Immediately Dangerous To Life or Health (IDLH)
Immediately Dangerous to Life or Health Concentrations (IDLH)
The immediately dangerous to life or health (IDLH) values used by the National Institute for Occupational Safety and Health (NIOSH) as respirator selection criteria were first developed in the mid-1970's. The Documentation for Immediately Dangerous to Life or Health (IDLH) Concentrations is a compilation of the rationale and sources of information used by NIOSH during the original determination of 387 IDLH values. In addition, NIOSH continues to review, document, and revise the science and methodology behind the existing IDLH values when appropriate, and derive new IDLH values.
The concept of using respirators to protect workers in situations that are IDLH was discussed at least as early as the 1940's. The following is from a U.S. Department of Labor bulletin:
The situations for which respiratory protection is required may be designated as, (1) nonemergency and (2) emergency. Nonemergency situations are the more or less normal ones that involve exposure to atmospheres that are not immediately dangerous to health and life, but will produce marked discomfort, sickness, permanent harm, or death after a prolonged exposure or with repeated exposure. Emergency situations are those that involve actual or potential exposure to atmospheres that are immediately harmful and dangerous to health or life after comparatively short exposures. [Yant 1944]
The Occupational Safety and Health Administration (OSHA) defines an IDLH value in their hazardous waste operations and emergency response regulation as follows:
An atmospheric concentration of any toxic, corrosive or asphyxiant substance that poses an immediate threat to life or would cause irreversible or delayed adverse health effects or would interfere with an individual's ability to escape from a dangerous atmosphere. [29 CFR* 1910.120]
In the OSHA regulation on permit-required confined spaces, an IDLH condition is defined as follows:
Any condition that poses an immediate or delayed threat to life or that would cause irreversible adverse health effects or that would interfere with an individual's ability to escape unaided from a permit space. Note: Some materials--hydrogen fluoride gas and cadmium vapor, for example--may produce immediate transient effects that, even if severe, may pass without medical attention, but are followed by sudden, possibly fatal collapse 12-72 hours after exposure. The victim "feels normal" from recovery from transient effects until collapse. Such materials in hazardous quantities are considered to be "immediately dangerous to life or health." [29 CFR 1910.146]
As part of their current respiratory protection standard [29 CFR 1910.134(e)], OSHA requires that a standby person be present with suitable rescue equipment when self-contained breathing apparatus or hose masks with blowers are used in atmospheres immediately dangerous to life or health. Furthermore, persons using air-line respirators in atmospheres immediately hazardous to life or health must be equipped with safety harnesses and safety lines for lifting or removing workers from hazardous atmospheres.
The Standards Completion Program
In 1974, NIOSH and OSHA jointly initiated the development of occupational health standards consistent with Section 6(b) of the Occupational Safety and Health Act of 1970 for substances with then-existing OSHA permissible exposure limits (PELs). This joint effort was called the Standards Completion Program (SCP) and involved the cooperative efforts of personnel from various divisions within NIOSH and OSHA, and several contractors. The SCP developed 387 substance-specific draft standards with supporting documentation that contained technical information and recommendations needed for the promulgation of new occupational health regulations. Although new standards were not promulgated at that time, these data became the original basis for the NIOSH/OSHA Occupational Health Guidelines for Chemical Hazards [NIOSH/OSHA 1981].
As part of the respirator selection process for each draft technical standard, an IDLH value was determined. The definition for an IDLH value that was derived during the SCP was based on the definition stipulated in 30 CFR 11.3(t). The purpose for establishing this IDLH value was to determine a concentration from which a worker could escape without injury or without irreversible health effects in the event of respiratory protection equipment failure (e.g., contaminant breakthrough in a cartridge respirator or stoppage of air flow in a supplied-air respirator) and a concentration above which only "highly reliable" respirators would be required. In determining IDLH values, the ability of a worker to escape without loss of life or irreversible health effects was considered along with severe eye or respiratory irritation and other deleterious effects (e.g., disorientation or incoordination) that could prevent escape. Although in most cases, egress from a particular worksite could occur in much less than 30 minutes, as a safety margin, IDLH values were based on the effects that might occur as a consequence of a 30-minute exposure. However, the 30-minute period was NOT meant to imply that workers should stay in the work environment any longer than necessary following the failure of respiratory protection equipment; in fact, EVERY EFFORT SHOULD BE MADE TO EXIT IMMEDIATELY!
