Review
Benzene in the environment: an assessment of the potential risks
to the health of the population
R Duarte-Davidsona, C Courageb, L Rushtonb, L Levyb
a National Centre for
Risk Analysis and Opotions Appraisal, Steel House, 11 Tothill Street,
London, UK, b MRC Institute
for Environment and Health, University of Leicester, 94 Regent Road,
Leicester LE1 7DD, UK
Correspondence to: Dr C Courage CC10{at}le.ac.uk
Accepted 31 August 2000
OBJECTIVES
Benzene has
long been recognised as a carcinogen and recent concern has centred on
the effects of continuous exposure to low concentrations of benzene
both occupationally and environmentally. This paper presents an
overview of the current knowledge about human exposure to benzene in
the United Kingdom population based on recently published data,
summarises the known human health effects, and uses this information to
provide a risk evaluation for sections of the general United Kingdom population.
METHOD
Given the minor
contribution that non-inhalation sources make to the overall daily
intake of benzene to humans, only exposure from inhalation has been
considered when estimating the daily exposure of the general population
to benzene. Exposure of adults, children, and infants to benzene has
been estimated for different exposure scenarios with time-activity
patterns and inhalation and absorption rates in conjunction with
measured benzene concentrations for a range of relevant
microenvironments. Exposures during refuelling and driving, as well as
the contribution of active and passive tobacco smoke, have been
considered as part of the characterisation of risk of the general population.
RESULTS
Infants (<1
years old), the average child (11 years old), and non-occupationally
exposed adults, receive average daily doses in the range of 15-26,
29-50, and 75-522 µg of benzene, respectively, which correspond to
average ranges to benzene in air of 3.40-5.76 µg/m3,
3.37-5.67 µg/m3, and 3.7-41 µg/m3 for
infants, children, and adults, respectively. Infants and children
exposed to environmental tobacco smoke have concentrations of exposure
to benzene comparable with those of an adult passive smoker. This is a
significant source of exposure as a 1995 United Kingdom survey has
shown that 47% of children aged 2-15 years live in households where
at least one person smokes. The consequence of exposure to benzene in
infants is more significant than for children or adults owing to their
lower body weight, resulting in a higher daily intake for infants
compared with children or non-smoking adults. A worst case scenario for
exposure to benzene in the general population is that of an urban
smoker who works adjacent to a busy road for 8 hours/day
for example,
a maintenance worker
who can receive a mean daily exposure of about
820 µg (equal to an estimated exposure of 41 µg/m3).
The major health risk associated with low concentrations of exposure to
benzene has been shown to be leukaemia, in particular acute
non-lymphocytic leukaemia. The lowest concentration of exposure at
which an increased incidence of acute non-lymphocytic leukaemia among
occupationally exposed workers has been reliably detected, has been
estimated to be in the range of 32-80 mg/m3. Although some
studies have suggested that effects may occur at lower concentrations,
clear estimates of risk have not been determined, partly because of the
inadequacy of exposure data and the few cases.
CONCLUSIONS
Overall
the evidence from human studies suggests that any risk of leukaemia at
concentrations of exposure in the general population of 3.7-42
µg/m3
that is at concentrations three orders of
magnitude less than the occupational lowest observed effect level
is
likely to be exceedingly small and probably not detectable with current
methods. This is also likely to be true for infants and children who
may be exposed continuously to concentrations of 3.4-5.7
µg/m3. As yet there is no evidence to suggest that
continuous exposures to these environmental concentrations of benzene
manifest as any other adverse health effect.
Keywords: risk assessment; benzene; environment
© 2001 by Occupational and Environmental Medicine
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