MOBILE VIEW  | 

1-BROMOPROPANE

Classification   |    Detailed evidence-based information

Therapeutic Toxic Class

    A) 1-Bromopropane is a halogenated organic solvent. Commercial grades may contain a very small percentage of the 2-bromopropane isomer.

Specific Substances

    1) Bromopropane, 1-
    2) 1-Bromopropane
    3) nPB
    4) n-Propyl bromide
    5) n-Propylbromide
    6) Propane, 1-Bromo-
    7) Propyl bromide
    8) Molecular Formula: C3H7Br
    9) CAS 106-94-5
    1.2.1) MOLECULAR FORMULA
    1) C3H7Br
    2) CH3CH2CH2Br

Available Forms Sources

    A) FORMS
    1) 1-Bromopropane is a colorless liquid that is slightly denser than, and slightly soluble in, water (CHRIS, 2004; HSDB, 2004; AAR, 2002).
    B) SOURCES
    1) 1-Bromopropane is synthesized via an alcohol bromination process using n-propanol + hydrobromic acid (Ashford, 2001).
    C) USES
    1) 1-Bromopropane is used as a chemical intermediate in the production of a wide range of products including pharmaceuticals, insecticides, quaternary ammonium compounds, flavoring agents, and fragrances. It is also used as a solvent for fats, waxes, and resins (HSDB, 2004).
    2) The US Environmental Protection Agency has proposed 1-bromopropane as a substitute for ozone-depleting solvents in a number of different industrial sectors, subject to use conditions. 1-Bromopropane use in these categories is as follows:
    IndustryEnd UseSubstitute for these Substances
    CFC-113methyl chloroformHCFC-141b
    Solvents CleaningMetals CleaningXX.
    Solvents CleaningElectronics CleaningXX.
    Solvents CleaningPrecision CleaningXX.
    AerosolsAerosol SolventsXXX
    Adhesives, Coatings, and InksAdhesivesXXX

    3) Occupational exposure to a furniture glue containing 70% 1-bromopropane in 4 patients resulted in gastrointestinal symptoms (nausea, anorexia, weight loss) and peripheral and central nervous system signs and symptoms (dizziness, fatigue/lethargy, headache, paresthesia, dysesthesia, weakness, and ataxia) (Raymond & Ford, 2007).

Life Support

    A) This overview assumes that basic life support measures have been instituted.

Clinical Effects

    0.2.1) SUMMARY OF EXPOSURE
    A) USES: 1-Bromopropane is used as a chemical intermediate in the production of a wide range of products including pharmaceuticals, insecticides, quaternary ammonium compounds, flavoring agents, and fragrances. It is also used as a solvent for fats, waxes, and resins, and as an alternative to ozone-depleting solvents (eg, chlorofluorocarbons).
    B) TOXICOLOGY: Primary routes of exposure are inhalational and dermal, with systemic absorption primarily affecting the peripheral and the central nervous systems.
    C) EPIDEMIOLOGY: Occupational exposure has been infrequently reported.
    D) WITH POISONING/EXPOSURE
    1) MILD TO MODERATE TOXICITY: Mild to moderate toxic effects may include dermatitis, nausea and vomiting, diarrhea, dysphagia, anorexia, urinary difficulties, and irritation of eyes, nose, and throat.
    2) SEVERE TOXICITY: Malaise, dizziness, lightheadedness, headache, trouble concentrating, paresthesias, hypo- and hyperreflexia, ataxia, and weakness of the lower extremities have been reported following inhalational exposure to 1-bromopropane. Liver and lung damage have occurred with repeated, long-term exposure to 1-bromopropane.
    0.2.20) REPRODUCTIVE
    A) Decreased fetal weight and increased incidence of skeletal variations have been reported in rats exposed to 1-bromopropane by inhalation. In animal studies, decreased fertility, decreased numbers of implantation sites and litter size, and increased precoital interval were observed after exposure to 1-bromopropane. In addition, reduced prostate weight, and effects on seminal vesicle weight and sperm quality at higher levels were observed.
    0.2.21) CARCINOGENICITY
    A) No information could be found on the potential carcinogenicity of 1-bromopropane in humans.

Laboratory Monitoring

    A) Monitor vital signs and mental status.
    B) Monitor arterial blood gas, pulse oximetry, and chest x-ray in patients with hypoxia or respiratory distress.
    C) Monitor fluid and electrolyte status in patients with significant vomiting and/or diarrhea.
    D) Evaluate for signs/symptoms of muscle weakness, paresthesias, and ataxia.
    E) Monitor liver function as indicated in symptomatic patients.
    F) Urinary measurement of N-acetyl-S-(n-propyl)-L-cysteine (AcPrCys), a urinary specific 1-bromopropane metabolite, may be a useful biomarker of 1-bromopropane exposure.

Treatment Overview

    0.4.2) ORAL/PARENTERAL EXPOSURE
    A) DECONTAMINATION
    1) PREHOSPITAL: Toxicity after an acute ingestion is unlikely. Prehospital gastrointestinal decontamination is generally unnecessary. Primary routes of exposure are inhalational and dermal.
    2) HOSPITAL: Toxicity after an acute ingestion is unlikely. Gastrointestinal decontamination is generally unnecessary. Consider activated charcoal only if coingestants with significant toxicity are involved.
    0.4.3) INHALATION EXPOSURE
    A) MANAGEMENT OF MILD TO MODERATE TOXICITY
    1) Treatment is symptomatic and supportive. Correct any significant fluid and/or electrolyte abnormalities in patients with severe diarrhea and/or vomiting.
    B) MANAGEMENT OF SEVERE TOXICITY
    1) Treatment is symptomatic and supportive. Monitor mental status and evaluate for signs/symptoms of muscle weakness, paresthesias, and ataxia.
    C) DECONTAMINATION
    1) PREHOSPITAL: Monitor for respiratory distress. If cough or difficulty breathing develops, administer oxygen and assist ventilation as required. Treat bronchospasm with an inhaled beta2-adrenergic agonist. Consider systemic corticosteroids in patients with significant bronchospasm.
    2) HOSPITAL: Monitor for respiratory distress. If cough or difficulty breathing develops, administer oxygen and assist ventilation as required. Treat bronchospasm with an inhaled beta2-adrenergic agonist. Consider systemic corticosteroids in patients with significant bronchospasm.
    D) AIRWAY MANAGEMENT
    1) Ensure adequate ventilation and perform endotracheal intubation early in patients with significant respiratory distress.
    E) ANTIDOTE
    1) There is no specific antidote available.
    F) ENHANCED ELIMINATION PROCEDURE
    1) It is unknown if enhanced elimination techniques are likely to be useful following a 1-bromopropane exposure.
    G) PATIENT DISPOSITION
    1) HOME CRITERIA: Patients who are asymptomatic or with minimal symptoms after exposure to 1-bromopropane and are otherwise improving may be managed at home.
    2) OBSERVATION CRITERIA: Patients who are symptomatic need to be monitored until they are clearly improving and clinically stable.
    3) ADMISSION CRITERIA: Only patients with systemic toxicity may require admission.
    4) CONSULT CRITERIA: Consult a regional poison center or medical toxicologist for assistance in managing patients with severe toxicity or in whom the diagnosis is not clear.
    H) PITFALLS
    1) Failure to obtain adequate history of exposure.
    I) TOXICOKINETICS
    1) 1-Bromopropane is absorbed rapidly by dermal, oral or inhalation routes. 1-Bromopropane metabolism occurs through the mixed function oxidase system (MFO; slow and easily saturable) and via conjugation with glutathione. Enzymatic or non-enzymatic conjugation with glutathione produces several cysteine conjugates that are excreted in the urine.
    J) DIFFERENTIAL DIAGNOSIS
    1) Other chemicals or drugs that cause muscle weakness, paresthesias, or ataxia.
    0.4.4) EYE EXPOSURE
    A) For eye exposures, remove contact lenses and irrigate exposed eyes with copious amounts of room temperature 0.9% saline or water for at least 15 minutes. If irritation, pain, swelling, lacrimation, or photophobia persist after 15 minutes of irrigation, an ophthalmologic examination should be performed.
    0.4.5) DERMAL EXPOSURE
    A) OVERVIEW
    1) For dermal exposures, remove contaminated clothing and wash exposed area thoroughly with soap and water. A physician may need to examine the area if irritation or pain persists after washing.

