Air Quality Criteria for the Effects of Fluorides On Man

Abstract
Minute traces of fluoride are found in the air of rural communities and of cities, having been contributed perhaps from volcanic effluvia, perhaps from burning coal, and perhaps from industrial sources. Atmospheres of urban areas of the U. S. have been found to contain from less than 0.2 μg F/m3 to as much as 1.9/μg F/m3. Fluorides released from industrial processes may release elemental fluorine, soluble gaseous fluorides, and soluble or insoluble fluoride dusts. At least in some instances inhaled fluoride from fluoride containing dusts has proven to be as biologically available as that from similar concentrations of inhaled HF. Measurement of the amount of fluoride excreted in the urine has proven to be a valuable index of exposure and a means of preventing cumulative injury. Average urinary F concentrations not exceeding 5 mg/liter, which corresponds approximately to a daily intake of 5 mg, are not associated with osteosclerosis in such workmen, and such changes are unlikely at daily intakes of 5 – 8 mg F. The amount of fluoride which is retained by an individual inhaling air containing 2.5 mg of fluoride dusts per m3 (the current TLV) is approximately 5-6 mg. A review of the literature describing the exposure of work forces to fluorides in industrial atmospheres indicates that concentrations have ranged from a fraction of a milligram/m3 to values mostly less than 10 mg/ml Surveys of populations living near installations emitting fluoride fumes or dusts indicate that, with few exceptions, the health of these persons has not been adversely affected. Many species of vegetation are far more susceptible to the effects of fluoride than is man, hence an air quality standard to protect vegetation will be far lower than those encountered in the factory, and can be expected to be of the order of 10 ppb or less. The probable daily intake of F at this level of exposure is 0.16 mg, an intake far below that required for the production of clear-cut effects in the human. Thus, air quality standards set to protect vegetation would contribute negligible quantities of F in terms of any possible adverse effect on human health, and would give a wide margin of protection for man.