Enzymuria in workers exposed to inorganic mercury

Summary Urinary excretion of beta-hexosaminidase (NAG = N-acetyl-beta-glucosaminidase) and albumin was examined in 41 chlor-alkali workers exposed to inorganic mercury and 41 age-matched controls. Either U-HG or B-Hg levels for these workers were available dating from the 1960s to the present. Increased U-NAG was seen in workers with a U-Hg today of more than 4g/mmol creat (about 50g/l; 35 g/g creat). Multiple linear regression analysis showed that U-NAG was correlated to U-Hg and integrated dose but not to the present B-Hg level. No albuminuria (detection limit 12.5 mg/1) was found in any of the subjects. In a longitudinal study, no decrease in UNAG levels was seen in 15 chlor-alkali workers after their vacation (x = 20 d). In five workers followed for ten months after a short exposure period, no definite time trend could be seen. The results show that there is a slight effect on renal tubules even at rather low levels of exposure to mercury vapour. The clinical significance of the enzymuria levels found here is, however, debatable.     

Biological and environmental monitoring of occupational exposure of pharmaceutical plant workers to methotrexate

Summary The exposure of 11 pharmaceutical plant workers to methotrexate (MTX) was studied. Personal air samples were taken during the different manufacturing processes: drug compounding, vial filling, and tablet preparation. The uptake of MTX was established by the determination of MTX in urine. MTX was analyzed using the fluorescence polarization immunoassay (FPIA), a method that is frequently used for monitoring serum levels in patients treated with MTX. The FPIA method was modified in such a way that MTX could be measured quickly and efficiently in air and urine samples. MTX was detected in air samples of all workers except for those involved in the vial filling process (range: 0.8–182 g/m³; median: 10 g/m³). The highest concentrations were observed for workers weighing MTX (118 and 182 g/m³). MTX was detected in urine samples of all workers. The mean cumulative MTX excretion over 72–96 h was 13.4 g MTX-equivalents (range: 6.1–24 g MTX-equiva g MTX-equivalents (range: 6.1–24 g MTX-equivalents). lents). A significantly lower background level of 10.2 g A significantly lower background level of 10.2 g MTX-equivalents was measured in urine of 30 control persons (range: 4.9–21 g MTX-equivalents).     

Occupational exposure to fosetyl-Al fungicide during spraying of ornamentals in greenhouses

Eight workers were monitored by the dermal patch/hand rinse technique for exposure to the fungicide aluminum tris-o-ethyl phosphonate [fosetyl-Al or ALIETTE^®] during treatment of ornamentals in a greenhouse, using commercial back-pack sprayers. The mean total dermal exposure for mixers was 512 g a.i./hr and for applicators 389 g a.i./hr. Mixers had higher exposure to the face and neck (213 g/hr) than did applicators (115 g/hr). Workpants provided 4 to 6 times greater protection than workshirts. The highest exposure for both activities was to the forearms. Hand exposure represented only 6% of total exposure, while regions protected by clothing contributed 47% of total exposure for mixers and 60% for applicators. Respiratory exposure contributed 7–9% of total exposure. The high variability in dermal patch results suggests a lack of precision in the sampling methodology, and indicates a need for larger sample sizes.     

A pilot study of lead and cadmium exposure in young children in Stockholm,Sweden: Methodological considerations using capillary blood microsampling

A capillary blood microsampling technique was tested among urban young children in Stockholm. Blood lead (BPb) and hemoglobin (Hb) concentrations were determined in capillary blood obtained by fingerstick from 41 children, 13–20 months old, and the accompanying parent. The quality control included control for lead (Pb) and cadmium (Cd) contamination of material and equipment used for blood sampling, washing procedures for the hands and fingers to be punctured, comparisons of Pb and Cd concentrations in blood obtained by fingerstick and by brachial vein puncture from the same individuals, analysis of external quality control samples for Pb and Cd in blood together with the collected samples, and evaluation of the analytical performance using linear regression analysis.The results showed that blood sampling material may contaminate the blood samples with amounts of Pb and Cd that would seriously influence the monitoring results in the low concentration range (<100 g Pb/L and <1 g Cd/L). However, it is possible to obtain reliable BPb concentrations (>10 g Pb/L), but not BCd concentrations (<1 g Cd/L), with the capillary blood microsampling technique tested provided that a strict quality control is applied. The sampling procedure tested was well accepted by the children and their parents. The children's median BPb concentration (27 g/L; range 9–73 g/L) was similar to the median BPb concentration of their parents (27 g/L; range 7–74 g/L). However, the correlation between child and parent BPb concentrations was poor (R²=0.20), which may indicate different sources to Pb exposure in children and parents.     

