Biomonitoring Summary

Organochlorine Pesticides Overview


CAS No. 608-73-1


CAS No. 319-85-7

gamma-Hexachlorocyclohexane (Lindane)

CAS No. 58-89-9

General Information

Hexachlorocyclohexane (HCH), formerly referred to as benzene hexachloride, exists in several isomeric forms, including alpha, beta, gamma, and delta. The gamma isomer, commonly known as lindane, can be used as an insecticide and has been used to kill soil-dwelling and plant-eating insects. The other isomers can be formed during the synthesis of lindane, and have been used either as fungicides or to synthesize other chemicals. Technical grade HCH is a mixture of all four isomers, containing about 64% alpha and 10%-15% gamma isomers. It is no longer produced or sold in the U.S. In 2006, the U.S. EPA cancelled agricultural uses of lindane (ATSDR, 2005). Lindane (1%) lotion and shampoo are available by prescription for single-use application to treat human scabies and head lice.

HCH isomers, particularly alpha and gamma have been detected widely in air, soil, water, and sediment as a result of historic production and use. As pesticide applications of HCH were increasingly restricted or eliminated, environmental levels declined. Lindane has a half-life of about two weeks in soils and water. HCH does not bioaccumulate to an appreciable extent in plants (ATSDR, 2005). However, HCH isomers are lipophilic, so they can accumulate in fatty tissues of animals. General population exposure to HCH is through the diet. The U.S. FDA pesticide monitoring program has shown a temporal decline in the detection of lindane, from 6% of samples in 1982-1984 to 2% in 1994 (FDA, 2010; Gunderson 1988). Pesticide applicators or agricultural workers could be exposed to HCH by inhalation and dermal pathways.

HCH isomers are absorbed after inhalation, ingestion, or dermal exposure. Distribution is mainly to fatty tissues. After dermal application of lindane 1% lotion, the serum half-life was about 20 hours among children (Ginsburg et al., 1977). The beta isomer accumulates in fatty tissues and is metabolized more slowly, resulting in a half-life of about seven years. HCH isomers are metabolized to chlorophenol metabolites that are excreted in the urine (Angerer et al., 1983). HCH crosses the placenta and is also excreted in breast milk (Radomski et al., 1971; Rogan, 1996; Saxena et al., 1981).

Human health effects from HCH isomers at low environmental doses or at biomonitored levels from low environmental exposures are unknown. Acute high dose toxicity in rodents affects the central nervous system, producing decreased activity, ataxia, and seizures. When animals were chronically fed lindane at high doses, enlarged livers, hepatic enzyme induction, and nephropathy developed (IPCS, 2002). Acute high doses of lindane after ingestion or excessive skin application of the 1% lotion have produced seizures in humans, probably by blocking inhibitory neurotransmitters in the central nervous system. Workers who directly handled HCH have complained of headache, paresthesias, tremors, and memory loss (Nigam et al., 1986). OSHA and ACGIH have established workplace standards and guidelines, respectively, for lindane. U.S. EPA has established a drinking water standard, and FDA has established a bottled water standard and food residue tolerances for lindane. IARC classifies hexachlorocyclohexane isomers as possibly carcinogenic to humans, and NTP classifies hexachlorocyclohexane isomers as reasonably anticipated to be human carcinogens. More information about external exposure (i.e., environmental levels) and health effects is available from the U.S. EPA at iconand from ATSDR at

Biomonitoring Information

Because of its longer half-life, beta-HCH may be detected in a higher percentage of the general population than are the other HCH isomers. Studies of general populations have shown declining beta-HCH levels since the 1970s (ATSDR, 2005; Kutz et al., 1991; Link et al., 2005; Radomski et al., 1971; Stehr-Green, 1989; Sturgeon et al., 1998). Additional factors associated with higher beta-HCH levels include rural residence, older age, male sex, and a diet that includes meat (Becker et al., 2002; Kutz et al., 1991; Stehr-Green, 1989).

In NHANES 1999-2000, 2001-2002, and 2003-2004, serum levels of lindane were generally below the limits of detection, which were considerably lower (as much as twentyfold) than mean levels reported in small studies of adults in Spain (Botella et al., 2004) and India (Bhatnagar et al., 2004). In recent years, studies in populations with environmental exposure have reported lindane levels below the limit of detection in most persons (Anderson et al., 1998; Bates et al., 2004; Becker et al., 2002). In population-based studies of New Zealand adults and German adults and children, the maximum and 95th percentile beta-HCH values, respectively, were similar to the 95th percentiles in comparable groups in NHANES 1999-2004. In an earlier (1996-1997) sample of German children, aged 9-11 years, the 95th percentile of beta-HCH levels was twofold to threefold higher than the 95th percentile of 12-19 year olds in the comparable NHANES 2001-2002 survey period (Link et al., 2005). In a small study of adults who consumed sport fish from the Great Lakes, the median beta-HCH levels were similar or slightly higher than the 95th percentile in U.S. adults in NHANES 1999-2004 (Anderson et al., 1998). A study of Swedish women aged 54 years and older reported a median beta-HCH level that was slightly higher than the geometric mean for women reported in the NHANES 1999-2000 survey period (Glynn et al., 2003). Beta-HCH and lindane levels in workers involved in HCH production have been more than 1000-fold higher than the 95th percentile and limit of detection (lipid adjusted), respectively, in U.S. adults in NHANES 1999-2004 (Nigam et al., 1986; Radomski et al., 1971).

Finding a measurable amount of HCH isomers in serum does not imply that the level of HCH isomers causes an adverse health effect. Biomonitoring studies on levels of HCH isomers provide physicians and public health officials with reference values so that they can determine whether people have been exposed to higher levels of HCH isomers than are found in the general population. Biomonitoring data can also help scientists plan and conduct research on exposure and health effects.


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Page last reviewed: April 7, 2017