SCOEL/SUM/134 August 2010 For second consultation Recommendation of the Scientific Committee on Occupational Exposure Limits for Hydrogen peroxide 1 8 hour TWA 0.2 ppm STEL (15 min) 0.5 ppm Notation - Substance identification Hydrogen peroxide Synonyms dihydrogen dioxide, hydrogen dioxide EINECS No. 231-765-0 CAS No. 7722-84-1 Molecular formula H2O2 Structural formula H-O-O-H Molecular weight 34.02 gmol-1 Conversion factors At 25°C 1ppm H2O2 = 1.3914 mg/m3; 1 mg/m3 = 0.763 ppm EU-Classification O; R8 (contact with combustible material may cause fire) C: R34 (causes burns) In aqueous solution R5 (Heating may cause an explosion) O; R8 (contact with combustible material may cause fire) C; R35 (causes severe burns) Xn; R20/22 (harmful by inhalation and if swallowed) Specific concentration limits 100 - 70% O; R5-8 C; R20/22-35 50 - 70% O; R8 C; R20/22-34 35 - 50% Xn; R22-37/38-41 (irritating to respiratory system and skin, risk of serious damage to eyes) 1 8 - 35% Xn; R22-41 (harmful if swallowed, risk of serious damage to eyes) 5 - 8% Xi; R36 (irritating to eyes) (see co-existing CLP/GHS classification in Annex). This document is mainly based on the EU-RAR (2003) document, completed with data coming from recent studies described in the peer-reviewed literature. 2 Physico-chemical properties Hydrogen peroxide is a colourless liquid that is normally handled as an aqueous solution. Several types of stabilizers may be added to the H2O2 solution to prevent potentially violent decomposition. Such additives include phosphoric acid, sodium phosphate, stannate and silicate, ammonium sulphate, acetanilide, 8-hydroxyquinoline, pyridine, tartaric, benzoic and carboxylic acids. Nitrate salts can be added as passivators to improve the chemical resistance of stainless steel and aluminium against H2O2 (EU-RAR, 2003). The melting point of hydrogen peroxide is 0.43-0.40°C and it decomposes at 150-152°C. At 25°C it has a density of 1.4425 g/cm3 and a vapour pressure of 3hPa. It is miscible with water at all proportions and has a pKa of 11.62 at 25°C. Hydrogen peroxide can act as both an oxidising and as a reducing agent. 3 Occurrence/Use The main method by which hydrogen peroxide is produced industrially is by anthraquinone autooxidation. Anthraquinone derivate is hydrogenated to anthrahydroquinone using a palladium or nickel catalyst. Hydrogen peroxide is formed when anthrahydroquinone is oxidised back to anthraquionone by bubbling air or oxygen through the solution. Crude H2O2 is extracted with water from the organic solution which is returned to the first hydrogenation step to give a cyclic process. The extracted crude aqueous solution contains about 20-40% H2O2 and is normally purified in two or three stages by extraction with organic solvent. The aqueous solution is distilled to give 50-70% H2O2 solutions. Older production methods are based on the electrolysis of aqueous ammonium sulphate or sulphuric acid solution in water. An organic process based on 2-propanol is used in the former Soviet Union. The EU risk assessment estimated that 750,000 tonnes per year of hydrogen peroxide were produced in Europe in 1995 out of which 670,000 tonnes were used within the EU. During the 1990s the production increased sharply as hydrogen peroxide replaced chlorine in various bleaching processes. The main use (48%) of hydrogen peroxide in the EU is for bleaching pulp. Other uses include chemicals manufacture and use as an intermediate in the synthesis of chemicals such as sodium perborate, sodium percarbonate, hydroquinone, hydrazine, organic peroxides and many others. It is used in the bleaching of textiles and other products, wastewater and waste gas treatment, disinfection, beverage packing, surface treatment, etching and cleaning. Small quantities are used in consumer products such as cosmetics, toothpastes and deodorants. 