1 INTERIM: 06/2008 2 O 4 5 6 7 8 9 PERACETIC ACID 10 (CAS Reg. No. 79-21-0) 11 12 13 14 ACUTE EXPOSURE GUIDELINE LEVELS is (AEGLs) 16 17 18 19 20 21 22 23 24 25 26 27 28 June 2008 29 30 31 32 33 34 ------- PERACETIC ACID INTERIM: 6/2008; Page 2 of 39 1 PREFACE 2 3 Under the authority of the Federal Advisory Committee Act (FACA) P. L. 92-463 of 4 1972, the National Advisory Committee for Acute Exposure Guideline Levels for Hazardous 5 Substances (NAC/AEGL Committee) has been established to identify, review and interpret 6 relevant toxicologic and other scientific data and develop AEGLs for high priority, acutely toxic 7 chemicals. 8 9 AEGLs represent threshold exposure limits for the general public and are applicable to 10 emergency exposure periods ranging from 10 minutes to 8 hours. Three levels — AEGL-1, 11 AEGL-2 and AEGL-3 are developed for each of five exposure periods (10 and 30 minutes, 12 1 hour, 4 hours, and 8 hours) and are distinguished by varying degrees of severity of toxic 13 effects. The three AEGLs are defined as follows: 14 15 AEGL-1 is the airborne concentration (expressed as parts per million or milligrams per 16 cubic meter [ppm or mg/m3]) of a substance above which it is predicted that the general 17 population, including susceptible individuals, could experience notable discomfort, irritation, or 18 certain asymptomatic, non-sensory effects. However, the effects are not disabling and are 19 transient and reversible upon cessation of exposure. 20 21 AEGL-2 is the airborne concentration (expressed as ppm or mg/m3) of a substance above 22 which it is predicted that the general population, including susceptible individuals, could 23 experience irreversible or other serious, long-lasting adverse health effects or an impaired ability 24 to escape. 25 26 AEGL-3 is the airborne concentration (expressed as ppm or mg/m3) of a substance above 27 which it is predicted that the general population, including susceptible individuals, could 28 experience life-threatening health effects or death. 29 30 Airborne concentrations below the AEGL-1 represent exposure levels that could produce 31 mild and progressively increasing but transient and nondisabling odor, taste, and sensory 32 irritation or certain asymptomatic, non-sensory effects. With increasing airborne concentrations 33 above each AEGL, there is a progressive increase in the likelihood of occurrence and the 34 severity of effects described for each corresponding AEGL. Although the AEGL values 35 represent threshold levels for the general public, including susceptible subpopulations, such as 36 infants, children, the elderly, persons with asthma, and those with other illnesses, it is recognized 37 that individuals, subject to unique or idiosyncratic responses, could experience the effects 38 described at concentrations below the corresponding AEGL. ------- PERACETIC ACID INTERIM: 6/2008; Page 3 of 39 1 TABLE OF CONTENTS 2 PREFACE 2 3 LIST OF TABLES 5 4 EXECUTIVE SUMMARY 6 5 1. INTRODUCTION 8 6 2. HUMAN TOXICITY DATA 9 7 2.1. Acute Lethality 9 8 2.2. Nonlethal Toxicity 9 9 2.3. Summary 10 10 3. ANIMAL TOXICITY DATA 11 11 3.1 Acute Lethality 11 12 3.1.1. Rats 11 13 3.1.2. Mice 14 14 3.2. Nonlethal Toxicity 15 15 3.2.1. Rat 15 16 3.2.2. Mice 18 17 3.2.3. Other Species 18 18 3.3. Carcinogenicity 19 19 3.4. Genotoxicity 19 20 3.5. Summary 20 21 4. SPECIAL CONSIDERATIONS 22 22 4.1. Metabolism/Disposition/Kinetics 22 23 4.2. Mechanism of Toxicity 22 24 4.3. Structure/Activity Relationship 22 25 4.4. Other Relevant Information 22 26 4.4.1. Species Variability 22 27 4.4.2. Susceptible Subpopulations 23 28 4.4.3. Concentration-Exposure Duration Relationships 23 29 4.4.4. Concurrent Exposure Issues 23 30 4.4.5. Other Data 24 31 5. DATA ANALYSIS AND PROPOSED AEGL-1 24 32 5.1. Human Data Relevant to AEGL-1 24 33 5.2. Animal Data Relevant to AEGL-1 25 34 5.3. Derivation of AEGL-1 25 ------- PERACETIC ACID INTERIM: 6/2008; Page 4 of 39 1 6. DATA ANALYSIS AND PROPOSED AEGL-2 25 2 6.1. Human Data Relevant to AEGL-2 25 3 6.2. Animal Data Relevant to AEGL-2 26 4 6.3. Derivation of AEGL-2 26 5 7. DATA ANALYSIS AND PROPOSED AEGL-3 27 6 7.1. Human Data Relevant to AEGL-3 27 7 7.2. Animal Data Relevant to AEGL-3 27 8 7.3. Derivation of AEGL-3 27 9 8. SUMMARY OF PROPOSED AEGLs 28 10 8.1. Proposed AEGLs 28 11 8.2. Comparison of AEGLs with Other Standards and Criteria 29 12 8.3. Data Quality and Research Needs 29 13 9. REFERENCES 30 14 APPENDIX A: DERIVATION OF AEGL VALUES FOR PERACETIC ACID 33 15 APPENDIX B: DERIVATION SUMMARY: ACUTE EXPOSURE GUIDELINES FOR 16 PERACETIC ACID 36 17 APPENDIX C: CATEGORY PLOT FOR PERACETIC ACID 39 ------- PERACETIC ACID INTERIM: 6/2008; Page 5 of 39 1 LIST OF TABLES 2 3 TABLE 1. Proposed AEGL Values for Peracetic acid [mg/m3 (ppm)] 7 4 TABLE 2. Physical/Chemical Data for Peracetic Acid 9 5 TABLE 3. Physiological Response to Low Level Exposure to Peracetic Acid Aerosols Generated by a Fogger... 11 6 TABLE 4. Effects of nose-only inhalation exposure to Proxitane 15077 in male rats 13 7 TABLE 5. Concentrations of peracetic acid, acetic acid, and hydrogen peroxide during a 4 hour exposure and 8 mortality effects during the 14-day observation period 14 9 TABLE 6. Effects of Nose-only Inhalation Exposure to Proxitane 15077 on Male Rats 16 10 TABLE7. Effects of nose-only inhalation exposure to Proxitane 15077 aerosols for 25 minutes on male rats 17 11 TABLES. Effects of nose-only inhalation exposure to Proxitane 15077 aerosols for 25 minutes on male rats 17 12 TABLE 9. Summary of Nonlethal Effects of Peracetic acid in Experimental Animal 21 13 TABLE 10. AEGL-1 Values for Peracetic Acid [mg/m3 (ppm)] 25 14 TABLE 11. AEGL-2 Values for Peracetic Acid [mg/m3 (ppm)] 27 15 TABLE 12. AEGL-3 Values for Peracetic Acid [mg/m3] 28 16 TABLE 13. AEGL Values for Peracetic acid [mg/m3 (ppm)] 29 17 ------- PERACETIC ACID INTERIM: 6/2008; Page 6 of 39 1 EXECUTIVE SUMMARY 2 3 Peracetic acid is produced by the catalytic action of sulfuric acid on acetic acid and 4 hydrogen peroxide. Technical or commercial peracetic acid products contain different 5 concentrations of peracetic acid, acetic acid, and hydrogen peroxide, but the concentration of 6 peracetic acid does not exceed 40%. Peracetic acid is unstable; it decomposes to its original 7 constituents under conditions that vary with concentration, temperature, and pH. Peracetic acid 8 is used as a disinfectant against bacteria, fungi, and viruses in the food and medical industry, as a 9 bleaching agent, as a polymerization catalyst or co-catalyst, in the epoxidation of fatty acid 10 esters, as an epoxy resin precursor, and in the synthesis of other chemicals. 11 12 Peracetic acid is corrosive/irritating to the eyes, mucous membranes of the respiratory 13 tract, and skin. It causes lacrimation, extreme discomfort, and irritation to the upper respiratory 14 tract in humans after exposure to concentrations as low as 15.6 mg peracetic acid /m3(5 ppm) for 15 only 3 minutes. Eye irritation, clinical signs, and pathologic lesions indicative of respiratory 16 tract irritation have been observed in laboratory animals exposed by inhalation to various 17 concentrations of peracetic acid aerosols. Exposure to lethal concentrations of peracetic acid 18 causes hemorrhage, edema, and consolidation of the lungs, whereas nonlethal concentrations 19 cause transient weight loss or reduced weight gain in addition to slight to moderate signs of 20 respiratory tract irritation. Human data were available for deriving AEGL-1 and -2 values and 21 animal data were available for deriving AEGL-3 values. 22 23 The proposed AEGL-1 value is 0.52 mg/m3 (0.17 ppm) for all exposure durations from 24 10 minutes to 8 hours. This value was derived from an exposure concentration of 1.56 mg/m3 25 (0.5 ppm), which, according to Fraser and Thorbinson (1986), is expected to cause no discomfort 26 and according to McDonagh (1997) is not immediately irritating but would be unpleasant for an 27 extended period of time. Therefore, 1.56 mg/m3 is considered to be the threshold for irritation to 28 mucous membranes and eyes. An intraspecies uncertainty factor of 3 was applied to 1.56 29 peracetic acid mg/m3, because peracetic acid is a corrosive/irritant substance and the effects, 30 which are confined to the upper respiratory tract, are expected to be similar for individuals 31 within the population. The rationale for proposing the same value for all time points, is as 32 follows: (1) effects of peracetic acid exposure correlate with concentration more than time, and 33 (2) and peracetic acid is freely soluble in water; therefore, it should be effectively scrubbed in 34 the nasal passages, particularly at the very low AEGL-1 concentration. 35 36 The proposed AEGL-2 value is 1.56 mg/m3 (0.5 ppm) for all exposure durations from 10 37 minutes to 8 hours based on an exposure concentration of 4.7 mg/m3, which, according to Fraser 38 and Thorbinson (1986), is expected to be associated with slight to tolerable discomfort to nasal 39 membranes and eyes for exposure durations up to 20 minutes. There was no increase in irritation 40 with exposure duration. An intraspecies uncertainty factor of 3 was applied because peracetic 41 acid is a corrosive/irritating substance and the effects, which are confined to the upper 42 respiratory tract, are expected to be similar among individuals in the population. The rationale 43 for proposing the same value for all exposure durations is discussed above for AEGL-1 values. 44 45 The proposed AEGL-3 values are derived from the study of Janssen (1989). This study 46 showed that rats exposed to Proxitane® 1507 (15% peracetic acid, -28% acetic acid, 14% 47 hydrogen peroxide, -1% "stabilizer", and -43% water) aerosols at concentrations of 130, 300, or ------- PERACETIC ACID INTERIM: 6/2008; Page 7 of 39 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 320 mg/m3 for 30 minutes had mortality responses of 0/5, 0/5, and 3/5 rats, respectively. Exposures to aerosol concentrations of 150, 390, or 1450 mg/m3 for 60 minutes resulted in the death of 0/5, 2/5, and 5/5 rats, respectively. Clinical signs indicative of respiratory tract irritation were observed at all concentrations and increased in severity with increased exposure concentration for each exposure duration. Clinical signs suggestive of nervous system effects were also observed, but could have been due to extreme respiratory tract discomfort. The AEGL values were derived from the highest concentration at which no mortality was observed: 300 mg/m3 for a 30-minute exposure and 150 mg/m3 for a 60-minute exposure. The total uncertainty factor is 10. Interspecies and intraspecies uncertainty factors of 3 were applied because mucous membranes of the respiratory tract are not expected to show significant variation in response to corrosive/irritating substances concentrations that cause physical damage and that approach the threshold for lethality regardless of species or the individuals in the population. The data, however, suggest that humans may be slightly more sensitive than animals to peracetic acid. The rationale for the intraspecies uncertainty factor of 3 was the same as described for AEGL-1. The intraspecies uncertainty factor of 3 and the interspecies uncertainty factor of 3 were applied to 300 and 150 mg/m3 for the 30- and 60-minute exposures, respectively. The equation, Cn x t = k, where n = 1.6 (estimated from 1- and 4-hour LCso data for rat), was used to scale the 60-minute exposure to 4- and 8-hour values and the 30-minute exposure to 10 minutes. The proposed AEGL values are summarized in Table 1: TABLE 1. Proposed AEGL Values for Peracetic acid [mg/m3 (ppm)] Classification AEGL-1 (Nondisabling) AEGL-2 (Disabling) AEGL-33 (Lethal) 10 min 0.52 mg/m3 (0.17 ppm) 1.6 mg/m3 (0.5 ppm) 60 mg/m3 30 min 0.52 mg/m3 (0.17 ppm) 1.6 mg/m3 (0.5 ppm 30 mg/m3 Ih 0.52 mg/m3 (0.17 ppm) 1.6 mg/m3 (0.5 ppm) 15 mg/m3 4h 0.52 mg/m3 (0.17 ppm) 1.6 mg/m3 (0.5 ppm) 6.3 mg/m3 8h 0.52 mg/m3 (0.17 ppm) 1.6 mg/m3 (0.5 ppm) 4.1 mg/m3 Endpoint /Reference Threshold for irritation (Fraser and Thorbinson, 1986; McDonagh, 1997) Mild irritation (Fraser and Thoibinson, 1986) Highest concentration causing no deaths (Janssen, 1989) 22 23 24 25 26 27 28 29 30 31 32 33 34 aAEGL-3 values are based on exposure to aerosol; therefore, concentrations are not converted to ppm. References: Fraser, J. A. L.; Thorbinson, A. 1986. Fogging Trials with Tenneco Organics Limited (30th June, 1986) at Collards Farm. Janssen, P. J. M. 1989. Acute Inhalation Toxicity Studies of Proxitane 1507 in Male Rats (I) Duphar B.V., Report No. S. 8906, Int. Doc. No. 56645/25/89. McDonagh, J. 1997. Atmospheric Monitoring of Peracetic acid on the Existing Caprolactone Plant Distillation Houses A & B - Assessment of Results. Solvay Interox, Warrington, Reference No. EE970192.M01, Memorandum to RA. Haffenden et al. dated 30 April 1997. ------- PERACETIC ACID INTERIM: 6/2008; Page 8 of 39 1 1. INTRODUCTION 2 3 Peracetic acid is produced by the catalytic action of sulfuric acid on acetic acid and 4 hydrogen peroxide (Lewis, 1993). These constituents are found in the most concentrated 5 commercial grades of peracetic acid at the following approximate concentrations (weight %): 6 40% peracetic acid, 40%, acetic acid, 5% hydrogen peroxide, 1% sulfuric acid, and 13% water, 7 along with 500 ppm of a "stabilizer" (Bock et al., 1975). The stabilizer was not identified. 