Dioxins
in Clays
by Edouard Bastarache
Compounds:
Polychlorinated dibenzo-p-dioxins (PCDDs) and dibenzofurans (PCDFs)
are tricyclic aromatic compounds with similar chemical and physical
properties. They are ubiquitous in the environment and usually do
not occur naturally.There are 75 positional isomers of PCDDs and
135 isomers of PCDFs. 2,3,7,8-TCDD (TCDD) is the most toxic isomer,
and the estimated toxic risk in humans is calculated in terms of
«TCDD equivalents». For exemple, the toxic effect of different isomers
is calculated in terms of the amount that would cause the same degree
of toxicity as TCDD. Octachloro-dibenzo-p-dioxine, produced during
the synthesis of pentachlorophenol (Norback et al. 1975), is quite
less toxic than TCDD produced during the synthesis of the herbicide
2,4,5-T.TCDD is one of a family of componds known effectively as
dioxins which comprises PCDDs, PCDFs, and PCBs (polychlorinated
biphenyls). There are 7 PCDDs, 10 PCDFs, and 12 PCBs considered
to give dioxin-like activity among a total of 419 congeners (compounds).
Sources:
- Contaminated products such as
- chlorinated phenols and their derivatives.
- Polychlorinated biphenyls (PCBs).
- Incineration of municipal, hazardous, and hospital wastes.
- Sewage sludge.
- Automobile operations.
- Fossil fuel combustion.
- Emissions from fire
- involving PCBs.
- Production of chlorophenols and their derivatives.
- Chlorophenol wood
- treatment.
- Chlorine bleaching in the pulp industry.
- Production and
- handling of iron, steel, and other metals, such as aluminium.
- Exposure has occurred from herbicide use
- and from industrial and transportation incidents.
- In occupational settings, exposure has occurred in chemical
manufacturing
- processes
- and from handling the wastes from these processes.
- American ball clays.
- One german china clay deposit.
- Other materials including montmorillonite, bentonite, ground
clay, bulk clay, Al-Ca-silicate and lime.
- Dioxins, in small amounts, are also produced naturally by volcanoes
and forest fires.
- Etc.
Exposure:
Ingestion, inhalation, and dermal absorption are all thought to
be routes of exposure to PCDDs and PCDFs. However, exposure for
most individuals will be small and will come through a variety of
sources. It is generally accepted that about 95% of human exposure
comes from food. The major environmental exposure hazard for humans
is with fish consumption. Anthropogenic production of dioxin has
decreased a lot during the past two decades. Current herbicide manufacturing
processes are designed to remove dioxin contaminants.
Toxicology:
Dioxins are insoluble in water but lipophilic (soluble in fats)
and other hydrophobic materials, and bind to solid material such
as soil and fly ash. They have a low rate of metabolic breakdown,
they preferentially accumulate in adipose tissue, skin, liver, and
breast milk in mammals. The amount of dioxins expressed as TCDD
equivalents in breast milk of lactating women often exceeds the
tolerated Swedish daily intake of 5 pg/kg body weight by a factor
of 20 to 30. In soil TCDD has an extremely long half-life time,
greater than 10 years. The biologic half-life in humans has been
measured to be in the range of 5 to 8 years. TCDD represents one
of the most toxic synthetic compounds known. When heated to decomposition
it emits toxic fumes of CL-.
A - Acute intoxication:
In humans, the acute toxicity of TCDD is known from accidental
release due to runaway reactions or explosions. Essentials of
diagnosis are: -eye and respiratory irritation, -skin
rash, chloracne, -fatigue,nervousness, irritability. A process accident
in 1949 was followed by: -acute skin, eye, and respiratory
tract irritation, -headache, dizzines, and nausea. These symptoms
subsided within 1-2 weeks and were followed by: -acneiform
eruption, -severe muscle pain in the extremities, thorax, and shoulders,
-fatigue, nervousness, and irritability, -complaints of decreased
libido, -intolerance to cold. Workers also exhibited: -severe
chloracne, -hepatic enlargement; -peripheral neuritis; -delayed
prothrombin time; -increased total serum lipid levels. A follow-up
study 30 years later found persistance of chloracne in 55% of the
workers.
B - Chronic intoxication:
Essentials of diagnosis are: -chloracne, -soft tissue
sarcoma, - non-Hodgkin’s lymphoma, -Hodgkin’s disease. Chloracne
can result within several weeks after exposure to TCDD and can persist
for decades, the severity of chloracne is related to the degree
of exposure. In some workplaces, exposed persons had chloracne but
no systemic illnesses. In others, workers experienced: -fatigue,
-weight loss, -myalgias, -insomnia, -irritability, -decrease libido.
