solid
/	m.p. #4-96 C
I)	j-""--
CHiCHj—HN

-NHC^
1,465 Experimental herbicide; absorbed by
both leaves and roots, unlike
simazine, which is taken up only
by roots
CHi
Cap tan*
Orthocide*
Staofler
Chevron
N -Trichloromethylthio-4-cycloheiene 1,2-dicarboximide
2.663.770
2.553.771
/V
\A,
CI
v.	I
N—S—C—CI
' A.
Colorless to bull
powder m.p.
158-164 C
WP
D
10,000 As a protectant-eradicant fungicide
for fruits, vegetables and flowers in
control of scabs, blotches, rots,
mildew, etc.
O
APPLICATION: F, fungicide; F«, fumigant; H,herbicide; I, insecticide; L,larvacide; M.miticide; Mo,mol!uside; N,nematocide; R,repellant; Ro,rodenticide; S, synergist; PGR.plant
growth regulator. PRODUCT FORM: A, aerosol; B, bait; C, concentrate; D. dust; EC, emulsifiable concentrate; G, granules; OS, oil solution; p, powder; S, spray ULV, ultralow
yoiome; V, vapor; WML, water miscible liquid; WSC, water-soluble concentrate; WP, wettable powder.
Table taken from Neumeytr, et al. (op. cit.)

-------
Addition Data on Cited Compounds*
Products, producers
U.S.
patents
Chemical name and formula
Physical
properties
Product
form
Oral
toxicity
LDio
Major end-uses
Carbaryl
Sevin*
Carbide
2,903,478
1-Naphthyl N-methylcarbamate
H
	0	C—N—CH-
1	II
yw °
W
Colorless,
crystalline solid
m.p. 142 C
dg 1.232
WP
D
G
j40 Control of insets on fruits, vegetables,
forage, cotton and other economic
crops, as well as poultry and pets
Fu,I
Chloroform
Chloroform
H
I
CI—C—Ci
I
I
cl
Colorless, liquid
b.p. 60-61 C
Insecticide; grain fumigant mixture
contains 73.2% CHCb, 26.8%
CSj; screw worm control on animals
H
Isopropyl m-chlorocarbanilate
Chlorpropham
Chloro IPC
C1PC
PPG
O
2,605,225
^	N—C—O—CH
i	h Vc:
Cl
CHj
/
H
CHj
b.p. 247 C
(decomp.)
m.p. 38-39 C
EC
G
Highly selective preemergence and
5,000-7,500 early post-emergence herbicide;
effective control of many annual
grassy and broadleaved weeds
2,t-D
Verton* D
DMA-4*
WE EDA R*
Monsanto
Hercules
Chlpman
T hompson-Hayward
Diamond
Dow
H
2,4-Dichlorophenoiyacetic acid: also used as amine salts
and esters
Cl
J
ci--o-ch^-oh
Colorless powder EC
m.p. 138 C	G
WML
500 Plant growth regulator; post-emer-
gence weed control in cereal grains,
corn, pastures and lawns; aquatic
weeds

-------
2,6-D ichloro-4-nitroaniline
DCNA
Dicbloran
Botran*
Ditranil
Tuco
CI
NHj CI
I
>
NOj
WP
D
Yellow
m.p. 192-194 C
Selective fungicide used as soil
treatment or foilage spray or dast;
10,000 particulary effective against Bo~
trt/tU, Schltrotmia, Monilinia, Sch-
krotium and Rhizopui
DDT
Dichloro-dlphenyl-
trtchloroethane
Ocnltox*
Anofez*
C hbropbenotbane
Lebanon
Allied
Diamond
Montrose
Olin
Oeigy
l,l,l-Trichloro-2,2-bis p-chlorophenyl) ethane
CI
CI—rvo6
Vapona*
DBVP
Hetkol*
Dedevap*
Oko*
Mafu*
Shell
2,966,073
2,2-Dichlorovlnyl dimethyl phosphate
CHiO OH	CI
/ \
CH,0
CI
Colorless to	EC
amber b.p. 77 G
C/l mm.	S
B
Control certain insects that are
56-80 economically important in public
health (man and livestock) and
insects that attack stored prod-
ucts; effective against household
pests
H
3,6-Dichloro-o-anisic acid
Dicaroba
Banvel*
D Vebicol
3,013,064
HO O
\ ^
C OCH,
CI
CI
Light-tan,
granular solid WSC
m.p. 114-116 C
For control of annual broad-leaved
weeds in fall and spring, seeded
small grains, established perennial
3,600 grasses, golf course fairways and
greens; pre- and post-emergence
weed control in field corn, un-
wanted brush

-------
Addition Data on Cited Compounds*
Products, producers
U.S.
patents
Chemical name and formula
Physical
properties
Product
form
Orai
toxicity
LDjo
Major end-uses
Not less than 85% of 1, 2, 3, 4,10,10-hexachloro-6,
7-epoxy-l,	4, 4a, 5, 6, 7, 8, 8a-octahydro-l, 4-endo-exo-5,
8-dimethanonaphthalene
Dieldrin
Octalox*
Panoram D-31*
Shell
2,676,131
O
CI
II——II
Cl-
-C1
CI
r—CI
CI
BufftO light-
brown m.p.
175-176 C
EC
WP
I)
G
To control general soil-inhabitating
insects and certain insects attack-
t>0 ing principal field, vegetable and
fruit crops; mothproofing; public
health pests; disease vectors;
broad-spectrum insecticide
Endothall
Aquathol
Hydrottial
Accelerate
Des-l-Cate
Herbicide 282*
Herbicide 273*
Pennsalt
H
3,207,593
3,321,294
3,246,015
7-Oxabicyclo (2.2.1) heptane-2,3-dicarboxylic acid
0
I!
C—OH
-OH
m.p. 116 C
WSC
Pre- and post-emergence herbicide
and harvest aid; root crop and
61 vegetable protection; aquatic
herbicide; alfalfa and clover desic-
cant
I,Ro
1, 2, 3, 4, 10, 10-Hexachloro-6, 7-epoxy-l, 4, 4a, 5, 6, 7, 8, 8a-
octahydro-1, i-endn-endo-H, 8-diraethanonaphthalene
CI
Endrin
Shell
Velsicol
2,676,132
Cl-
Cl-
Cl—
—CI
H-
-H
K
c
/
Cl
Control of pests such as cotton
Light colored,	EC	insects, cutworms, armyworms,
free-flowing, WP	7.3-43.4 aphids, corn borer, cabbage looper,
crystalline solid D	grasshoppers, plant bugs, lygtis
G	bugs, webworms and many other
pests; also used as rodenticide

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Ethylene oxide
Oxirane
Dow
Jefferson
Carbide
Wyandotte
Fu
Ethylene oxide
O
/X \
CHi—-CH:
b.p. 10 C m.p.
Ill C
V

