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I’m amazed yet again at the cavalier way this presumed “nature” community treats these powerful, destructive, and not fully studied neurotoxins. It’s completely out of keeping with the natural ethos.
A few studies are in order, and yes, I fully expect to get slammed by some pretty analytical but not very convincing justifications. It’s happened before….. Permethrin undergoes its first official testing for endocrine disruption this year, after years of evidence which suggests endocrine effects.
----------------------------- Melissa Kaplan's Herp Care Collection Last updated August 11, 2002 Pyrethrin and Pyrethroid Exposure Causes Adverse Reactions
Compiled by Melissa Kaplan
Mechanisms of pyrethroid neurotoxicity: implications for cumulative risk assessment. Soderlund DM, Clark JM, Sheets LP, Mullin LS, Piccirillo VJ, Sargent D, Stevens JT, Weiner ML. Department of Entomology, New York State Agricultural Experiment Station, Cornell University, Geneva, NY 14456, USA. Toxicology 2002 Feb 1;171(1):3-59
The Food Quality Protection Act (FQPA) of 1996 requires the United States Environmental Protection Agency to consider the cumulative effects of exposure to pesticides having a 'common mechanism of toxicity.' This paper reviews the information available on the acute neurotoxicity and mechanisms of toxic action of pyrethroid insecticides in mammals from the perspective of the 'common mechanism' statute of the FQPA.
The principal effects of pyrethroids as a class are various signs of excitatory neurotoxicity. Historically, pyrethroids were grouped into two subclasses (Types I and II) based on chemical structure and the production of either the T (tremor) or CS (choreoathetosis with salivation) intoxication syndrome following intravenous or intracerebral administration to rodents. Although this classification system is widely employed, it has several shortcomings for the identification of common toxic effects. In particular, it does not reflect the diversity of intoxication signs found following oral administration of various pyrethroids.
Pyrethroids act in vitro on a variety of putative biochemical and physiological target sites, four of which merit consideration as sites of toxic action. Voltage-sensitive sodium channels, the sites of insecticidal action, are also important target sites in mammals. Unlike insects, mammals have multiple sodium channel isoforms that vary in their biophysical and pharmacological properties, including their differential sensitivity to pyrethroids.
Pyrethroids also act on some isoforms of voltage-sensitive calcium and chloride channels, and these effects may contribute to the toxicity of some compounds. Effects on peripheral-type benzodiazepine receptors are unlikely to be a principal cause of pyrethroid intoxication but may contribute to or enhance convulsions caused by actions at other target sites. In contrast, other putative target sites that have been identified in vitro do not appear to play a major role in pyrethroid intoxication. The diverse toxic actions and pharmacological effects of pyrethroids suggest that simple additivity models based on combined actions at a single target are not appropriate to assess the risks of cumulative exposure to multiple pyrethroids.
[Pyrethroid exposure following indoor treatments with a dog flea powder] [Article in German] Schulze M, Helber B, Hardt J, Ehret W. Umweltmedizinisches Zentrum (Direktor: Prof. Dr. Dr. W. Ehret), Klinikum, Augsburg. Dtsch Med Wochenschr 2002 Mar 22;127(12):616-8
HISTORY: A 42 year old woman reported hair loss, gastrointestinal and non-specific symptoms. The patient has lived in a council flat and kept a dog who had been regularly treated with pyrethroid containing flea powder.
INVESTIGATIONS: The biological monitoring of pyrethroid meta-bolites in urine was performed using gas chromatography-mass spectrometry. The values at admission and follow-up after 4 weeks were highly elevated. Inspection of the flat revealed a humid and cramped dwelling.
TREATMENT: We recommended redevelopment and cleaning of the dwelling and the avoidance of ectoparasiticide use.
CONCLUSION: To our knowledge this is the first documented case of high indoor pyrethroid exposure following the use of ectoparasiticides with domestic animals. Pyrethroids can cause neurotoxic symptoms and skin irritation. There are few data concerning chronic effects. The causal connection between pyrethroid exposure and symptoms remains unclear and poses a great problem in environmental medicine.
Striatal dopaminergic pathways as a target for the insecticides permethrin and chlorpyrifos. Karen DJ, Li W, Harp PR, Gillette JS, Bloomquis JR. Department of Entomology, Virginia Polytechnic Institute and State University, Blacksburg 24061, USA. Neurotoxicology 2001 Dec;22(6):811-7
Because insecticide exposure has been linked to both Parkinsons disease and Gulf War illness, the neurotoxic actions of pyrethroid and organophosphate insecticides on behavior and striatal dopaminergic pathways were investigated in C57BL/6 mice treated with permethrin (three i.p. doses at 0.2-200 mg/kg) or chlorpyrifos (three s.c. doses at 25-100 mg/kg) over a 2-week period. Permethrin altered maximal [3H]dopamine uptake in striatal synaptosomes from treated mice, with changes in Vmax displaying a bell-shaped curve. Uptake was increased to 134% of control at a dose of 1.5 mg/kg. At higher doses of PM (25 mg/kg), dopamine uptake declined to a level significantly below that of control (50% of control at 200 mg/kg, P < 0.01). We also observed a small, but statistically significant decrease in [3H]dopamine uptake by chlorpyrifos, when given at a dose of 100 mg/kg. There was no significant effect on the Km for dopamine transport. Evidence of cell stress was observed in measures of mitochondrialfunction, which were reduced in mice given high-end doses of chlorpyrifos and permethrin. Although cytotoxicity was not reflected in decreased levels of striatal dopamine in either 200 mg/kg PM or 100 mg/kg CPF treatment groups, an increase in dopamine turnover at 100 mg/kg CPF was indicated by a significant increase in titers of the dopamine metabolite, 3,4-dihydroxyphenylacetic acid. Both permethrin and chlorpyrifos caused a decrease in open field behavior at the highest doses tested. Although frank Parkinsonism was not observed, these findings confirm that dopaminergic neurotransmission is affected by exposure to pyrethroid and organophosphorus insecticides, and may contribute to the overall spectrum of neurotoxicity caused by these compounds.
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Thursday, May 1, 2003 WASHINGTON (Reuters) - Farmers who use certain pesticides seem to have a higher-than-average risk of prostate cancer, U.S. government researchers said on Thursday. The researchers, who published their study in the American Journal of Epidemiology, confirmed other findings that show farmers have an unusually high risk of prostate cancer. "Associations between pesticide use and prostate cancer risk among the farm population have been seen in previous studies; farming is the most consistent occupational risk factor for prostate cancer," Michael Alavanja of the National Cancer Institute (NCI), who helped lead the study, said in a statement. Researchers at NCI and at the National Institute of Environmental Health Sciences and the Environmental Protection Agency studied 55,332 farmers and nursery workers who worked with pesticides. Between 1993 and 1999, 566 new prostate cancers developed among the men, compared to 495 that would normally be expected in Iowa and North Carolina, the two states studied. The risk of developing prostate cancer was 14 percent greater for the pesticide applicators compared to the general population. One pesticide, methyl bromide, increased the risk of prostate cancer in all men. Six others raised the risk in men with a family history of prostate cancer. They are chlorpyrifos, coumaphos, fonofos, phorate, permethrin and butylate. More than 220,000 U.S. men will be diagnosed with prostate cancer this year, according to the American Cancer Society, and 30,000 will die of it. The biggest risk factors for prostate cancer are age and family history. African-American men have higher rates of prostate cancer, and some evidence suggests that men who eat lots of red meat and animal fat have a higher risk.
