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Unidentified inert ingredients in pesticides: implications for human and environmental health.


BACKGROUND: By statute or regulation in the United States and elsewhere, pesticide ingredients are divided into two categories: active and inert (sometimes referred to as other ingredients, adjuvants, or coformulants). Despite their name, inert ingredients may be biologically or chemically active and are labeled inert only because of their function in the formulated product. Most of the tests required to register a pesticide are performed with the active ingredient alone, not the full pesticide formulation. Inert ingredients are generally not identified on product labels and are often claimed to be confidential business information.

OBJECTIVES: In this commentary, we describe the shortcomings of the current procedures for assessing the hazards of pesticide formulations and demonstrate that inert ingredients can increase the toxicity of and potential exposure to pesticide formulations.

DISCUSSION: Inert ingredients can increase the ability of pesticide formulations to affect significant toxicologic end points, including developmental neurotoxicity neurotoxicity /neu·ro·tox·ic·i·ty/ (noor?o-tok-sis´it-e) the quality of exerting a destructive or poisonous effect upon nerve tissue. , genotoxicity Genotoxic substances are a type of carcinogen, specifically those capable of causing genetic mutation and of contributing to the development of tumors. This includes both certain chemical compounds and certain types of radiation. , and disruption of hormone function. They can also increase exposure by increasing dermal dermal /der·mal/ (der´mal) pertaining to the dermis or to the skin.

der·mal or der·mic
adj.
Of or relating to the skin or dermis.
 absorption, decreasing the efficacy of protective clothing, and increasing environmental mobility and persistence. Inert ingredients can increase the phytotoxicity This article or section is in need of attention from an expert on the subject.
Please help recruit one or [ improve this article] yourself. See the talk page for details.
 of pesticide formulations as well as the toxicity to fish, amphibians amphibians

members of the animal class Amphibia. Includes frogs, toads, newts, salamanders and cecilians all capable of living on land or in water.
, and microorganisms.

CONCLUSIONS: Pesticide registration should require full assessment of formulations. Evaluations of pesticides under the National Environmental Policy Act, the Endangered Species Act The federal Endangered Species Act of 1973 (ESA) (16 U.S.C.A. §§ 1531 et seq.) was enacted to protect animal and plant species from extinction by preserving the ecosystems in which they survive and by providing programs for their conservation. , and similar statutes should include impact assessment of formulations. Environmental monitoring for pesticides should include inert ingredients. To enable independent research and risk assessment, inert ingredients should be identified on product labels.

KEY WORDS: ecologic effects, exposure, formulations, inert ingredients, pesticides, toxicology. Environ Health Perspect 114: 1803-1806 (2006). doi:10.1289/ehp.9374 available via http://dx.doi.org/ [Online 18 August 2006]

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Pesticides are toxic chemicals that are both ubiquitous and unique. Unlike other toxic chemicals, they are designed to kill, repel, or otherwise harm living organisms [U.S. Environmental Protection Agency Environmental Protection Agency (EPA), independent agency of the U.S. government, with headquarters in Washington, D.C. It was established in 1970 to reduce and control air and water pollution, noise pollution, and radiation and to ensure the safe handling and  (EPA EPA eicosapentaenoic acid.

EPA
abbr.
eicosapentaenoic acid


EPA,
n.pr See acid, eicosapentaenoic.

EPA,
n.
) 2005c], and they are one of the few toxic substances that are intentionally applied to the environment [National Research Council (NRC NRC
abbr.
1. National Research Council

2. Nuclear Regulatory Commission

Noun 1. NRC - an independent federal agency created in 1974 to license and regulate nuclear power plants
) 1993]. Monitoring programs conducted in the United States have found pesticides in "one or more samples from every stream sampled" (Gilliom et al. 2006), in > 70% of common foods [U.S. Department of Agriculture (USDA USDA,
n.pr See United States Department of Agriculture.
) 2006], and in over half of adults and children (Centers for Disease Control and Prevention Centers for Disease Control and Prevention (CDC), agency of the U.S. Public Health Service since 1973, with headquarters in Atlanta; it was established in 1946 as the Communicable Disease Center.  2005).

