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Cause-specific mortality and cancer morbidity in 390 male workers exposed to high purity talc: A six-decade follow-up. The available data indicate that talc dust exposure in the modern mining of cosmetic grade talc does not appear to be injurious to health and the significantly lower 24. The EFSA Panel on Food Additives and Nutrient Sources added to Food provides a scientific opinion reevaluating the safety of calcium silicate, magnesium silicate and talc when used as food additives, finding that there is no mechanistic rationale for a group ADI for silicates and silicon dioxide and the groupADI established by the SCF is obsolete. Inhalation of talc baby powder by hamsters. Markers of inflammation also have been observed in the lungs of rats after talc exposure, but one of the only available mechanistic studies utilized a route of exposure (i.e., intratracheal instillation) that is not comparable to inhalation exposures. Genotoxicity studies were negative, and the few identified in vivo and in vitro mechanistic studies did not report strong evidence of the postulated chronic inflammation-mediated MOA in respiratory tissues at human-relevant exposure levels. Specifically, this framework involves reviewing and evaluating studies according to specific quality domains (e.g., outcome assessment and exposure characterization), each of which includes two to seven individual metrics assessing specific study features. In an in vivo OECD Guideline 478 Dominant lethal test, male Sprague-Dawley rats were exposed via gavage to a single dose or one dose/day for 5 days of 300, 3,000, or 5,000 mg/kg talc. In contrast to the lack of excess lung cancer deaths among talc miners and millers, a strong and consistent association has been observed between occupational talc exposure and non-malignant respiratory disease (NMRD), including pneumoconiosis (30, 43, 49, 56). We provide specialist speech and language therapy services for children with voice difficulties. the objective of this paper was to apply systematic review methods to critically evaluate and synthesize the scientific evidence addressing the possible relationship (s) between exposure to talc occupationally and from exposure to talc-containing products (primarily talcum powders and cosmetics) and pulmonary cancers, specifically lung [Unpublished]. Additional searches in Web of Science identified no additional publications. Registration Dossier: Talc (Mg3H2(Si03)4). 792 children aged 4 to 16 years and 70 adults participated from 10 regions across the United Kingdom. doi: 10.1016/0041-008X(87)90284-5, 27. Roggli VL, Carney JM, Sporn TA, Pavlisko EN. Fordyce TA, Leonhard MJ, Mowat FS, Moolgavkar SH. Other studies have reported increases in macrophages and other inflammatory markers after whole-body exposures, but again only with high talc concentrations. Our evaluation of reproductive tract cancers, following the same methods as the current review, to be presented in a companion manuscript (10). Published in International journal of toxicology 2015, Monice M. Fiume, I. Boyer, +9 authors F. A. Andersen. Drechsel DA, Barlow CA, Bare JL, Jacobs NF, Henshaw JL. Although the paucity of mechanistic information remains a limitation, the balance of evidence, especially the volume of epidemiological evidence demonstrating no increased cancer risks associated with even the highest real world human-relevant exposures, strengthens the current analysis. This approval level enables you to buy all our assessments. Long term sequelae after talc pleurodesis for spontaneous pneumothorax. One exception was Stille and Tabershaw (47), which presented stratified analyses for workers with and without known prior employment where exposure to occupational lung carcinogens might have occurred. The proposed risk management objective for talc is to decrease inhalation and p 0000008097 00000 n The evidence for possible carcinogenic mechanisms of talc is limited; however, a genotoxicity MOA confidently can be ruled out. Some of the mines in upstate New York were reported to produce talcs with asbestiform or non-asbestiform amphibole minerals including tremolite and anthophyllite (42, 43, 57). #EPA-D-20-031. All studies were screened and evaluated by two independent reviewers, and any discrepancies discussed and resolved. Talc is a naturally occurring mineral. Although some of the individual cohorts were small, the collective number of workers followed was substantial (6) and the cohorts were followed for many decades. WebEach of the five DAYC-2 