MTBE

Cleaning up the air or increasing our cancer risk?

MTBE, methyl tertiary butyl ether, is a well-known chemical to most OCAW oil workers. More than 7,000 members at 11 locations across the country produce this gasoline additive. Several thousand more work in MTBE marketing and transportation. Overall, we have 35,000 members producing gasoline.

MTBE is produced out of isobutylene and methanol on catalytic cracking units. It is one of the most commonly used additives for decreasing carbon monoxide pollution by increasing the amount of oxygen in gasoline.

It has been used in small amounts in super gasoline since 1976 when it was introduced as an octane enhancer. Demand soared after the Clean Air Act amendments of 1990 were approved by Congress. The Act mandated the use of oxygenated fuel wherever the EPA says carbon monoxide pollution is a problem, but only for the four coldest months of the year. Combustion is less efficient in cold weather, so more carbon monoxide forms, and the colder, heavier air keeps it close to the ground.

Congress gave oil companies a choice on additives: They could oxygenate their gasoline with MTBE or ethanol, an alcohol-based additive derived largely from corn. In most parts of the country, the oil companies chose their own additive, MTBE.

Consumer complaints

Almost immediately, shortly after MTBE's increased use in 1992, the complaints began. In Alaska, so many people said MTBE made them ill during the first few months of the program that the state declared an epidemic. In July 1994, Alaska banned MTBE and is now looking at using ethanol. Health studies conducted by the Centers for Disease Control showed links betweeen MTBE exposure and adverse health symptoms. These symptoms included headache, dizziness, burning sensation of the nose or throat, coughing, nausea and vomiting, and disorientation. These are the common symptoms associated with MTBE exposure.

In New Jersey, concerned citizens formed Oxy-Busters, a group devoted to banning MTBE from gasoline in New Jersey. The group circulated a petition signed by almost 16,000 people suffering from the same symptoms as the people in Alaska. A bill to ban MTBE has been introduced in the State Assembly. North Carolina is also considering a ban on MTBE. According to a state toxicologist, there may be no advantage to MTBE's use (that is, it does not decrease carbon monoxide emissions) and it may pose risks to workers and consumers alike. He argues that MTBE should be classified as a possible human carcinogen.

Other states reporting adverse health reactions include Montana, Illinois, Arizona, Iowa, New York, Colorado, Maine, Massachusetts, and Pennsylvania.

Worker problems

Over the last five years, various OCAW members, mainly dock workers, have complained to the Health and Safety Department about headaches, nausea, dizziness, and eye irritation from MTBE. Based on these complaints, OCAW did two things: 1) conducted a symptoms survey of members exposed to MTBE at five refining locations in cooperation with the Robert Wood Johnson Medical School of the University of Medicine and Dentistry of New Jersey; and 2) held a one-day scientific conference on MTBE.

The majority of workers surveyed suffer from numerous neurological and respiratory complaints. These include headaches, lightheadedness, anxiety, inability to concentrate, insomnia, depression, poor memory, sinus problems, irritability, ear/nose/throat complaints, fatigue, nausea, sneezing problems, shortness of breath and others. These findings are consistent with those reported by individuals exposed to MTBE fuels in Alaska. These results are still considered preliminary, but it is clear that exposure to MTBE and gasoline presents neurological and respiratory risks. (See summary below.)

In March 1995, OCAW's Alice Hamilton College hosted a one-day international conference on MTBE. Scientists, public health professionals, and others with an interest in MTBE gathered to hear up-to-date news on health effects of MTBE.

Dr. Cesare Maltoni from Bologna, Italy, presented the results of a study of nearly 2,000 rats fed MTBE in their diet. Rats fed the MTBE developed testicular and kidney cancers, leukemias and lymphomas.

The Maltoni study concluded that since these results were noted in experimental animals, MTBE must be considered as a potential human carcinogen, and its use constitutes a worldwide problem of public health.

Dr. Myron Mehlman, professor at the Robert Wood Johnson medical school and national expert on MTBE, has petitioned the EPA to classify MTBE as a probable human carcinogen. His petition stated the accepted cancer theory that a substance which causes cancer in significant numbers of experimental animals will cause cancer in humans.

But the oil industry and the Environmental Protection Agency feel that MTBE is less of a threat than other chemicals in gasoline such as benzene.

EPA's position is that oxygenated fuels - regardless of whether the oxygenation agent is MTBE or another product - are helping to clean the air and protect public health.

It is on the question of risk versus benefit that opinion is sharply divided. Some say that carbon monoxide concentrations in the air are not significantly reduced, if at all, through the use of MTBE. Others say that the threat of MTBE is a greater health threat than that posed by carbon monoxide.