PERMETHRIN The insecticide permethrin (in the synthetic pyrethroid family) is widely used on cotton, wheat, corn, alfalfa, and other crops. In addition, over 100 million applications are made annually in and around U.S. homes. Permethrin, like all synthetic pyrethroids, is a neurotoxin. Symptoms include tremors, incoordination, elevated body temperature, increased aggressive behavior, and disruption of learning. Laboratory tests suggest that permethrin is more acutely toxic to children than to adults. The U.S. Environmental Protection Agency has classified permethrin as a carcinogen because it causes lung tumors in female mice and liver tumors in mice of both sexes. Permethrin inhibits the activity of the immune system in laboratory tests, and also binds to the receptors for a male sex hormone. It causes chromosome aberrations in human and hamster cells. Permethrin is toxic to honey bees and other beneficial insects, fish, aquatic insects, crayfish, and shrimp. For many species, concentrations of less than one part per billion are lethal. Permethrin causes deformities and other developmental problems in tadpoles, and reduces the number of oxygen-carrying cells in the blood of birds. Permethrin has been found in streams and rivers throughout the United States. It is also routinely found on produce, particularly spinach, tomatoes, celery, lettuce, and peaches. A wide variety of insects have developed resistance to permethrin. High levels of resistance have been documented in cockroaches, head lice, and tobacco budworm. BY CAROLINE COX Caroline Cox is JPR’s editor. Permethrin is used to kill pest in-sects in agriculture, home pest control, forestry, and in public health programs, including head lice control. It was first marketed in 1973. Worldwide, the dominant use of permethrin is on cotton, accounting for about 60 percent (by weight) of the permethrin used.1 In the U.S., al-most 70 percent of the permethrin used in agriculture is used on corn, wheat, and alfalfa.2 Over 100 million applications of permethrin are made each year in U.S. homes, and over 18 million applications are made 1 in yards and gardens.3 Permethrin is a synthetic pyrethroid. Like most members of this family of insecticides, it has four isomers, molecules made up of the same atoms with different threedimensional structures. (See Figure 1) Mode of Action Permethrin, like all synthetic pyrethroids, kills insects by strongly exciting their nervous systems. Permethrin makes the nervous system hypersensitive to stimuli from sense organs. Rather than sending a single impulse in response to a stimulus, permethrinexposed nerves send a train of impulses. This excitation occurs because permethrin blocks the movement of sodium ions from outside to inside of the nerve cells. Permethrin’s mode of action is similar to that of the organochlorine insecticide DDT.5 Acute Lethal Dose Permethrin’s LD50 (the amount of permethrin that kills 50 percent of a population of test animals) is variable. In a summary of nine oral LD50 tests using rats, the LD50 varied from 430 milligrams per kilogram of body weight (mg/kg) to over 4,000 mg/kg. Some of this variability occurs because the proportions of isomers in the test materials vary. The cis isomers are about ten times more toxic than the transisomers.6 Neurotoxicity In mammals, permethrin has complex effects on the nervous system. As in insects, it causes repetitive nerve impulses. It also inhibits a variety of nervous system enzymes: ATPase, whose inhibition results in increased release of the neurotransmitter acetylcholine 7; monoamine oxidase-A, the enzyme which maintains normal levels of three other neurotransmitters 8; and acetylcholinesterase, the enzyme that breaks down acetylcholine.9 (Two large families of insecticides, the organophosphates and the carbamates, are acetylcholinesterase inhibitors.) In addition, permethrin inhibits a nervous system receptor, the GABAA receptor, producing excitability and convulsions.10 Finally, permethrin inhibits respiration (the process by which cells use sugars as an energy source) in a manner similar to other neurotoxic drugs.11 It is therefore not surprising that permethrin causes a wide variety of neurotoxic symptoms. At relatively high doses, these neuro-toxic symptoms of permethrin include tremors, incoordination, hyperactivity, paralysis, and an increase in body temperature. These symptoms can persist up to three days.12 Other behavioral effects have been observed at lower doses. For example, sublethal exposure of mice to the permethrin-containing insecticide Ambush increased activities like chewing 13 ; sublethal exposure of rats to permethrin increased aggressive behavior, agitation, and resistance to being captured 14 ; and permethrin disrupted a learned feeding behavior in rats at doses of about 20 percent 2 of the LD50. 15 Eye and Skin Irritation Permethrin-containing products can be irritating to both eyes and skin. For example, the agricultural insecticide Pounce 3.2 EC “causes moderate eye irritation.”16 Ortho Total Flea Control 2 and Solaris Flea-B-Gon Total Flea Killer Indoor Fogger both cause “tearing, swelling, and blurred vision.”17,18 They also cause “redness, swelling, and possibly blistering” of the skin.17,18 Adams 14 Day Flea Dip “causes eye injury”19 and “may cause al-allergic reactions”19 on skin. Effects on the Immune System Experiments with laboratory animals indicate that the immune system (used by living things to defend themselves from disease) “appears to be a sensitive target for permethrin activity.” Ingestion of permethrin reduces the ability of immune system cells called Tlymphocytes to recognize and respond to foreign proteins. Doses equivalent to 1/100 of the LD50 , inhibited T-lymphocytes over 40 percent. Permethrin ingestion also reduced the activity of a second type of immune system cell, natural killer cells, by about 40 percent.20(See Figure 2.) In tests using mouse cell cultures, permethrin had similar effects on the immune system, inhibition of two kinds of lymphocytes.21 Researchers concluded that “the immune system is exquisitely sensitive … at exposure levels that cause no overt toxicity.”20 Effects on Reproduction Permethrin affects both male and female reproductive systems. It binds to receptors for androgen, a male sex hormone, in skin cells from human males, causing researchers to “advise protection from any form of contact or ingestion of the pyrethroids.” 22 Permethrin also binds to a different receptor, called the peripheral benzodiazepine receptor, that stimulates production of the male sex hormone testosterone.23 In addition, permethrin caused reduced testes weights in a long-term feeding study of mice.24 In females, permethrin exposure has caused embryo loss in pregnant rabbits24 and in pregnant rats.25 Mutagenicity Permethrin was mutagenic (damaging to genetic material) in three tests with human cell cultures, one with hamster cells, and one with fruit fly larvae. In cultures of human lymphocytes (white blood cells), permethrin exposure caused an increase in chromosome aberrations, chromosome fragments,26 and DNA lesions.27 In hamster ovary cell cultures, permethrin exposure caused chromosome aberrations.28 Exposure to Ambush 3 (a permethrin-containing insecticide) during larval development increased sex-linked lethal mutations in fruit flies.29 Carcinogenicity According to the U.S. Environmental Protection Agency (EPA), permethrin is a possible human carcinogen (chemical that causes cancer).30 EPA found that permethrin increased the frequency of lung tumors in female mice, and increased the frequency of liver tumors in male and female mice.24 The World Health Organization reports that permethrin increased the frequency of lung tumors in females in two out of the three mouse studies it reviewed. (See Figure 3.) Lung tumors increased with increasing permethrin exposure in the third study, but the increase was not statistically significant.31 There are no publicly available studies of the carcinogenicity of permethrin-containing insecticide products. There are two molecular mechanisms which could explain permethrin’s carcinogenicity. First, permethrin reduces the activity of an enzyme involved in the breakdown of the amino acid tryptophan. This can lead to the buildup of carcinogenic tryptophan breakdown products.32 Second, permethrin inhibits what is called “gap junctional intercellular communication” (GJIC), chemical communication between cells. GJIC plays an important role in the growth of cells, and some cancer promoting chemicals inhibit GJIC.33 Other Chronic Effects The liver is a sensitive target for permethrin effects. When EPA summarized 17 mediumand long-term laboratory studies that exposed rats, mice, and dogs to permethrin, effects on the liver were noted at the “lowest effect level” in all of them.24 Other chronic effects in laboratory tests include enlarged adrenal glands at all doses tested in a rabbit feeding study, and increased kidney weights at all doses tested in a rat feeding study.24 Synergy Synergy occurs between two or more chemicals when their combined exposure causes more adverse effects than the sum of their individual effects. A possible cause of the health problems reported by 30,000 veterans who served in the Persian Gulf War is exposure to a combination of chemicals, including permethrin. The combination of permethrin, the anti-nerve gas drug pyridostigmine bromide, and the insect repellent DEET has been tested in laboratory animals. Neurotoxic symptoms, including decreased activity, diarrhea, shortness of breath, tremors, inability to walk, and damage to nerves, were observed in hens exposed to all three chemicals, but