Excerpt

This public health statement tells you about manganese and the effects of exposure to it.

The Environmental Protection Agency (EPA) identifies the most serious hazardous waste sites in the nation. These sites are then placed on the National Priorities List (NPL) and are targeted for long-term federal clean-up activities. Manganese has been found in at least 869 of the 1,699 current or former NPL sites. Although the total number of NPL sites evaluated for this substance is not known, the possibility exists that the number of sites at which manganese is found may increase in the future as more sites are evaluated. This information is important because these sites may be sources of exposure and exposure to this substance may harm you.

When a substance is released either from a large area, such as an industrial plant, or from a container, such as a drum or bottle, it enters the environment. Such a release does not always lead to exposure. You can be exposed to a substance only when you come in contact with it. You may be exposed by breathing, eating, or drinking the substance, or by skin contact.

If you are exposed to manganese, many factors will determine whether you will be harmed. These factors include the dose (how much), the duration (how long), and how you come in contact with it. You must also consider any other chemicals you are exposed to and your age, sex, diet, family traits, lifestyle, and state of health.

Contents

• FOREWORD
• QUICK REFERENCE FOR HEALTH CARE PROVIDERS
• PEER REVIEW
• 1. PUBLIC HEALTH STATEMENT
  • 1.1 WHAT IS MANGANESE?
  • 1.2 WHAT HAPPENS TO MANGANESE WHEN IT ENTERS THE ENVIRONMENT?
  • 1.3 HOW MIGHT I BE EXPOSED TO MANGANESE?
  • 1.4 HOW CAN MANGANESE ENTER AND LEAVE MY BODY?
  • 1.5 HOW CAN MANGANESE AFFECT MY HEALTH?
  • 1.6 HOW CAN MANGANESE AFFECT CHILDREN?
  • 1.7 HOW CAN FAMILIES REDUCE THE RISK OF EXPOSURE TO MANGANESE?
  • 1.8 IS THERE A MEDICAL TEST TO DETERMINE WHETHER I HAVE BEEN EXPOSED TO MANGANESE?
  • 1.9 WHAT RECOMMENDATIONS HAS THE FEDERAL GOVERNMENT MADE TO PROTECT HUMAN HEALTH?
  • 1.10 WHERE CAN I GET MORE INFORMATION?
• 2. RELEVANCE TO PUBLIC HEALTH
  • 2.1 BACKGROUND AND ENVIRONMENTAL EXPOSURES TO MANGANESE IN THE UNITED STATES
  • 2.2 SUMMARY OF HEALTH EFFECTS
  • 2.3 MINIMAL RISK LEVELS (MRLs)
• 3. HEALTH EFFECTS
  • 3.1 INTRODUCTION
  • 3.2 DISCUSSION OF HEALTH EFFECTS BY ROUTE OF EXPOSURE
  • 3.3 GENOTOXICITY
  • 3.4 TOXICOKINETICS
  • 3.5 MECHANISMS OF ACTION
  • 3.6 TOXICITIES MEDIATED THROUGH THE NEUROENDOCRINE AXIS
  • 3.7 CHILDREN’S SUSCEPTIBILITY
  • 3.8 BIOMARKERS OF EXPOSURE AND EFFECT
  • 3.9 INTERACTIONS WITH OTHER CHEMICALS
  • 3.10 POPULATIONS THAT ARE UNUSUALLY SUSCEPTIBLE
  • 3.11 METHODS FOR REDUCING TOXIC EFFECTS
  • 3.12 ADEQUACY OF THE DATABASE
• 4. CHEMICAL AND PHYSICAL INFORMATION
  • 4.1 CHEMICAL IDENTITY
  • 4.2 PHYSICAL AND CHEMICAL PROPERTIES
• 5. PRODUCTION, IMPORTORT, USE, AND DISPOSAL
  • 5.1 PRODUCTION
  • 5.2 IMPORT/EXPORT
  • 5.3 USE
  • 5.4 DISPOSAL
• 6. POTENTIAL FOR HUMAN EXPOSURE
  • 6.1 OVERVIEW
  • 6.2 RELEASES TO THE ENVIRONMENT
  • 6.3 ENVIRONMENTAL FATE
  • 6.4 LEVELS MONITORED OR ESTIMATED IN THE ENVIRONMENT
  • 6.5 GENERAL POPULATION AND OCCUPATIONAL EXPOSURE
  • 6.6 EXPOSURES OF CHILDREN
  • 6.7 POPULATIONS WITH POTENTIALLY HIGH EXPOSURES
  • 6.8 ADEQUACY OF THE DATABASE
• 7. ANALYTICAL METHODS
  • 7.1 BIOLOGICAL MATERIALS
  • 7.2 ENVIRONMENTAL SAMPLES
  • 7.3 ADEQUACY OF THE DATABASE
• 8. REGULATIONS, ADVISORIES, AND GUIDELINES
• REFERENCES
• GLOSSARY
• APPENDIX A ATSDR MINIMAL RISK LEVELS AND WORKSHEETS
• APPENDIX B USER'S GUIDE
• APPENDIX C ACRONYMS, ABBREVIATIONS, AND SYMBOLS

UPDATE STATEMENT: A Toxicological Profile for Manganese, Draft for Public Comment was released in September 2008. This edition supersedes any previously released draft or final profile.

Toxicological profiles are revised and republished as necessary. For information regarding the update status of previously released profiles, contact ATSDR at: Agency for Toxic Substances and Disease Registry, Division of Toxicology and Human Health Sciences (proposed), Environmental Toxicology Branch (proposed), 1600 Clifton Road NE, Mailstop F-62, Atlanta, Georgia 30333

THE PROFILE HAS UNDERGONE THE FOLLOWING ATSDR INTERNAL REVIEWS: 1. Health Effects Review. The Health Effects Review Committee examines the health effects chapter of each profile for consistency and accuracy in interpreting health effects and classifying end points. 2. Minimal Risk Level Review. The Minimal Risk Level Workgroup considers issues relevant to substance-specific Minimal Risk Levels (MRLs), reviews the health effects database of each profile, and makes recommendations for derivation of MRLs. 3. Data Needs Review. The Environmental Toxicology Branch (proposed) reviews data needs sections to assure consistency across profiles and adherence to instructions in the Guidance. 4. Green Border Review. Green Border review assures the consistency with ATSDR policy.

DISCLAIMER: Use of trade names is for identification only and does not imply endorsement by the Agency for Toxic Substances and Disease Registry, the Public Health Service, or the U.S. Department of Health and Human Services.