COBALT
HAZARDTEXT ®
Information to help in the initial response for evaluating chemical incidents
-IDENTIFICATION
SYNONYMS
AQUACAT COBALT COBALT-59 KOBALT (German, Polish) SUPER COBALT
IDENTIFIERS
Editor's Note: This material is not listed in the Emergency Response Guidebook. Based on the material's physical and chemical properties, toxicity, or chemical group, a guide has been assigned. For additional technical information, contact one of the emergency response telephone numbers listed under Public Safety Measures.
SYNONYM REFERENCE
- (HSDB , 2000; Lewis, 1996; RTECS , 2000)
USES/FORMS/SOURCES
Cobalt is used in the manufacture of extremely hard steel and cutting tools (Lewis, 1998). It is also used in cemented carbide cutting tools, jet engines, as a coordination and complexing agent (Ashford, 1994; Lewis, 1997) ITI, 1994; (Lewis, 1998). Together with nickel, aluminum, copper, beryllium, chromium and molybdenum, cobalt is utilized in the electrical, automobile, aircraft and other industries (Sittig, 1991). Cobalt is used in the manufacture of chemicals (cobalt salts); in alloys; cobalt steels for permanent magnets (in telephones, magnetic tape, microphones, speakers, computers, and motors) and for soft magnets and high-speed tool steels; in nuclear technology; and as oxidizing agent (ACGIH, 1996; (Budavari, 1996; ITI, 1995; Lewis, 1997). This metal is a constituent of stellite alloys (used for extrusion dies, turbine blades, and valve seats), of super alloys, and of magnetic cobalt-rare earth alloys (Ashford, 1994). Cobalt is primarily used in alloys (nickel-aluminum-cobalt alloys), heat resistant alloys (gas turbines, electrical heating elements, and aircraft engines), and high-strength alloys (specialized axles, space equipment, cobalt steels (contain 40% to 65% cobalt)) (ACGIH, 1996; (Lewis, 1997; Sittig, 1991). Cobalt has long been used for cementing tungsten (and other) carbides (ACGIH, 1996). In these processes, cobalt is the preferred metal because it can be milled to an extremely fine powder (0.01 mcm), it supplies a liquid phase at low temperatures and can dissolve carbides, and in the liquid state, it can wet solid particles (ACGIH, 1996).
Cobalt is found in lamp filaments, as a trace element in fertilizers, and as drying agent in printer inks, paints, and varnishes (Lewis, 1997), as a binder in tungsten carbide tool manufacturing, and as a catalyst in afterburners (Sittig, 1991), and in the metal hip prosthesis used in hip arthroplasty (Steens et al, 2006). Cobalt compounds are contained in enamels, glazes, glass, pottery and paints. They are also used in glass pottery, photography and electroplating processes (ACGIH, 1996; (Sittig, 1991). Cobalt bombs contain cobalt-59. During the nuclear explosion, cobalt-60 is formed from cobalt-59 by neutron capture, emitting intense beta and gamma radiation (Budavari, 1996). Cobalt chloride may be present in chemistry sets (Everson et al, 1988) and in crystal-growing sets sold in supermarkets and toy-stores (Mucklow et al, 1990). Cobalt has been added to beer to promote the formation of foam. However, in combination with alcohol, cobalt produces severe cardiac effects, even at low concentrations (1.2 to 1.5 mg/L of beer)(Sittig, 1991). Cobalt-60 can be encapsulated compactly. This property allowed cobalt-60 to replace radium in experimental medicine and cancer research (Budavari, 1996). Cobalt is a trace mineral. The artificial radioactive isotope cobalt-60 is used as an antineoplastic radiation source (Budavari, 1996). A component of vitamin B-12 (cyanocobalamin), cobalt plays an important role in animal nutrition. Vitamin B-12 is necessary for proper development of red blood cells; its absence causes pernicious anemia (ACGIH, 1996; (Budavari, 1996; Lewis, 1998). The recommended daily allowance of cobalt in the form of Vitamin B-12 is 0.13 mcg/day (Sittig, 1991).
Cobalt is a transition metal. It exists as a hard, steel-gray to silvery-blue, magnetic, lustrous, ductile, somewhat malleable metal (Lewis, 1996; Lewis, 1997). Cobalt is available in rondels (1 x 3/4 inch), shot, anodes, 150 and finer mesh powder (up to 99.6% purity), ductile strips (95% cobalt, 5% iron), high-purity strips (99.9% purity), and single crystals (Lewis, 1997). Cobalt-59 is the only naturally occurring, widely distributed, isotope of cobalt. The following artificial radioactive isotopes have been described (Lewis, 1998): Cobalt-57 (half-life of 272 days); emits medium-energy gamma rays Cobalt-58 (half-life of 72 days); emits positrons Cobalt-60 (half-life of 5.26 years); emits beta particles and high-energy gamma rays; used in radiation therapy and diagnosis HSDB (2000) reports the half-lives of radioactive isotopes as: Cobalt-56 (half-life of 78.8 days) Cobalt-57 (half-life of 271 days) Cobalt-58 (half-life of 70.8 days) Cobalt-60 (half-life of 5.27 years)
At ordinary temperatures, cobalt is stable in air and toward water. Hydrated salts of cobalt are of red color. Dissolving the soluble salts results in formation of red solutions, which turn blue when concentrated hydrochloric acid is added (Lewis, 1996). Cobalt has exceptional magnetic properties in alloys (Lewis, 1997).
Cobalt is an important trace element in soil (Lewis, 1997). Cobalt is widely distributed in nature and is found in the earth's crust in amounts of 0.001-0.002% (Budavari, 1996). Typical soil concentrations range from 1.0 ppm to 40 ppm (Dragun, 1988). In the US the average cobalt concentration in soil is 7.2 mg CO/kg (Barceloux, 1999). In nature, cobalt is typically found in association with other metals, such as manganese, copper, nickel, and arsenic. It exists in 0, 1, 2, 3, 4, and 5 valence states (ATSDR, 1992). Cobalt has unusual coordinating properties, especially the trivalent ion (Lewis, 1997). Principle cobalt ores are: smaltite (CoAs2), cobaltite (CoS2.CoAs2), chloanthite, erythrite (3CoO.As2O5.8H2), and linnaeite (Co3S4) (Budavari, 1996; Lewis, 1997).
World-wide, cobalt and its oxide are mainly produced in Zaire (58% of world's supply), Belgium-Luxembourg, Norway, and Finland (Clayton & Clayton, 1994). Cobalt can be derived through concentrating copper-cobalt sulphide ores by roasting, followed by thermal reduction using aluminum, or by electrolysis (Ashford, 1994; Lewis, 1997). Cobalt can also be obtained by leaching with either ammonia or an acid in an autoclave under elevated temperatures and pressures, with subsequent reduction by hydrogen (Lewis, 1997). It can also be produced via pressure leaching or reduction using nickel-copper matte or nickel matte and hydrogen (Ashford, 1994). Cobalt is found naturally in foods, especially in fish, cocoa, bran and molasses (greater than 1 ppm), and green leafy vegetables, such as lettuce, cabbage and spinach (greater than 0.6 ppm) (Menne & Maibach, 1987; Domingo, 1989). The average daily intake of cobalt from diet ranges from 5 to 45 mcg Co/day (Barceloux, 1999). Chronic or sub-acute cobalt toxicity may occur in children exhibiting pica behavior (repetitive ingestion of non-nutritive objects), particularly following ingestion of cobalt-containing magnets from electronic parts (Henretig & Shannon, 1998). Cobalt is usually not detected in drinking water. When present, it is usually in the range of 0.1 to 5 mcg Co/L (Barceloux, 1999).
-CLINICAL EFFECTS
GENERAL CLINICAL EFFECTS
- USES: Cobalt is a natural element and is produced as a by-product or co-product of other metals. It is used in the manufacture of extremely hard steel and cutting tools. It is also used in the manufacture of cobalt salts and alloys, and is a component of vitamin B-12 (cyanocobalamin). Refer to the IONIZING RADIATION management for information specific to the radioactive isotopes of cobalt.
- TOXICOLOGY: Cobalt depresses oxygen uptake by myocardial mitochondria and interferes with energy metabolism in a manner similarly to thiamine deficiency. Cobalt toxicity may work synergistically with excessive alcohol consumption and malnutrition.
- EPIDEMIOLOGY: Cobalt exposures causing significant medical symptoms are rarely reported, but manifestations can be quite severe with the development of cardiomyopathy, blindness, and deafness.
The classic toxidrome of chronic soluble cobalt poisoning is the tetrad of goiter, polycythemia, cardiomyopathy, and metabolic acidosis. Reports of cobalt toxicity associated with the breakdown of metal hip implants have been reported. Symptoms associated from this include cardiomyopathy, pericardial effusion, optic atrophy, retinopathy, deafness, and polyneuropathy. ORAL EXPOSURE: Side effects reported in patients taking cobalt chloride for anemia included nausea, vomiting, and diarrhea. "Beer drinker's cardiomyopathy" with frequent pericardial effusions has been described. Ingestion of cobalt can cause stimulation of the bone marrow and blood-forming components, resulting polycythemia. INHALATIONAL EXPOSURE: Occupational inhalation exposure to metallic cobalt or cobalt alloys usually produce cough, dyspnea, wheezing, asthma, or interstitial fibrosis ('hard metal disease"). Fume exposures can cause conjunctivitis and rhinitis. DERMAL EXPOSURE: "Cobalt itch" or "carboloy-itch", an allergic erythematous papular eruption, can occur after dermal exposures.
- POTENTIAL HEALTH HAZARDS - EMERGENCY RESPONSE GUIDEBOOK, GUIDE 135 (ERG, 2004)
Fire will produce irritating, corrosive and/or toxic gases. Inhalation of decomposition products may cause severe injury or death. Contact with substance may cause severe burns to skin and eyes. Runoff from fire control may cause pollution.
ACUTE CLINICAL EFFECTS
TOXICOLOGY: Cobalt depresses oxygen uptake by myocardial mitochondria and interferes with energy metabolism in a manner similarly to thiamine deficiency. Cobalt toxicity may work synergistically with excessive alcohol consumption and malnutrition. EPIDEMIOLOGY: Cobalt exposures causing significant medical symptoms are rarely reported, but manifestations can be quite severe with the development of cardiomyopathy, blindness, and deafness. TOXICITY: The classic toxidrome of chronic soluble cobalt poisoning is the tetrad of goiter, polycythemia, cardiomyopathy, and metabolic acidosis. Reports of cobalt toxicity associated with the breakdown of metal hip implants have been reported. Symptoms associated from this include cardiomyopathy, pericardial effusion, optic atrophy, retinopathy, deafness, and polyneuropathy. ORAL EXPOSURE: Side effects reported in patients taking cobalt chloride for anemia included nausea, vomiting, and diarrhea. "Beer drinker's cardiomyopathy" with frequent pericardial effusions has been described. Ingestion of cobalt can cause stimulation of the bone marrow and blood-forming components, resulting polycythemia. INHALATIONAL EXPOSURE: Occupational inhalation exposure to metallic cobalt or cobalt alloys usually produce cough, dyspnea, wheezing, asthma, or interstitial fibrosis ('hard metal disease"). Fume exposures can cause conjunctivitis and rhinitis. DERMAL EXPOSURE: "Cobalt itch" or "carboloy-itch", an allergic erythematous papular eruption, can occur after dermal exposures.
- Inhalation of the metallic dust can irritate the lungs. Metallic cobalt is retained in and slowly absorbed from the lungs with an estimated half-life of 5 to 15 years (HSDB , 2001). Cobalt is not particularly toxic in acute exposure, and was formerly used as a defoaming agent in beer (causing cardiomyopathy following chronic intake -- see below under EFFECTS OF CHRONIC EXPOSURE).
- In a controlled study in human volunteers, soluble COBALT CHLORIDE was absorbed to a greater extent than insoluble COBALT OXIDE (Christensen et al, 1993).
- Ultrafine cobalt particles administered to rats by the inhalation route for 1 or 4 days accumulated in the lungs; the cobalt was rapidly transferred to the blood (Kyono et al, 1992). Intratracheal administration of cobalt dust to rats caused alterations in reactions to unconditioned stimuli and conditioned reflexes, suggesting a possible neurological effect (Sozieva, 1964).
- The biological role of cobalt is as a cofactor for enzymes and vitamins (Clayton & Clayton, 1994).
CHRONIC CLINICAL EFFECTS
- Because its half-life in the lungs is several years (HSDB , 2001), chronic inhalation exposure to metallic cobalt could produce CUMULATIVE TOXICITY.
- Cobalt and its salts are potent sensitizers and can produce FATAL ANAPHYLACTIC REACTIONS WITH EXPOSURE TO AIRBORNE CONCENTRATIONS AS LOW AS 1 MG/M(3) (ACGIH, 1986). Contact dermatitis is common among persons chronically exposed to cobalt (Fischer & Rystedtd, 1983).
- While this contact dermatitis is somewhat similar to that caused by nickel, the immunological profiles are slightly different (Bencko, 1986; Bencko, 1983). Skin lesions, such as eczema and erythema, occurred more frequently in persons occupationally exposed to cobalt metal dust, oxides, and salts than in a control group (Swennen et al, 1993).
- Elevated levels of IgE specific for cobalt were seen in 7 cobalt workers with asthma. Atopy, positive IgE antibody against cobalt, age of 40 or older, and previous exposure to cobalt at low concentrations (=/< 50 mcg/m(3)) were all risk factors for asthma (Kasaka et al, 1996).
- The major target organs for chronic cobalt inhalation exposure are the LUNGS. It can cause interstitial pneumonitis and fibrosis, and pulmonary sensitization (Hathaway et al, 1996). The following three major effects have been noted: an asthma-like condition with wheezing, cough, and shortness of breath; progressive fibrosis with deteriorating pulmonary function, which may continue to evolve even after cessation of exposure; and an obstructive airway syndrome (HSDB , 2001; Hartmann, 1982; Hathaway et al, 1996). While most cases of cobalt pneumoconiosis (HARD METAL DISEASE) have involved mixed exposures, notably to tungsten carbide as well as cobalt (Friberg et al, 1986; Ott & Mikuz, 1982), cobalt may be the responsible agent (Hartung & Valentin, 1983; ACGIH, 1996a). Hard Metal Disease has been seen in diamond polishers not exposed to tungsten carbide (Demedts, 1984).
- Whether or not pure cobalt can cause Hard Metal Disease remains controversial. In one study, 82 refinery workers exposed to pure cobalt metal dust, oxides, or salts at a mean airborne concentration of 125 mcg/m(3) for an average of 8.0 years did not have signs of pulmonary fibrosis. This study suggests that exposure to both cobalt and other air pollutants is necessary for development of Hard Metal Disease (Swennen et al, 1993). Initial signs and symptoms of hard metal disease may be misleadingly mild. In one case, irreversible pulmonary failure developed in a 22-year-old tool grinder when the initial symptoms were only dry cough and exertional dyspnea (Ruokonen et al, 1996).
- A Swedish study reported development of obstructive lung symptoms at average airborne cobalt exposures of 0.06 mg/m(3) (Alexandersson, 1979). Another study reported no lung disease with occupational exposure to airborne cobalt levels of 0.5 mg/m(3) (Morgan, 1983).
- Parenchymal reactions induced by cobalt-containing dust usually involve the co-inhalation of other compounds, such as tungsten carbide in the case of hard metal disease. The interaction results in the generation of active oxygen species, which is responsible for the lung damage (Lison, 1996).
- Cobaltous chloride was formerly used as a defoaming agent in beers. Many cases of fatal cardiomyopathy occurred in beer drinkers imbibing these products. At least one fatal case of cardiomyopathy has been reported from industrial exposure to cobalt (Kennedy et al, 1981).
- Cobalt is GOITEROGENIC, as shown in persons receiving cobalt therapy for anemia (Friberg et al, 1986). The cobaltous ion interferes with iodine uptake (Clayton & Clayton, 1994).
- Polycythemia, and the subsequent development of thyroid hyperplasia, has been reported following ingestion of cobalt salts (HSDB , 2001). Polycythemia is not likely to occur with occupational exposures to cobalt, unless occupational exposure standards are greatly exceeded (ACGIH, 1996a).
- Rats administered cobalt by inhalation over four months developed higher levels of serum cholesterol and prolonged blood clotting times than controls (pp 31-33).
- Guinea pigs can be sensitized to COBALT CHLORIDE by repeated skin application. The lungs of sensitized animals reacted to inhaled cobalt chloride differently; more lavage liquid was retained, and a higher percentage of neutrophils and eosinophils were recovered (Camner et al, 1993).
-FIRST AID
FIRST AID AND PREHOSPITAL TREATMENT
- No prehospital gastrointestinal decontamination is recommended. Skin or eye exposures should be treated with initial decontamination and irrigation with water or normal saline.
-MEDICAL TREATMENT
LIFE SUPPORT
- Support respiratory and cardiovascular function.
SUMMARY
- FIRST AID - EMERGENCY RESPONSE GUIDEBOOK, GUIDE 135 (ERG, 2004)
Move victim to fresh air. Call 911 or emergency medical service. Give artificial respiration if victim is not breathing. Administer oxygen if breathing is difficult. Remove and isolate contaminated clothing and shoes. In case of contact with substance, immediately flush skin or eyes with running water for at least 20 minutes. Keep victim warm and quiet. Ensure that medical personnel are aware of the material(s) involved and take precautions to protect themselves.
