Health Risks of Persistent Organic Pollutants from Long-Range
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HEALTH RISKS OF PERSISTENT ORGANIC POLLUTANTS FROM LONG-RANGE TRANSBOUNDARY AIR POLLUTION Persistent organic pollutants (POPs) are organic compounds of anthropogenic origin that resist degradation and accumulate in the food-chain. They can be transported over long distances in the atmosphere, resulting in widespread distribution across the earth, including regions where they have never been used. Owing to their toxicity, they can pose a threat to humans and the environment. This publication, based on contributions from an international group of experts, provides a concise review of the available evidence on the characteristics of 13 groups of POPs (pentachlorophenol, DDT, hexachlorocyclohexanes, hexachlorobenzene, heptachlor, polychlorinated dibenzo-p-dioxins and dibenzofurans, polychlorinated biphenyls, polycyclic aromatic hydrocarbons, polychlorinated terphenyls, polybrominated diphenylethers, polybrominated dibenzo-p-dioxins and dibenzofurans, short-chain chlorinated paraffins and ugilec). It reviews pathways of human exposure related to the long-range transport of the POPs through the atmosphere, and the potential hazards associated with them. The review concludes with an expert assessment of the risks to health associated with exposure due to the long-range transport of each of the pollutants. It is intended that the assessment will serve to strengthen the commitment of the parties to the Convention on Long-range Transboundary Air Pollution to improve air quality in Europe and to prevent adverse effects of air pollution on human health. E78963 JOINT WHO/CONVENTION TASK FORCE ON THE HEALTH ASPECTS OF AIR POLLUTION HEALTH RISKS OF PERSISTENT ORGANIC POLLUTANTS FROM LONG-RANGE TRANSBOUNDARY AIR POLLUTION Language editing: Frank Theakston [email protected] Layout and page make-up: Sven Lund, mgk [email protected] Printed in the Netherlands by Drukkerij Wilco [email protected] JOINT WHO/CONVENTION TASK FORCE ON THE HEALTH ASPECTS OF AIR POLLUTION HEALTH RISKS OF PERSISTENT ORGANIC POLLUTANTS FROM LONG-RANGE TRANSBOUNDARY AIR POLLUTION Working Group Members: Ruth Alcock, Vladimir Bashkin, Michèle Bisson, R.W. Brecher, Leendert van Bree, Radovan Chrast, Claudio Colosio, Hélène Desqueyroux, Elena Evstafjeva, Mark Feeley, Greg Filyk, Ramon Guardans, Helen Hakansson, Thomas Hausmann, Ivan Holoubek, Marek Jakubowski, Niklas Johansson, Blanka Krauthacker, Michal Krzyzanowski, Berit Kvaeven, Tamas Lotz, Alexander Malanichev, Emilia Niciu, Nicolae Opopol, K. Phillips, Annick Pichard, Irina Pichsheva, Theresa Repaso- Subang, Martin Schlabach, Ion Shalaru, Stefan Seum, David Stone, Peter Straehl, Lindita Tafaj, Carolyn Vickers. Keywords ENVIRONMENTAL POLLUTANTS CHEMICALS - toxicity - adverse effects ENVIRONMENTAL HEALTH ENVIRONMENTAL EXPOSURE RISK FACTORS Address requests for copies of publications of the WHO Regional Office to [email protected]; for permission to reproduce them to [email protected]; and for permission to translate them to [email protected]; or contact Publications, WHO Regional Office for Europe, Scherfigsvej 8, DK-2100 Copenhagen Ø, Denmark (tel.: +45 3917 1717; fax: +45 3917 1818; website: http://www.euro.who.int). © World Health Organization 2003 All rights reserved. The Regional Office for Europe of the World Health Organization welcomes requests for permission to reproduce or translate its publications, in part or in full. 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. Where the designation “country or area” appears in the headings of tables, it covers countries, territories, cities, or areas. 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. The views expressed by authors or editors do not necessarily represent the decisions or the stated policy of the World Health Organization. TABLE OF CONTENTS Abstract vii Foreword viii Abbreviations x Executive summary xii Introduction xiv 1. Pentachlorophenol 1 2. DDT 19 3. Hexachlorocyclohexanes 61 4. Hexachlorobenzene 87 5. Heptachlor 107 6. Dioxins and dioxin-like polychlorinated biphenyls 113 7. Polychlorinated biphenyls 127 8. Polycyclic aromatic hydrocarbons 143 9. Polychlorinated terphenyls 187 10. Polybrominated diphenyl ethers 199 11. Polybrominated dibenzo-p-dioxins and dibenzofurans 213 12. Short-chain chlorinated paraffins 215 13. Ugilec 227 Annex 1. Working