8 Peracetic acid decomposes as it is diluted with water, particularly when diluted to 10 or 20% 9 peracetic acid. Sulfuric acid catalyzes the decomposition of peracetic acid and is present in 10 sufficient amounts in 10 to 20% peracetic acid products to catalyze the decomposition of 11 peracetic acid to the individual constituents: acetic acid and hydrogen peroxide. At more dilute 12 concentrations of peracetic acid, decomposition occurs more slowly, because sulfuric acid is no 13 longer present in sufficient quantities to catalyze its decomposition. However, very dilute 14 solutions (0.2%) will decompose more rapidly at elevated temperatures (4 weeks at 4°C vs 1 15 week at 40°C). In addition, increasing the pH to 7.0 results in greater than 50% decomposition 16 of peracetic acid after 1 day compared with almost no decomposition after 7 days at pH 2.7 (the 17 natural pH of 0.2% peracetic acid) (Mucke, 1977). Peracetic acid is known as a powerful 18 oxidizing agent. It is unstable upon contact with organic materials and it explodes at 110°C 19 (Lewis, 1993). 20 21 Because of its effectiveness against bacteria, fungi, and viruses, peracetic acid is used as 22 a disinfectant in the food and medical industries (Bock et al., 1975; Fishbein, 1979; Lewis, 23 1993). It is also used as a beaching agent in the paper and textile industries, as a polymerization 24 catalyst or co-catalyst, in the epoxidation of fatty acid esters, as a epoxy resin precursor, and in 25 the synthesis of other chemicals (Fishbein, 1979; Bock et al., 1975). 26 27 The database for peracetic acid is limited; however, limited quantitative human and 28 animal data are available for deriving AEGL values. The animal data for inhalation studies were 29 performed primarily on aerosols of trade name products or diluted grades of peracetic acid 30 referred to as Proxitane 1507 (15% peracetic acid, -28% acetic acid, and 14% hydrogen 31 peroxide) or Proxitane AHC (-5% peracetic acid, 19% (minimum) hydrogen peroxide, and 10% 32 acetic acid). Measurements of atmospheric concentrations in the inhalation chambers showed 33 that the relative concentrations of peracetic acid, acetic acid, and hydrogen peroxide varied in 34 aerosols generated from the same product, thus demonstrating the instability of peracetic acid in 35 the product or the aerosol. Although a contributing effect of acetic acid and hydrogen peroxide 36 cannot be ruled out in the toxicity studies described in this report, it appears, however, that acetic 37 acid and hydrogen peroxide are considerably less toxic than peracetic acid. Sulfuric acid 38 concentrations were not reported for the products (Proxitane 1507 and Proxitane AHC) used in 39 these studies, but would be expected to account for only a very small fraction since the highest 40 concentration of sulfuric acid in most products was only 1%. 41 ------- PERACETIC ACID INTERIM: 6/2008; Page 9 of 39 TABLE 2. Physical/Chemical Data for Peracetic Acid Synonyms Chemical Formula Chemical Name CAS Registry No. Molecular Weight Physical State Solubility Boiling Point Freezing Point Density Flash Point Explosion point Vapor Pressure Henry's Law Constant Conversion Peroxyacetic acid, acetic peroxide, ethaneperoxoic acid, acetyl hydroperoxide, Proxitane 4002®, Proxitane 1507®, Proxitane AHC® CH3COOOH Peracetic Acid 79-21-0 76.05 Colorless liquid Freely soluble in H2O, alcohol, ether, H2SO4 105°C -30 °C 1.15@20°C 40.5°C 110°C 14.5mmHg@25°C 2.08 x 10'6 atm.m3/mol @ 25 °C 1 ppm= 3.110 mg/m3 @25 ° C and 760 mm Hg RTECS, 1997, O'Neil et al., 2001 O'Neiletal., 2001 RTECS, 1997 O'Neiletal., 2001 Lewis, 1993 O'Neiletal., 2001 Lewis, 1993 Lewis, 1993 Lewis, 1993 Lewis, 1993 Lewis, 1993 HSDB, 1997 HSDB, 1997 1 2 3 4 5 6 7 2. HUMAN TOXICITY DATA 2.1. Acute Lethality No data on human lethality due to exposure to peracetic acid were found in the literature searched. 9 2.2. Nonlethal Toxicity 10 11 Bock et al. (1975) reported that peracetic acid was intensely irritating to the human nasal 12 passages. There was no additional information documenting the source of this information. 13 McDonagh (1997) and an associate conducted measurements of airborne peracetic acid 14 concentrations in two caprolactone distillation plants. Peracetic acid, which is used in 15 caprolactone monomer production, was distilled in the distillation houses of the plant. The 16 monitoring took place over a 3-hour period. Peracetic acid vapor was measured at total 17 peroxygen content; hydrogen peroxide was not expected to comprise a large proportion of the 18 measured substance in the vapor. In one area, peracetic acid concentrations ranged from 0.5-0.6 19 ppm (1.56-1.87 mg/m3); these concentrations were not considered to be immediately irritating, 20 but would have been considered "unpleasant for an extended period" of time. Peracetic acid 21 concentrations of 0.13-0.17 ppm (0.40-0.53 mg/m3) in another area were considered tolerable 22 and not unpleasant. McDonagh and his associate spent most of their time in an area where the 23 average peracetic acid concentration measured for a 10-minute sampling time was 0.17 ppm 24 (0.53 mg/m3). They noted no lacrimation at any time during their 3-hour exposure. McDonagh 25 (1997) recommended 0.15 ppm (0.47 mg/m3) as an acceptable 8-hour occupational exposure 26 limit for peracetic acid. This concentration would be perceptible, but not irritating or unpleasant. 27 ------- PERACETIC ACID INTERIM: 6/2008; Page 10 of 39 1 Fraser and Thorbinson (1986) conducted fogging studies in a chicken house using 2 Tenneco Organics' "Peratol" diluted to 1:20 (5% peracetic acid = 1904 mg/L in the liquid 3 formulation) to determine atmospheric levels of peroxygen and establish safe working practices. 4 Measurements of aerosol concentrations were taken at various distances from the fogging unit to 5 establish the spread and distribution of peracetic acid concentrations. The analytical procedure 6 measured total peroxygen concentration, which was calculated as hydrogen peroxide (H2O2). 7 The details of the analytical method were not presented in the report. The fogging unit was 8 placed about 1 m off the ground, and measurements were taken at various locations (the shed 9 apex, the floor, and sides of the shed). The first half of Table 3 presents the concentrations, time 10 of measurements starting at 3:30 (p.m. assumed), and physiological responses to peracetic acid. 11 The authors did not report the number of subjects exposed to the aerosol. Lacrimation was noted 12 at 5 ppm (15.6 mg/m3), extreme discomfort was noted at concentrations >2.5 ppm (7.79 mg/m3), 13 and 2.0 ppm (6.23 mg/m3) was considered unbearable in one instance and tolerable for 2 minutes 14 in another. After 23 minutes, the fogging unit was turned off and refilled; during this time, the 15 concentration of peracetic acid dropped to <0.5, 0.5- 1.0, and 1.0-1.5 ppm (1.56, 1.56-3.12, and 16 3.12-4.7 mg/m3) at 0.3, 2, and 4 meters, respectively, above ground; a slight discomfort of nasal 17 and eye membranes was noted during this phase. For the next 1 hour and 15 minutes, the 18 concentrations ranged from 2.0 to 3.0 ppm (6.23 to 9.35 mg/m3); these concentrations were 19 associated with unbearable or extreme discomfort. 20 21 At 5:20 p.m., the fogger was turned off and the concentrations of peracetic acid began to 22 decrease. The second half of Table 3 describes the concentrations and observed physiological 23 responses after shutoff After the fogger was turned off, the concentrations on peracetic acid 24 decreased from 2.0 ppm (6.23 mg/m3) to <0.5 ppm within 45 minutes. During this time the 25 physiological responses decreased from extreme discomfort of mucous membranes to mild 26 discomfort at 0.5-1.0 ppm (1.56-3.12 mg/m3) to no discomfort at <0.5 ppm (1.56 mg/m3). No 27 irritation to the chest occurred at any time during this test. 28 29 2.3. Summary 30 31 No data on human lethality caused by exposure to peracetic acid were found in the 32 literature, and the data on nonlethal effects are limited. Peracetic acid is extremely irritating to 33 mucous membranes of the eyes and nasal passages at low concentrations. Exposure to aerosols 34 generated from diluted Peratol was associated with lacrimation at 5 ppm (15.6 mg/m3), extreme 35 discomfort and irritation to mucous membranes at >2.0 ppm (6.23 mg/m3); slight or mild 36 discomfort at 0.5-1.5 ppm (1.56-4.67 mg/m3), and no discomfort at <0.5 ppm (1.56 mg/m3) 37 (Fraser and Thorbinson, 1986). Exposure to peracetic acid vapor at concentrations of 0.13-0.17 38 ppm ( 0.40-0.53 mg/m3) for up to 3 hours were detectable, tolerable, and not unpleasant 39 (McDonagh, 1997). Irritation to the chest did not occur at concentrations >5 ppm (15.6 mg/m3), 40 and no data were available for exposure of humans to concentrations >5 ppm (15.6 mg/m3). In 41 the study by McDonagh (1997), humans were exposed to peracetic acid vapor, and in the study 42 by Fraser and Thorbinson (1986) humans were exposed to the aerosols. There was agreement 43 between exposure to aerosol and vapors at 0.5 ppm (1.56 mg/m3), the highest vapor 44 concentrations reported; both studies reported either no discomfort or only mild or slight 45 discomfort at this concentration. There were no comparable levels between the two studies at 46 the higher exposure concentrations. 47 ------- PERACETIC ACID INTERIM: 6/2008; Page 11 of 39 TABLE 3. Physiological Response to Low Level Exposure to Peracetic Acid Aerosols Generated by a Time 3.30 3.37 3.53 4.05 5.00 5.10 5.15 5.20 ppm (as total H2O2)a 5 (15.6) 5 (15.6) 1-1.5(3.12-4.67) 0.5-1.0(1.56-3.12) 0.5 (1.56) 2.0 (6.23) 2.5 (7.79) 2.5 (7.79) 3.0(9.35) 3.0(9.35) 2.0 (6.23) Fogger Observed Effects Lacrimation, extreme discomfort, irritation of nasal membranes Lacrimation, extreme discomfort, irritation of nasal membranes Slight discomfort of nasal and eye membranes, decreasing with concentration Irritation considered unbearable Extreme discomfort of nasal membranes Extreme discomfort Extreme discomfort Extreme discomfort Irritation tolerable for 2 minutes Concentrations and response after the fogger was turned off (minutes) 5-10 15-20 25 30 35-45 2.0 (6.23) 1-1.5(3.12-4.67) 1.0(3.12) 0.5-1.0(1.56-3.12) <0.5(1.56) Extreme discomfort of mucous membranes Discomfort of mucous membranes Discomfort tolerable Discomfort mild No discomfort Source: Fraserand Thorbinson, 1986 ""Measurements taken at different locations relative to fogging unit; numbers in parentheses are concentrations in mg/m3. 