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    INTERNATIONAL PROGRAMME ON CHEMICAL SAFETY








    ENVIRONMENTAL HEALTH CRITERIA 168





    CRESOLS













    This report contains the collective views of an international group of
    experts and does not necessarily represent the decisions or the stated
    policy of the United Nations Environment Programme, the International
    Labour Organisation, or the World Health Organization.


    First draft prepared by Dr L. Papa, US Environmental Protection
    Agency, Cincinnati, USA


    Published under the joint sponsorship of the United Nations
    Environment Programme, the International Labour Organisation, and the
    World Health Organization


    World Health Organization
    Geneva, 1995

         The International Programme on Chemical Safety (IPCS) is a joint
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    WHO Library Cataloguing in Publication Data

    Cresols

    (Environmental health criteria ; 168)

    1.Cresols - adverse effects
    2. Environmental exposure I.Series

    ISBN 92 4 157168 1                 (NLM Classification: QV 223)
    ISSN 0250-863X

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    CONTENTS

    ENVIRONMENTAL HEALTH CRITERIA FOR CRESOLS

    1. SUMMARY

         1.1. Identity, properties and analytical methods
         1.2. Uses, sources and levels of exposure
         1.3. Kinetics and metabolism
         1.4. Effects on laboratory mammals; in vitro systems
         1.5. Effects on humans
         1.6. Effects on other organisms
         1.7. Conclusion and recommendations

    2. IDENTITY, PHYSICAL AND CHEMICAL PROPERTIES, ANALYTICAL METHODS

         2.1. Identity
         2.2. Physical and chemical properties
         2.3. Conversion factorsl
         2.4. Analytical methods
               2.4.1. Sampling
               2.4.2. Analytical methods

    3. SOURCES OF HUMAN AND ENVIRONMENTAL EXPOSURE

         3.1. Natural occurrence
         3.2. Anthropogenic sources
               3.2.1. Production levels and processes
               3.2.2. Uses

    4. ENVIRONMENTAL TRANSPORT, DISTRIBUTION AND TRANSFORMATION

         4.1. Transport and distribution between media
               4.1.1. Air
               4.1.2. Water
               4.1.3. Soil
         4.2. Transformation
               4.2.1. Abiotic transformation
               4.2.2. Biodegradation
         4.3. Bioaccumulation and biomagnification

    5. ENVIRONMENTAL LEVELS AND HUMAN EXPOSURE

         5.1. Environmental levels
               5.1.1. Air
               5.1.2. Water
               5.1.3. Soil
               5.1.4. Food and beverages
         5.2. General population exposure
         5.3. Occupational exposure

    6. KINETICS AND METABOLISM IN LABORATORY ANIMALS AND HUMANS

         6.1. Absorption
         6.2. Distribution
         6.3. Metabolic transformation
         6.4. Elimination and excretion
         6.5. Endogenous cresols

    7. EFFECTS ON LABORATORY MAMMALS AND IN VITRO TEST SYSTEMS

         7.1. Single exposure
               7.1.1. Inhalation route
               7.1.2. Oral route
               7.1.3. Dermal route
         7.2. Short-term exposure
               7.2.1. Inhalation route
               7.2.2. Oral route
         7.3. Long-term exposure
               7.3.1. Inhalation route
               7.3.2. Oral route
         7.4. Skin and eye irritation
         7.5. Reproductive toxicity, embryotoxicity and teratogenicity
               7.5.1. Reproduction
               7.5.2. Embryotoxicity and teratogenicity
         7.6. Mutagenicity and related end-points
         7.7. Carcinogenicity
         7.8. Other special studies
               7.8.1. Neurological effects
               7.8.2. Effects on the skin
         7.9. Mechanism of toxicity - mode of action

    8. EFFECTS ON HUMANS

         8.1. General population exposure
               8.1.1. Poisoning incidents
               8.1.2. Controlled human studies
               8.1.3. Cancer
         8.2. Occupational exposure
               8.2.1. Poisoning incidents
               8.2.2. Epidemiological studies
         8.3. Subpopulations at special risk

    9. EFFECTS ON OTHER ORGANISMS IN THE LABORATORY AND FIELD

         9.1. Microorganisms
               9.1.1. Aquatic
                       9.1.1.1   Laboratory studies
                       9.1.1.2   Field studies
               9.1.2. Terrestrial
                       9.1.2.1   Laboratory studies
                       9.1.2.2   Field studies

         9.2. Plants
               9.2.1. Aquatic
                       9.2.1.1   Laboratory studies
                       9.2.1.2   Field studies
               9.2.2. Terrestrial
                       9.2.2.1   Laboratory studies
                       9.2.2.2   Field studies
         9.3. Invertebrates
               9.3.1. Aquatic
                       9.3.1.1   Laboratory studies
                       9.3.1.2   Field investigations
               9.3.2. Terrestrial
                       9.3.2.1   Laboratory studies
                       9.3.2.2   Field studies
         9.4. Vertebrates
               9.4.1. Aquatic
                       9.4.1.1   Laboratory studies
                       9.4.1.2   Field studies
               9.4.2. Terrestrial
                       9.4.2.1   Laboratory studies
                       9.4.2.2   Field studies

    10. EVALUATION OF HUMAN HEALTH RISKS AND EFFECTS ON THE ENVIRONMENT

         10.1. Evaluation of human health risks
         10.2. Evaluation of environmental risks
         10.3. Guidance value

    11. CONCLUSIONS AND RECOMMENDATIONS FOR PROTECTION OF HUMAN HEALTH

         11.1. Conclusions
         11.2. Recommendations

    12. FURTHER RESEARCH

    REFERENCES

    RESUME

    RESUMEN
    
    NOTE TO READERS OF THE CRITERIA MONOGRAPHS

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       A detailed data profile and a legal file can be obtained from the
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       This publication was made possible by grant number
    5 U01 ES02617-15 from the National Institute of Environmental Health
    Sciences, National Institutes of Health, USA, and by financial support
    from the European Commission.


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    WHO TASK GROUP MEETING ON ENVIRONMENTAL HEALTH CRITERIA FOR CRESOLS

     Members

    Dr D. Anderson, British Industrial Biological Research Association
       (BIBRA) Toxicology International, Carshalton, Surrey, United
       Kingdom

    Dr M.R. Elwell, National Institute of Health, National Institute of
       Environmental Health Sciences, Research Triangle Park, North
       Carolina, USA

    Dr A. Meharg, Institute of Terrestrial Ecology, Monks Wood, Abbots
       Ripton, Huntingdon, United Kingdom

    Dr C.-N. Ong, Department of Community, Occupational and Family
       Medicine, National University of Singapore, Singapore
        (Vice-Chairman)

    Dr Y. Pang, Division of Standard Setting, Chinese Academy of
       Preventive Medicine, Beijing, China

    Dr L. Papa, System Toxicants Assessment Branch, Office of Research and
       Development, Environmental Criteria and Assessment Office, US
       Environmental Protection Agency, Cincinnati, Ohio, USA
        (Rapporteur)

    Dr A. Pinter, National Institute of Hygiene, Budapest, Hungary

    Dr S. Soliman, Pesticide Chemistry and Toxicology, College of
       Agriculture and Veterinary Medicine, Bureidah, Saudi Arabia

    Dr F.M. Sullivan, Division of Pharmacology and Toxicology, St Thomas's
       Hospital, London, United Kingdom  (Chairman)

     Secretariat

    Dr B.H. Chen, International Programme on Chemical Safety, World Health
       Organization, Geneva, Switzerland  (Secretary)

    Dr D. McGregor, Unit of Carcinogen Identification and Evaluation,
       International Agency for Research on Cancer, Lyon, France

    ENVIRONMENTAL HEALTH CRITERIA FOR CRESOLS

         A WHO Task Group on Environmental Health Criteria for Cresols met
    at the British Industrial Biological Research Association (BIBRA)
    Toxicology International, Carshalton, Surrey, United Kingdom, from 27
    June to 1 July 1994.  Dr D. Anderson opened the meeting and welcomed
    the participants on behalf of the host institution.  Dr B.H. Chen,
    IPCS, welcomed the participants on behalf of the Director, IPCS, and
    the three cooperating organizations (UNEP/ILO/WHO).  The Task Group
    reviewed and revised the draft monograph and made an evaluation of the
    risks for human health and the environment from exposure to cresols.

         Drs N.N. Molodkina, L.P. Kuzmina and A.L. Germanova, Centre for
    International Projects, Moscow, Russian Federation, prepared a
    preliminary draft.  The first draft of this monograph was prepared by
    Dr L. Papa, US Environmental Protection Agency, Cincinnati, USA.  The
    second draft was also prepared by Dr L. Papa, incorporating comments
    received following the circulation of the first draft to the IPCS
    Contact Points for Environmental Health Criteria monographs.

         Dr B.H. Chen and Dr P.G. Jenkins, both members of the IPCS
    Central Unit, were responsible for the overall scientific content and
    technical editing, respectively.

         The efforts of all who helped in the preparation and finalization
    of the monograph are gratefully acknowledged.

                           *  *  *  *

         Financial support for this Task Group was provided by the United
    Kingdom Department of Health as part of its contributions to the IPCS.

    1.  SUMMARY

    1.1  Identity, properties and analytical methods

         Cresols are isomeric substituted phenols with a methyl
    substituent at either the  ortho, meta or  para position relative to
    the hydroxyl group.  Commercial cresol, also known as cresylic acid,
    contains all three isomers with small amounts of phenol and xylenols. 
    However, commercial products contain up to 30% xylenol and 60%
    C9-phenols and are known as "cresylic acids".  Physically, cresols
    consist either of a white crystalline solid or a yellowish liquid and
    have a strong, phenol-like odour.  They are highly flammable and are
    soluble in water, ethanol, ether, acetone and alkali hydroxides. 
    Cresols undergo electrophilic substitution reactions at the vacant
     ortho or  para position relative to the hydroxyl group.  They also
    undergo condensation reactions with aldehydes, ketones or dienes.

         Several methods can be used for determining the presence of
    cresols in both environmental and biological media.  The most commonly
    used methods are gas chromatography with flame ionization detection
    (GC-FID), gas chromatography with mass spectrophotometry (GC-MS) and
    high-performance liquid chromatography (HPLC).  Sampling of cresols in
    air can be done by passing air through absorption cells using sodium
    hydroxide or solid adsorbents.

    1.2  Uses, sources and levels of exposure

         Cresols have a wide variety of uses as solvents or disinfectants
    or as intermediates in the production of numerous other substances. 
    These compounds are most commonly used in the production of
    fragrances, antioxidants, dyes, pesticides and resins.   Ortho- and
     para-cresols are used in the production of lubricating oils, motor
    fuels and rubber polymers, while  meta-cresol is used in the
    manufacture of explosives.