Indoor air mercury concentrations following application of interior latex paint

Mercury vapors are released from paint containing mercury compounds used to prolong the shelf-life of interior latex paint. To determine whether homes recently painted with paint containing mercury had elevated indoor-air mercury concentrations, we studied 37 Ohio homes. Twenty-one homes painted with mercury-containing paint a median of 86 days earlier were compared with 16 homes not recently painted with mercury-containing paint. Paint samples from the exposed homes contained a median of 210 mg Hg/L (range 120–610 mg/L). The median air mercury concentration was higher in the exposed homes (0.3 g/m³; range nondetectable-1.5 g/m³) than in the unexposed homes (nondetectable; range nondetectable-0.3 g/m³, P < 0.0001). Among the exposed homes there were seven in which paint containing <200 mg/L had been applied. In these homes, the median air mercury concentration was 0.2 g/m³ (range nondetectable-1 g/m³). Six (33%) exposed homes had air mercury concentrations >0.5 g/m³, the acceptable indoor concentration recommended by the Agency for Toxic Substances and Disease Registry. Elemental mercury was the form of mercury released into the air. These data demonstrate that potentially hazardous mercury exposure may occur in homes recently painted with paint that contains mercury concentrations <200 mg/L.     

Susceptibility of clinical isolates of campylobacter pylori to 24 antimicrobial and anti-ulcer agents

Forty-nine isolates of Campylobacter pylori were tested for their susceptibility to twenty antibiotics and four anti-ulcer agents by an agar dilution technique. Penicillin and amoxycillin were the most active drugs (MIC₉₀, 0.06 /ml); erythromycin, cefazolin, minocycline, ciprofloxacin, ofloxacin and gentamicin were sligthtly less active (MIC₉₀, 1 g/ml). Moderate activity was found for doxycyclin, rifampin, nitrofurantoin, norfloxacin, pefloxacin, enoxacin, paromomycin, metronidazole and tinidazole. All strains were resistant to trimethoprim (MIC > 512 g/ml). Nalidixic acid (MIC₉₀, > 256 g/ml) and colistin (MIC₉₀, > 64 gg/m1) had little to no activity. Of four anti-ulcer drugs, only bismuth subcitrate showed activity (MIC₉₀, 64 g./ml).Strains resistant to all 4-quinolones were found in patients who had previously received ofloxacin as part of a clinical trial aimed at eradication of C. pylori. These isolates remained susceptible to amoxycillin, tetracyclines and to other classes of antibiotics.Corresponding author.     

Toxicity of mercury,copper, nickel,lead, and cobalt to embryos and larvae of zebrafish,Brachydanio rerio

The toxicity of mercury (HgCl₂), copper (CuCl₂: 5 H₂O), nickel (NiSO₄: 6 H₂O), lead (Pb(CH₃COO)₂: 3 H₂O) and cobalt (CoCl₂: 6 H₂O) was studied under standardized conditions in embryos and larvae of the zebrafish,Brachydanio rerio. Exposures were started at the blastula stage (2–4 h after spawning) and the effects on hatching and survival were monitored daily for 16 days. Copper and nickel were more specific inhibitors of hatching than cobalt, lead, and mercury. Nominal no effect concentrations determined from the dose-response relationships (ZEPs, Zero Equivalent Points) for effect on hatching time were 0.05 g Cu/L, 10 g Hg/L, 20 g Pb/L, 40 g Ni/L and 3,840 g Co/L, and those for effect on survival time were 0.25 g Cu/L, 1.2 g Hg/L, 30 g Pb/L, 80 g Ni/L, and 60 g Co/L. The no effect concentrations for Ni, Hg and Pb are consistent with previously reported MATC values for sensitive species of fish. The no effect concentrations for copper are 1–2 orders of magnitude lower than previously reported values. The major reason for the latter discrepancy was considered to be the absence of organics that can complex copper ions in the reconstituted water that we used, which had a hardness of 100 mg/L (as CaCO₃) and a pH of 7.5–7.7. Unexposed controls were started with embryos from different parental zebrafishes and the parental-caused variability in early embryo mortality, median hatching time and median survival time were estimated.     

