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13. Poisons/Toxins, Hazards chapter 20

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13. Poisons/Toxins, Hazards chapter 20. Are all chemicals toxic?. Yes……..but it depends on the dose!!! Even pure water can kill you (Sacramento Cal. radio station contest Jan 2007) Woman drank ~ 20 : 220mL bottles (ie 4.4 Liters) of pure water in ~ 3 hours , died from electrolyte imbalance - PowerPoint PPT Presentation

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Page 1: 13.   Poisons/Toxins, Hazards chapter 20

13. Poisons/Toxins, Hazards

chapter 20

Page 2: 13.   Poisons/Toxins, Hazards chapter 20

Are all chemicals toxic?

• Yes……..but it depends on the dose!!!

• Even pure water can kill you (Sacramento Cal. radio station contest Jan 2007)

• Woman drank ~ 20 : 220mL bottles (ie 4.4 Liters) of pure water in ~ 3 hours , died from electrolyte imbalance

• Lawsuits pending

Page 3: 13.   Poisons/Toxins, Hazards chapter 20

The effect of a toxic substance can be > immediate (acute toxicity)

> prolonged (chronic toxicity)

A poison is a substance that can cause illness or death when it enters our bodies.

A toxin is a harmful substance that has a biological origin.

Page 4: 13.   Poisons/Toxins, Hazards chapter 20

Compounds that can counter- act the effects of a poison by destroying it or rendering it ineffective are called antidotes.

eg. chelates for metals, thiosulfate('hypo') for cyanide

Page 5: 13.   Poisons/Toxins, Hazards chapter 20

The lethal dose of a substance is the quantity that causes death. The LD50 of a chemical is the amount that kills exactly half of a large population of animals. as: mg(of substance) / Kg(of body weight)

ie. Smaller = worse; Larger = better

Problems: children have much lower LD50 values possible synergisms of mixtures can't extrapolate between species directly

"Dosis sola facit venenum" - the dose makes the poison. (Paracelsus, 1493-1541)

Page 6: 13.   Poisons/Toxins, Hazards chapter 20

Toxicity Classes

Class

supertoxic extremely very

moderately slightly Water!!

LD50(mg/kg)

< 5 5 – 50 50 – 500 500 – 5000 5000 –15000

> 15g

For 70kg male

< 7 drops 7 dps – 1 tspn 1 tspn – 1 oz 1 oz – 1 lb 1 lb – 4 lb > 4 lb

Page 7: 13.   Poisons/Toxins, Hazards chapter 20

LD50's for Several Chemicals

Chemical (*=natural)

LD50

(mg/kg, orally to rat)*Ethanol*Sodium chloride Aspirin *Caffeine *Heroin *Lead *Cocaine *Sodium cyanide *Nicotine *Strychnine

100003750175020015020

17.5102

0.8

Page 8: 13.   Poisons/Toxins, Hazards chapter 20

LD50s of some of the Most Lethal Poisons

Substance (*=natural)

LD50

(mg/kg, orally to rat)*Botulinum toxin*Tetanus toxin*Diphtheria toxin 'Dioxin'(TCDD)*Muscarine(mushrooms) Sarin(nerve gas)*Tubocurarine(arrow poison) Parathion(insecticide)*Aflatoxin(peanut mold)*Solanine(greenspots on potatoes)

3 x 10-8

5 x 10-6

3 x 10-4

3 x 10-2

2 x 10-1

4 x 10-1

7 x 10-1

41042

Page 9: 13.   Poisons/Toxins, Hazards chapter 20

LD50 Values for Dioxin

Guinea pig

Rat

Monkey

Rabbit

Dog

Mouse

Hamster

Bullfrog

Human?(few deaths)

0.0006

0.04

0.07

0.12

0.15

0.20

3.5

>1.0

~40kg/400km2 in Seveso, Italy,1976; Vietnam(agent orange)

Species LD50 (mg/kg)

Page 10: 13.   Poisons/Toxins, Hazards chapter 20

Toxicity of Dioxin vs Botox

• Botulinum toxin is 1 million times more toxic than Dioxin!

• But we still use Botox for cosmetic purposes!!

• Human vanity trumps safety concerns!!