Range Of Toxicity

    A) TOXICITY: A specific minimum toxic concentration has not been established. Time-weighted average (TWA) exposure concentrations were 0 to 170.5 parts per million (ppm) in workers occupationally exposed to 1-bromopropane and reported symptoms of dizziness, light- or heavy-headedness, headache, feelings of intoxication, and irritation of mucous membranes. The ambient air concentrations of 1-bromopropane were 3.3 to 90.2 ppm. The American Conference of Governmental Industrial Hygienists (ACGIH) has recommended the TLV-TWA occupational exposure limit of 10 ppm.

Summary Of Exposure

    A) USES: 1-Bromopropane is used as a chemical intermediate in the production of a wide range of products including pharmaceuticals, insecticides, quaternary ammonium compounds, flavoring agents, and fragrances. It is also used as a solvent for fats, waxes, and resins, and as an alternative to ozone-depleting solvents (eg, chlorofluorocarbons).
    B) TOXICOLOGY: Primary routes of exposure are inhalational and dermal, with systemic absorption primarily affecting the peripheral and the central nervous systems.
    C) EPIDEMIOLOGY: Occupational exposure has been infrequently reported.
    D) WITH POISONING/EXPOSURE
    1) MILD TO MODERATE TOXICITY: Mild to moderate toxic effects may include dermatitis, nausea and vomiting, diarrhea, dysphagia, anorexia, urinary difficulties, and irritation of eyes, nose, and throat.
    2) SEVERE TOXICITY: Malaise, dizziness, lightheadedness, headache, trouble concentrating, paresthesias, hypo- and hyperreflexia, ataxia, and weakness of the lower extremities have been reported following inhalational exposure to 1-bromopropane. Liver and lung damage have occurred with repeated, long-term exposure to 1-bromopropane.

Heent

    3.4.3) EYES
    A) WITH POISONING/EXPOSURE
    1) Painful eyes (9 of 24 women and 2 of 13 men) and dim eyesight (2 of 24 women and 3 of 13 men) have been reported in factory workers exposed to 1-bromopropane (equal or less than 170 ppm) (Ichihara et al, 2004).
    2) CASE SERIES: In one study, blurred vision was reported in 6 (50%; n=12) individuals exposed to 1-bromopropane and 1 (6%; n=18) person in the comparison group (NIOSH, 2002).
    3.4.5) NOSE
    A) WITH POISONING/EXPOSURE
    1) Irritation of nose (10 of 24 women and 6 of 13 men) has been reported in factory workers exposed to 1-bromopropane (equal or less than 170 ppm) (Ichihara et al, 2004).
    3.4.6) THROAT
    A) WITH POISONING/EXPOSURE
    1) Sore throat (9 of 24 women and 3 of 13 men) has been reported in factory workers exposed to 1-bromopropane (equal or less than 170 ppm) (Ichihara et al, 2004).

Respiratory

    3.6.2) CLINICAL EFFECTS
    A) RESPIRATORY FINDING
    1) WITH POISONING/EXPOSURE
    a) Lung damage may occur following repeated long-term exposure to high levels of 1-bromopropane (Pohanish, 2002).
    3.6.3) ANIMAL EFFECTS
    A) ANIMAL STUDIES
    1) PULMONARY EDEMA
    a) Following acute exposure to lethal levels of 1-bromopropane (greater than 30,200 mg/m(3) or 6003 ppm), pulmonary edema was noted in animal studies (Anon, 2004).