IDLH values were determined for each substance during the SCP on a case-by-case basis, taking into account the toxicity data available at the time. Whenever possible, IDLH values were determined using health effects data from studies of humans exposed for short durations. However, in most instances, a lack of human data necessitated the use of animal toxicity data. When inhalation studies of animals exposed for short durations (i.e., 0.5 to 4 hours) were the only health effects data available, IDLH values were based on the lowest exposure causing death or irreversible health effects in any species. When lethal dose (LD) data from animals were used, IDLH values were estimated on the basis of an equivalent exposure to a 70-kg worker breathing 10 cubic meters of air.
Since chronic exposure data may have little relevance to acute effects, these types of data were used in determining IDLH values only when no acute toxicity data were available and only in conjunction with competent scientific judgment. In a number of instances when no relevant human or animal toxicity data were available, IDLH values were based on analogies with other substances with similar toxic effects.
Discussion of the Original IDLH Values
The basis for each of the 387 IDLH values determined during the SCP were reviewed and paraphrased from the individual draft technical standards for this publication. Also included is a complete listing of references cited in the SCP; in many cases where only secondary references were cited, the original sources have also been added. Whenever available, the references (secondary and primary) were obtained to verify the information cited in the SCP. However, a few of the original references, such as personal communications and foreign reports, could not be located.
Although 387 substances were originally included in the SCP, IDLH values were not specifically determined for all of them. The published data at that time for 40 of these substances (e.g., DDT and triphenyl phosphate) showed no evidence that an acute exposure to high concentrations would impede escape or cause any irreversible health effects following a 30-minute exposure and the designation "NO EVIDENCE" was used in the listing of IDLHs. For all of these substances, respirators were selected on the basis of assigned protection factors. For some (e.g., copper fume and tetryl), an assigned protection factor of 2,000 times the PEL was arbitrarily used to determine the concentration above which only the "most protective" respirators were permitted. However, for most particulate substances for which evidence for establishing an IDLH value did not exist (e.g., ferbam and oil mist), the use of an assigned protection factor of 2,000 would have resulted in the assignment of respirators at concentrations that were not likely to be encountered in the occupational environment. In addition, exposure concentrations greater than 500 times the PEL for many airborne particulates could result in exposures that would hamper vision. Therefore, it was decided as part of the SCP (and during the review and revision of the IDLH values) that for such particulate substances, only the "most protective" respirators would be permitted for use in concentrations exceeding 500 times the PEL.
IDLH values could not be determined during the SCP for 22 substances (e.g., bromoform and calcium oxide) because of a lack of relevant toxicity data and therefore the designation "UNKNOWN" was used in the IDLH value listing. For most of these substances, the concentrations above which only the "most protective" respirators were allowed were based arbitrarily on assigned protection factors that ranged from 10 to 2,000 times the PEL, depending on the substance. There were also 10 substances (e.g., n-pentane and ethyl ether) for which it was determined only that the IDLH values were in excess of the lower explosive limits (LELs). Therefore, the LEL was selected as the IDLH value with the designation "LEL" added in the IDLH listing. For these substances, only the "most protective" respirators were permitted above the LEL in the SCP draft technical standards.
For 14 substances (e.g., beryllium and endrin), the IDLH values determined during the SCP were greater than the concentrations permitted based on assigned respiratory protection factors. In most instances the IDLHs for these substances were set at concentrations 2,000 times the PEL.