2 4 Methods of exposure monitoring and analysis OSHA has published two partially validated methods for the measurement of airborne concentrations of hydrogen peroxide. No fully validated methods are available. OSHA method VI-6 is based on sample collection using a midget fritted glass bubbler TiOSO4 and analysis by colorimetry. The limit of detection is 2 µg H2O2 and the method is suitable for concentrations of 0.06 to 3.0 mg/m3 H2O2. OSHA Method ID-126-SG uses the same sampling procedure but analysis is by differential pulse polarography at a dropping mercury electrode. The detection limit is 0.14 mg/m3 for a 100 L air sample and the working analytical range is 5 to 100 µg H2O2 on sample (OSHA 1990). INRS proposes a method based on air sampling with filters impregnated with titanium oxysulfate followed by spectrophotometric measurement of the coloured Ti-H2O2 complex (INRS, 2004) No biological monitoring methods are available. 5 Health Effects 5.1 Toxicokinetics Human studies The toxicokinetics of hydrogen peroxide are reviewed in the EU-RAR (2003). Hydrogen peroxide is present as a normal metabolite in aerobic cells and plays a role in the cellular defence mechanism. It passes readily across cell membranes giving rise to high levels of absorption through the mucous membranes, skin and the lungs leading to extensive penetration of adjacent tissues and blood vessels. At low physiological concentrations, hydrogen peroxide is mainly decomposed by glutathione peroxidase but at higher concentrations it is mainly decomposed by catalase. Red blood cells have very high catalase activities and efficiently remove hydrogen peroxide from the blood. It appears that H2O2, in human airways, is mainly consumed by the lactoperoxidase system, an enzyme oxidizing the thiocyanate anion to an antibiotic product that prevents the growth of bacteria, fungi, and viruses in airways (El Chemaly et al, 2003). At high levels of exposure, the degradation of hydrogen peroxide to oxygen can lead to the formation of oxygen micro bubbles and mechanical injury of tissues and/or blood vessels may result. Normally, however, the lung is an effective filter for micro bubbles, preventing serious injury to blood vessels. There are no data on the systemic fate of hydrogen peroxide following occupational exposure. The EU-RAR concluded that it is unlikely that occupational exposure would affect the endogenous steady state of hydrogen peroxide, although there are currently no methods available to allow investigation of the fate of hydrogen peroxide absorbed from the respiratory system or through the skin. 3 The EU-RAR also noted that hydrogen peroxide may undergo iron-catalysed reactions that may result in the formation of hydroxyl radicals that are toxic to cells. Certain genetic traits may render some humans more susceptible to peroxide toxicity (eg acatalasaemia, glucose-6phosphate dehydrogenase deficiency of red blood cells). This traits render cells less able to reduce oxidised glutathione and thus less able to detoxify hydrogen peroxide through glutathione peroxidase. 5.2 Acute toxicity Human data There are no good human data for inhalation exposure. In an undated guidance document on their website (www.osha.gov), the US Occupational Health and Safety Administration cite information from secondary sources that indicated that inhalation of high concentrations of the vapour or mist may cause extreme irritation of the nose and throat. Even short periods of exposure, may cause stinging and watering of the eye and exposure to 7 ppm (9.2 mg/m3) has been reported to cause lung irritation in humans. Higher levels of exposure may cause headache, dizziness, vomiting, diarrhoea, tremors, numbness, convulsions, pulmonary oedema, unconsciousness, and shock. A number of cases of human poisoning following ingestion of aqueous hydrogen peroxide solutions have been reported but few include information about dose. The EU-RAR identified two cases where it was possible to make some estimation of the dose received. A 16 month-old baby died following ingestion of about 600 mg/kg body weight as a 3% solution and an 84-year man experienced severe brain damage following ingestion of about 150 mg/kg body weight as a 35% solution. In another case, irrigation of an infected wound with a 3% solution of