The upper-bounding estimates of total daily intake range from 0.74 µg/kg-bw per day in adults (60+ years) to 2.26 µg/kg-bw per day in children (0.5-4 years) (Table 1). Based on these estimates, inhalation is the major route of exposure for the general population, with indoor air being the major source of exposure.
Because of their quantity of production and widespread use, two products containing DCE, carpet and food wrap, were selected to provide a representative assessment of exposure to DCE in consumer products. Estimates were made of 1) contributions to indoor air concentrations and daily intake via inhalation as a result of the use of DCE in carpet latex backing and 2) daily intake from the ingestion of food that has been in contact with DCE-containing polymer food wrap. The estimates are based on scenarios contained in a Voluntary Children's Chemical Evaluation Program (VCCEP) submission on DCE (U.S. EPA, 2002b). Details of the calculations are presented in Appendix A. The conservative estimates for contributions to indoor air from emissions of DCE from carpet latex backing ranged from 0.032 to 0.0634 µg/m3. For children (0.5-4 years), the group with the highest inhalation volume and food consumption relative to body weight, conservative screening estimates of intakes from the two products were 0.02-0.04 µg/kg-bw per day (inhalation of indoor air with emissions from carpet latex backing) and 0.03 µg/kg-bw per day (ingestion of food in contact with film packaging). In a recent survey of 75 homes in Ottawa (Health Canada, 2003), there was no correlation between the carpeted floor area and the measured values of DCE in indoor air. In that study, the mean indoor air concentration was 0.27 µg/m3 (values ranged from non-detected to 4.05 µg/m3 , with a detection limit of 0.011 µg/m3).
The level of confidence in the upper-bounding estimate of exposure set is high, as it was based on recent adequate monitoring data in Canada for DCE in ambient air and indoor air Health Canada, 2003). In the absence of measured concentrations for drinking water, the detection limit from measurements at Canadian water treatment plants was used (OME, 1988, 1989). Although food can be in contact with residual DCE in packaging film, the low octanol/water partition coefficient (Kow) and high volatility of DCE reduce the potential for exposure through this pathway. To provide a conservative estimate, food intake estimates were based on a study in the United Kingdom (MAFF, 1980), as DCE was not detected in food in three separate studies in Ontario, Quebec and Alberta (ETL, 1991, 1992, 1993). There is uncertainty in these values, as only a limited number of food groups was monitored. However, the low Kow for DCE is indicative of the improbability of finding significant levels of DCE in foods and adds support to the estimates that are based on sparse and non-Canadian data for this medium. No quantitative data were available on the presence of DCE in breast milk, although it has been qualitatively detected in 1 of 12 samples in four cities across the United States (Pellizzari et al., 1982).
Table 2contains an overview of the toxicological database, in which confidence is considered to be moderate to high, as a wide range of toxicity studies was identified. Carcinogenicity bioassays reviewed in several identified assessments (IARC, 1986, 1999; IPCS, 1990, 2003; U.S. EPA, 2002a) include those conducted by oral, inhalation and subcutaneous routes of exposure as well as a dermal tumour initiation study. Many of these studies are limited by study design or conduct, including exposure durations of 1 year or less or administration of less than the maximum tolerable dose. An exposure-related, increased incidence of tumours (renal adenocarcinomas) was observed in male (but not female) Swiss mice exposed by inhalation for 1 year to 0, 10 or 25 ppm DCE (equivalent to 0, 40 and 100 mg/m3, respectively) (significant increase at the highest concentration only) (Maltoni et al., 1984, 1985; IPCS, 1990).
Incidences of other tumours, namely mammary carcinomas in female Swiss mice and pulmonary adenomas in male and female Swiss mice, were significantly increased, but without a clear exposure-response relationship. DCE was also active as an initiator of lung papillomas in female Swiss mice (Van Duuren et al., 1979). There was no evidence of carcinogenicity in studies in rats or hamsters and no observed increases in the incidences of other tumours observed in mice that were significant and exposure-related.
