Page 4 - Fifth Report on Human Biomonitoring of Environmental Chemicals in Canada
13 Summaries and results for pesticides
13.1 Organophosphate pesticides
Organophosphates are a group of closely related chemicals that are extensively used in Canada as pesticides in agriculture, in and around the home, and in veterinary practice (Health Canada, 2013a; Health Canada, 2018a; Health Canada, 2019). This class of pesticides gained popularity in use when organochlorine pesticides were banned in the 1970s. Organophosphate pesticides are less persistent in the environment and less susceptible to pest resistance compared with organochlorine pesticides (Wessels et al., 2003). Eighteen organophosphate pesticides were registered for use in Canada during the Canadian Health Measures Survey (CHMS) cycle 2 sampling period (2009–2011) — the last cycle to report dialkyl phosphate metabolites — while 14 were registered for use during the cycle 5 sampling period (2016–2017). The latter are listed in Table 13.1.1 (Health Canada, 2019).
Organophosphate pesticides have been linked to naturally occurring compounds produced by algae and bacteria; however, their presence in the environment is almost exclusively due to their anthropogenic use as pesticides (Neumann and Peter, 1987). Despite their rapid degradation in the environment, small amounts can be detected in food and drinking water (Hao et al., 2010; Health Canada, 2003; Health Canada, 2004).
Major uses of organophosphates include as an insecticide on food and feed crops, livestock, and ornamental plants; for seed treatment and insect control in food storage areas, greenhouses, and forestry structures; for control of pet parasites; and for mosquito control (Health Canada, 2013a; Health Canada, 2019). Although the majority of organophosphates are used as insecticides, bensulide is used as a selective herbicide to control weeds in turf and cucumbers (Health Canada, 2013a). Dichlorvos and trichlorfon have veterinary drug uses for the control of parasites in livestock (Health Canada, 2018a).
The primary route of exposure for the general public is through ingestion of food previously treated with organophosphate pesticides and drinking water contaminated with agricultural runoff (ATSDR, 1997a; ATSDR, 1997b; ATSDR, 2003). Other routes of exposure include dermal contact and inhalation during the use of products containing organophosphates or during activity in areas previously treated with organophosphates.
Organophosphates are efficiently absorbed through inhalation and ingestion. Absorption following dermal penetration can vary with the specific substance (EPA, 2013). After entry into the body, organophosphate pesticides are metabolized rapidly, primarily in the liver, and excreted in urine (Barr and Needham, 2002). Hydrolysis of the parent compound yields various dialkyl phosphate metabolites. Each metabolite is associated with several different organophosphate pesticides, and many organophosphates can form more than one of these metabolites (Table 13.1.1). These metabolites also occur in the environment following degradation of the parent compound. Dialkyl phosphate metabolites are not considered toxic, but are considered to be biomarkers of exposure to the parent pesticides or their metabolites in the environment (CDC, 2009; EPA, 2013). In addition to the dialkyl phosphate metabolites, organophosphate parent compounds and other breakdown products can be measured in blood and urine; detection generally reflects exposures over the previous few days (CDC, 2009; EPA, 2013). Examples of organophosphate metabolites other than dialkyl phosphates include 3,5,6-trichloro-2-pyridinol (TCPy), which is formed by the metabolism of chlorpyrifos or chlorpyrifos-methyl, and malathion dicarboxylic acid (DCA), formed by the metabolism of malathion (although metabolism of the parent organophosphates also results in the formation of dialkyl phosphate metabolites). Some organophosphate pesticides, namely acephate and methamidophos, do not breakdown into dialkyl phosphate metabolites (Barr and Needham, 2002; Wessels et al., 2003).
The following table outlines the dialkyl phosphate metabolites that were measured in urine collected from CHMS participants in cycle 5, along with their corresponding organophosphate pesticide parent compounds. There are six dialkyl phosphate metabolites: dimethylphosphate (DMP), dimethylthiophosphate (DMTP), dimethyldithiophosphate (DMDTP), diethylphosphate (DEP), diethylthiophosphate (DETP), and diethyldithiophosphate (DEDTP). The table includes two other organophosphate metabolites that were measured in urine collected from CHMS participants in cycle 3 (TCPy and DCA), along with their corresponding parent compounds.
Organophosphate pesticide | Dialkyl phosphate metabolites (CASRN) | Other organophosphate metabolites (CASRN)Table 13.1.1 footnote a | ||||||
---|---|---|---|---|---|---|---|---|
DMP (813-79-5) |
DMTP 1112-38-5) |
DMDTP (765-80-9) |
DEP (598-02-7) |
DETP (2465-65-8) |
DEDTP (298-06-6) |
TCPy (6515-38-4) | DCA (1190-28-9) | |
Acephate | — | — | — | — | — | — | — | — |
Bensulide | — | — | — | — | — | — | — | — |
Chlorpyrifos | — | — | — | Yes | Yes | — | Yes | — |
Coumaphos | — | — | — | Yes | Yes | — | — | — |
Diazinon | — | — | — | Yes | Yes | — | — | — |
Dichlorvos | Yes | — | — | — | — | — | — | — |
Dimethoate | Yes | Yes | Yes | — | — | — | — | — |
Malathion | Yes | Yes | Yes | — | — | — | — | Yes |
Naled | Yes | — | — | — | — | — | — | — |
Phorate | — | — | — | Yes | Yes | Yes | — | — |
Phosmet | Yes | Yes | Yes | — | — | — | — | — |
Propetamphos | — | — | — | — | — | — | — | — |
Tetrachlorvinphos | Yes | — | — | — | — | — | — | — |
Trichlorfon | Yes | — | — | — | — | — | — | — |
(Bravo et al., 2004; CDC, 2005; Wessels et al., 2003) |
Organophosphates are cholinesterase-inhibiting pesticides that act to overstimulate the nervous systems of insects and mammals by interrupting the transmission of nerve impulses (EPA, 2013). Symptoms of acute overexposure may include headache, dizziness, fatigue, irritation of the eyes or nose, nausea, vomiting, salivation, sweating, and changes in heart rate. Very high exposures can have effects such as paralysis, seizures, loss of consciousness, or even death (ATSDR, 1997a; ATSDR, 1997b; ATSDR, 2003; EPA, 2013). However, typical exposure to organophosphate pesticides through food ingestion is generally low. Nevertheless, there is potential for toxic effects resulting from chronic low-dose exposure (Ray and Richards, 2001). Prenatal exposure to organophosphates has been associated with shortened gestation, reduced birth weight, and impaired neurodevelopment in young children (Bouchard et al., 2011; EPA, 2016; Eskenazi et al., 2007; González-Alzaga et al. 2014; Muñoz-Quezada et al., 2013; Rauch et al., 2012). Several organophosphate pesticides registered for use in Canada have been classified by the International Agency for Research on Cancer (IARC). Malathion and diazinon are classified as probably carcinogenic to humans (Group 2A); tetrachlorvinphos and dichlorvos are classified as possibly carcinogenic to humans (Group 2B); trichlorfon's carcinogenicity to humans is not classifiable (Group 3) (IARC, 1983; IARC, 1991; IARC, 2017).
The sale and use of organophosphate pesticides is regulated in Canada by the Pest Management Regulatory Agency (PMRA) under the Pest Control Products Act (Canada, 2002). PMRA evaluates the toxicity of pesticides and potential exposure in order to determine whether a pesticide should be registered for a specific use. As part of the registration process, PMRA establishes maximum residue limits of pesticides in food, including registered organophosphate pesticides (Health Canada, 2012a). Registered pesticides are re-evaluated by PMRA on a cyclical basis. A re-evaluation of malathion found that most uses do not pose unacceptable risks to human health, including commercial products applied in agricultural, non-agricultural, and residential settings, while most uses of diazinon have been phased out due to health and environmental risk concerns, except for limited applications (Health Canada, 2012b; Health Canada, 2013b). Health Canada has recently proposed that products containing dichlorvos are acceptable for continued registration for sale and use in Canada, provided that risk mitigation measures are in place (Health Canada, 2017). Most recently, PMRA has announced a workplan for the prioritization and re-evaluation of pesticides, including the following organophosphates: acephate, bensulide, chlorpyrifos, coumaphos, dichlorvos, naled, phorate, phosmet, propetamphos, and tetrachlorvinphos (Health Canada, 2018b).
Health Canada has established Canadian drinking water quality guidelines that set out the maximum acceptable concentrations of chlorpyrifos, diazinon, dimethoate, malathion, and phorate (Health Canada, 1989a; Health Canada, 1989b; Health Canada, 1989c; Health Canada, 1990; Health Canada, 1991). Several organophosphate pesticides have also been analyzed as part of Health Canada's Total Diet Study surveys (Health Canada, 2016). These surveys provide estimate levels of chemicals that Canadians in different age-sex groups are exposed to through the food supply.
Six dialkyl phosphate metabolites were measured in morning urine voids from 89 children aged 3–7 years in a biomonitoring study in the province of Québec in 2003. The geometric mean and 95th percentile concentrations were 20 µg/g creatinine and 97 µg/g creatinine, respectively, for DMP; 18.8 µg/g creatinine and 210.9 µg/g creatinine, respectively, for DMTP; 2.8 µg/g creatinine and 45.9 µg/g creatinine, respectively, for DMDTP; 4.8 µg/g creatinine and 29 µg/g creatinine, respectively, for DEP; 0.7 µg/g creatinine and 8 µg/g creatinine, respectively, for DETP; and 0.4 µg/g creatinine and 0.4 µg/g creatinine, respectively, for DEDTP (Valcke et al., 2006).
Six dialkyl phosphate metabolites (see Table 13.1.1) were measured in the urine of CHMS participants aged 6–79 years in cycle 1 (2007–2009) and aged 3–79 years in cycle 2 (2009–2011) and cycle 5 (2016–2017). 3,5,6-Trichloro-2-pyridinol and malathion dicarboxylic acid were analyzed in the urine of CHMS participants aged 3–79 years in cycle 3 (2012–2013) and cycle 4 (2014–2015). In addition to the data for organophosphate metabolites discussed above, data are now available and presented below for two organophosphate pesticides, acephate and methamidophos, that were measured in the urine of CHMS participants aged 3–79 years in cycle 3 (2012–2013). Data from these cycles are presented as both µg/L and µg/g creatinine (Tables 13.1.2 to 13.1.21). Finding a measurable amount of organophosphate pesticides or their metabolites in urine is an indicator of exposure to organophosphate pesticides and/or their metabolites and does not necessarily mean that an adverse health effect will occur.
Cycle | n | Detection Frequency (95% CI) |
GMTable 13.1.2 footnote a (95% CI) |
10th (95% CI) |
50th (95% CI) |
90th (95% CI) |
95th (95% CI) |
---|---|---|---|---|---|---|---|
Total, 3–79 years | |||||||
1 (2007–2009)Table 13.1.2 footnote b | — | — | — | — | — | — | — |
2 (2009–2011) | 2556 | 83.0 (78.3–86.8) |
3.3 (2.9–3.7) |
<LOD | 3.5 (3.0–4.0) |
17 (15–20) |
26 (22–29) |
5 (2016–2017) | 2633 | 80.9 (75.1–85.6) |
1.7 (1.4–2.1) |
<LOD | 1.6 (1.3–1.9) |
8.6 (6.2–11) |
14 (10–18) |
Males, 3–79 years | |||||||
1 (2007–2009)Table 13.1.2 footnote b | — | — | — | — | — | — | — |
2 (2009–2011) | 1280 | 82.5 (76.3–87.4) |
3.3 (2.8–3.8) |
<LOD | 3.4 (2.8–4.0) |
17 (13–21) |
26 (21–31) |
5 (2016–2017) | 1308 | 77.6 (69.2–84.3) |
1.6 (1.3–2.1) |
<LOD | 1.5 (0.97–2.0) |
8.4 (6.5–10) |
13 (9.4–18) |
Females, 3–79 years | |||||||
1 (2007–2009)Table 13.1.2 footnote b | — | — | — | — | — | — | — |
2 (2009–2011) | 1276 | 83.4 (77.9–87.8) |
3.4 (2.9–3.9) |
<LOD | 3.6 (2.8–4.5) |
17 (14–20) |
24 (17–31) |
5 (2016–2017) | 1325 | 84.1 (79.6–87.8) |
1.8 (1.6–2.2) |
<LOD | 1.6 (1.4–1.8) |
9.9Table 13.1.2 footnote E (6.1–14) |
16 (10–21) |
3–5 years | |||||||
1 (2007–2009)Table 13.1.2 footnote b | — | — | — | — | — | — | — |
2 (2009–2011) | 522 | 93.9 (90.7–96.0) |
6.7 (5.6–8.1) |
1.4 (1.0–1.8) |
6.8 (4.9–8.6) |
32Table 13.1.2 footnote E (19–46) |
Table footnote F |
5 (2016–2017) | 545 | 93.9 (90.2–96.3) |
3.2 (2.6–3.8) |
0.78 (0.59–0.97) |
3.0Table 13.1.2 footnote E (1.8–4.1) |
15 (12–19) |
22 (16–28) |
6–11 years | |||||||
1 (2007–2009) | 1028 | 80.7 (74.6–85.6) |
3.8 (3.3–4.5) |
<LOD | 4.3 (3.9–4.8) |
21 (18–23) |
29 (23–36) |
2 (2009–2011) | 516 | 92.2 (89.2–94.4) |
6.1 (5.2–7.2) |
<LOD | 5.9 (4.6–7.3) |
24Table 13.1.2 footnote E (14–35) |
Table footnote F |
5 (2016–2017) | 515 | 90.4 (81.4–95.3) |
2.9Table 13.1.2 footnote E (2.0–4.2) |
Table footnote F | 2.7 (1.8–3.6) |
17Table 13.1.2 footnote E (8.5–26) |
28Table 13.1.2 footnote E (13–42) |
12–19 years | |||||||
1 (2007–2009) | 980 | 82.8 (75.0–88.5) |
3.9 (3.2–4.7) |
<LOD | 4.1 (3.3–4.9) |
21 (18–24) |
28 (23–32) |
2 (2009–2011) | 512 | 87.5 (82.1–91.5) |
3.8 (3.2–4.5) |
<LOD | 4.0 (3.2–4.8) |
18 (12–24) |
30 (19–41) |
5 (2016–2017) | 519 | 84.3 (73.6–91.2) |
2.1Table 13.1.2 footnote E (1.4–3.1) |
<LOD | 2.0Table 13.1.2 footnote E (1.1–2.8) |
11Table 13.1.2 footnote E (4.9–18) |
19Table 13.1.2 footnote E (10–27) |
20–39 years | |||||||
1 (2007–2009) | 1162 | 76.0 (69.3–81.6) |
2.7 (2.2–3.3) |
<LOD | 2.9 (2.2–3.7) |
13 (9.8–17) |
23Table 13.1.2 footnote E (10–36) |
2 (2009–2011) | 356 | 81.0 (69.2–89.0) |
3.1 (2.4–4.0) |
<LOD | 3.5 (2.6–4.5) |
17 (11–23) |
29 (20–39) |
5 (2016–2017) | 358 | 76.3 (62.8–86.0) |
1.5 (1.2–1.9) |
<LOD | 1.5 (1.2–1.8) |
6.8 (4.4–9.2) |
12Table 13.1.2 footnote E (6.3–19) |
40–59 years | |||||||
1 (2007–2009) | 1221 | 74.3 (66.0–81.1) |
2.6 (2.1–3.3) |
<LOD | 2.9Table 13.1.2 footnote E (1.4–4.4) |
15 (11–18) |
24 (18–31) |
2 (2009–2011) | 360 | 80.7 (71.4–87.5) |
2.8 (2.2–3.7) |
<LOD | 2.8 (2.1–3.5) |
13Table 13.1.2 footnote E (5.2–20) |
20Table 13.1.2 footnote E (12–27) |
5 (2016–2017) | 347 | 79.5 (71.1–85.9) |
1.6 (1.3–1.9) |
<LOD | 1.4 (1.2–1.7) |
6.8Table 13.1.2 footnote E (2.5–11) |
11Table 13.1.2 footnote E (4.1–18) |
60–79 years | |||||||
1 (2007–2009) | 1076 | 80.7 (76.1–84.6) |
3.1 (2.6–3.6) |
<LOD | 3.3 (2.7–3.9) |
15 (12–17) |
20 (15–26) |
2 (2009–2011) | 290 | 81.9 (73.2–88.2) |
3.1 (2.5–3.7) |
<LOD | 3.4 (2.7–4.2) |
14Table 13.1.2 footnote E (7.3–20) |
19Table 13.1.2 footnote E (9.9–28) |
5 (2016–2017) | 349 | 82.5 (73.4–89.0) |
1.7 (1.3–2.4) |
<LOD | 1.6Table 13.1.2 footnote E (0.90–2.3) |
7.7Table 13.1.2 footnote E (4.5–11) |
13Table 13.1.2 footnote E (6.5–19) |
CI: confidence interval; GM: geometric mean; LOD: limit of detection Note: The LODs for cycles 1, 2, and 5 are 0.8, 1, and 0.58 μg/L, respectively. |
Cycle | n | Detection Frequency (95% CI) |
GMTable 13.1.3 footnote a (95% CI) |
10th (95% CI) |
50th (95% CI) |
90th (95% CI) |
95th (95% CI) |
---|---|---|---|---|---|---|---|
Total, 3–79 years | |||||||
1 (2007–2009)Table 13.1.3 footnote b | — | — | — | — | — | — | — |
2 (2009–2011) | 2546 | 83.0 (78.3–86.8) |
3.2 (2.9–3.6) |
<LOD | 3.0 (2.7–3.3) |
15 (11–18) |
24 (19–30) |
5 (2016–2017) | 2606 | 80.9 (75.1–85.6) |
1.7 (1.4–2.0) |
<LOD | 1.5 (1.3–1.8) |
7.2 (5.3–9.0) |
12 (8.7–15) |
Males, 3–79 years | |||||||
1 (2007–2009)Table 13.1.3 footnote b | — | — | — | — | — | — | — |
2 (2009–2011) | 1276 | 82.5 (76.3–87.4) |
2.8 (2.5–3.1) |
<LOD | 2.5 (2.1–2.9) |
13 (9.6–16) |
21 (17–25) |
5 (2016–2017) | 1298 | 77.6 (69.2–84.3) |
1.4 (1.1–1.8) |
<LOD | 1.3 (1.0–1.6) |
5.7 (4.5–6.9) |
9.4 (6.3–13) |
Females, 3–79 years | |||||||
1 (2007–2009)Table 13.1.3 footnote b | — | — | — | — | — | — | — |
2 (2009–2011) | 1270 | 83.4 (77.9–87.8) |
3.8 (3.2–4.6) |
<LOD | 3.4 (2.6–4.2) |
16 (11–21) |
28 (20–36) |
5 (2016–2017) | 1308 | 84.1 (79.6–87.8) |
2.0 (1.7–2.4) |
<LOD | 1.8 (1.5–2.0) |
8.8 (6.2–11) |
13Table 13.1.3 footnote E (7.7–18) |
3–5 years | |||||||
1 (2007–2009)Table 13.1.3 footnote b | — | — | — | — | — | — | — |
2 (2009–2011) | 521 | 93.9 (90.7–96.0) |
12 (9.8–14) |
2.6 (1.9–3.3) |
12 (8.6–15) |
51 (33–68) |
100Table 13.1.3 footnote E (41–160) |
5 (2016–2017) | 536 | 93.9 (90.2–96.3) |
5.4 (4.2–6.9) |
1.1Table 13.1.3 footnote E (0.61–1.6) |
5.4 (3.8–7.0) |
22 (15–28) |
33 (23–43) |
6–11 years | |||||||
1 (2007–2009) | 1025 | 80.7 (74.6–85.6) |
5.9 (5.2–6.7) |
<LOD | 6.3 (5.0–7.6) |
26 (23–30) |
40 (36–45) |
2 (2009–2011) | 514 | 92.2 (89.2–94.4) |
6.9 (6.0–7.9) |
<LOD | 7.2 (6.0–8.4) |
32Table 13.1.3 footnote E (18–46) |
52Table 13.1.3 footnote E (22–83) |
5 (2016–2017) | 506 | 90.4 (81.4–95.3) |
3.5Table 13.1.3 footnote E (2.4–5.1) |
<LOD | 3.1Table 13.1.3 footnote E (1.8–4.3) |
19Table 13.1.3 footnote E (9.1–29) |
26 (17–36) |
12–19 years | |||||||
1 (2007–2009) | 978 | 82.8 (75.0–88.5) |
3.4 (2.9–4.0) |
<LOD | 3.7 (3.0–4.5) |
14 (11–16) |
20 (15–24) |
2 (2009–2011) | 510 | 87.5 (82.1–91.5) |
2.9 (2.5–3.4) |
<LOD | 2.9 (2.4–3.3) |
12 (8.0–15) |
18Table 13.1.3 footnote E (9.3–27) |
5 (2016–2017) | 515 | 84.3 (73.6–91.2) |
1.6 (1.2–2.2) |
<LOD | 1.5 (1.1–1.9) |
8.2Table 13.1.3 footnote E (5.1–11) |
10 (7.8–12) |
20–39 years | |||||||
1 (2007–2009) | 1158 | 76.0 (69.3–81.6) |
3.0 (2.6–3.6) |
<LOD | 3.0 (2.6–3.3) |
12 (9.0–16) |
21Table 13.1.3 footnote E (13–30) |
2 (2009–2011) | 354 | 81.0 (69.2–89.0) |
2.6 (2.1–3.4) |
<LOD | 2.4 (1.8–3.1) |
16Table 13.1.3 footnote E (8.0–25) |
23 (16–31) |
5 (2016–2017) | 355 | 76.3 (62.8–86.0) |
1.4 (1.1–1.6) |
<LOD | 1.4 (1.2–1.7) |
5.2 (3.7–6.7) |
7.0 (5.3–8.8) |
40–59 years | |||||||
1 (2007–2009) | 1216 | 74.3 (66.0–81.1) |
3.4 (2.8–4.2) |
<LOD | 3.4 (2.6–4.2) |
14 (9.9–18) |
24 (16–32) |
2 (2009–2011) | 358 | 80.7 (71.4–87.5) |
2.9 (2.4–3.5) |
<LOD | 2.8 (2.4–3.2) |
9.6 (7.9–11) |
16Table 13.1.3 footnote E (7.6–25) |
5 (2016–2017) | 346 | 79.5 (71.1–85.9) |
1.4 (1.1–1.8) |
<LOD | 1.3 (1.1–1.4) |
5.7Table 13.1.3 footnote E (2.5–9.0) |
9.5Table 13.1.3 footnote E (3.9–15) |
60–79 years | |||||||
1 (2007–2009) | 1076 | 80.7 (76.1–84.6) |
4.3 (3.7–5.1) |
<LOD | 4.3 (3.4–5.1) |
16 (14–17) |
23 (18–27) |
2 (2009–2011) | 289 | 81.9 (73.2–88.2) |
3.5 (2.9–4.3) |
<LOD | 3.7 (2.8–4.7) |
13 (10–17) |
19 (14–24) |
5 (2016–2017) | 348 | 82.5 (73.4–89.0) |
2.0 (1.5–2.7) |
<LOD | 1.9 (1.3–2.5) |
7.5Table 13.1.3 footnote E (4.0–11) |
12Table 13.1.3 footnote E (5.5–18) |
CI: confidence interval; GM: geometric mean; LOD: limit of detection |
Cycle | n | Detection Frequency (95% CI) |
GMTable 13.1.4 footnote a (95% CI) |
10th (95% CI) |
50th (95% CI) |
90th (95% CI) |
95th (95% CI) |
---|---|---|---|---|---|---|---|
Total, 3–79 years | |||||||
1 (2007–2009)Table 13.1.4 footnote b | — | — | — | — | — | — | — |
2 (2009–2011) | 2559 | 80.0 (75.1–84.0) |
2.7 (2.3–3.2) |
<LOD | 2.8 (2.2–3.5) |
23 (17–28) |
37 (27–47) |
5 (2016–2017) | 2645 | 70.6 (64.8–75.8) |
1.3 (1.1–1.5) |
<LOD | 1.1 (0.89–1.3) |
10 (8.8–12) |
20 (15–25) |
Males, 3–79 years | |||||||
1 (2007–2009)Table 13.1.4 footnote b | — | — | — | — | — | — | — |
2 (2009–2011) | 1281 | 80.2 (73.8–85.4) |
2.5 (2.1–3.0) |
<LOD | 2.4 (1.8–3.0) |
22Table 13.1.4 footnote E (13–32) |
37Table 13.1.4 footnote E (17–57) |
5 (2016–2017) | 1315 | 70.6 (60.7–78.9) |
1.3 (1.0–1.6) |
<LOD | 1.1Table 13.1.4 footnote E (0.65–1.5) |
9.9 (7.3–12) |
16Table 13.1.4 footnote E (8.3–24) |
Females, 3–79 years | |||||||
1 (2007–2009)Table 13.1.4 footnote b | — | — | — | — | — | — | — |
2 (2009–2011) | 1278 | 79.7 (74.4–84.2) |
2.9 (2.4–3.6) |
<LOD | 3.2 (2.4–4.1) |
23 (17–30) |
37 (29–45) |
5 (2016–2017) | 1330 | 70.6 (64.3–76.2) |
1.3 (1.1–1.6) |
<LOD | 1.1 (0.82–1.4) |
11 (8.4–13) |
21 (16–25) |
3–5 years | |||||||
1 (2007–2009)Table 13.1.4 footnote b | — | — | — | — | — | — | — |
2 (2009–2011) | 524 | 92.6 (89.2–95.1) |
6.3 (5.1–7.8) |
0.72 (<LOD–0.97) |
6.4 (4.5–8.3) |