hydrogen peroxide caused transient shock and coma, probably as a result of systemic embolisation of oxygen micro bubbles. The received dose was believed to be about 15 mg/kg body weight. Animal data A number of acute inhalation studies were reviewed by the EU-RAR. The main effects of exposure to low concentrations are irritation of the respiratory tract and eyes. Exposure to higher concentrations is associated with congestion of the lungs and trachea, emphysema and damage to the cornea. Corneal damage may continue to develop even after cessation of exposure. Very high levels of exposure give rise to rapid mortality resulting from oxygen embolism. The lowest reported lethal dose is 160 mg/m3 for H2O2 vapour in mice (4 hours exposure) and 9,400 mg/m3 for H2O2 aerosol in rats (15 minutes exposure). No 4 hour LC50 is available for hydrogen peroxide aerosol. The 4 hour LC50 for the vapour has been reported as 2,000 mg/m3. Rats exposed to vapour concentrations between 338 and 427 mg/m3 for 4 to 8 hours showed few symptoms. The EU-RAR reviewed several poorly described toxicity studies where dermal application of hydrogen peroxide gave rise to systemic toxicity and death. Apparent LD50 values following dermal application of a 90% solution of H2O2 range from 700 to 5,000 mg/kg body weight. There is interspecies variability in response to dermal exposure with rabbits being sensitive and rats being relatively insensitive. 4 The EU-RAR also reviewed the oral toxicity of H2O2. Reported oral LD50 values in rats range from about 800 mg/kg body weight (70% solution) to >5,000 mg/kg (10% solution), although an LD50 of about 1,500 mg/kg (9.6% solution) was reported in another study. Animals showed lethargy, immobility, irregular respiration and effects on the tongue, oesophagus, stomach, duodenum and peritoneal cavity. Degenerative ulceration and regenerative hyperplasia of the pyloric antrum of the stomach was found at all dose levels. 5.3 Irritation Human data The EU-RAR cites several reports linking hydrogen peroxide to irritation of the respiratory tract and eyes. Seven dairy workers exposed to a mean concentration of about 12 mg/m3 experienced eye and throat irritation (Kaelin et al, 1988) and slight nasal irritation was reported in workers filling drums and tanks with H2O2, exposed to a maximum mean concentration of 3.5 mg/m3 over a one hour period (CEFIC, 1996). In a briefly reported study by Kondrashov (1977, cited by EU-RAR, 2003), 32 volunteers were exposed to hydrogen peroxide vapour at variable concentrations and for variable durations through nose breathing using a face mask. Respiratory irritation depended primarily on the concentration, and only slightly on the duration of exposure. The exposures, lasting from 5 min to 4 h, revealed an apparent LOAEL of 10 mg/m3 and NOAEL of 5 mg/m3 for respiratory irritation (the method is not described). The authors cite Russian industrial experience that workers had respiratory irritation symptoms at 10 mg/m3, in agreement with the experimental results. In 2005 and 2006 Mastrangelo and coworkers (Mastrangelo et al., 2009) performed two crosssectional studies on workers in a beverage processing plant to investigate the association between low hydrogen peroxide exposure and symptoms of irritation (2005 study) and to investigate the effect of wearing respiratory protection (2006 study). The study comprised 69 workers exposed to hydrogen peroxide in sterile chambers and/or at the bottling lines and 65 unexposed controls working in automatic mineral water bottling lines. The exposure was estimated by combining air measurements (performed once a year, 6 measurements per location) and work task information from employment records. The duration of exposure in the sterile chambers was in average around 30 min per visit. The average exposure levels (geometric means and upper 95% confidence limits, n=6) in the sterile chambers (personal sampling) were 0.82 (1.5) mg/m3 in 2005 and 0.47 (2.3) mg/m3 in 2006, whereas the corresponding levels in the bottling lines (stationary sampling) were 0.13 (0.58) and 