         Cresols and cresol derivatives occur naturally in oils of various
    plants, including  Yucca gloriosa flowers, jasmine, Easter lily,
    conifers, oaks and sandalwood trees, and are also a product of
    combustion from natural fires and volcanic activity.   Para-cresol is
    found in the urine of animals and humans.  Commercially cresols are
    produced as by-products in the fractional distillation of crude oil
    and coal tars.  Small amounts are produced in vehicle exhaust,
    municipal waste incinerators and from coal and wood combustion. 
    Cigarette smoke also contains cresols.  The worldwide production of
    cresols is unknown; annual production in the USA in 1990 was reported
    to be 38 300 tonnes.

         Environmental transport of cresols occurs through the vapour
    phase of the atmosphere and from the atmosphere to surface water and
    soil by rain-scavenging.  Due to their volatilization, binding to
    sediment and biodegradation, only small amounts of cresols are found
    in water. In soils, cresols are slightly to highly mobile depending on
    the sorption coefficient (Koc) of the soil.  Cresols have been
    detected in ground water, and so leaching must occur in soil.

         Exposure to cresols can occur through air, water or food.  The
    median air concentration of  o-cresols was 1.59 µg/m3 (0.359 ppb)
    for 32 source-dominated sites in the USA.  Surface water
    concentrations in the USA range from below the detection limit to
    77 µg/litre (STORET, 1993).  Levels of 204 µg/litre were reported in
    Japan in a river polluted by industrial effluents.  Concentrations as
    high as 2100 µg/litre for  o-cresol and 1200 µg/litre for mixed
     m- and  p-cresols have been detected in waste waters.  Rainwater
    concentrations range from 240 to 2800 ng/litre for  o-cresol and 380
    to 2000 ng/litre for  p- and  m-cresol combined.  Cresols have been
    detected in foods and beverages.  Concentrations in spirit beverages
    were found to be within the range of 0.01-0.2 mg/litre.  The amount in
    tobacco smoke is 75 µg in a nonfilter American cigarette (85 mm).  The
    general population can be exposed to cresols from air inhalation,
    drinking-water, food and beverage ingestion and dermal contact.  In
    general, the lack of adequate monitoring data makes the quantitative
    estimates of daily intakes of cresol from these sources impossible. 
    Occupational exposure levels as high as 5.0 mg/m3 have been
    reported.

    1.3  Kinetics and metabolism

         Cresols are absorbed across the respiratory and gastrointestinal
    tracts and through the skin.  The rate and extent of absorption of
    cresols has not been studied specifically.  However, studies have
    shown that gastrointestinal and dermal absorption are rapid and
    extensive.  Cresols are distributed to all the major organs.  The
    primary metabolic pathway for cresols is conjugation with glucuronic
    acid and inorganic sulfate.  Minor metabolic pathways for cresols
    include hydroxylation of the benzene ring and side-chain oxidation. 
    The main route for elimination of cresols from the body is renal
    excretion in the form of conjugates.

    1.4  Effects on laboratory mammals; in vitro systems

         Acute poisoning with cresol vapours is unlikely due to the low
    vapour pressure of these compounds.  Mean lethal concentrations of
    cresols in rats have been reported to be 29 mg/m3 for  o- and
     p-cresols and 58 mg/m3 for  m-cresol.  Oral LD50 values in rats
    have been reported to be 121, 207 and 242 mg/kg body weight for  o-,
     p- and  m-cresols, respectively.  Interspecies comparisons show
    that all three isomers are more toxic to mice than to rats and that

    toxicity increases with concentration.  Systemic toxicity and death
    can result from dermal exposure.  Dermal LD50 values in rabbits were
    890, 2830, 300 and 2000 mg/kg body weight for  o-,  m-,  p-and
    mixed cresols, respectively.  In rats dermal LD50 values were 620,
    1100, 750 and 825 mg/kg body weight for  o-,  m-,  p- and dicresol,
    respectively.

         Cresols are highly irritating to the skin and eyes of rabbits,
    rats and mice.

         Short-term exposure to inhaled mixtures of  o-cresol aerosol and
    vapour resulted in irritation of the respiratory tract, small
    haemorrhages in the lung, body weight reduction and degeneration of
    heart muscle, liver, kidney and nerve cells.  Short-term (28-days)
    oral exposure to daily doses of approximately 800 mg/kg body weight or
    more resulted in reduced body weights, organ weight changes and
    histopathological changes in the respiratory and gastrointestinal
    tracts of rats.  In mice, similarly exposed at 1500 mg/kg body weight,
    more severe effects were reported, and at the highest concentrations
    death resulted from exposure to  o-,  m- and  p-cresols but not
    from exposures to mixtures of isomers.

         Longer-term exposure of rats to vapours of  o-,  m- or
     p-cresol for up to 4 months resulted in weight loss, reduced
    locomotor activity, inflammation of nasal membranes and skin, and
    changes in the liver.   Oral exposures for up to 13 weeks of mice,
    rats and hamsters resulted in mortality, tremor, reduced body weights,
    haematological effects, increase in organ weight, and hyperplasia of
    nasal and forestomach epithelium.

         Oral and inhalation exposure to cresol isomers result in
    lengthened estrus cycle and histopathological changes in the uterus
    and ovaries of rats and mice.  No adverse effects on spermatogenesis
    were observed in rats or mice.  Mild fetotoxic effects have been
    reported in rats and rabbits exposed to  o- and  p-cresols, but only
    minor treatment-related developmental effects have been reported. 
    Some evidence of genotoxicity has been reported to result  in vitro
    from treatment with  o- and  p- cresols but not  m-cresol.  No
    positive results were obtained in  in vivo studies.  However, some
    evidence of promotive activities in skin has been reported.  No
    studies of carcinogenicity have been reported for any cresol isomers.

    1.5  Effects on humans

         Ingestion of cresols results in burning of the mouth and throat,
    abdominal pain and vomiting.  The target tissues/organs of ingested
    cresols in humans are the blood and kidneys, and effects on the lungs,
    liver, heart and central nervous system have also been reported.  In
    severe cases, coma and death may result.  Dermal exposure has been
    reported to cause severe skin burns, scarring, systemic toxicity and
    death.

         Occupational exposure to cresols usually results from dermal
    contact.  Acute exposures can result in severe burns, anuria, coma and
    death.  Very few data are available regarding reproductive effects and
    there are no data on carcinogenicity in humans.

    1.6  Effects on other organisms

         Observations on microorganisms, invertebrates and fish have shown
    that cresols may represent a risk to non-mammalian organisms at point
    sources with high cresol concentration but not in the general
    environment.

    1.7  Conclusion and recommendations

         At concentrations normally found in the environment, cresols do
    not pose any significant risk for the general population.  However,
    the potential for adverse health effects exists in the case of people
    with renal insufficiency or specific enzymic deficiency and under
    conditions of high exposure.

         Cresols may represent a risk to microorganisms, invertebrates and
    fish at point sources with high cresol concentrations but not in the
    general environment.

         No information is available regarding the effects of chronic
    exposure to cresols.  Therefore, there is inadequate information to
    assess the carcinogenic hazard of cresols.  Based on the results of
    subchronic studies, an NOAEL of 50 mg/kg body weight per day can be
    established for all three cresol isomers.  An uncertainty factor of
    300 was recommended, composed as follows:  10 to account for
    interspecies variation; 10 to account for the lack of chronic toxicity
    studies and possible genotoxic and promoting activity of cresols, and
    3 to account for intraspecies variation based on the rapid and
    complete metabolism.  Therefore, an acceptable daily intake (ADI) of
    0.17 mg/kg body weight per day can be established for cresols.

    2.  IDENTITY, PHYSICAL AND CHEMICAL PROPERTIES, ANALYTICAL METHODS

    2.1  Identity

         Cresols are isomeric substituted phenols with a methyl
    substituent at either the ortho, meta or para positions relative to
    the hydroxyl group.  Commercial cresol, also known as cresylic acid,
    contains all three isomers with small amounts of phenol and xylenols
    (Deichmann & Keplinger, 1981).  Mixtures of  m- and  p-cresol and of
     o-,  m- and  p-cresol are occasionally called dicresol and
    tricresol, respectively (Fiege & Bayer, 1987).  Pure and commercial
    cresol or cresylic acid is different from the commercial products 
    called "cresylic acids".   The substance "cresylic acids" is a mixture
    of phenolic compounds with a typical composition as follows: 0-1%  m-
    and  p-cresol; 0-3% 2,4- and 2,6-xylenols; 10-20% 2,3- and
    3,5-xylenols; 20-30% 3,4-xylenol; and 50-60% C9-phenols (Sax & Lewis,
    1987).  The chemical identity of cresols is shown in Table 1.

         Commercial cresols are manufactured in a wide range of
    grades and purities to suit the user's requirements.  Typically,
    technical grade cresol available in the USA contains about 20%
     o-cresol, 40%  m-cresol, 30%  p-cresol, and 10% phenol and
    xylenols (Deichmann & Keplinger, 1981).  The individual isomers are
    available at purity levels as low as 85% and as high as > 99% from
    chemical suppliers in the USA.

    2.2  Physical and chemical properties

         The physical properties of the three individual isomers and the
    mixture are given in Table 2.

         Chemically, cresols behave similarly to phenol.  These compounds
    undergo electrophilic substitution reactions at the vacant  ortho or
     para position relative to the hydroxyl group.  Chlorination,
    bromination, sulfonation and nitration are examples of such
    substitution reactions.  Cresols can undergo condensation reactions
    with aldehydes, ketones and dienes (Fiege & Bayer, 1987).

