This report compares cancer classification systems, health risk assessment
approaches, and procedures used for establishing occupational exposure limi
ts (OELs), in various European countries and scientific organizations. The
objectives were to highlight and compare key aspects of these processes and
to identify the basis for differences in cancer classifications and OELs b
etween various scientific organizations and countries. Differences in cance
r classification exist in part due to differences in the ultimate purpose o
f classification and to the relative importance of different types of data
(i.e., animal vs human data, mechanistic data, and data from benign vs mali
gnant tumors). In general, the groups surveyed tend to agree on classificat
ion of chemicals with good evidence of carcinogenicity in humans, and agree
less on classification of chemicals with positive evidence in animals and
inadequate or limited evidence in humans. Most entities surveyed distinguis
h between genotoxic and nongenotoxic chemicals when conducting risk assessm
ents. Although the risk assessment approach used for nongenotoxic chemicals
is fairly similar among groups, risk assessment approaches for genotoxic c
arcinogens vary widely. In addition to risk assessment approaches, other fa
ctors which can affect OELs include selection of the critical effect, use o
f health-based vs technology-based exposure limits, and consideration of te
chnological feasibility and socioeconomic factors. (C) 2001 Academic Press.