0.07 (0.25) mg/m3, respectively. The symptoms experienced during the last week were graded for severity using a 10-point visual analog scale, where 1 corresponds to none and 10 to unbearably severe symptoms. In the 2005 study symptoms of irritation (teary, sore and red eyes, throat irritation, nasal secretion, obstruction and itching, sneezes and cough) were significantly more severe (p<0.001) among exposed workers compared to controls and the average ratings on the 10-point scale being between 3.8 and 1.5 units higher among the exposed. There was also a significant (p= 0.0001) exposure-effect relationship between the number of entries in a sterile chamber in the past 12 month and the severity of sore eyes, teary eyes, redness of eyes, nasal secretion and throat irritation. There were no significant differences in symptom ratings between the control group and a group of workers engaged only at the bottling lines, thus never entering the sterile 5 chambers. The study 2006 suggests that respiratory protection (full-face mask) provided an effective protection from irritative symptoms (Mastrangelo et al., 2009). Overall, the Mastrangelo (2009) study indicates that an average exposure at 0.82 mg H2O2/m3 (30-min TWA) causes irritative symptoms in eyes, nose and throat, whereas exposure at 0.13 mg/m3 (full shift TWA) does not. The main effects of eye contact with hydrogen peroxide have been reported to be burning, redness and blurry vision (Dickson and Caravati, 1994). In the past, solutions of 1 to 3% H2O2 were applied to the eye as an antibacterial treatment. Solutions of 5 to 10% H2O2 cause cloudiness in the cornea, severe pain and intraocular inflammation. The main effects of skin contact with hydrogen peroxide have been reported to be paresthesia, whiteness and blistering (Dickson and Caravati, 1994). In a volunteer experiment described by Kondrashov (1977), the thresholds for skin irritation following exposure to H2O2 vapour were 20 mg/m3 for 4 hour exposure, 80 mg/m3 for 1 hour, 110 mg/m3 for 30 minutes, 140 mg/m3 for 15 minutes and 180 mg/m3 for 5 minutes. The measured skin deposition of H2O2 vapour associated with irritation was 110 to 170 mg/m2 compared with a no effect level of 5 to 8 mg/m2. Animal data Respiratory irritation has been demonstrated in animal experiments (EU-RAR). The concentration associated with a 50% reduction in the respiratory rate has been reported as 665 mg/m3. A number of studies have also demonstrated that hydrogen peroxide is irritating to the skin and eyes and high concentrations of hydrogen peroxide are corrosive causing epidermal necrosis (EU-RAR). The threshold for detection of eye irritation is about 0.1%. The thresholds for mild irritation, severe irritation and corrosion of the skin are 10, 35 and 50%. 5.4 Sensitization The EU-RAR concluded that the potential of hydrogen peroxide to cause skin sensitisation is extremely low. There are no reports of respiratory sensitisation. As an irritant, hydrogen peroxide would be expected to exacerbate pre-existing asthma and high levels of exposure might give rise to Reactive Airways Dysfunction Syndrome (RADS). 5.5 Repeated dose toxicity Human data The EU-RAR reviewed several studies that provide limited information about the levels of occupational exposure to hydrogen peroxide that may be associated with adverse effects (Table 1). The data suggest that less than 3 years of exposure to peak concentration of 11 mg/m3 (around 9 ppm) and 8h-TWA concentrations of 2-3 mg/m3 combined with intermittent skin contact is associated with irritation of the eyes and airways, headaches, temporary loss of olfaction, effects on skin and bleaching of hair (Riihimäki et al, 2002). 