Fumigant for stored foods
Ethylmercury chloride
Cereean*
Granosan*
DuFont
F
Ethylmereury chloride
CHjCHj—Hg—CI
Colorless, crystal-
line solid m.p.
190-193 C
D

For treatment of cotton, peanuts
and pea seeds to control numerous
seed-borne diseases and to reduce
seed decay and check damping-
ofl; as a short-soak treatment for
basal rot of narcissus bulbs
Ferbam
Fermate*
Vancide-FE95
Dn Pont
FMC
Wood Ridge
Vanderbilt
Pennsalt
F
1,972,061
Ferric dimethyl dithlocarbamate
rCH, 8 "I
| le
Lc4 J,
Black
powder
m.p. 180 C
(decomp.)
WP
17,000
To control many fungus diseases of
fruits and nuts, certain vegetables,
tobacco and ornamentals
Formaldehyde
Formalin
Allied
Celanese
Fu
Formaldehyde
O
H-i-H
Colorless
gas
b.p. -21 C
V
Toxic to
plants,
animals
Fumigant; soil sterilant (mush-
rooms) and seed treatment
Hydrogen cyanide
Hydrocyanic acid
Prussic add
Cyanamid
Fu
Hydrocyanic acid
H—C»N
b.p. 26 CI
780 mm.

LD
200
ppm.
Fumigant for raw agricultural com-
modities, including grain
$

-------
in
O
Addition Data on Cited Compounds*
Products, producers
U.S.
patents
C hemicat name and formula
KOCN
Potassium cyanate
Aero* cyanate Weed
Killer
Cyanamid
H
Potassium cyanate
K—O—C-N
Physical
properties
Product
form
Oral
toxicity
LDsi
Colorless,
crystalline
needles
m.p. 315 C
Major eud-uses
Foliar spray in controlled emerged
1,000 annual weeds in onions and certain
other crops; control of crabgrass,
chick weed and annuals in. turf
Lindane
gamma BHC
Diamond
Hooker
J ,2,3,4,5,6-H exachlorocycJohexane
containing at least 99% gamma isomer
Colorless,
odorless
crystals
m.p. 112.9 C
EC
WP
D
A
90
Broad-spectrum insecticide for ap-
ples and other fruits, beans, peas,
cole crops, cucurbits, tomatoes,
other vegetables; also for dairy,
livestock, household and seed-
treatment use
H
a-(3,4-Dichlorophenyl)-l-
methoxy-l-methylurea
Lin uron
Loroi*
Afalon
Du Pont
O
I!
N-C-N-O-CHj
H |
CH,
Colorless,
crystalline
solid
m.p. 93-94 C
WP
G
For selective weed control in corn,
soybeans, grain sorghum, cotton,
1, 500 wheat, carrots, parsnips and pota-
toes; short-terra, control of annual
weeds in noneropland areas such
as roadsides and fencerows

-------
Monuron
Telvar*
Du Pont
JJ 2,655,455 3-(p-Chlorophenyl)-l,l-diniethyIuxea

O CHj
II /
-N—C—N
H \
CH,
Colorless, crystal- WP
line solid m.p.
174-175 C
3,600 For selective control of weed seedlings
in asparagus, avocado, citrus fruits,
cottonseed, grapes, onions, pine-
apple, spinach
Maptalam
Alanap'
NPA
Dyanap (mixed with
DNBP)
TJniroyal
2, 556,864	N-l-Naphtliylphthalamic acid
2,556,665
2.736.646	O
2.736.647	J\ II
/r \—C
-COH
Vt
O
7h^	^
m.p. 185 C
WP
G
1,770 Selective preemergence herbicide for
soybeans, peanuts, sweet potatoes
Irish potatoes, cucurbits
Mil*
MaMc hydratide
MH-30*
Slo-Qro*
SnckeT-Stufl'
Retard*
Uniroyal
Ansul
Chem. Form.
2,614,016 l,2-Dihydro-3,6-pyridaiinedkin0
O
A
Y
o
NH
I
NH
Colorless
m.p. 296-296 C
WSC
2,200 Plant growth inhibitor; tilocks cell
division for inhibition of grasses,
suckers on tobacco; sprout inhibitor
for potatoes, onions
Paradichlorobenzene
Allied
Monsanto
Dow
PPG
Fu, I, F
p-V ichlorobenzen e
CL

-------
t/i
K»
Addition Data on Cited Compounds*
Products, producers
U.S.
patents
Chemical name and formula
Physical
properties
Product
form
Oral
toxicity
LDjc
Major end-uses
Parathion*
Phoskii*
TMophos*
Folidol
E-805
Niran*
Aileron*
A Ikron
Ethyl parathion
Corothion*
Orthophos
Panthion*
Parawet*
Stathion'
Staufler
Cyanamid
Monsanto
Shell
Velsicol
Amer. Potash
I, M
2,482,063 0,0-Diethyl O-p-nitrophenyl phosphorothioate
Pale-yellow liquid WP
CHjCHjO S
\11
P-
CHjCHjt/'

—no2
b.p,157-162
C/O.6 mm.
d» 1,265
EC
D
6-15 Broad-spectrum insecticide effective
against aphids, mites, Lepidoptera,
beetles, leaf-hoppers and thrips on
fruits, vegetables and forage crops
cotton insects, symphilids, root-
worms and other soil insects
F,H,Mo
Pentachlorophenol
PCP
Pentachlorophenol
RCI 49-162
Sodium penta-
chlorophenate
Dow
Monsanto
CI CI
>—k
ci—oh
1 1
CI Cl
Buff
m.p. 714 C
C
WSC
Contact herbicide and wood pre-
servative; herbicide and desiccant
210 011 sugarcane; moliuscicide to con-
trol snail carriers of larval human
Wood flukes causing schistosomiasis

-------
Phosphamidon
Dimecron
Chevron
1]k>§	2-Chloro-2-diethylcarbamoyl-l-methvlvinyl dimethyl
phosphate
CHiO O CI O CH2CH3
2,908,605	O—C=C—nK
cihO ^Hs ^CHsCHj
T
Colorless
oil b.p.
162 C/1.5
mm.
WP
D
C
Effective against aphids, inites,
27 beetles and plant insests, both
systemic and contact
Propham
IPC
Chem Hoe*
PPG
H
Isopropyl N-phenylcarbamate
O CHj
N-S—0—Ah
E in,
EC	Selective preplan ting and pre-
Colorless WP	emergence herbicide; effective con-
Crystals D	4,500-9,000 trol of wild oats, many annual
m.p. 87-88 C C	grasses and certain broad-leaved
G	weeds
Simazine
Princep*
Gesapum*
Amiune*
Primatol S*
CDT
CET
Geigy
H
2-Chloro-4,ft-bls(ethylamino)-a-triazine
CI
2,891,855
CHjCHj—N
H
H
CHiCH,
Colorless,
crystalline
solid
m.p. 225-227 C
WP
G
Controls most annual grasses and
5,000 broadleaved weeds in com, sugar-
cane, fruits, nuts, asparagus and turf
H
2,4,5-T*
Diamond
Dow
Hercules
MUlmaster
Monsanto
Riverdale
Thompson-Hayward
2,4,5-Trichlorophenoxyacetic acid
CI
Tan powder
m.p. 152 C
EC
WSC
100
(dogs)
Brush control on rangeland, pine
tree stands, rights-of-way, aquatic
weeds
O*
Ui
u

