Lung cancer and hydrogen chloride exposure: results from a nested case-control study of chemical workers

J Occup Med. 1991 Sep;33(9):958-61.

Abstract

There are few epidemiologic data available to address the question of potential carcinogenic effects of hydrogen chloride (HCl) exposure on humans. An opportunity arose to augment a nominal HCl exposure classification that had been done earlier for a nested case-control study of lung cancer among a cohort of chemical manufacturing employees. Working from first-hand knowledge of the relevant chemical processes and limited HCl monitoring data, a certified industrial hygienist estimated average exposures for each of the job assignments of 308 lung cancer cases and 616 comparison workers. The risk of lung cancer was then analyzed in relation to several measures of HCl exposure, including duration, a cumulative exposure score, highest average exposure, and latency. None showed evidence of an association between HCl exposure and lung cancer. This is consistent with the limited rodent bioassay data, which also failed to find a tumorigenic response from HCl. Thus, even at high level occupational exposures (up to 3000 micrograms/m3 for several years) there is no evidence that HCl is a human carcinogen.

MeSH terms

  • Adult
  • Air Pollutants, Occupational / adverse effects*
  • Bronchial Neoplasms / chemically induced
  • Bronchial Neoplasms / epidemiology
  • Case-Control Studies
  • Chemical Industry*
  • Cohort Studies
  • Cross-Sectional Studies
  • Humans
  • Hydrochloric Acid / adverse effects*
  • Incidence
  • Lung Neoplasms / chemically induced*
  • Lung Neoplasms / epidemiology
  • Male
  • Occupational Diseases / chemically induced*
  • Occupational Diseases / epidemiology
  • Occupational Exposure*
  • Risk Factors
  • Smoking / adverse effects
  • Texas / epidemiology
  • Tracheal Neoplasms / chemically induced
  • Tracheal Neoplasms / epidemiology

Substances

  • Air Pollutants, Occupational
  • Hydrochloric Acid