In the United States, the regulatory system for pesticides differs from other toxic chemical regulatory programs. Under the Federal Insecticide, Fungicide, and Rodenticide Act The Federal Insecticide, Fungicide, and Rodenticide Act (or FIFRA), 7 U.S.C.  136 et seq. is a United States federal law that set up the basic US system of pesticide regulation to protect applicators, consumers and the environment.  (FIFRA FIFRA Federal Insecticide, Fungicide and Rodenticide Act of 1972  2002), active ingredients--those which "prevent, destroy, repel, or mitigate any pest"--are subject to greater scrutiny than inert (or sometimes other) ingredients (U.S. EPA 1997). The combination of active and inert ingredients, as marketed and used, is called a formulation (U.S. EPA 2006b). Most countries surveyed by the Organization of Economic Co-operation and Development (OECD OECD: see Organization for Economic Cooperation and Development. ) make a similar distinction, although terminology can be different: "adjuvants" and "formulants" are sometimes used to describe inert ingredients, and formulations can be called "preparations" (OECD 1994, 1998).

In ordinary usage, the word "inert" refers to something that is physically, chemically, or biologically inactive. The U.S. EPA recognizes that the statutory nomenclature for pesticides under FIFRA engenders public misunderstanding, stating that "many consumers have a misleading impression of the term 'inert ingredient,' believing it to mean water or other harmless ingredients" (U.S. EPA 1997). In fact, an inert ingredient "may have biological activity of its own, it may be toxic to humans, and it may be chemically active" (U.S. EPA 2002). The arbitrary distinction between active and inert ingredients is well illustrated by the > 500 inert ingredients that, according to the U.S. EPA (2006a), have been or are currently used as active ingredients.

A significant proportion of typical pesticide formulations are inert ingredients. In a survey of over 200 common household products in retail stores in Oregon, the Northwest Coalition for Alternatives to Pesticides (NCAP NCAP New Car Assessment Program
NCAP Northwest Coalition for Alternatives to Pesticides
NCAP Network Capable Application Processor (from IEEE standard 1451.
 2006b) found that these products contained on average 86% inert ingredients. Similar results were found in surveys of products for sale in New York in 1990, 1997, and 1999 (Surgan and Gershon 2000). Agricultural products also contain a significant proportion of inert ingredients. In a review of over 100 agricultural products, NCAP (2006a) found that they contained an average of > 50% inert ingredients.

Inert ingredients serve a variety of functions in pesticide formulations, acting as solvents, surfactants, or preservatives, among many other functions (U.S. EPA 2002, 2005a). Products with the same active ingredient may be described as granular, flowable, emulsifiable, or wettable based on the inert ingredients in the formulation [National Pesticide Telecommunications Network (NPTN NPTN National Public Telecomputing Network
NPTN National Pesticide Telecommunications Network
NPTN National Public Telecommuting Network
) 1999]. A single product may contain a number of inert ingredients, each with a different purpose in the formulation (U.S. EPA 2005b).

Independent assessment of the hazards of pesticide formulations is stymied by the lack of public access to product-specific information about inert ingredients. FIFRA (2002) requires that active ingredients be identified on product labels, but makes no such requirement for inert ingredients. The only products for which complete identification of inert ingredients is required are minimum risk, FIFRA-exempt products (U.S. EPA 2005a, Part 158.25). As a result, inert ingredients are rarely identified on the product label. In 1999, only 10% of > 100 commonly available pesticide products sold in retail stores in New York identified any of the inert ingredients on the label. None of these labels identified all of the inert ingredients in the products (Surgan and Gershon 2000).

Pesticide manufacturers claim that some inert ingredient information is protected as confidential business information (NCAP v. Browner 1996). In addition, inert ingredients are protected as confidential by many governments (OECD 1998). Our experience is that the current process for identifying ingredients involves substantial bureaucratic delay and, in some instances, litigation An action brought in court to enforce a particular right. The act or process of bringing a lawsuit in and of itself; a judicial contest; any dispute.