not in hens exposed to permethrin alone. Permethrin with just pyridostigmine bromide or just DEET also caused tremors and inability to walk, but symptoms were not as severe.35 4 Other pesticides interact synergistically with permethrin with in other species. Permethrin and the herbicide atrazine synergistically induce growth of the soil fungus Pythium ultimum, 36 and permethrin and the insecticide amitraz are synergistically toxic to the bollworm.37 Individual Susceptibility Individuals vary in their susceptibility to permethrin, as has been illustrated by the following research: l Based on tests with laboratory animals, it appears children may be more sensitive to permethrin than adults. Permethrin is almost 5 times more acutely toxic to 8-day-old rats than it is to adult rats.38(See Figure 4.) l Since sulfates are involved in one of the major pathways by which permethrin is broken down in humans, individuals with defects in sulfate-related enzymes may be unable to easily break down permethrin, leading to increased susceptibility to motor neuron disease.39,40 l Individuals with genetic variants of the enzyme pseudocholinesterase that have reduced activity are at higher risk of adverse effects from exposure to certain chemicals, including the permethrin combination implicated in symptoms seen in Gulf War veterans.35 “ It appears children may be more sensitive to permethrin than adults. Permethrin is almost 5 times more acutely toxic to 8-day-old rats than it is to adult rats.” Effects on Nontarget Animals Beneficial Arthropods: As a broad spectrum insecticide, it is not surprising that permethrin impacts beneficial arthropods, those that are useful in agriculture. Examples include the following: 5 l Permethrin is acutely toxic to honey bees; the median lethal dose is 0.008 micrograms per bee.41 Sublethal exposures cause increased abnormal behavior (trembling, etc.), decreased foraging,42 and impairment of bees’ learning.43 l The International Organization for Biological Control tested the acute toxicity of permethrin to 13 species of beneficial arthropods and found that permethrin caused 99 percent mortality of 12 of the species, and over 80 percent mortality of the other. Effects were persistent, lasting over 30 days.44 Sublethal doses also impact beneficial arthropods: permethrin inhibited the emergence of a parasitoid wasp from eggs of the rice moth Corcyra cephalonica 45 and disrupted the foraging pattern of another parasitoid wasp as it searched for its aphid prey.46 (Parasitoids are insects that lay their eggs in, on, or near their prey. The eggs hatch and the larvae consume the prey as they develop. They often keep populations of agricultural pests at low levels.) Aquatic Insects: Because it is a broad spectrum insecticide, permethrin has severe impacts on aquatic insects. Permethrin applications to forest streams caused “a major increase in the density of drifting invertebrates” described as “catastrophic.” (Drifting animals are those that are sufficiently poisoned by the insecticide that they are washed down-stream.) Most applications were also followed by “rapid depletion of bottom fauna,” insects that live in the stream bed. Recovery required between 1 and 18 months.47 Mayflies and damselflies are the most sensitive species.49 Permethrin also bioconcentrates in aquatic insects; bioconcentration factors in stoneflies ranged from 43 to 570. 49 Birds: While permethrin’s acute toxicity to birds is low,50 it causes other ad-verse effects. Three-week dietary exposure of chickens reduced hemoglobin (oxygen carrying protein) levels, and red blood cell counts, while increasing the number of white blood cells.51 The reduction in hemoglobin occurred at the lowest dose tested, 33 mg/kg.51 Permethrin also caused decreased immune responses in chicks,52 and damaged mallard ovaries.53 Fish: Permethrin is highly toxic to fish. This toxicity is due, in part, to the sensitivity of their nervous system.54 Fish also lack the enzymes that break down permethrin in other animals.55 The LC 50 (the concentration that kills 50 percent of a population of test animals) is less than 1 part per million (ppm) for almost all fish species tested, and for some fish is less than 1 part per billion (ppb). Agricultural permethrin products called emulsifiable concentrates are about twice as toxic to fish as permethrin alone. Small fish are less 6 tolerant of permethrin than large fish, and it is more toxic in cold water than in warm water.56 Fish also have a particular developmental stage when they are most susceptible.57 Sublethal effects on fish include abnormal swimming, a reduced startle response, and loss of equilibrium.58 Permethrin bioconcentrates in fish, so that concentrations in fish are higher than the concentration in the water in which the fish live. Bioconcentration factors (the ratio between the concentration in the fish and the concentration in the water) up to 113 have been measured in brook trout,59 up to 613 in Atlantic salmon,59 and up to 631 in rainbow trout.60 Complex effects of permethrin on fish have been documented by the Canadian Forest Service in field studies. They found that diets of trout and salmon were altered when permethrin killed the insects these fish use as food. In some cases, diets were altered for a year following treatment. Reductions in fish growth rates, and migration to untreated areas followed; recovery required four months. The researchers concluded that permethrin is “not an acceptable treatment for large-scale use in forest areas containing fish-producing water.”61 Amphibians: Permethrin disrupts the growth and development of tadpoles. Exposure slowed growth for two to three weeks, and increased the frequency of a tail abnormality. (See Figure 5.) The increase in this deformity occurred at the lowest concentration of permethrin tested, 0.1 ppm. At this concentration tadpoles also responded to prodding in a jerky and disorganized way, making them vulnerable to predation. Tadpoles exposed to an even lower concentration (0.05 ppm) reduced their feeding for several weeks after exposure.62 Permethrin also effects brain function in tadpoles. Concentrations of 0.25 ppm decreased the amounts of two specific proteins in the brain, while increasing the total amount of protein. One of the proteins is associated with learning. Activity of several nervous system enzymes, including acetylcholinesterase, decreased.63 Other Aquatic Animals: Permethrin is very highly toxic to lobster; the LC 50 is less than 1 ppb.64 It is highly toxic to oyster larvae, with an EC 50 (the concentration causing abnormal development in half of the larvae) of less than 1 ppm.65 Permethrin bioconcentrates in oysters, with a bioconcentration factor of 1900. 66 Water fleas are also very sensitive to permethrin exposure; LC 50 s of several species are about 1 ppb.67 Permethrin also caused “severe mortalities” of two kinds of zooplankton, cladocerans 7 and copepods with recovery taking about 3 months.68 Mysid shrimp are killed by permethrin at concentrations so low that they cannot be detected in water (the LC 50 is 0.02 ppb). This means that “any detection of these insecticides in estuarine waters would likely be associated with adverse effects.”66 Another animal that is very sensitive to permethrin is crayfish; LC 50 s for the red swamp crayfish vary from 0.4 to 1.2 ppb. Researchers concluded that “even the lowest operational treatment level used for insect management would seriously impact crayfish populations.”67 Residues on Food The Food and Drug Administration’s (FDA’s) monitoring program routinely finds permethrin on food. In 1996, it was the 13th most commonly detected pesticide.68 Similar results were found in monitoring of 14 fruits and vegetables by the U.S. Department of Agriculture; permethrin was the 10th most frequently detected pesticide and was often found on spinach (60 percent of the samples tested) and tomatoes (11 percent of the samples tested).69 Permethrin was also frequently found on celery and lettuce.70 Permethrin has also been found in baby food: FDA’s 1996 monitoring found it in 12 percent of the samples tested. The Environmental Working Group found permethrin was the most commonly detected pesticide in peach baby food (44 percent of the samples tested) and was also found in plums (11 percent of the samples tested).71 Contamination of Water Permethrin has been found in ground and surface water. The U.S. Geological Survey has found permethrin in streams and rivers in the Mississippi River Basin, 72 the Central Columbia Plateau (Washington and Idaho),73 the Georgia-Florida Coastal Plain,74 the San Joaquin-Tulare Basin (California),75 and the Ozark Plateau (Arkansas and nearby states).76 Permethrin has also been found in groundwater in Virginia.76 Drift Drift, pesticide movement during application away from the target area, has been measured for two types of permethrin applications: aerial and back pack mistblower. Aerially applied permethrin drifted 180-240 meters (590- 790 feet) under conditions “highly conducive” to drift.78 These researchers sug-gested using buffers of 150 meters (490 feet). Back pack mistblower applications of permethrin drifted 150 meters.79 Persistence According to EPA, permethrin’s half-life (the amount of time required for half of the 8 original amount of a chemical to break down or move away from the study site) was 17 days in a North Carolina agricultural soil and 43 days in Illinois.80 When used as a termiticide, permethrin persists longer; soil concentrations did not decline during the first year.81 Permethrin also persists longer in tree needles, foliage, and bark, up to 363 days.82 The ability of permethrin to persist in the environment was graphically illustrated by a study of an application of permethrin ear tags to cattle. Permethrin was found on all surfaces analyzed, not only on the cattle, but also on the bark of trees in their pasture, on a fence pole, and in grass. Some residues were found three months after the ear tags were applied.83 Resistance Resistance (the evolution of a strain of insect that is able to tolerate a particular insecticide) to permethrin has been documented in a wide variety of insects. These species include pear psylla,84fall army-worm, 85 German cockroach,86 spotted tentiform leafminer,87 diamondback moth,88 house fly,89 stable fly,90 head lice,91-93 and tobacco budworm.94 Many of these species are resistant to other synthetic pyrethroids as well as permethrin. The level of resistance is less than tenfold in some of the species but high levels of resistance have been observed in cockroaches (45-fold),86lice (up to 385-fold)91 and budworm (1400-fold).94 Inert Ingredients Like most pesticide products, permethrin insecticides contain ingredients that are typically claimed as trade secrets by pesticide manufacturers. Limited information about “inerts” in permethrin products is available. Examples include: l Xylenes are in the agricultural insecticides Pounce 3.2 EC,16 Ambush 2E,95 and Ambush 50. 