Neurologic

    3.7.2) CLINICAL EFFECTS
    A) CENTRAL NERVOUS SYSTEM FINDING
    1) WITH POISONING/EXPOSURE
    a) CASE REPORT: A 19-year-old man developed weakness of the lower extremities and right hand, numbness, dysphagia, and urinary difficulties following a 2-month exposure to a degreasing and cleaning solvent containing 1-bromopropane (95.5%), butylene oxide (less than 0.5%), 1,3-dioxolane (less than 2.5%), and nitromethane (less than 0.25%). Nerve conduction tests showed a primary, symmetric demyelinating polyneuropathy. MRI scans revealed patchy areas of increased T2 signal in the periventricular white matter and root enhancement in the lumbar region of the spinal cord. The authors concluded that this patient was suffering from a symmetric demyelinating polyneuropathy with CNS involvement. However, it is difficult to confirm that these effects were due to exposure to 1-bromopropane (Sclar, 1999; Anon, 2004; 68 FR 33284, 2003).
    b) CASE SERIES: Three women developed signs of peripheral and central nervous system toxicity (eg; stumbling, numbness, urinary incontinence, diarrhea, nausea, difficulty in concentrating, dizziness, and headache) following 1-bromopropane exposure(68 FR 33284, 2003).
    c) CASE SERIES: Malaise, dizziness, lightheadedness, heavy headedness, and headache have been reported in factory workers exposed to 1-bromopropane (equal or less than 170 ppm) (Ichihara et al, 2004; Pohanish, 2002).
    d) CASE SERIES: One study evaluated the neurologic function and other health-related changes in female workers (n=23) exposed to 1-bromopropane, compared with an unexposed control group. Tests with a tuning fork revealed reduced vibration sensation of the foot in 15 workers exposed to 1-bromopropane but in none of the controls (n=23). When compared with controls, 1-bromopropane-exposed workers had a significantly longer distal latency in the tibial nerve, and lower values in sensory nerve conduction velocity in the sural nerve, backward recalled digits, Benton visual memory test scores, pursuit aiming test scores, and give items of the Profile of Mood States (POMS) test (tension, depression, anxiety, fatigue, and confusion). For exposed workers, time-weighted average exposure concentration were 0.34 to 49.19 ppm. The authors concluded that 1-bromopropane exposure could adversely affect peripheral nerves and/or the central nervous system (Ichihara et al, 2004a).
    e) CASE SERIES: One study reported symptoms among 1-bromopropane exposed (n=12) and comparison groups (n=18). The following symptoms were reported: anxiety [2 (17%) exposed vs 2 (11%) control], trouble concentrating [1 (8%) vs 0 (0%)], depression [3 (25%) vs 1 (6%)], dizziness [6 (50%) vs 1 (6%)], felt drunk [1 (8%) vs 0 (0%)], headache [7 (58%) vs 7 (39%)], memory loss [2 (17%) vs 2 (11%)], numbness in hands [3 (25%) vs 3 (17%)], numbness in feet [4 (33%) vs 1 (6%)], sleeping too much [2 (17%) vs 1 (6%)], trouble falling asleep or staying asleep [5 (42%) vs 3 (17%)], tremor or shakiness [2 (17%) vs 1 (6%)], weakness/clumsiness in hands [1 (8%) vs 2(11%)], weakness in arms [3 (25%) vs 3 (17%)], weakness in feet [2 (17%) vs 0 (0%)], weakness in legs [3 (25%) vs 1 (6%)], walking problems [1 (8%) vs 0 (0%)], weight loss [1 (8%) vs 1 (6%)] (NIOSH, 2002).
    f) CASE SERIES: Dizziness, fatigue/lethargy, headache, paresthesia, ataxia, weakness, dysesthesia, hypesthesia, hyperreflexia, and sleep disturbances were reported in 4 furniture makers following 2 to 3 weeks of occupational exposure to a glue containing 70% 1-bromopropane. Serum bromide concentrations ranged from 3 to 12.5 mEq/L and urinary arsenic levels ranged from 200 to 318 mcg/L (normal less than 100 mcg/L). Despite supportive treatment, including succimer administration, and a decline in the serum bromide and urinary arsenic levels, all 4 patients continued to experience persistent symptoms, including ataxia, numbness, paresthesia, and dysesthesia (Raymond & Ford, 2007). The source of arsenic exposure in the patients has not been delineated and it is suspected that arsenic may have been a contributory factor to their symptoms.
    g) CASE SERIES: Daily occupational exposure to 1-bromopropane (1-BP), for 3 to 10 months, in 6 workers in a golf-club cleaning factory resulted in a variety of neurologic effects including paresthesia, lower extremity spasticity and weakness, lower extremity hypo- and hyperreflexia, and an unstable gait. Analysis of the workers urine samples, collected 1 to 26 days post-1-BP exposure, detected and quantified the presence of N-acetyl-S-(n-propyl)-L-cysteine (AcPrCys), a 1-BP metabolite. The urinary AcPrCys concentrations ranged from 0.171 to 2.708 mg/g-Cr, confirming the exposure to 1-BP. It is suggested that AcPrCys, as a urinary specific metabolite of 1-BP, may be a useful and valid urinary biomarker for detection of exposure to 1-bromopropane (Wang et al, 2015).
    h) CASE REPORT: A 43-year-old metal cleaner presented with a 2-month history of progressive weakness and numbness of upper and lower extremities, and gait disturbance. A neurological exam demonstrated mild weakness of distal extremities and decreased ankle reflex bilaterally, decreased pain and temperature sensation in distal lower extremities, and an inability to walk due to severe ataxia. A brain MRI revealed mild brain atrophy with no evidence of lesions and a spinal cord MRI indicated cervical spondylosis without significant compression of the spinal cord. Sural nerve sensory conduction studies indicated a decrease in the sensory nerve action potential and a biopsy of the sural nerve revealed axonal damage. Extensive interview of the patient revealed that he had been using 1-bromopropane (1-BP) as a cleaning agent up to 9.5 hours per day 5 to 6 days per week for 18 months, and the patient had not used a protective mask for the first year of 1-BP exposure. At 2 months after the last exposure, his measured serum bromide concentration was 58 mcg/mL (normal, less than 5 mcg/mL). The estimated level of exposure to 1-BP was a mean time-weighted average of 553 parts per million (ppm) (range, 353 to 663 ppm), confirming a diagnosis of neurotoxicity secondary to 1-BP exposure. Over the next several months, the patient's mobility significantly improved with normalization of his serum bromide concentration (Samukawa et al, 2012).
    3.7.3) ANIMAL EFFECTS
    A) ANIMAL STUDIES
    1) CENTRAL NERVOUS SYSTEM FINDING
    a) In one animal study, 44 Wistar male rats were randomly divided into 4 groups and were exposed to 200, 400, 800 ppm of 1-bromopropane or only fresh air 8 hours daily for 12 weeks. This study showed that 1-bromopropane induced weakness in the muscle strength of rat limbs and deterioration of maximum motor nerve conduction velocity (MCV), and distal latency (DL), in a concentration-dependent and exposure period-dependent manner. Histopathological studies revealed ovoid or bubble-like debris of myelin in the peripheral nerve, preterminal swelling in the gracile nucleus, and irregular banding of muscle fibers in soleus muscle (Ichihara et al, 2000). In another similar animal study, 1-bromopropane (1000 ppm) caused severe paralysis of hind limbs, decreased MCV, and increased DL after 5 to 7 weeks of exposure (Yu et al, 2001).
    b) In a 28-day inhalation study in rats, microscopic findings of vacuolization of white and gray matter in the central nervous system and decreased brain weight were reported with 1-bromopropane doses of 2 mg/L (400 ppm), 5 mg/L (1,000 ppm), and 8 mg/L (1,600 ppm) 6 hours/day for 5 days/week. However, another 13-week inhalation study did not observe lesions observed in the 28-day study. Another 12-week inhalation study in rats showed that the most sensitive functional neurologic effect of 1-bromopropane was decreased hind limb grip strength with the lowest occupational exposure limit (LOEL) of 200 ppm at 4 weeks into dosing (Rozman & Doull, 2002).