-------
CHAPTER 8
Teratogenicity of Pesticides
Contents
Pago
Summary and conclusions		657
Methodologies for teratogenicity testing		658
Introduction		658
Ancillary methods		659
Use of lower mammalian species		659
Use of nonhuman primates		661
Population monitoring		661
Literature review		663
Animal studies		663
Bionetics animal studies		665
Human studies		674
References		675
a71-074 O—<<$9-	43
655

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Summary and Conclusions
Teratology deals with the etiology and development of congenital
malformations. Congenital malformations are generally defined as
gross structural abnormalities of prenatal origin, present at birth or
manifesting shortly after, which kill or disable. In a broader sense,
ter&togenesis is considered to include histological, biochemical, and
functional abnormalities of prenatal origin.
Congenital malformations present obvious personal, medical, and
social stresses. Additionally, it has been recently estimated that the
costs to society of one severely malformed child, in terms of medical
and other care and deprivation of potential earnings, amount to several
hundred thousand dollars.
There are now well over 400 substances that, in various forms and
combinations, are currently used as pesticides. Pesticides may repre-
sent an important potential teratogenic hazard. Therefore any tera-
togenic pesticide to which the population is exposed should be promptly
identified so that appropriate precautions can be taken to prevent risk
of human exposure. It is feasible to test these substances for teratogenic
effects in test animals so that potential hazards to human health can
be evaluated.
For these and other reasons detailed in the report, we conclude that:
a.	All currently used pesticides should be tested for teratogenicity
in the near future in 2 or more mammalian species chosen on the basis
of the closest metabolic and pharmacologic similarity to human beings
possible. Pesticides should be tested at various concentrations including
levels substantially higher than those to which the human population
are likely to be exposed. Test procedures should also reflect routes
related to human exposure. Apart from the obvious route of ingestion,
attention should be directed to other routes of exposure, including
inhalation exposures from pesticide aerosols and vaporizing pesticide
strips used domestically and exposures from skin absorption. Paren-
teral administration is an appropriate test route for pesticides to which
humans are exposed by inhalation, or for pesticides which are sys-
temically absorbed following ingestion.
b.	The use of currently registered pesticides to which humans
are exposed and which are found to be teratogenic by suitable test pro-
cedures in one or more mammalian species should be immediately
657

-------
restricted to prevent risk of human exposure. Such pesticides, in cur-
rent use, include Captan; Carbaryl; the butyl, isopropyl, and
isooctyl esters of 2,4-1) Folpet; mercurials; PONB; and 2,4,5-T. The
teratogenicity of '2,4-1), the other salts and esters of both *2,4-1) and
2,4,5-T, and that of IPC should lie investigated further.
c.	Pesticides found to be inactive after appropriate testing can
be considered as provisionally safe, unless other evidence of terato-
genicity develops.
d.	No new pesticide should be registered until tested for terato-
genicity by suitable procedures. Any pesticide found to be teratogenic
should only be used in circumstances where risk of human exposure
is minimal.
e.	Efforts should be made to improve and standardize procedures
for teratogenicity testing and population monitoring.
A scientific group or commission should be charged with responsi-
bility for continued surveillance of the whole problem of pesticide
teratogenesis.
Methodologies for Teratogenicity Testing
Introduction
Prior to 1963, the Food and Drug Administration did not require
evaluation of teratogenicity. As a result of the thalidomide disaster,
the need for data on teratogenicity became evident. In 1963, the Presi-
dent's Science Advisory Committee on "Use of Pesticides" recom-
mended that toxicity studies on pesticides include effects on reproduc-
tion through at least 2 generations in at least 2 species of warmblooded
animals. Observations to be included were effects on fertility, size and
weight of litters, fetal mortality, teratogenicity, and growth and devel-
opment of sucklings and weanlings. Such toxicity studies including
the three-generation procedure were not designed primarily to detect
teratogenicity and thus may not be appropriate.
The potential teratogenicity of chemicals may be detected by two
complementary approaches. First, chemicals or other agents may be
administered to experimental animals to determine whether they
induce prenatal damage. Secondly, and on a post hoc basis, human pop-
ulations may be epidemiological^ surveyed to detect geographical or
temporal clusters of unusual types or frequencies of congenital mal-
formations. Combinations of these approaches are likely to ensure early
detection and identification of teratogenic hazards.
Experimentally, a complex of factors are needed to elicit teratogenic
effects. These relate to gestation period, genotype of the pregnant ani-
mals, dosage, mode of administration and metabolic transformation of
teratogen. For example, teratogens may be effective only at a certain
dose range, whether high or low, narrow or wide, below which develop-
658

-------
ment is apparently undisturbed, and above which death in utero
results.
Most agents are teratogenic only in the developmentally labile early
period of gestation, during which active organogenesis occurs. In
humans, this sensitive period extends aproximately from the end of the
fir st week of pregnancy to the 12th week. Other circumstances may
also influence the effectiveness of human teratogens, such as maternal
nutritional, demographic, socioeconomic, and cultural factors, physio-
logical states, and temporal and seasonal situations. Thus a potential
teratogen may manifest its effect only when particular conditions
conjoin.
The relationship between human exposure to a teratogen and sub-
sequent induction of congenital abnormalities is generally not obvious.
Any one teratogen may produce a multiplicity of effects and any spe-
cific effect may be produced by various teratogens. In test animals, the
teratogenetic response may differ from species to species. In humans,
differences in genetic, metabolic, and environmental influences may
contribute to a variety of specific effects from exposure to a particular
teratogenic agent. Induced and spontaneous effects may be difficult to
distinguish. The teratogenicity of thalidomide might have been missed
had it not produced malformations rarely encountered; additionally,
only a fraction of the pregnant women who took thalidomide had
defective children.
Consequently, further data on the possible teratogenic effects of pes-
ticides in experimental animals are urgently needed to provide a basis
for evaluating potential hazards to human health.
Ancillary methods
Preliminary screening can be accomplished by the use of nonmam-
malian species, particularly the chick embryo. These tests may give
useful ancillary data prior to further testing in mammals. However,
negative results in these systems alone should not be considered proof
of safety.
Vne of lower mammalian species
a.	Purity, composition, stability, and source of compounds under
test should be determined.
b.	At least two mammalian species should be tested. These should
be chosen on the basis of metabolic and pharmacokinetic similarity to
humans. If possible, commercially available inbred strains should be
used; if not, intra-species variability must be recognized. Species com-
monly used include mice, rats, hamsters, rabbits, dogs, cats; sheep and
swine have also been used.
c.	Preliminary mammalian experiments should determine the
amounts of the compound and its appropriate metabolites necessary
659