    2.3  Conversion factors

    Air at 25°C:   1 ppm = 4.42 mg/m3
                   1 mg/m3 = 0.23 ppm


        Table 1.  Chemical identity of cresols
                                                                                                                                                

                                o-Cresol                p-Cresol                 m-Cresol                 Mixture
                                                                                                                                                

    Chemical structure:
                               FIGURE 2

    Empirical formula:          C7H8O                   C7H8O                    C7H8O                    C7H8O

    Relative molecular mass:    108.14                  108.14                   108.14                   108.14

    Common synonyms:            2-methyl phenol        4-methyl phenol            3-methyl phenol          methyl phenol
                                2-hydroxy toluene      4-hydroxy toluene          3-hydroxy toluene        hydroxy toluene
                                o-cresylic acid        p-cresylic acid            m-cresylic acid          cresylic acid
                                                                                                           acide cresylique (French)
                                                                                                           cresoli (Italian)
                                                                                                           kresolen (Dutch)
                                                                                                           krezol (Polish)
                                                                                                           kresol (German)

    IUPAC name:                 2-hydroxy toluene      4-hydroxy toluene          3-hydroxy toluene        hydroxy toluene

    CAS registry number:        95-48-7                106-44-5                   108-39-4

    RTECS:                      G06300000              G06475000                  G06125000                G05950000

    EEC number:                 604-004-00-9           604-004-00-9               604-004-00-9             604-004-00-9
                                                                                                                                                

    Table 2.  Physical and chemical properties of cresolsa
                                                                                                                                                

                                        o-Cresol                   m-Cresol                   p-Cresol                 Mixturef
                                                                                                                                                

    Physical state and colour:          white crystalline solid    colourless to yellowish    crystalline solid or     colourless to yellowish
                                        or yellowish liquid        liquid yellowish liquid    liquid

    Odour:                              phenol-like                phenol-like                phenol-like              phenol-like

    Air odour thresholdb:               1.4 mg/m3                  0.007 mg/m3                0.004 mg/m3              ND

    Melting point (°C):                 30.94                      12.22                      34.74                    11-35

    Boiling point at 1 atm (°C):        191.0                      202.32                     201.94                   191-203

    Flash point, closed cup (°C):       81                         86                         86                       82

    Ignition point (°C):                598                        558                        558                      ND

    Vapour pressure at 25°C (mmHg):     0.31                       0.143                      0.13                     0.975 (at 38-53°C)g

    Relative density at 25°C (g/cm3):   1.135                      1.030                      1.154                    1.03-1.038

    Refractive index at 25°C:           1.544                      1.540                      1.539                    ND

    Vapour density (air = 1 at 20°C):   3.7                        3.72                       3.72                     NDe

    Solubility in water at 25°C
    (g/litre)c:                         25.95                      22.70                      21.52                    ND

    Solubility in other solvents:       soluble in ethanol,        soluble in ethanol,        soluble in ethanol,      soluble in ethanol,
                                        ethyl ether, acetone,      ethyl ether, acetone,      ethyl ether, acetone,    glycol, aqueous
                                        benzene, aqueous           benzene, aqueous           benzene, aqueous         alkali hydroxides
                                        alkali hydroxides          alkali hydroxides          alkali hydroxides
                                                                                                                                                

    Table 2 (contd).
                                                                                                                                                

                                        o-Cresol                   m-Cresol                   p-Cresol                 Mixturef
                                                                                                                                                

    Sorption coefficient,
    Koc (all isomers)d                  22-3420

    Log n-octanol/water partition
    coefficiente (log Ko/w):            1.95                       1.96                       1.94                     ND

    pKa (25°C):                         10.287                     10.09                      10.26                    ND

    Bioconcentration factorsh           14.1                       19.9                       ND                       ND

    Odour threshold in water
    (mg/litre)i,j                       1.4                        0.8                        0.2                      ND

    Taste threshold concentration
    in water (mg/litre)j                0.003                      0.002                      0.002                    ND

    Saturation concentration
    in air (g/m3)j at 20°C              1.2                        0.24                       0.24                     ND
    at 30°C                             2.8                        0.68                       0.74                     ND
                                                                                                                                                

    a    Adapted from: Weast et al. (1988); Sax & Lewis (1987); Windholz et al. (1983); Riddick et al. (1986), unless otherwise specified
    b    Amoore & Hautala (1983)
    c    Yalkowsky et al. (1987)
    d    Boyd (1982); Southworth & Keller (1986); Koch & Nagel (1988)
    e    Hansch & Leo (1985)
    f    No data
    g    Parrish (1983)
    h    Freitag et al., (1982)
    i    Dietz & Traud (1978)
    j    Verschuesen (1983)
    

    2.4  Analytical methods

    2.4.1  Sampling

         As is the case with any other analyte, sample loss and
    contamination should be avoided during the collection, storage and
    analysis of samples for cresol determination.  Glass bottles, vials or
    tubes have been used for the collection of environmental samples (US
    EPA, 1982).  Polyethylene containers are suitable for the collection
    of biological samples (US NIOSH, 1989).  Environmental aqueous samples
    can be stored for a limited time (28 days) by adding sulfuric acid to
    a pH < 2 (US EPA, 1982).  Thymol has been used as a preservative for
    biological samples (US NIOSH, 1989).  Environmental and biological
    samples that are to be shipped from the collection site to the
    laboratory are cooled in ice.

           Cresols in air can be sampled by passing air through an
    absorption cell containing 0.1 N sodium hydroxide solution (Manita,
    1966).  More recent methods use solid adsorbents such as XAD-2 or
    silica gel for trapping cresols from air (Neiminen & Heikkila, 1986;
    US NIOSH, 1989).  In a novel system, a miniaturized enrichment unit
    has been used to concentrate cresols and other water-soluble analytes
    in air by a water mist (Vecera & Janak, 1987).  Aqueous samples can be
    collected either by manual grab methods or by automated samplers. 
    Composite samples can be obtained by combining random samples
    collected manually or by automated samplers (US EPA, 1982).  Several
    mechanical devices are available for collecting random or composite
    semi-solid and solid samples either by grab or automated methods (US
    EPA, 1982, 1986).

    2.4.2  Analytical methods

         Some of the methods used in measuring cresols in various
    environmental and biological media are given in Table 3 along with
    their corresponding references.  The problem with the determination of
    cresols by gas chromatography arises as a result of non-reproducible
    elution from the gas chromatography column due to the polar and
    volatile nature of cresols.  Special columns or derivatization of the
    cresols may alleviate the problem.  Cresols are present in biological
    samples as conjugates, and a hydrolysis method is used to release free
    cresols.  There is no consensus on the reliability of total hydrolysis
    of the cresol conjugates (Balikova & Kohlicek, 1989).

         Chudyk et al. (1985) tested a remote fluorescence technique using
    ultraviolet laser fibre optics to analyse groundwater contaminants,
    including  o-cresol, in artificially prepared solutions. No data were
    given on the detection limits or on the use of this technique in the
    field.  However, the authors speculated that the sensitivity is at or
    below parts per billion levels at an instrument/analyte distance of
    25 m.

         Hoshika & Muto (1978) described a simple and rapid
    gas-liquid-solid chromatographic (GLSC) method for the determination
    of trace concentrations of 11 phenols including all isomers of cresol
    in air.  This method has been adopted and recommended by many other
    investigators for measuring cresols in air samples.  To overcome
    interference by certain acidic compounds such as lower fatty acids and
    mercaptans, the method uses two precolumns, a Tenax-GC and a Tenax-GC
    plus alkaline.  The gas chromatograph used was equipped with a flame
    ionization detector (FID), a digital integrator and a glass analytical
    column.  With the Tenax-GC plus alkaline precolumn the phenol peaks
    disappeared completely in the chromatograms, enabling phenols to be
    identified by comparison with the chromatograms from the ordinary
    Tanex-GC precolumn.  The detection limit for cresols by this method
    was reported to be at the ppb level.


        Table 3.  Sampling and analytical methods for determining cresols in environmental and biological samples
                                                                                                                                                

    Sample                                                   Analytical                        Sample detection    Percentage
    matrix          Preparation method                       methodb              Isomer       limit               recovery      Reference
                                                                                                                                                

    Air

    Air             pump air through adsorbent tube;         HPLC/UV              o, m, p      0.3 ppt             90-110%       Kuwata & Tanaka
                    desorb with methanol                                                                                         (1988)

    Air             aerodispersive enrichment into           HPLC/ED              o            no data             no data       Vecera & Janak
                    water                                                                                                        (1987)

    Air             pump air through silica gel tube;        GC-FID               o, m, p      no data             98% at        US NIOSH (1989)
                    desorb with acetone                      22 mg/m3

    Air             pump air through mixed cellulose         HPLC-UV              o, m, p      0.5 ppb             52.4%         Risner (1993)
                    ester membrane connected to silica
                    Sep-Pak, desorp with 1% acetic
                    acid in acetonitrile

    Auto exhaust    vapour collected in fritted bubbler      HPLC-UV              o, m, p      0.1-0.5             no data       Kuwata et al.
    and tobacco     with aqueous NaOH buffered to pH 11.5;                                     ng/sample                         (1981)
    smoke           add p-nitrobenzene-diazonium
                    tetra-fluoroborate; extract with CCl4

    Air and water

    Air and water   mix NaOH solution from bubbler in case   spectrophotometry    o, m, p      0.005-0.03          no data       Druyan (1974)
                    of air and distillate of water samples   (TLC)                             µg/sample
                    in 1 N NaOH solution with
                    p-nitrophenyl-diazonium at pH 7-9;
                    extract with ether; spot on TLC plate
                                                                                                                                                

    Table 3 (contd).
                                                                                                                                                

    Sample                                                   Analytical                        Sample detection    Percentage
    matrix          Preparation method                       methodb              Isomer       limit               recovery      Reference
                                                                                                                                                

    Water           adjust pH to 11; extract with            GC/MS                o, p         10 µg/litre         no data       US EPA (1988)
                    CH2Cl2; concentrate

    Water           solvent extraction, liquid               GC/MS                not          no data             no data       Hites (1979)
                    chromatography prefractionation                               specified

    Water           adjust pH to 8-9; extract with           spectrophotometry    o, m         4 µg/litre          99-100.1%     Hassan et al.
                    chloroform-ether; back extract           (VIS)                             at 5-120                          (1987)
                    in 0.1 N aqueous NaOH; add NaNO2                                           µg/litre
                    and H2SO4; remove excess NO;
                    add resorcinol

    Water           direct flow and                          spectrophotometry    o, m         10-30 µg/litre      90-115%       Khalaf et al.
                    stopped-flow injection, then             (VIS)                                                               (1993)
                    derivatization with p-aminophenol

    Rainwater       direct injection onto ion exchange       HPLC/CD              o, m, p      no data             no data       Hoffman &
                    column                                                                                                       Tanner (1986)

    Rainwater       acidify; extract with CH2Cl2;            GC/MS                o, m, p      no data             > 50%         Kawamura &
                    concentrate, methylate                                                                                       Kaplan (1986)

    Soil

    Soil,           extract sample with CH2Cl2 using         GC/MS                o, p         330 ppb             no data       US EPA (1988)
    sediment        ultrasonic probe
                                                                                                                                                

    Table 3 (contd).
                                                                                                                                                

    Sample                                                   Analytical                        Sample detection    Percentage
    matrix          Preparation method                       methodb              Isomer       limit               recovery      Reference
                                                                                                                                                

    Sediment        extract rapidly stirred sediment         GC/MS                not          no data             no data       Goodley & Gordon
                    slurry with CH2Cl2 or ether,                                  specified                                      (1976)
                    concentrate

