DISULFOTON
HAZARDTEXT ®
Information to help in the initial response for evaluating chemical incidents
-IDENTIFICATION
SYNONYMS
DISULFOTON BAY 19639 BAY S276 BAYER 19639 O,O-DIAETHYL-S-(3-THIA-PENTYL)-DITHIOPHOSPHAT (German) O,O-DIAETHYL-S-(2-AETHYLTHIO-AETHYL)-DITHIOPHOSPHAT (German) O,O-DIETHYL 2-ETHYLTHIOETHYL PHOSPHORODITHIOATE O,O-DIETHYL-S-ETHYLMERCAPTOETHYL DITHIOPHOSPHATE O,O-DIETHYL S-(2-ETHTHIOETHYL) PHOSPHORODITHIOATE O,O-DIETHYL S-(2-ETHTHIOETHYL) THIOTHIONOPHOSPHATE O,O-DIETHYL S-(2-ETHYLMERCAPTOETHYL) DITHIOPHOSPHATE O,O-DIETHYL-S-(2-ETHYLTHIO-ETHYL)-DITHIOFOSFAAT (Dutch) O,O-DIETHYL S-2-(ETHYLTHIO)ETHYL PHOSPHORODITHIOATE O,O-DIETIL-S-(2-ETILTIO-ETIL)-DITIOFOSFATO (Italian) DIMAZ DISULFATON DI-SYSTON DI-SYSTON G DISYSTOX DITHIODEMETON DITHIOPHOSPHATE DE O,O-DIETHYLE ET DE S-(2-ETHYLTHIO-ETHYLE) (French) DITHIOSYSTOX DUTION EKATIN TD EKATINE ENT 23, 437 ETHYLTHIODEMETON ETHYL THIOMETON ETHYLTHIOMETON B FRUMIN FRUMIN AL FRUMIN G GLEBOFOS INSYST-D M-74 M-74 (Pesticide) PHOSPHORODITHIOIC ACID, O,O-DIETHYL S-(2-(ETHYLTHIO)ETHYL) ESTER PHOSPHORODITHIONIC ACID, S-2-(ETHYLTHIO)ETHYL-O,O-DIETHYL ESTER S-2-(ETHYLTHIO)ETHYL O,O-DIETHYL ESTER of PHOSPHORODITHIOIC ACID S 276 SOLVIGRAN SOLVIREX THIODEMETON THIODEMETRON VUAGT 1-4 VUAGT 1964
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.
4921509 4921508 4921513 4921512 4921511
SYNONYM REFERENCE
- (RTECS , 1996; HSDB , 1996)
USES/FORMS/SOURCES
Disulfoton is used as a systemic insecticide and acaricide (Lewis, 1993) Typically disulfoton is used on grain crops, nut crops, cole crops, root crops, pome, strawberry and pineapple fruits, forage, field and vegetable crops, sugarcane, seed crops, forest plantings, ornamentals, and potted plants, including houseplants (EPA, 1988)
Disulfoton is formulated for use as emulsifiable concentrates, granulars, pellets and tablets, and ready-to-use liquids (EPA, 1988)
-CLINICAL EFFECTS
GENERAL CLINICAL EFFECTS
- The following are symptoms from organophosphates in general, which are due to the anticholinesterase activity of this class of compounds. All of these effects may not be documented for disulfoton, but could potentially occur in individual cases.
- USES: Disulfoton, an organophosphate compound, is registered for use as systemic insecticide and acaricide in the US and other countries.
- TOXICOLOGY: Organophosphates competitively inhibit pseudocholinesterase and acetylcholinesterase, preventing hydrolysis and inactivation of acetylcholine. Acetylcholine accumulates at nerve junctions, causing malfunction of the sympathetic, parasympathetic, and peripheral nervous systems and some of the CNS. Clinical signs of cholinergic excess can develop.
- EPIDEMIOLOGY: Exposure to organophosphates is common, but serious toxicity is unusual in the US. Common source of severe poisoning in developing countries.
MILD TO MODERATE POISONING: MUSCARINIC EFFECTS: Can include bradycardia, salivation, lacrimation, diaphoresis, vomiting, diarrhea, urination, and miosis. NICOTINIC EFFECTS: Tachycardia, hypertension, mydriasis, and muscle cramps. SEVERE POISONING: MUSCARINIC EFFECTS: Bronchorrhea, bronchospasm, and acute lung injury. NICOTINIC EFFECTS: Muscle fasciculations, weakness, and respiratory failure. CENTRAL EFFECTS: CNS depression, agitation, confusion, delirium, coma, and seizures. Hypotension, ventricular dysrhythmias, metabolic acidosis, pancreatitis, and hyperglycemia can also develop. DELAYED EFFECTS: Intermediate syndrome is characterized by paralysis of respiratory, cranial motor, neck flexor, and proximal limb muscles 1 to 4 days after apparent recovery from cholinergic toxicity, and prior to the development of delayed peripheral neuropathy. Manifestations can include the inability to lift the neck or sit up, ophthalmoparesis, slow eye movements, facial weakness, difficulty swallowing, limb weakness (primarily proximal), areflexia, and respiratory paralysis. Recovery begins 5 to 15 days after onset. Distal sensory-motor polyneuropathy may rarely develop 6 to 21 days following exposure to some organophosphate compounds, however, it has not yet been reported in humans after exposure to disulfoton. Characterized by burning or tingling followed by weakness beginning in the legs which then spreads proximally. In severe cases, it may result in spasticity or flaccidity. Recovery requires months and may not be complete. CHILDREN: May have different predominant signs and symptoms than adults (more likely CNS depression, stupor, coma, flaccidity, dyspnea, and seizures). Children may also have fewer muscarinic and nicotinic signs of intoxication (i.e., secretions, bradycardia, fasciculations and miosis) as compared to adults. INHALATION EXPOSURE: Organophosphate vapors rapidly produce mucous membrane and upper airway irritation and bronchospasm, followed by systemic muscarinic, nicotinic and central effects if exposed to significant concentrations.
- POTENTIAL HEALTH HAZARDS - EMERGENCY RESPONSE GUIDEBOOK, GUIDE 152 (ERG, 2004)
Highly toxic, may be fatal if inhaled, swallowed or absorbed through skin. Contact with molten substance may cause severe burns to skin and eyes. Avoid any skin contact. Effects of contact or inhalation may be delayed. Fire may produce irritating, corrosive and/or toxic gases. Runoff from fire control or dilution water may be corrosive and/or toxic and cause pollution.
ACUTE CLINICAL EFFECTS
- Disulfoton is a potent CHOLINESTERASE INHIBITOR, once converted to its active metabolite (HSDB). The onset of symptoms is prompt; and almost always occurs within twelve hours after exposure. The sequence of symptoms varies according to the exposure route. Following inhalation, breathing and eye effects appear first, including tightness of the chest, wheezing, cyanosis, miosis, blurred vision, tearing, rhinorrhea, and headache.
- Disulfoton ingestion results in loss of appetite, nausea, vomiting, abdominal cramps, and diarrhea. Sweating and twitching in the area of absorption are seen with skin exposure. Muscle twitching, paralysis, dizziness, confusion, slurred speech, profuse sweating, changes in heart rate, convulsions, coma, and respiratory arrest may occur (NIOSH/OSHA).
- Disulfoton is metabolized by both plants and animals to form substances which are at least as toxic (HSDB). The major human urinary metabolites are: diethyl phosphate, diethyl phosphorothioate, and diethyl thiophosphate (Brokopp, 1981).
- Serum levels of phosphorodithioate sulfone increased after an initial decline following gastric lavage in a 75-year-old woman who had ingested a large amount of granular disulfoton. This was thought to be due to slow release of disulfoton from granules not removed by lavage (Futagami et al, 1995).
- Disulfoton is highly toxic in acute exposure in experimental animals (RTECS).
CHRONIC CLINICAL EFFECTS
- Three carpenters accidentally sprayed with disulfoton from an airplane were subsequently re-exposed when they handled contaminated lumber over a period of several weeks. Two had coronary accidents within convalescent periods, and one had at least two severe cerebral vascular episodes (Quinby, 1977).
- Disulfoton was one of four insecticides implicated in causing a high incidence of eye disorders in the Saku and other districts in Japan (so-called "SAKU DISEASE"). Decreased visual acuity in both eyes, a narrow field of vision, and an anomaly of refraction appeared most frequently, in addition to enhanced tendon reflexes. Severely affected patients have had decreased tendon reflexes (Kogure & Imai, 1975).
- The eye effects have been duplicated in dogs given disulfoton over two years (Uga, 1977; Mukuno & Imai, 1973). Rats given disulfoton for 10 days also had a decrease in cholinergic nerve receptors in the pancreas (Costa et al, 1984) and brain (Costa & Murphy, 1983).
- Mice became TOLERANT to disulfoton with repeated dosing (Costa & Murphy, 1983b). Mice with disulfoton tolerance were cross-tolerant to chlorpyrifos, but were more sensitive to propoxur than controls (Costa & Murphy, 1983b). The development of tolerance in mice was due to a reduction in the number of cholinergic receptors (Schwab, 1981). At the time of this review, no reports of tolerance were found in humans.
-FIRST AID
FIRST AID AND PREHOSPITAL TREATMENT
- PREHOSPITAL DECONTAMINATION
INGESTION: Prehospital gastrointestinal decontamination is NOT recommended because of the potential for early coma or seizures and aspiration. DERMAL: Remove contaminated clothing. Wash skin thoroughly with soap and water. Systemic toxicity can result from dermal exposure. OCULAR: Copious eye irrigation.
Universal precautions should be followed by all individuals (i.e., first responders, emergency medical, and emergency department personnel) caring for the patient to avoid contamination. Nitrile gloves are suggested. Avoid direct contact with contaminated clothing, objects or body fluids. Vomiting containing organophosphates should be placed in a closed impervious container for proper disposal.
- DECONTAMINATION OF SPILLS/SUMMARY
A variety of methods have been described for organophosphate spill decontamination, most of which depends on changing the pH to promote hydrolysis to inactive phosphate diester compounds (EPA, 1978). The rate of hydrolysis depends on both the specific organophosphate compound involved and the increase in pH caused by the detoxicant used (EPA, 1978; EPA, 1975). NOTE - Do NOT use a MIXTURE of BLEACH and ALKALI for DECONTAMINATING ACEPHATE ORGANOPHOSPHATES such as ORTHENE(R). This can cause release of toxic acetyl chloride, acetylene, and phosgene gas. Spills of acephate organophosphates should be decontaminated by absorption and scrubbing with concentrated detergent (Ford JE, 1989).
Treatment of the spilled material with alkaline substances such as sodium carbonate (soda ash), sodium bicarbonate (baking soda), calcium hydroxide (slaked or hydrated lime), calcium hydroxide (lime or lime water, when in dilute solutions), and calcium carbonate (limestone) may be used for detoxification (EPA, 1975a). Chlorine-active compounds such as sodium hypochlorite (household bleach) or calcium hypochlorite (bleaching powder, chlorinated lime) may also be used to detoxify organophosphate spills (EPA, 1975a). While ammonia compounds have also been suggested as alternate detoxicants for organophosphate spills, UNDER NO CIRCUMSTANCES SHOULD AMMONIA EVER BE COMBINED WITH A CHLORINE-ACTIVE COMPOUND (BLEACH) AS HIGHLY IRRITATING CHLORAMINE GAS MAY BE EVOLVED.