-------
to produce serum levels comparable to ranges likely to be found in hu-
mans after high level accidental exposure sis well as potential expo-
sures assuming extensive use of that pesticide. Multiples of these dos-
ages, up to the mammalian maternal LDM should be administered to
determine the lowest dosage causing a significant increase in fetal
death, or resorption. Dosage in this critical range should be tested for
teratogenic effects with care to distinguish these effects from other
embryotoxicity and to determine dose-response relationships.
d.	Compounds should be administered, by appropriate routes,
within the critical dose range determined by preliminary tests. Paren-
teral administration is an appropriate test route for pesticides to which
humans are exposed by inhalation, or for pesticides which are sys-
temically absorbed following ingestion. Compounds should first be
tested by single administrations of a range of doses at various times
during the phases of active organogenesis. The substance should be ad-
ministered at discrete times throughout the period of organogenesis as
various organs are developing, since some substances have specific
effects on the development of particular organs. By this technique,
the possibility of inducing hepatic microsomal or other enzymes facili-
tating metabolic detoxification or activation of the substance is
also minimized. If no teratogenic effects are detected by this technique,
subsequent testing should be based on repeated administrations of the
substance at daily intervals or if feasible, intervals of less than 24 hours
during the entire period of organogenesis.
e.	When appropriate, metabolites should also be tested for terato-
genic effects.
f.	Additional investigations should include—
i.	Determination of appropriate plasma and fetal levels of
compounds ;
ii.	Determination of the biological half-life of the compound
in test animals;
iii.	Metabolic studies to identify mechanisms of detoxification or
activation of compounds when appropriate; and
iv.	Determination, when appropriate, of the possible potentiat-
ing effects of protein deprivation or concomitant exposure to
other pesticides or other environmental agents.
g.	All procedures, including those relating to animal breeding,
housing, handling, feeding, husbandry, methods for examining fetuses
for congenital malformations, defining the onset of pregnancy, and
classifying congenital malformations should be rigorously standard-
ized. Numbers of pregnant animals and offspring must be adequate
for statistical significance. All tests must be replicated on independent
occasions and with contemporaneous controls.
660

-------
Nonhuman primates .
Results from lower mammalian species may warrant subsequent
testing in nonhuman primates The following considerations should be
noted:
a.	Records of menstrual cycles are essential. Primates whose repro-
ductive history is known and have previously delivered normal young
should be selected for testing. Timing of ovulation, and therefore ges-
tation, should be accurately determined by allowing the males and
the females to be together for no more than 3 consecutive days. Vaginal
smearing, to determine the presence of spermatozoa should be avoided;
the use of Tullner's method for determining chronic gonadotropin
leA-els and rectal palpation is preferable.
b.	Compounds should be carefully administered in controlled
dosages.
c.	Pregnant animals should be handled only minimally.
d.	Compounds should be administered during the various phases
of organogenesis. Embryos can be obtained by laparotomy any time
after the first 100 days of gestation; the mother may be subsequently
used for other experimental procedures. Additionally, some young
should be allowed to go to term to identify possible teratogenic effects
detectable only in the neonatal period.
Population monitoring
It lias been shown (see Literature Review) that some pesticides in-
duce congenital malformations in experimental animals providing a
critical dose is appropriately administered at critical times. When
animal experiments indicate that a pesticide is teratogenic, human
effects should be retrospectively evaluated, when possible, by study of
pregnancies during which the mothers were inadvertently exposed to
the pesticide, such as a result of farm work, accidental ingestion, or in-
dustrial exposure. Prospective epidemiologic approaches may involve
follow-up of large numbers of people over long periods of time, and be
slow, tedious, expensive, or difficult to implement. It is not appropriate
to conduct prospective epidemiological studies on human populations
with pesticides previously shown to be teratogenic by experimental
animal studies or retrospective human data. Human exposure to such
compounds must be minimized by appropriate regulatory preventive
action.
Prospective epidemiological approaches for pesticides in current
use may provide important information, however, it should be realized
that no major teratogen has yet been recognized in this way. The mal-
formations induced by X-ray, German measles, thalidomide, and
mercury—Minamata disease, were each recognized by an alert medical
661

-------
practitioner who observed a cluster of cases and then traced the cause
to its source.
What can be done to enhance prompt recognition of such clusters
should they occur from previously unsuspected teratogens in the fu-
ture ? A variety of existing data resources can be used for this pur-
pose. In each, the occurrence of congenital malformations in substan-
tial segments of the population is being recorded in a standard fash-
ion. The best of these resources are local, rather than statewide or na-
tional. The prepaid medical program of the Kaiser-Permanente Hos-
pitals and Clinics in the San Francisco Hay Area are of particular in-
terest. A detailed study there of the occurrence of malformations
among 16,000 births represents a good model for additional investi-
gations. A similar study has been made by the Health Insurance Plan
of Greater New York, but its 30 or more cooperating clinics are less eas-
ily coordinated than the Kaiser system.
A city wide surveillance, known as the Metropolitan Atlanta Con-
genital Defects Program (jointly directed by Emory University
School of Medicine, the Georgia Department of Public Health, and
the National Communicable Disease Center, ITSPHS), involves re-
ports on all children with congenital malformations born to residents
of the five-county Atlanta area. As yet, 110 cluster of cases has sug-
gested an environmental influence since the. program began in October,
1967.
In a substantial number of States, birth certificates contain an item
concerning congenital malformations. The completeness and accuracy
of such reporting varies considerably and depends on the physician's
interest and diligence and on the conspicuousness of the abnormality.
Birth-certificate data on malformations in New York State are more
extensive than those of many other States and have been effectively
used in several research studies. Nationally, however, no attempt has
been made to collect and evaluate all data on malformations that are
available on birth certificates.
A select committee convened by the National Center for Health
Statistics (NCHS), has recommended, in an excellent but little known
report, that efforts be made to improve and use information on con-
genital malformations recorded on birth certificates (Vital and Health
Statistics, Documents and Committee Reports, NCHS Series 4, Num-
ber 7, March 1968). Implementation of this recommendation would
be of great value, for monitoring to detect the teratogenic effects of
newly introduced or geographically localized environmental chemicals
or other agents.
To enhance our ability to recognize significant changes in con-
genital malformation rates, a systematic collection of data from
concentration points should be established. Specifically, a surveil-
662