Current NIOSH Use of IDLH Values
The current NIOSH definition for an IDLH condition, as given in the NIOSH Respirator Selection Logic, is one that poses a threat of exposure to airborne contaminants when that exposure is likely to cause death or immediate or delayed permanent adverse health effects or prevent escape from such an environment [NIOSH 2004]. The purpose of establishing an IDLH value is (1) to ensure that the worker can escape from a given contaminated environment in the event of failure of the respiratory protection equipment and (2) is considered a maximum level above which only a highly reliable breathing apparatus providing maximum worker protection is permitted [NIOSH 2004]. In establishing the IDLH value, the following conditions must be assured:
A. The ability to escape without loss of life or immediate or delayed irreversible health effects. (Thirty minutes is considered the maximum time for escape so as to provide some margin of safety in calculating an IDLH value.)
B. The prevention of severe eye or respiratory irritation or other reactions that would hinder escape.
The NIOSH respirator decision logic uses an IDLH value as one of several respirator selection criteria. Under the NIOSH respirator decision logic, "highly reliable" respirators (i.e., the most protective respirators) would be selected for emergency situations, fire fighting, exposure to carcinogens, entry into oxygen-deficient atmospheres, entry into atmospheres that contain a substance at a concentration greater than 2,000 times the NIOSH REL or OSHA PEL, and for entry into immediately dangerous to life or health conditions. These "highly reliable" respirators include either a self-contained breathing apparatus (SCBA) that has a full facepiece and is operated in a pressure-demand or other positive-pressure mode, or a supplied-air respirator that has a full facepiece and is operated in a pressure-demand or other positive-pressure mode in combination with an auxiliary SCBA operated in a pressure-demand or other positive-pressure mode.
When the IDLH values were developed in the mid-1970's, only limited toxicological data were available for many of the substances. In 1993, NIOSH requested information on the uses of IDLH values in the workplace and on the scientific adequacy of the criteria and procedures originally used for establishing them [Federal Register, Volume 58, Number 229, p. 63379, Wednesday, December 1, 1993]. The information received in response to the Federal Register announcement was evaluated and used to establish future actions concerning IDLH values.
This document includes IDLH values for 85 substances (e.g., benzene and methylene chloride) determined by NIOSH to meet the OSHA definition of "potential occupational carcinogen" as given in 29 CFR 1990.103. For all of these substances, except ethylene oxide and crystalline silica, NIOSH recommends that the "most protective" respirators be worn by workers exposed at concentrations above the NIOSH REL, or at any detectable concentration when there is no REL. For ethylene oxide and crystalline silica, NIOSH recommends that the "most protective" respirators be worn in concentrations exceeding 5 ppm and 25 mg/m3, respectively [NIOSH 1989, 2005].
Revised Criteria for Determining IDLH Values
The criteria utilized to determine the adequacy of existing IDLH values were a combination of those used during the SCP and a newer methodology developed by NIOSH. These criteria form a tiered approach with acute human toxicity data being used preferentially, followed next by acute animal inhalation toxicity data, and then finally by acute animal oral toxicity data to determine an updated IDLH value. When relevant acute toxicity data were insufficient or unavailable, then the use of chronic toxicity data or an analogy to a chemical with similar toxic effects was considered. In order to facilitate the revision process, secondary toxicological data were primarily used. Once a preliminary IDLH value was developed, it was compared to the existing IDLH value and to several other factors (e.g., existing short-term exposure guidelines and lower explosive limits).
The following "hierarchy" was followed to develop a "preliminary" value for the revised IDLH value:
A.Human acute toxicity data were used if sufficient to determine a concentration that for up to 30 minutes does not cause death, serious or irreversible health effects, or does not impair or impede the ability to escape.