Page 11: 13.   Poisons/Toxins, Hazards chapter 20

Botox treatments

• Botox injections are a diluted form of botulinum toxin (botulism) which are injected into facial (or other) muscles to paralyze or weaken the muscles that form wrinkles (nerve impulses are blocked)

• 1.6 million done in USA in 2006• Results last 3-4 months and require

occasional touchups

Page 12: 13.   Poisons/Toxins, Hazards chapter 20

Botox treatment cont’d

• Approved for use by US FDA in 2002

Page 13: 13.   Poisons/Toxins, Hazards chapter 20

Warnings!

• Patient must remain upright and avoid alcohol for several hours after injection

• Botulinum injections are also under study for possible treatment of migraines and juvenile cerebral palsy

• *** The Dose is everything!!

Page 14: 13.   Poisons/Toxins, Hazards chapter 20

US FDA Issues Botox Warning!

• Feb 9, 2008 re: Botox, Botox Cosmetic and Myobloc products

• Severe adverse reactions (including deaths)

• May be related to overdosing

• Toxin may spread from injection site

• Symptoms: difficulty swallowing, talking breathing, general weakness

Page 15: 13.   Poisons/Toxins, Hazards chapter 20

Most severe effects

• In children with cerebral palsy, being treated for spasticity in limbs (not an FDA approved treatment)

• No use permitted for ages<12.

Page 16: 13.   Poisons/Toxins, Hazards chapter 20

Toxic doses can enter an organism by three means • inhalation

• ingestion

• skin contact

Huge differences in LD50, eg. nicotine: orally(230mg) vs. intravenously(0.3mg)

anthrax: inhalation vs. skin contact

Page 17: 13.   Poisons/Toxins, Hazards chapter 20

Premature Death - What will Kill You?

In NA an est. 1 million/yr die prematurely

Chemical: in your food? - not too likely second-hand tobacco smoke ~3500 Sociological(ie. lifestyle): heart disease(obesity & smoking) ~500,000; cancer(>60% diet & smoking) ~200,000 Physical: murder ~22,000; car accidents? war? Biological: food poisoning ~10,000(~7 million ill) Geological: ? Radiation??

Worldwide: TB(3 million), measles(1.2 million), malaria(2 million), drinking contaminated water (3 million children under 5)

Page 18: 13.   Poisons/Toxins, Hazards chapter 20

Socrates – a cup of Hemlock ‘Tea’

The Death of Socrates (Jacques Louis

David – 1787)

Page 19: 13.   Poisons/Toxins, Hazards chapter 20

Eg. warning labels on products screw-cap bottle tops for aspirin nitrites/nitrates(carcinogens) in processed meats vs. botulinum smoking(individual 'rights' vs. public health safety & cost) tetrodotoxin(puffer fish) in Japan ( ~100 deaths/yr!)

Safety = the degree of acceptability of risk

at either the individual or societal level.

Page 20: 13.   Poisons/Toxins, Hazards chapter 20

The acceptable daily intake (ADI) of a food additive

is 1% of the maximum daily amount of ' additive' that produces no observable effect* on laboratory animals (at least two and usually more).

Any long-term hazards must also be considered.

*no effect level = mg/kg of body wt for that animal (NB. much less than the LD50)

Page 21: 13.   Poisons/Toxins, Hazards chapter 20

Toxic substances can be classified according to the way in which they disrupt

body chemistry as:

corrosive

metabolic

neurotoxic

mutagenic

teratogenic

carcinogenic

Page 22: 13.   Poisons/Toxins, Hazards chapter 20

Corrosive poisons destroy tissue which, if critically situated,

can render the person(animal?) incapable of

functioning.

Corrosive poisons are usually: strong acids strong bases/alkalis

oxidizing agents

Page 23: 13.   Poisons/Toxins, Hazards chapter 20

Some Corrosive Poisons

Strong acids: sulfuric acid(auto batteries) hydrochloric/muriatic acid(tile/concrete cleaner) Strong bases: sodium hydroxide(drain/oven cleaners-aerosols!) ammonia(window cleaners) Oxidizers: ozone(photocopiers/smog) hypochlorite/peroxide(bleach)

chloramine/nitrosyl chloride gases(from mixing household ammonia + bleach!)