Current external and internal exposure to naphthalene of workers occupationally exposed to polycyclic aromatic hydrocarbons in different industries

Objectives: External and internal exposure to naphthalene was examined in the most important industries that are typically concerned with polycyclic aromatic hydrocarbon (PAH)-induced diseases (cancer). Furthermore, a control collective from the general population was investigated. Methods: External naphthalene was determined by personal air sampling (n=205). The internal exposure was examined by urinary metabolites 1-naphthol and 2-naphthol (n=277). Results: Highest median concentrations of naphthalene in air were found in converter infeed (93.2 g/m³) and coal-tar distillation (35.8 g/m³). Moderate and low levels were determined in coking plants (14.5 g/m³) and in the production of refractories (6.1 g/m³) and graphite electrodes (0.7 g/m³). Biological monitoring revealed concentrations of the sum of both metabolites [(1+2)-NOL] in smokers to be increased by 1.6–6.4 times compared with that in non-smokers at the same workplaces. Among non-smokers we found high median (1+2)-NOL levels in converter bricklayers (120.1 g/l), in coal-tar distillation workers (56.0 g/l) and in coking plant workers (29.5 g/l). (1+2)-NOL concentrations around 10 g/l were found in the production of refractories and graphite electrodes. There was a rough coherency between external and internal naphthalene exposure. In the controls, median (1+2)-NOL concentrations were 10.9 g/l in non-smokers urine and 40.3 g/l in smokers urine samples. Conclusions: Actual conditions of occupational hygiene at the workplaces investigated in this comprehensive study are better than those that current limit values of 50,000 g/m³ (TLV, TRK) seem to induce. It has become obvious that tobacco smoking is a crucial confounding factor in biological monitoring of naphthalene-exposed humans, making interpretation of occupationally increased naphthol excretions very difficult at low exposure levels.     

Biological effects of Kepone and mirex in freshwater invertebrates

Acute and chronic toxicity studies of Kepone^® (chlordecone) and mirex were conducted with daphnids (Daphnia magna), amphipods (Gammarus pseudolimnaeus), and larvae of a midge (Chironomus plumosus). Acute toxicities of Kepone ranged from a 48-hr EC50 of 350g/L for midges to a 96-hr LC50 of 180g/L for amphipods, whereas the acute toxicities of mirex to all three taxa exceeded 1000g/L. Maximum acceptable toxicant concentrations (MATC's) for Kepone and mirex were estimated by measuring reproduction of daphnids, growth of amphipods, emergence of midges, and survival of all organisms. MATC for Kepone was estimated to be between 9 and 18g/L for daphnids, between 1 and 2g/L for amphipods, and between 8.4 and 18g/L for midges; MATC for mirex exceeded 34g/L for daphnids and midges, but less than 2.4g/L for amphipods. The concentration of Kepone and mirex accumulated by daphnids was 760 and 8025 times, respectively, the concentration in water. Estimated times for elimination of 50% of the residues by daphnids were 141 hr for Kepone and 12 hr for mirex.     

Effects of sublethal concentrations of triphenyltinacetate on rainbow trout (Oncorhynchus mykiss)

To evaluate the toxic effects of sublethal concentrations of the fungicide triphenyltinacetate (TPTAc), a prolonged toxicity study was made on rainbow trout (Oncorhynchus mykiss). Fish were exposed to TPTAc concentrations ranging from 1 to 6 g TPTAc/L for 28 and 18 days, respectively, using a flow-through exposure system. Hematological findings included an increase of the total number of erythrocytes and an elevated incidence of erythrocyte degradation stages at 4 g TPTAc/L and higher. The hemoglobin content and the packed-cell volume increased as well at 4 and 1 g TPTAc/L. Whereas the total number of leucocytes increased in fish exposed to 1 g TPTAc/L, the number of leucocytes tended to decrease at higher concentrations. The percentage of lymphocytes within the differential blood cell count decreased. The histopathological examination of TPTAc-exposed fish showed a dose-related lymphocytic depletion of the spleen, accompanied by a proliferation of reticuloendothelial cells and an increased erythrophagia even at the lowest TPTAc concentration. In severe cases, cell necrosis was evident. In liver tissue, a depletion of the glycogen deposits within the hepatocytes could be detected in fish exposed to 4 and 6 g TPTAc/L. The analysis of the phenyltin compounds within various organs of fish by HRGC-FPD revealed remarkable concentrations of triphenyltin of up to 16.1 g/g with the following order of residue levels: liver > kidney > spleen > gills > muscle. Di- and monophenyltin were found only in traces of 1–109 ng/g in these organs. The present study indicates that TPTAc negatively affects rainbow trout in a concentration range that might be present in aquatic environments.     