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lance should be made of claims submitted to private, State, or local
agencies for the medical care of children with birth defects. Because
the Children's Bureau, DHEW, has so much experience with these
agencies, its assistance should be sought in planning the surveillance
network.
Data from foreign countries should also be evaluated as part of
a national effort to study possible relationships between pesticides
and congenital malfunctions.
In studying the possible relationships between exposure to pesticides
and the occurrence of diseases, statistical associations, if present, will
provide important information. However, when possible it is impor-
tant to secure additional information concerning the following:
a.	Dose-response relationships.
b.	Absence of alternative explanations.
c.	Biological plausibility.
d.	Consistency with other knowledge from clinical, laboratory,
and epidemiologic research.
e.	Disappearance of the effect when the presumed cause is
removed.
In particular, as clusters of specific anomalies are recognized,
through whatever resources that presently exist or may be developed,
any possible relationships to pesticides would be clarified by the use
of laboratory techniques to measure the maternal, fetal, or neonatal
body burden of suspect chemicals.
There are national units engaged in teratologic research, but each
is following a set method. There is a critical and immediate need to
establish a national or international center to study congenital mal-
formations in man not by a single method but by whatever techniques
are most appropriate for testing or generating hypotheses. The cen-
ter should be diversified and fast moving, ready to use local, national,
or international resources in order to determine the significance of
laboratory or clinical data.
Literature Review
Animal xtudies
For convenience, detailed results of the Bionetics study are pre-
sented in a subsequent section.
Much of the total available literature and data reviewed by this
Panel were methodologically inadequate to support definitive con-
clusions. Additionally, the authors of many reports tended to confuse
or equate embryotoxicity and other adverse effects on reproduction
with teratogenicity. It is also apparent from the literature that in-
sufficient attention has Ix'cn directed towards problems of interactions
in testing for teratogenesis.
663

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The Panel considered tlie following information to be of
significance:
a.	Capt an and Folpet,—These pesticides have been shown to be
teratogenic in chicken embryos (Verrett et al., 1969). Captan was also
shown to be teratogenic in rabbits (McLaughlin, 1969), although other
rabbit studies yielded negative results (Kennedy et a]., 1968; Fabro
et ah, 1965). The enhancement by protein deprivation of the acute
toxicity of captan to rats (Boyd, 1968), was noted with particular
interest. The teratogenicity of captan and Folpet in mice was demon-
strated in Bionetics studies. Unpublished data on captan in mon-
keys were evaluated and found inadequate; in these studies, the dura-
tion of organogenesis was not entirely covered and controls were not
appropriate. However, the 3/7 al>ortions observed at tlie highest dosage
given, 25 ing./kg., may be indicative of an eni'bryotoxic hazard due to
captan.
b.	Carbaryl.—This was tested at 66.7 and 200 p.p.m. in the diet of
pregnant mice (FAO/WHO, 1967). In two litters at the 200 p.p.m.
level, a total of seven instances of skeletal malalignment, nonfusion,
incomplete ossification, and one case of cleft palate and gross facial
malformation were noted, as opposed to no malformations in the low-
level group and two cases of cleft palate in controls. Teratogenetic
findings for carbaryl are also reported in the Bionetics study. In a
study in beagle dogs fed carbaryl during gestational periods at levels
of 50, 25, 12.5, 6.25, and 3.125 nig./kg. body weight daily, teratogenic
effects were found at all but the lowest dose level (Smalley, 1968).
c.	Mercurial*.—Organomercury compounds: Various mercury
containing f>esticides were evaluated under the heading "phenylmer-
cury acetate (and other organomercury compounds)" by the 1966
Joint Meeting of the FAO Working Party and the WHO Expert Com-
mittee on Pesticide Residues (FAO/WHO, 1967). The results of addi-
tional experimental work have been reported in the 1967 Evaluations
of Some Pesticide Residues in Food. Additional information on
"Methyl mercury" was published by the Ecological Research Commit-
tee, the Swedish Natural Science Research Council (1969) Bulletin
no. 4. by Goran Lofroth, where embryotoxic effects in mice (reported
by Frolen and Ramel) were discussed along with other data. When
given subcutaneously, in doses of 0.11 mg. on day 7 of gestation,
phenylmercuric acetate was reported to cause fetal malformations in
mice. Eye, tail, and central nervous system defects were noted (Mura-
kami et al., 1956).
d.	Organochlorine.—Einbryotoxicity in rats and dogs has been
reported for organochlorines including dieldrin, chlordane, and
kepone. In the absence of convincing data, kelthane has been claimed
664

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to be teratogenic in mice (An Der Lan, 1964); see also Bionetics
studies.
e. Organophosphates.—The cholinesterase-inhibiting organo-
pliosphate insecticides, gutliion, parathion, diazinon, Bidrin, Trithion,
and KPN, have been shown to be teratogenic when injected directly
in the yolk sac of chick embryos. The malformations were nonspecific or
common to all organophosphates (Fish, 1966). It was also claimed that
these compounds are teratogenic in mice. The data reported, however,
suggested that organophosphates, like the organochlorines, act by
reducing litter size and producing embryotoxicity rather than by
producing specific teratogenic effects. See also Bionetics studies.
/. Thiram.—Thiram was reported to be teratogenic in hamsters
at 250 nig./kg. (Kobens, 1969). In the Bionetics study it was not found
to be teratogenic. In a study of three generations of rats, no toxicologi-
cal effects were observed at a dietary level of 48 p.p.m. (FAO/WHO,
1967).	However, Thiram should be further investigated for possible
teratogenic effects.
g. Miscellaneous repre published in the future.
a. Summary of -findings from Eionetic animal studies.—Tested
more extensively than other pesticidas, 2,4,5-T was clearly teratogenic
as evidenced by production of statistically increased proportions of
665