Page 24: 13.   Poisons/Toxins, Hazards chapter 20

Metabolic Poisons

Two principal 'mechanisms of action' : > affect oxygen transport or oxidative processes in the cell > 'disable' certain proteins by reacting with -SH groups

A metabolic poison causes illness or death by interfering with a vital bio- chemical mechanism to such an extent that it ceases to function or is prevented from functioning efficiently.

Page 25: 13.   Poisons/Toxins, Hazards chapter 20

Will it Kill me or just make me High?

1) amatinin – a cyclic peptide(metabolic poison) from the amanita phalloides mushroom. 2) psylocibin – a seretonin analog(hallucinogen) from Teonancatal(psylocibe mexicana), the magic/ sacred mushroom.

Does it contain ?

Page 26: 13.   Poisons/Toxins, Hazards chapter 20

The human body can usually accommodate small, repeated doses of many metabolic poisons because detoxification mechanisms (in liver) exist for them.

However, over a long period of exposure, the build up of subacute doses of these cumulative poisons (which the body cannot efficiently eliminate) can lead to chronic effects. These usually result in a lessening of the efficiency of body functions, such as

motor skills or cognitive ability.

If these functional impairments are not recognized, damage becomes cumulative, with serious disabling or even lethal effects. Those having no warning properties are especially dangerous.

Page 27: 13.   Poisons/Toxins, Hazards chapter 20

Jimson Weed seeds : a cheap and very dangerous high

• Also known as fireweed, devil’s apple, stinkweed, Jamestown weed, angel’s trumpet, magical strawberries, thorn apple

• 15 Cornwall teenagers hospitalized (Oct /07)

• Attacks CNS, causes fever, racing heart, blurred vision, hallucinations

• Seizures, coma and at least 2 deaths in Canada

Page 28: 13.   Poisons/Toxins, Hazards chapter 20

Beautiful (but dangerous!)

Page 29: 13.   Poisons/Toxins, Hazards chapter 20

Carbon Monoxide*- binds with Heme(Iron)

If a person breathes air with a CO conc'n. higher than about 0.1%, formation of carboxyhemoglobin is favoured (60% conversion after 4hrs - and death!). When a victim is exposed to fresh air (pure O2) the equilibrium favours oxyhemoglobin.

* from incomplete combustion, eg. kerosene heaters/BBQs/generators indoors, auto exhaust, cigarettes, smoldering leaves. ~250 million tons/yr generated in NA

Oxyhemoglobin (aq) + CO (g) Carboxyhemoglobin (aq) + O2(g)g

Page 30: 13.   Poisons/Toxins, Hazards chapter 20

Individuals differ in their tolerance of carbon monoxide, but generally those with anemia or other- wise low reserves of hemoglobin, eg. children are more susceptible to its effects. A pregnant woman who smokes can damage her fetus because carbon monoxide from the inhaled tobacco smoke can deprive the fetus of the oxygen it needs during critical developmental stages. Studies consistently show that low birth weight is closely related to the mother’s smoking habits.

Page 31: 13.   Poisons/Toxins, Hazards chapter 20

Ar-HC(CN)-O-Sugars + 2H2O HCN +

2C6H12O6 + Ar-CHO

AmygdalinHydrogen cyanide(bp26o)

Glucose Benzaldehyde

Cyanide (HCN / NaCN)

Irreversibly complexes to iron(Fe3+) of cytochrome oxidases (glucose oxidizing enzymes). Used to fumigate cargo ships/warehouses for insects &

rodents. 50mg = death in seconds.

Amygdalin(seeds of cherry/plum/peach/apple/apricot)

= laetrile(contoversial anti-cancer 'drug')

Page 32: 13.   Poisons/Toxins, Hazards chapter 20

Other Metabolic Poisons - Heavy Metals -

Bind to various proteins, via -SH groups; thus changes

structure(denaturation) changes function.

Kidney/liver damage, neurological effects, cancer

>>>>>>>

Page 33: 13.   Poisons/Toxins, Hazards chapter 20

Mercury - 'Mad Hatter's disease'(Alice in Wonderland); present in - thermometers, tooth amalgams, fluorescent lights, fungicides, mining & extraction (Minimata disease).

Also: nickel, cadmium, chromium, copper/iron/zinc!