The toxicity of selenium in experimental freshwater ponds

Flue Gas Desulphurization equipment installed in coal-fired power stations to reduce sulphur dioxide emissions produces effluent containing several contaminants, including selenium. To assess the effects that this might have on fish reproduction and biological community richness, selenate and selenite were added to freshwater pond systems to achieve duplicated nominal concentrations of 0 (control), 2, 10 and 25 g Se/L. Perch (Perca fluviatilis), grass carp (Ctenopharyngodon idella Val.) and stickleback (Gasterosteus aculeatus) were placed in each pond in the early summer and left relatively undisturbed until the following spring. A spawning tray was then placed in each pond and monitored regularly for the appearance of perch egg ropes. When ropes were found, they were removed to the laboratory and either placed in uncontaminated well water or exposed to selenium. Almost half the perch exposed to 25 g Se/L died during the pond experiment, but there were no observed deaths at the lower concentrations. No grass carp were recovered from the 25 g Se/L ponds but all were recovered from the other ponds. Stickleback were missing from all treatments, presumably due to predation by the perch. Perch egg ropes were found in seven of the eight ponds, and all but one rope showed signs of successful fertilisation. Hatching success in the laboratory was highly variable for eggs obtained from the 0, 2, and 10 g Se/L ponds, but was always above zero. No eggs hatched from ropes obtained from the 25 g Se/L ponds. Effects of selenium on plants, macroinvertebrates and zooplankton in the ponds were generally limited. Accumulation of selenium in fish was dose-related and comparable with results reported from other contaminated systems. The results from this experiment suggest that mean environmental concentrations of approximately 25 g Se/L may seriously affect the reproductive capacity of perch, but no clear effects on reproduction are evident at mean concentrations of 10 g Se/L and below. Selenium-induced effects occur during gametogenesis, but only become evident between fertilization and hatching.     

Effects of dieldrin in food on growth and bioaccumulation in mallard ducklings

The effects of dieldrin in food organisms and commercial feed on growth and bioaccumulation were determined in mallard ducklings (Anas platyrhynchos). Dieldrin-fed crickets, mealworms and annelid worms, and dieldrin-spiked commercial feed, were fed to mallard ducklings for 8 days. Mean measured food concentrations (animals plus feed) of <0.2, 2.6, 26.2, and 49.3 g/g dieldrin did not affect growth after 14 days. Tissue dieldrin concentrations (g/g wet wt) increased rapidly: up to 80.7 (lipid), 30.1 (skin), 4.1 (liver), 1.8 (muscle), and 1.6 (brain) g/g. Dieldrin concentrations in tissues were up to 3.7 times greater than in the test diets.     

Fluoride accumulation and bone strength in wild black-crowned night-herons

Fluoride was measured in femurs of black-crowned night-herons (Nycticorax nycticorax) living adjacent to a phosphate processing complex near Pocatello, Idaho. Fluoride (ash wt.) in femurs ranged from 540 g/g to 11,000 g/g and increased (P=0.0001) with age, but with no difference (P=0.80) between sexes. Adult males (4 years) contained 5,409 g/g compared to 6,042 g/g for adult females. The tibiotarsus (=tibiae in text) increased in diameter with age (P=0.015) in this study; fluoride was nearly related (P=0.065) to the increase. As the diameter increased with age, wall thickness decreased (P=0.011) suggesting excessive internal bone resorption, but fluoride concentrations were not implicated in the relationship (p= 0.64). The apparent increase in diameter and decrease in wall thickness may have partially neutralized each other's effects on strength. Although significantly higher concentrations of fluoride were present in adults than in Third Year herons, no significant change in bone strength (maximum load or modulus of rupture) was detected between the two age classes, but three of the four comparisons showed adults with less strength (i.e., a hint of diminished strength with age). The tibiae of Hatch Year birds were significantly weaker than documented in older age classes, but incomplete growth was thought responsible. The strong relationship between age and fluroide concentrations reduced our ability to separate a fluoride effect from an age effect. Other authors believed fluoride was responsible for an increase in bone diameter and the fluoride residues encountered in adults were within the range indicative of poisoning in cattle. In addition, the adult night-herons had about 1.6 times higher fluoride concentrations than owls which showed reduced reproductive success under laboratory conditions.     