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 3. ANIMAL TOXICITY DATA 3.1 Acute Lethality 3.1.1. Rats Janssen (1989a) conducted a study in which groups of five male CPB-WU Wistar derived rats were exposed to Proxitane 1507s (15% peracetic acid, -28% acetic acid, 14% hydrogen peroxide, -1% stabilizer, and -43% water) aerosol by nose-only inhalation in a 40 L dynamic flow chamber. The chamber was constructed of aluminum, and the inside walls were coated with silver and a thin layer of polytetrafluoroethylene. The test atmospheres were generated with a stainless-steel nebulizer, and test concentrations were analyzed as total peroxygen concentration corrected for the amount of hydrogen peroxide. Chamber concentrations (converted from mg/L to mg/m3) of the constituents in the test material and exposure durations are listed in Table 4. The study author did not comment on the greater than zero concentration of constituents in the control atmosphere, but it may be related to the detection limit of the analytical procedure or natural occurrence of hydrogen peroxide in the atmosphere (ATSDR, 1997). Respiratory rates were determined during exposure, clinical signs of toxicity were recorded for 14 days after exposure, and body weight was measured on post-exposure days 2, 7, and 14. Postmortem studies included gross examination, measurement of lung weight, and histopathological examination of the lungs. The results are summarized in Table 4. Deaths occurred only in groups exposed to peracetic concentrations >320 mg/m3 regardless of exposure duration (320 mg/m3 for 15 or 30 minutes, 390 mg/m3 for 60 minutes, and 1450 mg/m3 for 60 minutes). The LCso for the 60-minute exposure to peracetic acid was 476 ------- PERACETIC ACID INTERIM: 6/2008; Page 12 of 39 1 mg/m3. Clinical signs of toxicity included effects primarily indicative of extreme respiratory 2 irritation (reduced respiratory rate, respiratory difficulties, blood around the nose and mouth, 3 sneezing, and rubbing the nose) and those that may be indicative of nervous system effects 4 (passivity, decreased alertness and startle response, piloerection, salivation, decreased coordi- 5 nation and muscle tone), but were probably related to extreme discomfort of the animals. The 6 only effect on the eyes was drooping eye lids. The severity of the clinical signs (slight, 7 moderate, severe) as well as the number of signs observed in each group and time of 8 disappearance of clinical signs increased with concentration of test material and exposure 9 duration. Clinical signs disappeared 1.5 hours to 5 days after exposure. Respiratory rates 10 measured during exposure showed maximum depressions to 22 to 41% of preexposure rates in 11 all exposure groups. Body weight measurements showed transient decreases on day 2 after 12 exposure to 320 mg/m3 for 15 or 30 minutes and 150 mg/m3 or 1450 mg/m3 for 60 minutes. 13 Macroscopic examinations showed effects indicative of respiratory irritation (blood around the 14 nose, red nasal and tracheal mucosa, bloody fluid in the trachea, dark red lungs, and red or dark 15 spots on the lungs) particularly in animals that died during the study. The animals surviving to 16 study termination showed only red or dark spots on the lungs. In addition, the stomach and 17 small intestines were distended with gas and the liver was swollen in animals exposed to >320 18 mg/m3. Absolute and relative lung weights were elevated in rats exposed to 320 or 390 mg/m3. 19 Only one animal each exposed to 300, 390, or 1450 mg/m3 showed microscopic effects in the 20 lungs. Although it appeared that the observed effects were caused by exposure to peracetic acid, 21 most effects also showed increased severity with the increased concentrations of measured acetic 22 acid and hydrogen peroxide. Based on lethality data, it is unlikely that acetic caused the effects 23 observed in the rats; however, a contributing effect cannot be ruled out for either constituent. 24 See Section 4.4.4 for a brief discussion of the toxicity of acetic acid and hydrogen peroxide 25 (Janssen, 1989a). 26 ------- PERACETIC ACID INTERIM: 6/2008; Page 13 of 39 TABLE 4. Effects of nose-only inhalation exposure to Proxitane 15077 in male rats Group No. 10 (control) 8 3 6 9 4 7 5 2 Exposure time (min) 60 15 15 30 30 30 60 60 60 Concentration (mg/m3)a Peracetic acid <70 300 320 130 300 320 150 390 1450 Acetic acid <70 767 2000 210 767 2000 290 2800 6600 H202 <50 <50 <70 10 <50 <70 9 4 450 Effects Mortality 0/5 0/5 1/5 0/5 0/5 3/5 0/5 2/5 5/5 Clinical signs & body weight" + +, bw (no effect) +, ++, wt. loss +, bw (no effect) +,++, bw (no effect) +, ++, +++, bw (no data) +, ++, I bw +, ++, +++, bw (no data) +, ++, +++, bw (no data) Gross pathology URT (0/5); LRT (1/5) URT (0/5); LRT (2/5) URT (1/5); LRT (1/5) URT (0/5); LRT (0/5) URT (0/5); LRT (1/5) URT (2/5); LRT (5/5) URT (0/5); LRT (1/5) URT (2/5); LRT (4/5) URT (3/5); LRT (2/5) Source: Janssen, 1989a a+, ++, +++ refer to slight, moderate, and severe clinical signs, respectively. bw = body weight; I = decrease; URT = upper respiratory tract; LRT = lower respiratory tract 1 2 3 Janssen and Van Doom (1994) conducted a 4-hour acute inhalation study in rats with 4 Proxitane AHC". The chemical composition of the test material was as follows: 4.7-5.4% (-5%) 5 peracetic acid, 19% (minimum) hydrogen peroxide, 10% acetic acid, water, and 1% surfactant. 6 Groups of five male and five female Wistar derived rats were exposed to aerosols of the test 7 material by nose-only inhalation in an aluminum chamber with the inside walls coated with 8 silver and a thin layer of polytetrafluoroethylene. The test concentrations of peracetic acid in the 9 chamber were analyzed as total peroxygen concentration corrected for the amount of hydrogen 10 peroxide. The concentrations of peracetic acid and other constituents are presented in Table 5. 11 Each group was exposed to the test atmospheres for 4 hours and surviving animals were 12 observed for 14 days. An unexposed control group was included. The mortality response is 13 summarized in Table 5 In Group B exposed to peracetic acid at 267 mg/m3, four of five male 14 rats died by day 3 and all females had died by day 4 (four died before day 2). In Group D 15 exposed to 185 mg/m3, two males died on day 1 and two females had died by day 3. The LCso 16 for the combined sexes was 204 mg/m3. Numerous clinical signs including apathy, respiratory 17 difficulties, reduced respiratory rate, noisy breathing, cyanosis, lacrimation, salivation, ptosis, 18 twitching, hypothermia, abnormal gait and posture, crusts on nose, and blood under cage were 19 observed in rats of all groups except lacrimation, cyanosis, and salivation were not observed at 20 87 mg/m3. Fewer clinical signs were observed in the lowest exposure group compared with the 21 highest exposure groups. The clinical signs disappeared after day 1 for males or day 3 for 22 female rats exposed to 87 mg/m3 and after day 3 or 4 for the remaining groups. The clinical 23 signs were considered to be related to the corrosive/irritant properties of the test material. The 24 body weights of rats exposed to the test atmospheres were much less than those of the controls 25 on day 2 after exposure due to pronounced weight losses of 36 to 52 g for males and 19 to 34 g ------- PERACETIC ACID INTERIM: 6/2008; Page 14 of 39 1 2 3 4 5 6 7 8 9 10 11 12 13 14 for females (p<0.01 all groups compared with controls). Body weights of all exposed groups showed signs of recovery between day 2 and 7 after exposure. Absolute and relative lung weights were elevated in all groups. Gross examination showed no abnormalities in male or female rats exposed to 87 mg/m3. Red or brown staining or blood around the nose and/or mouth was observed in rats exposed to > 163 mg/m3. In addition, red spots were observed on the lungs of rats receiving > 163 mg/m3, and lung consolidation or edema was observed in animals that died due to exposure. It is unlikely that acetic acid or hydrogen peroxide was the cause of mortality in the rats. The lowest lethal concentration for a 4-hour exposure of rats to acetic acid (39, 216 mg/m3) is about 30 times greater than the LCso (1283 mg/m3) calculated from the acetic acid concentrations in Table 5. Likewise, the LCso for hydrogen peroxide reported for rats (1972 mg/m3) is almost 3 times greater that the LCso (684 mg/m3) calculated from the data in Table 5 Therefore, the concentrations of acetic acid and hydrogen peroxide appear too low to have caused the deaths among the rats exposed to peracetic acid. TABLE 5. Concentrations of peracetic acid, acetic acid, and hydrogen peroxide during a 4 hour exposure and mortality effects during the 14-day observation period Parameter Peracetic acid Acetic acid Hydrogen peroxide Mortality Males Females Combined sexes Concentration (mg/m3) Group C 87 441 200 0/5 0/5 0/10 Group A 163 887 467 0/5 0/5 0/10 Group D 185 1337 595 2/5 2/5 4/10 Group B 267 1598 1075 4/5 5/5 9/10 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 LC50 = 204 mg/m3, 95% confidence limits = 186-233 mg/m3 Source: Janssen and van Doom, 1994 3.1.2. Mice Merka and Urban (1978) conducted a study in which groups often mice were exposed in a dynamic chamber to aerosols of Persteril (commercial product containing 40% peracetic acid) or laboratory peracetic acid produced from equimolar concentrations of acetic acid and hydrogen peroxide and using sulfuric acid as the catalyst. In contrast to Persteril, the laboratory product contained no sulfuric acid. The mice were exposed to peracetic acid concentrations at 150, 300, 450, 600, 800, 1000, 1300, or 1600 mg/m3 for 60 minutes. The animals were observed for 20 days. Animals exposed to peracetic acid (specific concentrations not reported) showed signs of eye and respiratory irritation during exposure (restlessness, bristling fur, half closing of eyelids, and nose rubbing along with respiratory distress, gasping, and increased respiration, which varied with concentration). The eyelids were red and swollen and a secretion was observed around the eyes and snout within the first 24 hours; hair loss occurred later. The LCso was 524 mg/m3 for laboratory peracetic acid and 512 mg/m3 for Persteril. The similar LCso values showed that the small amount of sulfuric acid in Persteril had no effect on lethality in the mouse. One or two mice died during exposure; other mice died during the observation period. The study authors did not report lethality data for individual groups. Histological examination of the animals that died and those that survived revealed lesions only in the lungs. None occurred in ------- PERACETIC ACID INTERIM: 6/2008; Page 15 of 39 1 the heart, liver, spleen, or kidneys. Lung lesions in mice that died within 2 days consisted of 2 extensive foci of hemorrhagic exudative inflammation involving the parenchyma of the entire 3 lungs; foci of alveolar inflammation with serous exudate, red blood cells (RBCs), macrophages 4 with phagocytosed aerosol particles; and desquamated epithelial cells. The severity of the 5 lesions increased with exposure concentration. The lungs of animals that died about day 6 after 6 exposure showed evidence of focal bronchopneumonia characterized by hyperemia of the 7 alveolar septa and serohemorrhagic exudate containing desquamated epithelial cells and macro- 8 phages with phagocytosed aerosol particles. The lungs of animals surviving to 20 days showed 9 diffuse inflammatory lesions at concentrations >600 mg/m3 and focal inflammatory lesions at 10 <600 mg/m3. 