Skip to main content
Occupational and Environmental Medicine logoLink to Occupational and Environmental Medicine
. 2001 Jan;58(1):2–13. doi: 10.1136/oem.58.1.2

Benzene in the environment: an assessment of the potential risks to the health of the population

R Duarte-Davidson 1, C Courage 1, L Rushton 1, L Levy 1
PMCID: PMC1740026  PMID: 11119628

Abstract

OBJECTIVES—Benzene has long been recognised as a carcinogen and recent concern has centred on the effects of continuous exposure to low concentrations of benzene both occupationally and environmentally. This paper presents an overview of the current knowledge about human exposure to benzene in the United Kingdom population based on recently published data, summarises the known human health effects, and uses this information to provide a risk evaluation for sections of the general United Kingdom population.
METHOD—Given the minor contribution that non-inhalation sources make to the overall daily intake of benzene to humans, only exposure from inhalation has been considered when estimating the daily exposure of the general population to benzene. Exposure of adults, children, and infants to benzene has been estimated for different exposure scenarios with time-activity patterns and inhalation and absorption rates in conjunction with measured benzene concentrations for a range of relevant microenvironments. Exposures during refuelling and driving, as well as the contribution of active and passive tobacco smoke, have been considered as part of the characterisation of risk of the general population.
RESULTS—Infants (<1 years old), the average child (11 years old), and non-occupationally exposed adults, receive average daily doses in the range of 15-26, 29-50, and 75-522 µg of benzene, respectively, which correspond to average ranges to benzene in air of 3.40-5.76 µg/m3, 3.37-5.67 µg/m3, and 3.7-41 µg/m3 for infants, children, and adults, respectively. Infants and children exposed to environmental tobacco smoke have concentrations of exposure to benzene comparable with those of an adult passive smoker. This is a significant source of exposure as a 1995 United Kingdom survey has shown that 47% of children aged 2-15 years live in households where at least one person smokes. The consequence of exposure to benzene in infants is more significant than for children or adults owing to their lower body weight, resulting in a higher daily intake for infants compared with children or non-smoking adults. A worst case scenario for exposure to benzene in the general population is that of an urban smoker who works adjacent to a busy road for 8 hours/day—for example, a maintenance worker—who can receive a mean daily exposure of about 820 µg (equal to an estimated exposure of 41 µg/m3). The major health risk associated with low concentrations of exposure to benzene has been shown to be leukaemia, in particular acute non-lymphocytic leukaemia. The lowest concentration of exposure at which an increased incidence of acute non-lymphocytic leukaemia among occupationally exposed workers has been reliably detected, has been estimated to be in the range of 32-80 mg/m3. Although some studies have suggested that effects may occur at lower concentrations, clear estimates of risk have not been determined, partly because of the inadequacy of exposure data and the few cases.
CONCLUSIONS—Overall the evidence from human studies suggests that any risk of leukaemia at concentrations of exposure in the general population of 3.7-42 µg/m3—that is at concentrations three orders of magnitude less than the occupational lowest observed effect level—is likely to be exceedingly small and probably not detectable with current methods. This is also likely to be true for infants and children who may be exposed continuously to concentrations of 3.4-5.7 µg/m3. As yet there is no evidence to suggest that continuous exposures to these environmental concentrations of benzene manifest as any other adverse health effect.


Keywords: risk assessment; benzene; environment

Full Text

The Full Text of this article is available as a PDF (164.4 KB).

Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Aksoy M., Dinçol K., Erdem S., Akgün T., Dinçol G. Details of blood changes in 32 patients with pancytopenia associated with long-term exposure to benzene. Br J Ind Med. 1972;29(1):56–64. doi: 10.1136/oem.29.1.56. [DOI] [PMC free article] [PubMed] [Google Scholar]
  2. Aksoy M., Erdem S., DinCol G. Leukemia in shoe-workers exposed chronically to benzene. Blood. 1974 Dec;44(6):837–841. [PubMed] [Google Scholar]
  3. Austin H., Delzell E., Cole P. Benzene and leukemia. A review of the literature and a risk assessment. Am J Epidemiol. 1988 Mar;127(3):419–439. doi: 10.1093/oxfordjournals.aje.a114820. [DOI] [PubMed] [Google Scholar]
  4. Black L. F., Offord K., Hyatt R. E. Variability in the maximal expiratory flow volume curve in asymptomatic smokers and in nonsmokers. Am Rev Respir Dis. 1974 Sep;110(3):282–292. doi: 10.1164/arrd.1974.110.3.282. [DOI] [PubMed] [Google Scholar]
  5. Blot W. J., Brinton L. A., Fraumeni J. F., Jr, Stone B. J. Cancer mortality in U.S. counties with petroleum industries. Science. 1977 Oct 7;198(4312):51–53. doi: 10.1126/science.897679. [DOI] [PubMed] [Google Scholar]
  6. Bond G. G., McLaren E. A., Baldwin C. L., Cook R. R. An update of mortality among chemical workers exposed to benzene. Br J Ind Med. 1986 Oct;43(10):685–691. doi: 10.1136/oem.43.10.685. [DOI] [PMC free article] [PubMed] [Google Scholar]
  7. Brett S. M., Rodricks J. V., Chinchilli V. M. Review and update of leukemia risk potentially associated with occupational exposure to benzene. Environ Health Perspect. 1989 Jul;82:267–281. doi: 10.1289/ehp.8982267. [DOI] [PMC free article] [PubMed] [Google Scholar]
  8. Brunnemann K. D., Kagan M. R., Cox J. E., Hoffmann D. Determination of benzene, toluene and 1,3-butadiene in cigarette smoke by GC-MDS. Exp Pathol. 1989;37(1-4):108–113. doi: 10.1016/s0232-1513(89)80026-x. [DOI] [PubMed] [Google Scholar]
  9. Buckley J. D., Robison L. L., Swotinsky R., Garabrant D. H., LeBeau M., Manchester P., Nesbit M. E., Odom L., Peters J. M., Woods W. G. Occupational exposures of parents of children with acute nonlymphocytic leukemia: a report from the Childrens Cancer Study Group. Cancer Res. 1989 Jul 15;49(14):4030–4037. [PubMed] [Google Scholar]
  10. Byrd D. M., Barfield E. T. Uncertainty in the estimation of benzene risks: application of an uncertainty taxonomy to risk assessments based on an epidemiology study of rubber hydrochloride workers. Environ Health Perspect. 1989 Jul;82:283–287. doi: 10.1289/ehp.8982283. [DOI] [PMC free article] [PubMed] [Google Scholar]
  11. Christie D., Robinson K., Gordon I., Bisby J. A prospective study in the Australian petroleum industry. II. Incidence of cancer. Br J Ind Med. 1991 Aug;48(8):511–514. doi: 10.1136/oem.48.8.511. [DOI] [PMC free article] [PubMed] [Google Scholar]
  12. Crump K. S. Risk of benzene-induced leukemia: a sensitivity analysis of the pliofilm cohort with additional follow-up and new exposure estimates. J Toxicol Environ Health. 1994 Jun;42(2):219–242. doi: 10.1080/15287399409531875. [DOI] [PubMed] [Google Scholar]
  13. Decouflé P., Blattner W. A., Blair A. Mortality among chemical workers exposed to benzene and other agents. Environ Res. 1983 Feb;30(1):16–25. doi: 10.1016/0013-9351(83)90161-5. [DOI] [PubMed] [Google Scholar]