Toxicity of seleno-L-methionine, seleno-DL-methionine, high selenium wheat, and selenized yeast to mallard ducklings

The toxicity of four chemical forms of selenium (seleno-L-methionine, seleno-DL-methionine, selenized yeast, and high selenium wheat) was compared in day-old mallard ducklings (Anas platyrhynchos). In the first experiment, in which the basal diet was 75% wheat, survival after 2 weeks was lower for ducklings fed 30 g/g selenium as seleno-L-methionine (36%) than for ducklings fed 30 g/g selenium as seleno-DL-methionine (100%) or 30 g/g selenium from high selenium yeast (88%). The concentration of selenium at 2 weeks in the livers of survivors was similar for ducklings fed 15 g/g selenium as seleno-DL-methionine (12 g/g, wet weight), seleno-L-methionine (11 g/g), and high selenium wheat (11 g/g), but was lower when the selenium came from selenized yeast (6.2 g/g). When fed 30 g/g selenium from the various sources, the selenium concentrations in liver were 20 g/g for seleno-DL-methionine, 19 g/g for seleno-L-methionine, and 9.9 g/g for selenized yeast. In a second experiment, in which the basal diet was a commercial duck feed, survival after 2 weeks was 100% in ducklings fed 30 g/g selenium as seleno-DL-methionine, seleno-L-methionine, or selenized yeast. Selenium concentrations in liver were similar for ducklings fed the 30-g/g selenium diets as the DL or L forms of selenomethionine (27 and 25 g/g), but lower for ducklings fed selenized yeast (13 g/g). The greater toxicity of the L form of selenomethionine was probably related to the palatability or nutritional nature of the wheat-based diet used in experiment 1, but the exact reason for the difference between the DL and L forms is unknown. Biologically incorporated selenium, derived from high selenium wheat, was no more toxic than selenium derived from the two purified forms of selenomethionine, and the selenium in selenized yeast was not as toxic as that in the two forms of selenomethionine.     

A suggestion on how to use measurements of cadmium in blood as a cumulative dose estimate

Summary The individual cumulative cadmium dose was estimated for 44 smelter workers in a cadmium-copper alloy plant. Two different principles were used: cumulative respiratory dose and cumulative average annual blood-cadmium dose. Out of eight workers with a cumulative respiratory dose exceeding 500 mg Cd · h/m³, two of them (25%) had signs of a cadmium-induced renal dysfunction. These two men were the only workers that had a cumulative average annual blood cadmium dose exceeding 200 g Cd · year/1. Our results suggest that measurements of cadmium in the blood can be used as an indicator of the cadmium exposure of each individual and that, in order to prevent renal dysfunction, the average blood-cadmium concentration should not exceed 10 Cd/1 over periods of many years (decades).     

Search for anti-laminin antibodies in the serum of workers exposed to cadmium,mercury vapour or lead

Summary Anti-laminin antibodies were sought for in the serum of workers exposed to mercury vapour (Hg, n = 58), lead (Pb, n = 38) or cadmium (Cd, n = 47). Thirty-one workers removed from Cd exposure for an average of eight years were also examined. Compared with control workers matched for age and socio-economic status, the prevalence of circulating anti-laminin antibodies was not increased in workers exposed to Hg (mean duration of exposure: 7.9 years and mean urinary excretion of Hg: 72 g/g creatinine) nor in those exposed to Pb (mean duration of exposure: 10.6 years and mean Pb levels in blood: 535 g/l). In contrast, anti-laminin antibodies were significantly more prevalent in Cd-exposed workers whose urinary Cd exceeded 20 g/g creatinine. This observation was made in both currently exposed workers and in workers removed from Cd exposure (mean duration of exposure: 9.4 and 24.6 years and mean urinary Cd: 7.8 and 13.4 g/g creatinine respectively). These autoantibodies were found in Cd workers with normal renal function as well as in those with increased proteinuria.     

