An evaluation of hexachlorobenzene body-burden levels in the general population of the USA.

Hexachlorobenzene (HCB) is a chemical of concern to the US Environmental Protection Agency. Although the use of HCB as a fungicide has virtually been eliminated, detectable levels of HCB are still found in nearly all people in the USA. This paper describes an examination of HCB-residue levels from the US National Human Adipose Tissue Survey, which is an annual programme to collect a nationwide sample of adipose-tissue specimens and analyse them for the presence of toxic compounds. The specimens are collected from surgical patients and autopsied cadavers according to a multistage statistical survey design that allows identification of geographic and demographic subpopulations with elevated HCB levels, and thus may help to indicate sources of human exposure to this chemical. Data on HCB body-burden levels are available for the years 1974-1983, excluding 1980 and 1982. The estimated average residue level of 6115 specimens is 0.053 ppm, the ninetieth percentile value is 0.09 ppm and the range is 'not detected' to 4.33 ppm. The analysis reveals that while the percentage of individuals with detectable levels is increasing, the annual average level is decreasing. A large percentage of specimens with elevated HCB levels comes from the Pacific census division and the oldest age group. In comparison, world-wide detectable levels are approaching 100% and average residue levels tend to increase with age. World-wide HCB levels are higher in females, which contrasts with findings from the National Human Adipose Tissue Survey.