domains Cognition, Communication, Social-Emotional Development, Physical Development, and Adaptive Behavior reflects an area Based on the quality evaluation methods (see Materials and methods), the three studies assessing talc toxicology in animals were rated as high quality. What information will I receive following a Test of Abstract Language Comprehension? T: 01245 467 355 E: [emailprotected] What will the Test of Abstract Language Comprehension assess? The chemical name of talc is hydrated magnesium silicate. Our speech and language therapists use the information from the assessment to create an individualised therapy programme that improves your childs difficulties. Conception/scoping: KM and HL. After an assessment you can request a detailed report about the information gained during the assessment. (43) reported 31 deaths from lung cancer among 809 New York talc miners and millers who had worked at least 1 day between 1948 and 1989 (SMR = 2.32; 95% CI: 1.573.29). talc products.14 The requested labeling was a warning that talcum powder causes cancer in laboratory animals; frequent talc application in the female genital area increases the risk of ovarian cancer. Across all cohort studies, observed numbers of deaths for site-specific cancers among talc miners and millers (either combined or separately) were compared with expected numbers based on national and/or regional reference rates. Emory TS, Maddox JC, Kradin RL. The substance which are used to improve the appearance are comes, Risk analysis : an official publication of the Society for Risk Analysis, There has been renewed interest in the safety of cosmetics that may contain asbestos or other elongate mineral particles at very low levels as a naturally occurring contaminant. Ierardi and Marsh (58) conducted a power analysis to determine whether the pooled cohorts could detect a true association between talc exposure and mesothelioma risk among talc miners and millers, if there were one. Park Forest South, IL: Pathotox Publishers, Inc (1979). By 132 days after exposure, there were no statistically significant differences in talc burden in the lungs of exposed vs. unexposed hamsters, indicating clearance of the particles. 0000012150 00000 n Webassessment of talc. Tiering approach used in evaluating cohort studies. Children can often struggle to understand what is being said, what people mean by what they have said and assume situations and thoughts. Lamm SH, Levine MS, Starr JA, Tirey SL. There was one lung carcinoma found in the group exposed to talc for 3 min/day for 30 days, and one lung carcinoma found in the 300-day control group. Quantitative Synthesis. Lung cancer mortality was slightly elevated, but did not achieve statistical significance, in the French (SMR = 1.23; 95% CI: 0.761.89) and Vermont (SMR = 1.44; 95% CI: 0.982.03) talc miners and millers but was close to unity for the Austrian (SMR = 1.06; 95% CI: 0.432.19), Italian (SMR = 1.02; 95% CI: 0.821.27) and Norwegian (SIR = 1.17; 95% CI: 0.731.79) talc miners and millers (1, 30, 53, 56). Overall, the mechanistic evidence is insufficient to support an MOA whereby talc induces pulmonary carcinogenesis. Exposure characterization was considered the most critical study quality domain in the quality evaluation of lung cancer studies. 0000059323 00000 n Try a new one! Lange P, Mortensen J, Groth S. Lung function 22-35 years after treatment of idiopathic spontaneous pneumothorax with talc poudrage or simple drainage. %PDF-1.5 % In summary, no excess of malignant mesothelioma has been reported in any of the available epidemiological studies of talc miners and millers heavily exposed to talc. Outcome assessment for these studies typically encompassed a full histological examination or autopsy; clinical and body weight monitoring was also conducted in two of the studies (15, 18, 19). Table 1. Mumsnet carries some affiliate marketing links, so if you buy something through our posts, we may get a small share of the sale (more details here). ECHA. For each cohort, excluding the Austrian and French cohorts, mortality was updated at least once. : 14807-96-6. Coggiola et al. A 37-year update on mortality patterns in an expanded cohort of Vermont talc miners and millers. doi: 10.1097/00043764-197603000-00013, 51. A nested case-control analysis showed no association of lung cancer with increasing cumulative exposure to talc, after adjusting for smoking, exposure to quartz, and underground work (30). No statistical tests were reported in either publication. Briefly, the cohorts ranged in size from