When a person begins a civil lawsuit, the person enters into a process called litigation.
. There is a clear need for more public disclosure of the identity of all ingredients of pesticide products.

Inadequate Assessment of the Hazards of Pesticide Formulations

The U.S. EPA (2004) has identified almost 3,000 substances, with widely varying toxicity, that are used as inert ingredients in the United States. For example, paper is used as an inert ingredient, but so are toxic chemicals such as naphthalene naphthalene (năf`thəlēn'), colorless, crystalline, solid aromatic hydrocarbon with a pungent odor. It melts at 80°C;, boils at 218°C;, and sublimes upon heating.  and xylene xylene (zī`lēn) or dimethylbenzene (dī'mĕthəlbĕn`zēn), C6H4(CH3)2  (U.S. EPA 2004). Also, about 50% of all inert ingredients are at least moderately risky (U.S. EPA 2002). Given the toxicity of inert ingredients and their widespread use in pesticide products, formulations should be fully assessed when pesticides are registered with the U.S. EPA. This, however, is not currently the case. Of the 20 toxicologic tests required (or conditionally required) to register a pesticide in the United States, only 7 short-term acute toxicity tests use the pesticide formulation; the rest are done with only the active ingredient. The medium- and long-term toxicity tests that explore end points of significant concern (cancer, reproductive problems, and genetic damage, for example) are conducted with the active ingredient alone. The requirements for other types of tests are similar. Only half of the required (or conditionally required) tests of environmental fate use the formulated product, as do only a quarter of the tests for effects on wildlife and nontarget non·tar·get  
adj.
Not being the target, as of an agent or weapon: effects of radiotherapy on nontarget cells. 
 plants (U.S. EPA 2005a, Parts 158.290, 158.340, 158.490, and 158.540). As a result, many potential long-term effects of pesticide formulations are not assessed as part of the registration process. Testing requirements are similar in many other countries (OECD 1994).

Research indicates that some inert ingredients in pesticide formulations can significantly affect the human health and environmental impacts of these products. Published studies detailed below demonstrate that tests conducted with active ingredients alone are inadequate as the basis for the evaluation of the health and environmental impacts of pesticide formulations.

Inert Ingredients Can Increase Toxicity of Pesticide Formulations

Numerous studies indicate that inert ingredients may enhance the toxicity of pesticide formulations to the nervous system, the cardiovascular system, mitochondria, genetic material, and hormone systems.

A household formulation of the insecticide bifenthrin reduced the viability of rodent nerve cell cultures, whereas bifenthrin did not. Both the formulation and the active ingredient reduced the outgrowth of neuritis neuritis (nrī`tĭs, ny  in vitro, but the effects of the formulation were more severe (Tran et al. 2006). These observations suggest that the inert ingredients would enhance developmental neurotoxic neurotoxic

pertaining to or emanating from a neurotoxin.


neurotoxic state
a case of poisoning by a neurotoxin.


neurotoxic adjective
 effects of bifenthrin.

Inert ingredients can also be toxic to the cardiovascular system. An herbicidal formulation of glufosinate caused a decrease in blood pressure and changes in heart rate of rats, in vivo (Koyama et al. 1997). Glufosinate alone had no effects on either parameter. Similar results were obtained in vitro.

Oakes and Pollack (1999) reported that inert ingredients of three herbicides also increased in vitro inhibition of mitochondrial mitochondrial

pertaining to mitochondria.


mitochondrial RNAs
a unique set of tRNAs, mRNAs, rRNAs, transcribed from mitochondrial DNA by a mitochondrial-specific RNA polymerase, that account for about 4% of the total cell RNA that
 oxidative activity. The concentration of active ingredient required to reduce mitochondrial activity by 50% was 136 times higher for a formulation containing only 2, 4-D (2, 4-dichlorophenoxyacetic acid) and picloram picloram

a picolinic acid derivative used as a herbicide; causes weakness, anorexia and depression in poisoned animals.
 than the concentration of those ingredients required when the inert ingredients were also included. These authors found similar results with a formulation containing 2, 4-D and 2, 4, 5-T (2, 4, 5-trichlorophenoxyacetic acid) (Oakes and Pollack 2000). Peixoto (2005) found that a glyphosate glyphosate

herbicide and desiccant for grains. Heavy doses to birds cause soft shells on their eggs.
 formulation caused a significant reduction in the activity of rat liver mitochondrial respiratory complexes in vitro but that glyphosate alone had no effect.