Gastrointestinal

    3.8.2) CLINICAL EFFECTS
    A) VOMITING
    1) WITH POISONING/EXPOSURE
    a) Nausea and vomiting have been reported following exposure to 1-bromopropane (Ichihara et al, 2004).
    b) CASE SERIES: In one study, nausea was reported in 4 (33%; n=12) subjects exposed to 1-bromopropane and 2 (11%; n=18) subjects in the comparison group (NIOSH, 2002).
    c) Nausea was reported in 3 of 4 furniture makers following occupational exposure to glue containing 70% 1-bromopropane. Serum bromide concentrations, in the 3 patients, ranged from 3 to 9.6 mEq/L (Raymond & Ford, 2007).
    B) DIARRHEA
    1) WITH POISONING/EXPOSURE
    a) CASE SERIES: In one study, diarrhea was reported in 1 (8%; n=12) individual exposed to 1-bromopropane and 1(6%; n=18) person in the comparison group (NIOSH, 2002).
    b) Watery diarrhea occurred in one patient following 2 weeks of occupational exposure to a furniture glue containing 70% 1-bromopropane (Raymond & Ford, 2007).
    C) DYSPHAGIA
    1) WITH POISONING/EXPOSURE
    a) CASE REPORT: A 19-year-old man developed weakness of the lower extremities and right hand, numbness, dysphagia, and urinary difficulties following a 2-month exposure to a degreasing and cleaning solvent containing 1-bromopropane (95.5%), butylene oxide (less than 0.5%), 1,3-dioxolane (less than 2.5%), and nitromethane (less than 0.25%). However, it is difficult to confirm that these effects were due to exposure to 1-bromopropane (Sclar, 1999; Anon, 2004; 68 FR 33284, 2003).
    D) WEIGHT LOSS FINDING
    1) WITH POISONING/EXPOSURE
    a) CASE SERIES: Anorexia and weight loss of 10 to 25 pounds were reported in 3 of 4 furniture makers who were occupationally exposed to 70% 1-bromopropane (Raymond & Ford, 2007).

Hepatic

    3.9.2) CLINICAL EFFECTS
    A) LIVER DAMAGE
    1) WITH POISONING/EXPOSURE
    a) Liver damage may occur following repeated long-term exposure to high levels of 1-bromopropane (Pohanish, 2002).
    3.9.3) ANIMAL EFFECTS
    A) ANIMAL STUDIES
    1) In a 13-week inhalation study in rats, vacuolization of the liver and liver enlargement were reported with 1-bromopropane doses of 2 mg/L (400 ppm) and 3 mg/L (600 ppm); a NOEL of 1 mg/L (200 ppm) was estimated for this effect (Rozman & Doull, 2002).

Genitourinary

    3.10.2) CLINICAL EFFECTS
    A) DISORDER OF MENSTRUATION
    1) WITH POISONING/EXPOSURE
    a) In one study, disruption or failure of menstruation were observed in 4 of 24 female factory workers exposed to 1-bromopropane (equal or less than 170 ppm). Workers with amenorrhea had high gonadotropin levels; moderate estradiol levels were observed in women with irregular menses (Ichihara et al, 2004). However, the authors could not confirm that these effects were due to exposure to 1-bromopropane because of the small number of subjects and the lack of appropriate controls.
    B) FINDING OF URINARY TRACT PROPER
    1) WITH POISONING/EXPOSURE
    a) CASE REPORT: A 19-year-old man developed weakness of the lower extremities and right hand, numbness, dysphagia, and urinary difficulties following a 2-month exposure to a degreasing and cleaning solvent containing 1-bromopropane (95.5%), butylene oxide (less than 0.5%), 1,3-dioxolane (less than 2.5%), and nitromethane (less than 0.25%). However, it is difficult to confirm that these effects were due to exposure to 1-bromopropane (Sclar, 1999; Anon, 2004; 68 FR 33284, 2003).

Hematologic

    3.13.2) CLINICAL EFFECTS
    A) HEMATOLOGY FINDING
    1) WITH POISONING/EXPOSURE
    a) In one study, low values of red blood cells, hemoglobin, or hematocrit were observed in 10 of 24 female and 4 of 13 male factory workers exposed to 1-bromopropane (equal or less than 170 ppm) (Ichihara et al, 2004). However, the authors could not confirm that these effects were due to exposure to 1-bromopropane because of the small number of subjects and the lack of appropriate controls.
    3.13.3) ANIMAL EFFECTS
    A) ANIMAL STUDIES
    1) In a 28-day inhalation study in rats, severe toxicity (low values of red blood cells, hemoglobin, or hematocrit) occurred with 1-bromopropane doses of 5 mg/L (1,000 ppm), and 8 mg/L (1,600 ppm). Death occurred when rats were exposed to 1-bromopropane 8 mg/L (1,600 pm) 6 hours/day for 5 days/week (Rozman & Doull, 2002).

Dermatologic

    3.14.2) CLINICAL EFFECTS
    A) DERMATITIS
    1) WITH POISONING/EXPOSURE
    a) Dermatitis has been reported following exposure to 1-bromopropane (Pohanish, 2002).

Reproductive

    3.20.1) SUMMARY
    A) Decreased fetal weight and increased incidence of skeletal variations have been reported in rats exposed to 1-bromopropane by inhalation. In animal studies, decreased fertility, decreased numbers of implantation sites and litter size, and increased precoital interval were observed after exposure to 1-bromopropane. In addition, reduced prostate weight, and effects on seminal vesicle weight and sperm quality at higher levels were observed.
    3.20.2) TERATOGENICITY
    A) ANIMAL STUDIES
    1) In prenatal developmental toxicity Crl:CD rats studies, decreased fetal weight and increased incidence of skeletal variations were observed in rats exposed to 1-bromopropane by inhalation on a daily basis during the period of in utero development. These reversible skeletal effects were reported in pups whose dams were exposed to levels of 503 ppm (2530 mg/m(3)) or higher for 6 hours daily (Anon, 2004).
    3.20.5) FERTILITY
    A) ANIMAL STUDIES
    1) In a two-generation inhalation study in Crl:CD rats, decreased fertility, decreased numbers of implantation sites and litter size and increased precoital interval were observed after exposure at levels of 500 ppm (2514 mg/m(3)) and higher, effecting either the male or female parents (Anon, 2004).
    2) Prostate weight was decreased at levels of 250 ppm (1257 mg/m(3)) and higher. In addition, effects on seminal vesicle weight and sperm quality and count at higher levels were observed (Anon, 2004).
    3) In females, an increase in ovarian follicular cysts at 750 ppm (3771 mg/m(3)) was observed. In addition, an increase in estrous cycle length with levels of 250 ppm (1257 mg/m(3)) and higher were noted (Anon, 2004).
    4) In subchronic inhalation study in male Wistar rats, effects on reproductive organ weights were observed at the lowest levels tested (200 ppm [1006 mg/m(3)]). In histopathologic tests, inhibited spermiation was noted at levels of 400 ppm (2012 mg/m(3)) and higher (Anon, 2004).

Carcinogenicity

    3.21.1) IARC CATEGORY
    A) IARC Carcinogenicity Ratings for CAS106-94-5 (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):
    1) Not Listed
    3.21.2) SUMMARY/HUMAN
    A) No information could be found on the potential carcinogenicity of 1-bromopropane in humans.

