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Hydrogen Cyanide and Cyanides: Human Health Aspects

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Hydrogen Cyanide and Cyanides: Human Health Aspects This report contains the collective views of an international group of experts and does not necessarily represent the decisions or the stated policy of the United Nations Environment Programme, the International Labour Organization, or the World Health Organization. Concise International Chemical Assessment Document 61 HYDROGEN CYANIDE AND CYANIDES: HUMAN HEALTH ASPECTS Please note that the layout and pagination of this pdf file are not identical to the version in press First draft prepared by Prof. Fina Petrova Simeonova, Consultant, National Center of Hygiene, Medical Ecology and Nutrition, Sofia, Bulgaria; and Dr Lawrence Fishbein, Fairfax, Virginia, USA Published under the joint sponsorship of the United Nations Environment Programme, the International Labour Organization, and the World Health Organization, and produced within the framework of the Inter-Organization Programme for the Sound Management of Chemicals. World Health Organization Geneva, 2004 The International Programme on Chemical Safety (IPCS), established in 1980, is a joint venture of the United Nations Environment Programme (UNEP), the International Labour Organization (ILO), and the World Health Organization (WHO). The overall objectives of the IPCS are to establish the scientific basis for assessment of the risk to human health and the environment from exposure to chemicals, through international peer review processes, as a prerequisite for the promotion of chemical safety, and to provide technical assistance in strengthening national capacities for the sound management of chemicals. The Inter-Organization Programme for the Sound Management of Chemicals (IOMC) was established in 1995 by UNEP, ILO, the Food and Agriculture Organization of the United Nations, WHO, the United Nations Industrial Development Organization, the United Nations Institute for Training and Research, and the Organisation for Economic Co-operation and Development (Participating Organizations), following recommendations made by the 1992 UN Conference on Environment and Development to strengthen cooperation and increase coordination in the field of chemical safety. The purpose of the IOMC is to promote coordination of the policies and activities pursued by the Participating Organizations, jointly or separately, to achieve the sound management of chemicals in relation to human health and the environment. WHO Library Cataloguing-in-Publication Data Hydrogen cyanide and cyanides : human health aspects. (Concise international chemical assessment document ; 61) 1.Cyanides - adverse effects 2.Hydrogen cyanide - adverse effects 3.Risk assessment 4.Environmental exposure I.International Programme on Chemical Safety II.Series ISBN 92 4 153061 8 (LC/NLM Classification: QV 632) ISSN 1020-6167 ©World Health Organization 2004 All rights reserved. Publications of the World Health Organization can be obtained from Marketing and Dissemination, World Health Organization, 20 Avenue Appia, 1211 Geneva 27, Switzerland (tel: +41 22 791 2476; fax: +41 22 791 4857; email: [email protected]). Requests for permission to reproduce or translate WHO publications — whether for sale or for noncommercial distribution — should be addressed to Publications, at the above address (fax: +41 22 791 4806; email: [email protected]). The designations employed and the presentation of the material in this publication do not imply the expression of any opinion whatsoever on the part of the World Health Organization concerning the legal status of any country, territory, city or area or of its authorities, or concerning the delimitation of its frontiers or boundaries. Dotted lines on maps represent approximate border lines for which there may not yet be full agreement. The mention of specific companies or of certain manufacturers’ products does not imply that they are endorsed or recommended by the World Health Organization in preference to others of a similar nature that are not mentioned. Errors and omissions excepted, the names of proprietary products are distinguished by initial capital letters. The World Health Organization does not warrant that the information contained in this publication is complete and correct and shall not be liable for any damages incurred as a result of its use. Risk assessment activities of the International Programme on Chemical Safety, including the production of Concise International Chemical Assessment Documents, are supported financially by the Department of Health and Department for Environment, Food & Rural Affairs, UK, Environmental Protection Agency, Food and Drug Administration, and National Institute of Environmental Health Sciences, USA, European Commission, German Federal Ministry of Environment, Nature Conservation and Nuclear Safety, Health Canada, Japanese Ministry of Health, Labour and Welfare, and the Swiss Agency for Environment, Forests and Landscape. Technically and linguistically edited by Marla Sheffer, Ottawa, Canada, and printed by Wissenchaftliche Verlagsgesellschaft mbH, Stuttgart, Germany Concise International Chemical Assessment Document 61 TABLE OF CONTENTS FOREWORD ......................................................................................................................................................1 1. EXECUTIVE SUMMARY ................................................................................................................................4 2. IDENTITY AND PHYSICAL/CHEMICAL PROPERTIES............................................................................6 3. ANALYTICAL METHODS ..............................................................................................................................8 4. SOURCES OF HUMAN AND ENVIRONMENTAL EXPOSURE................................................................9 4.1 Natural occurrence...................................................................................................................................9 4.2 Anthropogenic sources ............................................................................................................................9 4.2.1 Production .....................................................................................................................................9 4.2.2 Use.................................................................................................................................................9 4.2.3 Release to the environment.........................................................................................................10 5. ENVIRONMENTAL LEVELS AND HUMAN EXPOSURE .......................................................................11 5.1 Environmental levels .............................................................................................................................11 5.1.1 Air................................................................................................................................................11 5.1.2 Water ...........................................................................................................................................12 5.1.3 Soil ..............................................................................................................................................12 5.1.4 Food.............................................................................................................................................12 5.1.5 Other............................................................................................................................................13 5.2 Human exposure....................................................................................................................................13 5.2.1 General population......................................................................................................................13 5.2.2 Occupational exposure................................................................................................................14 6. COMPARATIVE KINETICS AND METABOLISM IN LABORATORY ANIMALS AND HUMANS .........................................................................................................................................................14 6.1 Absorption..............................................................................................................................................14 6.2 Distribution ............................................................................................................................................15 6.3 Metabolism and excretion......................................................................................................................15 6.4 Biological monitoring............................................................................................................................17 7. EFFECTS ON LABORATORY MAMMALS AND IN VITRO TEST SYSTEMS ......................................17 7.1 Single exposure......................................................................................................................................17 7.2 Short-term exposure...............................................................................................................................19 7.2.1 Oral..............................................................................................................................................19 7.2.2 Inhalation ....................................................................................................................................19
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