96 Xylenes cause eye and skin irritation, headaches, nausea, confusion, tremors, and anxiety in exposed humans. In laboratory tests, xylenes have caused kidney damage, fetal loss, and skeletal anomalies in offspring.97 l Methyl paraben is in the head lice cream rinse Nix,98 regulated as a drug not as a pesticide. Methyl paraben is a skin sensitizer, and causes eye, skin, digestive, and respiratory irritation.99 l Dimethyl ether is in the household insecticides Flea-B-Gon Total Flea Killer Indoor Fogger 17 and Ortho Total Flea Control 2. 18 It causes respiratory, skin, and eye irritation and depresses the cen-tral nervous system. It is also a severe fire hazard.100 l Butane is in the household insecticides Raid Yard Guard Outdoor Fogger V and 9 Off Yard and Deck Area Repellant 1. 101,102 It is “extremely flammable” and shortterm exposure causes irritation, nausea, drowsiness, convulsions, and coma.103 References COALITION FOR ALTERNATIVES TO PESTICIDES/NCAP P. O. B O X 1 3 9 3, E U G E N E, O R E G O N 9 7 4 4 0 / (5 4 1 )3 4 4 -5 0 4 4 JOURNAL OF PESTICIDE REFORM/ SUMMER 1998 - VOL.18, NO. 214l I N S E C T I C I D E F A C T S H E E T [ Pesticide Site Map ] * [ Main Site Map ] 10 references Page 1 http://www.safe2use.com/poisons-pesticides/pesticides/permethrin/cox-report/references.h0tm8/l25/03 11:48:08 AM NORTHWEST COALITION FOR ALTERNATIVES TO PESTICIDES/NCAP P. O. B O X 1 3 9 3, E U G E N E, O R E G O N 9 7 4 4 0 / (5 4 1 )3 4 4 -5 0 4 4 JOURNAL OF PESTICIDE REFORM/ SUMMER 1998 • VOL.18, NO. 2 PERMETHRIN BY CAROLINE COX Back to Pesticide Fact Sheet References 1. World Health Organization. 1990. Permethrin. Environmental Health Criteria 94. Geneva, Switzerland: World Health Organization, United Nations Environment Programme, and International Labor Organization. Pp.25-26. 2. Gianessi, L.P. and J.E. Anderson. 1995. Pesticide use in U.S. crop production. National summary report. Washington, D.C.: National Center for Food and Agricultural Policy. 3. Whitmore, R.W., J.E. Kelly, and P.L. Reading. 1992. National home and garden pesticide use survey. Final report, Volume 1: Executive summary, results, and recommendations. Research Triangle Park, NC: Research Triangle Institute. 4. Ref. # 1, p.18. 5. Vijverberg, H.P.M. and J. van den Bercken. 1990. Neurotoxicological effects and the mode of action of synthetic pyrethroids. Crit. Rev. Toxicol. 21:105-126. 6. Ref. #1, p.64. 7. Al-Rahji, D.H. 1990. Properties of Ca2+ + Mg2+-ATPase from rat brain and its inhibition by pyrethroids. Pest. Biochem. Physiol. 37:116-120. 8. Rao, G.V. and K.S.J. Rao. 1993. Inhibition of monoamine oxidase-A of rat brain by pyrethroids - an in vitro kinetic study. Mol. Cell. Biochem. 124:107-114. 9. Rao, G.V. and K.S.J. Rao. 1995. Modulation of acetylcholinesterase of rat brain by pyrethroids in vivo and an in vitro kinetic study. J. Neurochem. 65:2259-2266. 10. Ramadan, A,A, et al. 1988. Action of pyrethroids on GABA A receptor function. Pest. Biochem. Physiol. 32:97-105. references Page 2 http://www.safe2use.com/poisons-pesticides/pesticides/permethrin/cox-report/references.h0tm8/l25/03 11:48:08 AM 11. Gassner, B. et al. 1997. The pyrethroids permethrin and cyhalothrin are potent inhibitors of the mitochondrial complex I. J. Pharmacol. Exper. Therap. 281:855-860. 12. International Programme on Chemical Safety. 1989. Permethrin health and safety guide. Health and Safety Guide No. 33. Geneva, Switzerland: World Health Organization, United Nations Environment Programme, and International Labor Organization. 13. Mitchell, J.A., M.C. Wilson, and M.J. Kallman. 1988. Behavioral effects of pydrin and ambush in male mice. Neurotoxicol Teratol. 10:113-119. 14. McDaniel, K.L. and V.C. Moser. 1993. Utility of a neurobehavioral screening battery for differentiating the effects of two pyrethroids, permethrin and cypermethrin. Neurotoxicol. Teratol. 15:71-83. 15. Peele, D.B. and K.M. Crofton. 1987. Pyrethroid effects on schedule-controlled behavior: Time and dosage relationships. Neurotoxicol. Teratol. 9:387-394. 16. FMC Corporation. 1996. Label. Pounce 3.2 EC Insecticide. Label. Philadelphia, PA, Mar. 17. Solaris. 1995. Material safety data sheet. Flea-B-Gon Total Flea Killer Indoor Fogger. San Ramon, CA, July 21. 18. Solaris. 1995. Material safety data sheet. Ortho Total Flea Control 2. San Ramon, CA, July 21. 19. Pfizer Animal Health. Undated. Label. Adams 14 Day Flea Dip. 20. Blaylock, R.L. et al. 1995. Suppression of cellular immune responses in BALB/c mice following oral exposure to permethrin. Bull. Environ. Contam. Toxicol. 54:768-774. 21. Stelzer, K.J. and M.A. Gordon. 1984. Effects of pyrethroids on lymphocyte mitogenic responsiveness. Res. Comm. Chem. Pathol. Pharmacol. 46(1):137-150. 22. Eil, C. and B.C. Nisula. 1990. The binding properties of pyrethroids to human skin fibroblast androgen receptors and to sex hormone binding globulin. J. Steroid Biochem. 35:409-414. 23. Ramadan, A.A. et al. 1988. Actions of pyrethroids on the peripheral benzodiazepine receptor. Pest. Biochem. Physiol. 32:106-113. 24. U.S. EPA. Office of Pesticide Programs. Health Effects Division. 1997. Tox oneliners: Permethrin. Washington D.C., June 24. 25. Spencer, F. and Z. Berhane. 1982. Uterine and fetal characteristics in rats following a postimplantational exposure to permethrin. Bull. Environ. Contam. Toxicol. 29:84-88. 26. Barrueco, C. et al. 1992. Cytogenetic effects of permethrin in cultured lymphocytes. 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Acute toxicity of two pyrethroids, permethrin and cypermethrin, in neonatal and adult rats. Arch. Toxicol. 67:510-513. 39. Pall, H.S. et al. 1987. Motorneurone disease as manifestation of pesticide toxicity. The Lancet (Sept. 19): 685. 40. Steventon, G.B., R.H. Waring, and A.C. Williams. 1990. Pesticide toxicity and motor neuron disease. J. Neurol., Neurosurg. Psych. 53(7):621-622. 41. Helson, B.V., K.N. Barber, and P.D. Kingsbury. 1994. Laboratory toxicology of six forestry insecticides to four species of bee (Hymenoptera: Apoidea). Arch. Environ. Contam. Toxicol. 27:107- 114. references Page 4 http://www.safe2use.com/poisons-pesticides/pesticides/permethrin/cox-report/references.h0tm8/l25/03 11:48:08 AM 42. Cox, R.L. and W.T. Wildon. 1984. Effects of Permethrin on the behavior of individually tagged honey bees, Apis mellifera L. (Hymenoptera: Apidae). Environ. Entomol. 13:375-378. 43. Taylor, K.S., G.D. Waller, and L.A. Crowder. 1987. Impairment of a classical conditioned response of the honey bee ( Apis mellifera L.) by sublethal doses of synthetic pyrethroid insecticides. Apidologie 18:243-252. 44. Hassan, S.A. et al. 1983. Results of the second joint pesticide testing programme by the IOBC/ WPRS-Working Group “Pesticides and Beneficial Arthropods.” Z. ang. Ent. 95:151-158. 45. Varma, G.C. and P.P. Singh. 1987. Effect of insecticides on the emergence of Trichogramma brasiliensis (Hymenoptera: Trichogrammitidae) from parasitized host eggs. Entomophaga 32: 443- 448. 46. Jiu, G.D. and J.K. Waage. 1990. The effect of insecticides on the distribution of foraging parasitoids, Diaeretiella rapae (Hym.: Braconidae) on plants. Entomophaga 35:49-56. 47. Kreutzweiser, D.P. and P.D. Kingsbury. 1987. Permethrin treatments in Canadian forests. Part 2: Impact on stream invertebrates. Pestic. Sci. 19:49-60. 48. Siegfried, B.D. 1993. Comparative toxicity of pyrethroid insecticides to terrestrial and aquatic insects. Environ. Toxicol. Chem. 12:1683-1689. 49. Anderson, R.L. 1982. Toxicity of fenvalerate and permethrin to several nontarget aquatic invertebrates. Environ. Entomol. 11:1251-1257. 50. Ref. #1, p.59 51. Qadri, S.S. et al. 1987. Haemotoxicity to chicken ( Gallus gallus domesticus) by technical and formulation grades of some phosphoric and synthetic pyrethroid esters. J. Appl. Toxicol. 7:367-371. 52. McCorkle, F. et al. 1980. The effect of permethrin on the immune response of chickens. Poul. Sci. 59:1568. 53. U.S. EPA. 1993. Data evaluation record: permethrin. Avian reproduction study. Reviewed by Charles G. Nace. Washington, D.C., Mar. 12. 54. Eells, J.T. et al. 1993. Differences in the neuroexcitatory actions of pyrethroid insecticides and sodium channel-specific neurotoxins in rat and trout brain synaptosomes. Toxicol. Appl. Pharmacol. 123:107-119. 55. Haya, K. 1989. Toxicity of pyrethroid insecticides to fish. Environ. Toxicol. Chem. 8:331-391. 