Genotoxicity

    A) In studies, 1-bromopropane was an extremely weak genotoxic agent (Rozman & Doull, 2002).

Monitoring Parameters Levels

    4.1.1) SUMMARY
    A) Monitor vital signs and mental status.
    B) Monitor arterial blood gas, pulse oximetry, and chest x-ray in patients with hypoxia or respiratory distress.
    C) Monitor fluid and electrolyte status in patients with significant vomiting and/or diarrhea.
    D) Evaluate for signs/symptoms of muscle weakness, paresthesias, and ataxia.
    E) Monitor liver function as indicated in symptomatic patients.
    F) Urinary measurement of N-acetyl-S-(n-propyl)-L-cysteine (AcPrCys), a urinary specific 1-bromopropane metabolite, may be a useful biomarker of 1-bromopropane exposure.
    4.1.2) SERUM/BLOOD
    A) Monitor liver function as indicated in symptomatic patients.
    B) Monitor fluid and electrolyte status in patients with significant vomiting and/or diarrhea.
    4.1.3) URINE
    A) One study showed that the urinary excretion of 1-bromopropane correlated significantly with the exposure level measured on the same day. The authors concluded that the urine concentration of 1-bromopropane may be a reliable biomarker of acute 1-bromopropane exposure (Ichihara et al, 2004).
    B) Daily occupational exposure to 1-bromopropane (1-BP), for 3 to 10 months, in 6 workers in a golf-club cleaning factory resulted in a variety of neurologic effects including paresthesia, lower extremity spasticity and weakness, lower extremity hypo- and hyperreflexia, and an unstable gait. Analysis of the workers urine samples, collected 1 to 26 days post 1-BP exposure, detected and quantified the presence of N-acetyl-S-(n-propyl)-L-cysteine (AcPrCys), a 1-BP metabolite. The urinary AcPrCys concentrations ranged from 0.171 to 2.708 mg/g-Cr, confirming the exposure to 1-BP. It is suggested that AcPrCys, as a urinary specific metabolite of 1-BP, may be a useful and valid urinary biomarker for detection of exposure to 1-bromopropane, because there may be less occupational interference and AcPrCys levels appear to increase with increasing 1-BP ambient exposure (Wang et al, 2015).
    4.1.4) OTHER
    A) OTHER
    1) MONITORING
    a) Monitor vital signs and mental status.
    b) Monitor arterial blood gas, pulse oximetry, and chest x-ray in patients with hypoxia or respiratory distress.
    c) Evaluate for signs/symptoms of muscle weakness, paresthesias, and ataxia.

Methods

    A) CHROMATOGRAPHY
    1) Urinary 1-bromopropane levels were measured using gas chromatography (Ichihara et al, 2004).
    2) Gas chromatography and thin liquid chromatography were used to detect 1-bromopropane metabolites in rat studies (Anon, 2004) .
    3) Liquid chromatography/mass spectrometry was used to detect a urinary specific 1-bromopropane metabolite, N-acetyl-S-(n-propyl)-L-cysteine (AcPrCys), in urine samples of workers occupationally exposed to 1-bromopropane (Wang et al, 2015).

Life Support

    A) Support respiratory and cardiovascular function.

Patient Disposition

    6.3.3) DISPOSITION/INHALATION EXPOSURE
    6.3.3.1) ADMISSION CRITERIA/INHALATION
    A) Only patients with systemic toxicity may require admission.
    6.3.3.2) HOME CRITERIA/INHALATION
    A) Patients who are asymptomatic or with minimal symptoms after exposure to 1-bromopropane and are otherwise improving may be managed at home.
    6.3.3.3) CONSULT CRITERIA/INHALATION
    A) Consult a regional poison center or medical toxicologist for assistance in managing patients with severe toxicity or in whom the diagnosis is not clear.
    6.3.3.5) OBSERVATION CRITERIA/INHALATION
    A) Patients who are symptomatic need to be monitored until they are clearly improving and clinically stable.

Monitoring

    A) Monitor vital signs and mental status.
    B) Monitor arterial blood gas, pulse oximetry, and chest x-ray in patients with hypoxia or respiratory distress.
    C) Monitor fluid and electrolyte status in patients with significant vomiting and/or diarrhea.
    D) Evaluate for signs/symptoms of muscle weakness, paresthesias, and ataxia.
    E) Monitor liver function as indicated in symptomatic patients.
    F) Urinary measurement of N-acetyl-S-(n-propyl)-L-cysteine (AcPrCys), a urinary specific 1-bromopropane metabolite, may be a useful biomarker of 1-bromopropane exposure.

Oral Exposure

    6.5.1) PREVENTION OF ABSORPTION/PREHOSPITAL
    A) Toxicity after an acute ingestion is unlikely. Gastrointestinal decontamination is generally unnecessary.
    B) Primary routes of exposure are inhalational and dermal.
    1) INHALATION EXPOSURE: Monitor for respiratory distress. If cough or difficulty breathing develops, administer oxygen and assist ventilation as required. Treat bronchospasm with an inhaled beta2-adrenergic agonist. Consider systemic corticosteroids in patients with significant bronchospasm.
    2) DERMAL EXPOSURE: Remove contaminated clothing and wash exposed area extremely thoroughly with soap and water. A physician may need to examine the area if irritation or pain persists after washing.
    C) EYE EXPOSURE: Remove contact lenses and irrigate exposed eyes with copious amounts of room temperature 0.9% saline or water for at least 15 minutes. If irritation, pain, swelling, lacrimation, or photophobia persist after 15 minutes of irrigation, an ophthalmologic examination should be performed.
    6.5.2) PREVENTION OF ABSORPTION
    A) Toxicity after an acute ingestion is unlikely. Gastrointestinal decontamination is generally unnecessary. Consider activated charcoal only if coingestants with significant toxicity are involved.
    B) ACTIVATED CHARCOAL
    1) CHARCOAL ADMINISTRATION
    a) Consider administration of activated charcoal after a potentially toxic ingestion (Chyka et al, 2005). Administer charcoal as an aqueous slurry; most effective when administered within one hour of ingestion.
    2) CHARCOAL DOSE
    a) Use a minimum of 240 milliliters of water per 30 grams charcoal (FDA, 1985). Optimum dose not established; usual dose is 25 to 100 grams in adults and adolescents; 25 to 50 grams in children aged 1 to 12 years (or 0.5 to 1 gram/kilogram body weight) ; and 0.5 to 1 gram/kilogram in infants up to 1 year old (Chyka et al, 2005).
    1) Routine use of a cathartic with activated charcoal is NOT recommended as there is no evidence that cathartics reduce drug absorption and cathartics are known to cause adverse effects such as nausea, vomiting, abdominal cramps, electrolyte imbalances and occasionally hypotension (None Listed, 2004).
    b) ADVERSE EFFECTS/CONTRAINDICATIONS
    1) Complications: emesis, aspiration (Chyka et al, 2005). Aspiration may be complicated by acute respiratory failure, ARDS, bronchiolitis obliterans or chronic lung disease (Golej et al, 2001; Graff et al, 2002; Pollack et al, 1981; Harris & Filandrinos, 1993; Elliot et al, 1989; Rau et al, 1988; Golej et al, 2001; Graff et al, 2002). Refer to the ACTIVATED CHARCOAL/TREATMENT management for further information.
    2) Contraindications: unprotected airway (increases risk/severity of aspiration) , nonfunctioning gastrointestinal tract, uncontrolled vomiting, and ingestion of most hydrocarbons (Chyka et al, 2005).
    6.5.3) TREATMENT
    A) SUPPORT
    1) Refer to INHALATION EXPOSURE section for treatment recommendations.