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litters affected, and increased proportions of abnormal fetuses within
litters in both I)MSO and Honey for both (Y>7BL/(> and AKR mice.
In particular, cleft palate and cystic kidneys were significantly more
prevalent. In addition, a hybrid strain resulting; from a C57BL/6
female and AKR male showed significant increases in anomalies, in
particular cystic kidney, "when administered at 118 ing./kg. of body
weight in DMSO.
Additionally, 2,4,5-T was tested in Sprague-Dawley ruts. "When
given orally at dosages of 4,6, 10J) and 46,4 nig./kg. on days 10
through li> of gestation, ail excessive fetal mortality, up to 60 percent
at the highest dose, and high incidence 6f abnormalities in the sur-
vivors was obtained. The incidence of fetuses with kidney anomalies
was three-fold that of the controls, even with the smallest dosage
tested.
PCXB produced an increase in renal agenesis between litters,
and within litters, when administered orally from days 6-14 or days
6-10 of pregnancy. However, renal agenesis was not produced when
PCNB was administered only from days 10-14 of pregnancy. These
effects were produced in only the C57BL/6 strain of mice.
Other pesticides producing a statistically significant increase
in the proportion of litters containing abnormal fetuses and in the
increased incidence of abnormal fetuses within litters were: Captan,
Folpet, 2,4-D isooctyl ester, 2,4-D butyl ester, 2,4-D isopropyl ester,
carbaryl (Sevin), and IPC. These pesticides produced elevated inci-
and in one solvent only. The resists for carbaryl and for IPC were
less consistent than for other compounds. (The pesticides 2,4,5-T,
PCNB, captan, Folpet, carbaryl, IPC, and the butyl and isopropyl
esters of 2,4-D were statistically significant at the .01 level, for one or
more tests. This criterion is similar to that adopted by the Technical
Panel on Carcinogenesis, Chapter 5, to identify "positive" compounds.
The isooctyl ester of 2,4-D was significant at the 0.05 level.)
Compounds inducing only an increase in the proportion of ab-
normal fetuses within litters were: a-naphthol, and 2,4-D methyl
ester. The statistical significance of these results was relatively
weak; further study is required before any conclusions can be
reached. Similarly, 2,4-D produced only an increase in the proportion
of abnormal litters during 1965 in AKR mice. Due to the teratogenic
activity of certain of its esters, 2,4-D should be studied further.
Carbaryl plus piperonyl butoxide did not show an overall in-
crease in nonspecific anomalies, but resulted in significantly more
cystic kidneys for doses above 10 mg./kg. carbaryl plus 100 ^l./kg.
piperonyl butoxide.
It must be emphasized that failure to detect statistically sig-
nificant increases of anomalies may be due to insensitivity resulting
666

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from experimental variation and small numbers of litters tested. In
addition, higher fetal mortality among some of the "negative" com-
pounds may be selectively eliminating abnormal fetuses.
b.	Methods.—Four strains of mice were used: C57BL/6, AKR,
C3H, and A/Ha. Most of the studies were performed with the
C57BL/6 strain. A hybrid fetus resulting from mating a C57BL/6
female with an AKR male was used to study a few compounds. More
restricted studies were also made on Sprague Dawley rats; results
of these with reference to 2,4,5-T are considered separately.
Most compounds were administered subcutaneously in 0.1 ml.
solutions of dimethylsulfoxide (DMSO). Water soluble compounds
were administered in saline, and some times also in DMSO. Compounds
administered orally were given by gavage in 0.1 ml. in a 50-percent
honey solution. Groups of positive controls and untreated controls
were included, as well as controls receiving only DMSO, saline, or
honey. While controls were run periodically throughout the duration
of the study, compounds and controls were not matched with respect
to either route or date of administration.
Virgin females were used in these studies. The onset of pregnancy
was determined by detection of vaginal plugs. Compounds were
administered daily from the sixth to the 14th day of pregnancy (15th
day for AKR mice). Mice were sacrificed on the 18th day (19th day
for AKR mice) of gestation. On sacrifice, fetuses were examined for
anomalies. Approximately two-thirds of the fetuses were then stored
in Bouin's solution until necropsy. Remaining fetuses were stained
with alizarin red S after proper processing. Numbers of resorption
sites and dead fetuses were also scored.
c.	Statistical analysis.—All analyses were performed on a per
litter basis rather than a per fetus basis, since initial investigations in-
dicated that the occurrences of anomalies among fetuses within litters
were correlated. The large litter-to-litter variation may reflect some
maternal effect, an indication of the effective dose level of the com-
pound actually reaching the fetuses, experimental variation, or, as is
most likely, some combination of the three factors.
While there were no statistically significant time trends within
the various control groups in terms of the onset of fetal anomalies in
the C57BL/6 mice, the incidence of fetal mortality was certainly time-
dependent in this strain, with 1965 being characterized by a low in-
cidence of prenatal deaths. Furthermore, there was a period of ap-
proximately 6 months, extending from the latter part of 1965 into
early 1966, during which no control animals were tested. During this
period a change in the substrain of C57BL/6 mice used in the study
took place. Finally, among abnormal litters, as defined by litters con-
667

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turning at least one abnormal fetus, there was some suggestion that
the distribution of abnormal fetuses per litter was stochastically larger
in the DMSO controls than it was in the untreated controls. Thus, the
possibility exists of a time/strain/solvent interaction that is unde-
tectable in the controls liecause the level of background teratologic
activity is relatively low. This potential interaction effect could either
enhance or dissipate the effect of any given compound, depending on
the conditions under whicli it was administered. Thus, the data were
necessarily separated by both time period and solvent for the purposes
of analysis. Similarly, an increase in fetal anomalies in the DMSO
controls of the AKR mice was noted after November 1966. Thus, the
AKR data were analyzed separately in two time periods.
It should be noted that not all compounds were administered on
more than one occasion or in more than one solvent or strain. Thus, in
general the compounds in the study cannot be compared for terato-
genic potential, since those that were tested extensively were more
likely to show some adverse effect and, perhaps, less likely to appear
consistent over time, solvent, and/or strain.
As noted, approximately two-thirds of the fetuses were stored in
Bouiivs solution until necropsied; the remainder being stained with
alizarin red. However, in many instances the proportion of necropsied
fetuses was slightly higher for the compound under investigation than
for the corresponding controls. It is doubtful if this discrepancy could
have any appreciable effect on the conclusions since the incidence of
anomalies detectable only by necropsy among control animals was
relatively low. Furthermore, if all of the control and test mice had
been necropsied, the significance of the differences observed in this
study would be intensified. Thus, no effort was made to correct for in-
equalities in the necropsy /stain ratio in the present analysis. Addi-
tionally, no attempt was made to correct for differences in litter sizes
or sex-ratios within litters, since both of these factors may, at least in
part, reflect effects of the compound under test.