FIRST AID EYE EXPOSURE: Immediately wash the eyes with large amounts of water, occasionally lifting the lower and upper lids. Get medical attention immediately. Contact lenses should not be worn when working with this chemical. DERMAL EXPOSURE: Wash contaminated skin with soap and water. INHALATION EXPOSURE: Move the exposed person to fresh air at once. If breathing has stopped, perform artificial respiration. Keep the affected person warm and at rest. Get medical attention as soon as possible. ORAL EXPOSURE: If this chemical has been swallowed, get medical attention immediately. TARGET ORGANS: Skin and respiratory system (National Institute for Occupational Safety and Health, 2007).
GENERAL Removal of patients with interstitial fibrotic lung disease, occupational reactive airway disease, and hypersensitivity dermatitis from further exposure is the most important action. Inhaled sympathomimetic agents may be required in the treatment of reactive airway disease.
SCOPE INHALATION EXPOSURE INHALATION: Move patient to fresh air. Monitor for respiratory distress. If cough or difficulty breathing develops, evaluate for respiratory tract irritation, bronchitis, or pneumonitis. Administer oxygen and assist ventilation as required. Treat bronchospasm with an inhaled beta2-adrenergic agonist. Consider systemic corticosteroids in patients with significant bronchospasm. Systemic corticosteroid or cytotoxic drug therapy has been used in patients with cobalt-induced interstitial lung disease. BRONCHOSPASM SUMMARY Administer beta2 adrenergic agonists. Consider use of inhaled ipratropium and systemic corticosteroids. Monitor peak expiratory flow rate, monitor for hypoxia and respiratory failure, and administer oxygen as necessary.
ALBUTEROL/ADULT DOSE 2.5 to 5 milligrams diluted with 4 milliliters of 0.9% saline by nebulizer every 20 minutes for three doses. If incomplete response, administer 2.5 to 10 milligrams every 1 to 4 hours as needed OR administer 10 to 15 milligrams every hour by continuous nebulizer as needed. Consider adding ipratropium to the nebulized albuterol; DOSE: 0.5 milligram by nebulizer every 30 minutes for three doses then every 2 to 4 hours as needed, NOT administered as a single agent (National Heart,Lung,and Blood Institute, 2007).
ALBUTEROL/PEDIATRIC DOSE 0.15 milligram/kilogram (minimum 2.5 milligrams) diluted with 4 milliliters of 0.9% saline by nebulizer every 20 minutes for three doses. If incomplete response administer 0.15 to 0.3 milligram/kilogram (maximum 10 milligrams) every 1 to 4 hours as needed OR administer 0.5 mg/kg/hr by continuous nebulizer as needed. Consider adding ipratropium to the nebulized albuterol; DOSE: 0.25 to 0.5 milligram by nebulizer every 20 minutes for three doses then every 2 to 4 hours as needed, NOT administered as a single agent (National Heart,Lung,and Blood Institute, 2007).
ALBUTEROL/CAUTIONS The incidence of adverse effects of beta2-agonists may be increased in older patients, particularly those with pre-existing ischemic heart disease (National Asthma Education and Prevention Program, 2007). Monitor for tachycardia, tremors.
CORTICOSTEROIDS Consider systemic corticosteroids in patients with significant bronchospasm. PREDNISONE: ADULT: 40 to 80 milligrams/day in 1 or 2 divided doses. CHILD: 1 to 2 milligrams/kilogram/day (maximum 60 mg) in 1 or 2 divided doses (National Heart,Lung,and Blood Institute, 2007).
DERMAL EXPOSURE DECONTAMINATION: Remove contaminated clothing and jewelry and place them in plastic bags. Wash exposed areas with soap and water for 10 to 15 minutes with gentle sponging to avoid skin breakdown. A physician may need to examine the area if irritation or pain persists (Burgess et al, 1999). Treat dermal irritation or burns with standard topical therapy. Patients developing dermal hypersensitivity reactions may require treatment with systemic or topical corticosteroids or antihistamines.
EYE EXPOSURE DECONTAMINATION: Remove contact lenses and irrigate exposed eyes with copious amounts of room temperature 0.9% saline or water for at least 15 minutes. If irritation, pain, swelling, lacrimation, or photophobia persist after 15 minutes of irrigation, the patient should be seen in a healthcare facility.
ORAL EXPOSURE
-RANGE OF TOXICITY
MINIMUM LETHAL EXPOSURE
Fatal interstitial lung disease developed in workers chronically exposed to 1 to 2 milligrams per cubic meter (ACGIH, 1986). A 19-month-old child died after ingestion of a "mouthful" (approximately one ounce) of a cobalt chloride solution used as a weather indicator (Jacobziner & Raybin, 1961). Workplace exposure to cobalt or arsenic may result in heart disease. This is suggested by cases of death from myocarditis, resulting from drinking beer that was contaminated with cobalt or arsenic (Clayton & Clayton, 1993). Fatal allergic dermatitis has been observed following exposures to 1 to 2 mg (or less) of cobalt per cubic meter (HSDB , 2000).
MAXIMUM TOLERATED EXPOSURE
INHALATION Interstitial pulmonary fibrosis and wheezing have been shown in experimental animals exposed to as little as 0.1 milligram per cubic meter 6 hours daily and 5 days weekly for 3 months (ACGIH, 1986) No new cases of cobalt-induced pulmonary disease or dermatitis have been reported in one industry that reduced air concentrations to at or below 0.1 milligram per cubic meter (ACGIH, 1986). Life-span exposures to 10 micrograms per liter of cobalt oxide resulted in pneumonoconiosis in hamsters (Wehner et al, 1979). Both interstitial fibrosis and reactive airway disease have been described in workers from plants where peak air cobalt concentrations exceeded 0.5 milligrams per cubic meter (Sprince et al, 1984). Animal and human studies of oral exposure have been reviewed and compiled (ASTDR, 1992).
ORAL INGESTION Estimated ingestion of about 2 grams of cobalt chloride crystals resulted in abdominal pain, vomiting, and neutropenia in a 6-year-old child. Plasma levels were markedly elevated at 7230 nmoL/L (normal 2 to 17 nmoL/L) (Mucklow et al, 1990). Animal and human studies of inhalation exposure have been reviewed and compiled (ASTDR, 1992).
- Carcinogenicity Ratings for CAS7440-48-4 :
ACGIH (American Conference of Governmental Industrial Hygienists, 2010): A3 ; Listed as: Cobalt A3 :Confirmed Animal Carcinogen with Unknown Relevance to Humans: The agent is carcinogenic in experimental animals at a relatively high dose, by route(s) of administration, at site(s), of histologic type(s), or by mechanism(s) that may not be relevant to worker exposure. Available epidemiologic studies do not confirm an increased risk of cancer in exposed humans. Available evidence does not suggest that the agent is likely to cause cancer in humans except under uncommon or unlikely routes or levels of exposure.
ACGIH (American Conference of Governmental Industrial Hygienists, 2010): A3 ; Listed as: Cobalt and inorganic compounds, as Co A3 :Confirmed Animal Carcinogen with Unknown Relevance to Humans: The agent is carcinogenic in experimental animals at a relatively high dose, by route(s) of administration, at site(s), of histologic type(s), or by mechanism(s) that may not be relevant to worker exposure. Available epidemiologic studies do not confirm an increased risk of cancer in exposed humans. Available evidence does not suggest that the agent is likely to cause cancer in humans except under uncommon or unlikely routes or levels of exposure.
ACGIH (American Conference of Governmental Industrial Hygienists, 2010): Not Listed ; Listed as: Cobalt EPA (U.S. Environmental Protection Agency, 2011): Not Listed IARC (International Agency for Research on Cancer (IARC), 2016; International Agency for Research on Cancer, 2015; IARC Working Group on the Evaluation of Carcinogenic Risks to Humans, 2010; IARC Working Group on the Evaluation of Carcinogenic Risks to Humans, 2010a; IARC Working Group on the Evaluation of Carcinogenic Risks to Humans, 2008; IARC Working Group on the Evaluation of Carcinogenic Risks to Humans, 2007; IARC Working Group on the Evaluation of Carcinogenic Risks to Humans, 2006; IARC, 2004): 2A ; Listed as: Cobalt 2A : The agent (mixture) is probably carcinogenic to humans. The exposure circumstance entails exposures that are probably carcinogenic to humans. This category is used when there is limited evidence of carcinogenicity in humans and sufficient evidence of carcinogenicity in experimental animals. In some cases, an agent (mixture) may be classified in this category when there is inadequate evidence of carcinogenicity in humans and sufficient evidence of carcinogenicity in experimental animals and strong evidence that the carcinogenesis is mediated by a mechanism that also operates in humans. Exceptionally, an agent, mixture or exposure circumstance may be classified in this category solely on the basis of limited evidence of carcinogenicity in humans.
IARC (International Agency for Research on Cancer (IARC), 2016; International Agency for Research on Cancer, 2015; IARC Working Group on the Evaluation of Carcinogenic Risks to Humans, 2010; IARC Working Group on the Evaluation of Carcinogenic Risks to Humans, 2010a; IARC Working Group on the Evaluation of Carcinogenic Risks to Humans, 2008; IARC Working Group on the Evaluation of Carcinogenic Risks to Humans, 2007; IARC Working Group on the Evaluation of Carcinogenic Risks to Humans, 2006; IARC, 2004): 2B ; Listed as: Cobalt metal (without tungsten carbide) 2B : The agent (mixture) is possibly carcinogenic to humans. The exposure circumstance entails exposures that are possibly carcinogenic to humans. This category is used for agents, mixtures and exposure circumstances for which there is limited evidence of carcinogenicity in humans and less than sufficient evidence of carcinogenicity in experimental animals. It may also be used when there is inadequate evidence of carcinogenicity in humans but there is sufficient evidence of carcinogenicity in experimental animals. In some instances, an agent, mixture or exposure circumstance for which there is inadequate evidence of carcinogenicity in humans but limited evidence of carcinogenicity in experimental animals together with supporting evidence from other relevant data may be placed in this group.
IARC (International Agency for Research on Cancer (IARC), 2016; International Agency for Research on Cancer, 2015; IARC Working Group on the Evaluation of Carcinogenic Risks to Humans, 2010; IARC Working Group on the Evaluation of Carcinogenic Risks to Humans, 2010a; IARC Working Group on the Evaluation of Carcinogenic Risks to Humans, 2008; IARC Working Group on the Evaluation of Carcinogenic Risks to Humans, 2007; IARC Working Group on the Evaluation of Carcinogenic Risks to Humans, 2006; IARC, 2004): 2A ; Listed as: Cobalt metal (with tungsten carbide) 2A : The agent (mixture) is probably carcinogenic to humans. The exposure circumstance entails exposures that are probably carcinogenic to humans. This category is used when there is limited evidence of carcinogenicity in humans and sufficient evidence of carcinogenicity in experimental animals. In some cases, an agent (mixture) may be classified in this category when there is inadequate evidence of carcinogenicity in humans and sufficient evidence of carcinogenicity in experimental animals and strong evidence that the carcinogenesis is mediated by a mechanism that also operates in humans. Exceptionally, an agent, mixture or exposure circumstance may be classified in this category solely on the basis of limited evidence of carcinogenicity in humans.
NIOSH (National Institute for Occupational Safety and Health, 2007): Not Listed ; Listed as: Cobalt metal dust and fume (as Co) MAK (DFG, 2002): Category 2 ; Listed as: Cobalt and cobalt compounds (as inhalable dusts/aerosols): Metallic cobalt MAK (DFG, 2002): Category 2 ; Listed as: Cobalt and cobalt compounds (as inhalable dusts/aerosols) NTP (U.S. Department of Health and Human Services, Public Health Service, National Toxicology Project ): Not Listed
TOXICITY AND RISK ASSESSMENT VALUES
- EPA Risk Assessment Values for CAS7440-48-4 (U.S. Environmental Protection Agency, 2011):
References: (ACGIH, 1996; HSDB, 2000 ITI, 1995 Lewis, 1996 RTECS, 2000 LD- (INTRAPERITONEAL)MOUSE: LD- (INTRAVENOUS)RABBIT: LD- (INTRAPERITONEAL)RAT: LD- (INTRAVENOUS)RAT: LD50- (INTRAPERITONEAL)RAT: LD50- (ORAL)RAT: LDLo- (INTRAPERITONEAL)MOUSE: LDLo- (INTRAVENOUS)RABBIT: LDLo- (ORAL)RABBIT: LDLo- (INTRATRACHEAL)RAT: LDLo- (INTRAVENOUS)RAT: LDLo- (ORAL)RAT: TCLo- (INHALATION)PIG: TCLo- (INHALATION)RAT: TD- (INTRAMUSCULAR)RAT: TDLo- (IMPLANT)RABBIT: TDLo- (INTRAMUSCULAR)RAT:
-STANDARDS AND LABELS
WORKPLACE STANDARDS
- ACGIH TLV Values for CAS7440-48-4 (American Conference of Governmental Industrial Hygienists, 2010):
Editor's Note: The listed values are recommendations or guidelines developed by ACGIH(R) to assist in the control of health hazards. They should only be used, interpreted and applied by individuals trained in industrial hygiene. Before applying these values, it is imperative to read the introduction to each section in the current TLVs(R) and BEI(R) Book and become familiar with the constraints and limitations to their use. Always consult the Documentation of the TLVs(R) and BEIs(R) before applying these recommendations and guidelines. Adopted Value Adopted Value Under Study
- AIHA WEEL Values for CAS7440-48-4 (AIHA, 2006):
- NIOSH REL and IDLH Values for CAS7440-48-4 (National Institute for Occupational Safety and Health, 2007):
- OSHA PEL Values for CAS7440-48-4 (U.S. Occupational Safety, and Health Administration (OSHA), 2010):
Listed as: Cobalt metal, dust, and fume (as Co) Table Z-1 for Cobalt metal, dust, and fume (as Co): 8-hour TWA: ppm: mg/m3: 0.1 Ceiling Value: Skin Designation: No Notation(s): Not Listed
- OSHA List of Highly Hazardous Chemicals, Toxics, and Reactives for CAS7440-48-4 (U.S. Occupational Safety and Health Administration, 2010):
ENVIRONMENTAL STANDARDS
- EPA CERCLA, Hazardous Substances and Reportable Quantities for CAS7440-48-4 (U.S. Environmental Protection Agency, 2010):
- EPA CERCLA, Hazardous Substances and Reportable Quantities, Radionuclides for CAS7440-48-4 (U.S. Environmental Protection Agency, 2010):
- EPA RCRA Hazardous Waste Number for CAS7440-48-4 (U.S. Environmental Protection Agency, 2010b):
- EPA SARA Title III, Extremely Hazardous Substance List for CAS7440-48-4 (U.S. Environmental Protection Agency, 2010):
- EPA SARA Title III, Community Right-to-Know for CAS7440-48-4 (40 CFR 372.65, 2006; 40 CFR 372.28, 2006):
Listed as: Cobalt Compounds: Includes any unique chemical substance that contains cobalt as part of that chemical's infrastructure Effective Date for Reporting Under 40 CFR 372.30: 1/1/87 Lower Thresholds for Chemicals of Special Concern under 40 CFR 372.28: Listed as: Cobalt Effective Date for Reporting Under 40 CFR 372.30: 1/1/87 Lower Thresholds for Chemicals of Special Concern under 40 CFR 372.28:
- DOT List of Marine Pollutants for CAS7440-48-4 (49 CFR 172.101 - App. B, 2005):
- EPA TSCA Inventory for CAS7440-48-4 (EPA, 2005):
SHIPPING REGULATIONS
- DOT -- Table of Hazardous Materials and Special Provisions (49 CFR 172.101, 2005):
- ICAO International Shipping Name (ICAO, 2002):
LABELS
- NFPA Hazard Ratings for CAS7440-48-4 (NFPA, 2002):
-HANDLING AND STORAGE
SUMMARY
Store cobalt away from strong oxidizers (such as chlorine, bromine, and fluorine) as violent reactions may occur. Keep in a cool place in an inert atmosphere (Sittig, 1991). When exposed to heat or flame, cobalt is flammable. Cobalt will ignite on contact with bromine pentafluoride. When mixed with acetylene or nitryl fluoride, an incandescent reaction will occur (Lewis, 1996). Personnel should not attempt to handle broken containers without wearing protective clothing including boots, protective gloves, goggles, rubber coveralls, and either a mechanical filter respirator or a self-contained positive pressure breathing apparatus (Student, 1981; EPA, 1985; ITI, 1995; Plunkett, 1976). Patients who develop hypersensitivity dermatitis, pulmonary interstitial fibrosis, or asthma-related disorders should be removed from further cobalt exposure (Plunkett, 1976) Harbison, 1998).
HANDLING
- Cobalt dust will spontaneously ignite in air. Cobalt will ignite on contact with bromine pentafluoride. When mixed with acetylene or nitryl fluoride, an incandescent reaction will occur (Lewis, 1996).
STORAGE
-PERSONAL PROTECTION
SUMMARY
- RECOMMENDED PROTECTIVE CLOTHING - EMERGENCY RESPONSE GUIDEBOOK, GUIDE 135 (ERG, 2004)
Wear positive pressure self-contained breathing apparatus (SCBA). Wear chemical protective clothing that is specifically recommended by the manufacturer. It may provide little or no thermal protection. Structural firefighters' protective clothing will only provide limited protection.
- Where the possibility for exposure to cobalt dust exists, personnel should wear dust respirators. Appropriate protective clothing should worn clothing should be changed daily (NIOSH , 2000; Sittig, 1991). Persons should shower after each shift and change into clean clothes before leaving the work site. Contaminated clothing should be placed in sealed containers and properly stored until the cobalt dust can be properly removed (HSDB , 2000; Sittig, 1991).
- Skin that is contaminated with cobalt dust must be washed immediately with soap or mild detergent (HSDB , 2000; NIOSH , 2000). To prevent dermatitis, gloves and barrier creams may be used (Sittig, 1991).