- SMALL SPILL DECONTAMINATION
Three cups of Arm & Hammer washing soda (sodium carbonate) or Arm & Hammer baking soda (sodium bicarbonate) may be combined with one-half cup of household bleach and added to a plastic bucket of water. The washing soda is more alkaline and may be more efficacious, if available. Wear rubber gloves, and use a respirator certified effective against toxic vapors. Several washes may be required for decontamination (EPA, 1978). Spilled liquid may first be adsorbed with soil, sweeping compound, sawdust, or dry sand and then both the adsorbed material and the floor decontaminated with one of the above solutions (EPA, 1975a). NOTE - Do NOT use a COMBINATION of BLEACH and ALKALI to DECONTAMINATE ACEPHATE or ACETYL ORGANOPHOSPHATE COMPOUNDS such as ORTHENE(R). Spills involving acephate organophosphates should be decontaminated by the following procedure - Isolate and ventilate the area; keep sources of fire away; wear rubber or neoprene gloves and overshoes; get fire-fighting equipment ready; contain any liquid spill around the edge and absorb with Zorb-All(R) or similar material; dispose of absorbed or dry material in disposable containers; scrub the spilled area with concentrated detergent such as TIDE(R), ALL(R) or similar product; reabsorb scrubbing liquid and dispose as above; dispose of cleaning materials and contaminated clothing; wash gloves, overshoes and shovel with concentrated detergent. Call the National Pesticide Telecommunications Network for further assistance at 1-800-858-7378 or on the web at http://nptn.orst.edu.
- LARGE SPILL DECONTAMINATION
Sprinkle or spray the area with a mixture of one gallon of sodium hypochlorite (bleach) mixed with one gallon of water. Then spread calcium hydroxide (hydrated or slaked lime) liberally over the area and allow to stand for at least one hour (Pesticide User's Guide, 1976). Wear rubber gloves, and use a respirator certified effective against toxic vapors. Several washes may be required for decontamination (EPA, 1978). Other decontamination methods may be recommended by manufacturers of specific agents. Check containers, labels, or product literature for possible instructions regarding spill decontamination. NOTE - Do NOT USE a COMBINATION of BLEACH and ALKALI to DECONTAMINATE ACEPHATE or ACETYL ORGANOPHOSPHATE COMPOUNDS such as ORTHENE(R). Spills involving acephate organophosphates should be decontaminated by the following procedure - Isolate and ventilate the area; keep sources of fire away; wear rubber or neoprene gloves and overshoes; get fire-fighting equipment ready; contain any liquid spill around the edge and absorb with Zorb-All(R) or similar material; dispose of absorbed or dry material in disposable containers; scrub the spilled area with concentrated detergent such as TIDE(R), ALL(R) or similar product; reabsorb scrubbing liquid and dispose as above; dispose of cleaning materials and contaminated clothing; wash gloves, overshoes and shovel with concentrated detergent.
FURTHER CONTACT INFORMATION For further information contact the National Pesticide Telecommunications Network at 1-800-858-7378 or contact on the web at http://nptn.orst.edu. Disposal of large quantities or contamination of large areas may be regulated by various governmental agencies and reporting may be required. For small pesticide spills or for further information call the pesticide manufacturer or the National Pesticide Information Center (NPIC) at 1-800-858-7378. The National Response Center (NRC) is the federal point of contact for reporting of spills and can be reached at 1-800-424-8802. For those without 800 access, contact 202-267-2675. CHEMTREC can provide technical and hazardous materials information and can be reached at 1-800-424-9300 in the US; or 703-527-3887 outside the US.
ANTIDOTES
-MEDICAL TREATMENT
LIFE SUPPORT
- Support respiratory and cardiovascular function.
SUMMARY
- FIRST AID - EMERGENCY RESPONSE GUIDEBOOK, GUIDE 152 (ERG, 2004)
Move victim to fresh air. Call 911 or emergency medical service. Give artificial respiration if victim is not breathing. Do not use mouth-to-mouth method if victim ingested or inhaled the substance; give artificial respiration with the aid of a pocket mask equipped with a one-way valve or other proper respiratory medical device. 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. For minor skin contact, avoid spreading material on unaffected skin. Keep victim warm and quiet. Effects of exposure (inhalation, ingestion or skin contact) to substance may be delayed. Ensure that medical personnel are aware of the material(s) involved and take precautions to protect themselves.
PREHOSPITAL DECONTAMINATION INGESTION: Prehospital gastrointestinal decontamination is NOT recommended because of the potential for early coma or seizures and aspiration. DERMAL: Remove contaminated clothing. Wash skin thoroughly with soap and water. Systemic toxicity can result from dermal exposure. OCULAR: Copious eye irrigation.
PERSONNEL PROTECTION Universal precautions should be followed by all individuals (i.e., first responders, emergency medical, and emergency department personnel) caring for the patient to avoid contamination. Nitrile gloves are suggested. Avoid direct contact with contaminated clothing, objects or body fluids. Vomiting containing organophosphates should be placed in a closed impervious container for proper disposal.
DECONTAMINATION OF SPILLS/SUMMARY A variety of methods have been described for organophosphate spill decontamination, most of which depends on changing the pH to promote hydrolysis to inactive phosphate diester compounds (EPA, 1978). The rate of hydrolysis depends on both the specific organophosphate compound involved and the increase in pH caused by the detoxicant used (EPA, 1978; EPA, 1975). NOTE - Do NOT use a MIXTURE of BLEACH and ALKALI for DECONTAMINATING ACEPHATE ORGANOPHOSPHATES such as ORTHENE(R). This can cause release of toxic acetyl chloride, acetylene, and phosgene gas. Spills of acephate organophosphates should be decontaminated by absorption and scrubbing with concentrated detergent (Ford JE, 1989).
Treatment of the spilled material with alkaline substances such as sodium carbonate (soda ash), sodium bicarbonate (baking soda), calcium hydroxide (slaked or hydrated lime), calcium hydroxide (lime or lime water, when in dilute solutions), and calcium carbonate (limestone) may be used for detoxification (EPA, 1975a). Chlorine-active compounds such as sodium hypochlorite (household bleach) or calcium hypochlorite (bleaching powder, chlorinated lime) may also be used to detoxify organophosphate spills (EPA, 1975a). While ammonia compounds have also been suggested as alternate detoxicants for organophosphate spills, UNDER NO CIRCUMSTANCES SHOULD AMMONIA EVER BE COMBINED WITH A CHLORINE-ACTIVE COMPOUND (BLEACH) AS HIGHLY IRRITATING CHLORAMINE GAS MAY BE EVOLVED.
SMALL SPILL DECONTAMINATION Three cups of Arm & Hammer washing soda (sodium carbonate) or Arm & Hammer baking soda (sodium bicarbonate) may be combined with one-half cup of household bleach and added to a plastic bucket of water. The washing soda is more alkaline and may be more efficacious, if available. Wear rubber gloves, and use a respirator certified effective against toxic vapors. Several washes may be required for decontamination (EPA, 1978). Spilled liquid may first be adsorbed with soil, sweeping compound, sawdust, or dry sand and then both the adsorbed material and the floor decontaminated with one of the above solutions (EPA, 1975a). NOTE - Do NOT use a COMBINATION of BLEACH and ALKALI to DECONTAMINATE ACEPHATE or ACETYL ORGANOPHOSPHATE COMPOUNDS such as ORTHENE(R). Spills involving acephate organophosphates should be decontaminated by the following procedure - Isolate and ventilate the area; keep sources of fire away; wear rubber or neoprene gloves and overshoes; get fire-fighting equipment ready; contain any liquid spill around the edge and absorb with Zorb-All(R) or similar material; dispose of absorbed or dry material in disposable containers; scrub the spilled area with concentrated detergent such as TIDE(R), ALL(R) or similar product; reabsorb scrubbing liquid and dispose as above; dispose of cleaning materials and contaminated clothing; wash gloves, overshoes and shovel with concentrated detergent. Call the National Pesticide Telecommunications Network for further assistance at 1-800-858-7378 or on the web at http://nptn.orst.edu.
LARGE SPILL DECONTAMINATION Sprinkle or spray the area with a mixture of one gallon of sodium hypochlorite (bleach) mixed with one gallon of water. Then spread calcium hydroxide (hydrated or slaked lime) liberally over the area and allow to stand for at least one hour (Pesticide User's Guide, 1976). Wear rubber gloves, and use a respirator certified effective against toxic vapors. Several washes may be required for decontamination (EPA, 1978). Other decontamination methods may be recommended by manufacturers of specific agents. Check containers, labels, or product literature for possible instructions regarding spill decontamination. NOTE - Do NOT USE a COMBINATION of BLEACH and ALKALI to DECONTAMINATE ACEPHATE or ACETYL ORGANOPHOSPHATE COMPOUNDS such as ORTHENE(R). Spills involving acephate organophosphates should be decontaminated by the following procedure - Isolate and ventilate the area; keep sources of fire away; wear rubber or neoprene gloves and overshoes; get fire-fighting equipment ready; contain any liquid spill around the edge and absorb with Zorb-All(R) or similar material; dispose of absorbed or dry material in disposable containers; scrub the spilled area with concentrated detergent such as TIDE(R), ALL(R) or similar product; reabsorb scrubbing liquid and dispose as above; dispose of cleaning materials and contaminated clothing; wash gloves, overshoes and shovel with concentrated detergent.
FURTHER CONTACT INFORMATION For further information contact the National Pesticide Telecommunications Network at 1-800-858-7378 or contact on the web at http://nptn.orst.edu. Disposal of large quantities or contamination of large areas may be regulated by various governmental agencies and reporting may be required. For small pesticide spills or for further information call the pesticide manufacturer or the National Pesticide Information Center (NPIC) at 1-800-858-7378. The National Response Center (NRC) is the federal point of contact for reporting of spills and can be reached at 1-800-424-8802. For those without 800 access, contact 202-267-2675. CHEMTREC can provide technical and hazardous materials information and can be reached at 1-800-424-9300 in the US; or 703-527-3887 outside the US.
ANTIDOTES
-RANGE OF TOXICITY
MINIMUM LETHAL EXPOSURE
Organophosphates are absorbed across the lung, mucous membranes (including gut), and skin. Poisoning depends upon inherent toxicity, dosage, rate of absorption, rate of metabolic breakdown, and prior exposure to other cholinesterase inhibitors.
MAXIMUM TOLERATED EXPOSURE
The World Health Organization (WHO) has classified disulfoton, technical grade, as extremely hazardous (Class 1A) as a pesticide (World Health Organization, 2006).
Note that CHILDREN MAY EXHIBIT DIFFERENT PREDOMINANT SIGNS of organophosphate poisoning than adults. In a study of 25 children poisoned by organophosphate or carbamate compounds, the major symptoms in most were CNS depression, stupor, flaccidity, dyspnea, and coma. Other classical signs of organophosphate poisoning, such as miosis, fasciculations, bradycardia, excessive salivation and lacrimation, and gastrointestinal symptoms, were infrequent (Sofer et al, 1989). Children tend to be more sensitive to organophosphates than adults (Zwiener & Ginsburg, 1988).
The maximal nontoxic doses of disulfoton in various domestic animals were: calves, 0.25 mg/kg; cattle, 0.5 mg/kg; sheep and goats, 1.0 mg/kg (McCarty et al, 1969).