Some Metal Poisons

Arsenic - favourite homicidal poison, eg. Arsenic and Old Lace (Agatha Christie); present in - pressure treated wood (Cu/Cr/As), some insecticides, shrimp (~15ppm).

Page 34: 13.   Poisons/Toxins, Hazards chapter 20

Lead - Environmentally Ubiquitous

Lead often occurs in beverages (20-30 g/L), foods (100-300 g/kg), public water supplies (100g/L, from old lead- sealed pipes) and even air. Until the phase-out of lead in automobile fuels in the '80s, lead in air came primarily from automobile emissions. Today because so much lead was deposited from auto exhausts over the years, lead is still found in soil samples and even on city sidewalks and streets. Until the '80s most paints contained lead-based pigments. Even continuous handling of bullets, lead foil or toy soldiers can cause problems.

Page 35: 13.   Poisons/Toxins, Hazards chapter 20

In 1993 the US EPA released a list of public water supplies that exceeded its maximum allowable level of 15 ppb lead. Hundreds of cities and towns were on the EPA list, some were as high as 484 ppb!

We hope Canada isn't as bad.

One of the major sources of lead is drinking water that has contacted lead-containing pipes, joints and plumbing fixtures.

Page 36: 13.   Poisons/Toxins, Hazards chapter 20

On continuous exposure, lead can accumulate in the body, principally in the bones. The average person can excrete about 2 mg (2000 g)/day of lead; fortunately one’s daily intake is normally less than this. If intake exceeds this amount, accumulation and storage result. . In bones lead acts on the bone marrow (skeletal problems). . In soft tissues lead behaves like other heavy-metal

poisons(metabolic problems). . Lead can also affect the central nervous system (neurological problems).

Page 37: 13.   Poisons/Toxins, Hazards chapter 20

For adults in the workplace where lead exposure would be expected, the acceptable blood lead level is 40 g/dL.

US estimates are ~500,000 miscarriages per year due to lead 'poisoning'.

Page 38: 13.   Poisons/Toxins, Hazards chapter 20

Children are much more susceptible to lead poisoning:

• for under six years of age 10 g/dL is the acceptable blood level. They do not 'store' lead in their bones. •many children (especially from low-income homes) chew

old paint, play in city streets and are undernourished.

In the US an estimated 1 in 6 are above this

intervention level, ie. >10,000/yr with some mental retardation due to excess lead levels.

Page 39: 13.   Poisons/Toxins, Hazards chapter 20

Effects of Lead(g/dL) in Children's Blood

Blood levels Acute effects Chronic Effects

~5 none blood pressure

~10 none intelligence 15-20 none heme/vit D synthesis

25-40 none IQ, impaired CNS/

hearing/hemoglobin

40-80 CNS damage anemia >80 convulsions, mental retardation coma, death?

Page 40: 13.   Poisons/Toxins, Hazards chapter 20

Lead in Montreal Water supply

• March 2007

• Homes in Plateau Mont Royal,Villeray and Notre Dame de Grace districts still serviced by lead pipes!

• 400,000 households

• Children under 6 and pregnant women should only drink filtered water

Page 41: 13.   Poisons/Toxins, Hazards chapter 20

Lead in Ontario School Drinking water: the law is an Ass!

• November 2007; 5 minute flushing of pipes in all schools-no money for staff to do this .Waste of water.

• Solution test for lead-easy to do. Restrictions to bottled water only in affected schools

Page 42: 13.   Poisons/Toxins, Hazards chapter 20

Neurotoxins

A type of metabolic poison limited to action on the

nervous system.

These include botulinum toxin, strychnine, curare, atropine ('natural' alkaloids) and 'organophosphates' (nerve gases & insecticides).

Page 43: 13.   Poisons/Toxins, Hazards chapter 20

A nerve impulse is transmitted along a nerve fiber by an electrical impulse carried by the movement of ions. Between one nerve fiber and the next is a gap called a synapse.

The impulse / 'message' is carried across this gap by acetylcholine (a neurotransmitter) which then binds to a receptor on the adjacent nerve. The acetylcholine is then removed/recycled (by acetylcholinesterase) so the system can continue to function properly.