Pesticide formulations have proven to be more potent genotoxins than active ingredients alone in a variety of test systems. In vitro treatment of human lymphocytes with glyphosate and a glyphosate formulation resulted in a significantly higher rate of induction of sister chromatid exchange Sister chromatid exchange is the exchange of genetic material between two identical sister chromatids.

It was firstly discovered by using giemsa staining method on one chromatid belonging to the sister chromatid complex before anaphase in mitosis.
 by the formulated product (Bolognesi et al. 1997). Both the formulation and glyphosate increased micronucleus micronucleus /mi·cro·nu·cle·us/ (-noo´kle-us)
1. in ciliate protozoa, the smaller of two types of nucleus in each cell, which functions in sexual reproduction; cf. macronucleus.

2. a small nucleus.
 formation in mouse bone marrow; the increase was "more pronounced" with the formulation. Zeljezic et al. (2006) found that an herbicidal formulation containing atrazine atrazine

a triazine herbicide; it is not poisonous at levels of intake likely to be encountered in agriculture.

atrazine Toxicology A nonphytoestrogenic herbicide. See Phytoestrogen.
 increased DNA DNA: see nucleic acid.
DNA
 or deoxyribonucleic acid

One of two types of nucleic acid (the other is RNA); a complex organic compound found in all living cells and many viruses. It is the chemical substance of genes.
 damage in human lymphocytes but atrazine alone did not.

Inert ingredients may enhance the reproductive toxicity of active ingredients. Both the herbicide glyphosate and a glyphosate formulation were toxic to human placenta cell cultures (Richard et al. 2005). However, the formulation was significantly more toxic than glyphosate alone; the median lethal dose for the formulation was half that of the active ingredient.

Several reports demonstrate disruption of endocrine function by inert ingredients. In one study, a glyphosate-containing herbicide formulation inhibited progesterone progesterone (prōjĕs`tərōn'), female sex hormone that induces secretory changes in the lining of the uterus essential for successful implantation of a fertilized egg.  production in vitro in mouse Leydig cells, but glyphosate did not (Walsh et al. 2000). Richard et al. (2005) noted that a glyphosate formulation inhibited the activity of human placental cell aromatase, which converts androgens into estrogens Estrogens
Hormones produced by the ovaries, the female sex glands.

Mentioned in: Acne, Polycystic Ovary Syndrome

estrogens (es´trōjenz),
n.
. Again, glyphosate alone did not inhibit the activity of this enzyme. In another study, Lin and Garry (2000) found that two 2, 4-D formulations caused estrogen-like proliferation of MCF-7 breast cancer cells in vitro, whereas 2, 4-D did not.

Inert Ingredients Can Increase Exposure to Pesticide Formulations

Inert and active ingredients can interact to diminish the protective efficacy of both clothing and skin, reduce the efficacy of washing, and increase persistence and off-target movement of pesticides.

Dermal exposure is the most common exposure route for people who handle or apply pesticides. Some inert ingredients can increase dermal absorption or penetration of the active ingredient. In a comparison of the penetration of three formulated herbicidal products through hairless mouse skin with their respective active ingredients, Brand and Mueller (2002) found that dermal penetration of the formulations was 3-30 times greater than the penetration of the active ingredients alone. Similar results were obtained in studies of absorption of the insecticide lindane lindane: see insecticides.  and the wood preservative pentachlorophenol pentachlorophenol

a wood preservative with great capacity to enter the body by any route, including percutaneously; causes weight loss, low milk production and general debility.
 through human and porcine porcine /por·cine/ (por´sin) pertaining to swine.

porcine

pertaining to pig. See also hog (1), swine.


porcine circovirus 1
a nonpathogenic virus.
 skin, respectively (Baynes et al. 2002; Dick et al. 1997a, 1997b). In all three of these studies, solvents used as inert ingredients increased the dermal absorption of the active ingredient. A surfactant Surfactant Definition

Surfactant is a complex naturally occurring substance made of six lipids (fats) and four proteins that is produced in the lungs. It can also be manufactured synthetically.
 used as an inert ingredient increased absorption of the insecticide carbaryl carbaryl (kär`bärəl): see insecticides.  through porcine skin (Baynes and Riviere ri·vière  
n.
A necklace of precious stones, generally set in one strand.