- Carcinogenicity Ratings for CAS298-04-4 :
ACGIH (American Conference of Governmental Industrial Hygienists, 2010): A4 ; Listed as: Disulfoton EPA (U.S. Environmental Protection Agency, 2011): Not Assessed under the IRIS program. ; Listed as: Disulfoton 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): Not Listed NIOSH (National Institute for Occupational Safety and Health, 2007): Not Listed ; Listed as: Disulfoton MAK (DFG, 2002): Not Listed 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 CAS298-04-4 (U.S. Environmental Protection Agency, 2011):
Oral: Slope Factor: RfD: 4x10(-5) mg/kg-day
Inhalation: Drinking Water:
References: ACGIH, 1991 HSDB, 1998 ITI, 1988 Lewis, 1992 RTECS, 1998 NOTE: All values are from RTECS 1998, unless otherwise noted. LC50- (INHALATION)RAT: LCLo- (INHALATION)CAT: LD50- (ORAL)DOG: LD50- (ORAL)GOAT: LD50- (INTRAPERITONEAL)GUINEA_PIG: LD50- (ORAL)GUINEA_PIG: LD50- (INTRAPERITONEAL)MOUSE: 7 mg/kg (ITI, 1988) 5500 mcg/kg
LD50- (ORAL)MOUSE: LD50- (INTRAPERITONEAL)RAT: LD50- (INTRAVENOUS)RAT: LD50- (ORAL)RAT: 2 mg/kg (Lewis, 1992) 2-12 mg/kg (HSDB, 1998) 2600 mcg/kg Female, 2.3 mg/kg (ACGIH, 1991) Female, 1.9 mg/kg (EPA, 1998) Male, 6.8 mg/kg (ACGIH, 1991) 10 mg/kg (ITI, 1988)
LD50- (SKIN)RAT: 6 mg/kg 6-15 mg/kg (HSDB, 1998) Female, 6 mg/kg (ACGIH, 1991) Female, 3.6 mg/kg (EPA, 1998) Male, 25 mg/kg (ACGIH, 1991) 50 mg/kg (ITI, 1988)
LDLo- (SKIN)RABBIT:
-STANDARDS AND LABELS
WORKPLACE STANDARDS
- ACGIH TLV Values for CAS298-04-4 (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.
- AIHA WEEL Values for CAS298-04-4 (AIHA, 2006):
- NIOSH REL and IDLH Values for CAS298-04-4 (National Institute for Occupational Safety and Health, 2007):
Listed as: Disulfoton REL: IDLH: Not Listed
- OSHA PEL Values for CAS298-04-4 (U.S. Occupational Safety, and Health Administration (OSHA), 2010):
- OSHA List of Highly Hazardous Chemicals, Toxics, and Reactives for CAS298-04-4 (U.S. Occupational Safety and Health Administration, 2010):
ENVIRONMENTAL STANDARDS
- EPA CERCLA, Hazardous Substances and Reportable Quantities for CAS298-04-4 (U.S. Environmental Protection Agency, 2010):
Listed as: Phosphorodithioic acid, O,O-diethyl S-[2-(ethylthio)ethyl] ester Final Reportable Quantity, in pounds (kilograms): Additional Information: Listed as: Disulfoton Final Reportable Quantity, in pounds (kilograms): Additional Information:
- EPA CERCLA, Hazardous Substances and Reportable Quantities, Radionuclides for CAS298-04-4 (U.S. Environmental Protection Agency, 2010):
- EPA RCRA Hazardous Waste Number for CAS298-04-4 (U.S. Environmental Protection Agency, 2010b):
Listed as: Disulfoton P or U series number: P039 Footnote: Listed as: Phosphorodithioic acid, O,O-diethyl S-[2-(ethylthio)ethyl] ester P or U series number: P039 Footnote: Editor's Note: The D, F, and K series waste numbers and Appendix VIII to Part 261 -- Hazardous Constituents were not included. Please refer to 40 CFR Part 261.
- EPA SARA Title III, Extremely Hazardous Substance List for CAS298-04-4 (U.S. Environmental Protection Agency, 2010):
Listed as: Disulfoton Reportable Quantity, in pounds: 1 Threshold Planning Quantity, in pounds: Note(s): Not Listed
- EPA SARA Title III, Community Right-to-Know for CAS298-04-4 (40 CFR 372.65, 2006; 40 CFR 372.28, 2006):
- DOT List of Marine Pollutants for CAS298-04-4 (49 CFR 172.101 - App. B, 2005):
- EPA TSCA Inventory for CAS298-04-4 (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 CAS298-04-4 (NFPA, 2002):
-HANDLING AND STORAGE
STORAGE
Disulfoton may be stored in glass, earthenware, or composition jars; chipboard, pasteboard, or wooden boxes; fiber cartons; or metal drums (OHM/TADS , 1996). Ensure that containers are tightly closed and keep them away from water and heat (OHM/TADS , 1996). Keep disulfoton in its original container (HSDB , 1996).
- ROOM/CABINET RECOMMENDATIONS
Store containers of disulfoton in a locked area. Keep separate from children, food, and feed (HSDB , 1996).
-PERSONAL PROTECTION
SUMMARY
- RECOMMENDED PROTECTIVE CLOTHING - EMERGENCY RESPONSE GUIDEBOOK, GUIDE 152 (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 provides limited protection in fire situations ONLY; it is not effective in spill situations where direct contact with the substance is possible.
- For disulfoton and disulfoton mixtures, wear a positive pressure self-contained breathing apparatus, rubber overclothing, goggles, and other appropriate chemical protective clothing (AAR, 1994; (CHRIS , 1996).
- Remove and replace clothing that becomes wet or contaminated (NIOSH , 1996).
- Any contaminated clothing should be discarded as hazardous waste. Repeated laundering may not remove organophosphate from clothing (Clifford & Nies, 1989).
- A single washing with soap and water can remove up to 80 to 92% of an organophosphate on the skin if done immediately (Fredriksson, 1961). If delayed, the same procedure may remove only 50 to 70%.
Following a soap and water wash, a second wash with 95% ethanol will leave only about a 5 to 10% organophosphate residue (Fredriksson, 1961). The best results of skin decontamination are achieved with a thorough soap and water wash, followed by a 95% ethanol wash, followed by a second soap and water wash (Fredriksson, 1961).
- If exposure to disulfoton is possible, quick drenching facilities should be available in the immediate work area (NIOSH , 1996).
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 298-04-4.
-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 152 (ERG, 2004) Combustible material: may burn but does not ignite readily. Containers may explode when heated. Runoff may pollute waterways. Substance may be transported in a molten form.
This substance is combustible; however, it does not easily ignite (AAR, 1994). When liquid disulfoton mixtures are heated to high temperatures, containers may explode (AAR, 1994). Disulfoton is flammable when mixed with a xylene solution (OHM/TADS , 1996).
- FLAMMABILITY CLASSIFICATION
- NFPA Flammability Rating for CAS298-04-4 (NFPA, 2002):
- FIRE CONTROL/EXTINGUISHING AGENTS
- SMALL FIRE PRECAUTIONS - EMERGENCY RESPONSE GUIDEBOOK, GUIDE 152 (ERG, 2004)
- LARGE FIRE PRECAUTIONS - EMERGENCY RESPONSE GUIDEBOOK, GUIDE 152 (ERG, 2004)
Water spray, fog or regular foam. Move containers from fire area if you can do it without risk. Dike fire control water for later disposal; do not scatter the material. Use water spray or fog; do not use straight streams.
- TANK OR CAR/TRAILER LOAD FIRE PRECAUTIONS - EMERGENCY RESPONSE GUIDEBOOK, GUIDE 152 (ERG, 2004)
Fight fire from maximum distance or use unmanned hose holders or monitor nozzles. Do not get water inside containers. 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. For massive fire, use unmanned hose holders or monitor nozzles; if this is impossible, withdraw from area and let fire burn.
- NFPA Extinguishing Methods for CAS298-04-4 (NFPA, 2002):
- If flow cannot be stopped, do not extinguish fire (AAR, 1994).
- Water may be used in flooding quantities as fog; solid streams of water may not be effective (AAR, 1994).
- Carbon dioxide, dry chemical, or foam may be used (AAR, 1994).
EXPLOSION HAZARD
- Containers of liquid disulfoton mixtures may explode if heated to high temperatures (AAR, 1994).
DUST/VAPOR HAZARD
- Disulfoton releases toxic and irritating fumes of phosphorus and sulfur oxides when heated to decomposition (Lewis, 1992).
- Avoid breathing vapors and dusts as well as fumes from burning material (AAR, 1994).
REACTIVITY HAZARD
- Disulfoton is oxidizable in air to sulfoxides, sulfoxones, and their oxones (HSDB , 1998).
- Disulfoton reacts with alkylating agents such as alkyl halides and dimethyl sulfate to yield the corresponding S-alkyl sulfonium compound, which has a strong anticholinesterase activity and high mammalian toxicity (OHM/TADS , 1998).
- All organophosphate esters undergo hydrolysis in water; generally the water-soluble products of hydrolysis are less toxic than the parent compound (Minton & Murray, 1988).
- Poisonous fumes of oxides of phosphorus and sulfur are emitted when the substance is heated to decomposition (Lewis, 1992).
- Disulfoton is stable upon storage, with a shelf life at 20 degrees C greater than or equal to 2 years (HSDB , 1998).
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 152 (ERG, 2004)
Increase, in the downwind direction, as necessary, the isolation distance of at least 50 meters (150 feet) for liquids and at least 25 meters (75 feet) for solids in all directions.
- FIRE - PUBLIC SAFETY EVACUATION DISTANCES - EMERGENCY RESPONSE GUIDEBOOK, GUIDE 152 (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 152 (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. Keep unauthorized personnel away. Stay upwind. Keep out of low areas.
- Stay upwind of vapors (AAR, 1994).
- AIHA ERPG Values for CAS298-04-4 (AIHA, 2006):
- DOE TEEL Values for CAS298-04-4 (U.S. Department of Energy, Office of Emergency Management, 2010):
Listed as Disulfoton TEEL-0 (units = mg/m3): 0.05 TEEL-1 (units = mg/m3): 0.15 TEEL-2 (units = mg/m3): 2 TEEL-3 (units = mg/m3): 75 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 CAS298-04-4 (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 CAS298-04-4 (National Institute for Occupational Safety and Health, 2007):
CONTAINMENT/WASTE TREATMENT OPTIONS
SPILL OR LEAK PRECAUTIONS - EMERGENCY RESPONSE GUIDEBOOK, GUIDE 152 (ERG, 2004) ELIMINATE all ignition sources (no smoking, flares, sparks or flames in immediate area). Do not touch damaged containers or spilled material unless wearing appropriate protective clothing. Stop leak if you can do it without risk. Prevent entry into waterways, sewers, basements or confined areas. Cover with plastic sheet to prevent spreading. Absorb or cover with dry earth, sand or other non-combustible material and transfer to containers. DO NOT GET WATER INSIDE CONTAINERS.
RECOMMENDED PROTECTIVE CLOTHING - EMERGENCY RESPONSE GUIDEBOOK, GUIDE 152 (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 provides limited protection in fire situations ONLY; it is not effective in spill situations where direct contact with the substance is possible.
Land Spills (AAR, 1994) To contain liquid or solid material, dig a pit, pond, or lagoon. Use soil, sandbags, foamed polyurethane, or foamed concrete to dike the surface flow. Use cement powder or fly ash to absorb bulk liquid. Prevent solids from dissolving in rain or firefighting water by covering with plastic sheets.
Water Spills (AAR, 1994) If disulfoton is dissolved at a concentration of 10 ppm or greater, use activated carbon at 10 times the amount of the spill. To remove immobilized masses of the substance, use lifts or mechanical dredges. To trap solid materials at the bottom, use natural deep water pockets, excavated lagoons, or sand bag barriers.