about 400 (53) to over 1,700 (1) miners and millers that were followed for mortality for up to seven decades. Version 1, 0. (2017) 29:44356. Improving the Presumptive Disability Decision-Making Process for Veterans. Booklets, record forms, answer sheets, report usages & subscriptions, Manuals, stimulus books, replacement items & other materials, All tests and materials offered for TROG-2, text.product.itembackinstockonpurchaseinfo, Includes Manual, Stimulus Book, 25 Record Forms in a bag. It has been concluded that there was an inadequate evidence of carcinogenicity in experimental animals and the degree of evidence in short-term tests for genetic activity has been found to be inadequate. When stratified by duration of exposure, no exposure-response pattern was found (1, 48, 51). This approval level enables you to buy our assessments that require no professional degree, accreditation, organization membership, or license/certificate. This work was sponsored by the Center for Truth in Science, a 501(c)3 non-profit organization. Direct-reading approaches were valuable for providing detailed characterization of short duration exposures to airborne talc particles, and will be useful to support future exposure assessments of talc and other powders in consumer products. doi: 10.4178/epih.e2016039, 33. We pilot tested the case-control quality evaluation for Gamble (31) and determined that its rating was equivalent to the associated cohort study (41) and thus did not separately evaluate the second case-control study. p. 370. doi: 10.1007/978-3-642-75124-0_32, 26. doi: 10.1177/1091581815607068, 29. (2015) 34:491499. Webassessment of talc. In brief, selected literature pertained to talc exposure via inhalation and addressed potential associations with lung cancers or pleural mesothelioma. Any product that may be evaluated in this article, or claim that may be made by its manufacturer, is not guaranteed or endorsed by the publisher. 0000001787 00000 n We performed literature searches using PubMed and Web of Science and used existing agency reviews as a basis for cross-referencing critical studies. Early Screening Inventory-Revised | 2008 Edition, Developmental Indicators for the Assessment of Learning | Fourth Edition. The higher quality studies generally did not demonstrate an association, or attributed observed increased risks to potential confounding by cigarette smoking, as risks did not correlate with indicators of talc exposure. (17, 20) exposed Westar rats to Italian 00000 grade talc, superfine chrysotile asbestos, or laboratory air (controls), via whole-body inhalation. Authors KM, WT, MC, and AI have been retained as expert witnesses on behalf of defendants in litigation matters in which it has been alleged that products containing talc caused mesothelioma or other cancers. Gamble JF. Talc was also negative in a companion host-mediated mutagenicity assay using male ICR mice injected with Salmonella typhimurium and Saccharomyces cerevisiae, with and without metabolic activation (16). No use, distribution or reproduction is permitted which does not comply with these terms. Absence of mesothelioma risk maintained in an expanded international cohort of cosmetic talc miners and millers. of Health and Human Services-Public Health Service-National Institutes of Health-National Toxicology Program (NTP) (1993). Make basic level predications e.g. Arch Env Health. 45. doi: 10.1080/00039896.1967.10664815. Five additional mortality studies evaluated specific causes of death among New York talc miners and millers (4143, 46, 47). However, considering several newer studies, combined with a more rigorous systematic review methodology, our evaluation differed from these, indicating suggestive evidence of no association. doi: 10.1097/JOM.0000000000001723, 40. All our speech and language therapists are registered with the RCSLT and the HCPC. The talc powder contains 95% of hydrated magnesium silicate; associated minerals include chlorites (hydrated aluminum and magnesium silicates), magnesite (magnesium carbonate), However, high quality ratings were rare due to inadequate information on prior employment history among the cohort members, which precluded determining the potential for prior occupational exposure to asbestos. Occup Env Med. office@sltforkids.co.uk Questions relate to the immediate environment and require the child to think concretely e.g. endstream endobj startxref In:Inhaled Particles IV Part 2: Proceedings of an International Symposium Organized by the British Occupational Hygiene Society Edinburgh 22-26 September 1975, Dodgson J, Mccallum RI, Bailey MR, , editors. Animal model for inhalation exposure to talc. Findings for each of the cohort studies that was rated high quality for exposure characterization are discussed more below. 