56. 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Toxicol. 29:223-240. 61. Kingsbury, P.D. and D.P. Kreutzweiser. 1987. Permethrin treatment in Canadian forests. Part 1: Impact on stream fish. Pestic. Sci. 19:35-48. 62. Berrill, M. et al. 1993. Lethal and sublethal impacts of pyrethroid insecticides on amphibian embryos and tadpoles. Environ. Toxicol. Chem. 12:525-539. 63. Yaseem, N. and Nayeemunnisa. 1992. Insecticide induced disruptions in functioning of developing brain of Rana cyanophlictis. Ind. J. Exper. Biol. 30:701-704. 64. McLeese, D.W., C.D. Metcalfe, and V. Zitko. 1980. Lethality of permethrin, cypermethrin, and fenvalerate to salmon, lobster, and shrimp. Bull Environ. Contam. Toxicol. 25:950-955. 65. U.S. EPA. 1993. EEB review of permethrin. Memo from A.F. Maciorowski, Ecological Effects Branch, to Jay Ellenberger, Special Review and Reregistration Division. Washington, D.C., July 22. 66. Schimmel, S.C. et al. 1983. Acute toxicity, bioaccumulation, and persistence of AC 222,705, benthiocarb, chlorpyrifos, fenvalerate, methyl parathion, and permethrin in the estuarine environment. J. Agric. Food. Chem. 31:104-113. 67. Mokry, L.E. and K.D. Hoagland. 1990. Acute toxicities of five synthetic pyrethroid insecticides to Daphnia magna and Ceriodaphnia dubia. Environ. Toxicol. Chem. 9:1045-1051. 68. Day, K.E. 1989. Acute, chronic and sublethal effects of synthetic pyrethroids on freshwater zooplankton. Environ. Toxicol. Chem. 8:411-416. 67. Jarboe, H.H. and R.P. Romaire. 1991. Acute toxicity of permethrin to four size classes of red swamp crayfish ( Procambarus clarkii) and observations of post-exposure effects. Arch. Environ. Contam. Toxicol. 337-342. 68. Food and Drug Administration. Center for Food Safety and Applied Nutrition. 1998. 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Malvern, PA, Dec. 9. chemicalWATCH Factsheet SYNTHETIC PYRETHROIDS Pesticide products containing pyrethroids are often described by pest control operators and community mosquito management bureaus as “safe as chrysanthemum flowers.” While pyrethroids are a synthetic version of an extract from the chyrsanthemum, they were chemically designed to be more toxic with longer breakdown times, and are often formulated with synergists, increasing potency and compromising the human body’s ability to detoxify the pesticide. What are Synthetic Pyrethroids? Synthetic pyrethroids are synthesized derivatives of naturally occurring pyrethrins, which are taken from pyrethrum, the oleoresin extract of dried chrysanthemum flowers. The insecticidal properties of pyrethrins are derived from ketoalcoholic esters of chrysanthemic and pyrethroic acids. These acids are strongly lipophilic and rapidly penetrate many insects and paralyze their nervous system (Reigart et al., 1999). Both pyrethrins and synthetic pyrethroids are sold as commercial pesticides used to control pest insects in agriculture, homes, communities, restaurants, hospitals, schools, and as a topical head lice treatment. Various formulations of these pesticides are often combined with other chemicals, known as synergists, to increase potency and persistence in the environment. While chemically and toxicologically similar, pyrethrins are extremely sensitive to light, heat and moisture. In direct sunlight, halflives that can be measured in hours. However, the pyrethroids, the synthetic analogues of naturally occurring pesticides, were developed to capture the effective insecticidal activity of this botanical insecticide, with increased stability in light, yielding longer residence times (Gosselin et al., 1984). Pyrethroids and Health Effects Pyrethroids have irritant and/or sensitizing properties. They are not easily absorbed through the skin, but are absorbed through the gut and pulmonary membrane. Tests of some pyrethroids on laboratory animals reveal striking neurotoxicity when administered by injection or orally. Systemic toxicity by inhalation and dermal absorption is low. The acute toxicity, calculated by LD50’s, ranges from low to high, depending on the specific formulation. Low toxicity is attributed to two factors: limited absorption of some pyrethroids, and rapid biodegradation by mammalian liver enzymes (ester hydrolysis and oxidation). Insects, without this liver function, exhibit greater susceptibility to the chemicals (Reigart et al., 1999). Pyrethroids interfere with the ionic conductance of nerve membranes by prolonging the sodium current. This stimulates nerves to discharge repeatedly causing hyper-excitability in poisoned animals. The World Health Organization explains that synthetic pyrethroids are neuropoisons acting on the axons in the peripheral and central nervous systems by interacting with sodium channels in mammals and/or insects. The main systems for metabolism include breakage of the ester bond by esterase action and oxidation at various parts of the molecule. Induction of liver microsomal enzymes has also been observed (WHO, 1999). Signs and symptoms of poisoning by pyrethroids may take several forms. Because of the similarities to crude pyrethrum, pyrethroids may act as dermal and respiratory allergens. Exposure to pyrethroids has resulted in contact dermatitis and asthma-like reactions. Persons, especially children, with a history of allergies or asthma are particularly sensitive, and a strong cross-reactivity with ragweed pollen has been recognized. Severe anaphylactic (allergic) reactions with peripheral vascular collapse and respiratory difficulty are rare. Other symptoms of acute toxicity due to inhalation include sneezing, nasal stuffiness, headache, nausea, incoordination, tremors, convulsions, facial flushing and swelling, and burning and itching sensations. The most severe poisonings have been reported in infants, who are not able to efficiently break down pyrethroids (ETN, Pyrethroids, 1994). With orally ingested doses, nervous symptoms may occur, which include excitation and convulsions leading to paralysis, accompanied by muscular fibrillation and diarrhea (ETN, Pyrethroids, 1994). Death in these cases is due to respiratory failure. Symptoms of acute exposure last about 2 days. Endocrine Disruption and Breast Cancer Many pyrethroids have also been linked to disruption of the endocrine system, which can adversely affect reproduction and sexual development, interfere with the immune system and increase chances of breast cancer. Pyrethroids contain human-made, or xenoestrogens, which can increase the amount of estrogen in the body (Garey et al., 1998). When tested, certain pyrethroids demonstrate significant estrogenicity and increase the levels of estrogen in breast cancer cells (Go et al., 1999). Because increased cell division enhances the chances for the formation of a malignant tumor in the breast, artificial hormones, like those found in pyrethroids, may increase breast cancer risk (PCBR, 1996). Some pyrethroids are classified by EPA as possible human carcinogens. Pyrethroids and the Environment While the development of the synthetic pyrethroids was heralded with claims of selective toxicity to insects, both pyrethroids and pyrethrins are extremely toxic to aquatic organisms, including fish such as the bluegill and lake trout, with LC50 values less than 1.0 parts per billion. These levels are similar to those for mosquito, blackfly and tsetse fly larvae, often the actual target of the pyrethroid application. Lobster, shrimp, mayfly nymphs and zooplankton are the most Beyond Pesticides National Coalition Against the Misuse of Pesticides 701 E Street, S.E., Suite 200 • Washington DC 20003 • 202-543-5450 (v) • 202-543-4791 (f) • ncamp@ncamp.org • www.beyondpesticides.org susceptible non-target aquatic organisms (Mueller-Beilschmidt, 1990). The nonlethal effects of pyrethroids on fish include damage to the gills and behavioral changes. Pyrethroids are moderately toxic to birds, with most LD50 values greater than 1000 mg/ kg. Birds can also be indirectly affected by pyrethroids, because of the threat to their food supply. Waterfowl and small insectivorous birds are the most susceptible (Mueller- Beilschmidt, 1990). Because pyrethroids are toxic to all insects, both beneficial insects and pests are affected by pyrethroid applications. In some cases, predator insects may be susceptible to a lower dose than the pest, disrupting the predator-prey relationship. Pyrethroids Residues / Persistence As mentioned before, pyrethroids are designed to breakdown more slowly than the naturally occurring pyrethrins. While pyrethrins, extremely sensitive to light, heat and moisture, break down in a few hours, the synthetic pyrethroids are stable and persist in the environment much longer. As a general rule, pyrethroids break down most quickly in direct sunlight, usually just a few days after application, with a few exceptions. However, in areas with limited sunlight, such as grain silos and subway tunnels, pyrethroids can persist for months. For more specific breakdown times see the sections below on resmethrin, permethrin and sumithrin. Synergists Both pyrethroids and pyrethrins are often formulated with oils or petroleum distillates and packaged in combination with synergists, such as piperonyl butoxide (PBO) and n-octyl bicycloheptene dicarboximide (Gosselin et al., 1984). Synergists are added to increase the potency of the pesticide. A range of products from repellants to foggers to pediculicides (lice killers) to garden sprays contain synergists. Many formulations of permethrin, resmethrin and sumithrin, including ScourgeTM and AnvilTM, used along the East Coast for mosquito control to combat the West Nile Virus, contain the synergist PBO. PBO inhibits important liver