49 (33–66) |
89 (60–120) |
5 (2016–2017) | 547 | 86.6 (81.3–90.6) |
2.6 (2.1–3.3) |
<LOD | 2.1Table 13.1.4 footnote E (0.94–3.2) |
23Table 13.1.4 footnote E (13–33) |
39Table 13.1.4 footnote E (22–56) |
6–11 years | |||||||
1 (2007–2009) | 1029 | 67.3 (58.5–75.1) |
2.5 (1.9–3.2) |
<LOD | 2.5Table 13.1.4 footnote E (1.4–3.5) |
36 (29–42) |
54 (45–64) |
2 (2009–2011) | 516 | 91.6 (89.4–93.3) |
5.0 (4.2–6.0) |
<LOD | 5.3 (3.7–6.9) |
32 (21–43) |
66Table 13.1.4 footnote E (31–100) |
5 (2016–2017) | 516 | 84.6 (80.1–88.3) |
2.3 (1.8–3.0) |
<LOD | 2.0 (1.5–2.4) |
24Table 13.1.4 footnote E (10–37) |
55Table 13.1.4 footnote E (24–86) |
12–19 years | |||||||
1 (2007–2009) | 980 | 68.7 (60.7–75.6) |
2.3 (1.8–2.8) |
<LOD | 2.1 (1.4–2.8) |
26 (19–32) |
44 (30–58) |
2 (2009–2011) | 512 | 80.0 (73.0–85.6) |
2.6 (2.1–3.3) |
<LOD | 2.7 (2.0–3.3) |
19Table 13.1.4 footnote E (12–26) |
36Table 13.1.4 footnote E (22–50) |
5 (2016–2017) | 524 | 76.5 (68.8–82.8) |
1.5 (1.2–2.0) |
<LOD | 1.4Table 13.1.4 footnote E (0.85–1.9) |
10Table 13.1.4 footnote E (5.6–14) |
19Table 13.1.4 footnote E (5.5–33) |
20–39 years | |||||||
1 (2007–2009) | 1163 | 66.0 (57.1–73.9) |
1.8 (1.3–2.4) |
<LOD | 1.6Table 13.1.4 footnote E (<LOD–2.6) |
17Table 13.1.4 footnote E (10–24) |
36Table 13.1.4 footnote E (19–53) |
2 (2009–2011) | 356 | 78.1 (65.6–86.9) |
2.4 (1.8–3.2) |
<LOD | 2.7 (1.8–3.7) |
20Table 13.1.4 footnote E (10–29) |
29Table 13.1.4 footnote E (17–41) |
5 (2016–2017) | 361 | 60.8 (52.0–68.9) |
1.0 (0.80–1.3) |
<LOD | 0.71Table 13.1.4 footnote E (0.44–0.99) |
Table footnote F | 20Table 13.1.4 footnote E (5.3–35) |
40–59 years | |||||||
1 (2007–2009) | 1223 | 63.9 (58.0–69.4) |
1.8 (1.5–2.2) |
<LOD | 1.4Table 13.1.4 footnote E (<LOD–2.3) |
20 (15–25) |
38 (27–49) |
2 (2009–2011) | 360 | 79.2 (70.6–85.8) |
2.4 (1.8–3.2) |
<LOD | 2.2Table 13.1.4 footnote E (1.2–3.1) |
20Table 13.1.4 footnote E (7.8–33) |
Table footnote F |
5 (2016–2017) | 347 | 70.1 (56.6–80.8) |
1.2 (0.89–1.6) |
<LOD | 1.0 (0.68–1.4) |
9.9Table 13.1.4 footnote E (5.3–15) |
12Table 13.1.4 footnote E (6.6–17) |
60–79 years | |||||||
1 (2007–2009) | 1079 | 73.6 (67.0–79.3) |
2.6 (2.2–3.2) |
<LOD | 3.0 (2.1–3.8) |
26 (21–31) |
40 (35–45) |
2 (2009–2011) | 291 | 77.4 (67.0–85.3) |
2.8 (2.1–3.8) |
<LOD | 3.3Table 13.1.4 footnote E (2.1–4.6) |
23Table 13.1.4 footnote E (12–35) |
44Table 13.1.4 footnote E (20–68) |
5 (2016–2017) | 350 | 75.2 (69.7–80.1) |
1.4 (1.1–1.8) |
<LOD | 1.4 (1.1–1.7) |
11Table 13.1.4 footnote E (3.6–18) |
21Table 13.1.4 footnote E (11–32) |
CI: confidence interval; GM: geometric mean; LOD: limit of detection Note: The LODs for cycles 1, 2, and 5 are 0.6, 0.6, and 0.44 μg/L, respectively. |
Cycle | n | Detection Frequency (95% CI) |
GMTable 13.1.5 footnote a (95% CI) |
10th (95% CI) |
50th (95% CI) |
90th (95% CI) |
95th (95% CI) |
---|---|---|---|---|---|---|---|
Total, 3–79 years | |||||||
1 (2007–2009)Table 13.1.5 footnote b | — | — | — | — | — | — | — |
2 (2009–2011) | 2549 | 80.0 (75.1–84.0) |
2.7 (2.3–3.1) |
<LOD | 2.5 (1.8–3.1) |
21 (17–25) |
35 (31–39) |
5 (2016–2017) | 2618 | 70.6 (64.8–75.8) |
1.3 (1.1–1.5) |
<LOD | 1.0 (0.88–1.1) |
10 (7.0–13) |
19Table 13.1.5 footnote E (12–27) |
Males, 3–79 years | |||||||
1 (2007–2009)Table 13.1.5 footnote b | — | — | — | — | — | — | — |
2 (2009–2011) | 1277 | 80.2 (73.8–85.4) |
2.1 (1.8–2.5) |
<LOD | 1.9 (1.5–2.4) |
16 (11–22) |
28 (18–38) |
5 (2016–2017) | 1305 | 70.6 (60.7–78.9) |
1.1 (0.91–1.4) |
<LOD | 0.88 (0.62–1.1) |
7.3Table 13.1.5 footnote E (3.7–11) |
19Table 13.1.5 footnote E (7.3–30) |
Females, 3–79 years | |||||||
1 (2007–2009)Table 13.1.5 footnote b | — | — | — | — | — | — | — |
2 (2009–2011) | 1272 | 79.7 (74.4–84.2) |
3.3 (2.6–4.2) |
<LOD | 3.3 (2.3–4.4) |
27 (20–35) |
37 (25–50) |
5 (2016–2017) | 1313 | 70.6 (64.3–76.2) |
1.4 (1.2–1.7) |
<LOD | 1.1 (0.89–1.3) |
12 (8.2–16) |
21Table 13.1.5 footnote E (10–33) |
3–5 years | |||||||
1 (2007–2009)Table 13.1.5 footnote b | — | — | — | — | — | — | — |
2 (2009–2011) | 523 | 92.6 (89.2–95.1) |
11 (9.1–13) |
1.3Table 13.1.5 footnote E (<LOD–2.1) |
11 (8.0–13) |
79 (61–98) |
110 (87–140) |
5 (2016–2017) | 538 | 86.6 (81.3–90.6) |
4.5 (3.3–6.1) |
<LOD | 4.2Table 13.1.5 footnote E (2.6–5.8) |
39Table 13.1.5 footnote E (22–56) |
61Table 13.1.5 footnote E (37–84) |
6–11 years | |||||||
1 (2007–2009) | 1026 | 67.3 (58.5–75.1) |
3.8 (3.1–4.8) |
<LOD | 3.8 (2.7–4.9) |
45 (36–54) |
70 (52–88) |
2 (2009–2011) | 514 | 91.6 (89.4–93.3) |
5.7 (4.6–7.0) |
<LOD | 5.9Table 13.1.5 footnote E (3.4–8.4) |
40Table 13.1.5 footnote E (19–60) |
90Table 13.1.5 footnote E (31–150) |
5 (2016–2017) | 507 | 84.6 (80.1–88.3) |
2.8 (2.1–3.6) |
<LOD | 2.7 (2.0–3.4) |
29Table 13.1.5 footnote E (9.5–49) |
43Table 13.1.5 footnote E (18–67) |
12–19 years | |||||||
1 (2007–2009) | 978 | 68.7 (60.7–75.6) |
2.0 (1.6–2.4) |
<LOD | 2.0 (1.8–2.1) |
19 (13–24) |
30 (23–36) |
2 (2009–2011) | 510 | 80.0 (73.0–85.6) |
2.0 (1.6–2.5) |
<LOD | 1.9 (1.3–2.5) |
13Table 13.1.5 footnote E (7.6–19) |
25Table 13.1.5 footnote E (12–38) |
5 (2016–2017) | 520 | 76.5 (68.8–82.8) |
1.2 (0.95–1.5) |
<LOD | 1.1 (0.89–1.3) |
8.4Table 13.1.5 footnote E (4.3–13) |
Table footnote F |
20–39 years | |||||||
1 (2007–2009) | 1159 | 66.0 (57.1–73.9) |
2.0 (1.6–2.6) |
<LOD | 1.9 (<LOD–2.5) |
17Table 13.1.5 footnote E (9.0–25) |
34Table 13.1.5 footnote E (18–51) |
2 (2009–2011) | 354 | 78.1 (65.6–86.9) |
2.0 (1.6–2.6) |
<LOD | 2.0 (1.5–2.5) |
14Table 13.1.5 footnote E (6.8–21) |
33Table 13.1.5 footnote E (17–50) |
5 (2016–2017) | 358 | 60.8 (52.0–68.9) |
0.91 (0.67–1.2) |
<LOD | 0.69 (0.46–0.92) |
Table footnote F | Table footnote F |
40–59 years | |||||||
1 (2007–2009) | 1218 | 63.9 (58.0–69.4) |
2.3 (1.9–2.7) |
<LOD | 1.9 (<LOD–2.4) |
19 (15–22) |
45 (37–54) |
2 (2009–2011) | 358 | 79.2 (70.6–85.8) |
2.4 (1.9–3.1) |
<LOD | 2.4Table 13.1.5 footnote E (1.4–3.4) |
15Table 13.1.5 footnote E (7.2–22) |
29 (19–40) |
5 (2016–2017) | 346 | 70.1 (56.6–80.8) |
1.1 (0.90–1.4) |
<LOD | 0.92 (0.76–1.1) |
7.7Table 13.1.5 footnote E (2.1–13) |
13Table 13.1.5 footnote E (6.3–19) |
60–79 years | |||||||
1 (2007–2009) | 1079 | 73.6 (67.0–79.3) |
3.7 (3.1–4.4) |
<LOD | 3.9 (2.9–5.0) |
30 (22–38) |
53 (40–67) |
2 (2009–2011) | 290 | 77.4 (67.0–85.3) |
3.2 (2.4–4.3) |
<LOD | 3.5Table 13.1.5 footnote E (2.1–4.8) |
25 (16–34) |
Table footnote F |
5 (2016–2017) | 349 | 75.2 (69.7–80.1) |
1.6 (1.2–2.1) |
<LOD | 1.5Table 13.1.5 footnote E (0.95–2.1) |
Table footnote F | 21Table 13.1.5 footnote E (5.7–37) |
CI: confidence interval; GM: geometric mean; LOD: limit of detection |
Cycle | n | Detection Frequency (95% CI) |
GMTable 13.1.6 footnote a (95% CI) |
10th (95% CI) |
50th (95% CI) |
90th (95% CI) |
95th (95% CI) |
---|---|---|---|---|---|---|---|
Total, 3–79 years | |||||||
1 (2007–2009)Table 13.1.6 footnote b | — | — | — | — | — | — | — |
2 (2009–2011) | 2537 | 49.1 (44.2–53.9) |
— | <LOD | <LOD | 2.9 (2.4–3.5) |
6.5 (5.2–7.8) |
5 (2016–2017) | 2618 | 51.8 (46.9–56.6) |
— | <LOD | 0.097 (<LOD–0.12) |
1.4 (0.94–1.9) |
4.1Table 13.1.6 footnote E (2.6–5.6) |
Males, 3–79 years | |||||||
1 (2007–2009)Table 13.1.6 footnote b | — | — | — | — | — | — | — |
2 (2009–2011) | 1271 | 42.2 (37.4–47.2) |
— | <LOD | <LOD | 2.6Table 13.1.6 footnote E (1.5–3.7) |
5.7 (3.8–7.6) |
5 (2016–2017) | 1296 | 49.5 (43.2–55.8) |
— | <LOD | <LOD | 1.2Table 13.1.6 footnote E (0.64–1.7) |
4.1Table 13.1.6 footnote E (1.2–7.0) |
Females, 3–79 years | |||||||
1 (2007–2009)Table 13.1.6 footnote b | — | — | — | — | — | — | — |
2 (2009–2011) | 1266 | 55.8 (49.5–61.8) |
— | <LOD | 0.33 (<LOD–0.42) |
3.4 (2.5–4.2) |
7.8 (5.5–10) |
5 (2016–2017) | 1322 | 54.0 (46.4–61.4) |
0.17 (0.14–0.21) |
<LOD | 0.099Table 13.1.6 footnote E (<LOD–0.14) |
1.5Table 13.1.6 footnote E (0.48–2.5) |
3.8Table 13.1.6 footnote E (1.9–5.7) |
3–5 years | |||||||
1 (2007–2009)Table 13.1.6 footnote b | — | — | — | — | — | — | — |
2 (2009–2011) | 523 | 63.0 (55.1–70.2) |
0.85 (0.68–1.1) |
<LOD | 0.57Table 13.1.6 footnote E (0.32–0.83) |
8.8Table 13.1.6 footnote E (4.4–13) |
18Table 13.1.6 footnote E (9.6–26) |
5 (2016–2017) | 542 | 64.0 (53.6–73.2) |
0.29Table 13.1.6 footnote E (0.20–0.44) |
<LOD | 0.25Table 13.1.6 footnote E (<LOD–0.42) |
3.9Table 13.1.6 footnote E (2.1–5.7) |
Table footnote F |
6–11 years | |||||||
1 (2007–2009) | 1029 | 40.7 (32.2–49.7) |
— | <LOD | <LOD | 3.6 (2.5–4.6) |
7.2 (4.8–9.5) |
2 (2009–2011) | 512 | 62.0 (55.2–68.3) |
— | <LOD | 0.49Table 13.1.6 footnote E (<LOD–0.75) |
4.5Table 13.1.6 footnote E (1.7–7.4) |
9.3Table 13.1.6 footnote E (5.6–13) |
5 (2016–2017) | 515 | 68.2 (60.6–75.0) |
0.27 (0.20–0.36) |
<LOD | 0.19 (0.14–0.23) |
Table footnote F | 8.0Table 13.1.6 footnote E (4.0–12) |
12–19 years | |||||||
1 (2007–2009) | 980 | 35.1 (28.0–43.0) |
— | <LOD | <LOD | 2.3Table 13.1.6 footnote E (1.4–3.2) |
7.0 (4.9–9.1) |
2 (2009–2011) | 512 | 43.7 (37.3–50.3) |
— | <LOD | <LOD | 2.0Table 13.1.6 footnote E (0.84–3.1) |
Table footnote F |
5 (2016–2017) | 521 | 54.9 (45.2–64.1) |
— | <LOD | 0.12 (<LOD–0.16) |
1.4Table 13.1.6 footnote E (0.82–2.0) |
4.9Table 13.1.6 footnote E (1.9–7.9) |
20–39 years | |||||||
1 (2007–2009) | 1163 | 34.6 (25.0–45.6) |
— | <LOD | <LOD | 1.9Table 13.1.6 footnote E (1.1–2.7) |
4.6Table 13.1.6 footnote E (2.4–6.7) |
2 (2009–2011) | 357 | 43.9 (34.8–53.5) |
— | <LOD | <LOD | 2.5Table 13.1.6 footnote E (0.79–4.3) |
4.4Table 13.1.6 footnote E (2.3–6.4) |
5 (2016–2017) | 360 | 46.1 (37.6–54.9) |
— | <LOD | <LOD | 0.73Table 13.1.6 footnote E (0.45–1.0) |
Table footnote F |
40–59 years | |||||||
1 (2007–2009) | 1223 | 33.9 (26.9–41.7) |
— | <LOD | <LOD | 2.4Table 13.1.6 footnote E (0.74–4.0) |
5.8 (4.3–7.4) |
2 (2009–2011) | 353 | 48.1 (41.0–55.3) |
— | <LOD | <LOD | 2.8Table 13.1.6 footnote E (1.7–3.9) |
6.1Table 13.1.6 footnote E (2.7–9.5) |
5 (2016–2017) | 346 | 51.4 (43.0–59.6) |
— | <LOD | 0.099Table 13.1.6 footnote E (<LOD–0.14) |
Table footnote F | Table footnote F |
60–79 years | |||||||
1 (2007–2009) | 1080 | 44.5 (40.0–49.2) |
— | <LOD | <LOD | 3.9Table 13.1.6 footnote E (2.4–5.4) |
7.5 (5.0–9.9) |
2 (2009–2011) | 280 | 55.3 (45.7–64.6) |
— | <LOD | Table footnote F | Table footnote F | 9.5Table 13.1.6 footnote E (3.7–15) |
5 (2016–2017) | 334 | 51.5 (42.8–60.0) |
— | <LOD | 0.098Table 13.1.6 footnote E (<LOD–0.15) |
2.0Table 13.1.6 footnote E (0.75–3.2) |
Table footnote F |
CI: confidence interval; GM: geometric mean; LOD: limit of detection Note: The LODs for cycles 1, 2, and 5 are 0.09, 0.3, and 0.093 μg/L, respectively. |
Cycle | n | Detection Frequency (95% CI) |
GMTable 13.1.7 footnote a (95% CI) |
10th (95% CI) |
50th (95% CI) |
90th (95% CI) |
95th (95% CI) |
---|---|---|---|---|---|---|---|
Total, 3–79 years | |||||||
1 (2007–2009)Table 13.1.7 footnote b | — | — | — | — | — | — | — |
2 (2009–2011) | 2527 | 49.1 (44.2–53.9) |
— | <LOD | <LOD | 3.3 (2.4–4.2) |
7.2 (5.2–9.3) |
5 (2016–2017) | 2591 | 51.8 (46.9–56.6) |
— | <LOD | 0.11 (<LOD–0.13) |
1.4 (1.1–1.8) |
3.9Table 13.1.7 footnote E (1.4–6.4) |
Males, 3–79 years | |||||||
1 (2007–2009)Table 13.1.7 footnote b | — | — | — | — | — | — | — |
2 (2009–2011) | 1267 | 42.2 (37.4–47.2) |
— | <LOD | <LOD | 2.0 (1.5–2.5) |
4.4 (3.0–5.8) |
5 (2016–2017) | 1286 | 49.5 (43.2–55.8) |
— | <LOD | <LOD | 1.2Table 13.1.7 footnote E (0.61–1.8) |
Table footnote F |
Females, 3–79 years | |||||||
1 (2007–2009)Table 13.1.7 footnote b | — | — | — | — | — | — | — |
2 (2009–2011) | 1260 | 55.8 (49.5–61.8) |
— | <LOD | 0.40Table 13.1.7 footnote E (<LOD–0.55) |
4.6 (3.2–6.0) |
9.4 (7.5–11) |
5 (2016–2017) | 1305 | 54.0 (46.4–61.4) |
0.19 (0.14–0.24) |
<LOD | 0.13Table 13.1.7 footnote E (<LOD–0.19) |
Table footnote F | 4.9Table 13.1.7 footnote E (1.5–8.4) |
3–5 years | |||||||
1 (2007–2009)Table 13.1.7 footnote b | — | — | — | — | — | — | — |
2 (2009–2011) | 522 | 63.0 (55.1–70.2) |
1.3 (1.0–1.6) |
<LOD | 0.97 (0.71–1.2) |
17Table 13.1.7 footnote E (8.4–25) |
27Table 13.1.7 footnote E (16–38) |
5 (2016–2017) | 533 | 64.0 (53.6–73.2) |
0.50Table 13.1.7 footnote E (0.31–0.81) |
<LOD | 0.37Table 13.1.7 footnote E (<LOD–0.62) |
5.5Table 13.1.7 footnote E (2.5–8.4) |
12Table 13.1.7 footnote E (5.4–18) |
6–11 years | |||||||
1 (2007–2009) | 1026 | 40.7 (32.2–49.7) |
— | <LOD | <LOD | 5.5 (3.6–7.4) |
11 (8.5–13) |
2 (2009–2011) | 510 | 62.0 (55.2–68.3) |
— | <LOD | 0.50Table 13.1.7 footnote E (<LOD–0.70) |
6.8Table 13.1.7 footnote E (3.1–10) |
9.8Table 13.1.7 footnote E (5.3–14) |
5 (2016–2017) | 506 | 68.2 (60.6–75.0) |
0.32 (0.23–0.43) |
<LOD | 0.22Table 13.1.7 footnote E (0.12–0.31) |
4.6Table 13.1.7 footnote E (1.5–7.7) |
7.1Table 13.1.7 footnote E (2.6–12) |
12–19 years | |||||||
1 (2007–2009) | 978 | 35.1 (28.0–43.0) |
— | <LOD | <LOD | 2.1Table 13.1.7 footnote E (1.3–3.0) |
5.3Table 13.1.7 footnote E (3.2–7.4) |
2 (2009–2011) | 510 | 43.7 (37.3–50.3) |
— | <LOD | <LOD | 1.5Table 13.1.7 footnote E (0.84–2.1) |
Table footnote F |
5 (2016–2017) | 517 | 54.9 (45.2–64.1) |
— | <LOD | 0.098 (<LOD–0.13) |
1.1Table 13.1.7 footnote E (0.60–1.5) |
Table footnote F |
20–39 years | |||||||
1 (2007–2009) | 1159 | 34.6 (25.0–45.6) |
— | <LOD | <LOD | 2.0Table 13.1.7 footnote E (0.95–3.0) |
4.8Table 13.1.7 footnote E (2.6–6.9) |
2 (2009–2011) | 355 | 43.9 (34.8–53.5) |
— | <LOD | <LOD | 1.9Table 13.1.7 footnote E (1.2–2.6) |
4.2Table 13.1.7 footnote E (1.3–7.0) |
5 (2016–2017) | 357 | 46.1 (37.6–54.9) |
— | <LOD | <LOD | 1.2Table 13.1.7 footnote E (0.48–2.0) |
2.0Table 13.1.7 footnote E (<LOD–2.7) |
40–59 years | |||||||
1 (2007–2009) | 1218 | 33.9 (26.9–41.7) |
— | <LOD | <LOD | 3.2 (2.3–4.1) |
8.7 (6.1–11) |
2 (2009–2011) | 351 | 48.1 (41.0–55.3) |
— | <LOD | <LOD | 2.9Table 13.1.7 footnote E (0.92–4.9) |
6.7Table 13.1.7 footnote E (3.0–10) |
5 (2016–2017) | 345 | 51.4 (43.0–59.6) |
— | <LOD | 0.11 (<LOD–0.15) |
Table footnote F | Table footnote F |
60–79 years | |||||||
1 (2007–2009) | 1080 | 44.5 (40.0–49.2) |
— | <LOD | <LOD | 4.6 (2.9–6.2) |
9.3Table 13.1.7 footnote E (3.8–15) |
2 (2009–2011) | 279 | 55.3 (45.7–64.6) |
— | <LOD | 0.50Table 13.1.7 footnote E (<LOD–0.72) |
5.3Table 13.1.7 footnote E (1.7–8.9) |
10Table 13.1.7 footnote E (6.0–14) |
5 (2016–2017) | 333 | 51.5 (42.8–60.0) |
— | <LOD | 0.14Table 13.1.7 footnote E (<LOD–0.19) |
Table footnote F | 7.6Table 13.1.7 footnote E (2.9–12) |
CI: confidence interval; GM: geometric mean; LOD: limit of detection |
Cycle | n | Detection Frequency (95% CI) |
GMTable 13.1.8 footnote a (95% CI) |
10th (95% CI) |
50th (95% CI) |
90th (95% CI) |
95th (95% CI) |
---|---|---|---|---|---|---|---|
Total, 3–79 years | |||||||
1 (2007–2009)Table 13.1.8 footnote b | — | — | — | — | — | — | — |
2 (2009–2011) | 2556 | 83.3 (79.1–86.7) |
2.8 (2.6–3.1) |
<LOD | 2.8 (2.5–3.1) |
11 (8.4–13) |
19 (16–21) |
5 (2016–2017) | 2646 | 97.8 (95.9–98.8) |
2.2 (2.0–2.5) |
0.52 (0.44–0.60) |
2.1 (1.8–2.4) |
9.9 (8.4–11) |
14 (10–17) |
Males, 3–79 years | |||||||
1 (2007–2009)Table 13.1.8 footnote b | — | — | — | — | — | — | — |
2 (2009–2011) | 1279 | 85.3 (81.7–88.3) |
2.9 (2.6–3.3) |
<LOD | 2.9 (2.5–3.4) |
10 (8.4–12) |
18Table 13.1.8 footnote E (11–26) |
5 (2016–2017) | 1315 | 97.9 (95.9–98.9) |
2.2 (1.9–2.6) |
0.53 (0.44–0.61) |
2.1 (1.6–2.6) |
9.8 (7.9–12) |
15 (11–20) |
Females, 3–79 years | |||||||
1 (2007–2009)Table 13.1.8 footnote b | — | — | — | — | — | — | — |
2 (2009–2011) | 1277 | 81.2 (75.4–85.9) |
2.7 (2.4–3.1) |
<LOD | 2.6 (2.2–2.9) |
12Table 13.1.8 footnote E (7.5–17) |
19 (15–23) |
5 (2016–2017) | 1331 | 97.7 (93.6–99.2) |
2.2 (1.9–2.6) |
0.51 (0.37–0.64) |
2.1 (1.7–2.5) |
9.7 (7.6–12) |
12 (8.3–16) |
3–5 years | |||||||
1 (2007–2009)Table 13.1.8 footnote b | — | — | — | — | — | — | — |
2 (2009–2011) | 523 | 92.9 (89.5–95.3) |
4.9 (4.1–5.9) |
1.2 (<LOD–1.6) |
5.1 (4.1–6.1) |
19Table 13.1.8 footnote E (10–27) |
29Table 13.1.8 footnote E (9.9–48) |
5 (2016–2017) | 547 | 98.7 (96.6–99.5) |
4.2 (3.4–5.0) |
0.99 (0.77–1.2) |
4.1 (2.8–5.4) |
16 (13–19) |
22Table 13.1.8 footnote E (11–33) |
6–11 years | |||||||
1 (2007–2009) | 1029 | 80.9 (68.2–89.3) |
2.8 (2.2–3.6) |
<LOD | 3.0 (2.3–3.6) |
11 (9.3–14) |
17 (14–20) |
2 (2009–2011) | 515 | 92.0 (89.5–94.0) |
4.1 (3.7–4.7) |
<LOD | 4.0 (3.5–4.5) |
16 (12–19) |
23Table 13.1.8 footnote E (12–33) |
5 (2016–2017) | 516 | 98.2 (96.5–99.1) |
3.2 (2.8–3.6) |
0.80 (0.52–1.1) |
2.9 (2.2–3.6) |
12Table 13.1.8 footnote E (7.3–17) |
19Table 13.1.8 footnote E (11–27) |
12–19 years | |||||||
1 (2007–2009) | 980 | 82.2 (72.1–89.2) |
2.9 (2.4–3.6) |
<LOD | 3.1 (2.4–3.7) |
12 (9.3–15) |
18 (14–22) |
2 (2009–2011) | 512 | 88.1 (84.3–91.0) |
3.4 (3.0–3.9) |
<LOD | 3.1 (2.6–3.7) |
16 (11–22) |
23Table 13.1.8 footnote E (14–31) |
5 (2016–2017) | 524 | 98.6 (97.3–99.3) |
2.6 (2.1–3.1) |
0.59Table 13.1.8 footnote E (0.33–0.85) |
2.7 (2.0–3.4) |
9.9 (7.4–12) |
17 (12–22) |
20–39 years | |||||||
1 (2007–2009) | 1163 | 77.7 (65.9–86.3) |
2.1 (1.7–2.6) |
<LOD | 2.1 (1.8–2.5) |
7.8 (6.0–9.6) |
12 (8.6–14) |
2 (2009–2011) | 357 | 83.1 (75.7–88.6) |
2.7 (2.3–3.2) |
<LOD | 2.6 (2.2–3.0) |
9.5Table 13.1.8 footnote E (5.4–14) |
20Table 13.1.8 footnote E (7.9–32) |
5 (2016–2017) | 361 | 95.7 (89.9–98.2) |
2.0 (1.6–2.7) |
0.47 (0.31–0.62) |
1.8Table 13.1.8 footnote E (1.1–2.5) |
10 (7.6–13) |
15Table 13.1.8 footnote E (8.9–22) |
40–59 years | |||||||
1 (2007–2009) | 1223 | 75.6 (66.0–83.1) |
2.1 (1.8–2.4) |
<LOD | 2.1 (1.8–2.4) |
7.6 (5.9–9.2) |
11 (8.2–13) |
2 (2009–2011) | 360 | 80.3 (71.6–86.9) |
2.5 (2.0–3.1) |
<LOD | 2.5 (1.9–3.1) |
9.5Table 13.1.8 footnote E (5.3–14) |
16Table 13.1.8 footnote E (8.6–23) |
5 (2016–2017) | 348 | 98.5 (96.0–99.5) |
2.0 (1.7–2.3) |
0.58 (0.42–0.73) |
2.0 (1.6–2.3) |
6.8 (5.5–8.0) |
8.2 (6.6–9.9) |
60–79 years | |||||||
1 (2007–2009) | 1080 | 82.4 (74.0–88.5) |
2.4 (2.1–2.6) |
<LOD | 2.3 (2.0–2.7) |
8.8 (7.8–9.9) |
12 (9.8–13) |
2 (2009–2011) | 289 | 80.6 (73.0–86.5) |
2.6 (2.0–3.2) |
<LOD | 2.6 (1.9–3.4) |
10Table 13.1.8 footnote E (4.7–16) |
16 (12–21) |
5 (2016–2017) | 350 | 99.0 (96.8–99.7) |
2.1 (1.7–2.5) |
0.42Table 13.1.8 footnote E (<LOD–0.57) |
1.9 (1.4–2.4) |
9.7 (6.5–13) |
13 (10–17) |
CI: confidence interval; GM: geometric mean; LOD: limit of detection Note: The LODs for cycles 1, 2, and 5 are 0.5, 1, and 0.29 μg/L, respectively. |
Cycle | n | Detection Frequency (95% CI) |
GMTable 13.1.9 footnote a (95% CI) |
10th (95% CI) |
50th (95% CI) |
90th (95% CI) |
95th (95% CI) |
---|---|---|---|---|---|---|---|
Total, 3–79 years | |||||||
1 (2007–2009)Table 13.1.9 footnote b | — | — | — | — | — | — | — |
2 (2009–2011) | 2546 | 83.3 (79.1–86.7) |
2.7 (2.5–2.9) |
<LOD | 2.6 (2.3–2.9) |
9.5 (8.3–11) |
14 (11–17) |
5 (2016–2017) | 2619 | 97.8 (95.9–98.8) |
2.1 (2.0–2.3) |
0.66 (0.52–0.80) |
2.1 (1.8–2.3) |
7.1 (6.7–7.5) |
10 (8.8–11) |
Males, 3–79 years | |||||||
1 (2007–2009)Table 13.1.9 footnote b | — | — | — | — | — | — | — |
2 (2009–2011) | 1275 | 85.3 (81.7–88.3) |
2.4 (2.1–2.7) |
<LOD | 2.2 (1.8–2.5) |
9.1 (6.9–11) |
14 (9.5–18) |
5 (2016–2017) | 1305 | 97.9 (95.9–98.9) |
1.9 (1.6–2.2) |
0.55 (0.40–0.71) |
1.8 (1.4–2.1) |
7.1 (6.1–8.1) |
9.5 (8.1–11) |
Females, 3–79 years | |||||||
1 (2007–2009)Table 13.1.9 footnote b | — | — | — | — | — | — | — |
2 (2009–2011) | 1271 | 81.2 (75.4–85.9) |
3.1 (2.7–3.5) |
<LOD | 2.9 (2.5–3.3) |
9.9 (7.5–12) |
14 (9.9–19) |
5 (2016–2017) | 1314 | 97.7 (93.6–99.2) |
2.4 (2.1–2.7) |
0.80 (0.58–1.0) |
2.4 (2.0–2.7) |
7.1 (6.5–7.7) |
11 (9.1–12) |
3–5 years | |||||||
1 (2007–2009)Table 13.1.9 footnote b | — | — | — | — | — | — | — |
2 (2009–2011) | 522 | 92.9 (89.5–95.3) |
8.5 (7.3–9.9) |
2.6 (<LOD–3.4) |
8.6 (7.2–10) |
31 (22–41) |
44 (33–55) |
5 (2016–2017) | 538 | 98.7 (96.6–99.5) |
7.1 (6.3–8.0) |
1.9 (1.3–2.5) |
7.9 (6.7–9.2) |
20 (17–24) |
32 (21–43) |
6–11 years | |||||||
1 (2007–2009) | 1026 | 80.9 (68.2–89.3) |
4.4 (3.7–5.2) |
<LOD | 4.2 (3.5–4.9) |
16 (13–20) |
24 (19–29) |
2 (2009–2011) | 513 | 92.0 (89.5–94.0) |