    Biological samples

    Expired         draw air through XAD-2 adsorbent         HPLC/ED              o, m, p      8 µg/m3             no data       Neiminen &
    air             tube; acetonitrile desorbtion                                                                                Heikkila (1986)

    Expired         collect breath in Teflon bag;            GC/MS                not          no data             no data       Krotoszynski &
    air             concentrate on Tenax GC absorbent;                            specified                                      O'Neill (1982)
                    thermal desorption

    Beef            steam distil; extract distillate         HRGC/MS              o, m, p      0.2 mg/kg           83-98% at     Matsumoto et al.
                    with ether                                                                                     20-100 µg     (1989)
                                                                                                                   per sample

    Urine           hydrolyse with sulfuric acid;            GC/FID               o, m, p      no data             78-97%        Needham et al.
                    extract with ethyl acetate                                                                                   (1984)

    Urine           hydrolyse with HCl and extract with      HPLC/UV              o, m, p      1 mg/litre          97-102%       Yoshikawa et al.
                    isopropyl ether; remove solvent;                                                                             (1986)
                    dissolve residue in water; add
                    ß-cyclodextrin

    Urine           acidify; steam distil; extract with      GC/MS                o            no data             no data       Angerer & Wulf
                    methylene chloride                                                                                           (1985)

    Urine           hydrolyse with sulfuric acid; extract    HPLC/UV              o            no data             no data       DeRosa et al.
                    with CH2Cl2; concentrate                                                                                     (1987)
                                                                                                                                                

    Table 3 (contd).
                                                                                                                                                

    Sample                                                   Analytical                        Sample detection    Percentage
    matrix          Preparation method                       methodb              Isomer       limit               recovery      Reference
                                                                                                                                                

    Urine           hydrolyse with HCl or HClO4; extract     GC-FID               p            0.5 mg/litre        95% at        US NIOSH (1989)
                    with ether                                                                                     50 µg/ml

    Urine and       hydrolyse with H3PO4; extract with       GC-FID               o, m, p      1 mg/litre          69.4-73.3%    Balikova &
    serum           n-hexane, acetylate extract                                                                    at 50         Kohlicek (1989)
                                                                                                                   mg/litre

    Faeces and      homogenize faeces and hydrolyse          HPLC-fluorescence    p            < 1 µg/kg for       99.4-101.9%   Murray & Adams
    urine           urine buffered to pH 5.5, steam          detector                          faeces;                           (1988)
                    distil                                                                     < 1 µg/litre
                                                                                               for urine
                                                                                                                                                

    a    0.01 nmol = 1.08 ng
    b    CD = conductivity detector; ED = electrochemical detector; FID = flame ionization detector; GC = gas chromatography;
         HPLC = high-performance liquid chromatography; HRGC = high-resolution gas chromatography; m = meta-cresol; MS = mass spectrometry;
         o = ortho-cresol; p = para-cresol; UV = ultraviolet detector
    

    3.  SOURCES OF HUMAN AND ENVIRONMENTAL EXPOSURE

    3.1  Natural occurrence

         Cresols and cresol derivatives occur naturally in various plants. 
    They are present in oils from jasmine, cassia, Easter lily, ylang
    ylang, and  Yucca gloriosa flowers and in peppermint, eucalyptus and
    camphor.  Oils from conifers, oaks and sandalwood trees also contain
    cresol (Fiege & Bayer, 1987).  Mammalian urine and faeces naturally
    contain  p-cresol (section 6.5).  Poultry manure reportedly contains
     p-cresol at an average concentration of 11.7 mg/kg (Yasuhara, 1987). 
    Cresols are frequently produced as metabolic intermediates in the
    degradation of bound phenols by soil microorganisms.  They are also
    products of combustion and can be released to the atmosphere from
    natural fires associated with lightning, spontaneous combustion and
    volcanic activity (McKnight et al., 1982).

    3.2  Anthropogenic sources

         Cresols are contained in crude oil and coal tar.  Therefore, the
    dominant anthropogenic sources of cresols are accidental and process
    discharge during the manufacture, use, transport and storage of
    cresols or associated products of the coal tar and petroleum
    industries.  Cresols are also produced during coal gasification
    (Giabbai et al., 1985; Neufeld et al., 1985), coal liquefaction
    (Fedorak & Hrudey, 1986) and shale oil production (Snider & Manning,
    1982; Dobson et al., 1985).  Low levels of cresols are present in the
    exhaust of vehicles powered with petroleum-based fuels (Hampton et
    al., 1982; Johnson et al., 1989), stack emissions from municipal waste
    incinerators (Junk & Ford, 1980; James et al., 1984), and emissions
    from the incineration of vegetable materials (Liberti et al., 1983). 
    Cresols are also found in fly ash from coal and wood combustion (Junk
    & Ford, 1980; Hawthorne et al., 1988, 1989).  Cigarette smoke contains
    cresols (Wynder & Hoffmann, 1967).  In addition, the atmospheric
    reaction of toluene with photochemically generated hydroxyl radicals
    (HO*) produces cresols (Leone et al., 1985).

    3.2.1  Production levels and processes

         The oldest cresol production method used in the USA is fractional
    distillation of coal tar.  Most cresols in the USA are obtained via
    catalytic and thermal cracking of naphtha fractions during petroleum
    distillation.  Since 1965, quantities of coal tar and petroleum
    isolates have been insufficient to meet the rising demand for cresols
    in the USA.  Consequently, several processes for the manufacture of
    the various isomers have been developed.  One method of producing
     o-cresol is by the methylation of phenol in the presence of
    catalysts.  Another method uses toluene sulfonation followed by
    alkaline hydrolysis to produce  p-cresol.  Until 1972, cresols were

    also produced by the cymene-cresol process, where cymene
    ( p-isopropyltoluene) is oxidized to cymene hydroperoxide, which
    decomposes to cresols and acetone.  This method is capable of
    producing  p- or  m-cresol from the corresponding cymene isomer. 
    Alkaline chlorotoluene hydrolysis is used to produce a cresol mixture
    with a high  m-cresol content (Fiege & Bayer, 1987).  The total
    production of cresols in the USA, excluding production from coke oven
    and gas-retort ovens, was 34 400 tonnes in 1989 and 38 300 tonnes in
    1990 (USITC, 1990, 1991).

         According to the Toxic Release Inventory (TRI) database, 
    maintained by the US EPA,  manufacturing and processing industries in
    the USA in 1987 released or transferred 52 tonnes of cresols to air,
    water and land, 172.5 tonnes to wastewater treatment plants, and 20.45
    tonnes to off-site locations for disposal (US EPA, 1989).  The TRI
    data may have under-estimated the actual release since only certain
    types of facilities were required to report.

    3.2.2  Uses

         A considerable amount of  o-cresol is consumed directly as
    either a solvent or disinfectant.   o-Cresol is also used as a
    chemical intermediate for a variety of products, including deodorizing
    and odour-enhancing compounds, pharmaceuticals, fragrances,
    antioxidants, dye and dye intermediates, pesticides and resins. 
    Recently, an increasing proportion of  o-cresol has been devoted to
    the formulation of epoxy- o-cresol novolak resins (sealing materials
    for integrated circuits silicon chips).   o-Cresol is also used as an
    additive to phenol-formaldehyde resins (Windholz et al., 1983; Fiege &
    Bayer, 1987; Sax & Lewis, 1987).

          p-Cresol is mainly used in the formulation of antioxidants such
    as 2,6-di- tert-butyl- p-cresol for lubricating oil and motor fuels,
    rubber, polymers, elastomers and food products.  It is also used as an
    intermediate in the fragrance and dye industries (Windholz et al.,
    1983; Fiege & Bayer, 1987; Sax & Lewis, 1987).

          m-Cresol, either pure or mixed with  p-cresol, is important in
    the production of contact herbicides and insecticides. Furthermore,
    many flavour and fragrance compounds and several important
    antioxidants are produced from  m-cresol.  It is also used in the
    manufacture of explosives (Fiege & Bayer, 1987).

         Mixtures of  m- and  p-cresol are used as disinfectants and
    preservatives.  Crude cresols are used as wood preservatives. 
    Tricresyl phosphate and diphenyl cresyl phosphate produced from  m-
    and  p-cresol mixtures are used as flame-retardant plasticizers for
    polyvinyl chloride and other plastics, fire-resistant hydraulic
    fluids, additives for lubricants and air filter oils.  Cresol mixtures
    condensed with formaldehyde are important for modifying phenolic
    resins.  Cresols are also used in paints and textiles.  Mixtures of
    cresols are used as solvents for synthetic resin coatings such as wire
    enamels, metal degreasers, cutting oils and agents to remove carbon
    deposits from combustion engines.  They are also used in ore
    flotation, fibre treatment and photography (Deichmann & Keplinger,
    1981; Windholz, 1983; Fiege & Bayer, 1987).

    4.  ENVIRONMENTAL TRANSPORT, DISTRIBUTION AND TRANSFORMATION

    4.1  Transport and distribution between media

    4.1.1  Air

         The levels of cresols in the atmosphere will be regulated by the
    physical properties of the compounds, their chemical reactivity and by
    prevailing weather conditions (wind speed, precipitation, temperature
    inversions, etc.).  The vapour pressures of cresols range from 0.13 to
    0.31 mmHg (Table 2); compounds with values greater than 0.0001 mmHg
    should exist predominantly in the vapour phase (Eisenreich et al.,
    1981) as opposed to the particulate-bound phase (Cautreels & van
    Cauwenberghe, 1978).  Photochemical attack (section 4.2) and rain
    scavenging (Leuenberger et al., 1985;  Czuczwa et al., 1987) rapidly
    remove cresols from the vapour phase, counteracting the tendency of
    compounds that exist in the vapour phase to be transported over long
    distances.

    4.1.2  Water

         The processes that control the transport of cresols from water
    and their distribution in water are volatility, values for the
    sorption coefficient (Koc) to suspended solids and sediment, and
    bioaccumulation in aquatic organisms.  The bioaccumulation of cresols
    in aquatic organisms is discussed in section 4.3.  The volatility of a
    compound can be qualitatively predicted from its Henry's Law constant
    (H).  The rate of volatilization from water is high for compounds with
    H values ranging from 10-2 to 10-3 atm-m3/mol, and it is very
    low for compounds with H values of 10-7 atm-m3/mol or less (Lyman et
    al., 1990).  Therefore, transport of cresols with H values of 1.26 ×
    10-6 to 7.92 × 10-7 atm-m3/mol from water to the atmosphere will
    not be significant.  Furthermore, the ability of these phenolic
    compounds to dissociate and to form hydrogen bonds, leading to binding
    with both suspended solids or sediments, will decrease the rate of
    volatilization even further.  Since the cresols are soluble in water
    (see Table 2), the small amounts of cresols typically found in the
    aquatic environment  will be present mostly in the aqueous phase. 
    However, transport of cresols from water to bottom sediment is
    possible as a result of sorption and subsequent precipitation.  For
    hydrophobic compounds, the importance of the sorption process can
    usually be predicted from the Koc values. Details of Koc levels are
    given in section 4.1.3.