6 In an earlier study from the same beverage processing plant as described previously (see 5.3 Irritation – Human data), Mastrangelo et al. (2005) report a longitudinal study on lung function. Changes over time in forced expiratory volume in 1 sec (FEV1), forced vital capacity (FVC) and FEV1/FVC, all expressed as per cent of predicted, were evaluated by multiple regression analysis using sparse lung function measurements collected 1993-2002 from 43 exposed and 31 unexposed workers. Sparse stationary air measurements conducted between 1997 and 2001 indicated average air levels between 0.15 and 0.48 (range 0.1-1.0) mg/m3. Whereas FEV1 was significantly lower in smokers compared to nonsmokers, this measure was uncorrelated to hydrogen peroxide exposure. In contrast, the ratio FEV1/FVC decreased with increasing exposure to hydrogen peroxide. The authors interpret the decrease in FEV1/FVC as a consequence of a positive correlation between FVC and exposure. Considering the development of lung function over time (and disregarding the sparse exposure measurements), both FEV1 and FVC decreased by about 15% in the exposed group whereas FEV1/FVC was unaffected. Overall, although the number of examined workers was small, the air measurements were sparse and the increase in FVC with exposure is unexplained, the Mastrangelo (2005) study indicates that average exposure levels of 0.15-0.48 mg/m3 do not significantly impair lung function,. The EU-RAR suggested that peak levels of exposure may be of particular importance in determining effects. Animal data The EU-RAR reviewed a number of inhalation studies that were considered to be of limited quality (Table 2). It was concluded that the lowest concentration associated with local adverse effects on skin, the respiratory tract and the lungs is about 10 mg/m3 in rats (Oberst et al, 1954). The toxicity of hydrogen peroxide following repeated oral administration is better established but none of the key studies cited by the EU-RAR are in the peer reviewed literature. The EU-RAR established that exposure of rats to between 50 and 500 mg/kg body weight/day is associated with a reduction in body weight gain and effects on a range of other parameters including decreased red blood cell count, haemocrit, plasma protein concentration and plasma catalase. In a drinking water study, the NOEL was established at about 26 mg/kg/day in males and 37 mg/kg/day in females. The LOEAL was 76 mg/kg/day in males and 103 mg/kg/day for females based on reduced food and water consumption and the finding of duodenal mucosal hyperplasia in one animal. At higher levels of exposure (239 mg/kg/day and above), reversible hyperplasia was found in all animals. At 547 mg/kg/day (males) and 785 mg/kg/day (females), total plasma protein and globulin concentrations were reduced. 7 Table 1: Studies of the effects of workplace exposure to hydrogen peroxide (TWA = time-weighted average) Type of study Case report Study population Exposure Effects Study Operator of milk packaging machine Long term exposure to 12 mg/m3 with short term exposures to up to 41 mg/m3, daily exposure over 6 mo preceded by exposure 2 d/wk for 3 years Kaelin et al (1988) Pulmonary function testing All employees of H2O2 production facility over 2-3 years Typical exposure levels nondetectable to 0.79 mg/m3 (0.6 ppm) Health surveillance 110 production workers at 4 sites, 80 with more than 10 years exposure Health surveillance Small group of works exposed to H2O2 during the packaging of fruit juices Shift mean levels well below 1.4 mg/m3 (1.1 ppm), short term concentrations up to 5 mg/m3, some accidental exposures up to 10 mg/m3 Employees had less than 3 years exposure to peak concentrations of 11 mg/m3, and 8-h TWA concentrations of 2-3 mg/m3 combined with intermittent skin contact Pulmonary function testing 43 exposed and 31 controls in beverage processing plant Geometric mean 0.15-0.48 mg/m3, range 0.11.0 mg/m3 (0.1- 0.4 ppm) (stationary measurements 1997-2001) Crosssectional study 65 exposed and 69 controls in beverage processing plant Sterile chambers: geometric mean 0.82 mg/m3 (0.6 ppm), upper 95% CI limit 2.3 (1.8 ppm) (personal sampling, 30-min TWA). Bottling lines: geometric mean 0.13 mg/m3 (0.1 ppm), upper 95% CI limit 0.6 (0.5 ppm) (stationary sampling, 5.5-h TWA) Eye and throat irritation and gradual bleaching of the hair, Progressive dyspnoea, bilateral diffuse nodular infiltrates of the lung. Dyspnoea resolved within 1.5 