B.Animal acute lethal concentration (LC) data were considered next. The only animal lethal concentration data used involved mammals; the vast majority of the data was from studies of rats, mice, guinea pigs, and hamsters. It was decided to generally use the lowest reliable LC data, with LC50 data preferred. If acute LC data determined during a 30-minute period were not available, then the data, based on a study by ten Berge et al. , were "adjusted" to an equivalent 30-minute value using the following relationship:
Adjusted LC50 (30 minutes) = LC50(t) * (t/0.5)** (1/n)
where: LC50(t) = LC50 determined over t hoursn = constant*
*Note: ten Berge et al.  determined the relationship shown above based on experimental data. The constant "n" was determined by ten Berge et al. to be less than 3.0 for 18 of the 20 substances studied. Although the individual "n" values determined by ten Berge et al.  were utilized when applicable during the review and revision of the original IDLHs, as a conservative estimate, an "n" = 3.0 was assumed when "adjusting" the LC data to 30 minutes for all other substances.
This equation with an "n" = 3.0 results in the following correction factors:
t(hours) correction factor O.5 1.0 1 1.25 2 1.6 3 1.8 4 2.0 5 2.15 6 2.3 7 2.4 8 2.5
The LC values (after "adjusting" if necessary to 30 minutes) were divided by a safety factor of 10 to determine a "preliminary" IDLH for comparison purposes.
C.Animal lethal dose (LD) data were considered next. As was the case with the lethal concentration data, the only animal lethal dose data used involved mammals; the vast majority of the data were from studies of rats, mice, guinea pigs, and hamsters. It was decided to generally use the lowest LD data with oral LD50 data preferred. The LD data was used to determine the equivalent total dose to a 70-kg worker and, as was done during the SCP, the air concentration containing this dose was determined by dividing by 10 cubic meters. [Note: A worker breathing at a rate of 50 liters per minute for 30 minutes would inhale 1.5 cubic meters of air.] A "preliminary" IDLH for comparison purposes was determined by dividing these air concentrations by a safety factor of 10. D. Chronic toxicity data were considered if no relevant acute toxicity data existed. However, the fact that chronic exposures may have limited relevance to acute effects was taken into consideration.
E. When relevant toxicity data applying specifically to the chemicals in question were lacking, and if it was determined to be justified, then analogies to substances with similar acute toxic effects were considered. F. All "preliminary" IDLHs derived during this update were checked against the following factors prior to establishing the final "revised" IDLH:
- Lower explosive limit (LEL): It was decided to restrict the "routine" entry into a possible explosive atmosphere to concentrations no greater than 10% of the LEL. [Note: SCP-derived IDLHs were set at 100% of the LELs if there were no known serious health hazards below these values. However, OSHA considers concentrations in excess of 10% of the LEL to be a hazardous atmosphere in confined spaces [29 CFR 1910.146(b)].]
- RD50 data: An RD50 is defined as the 10-minute exposure concentration producing a 50% respiratory rate decrease in mice or rats and can be used to estimate severe respiratory irritation. Prolonged exposure to an RD50 concentration has been shown to produce respiratory tract lesions consistent with irritation [Alarie 1981; Buckley et al. 1984].
- Other short-term exposure guidelines such as the American Industrial Hygiene Association's emergency response planning guidelines (ERPGs) and the National Research Council's emergency exposure guidance levels (EEGLs) and short-term public emergency guidance levels (SPEGLs), and occupational exposure standards or recommendations such as OSHA PELs, NIOSH RELs, or the American Conference of Governmental Industrial Hygienists (ACGIH) TLVs.
- Based on the NIOSH respirator decision logic, the revised IDLH values could not be greater than 2,000 times the NIOSH REL (or OSHA PEL).
- The revised IDLH values would not be greater than the original IDLH values derived during the SCP.
Anyone who is aware of additional published data that may affect the IDLH values determined for particular substances is encouraged to make this information available to NIOSH. All data will be reviewed and consideration will be made regarding subsequent revision of the IDLH values.
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