DCE is genotoxic in microorganisms in both the presence and absence of an exogenous metabolic activating system; mixed results have been produced in mammalian cells in vitro. It is generally non-genotoxic in in vivo assays (chromosomal aberration, rat; dominant lethal, mouse and rat; micronucleus, mouse), although chromosomal aberrations in the bone marrow of Chinese hamsters and minimal DNA binding in the liver and kidneys of mice and rats have been reported (IPCS, 1990; U.S. EPA, 2002a). Plausible carcinogenicity was also predicted by a rule-based structure-activity relationship model (DEREK; LHASA Ltd., 2002), which contributes to the weight of evidence for carcinogenicity.
DCE has been classified by IARC (1999) as not classifiable as to its carcinogenicity to humans based on inadequate evidence in humans and limited evidence in experimental animals, whereas the U.S. EPA (2002a) concluded that there is suggestive evidence for the carcinogenicity of DCE.
The target organs for non-neoplastic effects are the liver, kidney and lung. The lowest lowest-observed-adverse-effect concentration (LOAEC) identified was 10 ppm (40 mg/m3), based upon significant increases in kidney damage (regressive changes and/or abscesses and nephritis in male Swiss mice in a 52-week study) (Maltoni et al., 1984, 1985). The lowest oral lowest-observed-effect level (LOEL) was 5 mg/kg-bw per day, based upon chronic renal inflammation in male and female F344 rats in a 2-year gavage study (NTP, 1982).
In the critical carcinogenicity bioassay (Maltoni et al., 1984, 1985) , renal adenocarcinomas were observed at the highest concentration (100 mg/m3) only. This concentration is 25 000 times higher than the highest identified concentration of DCE in indoor air (approximately 4 µg/m3; Health Canada, 2003). A comparison of the lowest critical inhalation effect level for non-neoplastic effects (40 mg/m3; Maltoni et al., 1984, 1985 ) with the highest identified concentration of DCE in indoor air results in a margin of exposure of 10 000. Since the protocol in this study involved exposure for only 4 hours per day, 4 or 5 days per week, if the critical inhalation effect level was adjusted to account for continuous exposure, the margin of exposure would decrease by approximately ten-fold.
The margin of exposure between the highest upper-bounding estimate of intake from all sources (2.26 µg/kg-bw per day; Table 1) and the critical oral effect level for non-neoplastic effects (5 mg/kg-bw per day; NTP, 1992) is 2200.
Available data on the mode of induction by DCE of non-neoplastic critical effects (associated with cytotoxicity) in target organs in rats and mice (i.e., the liver, kidney and Clara cells of the lung) indicate that damage is associated with covalent binding of CYP2E1 activated metabolic products to cellular macromolecules (U.S. EPA, 2002a). The margins of exposure mentioned above are likely sufficient to address uncertainties related to intraspecies and interspecies variations and biological adversity or severity of the observed non-neoplastic effects, taking into account (crudely) the approximate impact of quantitative variations between experimental species and humans in CYP2E1-mediated metabolism to the active metabolite, which binds with cellular macromolecules. However, there is also limited evidence for the carcinogenicity of DCE in mice and comprehensive evidence of genotoxicity in vitro with and without metabolic activation, but much lesser evidence of genotoxicity in in vivo assays. While it is possible that the active metabolites (principally DCE epoxide) associated with non-neoplastic effects could interact directly with DNA, the potential is low, based on results of in vivo studies.
Although the weight of evidence for carcinogenicity and genotoxicity is limited, a mode of action for induction of effects involving direct interaction with genetic material cannot be precluded. Therefore, the outcome of this evaluation on 1,1-dichloroethene is that it is suspected that the margin between levels causing non-neoplastic effects in experimental animals and exposure may not be sufficient to account for the uncertainties in the database .
Data addressing uncertainties in intraspecies and interspecies variations in sensitivity and mode of induction of effects would permit a more definitive conclusion.