[French rivière (de diamants), river (of diamonds), from Old French rivere, from Vulgar Latin
 1998).

Pesticide labels often instruct users to wear protective gloves or clothing to reduce the potential for exposure to toxic ingredients. The efficacy of protective clothing, however, may be diminished by inert ingredients in the formulation; as a result, pesticide workers may be unable to make a fully informed decision. For example, solvents used as "inerts" in a formulation of the herbicide 2, 4-D act as cosolvents to increase the permeation of the active ingredients through nitrile gloves (Harville and Que Hee 1989). Similar cosolvent effects occurred when a formulation of the herbicide 4-chloro-2-methylphenoxyacetic acid was tested on four glove materials (Purdham et al. 2001).

Inert ingredients can also reduce the protective efficacy of work clothing that is washed and reused, thereby enhancing exposure to pesticides. Some inert ingredients adversely affected laundry removal of the insecticide methyl parathion parathion: see insecticide.  from clothing. Laughlin et al. (1985) found that the emulsifiable concentrate formulation was more difficult to remove than a wettable powder and an encapsulated formulation. Similar results were obtained in a comparison of emulsifiable concentrate and wettable powder formulations of the insecticides cyfluthrin and cypermethrin (Laughlin et al. 1991).

It is not surprising that some inert ingredients can increase persistence of pesticides in the environment; that could be the reason for their inclusion in the formulation. However, increasing persistence also results in more potential for human and other nontarget exposure. Montemurro et al. (2002) reported that the persistence of the insecticide chlorpyrifos in soil, foliage, and fruit varied significantly among formulations containing different inert ingredients. A microencapsulated microencapsulated Therapeutics adjective Surrounded by a thin layer of biodegradable substance–eg, a microsphere, as a means of protecting a drug or vaccine antigen from rapid breakdown, or of enhancing antigenic absorption and immune response thereto  formulation was most persistent. Inert ingredients can also affect the distribution and behavior of active ingredients in the environment, in some instances enhancing runoff, leaching, and volatilization volatilization /vol·a·til·iza·tion/ (vol?ah-til-i-za´shun) conversion into vapor or gas without chemical change.

vol·a·til·i·za·tion
n.
See evaporation.
. Wilson et al. (1995) found that herbicide runoff from nursery containers varied between granular and sprayable formulations. The concentration of the insecticide imidacloprid in runoff from turf treated with a granular formulation was twice as high as the concentration following treatment with a wettable powder formulation (Ambrust and Peeler 2002).

Inert ingredients can even affect volatilization of active ingredients, contributing to airborne migration and inhalation exposures. Volatilization of the insecticide azadirachtin varied among formulations; volatilization was greater from a wettable powder formulation than from three emulsifiable concentration formulations (Sundaram 1997).

Inert Ingredients Can Increase Ecotoxicity of Pesticide Formulations

The severity of varied toxic effects of active ingredients of pesticides in nontarget plants, animals, and microorganisms can be enhanced by the inert ingredients with which they are formulated.

Adverse impacts of pesticides on nontarget plants can be mediated by inert ingredients in the formulation. For example, in a phytotoxic phytotoxic /phy·to·tox·ic/ (fi´to-tok?sik)
1. pertaining to phytotoxin.

2. poisonous to plants.


phy·to·tox·ic
adj.
1. Poisonous to plants.

