Aj. Schecter et al., PESTICIDE APPLICATION AND INCREASED DIOXIN BODY BURDEN MALE AND FEMALE AGRICULTURAL-WORKERS IN CHINA, Journal of occupational and environmental medicine, 38(9), 1996, pp. 906-911
Large amounts of the powerful pesticide sodium pentachlorophenol (Na-P
CP) salt have been sprayed over vast areas in central China to control
schistosomiasis, a parasitic disease of epidemic proportions. Approxi
mately 6000 tons of Na-PCP are produced in China annually. Dioxins, a
class of toxic, persistent compounds, art found as impurities in comme
rcial Na-PCP products. These contaminants are released into the enviro
nment and significantly contribute to human exposure to dioxins in Chi
na. This study was carried out to determine dioxin levels in environme
ntal and human tissue samples from one schistosomiasis area to evaluat
e the health risks associated with exposure to Na-PCP. Na-PCP pesticid
e was applied in 1972, 1973, and again in 1978. A total of approximate
ly 454 tons and 902 tons of 5-ppm Na-PCP in water were sprayed over la
rge land and lake problem schistosomiasis areas, respectively. The gro
ups studied were (1) sprayers or handlers of Na-PCP, (2) persons livin
g in the sprayed areas, and (3) persons living in unsprayed areas 300
km north of the sprayed lake located in a city in the Jiangxi province
. Individual whole-blood and breast-milk samples were collected and la
ter pooled for dioxin analysis. Also, a sample of commercial Na-PCP wa
s collected. In addition, sediment samples from the lake where Na-PCP
was sprayed were collected from four different sites and one control s
ample was collected from a non-schistosomiasis area. All of the sample
s were analyzed by high-resolution gas chromatography/mass spectrometr
y. A sample of Na-PCP used in schistosomiasis regions was analyzed and
levels of 2,3,7,8-substituted dibenzodioxin (PCDD) and dibenzofuran (
PCDF) congeners were measured. in addition, the international dioxin t
oxic equivalent (I-TEQ) value of this sample was calculated. Total I-T
EQ of 162 parts per billion (ppb) was found in the Chinese Na-PCP prod
uct. A pooled breast-milk sample from mothers, female agricultural wor
kers who were born in the schistosomiasis areas where large amounts of
Na-PCP were sprayed, had an I-TEQ of 5.4 parts per trillion (ppt), li
pid, which was about double that of mothers from control regions, wome
n born in areas not sprayed with Na-PCP (2.6 ppt, lipid). The dioxin I
-TEQ values in human blood ranged from 9.0 (subjects 15 to 19 years of
age) to 16.3 ppt, lipid (subjects 35 to 70 years of age) in the whole
-blood samples from Na-PCP exposed persons, whereas the general popula
tion's whole-blood I-TEQs were 4.8 and 6.4 ppt, lipid respectively. Th
e PCDD/F congener distribution patterns in four sediment samples from
schistosomiasis areas were similar to that of Na-PCP. By comparison of
specific ''fingerprint'' congeners (higher chlorinated dioxins and th
e closely related dibenzofurans) in Na-PCP, human tissues, and sedimen
t samples, we conclude that the chemical pesticide Na-PCP is a source
of environmental and human dioxin exposure in the Chinese schistosomia
sis area studied. Although human PCDD/F tissue levels in China are low
compared with those in more industrialized countries, the elevated I-
TEQ levels in exposed persons are cause for concern.