11 12 3.2. Nonlethal Toxicity 13 3.2.1. Rat 14 15 Janssen (1989b) exposed groups of five CPB-WU Wistar derived male rats by nose-only 16 inhalation to aerosols of Proxitane 1507® (15% peracetic acid, -28% acetic acid, 14% hydrogen 17 peroxide, -1% stabilizer, and -43% water) at concentrations and exposure durations listed in 18 Table 6. The test concentrations of peracetic acid were analyzed as total peroxygen corrected for 19 the amount of hydrogen peroxide. The concentrations of acetic acid in the chamber atmospheres 20 were not reported by the study author. The study author also did not comment on the greater 21 than zero concentration of hydrogen peroxide in the control atmosphere. The exposure 22 conditions and chamber were the same as described by Janssen (1989a) (Section 3.1.1). The 23 animals were observed for 7 or 14 days after exposure; body weights were measured on days 2, 24 7, and 14 (where appropriate). Necropsies were performed on all animals, the lungs were 25 weighed, and the lungs and nasal cavities were processed for microscopic examination. The 26 group exposed to peracetic acid at 589 mg/m3 for 60 minutes and one control group were 27 necropsied after 14 days; all others were necropsied after 7 days. The results are summarized in 28 Table 6. The only clinical signs observed during exposure were "struggling" and irregular or 29 shallow breathing patterns after 5-10 minutes and gasping in the group exposed to 589 mg/m3 30 for 60 minutes. Clinical signs observed after exposure were indicative of effects on coordination 31 and muscle tone, extreme discomfort, and respiratory irritation as described by Janssen (1989a) 32 (Section 3.1.1). Rats exposed to 578 or 589 mg/m3 (30 or 60 minutes) showed slight to severe 33 clinical signs; rats in all other exposure groups showed slight to moderate clinical signs; rats in 34 the control group showed no clinical signs. The study author noted that a twofold increase in 35 exposure time produced a smaller effect on clinical signs than a twofold increase in exposure 36 concentration indicating that effects are due more to exposure concentration than duration. Two 37 rats exposed to 589 mg/m3 for 60 minutes were killed moribund about 24 hours after exposure, 38 and the remaining animals survived to study termination. Absolute body weights were not 39 significantly different from those of controls except for the group exposed to 578 mg/m3 for 40 30 minutes. Almost all groups including controls lost weight during the first two days of the 41 study; however, the groups exposed to peracetic acid for 30, 60, and 90 minutes lost significantly 42 more weight than controls (except for Group 6). There were no treatment-related macroscopic or 43 microscopic findings in the lungs, and lung weights were similar in the treated and control 44 groups. Slight to moderate to severe squamous metaplasia of the nasal turbinates and/or lateral 45 walls and epithelial atrophy of the dorsal meatus were observed in all treated groups. The study 46 author noted that the chamber atmospheres for Groups 3 and 6 did not reach equilibrium during 47 sampling. ------- PERACETIC ACID INTERIM: 6/2008; Page 16 of 39 TABLE 6. Effects of Nose-only Inhalation Exposure to Proxitane 15077 on Male Rats Group No. 1 (control) 2 (control) 3 6 4 7 5 9 8 Exposure time (min) 90 90 15 30 30 60 60 90 90 Concentration (mg/m3)a Peracetic acid <16 <16 499 304 578 329 589 172 355 H202 <16 <16 172 111 193 115 233 63 119 Effects'1 Clinical signs and body weight gain bw, slight 1 bw, slight 1 +, ++; bw, no change +, ++; bw, slight I +, ++, +++; bw, marked I +, ++; bw, moderate 1 +, ++, +++; bw, marked I +, ++; bw, moderate 1 +, ++; bw, moderate 1 Pathology Gross 0/5 3/5 0/5 1/5 1/5 2/5 2/5 0/5 1/5 Microscopic 0/5 0/5 5/5 4/5 5/5 5/5 4/5 5/5 5/5 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 Source: Janssen, 1989b a Concentration reported as mg/L by the study author converted to mg/m3. b+, ++, +++ refer to slight, moderate, and severe clinical signs, respectively; body weight gain: slight I = <5 g, moderate I = >5-15 g, marked I = >15 g. bw = body weight; I = decrease In a preliminary study, Janssen (1989c) examined the effect of peracetic acid on the respireory rate in groups of three CPB-WU Wistar derived male rats exposed by nose-only inhalation for 25 minutes to aerosols of Proxitane 1507® containing peracetic acid and hydrogen peroxide at the concentrations presented in Table 7. The chamber and exposure conditions were the same as described by Janssen (1989a) (Section 3.1.1). The test concentrations of peracetic acid were analyzed as total peroxygen concentration corrected for the amount of hydrogen peroxide. A plethysmograph was used to measure respiratory rates before, during, and after exposure to the test material. The rats were killed and necropsied 24 hours after exposure. The lungs were weighed and processed for microscopic examination along with the trachea and nasal cavities. The mean percent of the greatest (extreme) depression in respiratory rates ranged from 31.9-67.1% in groups exposed to peracetic acid concentrations ranging from 8.4-36.3 mg/m3 (Table 7). The depression in respiratory rates did not show a clear exposure-related trend. The mean JADso for all groups was 22.7 mg/m3, 21.5 mg/m3 with Group 1 omitted, and 24.1 mg/mg3 with Group 3 omitted. According to the investigator, depression in the respiratory rate was considered biologically significant only if it exceeded 20% of the preexposure rate. After exposure, the respiratory rates of all animals returned to approximately normal rates. The only observed clinical sign of toxicity was a slightly hunched appearance after removal of the plethysmograph. No abnormalities were observed during necropsy, lung weight was not affected, and no treatment-related microscopic findings were observed in the nose, trachea, or lungs. ------- PERACETIC ACID INTERIM: 6/2008; Page 17 of 39 TABLE 7. Effects of nose-only inhalation exposure to Proxitane 15077 aerosols for 25 minutes on male rats Peracetic acid H2O2 Extreme depression, mean (%) Concentration (mg/m3) Group 3 8.4 mg/m3 3.3 46.9 Group 1 12.2 mg/m3 3.3 32.6 Group 5 13.9 mg/m3 1.9 31.9 Group 2 17.4 mg/m3 5.4 44.2 Group 4 36.3 mg/m3 13.1 67.1 Source: Janssen, 1989c 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 In a follow-up study, Janssen (1990) examined the effect of higher concentrations of Proxitane 1507 (15% peracetic acid, -28% acetic acid, 14% hydrogen peroxide, -1% stabilizer, and -43% water) aerosols on the respiratory rate in groups of three CPB-WU Wistar derived male rats. The animals were exposed to the test substance by nose-only inhalation for 25 minutes as described by Janssen (1989c). The test concentration of peracetic acid were analyzed as total peroxygen concentration corrected for the amount of hydrogen peroxide. Respiratory rates were measured using a plethysmograph before, during, immediately after, and 24 hours after exposure to the test atmospheres. The concentrations of peracetic acid and hydrogen peroxide in the exposure chambers and the percent depression of respiratory rates are presented in Table 8. The respiratory rates were depressed 76-78% during exposure of each group. The respiratory rates improved after exposure and returned to normal in two Group 3 rats exposed to the lowest concentration of peracetic acid. The respiratory rate had returned to normal in Group 1 and 2 animals by 24 hours. Necropsy revealed no gross abnormalities; however, microscopic examination showed moderate to severe necrosis in the nasal turbinates of all animals exposed to the test material. Evidence of very slight to slight pulmonary inflammation was observed in one or two animals of each group, but no control group was included for comparison. Therefore, the pulmonary effects should not be considered treatment related. TABLE 8. Effects of nose-only inhalation exposure to Proxitane 15077 aerosols for 25 minutes on male rats Peracetic acid Hydrogen peroxide % Respiratory depression, meanb Concentration (mg/m3)3 Group 3 22 1.0 mg/m3 22.4 76.3 16.0 Group 2 3 15.3 mg/m3 23.1 78.4 29.6 Group 1 461.5 mg/m3 59.8 76.3 49.2 22 23 24 25 26 27 28 Source: Janssen, 1990 "Average of two measurements of atmospheres taken during exposure: just before and during measurement of respiratory rate. bTop row, % of extreme depression during exposure compared with pre-exposure respiratory rate; bottom row, % of depression after exposure compared with pre-exposure respiratory rate. Benes et al. (1966) showed that rats exposed to peracetic acid at concentrations ranging from 7.2 to 72 mg/m3 aerosol for 4 hours exhibited signs of restlessness, lacrimation, and nasal discharge, whereas labored breathing and lung edema were seen at 237 mg/m3. Repeated exposure to 7.2 mg/m3 for 1 hour/day for 28 days was without effects, whereas repeated exposure to 22 mg/m3 for the same time period resulted in increased lung and liver weights, ------- PERACETIC ACID INTERIM: 6/2008; Page 18 of 39 1 depression of body weight gain, and inflammation in the lungs. No additional information was 2 available for this study. O 4 Whitman (1991) conducted a study in which a group of 10 Sprague-Dawley rats (5 males 5 and 5 females) were exposed to an aerosol/vapor mixture generated from a 0.15% use dilution of 6 peracetic acid. A 5% peracetic acid solution was diluted with distilled water to prepare the 7 0.15% dilution. The study author did not describe the content of other constituents in the test 8 material. The animals were exposed for 4 hours in a dynamic chamber. The theoretical 9 equilibration time was 23 minutes. The nominal concentration (calculated based on amount of 10 material lost and total air flow through the chamber) was 66.171 mg/L; the analytical 11 concentration of total test material was 7.669 mg/L; and the analytical concentration of peracetic 12 acid was 0.0117 mg/L (11.7 mg/m3). The animals were observed for 14 days and were sacrificed 13 and subjected to gross examination after the observation period. A control group for comparison 14 was not included in this study. A dense fog was formed in the chamber during exposure 15 inhibiting the observation of a few animals. During exposure, the animals closed their eyes, had 16 decreased activity, and had material on their fur. The study author considered these responses 17 normal for aqueous aerosol exposure. After exposure, all animals had wet, matted fur, two had 18 clear ocular discharge, and one had fine tremors attributed to mild hypothermia because of wet 19 fur. Almost all animals had recovered by the second day after exposure except for one that had a 20 clear oral and ocular discharge and wet and matted fur on day 8 post-exposure and a dry red 21 nasal discharge on day 9 postexposure. This animal was normal for the remainder of the 22 observation period. Five rats lost a small amount of weight the day after exposure; otherwise, all 23 rats gained weight during the observation period. At necropsy, one animal had mottled, red to 24 dark red lungs and two rats had dark red foci on the mandibular lymph nodes. All animals 25 survived to study termination. 