enzymes responsible for breakdown of some toxins, in- Beyond Pesticides National Coalition Against the Misuse of Pesticides 701 E Street, S.E., Suite 200 • Washington DC 20003 • 202-543-5450 (v) • 202-543-4791 (f) • ncamp@ncamp.org • www.beyondpesticides.org cluding the active ingredients of pesticides. Specifically, it has been shown to inhibit hepatic microsomal oxidase enzymes in laboratory rodents and interfere in humans. Because these enzymes act to detoxify many drugs and other chemicals, a heavy exposure to an insecticidal synergist may make a person temporarily vulnerable to a variety of toxic insults that would normally be easily tolerated. Symptoms of PBO poisoning include anorexia, vomiting, diarrhea, intestinal inflammation, pulmonary hemorrhage and perhaps mild central nervous system depression. Repeated contact may cause slight skin irritation. Chronic toxicity studies have shown increased liver weights, even at the lowest doses, 30 mg/kg/day. While not considered a carcinogen by EPA, animal studies have shown hepatocellular carcinomas, even treatments as low as 1.2% (Takahashi et al., 1994). Permethrin (PounceTM, TorpedoTM, DragnetTM) Prior to 1978, permethrin was registered for use on cotton crops only. During the early 1980’s registration was expanded to include use on livestock and poultry, eggs, vegetables and fruit. Today uses also include lice treatments and urban/suburban pest control. Permethrin resembles pyrethrins chemically, but is chlorinated to increase its stability. There are four isomeric forms, two cis and two trans of technical permethrin. Although the acute toxicity of the mixture (oral rat LD50 > 5000 mg/kg, oral mouse LD50 = 500) is less than that of natural pyrethrins, the cis-isomer is considerably more toxic (oral mouse LD50 = 100), and in rats, the metabolites of the cis-isomer are more persistent biologically. (The cis and trans isomers differ in the spatial arrangement of the atoms.) Formulations of permethrin can vary greatly in isomeric content. Compared to other pyrethroids, permethrin is very stable, even when exposed to ultraviolet light. Permethrin is strongly absorbed to soil and other organic particles, with half-lives in soil of up to 43 days. When used as a termiticide, permethrin can persist up to 5 years. Permethrin receives an EPA toxicity class rating of II or III, (I = most toxic, IV = least toxic) and carries either the word WARNING or CAUTION on its label, depending on the formulation. While it is not extremely toxic to humans, there are numerous reports of transient skin, eye and respiratory irritation. Like all pyrethroids, permethrin is a central nervous system poison. Workers and researchers report tingling in face and hands, and some report allergic reactions. Based on studies demonstrating carcinogenicity, EPA ranks permethrin as a class C, or possible human carcinogen (U.S. EPA, 1997). Other studies have shown effects on the immune system, enlarged livers and at high doses, decreased female fertility. Permethrin is extremely toxic to aquatic life, bees and other wildlife. It should not be applied in crops or weeds where foraging may occur (ETN, Permethrin, 1996). Resmethrin (ScourgeTM, Raid Flying Insect KillerTM) Resmethrin is used for control of flying and crawling insects in homes, greenhouses, processing plants, commercial kitchens, airplanes and for public mosquito control. Resmethrin is considered slightly toxic to humans and is rated EPA toxicity class III, bearing the word CAUTION on its label. The oral rat LD50 is about 2500 mg/kg. Although resmethrin has a very short half-life (under an hour in direct sunlight), it persists much longer in soil with a half-life of 30 days (ETN, Resmethrin, 1996). Resmethrin breaks down into a smelly byproduct, phenylacetic acid, which binds strongly to textiles and dissipates slowly, smelling of urine. Resmethrin is absorbed rapidly and distributed to all tissues including the brain. Skin absorption is low, although it should be noted that some individuals manifest allergic responses including dermatitis, asthma, runny nose and watery eyes after initial contact. In laboratory animals, chronic toxicity studies have shown hypertrophy of the liver, proliferative hyperplasia and benign and cancerous liver tumors. EPA reviewers noted slight, but significant, increases in the number of offspring born dead and decreased viability, which they thought might be secondary to trans placental toxicity. Tests for neurotoxicity have been negative. Resmethrin is extremely toxic to fish, other aquatic life and bees. The domestic manufacturer of Synthetic Pyrethroids chemicalWATCH Factsheet References Beyond Pesticides National Coalition Against the Misuse of Pesticides 701 E Street, S.E., Suite 200 • Washington DC 20003 • 202-543-5450 (v) • 202-543-4791 (f) • ncamp@ncamp.org • www.beyondpesticides.org resmethrin, Penick Company, will not identify the inert ingredients in its product, but recommends that it is not sprayed on paint, plastic or varnished surfaces, and that treatment of living areas or areas with large amounts of textiles be avoided. Sumithrin (AnvilTM, d-Phenothrin) Sumithrin has been registered for use since 1975. It is used to control adult mosquitoes and as an insecticide in transport vehicles, commercial, industrial and institutional nonfood areas, in homes, gardens, greenhouses and on pets. Chemically, it is an ester of chrysanthemic acid and alcohol. It is a combination of two cis and two trans isomers. Sumithrin is slightly toxic and is rated EPA toxicity class IV bearing the word CAUTION on its label. The oral rat LD50 is greater than 5,000 mg/kg, and the LC50 for inhalation is greater than 1210 mg/m3. Sumithrin degrades rapidly, with a half-life of 1-2 days under dry, sunny conditions. Under flooded conditions, the half-life increases to 2-4 weeks for the trans isomer and 1-2 months for the cis isomer. In grain silos, with no sunlight and little air circulation, most of the product still remains after one year (WHO, 1990). Symptoms of acute sumithrin poisoning include hyperexcitability, prostration, slow respiration, salivation, tremor, ataxia and paralysis. Chronic feeding studies resulted in increased liver weights in both males and females. In rat studies, sumithrin was completely excreted in 3-7 days (WHO, 1990). Studies have shown that sumithrin demonstrates significant estrogenicity and increases the level of estrogen in breast cancer cell, suggesting that sumithrin may increase the risk of breast cancer (Go et al., 1999). Cassagrande, R.A. 1989. “Considerations for state label for PermanoneTM.” RI Pesticide Relief Advisory Board. Providence, RI. “EPA’s Recent Bets.” Science, vol. 218, December 3, 1981. Extension Toxicology Network (ETN). 1996. Permethrin.” Pesticide Information Profiles. . Extension Toxicology Network (ETN). 1994. Pyrethroids.” Pesticide Information Profiles. . Extension Toxicology Network (ETN). 1996. Resmethrin.” Pesticide Information Profiles. . Garey, J. and M. Wolff. 1998. “Estrogenic and Antiprogestagenic Activities of Pyrethroid Insecticides.” Biochem Biophys Res Commun. 251 (3): 855-9 Go, V. et al. 1999. “Estrogenic Potential of Certain Pyrethroid Comounds in the MCF-7 Human Breast Carcinoma Cell Line.” Environmental Health Perspectives. 107:3 Gosselin, R.E. 1984. Clinical Toxicology of Commercial Products. Williams and Wilkins. Baltimore, MD. Hallenbeck, W.H. and K.M. Cunningham- Burns. Pesticides and Human Health. Springer-Verlag, New York, NY. Hayes, W.H., Pesticides Studied in Man, Williams & Wilkins. Baltimore, MD. 1982. “Hormonal and Environmental Factors Affecting Cell proliferation and Neoplasia in the Mammary Gland.” Progress in Clinical and Biological Research (PCBR). 394:211-53, 1996. Kaloyanova, F. and S. Tarkowski, eds, Toxicology of Pesticides - Interm Document 9, World Health Organization, Copenhagen, 1982. Klaassen, C.D. et al., eds, Casarett and Doull’s Toxicology, Macmillan Publishing Co., New York, NY. Kolmodin-Hedman, B., et al. 1982. “Occupational exposure to some synthetic pyrethroids (permethrin and fenvalerate).” Arch. Toxicol. 50:27-33. Mueller-Beilschmidt, Doria. 1990. “Toxicology and Environmental Fate of Sythetic Pyrethrois.” Journal of Pesticide Reform. 10 (3):32-37. National Research Council. 1987. Regulating Pesticides in Food: The Delaney Paradox. National Academy Press, Washington, DC. Olkowski, W. 1989. “Natural and synthetic pyrethrum insecticides: Finding your way through the maze.” Common Sense Pest Quarterly. 5(1):8-12. Reigart, J., M.D. et al., Recognition and Management of Pesticide Poisonings, EPA, 1999. Scourge Insecticide Product Label with SBP-1382/Piperonyl Butoxide 18% + 54% MF. U.S. EPA Reg. No. 432-667. AgrEvo, montvale, NJ. Takahashi, O., et al., 1994. “Chronic toxicity studies of piperonyl butoxide in F344 rats: induction of hepatocellular carcinoma.” Fund. Appl. Toxicol. 22: 293-303. Thomson, W.T. 1984. Agricultural Chemicals: Insecticides. Thompson Publications, Fresno, CA. U.S. EPA. 1979. Environmental Fate Review of Permethrin (activated sludge metabolism study). November 29. Office of Pesticide Programs. Washington, DC. U.S. EPA. 2000. For Your Information, Synthetic Pyrethroids for Mosquito Control. Washington, DC. May. U.S. EPA. 1997. Office of Pesticide Programs list of chemicals evaluated for carcinogenic potential. Memo from W.L. Burnman, HED, to HED branch chiefs. Washington, DC. February 19. World Health Organization (WHO). 1990. d-Phenothrin. Environmental Health Criteria. Geneva. Wright, C., et al. 1981. “Insecticides in the ambient air of rooms following their application of control of pests.” Bull. Environ. Contam. Toxicol. 26:548-553.