    4.1.3  Soil

         Koc values in soil of between 22 and 3420 have been reported
    (Boyd, 1982; Southworth & Keller, 1986; Koch & Nagel, 1988).  The
    sorption of cresols to several soils correlates well with both pH and
    clay mineral content in soil (Artiola-Fortuny & Fuller, 1982), and
    several investigators reported that hydrogen bonding plays an
    important role in the sorption of cresols to soil (Boyd, 1982;
    Southworth & Keller, 1986).

         The transport of cresols from soil to the atmosphere will occur
    as a result of volatilization.  The volatilization of cresols from
    soil will be directly proportional to H values and inversely
    proportional to Koc.  Since the H values for cresols are low and the
    Koc in soils capable of hydrogen bonding can be as high as 3420,
    volatilization will not be significant in such soils.  However, some
    volatilization may occur due to the relatively high vapour pressure of
    cresols (Table 2) and to the diffusion gradient between the soil and
    the atmosphere.  Loss of cresols by volatilization has been shown to
    occur from highly contaminated soils (Evangelista et al., 1990). 
    Another process that may transport cresols from soil to ground water
    is leaching.  The leaching of cresols from soil will depend on the
    Koc.  This is variable so that with values near 3000, cresols will
    be slightly mobile, whereas cresols in soil with Koc values in the
    lowest range will be highly mobile (Swann et al., 1983).  The
    horizontal transport of cresols from one land area to another or to
    surface water as a result of run-off will also occur to a certain
    extent, dependent among other factors on the soil Koc value.

    4.2  Transformation

    4.2.1  Abiotic transformation

         Two abiotic transformation processes, namely reaction with
    hydroxyl HO* and nitrate NO3* radicals, are most important for
    determining the fate of cresols in air.  The rate constants for the
    reaction with HO* are 4.2 × 10-11, 6.4 × 10-11 and 4.7 × 10-11
    cm3/molecule-sec for  o-,  m- and  p-cresol, respectively
    (Atkinson et al., 1992).  It may be estimated from the range of HO*
    concentrations in the lower troposphere (from below the limits of
    detection at 1 × 106 radicals/cm3 to a maximum of 5 × 106
    radicals/cm3) (Atkinson, 1985), that the half-lives for the cresols
    during the daytime may range from 3 to 5 h.  The major products of the
    reactions of HO* with cresols in the presence of nitrogen oxides are
    pyruvic acid, acetaldehyde, formaldehyde, peroxyacetylnitrate and
    nitrocresols (Atkinson et al., 1980; Grosjean, 1984, 1985).  NO3* is
    formed in the atmosphere as a result of the reaction of nitrogen oxide

    with ozone and is photodecomposed quickly by sunlight (Carter et al.,
    1981).  Therefore, the reaction of atmospheric pollutants with NO3*
    can be significant only during the night.  The determined rate
    constants for the reaction of NO3* with vapour-phase cresols are
    1.37 × 10-11, 9.74 × 10-12 and 1.07 × 10-11 cm3/molecule-sec
    for  o-,  m- and  p-cresol, respectively (Carter et al., 1981;
    Atkinson et al., 1992).  Assuming that the average concentration of
    NO3* in a typical night-time urban atmosphere is 2.4 × 108
    molecules/cm3, cresols are estimated to be removed from the
    atmosphere with half-lives of 5-10 min (Atkinson, 1985).

         Abiotic reactions, such as photolysis, hydrolysis and oxidation
    by photolytically produced HO* and singlet oxygen, play a minor role
    in determining the fate of cresols in water (Smith et al., 1978; Faust
    & Hoigné, 1987).  However, the photolysis of  o- and  p-cresol is
    accelerated in the presence of fulvic and humic materials present in
    water.  The estimated half-life for the disappearance of  p-cresol in
    pure water containing humic acid (9.5 mg/litre) and exposed to April
    sunlight at 37.5°N latitude was 3 days (Smith et al., 1978).  In a
    polluted eutrophic Swiss lake with a dissolved organic matter
    concentration of 3.1 mg/litre, the estimated natural half-lives for
     p- and  o-cresol in the top metre as a result of exposure to June
    sunlight were 4.4 and 11 days, respectively (Faust & Hoigné, 1987). 
    The investigators concluded that photochemically produced organic
    peroxide radicals generated from dissolved organic matter controlled
    the sensitized photooxidation of cresols in the Swiss lake.  In
    addition, laboratory experiments have shown that iron (FeOOH) and
    manganese (III/IV) oxides (MnOOH and MnO2), commonly found in
    surface water particulate and soil, can oxidize cresols in solution
    particularly at low pH (< 4) (Stone, 1987).  However, oxidation of
    cresols occurs more readily in fog and rain water due to the higher
    concentration of manganese and iron oxide and low pH of these waters
    (Stone, 1987).

         Direct attack of cresols by ozone may also occur in water and
    follows first-order reaction kinetics: 3 moles of ozone are  required
    to cause ring-opening of 1 mole of cresol (Zheng et al., 1993a,b). The
    overall rate constant for the reaction increases with increasing pH
    and temperature. Ozonation may be a possible remediation treatment for
    cresol-contaminated waters.

         Photochemical reactions will only occur in the upper few
    millimetres of the soil surface, and it is unlikely that photochemical
    attack will be an important pathway for cresol removal from soil.  As
    in the case of water, the abiotic hydrolysis of cresols in moist soil
    may not be significant since there is no evidence that any soil
    component is capable of accelerating this reaction.  The oxidation of
    cresols by iron(III) and manganese (III/IV) is likely in soils that
    have low pH; however, laboratory or field data assessing the
    importance of this reaction in determining the fate of cresols in soil
    are not available.

    4.2.2  Biodegradation

         Biotic processes, namely biodegradation, may be more important
    than other processes in determining the fate of cresols in water
    (Smith et al., 1978).  Cresols degraded rapidly in aerobic
    biodegradation screening and sewage treatment plant simulation studies
    (McKinney et al., 1956; Ludzack & Ettinger, 1960; Malaney, 1960;
    Chambers et al., 1963; Tabak et al., 1964; Alexander & Lustigman,
    1966; Malaney & McKinney, 1966; Young et al., 1968; Pauli & Franke,
    1971; Baird et al., 1974; Pitter, 1976; Singer et al., 1979; Lund &
    Rodriguez, 1984; Babeu & Vaishnav, 1987; Brown & Grady, 1990; Klecka
    et al., 1990).  According to one screening study, the rate of aerobic
    biodegradation of the three isomeric cresols increased in the
    following order:  p- >  m- >  o-.  While no lag time for
    biodegradation was observed for  m- and  p-cresol,  o-cresol showed
    a lag time of 6 days (Liu & Pacepavicius, 1990).  Aerobic
    biodegradation in salt water (estuarine and sea water) is slower than
    in fresh water, but the decrease in the rate is not enough to preclude
    biodegradation as an important removal pathway in salt water (Palumbo
    et al., 1988).  Mixed and pure culture studies indicate that aerobic
    biodegradation of cresols proceeds by initial formation of
    hydroxylation products followed by ring-opening reactions (Bayly &
    Wigmore, 1973; Masunaga et al., 1983, 1986).

         Biodegradation reaction rates are widely variable and depend on a
    number of interrelated factors or conditions of the source waters. 
    Results of several investigations have shown that factors such as
    substrate and nutrient concentration, spatial and temporal sampling,
    bacterial growth, biofilm formation, pH and temperature all influence
    reaction rates.  In general, higher nutrient concentrations and
    temperatures (summer versus winter) increase the biodegradation of
    cresols.  However, degradation will decrease with increased humic acid
    content (Visser et al., 1977;  Smith et al., 1978; Paris et al., 1983,
    Spain & van Veld 1983; Rogers et al., 1984; Lewis et al. 1984,1986;
    Shimp & Pfaender, 1985a,b; Kollig et al., 1987; Gantzer et al., 1988;
    Hwang et al. 1989).

         The anaerobic biodegradation potential of cresols in aquatic
    media has been observed in the presence of an electron acceptor, as
    occurs in nitrate reduction, methanogenesis and sulfate reduction
    conditions (Shelton & Tiedje, 1981; Horowitz et al., 1982; Boyd et
    al., 1983; Fedorak & Hrudey, 1984; Bak & Widdel, 1986; Roberts et al.,
    1987; Battersby & Wilson, 1988, 1989; Wang et al., 1988, 1989). 
    Cresols biodegrade more slowly under anaerobic conditions than under
    aerobic conditions.  While several investigators observed a lag period
    before the onset of anaerobic biodegradation (Suflita et al., 1988;
    Battersby & Wilson, 1989; Liu & Pacepavicius, 1990), Young & Rivera
    (1985) observed no significant increase in the rate of  p-cresol

    metabolism as a result of acclimation.  The anaerobic biodegradation
    rate for cresols was  p- >  m- >  o- (Suflita et al., 1988; Wang
    et al., 1988; Battersby & Wilson, 1989).  Other investigators have
    reported that  o-cresol is more biodegradable under anaerobic
    conditions than  p-cresol.   The  m-cresol isomer was found to be
    the least biodegradable (Liu & Pacepavicius, 1990).  The anaerobic
    biodegradation of  o- and  p-cresol appears to proceed metabolically
    by oxidation of the methyl group to produce first the corresponding
    hydroxybenzaldehyde and then hydroxy-benzoic acid.  The hydroxybenzoic
    acid is then decarboxylated or dehydroxylated to produce phenol or
    benzaldehyde, respectively (Smolenski & Suflita, 1987; Kühn et al.,
    1988; Suflita et al., 1988, 1989).  The metabolic pathway for
    anaerobic biodegradation of  m-cresol may be different from the
    pathway for  o- and  p-cresols (Suflita et al., 1989).

         Pseudomonads and other bacteria contain a flavocytochrome enzyme,
     p-cresol methylhydroxylase (PCMH), which is capable of oxidizing
     p-cresol without the participation of exogenous oxygen (Hopper,
    1976, 1978; Hopper & Taylor, 1977; Keat & Hopper, 1978).   This enzyme
    catalyses the dehydrogenation and hydration of  p-cresol and its
    homologues to the corresponding alcohols and their further
    dehydrogenation to the corresponding aldehydes or ketones.  Thus,
     p-cresol is oxidized under this condition to  p-hydroxybenzyl
    alcohol and then to  p-hydroxybenzaldehyde. Isolation and then
    resolution of the flavocytochrome PCMH into subunits and
    reconstitution of the enzyme were studied by Keat & Hopper (1978),
    McIntire et al. (1981, 1984, 1985, 1986), McIntire & Singer (1982),
    Shamala et al. (1985, 1986) and Koerber et al. (1985).