26 27 3.2.2. Mice 28 29 Merka and Urban (1978) conducted a study in which groups of 10 mice were exposed in 30 a dynamic chamber to laboratory peracetic acid aerosols at concentrations of 70-140 mg/m3 for 31 60 minutes, three times/week for 4 weeks and observed for an additional 2 weeks. The animals 32 exposed to peracetic acid showed retarded weight gain compared with controls not exposed to 33 the test chemical. Isolated small foci of inflammation were seen in the lungs of mice killed at the 34 end of the 14-day observation period. 35 36 Heinze et al. (1979) reported that exposure of mice (no descriptive information provided) 37 to 30 mg peracetic acid (1.2 mL volume of a 6.25% solution of Wofasteril) released in a 20-L 38 room for 45 minutes had no effect on immune function as tested on animals given an erysipelas 39 vaccine and challenged with erysipelas "germ" (bacteria). Atmospheric peracetic acid 40 concentrations were not quantified by an analytical procedure. 41 42 3.2.3. Other Species 43 44 Heinze et al. (1979) examined the effect of daily releases of 2 mL of a 6.15% Wofasteril 45 solution/m3 of air (50 mg peracetic acid/m3) on uninfected and Chlamydia-'mfected (by 46 intratracheal instillation) calves and pigs . The animals were exposed 1 hour/day for an unspeci- 47 fled period of time. The droplet size of the aerosol was 0.5 to 0.6//m. Peracetic acid-treated ------- PERACETIC ACID INTERIM: 6/2008; Page 19 of 39 1 animals developed a transient severe irritative cough accompanied by nasal secretion, lacrima- 2 tion, and salivation. Transient vomiting and labored breathing and weight loss were also 3 observed after day 19 in treated pigs. Increased pulse and breathing rates, decreased erythrocyte 4 count and hemoglobin concentration, and lesions in the lungs, kidneys, and liver were observed 5 after exposure to peracetic acid. There was no evidence that effects of Chlamydia infection were 6 exacerbated by exposure to peracetic acid. 7 8 Calves and young pigs exposed daily to peracetic acid at 50 mg/m3 exhibited decreased 9 body weight gain, decreased serum aspartate aminotransferase activity, and histologic evidence 10 of lung irritation (Friebig and Reuter, 1975). The duration of exposure was not reported. 11 12 According to Uhlemann (1971) guinea pigs and a pig were not affected by a single 13 inhalation exposure to peracetic acid aerosols (50 //m droplet size) at concentrations of 250 or 14 500 mg/m3, whereas rabbits exhibited labored breathing at the higher concentration but not at the 15 1 ower concentrati on. 16 17 3.3. Carcinogenicity 18 19 There are no studies on the carcinogenicity of peracetic acid administered by inhalation. 20 Bock et al. (1975) conducted a study in which groups of 30 female ICR Swiss mice (55 to 69 21 days of age) received repeated topical applications of peracetic acid in water or acetone. In one 22 study, groups of mice received a single topical application of 125 //g of 7,12-dimethylbenz[a] 23 anthracene (DMBA) to the shaved dorsal skin followed by topical applications of 0.2 mL of 0, 24 0.3, 1.0, or 3.0 % peracetic acid in water 5 days/week for 66 weeks. By the end of the treatment 25 period, 0, 7, 27, and 80% of the mice in each group, respectively, had developed skin tumors; 3% 26 of the mice receiving 1.0% peracetic acid alone and 17% of the mice receiving 3.0% peracetic 27 acid alone developed "skin cancer." In another experiment, groups of mice received no topical 28 applications of peracetic acid, topical applications of 1.0% peracetic acid in acetone, or topical 29 applications of 2.0% peracetic acid in water (5 days/week) without prior treatment with DMBA. 30 After 52 weeks, 10% of the group receiving peracetic acid in water developed skin tumors; none 31 were skin cancer. Tumors did not develop in mice receiving no peracetic acid or in mice 32 receiving peracetic acid in acetone. Topical application of 2% decomposed peracetic acid in 33 water or 1% decomposed peracetic acid in acetone to DMBA-initiated mice for 58 weeks 34 resulted in a very low incidence of skin tumors (7%); the low incidence was not considered 35 treatment-related. The study authors concluded that peracetic acid is a strong skin tumor 36 promoter and a weak complete carcinogen. Bock et al. (1975) also reported that 4% peracetic 37 acid was "excessively lethal." They provided no additional information on the number of 38 applications required to cause lethality. 39 40 3.4. Genotoxicity 41 42 Agnet et al. (1976) tested peracetic acid in Salmonella typhimurium spot test to detect 43 point, frame-shift, and deletion mutations. Peracetic acid induced deletion but not point or 44 frame-shift mutations. Lai et al. (1996) reported that peracetic acid induced unscheduled DNA 45 synthesis (no additional information was provided). Peracetic acid was negative in the SOS 46 chromotest (Yin et al., 1989). 47 ------- PERACETIC ACID INTERIM: 6/2008; Page 20 of 39 1 Koch et al. (1989) conducted an in vivo test in which Wofasteril® (40% peracetic acid, 2 27% acetic acid, and 14% hydrogen peroxide) was injected intraperitoneally into male ICR mice 3 once per day for 5 consecutive days at a concentration of 0.1% or 0.05% in a volume of 0.2 4 mL/34 g body weight (2.6 or 1.3 mg/kg/day, respectively). Sperm abnormalities, indicative of 5 mutagenic potential, were evaluated 36 days after the first injection. At 2.6 mg/kg/day, 6 Wofasteril induced a twofold increase in abnormal sperm compared with controls receiving 0.2 7 mL of distilled water. No increase was observed at 1.3 mg/kg/day. A mouse bone marrow test 8 conducted by Paldy et al. (1984) showed an increase in "mutated" chromosomes (17% vs 3% for 9 controls) in mice injected (intraperitoneal) once a day for 5 days with 1.6 mg peracetic 10 acetic/kg/day (). 11 12 3.5. Summary 13 14 Lethality studies on peracetic acid were conducted with products containing different 15 concentrations (weight %) of peracetic acid, acetic acid, and hydrogen peroxide. Sulfuric acid 16 may have been present at very low concentrations in some products. The LCso values for 17 inhalation exposure to peracetic acid aerosols were 476 mg/m3 for rats and 512-514 mg/m3 for 18 mice exposed for 1 hour and 204 mg/m3 for rats exposed for 4 hours. The study in mice showed 19 that the small amount of sulfuric acid that may have been present in the exposure chambers had 20 no effect on lethality of mice, because the LCso values were similar with or without possible 21 exposure to small amounts of sulfuric acid. Death was caused by severe damage to the lungs 22 (hemorrhage, consolidation, and edema). Respiratory effects were much less severe in survivors, 23 including those in groups where deaths occurred. 24 25 Data concerning effects of peracetic acid at nonlethal concentrations are summarized in 26 Table 9. These studies showed effects on the respiratory tract and body weight gain. 27 Concentrations of peracetic acid aerosols ranging from 8.4-36.3 mg/m3 caused 28 to 65% 28 decreases in respiratory rate during a 25-minute exposure, and the RDso was 22.7 mg/m3 29 (Janssen, 1989c); concentrations ranging from 71 to 156 ppm caused 71-74% decreases during a 30 similar exposure time (Janssen, 1990). In rats, respiratory irritation was slight to moderate, 31 weight loss was moderate, and nasal lesions were slight to moderate after inhaling about 304-329 32 mg/m3 30 or 60 minutes, whereas respiratory irritation was slight to severe, weight loss was 33 marked, and nasal lesions were slight to moderate or severe after inhaling about 578-589 mg/m3 34 for 30 to 60 minutes (Janssen, 1989b). Rats that inhaled 172 or 355 mg/m3 for 90 minutes had 35 slight to moderate respiratory irritation and moderate weight loss, and slight to severe nasal 36 lesions (Janssen, 1989b). Inhalation of1.2-12 mg/m3 for 240 minutes caused restlessness, 37 lacrimation, and nasal discharge, and 237 mg/m3 for 240 minutes caused labored breathing and 38 lung edema (Benes et al., 1966). Rats showed no effects when exposed to 2.3 ppm for 39 60 minutes/day for 28 days; however exposure to 7 ppm under similar conditions caused 40 increased lung and liver weight, depressed weight gain, and lung inflammation (Benes et al., 41 1966). Similar effects were observed in mice that inhaled 70-140 mg/m3, 1 hour/day, 3 times per 42 week, for 4 weeks (Merka and Urban, 1978). Effects of exposure to peracetic acid were more 43 prevalent and more severe after exposure was terminated than during exposure. In addition, 44 effects were more severe after doubling the exposure concentration than doubling the exposure 45 duration. ------- PERACETIC ACID INTERIM: 6/2008; Page 21 of 39 TABLE 9. Summary of Nonlethal Effects of Peracetic acid in Experimental Animals Species/Stain/ Sex Rat/Wistar/M Mouse Exp. time 15 min 25 min 25 min 25 min 25 min 25 min 30 min 30 min 60 min 60 min 60 min x 28 d 60 min x 28 d 90 min 90 min 240 min 240 min 240 min 1 h, 3x/wk, 4 wks Exp. cone. (mg/m3 ) 499 8.4 12.2-13.9 17.4 36.3 221-462 304 578 329 589 7.2 22 172 355 7.2-72 237 11.7 70-140 Effect Slight to moderate signs of respiratory irritation; no change in body weight 47% Depression in respiratory rate 32-33% Depression in respiratory rate 44% Depression in respiratory rate 67% Depression in respiratory rate 76-78% Depression in respiratory rate; moderate to severe necrosis of nasal turbinates Slight to moderate signs of respiratory irritation, slight transient weight loss, slight to moderate nasal lesions Slight to severe signs of respiratory irritation, marked transient weight loss, slight to severe nasal lesions Slight to moderate signs of respiratory irritation, moderate transient weight loss, slight to moderate nasal lesions Slight to severe signs of respiratory irritation, marked transient weight loss, slight to moderate nasal lesions No effects Increased lung and liver weight, depressed weight gain, lung inflammation Slight to moderate signs of respiratory irritation, moderate transient weight loss, slight to severe nasal lesions Slight to moderate respiratory irritation, moderate transient weight loss, slight to severe nasal lesions Restlessness, lacrimation, and nasal discharge Labored breathing and lung edema Clear ocular and oral discharge, transient weight loss, gross findings in the lungs Retarded weight gain, small foci of inflammation in lungs 14 days after treatment terminated Reference Janssen, 1989b Janssen, 1989c Janssen, 1990 Janssen, 1989b Janssen, 1989b Janssen, 1989b Janssen, 1989b Benes etal., 1966a Benes etal., 1966a Janssen, 1989b Janssen, 1989b Benes etal., 1966a Benes et al., 1966a Whitman, 1991 Merka and Urban, 1978 2 O 4 5 6 7 aCited from secondary source 4. SPECIAL CONSIDERATIONS 4.1. Metabolism/Disposition/Kinetics No studies on the uptake, distribution, metabolism, or elimination of inhaled peracetic acid were found in the sources searched. Peracetic acid is freely soluble in water (O'Neil et al., 2001) and should be effectively scrubbed in the upper respiratory tract. Effects on the lower ------- PERACETIC ACID INTERIM: 6/2008; Page 22 of 39 1 respiratory tract would occur only at concentrations that exceed the scrubbing capacity of the 2 nasal passages. O 4 4.2. Mechanism of Toxicity 5 6 Peracetic acid is a corrosive chemical; therefore, it causes irritation to mucous 7 membranes. Lacrimation and respiratory tract irritation were observed in humans (Fraser and 8 Thorbinson (1986) and rats (Janssen, 1989a,b; Janssen and Van Doom, 1994) and eye and 9 respiratory tract irritation were observed in mice ( Merka and Urban, 1978) exposed to peracetic 10 acid. The effects in some cases were delayed. For example, deaths caused by exposure to 11 peracetic acid occurred 1 or more days after exposure depending upon the atmospheric 12 concentration. Exposures to extremely high concentrations are expected to cause deaths during 13 exposure. 