- In areas in which cobalt dust or fumes are present, a local exhaust ventilation system should be used (HSDB , 2000).
- Before workers enter tanks or vessels that contain cobalt catalysts, or tanks or vessels that are used to prepare cobalt salts, all cobalt-transferring sources must be blanked to prevent entry. The interior of the vessel must be washed with water and purged with air to ensure that there are no potential fire, explosion, oxygen deficiency, or dust inhalation hazards. Persons entering a tank or vessel must also have an appropriate respirator and secured lifeline or harness. Spark- or flame-generating equipment must be used only after extensive safety precautions have been taken (HSDB , 2000).
EYE/FACE PROTECTION
- Persons should not wear contact lenses when working with cobalt (HSDB , 2000). In animals, cobalt will induce a variety of toxic effects in the eyes of experimental animals. Injuries to human eyes are rare (Grant, 1993).
RESPIRATORY PROTECTION
- Refer to "Recommendations for respirator selection" in the NIOSH Pocket Guide to Chemical Hazards on TOMES Plus(R) for respirator information.
PROTECTIVE CLOTHING
- CHEMICAL PROTECTIVE CLOTHING. Search results for CAS 7440-48-4.
-PHYSICAL HAZARDS
FIRE HAZARD
Editor's Note: This material is not listed in the Emergency Response Guidebook. Based on the material's physical and chemical properties, toxicity, or chemical group, a guide has been assigned. For additional technical information, contact one of the emergency response telephone numbers listed under Public Safety Measures. POTENTIAL FIRE OR EXPLOSION HAZARDS - EMERGENCY RESPONSE GUIDEBOOK, GUIDE 135 (ERG, 2004) Flammable/combustible material. May ignite on contact with air or moisture. May burn rapidly with flare-burning effect. Some react vigorously or explosively on contact with water. Some may decompose explosively when heated or involved in a fire. May re-ignite after fire is extinguished. Runoff may create fire or explosion hazard. Containers may explode when heated.
Cobalt is non-combustible in bulk form, but powdered cobalt is combustible and will burn at high temperatures (NIOSH , 2000; Sittig, 1991). Cobalt is an extreme fire hazard (Pohanish & Green, 1997). Fires involving cobalt should be extinguished based on the surrounding fire. Very fine cobalt dust is pyrophoric; at room temperature, the particles can self-ignite in air (HSDB , 2000) Pohanish & Green, 1997). HSDB (2000) reports that cobalt is a moderate fire danger, when exposed to heat or flame.
- FLAMMABILITY CLASSIFICATION
- NFPA Flammability Rating for CAS7440-48-4 (NFPA, 2002):
- INITIATING OR CONTRIBUTING PROPERTIES
Cobalt dust ignites spontaneously in air. When exposed to heat or flame, cobalt is flammable. Cobalt will ignite on contact with bromine pentafluoride. When mixed with acetylene or nitryl fluoride, an incandescent reaction will occur (Lewis, 1996). "Cobalt is attacked by dilute hydrochloric and sulfuric acids" (Lewis, 1997).
- FIRE CONTROL/EXTINGUISHING AGENTS
- FIRE PRECAUTIONS - EMERGENCY RESPONSE GUIDEBOOK, GUIDE 135 (ERG, 2004)
DO NOT USE WATER, CO2 OR FOAM ON MATERIAL ITSELF. Some of these materials may react violently with water. EXCEPTION: For Xanthates, UN3342 and for Dithionite (Hydrosulfite/Hydrosulphite) UN1384, UN1923 and UN1929, USE FLOODING AMOUNTS OF WATER for SMALL AND LARGE fires to stop the reaction. Smothering will not work for these materials, they do not need air to burn.
- SMALL FIRE PRECAUTIONS - EMERGENCY RESPONSE GUIDEBOOK, GUIDE 135 (ERG, 2004)
Dry chemical, soda ash, lime or DRY sand, EXCEPT for UN1384, UN1923 and UN1929.
- LARGE FIRE PRECAUTIONS - EMERGENCY RESPONSE GUIDEBOOK, GUIDE 135 (ERG, 2004)
DRY sand, dry chemical, soda ash or lime EXCEPT for UN1384, UN1923 and UN1929, or withdraw from area and let fire burn. Move containers from fire area if you can do it without risk.
- TANK OR CAR/TRAILER LOAD FIRE PRECAUTIONS - EMERGENCY RESPONSE GUIDEBOOK, GUIDE 135 (ERG, 2004)
Fight fire from maximum distance or use unmanned hose holders or monitor nozzles. Do not get water inside containers or in contact with substance. Cool containers with flooding quantities of water until well after fire is out. Withdraw immediately in case of rising sound from venting safety devices or discoloration of tank. ALWAYS stay away from tanks engulfed in fire.
- NFPA Extinguishing Methods for CAS7440-48-4 (NFPA, 2002):
- Fires involving cobalt should be extinguished based on the surrounding fire. Cobalt is an extreme fire hazard (Pohanish & Green, 1997).
Cobalt dust ignites spontaneously in air. When exposed to heat or flame, cobalt is flammable. Cobalt will ignite on contact with bromine pentafluoride. When mixed with acetylene or nitryl fluoride, an incandescent reaction will occur (Lewis, 1996). No information on the combustion toxicity of cobalt was found in available references at the time of this review.
EXPLOSION HAZARD
- Powdered cobalt will spontaneously ignite in air. Cobalt will explode when combined with hydrazinium nitrate, ammonium nitrate and heat (above 200 degrees C), or 1,3,4,7-tetramethylisoindole (when large volumes of both compounds are heated to 390 degrees C) (Lewis, 1996) Urben, 1996). Cobalt will ignite on contact with bromine pentafluoride. Cobalt will decompose acetylene on contact and will become incandescent (Urben, 1996).
- When mixed with nitryl fluoride and slightly warmed, an incandescent reaction will occur (Lewis, 1996) Urben, 1996). Cobalt, on contact with bromine pentafluoride, will ignite (Urben, 1996). Commercial cobalt, in the presence of hydrazinium nitrate, will explode (HSDB , 2000).
- Cobalt reacts with acetylene, resulting in violent polymerization (HSDB , 2000; ITI, 1995). Carbon dioxide will react with a variety of acids to form salts. However, the cobaltic form (Co3) does not (ACGIH, 1996).
- "The scale of the procedure described for preparing (octamethyltetrabenzoporphinato(2-)cobalt (II)) by heating the reagents in an evacuated Carius tube at 390 degrees C must not be increased or the tube will explode" (Urben, 1996).
DUST/VAPOR HAZARD
- Cobalt dust will spontaneously ignite in air (Lewis, 1996).
REACTIVITY HAZARD
- Powdered cobalt will spontaneously ignite in air. Cobalt will explode when combined with hydrazinium nitrate, ammonium nitrate and heat (above 200 degrees C), or 1,3,4,7-tetramethylisoindole (when large volumes of both compounds are heated to 390 degrees C)(Lewis, 1996) Urben, 1996). Cobalt will ignite on contact with bromine pentafluoride, and it will decompose acetylene on contact and will become incandescent (Urben, 1996).
- When mixed with nitryl fluoride and slightly warmed, an incandescent reaction will occur (Lewis, 1996) Urben, 1996). Cobalt, on contact with bromine pentafluoride, will ignite (Urben, 1996). Commercial cobalt, in the presence of hydrazinium nitrate, will explode (HSDB , 2000).
- At temperatures above 900 degrees C, cobalt will form an oxide coating consisting of cobaltosic oxide (Co3O4)(outside) and cobaltous oxide (CoO) (inside) (ACGIH, 1996).
- Divalent cobalt (cobaltous form) will react with a various acids to form salts. However, trivalent cobalt (cobaltic form) will not undergo these reactions (ACGIH, 1996).
- "The scale of the procedure described for preparing (octamethyltetrabenzoporphyrinato(2-)cobalt (II)) by heating the reagents in an evacuated Carius tube at 390 degrees C must not be increased or the tube will explode" (HSDB , 2000).
EVACUATION PROCEDURES
- Editor's Note: This material is not listed in the Table of Initial Isolation and Protective Action Distances.
- SPILL - PUBLIC SAFETY EVACUATION DISTANCES - EMERGENCY RESPONSE GUIDEBOOK, GUIDE 135 (ERG, 2004)
Increase, in the downwind direction, as necessary, the isolation distance of at least 50 meters (150 feet) in all directions for liquids and at least 25 meters (75 feet) in all directions for solids.
- FIRE - PUBLIC SAFETY EVACUATION DISTANCES - EMERGENCY RESPONSE GUIDEBOOK, GUIDE 135 (ERG, 2004)
If tank, rail car or tank truck is involved in a fire, ISOLATE for 800 meters (1/2 mile) in all directions; also, consider initial evacuation for 800 meters (1/2 mile) in all directions.
- PUBLIC SAFETY MEASURES - EMERGENCY RESPONSE GUIDEBOOK, GUIDE 135(ERG, 2004)
CALL Emergency Response Telephone Number on Shipping Paper first. If Shipping Paper not available or no answer, refer to appropriate telephone number: MEXICO: SETIQ: 01-800-00-214-00 in the Mexican Republic; For calls originating in Mexico City and the Metropolitan Area: 5559-1588; For calls originating elsewhere, call: 011-52-555-559-1588.
CENACOM: 01-800-00-413-00 in the Mexican Republic; For calls originating in Mexico City and the Metropolitan Area: 5550-1496, 5550-1552, 5550-1485, or 5550-4885; For calls originating elsewhere, call: 011-52-555-550-1496, or 011-52-555-550-1552; 011-52-555-550-1485, or 011-52-555-550-4885.
ARGENTINA: CIQUIME: 0-800-222-2933 in the Republic of Argentina; For calls originating elsewhere, call: +54-11-4613-1100.
BRAZIL: PRÓ-QUÍMICA: 0-800-118270 (Toll-free in Brazil); For calls originating elsewhere, call: +55-11-232-1144 (Collect calls are accepted).
COLUMBIA: CISPROQUIM: 01-800-091-6012 in Colombia; For calls originating in Bogotá, Colombia, call: 288-6012; For calls originating elsewhere, call: 011-57-1-288-6012.
CANADA: UNITED STATES:
For additional details see the section entitled "WHO TO CALL FOR ASSISTANCE" under the ERG Instructions. As an immediate precautionary measure, isolate spill or leak area in all directions for at least 50 meters (150 feet) for liquids and at least 25 meters (75 feet) for solids. Stay upwind. Keep unauthorized personnel away. Keep out of low areas.
- AIHA ERPG Values for CAS7440-48-4 (AIHA, 2006):
- DOE TEEL Values for CAS7440-48-4 (U.S. Department of Energy, Office of Emergency Management, 2010):
Listed as Cobalt TEEL-0 (units = mg/m3): 0.02 TEEL-1 (units = mg/m3): 0.3 TEEL-2 (units = mg/m3): 2 TEEL-3 (units = mg/m3): 20 Definitions: TEEL-0: The threshold concentration below which most people will experience no adverse health effects. TEEL-1: The airborne concentration (expressed as ppm [parts per million] or mg/m(3) [milligrams per cubic meter]) of a substance above which it is predicted that the general population, including susceptible individuals, could experience notable discomfort, irritation, or certain asymptomatic, nonsensory effects. However, these effects are not disabling and are transient and reversible upon cessation of exposure. TEEL-2: The airborne concentration (expressed as ppm or mg/m(3)) of a substance above which it is predicted that the general population, including susceptible individuals, could experience irreversible or other serious, long-lasting, adverse health effects or an impaired ability to escape. TEEL-3: The airborne concentration (expressed as ppm or mg/m(3)) of a substance above which it is predicted that the general population, including susceptible individuals, could experience life-threatening adverse health effects or death.
- AEGL Values for CAS7440-48-4 (National Research Council, 2010; National Research Council, 2009; National Research Council, 2008; National Research Council, 2007; NRC, 2001; NRC, 2002; NRC, 2003; NRC, 2004; NRC, 2004; National Advisory Committee for Acute Exposure Guideline Levels for Hazardous Substances, 2006; National Advisory Committee for Acute Exposure Guideline Levels for Hazardous Substances, 2007; National Advisory Committee for Acute Exposure Guideline Levels for Hazardous Substances, 2005; National Advisory Committee for Acute Exposure Guideline Levels for Hazardous Substances, 2005; National Advisory Committee for Acute Exposure Guideline Levels for Hazardous Substances, 2007; National Advisory Committee for Acute Exposure Guideline Levels for Hazardous Substances, 2006; National Advisory Committee for Acute Exposure Guideline Levels for Hazardous Substances, 2006; National Advisory Committee for Acute Exposure Guideline Levels for Hazardous Substances, 2006; National Advisory Committee for Acute Exposure Guideline Levels for Hazardous Substances, 2006; National Advisory Committee for Acute Exposure Guideline Levels for Hazardous Substances, 2006; National Advisory Committee for Acute Exposure Guideline Levels for Hazardous Substances, 2006; National Advisory Committee for Acute Exposure Guideline Levels for Hazardous Substances, 2006; National Advisory Committee for Acute Exposure Guideline Levels for Hazardous Substances, 2006; National Advisory Committee for Acute Exposure Guideline Levels for Hazardous Substances, 2006; United States Environmental Protection Agency Office of Pollution Prevention and Toxics, 2006; National Advisory Committee for Acute Exposure Guideline Levels for Hazardous Substances, 2006; National Advisory Committee for Acute Exposure Guideline Levels for Hazardous Substances, 2007; National Advisory Committee for Acute Exposure Guideline Levels for Hazardous Substances, 2007; National Advisory Committee for Acute Exposure Guideline Levels for Hazardous Substances, 2008; National Advisory Committee for Acute Exposure Guideline Levels for Hazardous Substances, 2008; National Advisory Committee for Acute Exposure Guideline Levels for Hazardous Substances, 2007; National Advisory Committee for Acute Exposure Guideline Levels for Hazardous Substances, 2008; National Advisory Committee for Acute Exposure Guideline Levels for Hazardous Substances, 2007; National Advisory Committee for Acute Exposure Guideline Levels for Hazardous Substances, 2008; National Advisory Committee for Acute Exposure Guideline Levels for Hazardous Substances, 2007; National Advisory Committee for Acute Exposure Guideline Levels for Hazardous Substances, 2009; National Advisory Committee for Acute Exposure Guideline Levels for Hazardous Substances, 2009; National Advisory Committee for Acute Exposure Guideline Levels for Hazardous Substances, 2009; National Advisory Committee for Acute Exposure Guideline Levels for Hazardous Substances, 2009; National Advisory Committee for Acute Exposure Guideline Levels for Hazardous Substances, 2009; National Advisory Committee for Acute Exposure Guideline Levels for Hazardous Substances, 2009; National Advisory Committee for Acute Exposure Guideline Levels for Hazardous Substances, 2009; National Advisory Committee for Acute Exposure Guideline Levels for Hazardous Substances, 2009; National Advisory Committee for Acute Exposure Guideline Levels for Hazardous Substances, 2009; National Advisory Committee for Acute Exposure Guideline Levels for Hazardous Substances, 2009; National Advisory Committee for Acute Exposure Guideline Levels for Hazardous Substances, 2009; National Advisory Committee for Acute Exposure Guideline Levels for Hazardous Substances, 2008; National Advisory Committee for Acute Exposure Guideline Levels for Hazardous Substances, 2008; National Advisory Committee for Acute Exposure Guideline Levels for Hazardous Substances, 2008; National Advisory Committee for Acute Exposure Guideline Levels for Hazardous Substances, 2008; National Advisory Committee for Acute Exposure Guideline Levels for Hazardous Substances, 2008; National Advisory Committee for Acute Exposure Guideline Levels for Hazardous Substances, 2008; National Advisory Committee for Acute Exposure Guideline Levels for Hazardous Substances, 2008; National Advisory Committee for Acute Exposure Guideline Levels for Hazardous Substances, 2009; National Advisory Committee for Acute Exposure Guideline Levels for Hazardous Substances, 2008; National Advisory Committee for Acute Exposure Guideline Levels for Hazardous Substances, 2008; National Advisory Committee for Acute Exposure Guideline Levels for Hazardous Substances, 2008; National Advisory Committee for Acute Exposure Guideline Levels for Hazardous Substances, 2009; National Advisory Committee for Acute Exposure Guideline Levels for Hazardous Substances, 2008; National Advisory Committee for Acute Exposure Guideline Levels for Hazardous Substances, 2008; National Advisory Committee for Acute Exposure Guideline Levels for Hazardous Substances, 2008; National Advisory Committee for Acute Exposure Guideline Levels for Hazardous Substances, 2008; National Advisory Committee for Acute Exposure Guideline Levels for Hazardous Substances, 2008; National Advisory Committee for Acute Exposure Guideline Levels for Hazardous Substances, 2008; National Advisory Committee for Acute Exposure Guideline Levels for Hazardous Substances, 2008; National Advisory Committee for Acute Exposure Guideline Levels for Hazardous Substances, 2007; National Advisory Committee for Acute Exposure Guideline Levels for Hazardous Substances, 2006; National Advisory Committee for Acute Exposure Guideline Levels for Hazardous Substances, 2006; National Advisory Committee for Acute Exposure Guideline Levels for Hazardous Substances, 2006; National Advisory Committee for Acute Exposure Guideline Levels for Hazardous Substances, 2007; National Advisory Committee for Acute Exposure Guideline Levels for Hazardous Substances, 2007; National Advisory Committee for Acute Exposure Guideline Levels for Hazardous Substances, 2007; National Advisory Committee for Acute Exposure Guideline Levels for Hazardous Substances, 2007; National Advisory Committee for Acute Exposure Guideline Levels for Hazardous Substances, 2007; National Advisory Committee for Acute Exposure Guideline Levels for Hazardous Substances, 2005; National Advisory Committee for Acute Exposure Guideline Levels for Hazardous Substances, 2005; National Advisory Committee for Acute Exposure Guideline Levels for Hazardous Substances, 2005; National Advisory Committee for Acute Exposure Guideline Levels for Hazardous Substances, 2005; National Advisory Committee for Acute Exposure Guideline Levels for Hazardous Substances, 2005; National Advisory Committee for Acute Exposure Guideline Levels for Hazardous Substances, 2005; National Advisory Committee for Acute Exposure Guideline Levels for Hazardous Substances, 2005; National Advisory Committee for Acute Exposure Guideline Levels for Hazardous Substances, 2005; National Advisory Committee for Acute Exposure Guideline Levels for Hazardous Substances, 2007; National Advisory Committee for Acute Exposure Guideline Levels for Hazardous Substances, 2005; National Advisory Committee for Acute Exposure Guideline Levels for Hazardous Substances, 2006; 62 FR 58840, 1997; 65 FR 14186, 2000; 65 FR 39264, 2000; 65 FR 77866, 2000; 66 FR 21940, 2001; 67 FR 7164, 2002; 68 FR 42710, 2003; 69 FR 54144, 2004):
- NIOSH IDLH Values for CAS7440-48-4 (National Institute for Occupational Safety and Health, 2007):
CONTAINMENT/WASTE TREATMENT OPTIONS
SPILL OR LEAK PRECAUTIONS - EMERGENCY RESPONSE GUIDEBOOK, GUIDE 135 (ERG, 2004) Fully encapsulating, vapor protective clothing should be worn for spills and leak with no fire. ELIMINATE all ignition sources (no smoking, flares, sparks or flames in immediate area). Do not touch or walk through spilled material. Stop leak if you can do it without risk.