Inhalation Exposure

    6.7.1) DECONTAMINATION
    A) Move patient from the toxic environment to fresh air. Monitor for respiratory distress. If cough or difficulty in breathing develops, evaluate for hypoxia, respiratory tract irritation, bronchitis, or pneumonitis.
    B) OBSERVATION: Carefully observe patients with inhalation exposure for the development of any systemic signs or symptoms and administer symptomatic treatment as necessary.
    C) INITIAL TREATMENT: Administer 100% humidified supplemental oxygen, perform endotracheal intubation and provide assisted ventilation as required. Administer inhaled beta-2 adrenergic agonists, if bronchospasm develops. Consider systemic corticosteroids in patients with significant bronchospasm (National Heart,Lung,and Blood Institute, 2007). Exposed skin and eyes should be flushed with copious amounts of water.
    6.7.2) TREATMENT
    A) SUPPORT
    1) MANAGEMENT OF MILD TO MODERATE TOXICITY
    a) Treatment is symptomatic and supportive. Correct any significant fluid and/or electrolyte abnormalities in patients with severe diarrhea and/or vomiting.
    2) MANAGEMENT OF SEVERE TOXICITY
    a) Treatment is symptomatic and supportive. Monitor mental status and evaluate for signs/symptoms of muscle weakness, paresthesias, and ataxia.
    B) MONITORING OF PATIENT
    1) Monitor vital signs and mental status.
    2) Monitor arterial blood gas, pulse oximetry, and chest x-ray in patients with hypoxia or respiratory distress.
    3) Monitor fluid and electrolyte status in patients with significant vomiting and/or diarrhea.
    4) Evaluate for signs/symptoms of muscle weakness, paresthesias, and ataxia.
    5) Monitor liver function as indicated in symptomatic patients.
    6) Urinary measurement of N-acetyl-S-(n-propyl)-L-cysteine (AcPrCys), a urinary specific 1-bromopropane metabolite, may be a useful biomarker of 1-bromopropane exposure.
    C) Treatment should include recommendations listed in the ORAL EXPOSURE section when appropriate.

Eye Exposure

    6.8.1) DECONTAMINATION
    A) EYE IRRIGATION, ROUTINE: Remove contact lenses and irrigate exposed eyes with copious amounts of room temperature 0.9% saline or water for at least 15 minutes. If irritation, pain, swelling, lacrimation, or photophobia persist after 15 minutes of irrigation, an ophthalmologic examination should be performed (Peate, 2007; Naradzay & Barish, 2006).

Dermal Exposure

    6.9.1) DECONTAMINATION
    A) DERMAL DECONTAMINATION
    1) DECONTAMINATION: Remove contaminated clothing and wash exposed area thoroughly with soap and water for 10 to 15 minutes. A physician may need to examine the area if irritation or pain persists (Burgess et al, 1999).

Enhanced Elimination

    A) HEMODIALYSIS
    1) It is unknown if hemodialysis or other enhanced elimination techniques are likely to be useful following a 1-bromopropane exposure.

Summary

    A) TOXICITY: A specific minimum toxic concentration has not been established. Time-weighted average (TWA) exposure concentrations were 0 to 170.5 parts per million (ppm) in workers occupationally exposed to 1-bromopropane and reported symptoms of dizziness, light- or heavy-headedness, headache, feelings of intoxication, and irritation of mucous membranes. The ambient air concentrations of 1-bromopropane were 3.3 to 90.2 ppm. The American Conference of Governmental Industrial Hygienists (ACGIH) has recommended the TLV-TWA occupational exposure limit of 10 ppm.

Maximum Tolerated Exposure

    A) HUMAN
    1) Female factory workers from a 1-bromopropane production facility in China exhibited signs suggesting 1-bromopropane neurotoxicity. Exposed workers had significantly increased distal latency in tibial nerves, lower values in sensory nerve conduction velocity in sural nerves, and lower scores on neurological function tests, as compared with controls. Time weighted average exposure concentrations of 1-bromopropane ranged from 0.34 parts per million (ppm) to 49.19 ppm (Ichihara et al, 2004a).
    2) Workers exposed to 1-bromopropane in a factory setting reported symptoms of dizziness, light- or heavy-headedness, headache, feelings of intoxication, and irritation of mucous membranes. Time-weighted average exposure concentrations and ambient air concentrations of 1-bromopropane were 0 to 170.5 ppm and 3.3 to 90.2 ppm, respectively (Ichihara et al, 2004).
    3) The American Conference of Governmental Industrial Hygienists (ACGIH) has recommended the TLV-TWA occupational exposure limit of 10 ppm (Wang et al, 2015).

Workplace Standards

    A) ACGIH TLV Values for CAS106-94-5 (American Conference of Governmental Industrial Hygienists, 2010):
    1) 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.
    a) Adopted Value
    1) 1-Bromopropane
    a) TLV:
    1) TLV-TWA: 10 ppm
    2) TLV-STEL:
    3) TLV-Ceiling:
    b) Notations and Endnotes:
    1) Carcinogenicity Category: Not Listed
    2) Codes: Not Listed
    3) Definitions: Not Listed
    c) TLV Basis - Critical Effect(s): Liver and embryo/fetal dam; neurotoxicity
    d) Molecular Weight: 122.99
    1) For gases and vapors, to convert the TLV from ppm to mg/m(3):
    a) [(TLV in ppm)(gram molecular weight of substance)]/24.45
    2) For gases and vapors, to convert the TLV from mg/m(3) to ppm:
    a) [(TLV in mg/m(3))(24.45)]/gram molecular weight of substance
    e) Additional information:
    b) Under Study
    1) 1-Bromopropane
    a) TLV:
    1) TLV-TWA:
    2) TLV-STEL:
    3) TLV-Ceiling:
    b) Notations and Endnotes:
    1) Carcinogenicity Category: Not Listed
    2) Codes: Not Listed
    3) Definitions: Not Listed
    c) TLV Basis - Critical Effect(s):
    d) Molecular Weight:
    1) For gases and vapors, to convert the TLV from ppm to mg/m(3):
    a) [(TLV in ppm)(gram molecular weight of substance)]/24.45
    2) For gases and vapors, to convert the TLV from mg/m(3) to ppm:
    a) [(TLV in mg/m(3))(24.45)]/gram molecular weight of substance
    e) Additional information:

    B) NIOSH REL and IDLH Values for CAS106-94-5 (National Institute for Occupational Safety and Health, 2007):
    1) Not Listed

    C) Carcinogenicity Ratings for CAS106-94-5 :
    1) ACGIH (American Conference of Governmental Industrial Hygienists, 2010): Not Listed ; Listed as: 1-Bromopropane
    2) ACGIH (American Conference of Governmental Industrial Hygienists, 2010): Not Listed ; Listed as: 1-Bromopropane
    3) EPA (U.S. Environmental Protection Agency, 2011): Not Listed
    4) 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
    5) NIOSH (National Institute for Occupational Safety and Health, 2007): Not Listed
    6) MAK (DFG, 2002): Not Listed
    7) NTP (U.S. Department of Health and Human Services, Public Health Service, National Toxicology Project ): Not Listed

    D) OSHA PEL Values for CAS106-94-5 (U.S. Occupational Safety, and Health Administration (OSHA), 2010):
    1) Not Listed

Toxicity Information

    7.7.1) TOXICITY VALUES
    A) LD50- (INTRAPERITONEAL)MOUSE:
    1) 1210 mg/kg (RTECS, 2004)
    2) 1350 mg/kg for 5D - intermittent -- degenerative changes to brain (RTECS, 2004)
    B) LD50- (ORAL)MOUSE:
    1) 4700 mg/kg (RTECS, 2004)
    C) LD50- (INTRAPERITONEAL)RAT:
    1) 2950 mg/kg (RTECS, 2004)
    D) LD50- (ORAL)RAT:
    1) 3600 mg/kg (RTECS, 2004)
    E) TCLo- (INHALATION)RAT:
    1) 821 ppm for 8H, male, 12W prior to mating -- affected spermatogenisis (RTECS, 2004)
    2) 200 ppm for 8H, male, 12W prior to mating -- affected prostate, seminal vesicle, Cowper's and accessory glands (RTECS, 2004)
    3) 98408 mg/m(3) for 30min. for 1W - intermittent -- affected respiration; hemorrhages (RTECS, 2004)
    4) 1800 ppm for 6H for 8W - intermittent -- changes in liver weight; weight loss or decreased weight gain (RTECS, 2004)
    5) 400 ppm for 8H for 12W - intermittent -- changes to nerve structure (RTECS, 2004)

Physical Characteristics

    A) 1-Bromopropane is a colorless liquid that is slightly denser than, and slightly soluble in, water (CHRIS, 2004; HSDB, 2004; AAR, 2002).

