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Health Concerns
Carbon Tetrachloride
Carbon tetrachloride enters the body through
the lungs, stomach, intestines and skin. About 60% of the carbon
tetrachloride inhaled by humans is believed to be absorbed into
the body. It is not known whether this relationship is applicable
to low level exposures such as is found in the ambient air.
Most of the inhaled carbon tetrachloride that
enters the body is temporarily accumulated in body fat. Some of
the carbon tetrachloride can enter the kidney, liver, brain, lungs
and skeletal muscle. Once it is transported to the liver by the
blood it is transformed through metabolic processes to the toxic
form. Because of this biotransformation in the body, toxic responses
to carbon tetrachloride can be severely increased by drugs and chemicals.
Chemical interactions between carbon tetrachloride and alcohol can
be fatal.
Much of the carbon tetrachloride that enters
the body through inhalation quickly leaves the body through exhaled
air. Animal studies also suggest that it may take weeks for the
remainder of the compound in the body to be eliminated, especially
that which has entered the body fat. Although most of the carbon
tetrachloride is eliminated from the body unchanged, some may change
to other chemicals (for example, chloroform, hexachloroethane, and
carbon dioxide). Chloroform and hexachloroethane may themselves
cause harmful effects (ATSDR, 1994).
Most of the information on health effects of
carbon tetrachloride in humans comes from cases where people have
been exposed to relatively high levels of carbon tetrachloride,
either only once or for a short period of time. Exposure to carbon
tetrachloride in the environment may produce effects on the liver,
kidney and brain. In severe cases, liver cells may be damaged or
destroyed, leading to a decrease in liver function. Kidney failure
often was the main cause of death in people who died after very
high exposure to carbon tetrachloride. After exposure to high levels
of carbon tetrachloride, the nervous system, including the brain,
is affected. Such exposure can be fatal. The immediate effects are
usually signs of intoxication, including headache, dizziness, and
sleepiness perhaps accompanied by nausea and vomiting. In severe
cases, stupor or even coma can result, and permanent damage to nerve
cells can occur. In animals, the compound has produced cancer in
various organs. The effects of carbon tetrachloride are reversible
over periods of several days to a week or more. Repeated exposures
would be expected to increase the toxicity experienced over a short
term. Therefore, children, the elderly, and persons with liver or
kidney disease are especially at risk from exposures.
Carbon tetrachloride is also found in drinking
water supplies and household products. The effects of these multiple
exposures would be additive to that found in the air and may be
greater.
Carbon tetrachloride has been classified as
Class B2: Probable Human Carcinogen by the United States Environmental
Protection Agency and as a Group 2B: Possible Human Carcinogen by
the International Agency for Research on Cancer.
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Last Updated: 1/31/03
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