14 15 4.3. Structure/Activity Relationship 16 17 Peracetic acid is a peroxy acid that has the following general structure: 18 O 19 20 R-C-O-OH 21 22 Peroxy acids are irritating to skin, eyes, and mucous membranes of the respiratory tract. 23 Peroxy acids are members of a broader group of chemicals called organic peroxides. Many of 24 these chemicals are also considered to be respiratory irritants (Galvin and Farr, 1993). 25 26 4.4. Other Relevant Information 27 4.4.1. Species Variability 28 29 The LCso values for 1-hour exposures to the rat (476 mg/m3) and mouse (512-524 mg/m3) 30 are similar, indicating a similar species response to inhalation exposure to peracetic acid. 31 Whether the animals died or survived after exposure to peracetic acid, the effects were indicative 32 of respiratory tract irritation in mice and rats. Effects of inhalation exposure on calves and pigs 33 were qualitatively similar to those observed in rodents. Lacrimation occurred in humans 34 exposed to 15.6 mg/m3 for 3.5 minutes and respiratory tract irritation occurred at concentrations 35 > 1.56 mg/m3 with only mild effects occurred at the lower concentrations (Fraser and 36 Thorbinson, 1986); Janssen and van Doom (1994) reported no lacrimation in rats exposed to 87 37 mg/m3 for 4 hours, but serious respiratory effects were observed. In contrast, Benes et al.(1966) 38 reported lacrimation and upper respiratory tract effects in rats exposed to 7.2-72 mg/m3 for 4 39 hours. These results show that similar effects are observed in humans and animals and that 40 humans may be slightly more sensitive to exposure to peracetic acid than animals. 41 ------- PERACETIC ACID INTERIM: 6/2008; Page 23 of 39 1 4.4.2. Susceptible Subpopulations 2 3 Peracetic acid is a corrosive and extremely irritating substance that attacks mucous mem- 4 branes of the respiratory tract and eyes; therefore, very little difference in sensitivity is expected 5 among individuals within the general population. No data were available on the response of 6 asthmatics to inhaled peracetic acid. 7 8 4.4.3. Concentration-Exposure Duration Relationships 9 10 The n-value of 1.6 was estimated from the rat lethality data by determining the value of 11 n, which, when applied to the 1-hour LCso of 476 mg/m3 (Janssen, 1989a), would closely predict 12 the 4-hour LCso of 204 mg/m3 (Janssen and Van Doom, 1994). Although only two LCso values 13 were available for estimating the n-value, the estimated value is considered more appropriate 14 than using default values. 15 16 4.4.4. Concurrent Exposure Issues 17 18 Two constituents in peracetic acid are acetic acid and hydrogen peroxide, and these may 19 have contributed to the observed toxic effects of peracetic acid. Aerosols or vapors will contain 20 these constituents in addition to peracetic acid. It appears, however, that acetic acid and 21 hydrogen peroxide are considerably less toxic than peracetic acid. The following toxicity 22 information on hydrogen peroxide and acetic acid was cited from secondary sources. 23 24 Hydrogen peroxide has a vapor pressure of 5 mm Hg at 30°C, and it is miscible in water 25 (ACGIH, 1991). The LC50 value for hydrogen peroxide is 1418 ppm (1972 mg/m3) for a 4-hour 26 exposure to rats and the LCLo is 227 ppm (316 mg/m3) for an unknown exposure time to mice 27 (NIOSH, 1994). The LCso for the rat exposed to hydrogen peroxide is about 10 times greater 28 than the LCso for rats exposed to peracetic acid. Dogs exposed to 7 ppm (10 mg/m3) vapor 29 concentration of 90% hydrogen peroxide for 6 hours/day for 6 months developed skin irritation, 30 sneezing, lacrimation, and bleached hair, and rabbits exposed to 22 ppm (31 mg/nis) (frequency 31 not reported) for 3 months developed bleached hair and skin irritation (Oberst et al., 1954). The 32 carcinogenicity of hydrogen peroxide has been tested by the oral, subcutaneous, intramuscular, 33 and topical routes of exposure, and IARC (1985) considers the evidence for carcinogenicity as 34 limited for experimental animals. 35 36 Acetic acid has a vapor pressure of 11.4 mm Hg at 20°C, and it is freely soluble in water 37 (Katz and Guest, 1994). Inhalation of acetic acid vapor is reported to cause marked irritation to 38 the eyes, nose, and throat in humans at concentration of 816-1226 ppm (2000-3005 mg/m3) for 3 39 minutes, and exposure to >50 ppm (123 mg/m3) is reported to be intolerable because of intense 40 irritation (NIOSH, 1994). Exposure to acetic acid at 10 ppm is reported to be relatively 41 nonirritating (Sterner, 1943), 20-30 ppm (49-74 mg/nis) has been reported to be without danger, 42 and occupational exposure to 60 ppm plus 1 hour daily exposure to 100-260 ppm (245-637 43 mg/m3) for 7-12 years caused only slight irritation (Vigliani and Zurlo, 1956). The LCso for 44 acetic acid is 5000-5620 ppm (12,255-13,775 mg/m3) for a 1-hour exposure to mice. The lowest 45 lethal concentration for a 4-hour exposure of rats to acetic acid is 16,000 ppm (39,216 46 mg/m3)(Katz and Guest, 1994), which is about 190 times greater than the LCso for a 4-hour 47 exposure to peracetic acid. The data show that acetic acid and peracetic acid may produce ------- PERACETIC ACID INTERIM: 6/2008; Page 24 of 39 1 similar effects on the respiratory tract, but peracetic acid is markedly more toxic than acetic acid. 2 The RD50 was reported as 163 ppm (400 mg/m3) for the mouse (NIOSH, 1994). Exposure to 3 concentrations >1000 ppm (2451 mg/m3) produces irritation to the conjunctiva and upper 4 respiratory tract of mice (Katz and Guest, 1994). 5 6 Sulfuric acid also is found in some commercial grades of peracetic acid. Humans 7 exposed to sulfuric acid at concentrations of 1 mg/m3 for 10-15 minutes did not detect the 8 substance by odor, taste, or irritation (these data were cited in NRC, 1984). The LCso for 9 inhalation exposure to sulfuric acid aerosols ranged from 19 to 59.8 mg/m3 for guinea pigs 10 (ATSDR, 1997). In rats, 2/2 animals died after exposure to 699 mg/m3 for 7 hours or after 11 exposure to 1470 mg/m3 for 3.5 hours. No rats died after exposure to 461 mg/m3 for 7 hours or 12 after exposure to 718 mg/m3 for 3.5 hours. In mice, 2/5 animals died after exposure to 699 13 mg/m3 for 7 hours or after exposure to 549 mg/m3 for 3.5 hours (secondary citation by ATSDR, 14 1997). LCso values were not reported for the rat or mouse, but the data indicate that they are 15 much less sensitive to sulfuric acid than are guinea pigs. 16 17 4.4.5. Other Data 18 19 Peracetic acid was used at a concentration of 0.2% to disinfect the hands of personnel in 20 a virus laboratory over a 5 year period and caused no adverse effects; a concentration of 0.5%, 21 however, was irritating to the skin (Mucke, 1970). 22 23 Peracetic acid caused irritation to the skin of guinea pigs following direct contact (Bulnes 24 et al., 1982). Application of 3% peracetic acid to depilitated guinea pig skin for 2, 3, or 5 hours 25 caused microscopic lesions characterized by congestion, hemorrhage, edema of the dermis, 26 capillary vasodilation, perivascular effect (neutrophil granulocytes), and gelatinous edema of the 27 dermis. Application of 3% peracetic acid for 1 hour or 1% for up to 5 hours was without 28 macroscopic or microscopic effects. 29 30 5. DATA ANALYSIS AND PROPOSED AEGL-1 31 5.1. Human Data Relevant to AEGL-1 32 33 McDonagh (1997) reported that exposure to peracetic acid at 1.56-1.87 mg/m3 was not 34 immediately irritating, but would have been considered "unpleasant for an extended period;" 35 0.40-0.53 mg/m3 was tolerable and not unpleasant for up to 3 hours. According to Fraser and 36 Thorbinson (1986), exposure to 3.12-4.67 mg/m3 for 15-20 minutes is not expected to cause 37 discomfort to mucous membranes, and 1.56-3.12 mg/m3 for 25-30 minutes is expected to cause 38 only mild or tolerable discomfort. No discomfort is expected for subjects exposed to < 1.56 39 mg/m3 for 35-45 minutes. 40 41 5.2. Animal Data Relevant to AEGL-1 42 43 Rats exposed to peracetic acid at 12.2-13.9 mg/m3 for 25 minutes showed a reduction of 44 only 32-33% in respiratory rate, whereas rats that inhaled a slightly lower concentration of 8.4 45 mg/m3 showed a greater reduction of 47% (Janssen, 1989c). These data show the inconsistency 46 of the results regarding depression of respiratory rates in rats exposed to peracetic acid. Only 47 mild effects were observed in rats exposed to 11.7 mg/m3 (closed eyes, decreased activity, clear ------- PERACETIC ACID INTERIM: 6/2008; Page 25 of 39 1 ocular discharge) for 4 hours and observed for 14 days (Whitman, 1991). The study author did 2 not mention that the rats had redness of the eyes or lacrimation during exposure. In a repeat 3 exposure study using mice exposed to 70-140 mg/m3 for 60 minutes/day, 3 times/week, for 4 4 weeks, only small foci of inflammation were observed when the animals were killed 14 days 5 after the last exposure. If damage to the respiratory tract occurred during the exposure period, it 6 was repaired during the post-exposure period. 7 8 5.3. Derivation of AEGL-1 9 10 Because decreases in respiratory rate in rats exposed to peracetic showed no clear 11 concentration-response relationship, the human data are considered more appropriate and more 12 relevant for deriving AEGL-1 values. In the study by Fraser and Thorbinson (1986), humans 13 exposed to peracetic acid at < 1.56 mg/m3 (concentrations reported as hydrogen peroxide) 14 experienced no discomfort and McDonagh (1997) reported that 1.56 mg peracetic/m3 is not 15 immediately irritating. An intraspecies uncertainty factor of 3 was applied because peracetic 16 acid is a corrosive/irritant substance, the effects are confined to the upper respiratory tract, and 17 the effects are expected to be similar for most individuals within the population. The same value 18 is proposed for all exposure durations from 10 minutes to 8 hours. The rationale for proposing 19 the same value is as follows: (1) effects of peracetic acid exposure appear to correlate more with 20 concentration than with time, and (2) peracetic acid is freely soluble in water, and therefore, 21 should be effectively scrubbed by the nasal tissues, particularly at the very low concentration 22 proposed for AEGL-1. The proposed AEGL-1 values are summarized in Table 10. 23 || TABLE 10. AEGL-1 Values for Peracetic Acid [mg/m3 (ppm)] 10 min 0.52 mg/m3 (0.17 ppm) 30 min 0.52 mg/m3 (0.17 ppm) Ih 0.52 mg/m3 (0.17 ppm) 4h 0.52 mg/m3 (0.17 ppm) 8h 0.52 mg/m3 (0.17 ppm) 24 25 26 6. DATA ANALYSIS AND PROPOSED AEGL-2 27 6.1. Human Data Relevant to AEGL-2 28 29 Fraser and Thorbinson (1986) reported that lacrimation and extreme discomfort occurred 30 after exposure to peracetic acid at 15.6 mg/m3 for only 7 minutes; extreme discomfort and 31 unbearable irritation, but no lacrimation, was reported for exposures to concentrations ranging 32 from 6.23-9.35 mg peracetic acid/m3 for 1 hour and 20-25 minutes (6.23 mg peracetic acid/m3 33 for 55 minutes, 7.79-9.35 mg peracetic acid/m3 for 15 minutes, and 6.23 mg/m3 for 10-15 34 minutes). Exposure to 6.23 mg peracetic acid/m3 was considered tolerable for 2 minutes. 35 Effects in the lower respiratory tract were not noted even for exposure to 15.6 mg peracetic 36 acid/m3, which is extremely irritating to the upper respiratory tract. Peracetic acid is freely 37 soluble in water (O'Neil et al., 2001) and is expected to be effectively scrubbed in the upper 38 respiratory tract. 39 40 6.2. Animal Data Relevant to AEGL-2 41 42 Animal data relevant to deriving AEGL-2 values have been summarized in Table 9. 