If disulfoton is released to the air, spray water or mist to knock down vapors (AAR, 1994).
The material can be inactivated with strong detergent (Ford, 1989). Dig a pit or trench in clay soil at least 0.5 m deep. In it, mix disulfoton with calcium oxide or sodium hydroxide and an adsorbent material such as sand. When calcium hydroxide is used as the main alkali, sodium hydroxide or sodium carbonate may be mixed in to speed the reaction. Recommended disposal methods include incineration, hydrolysis, and landfilling (HSDB , 1996). To hydrolize use 6% potassium hydroxide in isopropanol under reflux for 30 minutes. After adsorbing the substance on vermiculite, dispose of in a landfill or incinerate (HSDB , 1996). Complete degradation will occur using alkaline hydrolysis (HSDB , 1996). Treatment of the spilled material with alkaline substances such as sodium carbonate (soda ash), sodium bicarbonate (baking soda), calcium hydroxide (slaked or hydrated lime), calcium hydroxide (lime or lime water, when in dilute solutions), and calcium carbonate (limestone) may be used for detoxification (EPA, 1975). 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.
A variety of methods have been described for organophosphate spill decontamination, most of which depend on changing the pH to promote hydrolysis to inactive phosphate diester compounds (EPA, 1978). The rate of hydrolysis depends on both the specific organophosphate compound involved and the increase in pH caused by the detoxicant used (EPA, 1975a; EPA, 1978). Disulfoton is a good candidate for liquid injection incineration with a temperature range of 650 to 1600 degrees C and a residence time of 0.1 to 2 seconds (HSDB , 1996). It also is a good candidate for rotary kiln incineration with a temperature range of 820 to 1600 degrees C and a residence time for liquids and gases of seconds, and for solids, hours (HSDB , 1996). Disulfoton treatment can be accomplished using fluidized bed incineration with a temperature range of 450 to 980 degrees C, with residence times for liquids and gases of seconds, and for solids, longer (HSDB , 1996). Electrothermal technology developed for small-scale on-site destruction of waste agrichemicals was applied to disulfoton. The technology was successful in treating one-liter quantities of the insecticide (83:413-417). Water Spills When released to water, dam the contaminated water body, apply activated carbon, then use bottom pumps, underwater vacuum systems, or dredging (OHM/TADS , 1996). Under controlled conditions, pump contaminated water into an appropriate container and then run it through gravity separation tanks, a dual filtration system, and an activated carbon filter. (Consult Envirex Manual, EPA 600/2-77-277 for further information.) (OHM/TADS , 1996) Apply a sorbent material, such as sawdust or peat, to contained contaminated water. Then remove the sorbent, put in impervious containers, and burn in a pesticide incinerator. Comply with all federal, state, and local pollution control requirements when disposing of any leftover liquids, sludges, or solid residues generated (OHM/TADS , 1996). For small spills, use paper towels to absorb the material. Then place them in a plastic bag, then burn in a furnace or use a flammable solvent to burn them in an open pan (ITI, 1988). Put disulfoton waste in an open furnace and then add sand and crushed limestone in equal parts. Cover with a combustible solvent and ignite from a safe distance (ITI, 1988). Place disulfoton waste mixed with sand and crushed limestone in a paper carton and then burn in a furnace that has an afterburner and alkali scrubber (ITI, 1988).
-ENVIRONMENTAL HAZARD MANAGEMENT
POLLUTION HAZARD
- Disulfoton is released to the environment primarily during its use as an insecticide on crops (HSDB , 1996).
- It may also be released from facilities that manufacture, package, or dispose of the pesticide (HSDB , 1996).
ENVIRONMENTAL FATE AND KINETICS
In the atmosphere, it is expected that disulfoton exists in vapor and particulate forms. It can be removed by settling or washout in precipitation. It also can be oxidized by photochemically generated hydroxyl radicals (HSDB , 1996).
SURFACE WATER In water, disulfoton will react with photochemically generated singlet oxygen and possibly hydroxyl radicals, which will oxidize it to its corresponding sulfoxide and sulfone. Humic material will photosensitize chemical oxidation of disulfoton (HSDB , 1996). Because disulfoton is expected to adsorb strongly to suspended solids and sediments, chemical hydrolysis at pH less than 8 will probably not occur, nor will bioaccumulation in aquatic organisms or significant volatilization (HSDB , 1996).
TERRESTRIAL In soil, chemical reactions and possibly microbial metabolism will quickly oxidize disulfoton to its corresponding sulfoxide and sulfone. It is expected that on soil surfaces humic substances will photosensitize chemical oxidation of this substance (HSDB , 1996). This compound has little or no mobility in soil. It is not expected to volatilize significantly from soil surfaces or undergo chemical hydrolysis in moist soils with pH less than 8 (HSDB , 1996). When disulfoton was applied to the soil around peach trees at concentrations of 3.75 or 7.5 g active ingredient per tree, residues found by gas chromatography in the fruit 90 days after application were 0.02 parts per million for both application concentrations (Sampaio & Ribas, 1979).
OTHER Application of disulfoton to Portneuf silt loam soil resulted in the chemical's oxidation to sulfoxide and sulfone. The disulfoton half-life was about 2 days, disulfoton sulfone persisted for 64 days, and disulfoton and its sulfoxide remained for 32 days or less (HSDB , 1996) In Aucilla River water (colored water) disulfoton's half-life ranged from 5 hours during the summer to 12 hours during the winter (HSDB , 1996). The substance's estimated vapor phase half-life is 12.7 hours (HSDB , 1996).
BIODEGRADATION
- Studies have shown that microorganisms do not effectively biodegradate disulfoton (HSDB , 1996).
- Estuarine water samples spiked with 50 mcg g/L of disulfoton were tested to determine degradation levels. Ten to 75 mL of water was tested each week for 5 to 6 weeks from January to March. Disulfoton was stable for less than 1 week; the half-life of the transformation products disulfoton sulfoxide and disulfoton sulfone ranged from 7 to 12 days (Lacorte et al, 1995).
- Disulfoton degradation was measured in loam (in which potatoes were being grown) that had received up to 3 annual treatments of the organophosphate. Analysis indicated that disulfoton was the most significant insecticidal component of the soil, a minor part of the seed pieces, and was detected at less than 0.02 ppm in potato foliage (Chapman et al, 1994).
Disulfoton sulfoxide and sulfone were the primary insecticidal components of the seed piece and foliage. The substrate concentrations in the seed pieces and foliage were between 2 and 6 times higher in the first year of treatment than in the second and third years, indicating microbial degradation affects insecticide levels in plants (Chapman et al, 1994).
BIOACCUMULATION
With a measured water solubility of 25 mg/L at 22 degrees C and an octanol-water partition coefficient of 4.02, bioconcentration factors in carp were calculated at 101 and 670, respectively (HSDB , 1996).
ENVIRONMENTAL TOXICITY
- Disulfoton is harmful to aquatic life in very low concentrations. It may be dangerous if it enters water intakes. Notify local health and wildlife officials and operators of nearby water intakes (CHRIS , 1996).
References: CHRIS, 1996; Holcombe et al, 1982 Note: All values are taken from CHRIS 1996, unless otherwise noted. LC50 BLUEGILL: 0.064 ppm/96h, hard water LC50 BLUEGILL: 0.07 to 0.082 ppm/96h, soft water LC50 GOLDFISH: 7.2 ppm/96h, soft water LC50 GUPPY: 0.28 ppm/96h, soft water LC50 FATHEAD MINNOW: 4.1 ppm/96h, soft water LC50 FATHEAD MINNOW: 4000 mcg/L/96h (Holcombe et al, 1982) LC50 RAINBOW TROUT: 3040 mcg/L/96h (Holcombe et al, 1982) LD50 (ORAL) YOUNG MALLARD: 6.5 mg/kg LC50 MALLARDS: 400 to 500 ppm/5d
Reference: OHM/TADS, 1996 LC50 BLUEGILL, SUNFISH: 0.063 ppm/96h TL50 SCUD: 0.110 ppm/24h static bioassay TL50 SCUD: 0.027 ppm/96h, static bioassay TL50 GLASS SHRIMP: 200 ppm/24h, static bioassay TL50 GLASS SHRIMP: 38 ppm/96h, static bioassay TLM AMERICAN OYSTER LARVAE: 3.67 ppm/48h, saltwater static lab bioassay TLM HARD CLAM LARVAE: 1.39 ppm/48h, saltwater static lab bioassay
Reference: EPA, 1984 In a comparative evaluation of the toxicity of four organophosphate pesticides to the fish Channa orientalis, the order of toxicity was found to be methyl parathion > malathion > disulfoton > phosphamidon (Sherehar & Kulkarni, 1988)
- The toxicity of disulfoton, thiometon, and their degradation products was measured using the water flea Daphnia magna, Photobacterium phosphoreum, and an acetylcholinesterase (AChE) activity assay. PO analogs from the degradation products were more effective AChE inhibitors than the parent compounds and exhibited higher toxicity in the D. magna bioassay. Sulfur compounds with low molecular weight and degradation products without the sulfur containing side-chain exhibited lower toxicity to the D. magna (Galli et al, 1994).
-PHYSICAL/CHEMICAL PROPERTIES
MOLECULAR WEIGHT
DESCRIPTION/PHYSICAL STATE
- Pure disulfoton is an oily, colorless liquid, with a sulfur-like odor (AAR, 1996; ACGIH, 1991).
- The technical grade of disulfoton is a brown liquid (ACGIH, 1991).
- ODOR: The pure compound possesses a characteristic sulfur odor; the commercial version of the compound possesses an aromatic odor (EPA First-Aid Document).
VAPOR PRESSURE
- 1.8x10(-4) mmHg (at 20 degrees C) (Merck & Co., 2003)
SPECIFIC GRAVITY
- OTHER TEMPERATURE AND/OR PRESSURE
FREEZING/MELTING POINT
BOILING POINT
- 108 degrees C (at 0.01 mmHg) (Merck & Co., 2003)
- 132-133 degrees C (at 1.5 mmHg) (Merck & Co., 2003)
FLASH POINT
- > 180 degrees F (NIOSH , 1996)
SOLUBILITY
Disulfoton is insoluble in water (Merck & Co., 2003). 12 mg/L at 20 degrees C (HSDB , 1998) 0.003% by weight (at 73 degrees F) (NIOSH , 1999)
It is soluble in most organic liquids and fatty oils (HSDB , 1998). The substance is insoluble in most organic solvents (ACGIH, 1991).
OCTANOL/WATER PARTITION COEFFICIENT
- log Kow = 4.02 (HSDB , 1996)
HENRY'S CONSTANT
- 1.1x10(-4) atm-m(3)/mol (calculated) (HSDB , 1996)
- 2.59x10(-6) atm-m(3)/mol (Ehrenfeld et al, 1986)
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.
- AAR: Emergency Handling of Hazardous Materials in Surface Transportation, Bureau of Explosives, Association of American Railroads, Washington, DC, 1996.
- ACGIH: Documentation of the Threshold Limit Values and Biological Exposure Indices, 6th ed, Am Conference of Govt Ind Hyg, Inc, Cincinnati, OH, 1991.
- AIHA: 2006 Emergency Response Planning Guidelines and Workplace Environmental Exposure Level Guides Handbook, American Industrial Hygiene Association, Fairfax, VA, 2006.
- AMA Department of DrugsAMA Department of Drugs: AMA Evaluations Subscription, American Medical Association, Chicago, IL, 1992.
- Abou-Donia MB: Interaction between neurotoxicants induced by organophosphorus and long-chain hexacarbon compounds. Neurotoxicology 1983; 4:117-135.