4.8 (4.3–5.3) |
<LOD | 4.5 (3.9–5.2) |
18 (13–22) |
24Table 13.1.9 footnote E (11–38) |
5 (2016–2017) | 507 | 98.2 (96.5–99.1) |
3.7 (3.1–4.4) |
1.1 (0.82–1.3) |
3.5 (2.8–4.2) |
11 (7.4–14) |
16Table 13.1.9 footnote E (9.2–24) |
12–19 years | |||||||
1 (2007–2009) | 978 | 82.2 (72.1–89.2) |
2.6 (2.2–3.1) |
<LOD | 2.6 (2.1–3.1) |
8.7 (7.9–9.5) |
12 (10–13) |
2 (2009–2011) | 510 | 88.1 (84.3–91.0) |
2.6 (2.2–3.0) |
<LOD | 2.5 (2.0–3.0) |
9.9 (7.8–12) |
15Table 13.1.9 footnote E (9.6–21) |
5 (2016–2017) | 520 | 98.6 (97.3–99.3) |
2.0 (1.7–2.3) |
0.55 (0.38–0.72) |
1.9 (1.6–2.3) |
7.5 (5.5–9.4) |
9.2 (7.1–11) |
20–39 years | |||||||
1 (2007–2009) | 1159 | 77.7 (65.9–86.3) |
2.4 (2.0–2.8) |
<LOD | 2.2 (1.8–2.7) |
7.4 (6.6–8.2) |
9.9 (8.4–11) |
2 (2009–2011) | 355 | 83.1 (75.7–88.6) |
2.2 (1.9–2.6) |
<LOD | 2.0 (1.4–2.6) |
7.2Table 13.1.9 footnote E (3.5–11) |
Table footnote F |
5 (2016–2017) | 358 | 95.7 (89.9–98.2) |
1.8 (1.6–2.1) |
0.50Table 13.1.9 footnote E (0.30–0.70) |
1.8 (1.4–2.2) |
6.3 (5.2–7.4) |
7.2Table 13.1.9 footnote E (4.4–10) |
40–59 years | |||||||
1 (2007–2009) | 1218 | 75.6 (66.0–83.1) |
2.7 (2.4–3.0) |
<LOD | 2.9 (2.6–3.2) |
8.9 (7.2–11) |
11 (10–13) |
2 (2009–2011) | 358 | 80.3 (71.6–86.9) |
2.5 (2.2–2.8) |
<LOD | 2.4 (1.9–2.8) |
7.9 (5.5–10) |
11 (7.5–15) |
5 (2016–2017) | 347 | 98.5 (96.0–99.5) |
1.8 (1.6–2.1) |
0.72 (0.48–0.95) |
1.8 (1.5–2.1) |
4.5 (3.6–5.4) |
6.4 (4.3–8.4) |
60–79 years | |||||||
1 (2007–2009) | 1080 | 82.4 (74.0–88.5) |
3.4 (3.0–3.7) |
<LOD | 3.5 (3.0–4.0) |
9.9 (8.9–11) |
13 (11–16) |
2 (2009–2011) | 288 | 80.6 (73.0–86.5) |
3.0 (2.5–3.6) |
<LOD | 2.9 (2.2–3.6) |
9.0Table 13.1.9 footnote E (5.6–12) |
13 (9.9–17) |
5 (2016–2017) | 349 | 99.0 (96.8–99.7) |
2.4 (2.1–2.8) |
0.76 (<LOD–0.99) |
2.2 (2.0–2.5) |
7.3 (6.0–8.6) |
9.5 (6.8–12) |
CI: confidence interval; GM: geometric mean; LOD: limit of detection |
Cycle | n | Detection Frequency (95% CI) |
GMTable 13.1.10 footnote a (95% CI) |
10th (95% CI) |
50th (95% CI) |
90th (95% CI) |
95th (95% CI) |
---|---|---|---|---|---|---|---|
Total, 3–79 years | |||||||
1 (2007–2009)Table 13.1.10 footnote b | — | — | — | — | — | — | — |
2 (2009–2011) | 2511 | 72.7 (68.1–76.8) |
0.66 (0.60–0.72) |
<LOD | 0.60 (0.51–0.70) |
2.7 (1.9–3.4) |
5.3Table 13.1.10 footnote E (3.2–7.4) |
5 (2016–2017) | 2610 | 75.5 (70.3–80.1) |
0.37 (0.33–0.42) |
<LOD | 0.32 (0.27–0.38) |
2.6 (2.1–3.2) |
4.4 (3.6–5.2) |
Males, 3–79 years | |||||||
1 (2007–2009)Table 13.1.10 footnote b | — | — | — | — | — | — | — |
2 (2009–2011) | 1261 | 73.1 (67.9–77.7) |
0.63 (0.57–0.71) |
<LOD | 0.58 (0.49–0.67) |
2.5 (1.9–3.1) |
3.5Table 13.1.10 footnote E (1.6–5.5) |
5 (2016–2017) | 1294 | 75.7 (66.1–83.3) |
0.37 (0.29–0.48) |
<LOD | 0.33 (0.22–0.45) |
2.4Table 13.1.10 footnote E (1.1–3.7) |
4.5 (2.9–6.2) |
Females, 3–79 years | |||||||
1 (2007–2009)Table 13.1.10 footnote b | — | — | — | — | — | — | — |
2 (2009–2011) | 1250 | 72.2 (65.9–77.8) |
0.68 (0.59–0.79) |
<LOD | 0.61 (0.46–0.76) |
Table footnote F | 5.6Table 13.1.10 footnote E (1.6–9.5) |
5 (2016–2017) | 1316 | 75.3 (70.9–79.3) |
0.37 (0.29–0.47) |
<LOD | 0.32 (0.24–0.40) |
2.7Table 13.1.10 footnote E (1.4–4.1) |
4.3Table 13.1.10 footnote E (1.5–7.1) |
3–5 years | |||||||
1 (2007–2009)Table 13.1.10 footnote b | — | — | — | — | — | — | — |
2 (2009–2011) | 512 | 88.2 (83.8–91.5) |
1.0 (0.92–1.2) |
<LOD | 1.0 (0.91–1.1) |
4.3Table 13.1.10 footnote E (2.7–6.0) |
6.7Table 13.1.10 footnote E (3.4–10) |
5 (2016–2017) | 539 | 88.3 (83.0–92.1) |
0.68 (0.51–0.91) |
<LOD | 0.80Table 13.1.10 footnote E (0.47–1.1) |
5.2Table 13.1.10 footnote E (2.6–7.8) |
7.4Table 13.1.10 footnote E (4.2–11) |
6–11 years | |||||||
1 (2007–2009) | 1029 | 41.8 (31.7–52.5) |
— | <LOD | <LOD | 2.9 (2.1–3.7) |
4.8 (3.9–5.7) |
2 (2009–2011) | 508 | 80.8 (74.7–85.7) |
0.85 (0.74–0.98) |
<LOD | 0.78 (0.68–0.88) |
3.4Table 13.1.10 footnote E (2.1–4.6) |
Table footnote F |
5 (2016–2017) | 511 | 84.1 (80.2–87.4) |
0.54 (0.45–0.65) |
<LOD | 0.49 (0.32–0.67) |
3.2 (2.2–4.2) |
5.4Table 13.1.10 footnote E (2.9–7.8) |
12–19 years | |||||||
1 (2007–2009) | 979 | 44.6 (34.2–55.4) |
— | <LOD | <LOD | 2.6 (1.8–3.3) |
4.1 (3.1–5.1) |
2 (2009–2011) | 504 | 74.6 (66.2–81.4) |
0.67 (0.57–0.78) |
<LOD | 0.59 (0.47–0.71) |
2.6 (2.0–3.2) |
4.1Table 13.1.10 footnote E (2.5–5.7) |
5 (2016–2017) | 520 | 77.1 (66.5–85.2) |
0.41 (0.31–0.55) |
<LOD | 0.35Table 13.1.10 footnote E (0.21–0.49) |
3.4Table 13.1.10 footnote E (1.7–5.1) |
5.8Table 13.1.10 footnote E (2.9–8.8) |
20–39 years | |||||||
1 (2007–2009) | 1163 | 36.1 (27.5–45.7) |
— | <LOD | <LOD | 1.9 (1.5–2.3) |
2.9 (1.9–3.8) |
2 (2009–2011) | 349 | 67.8 (58.7–75.7) |
0.57 (0.48–0.69) |
<LOD | 0.47Table 13.1.10 footnote E (<LOD–0.64) |
2.6Table 13.1.10 footnote E (1.2–3.9) |
5.4Table 13.1.10 footnote E (1.6–9.1) |
5 (2016–2017) | 354 | 73.3 (60.9–82.9) |
0.37 (0.28–0.48) |
<LOD | 0.31Table 13.1.10 footnote E (0.19–0.43) |
Table footnote F | Table footnote F |
40–59 years | |||||||
1 (2007–2009) | 1223 | 34.1 (27.0–42.0) |
— | <LOD | <LOD | 2.2 (1.6–2.8) |
4.6Table 13.1.10 footnote E (2.8–6.5) |
2 (2009–2011) | 352 | 73.6 (64.4–81.2) |
0.66 (0.53–0.82) |
<LOD | 0.65 (0.46–0.84) |
Table footnote F | Table footnote F |
5 (2016–2017) | 342 | 74.5 (67.4–80.6) |
0.31 (0.25–0.38) |
<LOD | 0.29 (0.21–0.37) |
2.0Table 13.1.10 footnote E (0.63–3.4) |
3.9Table 13.1.10 footnote E (2.3–5.5) |
60–79 years | |||||||
1 (2007–2009) | 1080 | 40.0 (32.9–47.5) |
— | <LOD | <LOD | 2.6 (2.2–3.0) |
4.1 (3.5–4.7) |
2 (2009–2011) | 286 | 71.6 (63.7–78.3) |
0.67 (0.55–0.82) |
<LOD | 0.59 (0.41–0.76) |
2.7Table 13.1.10 footnote E (0.76–4.6) |
Table footnote F |
5 (2016–2017) | 344 | 74.4 (66.2–81.2) |
0.37 (0.28–0.48) |
<LOD | 0.36Table 13.1.10 footnote E (0.20–0.52) |
2.1 (1.5–2.8) |
3.1Table 13.1.10 footnote E (1.1–5.1) |
CI: confidence interval; GM: geometric mean; LOD: limit of detection Note: The LODs for cycles 1, 2, and 5 are 0.08, 0.3, and 0.13 μg/L, respectively. |
Cycle | n | Detection Frequency (95% CI) |
GMTable 13.1.11 footnote a (95% CI) |
10th (95% CI) |
50th (95% CI) |
90th (95% CI) |
95th (95% CI) |
---|---|---|---|---|---|---|---|
Total, 3–79 years | |||||||
1 (2007–2009)Table 13.1.11 footnote b | — | — | — | — | — | — | — |
2 (2009–2011) | 2501 | 72.7 (68.1–76.8) |
0.60 (0.54–0.66) |
<LOD | 0.59 (0.50–0.68) |
2.8 (2.1–3.4) |
4.1 (3.5–4.7) |
5 (2016–2017) | 2583 | 75.5 (70.3–80.1) |
0.36 (0.32–0.40) |
<LOD | 0.34 (0.29–0.39) |
2.3 (1.7–2.8) |
3.8 (2.8–4.7) |
Males, 3–79 years | |||||||
1 (2007–2009)Table 13.1.11 footnote b | — | — | — | — | — | — | — |
2 (2009–2011) | 1257 | 73.1 (67.9–77.7) |
0.50 (0.44–0.57) |
<LOD | 0.44 (0.32–0.55) |
2.1 (1.5–2.7) |
3.3 (2.2–4.4) |
5 (2016–2017) | 1284 | 75.7 (66.1–83.3) |
0.32 (0.26–0.40) |
<LOD | 0.29 (0.19–0.39) |
1.9 (1.3–2.4) |
3.0Table 13.1.11 footnote E (1.5–4.6) |
Females, 3–79 years | |||||||
1 (2007–2009)Table 13.1.11 footnote b | — | — | — | — | — | — | — |
2 (2009–2011) | 1244 | 72.2 (65.9–77.8) |
0.72 (0.60–0.87) |
<LOD | 0.69 (0.55–0.82) |
3.6 (2.8–4.5) |
5.2Table 13.1.11 footnote E (2.9–7.5) |
5 (2016–2017) | 1299 | 75.3 (70.9–79.3) |
0.40 (0.32–0.49) |
<LOD | 0.36 (0.28–0.44) |
2.9Table 13.1.11 footnote E (1.6–4.1) |
3.9Table 13.1.11 footnote E (1.9–6.0) |
3–5 years | |||||||
1 (2007–2009)Table 13.1.11 footnote b | — | — | — | — | — | — | — |
2 (2009–2011) | 511 | 88.2 (83.8–91.5) |
1.7 (1.5–2.0) |
<LOD | 1.6 (1.3–2.0) |
6.7Table 13.1.11 footnote E (4.2–9.2) |
9.6Table 13.1.11 footnote E (5.5–14) |
5 (2016–2017) | 530 | 88.3 (83.0–92.1) |
1.1Table 13.1.11 footnote E (0.79–1.7) |
<LOD | 1.0Table 13.1.11 footnote E (0.61–1.5) |
6.5Table 13.1.11 footnote E (3.7–9.3) |
12Table 13.1.11 footnote E (3.9–19) |
6–11 years | |||||||
1 (2007–2009) | 1026 | 41.8 (31.7–52.5) |
— | <LOD | <LOD | 4.2 (3.1–5.3) |
6.5 (4.5–8.6) |
2 (2009–2011) | 506 | 80.8 (74.7–85.7) |
0.92 (0.77–1.1) |
<LOD | 0.89 (0.77–1.0) |
3.7 (2.5–4.9) |
Table footnote F |
5 (2016–2017) | 502 | 84.1 (80.2–87.4) |
0.64 (0.53–0.77) |
<LOD | 0.64 (0.45–0.83) |
3.5 (2.4–4.6) |
5.2 (3.6–6.8) |
12–19 years | |||||||
1 (2007–2009) | 977 | 44.6 (34.2–55.4) |
— | <LOD | <LOD | 1.9 (1.8–2.1) |
3.2 (2.2–4.3) |
2 (2009–2011) | 502 | 74.6 (66.2–81.4) |
0.47 (0.40–0.55) |
<LOD | 0.48 (0.37–0.59) |
1.7 (1.5–2.0) |
2.7Table 13.1.11 footnote E (1.4–4.1) |
5 (2016–2017) | 516 | 77.1 (66.5–85.2) |
0.31 (0.25–0.40) |
<LOD | 0.27 (0.20–0.34) |
1.9Table 13.1.11 footnote E (1.0–2.7) |
Table footnote F |
20–39 years | |||||||
1 (2007–2009) | 1159 | 36.1 (27.5–45.7) |
— | <LOD | <LOD | 2.0 (1.5–2.5) |
3.7 (2.7–4.7) |
2 (2009–2011) | 347 | 67.8 (58.7–75.7) |
0.45 (0.39–0.52) |
<LOD | 0.39 (<LOD–0.49) |
2.3Table 13.1.11 footnote E (1.3–3.3) |
3.7Table 13.1.11 footnote E (2.3–5.1) |
5 (2016–2017) | 351 | 73.3 (60.9–82.9) |
0.32 (0.25–0.42) |
<LOD | 0.28 (0.20–0.36) |
2.8Table 13.1.11 footnote E (0.85–4.7) |
4.5Table 13.1.11 footnote E (1.6–7.3) |
40–59 years | |||||||
1 (2007–2009) | 1218 | 34.1 (27.0–42.0) |
— | <LOD | <LOD | 3.0 (2.5–3.5) |
5.4 (3.5–7.4) |
2 (2009–2011) | 350 | 73.6 (64.4–81.2) |
0.62 (0.48–0.80) |
<LOD | 0.60 (0.43–0.76) |
2.8Table 13.1.11 footnote E (<LOD–4.0) |
4.0Table 13.1.11 footnote E (<LOD–6.2) |
5 (2016–2017) | 341 | 74.5 (67.4–80.6) |
0.28 (0.23–0.35) |
<LOD | 0.31 (0.21–0.40) |
1.4Table 13.1.11 footnote E (0.58–2.2) |
2.4 (1.6–3.2) |
60–79 years | |||||||
1 (2007–2009) | 1080 | 40.0 (32.9–47.5) |
— | <LOD | <LOD | 2.9 (2.5–3.4) |
4.1 (2.7–5.4) |
2 (2009–2011) | 285 | 71.6 (63.7–78.3) |
0.71 (0.58–0.88) |
<LOD | 0.69 (0.54–0.85) |
3.5Table 13.1.11 footnote E (1.9–5.1) |
Table footnote F |
5 (2016–2017) | 343 | 74.4 (66.2–81.2) |
0.42 (0.34–0.53) |
<LOD | 0.38 (0.27–0.49) |
2.5Table 13.1.11 footnote E (1.5–3.5) |
3.4 (2.3–4.4) |
CI: confidence interval; GM: geometric mean; LOD: limit of detection |
Cycle | n | Detection Frequency (95% CI) |
GMTable 13.1.12 footnote a (95% CI) |
10th (95% CI) |
50th (95% CI) |
90th (95% CI) |
95th (95% CI) |
---|---|---|---|---|---|---|---|
Total, 3–79 years | |||||||
1 (2007–2009)Table 13.1.12 footnote b | — | — | — | — | — | — | — |
2 (2009–2011) | 2557 | 3.4Table 13.1.12 footnote E (1.8–6.4) |
— | <LOD | <LOD | <LOD | <LOD |
5 (2016–2017) | 2643 | 5.8Table 13.1.12 footnote E (3.7–9.0) |
— | <LOD | <LOD | <LOD | 0.072 (<LOD–0.091) |
Males, 3–79 years | |||||||
1 (2007–2009)Table 13.1.12 footnote b | — | — | — | — | — | — | — |
2 (2009–2011) | 1279 | Table footnote F | — | <LOD | <LOD | <LOD | <LOD |
5 (2016–2017) | 1312 | 5.9Table 13.1.12 footnote E (3.0–11.4) |
— | <LOD | <LOD | <LOD | 0.074Table 13.1.12 footnote E (<LOD–0.10) |
Females, 3–79 years | |||||||
1 (2007–2009)Table 13.1.12 footnote b | — | — | — | — | — | — | — |
2 (2009–2011) | 1278 | Table footnote F | — | <LOD | <LOD | <LOD | <LOD |
5 (2016–2017) | 1331 | 5.7 (3.9–8.1) |
— | <LOD | <LOD | <LOD | 0.071 (<LOD–0.081) |
3–5 years | |||||||
1 (2007–2009)Table 13.1.12 footnote b | — | — | — | — | — | — | — |
2 (2009–2011) | 524 | 1.0Table 13.1.12 footnote E (0.5–1.9) |
— | <LOD | <LOD | <LOD | <LOD |
5 (2016–2017) | 547 | Table footnote F | — | <LOD | <LOD | <LOD | 0.071 (<LOD–0.093) |
6–11 years | |||||||
1 (2007–2009) | 1029 | 3.3Table 13.1.12 footnote E (2.1–5.2) |
— | <LOD | <LOD | <LOD | <LOD |
2 (2009–2011) | 516 | Table footnote F | — | <LOD | <LOD | <LOD | <LOD |
5 (2016–2017) | 514 | 7.1Table 13.1.12 footnote E (4.8–10.4) |
— | <LOD | <LOD | <LOD | 0.079 (<LOD–0.095) |
12–19 years | |||||||
1 (2007–2009) | 980 | 4.0Table 13.1.12 footnote E (2.8–5.8) |
— | <LOD | <LOD | <LOD | <LOD |
2 (2009–2011) | 511 | Table footnote F | — | <LOD | <LOD | <LOD | <LOD |
5 (2016–2017) | 524 | 9.7Table 13.1.12 footnote E (5.2–17.3) |
— | <LOD | <LOD | <LOD | 0.10Table 13.1.12 footnote E (<LOD–0.17) |
20–39 years | |||||||
1 (2007–2009) | 1163 | 2.4 (1.8–3.3) |
— | <LOD | <LOD | <LOD | <LOD |
2 (2009–2011) | 356 | Table footnote F | — | <LOD | <LOD | <LOD | <LOD |
5 (2016–2017) | 361 | 5.6Table 13.1.12 footnote E (2.8–11.0) |
— | <LOD | <LOD | <LOD | 0.083 (<LOD–0.11) |
40–59 years | |||||||
1 (2007–2009) | 1223 | 2.3Table 13.1.12 footnote E (1.1–4.4) |
— | <LOD | <LOD | <LOD | <LOD |
2 (2009–2011) | 360 | Table footnote F | — | <LOD | <LOD | <LOD | <LOD |
5 (2016–2017) | 347 | Table footnote F | — | <LOD | <LOD | <LOD | <LOD |
60–79 years | |||||||
1 (2007–2009) | 1080 | 2.4Table 13.1.12 footnote E (1.4–4.0) |
— | <LOD | <LOD | <LOD | <LOD |
2 (2009–2011) | 290 | Table footnote F | — | <LOD | <LOD | <LOD | <LOD |
5 (2016–2017) | 350 | 6.1Table 13.1.12 footnote E (3.4–10.6) |
— | <LOD | <LOD | <LOD | 0.071 (<LOD–0.092) |
CI: confidence interval; GM: geometric mean; LOD: limit of detection Note: The LODs for cycles 1, 2, and 5 are 0.06, 0.3, and 0.067 μg/L, respectively. |
Cycle | n | Detection Frequency (95% CI) |
GMTable 13.1.13 footnote a (95% CI) |
10th (95% CI) |
50th (95% CI) |
90th (95% CI) |
95th (95% CI) |
---|---|---|---|---|---|---|---|
Total, 3–79 years | |||||||
1 (2007–2009)Table 13.1.13 footnote b | — | — | — | — | — | — | — |
2 (2009–2011) | 2547 | 3.4Table 13.1.13 footnote E (1.8–6.4) |
— | <LOD | <LOD | <LOD | <LOD |
5 (2016–2017) | 2616 | 5.8Table 13.1.13 footnote E (3.7–9.0) |
— | <LOD | <LOD | <LOD | 0.13 (<LOD–0.16) |
Males, 3–79 years | |||||||
1 (2007–2009)Table 13.1.13 footnote b | — | — | — | — | — | — | — |
2 (2009–2011) | 1275 | Table footnote F | — | <LOD | <LOD | <LOD | <LOD |
5 (2016–2017) | 1302 | 5.9Table 13.1.13 footnote E (3.0–11.4) |
— | <LOD | <LOD | <LOD | 0.12 (<LOD–0.15) |
Females, 3–79 years | |||||||
1 (2007–2009)Table 13.1.13 footnote b | — | — | — | — | — | — | — |
2 (2009–2011) | 1272 | Table footnote F | — | <LOD | <LOD | <LOD | <LOD |
5 (2016–2017) | 1314 | 5.7 (3.9–8.1) |
— | <LOD | <LOD | <LOD | 0.15 (<LOD–0.17) |
3–5 years | |||||||
1 (2007–2009)Table 13.1.13 footnote b | — | — | — | — | — | — | — |
2 (2009–2011) | 523 | 1.0Table 13.1.13 footnote E (0.5–1.9) |
— | <LOD | <LOD | <LOD | <LOD |
5 (2016–2017) | 538 | Table footnote F | — | <LOD | <LOD | <LOD | 0.20 (<LOD–0.25) |
6–11 years | |||||||
1 (2007–2009) | 1026 | 3.3Table 13.1.13 footnote E (2.1–5.2) |
— | <LOD | <LOD | <LOD | <LOD |
2 (2009–2011) | 514 | Table footnote F | — | <LOD | <LOD | <LOD | <LOD |
5 (2016–2017) | 505 | 7.1Table 13.1.13 footnote E (4.8–10.4) |
— | <LOD | <LOD | <LOD | 0.13Table 13.1.13 footnote E (<LOD–0.18) |
12–19 years | |||||||
1 (2007–2009) | 978 | 4.0Table 13.1.13 footnote E (2.8–5.8) |
— | <LOD | <LOD | <LOD | <LOD |
2 (2009–2011) | 509 | Table footnote F | — | <LOD | <LOD | <LOD | <LOD |
5 (2016–2017) | 520 | 9.7Table 13.1.13 footnote E (5.2–17.3) |
— | <LOD | <LOD | <LOD | 0.13 (<LOD–0.17) |
20–39 years | |||||||
1 (2007–2009) | 1159 | 2.4 (1.8–3.3) |
— | <LOD | <LOD | <LOD | <LOD |
2 (2009–2011) | 354 | Table footnote F | — | <LOD | <LOD | <LOD | <LOD |
5 (2016–2017) | 358 | 5.6Table 13.1.13 footnote E (2.8–11.0) |
— | <LOD | <LOD | <LOD | 0.14Table 13.1.13 footnote E (<LOD–0.19) |
40–59 years | |||||||
1 (2007–2009) | 1218 | 2.3Table 13.1.13 footnote E (1.1–4.4) |
— | <LOD | <LOD | <LOD | <LOD |
2 (2009–2011) | 358 | Table footnote F | — | <LOD | <LOD | <LOD | <LOD |
5 (2016–2017) | 346 | Table footnote F | — | <LOD | <LOD | <LOD | <LOD |
60–79 years | |||||||
1 (2007–2009) | 1080 | 2.4Table 13.1.13 footnote E (1.4–4.0) |
— | <LOD | <LOD | <LOD | <LOD |
2 (2009–2011) | 289 | Table footnote F | — | <LOD | <LOD | <LOD | <LOD |
5 (2016–2017) | 349 | 6.1Table 13.1.13 footnote E (3.4–10.6) |
— | <LOD | <LOD | <LOD | 0.15 (<LOD–0.18) |
CI: confidence interval; GM: geometric mean; LOD: limit of detection |
Cycle | n | Detection Frequency (95% CI) |
GMTable 13.1.14 footnote a (95% CI) |
10th (95% CI) |
50th (95% CI) |
90th (95% CI) |
95th (95% CI) |
---|---|---|---|---|---|---|---|
Total, 3–79 years | |||||||
3 (2012–2013) | 2439 | 96.8 (94.6–98.1) |
1.0 (0.87–1.2) |
0.29 (0.23–0.35) |
0.99 (0.84–1.1) |
3.3 (2.8–3.7) |
4.3 (2.7–5.9) |
4 (2014–2015) | 2422 | 98.4 (97.0–99.1) |
1.4 (1.2–1.5) |
0.37 (0.30–0.44) |
1.3 (1.1–1.4) |
5.7 (4.4–7.0) |
9.3 (6.5–12) |
Males, 3–79 years | |||||||
3 (2012–2013) | 1215 | 96.7 (93.1–98.4) |
1.0 (0.86–1.3) |
0.32 (0.22–0.43) |
1.0 (0.85–1.2) |
3.3 (2.2–4.4) |
Table footnote F |
4 (2014–2015) | 1209 | 98.3 (96.5–99.1) |
1.5 (1.3–1.8) |
0.47 (0.31–0.63) |
1.4 (1.3–1.6) |
6.4Table 13.1.14 footnote E (4.0–8.8) |
9.9Table 13.1.14 footnote E (5.0–15) |
Females, 3–79 years | |||||||
3 (2012–2013) | 1224 | 96.9 (94.0–98.5) |
0.97 (0.85–1.1) |
0.25Table 13.1.14 footnote E (0.16–0.34) |
0.96 (0.82–1.1) |
3.2 (2.2–4.2) |
5.6 (4.1–7.2) |
4 (2014–2015) | 1213 | 98.5 (96.0–99.4) |
1.2 (1.0–1.4) |
0.31 (0.23–0.40) |
1.1 (0.94–1.3) |
5.2 (3.7–6.7) |
7.8 (5.3–10) |
3–5 years | |||||||
3 (2012–2013) | 470 | 97.2 (93.9–98.7) |
1.0 (0.90–1.2) |
0.30Table 13.1.14 footnote E (0.15–0.45) |
0.99 (0.87–1.1) |
3.3 (2.6–4.0) |
4.8 (3.4–6.2) |
4 (2014–2015) | 479 | 99.0 (97.5–99.6) |
1.3 (1.1–1.5) |
0.39 (0.28–0.49) |
1.1 (0.81–1.4) |
4.4 (3.4–5.4) |
7.3Table 13.1.14 footnote E (4.5–10) |
6–11 years | |||||||
3 (2012–2013) | 483 | 97.2 (92.4–99.0) |
1.0 (0.84–1.3) |
0.27Table 13.1.14 footnote E (0.13–0.41) |
1.1 (0.93–1.2) |
3.6 (2.3–4.9) |
4.9 (3.5–6.3) |
4 (2014–2015) | 489 | 99.7 (98.4–99.9) |
1.6 (1.3–2.1) |
0.45 (0.36–0.53) |
1.4 (1.0–1.8) |
6.3 (4.3–8.4) |
Table footnote F |
12–19 years | |||||||
3 (2012–2013) | 498 | 97.7 (92.5–99.3) |
1.0 (0.82–1.2) |
0.31Table 13.1.14 footnote E (<LOD–0.50) |
0.98 (0.76–1.2) |
3.1 (2.6–3.6) |
4.3 (3.0–5.6) |
4 (2014–2015) | 478 | 100 | 1.5 (1.3–1.7) |
0.35Table 13.1.14 footnote E (0.19–0.50) |
1.2 (0.99–1.5) |
7.0 (4.4–9.6) |
11Table 13.1.14 footnote E (6.3–15) |
20–39 years | |||||||
3 (2012–2013) | 344 | 98.1 (92.3–99.6) |
1.0 (0.77–1.4) |
0.27Table 13.1.14 footnote E (0.15–0.39) |
0.95 (0.70–1.2) |
Table footnote F | Table footnote F |
4 (2014–2015) | 336 | 99.2 (95.5–99.9) |
1.3 (1.1–1.5) |
0.36 (0.26–0.45) |
1.2 (1.0–1.5) |
6.0 (4.4–7.6) |
8.4 (5.9–11) |
40–59 years | |||||||
3 (2012–2013) | 303 | 95.9 (89.9–98.4) |
0.98 (0.80–1.2) |
0.29Table 13.1.14 footnote E (0.17–0.41) |
0.92 (0.70–1.1) |
3.5 (2.5–4.4) |
5.9Table 13.1.14 footnote E (2.9–9.0) |
4 (2014–2015) | 299 | 96.9 (90.6–99.0) |
1.3 (1.1–1.7) |
0.39Table 13.1.14 footnote E (0.19–0.59) |
1.3 (1.0–1.6) |
5.0Table 13.1.14 footnote E (2.5–7.5) |
Table footnote F |
60–79 years | |||||||
3 (2012–2013) | 341 | 96.1 (87.5–98.9) |
1.0 (0.86–1.2) |
0.32Table 13.1.14 footnote E (0.19–0.46) |
1.1 (0.91–1.3) |
2.9 (2.3–3.5) |
4.4 (2.8–6.0) |
4 (2014–2015) | 341 | 98.0 (95.9–99.0) |
1.4 (1.2–1.7) |
0.35 (0.22–0.48) |
1.2 (1.0–1.5) |
6.0Table 13.1.14 footnote E (3.5–8.5) |
9.7Table 13.1.14 footnote E (3.8–16) |
CI: confidence interval; GM: geometric mean; LOD: limit of detection Note: The LOD for cycles 3 and 4 is 0.13 μg/L. |
Cycle | n | Detection Frequency (95% CI) |
GMTable 13.1.15 footnote a (95% CI) |
10th (95% CI) |
50th (95% CI) |
90th (95% CI) |
95th (95% CI) |
---|---|---|---|---|---|---|---|
Total, 3–79 years | |||||||
3 (2012–2013) | 2438 | 96.8 (94.6–98.1) |
1.0 (0.90–1.2) |
0.37 (0.32–0.42) |
0.96 (0.87–1.1) |
3.1 (2.6–3.7) |
4.3 (2.7–5.9) |
4 (2014–2015) | 2421 | 98.4 (97.0–99.1) |
1.2 (1.1–1.4) |
0.40 (0.32–0.49) |
1.0 (0.92–1.1) |
4.1 (3.4–4.8) |
8.0Table 13.1.15 footnote E (4.9–11) |
Males, 3–79 years | |||||||
3 (2012–2013) | 1215 | 96.7 (93.1–98.4) |
0.87 (0.73–1.0) |
0.34 (0.27–0.42) |
0.83 (0.71–0.95) |
2.6 (1.8–3.4) |
Table footnote F |
4 (2014–2015) | 1208 | 98.3 (96.5–99.1) |
1.2 (1.0–1.4) |
0.38 (0.26–0.50) |
1.0 (0.91–1.1) |
4.3 (3.3–5.3) |
9.4Table 13.1.15 footnote E (4.3–15) |
Females, 3–79 years | |||||||
3 (2012–2013) | 1223 | 96.9 (94.0–98.5) |
1.2 (1.1–1.3) |
0.47 (0.40–0.55) |
1.1 (0.99–1.2) |
3.5 (2.9–4.1) |
4.9 (3.3–6.6) |
4 (2014–2015) | 1213 | 98.5 (96.0–99.4) |
1.2 (1.1–1.5) |
0.42 (0.34–0.50) |
1.0 (0.84–1.2) |
3.8 (2.7–4.9) |