Group members 232 Annex 2. Reviewers 234 Annex 3. Executive summary of the report prepared by the Joint WHO/Convention Task Force on the Health Aspects of Air Pollution 235 WHO Regional Office for Europe Scherfigsvej 8, DK-2100 Copenhagen Ø, Denmark Tel.: +45 39 17 17 17 Fax: +45 39 17 18 18 Website: http://www.euro.who.int ABSTRACT Persistent organic pollutants (POPs) are organic compounds of anthropogenic origin that resist degradation and accumulate in the food-chain. They can be trans- ported over long distances in the atmosphere, resulting in widespread distribution across the earth, including regions where they have never been used. Owing to their toxicity, they can pose a threat to humans and the environment. This publication, based on contributions from an international group of experts, provides a concise review of the available evidence on the characteristics of 13 groups of POPs (pentachlorophenol, DDT, hexachlorocyclohexanes, hexachlo- robenzene, heptachlor, polychlorinated dibenzo-p-dioxins and dibenzofurans, polychlorinated biphenyls, polycyclic aromatic hydrocarbons, polychlorinated ter- phenyls, polybrominated diphenylethers, polybrominated dibenzo-p-dioxins and dibenzofurans, short-chain chlorinated paraffins and ugilec). It reviews pathways of human exposure related to the long-range transport of the POPs through the atmosphere, and the potential hazards associated with them. The review concludes with an expert assessment of the risks to health associated with exposure due to the long-range transport of each of the pollutants. It is intended that the assessment will serve to strengthen the commitment of the parties to the Convention on Long-range Transboundary Air Pollution to improve air quality in Europe and to prevent adverse effects of air pollution on human health. FOREWORD The long-range transport of air pollution has been recognized as an important factor affecting ecosystems and human populations. The UNECE Convention on Long-range Transboundary Air Pollution is a powerful international instrument that aims to reduce and prevent air pollution. The effects of the Convention can be assessed by the reduction in emissions of pollution by the countries that are Parties to the Convention. However, an important criterion of the effectiveness of the Convention is its ability to prevent or reduce the burden of long-range air pollu- tion on the environment and human health. The objective of the Protocol on Persistent Organic Pollutants to the Convention is to control, reduce or eliminate discharges, emission and losses of persistent organic pollutants (POPs). It is recognized that POPs resist degradation under natural conditions and are associated with adverse effects on human health and the environment. The Protocol describes the obligations of the Parties and, in par- ticular, lists the substances that should be eliminated from production and use, or for which use should be restricted. It also provides guidelines on the best available techniques for controlling emissions of POPs. Preventing health effects of POPs is a strong argument for the commitment of the Parties to the Convention to ratifying and implementing the Protocol. However, evidence of the role of long-range transport as a contributor to human exposure to POPs and related health risks has been dispersed and not readily available. Therefore, the Executive Body for the Convention, at its 17th Session held in Gothenburg on 29 November – 3 December 1999, requested the Joint WHO/Convention Task Force on the Health Aspects of Air Pollution to review the relevant scientific infor- mation and to provide the Convention with a concise, authoritative assessment. The Task Force used existing reviews, such as the Environmental Health Criteria documents published by the International Programme on Chemical Safety, the WHO Air Quality Guidelines for Europe and other relevant publications, as the basis for the health hazard assessment of selected POPs. It also used existing information on the emission of POPs, their dispersal and levels in various environ- mental media provided by the European monitoring programmes (in particular, the Convention’s Cooperative Programme for Monitoring and Evaluation of the Long-range Transmission of Air Pollutants in Europe, EMEP). FOREWORD ix The report of the Task Force is based on contributions from its members, national experts nominated