43 Inhalation exposure to peracetic acid causes irritation to the mucous membranes of the ------- PERACETIC ACID INTERIM: 6/2008; Page 26 of 39 1 respiratory tract and eyes at concentrations below those causing death. Concentrations of 2 peracetic acid aerosols ranging from 8.4 to 36.3 mg peracetic acid/m3 caused 32 to 67% 3 decreases in respiratory rates during a 25-minute exposure, but not in a dose-related manner 4 (Janssen, 1989c). Exposure to peracetic acid concentrations ranging from 221 to 462 mg/m3 for 5 25 minutes caused decreases of 76-78% in the respiratory rates (Janssen, 1990). Generally, 6 respiratory irritation, weight loss, and nasal lesions in rats were slight to moderate at 7 concentrations ranging from 172-355 mg/m3 for exposure durations ranging from 30 to 90 8 minutes (Janssen, 1989b). Severe signs of respiratory irritation were observed in rats exposed to 9 578-589 mg/m3 for 30 or 60 minutes (Janssen, 1989b). Exposure to 7.2-72 mg/m3 for 240 10 minutes caused restlessness, lacrimation, and nasal discharge, and 237 mg/m3 for 240 minutes 11 caused labored breathing and lung edema (Benes et al., 1966). No effects were observed in rats 12 that inhaled 7.2 mg/m3, 1 hour/day repeatedly for 28 days, whereas restlessness, lacrimation, and 13 nasal discharge were observed in rats exposed one time to 7.2-72 mg/m3 for 4 hours (Benes et 14 al., 1966). Increased lung and liver weights, depressed weight gain, and lung inflammation were 15 reported for rats exposed to 21.8 mg/m3 under similar conditions (Benes et al., 1966). Similar 16 effects were observed in mice exposed to 70-140 mg/m3 1 hour/day, 3 times per week, for 4 17 weeks (Merka and Urban, 1978). These studies showed that effects were more severe after 18 doubling the exposure concentration than after doubling the exposure duration. 19 20 6.3. Derivation of AEGL-2 21 22 For the most part, animals exposed to low concentrations of peracetic acid displayed the 23 most severe clinical signs after exposure was terminated, whereas humans exposed to low 24 concentrations reported only mucous membrane irritation during exposure. However, the 25 animals were restrained during exposure in some studies. The evidence further suggests that 26 humans may be slightly more sensitive to inhaled peracetic acid than animals. This conclusion is 27 supported by observations of lacrimation in humans exposed to 15.6 mg/m3 for 3.5 minutes 28 (Fraser and Thorbinson, 1986), no lacrimation but serious respiratory effects were observed in 29 animals exposed to 87 mg/m3 for 4 hours (Janssen and van Doom, 1994) and lacrimation was 30 observed in animals exposed to 7.2-72 mg/m3 for 4 hours (Benes et al., 1966). 31 32 AEGL-2 values are derived from human data reported by Fraser and Thorbinson (1986). 33 They reported that exposure to peracetic acid at 6.23 mg/m3 for up to 1 hour caused extreme 34 discomfort and unbearable irritation, but exposure to 6.23 mg/m3 for 2 minutes was also 35 considered tolerable. A slightly lower concentration of 4.67 mg/m3 caused discomfort or slight 36 discomfort for exposure for durations up to 20 minutes. The effects at 6.23 peracetic acid mg/m3 37 appear to be more serious than those described by the definition of AEGL-2 and could hinder the 38 ability to escape. Although irritation to the upper respiratory tract was extreme, lower 39 respiratory effects did not occur even at concentrations as high as 15.6 mg/m3. Moreover, 40 peracetic acid is freely soluble in water and should be effectively scrubbed in the nasal passages 41 at the concentrations considered for deriving AEGL-2 values. Although the effects at 4.67 42 mg/m3 are slightly less severe than those defined by AEGL-2, this level is more appropriate for 43 deriving the AEGL-2 than the higher level of 6.23 mg/m3. An intraspecies uncertainty factor of 44 3 is applied because peracetic acid is a corrosive/irritant substance and the effects, which are 45 confined to the upper respiratory tract, are expected to be similar and not expected to vary by 46 more than a factor of 3 for most individuals in the population. The same value is proposed for 47 all exposure durations from 10 minutes to 8 hours. The rationale for proposing the same AEGL- ------- PERACETIC ACID INTERIM: 6/2008; Page 27 of 39 1 2 value for all exposure durations is as follows: (1) effects of peracetic acid exposure correlate 2 with concentration more than time, and (2) peracetic acid is freely soluble in water and at low 3 concentrations should be effectively scrubbed in the nasal passages. The proposed AEGL-2 4 values are summarized in Table 11. 5 TABLE 11. AEGL-2 Values for Peracetic Acid [mg/m3 (ppm)] | 10 min 1.6 mg/m3 (0.5 ppm) 7. 7.1. 30 min 1.6 mg/m3 (0.5 ppm) Ih 1.6 mg/m3 (0.5 ppm) 4h 1.6 mg/m3 (0.5 ppm) 8h 1.6 mg/m3 (0.5 ppm) DATA ANALYSIS AND PROPOSED AEGL-3 Human Data Relevant to AEGL-3 6 7 8 9 10 11 No data on human lethality caused by exposure to peracetic acid were found in the 12 literature searched. 13 14 7.2. Animal Data Relevant to AEGL-3 15 16 Three animal lethality studies were available for deriving AEGL-3 values. In one study, 17 rats were exposed to peracetic acid aerosol at concentrations 130 to 320 mg/m3 for 30 min, 150 18 to 1450 mg/m3 for 1 hour (Janssen, 1989a), and 87 to 267 mg/m3 ppm for 4 hours (Janssen and 19 van Doom, 1994). Proxitane 1505 (15% peracetic acid, -28% acetic acid, and 14% hydrogen 20 peroxide) was used for the 30-minute and 1-hour studies and Proxitane AHC (-5% peracetic 21 acid, 10% acetic acid, and 19% hydrogen peroxide) was used for the 4-hour study. The 22 mortality responses for the studies are presented in Tables 4 and 5. The LCso for peracetic acid 23 was 476 mg/m3 for the 1-hour exposure and 204 mg/m3 for the 4 hour study; the LCso was not 24 calculated for the 30-minute exposure because there were only two relevant concentrations. 25 Clinical signs were primarily related to respiratory tract irritation and adverse effects on body 26 weight gain. Animals that died showed gross or microscopic evidence of pulmonary 27 hemorrhage, edema, or consolidation. Surviving animals showed less severe effects. 28 29 7.3. Derivation of AEGL-3 30 31 The proposed AEGL-3 values are derived from the study of Janssen (1989a). This study 32 showed that rats exposed to Proxitane 1507 (15% peracetic acid~28% acetic acid, 14% 33 hydrogen peroxide, ~l%"stabilizer", and -43% water) aerosols at peracetic acid concentrations 34 of 130, 300, 320 mg/m3 for 30 min had mortality responses of 0/5, 0/5 and 3/5 rats, respectively. 35 Exposures to aerosol concentrations of 150, 390, and 1450 mg/m3 for 60 minutes resulted in 36 mortality responses of 0/5, 2/5, and 5/5, respectively. Clinical signs indicative of respiratory 37 irritation were observed at all concentrations and increased in severity with exposure 38 concentration for each exposure duration. The AEGL values were derived from the highest 39 concentration that did not cause death at either exposure duration: 300 mg/m3 for a 30-minute 40 exposure duration and 150 mg/m3 for a 60-minute exposure duration. An intraspecies 41 uncertainty factor of 3 and an interspecies uncertainty factor of 3 (total uncertainty factor =10) 42 were applied to 300 mg/m3 and 150 mg/m3 for the 30- and 60-minute exposures, respectively. 43 Uncertainty factors of 3 were applied because the mucous membranes of the respiratory tract are ------- PERACETIC ACID INTERIM: 6/2008; Page 28 of 39 1 2 3 4 5 6 7 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 not expected to show vast differences in response to corrosive/irritant substances at concentrations that cause severe physical damage or at the threshold for lethality regardless of species or the individuals in the population. The equation, Cn x t =k, where n = 1.6 (estimated from the 1- and 4-hour rat lethality data), was used to scale the 60-minute exposure to 4- and 8- hour values and the 30-minute exposure to 10 minutes. The proposed AEGL-3 values are summarized in Table 12. TABLE 12. AEGL-3 Values for Peracetic Acid [mg/m3] 8. 8.1. 10 min 60 mg/m3 | 30 min | Ih | 4h | 30 mg/m3 | 15 mg/m3 | 6.3 mg/m3 8h 4.1 mg/m3 SUMMARY OF PROPOSED AEGLs Proposed AEGLs The AEGL-1 value was based on a concentration of peracetic acid that is not expected to be detectable, unpleasant, or cause discomfort (1.56 mg/m3) or no more than mild discomfort (1.56 - 3.12 mg/m3). An uncertainty factor of 3 was applied to 1.56 mg/m3 to account for human variability. The AEGL-2 value of 1.6 mg/m3 for all exposure durations was based on human data showing slight to mild irritation or discomfort to mucous membranes due to exposure to peracetic acid at a concentration of 4.7 mg mg/m3. The same value is proposed for all exposure durations from 10 minutes to 8 hours. An uncertainty factor of 3 was applied to account for human variability. The AEGL-3 values were based on NOELs for lethality in rats exposed to Proxitane 1507 (containing 15% peracetic acid) for 30 minutes and 1 hour. Uncertainty factors of 3 for intraspecies variability and 3 for interspecies sensitivity were applied to the NOELs. The equation C1'6 x t = k was used to scale the 30-minute exposure to 10 minutes and the 1-hour exposure was used to scale to 4 and 8 hours. The value of value of n was estimated from rat data. The AEGL values are presented in Table 13. TABLE 13. AEGL Values for Peracetic acid [mg/m3 (ppm)] Classification AEGL-1 (Nondisabling) AEGL-2 (Disabling) AEGL-3 (Lethal) 10 min 0.52 mg/m3 (0.17 ppm) 1.6 mg/m3 (0.5 ppm) 60 mg/m3 30 min 0.52 mg/m3 (0.17 ppm) 1.6 mg/m3 (0.5 ppm 30 mg/m3 Ih 0.52 mg/m3 (0.17 ppm) 1.6 mg/m3 (0.5 ppm) 15 mg/m3 4h 0.52 mg/m3 (0.17 ppm) 1.6 mg/m3 (0.5 ppm) 6.3 mg/m3 8h 0.52 mg/m3 (0.17 ppm) 1.6 mg/m3 (0.5 ppm) 4.1 mg/m3 Endpoint /Reference Threshold for irritation (Fraser and Thorbinson, 1986; McDonagh, 1997) Mild irritation (Fraser and Thoibinson, 1986) Highest concentration causing no deaths (Janssen, 1989a) 33 34 ------- PERACETIC ACID INTERIM: 6/2008; Page 29 of 39 1 8.2. Comparison of AEGLs with Other Standards and Criteria 2 3 There are no OSHA (Occupational Safety and Health Administration) standards, NIOSH 4 (National Institute for Occupational Safety and Health) recommendations, or ACGIH TLV, 5 AIHA-ERPG, or MAK values for peracetic acid. SOLVAY (1998) (Belgium manufacturer of 6 peracetic acid) derived Emergency Exposure Indices (EEI) for accidental releases of peracetic 7 acid based on the methodology of the European Chemical Industry Ecology and Toxicology 8 Centre (ECETOC). These values are derived for general population exposures. The values are 9 as follows: 10 11 SLV-EEI-3 (death/permanent incapacity)= 50 ppm (156 mg mg/m3): the threshold 12 above which mortality and/or irreversible effects could be observed for an exposure of up to 13 60 minutes. 14 15 SLV-EEI-2 (disability) = 3 ppm (9 mg mg/m3): the threshold level above which 16 intense lacrimation, extreme nose discomfort and transient incapacitation (inability of self- 17 protection but without residual consequences) could be observed for an exposure of up to 18 60 minutes. 19 20 SLV-EEI-1 (discomfort) = 0.15 ppm (0.45 mg mg/m3): the threshold level above 21 which discomfort could be observed for an exposure of up to 8 hours per day. 22 23 8.3. Data Quality and Research Needs 24 25 Human data on exposure to peracetic acid were limited. This substance is corrosive to 26 mucous membranes causing extreme discomfort depending on the concentration. Therefore, 27 additional humans studies would not be feasible except for very low concentrations (below 28 irritation levels in normal subjects) using healthy exercising subjects. The animal studies found 29 in the literature were well conducted considering the circumstances. Peracetic acid occurs in 30 mixtures with acetic acid, hydrogen peroxide, a stabilizer, and sometimes sulfuric acid. 31 Commercial preparations vary in the concentrations of the three components. Because of the 32 instability of peracetic acid, the aerosol or vapor may have different compositions of peracetic 33 acid, acetic acid, and hydrogen peroxide. Variations in the composition of the test material could 34 lead to inconsistencies in the observed effects. Therefore, acute inhalation studies using the 35 same commercial product to study lethal and nonlethal effects after exposure for 30 minutes, and 36 1,4, and 8 hours would aid in the evaluation of the toxicity of peracetic acid. 37 38 9. REFERENCES 39 40 ACGIH (American Conference of Governmental Industrial Hygienists, Inc.). 