  14. Fishbeck W. A., Townsend J. C., Swank M. G. Effects of chronic occupational exposure to measured concentrations of benzene. J Occup Med. 1978 Aug;20(8):539–542. doi: 10.1097/00043764-197808000-00005. [DOI] [PubMed] [Google Scholar]
  15. Hayes R. B., Yin S. N., Dosemeci M., Li G. L., Wacholder S., Travis L. B., Li C. Y., Rothman N., Hoover R. N., Linet M. S. Benzene and the dose-related incidence of hematologic neoplasms in China. Chinese Academy of Preventive Medicine--National Cancer Institute Benzene Study Group. J Natl Cancer Inst. 1997 Jul 16;89(14):1065–1071. doi: 10.1093/jnci/89.14.1065. [DOI] [PubMed] [Google Scholar]
  16. Hearey C. D., Ury H., Siegelaub A., Ho M. K., Salomon H., Cella R. L. Lack of association between cancer incidence and residence near petrochemical industry in the San Francisco Bay area. J Natl Cancer Inst. 1980 Jun;64(6):1295–1299. doi: 10.1093/jnci/64.6.1295. [DOI] [PubMed] [Google Scholar]
  17. Hurley J. F., Cherrie J. W., Maclaren W. Exposure to benzene and mortality from leukaemia: results from coke oven and other coal product workers. Br J Ind Med. 1991 Jul;48(7):502–503. doi: 10.1136/oem.48.7.502. [DOI] [PMC free article] [PubMed] [Google Scholar]
  18. Ireland B., Collins J. J., Buckley C. F., Riordan S. G. Cancer mortality among workers with benzene exposure. Epidemiology. 1997 May;8(3):318–320. doi: 10.1097/00001648-199705000-00016. [DOI] [PubMed] [Google Scholar]
  19. Kaldor J., Harris J. A., Glazer E., Glaser S., Neutra R., Mayberry R., Nelson V., Robinson L., Reed D. Statistical association between cancer incidence and major-cause mortality, and estimated residential exposure to air emissions from petroleum and chemical plants. Environ Health Perspect. 1984 Mar;54:319–332. doi: 10.1289/ehp.8454319. [DOI] [PMC free article] [PubMed] [Google Scholar]
  20. Kipen H. M., Cody R. P., Goldstein B. D. Use of longitudinal analysis of peripheral blood counts to validate historical reconstructions of benzene exposure. Environ Health Perspect. 1989 Jul;82:199–206. doi: 10.1289/ehp.8982199. [DOI] [PMC free article] [PubMed] [Google Scholar]
  21. Knox E. G. Leukaemia clusters in childhood: geographical analysis in Britain. J Epidemiol Community Health. 1994 Aug;48(4):369–376. doi: 10.1136/jech.48.4.369. [DOI] [PMC free article] [PubMed] [Google Scholar]
  22. Knudson R. J., Slatin R. C., Lebowitz M. D., Burrows B. The maximal expiratory flow-volume curve. Normal standards, variability, and effects of age. Am Rev Respir Dis. 1976 May;113(5):587–600. doi: 10.1164/arrd.1976.113.5.587. [DOI] [PubMed] [Google Scholar]
  23. Layton D. W. Metabolically consistent breathing rates for use in dose assessments. Health Phys. 1993 Jan;64(1):23–36. doi: 10.1097/00004032-199301000-00003. [DOI] [PubMed] [Google Scholar]
  24. Leung P. L., Harrison R. M. Evaluation of personal exposure to monoaromatic hydrocarbons. Occup Environ Med. 1998 Apr;55(4):249–257. doi: 10.1136/oem.55.4.249. [DOI] [PMC free article] [PubMed] [Google Scholar]
  25. Liu L., Zhang Q., Feng J., Deng L., Zeng N., Yang A., Zhang W. The study of DNA oxidative damage in benzene-exposed workers. Mutat Res. 1996 Oct 1;370(3-4):145–150. doi: 10.1016/s0165-1218(96)00048-1. [DOI] [PubMed] [Google Scholar]
  26. Lovell D. P., Thomas G. Quantitative risk assessment and the limitations of the linearized multistage model. Hum Exp Toxicol. 1996 Feb;15(2):87–104. doi: 10.1177/096032719601500201. [DOI] [PubMed] [Google Scholar]