-------
ticular day or on adjacent days as ]isted. Eye anomalies, mainly micro-
phthalmia and anophthalmia, accounted for approximately 50 percent
of the individual anomalies in 057BL/6 mice. To a large extent, re-
sults in table 1 reflect changes in the incidence of eye anomalies. Yet,
when the data were analyzed excluding fetuses with microphthalmia
only, there were no striking changes in the results. In the last column
of table 1, statistically significant increase in various types of anom-
alies other than eye anomalies are listed. The positive controls, trypan
blue and ethyleneimine, table 1, and 6-aminonicotinamide, table 2,
showed elevated levels of anomalies, although the latter control did
not yield consistent results over all dose levels.
Only those test conditions which resulted in statistically elevated
incidences of anomalies are listed in tables 1 and 2. Some compounds
gave no increase in anomalies (based on the overall incidence if tested
in both time periods) when tested in other solvents, strains, or dose
levels (table 3). It must be emphasized that failure to detect a statis-
tically significant increase in anomalies may only be a reflection of
experimental insensitivity due to experimental and biological varia-
ton and insufficient number of litters. Thus, compounds showing no
increases cannot be considered nonteratogenic. For example, trypan
blue in DMSO at the highest dose level tested, 37.5 mg./kg., did not
show an increase in anomalies, possibly due to higher fetal mortality.
Standard corrected 2X2 chi-square tests (1) were used to compare
the proportion of abnormal litters for the compound with the controls
in the same solvent. In the cases where tests were conducted in two
time periods, the results from the two chi-squares were combined (1).
The levels of statistical significance for the combined tests are listed
under the total column for proportion of abnormal litters.
The distribution of the proportion of abnormal fetuses per litter
(tables 1 and 2) for compounds were compared with the appropriate
control distribution by use of the nonparametric Mann-Whitney IJ-
test (#). This test requires that the proportion of abnormal fetuses per
litter is independent from litter to litter, but requires no assumption
about the frequency distribution of these proportions. Again, where
litters were run in both time periods, the significance level for the
combined tests is given under the total column. Bracketed data include
groups which were combined before statistical tests were conducted.
statistical references
(/) Snkdhcob, G. W. and Cochbax, W. G. .* Statistical Methods, 6th ed. Iowa
State Univ. Press. Ames, Iowa (1967).
(2) Steel, E. G. D. and Torrif, J. H.: Principles and Procedures of Statistic#.
McGraw-Hill Book Co., Inc., Xew York (1960).
669

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0*
2
Table 1.—Tests which displayed significant increases of anomalies (C57BLI6 mice)
Compound
Dose per
Solvent kg of body
weight -
Proportion of abnormal
litters
1965
Proportion oI abnormal
fetuses per litter
1966-68 Total
1965
1966-68 Total
Proportion of abnormal In- Tests No. of live	Increased
fetuses per litter in abnormal creased	repeated litters	anomalies
litters mortal- over	other than
ity time 		eye
1965 1966-68 Total
1965 1966-68
Negative controls:
Untreated	None	
Controls...	DMSO..
Do.	Saline...
Do	Honey. _
Positive controls:
Trypan blue	DMSO..
Do	DMSO..
Do	DMSO..
Do			 Saline...
Do.			
Do	
5.0 mg
12.5 mg
37.5 mg
5lO mg
do	 12.5 mg
do	 37.5 mg
-do.
4.64 n\
Ethyleneimine ...
Experimental:
2,4,5-T	 DMSO.. 113 niR
.42
.53
.52
.60
.86
.60
1.00
.71
.71
1.00*
.39
.41
.37
.47
.79*
.40
.08
.46
.16
.43
.13
.47

.60
.32
.86
.44*** .
.60
.36
1.00
.61*** _
.71
.49** _
.71
.33*
1.00*
.49***
.79"

.11
.12
.10
.15
.56"
.10
.18
.13
.33
.11
.24
.15 ...

.32
.54
.44"*
. 52" .
.36
.60
.61***
.61" .
.49**
.69*** .
.33*
.46"
.49***
.49*"
.56*** .

.28
.28
.28
.32
.71*
71*
54	Yes.
52"	Yes.
60	Yes.
61** 	
69"*	Yes.
46"	Yes.
49***	Yes-
No.
26
70
31
69
112
46
32
(Hydro-
cephaly-.
5 _
7 .
5 .
5	
7	
7	Hydro-
cephaly.
Yes.
14 		Cleft palate
cystic
kidney.

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2.4.5-T
2.4.5-T
Honey.. 46.4mg
, ..do	 113 mg
1.00' 1.00*
1.00** 1.00**
»*
PCNB (days 6-14)	do		215mg		88* .88*
PCNB (days«-14)	do		464 mg		 .6T|„
PCNB (days6-10)	do		464 mg 		 LOOj 1.00/
Captan		DMSO..	100 mg	1.00* .61
FoLpet	DMSO..	100 mg		77
2,4- Isooctyl ester	DMSO..	48 pi	LOO* 	
2,4-D Isooctyl ester.. DMSO..	130 id		67
2,4-D Butyl ester	DMSO..	100 id 		 .75
2,4-D Isopiopyl DMSO..	94 pd		 -!®'
ester.
Carbaryl	DMSO..	100 mg	1.00* .84
IPC...		DMSO..	850 mg	1.00" .43
a-Naptbol	DM80..	10 mg	.86 	..
2,4-D Methyl ester.. DMSO..	106 mg		 .83
Carbaryl+Piperonyl DMSO..	10mg+	#0
Butoxlde.	100 m1
Do	DMSO..	46i4 mg+	 -50
464 jil
. 71***
.58***
.77 **

1.00 *
.24
.67

.75 **

.70 **

.71 **
.46 ***
.71 *
.46 ***
.86
.33 *
.83

,50

.50

Significance level: *(.10). **(.0S). ***(.01).
o>
>*
3r*	.3 r* 		
70***	. 70*** 		
26**	.26** 	
"L.,	-25K.. 	
38J	.381 	
.27	. 36*** .58"
.29 ***	.29 *** 		
	24	.24
.28 **	.28 " 	
.26 ***	.25 *** 			
.26 ***	.26 ***			
.16	. 26 ** .46 *
.09	.27 ** .46 *
	 .39 * .38
. 30 •	.30 * 	
.13	.13 	
.10	.10 		
.37
.70"
.29
.38
.37
.44
.38
.41
.34
.37
.29
.36
.26
.21
.37 	
.50*** Yes.
No.
.29
.38
.37
.49 "
.38 '
.24
.41 <
.34
.37 '
.37
.46 '
.38
.36
.26
.21
Yes.
No.
No.
No.
	9	Cleft palate
cystic
kidney.
10	::::;:}Benal
agenesis.
13
6	
ia
	 20 Agnathia.
20
11 Hydroceph-
aly, skeletal
7
6
6
12
Cystic kidney

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©>
N
IO
Table 2.—Tests which displayed significant increases of anomalies (AKR mice)
Compound
Dose per
Solvent kg of body
weight -
Proportion of abnormal
litters
Proportion of abnormal
fetuses per litter
Proportion of abnormal I11-
fetuses per litter in abnormal creased
litters	mortal-
ity
111/66 12/66tt Total tll/66 l2/66tt Total tll/66 12/6611 Total
Negative controls:
Control	DMSO	
Do		Honey. ..
Positive controls:
6-amino-nicotina- DMSO _
mide.
6-ftmino-nicotinamide DMSO-.
(1).
Experimental:
2,4,5-T-	 DMSO-.
2,4,5-T	Honey..
2,4-D		 DMSO..
.06
.34 mg .56
.68 mg .00
.37
.00
.21
.00
.56 ***
.00
113 mg .50*" 1.00 ** .71***
113 mg	 1.00 *** 1.00 ***
98 mg .43 ** .29 .36 *
.01
.12
.06
.00
.31
.00
.20
.40 ***
.54 ***
.05
.03
.00
.31
.00
.29 *"
.54 ***
.08
. 11
.55
Tests
repeated
over
time
No. of live
litters
Special
anomalies
.40
.28
.16
.40 '
.54
.16
.15
.55
.40 '
.54
.23
yes.
tll/66 12/66tt
37
35
12
9	Cleft
palate.
7	
6 Cleft palate
6	Cleft palate
7
•Significance Level .10. *'Significance Level .08. "'Significance Level .01.
tThrough 11/66 tt After 11/66
Note: (1) With the .68 mg/kg dose, as compared to the .34 mg/kg dose, fewer implanta-
tions and a higher fetal mortality were encountered, resulting in fewer live fetuses per
litter.