         The biodegradation of cresols in soil under aerobic conditions is
    rapid.  However, complete metabolism (to CO2 and H2O) of the
    intermediate metabolites is slower (Medvedev & Davidov, 1981a,b;
    Dobbins & Pfaender, 1988; Namkoong et al., 1988).  Biodegradation is
    likely to control the fate of cresols in soils.  In surface soils from
    an uncultivated grassland site, the estimated half-life for the
    pseudo-first-order disappearance of the parent compound was 1.6 days
    for  o-cresol and 0.6 days for  m-cresol.  It could not be
    calculated for  p-cresols as the concentration had fallen below the
    detection limits at the first sampling, which was 24 h after
    initiation of the experiment (Namkoong et al., 1988).  The half-lives
    for complete metabolism in different soils ranged from 39 days to
    about 1 year (Dobbins & Pfaender, 1988; Swindoll et al., 1988).

    4.3  Bioaccumulation and biomagnification

         The measured bioconcentration factors for  o-cresol and
     m-cresol in aquatic organisms were 14.1 and 19.9, respectively
    (Freitag et al., 1982; Sabljic, 1987).  There is no evidence in the
    literature to indicate that biotransfer of cresols via the food chain
    causes biomagnification of these compounds.

    5.  ENVIRONMENTAL LEVELS AND HUMAN EXPOSURE

    5.1  Environmental levels

    5.1.1  Air

         Ambient air monitoring data for cresols are sparse.  These
    compounds are short-lived in the air (see section 4.2.1) unless large
    amounts are released over a short period of time.  According to the
    National Ambient Volatile Organic Compounds (VOCs) Data Base, a
    compilation of published and unpublished air monitoring data in the
    USA from 1970 to 1987, the median air concentration of  o-cresol at
    source-dominated sites was 1.59 µg/m3 (0.359 ppb) (range from below
    detection limit to 10.58 µg/m3, 2.394 ppb) for 32 samples (Shah &
    Heyerdahl, 1989).  According to the same data base,  o-cresol was not
    detected in air samples from one urban, one rural and one remote area,
    and  m-cresol was also not detected in air samples from one urban,
    one suburban, and one remote area in the USA.  This data base does not
    contain any monitoring data for  p-cresol.  The concentration of
     o-cresol in one sample of the ambient air near a phenolic resin
    factory in Japan was 179 µg/m3 (40 ppb) (Hoshika & Muto, 1978).  In
    air samples from rooms with a fireplace, cresol concentrations around
    5 mg/m3 have been detected (Risner, 1993).

    5.1.2  Water

         In general, cresols will degrade in surface waters very rapidly. 
    The STORET data base, a computerized data base maintained by US EPA,
    contains water quality data.  According to STORET (1993), the mean,
    minimum and maximum concentrations of ocresol in surface water were
    10.89, below the detection limit and 68 µg/litre, respectively, out of
    315 samples reported; for  p- or  m-cresol they were 12.5, 3.4 and
    25 µg/litre out of 52 samples; and for  p-cresol they were 12.45,
    below the detection limit and 77 µg/litre out of 285 samples.  In
    addition, the three isomers of cresol were qualitatively detected in
    Spirit Lake, a freshwater lake in the state of Washington, USA. 
     o-Cresol was also detected in two other freshwater bodies in the
    same state.  The presence of cresols was attributed to the Mount St.
    Helens eruption (McKnight et al., 1982).  Whether or not the cresols
    originated from woodfires or the actual eruption was not clarified in
    this study.   p-Cresol was detected at a concentration of
    200 µg/litre in water samples from the lower Tennessee River near
    Calvert City, Kentucky, USA (Goodley & Gordon, 1976).   m-Cresol was
    qualitatively detected in St. Joseph River of the Lake Michigan Basin
    (Great Lakes Water Quality Board, 1983).  Cresols (isomers
    unseparated) were not detected in Delaware River water samples taken
    between Marcus Hook, Pennsylvania, and Trenton, New Jersey, USA,
    during summer months, but were detected at 2 µg/litre in winter
    (Sheldon & Hites, 1978).  Concentrations of  p-cresol as high as
    204 µg/litre have been detected in a river in Japan polluted by
    effluents from a leather factory (Yasuhara et al., 1981).

         Although  o-cresol has been qualitatively detected in
    drinking-water in the USA (Clark et al., 1986), quantitative data
    regarding cresol levels in drinking-water are not available.

         Cresols have been qualitatively detected in effluent from sewage
    treatment plants in the USA (Ellis et al., 1982). Concentrations of
    70-150 µg/litre (isomer unidentified) have been measured in the
    wastewater from a chemical manufacturing plant (Jungclaus et al.,
    1978), and concentrations as high as 2100 µg/litre for  o-cresol and
    1200 µg/litre for mixed  m- and  p-cresol have been measured in
    wastewater from a shale oil plant (Hawthorne & Sievers, 1984). 
    Cresols were detected at 20 µg/litre in the treated secondary effluent
    from Philadelphia Northeast Sewage Treatment Plant, but were not
    detected in Delaware River water near the discharge point of the
    effluents or further downstream (Hites, 1979; Sheldon & Hites, 1979). 
    Furthermore, cresols have been detected in treated coke oven aqueous
    condensates, wastewater from petroleum refineries and wood-preserving
    plants, and aqueous effluents from synfuel processing (US EPA, 1982).

         Cresols may persist in groundwater due to a lack of
    microorganisms.  Very little information regarding the concentration
    of individual isomers has been reported in the literature.

         Cresol concentrations measured in groundwater from hazardous
    waste and landfill sites are shown in Table 4.  Although the
    concentration of  p-cresol was below the detection limit
    (30 µg/litre),  o- and  m-cresol concentrations of around
    1400 µg/litre have been detected in creosote-contaminated groundwater
    in Denmark (Flyvbjerg et al., 1993).  According to STORET (1993), the
    mean, minimum and maximum levels in groundwater from undefined sources
    for  o-cresol were 234.3, 0.9 and 100 000 µg per litre out of 1848
    samples collected; for  m-cresol were 1421.3, below the detection
    limit and 100 000 µg/litre out of 712 samples; and for  p-cresol were
    15.79, 0.09 and 4800 µg/litre out of 1147 samples, respectively.

         Rainwater from Portland, Oregon, collected during seven falls of
    rain in 1984, contained  o-cresol concentrations of 0.24-2.8 µg per
    litre (mean of 1.02 µg/litre) and combined  p- and  m-cresol
    concentrations of 0.38-2.0 µg/litre (mean of >1.1 µg/litre)
    (Leuenberger et al., 1985).  The concentration of  o-cresol in
    rainwater at a rural site in Switzerland (Greppen) ranged from
    undetectable to 1.3 µg/litre.  The combined concentration range of
     m- and  p-cresols in the same rainwater was 0.65-9.3 µg/litre
    (Czuczwa et al., 1987).


        Table 4.  Cresol concentrations in the ground water of hazardous waste sites and landfills in the USA
                                                                                                                                                

                                                          No. of samples/                     Concentration
    Type/location                      Sampling date      no. detecteda        Isomer         (mg/litre)              Reference
                                                                                                                                                

    Hazardous waste,                     no data              1/1              o               2.3                Weber & Matsumoto (1987)
    Buffalo, New York                                         1/1              p               15.0

    Former pine-tar manufacturing,       no data              11/10            o               0.002-5.2          McCreary et al. (1983)
    Gainesville, Florida                                      11/10            m and p         0.0004-11.1

    Former wood preserving,              1984                 19/6             o               0.04-7.1           Goerlitz et al. (1985)
    Pensacola, Florida                                        19/3             p               0.02-6.2
                                                              19/4             m               0.05-13.7

    Former coal gasification,            no data              3/3              o               0.063-6.6          Stuermer et al. (1982)
    Hoe Creek, Wyoming                                        3/3              m and p         0.096-16.0

    Municipal landfill,                  1982-1983            1/1              p               1.5                Sawhney & Kozloski (1984)
    Southington, Connecticut             1982-1983            1/1              m               0.6

    Underground solvent                  1983                 10/1             unseparated     0.04               Oliveira & Sitar (1985)
    storage tanks,
    Santa Clara, California

    Hazardous waste,                     1979-1984            4/1              unseparated     0.11               Ram et al. (1985)
    Coventry, Rhode Island
                                                                                                                                                

    a  Number of samples compared with number in which cresols were detected
    

    5.1.3  Soil

         Cresols have been detected in about 1% of soil samples from 1300
    Superfund (hazardous waste sites listed by US EPA in the National
    Priority List) sites.  The geometric mean concentrations of  o- and
     p-cresols in these samples were 409 and 677 µg/kg, respectively
    (HAZDAT, 1992).

    5.1.4  Food and beverages

         Cresols have been detected in certain foods and beverages, such
    as tomatoes, tomato ketchup, cooked asparagus, various cheeses,
    butter, oil, red wine, spirits, raw and roasted coffee, black tea,
    smoked foods and tobacco (Fiege & Bayer, 1987).  Cresols were
    identified as volatile components of fried chicken (Ho et al., 1983). 
    Quantitative data regarding cresols in food and beverages are limited. 
    Cresols have been detected in various beverages including Scotch
    whisky (0.01-0.20 mg/litre), whiskies made outside of Scotland
    (0.01-0.07 mg/litre), brandies including cognac and armagnac (trace to
    0.02 mg/litre), and white and dark rums (trace to 0.20 mg/litre)
    (Lehtonen, 1983).  The total amount of cresols in the smoke from a
    nonfilter American cigarette (85 mm) is about 75 µg (Wynder &
    Hoffmann, 1967).

    5.2  General population exposure

         The general population can be exposed to cresols from air
    inhalation, drinking-water and food ingestion, and dermal contact with
    water or consumer products that contain cresols.  Due to the lack of
    adequate monitoring data regarding cresol levels in ambient air and
    drinking-water, it is not possible to estimate quantitatively the
    daily intake of cresols from these sources.  Similarly, to estimate
    the daily intake of cresol from food for a member of the general
    population requires data concerning the level of these compounds in
    total diet samples (various categories and quantities of food consumed
    daily by a typical individual), and these data are not available. 
    Dermal contact to cresols may also result from use of certain consumer
    products, since cresols may be used as disinfectants in some soap and
    as wood preservatives.  It is likely that people who live near certain
    kinds of emission sources (e.g., heavy vehicular traffic, certain
    incinerators, and landfill sites, such as abandoned coal tar or
    creosote producer/user sites) will be exposed to higher levels of
    cresols than the general population.  Since both mainstream and
    sidestream smoke of cigarettes contain cresols (Wynder & Hoffmann,
    1967), smokers and those who inhale sidestream smoke may be exposed to
    a higher level of cresols.