  27. Lowengart R. A., Peters J. M., Cicioni C., Buckley J., Bernstein L., Preston-Martin S., Rappaport E. Childhood leukemia and parents' occupational and home exposures. J Natl Cancer Inst. 1987 Jul;79(1):39–46. [PubMed] [Google Scholar]
  28. Maynard R. L., Cameron K. M., Fielder R., McDonald A., Wadge A. Setting air quality standards for carcinogens: an alternative to mathematical quantitative risk assessment--discussion paper. Hum Exp Toxicol. 1995 Feb;14(2):175–186. doi: 10.1177/096032719501400204. [DOI] [PubMed] [Google Scholar]
  29. McKinney P. A., Alexander F. E., Cartwright R. A., Parker L. Parental occupations of children with leukaemia in west Cumbria, north Humberside, and Gateshead. BMJ. 1991 Mar 23;302(6778):681–687. doi: 10.1136/bmj.302.6778.681. [DOI] [PMC free article] [PubMed] [Google Scholar]
  30. Ott M. G., Townsend J. C., Fishbeck W. A., Langner R. A. Mortality among individuals occupationally exposed to benzene. Arch Environ Health. 1978 Jan-Feb;33(1):3–10. doi: 10.1080/00039896.1978.10667299. [DOI] [PubMed] [Google Scholar]
  31. Paustenbach D. J., Bass R. D., Price P. Benzene toxicity and risk assessment, 1972-1992: implications for future regulation. Environ Health Perspect. 1993 Dec;101 (Suppl 6):177–200. doi: 10.1289/ehp.93101s6177. [DOI] [PMC free article] [PubMed] [Google Scholar]
  32. Paustenbach D. J., Price P. S., Ollison W., Blank C., Jernigan J. D., Bass R. D., Peterson H. D. Reevaluation of benzene exposure for the Pliofilm (rubberworker) cohort (1936-1976). J Toxicol Environ Health. 1992 Jul;36(3):177–231. doi: 10.1080/15287399209531633. [DOI] [PubMed] [Google Scholar]
  33. Paxton M. B., Chinchilli V. M., Brett S. M., Rodricks J. V. Leukemia risk associated with benzene exposure in the pliofilm cohort. II. Risk estimates. Risk Anal. 1994 Apr;14(2):155–161. doi: 10.1111/j.1539-6924.1994.tb00040.x. [DOI] [PubMed] [Google Scholar]
  34. Paxton M. B., Chinchilli V. M., Brett S. M., Rodricks J. V. Leukemia risk associated with benzene exposure in the pliofilm cohort: I. Mortality update and exposure distribution. Risk Anal. 1994 Apr;14(2):147–154. doi: 10.1111/j.1539-6924.1994.tb00039.x. [DOI] [PubMed] [Google Scholar]
  35. Rinsky R. A. Benzene and leukemia: an epidemiologic risk assessment. Environ Health Perspect. 1989 Jul;82:189–191. doi: 10.1289/ehp.8982189. [DOI] [PMC free article] [PubMed] [Google Scholar]
  36. Rinsky R. A., Hornung R. W., Landrigan P. J. Re: "Benzene and Leukemia: a Review of the Literature and a Risk Assessment". Am J Epidemiol. 1989 May;129(5):1084–1086. doi: 10.1093/oxfordjournals.aje.a115213. [DOI] [PubMed] [Google Scholar]
  37. Rinsky R. A., Smith A. B., Hornung R., Filloon T. G., Young R. J., Okun A. H., Landrigan P. J. Benzene and leukemia. An epidemiologic risk assessment. N Engl J Med. 1987 Apr 23;316(17):1044–1050. doi: 10.1056/NEJM198704233161702. [DOI] [PubMed] [Google Scholar]
  38. Rinsky R. A., Young R. J., Smith A. B. Leukemia in benzene workers. Am J Ind Med. 1981;2(3):217–245. doi: 10.1002/ajim.4700020305. [DOI] [PubMed] [Google Scholar]
  39. Rothman N., Li G. L., Dosemeci M., Bechtold W. E., Marti G. E., Wang Y. Z., Linet M., Xi L. Q., Lu W., Smith M. T. Hematotoxicity among Chinese workers heavily exposed to benzene. Am J Ind Med. 1996 Mar;29(3):236–246. doi: 10.1002/(SICI)1097-0274(199603)29:3<236::AID-AJIM3>3.0.CO;2-O. [DOI] [PubMed] [Google Scholar]