Molecular Weight

    A) 122.99

General Bibliography

    1) 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.
    2) 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.
    3) 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.
    4) 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.
    5) 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.
    6) 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.
    7) 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.
    8) 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.
    9) 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.
    10) 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.
    11) 68 FR 33284: Protection of Stratospheric Ozone: Listing of Substitutes for Ozone-Depleting Substances - n-Propyl Bromide, Environmental Protection Agency. National Archives and Records Administration (NARA) and the Government Printing Office (GPO) , Washington, DC, 2003.
    12) 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.
    13) 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.
    14) AAR: Emergency Handling of Hazardous Materials in Surface Transportation, American Association of Railroads, Bureau of Explosives, Transportation Technology Center, Pueblo, CO, 2002.
    15) AIHA: 2006 Emergency Response Planning Guidelines and Workplace Environmental Exposure Level Guides Handbook, American Industrial Hygiene Association, Fairfax, VA, 2006.
    16) 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.
    17) Anon: NTP-CERHR Expert Panel report on the reproductive and developmental toxicity of 1-bromopropane. Center for the Evaluation of Risks to Human Reproduction. Reprod Toxicol 2004; 18:157-188.
    18) Ashford R: Ashford's Dictionary of Industrial Chemicals, 2nd ed, Wavelength Publications Ltd, London, England, 2001.
    19) Burgess JL, Kirk M, Borron SW, et al: Emergency department hazardous materials protocol for contaminated patients. Ann Emerg Med 1999; 34(2):205-212.
    20) CHRIS: CHRIS Hazardous Chemical Data. US Department of Transportation, US Coast Guard. Washington, DC (Internet Version). Edition expires 2004; provided by Truven Health Analytics Inc., Greenwood Village, CO.
    21) Chyka PA, Seger D, Krenzelok EP, et al: Position paper: Single-dose activated charcoal. Clin Toxicol (Phila) 2005; 43(2):61-87.
    22) 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.
    23) 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/.
    24) 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. 2005a. Available from URL: http://www.epa.gov/srs/.
    25) 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.
    26) Elliot CG, Colby TV, & Kelly TM: Charcoal lung. Bronchiolitis obliterans after aspiration of activated charcoal. Chest 1989; 96:672-674.
    27) FDA: Poison treatment drug product for over-the-counter human use; tentative final monograph. FDA: Fed Register 1985; 50:2244-2262.
    28) Golej J, Boigner H, Burda G, et al: Severe respiratory failure following charcoal application in a toddler. Resuscitation 2001; 49:315-318.
    29) Graff GR, Stark J, & Berkenbosch JW: Chronic lung disease after activated charcoal aspiration. Pediatrics 2002; 109:959-961.
    30) HSDB : Hazardous Substances Data Bank. National Library of Medicine. Bethesda, MD (Internet Version). Edition expires 2004; provided by Truven Health Analytics Inc., Greenwood Village, CO.
    31) Harris CR & Filandrinos D: Accidental administration of activated charcoal into the lung: aspiration by proxy. Ann Emerg Med 1993; 22:1470-1473.
    32) 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.
    33) 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.
    34) 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.
    35) 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.
    36) 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.
    37) 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.
    38) ICAO: Technical Instructions for the Safe Transport of Dangerous Goods by Air, 2003-2004. International Civil Aviation Organization, Montreal, Quebec, Canada, 2002.
    39) ILO ICSC: International Chemical Safety Card (ICSC) 1332: 1-Bromopropane. International Labour Organization; prepared in cooperation with the International Programme on Chemical Safety and the European Commission. Geneva, Switzerland. 2004. Available from URL: http://www.cdc.gov/niosh/ipcsneng/neng1332.html. As accessed 11 March 2005.
    40) Ichihara G, Kitoh J, Yu X, et al: 1-bromopropane, an alternative to ozone layer depleting solvents, is dose-dependently neurotoxic to rats in long-term inhalation exposure. Toxicol Sci 2000; 55:116-123.
    41) Ichihara G, Li W, Ding X, et al: A survey on exposure level, health status, and biomarkers in workers exposed to 1-bromopropane. Am J Indust Med 2004; 45:63-75.
    42) Ichihara G, Li W, Shibata E, et al: Neurologic abnormalities in workers of a 1-bromopropane factory. Environ Health Perspect 2004a; 112:1319-1325.
    43) 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.
    44) 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.
    45) Jones AR & Walsh DA: The oxidative metabolism of 1-bromopropane in the rat. Xenobiotica 1979; 9(12):763-772.
    46) Lewis RJ: Sax's Dangerous Properties of Industrial Materials, 10th ed, John Wiley & Sons, New York, NY, 2000.
    47) NFPA: Fire Protection Guide to Hazardous Materials, 13th ed., National Fire Protection Association, Quincy, MA, 2002.
    48) NIOSH: Health Hazard Evaluation Report: HETA #2000-0410-2891. Department of Health and Human Services, Centers for Disease Control and Prevention. National Institute for Occupational Safety and Heath (NIOSH). Cincinnati, OH. 2002. Available from URL: http://www.cdc.gov/niosh/hhe/reports/pdfs/2000-0410-2891.pdf. As accessed March 16, 2005.
    49) 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.
    50) 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.
    51) 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.
    52) 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.
    53) Naradzay J & Barish RA: Approach to ophthalmologic emergencies. Med Clin North Am 2006; 90(2):305-328.
    54) 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.
    55) 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.
    56) 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.
    57) 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.
    58) 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.
    59) 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.
    60) 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.
    61) 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.
    62) 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.
    63) 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.
    64) 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.
    65) 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.
    66) 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.
    67) 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.
    68) 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.
    69) 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.
    70) 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.
    71) 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.
    72) 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.
    73) 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.
    74) 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.
    75) 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.
    76) 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.
    77) 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.
    78) 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.
    79) 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.
    80) 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.
    81) 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.
    82) 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.
    83) 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.
    84) 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.
    85) 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.
    86) 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.
    87) 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.
    88) 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.
    89) 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.
    90) 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.
    91) 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.
    92) 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.
    93) 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.
    94) 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.
    95) 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.
    96) 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.
    97) 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.
    98) 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.
    99) 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.
    100) 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.
    101) 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.
    102) 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.
    103) 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.
    104) 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.
    105) 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.
    106) 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.
    107) 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.
    108) 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.
    109) 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.
    110) 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.
    111) 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.
    112) 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.
    113) 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.
    114) 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.
    115) 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.
    116) 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.
    117) 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.
    118) 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.
    119) 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.
    120) 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.
    121) 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.
    122) 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.
    123) 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.
    124) 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.
    125) 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.
    126) 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.
    127) 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.
    128) National Heart,Lung,and Blood Institute: Expert panel report 3: guidelines for the diagnosis and management of asthma. National Heart,Lung,and Blood Institute. Bethesda, MD. 2007. Available from URL: http://www.nhlbi.nih.gov/guidelines/asthma/asthgdln.pdf.
    129) 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.
    130) National Research Council : Acute exposure guideline levels for selected airborne chemicals, 5, National Academies Press, Washington, DC, 2007.
    131) National Research Council: Acute exposure guideline levels for selected airborne chemicals, 6, National Academies Press, Washington, DC, 2008.
    132) National Research Council: Acute exposure guideline levels for selected airborne chemicals, 7, National Academies Press, Washington, DC, 2009.
    133) National Research Council: Acute exposure guideline levels for selected airborne chemicals, 8, National Academies Press, Washington, DC, 2010.
    134) None Listed: Position paper: cathartics. J Toxicol Clin Toxicol 2004; 42(3):243-253.
    135) Peate WF: Work-related eye injuries and illnesses. Am Fam Physician 2007; 75(7):1017-1022.
    136) Pohanish RP & Greene SA: Rapid Guide to Chemical Incompatibilities, Van Nostrand Reinhold Company, New York, NY, 1997.
    137) Pohanish RP: Sittig's Handbook of Toxic and Hazardous Chemicals and Carcinogens, 4th ed, Noyes Publications / William Andrew Publishing, Norwich, NY, 2002.
    138) Pollack MM, Dunbar BS, & Holbrook PR: Aspiration of activated charcoal and gastric contents. Ann Emerg Med 1981; 10:528-529.
    139) RTECS: Registry of Toxic Effects of Chemical Substances.. National Institute for Occupational Safety and Health. Cincinnati, OH (Internet Version). Edition expires 2004; provided by Truven Health Analytics Inc., Greenwood Village, CO.
    140) Rau NR, Nagaraj MV, Prakash PS, et al: Fatal pulmonary aspiration of oral activated charcoal. Br Med J 1988; 297:918-919.
    141) Raymond LW & Ford MD: Severe illness in furniture makers using a new glue: 1-bromopropane toxicity confounded by arsenic. J Occup Environ Med 2007; 49(9):1009-1019.
    142) Rozman KK & Doull J: Derivation of an occupational exposure limit (OEL) for n-propyl bromide using an improved methodology. Applied Occupat Environ Hygiene 2002; 17(10):711-716.
    143) Samukawa M , Ichihara G , Oka N , et al: A case of severe neurotoxicity associated with exposure to 1-bromopropane, an alternative to ozone-depleting or global-warming solvents. Arch Intern Med 2012; 172(16):1257-1260.
    144) Sclar G: Encephalomyeloradiculoneuropathy following exposure to an industrial solvent. Clin Neurol Neurosurg 1999; 101(3):199-202.
    145) 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.
    146) 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.
    147) 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-.
    148) 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.
    149) 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.
    150) 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.
    151) 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.
    152) 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-.
    153) U.S. Occupational Safety, and Health Administration (OSHA): Process safety management of highly hazardous chemicals. 29 CFR 2010 2010; 29(1910.119):348-.
    154) 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.
    155) Urben PG: Bretherick's Handbook of Reactive Chemical Hazards, Volumes 1 & 2, 6th ed, Butterworth-Heinemann Ltd, Oxford, England, 1999.
    156) Verschueren K: Handbook of Environmental Data on Organic Chemicals. 4th ed. CD-ROM version. Wiley-Interscience. Hoboken, NJ. 2001.
    157) Wang TH, Wu ML, Wu YH, et al: Neurotoxicity associated with exposure to 1-bromopropane in golf-club cleansing workers. Clin Toxicol (Phila) 2015; 53(8):823-826.
    158) Yu X, Ichihara G, Kitoh J, et al: Neurotoxicity of 2-bromopropane and 1-bromopropane, alternative solvents for chlorofluorocarbons. Environ Research 2001; 85:48-52.