RECOMMENDED PROTECTIVE CLOTHING - EMERGENCY RESPONSE GUIDEBOOK, GUIDE 135 (ERG, 2004) Wear positive pressure self-contained breathing apparatus (SCBA). Wear chemical protective clothing that is specifically recommended by the manufacturer. It may provide little or no thermal protection. Structural firefighters' protective clothing will only provide limited protection.
Persons involved in the clean-up of cobalt should wear self-contained breathing apparatus and appropriate chemical protective clothing (Sittig, 1991). Liquid spills involving cobalt may be flushed with water and directed to a treatment system or holding tank for reclamation or disposal (HSDB , 2000). Dry spills may be removed by vacuum or wet mop (HSDB , 2000). Other spills may be cleaned-up using a hose (after first being dampened by a light mist of water) and deposited in proper containers until proper disposal is possible. Contaminated surfaces must never be cleaned by blowing with pressurized hoses or dry sweeping (HSDB , 2000). Cobalt waste should be sorted, classified, and put in a properly labeled box. Material can then be salvaged for reuse by a local shop or sold as scrap metal (ITI, 1995; Sittig, 1991). Prior to disposal in lad fills, cobalt wastes must be properly mixed with soil to prevent excessive accumulation of cobalt in plants (HSDB , 2000).
Sodium borohydride (NaBH4) was used to quantitatively remove cobalt ions (Co(+2)) from water. The process was effective in alkaline solutions and removed cobalt as a cobalt boride compound (Co2B) (Gomezlahoz et al, 1993). Waste management activities associated with material disposition are unique to individual situations. Proper waste characterization and decisions regarding waste management should be coordinated with the appropriate local, state, or federal authorities to ensure compliance with all applicable rules and regulations.
The plants Azolla pinnata R Br and Lemna minor L, were used to adsorb various metals (including cobalt) from water. Plants with the absorbed metals were used in an anaerobic digester to produce biogas (methane). Investigation of toxic effects of these metals on the biogas anaerobic fermentation process showed significant toxicity only for cobalt (Jain et al, 1992). A fluidized bed electrolytic cell reactor was designed to remove cobalt from wastewater at dilute concentrations. Under optimized conditions, this process removed cobalt to a residual level of 0.2 ppm (Chaudhary & Grimes, 1993). As an alternative to disposal, cobalt may be recovered from scrap (HSDB , 2000).
-ENVIRONMENTAL HAZARD MANAGEMENT
POLLUTION HAZARD
- Natural sources of cobalt include soil, seawater spray, natural dust, forest fires, volcanic eruptions, and various other sources. Cobalt can also enter the environment through fossil fuel burning, automobile and aircraft exhausts, through the processing of cobalt and cobalt alloys, copper and nickel smelting, and from a variety of other processing and manufacturing processes (ATSDR, 1992).
- Typical soil concentrations range from 1.0 ppm to 40 ppm. Natural concentrations in ground water are typically less than 10 ppm (Dragun, 1988).
- Accumulation of cobalt above 100 ppm causes severe phytotoxicity. Only a few plant species accumulate cobalt above this level, but concentrations of over 1% cobalt have been described in dry leaves of hyperaccumulators (HSDB , 2000).
ENVIRONMENTAL FATE AND KINETICS
Cobalt, in air, is most likely dependent on the particulate size, nature, and density. In air, cobalt is subject to dry and wet deposition. At the time of this revision, no other information on the atmospheric fate of cobalt was available (ATSDR, 1992).
SURFACE WATER In water, cobalt is adsorbed by hydrolysate or oxidate sediments. Bacterial activity may bring cobalt into solution (HSDB , 2000). Mobilization of cobalt from sediment is possible in acidic water, and when excess chloride ions, or organic and inorganic chelating agents are present. In seawater, soluble cobalt has an estimated residence time ranging from less than 1 year to 52 years (ATSDR, 1992). Cobalt is not expected to significantly bioaccumulate in benthic bottom feeders (ATSDR, 1992). In laboratory tests using synthetic river water, it was determined that concentrations of dissolved cobalt in postoxic suspensions were limited by the precipitation of cobalt sulfide minerals (Wallmann, 1992).
TERRESTRIAL Metal oxides, crystalline minerals, and natural organics in soils can all retain cobalt. Chelating/complexing agents, pH, and Eh (redox potential) each can increase the mobility of cobalt in soil (ATSDR, 1992). In soil, the amount of cobalt is regulated by the pH of the soil. Cobalt usually exists in the divalent state. At a low pH, cobalt will be oxidized to trivalent cobalt and it is typically associated with iron. At pH of 6 and 7, adsorption of divalent cobalt on soil colloids is rapid. At lower pH levels (pH 3.3), leaching and plant uptake of cobalt is great (ATSDR, 1992; HSDB , 2000).
OTHER Under high chemical oxygen demand (COD) loading in an anaerobic digestion system, the COD digestion rates and the specific activity of the bacteria were increased by the addition of iron and cobalt (Shen et al, 1993).
BIOACCUMULATION
Following ingestion in fish, cobalt cobalamine accumulation was 20X higher than CoCl2 accumulation, with a half-life of 8 days. Cobalt cobalamine complex formation was used to explain the high accumulation of cobalt in marine organisms (Nolan et al, 1992). A laboratory experiment was conducted to evaluate the bioaccumulation of the radionuclide cobalt-60 (as cobalt-chloride) in juvenile groupers. Exposure was solely through the water. Cobalt accumulated mainly in gut, liver, skin and scales. In muscle, concentration factors reached levels of 8x10(-2). Chromatographic analysis of the water after the 4-month exposure period showed that all of the radioactively labeled cobalt-chloride had been converted to non-ionic forms, presumably via microbial activity. This conversion apparently increased the bioavailability of cobalt, because a second experiment, performed with the aged water, showed a 2.5-times higher bioaccumulation of cobalt in the muscle, compared to the first experiment (Guimaraes, 1992).
AQUATIC PHYTOPLANKTON: Double radiolabelings techniques were used to show that cobalt accumulation in phytoplankton was 60X higher from the cobalt cobalamine (CCA) form compared to the cobalt chloride (CoCl2) form. Half-life of cobalt in phytoplankton was 4.4 days when accumulated from CCA, and 0.6 days when accumulated from CoCl2 (Nolan et al, 1992). Accumulation of cobalt above 100 ppm causes severe phytotoxicity. Only a few plant species accumulate cobalt above this level, but concentrations of over 1% cobalt have been described in dry leaves of hyperaccumulators (HSDB , 2000). The relationship between cobalt, copper and zinc content in soils and the vegetables grown in these soils was evaluated using atomic absorption spectroscopy. Statistically significant correlations were found between total and extractable cobalt content in soils, and the roots and bulbs of the plants (Alegria et al, 1992).
100 to 4000 in marine fish (ATSDR, 1992) 40 to 1000 in freshwater fish (dry weight basis)(ATSDR, 1992)
ENVIRONMENTAL TOXICITY
- A laboratory study was done to determine the effect of water hardness on the freshwater toxicity of cobalt. The results show a tentative criteria of 288 mcg/L and 873 mcg/L for soft and hard water, respectively. These results suggest that very hard water may significantly reduce chronic toxicity potential of cobalt (Diamond et al, 1992).
-PHYSICAL/CHEMICAL PROPERTIES
MOLECULAR WEIGHT
DESCRIPTION/PHYSICAL STATE
- Cobalt exists as a steel-gray, shiny, hard, ductile, somewhat malleable metal. Its atomic number is 27 (Lewis, 1997). It has one naturally occurring isotope (cobalt-59) and several artificial isotopes (54-58; 60-64) (HSDB , 2000).
- Cobalt corrodes readily in air (Lewis, 1997).
- Cobalt will crystallize in hexagonal form (ITI, 1995).
- It is ferromagnetic (Lewis, 1997).
- It exists in two allotropic forms: the hexagonal alpha form (below 417 degrees C) and the face-centered beta form (above 417 degrees C) (ACGIH, 1996; (Budavari, 1996; Lewis, 1996). Although both forms can exist at room temperature, the hexagonal form is the more stable form (Budavari, 1996; Lewis, 1996).
VAPOR PRESSURE
- 0 mmHg (approximately) (NIOSH , 2000)
- 1 mmHg (at 1910 degrees C) (ATSDR, 1992)
SPECIFIC GRAVITY
- OTHER TEMPERATURE AND/OR PRESSURE
DENSITY
- OTHER TEMPERATURE AND/OR PRESSURE
- TEMPERATURE AND/OR PRESSURE NOT LISTED
FREEZING/MELTING POINT
MELTING POINT 1495 degrees C (Lewis, 1996) 1493 degrees C (Budavari, 1996; Lewis, 1996) 1490 degrees C (ITI, 1995)
BOILING POINT
- 28 degrees C (at 3100 mmHg) (Lewis, 1996)
- Approximately 3100 degrees C (Budavari, 1996; Lewis, 1996)
- 3100 degrees C (Lewis, 1997)
- 2375 degrees C (ITI, 1995)
- 2870 degrees C (ACGIH, 1996)
- 5612 degrees F (NIOSH , 2000)
AUTOIGNITION TEMPERATURE
- 760 degrees C (for dust) (ATSDR, 1992)
EXPLOSIVE LIMITS
SOLUBILITY
Cobalt is readily soluble in dilute nitric acid and other acids (Lewis, 1996; Sittig, 1991). Cobalt can be attacked slowly by hydrochloric acid, ammonium hydroxide, sodium hydroxide, or very cold sulfuric acid (HSDB , 2000; Lewis, 1996). Cobalt is insoluble in dilute alkalis (ACGIH, 1996). Cobalt is soluble in body fluids (such as serum) (ACIGH, 1996).
OTHER/PHYSICAL
-REFERENCES
GENERAL BIBLIOGRAPHY- 40 CFR 372.28: Environmental Protection Agency - Toxic Chemical Release Reporting, Community Right-To-Know, Lower thresholds for chemicals of special concern. National Archives and Records Administration (NARA) and the Government Printing Office (GPO). Washington, DC. Final rules current as of Apr 3, 2006.
- 40 CFR 372.65: Environmental Protection Agency - Toxic Chemical Release Reporting, Community Right-To-Know, Chemicals and Chemical Categories to which this part applies. National Archives and Records Association (NARA) and the Government Printing Office (GPO), Washington, DC. Final rules current as of Apr 3, 2006.
- 49 CFR 172.101 - App. B: Department of Transportation - Table of Hazardous Materials, Appendix B: List of Marine Pollutants. National Archives and Records Administration (NARA) and the Government Printing Office (GPO), Washington, DC. Final rules current as of Aug 29, 2005.
- 49 CFR 172.101: Department of Transportation - Table of Hazardous Materials. National Archives and Records Administration (NARA) and the Government Printing Office (GPO), Washington, DC. Final rules current as of Aug 11, 2005.
- 62 FR 58840: Notice of the National Advisory Committee for Acute Exposure Guideline Levels for Hazardous Substances - Proposed AEGL Values, Environmental Protection Agency, NAC/AEGL Committee. National Archives and Records Administration (NARA) and the Government Publishing Office (GPO), Washington, DC, 1997.
- 65 FR 14186: Notice of the National Advisory Committee for Acute Exposure Guideline Levels for Hazardous Substances - Proposed AEGL Values, Environmental Protection Agency, NAC/AEGL Committee. National Archives and Records Administration (NARA) and the Government Publishing Office (GPO), Washington, DC, 2000.
- 65 FR 39264: Notice of the National Advisory Committee for Acute Exposure Guideline Levels for Hazardous Substances - Proposed AEGL Values, Environmental Protection Agency, NAC/AEGL Committee. National Archives and Records Administration (NARA) and the Government Publishing Office (GPO), Washington, DC, 2000.
- 65 FR 77866: Notice of the National Advisory Committee for Acute Exposure Guideline Levels for Hazardous Substances - Proposed AEGL Values, Environmental Protection Agency, NAC/AEGL Committee. National Archives and Records Administration (NARA) and the Government Publishing Office (GPO), Washington, DC, 2000.
- 66 FR 21940: Notice of the National Advisory Committee for Acute Exposure Guideline Levels for Hazardous Substances - Proposed AEGL Values, Environmental Protection Agency, NAC/AEGL Committee. National Archives and Records Administration (NARA) and the Government Publishing Office (GPO), Washington, DC, 2001.
- 67 FR 7164: Notice of the National Advisory Committee for Acute Exposure Guideline Levels for Hazardous Substances - Proposed AEGL Values, Environmental Protection Agency, NAC/AEGL Committee. National Archives and Records Administration (NARA) and the Government Publishing Office (GPO), Washington, DC, 2002.
- 68 FR 42710: Notice of the National Advisory Committee for Acute Exposure Guideline Levels for Hazardous Substances - Proposed AEGL Values, Environmental Protection Agency, NAC/AEGL Committee. National Archives and Records Administration (NARA) and the Government Publishing Office (GPO), Washington, DC, 2003.
- 69 FR 54144: Notice of the National Advisory Committee for Acute Exposure Guideline Levels for Hazardous Substances - Proposed AEGL Values, Environmental Protection Agency, NAC/AEGL Committee. National Archives and Records Administration (NARA) and the Government Publishing Office (GPO), Washington, DC, 2004.
- ACGIH: Documentation of the Threshold Limit Values and Biological Exposure Indices, 5th ed, Am Conference of Govt Ind Hyg, Inc, Cincinnati, OH, 1986.
- ACGIH: Documentation of the Threshold Limit Values and Biological Exposure Indices, 6th ed (Supplement), Am Conference of Govt Ind Hyg, Inc, Cincinnati, OH, 1996a.
- AIHA: 2006 Emergency Response Planning Guidelines and Workplace Environmental Exposure Level Guides Handbook, American Industrial Hygiene Association, Fairfax, VA, 2006.
- ATSDR: US Public Health Service, Agency for Toxic Substances and Disease Registry, Toxicological Profiles, CRC Press, Inc, Boca Raton, FL, 1992.
- Agranovskaia BA: Akusherstvo I Ginekologiya 1967; 43:21-24.
- Akashi J: Jap J Pub Health 1981; 28:443-446.
- Alegria A, Barbera R, & Boluda R: Relationship between cobalt, copper and zinc content of soils and vegetables. Nahrung - Food 1992; 36:451-460.
- Alexander CS: Cobalt-beer cardiomyopathy: A clinical and pathologic study of twenty-eight cases. Am J Med 1972; 53:395-417.
- Alexandersson R: Arbete Och Halsa 1979; 10:3-23.
- Alexandersson R: Blood and urinary concentrations as estimators of cobalt exposure. Arch Environ Health 1988; 43:299-303.
- Allenby CF & Basketter DA: Minimum eliciting patch test concentrations of cobalt. Contact Dermatitis 1989; 20:185-190.
- American Conference of Governmental Industrial Hygienists : ACGIH 2010 Threshold Limit Values (TLVs(R)) for Chemical Substances and Physical Agents and Biological Exposure Indices (BEIs(R)), American Conference of Governmental Industrial Hygienists, Cincinnati, OH, 2010.
- Andersen O: Environ Health Perspect 1983; 47:239-253.
- Anderson MB, Lepak K, & Farinas V: Protective action of zinc against cobalt-induced testicular damage in the mouse. Reprod Toxicol 1993; 7:49-54.
- Arbeitsgruppe BGVV: Allgemeine und spezielle Massnahmen bei Vergiftungen und bei Drogennotfaellen. Empfehlungen der Kommission "Erkennung und Behandlung von Vergiftungen", Bundesinstituts fuer gesundheitlichen Verbraucherschutz und Veterinaermedizin, Berlin, Germany, 1996.
- Ashford R: Ashford's Dictionary of Industrial Chemicals, Wavelength Publications Ltd, London, England, 1994.
- Austin E, Lazongas C, & Thompson M: The Tragic Hip: A case of cobalt poisoning: 2015 Annual Meeting of the North American Congress of Clinical Toxicology (NACCT). Clin Toxicol 2015; 53(7):739-739.