  40. Rushton L. Further follow up of mortality in a United Kingdom oil distribution centre cohort. Br J Ind Med. 1993 Jun;50(6):561–569. doi: 10.1136/oem.50.6.561. [DOI] [PMC free article] [PubMed] [Google Scholar]
  41. Rushton L., Romaniuk H. A case-control study to investigate the risk of leukaemia associated with exposure to benzene in petroleum marketing and distribution workers in the United Kingdom. Occup Environ Med. 1997 Mar;54(3):152–166. doi: 10.1136/oem.54.3.152. [DOI] [PMC free article] [PubMed] [Google Scholar]
  42. Schnatter A. R., Katz A. M., Nicolich M. J., Thériault G. A retrospective mortality study among Canadian petroleum marketing and distribution workers. Environ Health Perspect. 1993 Dec;101 (Suppl 6):85–99. doi: 10.1289/ehp.93101s685. [DOI] [PMC free article] [PubMed] [Google Scholar]
  43. Schnatter A. R., Nicolich M. J., Bird M. G. Determination of leukemogenic benzene exposure concentrations: refined analyses of the Pliofilm cohort. Risk Anal. 1996 Dec;16(6):833–840. doi: 10.1111/j.1539-6924.1996.tb00834.x. [DOI] [PubMed] [Google Scholar]
  44. Shamoo D. A., Johnson T. R., Trim S. C., Little D. E., Linn W. S., Hackney J. D. Activity patterns in a panel of outdoor workers exposed to oxidant pollution. J Expo Anal Environ Epidemiol. 1991 Oct;1(4):423–438. [PubMed] [Google Scholar]
  45. Tsai S. P., Wen C. P., Weiss N. S., Wong O., McClellan W. A., Gibson R. L. Retrospective mortality and medical surveillance studies of workers in benzene areas of refineries. J Occup Med. 1983 Sep;25(9):685–692. doi: 10.1097/00043764-198309000-00018. [DOI] [PubMed] [Google Scholar]
  46. Vigliani E. C., Forni A. Benzene and leukemia. Environ Res. 1976 Feb;11(1):122–127. doi: 10.1016/0013-9351(76)90115-8. [DOI] [PubMed] [Google Scholar]
  47. Wallace L. A. Major sources of benzene exposure. Environ Health Perspect. 1989 Jul;82:165–169. doi: 10.1289/ehp.8982165. [DOI] [PMC free article] [PubMed] [Google Scholar]
  48. Wallace L. Environmental exposure to benzene: an update. Environ Health Perspect. 1996 Dec;104 (Suppl 6):1129–1136. doi: 10.1289/ehp.961041129. [DOI] [PMC free article] [PubMed] [Google Scholar]
  49. Wong O. An industry wide mortality study of chemical workers occupationally exposed to benzene. I. General results. Br J Ind Med. 1987 Jun;44(6):365–381. doi: 10.1136/oem.44.6.365. [DOI] [PMC free article] [PubMed] [Google Scholar]
  50. Wong O. An industry wide mortality study of chemical workers occupationally exposed to benzene. II. Dose response analyses. Br J Ind Med. 1987 Jun;44(6):382–395. doi: 10.1136/oem.44.6.382. [DOI] [PMC free article] [PubMed] [Google Scholar]
  51. Yin S. N., Li G. L., Tain F. D., Fu Z. I., Jin C., Chen Y. J., Luo S. J., Ye P. Z., Zhang J. Z., Wang G. C. A retrospective cohort study of leukemia and other cancers in benzene workers. Environ Health Perspect. 1989 Jul;82:207–213. doi: 10.1289/ehp.8982207. [DOI] [PMC free article] [PubMed] [Google Scholar]
  52. Yin S. N., Li Q., Liu Y., Tian F., Du C., Jin C. Occupational exposure to benzene in China. Br J Ind Med. 1987 Mar;44(3):192–195. doi: 10.1136/oem.44.3.192. [DOI] [PMC free article] [PubMed] [Google Scholar]
  53. Young R. J., Rinsky R. A., Infante P. F., Wagoner J. K. Benzene in consumer products. Science. 1978 Jan 20;199(4326):248–248. doi: 10.1126/science.199.4326.248-a. [DOI] [PubMed] [Google Scholar]

Articles from Occupational and Environmental Medicine are provided here courtesy of BMJ Publishing Group

RESOURCES