2.
 compound formed by thermal degradation of a fungicidal fun·gi·cide  
n.
A chemical substance that destroys or inhibits the growth of fungi.



fungi·cid
 benomyl Benomyl (also marketed as Benlate) is a fungicide which was introduced in 1968 by Du Pont. It is a systemic benzimidazole fungicide that is selectively toxic to micro-organisms and to invertebrates, especially earthworms.  formulation containing starch as an inert ingredient, the degradation is facilitated by the starch, a source of water for the reaction (Tang and Song 1996). Kohmann (1999) found that an inert ingredient in a permethrin-based insecticide product reduced frost tolerance of spruce (Picea abies) seedlings. Inert ingredients may also compound interactions between active ingredients. The herbicides glyphosate and glufosinate-ammonium were shown to be synergistically syn·er·gis·tic  
adj.
1. Of or relating to synergy: a synergistic effect.

2. Producing or capable of producing synergy: synergistic drugs.

3.
 phytotoxic with the herbicide metsulfuron-methyl, and this synergy was more pronounced for formulations than for active ingredients alone (Kudsk and Mathiassen 2004).

Inert ingredients can increase avian toxicity of some pesticide formulations. Treatment of chick embryos with a 2, 4-D formulation resulted in a significantly higher frequency of sister chromatid exchanges than did treatment with 2, 4-D alone (Arias 2003).

Toxic effects of some pesticide formulations on fish can be increased by the inert ingredients. One of the most commonly known examples is glyphosate; some formulations are 10-100 times more acutely toxic to fish than is the active ingredient alone (U.S. EPA 1993). Kiparissis (2003) found that a formulation of the fungicide fungicide (fŭn`jəsīd', fŭng`gə–), any substance used to destroy fungi. Some fungi are extremely damaging to crops (see diseases of plants), and others cause diseases in humans and other animals (see fungal infection).  vinclozolin, but not vinclozolin alone, caused fish (Oryzias latipes) to develop intersex intersex /in·ter·sex/ (in´ter-seks)
1. hermaphrodite.

2. pseudohermaphrodite.

3. intersexuality.


female intersex  a female pseudohermaphrodite.
 gonads. In another study, Arsenault et al. (2004) reported that exposure of captive salmon (Salmo salar L.) to environmentally relevant levels of the inert surfactant 4-nonylphenol reduced the growth of smolts, suggesting that exposure to a formulation containing 4-nonylphenol might explain the decline of some wild salmon populations.

Similarly, amphibians may be adversely affected by inert ingredients. In a study by Swann et al. (1996), two formulations of the insecticide chlorpyrifos were more neurotoxic in vitro to frogs and caused more damage (swelling) to mitochondria than chlorpyrifos alone. Howe et al. (2004) found that exposure of Rana pipiens tadpoles to environmentally relevant concentrations of glyphosate formulations reduced size at metamorphosis but increased time to metamorphosis, frequency of tail damage, and frequency of abnormal gonads. Glyphosate alone did not have these effects.

Pesticide formulations can be strikingly more toxic to microorganisms than their active ingredients alone. Everett and Dickerson (2003) found that a glyphosate formulation was 100 times more toxic to ciliated protozoans than glyphosate. Garcia-Ortega et al. (2006) reported that a formulation of the insecticide propetamphos was 100 times more toxic to the microbial microbial

pertaining to or emanating from a microbe.


microbial digestion
the breakdown of organic material, especially feedstuffs, by microbial organisms.
 flora in sediments than propetamphos alone.

Discussion

There is a substantial and growing body of research that demonstrates the inadequacy of reliance on testing the active ingredient alone when assessing the exposure to pesticides, their toxic effects, and their behavior in the environment. Inert ingredients are often biologically or chemically active and can affect each of these parameters. Demonstrations of important impacts of inert ingredients have not been limited to particular classes of pesticides, types of formulations, or toxicity end points. Instead, it appears that the effects of inert ingredients may be both common and far-reaching.

It is often unclear if inert ingredients are directly responsible for certain toxic effects or if those effects are attributable to interactions between inert and active ingredients. Because inert ingredients are rarely identified, studies comparing the effects of the active ingredient, the inert ingredients, and the formulation are not common. Such three-way comparisons were performed in six cited studies (Koyama et al. 1997; Oakes and Pollack 1999, 2000; Swann et al. 1996; Tang and Song 1996; Zeljezic et al. 2006); this literature suggests that the situation is complex. In three instances, interactions between active and inert ingredients were important (Oakes and Pollack 2000; Swann et al. 1996; Tang and Song 1996); three studies demonstrated that the increased toxicity was primarily due to the inert ingredients (Koyama et al. 1997; Oakes and Pollack 1999; Zeljezic et al. 2006).