months of exposure ceasing. The individual had smoked 2 packs of cigarettes per day for 25 years. Repeated lung function testing on all employees of a hydrogen peroxide production facility for a period of 3-5 y showed no evidence of adverse effects attributable to occupational exposure. At the same plant there had been reports of hair bleaching, nose bleeds, and eye or respiratory irritation in the past. Since the operating procedures were improved there were few reported incidents. No effects on lung function, occasional skin irritation and whitening following accidental H2O2 exposure at two plants, past reports of hair bleaching at one plant, one case of acute throat irritation. Irritation of the eyes and airways, headaches, temporary loss of olfaction, effects on skin and bleaching of hair. Skin contact was associated with burning and pricking of fingers, drying of hands and face, decrease in skin elasticity and dry, rough bleached hair. A subsequent reduction in concentrations was associated with a reduction in symptoms. FVC increased, FEV1 unchanged and FEV1/FVC decreased with increasing exposure. FVC and FEV1 decreased and FEV1/FVC unchanged over time in exposed group. FEV1 significantly lower in smokers than in non-smokers. Self-reported irritation was more severe (p<0.001) among exposed workers. Severity of symptoms correlated with number of entrances in sterile chambers. No significant differences in symptom ratings between controls and workers engaged only at the bottling lines. 8 CEFIC 1996, cited by EURAR 2003 Degussa-Huls, 1999, described by EU-RAR 2003 Riihimäki et al (2002) Mastrangelo et al (2005) Mastrangelo et al (2009) Table 2: Repeated dose animal inhalation experiments reviewed by the EU-RAR Species Rat Mouse Dog Rat Exposure regime Exposure of 23 rats to 93 mg/m3 H2O2 vapour for 6 weeks, 6 hours/day, 5 days/week Exposure of groups of 10 mice to 79 mg/m3 or 107 mg/m3 H2O2 vapour for 6 weeks, 6 hours/day, 5 days/week Exposure of 2 dogs to 10 mg/m3 H2O2 vapour for 6 months, 6 hours/day, 5 days/week NOEL Exposure of groups of 5 rats at 0, 2.9, 14.6 or 33 mg/m3 of H2O2 vapour for 6 hours/day, 5 days/week for 28 days 2.9 mg/m3 (2.2 ppm) LOEL 93 mg/m3 79 mg/m3 10 mg/m3 14.6 mg/m3 Effects After 2 weeks: nasal discharge, oedema of the feet, skin irritation in the groin region Study Comstock et al (1954)*, Oberst et al (1954)* After 5 weeks: hair loss Remarks Restricted study design, incomplete reporting Sneezing, lachrymation, external skin irritation, bleaching of hair, loss of hair, greatly thickened skin, hyperplastic muscular coats in terminal and respiratory bronchioles, buds of fibrotic tissue scattered in the lungs, patchy areas of atelectasis intermingled with emphysematous areas Respiratory tract irritation at the two higher doses, necrosis and inflammation of the epithelium in the anterior regions of the nasal cavity Study designed for range finding purposes CEFIC Peroxygen Sector Group* *unpublished industry studies cited by the EU-RAR 9 5.6 Mutagenicity Hydrogen peroxide is not classed as a mutagen according to EU principles. Hydrogen peroxide is a mutagen and genotoxicant in a variety of in vitro test systems but gives negative results in a range of in vivo assays. 5.7 Carcinogenicity There are no human data on the potential carcinogenicity of hydrogen peroxide. A drinking water study in a catalase-deficient mouse strain showed a dose dependent increase in duodenal carcinomas (at low frequency). These lesions showed a marked tendency to regress and even disappear after the cessation of treatment. The lowest concentration of H2O2 in drinking water at which tumours were observed was 0.1% (Ito et al, 1981). A subsequent study with different strains of mice found a strong negative correlation between the incidence of duodenal tumours and catalase activities in duodenal mucosa, blood and liver (Ito et al, 1984). No gastrointestinal tumours were found in a similar study in rats exposed to up to 0.6% H2O2 in drinking water for 18 months (Takayama, 1980 – unpublished industry study). Squamous cell papillomas of the forestomach were reported in a later drinking water study in which rats were exposed to 1% H2O2 in drinking water for 32 weeks (Takahashi et al, 1986). Several studies have demonstrated that hydrogen peroxide had a promoting effect on the carcinogenicity of other substances whereas other studies have failed to identify a promoting effect. The EU-RAR concluded that there was insufficient evidence to classify hydrogen peroxide as a carcinogen. 