- Afanasiev VV, Biderman FM, & Sosutziu AM: A controlled trial of the use of carbohemoperfusion during the prehospital period for the treatment of lethal acute organophosphate poisoning (Abstract). Vet Human Toxicol 1992; 34:362.
- Albright RK, Kram BW, & White RP: Malathion exposure associated with acute renal failure (Letter). JAMA 1983; 250:2469.
- Altintop L, Aygun D, Sahin H, et al: In acute organophosphate poisoning, the efficacy of hemoperfusion on clinical status and mortality. J Intensive Care Med 2005; 20(6):346-350.
- 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.
- American Heart Association: 2005 American Heart Association Guidelines for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care. Circulation 2005; 112(24 Suppl):IV 1-203. Available from URL: http://circ.ahajournals.org/content/vol112/24_suppl/. As accessed 12/14/2005.
- Amos WC Jr & Hall A: Malathion poisoning treated with protopam. Ann Intern Med 1965; 62:1013-1016.
- Anon: Organophosphate insecticide poisoning among siblings-Mississippi. MMWR 1984; 43:592-594.
- Antonijevic B & Stojiljkovic MP: Unequal efficacy of pyridinium oximes in acute organophosphate poisoning. Clin Med Res 2007; 5(1):71-82.
- Artigas A, Bernard GR, Carlet J, et al: The American-European consensus conference on ARDS, part 2: ventilatory, pharmacologic, supportive therapy, study design strategies, and issues related to recovery and remodeling.. Am J Respir Crit Care Med 1998; 157:1332-1347.
- Balali-Mood M & Shariat M: Treatment of organophosphate poisoning. experience of nerve agents and acute pesticide poisoning on the effects of oximes. J Physiol (Paris) 1998; 92(5-6):375-378.
- Balali-Mood M, Ayati MH, & li-Akbarian H: Effect of high doses of sodium bicarbonate in acute organophosphorous pesticide poisoning. Clin Toxicol (Phila) 2005; 43(6):571-574.
- Ballantyne B: Oximes and visual disturbances: A review and experimental findings (Abstract). Presented at the AACT/AAPCC/ABMT/CAPCC Annual Scientific Meeting, Vancouver, BC (Sept 27-Oct 2), 1987.
- Bar-Meir E, Schein O, Eisenkraft A, et al: Guidelines for treating cardiac manifestations of organophosphates poisoning with special emphasis on long QT and Torsades De Pointes. Crit Rev Toxicol 2007; 37(3):279-285.
- Barckow D, Neuhaus G, & Erdmann WD: Zur Behandlung der schweren Parathion (E 605)-Vergifting mit dem Cholinesterase-Reaktivator Obidoxim (Toxogonin). Arch Toxicol 1969; 24:133-146.
- Bardin PG & Van Eeden SF: Organophosphate poisoning: grading the severity and comparing treatment between atropine and glycopyrrolate. Crit Care Med 1990; 18:956-960.
- Bardin PG, Van Eeden SF, & Joubert JR: Intensive care management of acute organophosphate poisoning. A 7-year experience in the western Cape. S Afr Med J 1987; 72:593-597.
- Borowitz SM: Prolonged organophosphate toxicity in a twenty-six-month-old child. J Pediatr 1988; 112:302-304.
- Brill DM, Maisel AS, & Prabhu R: Polymorphic ventricular tachycardia and other complex arrhythmias in organophosphate insecticide poisoning. J Electrocardiography 1984; 17:97-102.
- Brokopp CD: Bull Environ Contam Toxicol 1981; 26:524-529.
- Brophy GM, Bell R, Claassen J, et al: Guidelines for the evaluation and management of status epilepticus. Neurocrit Care 2012; 17(1):3-23.
- Brower RG, Matthay AM, & Morris A: Ventilation with lower tidal volumes as compared with traditional tidal volumes for acute lung injury and the acute respiratory distress syndrome. N Eng J Med 2000; 342:1301-1308.
- Brown HW: Electroencephalographic changes and disturbance of brain function following human organophosphate exposure. Northwest Med 1971; 70:845-846.
- Brown SS: Personal Communication: Antidotes for Organophosphate Poisoning -- Analytical Aspects. Working paper for Joint IPCS/CEC Working Group, Newcastle-upon-Tyne, UK (13-17 March), 1989.
- Brown SS: Personal Communication: Antidotes for Organophosphate Poisoning--Analytical Aspects. Working paper for Joint IPCS/CEC Working Group, Newcastle-upon-Tyne (13-17 March), 1989a.
- Bryant DH: Asthma due to insecticide sensitivity. Aust NZ Med J 1985; 15:66-68.
- Buckley NA, Eddleston M, & Szinicz L: Oximes for acute organophosphate pesticide poisoning. Cochrane Database Syst Rev 2005; 25(1):CD005085.
- Burgess ED & Audette RJ: Limited effectiveness of charcoal hemoperfusion in malathion poisoning. Pharmacotherapy 1990; 10:410-412.
- CHRIS : CHRIS Hazardous Chemical Data. US Department of Transportation, US Coast Guard. Washington, DC (Internet Version). Edition expires 1996; provided by Truven Health Analytics Inc., Greenwood Village, CO.
- CHRIS : CHRIS Hazardous Chemical Data. US Department of Transportation, US Coast Guard. Washington, DC (Internet Version). Edition expires 1998; provided by Truven Health Analytics Inc., Greenwood Village, CO.
- Calesnick B, Christensen JA, & Richter M: Human toxicity of various oximes. Arch Environ Health 1967; 15:599-608.
- Caravati EM, Knight HH, & Linscott MS: Esophageal laceration and charcoal mediastinum complicating gastric lavage. J Emerg Med 2001; 20:273-276.
- Cataletto M: Respiratory Distress Syndrome, Acute(ARDS). In: Domino FJ, ed. The 5-Minute Clinical Consult 2012, 20th ed. Lippincott Williams & Wilkins, Philadelphia, PA, 2012.
- Cavanagh JB: Organophosphorus neurotoxicity, a model "dying-back" process comparable to certain human neurological disorders. Guy's Hospital Reports 1963; 17:163-172.
- Chamberlain JM, Altieri MA, & Futterman C: A prospective, randomized study comparing intramuscular midazolam with intravenous diazepam for the treatment of seizures in children. Ped Emerg Care 1997; 13:92-94.
- Chapman RA, Tolman JH, & Cole C: The effect of multiple soil applications of disulfoton on enhanced microbial degradation in soil and subsequent uptake of insecticidal chemicals by potato plants. J Environ Sci Health 1994; B29:485-506.
- Charlton NP , Lawrence DT , Brady WJ , et al: Termination of drug-induced torsades de pointes with overdrive pacing. Am J Emerg Med 2010; 28(1):95-102.
- Chen HH: Mutat Res 1981; 88:307-316.
- Cherian MA, Roshini C, Visalakshi J, et al: Biochemical and clinical profile after organophosphorus poisoning--a placebo-controlled trial using pralidoxime. J Assoc Physicians India 2005; 53:427-431.
- Cherniack MG: Organophosphorus esters and polyneuropathy. Ann Intern Med 1986; 104:264-266.
- Cherniack MG: Toxicological screening for organophosphorus-induced delayed neurotoxicity: complications in toxicity testing. Neurotoxicology 1988; 9:249-272.
- Chhabra ML & Sepaha GD: ECG and necropathy changes in organophosphorus compound (malathion) poisoning. Indian J Med Sci 1970; 24:424-429.
- Chin RF , Neville BG , Peckham C , et al: Treatment of community-onset, childhood convulsive status epilepticus: a prospective, population-based study. Lancet Neurol 2008; 7(8):696-703.
- Choonara IA & Rane A: Therapeutic drug monitoring of anticonvulsants state of the art. Clin Pharmacokinet 1990; 18:318-328.
- Chuang FR, Jang SW, & Lin JL: QTc prolongation indicates a poor prognosis in patients with organophosphate poisoning. Am J Emerg Med 1996; 14:451-453.
- Chyka PA, Seger D, Krenzelok EP, et al: Position paper: Single-dose activated charcoal. Clin Toxicol (Phila) 2005; 43(2):61-87.
- Clifford NJ & Nies AS: Organophosphate poisoning from wearing a laundered uniform previously contaminated with parathion. JAMA 1989; 262:3035-3036.
- Conyers RAJ & Goldsmith LE: A case of organophosphorus-induced psychosis. Med J Aust 1971; 1:27-29.
- Corvino TF , Nahata MC , Angelos MG , et al: Availability, stability, and sterility of pralidoxime for mass casualty use. Ann Emerg Med 2006; 47(3):272-277.
- Costa LG & Murphy SD: Fundam Appl Toxicol 1983b; 3:483-488.
- Costa LG & Murphy SD: J Pharmacol Exp Ther 1983; 226:392-397.
- Costa LG, Shao M, & Basker K: Chronic administration of an organophosphorus insecticide to rats alters cholinergic muscarinic receptors in the pancreas. Chem Biol Interact 1984; 48:261-269.
- Coye MJ, Barnett PG, & Midtling JE: Clinical confirmation of organophosphate poisoning by serial cholinesterase analyses. Arch Intern Med 1987; 147:438-442.
- Coye MJ, Barnett PG, & Midtling JE: Clinical confirmation of organophosphate poisoning of agricultural workers. Am J Ind Med 1986; 10:399-409.
- Coye MJ: Insecticide spraying in enclosed occupied areas (Letter). JAMA 1984; 252:1762.
- Crispen C, Kempf J, & Greydanus DE: Intussusception as a possible complication of organophosphate overdose and/or treatment. Clin Pediatr 1985; 24:140.
- 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.
- De Kort WL, Kiestra SH, & Sangster B: The use of atropine and oximes in organophosphate intoxications: a modified approach. Clin Toxicol 1988; 26:199-208.
- DePalma AE, Kwalick DS, & Zukerberg N: Pesticide poisoning in children. JAMA 1970; 211:1979-1981.
- Dille JE & Smith PW: Central nervous system effects of chronic exposure to organophosphate insecticides. Aerospace Med 1964; 35:474-478.
- Dixon EM: Dilatation of the pupils in parathion poisoning. JAMA 1957; 163:444-445.
- Done AK: The great equalizers? II. anticholinesterases. Emerg Med 1979; 173-175.
- Drew BJ, Ackerman MJ, Funk M, et al: Prevention of torsade de pointes in hospital settings: a scientific statement from the American Heart Association and the American College of Cardiology Foundation. J Am Coll Cardiol 2010; 55(9):934-947.
- EPA: Guidelines for the Disposal of Small Quantities of Unused Pesticides (EPA-670/2-75-057), Environmental Protection Agency, Washington, DC, 1975a, pp 315-330.
- EPA: Handbook for Pesticide Disposal by Common Chemical Methods (SW-112c), Environmental Protection Agency, Washington, DC, 1975, pp 64-66.
- EPA: Identification and Description of Chemical Deactivation/Detoxification Methods for the Safe Disposal of Selected Pesticides (SW-156c), Environmental Protection Agency, Washington, DC, 1978, pp 44-88.
- EPA: Pesticide Fact Handbook, Noyes Publications, Park Ridge, NJ, 1988, pp 744-749.
- EPA: Pesticide Fact Handbook, Noyes Publications, Park Ridge, NJ, 1988a.
- 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.
- Eddleston M, Buckley NA, Eyer P, et al: Management of acute organophosphorus pesticide poisoning. Lancet 2008; 371(9612):597-607.