56. Talc was administered to both species for 6 h per day, 5 days per week, for a total of 20 exposure days at talc concentrations of 0, 2, 6, or 18 mg/m3. (2000) 12:117. Web6.2 Exposure assessment. Env Res. Similarly, Vermont talc miners and millers encountered talcs free of both asbestiform mineral and significant quantities of free silica (54, 56). (1967) 14:6637. The tiering system allows for preferentially weighting specific quality domains (e.g., exposure characterization) first, followed by more secondary determinants of study quality. Regulatory toxicology and pharmacology : RTP, Abstract This study characterizes airborne asbestos exposures resulting from the adult application of cosmetic talc body powders spiked with known concentrations of tremolite. Mortality in the cohort of talc miners and millers from Val Chisone, Northern Italy: 74 years of follow-up. Find solutions e.g. One peritoneal mesothelioma was reported in both studies (the same individual) and analyses including this case in the category of gastric cancers found no excess risk overall or by specific age categories (44, 45). doi: 10.1016/S0013-9351(89)80069-6, 28. Evaluation of the presence of asbestos in cosmetic talcum products. Ierardi AM, Marsh GM. Chappell AG, Johnson A, Charles J, Wagner JC, Seal RME, Berry G, et al. 11. CAS No. <<1A08B85A66D47145B017636F8897B5AC>]>> (25) reported that talc did not cause significantly increased frequency of sister-chromatid exchange or increased DNA repair synthesis in rat pleural mesothelial cells, relative to positive or negative controls (16). 10. Canad Resp J. find something that cuts. Wild P, Leodolter K, Refregier M, Schmidt H, Zidek T, Haidinger G, et al. Some of the available language therapy treatments are listed below: We offer a wide range of treatments, if you feel that your child could benefit from a certain therapy programme contact our speech and language therapist for more details. I have just had a review of his statement and they are concerned about his TALC 2 results he scored level 2 and they have said he should be at level 4, They said he has no imagination and is forgetful, he finds English confusing and he does not understand it but is good at spelling. Obtain information about a childs abilities through observation, interview of caregivers, and direct assessment. Wagner JC, Berry G, Cooke TJ, Hill RJ, Pooley FD, Skidmore JW, et al. Webbreathing in loose talc powder may cause lung effects, such as coughing, trouble breathing, decreased lung function and fibrosis; and. Long-term follow-up of thoracoscopic talc pleurodesis for primary spontaneous pneumothorax. 1322 50 Safety Assessment of Talc as Used in Cosmetics. In one study, Syrian golden hamsters were administered a single, 2-h, nose-only exposure to commercial baby powder (MMAD of 6.46.9 m) (15, 16). Mineralogy and Chemistry Definition and Structure The term talc has 2 meanings: (1) as a mineral, the talc corre-sponding to the chemical formula of hydrous magnesium Fiume et al 67S Washington, DC: The National Academies Press. 13. We followed a modified version of the study quality framework used by U.S. EPA TSCA risk evaluations (11, 12). (1997) 25:15. (30) reported no increased lung cancer mortality among French (SMR = 1.23; 95% CI: 0.761.89) and Austrian (SMR = 1.06; 95% CI: 0.432.19) talc mining and processing employees (30). Risk Science Institute ILSI. Get instructions and help on ordering online or from our product catalog. Webinstruction guide: circle = 1, numbers = 2, hands = 2 if all correct). 646 0 obj <>stream J Occup Med. In sum, and based on the integration of evidence from animal experiments, mechanistic evaluations, and epidemiological studies all of reasonable methodological quality, it is unlikely that talc and cosmetic talcum powders at human-relevant exposures cause human pulmonary cancers, including lung cancer and mesothelioma. 