Urinary chlorophenols in sawmill workers

Summary The concentration of urinary chlorophenol was assayed for 230 sawmill workers. Information on the work tasks was obtained through questionnaires from occupational health centres. The workers were divided into three groups on the basis of the type of exposure: (1) those with skin absorption as the main route, (2) those with skin and respiratory route of equal importance and (3) those with respiratory tract as the main route. The concentrations of urinary chlorophenol were higher in workers with skin absorption as the main route (median concentration: 7.8 mol l^–1; range 0.1 to 210.9 mol l^–1) than in those with both routes of equal importance (1.4 mol l^–1; range 0.1 to 47.8 mol l^–1, P<0.001) or in those with mainly respiratory route (0.9 mol l^–1; range 0.1 to 13.3 mol l^–1, P<0.001). The urinary chlorophenol concentration was below 15 moll^–1 in all workers with the lungs as the main absorption route. In nine out of 112 workers whose main absorption route was the skin, the urinary chlorophenol values were above 50 mol l^–1. Six were loaders when the through-dipping method was used. In two of them urinary chlorophenol concentrations were as high as 170.8 and 210.9 mol l^–1, These results emphasize the need to develop and use simple methods of protection against skin contact with chlorophenols.     

Mercury and methylmercury in population risk groups on the Atlantic coast of Southern Spain

The presence of methylmercury and total mercury in the hair of high risk groups residing in the highly industralized South Atlantic coastal area of Spain were studied. In fishermen, total mercury and methylmercury content showed slight non-statistically significant differences among groups from two different coastal areas (geometric means: 10.41 and 8.36 g/g for total mercury; 8.28 and 6.72 g/g methylmercury). Mercury content in both groups differed significantly from controls (geometric mean 2.5 g/g total mercury, 4.50 g/g for methylmercury; p<0.05). In pregnant women, statistically significant differences were found in the three groups (two coastal areas and controls). Geometric means were 2.40, 5.94, and 0.94 g/g for total mercury and 1.93, 4.78, and 0.82 g/g for methylmercury. Results were compared with those obtained in other European countries in the Mediterranean area. Simultaneously, the same compounds were analyzed in fish and molluscs from those most consumed by people in the above-mentioned groups. The following results were obtained: sword fish, 1.57±1.27 g/g and 1.20±0.94 g/g for total mercury and methylmercury respectively; Scrobicularia plana, 0.07±0.052 and 0.053±0.039 g/g; Tapes decussatus, 0.046±0.20 and 0.039±0.018 g/g.     

Effects of different dietary levels of cadmium,lead, copper,and zinc on the vitality of the forest pest insect Lymantria dispar L. (Lymantriidae,Lepid)

Lymantria dispar (gypsy moth) larvae were reared on both a natural diet of oak leaves and an artificial medium contaminated independently with four different metal nitrates. Larvae were contaminated up to pupation either from 1st or 4th instars at four concentrations differing by a factor of 5. The lowest concentration levels were 2 g/g Cd, 4 g/g Pb, 10 g/g Cu, and 100 g/g Zn based on nutrient medium dry weight. Developmental rate, growth, mortality and reproductive success were determined. No-Observed-Effect-Concentrations (NOECs) calculated were dependent on the metal, the parameter investigated and the stage at which exposure commenced. In general, larvae exposed from the 4th instar were less susceptible to metal toxification than those exposed from hatching. Considering all parameters investigated, dietary NOECs were determined to be 2 g/g Cd, 4 g/g Pb, 10 g/g Cu, and 100 g/g Zn.     

Human exposure to volatile halogenated hydrocarbons from the general environment

Summary The objective of this study was to assess individual human exposure to volatile halogenated hydrocarbons (VHH) under normal environmental conditions by means of biological monitoring, i.e. by the measurement of these compounds or their metabolites in body fluids, such as blood, serum, and urine. Blood samples of 39 normal subjects without known occupational exposure to these agents were examined for the occurrence of VHH. The following compounds were present in quantifiable concentrations in 60 to 95% of the blood samples examined: chloroform (median 0.2 g/l; range < 0.1–1.7 g/l), 1,1,1-trichloroethane (median 0.2 g/l; range < 0.1–3.4 g/l), tetrachloroethylene (median 0.4 g/l; range < 0.1–3.7 g/l). Trichloroethylene could be detected in 31% of all blood samples (median < 0.1 g/l; range < 0.1–1.3 g/l). In addition, the levels of trichloroacetic acid (TCA) were determined in serum and 24-h urine samples of 43 and 94, respectively, normal subjects. TCA was present in measurable concentrations in all serum and urine samples examined. The median of the TCA levels in serum was 21.4 g/l (range 4.8–221.2 g/l) and in urine 6.0 g/24 h (range 0.6–261.4 g/24 h). The results are discussed in relation to data from the literature on human exposure to VHH from the general environment, i.e. via air, food, and water. The upper normal limits calculated from the results of this investigation can be used to detect even minor excessive exposures to VHH.