Page 44: 13.   Poisons/Toxins, Hazards chapter 20

axon

synapse

The CNS and a Nerve Synapse

Page 45: 13.   Poisons/Toxins, Hazards chapter 20

Acetylcholine – the Ubiquitous Neurotransmitter

The human brain operates at ~25 W and can handle ~10 trillion bits of info’.

The Central Nervous System (CNS) has 12 billion (109) neurons containing 1013(>10 trillion) synapses.

Of more than 100 different neurotransmitters perhaps the most prevalent is acetylcholine:

CH3C-OCH2CH2-N+(CH3)3

O

For proper functioning the acetylcholine from I ‘synaptic firing’ must be ‘cleared’ within 2 milliseconds.

Page 46: 13.   Poisons/Toxins, Hazards chapter 20

Neurotoxins affect the transmission of the nerve impulses by interfering with this neurotransmitter function in three ways. Block the synthesis of acetylcholine: no messenger = no impulses = paralysis(botulinum) Block the receptor site: no impulse received = rapid heart beat = death(atropine- also dilate pupils; curare - also muscle relaxant; local anesthetics) Inhibit the 'removal': neurotransmitter builds up = nerves 'fire' wildly = convulsions or death (organophosphates as nerve gases or insecticides)

Page 47: 13.   Poisons/Toxins, Hazards chapter 20

Nerve Gases (LD50,mg/kg) Insecticides

O P F

O

N P CN

O

O

O P

O

F

CH3

NO2OP

S

O

O

CH3O P S

S

COOC2H5

COOC2H5

OCH3

Sarin(0.55)

Tabun(3.7)

Soman(0.8)

Parathion(10)

Malathion(1000)

Page 48: 13.   Poisons/Toxins, Hazards chapter 20

Teratogens

Chemical agents that can cause birth defects are called teratogens. From the Greek 'terat' meaning 'monster'.

In addition to chemicals, high-energy radiation and some viral agents are known teratogens.

Birth defects occur in 2% to 3% of all births. About 25% of these occur from genetic causes, 5% to 10% are the result of known teratogens and the remaining ~60 % result from unknown causes..

Page 49: 13.   Poisons/Toxins, Hazards chapter 20

In the development of the newborn, there are three periods during which the fetus is at risk.

1) For ~17 days between conception and implantation of the fertilized egg in the uterine wall, a chemical “insult” will result in cell death. If a 'lethal dose' is administered, death of the organism occurs, followed by spontaneous abortion or reabsorption.

The so-called 'morning-after' pill, RU-486, (developed in France in 1988 ) works in this way.

Page 50: 13.   Poisons/Toxins, Hazards chapter 20

The morning after pill

• A modified steroid

Page 51: 13.   Poisons/Toxins, Hazards chapter 20

2) In the period 18 to 55 days after fertilization is the critical embryonic stage during which organogenesis (organ development) occurs. At this time the embryo is extremely sensitive to teratogens. Contact with teratogens results in reduction of cell size and number; this is manifested in growth retardation and failure of vital organs to reach maturity.

3) During the fetal period (from 56 days to term), the fetus is less than sensitive to chemical insults.

Page 52: 13.   Poisons/Toxins, Hazards chapter 20

Any chemical substance that can cross the placenta is a potential teratogen. During pregnancy any 'toxic' chemicals in the mother’s blood( esp. days 18-55) might prove dangerous for the well-being of the fetus.

Smoking results in higher levels of: carbon monoxide, hydrogen cyanide, cadmium, nicotine, and benzo- pyrene( a PAH).

Fetal alcohol syndrome(mental retardation) and cocaine addiction are observed in many newborns delivered by mothers who consume ethanol or use cocaine.

Page 53: 13.   Poisons/Toxins, Hazards chapter 20

Teratogens

Effects on the fetus can be: eye defects, abortion, brain/neurological damage, limb/skeletal defects, growth retardation.

Some known organic human teratogens are: thalidomide('60s), accutane(acne medication),

ethanol(FAS), PCBs, diethylstilbestrol (synthetic growth hormone). Others from animal studies: caffeine.

Some inorganics(animal studies only): arsenic, cadmium, cobalt, gallium, lead, mercury, thallium, zinc.

Often are waste by-products of industrial processes.