- Eddleston M, Szinicz L, & Eyer P: Oximes in acute organophosphorus pesticide poisoning: a systemiatic review. Q J Med 2002; 95:275-283.
- Ehrenfeld JR, Ong J, & Farino W: Controlling Volatile Emissions at Hazardou Waste Sites, Noyes Publications, Park Ridge, NJ, 1986, pp 393-401.
- Elliot CG, Colby TV, & Kelly TM: Charcoal lung. Bronchiolitis obliterans after aspiration of activated charcoal. Chest 1989; 96:672-674.
- FDA: Poison treatment drug product for over-the-counter human use; tentative final monograph. FDA: Fed Register 1985; 50:2244-2262.
- Farrar HC, Wells TG, & Kearns GL: Use of continuous infusion of pralidoxime for treatment of organophosphate poisoning in children. J Pediatr 1990; 116:658-661.
- Finkelstein Y, Kushnir A, Raikhlin-Eisenkraft B, et al: Antidotal therapy of severe acute organophosphate poisoning: a multihospital study. Neurotoxicol Teratol 1989; 11(6):593-596.
- Ford JE: Personal communication, Chevron Environmental Health Center, Inc, Richmond, CA, 1989.
- Ford JE: Personal communication. Chevron Environmental Health Center, Inc, 1989.
- Fredriksson T: Percutaneous absorption of parathion and paraoxon. Arch Environ Health 1961; 3:67-70.
- Futagami K, Otsubo K, & Nakao Y: Acute organophosphate poisoning after disulfoton ingestion. J Toxicol Clin Toxicol 1995; 33:151-155.
- Gallagher K, Kearney T, & Mangione A: A case report of organophosphate (OP) poisoning supporting the use of pralidoxime (2-PAM) by continuous IV infusion (abstract 102). Vet Hum Toxicol 1989; 31:355.
- Ganendran A: Organophosphate insecticide poisoning and its management. Anaesth Intens Care 1974; 4:361-368.
- Gerkin R & Curry S: Persistently elevated plasma insecticide levels in severe methylparathion poisoning (Abstract), AACT/AAPCC/ABMT/CAPCC Annual Scientific Meeting, Vancouver, Canada, 1987.
- Gershon S & Shaw FH: Psychiatric sequelae of chronic exposure to organophosphorus insecticides. Lancet 1961; 1:1371-1374.
- Golej J, Boigner H, Burda G, et al: Severe respiratory failure following charcoal application in a toddler. Resuscitation 2001; 49:315-318.
- Golsousidis H & Kokkas V: Use of 19,590 mg of atropine during 24 days of treatment, after a case of unusually severe parathion poisoning. Human Toxicol 1985; 4:339-340.
- Gordon JE & Shy CM: Agricultural chemical use and congenital cleft lip and/or palate. Arch Environ Health 1981; 36:213-220.
- Graff GR, Stark J, & Berkenbosch JW: Chronic lung disease after activated charcoal aspiration. Pediatrics 2002; 109:959-961.
- Grmec S, Mally S, & Klemen P: Glasgow Coma Scale Score and QTc interval in the prognosis of organophosphate poisoning. Acad Emerg Med 2004; 11(9):925-930.
- Grob D & Garlick WL: The toxic effects in man of the anticholinesterase insecticide parathion. Bull Johns Hopkins Hosp 1950; 87:106-129.
- Grob D & Johns RJ: Use of oximes in the treatment of intoxication by anticholinesterase compounds in normal subjects. Am J Med 1958; 24:497.
- Guven M, Sungur M, & Eser B: The effect of plasmapheresis on plasma cholinesterase levels in a patient with organophosphate poisoning. Human Experiment Toxicol 2004a; 23:365-368.
- Guven M, Sungur M, Eser B, et al: The effects of fresh frozen plasma on cholinesterase levels and outcomes in patients with organophosphate poisoning. J Toxicol Clin Toxicol 2004; 42(5):617-623.
- HEW: Criteria for a Recommended Standard - Occupational exposure to parathion, US Department of Health, Education and Welfare, US Government Printing Office, Washington, DC, 1976.
- HSDB : Hazardous Substances Data Bank. National Library of Medicine. Bethesda, MD (Internet Version). Edition expires 1996; provided by Truven Health Analytics Inc., Greenwood Village, CO.
- HSDB : Hazardous Substances Data Bank. National Library of Medicine. Bethesda, MD (Internet Version). Edition expires 4/30/1998; provided by Truven Health Analytics Inc., Greenwood Village, CO.
- Haas CF: Mechanical ventilation with lung protective strategies: what works?. Crit Care Clin 2011; 27(3):469-486.
- Haddad LM: Organophosphates and other insecticides In: Haddad LM: Haddad LM, Winchester JF. Clinical management of poisoning and drug overdose, 2nd. W.B. Saunders Company, Philadelphia, 1990, pp 1076-87.
- Hall JG, Palliser PD, & Clarren SK: Congenital hypothalamic hamartoblastoma, hypopituitarism, imperforate anus, and postaxial polydactyly--a new syndrome? Part I: Clinical, causal and pathogenetic considerations. Am J Med Genet 1980; 7:47-74.
- Hansel TT, Neighbour H, Erin EM, et al: Glycopyrrolate causes prolonged bronchoprotection and bronchodilatation in patients with asthma. Chest 2005; 128(4):1974-1979.
- Harris CR & Filandrinos D: Accidental administration of activated charcoal into the lung: aspiration by proxy. Ann Emerg Med 1993; 22:1470-1473.
- Hathaway GJ, Proctor NH, & Hughes JP: Chemical Hazards of the Workplace, 4th ed, Van Nostrand Reinhold Company, New York, NY, 1996.
- Hayes WJ Jr: Pesticides Studied in Man, Williams and Wilkins, Baltimore, MD, 1982, pp 284-435.
- Hayes WJ: Parathion poisoning and its treatment. JAMA 1965; 192:49-50.
- Hegenbarth MA & American Academy of Pediatrics Committee on Drugs: Preparing for pediatric emergencies: drugs to consider. Pediatrics 2008; 121(2):433-443.
- Hiraki K, Namba Y, & Taniguchi Y: Effect of 2-pyridine aldoxime methiodide (PAM) against parathion (Folidol) poisoning. Analysis of 39 cases. Naika Ryoiki 1958; 6:84.
- Hodgson MJ & Parkinson DK: Diagnosis of organophosphate intoxication. N Engl J Med 1985; 313:329.
- Howland MA: Pralidoxime. In: Goldfrank LR, Flomenbaum N, Hoffman RS, et al, eds. Goldfrank's Toxicologic Emergencies, 9th ed. McGraw-Hill, New York, NY, 2011.
- Howland MA: Pralidoxime. In: Goldfrank LR, Flomenbaum N, Hoffman RS, et al, eds. Goldfrank's Toxicologic Emergencies. 8th ed., 8th ed. McGraw-Hill, New York, NY, 2006, pp -.
- Huang CC: Proc Soc Exp Biol Med 1978; 142:36-40.
- Hui KS: Metabolic disturbances in organophosphate insecticide poisoning (Letter). Arch Pathol Lab Med 1983; 107:154.
- Hvidberg EF & Dam M: Clinical pharmacokinetics of anticonvulsants. Clin Pharmacokinet 1976; 1:161.
- 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.
- IPCS: Pesticide Residues in Food -- 1991, Evaluations 1991, Part II -- Toxicology, International Programme on Chemical Safety, World Health Organization, Geneva, Switzerland, 1992.
- ITI: Toxic and Hazardous Industrial Chemicals Safety Manual, The International Technical Information Institute, Tokyo, Japan, 1988.
- 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.
- Jager BV & Stagg GN: Toxicity of diacetyl monoxime and of pyridine-2-aldoxime methiodide in man. Bull John Hopkins Hosp 1958; 102:203.
- Jang SW, Lin JL, & Chuang FR: Electrocardiographic findings of organophosphorous intoxication in emergency department as predictors of prognosis: a retrospective analysis. Chang Keng: Hsueh-Chang Gung Med J 1995; 18:120-125.
- Johnson MK: Delayed neuropathy caused by some organophosphorus esters: mechanism and challenge. CRC Crit Care Rev Toxicol 1975; 3:289-316.
- Joubert J & Joubert PH: Chorea and psychiatric changes in organophosphate poisoning. S Afr Med J 1988; 74:32-34.
- Joubert J, Joubert PH, & Spuy M: Acute organophosphate poisoning presenting with choreo-athetosis. Clin Toxicol 1984; 22:187-191.
- Jovanovic D: Pharmacokinetics of pralidoxime chloride. Arch Toxicol 1989; 63:416-418.
- Joy RM: Pesticides and Neurological Diseases, in DJ & Joy RM (eds): Ecobichon, CRC Press, Inc, Boca Raton, FL, 1982, pp 126-132.
- Kamijo Y, Soma K, & Uchimiya H: A case of serious organophosphate poisoning treated by percutaneus cardiopulmonary support. Vet Human Toxicol 1999; 41(5):326-328.
- Karalliedde L, Senanayake N, & Ariaratnam A: Acute organophosphorus insecticide poisoning during pregnancy. Human Toxicol 1988; 7:363-364.
- Kassa J: Review of oximes in the antidotal treatment of poisoning by organophosphorous nerve agents. J Toxicol Clin Toxicol 2002; 40(6):803-816.
- Keren A, Tzivoni D, & Gavish D: Etiology, warning signs and therapy of torsade de pointes: a study of 10 patients. Circulation 1981; 64:1167-1174.
- Khan IA & Gowda RM: Novel therapeutics for treatment of long-QT syndrome and torsade de pointes. Int J Cardiol 2004; 95(1):1-6.
- Kiss Z & Fazekas T: Organophosphate poisoning and complete heart block. J Royal Soc Med 1982; 73:138-139.
- Kleinman ME, Chameides L, Schexnayder SM, et al: 2010 American Heart Association guidelines for cardiopulmonary resuscitation and emergency cardiovascular care. Part 14: pediatric advanced life support. Circulation 2010; 122(18 Suppl.3):S876-S908.
- Klemmer HW, Reichert ER, & Yauger WL Jr: Five cases of intentional ingestion of 25% diazinon with treatment and recovery. Clin Toxicol 1978; 12:435-444.
- Kogure M & Imai H: J Am Med Wom Assoc 1975; 30:420-422.
- Kollef MH & Schuster DP: The acute respiratory distress syndrome. N Engl J Med 1995; 332:27-37.
- Kuribayashi S: Appl Entomol Zool 1981; 16:423-431.
- Kusic R, Jovanovic D, & Randjelovic S: HI-6 in man: Efficacy of the oxime in poisoning by organophosphorus insecticides. Human Exp Toxicol 1991; 10:113-118.
- Kventsel I, Berkovitch M, Reiss A, et al: Scopolamine treatment for severe extra-pyramidal signs following organophosphate (chlorpyrifos) ingestion. Clin Toxicol (Phila) 2005; 43(7):877-879.
- Lacorte S, Lartiges SB, & Garrigues P: Degradation of organophosphorus pesticides and their transformation products in estuarine waters. Environ Sci Technol 1995; 29:431-438.
- LeBlanc FN, Benson BE, & Gilg AB: A severe organophosphate poisoning requiring the use of an atropine drip. Clin Toxicol 1986; 24:69-76.
- Lerman Y & Gutman H: The use of respiratory stimulants in organophosphates' intoxication. Med Hypotheses 1988; 26:267-269.