6.9Table 13.1.15 footnote E (3.5–10) |
3–5 years | |||||||
3 (2012–2013) | 469 | 97.2 (93.9–98.7) |
2.0 (1.8–2.2) |
0.81 (0.71–0.90) |
1.8 (1.5–2.1) |
5.1 (4.2–6.0) |
7.4 (5.1–9.7) |
4 (2014–2015) | 479 | 99.0 (97.5–99.6) |
2.2 (1.9–2.5) |
0.87 (0.72–1.0) |
1.9 (1.4–2.3) |
6.8 (5.4–8.2) |
10 (6.8–13) |
6–11 years | |||||||
3 (2012–2013) | 483 | 97.2 (92.4–99.0) |
1.3 (1.1–1.6) |
0.51 (0.43–0.59) |
1.1 (0.89–1.3) |
3.8Table 13.1.15 footnote E (2.3–5.2) |
6.0 (3.8–8.2) |
4 (2014–2015) | 488 | 99.7 (98.4–99.9) |
1.8 (1.4–2.2) |
0.58 (0.46–0.70) |
1.5 (1.0–1.9) |
5.5Table 13.1.15 footnote E (3.2–7.7) |
Table footnote F |
12–19 years | |||||||
3 (2012–2013) | 498 | 97.7 (92.5–99.3) |
0.74 (0.64–0.85) |
0.31 (<LOD–0.37) |
0.70 (0.61–0.79) |
1.9 (1.4–2.3) |
2.9Table 13.1.15 footnote E (1.4–4.4) |
4 (2014–2015) | 478 | 100 | 1.0 (0.93–1.2) |
0.34 (0.27–0.42) |
0.96 (0.84–1.1) |
4.3 (2.8–5.8) |
6.6Table 13.1.15 footnote E (3.2–9.9) |
20–39 years | |||||||
3 (2012–2013) | 344 | 98.1 (92.3–99.6) |
0.79 (0.62–1.0) |
0.33Table 13.1.15 footnote E (0.21–0.46) |
0.67 (0.46–0.88) |
Table footnote F | Table footnote F |
4 (2014–2015) | 336 | 99.2 (95.5–99.9) |
1.1 (0.87–1.3) |
0.37 (0.26–0.48) |
0.99 (0.73–1.3) |
3.3 (2.4–4.2) |
4.4 (3.3–5.6) |
40–59 years | |||||||
3 (2012–2013) | 303 | 95.9 (89.9–98.4) |
1.1 (0.96–1.4) |
0.39Table 13.1.15 footnote E (0.22–0.56) |
1.0 (0.91–1.2) |
3.5 (2.4–4.5) |
4.5Table 13.1.15 footnote E (1.8–7.2) |
4 (2014–2015) | 299 | 96.9 (90.6–99.0) |
1.2 (0.92–1.5) |
0.41Table 13.1.15 footnote E (0.26–0.57) |
0.96 (0.79–1.1) |
Table footnote F | 9.7Table 13.1.15 footnote E (<LOD–16) |
60–79 years | |||||||
3 (2012–2013) | 341 | 96.1 (87.5–98.9) |
1.1 (0.95–1.3) |
0.47 (0.36–0.58) |
1.1 (0.88–1.3) |
3.4 (2.5–4.3) |
4.1 (3.5–4.6) |
4 (2014–2015) | 341 | 98.0 (95.9–99.0) |
1.4 (1.2–1.6) |
0.44 (0.33–0.54) |
1.2 (0.96–1.4) |
4.5 (3.2–5.8) |
7.4Table 13.1.15 footnote E (3.7–11) |
CI: confidence interval; GM: geometric mean; LOD: limit of detection |
Cycle | n | Detection Frequency (95% CI) |
GMTable 13.1.16 footnote a (95% CI) |
10th (95% CI) |
50th (95% CI) |
90th (95% CI) |
95th (95% CI) |
---|---|---|---|---|---|---|---|
Total, 3–79 years | |||||||
3 (2012–2013) | 2475 | 18.8 (14.5–23.9) |
— | <LOD | <LOD | 0.56Table 13.1.16 footnote E (0.21–0.90) |
1.2Table 13.1.16 footnote E (0.70–1.6) |
4 (2014–2015) | 2519 | 16.4 (12.5–21.2) |
— | <LOD | <LOD | 0.46Table 13.1.16 footnote E (0.23–0.69) |
0.95Table 13.1.16 footnote E (0.46–1.4) |
Males, 3–79 years | |||||||
3 (2012–2013) | 1227 | 15.8Table 13.1.16 footnote E (10.3–23.5) |
— | <LOD | <LOD | Table footnote F | 1.3Table 13.1.16 footnote E (0.63–2.0) |
4 (2014–2015) | 1257 | 15.2 (12.4–18.6) |
— | <LOD | <LOD | 0.31Table 13.1.16 footnote E (<LOD–0.47) |
Table footnote F |
Females, 3–79 years | |||||||
3 (2012–2013) | 1248 | 21.7 (15.7–29.2) |
— | <LOD | <LOD | Table footnote F | 1.1Table 13.1.16 footnote E (0.37–1.9) |
4 (2014–2015) | 1262 | 17.6Table 13.1.16 footnote E (11.8–25.5) |
— | <LOD | <LOD | 0.68Table 13.1.16 footnote E (0.25–1.1) |
1.3Table 13.1.16 footnote E (0.58–2.0) |
3–5 years | |||||||
3 (2012–2013) | 490 | 15.1Table 13.1.16 footnote E (10.0–22.4) |
— | <LOD | <LOD | 0.46Table 13.1.16 footnote E (<LOD–0.77) |
Table footnote F |
4 (2014–2015) | 499 | 19.6 (14.5–26.0) |
— | <LOD | <LOD | 0.70 (0.44–0.95) |
1.8Table 13.1.16 footnote E (0.62–3.0) |
6–11 years | |||||||
3 (2012–2013) | 497 | 17.9Table 13.1.16 footnote E (11.9–25.9) |
— | <LOD | <LOD | 0.68Table 13.1.16 footnote E (0.26–1.1) |
1.4Table 13.1.16 footnote E (0.58–2.3) |
4 (2014–2015) | 510 | 26.8 (20.5–34.2) |
— | <LOD | <LOD | Table footnote F | Table footnote F |
12–19 years | |||||||
3 (2012–2013) | 499 | 15.6Table 13.1.16 footnote E (9.0–25.9) |
— | <LOD | <LOD | 0.34Table 13.1.16 footnote E (<LOD–0.54) |
0.68Table 13.1.16 footnote E (<LOD–1.2) |
4 (2014–2015) | 501 | 13.9 (9.8–19.4) |
— | <LOD | <LOD | 0.31Table 13.1.16 footnote E (<LOD–0.53) |
0.89 (0.62–1.2) |
20–39 years | |||||||
3 (2012–2013) | 345 | 15.5Table 13.1.16 footnote E (8.8–25.9) |
— | <LOD | <LOD | Table footnote F | Table footnote F |
4 (2014–2015) | 357 | 12.7Table 13.1.16 footnote E (8.0–19.5) |
— | <LOD | <LOD | Table footnote F | 0.78Table 13.1.16 footnote E (0.23–1.3) |
40–59 years | |||||||
3 (2012–2013) | 304 | 26.3Table 13.1.16 footnote E (16.8–38.6) |
— | <LOD | <LOD | Table footnote F | 1.0Table 13.1.16 footnote E (0.33–1.7) |
4 (2014–2015) | 302 | 18.3Table 13.1.16 footnote E (11.1–28.7) |
— | <LOD | <LOD | Table footnote F | Table footnote F |
60–79 years | |||||||
3 (2012–2013) | 340 | 12.6Table 13.1.16 footnote E (7.8–19.6) |
— | <LOD | <LOD | 0.33Table 13.1.16 footnote E (<LOD–0.51) |
Table footnote F |
4 (2014–2015) | 350 | 16.2 (11.6–22.2) |
— | <LOD | <LOD | Table footnote F | 1.4Table 13.1.16 footnote E (0.52–2.3) |
CI: confidence interval; GM: geometric mean; LOD: limit of detection Note: The LOD for cycles 3 and 4 is 0.19 μg/L. |
Cycle | n | Detection Frequency (95% CI) |
GMTable 13.1.17 footnote a (95% CI) |
10th (95% CI) |
50th (95% CI) |
90th (95% CI) |
95th (95% CI) |
---|---|---|---|---|---|---|---|
Total, 3–79 years | |||||||
3 (2012–2013) | 2474 | 18.8 (14.5–23.9) |
— | <LOD | <LOD | 0.64 (0.46–0.82) |
0.99 (0.78–1.2) |
4 (2014–2015) | 2518 | 16.4 (12.5–21.2) |
— | <LOD | <LOD | 0.42 (0.37–0.48) |
0.95Table 13.1.17 footnote E (0.40–1.5) |
Males, 3–79 years | |||||||
3 (2012–2013) | 1227 | 15.8Table 13.1.17 footnote E (10.3–23.5) |
— | <LOD | <LOD | 0.43 (<LOD–0.57) |
0.80Table 13.1.17 footnote E (0.30–1.3) |
4 (2014–2015) | 1256 | 15.2 (12.4–18.6) |
— | <LOD | <LOD | 0.35 (<LOD–0.45) |
Table footnote F |
Females, 3–79 years | |||||||
3 (2012–2013) | 1247 | 21.7 (15.7–29.2) |
— | <LOD | <LOD | 0.86 (<LOD–1.1) |
1.0 (0.67–1.4) |
4 (2014–2015) | 1262 | 17.6Table 13.1.17 footnote E (11.8–25.5) |
— | <LOD | <LOD | 0.46 (0.31–0.61) |
Table footnote F |
3–5 years | |||||||
3 (2012–2013) | 489 | 15.1Table 13.1.17 footnote E (10.0–22.4) |
— | <LOD | <LOD | 0.98 (<LOD–1.3) |
Table footnote F |
4 (2014–2015) | 499 | 19.6 (14.5–26.0) |
— | <LOD | <LOD | 1.1Table 13.1.17 footnote E (0.68–1.5) |
Table footnote F |
6–11 years | |||||||
3 (2012–2013) | 497 | 17.9Table 13.1.17 footnote E (11.9–25.9) |
— | <LOD | <LOD | 0.88Table 13.1.17 footnote E (0.48–1.3) |
1.5Table 13.1.17 footnote E (0.81–2.2) |
4 (2014–2015) | 509 | 26.8 (20.5–34.2) |
— | <LOD | <LOD | Table footnote F | 2.1Table 13.1.17 footnote E (0.87–3.2) |
12–19 years | |||||||
3 (2012–2013) | 499 | 15.6Table 13.1.17 footnote E (9.0–25.9) |
— | <LOD | <LOD | 0.34Table 13.1.17 footnote E (<LOD–0.51) |
Table footnote F |
4 (2014–2015) | 501 | 13.9 (9.8–19.4) |
— | <LOD | <LOD | 0.32 (<LOD–0.42) |
0.48 (0.31–0.65) |
20–39 years | |||||||
3 (2012–2013) | 345 | 15.5Table 13.1.17 footnote E (8.8–25.9) |
— | <LOD | <LOD | 0.60Table 13.1.17 footnote E (0.19–1.0) |
Table footnote F |
4 (2014–2015) | 357 | 12.7Table 13.1.17 footnote E (8.0–19.5) |
— | <LOD | <LOD | 0.32 (<LOD–0.42) |
0.50Table 13.1.17 footnote E (0.19–0.80) |
40–59 years | |||||||
3 (2012–2013) | 304 | 26.3Table 13.1.17 footnote E (16.8–38.6) |
— | <LOD | <LOD | 0.73Table 13.1.17 footnote E (<LOD–1.1) |
0.97 (0.73–1.2) |
4 (2014–2015) | 302 | 18.3Table 13.1.17 footnote E (11.1–28.7) |
— | <LOD | <LOD | 0.42Table 13.1.17 footnote E (<LOD–0.64) |
Table footnote F |
60–79 years | |||||||
3 (2012–2013) | 340 | 12.6Table 13.1.17 footnote E (7.8–19.6) |
— | <LOD | <LOD | 0.55Table 13.1.17 footnote E (<LOD–0.84) |
0.89Table 13.1.17 footnote E (0.51–1.3) |
4 (2014–2015) | 350 | 16.2 (11.6–22.2) |
— | <LOD | <LOD | Table footnote F | 1.7Table 13.1.17 footnote E (0.82–2.6) |
CI: confidence interval; GM: geometric mean; LOD: limit of detection |
Cycle | n | Detection Frequency (95% CI) |
GMTable 13.1.18 footnote a (95% CI) |
10th (95% CI) |
50th (95% CI) |
90th (95% CI) |
95th (95% CI) |
---|---|---|---|---|---|---|---|
Total, 3–79 years | |||||||
3 (2012–2013) | 2384 | 16.7 (11.9–23.0) |
— | <LOD | <LOD | 0.054Table 13.1.18 footnote E (0.022–0.085) |
0.12Table 13.1.18 footnote E (0.033–0.20) |
Males, 3–79 years | |||||||
3 (2012–2013) | 1180 | 16.9Table 13.1.18 footnote E (11.2–24.8) |
— | <LOD | <LOD | Table footnote F | 0.22Table 13.1.18 footnote E (0.070–0.38) |
Females, 3–79 years | |||||||
3 (2012–2013) | 1204 | 16.5Table 13.1.18 footnote E (10.8–24.2) |
— | <LOD | <LOD | 0.041Table 13.1.18 footnote E (<LOD–0.067) |
0.10Table 13.1.18 footnote E (0.060–0.14) |
3–5 years | |||||||
3 (2012–2013) | 465 | 15.8Table 13.1.18 footnote E (10.7–22.8) |
— | <LOD | <LOD | 0.036Table 13.1.18 footnote E (<LOD–0.060) |
Table footnote F |
6–11 years | |||||||
3 (2012–2013) | 477 | 18.1 (12.8–25.1) |
— | <LOD | <LOD | 0.051Table 13.1.18 footnote E (0.020–0.082) |
0.12Table 13.1.18 footnote E (0.044–0.20) |
12–19 years | |||||||
3 (2012–2013) | 474 | 15.0 (10.4–21.3) |
— | <LOD | <LOD | Table footnote F | 0.098Table 13.1.18 footnote E (0.041–0.15) |
20–39 years | |||||||
3 (2012–2013) | 336 | 17.9Table 13.1.18 footnote E (10.8–28.1) |
— | <LOD | <LOD | Table footnote F | Table footnote F |
40–59 years | |||||||
3 (2012–2013) | 297 | Table footnote F | — | <LOD | <LOD | Table footnote F | 0.097Table 13.1.18 footnote E (0.032–0.16) |
60–79 years | |||||||
3 (2012–2013) | 335 | 17.7Table 13.1.18 footnote E (11.9–25.4) |
— | <LOD | <LOD | 0.052Table 13.1.18 footnote E (0.023–0.082) |
Table footnote F |
CI: confidence interval; GM: geometric mean; LOD: limit of detection Note: The LOD for cycle 3 is 0.018 μg/L. |
Cycle | n | Detection Frequency (95% CI) |
GMTable 13.1.19 footnote a (95% CI) |
10th (95% CI) |
50th (95% CI) |
90th (95% CI) |
95th (95% CI) |
---|---|---|---|---|---|---|---|
Total, 3–79 years | |||||||
3 (2012–2013) | 2383 | 16.7 (11.9–23.0)Table footnote E |
— | <LOD | <LOD | 0.057Table footnote E (0.033–0.081) |
0.13ETable footnote E (0.047–0.21) |
Males, 3–79 years | |||||||
3 (2012–2013) | 1180 | 16.9Table footnote E
(11.2–24.8) |
— | <LOD | <LOD | 0.052Table footnote E
(<LOD–0.087) |
0.16Table footnote E
(0.045–0.27) |
Females, 3–79 years | |||||||
3 (2012–2013) | 1203 | 16.5Table footnote E
(10.8–24.2) |
— | <LOD | <LOD | 0.061Table footnote E
(<LOD–0.094) |
0.12Table footnote E
(0.035–0.21) |
3–5 years | |||||||
3 (2012–2013) | 464 | 15.8Table footnote E
(10.7–22.8) |
— | <LOD | <LOD | 0.096
(<LOD–0.13) |
Table footnote F |
6–11 years | |||||||
3 (2012–2013) | 477 | 18.1
(12.8–25.1) |
— | <LOD | <LOD | 0.067Table footnote E
(0.033–0.10) |
Table footnote F |
12–19 years | |||||||
3 (2012–2013) | 474 | 15.0
(10.4–21.3) |
— | <LOD | <LOD | Table footnote F | 0.071Table footnote E
(0.035–0.11) |
20–39 years | |||||||
3 (2012–2013) | 336 | 17.9Table footnote E | — | <LOD | <LOD | Table footnote F | Table footnote F |
40–59 years | |||||||
3 (2012–2013) | 297 | Table footnote F | — | <LOD | <LOD | 0.044Table footnote E | Table footnote F |
60–79 years | |||||||
3 (2012–2013) | 335 | 17.7Table footnote E
(11.9–25.4) |
— | <LOD | <LOD | Table footnote F | 0.13Table footnote E
(<LOD–0.20) |
CI: confidence interval; GM: geometric mean; LOD: limit of detection |
Cycle | n | Detection Frequency (95% CI) |
GMTable 13.1.20 footnote a (95% CI) |
10th (95% CI) |
50th (95% CI) |
90th (95% CI) |
95th (95% CI) |
---|---|---|---|---|---|---|---|
Total, 3–79 years | |||||||
3 (2012–2013) | 2384 | Table footnote F | — | <LOD | <LOD | <LOD | <LOD |
Males, 3–79 years | |||||||
3 (2012–2013) | 1180 | Table footnote F | — | <LOD | <LOD | <LOD | <LOD |
Females, 3–79 years | |||||||
3 (2012–2013) | 1204 | Table footnote F | — | <LOD | <LOD | <LOD | <LOD |
3–5 years | |||||||
3 (2012–2013) | 465 | Table footnote F | — | <LOD | <LOD | <LOD | <LOD |
6–11 years | |||||||
3 (2012–2013) | 477 | Table footnote F | — | <LOD | <LOD | <LOD | <LOD |
12–19 years | |||||||
3 (2012–2013) | 474 | Table footnote F | — | <LOD | <LOD | <LOD | <LOD |
20–39 years | |||||||
3 (2012–2013) | 336 | Table footnote F | — | <LOD | <LOD | <LOD | <LOD |
40–59 years | |||||||
3 (2012–2013) | 297 | Table footnote F | — | <LOD | <LOD | <LOD | <LOD |
60–79 years | |||||||
3 (2012–2013) | 335 | Table footnote F | — | <LOD | <LOD | <LOD | <LOD |
CI: confidence interval; GM: geometric mean; LOD: limit of detection Note: The LOD for cycle 3 is 0.028 μg/L. |
Cycle | n | Detection Frequency (95% CI) |
GMTable 13.1.21 footnote a (95% CI) |
10th (95% CI) |
50th (95% CI) |
90th (95% CI) |
95th (95% CI) |
---|---|---|---|---|---|---|---|
Total, 3–79 years | |||||||
3 (2012–2013) | 2383 | Table footnote F | — | <LOD | <LOD | <LOD | <LOD |
Males, 3–79 years | |||||||
3 (2012–2013) | 1180 | Table footnote F | — | <LOD | <LOD | <LOD | <LOD |
Females, 3–79 years | |||||||
3 (2012–2013) | 1203 | Table footnote F | — | <LOD | <LOD | <LOD | <LOD |
3–5 years | |||||||
3 (2012–2013) | 464 | Table footnote F | — | <LOD | <LOD | <LOD | <LOD |
6–11 years | |||||||
3 (2012–2013) | 477 | Table footnote F | — | <LOD | <LOD | <LOD | <LOD |
12–19 years | |||||||
3 (2012–2013) | 474 | Table footnote F | — | <LOD | <LOD | <LOD | <LOD |
20–39 years | |||||||
3 (2012–2013) | 336 | Table footnote F | — | <LOD | <LOD | <LOD | <LOD |
40–59 years | |||||||
3 (2012–2013) | 297 | Table footnote F | — | <LOD | <LOD | <LOD | <LOD |
60–79 years | |||||||
3 (2012–2013) | 335 | Table footnote F | — | <LOD | <LOD | <LOD | <LOD |
CI: confidence interval; GM: geometric mean; LOD: limit of detection |
References
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- Wessels, D., Barr, D., and Mendola, P. (2003). Use of biomarkers to indicate exposure to children to organophosphate pesticides: Implication for a longitudinal study of children's environmental health. Environmental Health Perspectives, 111 (16), 1939–1946.
13.2 Pyrethroids
Pyrethrins are naturally occurring compounds found in certain chrysanthemum flowers (ATSDR, 2003). They have been used for their insecticidal properties since the early 1800s in Asia to control ticks and various insects, such as fleas and mosquitoes (ATSDR, 2003). Pyrethroids are synthetic versions of pyrethrins that have been structurally altered to improve their efficacy as pesticides by increasing their stability in the environment and their toxicity (ATSDR, 2003; EPA, 2017). Many commercial pyrethroid pesticides are currently registered for use in Canada. Table 13.2.1 lists the pesticides that are the parent compounds of the metabolites measured in cycle 5 of the Canadian Health Measures Survey (CHMS) (Health Canada, 2019). Other pyrethroid insecticides, such as tetramethrin and bifenthrin, are registered in Canada but are not included in the table, as they do not form the metabolites analyzed in the current cycle.
Pyrethroids enter the environment primarily because of their use as pesticides; however, they break down rapidly and, as a result, only trace amounts of the chemicals are typically found in air, water, soil, and food (ATSDR, 2003). Pyrethroids degrade to carboxylic and phenoxybenzoic metabolites in the environment; these metabolites have been measured in dust collected from homes and daycare centres (Starr et al., 2008). Pyrethroids bind strongly to soil particles, and thus they usually do not leach into the groundwater but rather remain in the soil (ATSDR, 2003).
Pyrethroid pesticides are used in Canada for insect control on agricultural crops and on turf; in orchards, nurseries, and greenhouses; as a general indoor and outdoor residential insecticide for controlling crawling and flying insect pests; for controlling adult mosquitoes around buildings; in cattle ear tags; for controlling mites in bee colonies; and for flea and tick control on pets (Health Canada, 2004; Health Canada, 2019). In malaria-endemic zones, pyrethroids are used to impregnate mosquito nets and clothing to prevent malaria (Health Canada, 2004). The use of pyrethrins and pyrethroids has increased during the past decade with the declining use of organophosphate pesticides, which are more acutely toxic to birds and mammals (EPA, 2017).
Permethrin is the most widely used pyrethroid pesticide in Canada, and is found in more than 350 registered pesticide products (CCME, 2006; Health Canada, 2019). It is used for a variety of agricultural, livestock, forestry, and residential insect control applications. In addition to pesticide uses, permethrin is used in medications to treat scabies (Health Canada, 2013). Cyfluthrin and beta-cyfluthrin are used as agricultural and surface insecticides to control crawling and flying insect pests (Health Canada, 2019). Cypermethrin has agricultural, forestry, livestock, and non-crop industrial uses (Health Canada, 2018c). Lambda-cyhalothrin is used for a variety of agricultural, turf, livestock, and structural purposes (Health Canada, 2017a). Deltamethrin is used in several agricultural applications, on turf, and in greenhouses; it is also used to treat sleeping areas and clothing in malaria-affected countries (Health Canada, 2004; Health Canada, 2009). D-phenothrin is used primarily in residential settings, whereas fluvalinate-tau is used to control mites in bee colonies (Health Canada, 2009).
The primary routes of exposure for the general population are through the use of products that contain pyrethroids, such as household insecticides and pet sprays, and through the ingestion of pyrethroid residues in food (EPA, 2009a).
Pyrethroid pesticides are rapidly metabolized and eliminated from the body through hydrolysis, oxidation, and conjugation. Following oral ingestion, inhalation, or dermal exposure, pyrethroids are metabolized into carboxylic and phenoxybenzoic acids and excreted in urine. Pyrethroids and metabolites can be measured in blood and urine, and are reflective of recent exposure to the parent compound or the metabolite (as an environmental degradate) in the environment (ATSDR, 2003; CDC, 2009; Kuhn et al., 1999; Starr et al., 2008). Urinary metabolites of pyrethroids can be specific to one pyrethroid or common to several pyrethroids. Table 13.2.1 outlines the pyrethroid metabolites measured as part of this survey and their corresponding parent compounds that are registered for use in Canada.
Pyrethroid pesticide (CASRN) | Metabolite (CASRN) |
---|---|
Cypermethrin (52315-07-8) Deltamethrin (52918-63-5) Permethrin (52645-53-1) lambda-Cyhalothrin (91465-08-6) D-Phenothrin (26046-85-5) Fluvalinate-tau (102851-06-9) |
3-PBA: 3-phenoxybenzoic acid (3739-38-6) |
Cyfluthrin (68359-37-5) Flumethrin (69770-45-2) |
4-F-3-PBA: 4-fluoro-3-phenoxybenzoic acid (77279-89-1) |
Deltamethrin (52918-63-5) | cis-DBCA: cis-3-(2,2-dibromovinyl)-2,2-dimethylcyclopropane-1-carboxylic acid (63597-73-9) |
Cyfluthrin (68359-37-5) Permethrin (52645-53-1) Cypermethrin (52315-07-8) |
cis-DCCA: cis-3-(2,2-dichlorovinyl)-2,2-dimethylcyclopropane carboxylic acid (55701-05-8) |
Cyfluthrin (68359-37-5) Permethrin (52645-53-1) Cypermethrin (52315-07-8) |
trans-DCCA: trans-3-(2,2-dichlorovinyl)-2,2-dimethylcyclopropane carboxylic acid (55701-03-6) |
(Barr and Needham, 2002; CDC, 2009; Fortin et al., 2008; Starr et al., 2008) |
Pyrethroids, much like the naturally occurring pyrethrins, primarily affect the nervous systems of insects and mammals (Davies et al., 2007). They act on the axons in the peripheral and central nervous systems by prolonging the opening time of small conductance sodium channels, leading to membrane depolarizations and excess excitability. This action causes paralysis in target insect pests, eventually resulting in death. Pyrethroids are more than 2,000 times more toxic to insects than mammals because insects have higher sodium channel sensitivity, smaller body sizes, and lower body temperatures (Bradberry et al., 2005). Mammals are also able to quickly metabolize pyrethroids into their inactive forms and eliminate them (Health Canada, 2009).