Page 54: 13.   Poisons/Toxins, Hazards chapter 20

Mutagens

Agents (chemicals, irradiation, etc.) capable of altering the genes and chromosomes sufficiently to cause abnormalities in offspring. Mutagens alter the structures of DNA and RNA, that transmit the traits of parent to offspring.

Although many chemicals are under suspicion because of their mutagenic effects on laboratory animals. As yet there is no conclusive evidence that any chemical causes mutations in human germinal cells( slowness of life cycle, probabilities, etc.)

Page 55: 13.   Poisons/Toxins, Hazards chapter 20

Mutagens

Some examples from plant/animal studies: LSD, aflatoxin (moldy peanuts), maleic hydrazide (plant growth inhibitor), mustard gas, ozone, captan (a fungicide), toluene/ethyl acetate (solvents in glue), caffeine, benzopyrene (from cigarette and coal smoke), chloroprene (monomer for plastics), *nitrites/nitrous acid (preservatives)

*Sodium nitrate continues in use as a preservative in processed meats because it is the most effective agent for preventing the growth of the deadly micro- organism botulinum. Many countries are decreasing allowable limits.

Page 56: 13.   Poisons/Toxins, Hazards chapter 20

Carcinogens

Carcinogens cause the growth of tumors.

The mechanisms are not clearly understood.

A tumor is an abnormal growth of new tissue;

they can be either benign or malignant.

Page 57: 13.   Poisons/Toxins, Hazards chapter 20

Malignant tumors( cancers?) can grow slowly or rapidly but irreversibly. They invade and destroy neighbouring tissue and often lose specialized functions.

The term 'cancer' is applied to about 200 different afflictions and may take 10-20 years to manifest itself.

Benign tumors are slow growing and do not invade

neighbouring tissue; they often regress.

Page 58: 13.   Poisons/Toxins, Hazards chapter 20

Some Human Carcinogens

NB. Many of these examples are 'industrial chemicals' that present a particular danger for exposed workers.

Inorganic: arsenic(insecticides, alloys, treated wood), asbestos(brake linings, insulation?), cadmium/chromium/nickel(metal plating)

Organic: benzene/carbon tetrachloride/ethylene oxide(industrial solvents), acrylonitrile/vinyl chloride(plastics monomers), benzopyrene (tobacco smoke), nitrosamines(frying bacon)

Page 59: 13.   Poisons/Toxins, Hazards chapter 20

Industries and their Hazardous Waste Products

Industry

plastics pesticides medicines paints petroleum metals leather textiles

Associated Waste

organochlorines organochlorines, organophosphates organic solvent residues, heavy metals heavy metals, pigments, solvent residues oil, phenols, metals, strong acids/bases fluorides, cyanides, plating salts, phenols metals, solvent residues metals, dyes, solvents

Page 60: 13.   Poisons/Toxins, Hazards chapter 20

Bacterial screening: in the '80s(at U Cal) Prof. Bruce Ames developed a simple test that can identify chemicals that cause mutations in sensitive strains of bacteria. The Ames test can identify not only mutagenic chemicals, but potential carcinogens (~90% correlation). Animal testing: usually with ~30 animals (+controls ) and high/toxic(?) doses. Each test = ~$1 million & 2 yrs. Realistic doses? Different metabolisms! Are there low but safe thresholds? Epidemiological studies: statistical analyses of human

populations with higher than normal illness rates to pinpoint common factors. Not 'legal' !

Carcinogens - How do we Know?

Page 61: 13.   Poisons/Toxins, Hazards chapter 20

Cancer Deaths - Perception vs. Reality

Page 62: 13.   Poisons/Toxins, Hazards chapter 20

Many plants contain molds / fungi or produce chemicals, as protective insecticides(?), that are not only toxic but

carcinogenic as well. These become part of our food supply.

>>>>>>>>>>>

Natural Carcinogens

There are ~30 identified human carcinogens plus ~300 for animals. Very few are synthetic chemicals.

Page 63: 13.   Poisons/Toxins, Hazards chapter 20

Remember antioxidants probably are anticarcinogens.

Eat your cruciferous veggies(cabbage, broccoli, kale brussel sprouts,) as 'natural' sources of vit. A, C, E.