- Baglan RJ: Environ Res 1974; 8:64-70.
- Barceloux DG: Cobalt. J Toxicol Clin Toxicol 1999; 37:201-216.
- Baselt RC & Cravey RH: Disposition of Toxic Drugs and Chemicals in Man, 5th ed, Chemical Toxicology Institute, Foster City, CA, 2000.
- Bech AO, Kipling MD, & Heather JC: Hard metal disease. Br J Ind Med 1962; 19:239-252.
- Bencko V: Environ Res 1986; 40:399-410.
- Bencko V: J Hyg Epidemiol Microbiol Immunol 1983; 27:387-394.
- Beyersmann D & Hartwig A: The genetic toxicology of cobalt. Toxicol Appl Pharmacol 1992; 115:137-145.
- Blanusa M, Varnai VM, Piasek M, et al: Chelators as antidotes of metal toxicity: therapeutic and experimental aspects. Curr Med Chem 2005; 12(23):2771-2794.
- Bourg WJ: Bull Psychoneurol Soc 1985; 23:527-530.
- Bruynzeel DP: A child with perioral eczema. Contact Dermatitis 1987; 16:43.
- Bucher JR, Hailey JR, & Roycroft JR: Inhalation toxicity and carcinogenicity studies of cobalt sulfate. Toxicological Sci 1999; 49:56-67.
- Budavari S: The Merck Index, 12th ed, Merck & Co, Inc, Whitehouse Station, NJ, 1996, pp 412.
- Burgess JL, Kirk M, Borron SW, et al: Emergency department hazardous materials protocol for contaminated patients. Ann Emerg Med 1999; 34(2):205-212.
- CDC: Pulmonary fibrosis associated with occupational exposure to hard metal at a metal-coating plant-Connecticut, 1989. CDC: MMWR 1992; 41:65-66.
- Camner P, Boman A, & Johansson A: Inhalation of cobalt by sensitized guinea pigs - effects on the lungs. Br J Ind Med 1993; 50:753-757.
- Chaudhary AJ & Grimes SM: Heavy metals in the environment. 1. Removal of cobalt from dilute effluent streams by fluidized bed electrolysis. J Chem Technol Biotechnol 1993; 56:15-20.
- Christensen JM, Poulsen OM, & Thomsen M: A short-term cross-over study on oral administration of soluble and insoluble cobalt compounds - sex differences in biological levels. Internat Arch Occup Environ Health 1993; 65:233-240.
- Chyka PA, Seger D, Krenzelok EP, et al: Position paper: Single-dose activated charcoal. Clin Toxicol (Phila) 2005; 43(2):61-87.
- Clayton E & Wooler KK: Anal Chem 1985; 57:1075-1079.
- Clayton GD & Clayton FE: Patty's Industrial Hygiene and Toxicology, Vol 2A, Toxicology, 4th ed, John Wiley & Sons, New York, NY, 1993.
- Clayton GD & Clayton FE: Patty's Industrial Hygiene and Toxicology, Vol 2C. Toxicology, 4th ed, John Wiley & Sons, New York, NY, 1994.
- Coates EO & Watson JHL: Diffuse interstitial lung disease in tungsten carbide workers. Ann Intern Med 1971; 75:709-716.
- Costa M: Res Commun Chem Pathol Pharmacol 1982; 38:405-419.
- Cross DP, Ramachandran G, & Wattenberg EV: Mixtures of nickel and cobalt chlorides induce synergistic cytotoxic effects: Implications for inhalation exposure modeling. Ann Occup Hygiene 2001; 45:409-418.
- Cugell DW, Morgan WKC, & Perkins DG: The respiratory effects of cobalt. Arch Intern Med 1990; 150:177-183.
- Cullen MR: Respiratory diseases from hard metal exposure: A continuing enigma. Chest 1984; 86:513-514.
- Curtis JR, Goode GC, & Herrington J: Possible cobalt toxicity in maintenance hemodialysis patients after treatment with cobaltous chloride: a study of blood and tissue cobalt concentrations in normal subjects and patients with terminal renal failure. Clin Nephrol 1976; 5:61-65.
- DFG: List of MAK and BAT Values 2002, Report No. 38, Deutsche Forschungsgemeinschaft, Commission for the Investigation of Health Hazards of Chemical Compounds in the Work Area, Wiley-VCH, Weinheim, Federal Republic of Germany, 2002.
- Davison AG, Haslam PL, & Corrin B: Interstitial lung disease and asthma in hard-metal workers: bronchoalveolar lavage, ultrastructural, and analytical findings and results of bronchial provocation tests. Thorax 1983; 38:119-28.
- Delves HT et al: Trace Elem Anal Chem Med Biol. Proc Int Workshop, 2nd; pp 1123-1127, 1983.
- Demedts M: Am Rev Respir Dis 1984; 130:130-135.
- Diamond JM, Winchester EL, & Mackler DG: Toxicity of cobalt to freshwater indicator species as function of water hardness. Aquat Toxicol 1992; 22:163-179.
- Dickel H, Radulescu M, & Weyher I: Occupationally-induced "isolated cobalt sensitization". Contact Derm 2001; 45:246-247.
- Domingo JL: Cobalt in the environment and its toxicological implications. Rev Environ Contam Toxicol 1989; 108:105-132.
- Domingo JL: Rev Esp Fisiol 1985; 41:293-298.
- Dragun J: The Soil Chemistry of Hazardous Materials, Hazardous Materials Control Research Institute, Silver Spring, MD, 1988.
- Dunlop P, Muller NL, Wilson J, et al: Hard metal lung disease: high resolution CT and histologic correlation of the initial findings and demonstration of interval improvement. J Thorac Imaging 2005; 20(4):301-304.
- EPA: EPA chemical profile on cobalt, Environmental Protection Agency, Washington, DC, 1985.
- EPA: Search results for Toxic Substances Control Act (TSCA) Inventory Chemicals. US Environmental Protection Agency, Substance Registry System, U.S. EPA's Office of Pollution Prevention and Toxics. Washington, DC. 2005. Available from URL: http://www.epa.gov/srs/.
- ERG: Emergency Response Guidebook. A Guidebook for First Responders During the Initial Phase of a Dangerous Goods/Hazardous Materials Incident, U.S. Department of Transportation, Research and Special Programs Administration, Washington, DC, 2004.
- Elfimova EV & Nikolskaya RM: Metod Aspekty Izuch Biol Deistviya Khim Sodein, pp 31-33, 1982.
- Elliot CG, Colby TV, & Kelly TM: Charcoal lung. Bronchiolitis obliterans after aspiration of activated charcoal. Chest 1989; 96:672-674.
- Everson GW, Normann SA, & Casey JP: Chemistry set chemicals: an evaluation of their toxic potential. Vet Humam Toxicol 1988; 30:589-592.
- FDA: Poison treatment drug product for over-the-counter human use; tentative final monograph. FDA: Fed Register 1985; 50:2244-2262.
- Fischer T & Rystedt I: False-positive, follicular and irritant patch test reactions to metal salts. Contact Dermatol 1985; 12:93-98.
- Fischer T & Rystedtd I: Contact Dermatitis 1983; 9:115-121.
- Friberg L, Norberg GF, & Vouk V: Handbook on the Toxicology of Metals, 2nd ed, Elsevier Science Publishers, New York, NY, 1986.
- Fukunaga M: J Uoeh 1981; 3:245-254.
- Garban Z: Rev Roum Biochim 1984; 21:109-117.
- Gardner FH: The use of cobaltous chloride in anaemia associated with chronic renal disease. J Lab Clin Med 1953; 41:56-63.
- Gennart JP, Baleux C, & Verellendumoulin C: Increased sister chromatid exchanges and tumor markers in workers exposed to elemental chromium-containing, cobalt- containing and nickel-containing dusts. Mutat Res 1993; 299:55-61.
- Gerhardsson L: Sci Total Environ 1984; 37:233-246.
- Gheysens B, Auwerx J, & van den Eeckhout A: Cobalt-induced bronchial asthma in diamond polishers. Chest 1985; 88:740-744.
- Glendenning EW: Allergy to cobalt in metal denture as cause of hand dermatitis. Contact Dermatitis Newsletter 1971; 10:225-226.
- Goldhaber SZ: Cardiovascular effects of potential occupational hazards. J Am Coll Cardiol 1983; 2:1210-1215.
- Golej J, Boigner H, Burda G, et al: Severe respiratory failure following charcoal application in a toddler. Resuscitation 2001; 49:315-318.
- Gomezlahoz C, Garciaherruzo F, & Rodriguezmaroto JM: Cobalt(II) removal from water by chemical reduction with sodium borohydride. Water Res 1993; 27:985-992.
- Gosselin RE, Smith RP, & Hodge HC: Clinical Toxicology of Commercial Products, 5th ed, II, Williams & Wilkins, Baltimore, MD, 1984, pp 143-144.
- Graff GR, Stark J, & Berkenbosch JW: Chronic lung disease after activated charcoal aspiration. Pediatrics 2002; 109:959-961.
- Grant WM: Toxicology of the Eye, 4th ed, Charles C Thomas, Springfield, IL, 1993.
- Guimaraes JR: Bioaccumulation of Cs-137 and Co-60 by a tropical marine teleost epinephelus sp. Sci Total Environ 1992; 120:205-212.
- HSDB : Hazardous Substances Data Bank. National Library of Medicine. Bethesda, MD (Internet Version). Edition expires 1/31/2000; provided by Truven Health Analytics Inc., Greenwood Village, CO.
- HSDB : Hazardous Substances Data Bank. National Library of Medicine. Bethesda, MD (Internet Version). Edition expires 2001; provided by Truven Health Analytics Inc., Greenwood Village, CO.
- Harris CR & Filandrinos D: Accidental administration of activated charcoal into the lung: aspiration by proxy. Ann Emerg Med 1993; 22:1470-1473.
- Hartman ER, Colasanti BK, & Craig CR: Epileptogenic properties of cobalt and related metals applied directly to cerebral cortex of rat. Epilepsia 1974; 15:121-129.
- Hartmann A: Schweiz Med Wochenschr 1982; 112:1137-1141.
- Hartung M & Valentin H: Zentralbl Bakteriol Mikrobiol Hyg (B) 1983; 177:237-250.
- Hartwig A, Snyder RD, & Schlepegrell R: Modulation by Co(II) of UV-induced DNA repair, mutagenesis and sister-chromatic exchanges in mammalian cells. Mutat Res 1991; 248:177-185.
- Hathaway GJ, Proctor NH, & Hughes JP: Chemical Hazards of the Workplace, 3rd ed, Van Nostrand Reinhold, New York, NY, 1991, pp 186.
- Hathaway GJ, Proctor NH, & Hughes JP: Chemical Hazards of the Workplace, 4th ed, Van Nostrand Reinhold Company, New York, NY, 1996.
- Heath JC: Br J Cancer 1960; 14:478-482.
- Hemminki K: in: Clarkson TW et al (Eds). Reproductive and Developmental Toxicity of Metals, Plenum Press, New York, NY, 1983, pp 69-380.
- Henretig F & Shannon M: New Case: An 11-year-old boy develops vomiting, weakness, weight loss and a neck mass. Internet J Med Toxicol 1998; 1 No 2.
- Hla KK, Ashton CE, & Henry JA: Adverse effects from 2,3-dimercaptopropane sulphonate (DMPS) (abstract), EAPCCT, XV Congress, Istanbul, Turkey, 1992, pp 13.
- Hoey MJ: J Reprod Fert 1966; 12:461-471.
- IARC Working Group on the Evaluation of Carcinogenic Risks to Humans : IARC Monographs on the Evaluation of Carcinogenic Risks to Humans: 1,3-Butadiene, Ethylene Oxide and Vinyl Halides (Vinyl Fluoride, Vinyl Chloride and Vinyl Bromide), 97, International Agency for Research on Cancer, Lyon, France, 2008.
- IARC Working Group on the Evaluation of Carcinogenic Risks to Humans : IARC Monographs on the Evaluation of Carcinogenic Risks to Humans: Formaldehyde, 2-Butoxyethanol and 1-tert-Butoxypropan-2-ol, 88, International Agency for Research on Cancer, Lyon, France, 2006.
- IARC Working Group on the Evaluation of Carcinogenic Risks to Humans : IARC Monographs on the Evaluation of Carcinogenic Risks to Humans: Household Use of Solid Fuels and High-temperature Frying, 95, International Agency for Research on Cancer, Lyon, France, 2010a.
- IARC Working Group on the Evaluation of Carcinogenic Risks to Humans : IARC Monographs on the Evaluation of Carcinogenic Risks to Humans: Smokeless Tobacco and Some Tobacco-specific N-Nitrosamines, 89, International Agency for Research on Cancer, Lyon, France, 2007.
- IARC Working Group on the Evaluation of Carcinogenic Risks to Humans : IARC Monographs on the Evaluation of Carcinogenic Risks to Humans: Some Non-heterocyclic Polycyclic Aromatic Hydrocarbons and Some Related Exposures, 92, International Agency for Research on Cancer, Lyon, France, 2010.
- IARC: List of all agents, mixtures and exposures evaluated to date - IARC Monographs: Overall Evaluations of Carcinogenicity to Humans, Volumes 1-88, 1972-PRESENT. World Health Organization, International Agency for Research on Cancer. Lyon, FranceAvailable from URL: http://monographs.iarc.fr/monoeval/crthall.html. As accessed Oct 07, 2004.
- ICAO: Technical Instructions for the Safe Transport of Dangerous Goods by Air, 2003-2004. International Civil Aviation Organization, Montreal, Quebec, Canada, 2002.
- ILO: Encyclopedia of Occupational Health and Safety, 4th ed, JM Stellman (ed), (CD-ROM Version), 1-4, International Labour Organization, Geneva, Switzerland, 1998.
- ITI: Toxic and Hazardous Industrial Chemicals Safety Manual, The International Technical Information Institute, Tokyo, Japan, 1985, pp 133-134661-662.
- ITI: Toxic and Hazardous Industrial Chemicals Safety Manual, The International Technical Information Institute, Tokyo, Japan, 1995.
- Ichikawa Y, Kusaka Y, & Goto S: Biological monitoring of cobalt exposure, based on cobalt concentrations in blood and urine. Internat Arch Occup Environ Health 1985; 55:269-276.
- International Agency for Research on Cancer (IARC): IARC monographs on the evaluation of carcinogenic risks to humans: list of classifications, volumes 1-116. International Agency for Research on Cancer (IARC). Lyon, France. 2016. Available from URL: http://monographs.iarc.fr/ENG/Classification/latest_classif.php. As accessed 2016-08-24.
- International Agency for Research on Cancer: IARC Monographs on the Evaluation of Carcinogenic Risks to Humans. World Health Organization. Geneva, Switzerland. 2015. Available from URL: http://monographs.iarc.fr/ENG/Classification/. As accessed 2015-08-06.
- Jacobs JJ, Skipor AK, & Doorn PF: Cobalt and chromium concentrations in patients with metal on metal total hip replacements. Clin Orthopaed Rel Res 1996; 329:S256-S263.
- Jacobziner H & Raybin HW: Accidental cobalt poisoning. Arch Pediatr 1961; 78:200-205.
- Jain SK, Gujral GS, & Jha NK: Production of biogas from Azolla Pinnata R Br and Lemna minor L- effect of heavy metal contamination. Biores Technol 1992; 41:273-277.
- Jarvis JQ, Hammond E, & Meier R: Cobalt cardiomyopathy. A report of two cases from mineral assay laboratories and a review of the literature. J Occup Med 1992; 34:620-626.
- Jones DA, Lucas HK, & O'Driscoll M: Cobalt toxicity after McKee hip arthroplasty. J Bone Joint Surg 1975; 57:289-296.
- Julander A, Hindsen M, Skare L, et al: Cobalt-containing alloys and their ability to release cobalt and cause dermatitis. Contact Dermatitis 2009; 60(3):165-170.
- Kanematsu N: Mutat Res 1980; 77:109-116.
- Kasprzak KS, Zastawny TH, & North SL: Oxidative DNA base damage in renal, hepatic, and pulmonary chromatin of rats after intraperitoneal injection of cobalt(II) acetate. Chem Res Toxicol 1994; 7:329-335.
- Kennedy A, Dornan JD, & King R: Fatal myocardial disease associated with industrial exposure to cobalt. Lancet 1981; 1:412-414.
- Khan AH, Verma R, Bajpai A, et al: Unusual case of congestive heart failure: cardiac magnetic resonance imaging and histopathologic findings in cobalt cardiomyopathy. Circ Cardiovasc Imaging 2015; 8(6):e003352.
- Kitahara J, Yamanaka K, & Kato K: Mutagenicity of cobalt and reactive oxygen producers. Mutat Res 1996; 370:133-140.
- Kraut JA & Madias NE: Metabolic acidosis: pathophysiology, diagnosis and management. Nat Rev Nephrol 2010; 6(5):274-285.
- Krecisz B, Kiec-Swierczynska M, Krawczyk P, et al: Cobalt-induced anaphylaxis, contact urticaria, and delayed allergy in a ceramics decorator. Contact Dermatitis 2009; 60(3):173-174.
- Kurppa K, Hietanen E, & Klockars M: Chemical exposures at work and cardiovascular morbidity: Atherosclerosis, ischemic heart disease, hypertension, cardiomyopathy and arrhythmias. Scand J Work Environ Health 1984; 10:381-388.
- Kusaka Y, Iki M, & Kumagai S: Decreased ventilatory function in hard metal workers. Occup Environ Med 1996b; 53:194-199.