The 18th century Venetian adventurer, romancer, and alchemist Giovanni Casanova reportedly said, "In the hands of the wise, poison is medicine. In the hands of a fool, medicine is poison." And in the hands of a pet owner who isn’t careful, the wrong kind of medicine can have disastrous consequences. Advancements in medicine over the last several decades have given us a cornucopia of drugs that can help cure or alleviate many ills, both in humans and in animals. But what’s good for the goose is definitely not always good for the German shepherd. A medication that works for you may not work for your dog, and what works for your dog may not work for your cat, rabbit, or ferret. "People think that cats are like little dogs, and they’re all like little people. They don’t think about it, and they don’t read the [medication’s] label," said Dr. Petra Volmer, assistant professor of toxicology at the University of Illinois College of Veterinary Medicine. "Someone thinks, ‘I use naproxen and it works great for my back. My dog has a sore leg, so let’s give him some naproxen.’" Animals of different species process drugs in widely varying ways. Dogs, for example, are very sensitive to non-steroidal anti-inflammatory drugs (NSAIDs) that are common in their humans’ medicine cabinets. This class of drugs includes pain medications like acetylsalicylic acid (aspirin), ibuprofen (Advil and Nuprin), acetaminophen (Tylenol), phenylbutazone ("bute," a common painkiller for horses) and naproxen. According to pet poisoning guidelines issued by the American Veterinary Medical Association, as little as two tablets of regular strength aspirin or Tylenol can cause significant tissue damage in dogs, and repeated doses significantly increase the risk of death. Cats are even more sensitive to NSAIDs because they have less of the enzyme that is required to detoxify and utilize the drugs: just two extra-strength Tylenol can be deadly. This page is a special feature of Working Dogs Cyberzine Bad Medicine Written by: Erin Harty, Staff Writer - VetCentric.com 1 NSAID metabolites can impair the function of a cat’s red blood cells, which carry oxygen from the lungs to all the cells of the body. If the red blood cells aren’t performing their job properly, a cat can suffocate from lack of oxygen. Well-meaning owners often assume that these common, over-the-counter drugs are safe for their pets in smaller doses. "It has nothing to do with size; it’s the way they metabolize it. With everything, we assume that cats are twice as sensitive," said Jill Richardson, DVM, veterinary poison information specialist at the American Society for the Prevention of Cruelty to Animals’ National Animal Poison Control Center. The problems aren’t limited to human medications—a drug that may be safe and useful for one animal can be deadly for another. Many of the calls to the National Animal Poison Control Center are regarding accidental poisonings from topical flea medications. Products that are designed for dogs often contain a drug called permethrin, which has a wide safety range when used on Fido. But just a few drops of the product may cause Fluffy the cat to suffer potentially fatal seizures. Rabbits are also extraordinarily sensitive to flea medications intended for both dogs and cats. The Frontline brand in particular has been blamed for several rabbit deaths, although the manufacturer has never suggested that the product be used on rabbits. "Drugs in rabbits are very different from dogs and cats. Extremely different, in some cases," said George Flentke, a biochemist in the toxicology department at the University of Wisconsin. "I always recommend that people contact a bunny-savvy vet [before using any medication.] They keep up on this stuff." Although the packaging for any such products will explicitly say that they’re only for use on the species for which they’re intended, owners sometimes mix up medications that are meant for other pets. Or they simply won’t read the label, and will (erroneously) assume that a product can be used on any animal. "Think about what you’re doing. Animals are different from people, and different from each other. All different species metabolize things differently," said Dr. Volmer. "If you’re not sure [if a medication is safe], call your vet or ask an animal poison control center." In some cases, pets get themselves into poisoning trouble. Dogs may dig discarded medication out of the trash, or chew up an entire box of cold medicine, contents and all. Cats may lick the sugar coating off tablets of Advil that are left on the side of the sink. A ferret with run of the house might get into a kitchen cabinet and help itself to some Prozac. Large breeds of dogs are the most frequent mass-consumers of medications. "They’re less finicky. They don’t think, they just eat," said Dr. Volmer. "And they don’t stop at 2 one [tablet]. They have to eat the whole package." Ferrets also seem prone to overdose accidents because they’re extremely curious and have the appetites of dogs, according to Dr. Richardson. Cats, on the other hand, won’t usually eat something unless it tastes good; their overdoses are most often humancaused. According to guidelines issued by the National Animal Poison Control Center, all prescription and over-the-counter drugs should be kept safely out of pets’ reach, preferably in closed cabinets. Pain killers, cold medicines, anti-cancer drugs, antidepressants, vitamins and diet pills can all be lethal to animals. Also beware of herbal medications, Dr. Richardson warns. Just because something is billed as "natural" doesn’t mean it won’t have adverse affects on a pet. One particular herbal diet aid has caused numerous accidental poisonings. "It contains mahuang, which is like herbal ephedrine, and guarana, which is like caffeine. We’ve had so many horrible cases on that," said Dr. Richardson. She recently treated a miniature pincher who’d eaten 30 to 50 of the pills. A lethal dose of this drug is 6 milligrams per kilogram of body weight; the pinscher consumed 7 times that, and eventually died. In most cases, animals have a good chance of survival if their owners seek medical attention immediately. A veterinarian can pump the animal’s stomach, administer activated charcoal and perform diuresis, all of which will help minimize the dangerous effects of the drug. The sooner a veterinarian sees a pet, the more likely the case will have a happy ending. "We do have some ‘miracle cases.’ But not very many of them would have made it if someone hesitated or waited a day or two," said Dr. Richardson. "I think in most cases we get here, if we get the information early, the animals are treated promptly and appropriately." Article republished here with permission from VetCentric.com Copyright(c) 2000 by VetCentric.com Vetlogo HOME | | SEARCH | | BOOK STORE | OUTFITTER CATALOG | CHAT ROOM | FAQs | LINKS | EMAIL All site contents and design Copyright 1996-2002 Working Dogs 3 ABCNEWS.com : Is Spraying For West Nile Pointless? Page 1 http://abcnews.go.com/sections/wnt/DailyNews/westnile_spraying020808.html 08/16/03 12:33:07 AM August 15, 2003 FEATURED SERVICES RELATIONSHIPS SHOPPING DOWNLOADS WIRELESS INTERACT VIDEO & AUDIO BOARDS CHAT NEWS ALERTS CONTACT ABC A truck sprays pesticides into the air in an area threatened by West Nile. (ABCNEWS.com) Useless Spraying? West Nile Deterrent May Not Be Best Solution By Erin Hayes Aug. 8 —If you live in one of the 34 states where West Nile virus has been discovered, should you draw comfort from the clouds of pesticides being sprayed into the air to kill off mosquitoes? Print This Page Email This Page See Most Sent • Mom Hopes Mystery Boy Is Her Son • 'Silly Season' Begins in 2004 White House Race • Lowly Fruit Fly's Amazing Flight Secrets MORE ON THIS STORY IN DETAIL • Mosquito-based Disease RELATED STORIES • Illinois Sees First Human West Nile Case • West Nile Spreads Across U.S. Maybe not. "The chemicals have not been adequately tested for their human health effects," cautioned Dr. Sheldon Krimsky, a pesticide-risk expert at Tufts University. "There is a lot of circumstantial evidence that they cause cancer in animal studies, that they are hormone disruptors. Remember, these are neurotoxins," Krimsy said, adding that most studies done on the effects of spraying focused on agricultural spraying — not spraying in populated areas. "We simply don't know what effects it's going to have, the indiscriminate spraying on human populations," he added. So far this year, officials have reported 112 human cases of West Nile, more than half in the past week, according to the Centers for Disease Control and Prevention (CDC). Most of these infections are in Louisiana. Mississippi and Illinois also have reported human infections of the virus, which began showing up in the United States in New York three years ago. Residents Protest Dangerous Pesticides In Hays County, Texas, residents effectively stopped spraying in many of their neighborhoods. They protested, carrying posters decrying the "chemical warfare" on their families. County commissioners agreed to severely limit mosquito spraying near those homes. WNT HEADLINES • Tracing the Route Power Crash • CIA Nabs Major Qaeda Leader • Blackout Causes as Well as Big ABCNEWS.com : Is Spraying For West Nile Pointless? Page 2 http://abcnews.go.com/sections/wnt/DailyNews/westnile_spraying020808.html 08/16/03 12:33:07 AM • Study: DEET Is Best Bug Repellent In Jefferson County, Ala., health officials are trying to decide what to do. Many cities, including Birmingham, have been spraying for weeks. County officials, though, haven't started their own spraying