    5.3  Occupational exposure

          Occupational exposure to cresols is likely among workers
    involved in the production of cresols or processes that produce
    cresols (coal gasification, shale oil retorting) and those who use
    cresols or products containing cresols (such as creosote).  Little
    information regarding occupational exposure to cresols is available. 
    The concentration of cresols in the workroom air of a pilot coal
    gasification plant in the USA was < 0.44 mg/m3 (< 0.1 ppm)
    (Dreibelbis et al., 1985).  The extent of worker exposure to cresols
    and other pollutants was measured in a facility in Finland that used
    creosote for impregnation of wood.  The highest observed mean
    concentration of cresols in the air was 0.6 mg/m3 during periods in
    which the cylinder used for impregnation was opened, followed by a
    concentration of 0.2 mg/m3 during periods in which the cylinder was
    closed (Heikkila et al., 1987).

         All 14 countries listed in ILO Occupational Exposure Limits for
    Airborne Toxic Substances (1991) have set an environmental
    concentration of 22.1 mg/m3 (5 ppm) for time-weighted average (TWA)
    exposure for all isomers of cresol.

    6.  KINETICS AND METABOLISM IN LABORATORY ANIMALS AND HUMANS

    6.1  Absorption

         Cresols are absorbed across the respiratory and gastrointestinal
    linings and through the intact skin.  Absorption of cresols through
    the lungs has not been studied quantitatively.  However, the
    occurrence of mortality and other systemic effects in animals exposed
    to cresol aerosols and vapours in air shows that absorption through
    the lungs does occur (Uzhdavini et al., 1972; Pereima, 1975).  The
    rate and extent of gastrointestinal absorption of cresols have not
    been studied specifically.  However, they are suggested by data
    showing that rabbits exposed orally to cresols excreted 65-84%
    (depending on the isomer) of the administered dose in the urine within
    24 h (Bray et al., 1950), indicating that at least that amount was
    absorbed within that time period.  The occurrence of coma, death and
    systemic effects in humans after dermal exposure to cresols (see
    section 8) indicates that these compounds can be absorbed through the
    skin.  In the case of an infant who had coal tar fluid (90% cresols in
    water) spilled on his head, unconsciousness occurred within 5 min and
    death within 4 h, showing that absorption was rapid (Green, 1975).  An
     in vitro study of the permeability of human skin to cresols showed
    that these substances have permeability coefficients greater than that
    of phenol, which is known to be readily absorbed across the human skin
    (Roberts et al., 1977).  Permeability coefficients (Kp) were estimated
    from the steady-state slopes of the relation between the cumulative
    amount of cresol isomer per unit area of membrane with time.  The
    following Kp values were determined:   m-cresol = 2.54 × 10-4
    cm/minute;  o-cresol = 2.6 × 10-4 cm/minute; and  p-cresol = 2.92 ×
    10-4 cm/minute (Roberts et al., 1977).

         In a similar study, Hinz et al. (1991) showed rapid percutaneous
    transport of  p-cresol across mouse skin  in vitro.  Approximately
    70% of the dose was transported within 6 h.

    6.2  Distribution

         Very few data are available regarding the distribution of cresols
    into various tissues.  Oral exposure studies in dogs indicate that
    cresols in the body concentrate in the blood, liver and brain
    initially, but soon become more widespread, appearing in the lungs,
    kidneys and other organs (Gadaskina & Filov, 1971).  Cresols were
    detected in the blood (120 mg/litre), liver, brain and urine of a
    human infant who died 4 h after 20 ml of a cresol derivative was
    spilled on his head (Green, 1975).

    6.3  Metabolic transformation

         The primary metabolic pathway for cresols is conjugation with
    glucuronic acid and inorganic sulfate.  At physiological pH, the
    conjugated metabolites are ionized, thus reducing renal reabsorption
    and aiding urinary excretion.  After oral administration of cresols to
    rabbits, 60-72% of the dose was recovered as ether glucuronide, and an
    additional 10-15% was recovered as ethereal sulfate in the urine (Bray
    et al., 1950).  Similarly, in an earlier study in rabbits, 14.5-23.5%
    of orally administered cresols was found to be conjugated with sulfate
    in the urine (Williams, 1938).  By analogy with other phenols, it may
    be expected that the relative amounts of glucuronide and sulfate
    conjugates will differ between species and will also vary with dose. 
    Minor metabolic pathways for cresols include hydroxylation of the
    benzene ring (primarily for  o- and  m-cresols) and side-chain
    oxidation (only for  p-cresol).  In orally dosed rabbits, 3% of the
    administered dose was recovered in the urine as conjugated
    2,5-dihydroxytoluene for both  o- and  m-cresols (Bray et al.,
    1950).  For  p-cresol, only a trace amount of 3,4-dihydroxytoluene
    was found, but 10% of the dose was recovered as  p-hydroxybenzoic
    acid.  After cresols were administered to rabbits, only 1-2% of the
    dose was found as unconjugated free cresol in the urine (Bray et al.,
    1950).  Thompson et al. (1994) studied the metabolism of
    [14C]- p-cresol in rat liver slices and a microsomal fraction. 
    They found that [14C]- p-cresol is metabolized to a reactive
    intermediate which co-valently binds to proteins in the liver slices
    and that the binding is inhibited by  n-acetylcysteine.  In
    microsomal incubations and a NADPH-generating system, covalent binding
    of [14C]- p-cresol metabolites was also observed.  This binding was
    inhibited by glutathione (GSH) resulting in the formation of a
    glutathione conjugate.  In the absence of GSH,  p-hydroxybenzyl
    alcohol was the major microsomal metabolite formed from  p-cresol. 
    Yashiki et al. (1989) reported the recovery of conjugated cresols in
    the biological fluids of a 46-year-old man following the ingestion of
    100 ml saponated cresol soap solution (42%).  Conjugated and free  m-
    and  p-cresols were measured in both the serum and urine 2 h after
    ingestion.  Of the total recovered in the serum, 79%  p-cresol and
    75%  m-cresols were in the conjugated form while over 99% of  m- and
     p-cresols recovered in the urine was conjugated.

    6.4  Elimination and excretion

         Significant amounts of cresols are excreted in the bile, but most
    of the cresols excreted in this manner are reabsorbed from the
    intestine following hydrolysis by gut bacteria (Deichmann & Keplinger,
    1981).  The main route for removing cresols from the body is renal
    elimination.

    6.5  Endogenous cresols

         Healthy humans excrete an average of about 50 mg (range 16-74 mg)
    of  p-cresol in the urine daily (Bone et al., 1976; Renwick et al.,
    1988).  Endogenous  p-cresol is produced from tyrosine, an amino acid
    present in most proteins, by anaerobic bacteria in the intestine (Bone
    et al., 1976).  Free  p-cresol formed in this way is absorbed from
    the intestine and eliminated in the urine as conjugates.

    7.  EFFECTS ON LABORATORY MAMMALS AND IN VITRO TEST SYSTEMS

    7.1  Single exposure

    7.1.1  Inhalation route

         Acute poisoning with cresol vapour is unlikely due to the low
    vapour pressure of these compounds.  However, inhalation of an aerosol
    and vapour mixture may cause death.  Uzhdavini et al. (1972) conducted
    studies into the acute toxicity of  o-cresol in mice.  The mean lethal
    concentration of the vapour/aerosol mixture was 178 mg/m3 (duration of
    exposure not specified).  Clinical signs of toxicity included
    irritation of mucous membranes and neuromuscular excitation that
    progressed from twitching of individual muscles to clonic convulsions. 
    Haematuria was reported at very high concentrations.  Microscopic
    examination revealed oedematous changes in the lung and necrotic and
    degenerative changes in the liver (fatty degeneration, centrilobular
    necrosis) and kidneys (oedema, swelling of the glomeruli, degeneration
    of the tubular epithelium, and perivascular haemorrhage).  Mean lethal
    concentrations of cresols in rats were reported to be 29 mg/m3 for
     o- and  p-cresols and 58 mg/m3 for  m-cresol (Pereima, 1975).

    7.1.2  Oral route

         Oral LD50 values for cresols are shown in Table 5.  A
    comparison of the LD50 values for all three cresol isomers from
    these studies (e.g., Deichmann & Witherup, 1944; Bio-Fax, 1969) shows
    that  o-cresol is the most toxic isomer, followed by  p-cresol and
    then  m-cresol.  Interspecies comparisons reveal that all three
    isomers are more toxic to mice than to rats, by this route of
    administration, the LD50 values being 3-4 times higher in rats than
    in comparably treated mice (Uzhdavini et al., 1972; Pereima, 1975). 
    The data also show that for all three isomers toxicity increases with
    concentration; undiluted cresols were more toxic than cresols
    delivered as 10% solutions in oil.  In addition, there is some
    evidence that the delivery vehicle affects toxicity; the LD50 value
    for  m-cresol was lower in rats given a 10% solution in water than in
    rats given a 10% solution in oil.

         Clinical signs of toxicity that preceded death in acute oral
    lethality studies of all three cresol isomers were hypoactivity and
    lethargy, excess salivation, dyspnoea, haemorrhagic rhinitis
    ( p-cresol only), incoordination, prostration, muscle twitches and
    tremors, convulsions and coma (Deichmann & Witherup, 1944; Mellon
    Institute, 1949; Bio-Fax, 1969; Hornshaw et al., 1986).  Necropsy of
    rats that died revealed gastrointestinal inflammation and haemorrhage,
    as well as hyperaemia of the lungs, liver and kidney (Mellon
    Institute, 1949; Bio-Fax, 1969).  Necropsy of survivors after 14 days
    of observation revealed only gastro-intestinal tract inflammation in
    rats treated with  p-cresol and no gross lesions in rats treated with
     o- or  m-cresol (Bio-Fax, 1969).