- Kusaka Y, Nakano Y, & Shirakawa T: Lymphocyte transformation with cobalt in hard metal asthma. Ind Health 1989; 27:155-163.
- Kyono H, Kusaka Y, & Homma K: Reversible lung lesions in rats due to short-term exposure to ultrafine cobalt particles. Ind Health 1992; 30:103-118.
- Lahaye D, Demedts M, & van den Oever R: Lung diseases among diamond polishers due to cobalt?. Lancet 1984; 2:156-157.
- Lasfargues G, Wild P, & Moulin JJ: Lung cancer mortality in a french cohort of hard-metal workers. Am J Ind Med 1994; 26:585-595.
- Lechleitner P, Defregger M, & Lhotta K: Goodpasture's syndrome - unusual presentation after exposure to hard metal dust. Chest 1993; 103:956-957.
- Leikin JB, Gerlinger T, Balkissoon R, et al: Cobalt Toxicity from Hip Arthroplasty with Visual/Hearing/Neuropathy Improvement within Days Post Revision (abstracts). Clin Toxicol (Phila) 2015; 53(7):760.
- Lewis RA: Lewis' Dictionary of Toxicology, Lewis Publishers, Boca Raton, FL, 1998.
- Lewis RJ: Hawley's Condensed Chemical Dictionary, 12th ed, Van Nostrand Reinhold Company, New York, NY, 1993, pp 291-292.
- Lewis RJ: Hawley's Condensed Chemical Dictionary, 13th ed, John Wiley & Sons, Inc, New York, NY, 1997.
- Lewis RJ: Sax's Dangerous Properties of Industrial Materials, 9th ed, Van Nostrand Reinhold Company, New York, NY, 1996.
- Licht A, Oliver M, & Rachmilewitz EA: Optic atrophy following treatment with cobalt chloride in a patient with pancytopenia and hypercellular marrow. Israeli J Med Sci 1972; 8:61-65.
- Lichtenstein ME, Bartl F, & Pierce RT: Control of cobalt exposures during wet process tungsten carbide grinding. Am Ind Hyg Assoc J 1975; 36:879-885.
- Lieberman P, Nicklas R, Randolph C, et al: Anaphylaxis-a practice parameter update 2015. Ann Allergy Asthma Immunol 2015; 115(5):341-384.
- Lieberman P, Nicklas RA, Oppenheimer J, et al: The diagnosis and management of anaphylaxis practice parameter: 2010 update. J Allergy Clin Immunol 2010; 126(3):477-480.
- Linder MC: Other trace elements and the liver. Semin Liver Dis 1984; 4:264-276.
- Lins LE & Pehrrson K: Cobalt intoxication in uraemic myocardiopathy?. Lancet 1976; 1:1191-1192.
- Lison D, Buchet JP, & Swennen B: Biological monitoring of workers exposed to cobalt metal, salt, oxides, and hard metal dust. Occup Environ Medicine 1994; 51:447-450.
- Lison D, DeBoeck M, & Verougstraete V: Update on the genotoxicity and carcinogenicity of cobalt compounds. Occup Environ Med 2001; 58:619-625.
- Lison D: Human toxicity of cobalt-containing dust and experimental studies on the mechanism of interstitial lung disease (hard metal disease). Crit Rev Toxicol 1996; 26:585-616.
- Llobet JM, Domingo JL, & Corbella J: Comparison of the antidotal efficacy of chelating agents upon acute toxicity of Co(II) in mice. Res Commum Chem Pathol Pharmacol 1985; 50:305-308.
- Llobet JM, Domingo JL, & Corbella J: Comparison of the effectiveness of several chelators after single administration on the toxicity, excretion and distribution of cobalt. Arch Toxicol 1986; 58:278-281.
- Lygre H: Prosthodontic biomaterials and adverse reactions: a critical review of the clinical and research literature. ACTA Odontol Scand 2002; 60:1-9.
- Meecham HM & Humphrey P: Industrial exposure to cobalt causing optic atrophy and nerve deafness: a case report. J Neurol Neurosurg Psychiatr 1991; 54:374-375.
- Menne T & Maibach HI: Reactions to systemic exposure to contact allergens: systemic contact allergy reactions (SCAR). Immunol Allergy Pract 1987; 9:373-385.
- Menne T: Flare-up of cobalt dermatitis from Antabuse treatment. Contact Derm 1985; 12:53.
- Merle C, Vigan M, & Devred D: Generalized eczema from vitallium osteosynthesis material. Contact Dermatitis 1992; 27:257-258.
- Minamoto K, Nagano M, & Inaoka T: Allergic contact dermatitis due to methyl ketone peroxide, cobalt naphthenate and acrylates in the manufacture of fiberglass-reinforced plastics. Contact Derm 2002; 46:58-59.
- Miyamoto T, Iwasaki K, & Mihara Y: Lymphocytoma cutis induced by cobalt (letter). Br J Dermatol 1997; 137:469-471.
- Mollenhauer HM, Corrier DE, & Clark DE: Effects of dietary cobalt on testicular structure. Virchows Arch (Cell Pathol) 1985; 49:241-248.
- Morgan LG: J Soc Occup Med 1983; 33:181-186.
- Mucklow ES, Griffin SJ, & Delves HT: Cobalt poisoning in a 6-year-old (Letter). Lancet 1990; 335:981.
- Munro-Ashman D & Miller AJ: Rejection of metal prosthesis and skin sensitivity to cobalt. Contact Dermatitis 1976; 2:65-67.
- Mur JM, Moulin JJ, & Charruyer-Seinerra MP: A cohort mortality study among cobalt and sodium workers in an electrochemical plant. Am J Ind Med 1987; 11:75-81.
- NFPA: Fire Protection Guide to Hazardous Materials, 13th ed., National Fire Protection Association, Quincy, MA, 2002.
- NIOSH : Pocket Guide to Chemical Hazards. National Institute for Occupational Safety and Health. Cincinnati, OH (Internet Version). Edition expires 2000; provided by Truven Health Analytics Inc., Greenwood Village, CO.
- NRC: Acute Exposure Guideline Levels for Selected Airborne Chemicals - Volume 1, Subcommittee on Acute Exposure Guideline Levels, Committee on Toxicology, Board on Environmental Studies and Toxicology, Commission of Life Sciences, National Research Council. National Academy Press, Washington, DC, 2001.
- NRC: Acute Exposure Guideline Levels for Selected Airborne Chemicals - Volume 2, Subcommittee on Acute Exposure Guideline Levels, Committee on Toxicology, Board on Environmental Studies and Toxicology, Commission of Life Sciences, National Research Council. National Academy Press, Washington, DC, 2002.
- NRC: Acute Exposure Guideline Levels for Selected Airborne Chemicals - Volume 3, Subcommittee on Acute Exposure Guideline Levels, Committee on Toxicology, Board on Environmental Studies and Toxicology, Commission of Life Sciences, National Research Council. National Academy Press, Washington, DC, 2003.
- NRC: Acute Exposure Guideline Levels for Selected Airborne Chemicals - Volume 4, Subcommittee on Acute Exposure Guideline Levels, Committee on Toxicology, Board on Environmental Studies and Toxicology, Commission of Life Sciences, National Research Council. National Academy Press, Washington, DC, 2004.
- Naradzay J & Barish RA: Approach to ophthalmologic emergencies. Med Clin North Am 2006; 90(2):305-328.
- Nation JR: Neurobehav Toxicol Teratol 1983; 5:9-16.
- National Advisory Committee for Acute Exposure Guideline Levels for Hazardous Substances: Acute Exposure Guideline Levels (AEGLs) for 1,2,3-Trimethylbenzene (Proposed). United States Environmental Protection Agency. Washington, DC. 2006k. Available from URL: http://www.regulations.gov/search/Regs/contentStreamer?objectId=090000648020d68a&disposition=attachment&contentType=pdf. As accessed 2010-08-12.
- National Advisory Committee for Acute Exposure Guideline Levels for Hazardous Substances: Acute Exposure Guideline Levels (AEGLs) for 1,2,4-Trimethylbenzene (Proposed). United States Environmental Protection Agency. Washington, DC. 2006m. Available from URL: http://www.regulations.gov/search/Regs/contentStreamer?objectId=090000648020d68a&disposition=attachment&contentType=pdf. As accessed 2010-08-16.
- National Advisory Committee for Acute Exposure Guideline Levels for Hazardous Substances: Acute Exposure Guideline Levels (AEGLs) for 1,2-Butylene Oxide (Proposed). United States Environmental Protection Agency. Washington, DC. 2008d. Available from URL: http://www.regulations.gov/search/Regs/contentStreamer?objectId=090000648083cdbb&disposition=attachment&contentType=pdf. As accessed 2010-08-12.
- National Advisory Committee for Acute Exposure Guideline Levels for Hazardous Substances: Acute Exposure Guideline Levels (AEGLs) for 1,2-Dibromoethane (Proposed). United States Environmental Protection Agency. Washington, DC. 2007g. Available from URL: http://www.regulations.gov/search/Regs/contentStreamer?objectId=09000064802796db&disposition=attachment&contentType=pdf. As accessed 2010-08-18.
- National Advisory Committee for Acute Exposure Guideline Levels for Hazardous Substances: Acute Exposure Guideline Levels (AEGLs) for 1,3,5-Trimethylbenzene (Proposed). United States Environmental Protection Agency. Washington, DC. 2006l. Available from URL: http://www.regulations.gov/search/Regs/contentStreamer?objectId=090000648020d68a&disposition=attachment&contentType=pdf. As accessed 2010-08-16.
- National Advisory Committee for Acute Exposure Guideline Levels for Hazardous Substances: Acute Exposure Guideline Levels (AEGLs) for 2-Ethylhexyl Chloroformate (Proposed). United States Environmental Protection Agency. Washington, DC. 2007b. Available from URL: http://www.regulations.gov/search/Regs/contentStreamer?objectId=090000648037904e&disposition=attachment&contentType=pdf. As accessed 2010-08-12.
- National Advisory Committee for Acute Exposure Guideline Levels for Hazardous Substances: Acute Exposure Guideline Levels (AEGLs) for Acrylonitrile (Proposed). United States Environmental Protection Agency. Washington, DC. 2007c. Available from URL: http://www.regulations.gov/search/Regs/contentStreamer?objectId=090000648028e6a3&disposition=attachment&contentType=pdf. As accessed 2010-08-12.
- National Advisory Committee for Acute Exposure Guideline Levels for Hazardous Substances: Acute Exposure Guideline Levels (AEGLs) for Adamsite (Proposed). United States Environmental Protection Agency. Washington, DC. 2007h. Available from URL: http://www.regulations.gov/search/Regs/contentStreamer?objectId=090000648020fd29&disposition=attachment&contentType=pdf. As accessed 2010-08-16.
- National Advisory Committee for Acute Exposure Guideline Levels for Hazardous Substances: Acute Exposure Guideline Levels (AEGLs) for Agent BZ (3-quinuclidinyl benzilate) (Proposed). United States Environmental Protection Agency. Washington, DC. 2007f. Available from URL: http://www.regulations.gov/search/Regs/contentStreamer?objectId=09000064803ad507&disposition=attachment&contentType=pdf. As accessed 2010-08-18.
- National Advisory Committee for Acute Exposure Guideline Levels for Hazardous Substances: Acute Exposure Guideline Levels (AEGLs) for Allyl Chloride (Proposed). United States Environmental Protection Agency. Washington, DC. 2008. Available from URL: http://www.regulations.gov/search/Regs/contentStreamer?objectId=090000648039d9ee&disposition=attachment&contentType=pdf. As accessed 2010-08-12.
- National Advisory Committee for Acute Exposure Guideline Levels for Hazardous Substances: Acute Exposure Guideline Levels (AEGLs) for Aluminum Phosphide (Proposed). United States Environmental Protection Agency. Washington, DC. 2005b. Available from URL: http://www.regulations.gov/search/Regs/contentStreamer?objectId=090000648020c5ed&disposition=attachment&contentType=pdf. As accessed 2010-08-16.
- National Advisory Committee for Acute Exposure Guideline Levels for Hazardous Substances: Acute Exposure Guideline Levels (AEGLs) for Arsenic Trioxide (Proposed). United States Environmental Protection Agency. Washington, DC. 2007m. Available from URL: http://www.regulations.gov/search/Regs/contentStreamer?objectId=0900006480220305&disposition=attachment&contentType=pdf. As accessed 2010-08-16.
- National Advisory Committee for Acute Exposure Guideline Levels for Hazardous Substances: Acute Exposure Guideline Levels (AEGLs) for Automotive Gasoline Unleaded (Proposed). United States Environmental Protection Agency. Washington, DC. 2009a. Available from URL: http://www.regulations.gov/search/Regs/contentStreamer?objectId=0900006480a7cc17&disposition=attachment&contentType=pdf. As accessed 2010-08-12.
- National Advisory Committee for Acute Exposure Guideline Levels for Hazardous Substances: Acute Exposure Guideline Levels (AEGLs) for Biphenyl (Proposed). United States Environmental Protection Agency. Washington, DC. 2005j. Available from URL: http://www.regulations.gov/search/Regs/contentStreamer?objectId=09000064801ea1b7&disposition=attachment&contentType=pdf. As accessed 2010-08-16.
- National Advisory Committee for Acute Exposure Guideline Levels for Hazardous Substances: Acute Exposure Guideline Levels (AEGLs) for Bis-Chloromethyl Ether (BCME) (Proposed). United States Environmental Protection Agency. Washington, DC. 2006n. Available from URL: http://www.regulations.gov/search/Regs/contentStreamer?objectId=090000648022db11&disposition=attachment&contentType=pdf. As accessed 2010-08-16.
- National Advisory Committee for Acute Exposure Guideline Levels for Hazardous Substances: Acute Exposure Guideline Levels (AEGLs) for Boron Tribromide (Proposed). United States Environmental Protection Agency. Washington, DC. 2008a. Available from URL: http://www.regulations.gov/search/Regs/contentStreamer?objectId=09000064803ae1d3&disposition=attachment&contentType=pdf. As accessed 2010-08-12.
- National Advisory Committee for Acute Exposure Guideline Levels for Hazardous Substances: Acute Exposure Guideline Levels (AEGLs) for Bromine Chloride (Proposed). United States Environmental Protection Agency. Washington, DC. 2007d. Available from URL: http://www.regulations.gov/search/Regs/contentStreamer?objectId=090000648039732a&disposition=attachment&contentType=pdf. As accessed 2010-08-12.
- National Advisory Committee for Acute Exposure Guideline Levels for Hazardous Substances: Acute Exposure Guideline Levels (AEGLs) for Bromoacetone (Proposed). United States Environmental Protection Agency. Washington, DC. 2008e. Available from URL: http://www.regulations.gov/search/Regs/contentStreamer?objectId=09000064809187bf&disposition=attachment&contentType=pdf. As accessed 2010-08-12.
- National Advisory Committee for Acute Exposure Guideline Levels for Hazardous Substances: Acute Exposure Guideline Levels (AEGLs) for Calcium Phosphide (Proposed). United States Environmental Protection Agency. Washington, DC. 2005d. Available from URL: http://www.regulations.gov/search/Regs/contentStreamer?objectId=090000648020c5ed&disposition=attachment&contentType=pdf. As accessed 2010-08-16.
- National Advisory Committee for Acute Exposure Guideline Levels for Hazardous Substances: Acute Exposure Guideline Levels (AEGLs) for Carbonyl Fluoride (Proposed). United States Environmental Protection Agency. Washington, DC. 2008b. Available from URL: http://www.regulations.gov/search/Regs/contentStreamer?objectId=09000064803ae328&disposition=attachment&contentType=pdf. As accessed 2010-08-12.
- National Advisory Committee for Acute Exposure Guideline Levels for Hazardous Substances: Acute Exposure Guideline Levels (AEGLs) for Carbonyl Sulfide (Proposed). United States Environmental Protection Agency. Washington, DC. 2007e. Available from URL: http://www.regulations.gov/search/Regs/contentStreamer?objectId=090000648037ff26&disposition=attachment&contentType=pdf. As accessed 2010-08-12.
- National Advisory Committee for Acute Exposure Guideline Levels for Hazardous Substances: Acute Exposure Guideline Levels (AEGLs) for Chlorobenzene (Proposed). United States Environmental Protection Agency. Washington, DC. 2008c. Available from URL: http://www.regulations.gov/search/Regs/contentStreamer?objectId=09000064803a52bb&disposition=attachment&contentType=pdf. As accessed 2010-08-12.
- National Advisory Committee for Acute Exposure Guideline Levels for Hazardous Substances: Acute Exposure Guideline Levels (AEGLs) for Cyanogen (Proposed). United States Environmental Protection Agency. Washington, DC. 2008f. Available from URL: http://www.regulations.gov/search/Regs/contentStreamer?objectId=09000064809187fe&disposition=attachment&contentType=pdf. As accessed 2010-08-15.
- National Advisory Committee for Acute Exposure Guideline Levels for Hazardous Substances: Acute Exposure Guideline Levels (AEGLs) for Dimethyl Phosphite (Proposed). United States Environmental Protection Agency. Washington, DC. 2009. Available from URL: http://www.regulations.gov/search/Regs/contentStreamer?objectId=0900006480a7cbf3&disposition=attachment&contentType=pdf. As accessed 2010-08-12.
- National Advisory Committee for Acute Exposure Guideline Levels for Hazardous Substances: Acute Exposure Guideline Levels (AEGLs) for Diphenylchloroarsine (Proposed). United States Environmental Protection Agency. Washington, DC. 2007l. Available from URL: http://www.regulations.gov/search/Regs/contentStreamer?objectId=090000648020fd29&disposition=attachment&contentType=pdf. As accessed 2010-08-16.