Adverse effects can include dizziness, nausea, headaches, tremor, salivation, involuntary movements and seizures; very high exposures may result in unconsciousness (ATSDR, 2003; CDC, 2005). There is evidence for neurobehavioural effects, such as decreased motor activity, in laboratory animals following oral exposure to pyrethroid pesticides (Wolansky and Harrill, 2008). However, there remains a general lack of evidence concerning long-term exposures to low levels of pyrethroids and neurological and reproductive effects in mammals, which may be due to the rapid metabolism and elimination of these compounds from the body (ATSDR, 2003; Kolaczinski and Curtis, 2004; Saillenfait et al., 2015). Allergic reactions in humans have been reported following exposure to pyrethroids; however, the United States Environmental Protection Agency (EPA) found no clear and consistent pattern of effects reported to indicate conclusively whether there is an association between pyrethroid exposure and asthma and allergies (EPA, 2009b; Moretto, 1991; Salome et al., 2000; Vanden Driessche et al., 2010). The International Agency for Research on Cancer (IARC) has classified permethrin and deltamethrin as not classifiable as to its carcinogenicity to humans based on a lack of evidence (Group 3) (IARC, 1991).
The sale and use of pyrethroid pesticides is regulated in Canada by the Pest Management Regulatory Agency (PMRA) under the Pest Control Products Act (Canada, 2002). PMRA evaluates toxicity and potential exposure in order to determine whether a pesticide should be registered for a specific use. As part of this registration process, PMRA specifies maximum residue limits of pesticides in food. Maximum residue limits exist for several pyrethroid pesticides in food, including cyfluthrin, cypermethrin, deltamethrin, lambda-cyhalothrin, and permethrin (Health Canada, 2012). PMRA re-evaluates registered pesticides on a cyclical basis. As part of this process, Health Canada has completed the re-evaluation of deltamethrin, cyfluthrin, cypermethrin, and d-phenothrin, and determined that most uses do not present unacceptable risks to humans or the environment when used according to product label directions. As such, these products were granted continued registration (Health Canada, 2016; Health Canada 2018a; Health Canada 2018b; Health Canada 2018c). Health Canada has recently published proposed decisions for permethrin and lambda-cyhalothrin (Health Canada, 2017a; Health Canada, 2017b); final re-evaluation decisions for these chemicals will be published in 2019. Fluvalinate-tau is listed on PMRA's workplan for the prioritization and re-evaluation of pesticides extending to 2023 (Health Canada, 2018d).
Pyrethroid metabolites were measured in 89 children (6–12 years) and 81 adults (18–64 years) in the province of Québec in 2005 (Fortin et al., 2008). Metabolites were identified in urine collected for 12 hours from children and in urine collected for two consecutive 12-hour periods in adults. In children, the median and 95th percentile concentrations were <0.005 µg/L and 0.02 µg/L, respectively, for 4-F-3-PBA; <0.006 µg/L and 0.09 µg/L, respectively, for cis-DBCA; 0.10 µg/L and 0.76 µg/L, respectively, for cis-DCCA; 0.24 µg/L and 4.10 µg/L, respectively, for trans-DCCA; and 0.20 µg/L and 1.54 µg/L, respectively, for 3-PBA.
In adults, the median and 95th percentile concentrations were <0.005 µg/L and 0.03 µg/L, respectively, for 4-F-3-PBA; <0.006 µg/L and 0.14 µg/L, respectively, for cis-DBCA; 0.10 µg/L and 1.15 µg/L, respectively, for cis-DCCA; 0.25 µg/L and 3.48 µg/L, respectively, for trans-DCCA; and 0.17 µg/L and 4.23 µg/L, respectively, for 3-PBA (Fortin et al., 2008).
Ferland et al. (2015) reported geometric mean (GM) concentrations ranging between 0.038 and 0.605 µmol/mol creatinine for trans-DCCA and between 0.032 and 2.56 µmol/mol creatinine for 3-PBA over the course of a three-day sampling period in 12 workers on a corn production farm in Québec (92% male, mean age of 39 years). In a study of 26 agricultural workers in Québec exposed to cypermethrin (85% male, median age of 37 years, eight of whom provided two serial urinary measurements following different tasks), the GM concentrations of 3-PBA in urine during a three-day period ranged between 0.080 and 1.668 µmol/mol creatinine, while most of the samples for trans-DCCA were below the LOD (Ratelle et al., 2016).
Five pyrethroid metabolites (see Table 13.2.1) were measured in the urine of CHMS participants aged 6–79 years in cycle 1 (2007-2009) and aged 3–79 years in cycle 2 (2009-2011) and cycle 5 (2016–2017). Data from these cycles are presented as both µg/L and µg/g creatinine (Tables 13.2.2 to 13.2.11). Finding a measurable amount of pyrethroid metabolites in urine is an indicator of exposure to pyrethroid pesticides and does not necessarily mean that an adverse health effect will occur.
Cycle | n | Detection Frequency (95% CI) |
GMTable 13.2.2 footnote a (95% CI) |
10th (95% CI) |
50th (95% CI) |
90th (95% CI) |
95th (95% CI) |
---|---|---|---|---|---|---|---|
Total, 3–79 years | |||||||
1 (2007–2009)Table 13.2.2 footnote b | — | — | — | — | — | — | — |
2 (2009–2011) | 2516 | 100 | 0.43 (0.35–0.53) |
0.079 (0.066–0.091) |
0.36 (0.29–0.43) |
2.6Table 13.2.2 footnote E (1.6–3.6) |
5.9Table 13.2.2 footnote E (2.2–9.5) |
5 (2016–2017) | 2706 | 100 (99.9–100) |
0.53 (0.42–0.66) |
0.091 (0.065–0.12) |
0.46 (0.37–0.55) |
3.6Table 13.2.2 footnote E (1.7–5.4) |
9.7Table 13.2.2 footnote E (3.6–16) |
Males, 3–79 years | |||||||
1 (2007–2009)Table 13.2.2 footnote b | — | — | — | — | — | — | — |
2 (2009–2011) | 1256 | 100 | 0.37 (0.30–0.46) |
0.073 (0.053–0.092) |
0.33 (0.27–0.39) |
1.9Table 13.2.2 footnote E (0.85–3.0) |
Table footnote F |
5 (2016–2017) | 1348 | 100 (99.9–100) |
0.46 (0.37–0.56) |
0.074Table 13.2.2 footnote E (0.044–0.10) |
0.41 (0.30–0.52) |
2.6 (1.7–3.4) |
4.3Table 13.2.2 footnote E (2.5–6.1) |
Females, 3–79 years | |||||||
1 (2007–2009)Table 13.2.2 footnote b | — | — | — | — | — | — | — |
2 (2009–2011) | 1260 | 100 | 0.49 (0.37–0.64) |
0.084 (0.069–0.10) |
0.38 (0.27–0.48) |
3.9Table 13.2.2 footnote E (1.6–6.2) |
Table footnote F |
5 (2016–2017) | 1358 | 100 (99.7–100) |
0.62 (0.46–0.83) |
0.096 (0.082–0.11) |
0.49 (0.36–0.61) |
Table footnote F | 15Table 13.2.2 footnote E (6.1–24) |
3–5 years | |||||||
1 (2007–2009)Table 13.2.2 footnote b | — | — | — | — | — | — | — |
2 (2009–2011) | 522 | 99.9 (99.4–100) |
0.32 (0.23–0.45) |
0.078 (0.057–0.099) |
0.27 (0.21–0.33) |
Table footnote F | Table footnote F |
5 (2016–2017) | 551 | 100 | 0.40 (0.30–0.54) |
0.079Table 13.2.2 footnote E (0.047–0.11) |
0.33 (0.25–0.42) |
2.9Table 13.2.2 footnote E (0.80–5.1) |
6.3Table 13.2.2 footnote E (3.7–9.0) |
6–11 years | |||||||
1 (2007–2009) | 1025 | 99.3 (97.9–99.8) |
0.21 (0.16–0.28) |
0.047 (0.034–0.060) |
0.19 (0.14–0.24) |
1.1 (0.76–1.4) |
1.7Table 13.2.2 footnote E (0.51–2.9) |
2 (2009–2011) | 515 | 100 | 0.30 (0.25–0.35) |
0.079 (0.063–0.095) |
0.24 (0.19–0.30) |
1.2 (0.79–1.6) |
Table footnote F |
5 (2016–2017) | 534 | 100 | 0.47 (0.39–0.57) |
0.10 (0.082–0.12) |
0.38 (0.30–0.45) |
2.7Table 13.2.2 footnote E (1.4–4.0) |
Table footnote F |
12–19 years | |||||||
1 (2007–2009) | 977 | 99.8 (98.8–100) |
0.28 (0.21–0.38) |
0.059Table 13.2.2 footnote E (0.030–0.088) |
0.25 (0.18–0.32) |
2.0Table 13.2.2 footnote E (1.0–3.0) |
3.2Table 13.2.2 footnote E (2.0–4.5) |
2 (2009–2011) | 509 | 100 | 0.36 (0.29–0.45) |
0.096 (0.085–0.11) |
0.27 (0.20–0.35) |
2.3Table 13.2.2 footnote E (1.2–3.4) |
5.6Table 13.2.2 footnote E (2.8–8.3) |
5 (2016–2017) | 533 | 100 | 0.45 (0.34–0.60) |
0.094Table 13.2.2 footnote E (0.053–0.13) |
0.37 (0.28–0.47) |
3.0Table 13.2.2 footnote E (1.8–4.2) |
Table footnote F |
20–39 years | |||||||
1 (2007–2009) | 1159 | 99.6 (97.5–99.9) |
0.25 (0.20–0.32) |
0.051 (0.036–0.067) |
0.21 (0.16–0.26) |
1.4 (1.0–1.8) |
2.5Table 13.2.2 footnote E (1.6–3.5) |
2 (2009–2011) | 345 | 100 | 0.61Table 13.2.2 footnote E (0.41–0.91) |
0.094Table 13.2.2 footnote E (0.056–0.13) |
0.48Table 13.2.2 footnote E (0.28–0.67) |
Table footnote F | Table footnote F |
5 (2016–2017) | 375 | 100 (99.9–100) |
0.61Table 13.2.2 footnote E (0.34–1.1) |
0.074Table 13.2.2 footnote E (0.032–0.12) |
0.48Table 13.2.2 footnote E (0.29–0.67) |
Table footnote F | Table footnote F |
40–59 years | |||||||
1 (2007–2009) | 1216 | 99.2 (98.4–99.6) |
0.27 (0.21–0.34) |
0.046 (0.032–0.060) |
0.25 (0.18–0.32) |
1.7Table 13.2.2 footnote E (0.91–2.5) |
3.5Table 13.2.2 footnote E (2.0–5.0) |
2 (2009–2011) | 346 | 100 | 0.40 (0.29–0.55) |
0.064Table 13.2.2 footnote E (0.041–0.088) |
0.36 (0.24–0.48) |
2.4Table 13.2.2 footnote E (1.2–3.5) |
4.2Table 13.2.2 footnote E (2.0–6.4) |
5 (2016–2017) | 359 | 99.9 (99.5–100) |
0.55 (0.41–0.74) |
0.12Table 13.2.2 footnote E (0.060–0.19) |
0.53 (0.34–0.71) |
2.7Table 13.2.2 footnote E (1.5–4.0) |
Table footnote F |
60–79 years | |||||||
1 (2007–2009) | 1073 | 99.3 (96.8–99.8) |
0.24 (0.20–0.29) |
0.051 (0.041–0.062) |
0.21 (0.17–0.25) |
1.3 (0.88–1.7) |
2.2 (1.5–2.8) |
2 (2009–2011) | 279 | 100 | 0.36Table 13.2.2 footnote E (0.24–0.54) |
0.074 (0.055–0.093) |
0.27Table 13.2.2 footnote E (0.14–0.41) |
2.4Table 13.2.2 footnote E (0.97–3.8) |
Table footnote F |
5 (2016–2017) | 354 | 100 | 0.48Table 13.2.2 footnote E (0.33–0.70) |
0.075Table 13.2.2 footnote E (0.041–0.11) |
0.41 (0.27–0.54) |
Table footnote F | 9.3Table 13.2.2 footnote E (4.4–14) |
CI: confidence interval; GM: geometric mean; LOD: limit of detection Note: The LODs for cycles 1, 2, and 5 are 0.01, 0.01, and 0.012 μg/L, respectively. |
Cycle | n | Detection Frequency (95% CI) |
GMTable 13.2.3 footnote a (95% CI) |
10th (95% CI) |
50th (95% CI) |
90th (95% CI) |
95th (95% CI) |
---|---|---|---|---|---|---|---|
Total, 3–79 years | |||||||
1 (2007–2009)Table 13.2.3 footnote b | — | — | — | — | — | — | — |
2 (2009–2011) | 2506 | 100 | 0.42 (0.34–0.51) |
0.10 (0.093–0.11) |
0.33 (0.26–0.39) |
2.3Table 13.2.3 footnote E (1.2–3.4) |
Table footnote F |
5 (2016–2017) | 2676 | 100 (99.9–100) |
0.52 (0.43–0.62) |
0.11 (0.088–0.13) |
0.39 (0.33–0.44) |
3.2 (2.1–4.2) |
Table footnote F |
Males, 3–79 years | |||||||
1 (2007–2009)Table 13.2.3 footnote b | — | — | — | — | — | — | — |
2 (2009–2011) | 1252 | 100 | 0.31 (0.26–0.38) |
0.088 (0.072–0.10) |
0.26 (0.21–0.32) |
1.3Table 13.2.3 footnote E (0.69–1.9) |
2.7Table 13.2.3 footnote E (0.77–4.6) |
5 (2016–2017) | 1333 | 100 (99.9–100) |
0.39 (0.34–0.46) |
0.099 (0.083–0.12) |
0.29 (0.22–0.36) |
2.3Table 13.2.3 footnote E (1.5–3.2) |
3.7 (2.9–4.5) |
Females, 3–79 years | |||||||
1 (2007–2009)Table 13.2.3 footnote b | — | — | — | — | — | — | — |
2 (2009–2011) | 1254 | 100 | 0.56 (0.44–0.72) |
0.11 (0.093–0.13) |
0.41 (0.31–0.51) |
Table footnote F | Table footnote F |
5 (2016–2017) | 1343 | 100 (99.7–100) |
0.68 (0.53–0.88) |
0.15 (0.12–0.17) |
0.50 (0.41–0.59) |
Table footnote F | 18Table 13.2.3 footnote E (6.3–29) |
3–5 years | |||||||
1 (2007–2009)Table 13.2.3 footnote b | — | — | — | — | — | — | — |
2 (2009–2011) | 521 | 99.9 (99.4–100) |
0.56 (0.40–0.78) |
0.15 (0.10–0.19) |
0.46 (0.35–0.57) |
Table footnote F | Table footnote F |
5 (2016–2017) | 542 | 100 | 0.70 (0.58–0.85) |
0.16Table 13.2.3 footnote E (0.081–0.25) |
0.53 (0.42–0.65) |
4.2Table 13.2.3 footnote E (1.8–6.6) |
Table footnote F |
6–11 years | |||||||
1 (2007–2009) | 1022 | 99.3 (97.9–99.8) |
0.32 (0.26–0.40) |
0.099 (0.082–0.12) |
0.27 (0.22–0.33) |
1.3Table 13.2.3 footnote E (0.72–1.9) |
3.0Table 13.2.3 footnote E (1.4–4.6) |
2 (2009–2011) | 513 | 100 | 0.34 (0.29–0.41) |
0.12 (0.10–0.14) |
0.26 (0.19–0.33) |
1.3 (0.89–1.7) |
2.7Table 13.2.3 footnote E (1.1–4.2) |
5 (2016–2017) | 526 | 100 | 0.56 (0.47–0.68) |
0.15 (0.13–0.18) |
0.41 (0.32–0.49) |
3.3Table 13.2.3 footnote E (1.6–5.1) |
Table footnote F |
12–19 years | |||||||
1 (2007–2009) | 975 | 99.8 (98.8–100) |
0.25 (0.19–0.32) |
0.067 (0.052–0.082) |
0.19 (0.14–0.25) |
1.4Table 13.2.3 footnote E (0.83–2.0) |
2.9Table 13.2.3 footnote E (1.7–4.0) |
2 (2009–2011) | 507 | 100 | 0.27 (0.22–0.34) |
0.081 (0.070–0.092) |
0.21 (0.15–0.26) |
1.4Table 13.2.3 footnote E (0.89–2.0) |
2.6 (2.1–3.1) |
5 (2016–2017) | 526 | 100 | 0.35 (0.28–0.44) |
0.087 (0.075–0.098) |
0.28 (0.24–0.32) |
1.9Table 13.2.3 footnote E (0.54–3.2) |
4.9Table 13.2.3 footnote E (1.6–8.1) |
20–39 years | |||||||
1 (2007–2009) | 1155 | 99.6 (97.5–99.9) |
0.28 (0.22–0.35) |
0.073 (0.052–0.094) |
0.23 (0.17–0.29) |
1.3Table 13.2.3 footnote E (0.75–1.9) |
2.4 (1.5–3.2) |
2 (2009–2011) | 343 | 100 | 0.52Table 13.2.3 footnote E (0.36–0.75) |
0.10 (0.083–0.13) |
0.35Table 13.2.3 footnote E (0.22–0.48) |
Table footnote F | Table footnote F |
5 (2016–2017) | 371 | 100 (99.9–100) |
0.54Table 13.2.3 footnote E (0.34–0.86) |
0.099 (0.081–0.12) |
0.37Table 13.2.3 footnote E (0.17–0.56) |
Table footnote F | Table footnote F |
40–59 years | |||||||
1 (2007–2009) | 1211 | 99.2 (98.4–99.6) |
0.34 (0.28–0.43) |
0.084 (0.068–0.10) |
0.30 (0.24–0.35) |
1.9Table 13.2.3 footnote E (1.1–2.6) |
2.9 (2.2–3.7) |
2 (2009–2011) | 344 | 100 | 0.41 (0.33–0.50) |
0.10 (0.088–0.12) |
0.35 (0.25–0.45) |
1.8Table 13.2.3 footnote E (1.2–2.5) |
3.4Table 13.2.3 footnote E (1.2–5.6) |
5 (2016–2017) | 358 | 99.9 (99.5–100) |
0.51 (0.43–0.60) |
0.13 (0.11–0.16) |
0.39 (0.29–0.49) |
3.0Table 13.2.3 footnote E (1.9–4.2) |
Table footnote F |
60–79 years | |||||||
1 (2007–2009) | 1073 | 99.3 (96.8–99.8) |
0.34 (0.28–0.40) |
0.090 (0.079–0.10) |
0.29 (0.24–0.34) |
1.6Table 13.2.3 footnote E (0.94–2.2) |
3.0 (1.9–4.1) |
2 (2009–2011) | 278 | 100 | 0.42Table 13.2.3 footnote E (0.29–0.63) |
0.092 (0.075–0.11) |
0.32 (0.24–0.41) |
Table footnote F | Table footnote F |
5 (2016–2017) | 353 | 100 | 0.55 (0.40–0.76) |
0.11Table 13.2.3 footnote E (0.066–0.15) |
0.44 (0.31–0.58) |
3.3Table 13.2.3 footnote E (<LOD–5.7) |
Table footnote F |
CI: confidence interval; GM: geometric mean; LOD: limit of detection |
Cycle | n | Detection Frequency (95% CI) |
GMTable 13.2.4 footnote a (95% CI) |
10th (95% CI) |
50th (95% CI) |
90th (95% CI) |
95th (95% CI) |
---|---|---|---|---|---|---|---|
Total, 3–79 years | |||||||
1 (2007–2009)Table 13.2.4 footnote b | — | — | — | — | — | — | — |
2 (2009–2011) | 2539 | 58.6 (53.1–63.9) |
— | <LOD | 0.0091 (<LOD–0.010) |
0.049Table 13.2.4 footnote E (0.028–0.070) |
0.11Table 13.2.4 footnote E (0.040–0.17) |
5 (2016–2017) | 2649 | 34.5 (28.3–41.4) |
— | <LOD | <LOD | 0.048 (0.036–0.060) |
0.082 (0.055–0.11) |
Males, 3–79 years | |||||||
1 (2007–2009)Table 13.2.4 footnote b | — | — | — | — | — | — | — |
2 (2009–2011) | 1268 | 57.4 (52.0–62.6) |
— | <LOD | 0.0090 (<LOD–0.012) |
0.055Table 13.2.4 footnote E (0.032–0.079) |
0.10Table 13.2.4 footnote E (0.044–0.16) |
5 (2016–2017) | 1319 | 34.2 (26.0–43.5) |
— | <LOD | <LOD | 0.049Table 13.2.4 footnote E (0.027–0.072) |
0.082 (0.060–0.10) |
Females, 3–79 years | |||||||
1 (2007–2009)Table 13.2.4 footnote b | — | — | — | — | — | — | — |
2 (2009–2011) | 1271 | 59.8 (52.5–66.6) |
— | <LOD | 0.0092 (0.0083–0.010) |
0.049Table 13.2.4 footnote E (0.015–0.082) |
Table footnote F |
5 (2016–2017) | 1330 | 34.9 (28.3–42.1) |
— | <LOD | <LOD | 0.044 (0.031–0.057) |
Table footnote F |
3–5 years | |||||||
1 (2007–2009)Table 13.2.4 footnote b | — | — | — | — | — | — | — |
2 (2009–2011) | 517 | 49.6 (41.1–58.2) |
— | <LOD | <LOD | 0.043 (0.031–0.056) |
0.050 (0.032–0.067) |
5 (2016–2017) | 539 | 34.5Table 13.2.4 footnote E (20.6–51.7) |
— | <LOD | <LOD | 0.047Table 13.2.4 footnote E (0.017–0.077) |
0.079Table 13.2.4 footnote E (0.040–0.12) |
6–11 years | |||||||
1 (2007–2009) | 998 | 41.5 (36.3–46.8) |
— | <LOD | <LOD | 0.023Table 13.2.4 footnote E (0.014–0.032) |
Table footnote F |
2 (2009–2011) | 514 | 56.7 (48.3–64.8) |
— | <LOD | 0.0087 (<LOD–0.011) |
0.037 (0.026–0.048) |
0.056Table 13.2.4 footnote E (0.028–0.085) |
5 (2016–2017) | 525 | 38.4 (29.2–48.6) |
— | <LOD | <LOD | 0.041Table 13.2.4 footnote E (0.018–0.064) |
0.072Table 13.2.4 footnote E (0.035–0.11) |
12–19 years | |||||||
1 (2007–2009) | 947 | 50.7 (45.3–56.0) |
— | <LOD | Table footnote F | 0.035 (0.025–0.045) |
0.060Table 13.2.4 footnote E (0.017–0.10) |
2 (2009–2011) | 510 | 58.8 (50.5–66.7) |
— | <LOD | 0.0090 (<LOD–0.011) |
0.032Table 13.2.4 footnote E (0.0098–0.054) |
Table footnote F |
5 (2016–2017) | 530 | 30.1 (23.5–37.7) |
— | <LOD | <LOD | 0.039Table 13.2.4 footnote E (0.013–0.064) |
0.071 (0.051–0.090) |
20–39 years | |||||||
1 (2007–2009) | 1100 | 44.7 (36.9–52.8) |
— | <LOD | <LOD | 0.038Table 13.2.4 footnote E (0.015–0.062) |
0.089Table 13.2.4 footnote E (0.030–0.15) |
2 (2009–2011) | 352 | 61.3 (49.9–71.6) |
— | <LOD | 0.0093 (<LOD–0.012) |
Table footnote F | 0.11Table 13.2.4 footnote E (0.033–0.19) |
5 (2016–2017) | 367 | 32.8Table 13.2.4 footnote E (21.1–47.2) |
— | <LOD | <LOD | 0.057Table 13.2.4 footnote E (0.031–0.083) |
Table footnote F |
40–59 years | |||||||
1 (2007–2009) | 1161 | 39.6 (32.2–47.5) |
— | <LOD | <LOD | 0.037 (0.026–0.048) |
0.079Table 13.2.4 footnote E (0.048–0.11) |
2 (2009–2011) | 357 | 62.8 (51.5–72.9) |
— | <LOD | 0.0094 (0.0083–0.010) |
0.057Table 13.2.4 footnote E (0.018–0.097) |
Table footnote F |
5 (2016–2017) | 345 | 40.7 (28.2–54.5) |
— | <LOD | <LOD | 0.046Table 13.2.4 footnote E (0.020–0.073) |
Table footnote F |
60–79 years | |||||||
1 (2007–2009) | 1018 | 38.6 (32.7–44.8) |
— | <LOD | <LOD | 0.032Table 13.2.4 footnote E (0.014–0.050) |
0.069Table 13.2.4 footnote E (0.021–0.12) |
2 (2009–2011) | 289 | 48.6 (42.7–54.5) |
— | <LOD | <LOD | Table footnote F | Table footnote F |
5 (2016–2017) | 343 | 29.3 (20.8–39.6) |
— | <LOD | <LOD | Table footnote F | Table footnote F |
CI: confidence interval; GM: geometric mean; LOD: limit of detection Note: The LODs for cycles 1, 2, and 5 are 0.008, 0.008, and 0.0060 μg/L, respectively. |
Cycle | n | Detection Frequency (95% CI) |
GMTable 13.2.5 footnote a (95% CI) |
10th (95% CI) |
50th (95% CI) |
90th (95% CI) |
95th (95% CI) |
---|---|---|---|---|---|---|---|
Total, 3–79 years | |||||||
1 (2007–2009)Table 13.2.5 footnote b | — | — | — | — | — | — | — |
2 (2009–2011) | 2529 | 58.6 (53.1–63.9) |
— | <LOD | 0.0099 (<LOD–0.012) |
0.048Table 13.2.5 footnote E (0.030–0.066) |
Table footnote F |
5 (2016–2017) | 2619 | 34.5 (28.3–41.4) |
— | <LOD | <LOD | 0.034 (0.026–0.043) |
0.084Table 13.2.5 footnote E (0.045–0.12) |
Males, 3–79 years | |||||||
1 (2007–2009)Table 13.2.5 footnote b | — | — | — | — | — | — | — |
2 (2009–2011) | 1264 | 57.4 (52.0–62.6) |
— | <LOD | 0.0079 (<LOD–0.010) |
0.036Table 13.2.5 footnote E (0.019–0.054) |
Table footnote F |
5 (2016–2017) | 1304 | 34.2 (26.0–43.5) |
— | <LOD | <LOD | 0.036Table 13.2.5 footnote E (0.021–0.052) |
0.085Table 13.2.5 footnote E (0.036–0.13) |
Females, 3–79 years | |||||||
1 (2007–2009)Table 13.2.5 footnote b | — | — | — | — | — | — | — |
2 (2009–2011) | 1265 | 59.8 (52.5–66.6) |
— | <LOD | 0.0099 (0.0093–0.011) |
0.050Table 13.2.5 footnote E (0.024–0.076) |
Table footnote F |
5 (2016–2017) | 1315 | 34.9 (28.3–42.1) |
— | <LOD | <LOD | 0.032 (0.021–0.044) |
Table footnote F |
3–5 years | |||||||
1 (2007–2009)Table 13.2.5 footnote b | — | — | — | — | — | — | — |
2 (2009–2011) | 516 | 49.6 (41.1–58.2) |
— | <LOD | <LOD | 0.048Table 13.2.5 footnote E (0.030–0.066) |
0.091Table 13.2.5 footnote E (0.056–0.12) |
5 (2016–2017) | 530 | 34.5Table 13.2.5 footnote E (20.6–51.7) |
— | <LOD | <LOD | 0.062Table 13.2.5 footnote E (0.036–0.089) |
Table footnote F |
6–11 years | |||||||
1 (2007–2009) | 995 | 41.5 (36.3–46.8) |
— | <LOD | <LOD | 0.039 (0.031–0.048) |
0.071Table 13.2.5 footnote E (0.044–0.099) |
2 (2009–2011) | 512 | 56.7 (48.3–64.8) |
— | <LOD | 0.0092 (<LOD–0.0097) |
0.037 (0.026–0.048) |
0.065Table 13.2.5 footnote E (0.024–0.11) |
5 (2016–2017) | 517 | 38.4 (29.2–48.6) |
— | <LOD | <LOD | 0.052Table 13.2.5 footnote E (0.022–0.082) |
0.098Table 13.2.5 footnote E (0.043–0.15) |
12–19 years | |||||||
1 (2007–2009) | 945 | 50.7 (45.3–56.0) |
— | <LOD | <LOD | 0.029 (0.024–0.035) |
0.044Table 13.2.5 footnote E (0.015–0.074) |
2 (2009–2011) | 508 | 58.8 (50.5–66.7) |
— | <LOD | 0.0068 (<LOD–0.0083) |
0.024Table 13.2.5 footnote E (0.011–0.038) |
Table footnote F |
5 (2016–2017) | 523 | 30.1 (23.5–37.7) |
— | <LOD | <LOD | 0.028 (0.024–0.031) |
0.049Table 13.2.5 footnote E (0.025–0.073) |
20–39 years | |||||||
1 (2007–2009) | 1096 | 44.7 (36.9–52.8) |
— | <LOD | <LOD | 0.040Table 13.2.5 footnote E (0.025–0.055) |
Table footnote F |
2 (2009–2011) | 350 | 61.3 (49.9–71.6) |
— | <LOD | 0.0085 (<LOD–0.011) |
0.050Table 13.2.5 footnote E (0.020–0.080) |
Table footnote F |
5 (2016–2017) | 363 | 32.8Table 13.2.5 footnote E (21.1–47.2) |
— | <LOD | <LOD | 0.029Table 13.2.5 footnote E (0.016–0.043) |
Table footnote F |
40–59 years | |||||||
1 (2007–2009) | 1156 | 39.6 (32.2–47.5) |
— | <LOD | <LOD | 0.043 (0.032–0.053) |
0.081Table 13.2.5 footnote E (0.041–0.12) |
2 (2009–2011) | 355 | 62.8 (51.5–72.9) |