efforts because they aren't convinced spraying is all that effective against mosquitoes. But after a case of West Nile infection was recently discovered in Alabama, some residents began demanding that the county spray. Brian Debrow, the environmental health program manager at the Jefferson County Health Department, says the county may start spraying in order to ease anxiety. "The public likes seeing the trucks going down the road and spraying for mosquitoes," he said. "It gives them a sense of security they feel like something is being done." CDC: Least Effective Deterrent Scientists at the CDC, which is leading the surveillance effort on West Nile virus, do not take a position on whether local health departments should spray for mosquitoes. But they do point out that spraying is the least effective method of slowing the spread of the insects. Since adult mosquitoes only live for about two weeks at the most— whether they're sprayed or not— the most effective way to limit mosquitoes is to keep them from breeding. And that means emptying out pools of water where they lay their eggs. "These would include things like old tires, cans, flower pots and so forth, just do an inspection and see what's out there that might serve as a breeding ground for the mosquitoes," points out Dr. Julie Gerberding, the director of the CDC. And that's exactly what Washington, D.C. health officials are doing. They've decided that spraying pesticides into the air is too risky, especially since the incidence of asthma in the city is already high. Instead, they are targeting small amounts of pesticides directly into pools of standing water and ditches where mosquitoes are breeding. And they're going door-to-door with pamphlets that explain to residents how best to avoid mosquitoes altogether. Even so, in the states where West Nile virus has been discovered, there is pressure on health officials to appear to be fighting the virus on every front and many feel the most convincing approach is the most visible one—spraying chemicals out where everyone can see. PRINT THIS PAGE | SEND THIS TO A FRIEND | VIEW MOST EMAILED • Saudis Find Plans • Stung by Missile Search Now: Copyright © 2003 ABCNEWS Internet Ventures. Click here for: HELP ADVERTISER INFO CONTACT ABC TOOLS PR TERMS OF USE PRIVACY Family of sites: ABC.com ABC Family ESPN.com Disney.com FamilyFun.com GO Mail Duke Pharmacologist Says Animal Studies on DEET's Brain Effects Warrant Further Testing and Caution in Human Use DURHAM, N.C. -- A Duke University Medical Center pharmacologist is recommending caution when using the insecticide DEET, after his animal studies last year found the chemical causes diffuse brain cell death and behavioral changes in rats after frequent and prolonged use. Mohamed Abou-Donia, Ph.D. has also called for further government testing of the chemical's safety in short-term and occasional use, especially in view of Health Canada's recent decision to ban products with more than 30 percent of the chemical. Every year, approximately one-third of the U.S. population uses insect repellents containing DEET, available in more than 230 products with concentrations up to 100 percent. While the chemical's risks to humans are still being intensely debated, Abou-Donia says his 30 years of research on pesticides' brain effects subject keywords : toxicology, chemical exposure, insecticide date : 5/1/2002 contact : Becky Levine , (919) 660-1308 or (919) 684- 4148 levin005@mc.duke.edu Mohamed B. Abou-Donia, Ph.D. More Info Duke Researchers Trying to Extinguish Teen Smoking 11/15/00 Duke Health Briefs: Protecting Your Skin From the Sun 07/14/03 Pheromones Create a 'Chemical Image' in the Brain 02/13/03 Report: Proteins Can Be Engineered As Widely Adaptable 08/30/01 Duke Health Briefs: The 'Parkinson's Patch' 09/23/02 Solving the Mystery of Musical Harmony: Insights from a Study of Speech 08/05/03 Novel Chemical Better Maintains Pancreatic Islet Cell Structure and Function During Freezing 04/05/03 Gene Linked to Accelerated Brain Aging in Healthy Adults 02/25/02 Duke Health Briefs: Duke Scientists Working to Develop Blood Test to Detect Lung 07/01/02 1 clearly indicate the need for caution among the general public. His numerous studies in rats, two of them published last year, clearly demonstrate that frequent and prolonged applications of DEET cause neurons to die in regions of the brain that control muscle movement, learning, memory and concentration. Moreover, rats treated with an average human dose of DEET (40 mg/kg body weight) performed far worse than control rats when challenged with physical tasks requiring muscle control, strength and coordination. Such effects are consistent with physical symptoms in humans reported in the medical literature, especially by Persian Gulf War veterans, said Abou-Donia. "If used sparingly, infrequently and by itself, DEET may not have negative effects – the literature here isn't clear," he said. "But frequent and heavy use of DEET, especially in combination with other chemicals or medications, could cause brain deficits in vulnerable populations." Children in particular are at risk for subtle brain changes caused by chemicals in the environment, because their skin more readily absorbs them, and chemicals more potently affect their developing nervous systems, said Abou-Donia. Commonly used preparations like insecticide-based lice-killing shampoos and insect repellents are assumed to be safe because severe consequences are rare in the medical literature. Yet subtle symptoms -- such as muscle weakness, fatigue or memory lapses -- might be attributed erroneously to other causes, he said. With heavy exposure to DEET and other insecticides, humans may experience memory loss, headache, weakness, fatigue, muscle and joint pain, tremors and shortness of breath, said Abou-Donia. His earlier research, examining the brain effects of three chemicals used during the Persian Gulf War, clearly demonstrated that chickens exhibited similar signs that the Gulf Cancer Duke Study: High Mutation Rates in Cancer Cells Can Be Caused By Non-DNADamaging Stresses 01/14/01 The Dangers of DEET 06/21/02 If you're headed for the beach this summer, you might want to forget the sunscreen, and pack the sunblock instead. 05/18/01 2 War veterans complained of upon returning from service. (Journal of Toxicology and Experimental Health, May, 1996, Volume 48, p. 35 - 56). Such overt symptoms are not seen immediately after use but may manifest themselves months or years after exposure, making a cause-andeffect relationship difficult to establish , said Abou-Donia. By studying animals such as chickens and rats, however, researchers are able to compress the time between exposure and the onset of symptoms: 10 months of a rat's life is several years in a human's life. Moreover, researchers can study layers of the rats' brains at various stages after exposure to measure the chemical's effects on the brain. Indeed, Abou-Donia's two most recent studies demonstrate the severe brain and behavioral deficits that rats experience after two months of daily skin applications with DEET and permethrin, another common insecticide, (Experimental Neurology, 2001, volume 172 , p.153- 171); and following 60 days of exposure to DEET and permethrin, and 15 days of pyridostigmine bromide, an anti-nerve gas agent (Journal of Toxicology and Environmental Health, 2001, volume 64, p. 373-384). Both studies examined the effects of each drug alone and in combination. In each study, the treated animals initially appeared to be normal, just like the control group, said Abou-Donia. But when challenged with neurobehavioral tasks that required muscle control, strength and coordination, the rats demonstrated serious impairments. Moreover, a detailed analysis of their brains clearly showed that large numbers of brain cells were dying within three critical brain structures: the cerebral cortex, which controls muscles and movement; the hippocampal formation, which controls memory, learning and concentration; and the cerebellum, which synchronizes body movements. In addition, many of the surviving brain cells 3 showed signs of degeneration and damage consistent with the presence of harmful byproducts called oxygen free radicals (also known as reactive oxygen species), which can damage DNA and cell membranes in the brain and the nervous system. The most severe brain cell changes and sensorimotor deficits were seen among rats exposed to combinations of DEET, permethrin and the anti-nerve gas agent pyridostigmine bromide, which reduces the body's normal ability to inactivate pesticides. Such findings confirmed Abou-Donia's 1996 and 2001 animal studies demonstrating that harmless doses of these three chemicals proved highly toxic to the brain and nervous system when used in combination. "The take home message is to be safe and cautious when using insecticides," said Abou- Donia. "Never use insect repellents on infants, and be wary of using them on children in general. Never combine insecticides with each other or use them with other medications. Even so simple a drug as an antihistamine could interact with DEET to cause toxic side effects. Don't spray your yard for bugs and then take medications. Until we have more data on potential interactions in humans, safe is better than sorry." contact sources : Mohamed Abou-Donia Ph.D. , (919) 684-2221 donia@acpub.duke.edu News | Image Gallery | Experts | Audio/Video | Advanced Search My Files | Media Kits | Media List | About Us | Contact Us | Credits © 2001-2003 Duke University Medical Center. All Rights Reserved. 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