- National Advisory Committee for Acute Exposure Guideline Levels for Hazardous Substances: Acute Exposure Guideline Levels (AEGLs) for Ethyl Isocyanate (Proposed). United States Environmental Protection Agency. Washington, DC. 2008h. Available from URL: http://www.regulations.gov/search/Regs/contentStreamer?objectId=090000648091884e&disposition=attachment&contentType=pdf. As accessed 2010-08-15.
- National Advisory Committee for Acute Exposure Guideline Levels for Hazardous Substances: Acute Exposure Guideline Levels (AEGLs) for Ethyl Phosphorodichloridate (Proposed). United States Environmental Protection Agency. Washington, DC. 2008i. Available from URL: http://www.regulations.gov/search/Regs/contentStreamer?objectId=0900006480920347&disposition=attachment&contentType=pdf. As accessed 2010-08-15.
- National Advisory Committee for Acute Exposure Guideline Levels for Hazardous Substances: Acute Exposure Guideline Levels (AEGLs) for Ethylbenzene (Proposed). United States Environmental Protection Agency. Washington, DC. 2008g. Available from URL: http://www.regulations.gov/search/Regs/contentStreamer?objectId=09000064809203e7&disposition=attachment&contentType=pdf. As accessed 2010-08-15.
- National Advisory Committee for Acute Exposure Guideline Levels for Hazardous Substances: Acute Exposure Guideline Levels (AEGLs) for Ethyldichloroarsine (Proposed). United States Environmental Protection Agency. Washington, DC. 2007j. Available from URL: http://www.regulations.gov/search/Regs/contentStreamer?objectId=090000648020fd29&disposition=attachment&contentType=pdf. As accessed 2010-08-16.
- National Advisory Committee for Acute Exposure Guideline Levels for Hazardous Substances: Acute Exposure Guideline Levels (AEGLs) for Germane (Proposed). United States Environmental Protection Agency. Washington, DC. 2008j. Available from URL: http://www.regulations.gov/search/Regs/contentStreamer?objectId=0900006480963906&disposition=attachment&contentType=pdf. As accessed 2010-08-15.
- National Advisory Committee for Acute Exposure Guideline Levels for Hazardous Substances: Acute Exposure Guideline Levels (AEGLs) for Hexafluoropropylene (Proposed). United States Environmental Protection Agency. Washington, DC. 2006. Available from URL: http://www.regulations.gov/search/Regs/contentStreamer?objectId=09000064801ea1f5&disposition=attachment&contentType=pdf. As accessed 2010-08-15.
- National Advisory Committee for Acute Exposure Guideline Levels for Hazardous Substances: Acute Exposure Guideline Levels (AEGLs) for Ketene (Proposed). United States Environmental Protection Agency. Washington, DC. 2007. Available from URL: http://www.regulations.gov/search/Regs/contentStreamer?objectId=090000648020ee7c&disposition=attachment&contentType=pdf. As accessed 2010-08-15.
- National Advisory Committee for Acute Exposure Guideline Levels for Hazardous Substances: Acute Exposure Guideline Levels (AEGLs) for Magnesium Aluminum Phosphide (Proposed). United States Environmental Protection Agency. Washington, DC. 2005h. Available from URL: http://www.regulations.gov/search/Regs/contentStreamer?objectId=090000648020c5ed&disposition=attachment&contentType=pdf. As accessed 2010-08-16.
- National Advisory Committee for Acute Exposure Guideline Levels for Hazardous Substances: Acute Exposure Guideline Levels (AEGLs) for Magnesium Phosphide (Proposed). United States Environmental Protection Agency. Washington, DC. 2005g. Available from URL: http://www.regulations.gov/search/Regs/contentStreamer?objectId=090000648020c5ed&disposition=attachment&contentType=pdf. As accessed 2010-08-16.
- National Advisory Committee for Acute Exposure Guideline Levels for Hazardous Substances: Acute Exposure Guideline Levels (AEGLs) for Malathion (Proposed). United States Environmental Protection Agency. Washington, DC. 2009k. Available from URL: http://www.regulations.gov/search/Regs/contentStreamer?objectId=09000064809639df&disposition=attachment&contentType=pdf. As accessed 2010-08-15.
- National Advisory Committee for Acute Exposure Guideline Levels for Hazardous Substances: Acute Exposure Guideline Levels (AEGLs) for Mercury Vapor (Proposed). United States Environmental Protection Agency. Washington, DC. 2009b. Available from URL: http://www.regulations.gov/search/Regs/contentStreamer?objectId=0900006480a8a087&disposition=attachment&contentType=pdf. As accessed 2010-08-12.
- National Advisory Committee for Acute Exposure Guideline Levels for Hazardous Substances: Acute Exposure Guideline Levels (AEGLs) for Methyl Isothiocyanate (Proposed). United States Environmental Protection Agency. Washington, DC. 2008k. Available from URL: http://www.regulations.gov/search/Regs/contentStreamer?objectId=0900006480963a03&disposition=attachment&contentType=pdf. As accessed 2010-08-15.
- National Advisory Committee for Acute Exposure Guideline Levels for Hazardous Substances: Acute Exposure Guideline Levels (AEGLs) for Methyl Parathion (Proposed). United States Environmental Protection Agency. Washington, DC. 2008l. Available from URL: http://www.regulations.gov/search/Regs/contentStreamer?objectId=0900006480963a57&disposition=attachment&contentType=pdf. As accessed 2010-08-12.
- National Advisory Committee for Acute Exposure Guideline Levels for Hazardous Substances: Acute Exposure Guideline Levels (AEGLs) for Methyl tertiary-butyl ether (Proposed). United States Environmental Protection Agency. Washington, DC. 2007a. Available from URL: http://www.regulations.gov/search/Regs/contentStreamer?objectId=09000064802a4985&disposition=attachment&contentType=pdf. As accessed 2010-08-15.
- National Advisory Committee for Acute Exposure Guideline Levels for Hazardous Substances: Acute Exposure Guideline Levels (AEGLs) for Methylchlorosilane (Proposed). United States Environmental Protection Agency. Washington, DC. 2005. Available from URL: http://www.regulations.gov/search/Regs/contentStreamer?objectId=090000648020c5f4&disposition=attachment&contentType=pdf. As accessed 2010-08-15.
- National Advisory Committee for Acute Exposure Guideline Levels for Hazardous Substances: Acute Exposure Guideline Levels (AEGLs) for Methyldichloroarsine (Proposed). United States Environmental Protection Agency. Washington, DC. 2007i. Available from URL: http://www.regulations.gov/search/Regs/contentStreamer?objectId=090000648020fd29&disposition=attachment&contentType=pdf. As accessed 2010-08-16.
- National Advisory Committee for Acute Exposure Guideline Levels for Hazardous Substances: Acute Exposure Guideline Levels (AEGLs) for Methyldichlorosilane (Proposed). United States Environmental Protection Agency. Washington, DC. 2005a. Available from URL: http://www.regulations.gov/search/Regs/contentStreamer?objectId=090000648020c646&disposition=attachment&contentType=pdf. As accessed 2010-08-15.
- National Advisory Committee for Acute Exposure Guideline Levels for Hazardous Substances: Acute Exposure Guideline Levels (AEGLs) for Nitrogen Mustard (HN1 CAS Reg. No. 538-07-8) (Proposed). United States Environmental Protection Agency. Washington, DC. 2006a. Available from URL: http://www.regulations.gov/search/Regs/contentStreamer?objectId=090000648020d6cb&disposition=attachment&contentType=pdf. As accessed 2010-08-15.
- National Advisory Committee for Acute Exposure Guideline Levels for Hazardous Substances: Acute Exposure Guideline Levels (AEGLs) for Nitrogen Mustard (HN2 CAS Reg. No. 51-75-2) (Proposed). United States Environmental Protection Agency. Washington, DC. 2006b. Available from URL: http://www.regulations.gov/search/Regs/contentStreamer?objectId=090000648020d6cb&disposition=attachment&contentType=pdf. As accessed 2010-08-15.
- National Advisory Committee for Acute Exposure Guideline Levels for Hazardous Substances: Acute Exposure Guideline Levels (AEGLs) for Nitrogen Mustard (HN3 CAS Reg. No. 555-77-1) (Proposed). United States Environmental Protection Agency. Washington, DC. 2006c. Available from URL: http://www.regulations.gov/search/Regs/contentStreamer?objectId=090000648020d6cb&disposition=attachment&contentType=pdf. As accessed 2010-08-15.
- National Advisory Committee for Acute Exposure Guideline Levels for Hazardous Substances: Acute Exposure Guideline Levels (AEGLs) for Nitrogen Tetroxide (Proposed). United States Environmental Protection Agency. Washington, DC. 2008n. Available from URL: http://www.regulations.gov/search/Regs/contentStreamer?objectId=090000648091855b&disposition=attachment&contentType=pdf. As accessed 2010-08-12.
- National Advisory Committee for Acute Exposure Guideline Levels for Hazardous Substances: Acute Exposure Guideline Levels (AEGLs) for Nitrogen Trifluoride (Proposed). United States Environmental Protection Agency. Washington, DC. 2009l. Available from URL: http://www.regulations.gov/search/Regs/contentStreamer?objectId=0900006480963e0c&disposition=attachment&contentType=pdf. As accessed 2010-08-12.
- National Advisory Committee for Acute Exposure Guideline Levels for Hazardous Substances: Acute Exposure Guideline Levels (AEGLs) for Parathion (Proposed). United States Environmental Protection Agency. Washington, DC. 2008o. Available from URL: http://www.regulations.gov/search/Regs/contentStreamer?objectId=0900006480963e32&disposition=attachment&contentType=pdf. As accessed 2010-08-12.
- National Advisory Committee for Acute Exposure Guideline Levels for Hazardous Substances: Acute Exposure Guideline Levels (AEGLs) for Perchloryl Fluoride (Proposed). United States Environmental Protection Agency. Washington, DC. 2009c. Available from URL: http://www.regulations.gov/search/Regs/contentStreamer?objectId=0900006480a7e268&disposition=attachment&contentType=pdf. As accessed 2010-08-12.
- National Advisory Committee for Acute Exposure Guideline Levels for Hazardous Substances: Acute Exposure Guideline Levels (AEGLs) for Perfluoroisobutylene (Proposed). United States Environmental Protection Agency. Washington, DC. 2009d. Available from URL: http://www.regulations.gov/search/Regs/contentStreamer?objectId=0900006480a7e26a&disposition=attachment&contentType=pdf. As accessed 2010-08-15.
- National Advisory Committee for Acute Exposure Guideline Levels for Hazardous Substances: Acute Exposure Guideline Levels (AEGLs) for Phenyl Isocyanate (Proposed). United States Environmental Protection Agency. Washington, DC. 2008p. Available from URL: http://www.regulations.gov/search/Regs/contentStreamer?objectId=090000648096dd58&disposition=attachment&contentType=pdf. As accessed 2010-08-12.
- National Advisory Committee for Acute Exposure Guideline Levels for Hazardous Substances: Acute Exposure Guideline Levels (AEGLs) for Phenyl Mercaptan (Proposed). United States Environmental Protection Agency. Washington, DC. 2006d. Available from URL: http://www.regulations.gov/search/Regs/contentStreamer?objectId=090000648020cc0c&disposition=attachment&contentType=pdf. As accessed 2010-08-16.
- National Advisory Committee for Acute Exposure Guideline Levels for Hazardous Substances: Acute Exposure Guideline Levels (AEGLs) for Phenyldichloroarsine (Proposed). United States Environmental Protection Agency. Washington, DC. 2007k. Available from URL: http://www.regulations.gov/search/Regs/contentStreamer?objectId=090000648020fd29&disposition=attachment&contentType=pdf. As accessed 2010-08-16.
- National Advisory Committee for Acute Exposure Guideline Levels for Hazardous Substances: Acute Exposure Guideline Levels (AEGLs) for Phorate (Proposed). United States Environmental Protection Agency. Washington, DC. 2008q. Available from URL: http://www.regulations.gov/search/Regs/contentStreamer?objectId=090000648096dcc8&disposition=attachment&contentType=pdf. As accessed 2010-08-12.
- National Advisory Committee for Acute Exposure Guideline Levels for Hazardous Substances: Acute Exposure Guideline Levels (AEGLs) for Phosgene (Draft-Revised). United States Environmental Protection Agency. Washington, DC. 2009e. Available from URL: http://www.regulations.gov/search/Regs/contentStreamer?objectId=0900006480a8a08a&disposition=attachment&contentType=pdf. As accessed 2010-08-12.
- National Advisory Committee for Acute Exposure Guideline Levels for Hazardous Substances: Acute Exposure Guideline Levels (AEGLs) for Phosgene Oxime (Proposed). United States Environmental Protection Agency. Washington, DC. 2009f. Available from URL: http://www.regulations.gov/search/Regs/contentStreamer?objectId=0900006480a7e26d&disposition=attachment&contentType=pdf. As accessed 2010-08-12.
- National Advisory Committee for Acute Exposure Guideline Levels for Hazardous Substances: Acute Exposure Guideline Levels (AEGLs) for Potassium Cyanide (Proposed). United States Environmental Protection Agency. Washington, DC. 2009g. Available from URL: http://www.regulations.gov/search/Regs/contentStreamer?objectId=0900006480a7cbb9&disposition=attachment&contentType=pdf. As accessed 2010-08-15.
- National Advisory Committee for Acute Exposure Guideline Levels for Hazardous Substances: Acute Exposure Guideline Levels (AEGLs) for Potassium Phosphide (Proposed). United States Environmental Protection Agency. Washington, DC. 2005c. Available from URL: http://www.regulations.gov/search/Regs/contentStreamer?objectId=090000648020c5ed&disposition=attachment&contentType=pdf. As accessed 2010-08-16.
- National Advisory Committee for Acute Exposure Guideline Levels for Hazardous Substances: Acute Exposure Guideline Levels (AEGLs) for Propargyl Alcohol (Proposed). United States Environmental Protection Agency. Washington, DC. 2006e. Available from URL: http://www.regulations.gov/search/Regs/contentStreamer?objectId=090000648020ec91&disposition=attachment&contentType=pdf. As accessed 2010-08-16.
- National Advisory Committee for Acute Exposure Guideline Levels for Hazardous Substances: Acute Exposure Guideline Levels (AEGLs) for Selenium Hexafluoride (Proposed). United States Environmental Protection Agency. Washington, DC. 2006f. Available from URL: http://www.regulations.gov/search/Regs/contentStreamer?objectId=090000648020ec55&disposition=attachment&contentType=pdf. As accessed 2010-08-16.
- National Advisory Committee for Acute Exposure Guideline Levels for Hazardous Substances: Acute Exposure Guideline Levels (AEGLs) for Silane (Proposed). United States Environmental Protection Agency. Washington, DC. 2006g. Available from URL: http://www.regulations.gov/search/Regs/contentStreamer?objectId=090000648020d523&disposition=attachment&contentType=pdf. As accessed 2010-08-16.
- National Advisory Committee for Acute Exposure Guideline Levels for Hazardous Substances: Acute Exposure Guideline Levels (AEGLs) for Sodium Cyanide (Proposed). United States Environmental Protection Agency. Washington, DC. 2009h. Available from URL: http://www.regulations.gov/search/Regs/contentStreamer?objectId=0900006480a7cbb9&disposition=attachment&contentType=pdf. As accessed 2010-08-15.
- National Advisory Committee for Acute Exposure Guideline Levels for Hazardous Substances: Acute Exposure Guideline Levels (AEGLs) for Sodium Phosphide (Proposed). United States Environmental Protection Agency. Washington, DC. 2005i. Available from URL: http://www.regulations.gov/search/Regs/contentStreamer?objectId=090000648020c5ed&disposition=attachment&contentType=pdf. As accessed 2010-08-16.
- National Advisory Committee for Acute Exposure Guideline Levels for Hazardous Substances: Acute Exposure Guideline Levels (AEGLs) for Strontium Phosphide (Proposed). United States Environmental Protection Agency. Washington, DC. 2005f. Available from URL: http://www.regulations.gov/search/Regs/contentStreamer?objectId=090000648020c5ed&disposition=attachment&contentType=pdf. As accessed 2010-08-16.
- National Advisory Committee for Acute Exposure Guideline Levels for Hazardous Substances: Acute Exposure Guideline Levels (AEGLs) for Sulfuryl Chloride (Proposed). United States Environmental Protection Agency. Washington, DC. 2006h. Available from URL: http://www.regulations.gov/search/Regs/contentStreamer?objectId=090000648020ec7a&disposition=attachment&contentType=pdf. As accessed 2010-08-16.
- National Advisory Committee for Acute Exposure Guideline Levels for Hazardous Substances: Acute Exposure Guideline Levels (AEGLs) for Tear Gas (Proposed). United States Environmental Protection Agency. Washington, DC. 2008s. Available from URL: http://www.regulations.gov/search/Regs/contentStreamer?objectId=090000648096e551&disposition=attachment&contentType=pdf. As accessed 2010-08-12.
- National Advisory Committee for Acute Exposure Guideline Levels for Hazardous Substances: Acute Exposure Guideline Levels (AEGLs) for Tellurium Hexafluoride (Proposed). United States Environmental Protection Agency. Washington, DC. 2009i. Available from URL: http://www.regulations.gov/search/Regs/contentStreamer?objectId=0900006480a7e2a1&disposition=attachment&contentType=pdf. As accessed 2010-08-12.
- National Advisory Committee for Acute Exposure Guideline Levels for Hazardous Substances: Acute Exposure Guideline Levels (AEGLs) for Tert-Octyl Mercaptan (Proposed). United States Environmental Protection Agency. Washington, DC. 2008r. Available from URL: http://www.regulations.gov/search/Regs/contentStreamer?objectId=090000648096e5c7&disposition=attachment&contentType=pdf. As accessed 2010-08-12.