- Levin HS & Rodnitzky RL: Behavioral effects of organophosphate pesticides in man. Clin Toxicol 1976; 9:391-405.
- Lewis RJ: Hawley's Condensed Chemical Dictionary, 12th ed, Van Nostrand Reinhold Company, New York, NY, 1993, pp 98.
- Lewis RJ: Sax's Dangerous Properties of Industrial Materials, 8th ed, Van Nostrand Reinhold Company, New York, NY, 1992.
- Link MS, Berkow LC, Kudenchuk PJ, et al: Part 7: Adult Advanced Cardiovascular Life Support: 2015 American Heart Association Guidelines Update for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care. Circulation 2015; 132(18 Suppl 2):S444-S464.
- Loddenkemper T & Goodkin HP: Treatment of Pediatric Status Epilepticus. Curr Treat Options Neurol 2011; Epub:Epub.
- Lotti M: Treatment of acute organophosphate poisoning.. Med J Aust 1991; 154:51-5.
- Ludomirsky A, Klein HO, & Sarelli P: Q-T prolongation and polymorphous ("torsade de pointes") ventricular arrhythmias associated with organophosphorous insecticide poisoning. Am J Cardiol 1982; 49:1654-1658.
- Lund C & Monteagudo FSE: Therapeutic protocol No 1. Early management of organophosphate poisoning. S Afr Med J 1986; 69:6.
- Mandel JS, Berlinger NT, & Kay N: Organophosphate exposure inhibits non-specific esterase staining in human blood monocytes. Am J Ind Med 1989; 15:207-212.
- Manno EM: New management strategies in the treatment of status epilepticus. Mayo Clin Proc 2003; 78(4):508-518.
- Martinez-Chuecos J, Jurado MDC, & Gimenez MP: Experience with hemoperfusion for organophosphate poisoning. Crit Care Med 1992; 20:1538-1543.
- Matsumiya N, Tanaka M, & Iwai M: Elevated amylase is related to the development of respiratory failure in organophosphate poisoning. Human Exp Toxicol 1996; 15:250-253.
- McCarty RT, Haufler M, & Osborn MG: Oral toxicity of four organophosphate insecticides to farm livestock. Am J Vet Res 1969; 30:1149-1153.
- McDonough JH Jr, Jaax NK, & Crowley RA: Atropine and/or diazepam therapy protects against soman-induced neural and cardiac pathology. Fundam Appl Toxicol 1989; 13:256-276.
- Meller D, Fraser I, & Kryger M: Hyperglycemia in anticholinesterase poisoning. Canad Med Assoc J 1981; 124:745-748.
- Michotte A, Van Dijck I, & Vaes V: Ataxia as the only delayed neurotoxic manifestation of organophosphate insecticide poisoning. Eur Neurol 1989; 29:23-26.
- Midtling JE, Barnett PG, & Coye MJ: Clinical management of field worker organophosphate poisoning. West J Med 1985; 142:514-518.
- Milby TH, Ohoboni F, & Mitchell HW: Parathion residue poisoning among orchard workers. JAMA 1964; 189:351-356.
- Milby TH: Prevention and management of organophosphate poisoning. JAMA 1971; 216:2131-2133.
- Minton NA & Murray VSG: A review of organophosphate poisoning. Med Toxicol 1988; 3:350-375.
- Misra UK, Nag D, & Misra NK: Some observations on the macula of pesticide workers. Human Toxicol 1985; 4:135-145.
- Moore PG & James OF: Acute pancreatitis induced by acute organophosphate poisoning?. Postgrad Med J 1981; 57:660-662.
- Morgan DP: Recognition and Management of Pesticide Poisonings, 4th ed. EPA-540/9-88-001, US Environmental Protection Agency, US Government Printing Office, Washington, DC, 1993.
- Mukuno K & Imai H: Nippon Ganka Gakkai Zasshi (J Jap Ophthalol Soc) 1973; 77:1246-1253.
- Muller FO & Hundt HKL: Chronic organophosphate poisoning. S Afr Med J 1980; 57:344-345.
- Munidasa UADD, Gawarammana IB, Kularatne SAM, et al: Survival pattern in patients with acute organophosphate poisoning receiving intensive care. J Toxicol Clin Toxicol 2004; 42(4):343-347.
- Murphy MR, Blick DW, & Dunn MA: Diazepam as a treatment for nerve agent poisoning in primates. Aviat Space Environ Med 1993; 64:110-115.
- NFPA: Fire Protection Guide to Hazardous Materials, 13th ed., National Fire Protection Association, Quincy, MA, 2002.
- NHLBI ARDS Network: Mechanical ventilation protocol summary. Massachusetts General Hospital. Boston, MA. 2008. Available from URL: http://www.ardsnet.org/system/files/6mlcardsmall_2008update_final_JULY2008.pdf. As accessed 2013-08-07.
- NIOSH : Pocket Guide to Chemical Hazards. National Institute for Occupational Safety and Health. Cincinnati, OH (Internet Version). Edition expires 1996; provided by Truven Health Analytics Inc., Greenwood Village, CO.
- NIOSH : Pocket Guide to Chemical Hazards. National Institute for Occupational Safety and Health. Cincinnati, OH (Internet Version). Edition expires 1999; 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.
- Namba T, Nolte CT, & Jackrel J: Poisoning due to organophosphate insecticides. Acute and chronic manifestations. Am J Med 1971; 50:475-492.
- Namba T: Diagnosis and treatment of organophosphate insecticide poisoning. Med Times 1972; 100:100-126.
- 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 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.
- Neumar RW , Otto CW , Link MS , et al: Part 8: adult advanced cardiovascular life support: 2010 American Heart Association Guidelines for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care. Circulation 2010; 122(18 Suppl 3):S729-S767.
- None Listed: Position paper: cathartics. J Toxicol Clin Toxicol 2004; 42(3):243-253.
- Nora JJ, Nora AH, & Sommerville RJ: Maternal exposure to potential teratogens. JAMA 1967; 202:1065-1069.
- OHM/TADS : Oil and Hazardous Materials/Technical Assistance Data System. US Environmental Protection Agency. Washington, DC (Internet Version). Edition expires 1996; provided by Truven Health Analytics Inc., Greenwood Village, CO.
- OHM/TADS : Oil and Hazardous Materials/Technical Assistance Data System. US Environmental Protection Agency. Washington, DC (Internet Version). Edition expires 1998; provided by Truven Health Analytics Inc., Greenwood Village, CO.
- Ogi D & Hamada A: Case reports on fetal deaths and malformations of extremities probably related to insecticide poisoning. J Jpn Obstet Gynecol Soc 1965; 17:569.
- Okonek S, Tonnis HJ, & Baldamus CA: Hemoperfusion versus hemodialysis in the management of patients severely poisoned by organophosphorus insecticides and bipyridyl herbicides. Artif Organs 1979; 3:341-345.
- Pajoumand A, Shadnia S, Rezaie A, et al: Benefits of magnesium sulfate in the management of acute human poisoning by organophosphorus insecticides. Human Experi Toxicol 2004; 23:565-569.
- Pawar KS, Bhoite RR, Pillay CP, et al: Continuous pralidoxime infusion versus repeated bolus injection to treat organophosphorus pesticide poisoning: a randomised controlled trial. Lancet 2006; 368(9553):2136-2141.
- Peberdy MA , Callaway CW , Neumar RW , et al: 2010 American Heart Association guidelines for cardiopulmonary resuscitation and emergency cardiovascular care science. Part 9: post–cardiac arrest care. Circulation 2010; 122(18 Suppl 3):S768-S786.
- Peng A, Meng FQ, Sun LF, et al: Therapeutic efficacy of charcoal hemoperfusion in patients with acute severe dichlorvos poisoning. Acta Pharmacol Sin 2004; 25(1):15-21.
- Perera PM, Shahmy S, Gawarammana I, et al: Comparison of two commonly practiced atropinization regimens in acute organophosphorus and carbamate poisoning, doubling doses vs. ad hoc: a prospective observational study. Hum Exp Toxicol 2008; 27(6):513-518.
- Perez Guillermo F, Martinez Pretel CM, & Tarin Royo F: Prolonged suxamethonium-induced neuromuscular blockade associated with organophosphate poisoning. Br J Anaesth 1988; 61:233-236.
- Perticone F, Ceravolo R, & Cuccurullo O: Prolonged magnesium sulfate infusion in the treatment of ventricular tachycardia in acquired long QT syndrome. Clin Drug Inverst 1997; 13:229-236.
- Pesticide User's Guide: Chapter IX, Decontamination, In: Pesticide User's Guide, Colorado State University, Fort Collins, CO, 1976, pp 11-16.
- Peter JV, Moran JL, & Graham P: Oxime therapy and outcomes in human organophosphate poisoning: an evaluation using meta-analytic techniques. Crit Care Med 2006; 34(2):502-510.
- Pollack MM, Dunbar BS, & Holbrook PR: Aspiration of activated charcoal and gastric contents. Ann Emerg Med 1981; 10:528-529.
- Product Information: ATROPEN(R) IM injection, atropine IM injection. Meridian Medical Technologies, Inc (per manufacturer), Columbia, MD, 2005.
- Product Information: ATNAA ANTIDOTE TREATMENT – NERVE AGENT, AUTO-INJECTOR intramuscular injection solution, atropine pralidoxime chloride intramuscular injection solution. Meridian Medical Technologies, Inc (per Manufacturer), Columbia, MD, 2002.
- Product Information: DUODOTE(TM) IM injection, atropine, pralidoxime chloride IM injection. Meridian Medical Technologies,Inc, Columbia, MD, 2006.
- Product Information: DUONEB(R) inhalation solution, ipratropium bromide albuterol sulfate inhalation solution. Dey, Napa, CA, 2005.
- Product Information: DuoDote(R) intramuscular injection solution, atropine and pralidoxime chloride intramuscular injection solution. Meridian Medical Technologies(TM), Inc. (per Manufacturer), Columbia, MD, 2011.
- Product Information: Isuprel(TM) intravenous injection, intramuscular injection, subcutaneous injection, intracardiac injection, isoproterenol HCl intravenous injection, intramuscular injection, subcutaneous injection, intracardiac injection. Hospira, Inc. (per FDA), Lake Forest, IL, 2013.
- Product Information: PRALIDOXIME CHLORIDE intramuscular injection, pralidoxime chloride intramuscular injection. Meridian Medical Technologies, Inc. (per DailyMed), Columbia, MD, 2003.
- Product Information: PROTOPAM(R) CHLORIDE injection, pralidoxime chloride injection. Baxter Healthcare Corporation, Deerfield, IL, 2006.
- Product Information: PROTOPAM(R) Chloride injection, pralidoxime chloride injection. Baxter Healthcare Corporation, Deerfield, IL, 2010.
- Product Information: ROBINUL(R) injection, glycopyrrolate injection. Baxter Healthcare Corporation, Deerfield, IL, 2006.
- Product Information: TOXOGONIN(R) IV injection, chloride obidoxime IV injection. Merck, Chile, 2007.
- Product Information: Toxogonin(R), obidoxime chloride. E Merck, Darmstadt, 1989.
- Product Information: diazepam IM, IV injection, diazepam IM, IV injection. Hospira, Inc (per Manufacturer), Lake Forest, IL, 2008.
- Product Information: diazepam autoinjector IM injection solution, diazepam autoinjector IM injection solution. Meridian Medical Technologies Inc, Columbia, MD, 2005.
- Product Information: dopamine hcl, 5% dextrose IV injection, dopamine hcl, 5% dextrose IV injection. Hospira,Inc, Lake Forest, IL, 2004.