The liver has become enlarged and tender; and sensory changes particularly
in the lower extremities. In exposed production workers, systemic
symptoms, except for chloracne, have not persisted after exposures
ceased. The American Air Force has found a «significant and potentially
meaningful relationship between diabetes and bloodstream levels
of chemical dioxin in its ongoing study of people who worked with
Agent Orange.
Carcinogenesis:
It acts as a complete carcinogen in several species. Rats, mice,
and hamsters exposed to TCDD have developed histiocytic lymphomas,
fibrosarcomas, and tumors of liver, skin, lung, thyroid, tongue,
hard palate, and nasal turbinates.Initiating or promoting carcinogenesis
may be functions of TCDD. It has been concluded, TCDD is among the
most potent identified chemical carcinogens. It is transspecies,
transstrain, transsex, multisite, and complete carcinogen. By now,
an increased risk for all cancer sites combined has been shown in
cohort studies on TCDD-exposed subjects, with an especially high
risk for soft-tissue sarcoma (STS). TCDD has also been associated
with Hodgkin’s disease and non-Hodgkin’s. In Seveso, Italy, area
with TCDD soil contamination, excess numbers of tumors have been
found, including lymphomas and STS.
Immunotoxicity and Reproduction:
Immunotoxic and reproductive effects appear to be among the most
sensitive indicators of dioxin toxicity. In animals TCDD is a teratogen
and toxic to the fœtus. A variety of immunologic effects have been
seen in animals. Dioxin produces adverse developmental and reproductive
effects in fish, birds, and mammals. Laboratory studies in animals
suggest that dioxin-like compounds cause altered development (low
birth weight, spontaneous abortions, congenital malformations) adverse
changes in reproductive health ( fertility, sex organ development,
reproductive behavior). For humans, the immunotoxic effects by dioxins
are probably at least as serious as the carcinogenic properties.
Little is still understood about the potential effects on fertility
and the developing nervous system in children by dioxins and related
chlorinated compounds. TCDD may be transferred trans-placentally
and via breast milk, and elevated levels of TCDD have been detected
in adult children of female production workers exposed to dioxins.
Human studies have shown alteration in delayed-type hypersensitivity
after exposure to dioxins.
Exposure limits:
NIOSH recommends that TCDD be treated as a potential human carcinogen.
NIOSH REL (Dioxin): Reduce to lowest feasible level.
Laboratory findings:
1-Abnormalities reported most consistently are: -elevated
liver enzymes -prolonged prothrombin time -elevated cholesterol
and triglycerides levels 2-Urinary porphyrins may be elevated 3-
2,3,7,8-TCDD may be measured in: -serum (body burden) -blood
lipids -adipose tissue -breast milk.
Differential diagnosis:
Known causes of an acneiform eruption in the workplace include:
-petroleum cutting oils, -coal tar, -chlorinated aromatic compounds.
With systemic complaints, such as weight loss, headache, myalgias,
and irritability, other underlying medical illnesses should be ruled
out before attributing the disorder to TCDD.
Conclusion:
Not knowing the exact exposure of ceramicists to the different
isomers( different levels of toxicity) identified in kaolins and
ball clays, it is very difficult to discuss this problem properly.
For obvious reasons, we should be more worried about employees working
in mining and processing these dioxin-containing clays, and by pottery
factory employees than by studio potters, hobbyists, teachers and
their students. The use of clays made without ball clays could be
recommended for those more worried while awaiting more information.
However, in Ceramics Monthly, January 2001, page 8, Dr. David Cleverly
of EPA in Washington DC. is cited as having written the following
to a potter:
The good news is that once the ball clay has been commercially
processed in a kiln before it is sold to potters, all the dioxin
is removed. We have verified this in EPA’s laboratories. So you
can rest easy and continue making great art out of ball clay.
Still, it would be good practice to proceed to good housekeeping
of workshops, to avoid unnecessary dusty operations and to use an
appropriate dust mask to prevent hazardous exposure.
Many thanks to Edouard Bastarache M .D.
(Occupational & Environmental Medicine), author of Substitutions
for Raw Ceramic Materials. Edouard may be contacted via
email: edouardb@sorel-tracy.qc.ca
References:
- Occupational Medicine, Carl Zenz, last edition.
- Sax’s Dangerous Properties of Industrial Materials,
last edition
- Occupational & Environmental Medicine, Ladoue
J., last edition.
- Clinical Environmental Health and Toxic Exposures,
Sullivan & Krieger, last edition.
- Toxicologie Industrielle et Intoxications Professionnelles,
Lauwerys R., last edition.
- Summary of Evidence for the Possible Natural
Formation of Dioxins in Mined Clay Products, Ferrario J., Byrne
C., Cleverly D.
- Ceramics Monthly, January 2001, page 8.
- R&H Hall Technical Bulletin Issue No.1~2000,
Dr. Mark McGee, Technical Executive.
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