Carbon monoxide

Dr. Ken Rudo, state toxicologist from the Department of Environment, Health and Natural Resources of North Carolina, discussed carbon monoxide levels and the impact of MTBE. What Rudo and his staff found in evaluating exposure data was that, first, carbon monoxide levels in the state were very low, below the level at which health effects are known to occur.

Further, carbon monoxide levels during the MTBE season and after showed no difference. MTBE was not reducing carbon monoxide levels in North Carolina.

A study conducted for Colorado concluded that the use of oxygenated fuel in downtown Denver has had no statistically significant effect on atmospheric carbon monoxide concentrations and may actually increase levels of other pollutants, such as formaldehyde.

There was a strong downward trend in atmospheric carbon monoxide from 1981-91, mostly before oxygenates came into use, because of the replacement of old cars by new ones with cleaner-burning engines.

This conclusion is supported by a report issued by a consulting firm retained by Colorado. It said that the limited benefits from oxygenated fuels are decreasing as the average emissions from new cars decrease, and will continue to decrease, as new cars replace older cars.

Other presentations at the conference focused on metabolites of MTBE such as tertiary butyl alcohol and formaldehyde as well as benzene, gasoline, and automobile emissions.

OCAW followup

OCAW officials met with industry officials after the conference to discuss a solution to the MTBE problem. OCAW invited the industry to join in with us on a request for a protective cancer standard.

OSHA Cancer Policy

OSHA has developed a policy for classifying and regulating carcinogens in the workplace.

MTBE has been studied in two animal species, the rat and mouse, and has been found to cause liver, kidney, and testicular tumors.

The OSHA cancer policy calls for a substance to be classified as a Category I Potential Carcinogen if it causes cancers in two similar animal studies.

MTBE falls into Category I which calls for an OSHA standard containing the following elements:

Permissible exposure limit

- There is no workplace exposure limit for MTBE right now nor is there a recommended one that is generally followed. For a carcinogen, there is no safe level of exposure; therefore, the limit must be the lowest that is feasible.

Notification of use and emergencies

- Every employer using the substance must notify OSHA and report the number of employees exposed. Employers must report emergencies within a specified time frame and provide details to OSHA.

Exposure monitoring

- The employer shall determine representative employee exposure levels (exposure which would occur if the employee were not using a respirator) at a specified frequency and include written employee notification.

Regulated areas

- The employer shall establish regulated areas where the permissible exposure limit is exceeded. The regulated area will be segregated from the rest of the workplace and access limited to authorized persons.

Methods of compliance

- Requires the employer to institute engineering and work practice controls to reduce employee exposures to below the permissible exposure limit.

Respiratory protection

- Sets limits on operations using respiratory protection.

Emergency situations

- The employer must develop a written plan for emergencies, provide alarms for such emergencies, and evacuation for employees.

Protective clothing

- Employer must provide and maintain.

Change rooms

- Employer must provide change rooms and work clothing must be kept separate from street clothing. Showers and time must be provided so that showers can be taken at the end of shift.

Medical surveillance

- Employer must institute an initial and periodic medical surveillance program.

Employee information and training

- Employer must implement a training program at initial assignment and repeat it annually.

Recordkeeping

- Employer shall keep records of monitoring and medical surveillance that will be available on request to employee representatives.

Observation of monitoring

- Employees shall be afforded the opportunity to observe monitoring.

Local Union Action Plan

1. Request copies of all monitoring results for MTBE. If no monitoring has been done, request that it be conducted.

2. Ask your employer to establish a plant permissible exposure level of one ppm for MTBE.

3. Conduct a health symptoms survey for MTBE. Request a copy of a model survey from the Health and Safety Department.

4. Request that your employer institute a cancer standard for MTBE. Use the guidelines in this article as a model.

Survey of Illnesses & Symptoms of Workers (OCAW) Working with Gasoline Containing MTBE in U.S. Refineries

Raw (# surveyed)    105
Complaints of odor  62   59.0%
Headache            60   57.1%
Sinus problems      55   52.4%
Ear/nose/throat complaints    55   52.4%
Feeling sick        49   46.7%
Lightheadedness     48   45.7%
Fatigue             43   40.7%
Shortness of breath 37   35.3%
Breathing problems  35   33.3%
Irritability        34   32.4%
Sneezing problems   33   31.4%
Trouble sleeping    32   30.5%
Sore throat/cough   31   29.5%
Increased secretion of tears/saliva/mucus    30   28.6%
Inability to concentrate 27   25.7%
Anxiety             22   20.9%
Depression          21   20.0%
Insomnia            20   19.0%
Poor memory         19   18.1%
Loss of appetite    13   12.4%
Bronchitis          13   12.4%
Stomach cramps      11   10.4%
Pain on breathing    9   8.5%
Average age (yrs)   42