5.8 Reproductive toxicity There are no human reproductive toxicity data available. There are a number of animal studies, but the EU-RAR did not consider any to be appropriate for a complete evaluation of reproductive and developmental toxicity. No adverse effects on fertility in mice were observed in two drinking water experiments reviewed by the EU-RAR at drinking water concentrations of up to 1% H2O2. In a feeding experiment in rats, some adverse effects on the foetus were observed with an H2O2 feed content of 10%, but this dose level was associated with substantial maternal toxicity. It was presumed that conventional study protocols were unlikely to show specific embryonic or foetal effects because it is doubtful whether hydrogen peroxide rather than its degradation products would reach the foetus and also because maternal toxicity would be expected. 10 6 Recommendation Hydrogen peroxide is a widely used industrial chemical but relatively few studies have been undertaken of exposed workers and there are few case reports describing adverse effects arising from hydrogen peroxide exposure. Exposure to hydrogen peroxide vapours is associated with irritation of the nose, eyes and respiratory tract. As for data available on humans occupationally exposed (summarized in table 1), the evidences reported by CEFIC (1996), Degussa-Huls (1999) and Mastrangelo et al (2005, 2009) appear to be adequate in order to derive an OEL. According to a CEFIC (1996) report, very briefly described in the EU-RAR (2003), repeated lung function testing on all employees of a hydrogen peroxide production facility for a period of 3-5 y showed no evidence of adverse effects attibutable to occupational exposure. Typical exposure levels ranged from non-detectable to 0.6 ppm. In another health surveillance program, no effects on lung function were seen in two plants with mean shift levels of below 1.1 ppm hydrogen peroxide (Degussa-Huls, 1999, briefly described in EU-RAR 2003). Further, no lung function impairment was seen in workers at a beverage processing plant with average exposures between 0.1 and 0.4 ppm (Mastrangelo et al, 2005). In a more recent study in the same beverage factory, the severity of self-reported irritation correlated with the number of entrances in sterile chambers with mean exposure levels of 0.6 (upper 95%CI 1.8) ppm. No increased ratings were reported by workers engaged only at the bottling lines with mean levels of 0.1 (upper 95%CI 0.5) ppm (Mastrangelo et al, 2009). On the basis of these four studies, although each study has limited information on exposure levels, a NOAEL for impaired lung function in the upper end of the range 0.10.6 ppm may be assumed. Hence, an 8-h OEL of 0.2 ppm is recommended for hydrogen peroxide. A 15-min STEL of 0.5 ppm is recommended based on increased self-reported irritation at mean levels of 0.6 ppm. These values are further supported by the NOAEL for irritation of 2.2 ppm in a 28-day rat inhalation study (unpublished report cited by CEFIC 1996). No "skin" notation was considered to be necessary. At the level recommended, no measurement difficulties are foreseen. 