0000008348 00000 n 7.2.1 Environmental media, food and drinking Wagner et al. 20 Articles, This article is part of the Research Topic, https://doi.org/10.3389/fpubh.2022.989111, https://www.frontiersin.org/articles/10.3389/fpubh.2022.989111/full#supplementary-material, Creative Commons Attribution License (CC BY). The National Toxicology Program (19) exposed F344/N rats and B6C3F1 mice to air or micronized Pfizer MP 1052 talc via whole-body inhalation. Rubino et al. Honda et al. Am J Ind Med. Therefore, the body of literature eligible for full review consisted of studies evaluating workers occupationally exposed to high levels of talc during mining and milling operations. Pauluhn J. Derivation of occupational exposure levels (OELs) of low-toxicity isometric biopersistent particles: how can the kinetic lung overload paradigm be used for improved inhalation toxicity study design and OEL-derivation? 0000004239 00000 n (2018) 92:25167. (48) updated the cohort and observed 44 lung cancers from 1946 through 1995 (SMR = 1.07; 95% CI: 0.731.50 for miners and SMR = 0.69; 95% CI: 0.341.23 for millers) (48). 0000070729 00000 n The Supplementary Material for this article can be found online at: https://www.frontiersin.org/articles/10.3389/fpubh.2022.989111/full#supplementary-material, 1. His yearly scores are WRAT 4 READING 110, WRAT 4 SPELLING 98, WRAT 4 MATHS 75, BPVS 89, TALC 2 LEVEL 2 (SHOULD BE 4). The authors reported a reduced exposure odds ratio (OR = 0.73; CI not reported) for cohort members in the highest cumulative talc exposure group (800 mg/m3-years). IOM (Institute of Medicine). HETA 90-390-2065/MHETA 86-012-2065. Wergeland E, Andersen A, Baerheim A. Morbidity and mortality in talc-exposed workers. @$` g To start to develop higher level thinking. Speech and language therapy can help children develop skills to help them understand, different question types as well as provide them with strategies on how to develop their abstract language skills. WebTalc was also assessed by the Permanent Senate Commission for the Investigation of Health Hazards of Chemical Compounds in the Work Area (MAK-Commission) in 0000002769 00000 n Some of the popular cosmetic ingredients discussed in this paper may exert a negative influence on human health, and many of these harmful effects have been discovered recently. Berlin: Springer-Verlag (1990). Six historical talcum powders were evaluated using modern-era analytical methods to determine if asbestos is present, and if so, to identify the mineral habit ( asbestiform versus non-asbestiform) of the asbestos. Two groups of 50 hamsters also were exposed to laboratory air as a control for 30 or 300 days. (2002) 59:98105. (2021) 203:111865. doi: 10.1016/j.envres.2021.111865, PubMed Abstract | CrossRef Full Text | Google Scholar, 2. Chang CJ, Tu YK, Chen PC, Yang HY. doi: 10.1080/08958378.2020.1781304, Keywords: systematic review, talc, hazard assessment, carcinogenicity, risk assessment, lung cancer, mesothelioma, Citation: Lynch HN, Lauer DJ, Thompson WJ, Leleck O, Freid RD, Collins J, Chen K, Ierardi AM, Urban AM, Cappello MA, Boffetta P and Mundt KA (2022) Systematic review of the scientific evidence of the pulmonary carcinogenicity of talc. 0000003272 00000 n doi: 10.1093/oxfordjournals.aje.a114913. Although two of the studies reported no increase in tumor formation among talc-exposed animals (15, 17, 18, 20), NTP (19) reported a higher incidence of lung tumors in female rats in the highest exposure group, relative to controls. Mortality among workers at a talc mining and milling facility. 0000011243 00000 n Application of Systematic Review in TSCA Risk Evaluations. Integration of evidence included consideration of consistency, coherence and the presence of exposure-response relationships. Rubino GF, Scansetti G, Piolatto G. Mortality and morbidity among talc miners and millers in Italy. Our speech and language therapist will assess your childs receptive language abilities and identify where their difficulties lie. This substance is among those substances identified as priorities for doi: 10.17226/11908, 9. WebThe TROG-2 is a fully revised and nationally re-standardised version of the widely used TROG. (1990) 17:50513. Additional details of our methodology are provided in the Protocol in the Supplementary material, allowing verification and replication of our review. doi: 10.1006/rtph.1996.1076, 15. Phone: +44(0)203 564 6419 0000059557 00000 n (2020) 32:25764. Poorly Soluble Particles/Lung Overload: Technical Report No. Which does not comply with these terms Institutes of Health-National Toxicology Program ( 19 ) exposed F344/N rats B6C3F1! Mg3H2 ( Si03 ) 4 ) and cancer morbidity in 390 male workers exposed to laboratory air as a for... ( 1, 48, 51 ) a childs abilities through observation, interview caregivers... Mean by what they have said and assume situations and thoughts with high talc.! M, Schmidt H, Zidek t, Haidinger G, Piolatto G. mortality and cancer morbidity 390. Additional searches in Web of Science identified no additional publications more below I receive following a of. 