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Table 3.—Tests which showed no significant increase of anomalies
(with particular doses, solvents, or test strains)
Dose per kg. Increased Total
Compound	Strains	Solvent	body wt. mortality number
(C87BL/6) of litters
2,4,5-T		 C57
PCNB (days 10-14).C57
PCNB	 AKR
Captan	 C57
Do	 AKR
Folpet	 C57
Do	 AKR
2,4-D Isooctyl ester	 C3H
Do	 A/Ha
Do	AKR
2,4-D Butyl Ester	C57
Do			 AKR
2,4-D Isopropyl Ester. _ C57
Do	AKR
Carbaryl	 C3H
Do	CS7XAKR
Do	 AKR
IPC	C3H
IPC	 AKR
2,4-D Methyl Ester	AKR
Do	 C57X AKR
o,p'-DDD	 C57
Do			AKR
2,4-D	 C57
Do		 C57
Do		C3H
Do	 C57X
AKR
Zectran		C57
Do	 AKR
Thiram	 C57
Do	AKR
Ferbam	C3H
Do	C57
Monuron	 C3H
Do	C57
Do.	C57
Do		AKR
Diuron	 C3H
Do	 C57
2,4-D Ethyl Ester	C57
Do		AKR
Atrazine	 C3H
Do	 C57
Do	AKR
DMSO	21.5 mg.			6
Honey	464 mg.		—	9
Honey	464 mg.			9
Honey	100 mg.			12
DMSO	100 mg.			13
Honey	100 mg.			5
DMSO	100 mg.			13
DMSO	48 pi.			6
DMSO	24 /J.			5
DMSO	130 /A.			8
DMSO	46 nl.			6
DMSO	100 ftl.			10
DMSO	46 *il.			6
DMSO	94 til.			6
DMSO	100 mg.			8
DMSO	100 mg.			6
DMSO	464 mg			13
DMSO	850 mg.			11
DMSO	850 mg.			13
DMSO	106 mg		7
DMSO	106 mg.			5
DMSO	100 mg.			13
DMSO	100 mg. Yes	12
DMSO	100 mg.			16
Honey	100 mg.			12
DMSO	100 mg.			6
DMSO	98 mg.				11
DMSO	10 mg.			7
DMSO	10 mg.			7
DMSO	10 mg.				8
DMSO	115 mg.			7
DMSO	4.64 mg.			6
DMSO	4.64 mg.			6
DMSO	215 mg.			7
DMSO	215 mg			13
Honey	215 mg.			9
DMSO	215 mg			13
DMSO	215 mg.			6
DMSO	215 mg,			6
DMSO	86			7
DMSO	86 m1			7
DMSO	46.4 mg			6
DMSO	46.4 mg			13
DMSO	46.4 mg.			15
673

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Table 3.— Tests which showed no significant increase oj anomalies
(with, particular doses, solvents, or test strains)—Continued
Compound
Strains
Solvent
Dose per kg.
body wt.
Increased Total
mortality number
(C57BL/6) of litters
Piperonyl Butoxide —
. C3H
DMSO
1000 /J
Do	
. Co7
DM SO
1000 jd
Do	
_ C57
DMSO
21.5 pi
p,p'-DDD	
. c:>7
DMSO
46.4 mg.
p,p'-DDT	
.. C57
DM SO
46.4 mg.
Carbarvl + Nicotina-

DMSO
100+61
mide 	
. C57

mg.
Nicotinamide _
_ C57
DMSO
61 mg.
CIPC	
_ C57
DMSO
1000 jng.
Nabam 	 _
_ C3II
DMSO
21.5 mg.
Do	
. C57
DMSO
46.4 mg.
Do -
_ C57
Saline
46.4 mg.
Do	
. AKR
DMSO
46.4 mg.
Do	
_ AKR
Saline
46.4 mg.
Propazine _ _
_ C3II
DMSO
464 mg.
Dicryl .. 	 _
_ cr.7
DMSO
21.5 mg.
Perthane
_ Co7
DMSO
100 mg.
Ovex . _ _ _ 	 _
_ AKR
DMSO
185 mg.
Tedion. _______
AKR
DMSO
217 mg.
Amitrol - 	 „ __
_ C57
Saline
464 nig.
Do	
_ C57
Honey
215 mg.
Do	
.. AKR
Saline
464 mg.
Yes
Yes
6
6
6
6
6
10
6
6
6
6
14
5
14
6
6
6
7
6
13
8
14
Human studies
Epidemiologic data on possible effects of pesticides on human re-
production and teratology are grossly inadequate. Prospective studies
on this subject are difficult to design and almost nonexistent, except
for the community pesticide program of the Food and Drug
Administration.
Chlorinated hydrocarbon*.—In a recent review (Khera and
C'legg, 1969), no adverse human reproductive effects were attributed
to DDT and other chlorinated hydrocarbons. Studies on 240 pregnant
women indicated that 21 percent had significant first trimester pesti-
cide exposure, and that 52 percent were exposed during their entire
pregnancy. Xo statistical difference in numbers of patients with anoma-
lies existed between these exposed groups (Nora et al., 1967). Low
values of DDT residues have been found in a small number of human
placentas (Rappolt et al., 1969). Sharply reduced tissue levels were also
found in 68 newborn infants (Zavon, 1969). Pesticide levels in human
milk have not shown any relation to perinatal toxicity (Lang et al.,
1951; Lofroth, 1969; Curley and Kimbrough, 1969). Studies on 152
674

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mothers showed transplacental passage of DDT and DDE (O'Leary,
1969). Low placental and high vernix levels were noted; fetal blood
levels were one-half maternal levels. In a similar study on premature
infants (O'Leary, 1969), high fetal levels were noted; no relationship
between maternal blood levels of DDE and DDT and the incidence
of first trimester spontaneous abortion were found, although the num-
ber of pregnant women reported on was inadequate for firm conclu-
sions.
Ovganopkosphates.—Evidence of teratogenic potential of organo-
phosphates in humans has been reviewed and found inconclusive
(Khera and Clegg, 1969).
Mercurials.—Consumption by Japanese pregnant women of fish
and shellfish contaminated by methylmercury produced a high in-
cidence of infantile cerebral palsy (Matsumoto et al1965). This con-
dition has been termed fetal Minamata disease.
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