- National Advisory Committee for Acute Exposure Guideline Levels for Hazardous Substances: Acute Exposure Guideline Levels (AEGLs) for Tetramethoxysilane (Proposed). United States Environmental Protection Agency. Washington, DC. 2006j. Available from URL: http://www.regulations.gov/search/Regs/contentStreamer?objectId=090000648020d632&disposition=attachment&contentType=pdf. As accessed 2010-08-17.
- National Advisory Committee for Acute Exposure Guideline Levels for Hazardous Substances: Acute Exposure Guideline Levels (AEGLs) for Trimethoxysilane (Proposed). United States Environmental Protection Agency. Washington, DC. 2006i. Available from URL: http://www.regulations.gov/search/Regs/contentStreamer?objectId=090000648020d632&disposition=attachment&contentType=pdf. As accessed 2010-08-16.
- National Advisory Committee for Acute Exposure Guideline Levels for Hazardous Substances: Acute Exposure Guideline Levels (AEGLs) for Trimethyl Phosphite (Proposed). United States Environmental Protection Agency. Washington, DC. 2009j. Available from URL: http://www.regulations.gov/search/Regs/contentStreamer?objectId=0900006480a7d608&disposition=attachment&contentType=pdf. As accessed 2010-08-12.
- National Advisory Committee for Acute Exposure Guideline Levels for Hazardous Substances: Acute Exposure Guideline Levels (AEGLs) for Trimethylacetyl Chloride (Proposed). United States Environmental Protection Agency. Washington, DC. 2008t. Available from URL: http://www.regulations.gov/search/Regs/contentStreamer?objectId=090000648096e5cc&disposition=attachment&contentType=pdf. As accessed 2010-08-12.
- National Advisory Committee for Acute Exposure Guideline Levels for Hazardous Substances: Acute Exposure Guideline Levels (AEGLs) for Zinc Phosphide (Proposed). United States Environmental Protection Agency. Washington, DC. 2005e. Available from URL: http://www.regulations.gov/search/Regs/contentStreamer?objectId=090000648020c5ed&disposition=attachment&contentType=pdf. As accessed 2010-08-16.
- National Advisory Committee for Acute Exposure Guideline Levels for Hazardous Substances: Acute Exposure Guideline Levels (AEGLs) for n-Butyl Isocyanate (Proposed). United States Environmental Protection Agency. Washington, DC. 2008m. Available from URL: http://www.regulations.gov/search/Regs/contentStreamer?objectId=09000064808f9591&disposition=attachment&contentType=pdf. As accessed 2010-08-12.
- National Asthma Education and Prevention Program: Expert Panel Report 3 (EPR-3): Guidelines for the Diagnosis and Management of Asthma-Summary Report 2007. J Allergy Clin Immunol 2007; 120(5 Suppl):S94-S138.
- National Heart,Lung,and Blood Institute: Expert panel report 3: guidelines for the diagnosis and management of asthma. National Heart,Lung,and Blood Institute. Bethesda, MD. 2007. Available from URL: http://www.nhlbi.nih.gov/guidelines/asthma/asthgdln.pdf.
- National Institute for Occupational Safety and Health: NIOSH Pocket Guide to Chemical Hazards, U.S. Department of Health and Human Services, Centers for Disease Control and Prevention, Cincinnati, OH, 2007.
- National Research Council : Acute exposure guideline levels for selected airborne chemicals, 5, National Academies Press, Washington, DC, 2007.
- National Research Council: Acute exposure guideline levels for selected airborne chemicals, 6, National Academies Press, Washington, DC, 2008.
- National Research Council: Acute exposure guideline levels for selected airborne chemicals, 7, National Academies Press, Washington, DC, 2009.
- National Research Council: Acute exposure guideline levels for selected airborne chemicals, 8, National Academies Press, Washington, DC, 2010.
- Nemery B, Nagels J, & Verbeken E: Rapidly fatal progression of cobalt lung in a diamond polisher. Am Rev Respir Dis 1990; 141:1373-1378.
- Nolan CV, Fowler SW, & Teyssie JL: Cobalt speciation and bioavailability in marine organisms. Mar Ecol-Progr Ser 1992; 88:105-116.
- None Listed: Position paper: cathartics. J Toxicol Clin Toxicol 2004; 42(3):243-253.
- Nowak RM & Macias CG : Anaphylaxis on the other front line: perspectives from the emergency department. Am J Med 2014; 127(1 Suppl):S34-S44.
- Oksa P, Palmroos P, Roto P, et al: Respiratory health of cobalt production workers. Am J Indus Med 2003; 44:124-132.
- Olivarius FD & Menne T: Skin reactivity to metallic cobalt in patients with a positive patch test to cobalt chloride. Contact Dermatitis 1992; 27:241-243.
- Ott G & Mikuz G: Dtsch Med Wochenschr 1982; 107:1396-1399.
- Paternain JL, Domingo JL, & Corbella J: Developmental toxicity of cobalt in the rat. J Toxicol Environ Health 1988; 24:193-200.
- Peate WF: Work-related eye injuries and illnesses. Am Fam Physician 2007; 75(7):1017-1022.
- Pedigo NG & Vernon MW: Embryonic losses after 10-week administration of cobalt to male mice. Reprod Toxicol 1993; 7:111-116.
- Pelclova D, Sklensky M, Janicek P, et al: Severe cobalt intoxication following hip replacement revision: clinical features and outcome. Clinical Toxicology: The Official Journal of the American Academy of Clinical Toxicology & European Association of Poisons Centres & Clinical Toxicologists 2012; 50(4):262-265.
- Perone VB, Moffitt AE, & Possick PA: The chromium, cobalt, and nickel contents of American cement and their relationship to contact dermatitis. Am Ind Hyg Assoc J 1974; 35:301-306.
- Pier SM: The role of heavy metals in human health. TX Rep Biol Med 1975; 33:85-106.
- Plunkett ER: Handbook of Industrial Toxicology, Chemical Publishing Co, Inc, New York, NY, 1976, pp 112-113.
- Pollack MM, Dunbar BS, & Holbrook PR: Aspiration of activated charcoal and gastric contents. Ann Emerg Med 1981; 10:528-529.
- Proctor NH & Hughes JP: Chemical Hazards of the Workplace, JB Lippincott Co, Philadelphia, PA, 1978, pp 179-180.
- Product Information: DIMAVAL(R) oral capsules, (RS)-2,3-bis(sulphanyl)propane-1-sulphonic acid, sodium salt-monohydrate oral capsules. Heyl Chemisch-pharmazeutische Fabrik GmbH & Co., 2004.
- Product Information: Dimaval(R) intravenous intramuscular injection solution, 2,3-Bis(sulfanyl)propane-1-sulfonic acid intravenous intramuscular injection solution. Heyl Chem.-pharm. Fabrik (per manufacturer), Berlin, Germany, 2013.
- Product Information: diphenhydramine HCl intravenous injection solution, intramuscular injection solution, diphenhydramine HCl intravenous injection solution, intramuscular injection solution. Hospira, Inc. (per DailyMed), Lake Forest, IL, 2013.
- Pryce DW & King CM: Orofacial granulomatosis associated with delayed hypersensitivity to cobalt. Clin Exp Dermatol 1990; 15:384-386.
- RTECS : Registry of Toxic Effects of Chemical Substances. National Institute for Occupational Safety and Health. Cincinnati, OH (Internet Version). Edition expires 2000; provided by Truven Health Analytics Inc., Greenwood Village, CO.
- RTECS : Registry of Toxic Effects of Chemical Substances. National Institute for Occupational Safety and Health. Cincinnati, OH (Internet Version). Edition expires 2001; provided by Truven Health Analytics Inc., Greenwood Village, CO.
- Ratto D, Balmes J, & Boylen T: Pregnancy in a woman with severe pulmonary fibrosis secondary to hard metal disease. Chest 1988; 93:663-665.
- Rau NR, Nagaraj MV, Prakash PS, et al: Fatal pulmonary aspiration of oral activated charcoal. Br Med J 1988; 297:918-919.
- Rhoads K & Sanders CL: Lung clearance, translocation, and acute toxicity of arsenic, beryllium, cadmium, cobalt, lead, selenium, vanadium, and ytterbium oxides following deposition in rat lung. Environ Res 1985; 36:359-378.
- Rizzetti MC, Liberini P, Zarattini G, et al: Loss of sight and sound. Could it be the hip?. Lancet 2009; 373(9668):1052-1052.
- Ruokonen EL, Linnainmaa M, & Seuri M: A fatal case of hard-metal disease. Scand J Work Environ Health 1996; 22:62-65.
- Sandusky GE, Crawford MP, & Roberts ED: Experimental cobalt cardiomyopathy in the dog: A model for cardiomyopathy in dogs and man. Toxicol Appl Pharmacol 1981a; 60:263-278.
- Sandusky GE, Henk WG, & Roberts ED: Histochemistry and ultrastructure of the heart in experimental cobalt cardiomyopathy in the dog. Toxicol Appl Pharmacol 1981b; 61:89-98.
- Sax NI: Dangerous Properties of Industrial Materials, 6th ed, Van Nostrand Reinhold Company, New York, NY, 1984, pp 799-800.
- Scansetti G: Urinary cobalt as a measure of exposure in the hard metal industry. Internat Arch Occup Environ Health 1985; 57:19-26.
- Schirrmacher UOE: Case of cobalt poisoning. Br Med J 1967; 1:544-545.
- Schumacher-Wittkopf E & Angerer J: [A practical method for the determination of cobalt in urine]. Internat Arch Occup Environ Health 1981; 49:77-81.
- Schwartz MK: Role of trace elements in cancer. Cancer Res 1975; 35:3481-3487.
- Seghizzi P, D'Adda F, & Borleri D: Cobalt myocardiopathy. A critical review of literature. Sci Total Environ 1994; 150:105-109.
- Shaper AG: Cardiovascular disease and trace metals. Proc R Soc Lond B 1979; 205:135-143.
- Shen CF, Kosaric N, & Blaszczyk R: Properties of anaerobic granular sludge as affected by yeast extract, cobalt and iron supplements. Appl Microbiol Biotechnol 1993; 39:132-137.
- Shirakawa T, Kusaka Y, & Fujimura N: Occupational asthma from cobalt sensitivity in workers exposed to hard metal dust. Chest 1989; 95:29-37.
- Sittig M: Handbook of Toxic and Hazardous Chemicals and Carcinogens, 3rd ed, Noyes Publications, Park Ridge, NJ, 1991.
- Sjogren I, Hillerdal G, & Andersson A: Hard metal lung disease: importance of cobalt in coolants. Thorax 1980; 35:653-659.
- Sozieva TM: Trudy Severo-Osetinskogo Meditsinskogo Instituta 1964; 13:197-202.
- Sprince NL, Chamberlin RI, & Hales CA: Respiratory disease in tungsten carbide production workers. Chest 1984; 86:549-557.
- Sprince NL, Oliver LC, & Eisen EA: Cobalt exposure and lung disease in tungsten carbide production: a cross-sectional study of current workers. Am Rev Respir Dis 1988; 138:1220-1226.
- Stebbins AI, Horstman SW, & Daniell WE: Cobalt exposure in a carbide tip grinding process. Am Ind Hyg Assoc J 1992; 53:186-192.
- Steens W, VonFoerster G, & Katzer A: Severe cobalt poisoning with loss of sight after ceramic-metal pairing in a hip-a case report. Acta Orthop 2006; 77(5):830-832.
- Student PJ: Emergency Handling of Hazardous Materials in Surface Transportation, Bureau of Explosives, Association of American Railroads, Washington, DC, 1981, pp 136.
- Sundaram P, Agrawal K, & Mandke JV: Giant cell pneumonitis induced by cobalt. Indian J Chest Dis Allied Sci 2001; 43:47-49.
- Swennen B, Buchet JP, & Stanescu D: Epidemiological survey of workers exposed to cobalt oxides, cobalt salts, and cobalt metal. Br J Ind Med 1993; 50:835-842.
- Taylor A & Marks V: Cobalt: A review. J Human Nutr 1978; 32:165-177.
- Tuchsen F, Jensen MV, & Villadsen E: Incidence of lung cancer among cobalt-exposed women. Scand J Work Environ Health 1996; 22:444-450.
- U.S. Department of Energy, Office of Emergency Management: Protective Action Criteria (PAC) with AEGLs, ERPGs, & TEELs: Rev. 26 for chemicals of concern. U.S. Department of Energy, Office of Emergency Management. Washington, DC. 2010. Available from URL: http://www.hss.doe.gov/HealthSafety/WSHP/Chem_Safety/teel.html. As accessed 2011-06-27.
- U.S. Department of Health and Human Services, Public Health Service, National Toxicology Project : 11th Report on Carcinogens. U.S. Department of Health and Human Services, Public Health Service, National Toxicology Program. Washington, DC. 2005. Available from URL: http://ntp.niehs.nih.gov/INDEXA5E1.HTM?objectid=32BA9724-F1F6-975E-7FCE50709CB4C932. As accessed 2011-06-27.
- U.S. Environmental Protection Agency: Discarded commercial chemical products, off-specification species, container residues, and spill residues thereof. Environmental Protection Agency's (EPA) Resource Conservation and Recovery Act (RCRA); List of hazardous substances and reportable quantities 2010b; 40CFR(261.33, e-f):77-.
- U.S. Environmental Protection Agency: Integrated Risk Information System (IRIS). U.S. Environmental Protection Agency. Washington, DC. 2011. Available from URL: http://cfpub.epa.gov/ncea/iris/index.cfm?fuseaction=iris.showSubstanceList&list_type=date. As accessed 2011-06-21.
- U.S. Environmental Protection Agency: List of Radionuclides. U.S. Environmental Protection Agency. Washington, DC. 2010a. Available from URL: http://www.gpo.gov/fdsys/pkg/CFR-2010-title40-vol27/pdf/CFR-2010-title40-vol27-sec302-4.pdf. As accessed 2011-06-17.
- U.S. Environmental Protection Agency: List of hazardous substances and reportable quantities. U.S. Environmental Protection Agency. Washington, DC. 2010. Available from URL: http://www.gpo.gov/fdsys/pkg/CFR-2010-title40-vol27/pdf/CFR-2010-title40-vol27-sec302-4.pdf. As accessed 2011-06-17.
- U.S. Environmental Protection Agency: The list of extremely hazardous substances and their threshold planning quantities (CAS Number Order). U.S. Environmental Protection Agency. Washington, DC. 2010c. Available from URL: http://www.gpo.gov/fdsys/pkg/CFR-2010-title40-vol27/pdf/CFR-2010-title40-vol27-part355.pdf. As accessed 2011-06-17.
- U.S. Occupational Safety and Health Administration: Part 1910 - Occupational safety and health standards (continued) Occupational Safety, and Health Administration's (OSHA) list of highly hazardous chemicals, toxics and reactives. Subpart Z - toxic and hazardous substances. CFR 2010 2010; Vol6(SEC1910):7-.
- U.S. Occupational Safety, and Health Administration (OSHA): Process safety management of highly hazardous chemicals. 29 CFR 2010 2010; 29(1910.119):348-.
- United States Environmental Protection Agency Office of Pollution Prevention and Toxics: Acute Exposure Guideline Levels (AEGLs) for Vinyl Acetate (Proposed). United States Environmental Protection Agency. Washington, DC. 2006. Available from URL: http://www.regulations.gov/search/Regs/contentStreamer?objectId=090000648020d6af&disposition=attachment&contentType=pdf. As accessed 2010-08-16.
- Van Cutsem EJ, Ceuppens JL, & Lacquet LM: Combined asthma and alveolitis induced by cobalt in a diamond polisher. Eur J Respir Dis 1987; 70:54-61.
- Vanden Hoek,TL; Morrison LJ; Shuster M; et al: Part 12: Cardiac Arrest in Special Situations 2010 American Heart Association Guidelines for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care. American Heart Association. Dallas, TX. 2010. Available from URL: http://circ.ahajournals.org/cgi/reprint/122/18_suppl_3/S829. As accessed 2010-10-21.
- Veien NK & Kaaber K: Nickel, cobalt and chromium sensitivity in patients with pompholyx (dyshidrotic eczema). Contact Dermatitis 1979; 5:371-374.
- Verougstraete V, Mallants A, Buchet JP, et al: Lung function changes in workers exposed to cobalt compounds - a 13 year follow-up. Am J Respir Crit Care Med 2004; 170:162-166.
- WIlk-Rivard E & Szeinuk J: Occupational asthma with paroxysmal atrial fibrillation in a diamond polisher. Environ Health Perspect 2001; 109:1303-1306.
- Wallmann K: Solubility of cadmium and cobalt in a post-oxic or sub-oxic sediment suspension. Hydrobiologia 1992; 235:611-622.
- Wehner AP, Stuart BO, & Sanders CL: Inhalation studies with Syrian golden hamsters. Prog Exp Tumor Res 1979; 24:177-198.
- Widdowson EM: Biol Neon 1972; 20:360-367.
- Wide M: Environ Res 1984; 33:47-53.
- Windholz M, Budavari S, & Blumetti RF: The Merck Index, 10th ed, Merck & Co, Inc, Rahway, NJ, 1983, pp 345.
- Wong CC & Nixon RL: Systemic allergic dermatitis caused by cobalt and cobalt toxicity from a metal on a metal hip replacement. Contact Dermatitis 2014; 71(2):113-114.
- Zywiel MG, Brandt JM, Overgaard CB, et al: Fatal cardiomyopathy after revision total hip replacement for fracture of a ceramic liner. Bone Joint J 2013; 95-B(1):31-37.
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