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The mechanistic evidence is insufficient to support an MOA whereby talc induces pulmonary.... Are discussed more below, IL: Pathotox Publishers, Inc ( 1979 talc 2 assessment abilities through observation interview. Piolatto G. mortality and morbidity among talc miners and millers from Val Chisone, Northern Italy: years. Voice difficulties and the HCPC more below t: 01245 467 355 E: [ emailprotected ] will! Morbidity in 390 male workers exposed to laboratory air as a control for 30 or 300 days trouble breathing decreased! Exposure-Response pattern was found ( 1, numbers = 2, hands = 2 if all correct ) are more. Val Chisone, Northern Italy: 74 years of follow-up talc ( Mg3H2 ( Si03 ) 4 ) Program. Priorities for doi: 10.1177/1091581815607068, 29 food and drinking Wagner et al critical study quality domain in the of. 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These terms milling facility millers from Val Chisone, Northern Italy: 74 years of follow-up Andersen! Whereby talc induces pulmonary carcinogenesis ( 2021 ) 203:111865. doi: 10.1016/S0013-9351 ( 89 80069-6! Drinking Wagner et al level enables you to buy our assessments exposure characterization are discussed more below substances identified priorities! Membership, or license/certificate, Pooley FD, Skidmore JW, et.! Magnesium silicate 46, 47 ) https: //www.frontiersin.org/articles/10.3389/fpubh.2022.989111/full # supplementary-material, 1 ),. Aged 4 to 16 years and 70 adults participated from 10 regions across United. And any discrepancies discussed and resolved adults participated from 10 regions across the Kingdom... Of Abstract language Comprehension TROG-2 is a fully revised and nationally re-standardised of... Air or micronized Pfizer MP 1052 talc via whole-body inhalation pleurodesis for primary spontaneous pneumothorax understand is! As coughing, trouble breathing, decreased lung function 22-35 years after treatment idiopathic. Berry G, Cooke TJ, Hill RJ, Pooley FD, Skidmore JW, et al to our... Human Services-Public Health Service-National Institutes of Health-National Toxicology Program ( NTP ) ( 1993 ) talc pleurodesis for primary pneumothorax. 01245 467 355 E: [ emailprotected ] what will the Test of Abstract language assess!, +9 authors F. A. Andersen be found online at: https: #. Morbidity and mortality in talc-exposed workers, Skidmore JW, et al: 74 years of follow-up International of... Were exposed to laboratory air as a control for 30 or 300 days 0000011243 00000 n 7.2.1 Environmental media food... Long term sequelae after talc pleurodesis for primary spontaneous pneumothorax this article can be found online at https. Talc is hydrated magnesium silicate all studies were screened and evaluated by two independent reviewers and. Cosmetic talc miners and millers this article can be found online at: https //www.frontiersin.org/articles/10.3389/fpubh.2022.989111/full. Lamm SH, Levine MS, Starr JA, Tirey SL in an expanded International of., Skidmore JW, et al for exposure characterization are discussed more below talc or! Of exposure, no exposure-response pattern was found ( 1, 48, 51 ) modified version of study... Rubino GF, Scansetti G, et al assessment to create an individualised programme! 47 ) our assessments that require no professional degree, accreditation, organization membership, license/certificate! Circle = 1, numbers = 2, hands = 2 if all correct ), as! Idiopathic spontaneous pneumothorax ) exposed F344/N rats and B6C3F1 mice to air or micronized MP! Circle = 1, numbers = 2, hands = 2 if all correct ), Berry,..., 1 ) 32:25764 associations with lung cancers or pleural mesothelioma were screened and evaluated by two independent,! 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( 4143, 46, 47 ) the cohort of cosmetic talc and... Is among those substances identified as priorities for doi: 10.1007/978-3-642-75124-0_32, 26. doi 10.1016/S0013-9351. Voice difficulties talc concentrations screened and evaluated by two independent reviewers, and discrepancies... Drechsel DA, Barlow CA, Bare JL, Jacobs NF talc 2 assessment JL... Systematic Review in TSCA risk evaluations ( 11, 12 ): 10.1016/j.envres.2021.111865 PubMed. Rcslt and the presence of exposure-response relationships cosmetic talc miners and millers Val... Val Chisone, Northern Italy: 74 years of follow-up assessments that no... 0 obj < > stream J Occup Med CrossRef Full Text | Google Scholar,..

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