— | <LOD | 0.0095 (0.0083–0.011) |
0.051Table 13.2.5 footnote E (0.017–0.084) |
Table footnote F |
5 (2016–2017) | 344 | 40.7 (28.2–54.5) |
— | <LOD | <LOD | Table footnote F | Table footnote F |
60–79 years | |||||||
1 (2007–2009) | 1018 | 38.6 (32.7–44.8) |
— | <LOD | <LOD | 0.038Table 13.2.5 footnote E (0.019–0.058) |
0.095Table 13.2.5 footnote E (0.026–0.16) |
2 (2009–2011) | 288 | 48.6 (42.7–54.5) |
— | <LOD | <LOD | Table footnote F | Table footnote F |
5 (2016–2017) | 342 | 29.3 (20.8–39.6) |
— | <LOD | <LOD | Table footnote F | Table footnote F |
CI: confidence interval; GM: geometric mean; LOD: limit of detection |
Cycle | n | Detection Frequency (95% CI) |
GMTable 13.2.6 footnote a (95% CI) |
10th (95% CI) |
50th (95% CI) |
90th (95% CI) |
95th (95% CI) |
---|---|---|---|---|---|---|---|
Total, 3–79 years | |||||||
1 (2007–2009)Table 13.2.6 footnote b | — | — | — | — | — | — | — |
2 (2009–2011) | 2535 | 59.6 (52.5–66.3) |
0.012 (0.010–0.014) |
<LOD | 0.0094 (0.0084–0.010) |
0.066 (0.045–0.087) |
0.15Table 13.2.6 footnote E (0.076–0.23) |
5 (2016–2017) | 2633 | 79.5 (73.6–84.3) |
0.019 (0.016–0.023) |
<LOD | 0.019 (0.016–0.021) |
0.11 (0.083–0.13) |
0.18 (0.13–0.22) |
Males, 3–79 years | |||||||
1 (2007–2009)Table 13.2.6 footnote b | — | — | — | — | — | — | — |
2 (2009–2011) | 1272 | 61.7 (54.5–68.4) |
0.012 (0.010–0.015) |
<LOD | 0.0096 (0.0068–0.012) |
0.070Table 13.2.6 footnote E (0.044–0.095) |
0.14Table 13.2.6 footnote E (0.048–0.23) |
5 (2016–2017) | 1305 | 78.7 (71.6–84.4) |
0.019 (0.015–0.023) |
<LOD | 0.018 (0.015–0.020) |
0.12 (0.077–0.15) |
0.20 (0.13–0.26) |
Females, 3–79 years | |||||||
1 (2007–2009)Table 13.2.6 footnote b | — | — | — | — | — | — | — |
2 (2009–2011) | 1263 | 57.5 (48.6–66.0) |
0.011 (0.0092–0.013) |
<LOD | 0.0092 (0.0069–0.011) |
Table footnote F | Table footnote F |
5 (2016–2017) | 1328 | 80.2 (73.3–85.8) |
0.020 (0.016–0.024) |
<LOD | 0.019 (0.016–0.022) |
0.10 (0.082–0.12) |
0.17 (0.12–0.22) |
3–5 years | |||||||
1 (2007–2009)Table 13.2.6 footnote b | — | — | — | — | — | — | — |
2 (2009–2011) | 522 | 65.9 (55.6–74.8) |
0.014 (0.010–0.018) |
<LOD | Table footnote F | 0.092Table 13.2.6 footnote E (0.054–0.13) |
Table footnote F |
5 (2016–2017) | 544 | 87.7 (83.9–90.7) |
0.030 (0.022–0.041) |
<LOD | 0.025 (0.017–0.033) |
0.23Table 13.2.6 footnote E (0.11–0.35) |
Table footnote F |
6–11 years | |||||||
1 (2007–2009) | 974 | 48.0 (39.8–56.4) |
— | <LOD | <LOD | 0.045 (0.033–0.056) |
0.097 (0.064–0.13) |
2 (2009–2011) | 513 | 70.6 (57.8–80.8) |
0.015 (0.012–0.020) |
<LOD | Table footnote F | 0.098Table 13.2.6 footnote E (0.030–0.17) |
Table footnote F |
5 (2016–2017) | 526 | 93.3 (91.1–95.1) |
0.035 (0.029–0.042) |
0.0077 (0.0059–0.0095) |
0.026 (0.020–0.032) |
0.23Table 13.2.6 footnote E (0.091–0.37) |
0.39Table 13.2.6 footnote E (0.19–0.59) |
12–19 years | |||||||
1 (2007–2009) | 927 | 56.3 (44.2–67.6) |
— | <LOD | 0.0072Table 13.2.6 footnote E (<LOD–0.011) |
0.048 (0.035–0.060) |
0.085 (0.069–0.10) |
2 (2009–2011) | 507 | 65.2 (55.6–73.7) |
0.014 (0.012–0.017) |
<LOD | Table footnote F | 0.092 (0.062–0.12) |
0.19 (0.14–0.24) |
5 (2016–2017) | 521 | 85.4 (75.2–91.8) |
0.026 (0.020–0.032) |
<LOD | 0.024 (0.018–0.030) |
0.13 (0.10–0.15) |
0.18Table 13.2.6 footnote E (0.075–0.29) |
20–39 years | |||||||
1 (2007–2009) | 1055 | 47.1 (38.1–56.4) |
— | <LOD | <LOD | 0.037 (0.025–0.050) |
0.085Table 13.2.6 footnote E (0.051–0.12) |
2 (2009–2011) | 355 | 58.8 (47.4–69.3) |
0.012 (0.0086–0.015) |
<LOD | Table footnote F | Table footnote F | Table footnote F |
5 (2016–2017) | 363 | 79.6 (67.5–88.0) |
0.019 (0.014–0.025) |
<LOD | 0.019 (0.014–0.023) |
0.10Table 13.2.6 footnote E (0.056–0.14) |
0.15Table 13.2.6 footnote E (0.097–0.21) |
40–59 years | |||||||
1 (2007–2009) | 1109 | 45.4 (37.4–53.6) |
— | <LOD | <LOD | 0.045 (0.035–0.055) |
0.067 (0.056–0.077) |
2 (2009–2011) | 352 | 58.2 (47.8–68.0) |
— | <LOD | 0.0093 (0.0060–0.013) |
Table footnote F | Table footnote F |
5 (2016–2017) | 342 | 75.4 (59.7–86.4) |
0.015 (0.011–0.021) |
<LOD | 0.015 (0.011–0.019) |
0.085Table 13.2.6 footnote E (0.036–0.13) |
0.14Table 13.2.6 footnote E (0.082–0.19) |
60–79 years | |||||||
1 (2007–2009) | 957 | 46.1 (38.4–54.0) |
— | <LOD | <LOD | 0.042 (0.033–0.052) |
0.071 (0.052–0.091) |
2 (2009–2011) | 286 | 54.5 (46.5–62.4) |
— | <LOD | 0.0089Table 13.2.6 footnote E (<LOD–0.013) |
Table footnote F | Table footnote F |
5 (2016–2017) | 337 | 76.4 (66.9–83.8) |
0.018 (0.013–0.025) |
<LOD | 0.018 (0.013–0.023) |
Table footnote F | 0.22Table 13.2.6 footnote E (0.10–0.35) |
CI: confidence interval; GM: geometric mean; LOD: limit of detection Note: The LODs for cycles 1, 2, and 5 are 0.006, 0.006, and 0.0059 μg/L, respectively. |
Cycle | n | Detection Frequency (95% CI) |
GMTable 13.2.7 footnote a (95% CI) |
10th (95% CI) |
50th (95% CI) |
90th (95% CI) |
95th (95% CI) |
---|---|---|---|---|---|---|---|
Total, 3–79 years | |||||||
1 (2007–2009)Table 13.2.7 footnote b | — | — | — | — | — | — | — |
2 (2009–2011) | 2525 | 59.6 (52.5–66.3) |
0.011 (0.0097–0.013) |
<LOD | 0.0099 (0.0091–0.011) |
0.060Table 13.2.7 footnote E (0.035–0.085) |
0.12Table 13.2.7 footnote E (0.069–0.17) |
5 (2016–2017) | 2603 | 79.5 (73.6–84.3) |
0.019 (0.016–0.022) |
<LOD | 0.017 (0.014–0.020) |
0.097 (0.076–0.12) |
0.16 (0.13–0.19) |
Males, 3–79 years | |||||||
1 (2007–2009)Table 13.2.7 footnote b | — | — | — | — | — | — | — |
2 (2009–2011) | 1268 | 61.7 (54.5–68.4) |
0.010 (0.0085–0.012) |
<LOD | 0.0098 (0.0082–0.011) |
0.059Table 13.2.7 footnote E (0.036–0.081) |
0.11Table 13.2.7 footnote E (0.043–0.18) |
5 (2016–2017) | 1290 | 78.7 (71.6–84.4) |
0.016 (0.014–0.019) |
<LOD | 0.015 (0.012–0.018) |
0.079 (0.051–0.11) |
0.15 (0.098–0.20) |
Females, 3–79 years | |||||||
1 (2007–2009)Table 13.2.7 footnote b | — | — | — | — | — | — | — |
2 (2009–2011) | 1257 | 57.5 (48.6–66.0) |
0.013 (0.011–0.015) |
<LOD | 0.010Table 13.2.7 footnote E (0.0062–0.014) |
0.066Table 13.2.7 footnote E (0.027–0.10) |
0.14Table 13.2.7 footnote E (0.071–0.21) |
5 (2016–2017) | 1313 | 80.2 (73.3–85.8) |
0.021 (0.018–0.026) |
<LOD | 0.021 (0.017–0.025) |
0.098 (0.083–0.11) |
0.16 (0.11–0.22) |
3–5 years | |||||||
1 (2007–2009)Table 13.2.7 footnote b | — | — | — | — | — | — | — |
2 (2009–2011) | 521 | 65.9 (55.6–74.8) |
0.023 (0.017–0.031) |
<LOD | 0.020 (<LOD–0.026) |
0.13Table 13.2.7 footnote E (0.065–0.19) |
Table footnote F |
5 (2016–2017) | 535 | 87.7 (83.9–90.7) |
0.052Table 13.2.7 footnote E (0.035–0.078) |
<LOD | 0.043Table 13.2.7 footnote E (0.026–0.059) |
0.26 (0.17–0.36) |
Table footnote F |
6–11 years | |||||||
1 (2007–2009) | 971 | 48.0 (39.8–56.4) |
— | <LOD | <LOD | 0.065 (0.047–0.082) |
0.13Table 13.2.7 footnote E (0.074–0.19) |
2 (2009–2011) | 511 | 70.6 (57.8–80.8) |
0.018 (0.013–0.024) |
<LOD | 0.016Table 13.2.7 footnote E (<LOD–0.024) |
0.11Table 13.2.7 footnote E (0.033–0.19) |
Table footnote F |
5 (2016–2017) | 518 | 93.3 (91.1–95.1) |
0.040 (0.033–0.049) |
0.011 (0.0090–0.013) |
0.032 (0.027–0.036) |
0.21Table 13.2.7 footnote E (0.094–0.32) |
Table footnote F |
12–19 years | |||||||
1 (2007–2009) | 925 | 56.3 (44.2–67.6) |
— | <LOD | 0.0077 (<LOD–0.0091) |
0.039 (0.034–0.044) |
0.071 (0.050–0.092) |
2 (2009–2011) | 505 | 65.2 (55.6–73.7) |
0.011 (0.0090–0.012) |
<LOD | 0.0099 (<LOD–0.011) |
0.063Table 13.2.7 footnote E (0.033–0.093) |
0.12 (0.090–0.16) |
5 (2016–2017) | 514 | 85.4 (75.2–91.8) |
0.020 (0.016–0.024) |
<LOD | 0.017 (0.014–0.021) |
0.095 (0.066–0.13) |
0.15 (0.11–0.19) |
20–39 years | |||||||
1 (2007–2009) | 1051 | 47.1 (38.1–56.4) |
— | <LOD | <LOD | 0.040 (0.028–0.052) |
0.083Table 13.2.7 footnote E (0.047–0.12) |
2 (2009–2011) | 353 | 58.8 (47.4–69.3) |
0.0097 (0.0071–0.013) |
<LOD | 0.0092 (<LOD–0.012) |
0.045Table 13.2.7 footnote E (0.014–0.076) |
Table footnote F |
5 (2016–2017) | 359 | 79.6 (67.5–88.0) |
0.017 (0.014–0.021) |
<LOD | 0.015 (0.012–0.017) |
0.073Table 13.2.7 footnote E (0.040–0.11) |
0.11 (0.080–0.14) |
40–59 years | |||||||
1 (2007–2009) | 1104 | 45.4 (37.4–53.6) |
— | <LOD | <LOD | 0.047 (0.037–0.058) |
0.088 (0.059–0.12) |
2 (2009–2011) | 350 | 58.2 (47.8–68.0) |
— | <LOD | 0.0099 (0.0082–0.012) |
0.056Table 13.2.7 footnote E (0.018–0.095) |
0.10Table 13.2.7 footnote E (0.039–0.17) |
5 (2016–2017) | 341 | 75.4 (59.7–86.4) |
0.014 (0.010–0.019) |
<LOD | 0.015Table 13.2.7 footnote E (0.0093–0.021) |
0.063 (0.043–0.083) |
0.11Table 13.2.7 footnote E (0.051–0.16) |
60–79 years | |||||||
1 (2007–2009) | 957 | 46.1 (38.4–54.0) |
— | <LOD | <LOD | 0.057 (0.046–0.069) |
0.081 (0.061–0.10) |
2 (2009–2011) | 285 | 54.5 (46.5–62.4) |
— | <LOD | 0.0099Table 13.2.7 footnote E (<LOD–0.014) |
0.073Table 13.2.7 footnote E (0.024–0.12) |
0.18Table 13.2.7 footnote E (0.079–0.27) |
5 (2016–2017) | 336 | 76.4 (66.9–83.8) |
0.021 (0.016–0.028) |
<LOD | 0.019Table 13.2.7 footnote E (0.010–0.027) |
0.11Table 13.2.7 footnote E (0.050–0.16) |
Table footnote F |
CI: confidence interval; GM: geometric mean; LOD: limit of detection |
Cycle | n | Detection Frequency (95% CI) |
GMTable 13.2.8 footnote a (95% CI) |
10th (95% CI) |
50th (95% CI) |
90th (95% CI) |
95th (95% CI) |
---|---|---|---|---|---|---|---|
Total, 3–79 years | |||||||
1 (2007–2009)Table 13.2.8 footnote b | — | — | — | — | — | — | — |
2 (2009–2011) | 2553 | 99.4 (98.0–99.8) |
0.12 (0.10–0.15) |
0.024 (0.021–0.028) |
0.093 (0.076–0.11) |
0.85Table 13.2.8 footnote E (0.47–1.2) |
2.2Table 13.2.8 footnote E (0.78–3.6) |
5 (2016–2017) | 2715 | 100 (99.9–100) |
0.18 (0.13–0.24) |
0.029Table 13.2.8 footnote E (0.016–0.042) |
0.15 (0.11–0.19) |
1.1Table 13.2.8 footnote E (0.43–1.8) |
Table footnote F |
Males, 3–79 years | |||||||
1 (2007–2009)Table 13.2.8 footnote b | — | — | — | — | — | — | — |
2 (2009–2011) | 1277 | 99.2 (96.8–99.8) |
0.10 (0.087–0.13) |
0.024 (0.018–0.029) |
0.088 (0.068–0.11) |
0.55 (0.43–0.68) |
1.2Table 13.2.8 footnote E (0.39–2.1) |
5 (2016–2017) | 1355 | 100 (99.9–100) |
0.16 (0.12–0.22) |
0.027Table 13.2.8 footnote E (0.011–0.042) |
0.13 (0.089–0.18) |
1.1Table 13.2.8 footnote E (0.61–1.5) |
2.5Table 13.2.8 footnote E (0.96–4.0) |
Females, 3–79 years | |||||||
1 (2007–2009)Table 13.2.8 footnote b | — | — | — | — | — | — | — |
2 (2009–2011) | 1276 | 99.6 (97.9–99.9) |
0.15 (0.11–0.20) |
0.025 (0.020–0.030) |
0.099 (0.077–0.12) |
Table footnote F | Table footnote F |
5 (2016–2017) | 1360 | 99.9 (99.9–100) |
0.19Table 13.2.8 footnote E (0.13–0.29) |
0.034Table 13.2.8 footnote E (0.021–0.048) |
0.17 (0.12–0.22) |
Table footnote F | Table footnote F |
3–5 years | |||||||
1 (2007–2009)Table 13.2.8 footnote b | — | — | — | — | — | — | — |
2 (2009–2011) | 520 | 98.2 (93.1–99.6) |
0.067 (0.049–0.090) |
0.016 (0.011–0.022) |
0.065 (0.047–0.082) |
Table footnote F | Table footnote F |
5 (2016–2017) | 553 | 99.9 (98.7–100) |
0.10 (0.077–0.14) |
0.023Table 13.2.8 footnote E (0.014–0.031) |
0.084 (0.061–0.11) |
Table footnote F | Table footnote F |
6–11 years | |||||||
1 (2007–2009) | 1026 | 97.2 (95.0–98.5) |
0.054 (0.043–0.067) |
0.014 (0.0099–0.018) |
0.049 (0.038–0.060) |
0.22 (0.15–0.28) |
0.38Table 13.2.8 footnote E (0.18–0.57) |
2 (2009–2011) | 514 | 99.3 (97.5–99.8) |
0.069 (0.059–0.082) |
0.018 (0.014–0.022) |
0.056 (0.046–0.065) |
0.35Table 13.2.8 footnote E (0.22–0.48) |
Table footnote F |
5 (2016–2017) | 536 | 99.9 (99.2–100) |
0.12 (0.10–0.14) |
0.030 (0.024–0.036) |
0.10 (0.090–0.11) |
0.77Table 13.2.8 footnote E (0.32–1.2) |
1.6Table 13.2.8 footnote E (0.55–2.6) |
12–19 years | |||||||
1 (2007–2009) | 970 | 98.8 (95.5–99.7) |
0.090 (0.067–0.12) |
0.019 (0.013–0.025) |
0.077 (0.055–0.099) |
0.52Table 13.2.8 footnote E (0.20–0.84) |
1.0Table 13.2.8 footnote E (0.44–1.6) |
2 (2009–2011) | 510 | 99.8 (99.4–99.9) |
0.10 (0.083–0.13) |
0.026 (0.022–0.030) |
0.080 (0.065–0.095) |
0.65Table 13.2.8 footnote E (0.36–0.94) |
1.7Table 13.2.8 footnote E (0.90–2.4) |
5 (2016–2017) | 538 | 99.8 (99.2–100) |
0.15 (0.11–0.20) |
0.030Table 13.2.8 footnote E (0.018–0.043) |
0.11 (0.084–0.14) |
0.89Table 13.2.8 footnote E (0.55–1.2) |
Table footnote F |
20–39 years | |||||||
1 (2007–2009) | 1151 | 98.7 (96.0–99.6) |
0.086 (0.070–0.11) |
0.020 (0.015–0.024) |
0.076 (0.057–0.094) |
0.45 (0.30–0.60) |
0.75Table 13.2.8 footnote E (0.35–1.1) |
2 (2009–2011) | 359 | 99.2 (93.7–99.9) |
0.18Table 13.2.8 footnote E (0.12–0.28) |
0.027 (0.019–0.035) |
0.13 (0.092–0.17) |
Table footnote F | Table footnote F |
5 (2016–2017) | 376 | 100 (99.9–100) |
0.21Table 13.2.8 footnote E (0.11–0.40) |
Table footnote F | 0.18Table 13.2.8 footnote E (0.11–0.25) |
Table footnote F | Table footnote F |
40–59 years | |||||||
1 (2007–2009) | 1208 | 98.3 (96.4–99.2) |
0.092 (0.073–0.12) |
0.018 (0.012–0.024) |
0.077 (0.054–0.099) |
0.60 (0.42–0.78) |
1.2 (0.91–1.5) |
2 (2009–2011) | 359 | 99.7 (98.7–99.9) |
0.12 (0.089–0.16) |
0.024 (0.016–0.031) |
0.10Table 13.2.8 footnote E (0.054–0.15) |
0.64Table 13.2.8 footnote E (0.32–0.96) |
1.6Table 13.2.8 footnote E (0.46–2.7) |
5 (2016–2017) | 360 | 100 | 0.19Table 13.2.8 footnote E (0.13–0.27) |
Table footnote F | 0.16Table 13.2.8 footnote E (0.061–0.26) |
Table footnote F | Table footnote F |
60–79 years | |||||||
1 (2007–2009) | 1076 | 99.1 (94.0–99.9) |
0.083 (0.066–0.10) |
0.019 (0.015–0.024) |
0.067 (0.050–0.083) |
0.42Table 13.2.8 footnote E (0.25–0.58) |
0.75 (0.47–1.0) |
2 (2009–2011) | 291 | 98.9 (90.0–99.9) |
0.11Table 13.2.8 footnote E (0.072–0.16) |
0.021 (0.014–0.029) |
0.086 (0.064–0.11) |
0.92Table 13.2.8 footnote E (0.37–1.5) |
Table footnote F |
5 (2016–2017) | 352 | 100 | 0.17Table 13.2.8 footnote E (0.11–0.26) |
Table footnote F | 0.15 (0.11–0.20) |
1.5Table 13.2.8 footnote E (0.69–2.3) |
Table footnote F |
CI: confidence interval; GM: geometric mean; LOD: limit of detection Note: The LODs for cycles 1, 2, and 5 are 0.007, 0.007, and 0.0045 μg/L, respectively. |
Cycle | n | Detection Frequency (95% CI) |
GMTable 13.2.9 footnote a (95% CI) |
10th (95% CI) |
50th (95% CI) |
90th (95% CI) |
95th (95% CI) |
---|---|---|---|---|---|---|---|
Total, 3–79 years | |||||||
1 (2007–2009)Table 13.2.9 footnote b | — | — | — | — | — | — | — |
2 (2009–2011) | 2543 | 99.4 (98.0–99.8) |
0.12 (0.10–0.15) |
0.028 (0.025–0.031) |
0.087 (0.072–0.10) |
0.83Table 13.2.9 footnote E (0.42–1.2) |
Table footnote F |
5 (2016–2017) | 2685 | 100 (99.9–100) |
0.17 (0.13–0.23) |
0.036 (0.026–0.045) |
0.14 (0.10–0.17) |
1.0 (0.71–1.4) |
Table footnote F |
Males, 3–79 years | |||||||
1 (2007–2009)Table 13.2.9 footnote b | — | — | — | — | — | — | — |
2 (2009–2011) | 1273 | 99.2 (96.8–99.8) |
0.088 (0.075–0.10) |
0.026 (0.023–0.029) |
0.068 (0.053–0.083) |
0.41Table 13.2.9 footnote E (0.23–0.59) |
0.96Table 13.2.9 footnote E (0.46–1.5) |
5 (2016–2017) | 1340 | 100 (99.9–100) |
0.14 (0.10–0.18) |
0.029 (0.020–0.038) |
0.10 (0.065–0.13) |
0.92Table 13.2.9 footnote E (0.55–1.3) |
1.8Table 13.2.9 footnote E (1.1–2.5) |
Females, 3–79 years | |||||||
1 (2007–2009)Table 13.2.9 footnote b | — | — | — | — | — | — | — |
2 (2009–2011) | 1270 | 99.6 (97.9–99.9) |
0.17 (0.13–0.22) |
0.034 (0.029–0.039) |
0.11 (0.077–0.14) |
Table footnote F | Table footnote F |
5 (2016–2017) | 1345 | 99.9 (99.9–100) |
0.21 (0.15–0.30) |
0.051 (0.039–0.062) |
0.17 (0.13–0.21) |
Table footnote F | Table footnote F |
3–5 years | |||||||
1 (2007–2009)Table 13.2.9 footnote b | — | — | — | — | — | — | — |
2 (2009–2011) | 519 | 98.2 (93.1–99.6) |
0.12 (0.085–0.16) |
0.031 (0.022–0.040) |
0.091 (0.068–0.11) |
0.63Table 13.2.9 footnote E (0.19–1.1) |
Table footnote F |
5 (2016–2017) | 544 | 99.9 (98.7–100) |
0.18 (0.15–0.22) |
0.048 (0.033–0.062) |
0.15 (0.12–0.18) |
Table footnote F | Table footnote F |
6–11 years | |||||||
1 (2007–2009) | 1023 | 97.2 (95.0–98.5) |
0.083 (0.070–0.098) |
0.028 (0.023–0.033) |
0.071 (0.063–0.079) |
0.30Table 13.2.9 footnote E (0.19–0.41) |
0.58Table 13.2.9 footnote E (0.21–0.95) |
2 (2009–2011) | 512 | 99.3 (97.5–99.8) |
0.080 (0.069–0.094) |
0.026 (0.022–0.031) |
0.059 (0.052–0.066) |
0.39Table 13.2.9 footnote E (0.24–0.54) |
0.70Table 13.2.9 footnote E (<LOD–1.2) |
5 (2016–2017) | 528 | 99.9 (99.2–100) |
0.14 (0.12–0.16) |
0.045 (0.035–0.056) |
0.10 (0.094–0.11) |
0.69Table 13.2.9 footnote E (0.29–1.1) |
1.7Table 13.2.9 footnote E (0.82–2.5) |
12–19 years | |||||||
1 (2007–2009) | 968 | 98.8 (95.5–99.7) |
0.079 (0.062–0.10) |
0.022 (0.018–0.025) |
0.061 (0.042–0.080) |
0.43Table 13.2.9 footnote E (0.23–0.63) |
0.98Table 13.2.9 footnote E (0.55–1.4) |
2 (2009–2011) | 508 | 99.8 (99.4–99.9) |
0.079 (0.063–0.099) |
0.024 (0.020–0.027) |
0.060 (0.046–0.074) |
0.45Table 13.2.9 footnote E (0.24–0.66) |
0.88Table 13.2.9 footnote E (0.54–1.2) |
5 (2016–2017) | 531 | 99.8 (99.2–100) |
0.11 (0.088–0.14) |
0.030 (0.026–0.034) |
0.085 (0.062–0.11) |
0.60Table 13.2.9 footnote E (0.23–0.98) |
1.8Table 13.2.9 footnote E (0.56–3.1) |
20–39 years | |||||||
1 (2007–2009) | 1147 | 98.7 (96.0–99.6) |
0.096 (0.080–0.12) |
0.026 (0.021–0.031) |
0.084 (0.069–0.099) |
0.38Table 13.2.9 footnote E (0.23–0.53) |
0.82Table 13.2.9 footnote E (0.40–1.2) |
2 (2009–2011) | 357 | 99.2 (93.7–99.9) |
0.16Table 13.2.9 footnote E (0.10–0.23) |
0.028 (0.024–0.033) |
0.098 (0.070–0.13) |
Table footnote F | Table footnote F |
5 (2016–2017) | 372 | 100 (99.9–100) |
0.18Table 13.2.9 footnote E (0.10–0.32) |
0.035 (0.028–0.043) |
0.15Table 13.2.9 footnote E (0.073–0.22) |
Table footnote F | Table footnote F |
40–59 years | |||||||
1 (2007–2009) | 1203 | 98.3 (96.4–99.2) |
0.12 (0.097–0.14) |
0.029 (0.023–0.035) |
0.097 (0.080–0.11) |
0.64 (0.42–0.86) |
1.2 (0.97–1.5) |
2 (2009–2011) | 357 | 99.7 (98.7–99.9) |
0.12 (0.10–0.15) |
0.032 (0.023–0.041) |
0.084Table 13.2.9 footnote E (0.050–0.12) |
0.62Table 13.2.9 footnote E (0.28–0.96) |
1.3Table 13.2.9 footnote E (0.51–2.0) |
5 (2016–2017) | 359 | 100 | 0.17 (0.12–0.23) |
0.034Table 13.2.9 footnote E (0.019–0.049) |
0.15 (0.10–0.19) |
1.0Table 13.2.9 footnote E (0.49–1.5) |
Table footnote F |
60–79 years | |||||||
1 (2007–2009) | 1076 | 99.1 (94.0–99.9) |
0.12 (0.093–0.14) |
0.034 (0.031–0.037) |
0.093 (0.073–0.11) |
0.48Table 13.2.9 footnote E (0.18–0.79) |
1.2Table 13.2.9 footnote E (0.61–1.7) |
2 (2009–2011) | 290 | 98.9 (90.0–99.9) |
0.12Table 13.2.9 footnote E (0.084–0.19) |
0.030 (0.019–0.041) |
0.095 (0.071–0.12) |
Table footnote F | Table footnote F |
5 (2016–2017) | 351 | 100 | 0.19 (0.14–0.28) |
0.038Table 13.2.9 footnote E (<LOD–0.062) |
0.15Table 13.2.9 footnote E (0.093–0.20) |
0.99 (0.67–1.3) |
Table footnote F |
CI: confidence interval; GM: geometric mean; LOD: limit of detection |
Cycle | n | Detection Frequency (95% CI) |
GMTable 13.2.10 footnote a (95% CI) |
10th (95% CI) |
50th (95% CI) |
90th (95% CI) |
95th (95% CI) |
---|---|---|---|---|---|---|---|
Total, 3–79 years | |||||||
1 (2007–2009)Table 13.2.10 footnote b | — | — | — | — | — | — | — |
2 (2009–2011) | 2558 | 99.4 (97.8–99.9) |
0.29 (0.23–0.36) |
0.051 (0.043–0.059) |
0.22 (0.17–0.26) |
2.0Table 13.2.10 footnote E (0.90–3.2) |
6.8Table 13.2.10 footnote E (2.1–11) |
5 (2016–2017) | 2719 | 99.6 (98.7–99.9) |
0.27 (0.20–0.37) |
0.038Table 13.2.10 footnote E (0.023–0.052) |
0.23 (0.18–0.28) |
2.2Table 13.2.10 footnote E (0.95–3.4) |
Table footnote F |
Males, 3–79 years | |||||||
1 (2007–2009)Table 13.2.10 footnote b | — | — | — | — | — | — | — |
2 (2009–2011) | 1279 | 99.3 (96.4–99.9) |
0.25 (0.20–0.31) |
0.048 (0.036–0.060) |
0.21 (0.17–0.25) |
1.3Table 13.2.10 footnote E (0.82–1.8) |
Table footnote F |
5 (2016–2017) | 1355 | 99.7 (99.1–99.9) |
0.25 (0.19–0.33) |
0.036Table 13.2.10 footnote E (0.0098–0.062) |
0.21 (0.16–0.26) |
2.1Table 13.2.10 footnote E (1.3–3.0) |
4.5Table 13.2.10 footnote E (1.6–7.3) |
Females, 3–79 years | |||||||
1 (2007–2009)Table 13.2.10 footnote b | — | — | — | — | — | — | — |
2 (2009–2011) | 1279 | 99.6 (97.7–99.9) |
0.34 (0.25–0.46) |
0.052 (0.040–0.064) |
0.22 (0.16–0.28) |
Table footnote F | Table footnote F |
5 (2016–2017) | 1364 | 99.5 (96.8–99.9) |
0.29Table 13.2.10 footnote E (0.19–0.43) |
0.039 (0.029–0.050) |
0.24 (0.17–0.31) |
Table footnote F | Table footnote F |
3–5 years | |||||||
1 (2007–2009)Table 13.2.10 footnote b | — | — | — | — | — | — | — |
2 (2009–2011) | 521 | 99.4 (95.1–99.9) |
0.22 (0.16–0.31) |
0.055 (0.038–0.071) |
0.19 (0.13–0.25) |
Table footnote F | Table footnote F |
5 (2016–2017) | 553 | 100 (99.9–100) |
0.22 (0.16–0.30) |
0.047Table 13.2.10 footnote E (0.029–0.064) |
0.18 (0.13–0.23) |
Table footnote F | Table footnote F |
6–11 years | |||||||
1 (2007–2009) | 1027 | 99.9 (99.6–100) |
0.17 (0.15–0.21) |
0.041Table 13.2.10 footnote E (0.025–0.057) |
0.15 (0.12–0.18) |
0.82 (0.57–1.1) |
1.4 (1.1–1.8) |
2 (2009–2011) | 516 | 99.7 (98.1–100) |
0.21 (0.18–0.25) |
0.048 (0.037–0.059) |
0.17 (0.15–0.19) |
1.1 (0.80–1.4) |
Table footnote F |
5 (2016–2017) | 538 | 99.4 (95.5–99.9) |
0.23 (0.20–0.26) |
0.053 (0.039–0.066) |
0.20 (0.16–0.24) |
1.3Table 13.2.10 footnote E (0.60–2.0) |
2.9Table 13.2.10 footnote E (1.2–4.6) |
12–19 years | |||||||