- Product Information: lorazepam IM, IV injection, lorazepam IM, IV injection. Akorn, Inc, Lake Forest, IL, 2008.
- Product Information: magnesium sulfate heptahydrate IV, IM injection, solution, magnesium sulfate heptahydrate IV, IM injection, solution. Hospira, Inc. (per DailyMed), Lake Forest, IL, 2009.
- Product Information: norepinephrine bitartrate injection, norepinephrine bitartrate injection. Sicor Pharmaceuticals,Inc, Irvine, CA, 2005.
- Product Information: pralidoxime chloride intramuscular auto-imjector solution, pralidoxime chloride intramuscular auto-imjector solution. Meridian Medical Technologies, Inc. (per manufacturer), Columbia, MD, 2003.
- Prody CA, Dreyfus P, & Zamir R: De novo amplification within a "silent" human cholinesterase gene in a family subjected to prolonged exposure to organophosphorous insecticides. Proc Natl Acad Sci USA 1989; 86:690-694.
- Pullicino P & Aquilina J: Opsoclonus in organophosphate poisoning. Arch Neurol 1989; 46:704-705.
- Quinby GE: Clin Toxicol 1977; 10:479.
- RTECS : Registry of Toxic Effects of Chemical Substances. National Institute for Occupational Safety and Health. Cincinnati, OH (Internet Version). Edition expires 1996; 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 4/30/1998; provided by Truven Health Analytics Inc., Greenwood Village, CO.
- Rahimi R, Nikfar S, & Abdollahi M: Increased morbidity and mortality in acute human organophosphate-poisoned patients treated by oximes: a meta-analysis of clinical trials. Hum Exp Toxicol 2006; 25(3):157-162.
- Rau NR, Nagaraj MV, Prakash PS, et al: Fatal pulmonary aspiration of oral activated charcoal. Br Med J 1988; 297:918-919.
- Riccio E: Environ Mutagen 1981; 3:327.
- Rivett K & Potgieter PD: Diaphragmatic paralysis after organophosphate poisoning. S Afr Med J 1987; 72:881-882.
- Roberts D & Buckley NA: Alkalinisation for organophosphorus pesticide poisoning. Cochrane Database Syst Rev 2005; 25(1):CD004897.
- Roberts DM & Aaron CK: Management of acute organophosphorus pesticide poisoning. BMJ 2007; 334(7594):629-634.
- S Sweetman : Martindale: The Complete Drug Reference. Pharmaceutical Press. London, England (Internet Version). Edition expires 2002; provided by Truven Health Analytics Inc., Greenwood Village, CO.
- Sakamoto T, Sawada Y, & Nishide K: Delayed neurotoxicity produced by an organophosphorus compound (Sumithion). Arch Toxicol 1984; 56:136-138.
- Sampaio AS & Ribas C: Persistence of aldicarb and disufoton applied to soil for control of peach sucking pests (Portuguese). Cientifica 1979; 7:161-163.
- Savage EP, Keefe TJ, & Mounce LM: Chronic neurological sequelae of acute organophosphate pesticide poisoning. Arch Environ Health 1988; 43:38-45.
- Schardein JL: Chemically Induced Birth Defects, Marcel Dekker Inc, New York, NY, 1985.
- Schexnayder S, Pames LP, & Kearns GL: The pharmacokinetics of Continuous infusion of pralidoxime in children with organophosphate poisoning. J Toxicol Clin Toxicol 1998; 36:549-555.
- Schroeckenstein DC, Bush RK, Chervinsky P, et al: Twelve-hour bronchodilation in asthma with a single aerosol dose of the anticholinergic compound glycopyrrolate. J Allergy Clin Immunol 1988; 82:115-119.
- Schwab BW: Toxicol Appl Pharmacol 1981; 60:441-450.
- Scott R, Besag FMC, & Neville BGR: Buccal midazolam and rectal diazepam for treatment of prolonged seizures in childhood and adolescence: a randomized trial. Lancet 1999; 353:623-626.
- Scott RJ: Repeated asystole following PAM in organophosphate self-poisoning. Anaesth Intensive Care 1986; 14:458-468.
- Selden BS & Curry SC: Prolonged succinylcholine-induced paralysis in organophosphate insecticide poisoning. Ann Emerg Med 1987; 16:215-217.
- Senanayake N & Karalliedde L: Neurotoxic effects of organophosphorus insecticides. N Engl J Med 1987; 316:761-763.
- Shahar E, Bentur Y, Bar-Joseph G, et al: Extrapyramidal parkinsonism complicating acute organophosphate insecticide poisoning. Pediatr Neurol 2005; 33(5):378-382.
- Shemesh I, Bourvin A, & Gold D: Chlorpyrifos poisoning treated with ipratropium and dantrolene: a case report. Clin Toxicol 1988; 26:495-498.
- Sidell FR & Borak J: Chemical warfare agents: II. Nerve agents. Ann Emerg Med 1992; 21:865-871.
- Sidell FR & Groff WA: The reactive ability of cholinesterase inhibited by VX and sarin in man. Toxicol Appl Pharmacol 1974; 27:241-252.
- Simmon VF: GRA&I 10. National Technical Information Service, 1980.
- Singh G, Avasthi G, & Khurana D: Neurophysiological monitoring of pharmacological manipulation in acute organophosphate (OP) poisoning. The effects of pralidoxime, magnesium sulfate and pancuronium. Electroencephalol Clin Neurophysiol 1998; 107:140-148.
- Singh S, Chaudhry D, & Behera D: Aggressive atropinisation and continuous pralidoxime (2-PAM) infusion in patients with severe organophosphae poisoning: experience of a northwest Indian hospital. Human Exp Toxicol 2001; 20:15-18.
- Sittig M: Handbook of Toxic and Hazardous Chemicals and Carcinogens, 3rd ed, 1-2, Noyes Publications, Park Ridge, NJ, 1991.
- Smith DM: Organophosphorus poisoning from emergency use of a hand sprayer. Practitioner 1977; 218:877-883.
- Smith WM & Gallagher JJ: "Les torsades de pointes": an unusual ventricular arrhythmia. Ann Intern Med 1980; 93:578-584.
- Sofer S, Tal A, & Shahak E: Carbamate and organophosphate poisoning in early childhood. Pediatr Emerg Care 1989; 5:222-225.
- Sreenath TG, Gupta P, Sharma KK, et al: Lorazepam versus diazepam-phenytoin combination in the treatment of convulsive status epilepticus in children: A randomized controlled trial. Eur J Paediatr Neurol 2009; Epub:Epub.
- Stolbach A & Hoffman RS: Respiratory Principles. In: Nelson LS, Hoffman RS, Lewin NA, et al, eds. Goldfrank's Toxicologic Emergencies, 9th ed. McGraw Hill Medical, New York, NY, 2011.
- Tafuri J & Roberts J: Organophosphate poisoning. Ann Emerg Med 1987; 16:193-202.
- Tang X, Wang R, Xie H, et al: Repeated pulse intramuscular injection of pralidoxime chloride in severe acute organophosphorus pesticide poisoning. Am J Emerg Med 2013; 31(6):946-949.
- The Merck Index Online. 13th edition. Merck & Co., Inc.. Whitehouse Station, NJ. 2003. As accessed April 2005 - via DialogWeb.
- Thiermann H, Mast U, Klimmek R, et al: Cholinesterase status, pharmacokinetics and laboratory findings during obidoxime therapy in organophosphate poisoned patients. Hum Exp Toxicol 1997; 16(8):473-480.
- Thompson DF: Pralidoxime chloride continuous infusions. Ann Emerg Med 1987; 16:831-832.
- Tock RW & Ethington D: Small-Scale Disposal of Agrichemicals. National Heat Transfer Conference, 1987.
- Tracey JA & Gallagher H: Use of glycopyrrolate and atropine in acute organophosphorus poisoning. Hum Exp Toxicol 1990; 9:99-100.
- 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-.
- Uga S: Invest Ophthalmol Visual Sci 1977; 16:877-881.
- 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.
- Uzokwu M: Comparative feto-toxicity of organophosphate insecticide in mice. Bull Epizootic Dis Afr 1974; 22:161-166.
- Vale JA, Kulig K, American Academy of Clinical Toxicology, et al: Position paper: Gastric lavage. J Toxicol Clin Toxicol 2004; 42:933-943.
- Vale JA: Position Statement: gastric lavage. American Academy of Clinical Toxicology; European Association of Poisons Centres and Clinical Toxicologists. J Toxicol Clin Toxicol 1997; 35:711-719.
- Van Bao T, Szabo I, & Ruzicska P: Chromosome aberrations in patients suffering acute organic phosphate insecticide intoxication. Humangenetik 1974; 24:33-57.
- Von Kaulla K & Holmes JH: Changes following anticholinesterase exposures: blood coagulation studies. Arch Environ Health 1961; 2:168.
- Wadia RS & Amin RB: Fenthion poisoning (letter). J Pediatr 1988; 113:950.
- Wadia RS, Chitra S, & Amin RB: Electrophysiological studies in acute organophosphate poisoning. J Neurol Neurosurg Psychiatry 1987; 50:1442-1448.
- Wedin GP, Pennente CM, & Sachdev SS: Renal involvement in organophosphate poisoning (Letter). JAMA 1984; 252:1408.
- Whorton MD & Obrinsky DL: Persistence of symptoms after mild to moderate acute organophosphate poisoning among 19 farm field workers. J Toxicol Environ Health 1983; 11:347-354.
- Willems JL: Poisoning by organophosphate insecticides: analysis of 53 human cases with regard to management and treatment. Acta Med Mil Belg 1981; 134:7-14.
- Wills JH: The measurement and significance of changes in the cholinesterase activities of erythrocytes and plasma in man and animals. CRC Crit Rev Toxicol 1972; 1:153-202.
- Willson DF, Truwit JD, Conaway MR, et al: The adult calfactant in acute respiratory distress syndrome (CARDS) trial. Chest 2015; 148(2):356-364.
- Wilson DF, Thomas NJ, Markovitz BP, et al: Effect of exogenous surfactant (calfactant) in pediatric acute lung injury. A randomized controlled trial. JAMA 2005; 293:470-476.
- Windler E, Dreyer M, & Runge M: Intoxikation mit dem organophosphat parathion (E-605) (German). Schweiz Med Wochenschr 1983; 113:861-862.
- World Health Organization: The WHO recommended classification of pesticides by hazard and guidelines to classification 2004. World Health Organization. Geneva, Switzerland. 2006. Available from URL: http://www.who.int/ipcs/publications/pesticides_hazard_rev_3.pdf. As accessed 2009-05-06.
- Wren C, Carson PHM, & Sanderson JM: Organophosphate poisoning and complete heart block. J Royal Soc Med 1981; 74:688-689.
- Yoshida M, Shimada E, & Yamanaka S: A case of acute poisoning with fenitrothion (Sumithion). Human Toxicol 1987; 6:403-406.
- Ziemen M: Platelet function and coagulation disorders in organophosphate intoxication. Klin Wochenschr 1984; 62:814-820.
- Zwiener RJ & Ginsburg CM: Organophosphate and carbamate poisoning in infants and children. Pediatrics 1988; 81:121-126.
- de Monchy JGR, Snoek WJ, & Sluiter HJ: Treatment of severe parathion intoxication. Vet Human Toxicol 1979; 21(Suppl):115-117.
- de Silva HJ, Wijewickrema R, & Senanayake N: Does pralidoxime affect outcome of management in acute organophosphorus poisoning?. Lancet 1992; 339(8802):1136-1138.
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