Chlorpyrifos linked to birth defects and multiple chemical sensitivity

The US Environmental Protection Agency has produced a critical report on the health effects of the organophosphate insecticide chlorpyrifos. Two other US reports have linked this OP-also used by British troops in the Gulf War-to allegations of birth defects and multiple chemical sensitivity (MCS). Should chlorpyrifos be reviewed in the UK?

On 15 January the US Environmental Protection Agency's (EPA) Office of Pesticides Program (OPP) reported disturbing acute and chronic adverse effects stemming from misuse and misapplication of chlorpyrifos by householders and professional pesticide applicators(1). It also questions pest control operators' application and safety practices in general and suggests that the leading registrant of chlorpyrifos products, DowElanco, may have incorrectly stated the risks associated with Dursban (chlorpyrifos) use. The review concludes: "The percentages for life threatening cases appear higher for chlorpyrifos and some of this may be due to the more concentrated products used by pest control operators."
   
Nervous system effects of chlorpyrifos poisoning listed in the review were confusion, anxiety, drowsiness, depression, difficulty concentrating, slurred speech, poor recall, insomnia, nightmares, emotional lability (instability), or a form of toxic psychosis resulting in bizarre behaviour.
   
The OPP review was released on the same day that DowElanco and EPA said they had agreed on a 10-point plan to mitigate risks from chlorpyrifos use, including withdrawal of several Dursban broadcast flea control and total release fogger products, as well as withdrawal of several of the company's chlorpyrifos shampoos, dips and sprays(2).
   
A study by Dr Janette Sherman, an independent physician from Alexandria, Virginia, in the US has linked birth defects seen in children to their mothers' exposure to an organophosphate (OP) pesticide during the first three months of their pregnancy. Dr Sherman presented evidence at a New York meeting of the American Public Health Association in New York(3). In a recent paper(4) she has published her findings that the chlorpyrifos formulation Dursban, made by DowElanco, is linked to deformed heads, faces, eyes and genitals, and the affected children require constant care.
   
More allegations are made by Albert Donnay, Executive Director of the Baltimore Group MCS Referral & Resources, citing data from the National Pesticide Telecommunications Network (NPTN); registration data on the adverse effects of Dursban submitted by the manufacturers; and reports from doctors working with MCS patients.
   
The NPTN log is a record of complaint calls from 1984-1990 under the heading 'Listing of peripheral neuropathy active ingredients, as noted by NPTN operators'. It lists 161 reports of MCS due to chlorpyrifos exposure as reported by callers and 21 complaints of peripheral neuropathy. The NPTN log is not evidence of causation.
   
The analysis of 1,100 pages of data from DowElanco, manufacturer of chlorpyrifos, lists over 450 adults and children who were poisoned by the pesticide in their home or workplace.
   
Chlorpyrifos was the most frequently cited active ingredient in respect of MCS calls-the next most frequent were the OPs diazinon and malathion and the carbamate bendiocarb-and the second most frequently cited by peripheral neuropathy callers.
   
In response to these studies, a national coalition of five environmental organisations is calling on the US EPA to issue emergency regulations restricting the use of Dursban, one of the most widely used household and agricultural insecticides in the US(5). The coalition is asking EPA to:

The analysis of the data is disputed by manufacturers, which also challenge the existence of MCS. The State of California is also reviewing chlorpyrifos but has not yet found anything to trigger taking additional risk reduction measures. The US EPA concludes the available evidence does not support a finding of teratogenicity (birth defects) based on human epidemiology studies and case reports.

The UK position
Chlorpyrifos has been on the market for thirty years. One of DowElanco's three global production sites is based in Kings Lynn, Norfolk. In the UK it is mainly used as an insecticide on wheat and top fruit. It is also used in commercial food preparation areas, as a household insecticide and on sports turf. In 1994, farm usage was 1,800 tonnes applied on nearly 350,000 ha(6). About 8,400 pounds (3,800 kg) of chlorpyrifos were used in the Gulf War by both the British and US troops.
   
Chlorpyrifos has not been a major source of concern in terms of poisoning incidents compared with other OPs. It is not used as widely in home situations as in the US. Nevertheless, data from the Health and Safety Executive Annual Incidents database shows that in 1994-95, three poisoning cases concerned the agricultural use of chlorpyrifos, two of which involved hospital treatment.
   
In these circumstances the Pesticides Trust [now PAN UK] is contacting the Advisory Committee on Pesticides, the independent body that advises ministers, to press the case for an urgent review of the safety of chlorpyrifos. (PB)

1. Blondell, J and Dobzy, V., Review of Chlorpyrifos Poisoning Data, Special Review, EPA, January 1997.
2. Chlorpyrifos misuse, chronic effects such as MCS highlighted in EPA OPP review, Pesticide and Toxic Chemical News, 22 January, 1997.
3. Chlorpyrifos link to multiple chemical sensitivity, birth defects spurs call for restrictions on use, Pesticide & Toxic Chemical News 27 November 1996.
4. Sherman, J.D., Chlorpyrifos (Dursban)-Associated with birth defects: a proposed syndrome, report of four cases and a discussion of the toxicology, International Journal of Occupational Medicine and Toxicology, 1995, 44, 417-31.
5.
The environmental coalition: Environmental Working Group, Mothers and Others for a Liveable Planet, National Coalition Against the Misuse of Pesticides, New York Coalition for Alternatives to Pesticides, Northwest Coalition for Alternatives to Pesticides, Pestic
ide Action Network North America, Rachel Carson Council.

6. Pesticide Usage Survey Report 100. Review of usage of pesticides in agriculture and horticulture throughout Great Britain 1984-94. MAFF Publications, London, 1997. 19pp. £4.

[This article first appeared in Pesticides News No. 35, March 1997, page 3]