It is estimated that 99.99% of ingested carcinogens are 'natural'; eg. in basil, 'bruised' celery / fennel, mustard / horseradish, pepper, citrus oils, saffrole / oil of sassafras(banned as flavouring for 'root beer'!)

Page 64: 13.   Poisons/Toxins, Hazards chapter 20

Arithmetic example for LD50s:

1) Cocktail shrimp(5g) may contain 15ppm arsenic.

How many must be eaten by a 70kg person to reach the

15mg/kg level?

Page 65: 13.   Poisons/Toxins, Hazards chapter 20

# shrimp required!

• 15mg/kg for a 70 kg person= 70x.015g=1.05g

• Each shrimp contains 5 x15 ppm of arsenic =5x15x10-6g or .000075g

• # shrimp required =1.05/.000075= 14,000!

Page 66: 13.   Poisons/Toxins, Hazards chapter 20

Radiation Dangers

• E=hv (h=Planck’s) v=frequency

• c (Speed of light)=wavelength x v

• Thus v =c/wavelength

• So E=h x c/wavelength

• Thus longer wavelength = lower E!

Page 67: 13.   Poisons/Toxins, Hazards chapter 20

Electromagnetic spectrum

Page 68: 13.   Poisons/Toxins, Hazards chapter 20

Most dangerous radiation

• X-rays (high E)

• Gamma rays: destroy cells

• UV : can cause skin cancer

• Longer wavelengths generally safer (radio, microwaves),but……………..

Page 69: 13.   Poisons/Toxins, Hazards chapter 20

Can cell phone use cause cancer?

• Frequencies are in microwave region• Some evidence that living close to a

communications tower may endanger health in long term (yrs): headaches,sleep disruptions, altered memory function

• Vodafone towers in London UK: (175, 000 in USA)

Page 70: 13.   Poisons/Toxins, Hazards chapter 20

Some extreme views!

• “Dr”. Mercola says “using cell phones is far more dangerous than smoking cigarettes ever was!”

• Your views???????????

Page 71: 13.   Poisons/Toxins, Hazards chapter 20

On balance

• Extensive use of hand held cell phones by children should be avoided

• Use speaker phones where possible

• Should be no problem with moderate use

Page 72: 13.   Poisons/Toxins, Hazards chapter 20

Other radiation dangers

• Living close to high voltage power lines

• High magnetic fields

• Lots of anecdotal evidence re: cancer induction

• Childhood leukemia risk elevated

Page 73: 13.   Poisons/Toxins, Hazards chapter 20

Some risk…………….

• 1979 study: children living within 40 meters of high voltage line were~ 2-3 x more prone to leukemia

• 1996 National Academy of Science Study : no conclusive evidence of adverse effects

Page 74: 13.   Poisons/Toxins, Hazards chapter 20

Leachates from plastics

• Phthalates and Bisphenol A in the news!

• Concerns re: microwave /heat effects on plastics, degradation etc.

Page 75: 13.   Poisons/Toxins, Hazards chapter 20

Why is Bisphenol A used?

• Production of polycarbonate based plastics

• Used in epoxy linings in canned foods and drinks (extends shelf life)

• “to protect canned foods from contamination by corroded metal and bacteria” (polycarbonate/BPA group of the American Chemistry council)

Page 76: 13.   Poisons/Toxins, Hazards chapter 20

Structure of BPA

• 2 phenol rings

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Polycarbonates from Bisphenol A

• Use phosgene (Cl)2C=O

• Reacts with OH group to form carbonates and HCl

Page 78: 13.   Poisons/Toxins, Hazards chapter 20

Infant safety?

• Commonly used “sippy cups” and baby bottles are made of polycarbonate plastics with BPA’s present

Page 79: 13.   Poisons/Toxins, Hazards chapter 20

The findings

• 95% of US adults (2006) had traces of BPA in urine (ppb level)

• Rat study suggests increased breast cancer risk

• BPA’s act as “estrogen” mimics• “could be a factor in the increased

incidence of breast cancer over the last 50 years”

Page 80: 13.   Poisons/Toxins, Hazards chapter 20

Estrogen Mimics (endocrine Disrupters)

• BPA causes mammary gland hyperplasia (an abnormal increase in the number of cells): similar to estrogen

• General effects: more estrogen mimics in the environment may also be responsible for decreasing levels of testosterone in serum among US males (~ 1% reduction per year)

Page 81: 13.   Poisons/Toxins, Hazards chapter 20

Endocrine Systems

• Glands and hormones that regulate development, growth, reproduction and behavior of all species

• Include thyroid, pituitary and adrenal glands in humans

Page 82: 13.   Poisons/Toxins, Hazards chapter 20

Less is more!