Similarly, full assessment of exposure to pesticide formulations is impeded by the lack of information about the concentration of individual inert ingredients. Only five of the cited studies provided this information (Dick et al. 1997b; Howe 2004; Koyama et al. 1997; Oakes and Pollack 2000; Zeljezic et al. 2006). Label disclosure of all ingredients with percent composition would facilitate these muchneeded studies.

Consistent with our growing awareness of the complexities of the toxicity of mixtures, it is no surprise that pesticide formulations act differently than active ingredients alone. As early as 1988, the National Research Council (NRC 1988) concluded: "Mixtures that are of particular concern include chemicals generated in fire, hazardous wastes, pesticides, drinking water, fuels and fuel combustion products," adding that "toxicological studies of mixtures are essential for estimating human risks."

More recently, the Agency for Toxic Substances and Disease Registry The United States Agency for Toxic Substances and Disease Registry, (ATSDR) is an agency for the U.S. Department of Health and Human Services that is directed by a congressional mandate to perform specific functions concerning the effect on public health of hazardous  identified chemical mixtures as one of six priority areas in public health research (de Rosa et al. 2004). In Europe and Japan, Feron et al. (2002) found "a growing interest among toxicologists and regulators in the toxicology and risk assessment of chemical mixtures." A review of ecotoxicology The term ecotoxicology was coined by Truhaut in 1969, who defined it as "the branch of toxicology concerned with the study of toxic effects, caused by natural or synthetic pollutants, to the constituents of ecosystems, animal (including human), vegetable and microbial, in an  tools identified mixtures as one of the top three challenges in assessing environmental contamination (Eggen and Segner 2003).

Current testing requirements for pesticides are inadequate to fully assess the health and environmental effects of these mixtures. To remedy this situation, all pesticide ingredients should be identified on product labels, and pesticide registration should be based on full assessments of formulations as they are sold and used. Requirements that manufacturers develop analytical methods for active ingredients should be expanded to include inert ingredients. Furthermore, evaluations of pesticides required under the National Environmental Policy Act (1969), the Endangered Species Act (1973), analogous state laws, and similar laws in other countries should consider all impacts of formulations, not just those of active ingredients. Programs to track pesticide use should include both active and inert ingredients, as should monitoring of pesticides in humans and the environment. Researchers could then use this information to set priorities.

In 1994, the American Medical Association American Medical Association (AMA), professional physicians' organization (founded 1847). Its goals are to protect the interests of American physicians, advance public health, and support the growth of medical science.  (1997) urged the U.S. Congress, government agencies, and other organizations to "support all efforts to list both active and inert ingredients on pesticide container labels and material safety data sheets." Health and environmental researchers worldwide should support such efforts. Independent investigation is stymied by the secrecy that shrouds the inert ingredients in pesticide products.

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Caroline Cox (1, 2) and Michael Surgan (3)

(1) Northwest Coalition for Alternatives to Pesticides, Eugene, Oregon, USA; (2) Center for Environmental Health, Oakland, California, USA; (3) Office of the Attorney General of New York State, Environmental Protection Bureau, New York, New York, USA

Address correspondence to C. Cox, Center for Environmental Health, 528 61st St., Suite A, Oakland, CA 94609-1204 USA. Telephone: (510) 594-9864 ext. 308. Fax: (510) 594-9863. E-mail: caroline@cehca.org

The work of C. Cox was partially funded by grants from the Rockefeller Family Fund, the Bullitt Foundation, The Bauman Foundation, and the Wianko Family Fund to the Northwest Coalition for Alternatives to Pesticides.

C.C. is employed by a nonprofit advocacy organization whose mission is to reduce exposure to toxic chemicals. M.S. declares he has no competing financial interests.

Received 24 May 2006; accepted 17 August 2006.
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