2004. Acetic acid. In: 41 Documentation of the Threshold Limit Values and Biological Exposure Indices. 2004 42 Supplement to the 7th ed. ACGIH Worldwide Cincinnati, OH. 43 44 ACGIH (American Conference of Governmental Industrial Hygienists, Inc.). 1991. Hydrogen peroxide. 45 In: Documentation of the Threshold Limit Values and Biological Exposure Indices. ACGIH, Inc., 46 Cincinnati, OH. 47 ------- PERACETIC ACID INTERIM: 6/2008; Page 30 of 39 1 Agnet, Y.; Dorange, J.L.; Dupuy, P. 1976. Mutagenicity of peracetic acid on Salmonella typhimurium. 2 Mutat. Res. 38:119. (abstract) 3 4 ATSDR (Agency for Toxic Substances and Disease Registry). 1997. 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Online Database, retrieved February 11, 1997. 12 13 SOLVAY. 1998. SOLVAY Emergency Exposure Indices for Accidental Exposure to Peracetic acid. 14 Brussels, Belgium. 15 16 Sterner, J.H. 1943. Determining margins of safety: criteria for defining a "harmful" exposure. Ind. Med. 17 12:514-518. (cited in ACGIH, 2004). 18 19 Uhlemann, F. 1971. ForschungsabschluBbericht: Aerosldesinfektion in tierproduktionsanlagen. Karl- 20 Marx-Stadt, S. 13. (cited in Kruger and Kruschinski, 1982). 21 22 Vigliani, E.G.; Zurlo, N. 1955. Erfahrungen der clinica del lavoro mit einigen maximalen 23 arbeitsplatzkonzentrationen (MAK) von industriegiften. Arch Gewerbepath. Gewerbehyg. 24 13:528-535. Abstract in Arch. Ind. Health 13:403 (1956). (cited in ACGIH, 2004) 25 26 Whitman, F .T. 1991. Acute Inhalation toxicity study of peracetic acid 0.15 use dilution (MRK-91 -004) 27 in the rat. Final Report. Performed by: Exxon Biomedical Sciences, Inc, East Millstone NJ, 28 Sponsor: FMC Corporation, Princeton, NJ. 29 30 Yin, M.; Chen, Y.; Wang, J. 1989. Studies on the genotoxicity of disinfectants with SOS chromotest. 31 Environ. Mol. Mutagen. 14 (Suppl. 15): 225-226. 32 33 34 35 ------- PERACETIC ACID INTERIM: 6/2008; Page 33 of 39 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 APPENDIX A: DERIVATION OF AEGL VALUES FOR PERACETIC ACID Key Study: Toxicity Endpoint: Time Scaling: Uncertainty Factors: Modifying Factor: Calculations: Derivation of AEGL-1 Values McDonagh, 1997; Fraser and Thorbinson, 1986 Threshold for irritation Not applicable NA for interspecies sensitivity (AEGL-1 derived from human data) 3 for intraspecies variability; peracetic acid is corrosive and response to upper respiratory tract and eyes is expected to be similar among individuals in the population 1 1.56mg/m3/3 = 0.52mg/m3 Same values applied for 10-minute to 8-hour exposure durations ------- PERACETIC ACID INTERIM: 6/2008; Page 34 of 39 1 Derivation of AEGL-2 Values 2 3 Key Study: Fraser and Thorbinson, 1986 4 5 Toxicity Endpoint: Slight upper respiratory tract irritation 6 7 Uncertainty Factor: NA for interspecies sensitivity (AEGL-2 derived from human data) 8 3 for intraspecies variability; peracetic acid is corrosive and effects in 9 the upper respiratory tract are expected to be similar among 10 individuals in the population. 11 12 Modifying Factor: 1 13 14 Calculations: 15 4.67 mg/m3 /3 = 1.6 mg/m3 16 17 The same value is applied to 10-minute to 8-hour durations. 18 ------- PERACETIC ACID INTERIM: 6/2008; Page 35 of 39 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 Key Study: Toxicity Endpoint: Time Scaling: Uncertainty Factors: Modifying Factor: Calculations: 10-minuteAEGL-3 30-minute AEGL-3 l-hourAEGL-3 4-hour AEGL-3 8-hour AEGL-3 DERIVATION OF AEGL-3 VALUES Janssen, 1989a Highest non-lethal concentration of 96 ppm for a 30-minute exposure and 48 ppm for a 60-minute exposure in the rat Cn x t = k; n = 1.6 based on analysis of rat lethality data. 3, for interspecies sensitivity: mucous membranes of the respiratory tract of humans and animals are not expected to show vast differences in response to corrosive/irritant substances at concentrations that cause severe physical damage or at the threshold for lethality 3 for intraspecies variability: mucous membranes of individuals are not expected to show a great difference in response to a corrosive/irritant substance such as peracetic acid. C = (k/t)1/L6 = (6927 mg/m3.min/10 min)1/L6 C = 59.6 = 60 mg/m3 300 mg/m /10 (uncertainty factor) = 30 mg/m Cn x t = k; C = 30 mg/m3, t = 30 minutes, n = 1.6 k = 6927 mg/m3»min 1/1.6 C = (k/t)1/Lb = (6927 mg/mj»min/30 min) C = 30 mg/m3 150 mg/m3/10 (uncertainty factor) =15.0 mg/m3 Cn x t = k; C = 15 mg/m3, t = 60 minutes, n = 1.6 k = 4569.8008 mg/m3»min C = (k/t)1/L6 = (4570 mg/m3»min/60 min)1/L6 C= 15 mg/m3 C = (k/t)1'1-6 = (4570 mg/mj»min/240 min)1' C = 6.3 mg/m3 1/1.6 C = (k/t)1'1-6 = (4570 mg/mj»min/480 min)1' C = 4.1 mg/m3 1/1.6 ------- PERACETIC ACID INTERIM: 6/2008; Page 36 of 39 1 APPENDIX B: DERIVATION SUMMARY: ACUTE EXPOSURE GUIDELINES FOR 2 PERACETIC ACID 10 min 0.52 mg/m3 (0.17 ppm) 30 min 0.52 mg/m3 (0.17 ppm) Ih 0.52 mg/m3 (0.17 ppm) 4h 0.52 mg/m3 (0.17 ppm) 8h 0.52 mg/m3 (0.17 ppm) AEGL -1 VALUES Key References: (I) McDonagh, J. 1997. Atmospheric Monitoring of Peracetic acid on the Existing Caprolactone Plant Distillation Houses A & B - Assessment of Results. Solvay Interox, Warrington, Reference No. EE970192.M01, Memorandum to R.A. Haffenden et al. dated 30 April 1997; (II) Fraser, J. A. L.; Thorbinson, A. 1986) at Collards Farm. 1986. Fogging Trials with Tenneco Organics Limited (30th June, Test Species/Strain/Number: Humans/two subjects (I); number unknown (II) Exposure Route/Concentration/Durations: Inhalation, 0.40-0.53 mg/m3 (0.13-0.17 ppm) forup to 3 hours (I); 1.56-1.87 mg/m3 (0.5-0.6 ppm) for unknown time (I), <1.56-4.67 mg/m3 for 12 minutes; < 1.56 to >6.23 mg/m3 for 45 minutes (II) Effects: 1.56-3.12 mg/m3: mild discomfort 1.56-1.87 mg/m3: no immediate irritation; may be unpleasant for extended period <1.56 mg/m3: no discomfort 0.40-0.53 mg/m3: detectable, but tolerable and not unpleasant Endpoint/Concentration/Rationale: Threshold for irritation of 1.56 mg/m3; the effects range from detectable but tolerable and not unpleasant to no discomfort Uncertainty Factors/Rationale: Total uncertainty factor: 3 Interspecies: NA Intraspecies: 3, individuals in the population are expected to respond similarly and by a factor no greater than 3 when exposed to corrosive/irritant agents that affect the upper respiratory tract. Modifying Factor: 1 Animal to Human Dosimetric Adjustment: NA Time Scaling: NA Data Adequacy: Human data were limited but were generally supported by animal data. The human data showed that irritation or discomfort at concentrations < 1.56 mg/m3 is expected to be absent or minimal. Neither study reported the number of subjects exposed to peracetic acid. ------- PERACETIC ACID INTERIM: 6/2008; Page 37 of 39 10 min 1.6 mg/m3 (0.5 ppm) 30 min 1.6 mg/m3 (0.5 ppm) Ih 1.6 mg/m3 (0.5 ppm) 4h 1.6 mg/m3 (0.5 ppm) 8h 1.6 mg/m3 (0.5 ppm) AEGL -2 VALUES Key Reference: Fraser, J. A. L.; Thorbinson, A. 1986. Fogging Trials with Tenneco Organics Limited (30th June, 1986) at Collards Farm. Test Species/Strain/Number: Humans, number exposed is unknown Exposure Route/Concentration/Durations: Inhalation, range of 15.6 mg/m3 for 7 minutes; <1.56-4.67 mg/m3 for 12 minutes; 6.23-9.35 mg/m3 for 1 hour and 15 minutes; < 1.56-6.23 mg/m3 for 45 minutes Effects: All effects were associated with the upper respiratory tract or eyes 6.23-15.6 mg/m3: lacrimation, extreme upper respiratory discomfort or irritation 6.23 mg/m3: unbearable irritation or extreme discomfort, but tolerable for 2 minutes 3.13-4.67 mg/m3: slight or tolerable discomfort (upper respiratory tract and eyes) 1.36-3.12 mg/m3: mild discomfort; <1.56 mg/m3: no discomfort Endpoint/Concentration/Rationale: Slight upper respiratory tract irritation at 4.7 mg/m3 Uncertainty Factors/Rationale: Total uncertainty factor: 3 Interspecies: NA Intraspecies: 3, individuals in the population are expected to respond similarly and by a factor no greater than 3 when exposed to corrosive/irritant agents that affect the upper respiratory tract. Modifying Factor: 1 Animal to Human Dosimetric Adjustment: NA Time Scaling: NA Data Adequacy: The number of subjects exposed to peracetic acid was not reported by the investigators. The AEGL-2 value was based on a concentration that caused discomfort or slight discomfort, which is below the definition for AEGL-2; the next higher concentrations caused unbearable irritation after 2 minutes. Therefore, the lower concentration was more appropriate for deriving AEGL-2 values. The rationale for selecting the same value for all time points is a follows: (1) effects of peracetic acid exposure correlate with concentration more than time, and (2) peracetic acid is freely soluble in water and should be effectively scrubbed in the nasal passages, particularly at the very low AEGL-2 concentration. ------- PERACETIC ACID INTERIM: 6/2008; Page 38 of 39 10 min 60 mg/m3 30 min 30 mg/m3 Ih 15 mg/m3 4h 6.3 mg/m3 8h 4.1 mg/m3 AEGL -3 VALUES Key Reference: Janssen, P.J.M. 1989a. Acute Inhalation Toxicity Studies of Proxitane 1507 in Male Rats (I) DupharB.V., Report No. S. 8906, Int. Doc. No. 56645/25/89. Test Species/Strain/Number: Rat/ CPB-WU Wistar/5 males per group Exposure Route/Concentration/Durations: Inhalation: 130, 300, or 320 mg/m3 for 30 minutes and 150, 390, or 1450 mg/m3 for 60 minutes Effects: Clinical signs: signs of extreme respiratory irritation and discomfort, drooping eyelids, transient weight loss, reduced respiratory rate Gross pathologic effects: blood around nose, red nasal and trachea! mucosa, bloody fluid in trachea, dark red lungs, red or dark spots on lungs, elevated lung weight Mortality: 0/5 rats at 300 mg/m3 and 3/5 at 320 mg/m3 for 30 minutes; 0/5 at 150 mg/m3, 2/5 at 390 mg/m3, and 5/5 at 1450 mg/m3 for 60 minutes Endpoint/Concentration/Rationale: Highest non-lethal concentrations for rats exposed for 30 or 60 minutes; the concentrations were 300 mg/m3 for 30 minutes and 150 mg/m3 for 60 minutes Uncertainty Factors/Rationale: Total uncertainty factor: 10 Interspecies: 3, mucous membranes of the respiratory tract of humans and animals are not expected to show vast differences in response to corrosive/irritant substances at concentrations that cause severe physical damage or at the threshold for lethality. Intraspecies: 3, mucous membranes of individuals are not expected to show a great difference in response to a corrosive/irritant substance such as peracetic acid. Modifying Factor: 1 Animal to Human Dosimetric Adjustment: 1 Time Scaling: C" x t = k, where n = 1.6 based on analysis of rat LCSO data for 1 and 4 hour exposures. Data Adequacy: The animal studies were well conducted; however, the different compositions of peracetic acid probably contributed to the inconsistencies of the results. The animal studies were conducted with aerosols instead of the vapor. ------- PERACETIC ACID INTERIM: 6/2008; Page 39 of 39 1 2 10000.0^, 1000.0 - 100.0- APPENDIX C: CATEGORY PLOT FOR PERACETIC ACID Chemical Toxicity - TSD All Data Peracetic acid 10.0 120 180 240 Minutes 300 360 420 480 Human - No Effect Human- Disabling o Animal - No Effect O Animal - Discomfort Animal- Disabling Animal - Some Lethality ------- |