• Small doses (ng) of BPA’s affect the endocrine system more than large ones

• Body’s hormone receptor sites ignore big doses, because hormones don’t arrive in big doses

• If a small signal is seen “that’s a hormone signal”

Page 83: 13.   Poisons/Toxins, Hazards chapter 20

Conflicting results (2007)

• 2 US gov’t convened panels reached nearly opposite conclusions re: Safety of BPA’s

• Routes of ingestion may be important

• BPA free plastics now available

• Avoid microwave, dishwashers

• Glass, porcelain or stainless steel alternatives

Page 84: 13.   Poisons/Toxins, Hazards chapter 20

Phthalates in plastics

• Used as plasticizers

• Also function as estrogen mimics

• Also in some baby lotions, shampoos and powders

• May influence long term reproductive capacity (ie. lower testosterone) in males

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Plasticizers are everywhere

• Additives that increase the fluidity or “plasticity” of the material to which they are added

• Added to concrete, wallboard and plastics!

• Phthalates used where good resistance to water and oils is required

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That new car smell

• Plasticizers work by embedding themselves between chains of polymers such as PVC, thus increasing the “free volume” of the polymer and making it softer and more flexible

• Some evaporation occurs: in enclosed space giving the characteristic odour

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Structures of phthalates

• Plasticizers

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Flame retardants (PBDE’s)

• 2 ppm levels found in some fish

• Polybromodiphenyl ethers: used to prevent upholstery, electronics, carpets from catching fire

• Structurally similar to the hormone thyroxine

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Other endocrine disruptors?

• PBDE’s

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Thyroxine structure• Also a halogenated diphenyl ether

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The future: endocrine disruptors

• Not lethal : no LD50 data.

• Effects are much more long term and subtle

• Feminization of the human race?? (maybe good for world peace!)

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Estrogen Structure

• A steroid

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Are there any specific criteria?

• Estrogen mimics do not have to be structurally similar to estrogen.

• But, the aromatic (benzene ring) is common to all

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Other Estrogen mimics

• Many pesticide residues: metabolites from chemicals used vs. mosquitoes/locusts/rats/ants/agricultural pests etc

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Pesticide residues

• Insecticides such as DDT (1st made in Germany in 1874) (dichlorodiphenyltrichloroethane) used extensively after WWII

• Paul Muller (Nobel Prize in medicine for showing its use as a potent insecticide in 1948)

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BUT……………..

• Rachel Carson studied its harmful effects

• “Silent Spring” 1962

• DDT resisted degradation, highly fat soluble, harmful effects on birds (weakened egg shells) ,fish ,mammals

• Highly restricted for use in NA in 1973

• But still used in Africa to combat malaria

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DDT: a chlorinated insecticide

• Still made in USA for export

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DDT: a strong estrogen mimic

• Note presence of benzene ring!

• Reproductive habits of fish strongly influenced by DDT

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DDT use is controversial!!

• W.H.O. says more DDT should be used in Africa to combat malaria

• Environmental groups say NO

• “DDT vs. Death by Malaria”

• Alternatives: Rick Mercer/Belinda Stronach “malaria net” program $10 pp.

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Other Toxins of Note: Ricin

• LD50 value= 1.6 x10-3. (~ 105 less toxic than botulinum)

• A protein extracted from the castor bean

• Consists of 2 distinct chains (Ricin A and Ricin B) linked by disulfide (S-S) unit

• Can be denatured by heating; only active if Ricin B stays bonded (allows entry into cells)

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Uses as a military agent

• Bulgarian dissident Georgi Markov assassinated by Bulgarian police with a pellet containing Ricin (1978)

• Death took several days after shooting

• Dangerous mainly since it is easy to make and no known antidote (but can be denatured readily by heating).

• Much less dangerous than botulism or anthrax.