1 (2007–2009) | 978 | 99.9 (99.5–100) |
0.24 (0.18–0.33) |
0.048Table 13.2.10 footnote E (0.030–0.066) |
0.20 (0.16–0.24) |
1.5Table 13.2.10 footnote E (0.58–2.4) |
3.8Table 13.2.10 footnote E (2.0–5.6) |
2 (2009–2011) | 511 | 100 | 0.27 (0.21–0.34) |
0.057 (0.048–0.067) |
0.20 (0.16–0.25) |
1.8Table 13.2.10 footnote E (1.0–2.5) |
4.8Table 13.2.10 footnote E (2.1–7.5) |
5 (2016–2017) | 538 | 99.4 (98.3–99.8) |
0.26 (0.19–0.35) |
0.049Table 13.2.10 footnote E (0.020–0.078) |
0.21 (0.16–0.26) |
1.7Table 13.2.10 footnote E (0.80–2.6) |
4.6Table 13.2.10 footnote E (1.5–7.7) |
20–39 years | |||||||
1 (2007–2009) | 1158 | 99.3 (97.3–99.8) |
0.20 (0.16–0.24) |
0.042 (0.031–0.053) |
0.17 (0.14–0.21) |
1.0 (0.71–1.4) |
2.0Table 13.2.10 footnote E (1.1–2.8) |
2 (2009–2011) | 359 | 100 | 0.41Table 13.2.10 footnote E (0.26–0.66) |
0.061 (0.040–0.082) |
0.28Table 13.2.10 footnote E (0.12–0.43) |
Table footnote F | Table footnote F |
5 (2016–2017) | 376 | 99.3 (93.5–99.9) |
0.33Table 13.2.10 footnote E (0.17–0.64) |
0.036Table 13.2.10 footnote E (0.012–0.061) |
0.24Table 13.2.10 footnote E (0.11–0.37) |
Table footnote F | Table footnote F |
40–59 years | |||||||
1 (2007–2009) | 1216 | 99.6 (98.8–99.9) |
0.21 (0.17–0.26) |
0.037 (0.029–0.044) |
0.18 (0.13–0.22) |
1.6Table 13.2.10 footnote E (0.86–2.3) |
3.2Table 13.2.10 footnote E (1.9–4.5) |
2 (2009–2011) | 360 | 98.9 (94.4–99.8) |
0.27 (0.20–0.35) |
0.041Table 13.2.10 footnote E (0.022–0.060) |
0.22 (0.15–0.30) |
1.8Table 13.2.10 footnote E (1.1–2.5) |
Table footnote F |
5 (2016–2017) | 360 | 99.9 (99.3–100) |
0.26Table 13.2.10 footnote E (0.17–0.39) |
0.042Table 13.2.10 footnote E (0.012–0.072) |
0.25Table 13.2.10 footnote E (0.14–0.35) |
Table footnote F | Table footnote F |
60–79 years | |||||||
1 (2007–2009) | 1078 | 99.6 (98.0–99.9) |
0.18 (0.15–0.22) |
0.040 (0.032–0.047) |
0.15 (0.12–0.18) |
1.1 (0.79–1.3) |
1.9Table 13.2.10 footnote E (1.1–2.6) |
2 (2009–2011) | 291 | 99.0 (93.3–99.9) |
0.23Table 13.2.10 footnote E (0.14–0.39) |
0.041Table 13.2.10 footnote E (0.026–0.056) |
0.17Table 13.2.10 footnote E (0.082–0.25) |
Table footnote F | Table footnote F |
5 (2016–2017) | 354 | 99.6 (97.7–99.9) |
0.23Table 13.2.10 footnote E (0.16–0.34) |
0.029Table 13.2.10 footnote E (0.011–0.048) |
0.18 (0.11–0.24) |
2.5Table 13.2.10 footnote E (1.3–3.7) |
Table footnote F |
CI: confidence interval; GM: geometric mean; LOD: limit of detection Note: The LODs for cycles 1, 2, and 5 are 0.01, 0.01, and 0.0094 μg/L, respectively. |
Cycle | n | Detection Frequency (95% CI) |
GMTable 13.2.11 footnote a (95% CI) |
10th (95% CI) |
50th (95% CI) |
90th (95% CI) |
95th (95% CI) |
---|---|---|---|---|---|---|---|
Total, 3–79 years | |||||||
1 (2007–2009)Table 13.2.11 footnote b | — | — | — | — | — | — | — |
2 (2009–2011) | 2548 | 99.4 (97.8–99.9) |
0.28 (0.23–0.35) |
0.062 (0.054–0.070) |
0.19 (0.15–0.24) |
1.9Table 13.2.11 footnote E (0.72–3.1) |
Table footnote F |
5 (2016–2017) | 2689 | 99.6 (98.7–99.9) |
0.26 (0.20–0.34) |
0.050 (0.038–0.062) |
0.21 (0.15–0.26) |
2.0Table 13.2.11 footnote E (1.1–3.0) |
Table footnote F |
Males, 3–79 years | |||||||
1 (2007–2009)Table 13.2.11 footnote b | — | — | — | — | — | — | — |
2 (2009–2011) | 1275 | 99.3 (96.4–99.9) |
0.21 (0.18–0.25) |
0.055 (0.045–0.064) |
0.17 (0.13–0.20) |
1.0Table 13.2.11 footnote E (0.53–1.5) |
Table footnote F |
5 (2016–2017) | 1340 | 99.7 (99.1–99.9) |
0.21 (0.17–0.28) |
0.045 (0.030–0.060) |
0.17Table 13.2.11 footnote E (0.11–0.23) |
1.5Table 13.2.11 footnote E (0.60–2.3) |
3.5 (2.3–4.8) |
Females, 3–79 years | |||||||
1 (2007–2009)Table 13.2.11 footnote b | — | — | — | — | — | — | — |
2 (2009–2011) | 1273 | 99.6 (97.7–99.9) |
0.38 (0.29–0.51) |
0.070 (0.058–0.083) |
0.24 (0.18–0.30) |
Table footnote F | Table footnote F |
5 (2016–2017) | 1349 | 99.5 (96.8–99.9) |
0.32 (0.22–0.45) |
0.058 (0.045–0.070) |
0.25 (0.20–0.31) |
Table footnote F | Table footnote F |
3–5 years | |||||||
1 (2007–2009)Table 13.2.11 footnote b | — | — | — | — | — | — | — |
2 (2009–2011) | 520 | 99.4 (95.1–99.9) |
0.39 (0.28–0.54) |
0.094 (0.065–0.12) |
0.32 (0.22–0.41) |
Table footnote F | Table footnote F |
5 (2016–2017) | 544 | 100 (99.9–100) |
0.38 (0.31–0.46) |
0.087Table 13.2.11 footnote E (0.053–0.12) |
0.33 (0.29–0.37) |
1.9Table 13.2.11 footnote E (<LOD–3.2) |
Table footnote F |
6–11 years | |||||||
1 (2007–2009) | 1024 | 99.9 (99.6–100) |
0.27 (0.24–0.31) |
0.086 (0.078–0.095) |
0.21 (0.19–0.24) |
1.0Table 13.2.11 footnote E (0.63–1.4) |
2.4Table 13.2.11 footnote E (1.3–3.6) |
2 (2009–2011) | 514 | 99.7 (98.1–100) |
0.24 (0.21–0.29) |
0.077 (0.067–0.087) |
0.18 (0.16–0.20) |
1.1Table 13.2.11 footnote E (0.64–1.5) |
Table footnote F |
5 (2016–2017) | 530 | 99.4 (95.5–99.9) |
0.27 (0.24–0.30) |
0.085 (0.071–0.099) |
0.20 (0.17–0.23) |
1.6Table 13.2.11 footnote E (0.68–2.5) |
3.4Table 13.2.11 footnote E (1.5–5.4) |
12–19 years | |||||||
1 (2007–2009) | 976 | 99.9 (99.5–100) |
0.21 (0.17–0.27) |
0.056 (0.047–0.065) |
0.15 (0.11–0.20) |
1.2Table 13.2.11 footnote E (0.62–1.8) |
2.4Table 13.2.11 footnote E (1.2–3.5) |
2 (2009–2011) | 509 | 100 | 0.21 (0.16–0.26) |
0.057 (0.049–0.065) |
0.15 (0.11–0.19) |
1.2Table 13.2.11 footnote E (0.50–1.9) |
2.4Table 13.2.11 footnote E (1.2–3.5) |
5 (2016–2017) | 531 | 99.4 (98.3–99.8) |
0.20 (0.16–0.25) |
0.047 (0.040–0.054) |
0.14 (0.096–0.18) |
Table footnote F | 3.5Table 13.2.11 footnote E (1.2–5.9) |
20–39 years | |||||||
1 (2007–2009) | 1154 | 99.3 (97.3–99.8) |
0.22 (0.19–0.26) |
0.058 (0.050–0.067) |
0.17 (0.14–0.21) |
1.0 (0.75–1.3) |
2.3Table 13.2.11 footnote E (1.4–3.3) |
2 (2009–2011) | 357 | 100 | 0.35Table 13.2.11 footnote E (0.23–0.53) |
0.059 (0.040–0.078) |
0.22Table 13.2.11 footnote E (0.13–0.30) |
Table footnote F | Table footnote F |
5 (2016–2017) | 372 | 99.3 (93.5–99.9) |
0.29Table 13.2.11 footnote E (0.16–0.52) |
0.048 (0.033–0.063) |
0.22Table 13.2.11 footnote E (0.11–0.33) |
Table footnote F | Table footnote F |
40–59 years | |||||||
1 (2007–2009) | 1216 | 99.6 (98.8–99.9) |
0.27 (0.23–0.32) |
0.062 (0.057–0.068) |
0.20 (0.17–0.23) |
1.7 (1.1–2.3) |
3.6 (2.9–4.4) |
2 (2009–2011) | 358 | 98.9 (94.4–99.8) |
0.27 (0.23–0.32) |
0.065 (0.051–0.079) |
0.19Table 13.2.11 footnote E (0.12–0.27) |
1.6Table 13.2.11 footnote E (0.89–2.2) |
Table footnote F |
5 (2016–2017) | 359 | 99.9 (99.3–100) |
0.24 (0.17–0.32) |
0.049Table 13.2.11 footnote E (0.030–0.068) |
0.23Table 13.2.11 footnote E (0.14–0.31) |
1.5Table 13.2.11 footnote E (<LOD–2.5) |
Table footnote F |
60–79 years | |||||||
1 (2007–2009) | 1078 | 99.6 (98.0–99.9) |
0.25 (0.21–0.31) |
0.066 (0.060–0.073) |
0.20 (0.16–0.24) |
1.3Table 13.2.11 footnote E (0.68–1.9) |
2.9Table 13.2.11 footnote E (1.7–4.2) |
2 (2009–2011) | 290 | 99.0 (93.3–99.9) |
0.27Table 13.2.11 footnote E (0.16–0.44) |
0.052 (0.035–0.070) |
0.18Table 13.2.11 footnote E (0.10–0.27) |
Table footnote F | Table footnote F |
5 (2016–2017) | 353 | 99.6 (97.7–99.9) |
0.27 (0.19–0.37) |
0.047Table 13.2.11 footnote E (0.029–0.065) |
0.20 (0.13–0.27) |
2.1Table 13.2.11 footnote E (1.0–3.2) |
Table footnote F |
CI: confidence interval; GM: geometric mean; LOD: limit of detection |
References
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- Barr, D. and Needham, L. (2002). Analytical methods for biological monitoring of exposure to pesticides: A review. Journal of Chromatography B, 778, 5–29.
- Bradberry, S.M., Cage, S.A., Proudfoot, A.T., and Vale, J.A. (2005). Poisoning due to pyrethroids. Toxicological Reviews, 24 (2), 93–106.
- Canada (2002). Pest Control Products Act. SC 2002, c. 28. Retrieved July 12, 2018.
- CCME (Canadian Council of Ministers of the Environment) (2006). Canadian Water Quality Guidelines for the Protection of Aquatic Life – Permethrin. Winnipeg, MB. Retrieved July 12, 2018.
- CDC (Centers for Disease Control and Prevention) (2005). Third National Report on Human Exposure to Environmental Chemicals. Department of Health and Human Services, Atlanta, GA. Retrieved July 12, 2018.
- CDC (Centers for Disease Control and Prevention) (2009). Fourth National Report on Human Exposure to Environmental Chemicals. Department of Health and Human Services, Atlanta, GA. Retrieved July 12, 2018.
- Davies, T.G.E., Field, L.M., Usherwood, P.N.R., and Williamson, M.S. (2007). DDT, pyrethrins, pyrethroids and insect sodium channels. IUBMB Life, 59 (3), 151–162.
- EPA (U.S. Environmental Protection Agency) (2009a). Reregistration eligibility decision (RED) for permethrin: Case no. 2510. Office of Pesticide Programs, Washington, DC.
- EPA (U.S. Environmental Protection Agency) (2009b). A Review of the Relationship Between Pyrethrins, Pyrethroid Exposure and Asthma and Allergies. Washington, DC. Retrieved July 12, 2018.
- EPA (U.S. Environmental Protection Agency) (2017). Pyrethrin and Pyrethroids. Washington, DC. Retrieved July 12, 2018.
- Ferland, S., Côté, J., Ratelle, M., Thuot, T., and Bouchard, M. (2015). Detailed time profiles of biomarkers of exposure in workers exposed to permethrin in a corn production farm in Quebec, Canada. Annals of Occupational Hygiene 59 (9), 1152–67.
- Fortin, M., Bouchard, M., Carrier, G., and Dumas, P. (2008). Biological monitoring of exposure to pyrethrins and pyrethroids in a metropolitan population of the province of Québec, Canada. Environmental Research, 107, 343–350.
- Health Canada (2004). Canadian recommendations for the prevention and treatment of malaria among international travellers. Canadian Communicable Disease Report, 30 (S1), 1–62.
- Health Canada (2009). Evaluation of pesticide incident report 2008-5998. Minister of Health, Ottawa, ON.
- Health Canada (2012). Maximum Residue Limits for Pesticides Database. Minister of Health, Ottawa, ON. Retrieved July 19, 2018.
- Health Canada (2013). Pesticide Product Information Database. Minister of Health, Ottawa, ON. Retrieved July 12, 2018.
- Health Canada (2016) Re-evaluation Decision RVD2016-05, d-Phenothrin. Minister of Health, Ottawa, ON. Retrieved February 27, 2019.
- Health Canada (2017a). Proposed Re-evaluation Decision PRVD2017-03, Lambda-cyhalothrin. Minister of Health, Ottawa, ON. Retrieved July 19, 2018.
- Health Canada (2017b). Proposed Re-evaluation Decision PRVD2017-18, Permethrin and Its Associated End-use Products. Minister of Health, Ottawa, ON. Retrieved July 19, 2018.
- Health Canada (2018a) Re-evaluation Decision RVD2018-35, Cyfluthrin and Its Associated End-use Products. Minister of Health, Ottawa, ON. Retrieved February 27, 2019.
- Health Canada (2018b) Re-evaluation Decision RVD2018-27, Deltamethrin and its Associated End-use Products. Minister of Health, Ottawa, ON. Retrieved February 27, 2019.
- Health Canada (2018c) Re-evaluation Decision RVD2018-22, Cypermethrin and Its Associated End-use Products. Minister of Health, Ottawa, ON. Retrieved February 27, 2019.
- Health Canada (2018d). Re-evaluation Note REV2018-06, Pest Management Regulatory Agency Re-evaluation and Special Review Work Plan 2018–2023. Minister of Health, Ottawa, ON. Retrieved July 5, 2018.
- Health Canada (2019). Pesticide Label Search. Minister of Health, Ottawa, ON. Retrieved October 18, 2019.
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- Moretto, A. (1991). Indoor spraying with the pyrethroid insecticide lambda-cyhalothrin: Effects on spraymen and inhabitants of sprayed houses. Bulletin of the World Health Organization, 69 (5), 591–594.
- Ratelle, M., Côté, J., and Bouchard, M. (2016). Time courses and variability of pyrethroid biomarkers of exposure in a group of agricultural workers in Quebec, Canada. International Archives of Occupational and Environmental Health, 89 (5), 767–783.
- Saillenfait, A.M., Ndiaye, D., and Sabaté, J.P. (2015). Pyrethroids: exposure and health effects‒an update. International Journal of Hygiene and Environmental Health, 218 (3), 281–92.
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- Wolansky, M.J. and Harrill, J.A. (2008). Neurobehavioral toxicology of pyrethroid insecticides in adult animals: a critical review. Neurotoxicology and Teratology, 30 (2), 55–78.
13.3 Ethylene bisdithiocarbamates
Ethylene bisdithiocarbamates (EBDCs) are a group of pesticides used primarily as broad-spectrum organometallic fungicides. Three EBDCs were registered for use in Canada during the Canadian Health Measures Survey (CHMS) cycle 5 sampling period (2016–2017), namely mancozeb, metiram, and nabam (Health Canada, 2019). Ethylene thiourea (ETU) (CASRN 96-45-7), also known as 2-imidazolidinethione, is a metabolite, an environmental degradation product and synthesis contaminant of EBDCs. ETU can also be produced commercially and is used primarily in plastic and rubber production (CDC, 2016; Environment and Climate Change Canada and Health Canada, 2017; EPA, 2016; IARC, 2001; NTP, 2016).
EBDCs enter the environment as a result of their use as fungicides. They break down rapidly to ETU and other metabolites. As a result, they are not expected to be present in drinking water (Health Canada, 2018c; Health Canada, 2018d). Conversely, ETU is moderately persistent and more mobile than the parent fungicides; therefore, it may be present in the water column (NTP, 2016). In soil, ETU is highly mobile, but biodegrades rapidly, while in air it is photochemically degraded. ETU may also be released to the environment during plastic and rubber production. While the curing of rubber converts ETU to other compounds, residual amounts of ETU may be present (IARC, 1974). Therefore, ETU can potentially migrate from rubber surfaces.
EBDCs are used in a range of applications. Nabam is a broad-spectrum biocide registered for use in Canada to control slime-forming microorganisms in process fluids for a number of industries. As a slime-control agent, it is used in air washers, cooling towers, evaporative condensers, pulp and paper mills, drilling fluids for oil field operations, and secondary and tertiary petroleum recovery (Health Canada, 2012). Mancozeb and metiram are protectant contact fungicides with a multi-site mode of action and have historically been used to control a broad spectrum of plant diseases in a variety of food and feed crops. Following a 2018 re-evaluation decision, Health Canada cancelled all uses of metiram with the exception of foliar application in potatoes (Health Canada, 2018d). Health Canada has also recently proposed to phase out all uses of mancozeb, with the exception of use on greenhouse tobacco (Health Canada, 2018c).
Exposure of the general population may occur from the ingestion of food treated with EBDCs. Other routes of exposure include inhalation during activity in areas adjacent to fields treated with EBDCs. ETU exposure results from its presence as a contaminant in the applied fungicide, the degradation of the parent fungicide, or as a product of heating food contaminated with an EBDC (IARC, 2001). As a result of EBDC use, ETU may also be present as a contaminant in food or drinking water. Cigarette smoke may also be an important source of EBDCs and ETU exposure owing to the use of fungicides on tobacco crops (Houeto et al., 1995; IARC, 2001). Exposure to EBDCs and ETU can also occur through dermal contact with pesticide products; direct ETU exposure may result from dermal contact with rubber that contains ETU (Environment and Climate Change Canada and Health Canada, 2017; EPA, 2016; Health Canada, 2012; Health Canada, 2018c; Health Canada, 2018d; HSDB, 2010).
EBDCs are primarily absorbed by ingestion, less so by inhalation or dermally, and are metabolized rapidly in the body to produce ETU and other substances (CDC, 2016; Houeto, 1995). ETU itself is readily absorbed following oral exposure and excreted in urine as unchanged ETU and other oxidative metabolites (CDC, 2016; Houeto et al., 1995). Once absorbed, ETU distributes throughout the body, with predominant distribution to the thyroid gland (IARC, 2001). ETU can cross the placental barrier and has been measured in the milk of lactating laboratory animals (CDC, 2016; HSDB, 2010). ETU elimination following EBDC exposure has a reported half-life in humans ranging from 32 to 100 hours (Kurttio and Savolainen, 1990). Animal and human studies report that ETU is rapidly eliminated, mainly through urine, with a small amount excreted in feces (CDC, 2016, Houeto et al., 1995). ETU measured in urine reflects recent exposure to EBDCs or ETU (CDC, 2016).
Potential human health risks from exposure to EBDCs and their metabolite ETU include key effects on the thyroid. Of the EBDC fungicides, nabam has the greatest toxicity, possibly due to its higher water solubility and absorbability (Frakes and Hicks, 1993). Overall, the toxicity of parent EBDC compounds is relatively low; most is attributed to the metabolites, particularly ETU (Frakes and Hicks, 1993). Acute oral exposure to ETU has been reported to result in thyroid gland hyperplasia and reduced thyroid hormone levels, while short-term inhalation exposure may irritate the respiratory tract (EPA, 2016; Houeto et al., 1995). Acute exposure to higher levels of ETU can result in symptoms ranging from nausea and sweating to pulmonary edema leading to death. Animal studies show that the target organ for chronic ETU toxicity is the thyroid gland; consequently, several symptoms associated with reduced thyroid hormone may be observed, such as myxedema and goiter. Damage to liver, kidneys, or pituitary gland may also occur (HSDB, 2010).
Experimental animal studies have also shown that ETU is a potential endocrine disruptor, as it interferes with the synthesis of thyroid hormones; and that it is teratogenic, with effects such as musculoskeletal and central nervous system abnormalities reported in laboratory animals (CDC, 2016; EPA, 1991; Hurley, 1998). Evidence suggests that ETU may be weakly genotoxic. Exposure in laboratory animals has resulted in liver tumours and benign pituitary tumours by a less understood mode of action (Health Canada, 2018c; IARC, 2001; NTP, 2016). Studies suggest that ETU is carcinogenic, as exposed animals have been shown to develop thyroid tumours with a clear non-genotoxic mode of action. The International Agency for Research on Cancer (IARC) has classified ETU as not classifiable as to its carcinogenicity to humans (Group 3) (IARC, 2001). To date, IARC has not assessed the EBDC fungicides registered for use in Canada for their carcinogenic potential.
The sale and use of EBDC fungicides are regulated in Canada by the Pest Management Regulatory Agency (PMRA) under the Pest Control Products Act (Canada, 2002). PMRA evaluates toxicity and potential exposure in order to determine whether a pesticide should be registered for a specific use. As part of this registration process, PMRA specifies maximum residue limits (MRLs) of pesticides in food. All established maximum residue limits for EBDCs are currently proposed for revocation, and an MRL on potatoes for metiram has been proposed (Health Canada, 2018b). PMRA re-evaluates registered pesticides on a cyclical basis. As part of this process, Health Canada has completed the re-evaluation of nabam and metiram, and recently published a proposed re-evaluation decision for mancozeb (Health Canada, 2014; Health Canada 2018c; Health Canada, 2018d).
The Government of Canada has conducted a science-based screening assessment under the Chemicals Management Plan to determine whether ETU presents or may present a risk to the environment or human health as per the criteria set out in section 64 of the Canadian Environmental Protection Act, 1999 (CEPA 1999) (Canada, 1999; Environment and Climate Change Canada and Health Canada, 2017). The assessment proposes to conclude that ETU does not meet any of the criteria for being considered toxic under CEPA 1999 (Environment and Climate Change Canada and Health Canada, 2017). Although exposure is not of concern at current levels, according to the draft screening assessment, ETU is associated with human health effects and there may be concern if exposure were to increase; follow-up activities to track changes in exposure or commercial use patterns are under consideration (Canada, 2017). ETU is included in the List of Contaminants and Other Adulterating Substances in Foods found in Division 15 of the Food and Drug Regulations, which prohibits the presence of contaminants in certain food and includes Maximum Levels (MLs) for other ones (Canada, 1978; Health Canada, 2018a). The list stipulates that no amount of ETU is acceptable in food except for fruits, vegetables, and cereals for which an ML has to be respected (Health Canada, 2018a).
ETU was analyzed in the urine of CHMS participants aged 3–79 years in cycle 5 (2016–2017). Data from this cycle are presented as both μg/L and μg/g creatinine. Finding a measurable amount of ETU in urine is an indicator of direct exposure to ETU or an EBDC fungicide and does not necessarily mean that an adverse health effect will occur.