        Table 5.  Oral LD50 values for cresols
                                                                                                            

                                                          LD50
    Cresol         Species          Vehicle               (mg/kg)             Reference
                                                                                                            

    o-Cresol       Rat             10% in oil              1470            Uzhdavini et al. (1976)
                                   10% in oil              1350            Deichmann & Witherup (1944)
                                   50% in oil              360             FDRL (1975)
                                   Undiluted               121             Bio-Fax (1969)
                   Mouse           10% in oil              344             Uzhdavini et al. (1976)
                   Rabbit          10% in oil              940             Uzhdavini et al. (1976)

    m-Cresol       Rat             10% in oil              2010            Pereima (1975)
                                   10% in oil              2020            Deichmann & Witherup (1944)
                                   10% in water            520             Mellon Institute (1949)
                                   Undiluted               242             Bio-Fax (1969)
                   Mouse           10% in oil              600             Pereima (1975)
                                   10% in oil              828             Uzhdavini et al. (1976)

    p-Cresol       Rat             10% in oil              1430            Pereima (1975)
                                   10% in oil              1460            Uzhdavini et al. (1976)
                                   10% in oil              1800            Deichmann & Witherup (1944)
                                   Undiluted               207             Bio-Fax (1969)
                   Mouse           10% in oil              440             Pereima (1975)
                                   10% in oil              344             Uzhdavini et al. (1976)

    Dicresol       Rat             10% in oil              1625            Uzhdavini et al. (1976)
                   Mouse           10% in oil              651             Uzhdavini et al. (1976)
                                                                                                            

    

    7.1.3  Dermal route

         Cresols may cause death when applied to the skin.  Dermal LD50
    values in rabbits were 890, 2830, 300 and 2000 mg/kg for  o-,  m-,
     p- and mixed cresols, respectively, following 24-h dermal exposure
    (Vernot et al., 1977).  In rats, the dermal LD50 values were 620,
    1100, 750 and 825 mg/kg for  o-cresol,  m-cresol,  p-cresol and
    dicresol (a mixture of  m- and  p-cresols), respectively (Uzhdavini
    et al., 1974, 1976).

    7.2  Short-term exposure

    7.2.1  Inhalation route

         Uzhdavini et al. (1972) exposed mice to a mixture of  o-cresol
    aerosol and vapour 2 h/day, 6 days/week for 1 month; exposure
    concentrations varied from 26 to 76 mg/m3, with an average of
    50 mg/m3.  No mortality was recorded.  Clinical signs of toxicity
    during the daily exposure periods were limited to signs of
    respiratory irritation at the start of the exposure, followed by a
    period of hypoactivity lasting until the end of the exposure.  The
    tails of some animals mummified and fell off after 18-20 days.  Body
    weight gain was slightly reduced compared to controls.  Microscopic
    examination revealed signs of irritation in the respiratory tract;
    these included oedema, cellular proliferation, and small haemorrhages
    in the lung.  Other lesions included degeneration of heart muscle,
    liver, kidney and nerve cells and glial elements of the central
    nervous system.

    7.2.2  Oral route

         Female B6C3Fl mice (8-10 weeks of age) were exposed to
     o-cresol at concentrations of 0, 6.5, 32.5, 65 or 130 mg/kg per day
    ad libitum in the drinking water) for 14 days (CIIT, 1983). 
    Immunotoxicity or altered host resistance was measured as changes in
    haematological values, lymphoid organ weights, altered lymphoid cell
    morphology and cell or humoral-mediated immune function.  No evidence
    of immunotoxicity was seen in any of the parameters tested.  No
    changes in immune functions were reported at any dose level. 
    Therefore the threshold for immune response in these studies is above
    130 mg/kg per day (see Table 6).

         US NTP (1992) conducted 28-day studies in which Fischer 344/N
    rats and B6C3F1 mice were exposed to  o-,  m-,  p- or
     m-/ p-cresol (60:40 mixture of the  m- and  p-) in the feed.  For
    each substance, groups of five animals of each sex and each species
    were fed ad libitum diets containing 0, 300, 1000, 3000,
    10 000 or 30 000 mg/kg.  Estimated daily doses (mg/kg body weight per
    day) in males and females of each species exposed to each test

    substance are shown in Table 7.  None of the cresols caused mortality
    in rats.  All cresols reduced feed consumption during the first week
    of the study and body weight gain throughout the study in rats exposed
    at the highest level.  However, feed consumption of all dosed groups
    was comparable to that of controls after the first week.  Clinical
    signs of toxicity were not observed in rats treated with  o- or
     m-cresol, but rats exposed to 30 000 mg  p-cresol/kg had hunched
    posture, rough hair coat and thin appearance.  Thin appearance was
    also noted in rats exposed to the highest dose of  m-/ p-cresol. 
    Organ weight changes in rats included increases in absolute and
    relative liver weight and kidney weight compared to brain weight. 
    Increases in several other organ weights, relative to body weight were
    reported, but as there was a very marked decrease in body weight at
    the highest dose levels, only the increased liver and kidney weights,
    relative to brain weight, were regarded as being of biological
    significance.  No gross or microscopic lesions were found in rats
    exposed to  o-cresol.   m-Cresol caused minimal-t o-mild atrophy of
    the uterus in females exposed to 30 000 mg/kg.   p-Cresol also caused
    uterine atrophy in females exposed to 30 000 mg/kg, as well as bone
    marrow hypo-cellularity and nasal lesions (atrophy of olfactory
    epithelium and hyperplasia and squamous metaplasia of respiratory
    epithelium) in rats exposed to > 3000 mg/kg.  m-/ p-Cresol caused
    hyperplasia of the respiratory epithelium in the nasal cavity at >
    1000 mg/kg, increased colloid within thyroid follicles at >
    3000 mg/kg, mild hyperplasia and hyperkeratosis of the oesophageal
    epithelium and forestomach at > 3000 and > 10 000 mg/kg,
    respectively, and mild bone marrow hypocellularity at >
    10 000 mg/kg.  A no-observed-adverse-effect level (NOAEL) of
    3000 mg/kg was established for  o, m and  m/p cresols and a NOAEL of
    1000 mg/kg for  p-cresol based on organ weight and body weight
    changes at higher doses.

         In the mice exposed in this study death was caused by  o-,
     m-and  p-cresol at 30 000 mg/kg and only by  m- or  p-cresol at
    10 000 mg/kg.  The  m-/ p-mixture was not lethal to mice at any
    concentration.  For all cresols, high-dose mice that survived exposure
    lost weight during the study, and body weight gain was generally
    decreased in the 10 000 mg/kg groups as well.  Clinical signs of
    toxicity seen at > 10 000 mg/kg in mice exposed to  m-and
     p-cresols and 30 000 mg/kg in mice exposed to  o- and
     m-/ p-cresols included hunched posture, thin appearance, rough hair
    coat, lethargy, hypothermia, rapid breathing and tremors.  Organ
    weight changes in mice were increased in absolute and relative liver


        Table 6.  Short-term toxicity of cresolsa
                                                                                                                                                

    Species/       Number/     Compound        Route          Dose            Length of            Effects                          References
    strain         sex                                                        exposure
                                                                                                                                                

    Mice/          NR/F (8-10  o-cresol        oral           0, 6.5, 32.5,   14 days    No effects noted in haematology or         CIIT (1983)
    B6C3Fl         weeks old)                  (drinking)     65 or 130                  immune functions
                                               water          mg/kg/day

    Mice/          5/sex f/m   o-cresol        oral (diet)    0, 300,         28 days    30 000 mg/kg death, (2 males & 1           US NTP
    B6C3Fl                                                    1000, 3000,                female) tremors, rough hair coat,          (1992)
                                                              10 000 or                  ovarian atrophy; > 10 000 mg/kg
                                                              30 000                     body weight decreased, uterine
                                                              mg/kg diet                 atrophy; > 3000 mg/kg increased
                                                                                         relative liver weight

    Mice/          5/sex f/m   m-cresol        oral (diet)    0, 300,         28 days    30 000 mg/kg increased brain weight,       US NTP
    B6C3Fl                                                    1000, 3000,                ovarian, uterine and mammary gland         (1992)
                                                              10 000 or                  atrophy;  10 000 mg/kg (1 female)
                                                              30 000                     and 30 000 mg/kg (2 male, 2 female)
                                                              mg/kg diet                 death, decreased body weight, clinical
                                                                                         signs of toxicity; > 3000 mg/kg
                                                                                         increased kidney weight; > 300 mg/kg
                                                                                         increased liver weight

    Mice/          5/sex f/m   p-cresol        oral (diet)    0, 300,         28 days    30 000 mg/kg death all animals;            US NTP
    B6C3Fl                                                    1000, 3000,                10 000 mg/kg (1 male) death, clinical      (1992)
                                                              10 000 or                  signs of toxicity, reduced body
                                                              30 000                     weight; > 3000 mg/kg increased liver
                                                              mg/kg diet                 weight; > 300 mg/kg nasal respiratory
                                                                                         lesions
                                                                                                                                                

    Table 6 (cont'd).
                                                                                                                                                

    Species/       Number/     Compound        Route          Dose            Length of            Effects                          References
    strain         sex                                                        exposure
                                                                                                                                                

    Mice/          5/sex f/m   m-/p-cresol     oral (diet)    0, 300,         28 days    30 000 mg/kg clinical toxicity, and        US NTP
    B6C3Fl                     (60:40 ratio)                  1000, 3000,                respiratory metaplasia and atrophy of      (1992)
                                                              10 000 or                  nasal epithelium; > 3000 mg/kg
                                                              30 000                     hyperplasia lungs, oesophagus and
                                                              mg/kg diet                 forestomach, uterine and ovarium
                                                                                         atrophy

    Mink           5/sex f/m   o-cresol        oral (diet)    0, 240, 432,    28 days    2520 mg/kg reduced body weight             Hornshaw
                                                              178, 1400                  gain, increased relative heart weight,     et al.,
                                                              or 2520                    decreased haemoglobin; > 1400              (1986)
                                                              mg/kg diet                 mg/kg decreased RBC count; > 432
                                                                                         mg/kg increase relative liver weight

    Ferrets        5/sex f/m   o-cresol        oral (diet)    0, 432, 778,    28 days    4536 mg/kg decreased RBC count; >          Hornshaw
                                                              1400, 2520,                1400 mg/kg increased relative liver        et al.,
                                                              4536                       and kidney weight                          (1986)
                                                              mg/kg diet

    Rats/          5/sex f/m   o-cresol        oral (diet)    0, 300,         28 days    > 3000 mg/kg increased relative liver      US NTP
    Fischer-344                                               1000, 3000,                and kidney weight; 30 000 mg/kg            (1992)
                                                              10 000,                    decreased body weight
                                                              30 000
                                                              mg/kg diet

    Rats/          5/sex f/m   m-cresol        oral (diet)    0, 300,         28 days    30 000 mg/kg decreased body                US NTP
    Fischer-344                                               1000, 3000,                weight; increased relative kidney          (1992)
                                                              10 000,                    weight; mild atrophy of uterus; >
                                                              30 000                     10 000 mg/kg increased relative liver
                                                              mg/kg diet                 weight
                                                                                                                                                

    Table 6 (cont'd).
                                                                                                                                                

    Species/       Number/     Compound        Route          Dose            Length of            Effects                          References
    s