11 References CEFIC (1996). Determination of hydrogen peroxide concentration in the expired air of healthy human volunteers. Solvay Duphar BV. Environmental Research Department, Weesp, CEFIC Peroxygen Sector Group. Comstock CC, Hackley EB, Oberst FW. (1954). The inhalation toxicity of 90% hydrogen peroxide vapour for acute, subacute, and chronic exposures to laboratory animals. Edgewood: Army Chemical Center. (Chemical Corps Medical Laboratories Research Report no. 243) Degussa-Huls AG. (1999). Draft report of hydrogen peroxide production workers health survey. Summary of workers health data of 4 production sites for hydrogen peroxide of Degussa-Huls AG. Dickson KF, Caravati EM. (1994). Hydrogen peroxide exposure – 325 exposures reported to a regional poison control centre. Clinical Toxicology 32; 705-714. El Chemaly S, Salathe M, Baier S, Conner GE, Forteza R (2003). Hydrogen peroxidescaveging properties of normal human airway secretions. Am J Respir Crit Care Med, 167: 425-430 EU-RAR (2003). Hydrogen Peroxide. European Risk Assessment Report, 2nd Priority List, volume 38. Euopean Chemicals Bureau. INRS (2004) Acide peracétique et peroxyde d'hydrogène. Institut national de recherche et de sécurité. Métropol, Fiche 68. Ito A, Naito M, Naito M. (1981). Induction and characterization of gastro-duodenal lesions in mice given continuous oral administration of hydrogen peroxide. Japanese Journal of Cancer Research: Gann; 73: 315-322 (cited by EU-RAR). Ito A, Watanabe H, Naito M, Naito Y and Kawashima K (1984). Correlation between induction of duodenal tumor by hydrogen peroxide and catalase activity in mice. Gann 75: 17-21 (cited by EU-RAR). Kaelin RM, Kapanci Y, Tchopp JM. (1988). Diffuse interstitial lung disease associated with hydrogen peroxide inhalation in a dairy worker. Annual. Review of Respiratory Disease; 137: 1233-1235. Kondrashov VA. (1977). Evaluation of the toxicity of hydrogen peroxide vapours for inhalation and percutaneous exposures. Gigiena Truda Professional’nye Zabolevaniia; 21: 22-25. (Russian – cited by EU-RAR). Mastrangelo G, Zanibellato R, Fedeli U, Fadda E, Lange JH (2005); Exposure to hydrogen peroxide at TLV level does not induce lung function changes: a longitudinal study. Int J Environ Health Res. 2005 Aug;15(4):313-7 Mastrangelo G, Zanibellato R, Fadda E, Lange JH, Scoizzato L,Rylander R. Exposure to hydrogen peroxide and eye and nose symptoms among workers in a beverage processing plant. Ann Occ Hyg 2009 Mar;53(2):161-5. 12 Oberst FW, Comstock CC, Hackley EB. (1954). Inhalation toxicity of ninety per cent hydrogen peroxide vapour. A.M.A Archives of Industrial Hygiene and Occupational Medicine; 10: 319-327. Riihimäki V, Toppila A, Pirrila P, Kuosma E, Pfäffli P, Tuomela P. (2002). Respiratory health in aseptic packaging with hydrogen peroxide. A report of two cases. Journal of Occupational Health; 44: 433-438. Takahashi M, Hasegawa R, Furukawa F, Toyaoda K, Sato H, Hayashi Y. (1986). Effects of ethanol, potassium metabisulphite, formaldehyde and hydrogen peroxide on gastric carcinogenesis in rats after initiation with N-methyl-N’-nitro-Nnitrosoguandine. Japanese. Journal of Cancer Research: Gann; 77, 118-124 (cited by EU-RAR). Takayama S. (1980). Report on a carcinogenicity study. Research Group, Ministry of Health and Welfare, Japan. Tokyo: Cancer Institute of Japan, Foundation for Cancer Research. OSHA (1990) Occupational Safety and Health Administration. Analytical Methods Manual. 2nd ed. OSHA, Salt Lake City. 13 ANNEX. Classification and hazard statements following Regulation (EC) No 1272/2008 Annex VI table 3.1 arising from translation of classifications listed in Annex I to directive 67/548/EEC for hydrogen peroxide 3.1ation (EC) No 1272/2008 Annex VI Table 3.1 Regulation (EC) No 1272/2008 Annex VI Table 3.1 Ox. Liq. 1 Acute Tox. 4 * Acute Tox. 4 * Skin Corr. 1A H271 May cause fire or explosion; strong oxidiser. H332 Harmful if inhaled. H302 Harmful if swallowed. H314 Causes severe skin burns and eye damage. C ≥ 70 %**** 50 % ≤ C < 70 % **** * C ≥ 70 % 50 % ≤ C < 70 % 35 % ≤ C < 50 % 8 % ≤ C < 50 % 5%≤C<8% STOT SE 3; H335; C ≥ 35 % (May cause respiratory irritation) Ox. Liq. 1; H271 May cause fire or explosion; strong oxidiser Ox. Liq. 2; H272 May increase fire Skin Corr. 1A; H314 Causes severe skin burns and eye damage Skin Corr. 1B; H314 Causes severe skin burns and eye damage Skin Irrit. 2; H315 Causes skin irritation. Eye Dam. 1; H318 Causes serious eye damage Eye Irrit. 2; H319 Causes serious eye irritation - 14
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