Cycle | n | Detection Frequency (95% CI) |
GMTable 13.3.1 footnote a (95% CI) |
10th (95% CI) |
50th (95% CI) |
90th (95% CI) |
95th (95% CI) |
---|---|---|---|---|---|---|---|
Total, 3-79 years | |||||||
5 (2016–2017) | 2704 | 97.0 (93.5–98.6) |
0.42 (0.35–0.51) |
0.074Table 13.3.1 footnote E (0.043–0.11) |
0.44 (0.36–0.51) |
2.0 (1.6–2.5) |
3.5Table 13.3.1 footnote E (2.0–4.9) |
Males, 3-79 years | |||||||
5 (2016–2017) | 1354 | 96.8 (91.7–98.8) |
0.43 (0.33–0.54) |
0.074Table 13.3.1 footnote E (<LOD–0.12) |
0.46 (0.38–0.53) |
2.1Table 13.3.1 footnote E (1.1–3.0) |
3.9Table 13.3.1 footnote E (1.9–5.9) |
Females, 3-79 years | |||||||
5 (2016–2017) | 1350 | 97.2 (93.6–98.8) |
0.41 (0.34–0.49) |
0.075Table 13.3.1 footnote E (0.047–0.10) |
0.41 (0.34–0.49) |
1.9 (1.4–2.4) |
2.7 (1.7–3.6) |
3-5 years | |||||||
5 (2016–2017) | 553 | 99.0 (87.7–99.9) |
0.54 (0.42–0.70) |
0.11Table 13.3.1 footnote E (0.050–0.18) |
0.47Table 13.3.1 footnote E (0.29–0.66) |
2.7 (2.0–3.4) |
3.7 (3.0–4.4) |
6-11 years | |||||||
5 (2016–2017) | 534 | 96.9 (85.9–99.4) |
0.50 (0.40–0.61) |
0.094 (0.067–0.12) |
0.53 (0.36–0.70) |
2.1 (1.7–2.5) |
3.7 (2.5–4.9) |
12-19 years | |||||||
5 (2016–2017) | 537 | 96.8 (88.9–99.1) |
0.49 (0.36–0.68) |
0.075Table 13.3.1 footnote E (0.034–0.12) |
0.53 (0.34–0.72) |
2.4 (1.5–3.3) |
3.7 (2.8–4.7) |
20-39 years | |||||||
5 (2016–2017) | 375 | 97.9 (89.3–99.6) |
0.41 (0.32–0.53) |
0.076Table 13.3.1 footnote E (0.040–0.11) |
0.41 (0.31–0.51) |
2.1Table 13.3.1 footnote E (0.99–3.1) |
Table footnote F |
40-59 years | |||||||
5 (2016–2017) | 355 | 95.3 (85.0–98.6) |
0.38 (0.29–0.49) |
0.072Table 13.3.1 footnote E (<LOD–0.11) |
0.42 (0.27–0.57) |
1.5 (0.95–2.0) |
Table footnote F |
60-79 years | |||||||
5 (2016–2017) | 350 | 97.9 (93.7–99.3) |
0.42 (0.31–0.56) |
0.076Table 13.3.1 footnote E (<LOD–0.12) |
0.43 (0.32–0.55) |
2.1Table 13.3.1 footnote E (1.2–3.0) |
3.8Table 13.3.1 footnote E (1.8–5.8) |
CI: confidence interval; GM: geometric mean; LOD: limit of detection Note: The LOD for cycle 5 is 0.033 μg/L. |
Cycle | n | Detection Frequency (95% CI) |
GMTable 13.3.2 footnote a (95% CI) |
10th (95% CI) |
50th (95% CI) |
90th (95% CI) |
95th (95% CI) |
---|---|---|---|---|---|---|---|
Total, 3-79 years | |||||||
5 (2016–2017) | 2677 | 97.0 (93.5–98.6) |
0.41 (0.34–0.50) |
0.075 (0.054–0.096) |
0.46 (0.37–0.55) |
2.0 (1.5–2.5) |
3.4 (2.6–4.1) |
Males, 3-79 years | |||||||
5 (2016–2017) | 1340 | 96.8 (91.7–98.8) |
0.37 (0.29–0.48) |
0.073Table 13.3.2 footnote E (<LOD–0.10) |
0.40 (0.28–0.52) |
2.0Table 13.3.2 footnote E (1.2–2.7) |
3.5 (2.6–4.4) |
Females, 3-79 years | |||||||
5 (2016–2017) | 1337 | 97.2 (93.6–98.8) |
0.45 (0.37–0.54) |
0.086Table 13.3.2 footnote E (0.050–0.12) |
0.50 (0.43–0.57) |
2.0 (1.4–2.5) |
3.3 (2.4–4.3) |
3-5 years | |||||||
5 (2016–2017) | 543 | 99.0 (87.7–99.9) |
0.91 (0.65–1.3) |
0.20Table 13.3.2 footnote E (0.11–0.29) |
0.81Table 13.3.2 footnote E (0.47–1.2) |
4.2 (3.4–5.0) |
5.7 (4.1–7.3) |
6-11 years | |||||||
5 (2016–2017) | 529 | 96.9 (85.9–99.4) |
0.59 (0.46–0.74) |
0.13Table 13.3.2 footnote E (0.079–0.19) |
0.58 (0.39–0.78) |
2.5 (2.0–3.1) |
3.3 (2.2–4.3) |
12-19 years | |||||||
5 (2016–2017) | 531 | 96.8 (88.9–99.1) |
0.38 (0.29–0.49) |
0.073Table 13.3.2 footnote E (0.028–0.12) |
0.42 (0.29–0.56) |
1.7 (1.4–2.0) |
2.1 (1.8–2.3) |
20-39 years | |||||||
5 (2016–2017) | 371 | 97.9 (89.3–99.6) |
0.37 (0.28–0.49) |
0.083Table 13.3.2 footnote E (0.051–0.12) |
0.37Table 13.3.2 footnote E (0.23–0.51) |
1.8Table 13.3.2 footnote E (0.67–3.0) |
Table footnote F |
40-59 years | |||||||
5 (2016–2017) | 354 | 95.3 (85.0–98.6) |
0.34 (0.26–0.46) |
0.055Table 13.3.2 footnote E (<LOD–0.094) |
0.47 (0.31–0.63) |
1.3Table 13.3.2 footnote E (0.70–1.9) |
2.9Table 13.3.2 footnote E (1.1–4.7) |
60-79 years | |||||||
5 (2016–2017) | 349 | 97.9 (93.7–99.3) |
0.48 (0.36–0.63) |
0.090 (<LOD–0.12) |
0.51 (0.34–0.68) |
2.9Table 13.3.2 footnote E (1.4–4.3) |
3.8 (2.9–4.6) |
CI: confidence interval; GM: geometric mean; LOD: limit of detection |
References
- Canada (1978). Food and Drug Regulations. C.R.C., c. 870. Retrieved October 2, 2018.
- Canada (1999). Canadian Environmental Protection Act, 1999. SC 1999, c. 33. Retrieved October 2, 2018.
- Canada (2002). Pest Control Products Act. SC 2002, c. 28. Retrieved October 2, 2018.
- Canada (2017). Publication after screening assessment of four heterocycles specified on the Domestic Substances List (subsection 77(1) of the Canadian Environmental Protection Act, 1999). Canada Gazette, Part I: Proposed Regulations, 151(45). Retrieved October 2, 2018.
- CDC (Centers for Disease Control and Prevention) (2016). Biomonitoring Summary: Ethylene thiourea, Propylene thiourea. Centers for Disease Control and Prevention, Georgia, USA. Retrieved September 17, 2018.
- Environment and Climate Change Canada and Health Canada (2017). Draft screening assessment: Heterocycles. Minister of the Environment, Ottawa, ON. Retrieved October 2, 2018.
- EPA (U.S. Environmental Protection Agency) (1991). Integrated Risk Information System (IRIS): Ethylene thiourea (ETU). Office of Research and Development, National Center for Environmental Assessment, Cincinnati, OH. Retrieved March 22, 2019.
- EPA (U.S. Environmental Protection Agency) (2016). Ethylene Thiourea 96-45-7. Washington, DC. Retrieved October 1, 2018.
- Frakes, R.A. and Hicks, L.R. (1993). Fungicides. In Handbook of Hazardous Materials (ed. Corn, M.) Academic Press, Inc., Toronto, ON.
- Health Canada (2012). Re-evaluation Decision RVD2012-13, Nabam. Minister of Health, Ottawa, ON. Retrieved March 19, 2019.
- Health Canada (2014). Proposed Re-evaluation Decision PRVD2014-03, Metiram. Minister of Health, Ottawa, ON. Retrieved March 20, 2019.
- Health Canada (2018a). List of Contaminants and other Adulterating Substances in Foods. Minister of Health, Ottawa, ON. Retrieved October 2, 2018.
- Health Canada (2018b). Proposed Maximum Residue Limit PMRL2018-27, Ethylene bis-dithiocarbamate (EBDC) Fungicides: Mancozeb, Metiram, Maneb and Zineb. Minister of Health, Ottawa, ON. Retrieved March 20, 2019.
- Health Canada (2018c). Proposed Re-evaluation Decision PRVD2018-17, Mancozeb and its Associated End-use Products, Consultation Document. Minister of Health, Ottawa, ON. Retrieved September 19, 2019.
- Health Canada (2018d). Re-evaluation Decision RVD2018-20, Metiram and Its Associated End-use Products, Final Decision. Minister of Health, Ottawa, ON. Retrieved September 19, 2019.
- Health Canada (2019). Pesticide Label Search. Minister of Health, Ottawa, ON. Retrieved October 18, 2019.
- Houeto, P., Bindoula, G., and Hoffman, J.R. (1995). Ethylenebisdithiocarbamates and ethylenethiourea: possible human health hazards. Environmental Health Perspectives, 103(6), 568.
- HSDB (Hazardous Substances Data Bank) (2010). Ethylene thiourea. National Library of Medicine, Bethesda, MD. Retrieved March 22, 2019.
- Hurley, P.M. (1998). Mode of carcinogenic action of pesticides inducing thyroid follicular cell tumors in rodents. Environmental Health Perspectives, 106(8), 437–445.
- IARC (International Agency for Research on Cancer) (1974). IARC Monographs on the Evaluation of Carcinogenic Risks to Humans – Volume 7: Some Anti-Thyroid and Related Substances, Nitrofurans and Industrial Chemicals. World Health Organization, Lyon. Retrieved March 22, 2019.
- IARC (International Agency for Research on Cancer) (2001). IARC Monographs on the Evaluation of Carcinogenic Risks to Humans – Volume 79: Some Thyrotropic Agents. World Health Organization, Lyon. Retrieved October 1, 2018.
- Kurttio, P., and Savolainen, K. (1990). Ethylenethiourea in air and in urine as an indicator of exposure to ethylenebisdithiocarbamate fungicides. Scandinavian Journal of Work, Environment and Health, 16(3), 203–207.
- NTP (National Toxicology Program) (2016). Ethylene Thiourea CAS No. 96-45-7. Report on Carcinogens, Fourteenth Edition. U.S. Department of Health and Human Services, Research Triangle Park, NC. Retrieved October 1, 2018.
13.4 ortho-Phenylphenol
ortho-Phenylphenol (OPP) (CASRN 90-43-7), also known as 2-phenylphenol or biphenyl-2-ol, is a synthetic phenol compound that has the appearance of white- to pink-coloured flaky crystals under ambient conditions (ANSES, 2014; IARC, 1999). OPP can be synthesized by a number of chemical processes. For example, it can be produced from cyclohexanone using a catalyst (ANSES, 2014, Dow, 2008). OPP and its salts are used as fungicides, germicides, and bacteriostats for commercial/industrial, agricultural, and residential purposes (Appel, 2000; Brusick, 2005). In Canada, they are registered to control fungal and bacterial growth on pears (Health Canada, 2008b). OPP and its salts are also used domestically and commercially as hard-surface disinfectants, wood preservatives, and material preservatives in items such as ceramic glazes, felt gaskets, paper dyes, laundry starches, concrete additives, adhesives, paints, leathers, textiles, metalworking fluids, fire extinguisher solutions, floor-wax emulsions, chemical toilets, construction materials, and polyvinyl alcohol (Appel, 2000; Brusick, 2005; CDC, 2016; EPA, 2006; Health Canada, 2008b; Health Canada, 2014).
OPP does not occur naturally. It is released into the environment from anthropogenic sources. Entry into the environment may occur when emissions from manufacturing and processing facilities are released into air or water (Dow, 2008; IARC, 1999). OPP may also potentially be released into the environment from the use of commercial or residential products.
Exposure of the general population to OPP can occur through environmental media, such as outdoor and indoor air, and through consumer products, such as disinfectants or items treated with OPP (CDC, 2016). Children may be exposed via ingestion after touching floors or textiles treated with OPP (Health Canada, 2008a). Exposure can also occur through ingestion of treated food (Appel, 2000; CDC, 2016).
While no human studies on absorption via oral exposure or inhalation were identified, occupational studies have shown that OPP is readily absorbed by dermal contact (Bomhard et al., 2002; INRS, 2016; IARC, 1999; European Commission, 2015). Experimental animal studies have demonstrated absorption following oral and inhalation exposures (ANSES, 2014; INRS, 2016). OPP is rapidly distributed throughout the body following absorption (ANSES, 2014; INRS, 2016). Some evidence from human and animal studies suggests that OPP does not accumulate in the body; this is supported by its short elimination half-life (0.8 hours) (ANSES, 2014; Bomhard et al., 2002; CDC, 2016; European Commission, 2002). In vivo and in vitro studies demonstrate that OPP is metabolized extensively by cytochrome p450. The main metabolic pathways are conjugation of OPP with glucuronide or sulphate (European Commission, 2002). The two major metabolites, OPP-glucuronide and OPP-sulfate, are inactive compounds; in vitro studies also demonstrate that multiple metabolic pathways can produce a variety of OPP metabolites, including active compounds such as phenylhydroquinone and phenylbenzoquinone (ANSES, 2014; Brusick, 2005; INRS, 2016). Elimination is rapid and occurs mainly through urine (90%) as well as feces (5%). Experimental animal studies have shown that 99% of OPP is eliminated as metabolites after 48 hours. Urinary levels of OPP reflect recent exposure (CDC, 2016).
Experimental animal studies have reported minimal toxicity following acute oral and inhalation exposure to OPP; however, OPP is a strong skin irritant and moderate eye irritant (Bomhard et al., 2002; CDC, 2016; Stouten, 1998). No human data evaluating chronic toxicity were identified, but animal studies have reported systemic toxicity following chronic oral exposure to OPP, including anemia, weight loss, and increased weight of several organs (ANSES, 2014; CDC, 2016). Long-term exposure via skin contact showed only local toxicity (skin lesions) but no systemic effects (Stouten, 2018). High doses of OPP in animal studies have been associated with bladder and kidney tumours. This finding is supported by in vitro studies reporting mutagenic effects for OPP (Bomhard et al., 2002; CDC, 2016, IARC 1999). According to the International Agency for Research on Cancer (IARC), OPP is not classifiable as to its carcinogenicity to humans (Group 3) based on inadequate evidence in humans and limited evidence in experimental animals; however, sodium OPP is possibly carcinogenic to humans (Group 2B) based on inadequate evidence in humans and sufficient evidence in experimental animals (IARC, 1999).
The sale and use of OPP as a pesticide is regulated in Canada by Health Canada's Pest Management Regulatory Agency (PMRA) under the Pest Control Product Act (Canada, 2006). The PMRA registration process also recognizes the maximum residue limits (MRLs) for OPP in food, established under the Food and Drugs Act; the Act prohibits the sale of foods containing pesticides that exceed the established MRLs. OPP is currently registered in Canada as a post-harvest treatment for pears and as a material preservative in a wide range of products (Health Canada, 2008b). In 2008, the PMRA re-evaluated OPP and determined that these uses do not present unacceptable risks to humans or the environment when used according to product label directions; it granted them continued registration.
Hard-surface disinfectants are regulated as drugs and subject to the requirements of the Food and Drug Act and its Regulations; in 2014, Health Canada issued guidelines on labelling and the use of products intended for use as hard-surface disinfectants, including OPP (Health Canada, 2014).
Two metabolites of OPP (ortho-phenylphenol-glucuronide and ortho-phenylphenol-sulfate) were analyzed in the urine of Canadian Health Measure Survey participants aged 3–79 years in cycle 5 (2016–2017). Data from this cycle are presented as both µg/L and µg/g creatinine. Finding a measurable amount of OPP in urine can be an indicator of exposure to OPP and does not necessarily mean that an adverse health effect will occur.
Cycle | n | Detection Frequency (95% CI) |
GMTable 13.4.1 footnote a (95% CI) |
10th (95% CI) |
50th (95% CI) |
90th (95% CI) |
95th (95% CI) |
---|---|---|---|---|---|---|---|
Total, 3–79 years | |||||||
5 (2016–2017) | 2620 | 12.4 (9.3–16.3) |
— | <LOD | <LOD | 0.18Table 13.4.1 footnote E (<LOD–0.27) |
0.38Table 13.4.1 footnote E (0.18–0.58) |
Males, 3–79 years | |||||||
5 (2016–2017) | 1303 | 15.9 (11.1–22.3) |
— | <LOD | <LOD | 0.25Table 13.4.1 footnote E (<LOD–0.36) |
0.43Table 13.4.1 footnote E (0.18–0.67) |
Females, 3–79 years | |||||||
5 (2016–2017) | 1317 | 8.8Table 13.4.1 footnote E (5.8–13.1) |
— | <LOD | <LOD | <LOD | Table footnote F |
3–5 years | |||||||
5 (2016–2017) | 531 | 14.3Table 13.4.1 footnote E (8.0–24.3) |
— | <LOD | <LOD | Table footnote F | Table footnote F |
6–11 years | |||||||
5 (2016–2017) | 521 | 12.3Table 13.4.1 footnote E (7.4–19.7) |
— | <LOD | <LOD | Table footnote F | 0.44Table 13.4.1 footnote E (0.17–0.71) |
12–19 years | |||||||
5 (2016–2017) | 507 | 12.6 (8.8–17.8) |
— | <LOD | <LOD | 0.22 (0.15–0.28) |
0.37 (0.28–0.46) |
20–39 years | |||||||
5 (2016–2017) | 361 | Table footnote F | — | <LOD | <LOD | Table footnote F | Table footnote F |
40–59 years | |||||||
5 (2016–2017) | 351 | 17.5Table 13.4.1 footnote E (9.7–29.6) |
— | <LOD | <LOD | 0.25Table 13.4.1 footnote E (<LOD–0.40) |
0.44Table 13.4.1 footnote E (<LOD–0.74) |
60–79 years | |||||||
5 (2016–2017) | 349 | 7.6Table 13.4.1 footnote E (4.3–13.0) |
— | <LOD | <LOD | <LOD | 0.21Table 13.4.1 footnote E (<LOD–0.30) |
CI: confidence interval; GM: geometric mean; LOD: limit of detection Note: The LOD for cycle 5 is 0.15 μg/L. |
Cycle | n | Detection Frequency (95% CI) |
GMTable 13.4.2 footnote a (95% CI) |
10th (95% CI) |
50th (95% CI) |
90th (95% CI) |
95th (95% CI) |
---|---|---|---|---|---|---|---|
Total, 3–79 years | |||||||
5 (2016–2017) | 2599 | 12.4 (9.3–16.3) |
— | <LOD | <LOD | 0.29 (<LOD–0.34) |
0.39 (0.31–0.47) |
Males, 3–79 years | |||||||
5 (2016–2017) | 1293 | 15.9 (11.1–22.3) |
— | <LOD | <LOD | 0.28 (<LOD–0.34) |
0.36 (0.31–0.42) |
Females, 3–79 years | |||||||
5 (2016–2017) | 1306 | 8.8Table 13.4.2 footnote E (5.8–13.1) |
— | <LOD | <LOD | <LOD | 0.42Table 13.4.2 footnote E (<LOD–0.65) |
3–5 years | |||||||
5 (2016–2017) | 524 | 14.3Table 13.4.2 footnote E (8.0–24.3) |
— | <LOD | <LOD | 0.46 (<LOD–0.58) |
Table footnote F |
6–11 years | |||||||
5 (2016–2017) | 516 | 12.3Table 13.4.2 footnote E (7.4–19.7) |
— | <LOD | <LOD | 0.27 (<LOD–0.31) |
0.43 (0.30–0.56) |
12–19 years | |||||||
5 (2016–2017) | 503 | 12.6 (8.8–17.8) |
— | <LOD | <LOD | 0.23 (0.17–0.29) |
0.33 (0.26–0.41) |
20–39 years | |||||||
5 (2016–2017) | 358 | Table footnote F | — | <LOD | <LOD | <LOD | Table footnote F |
40–59 years | |||||||
5 (2016–2017) | 350 | 17.5Table 13.4.2 footnote E (9.7–29.6) |
— | <LOD | <LOD | 0.30 (<LOD–0.40) |
Table footnote F |
60–79 years | |||||||
5 (2016–2017) | 348 | 7.6Table 13.4.2 footnote E (4.3–13.0) |
— | <LOD | <LOD | <LOD | 0.35 (<LOD–0.41) |
CI: confidence interval; GM: geometric mean; LOD: limit of detection |
Cycle | n | Detection Frequency (95% CI) |
GMTable 13.4.3 footnote a (95% CI) |
10th (95% CI) |
50th (95% CI) |
90th (95% CI) |
95th (95% CI) |
---|---|---|---|---|---|---|---|
Total, 3–79 years | |||||||
5 (2016–2017) | 2694 | 99.8 (99.1–100) |
1.7 (1.5–2.0) |
0.42 (0.31–0.53) |
1.6 (1.4–1.8) |
7.0 (4.8–9.1) |
13Table 13.4.3 footnote E (7.8–18) |
Males, 3–79 years | |||||||
5 (2016–2017) | 1345 | 99.7 (98.1–99.9) |
2.0 (1.6–2.4) |
0.51Table 13.4.3 footnote E (0.31–0.71) |
1.7 (1.3–2.1) |
8.9Table 13.4.3 footnote E (5.1–13) |
14Table 13.4.3 footnote E (8.6–19) |
Females, 3–79 years | |||||||
5 (2016–2017) | 1349 | 100 (99.8–100) |
1.6 (1.3–1.8) |
0.39 (0.31–0.47) |
1.5 (1.2–1.8) |
6.2 (4.3–8.2) |
Table footnote F |
3–5 years | |||||||
5 (2016–2017) | 550 | 100 | 1.7 (1.3–2.3) |
0.48 (0.30–0.65) |
1.5 (1.2–1.8) |
Table footnote F | Table footnote F |
6–11 years | |||||||
5 (2016–2017) | 535 | 100 | 1.7 (1.6–1.9) |
0.58 (0.50–0.67) |
1.6 (1.3–1.9) |
5.5 (4.1–6.8) |
9.3Table 13.4.3 footnote E (5.3–13) |
12–19 years | |||||||
5 (2016–2017) | 532 | 99.8 (99.2–100) |
1.9 (1.7–2.1) |
0.67 (0.52–0.82) |
1.7 (1.5–1.9) |
5.2 (4.5–6.0) |
8.7 (5.7–12) |
20–39 years | |||||||
5 (2016–2017) | 371 | 100 (99.7–100) |
1.7 (1.2–2.4) |
Table footnote F | 1.6 (1.1–2.2) |
Table footnote F | Table footnote F |
40–59 years | |||||||
5 (2016–2017) | 352 | 99.6 (95.5–100) |
2.0 (1.4–2.7) |
0.42Table 13.4.3 footnote E (0.23–0.61) |
1.7 (1.1–2.2) |
9.7Table 13.4.3 footnote E (5.1–14) |
15Table 13.4.3 footnote E (7.3–23) |
60–79 years | |||||||
5 (2016–2017) | 354 | 99.8 (98.4–100) |
1.5 (1.3–1.7) |
0.36 (0.24–0.47) |
1.5 (1.3–1.6) |
5.5Table 13.4.3 footnote E (3.2–7.8) |
8.7 (6.9–10) |
CI: confidence interval; GM: geometric mean; LOD: limit of detection Note: The LOD for cycle 5 is 0.092 μg/L. |
Cycle | n | Detection Frequency (95% CI) |
GMTable 13.4.4 footnote a (95% CI) |
10th (95% CI) |
50th (95% CI) |
90th (95% CI) |
95th (95% CI) |
---|---|---|---|---|---|---|---|
Total, 3–79 years | |||||||
5 (2016–2017) | 2673 | 99.8 (99.1–100) |
1.7 (1.5–1.9) |
0.62 (0.53–0.71) |
1.4 (1.2–1.6) |
5.4 (4.3–6.5) |
8.3Table 13.4.4 footnote E (5.0–12) |
Males, 3–79 years | |||||||
5 (2016–2017) | 1335 | 99.7 (98.1–99.9) |
1.7 (1.5–1.9) |
0.59 (0.48–0.69) |
1.5 (1.3–1.8) |
5.4 (4.1–6.7) |
7.2Table 13.4.4 footnote E (4.1–10) |
Females, 3–79 years | |||||||
5 (2016–2017) | 1338 | 100 (99.8–100) |
1.7 (1.5–1.9) |
0.65 (0.53–0.77) |
1.4 (1.2–1.5) |
5.3 (3.6–6.9) |
Table footnote F |
3–5 years | |||||||
5 (2016–2017) | 543 | 100 | 2.9 (2.4–3.6) |
1.1 (0.77–1.4) |
2.4 (1.9–2.9) |
9.5 (7.2–12) |
Table footnote F |
6–11 years | |||||||
5 (2016–2017) | 530 | 100 | 2.0 (1.8–2.2) |
0.85 (0.76–0.95) |
1.8 (1.5–2.0) |
5.3 (3.7–6.9) |
7.5 (5.2–9.9) |
12–19 years | |||||||
5 (2016–2017) | 528 | 99.8 (99.2–100) |
1.4 (1.2–1.6) |
0.56 (0.45–0.68) |
1.3 (1.1–1.5) |
3.9 (2.8–5.1) |
5.8 (4.8–6.7) |
20–39 years | |||||||
5 (2016–2017) | 368 | 100 (99.7–100) |
1.5 (1.2–1.9) |
0.63 (<LOD–0.79) |
1.3 (1.0–1.6) |
Table footnote F | Table footnote F |
40–59 years | |||||||
5 (2016–2017) | 351 | 99.6 (95.5–100) |
1.8 (1.4–2.3) |
0.60 (0.46–0.75) |
1.4 (1.0–1.7) |
5.9 (4.0–7.8) |
Table footnote F |
60–79 years | |||||||
5 (2016–2017) | 353 | 99.8 (98.4–100) |
1.7 (1.5–2.0) |
0.58 (0.48–0.69) |
1.4 (1.2–1.7) |
5.8 (4.5–7.1) |
8.5Table 13.4.4 footnote E (5.2–12) |
CI: confidence interval; GM: geometric mean; LOD: limit of detection |
References
- ANSES (Agence nationale de sécurité sanitaire alimentation, environnement, travail) (2014). Profil toxicologique de l'o-phenylphénol (OPP). Rapport d'expertise collective. France. Retrieved October 31, 2019.
- Appel, K.E. (2000). The carcinogenicity of the biocide ortho-phenylphenol. Archives of Toxicology, 74(2), 61–71.
- Bomhard, E.M., Brendler-Schwaab, S.Y., Freyberger, A., Herbold, B.A., Leser, K.H., and Richter, M. (2002). O-phenylphenol and its sodium and potassium salts: a toxicological assessment. Critical Reviews in Toxicology, 32(6), 551–626.
- Brusick, D. (2005). Analysis of genotoxicity and the carcinogenic mode of action for ortho‐phenylphenol. Environmental and Molecular Mutagenesis, 45(5), 460–481.
- Canada (2006). Pest Control Products Act. SC 2002, c. 28. Retrieved September 18, 2018.
- CDC (Centers for Disease Control and Prevention) (2016). Biomonitoring Summary – ortho-Phenylphenol CAS No. 90-43-7. Centers for Disease Control and Prevention, Georgia, USA. Retrieved September 17, 2018.
- Dow (2008). Product Safety Assessment: 2-Phenylphenol and Salts. The Dow Chemical Company, Midland, MI. Retrieved September 27, 2018.
- EPA (U.S. Environmental Protection Agency) (2006). Reregistration Eligibility Decision for 2-phenylphenol and Salts (Orthophenylphenol or OPP). Washington, DC. Retrieved September 14, 2018.
- European Commission (2002). Study on the scientific evaluation of 12 substances in the context of endocrine disrupter priority list of actions. WRc-NSF Ref: UC 6052. Office for Official Publications of the European Communities, Luxembourg. Retrieved October 3, 2018.
- European Commission (2015). Opinion on o-Phenylphenol, Sodium o-phenylphenate and Potassium o-phenylphenate. SCCS (Scientific Committee on Consumer Safety). SCCS/1555/15. Retrieved October 3, 2018.
- Health Canada (2008a). Proposed Re-evaluation Decision PRVD2008-04: 2-Phenylphenols and salts. Minister of Health, Ottawa, ON. Retrieved September 14, 2018.
- Health Canada (2008b). Re-evaluation decision RVD2008-13: 2 phenylphenol and salts. Minister of Health, Ottawa, ON. Retrieved September 14, 2018.
- Health Canada (2014). Hard surface disinfectants monograph. Minister of Health, Ottawa, ON. Retrieved September 27, 2018.
- IARC (International Agency for Research on Cancer) (1999). IARC Monographs on the Evaluation of Carcinogenic Risks to Humans – Volume 73: Some Chemicals that Cause Tumours of the Kidney or Urinary Bladder in Rodents and Some Other Substances. World Health Organization, Lyon. Retrieved September 14, 2018.
- INRS (Institut National de Recherche et de Sécurité) (2016). Fiche Demeter O-phényphénol. INRS, Département Etudes et Assistances Médicales, Paris, France. Retrieved October 31, 2019.
- Stouten, H. (1998). Toxicological profile for o‐phenylphenol and its sodium salt. Journal of Applied Toxicology, 18(4), 261–270.
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