UNITED STATES ENVIRONMENTAL PROTECTION AGENCY 

WASHINGTON, D.C. 20460 

OFFICE OF CHEMICAL SAFETY AND 

POLLUTION PREVENTION 

MEMORANDUM 

Date: August 25, 20 15 

SUBJECT: Triticonazole: Tier I (Scoping) Review of Human Inc idents and Epidemiology 

PC Code: 125620 DP Barcode: 0428796 

Decision No.: 499940 

Petition No.: NA 

Risk Assessment Type: NA 

TX R No.: NA 

MRID No.: NA 

Registration No.: NA 

Regulatory Action: NA 

Case No.: NA 

CAS No.: 13 1983-72-7 

40 CFR: NA 

FROM: Elizabeth Evans, Environmental Protection Specialist 

Toxicology and Epidemiology Branch 

Health Effects Division (7509P) 

and 

Shanna Recore, Industrial Hygienist 

Ver.Apr.OS 

THROUGH: 

Toxicology 

Health Effect 

and 

Divi

Epidem

sion (7509P) 

iology Branch _JJ~ ~ 

David Miller, Acting Branch Chief ~:;J.,/J"A, ..¥ · ...,,.,.-

Toxicology and Epidemiology Branch 

TO: 

Health Effects Division (7509P) 

Nancy Keller, Risk Assessor 

Risk Assessment Branch I 

Health Effects Division (7509P) 

and 

Miguel Zavala, Chemical Review Manager 

Risk Management & Implementation Branch 3 

Pesticide Re-evaluation Division (7508P) 

Summary and Conclusions 

Based on the low freq uency and severity of incident cases reported for triticonazole in both IDS 

and SENSOR-Pesticides there does not appear to be a concern at this time that would warrant 

further investigation. The Agency will continue to monitor the incident information and if a 

concern is triggered, additional analysis will be included in the risk assessment. 

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Detailed Review 

I. ACTION REQUESTED 

This review is intended to fu lfill our requirement to docket summaries of incident data that were 

repo1ted to the Agency, as well as to ensure human incident data and the Agricultural Health 

Study (AHS) are part or the problem formulation phase of registration review. Reports of 

adverse health effects allegedly due to a specific pesticide exposure (i.e., an " incidenf') are 

largely self-reported and therefore, generally speaking, neither exposure to a pesticide or 

reported symptom (or the connection between the two) is validated or otherwise confirmed. 

Typically, causation cannot be determined based on incident data. However, incident 

information can be an important source of feedback to the Agency: incidents of severe outcome, 

or a suggested pattern or trend among less severe incidents, can signal the Agency to further 

investigate a particular chemical or product. Observational epidemiology studi es relate the risk 

of disease, e.g., cancer, and exposure to an agent such as a pesticide product in the general 

population or specific sub-groups like pesticide applicators. 

II. BACKGROUND 

Triticonazole is a seed treatment fungicide for grain and cereal. 

For this evaluation, both the OPP Incident Data System (IDS) and the Centers for Disease 

Control and Prevention/National Institute for Occupational Safety and Health (CDC/NIOSH) 

Sentinel Event Notification System for Occupational Risk-Pesticides (SENSOR) databases were 

consulted for pesticide incident data on the active ingredient triticonazole (pc code:). The 

purpose of the database search is to identify potential patterns in the frequency and severity of 

the health effects attributed to triticonazole exposure. Triticonazole is not included in the AHS. 

and therefore this study does not provide information for this report. 

Ill. RESULTS/DISCUSSION 

a. IDS (Incident Data System) 

OP P's IDS includes reports of alleged human health incidents from various sources, including 

mandatory Federal Insecticide, Fungicide and Rodenticide Act (FIFRA) Section 6(a)(2) reports 

from registrants, other federal and state health and environmental agencies, and individual 

consumers. Since 1992, OPP has compiled these reports in IDS. IDS contains reports from 

across the U.S. and most incidents have all relevant product information recorded. Reports 

submitted to the IDS represent anecdotal reports or allegations only, unless otherwise stated in 

the report. 

IDS records incidents in one of two modules: Main IDS and Aggregate IDS: 

o Main IDS contains incidents resulting in higher severity outcomes and provides 

more detail with regard to case specifics. This system stores incident data for 

death, major and moderate incidents, and it includes information about the 

location, date and nature of the incident. Main IDS incidents involving only one 

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active ingredient (as opposed to pesticide products with multiple active 

ingredients) arc considered to provide more certain information about the 

potential effects of exposure from the pesticide. 

o Aggregate IDS contains incidents resulting in less severe human incidents (minor, 

unknown, or no effects outcomes). These are reported by registrants only as 

counts in what are aggregate summaries. 

For the Main JDS, from January 1, 20 I 0 to February 4, 20 15, there were no incidents reported 

involving triticonazole. 

In Aggregate IDS, from January I, 20 I 0 to February 4, 20 15, there were 3 incidents reported 

involving triticonazole. These incidents were classified as minor severity. Overall, there are few 

incidents reported to IDS involvi ng triticonazole . 

b. SENSOR-Pesticides 

The SENSOR-Pesticides database covers 12 states from 1998-201 1, although reporting varies 

from state to state. Cases of pesticide-related illnesses are ascertained from a variety of sources, 

including: reports from loca l Poison Control Centers, state Department of Labor workers' 

compensation claims when reported by physicians, reports from Stale Departments of 

Agriculture, and physician reports to state Departments of Health. Although both occupational 

and non-occupational incidents are included in the database, SENSOR-Pestic ides focuses on 

occupational pesticide inc idents, and is of particular value in providing that information. The 

state coordinator at each of the 12 respective stale Departments of Health conducts case followup activities such as obtaining medical records to verify symptoms and severity. Using 

standardized protocol and case definitions derived from poison center reporting, the state 

SE SOR-Pesticide coordinator enters the incident information into the state-based system which 

is sent to N IOSH annually to be aggregated. 

A review of SENSOR-Pesti cides 1998-2011 identifies no cases involving triti conazole. 

c. Agricultural Health Study (AHS) 

The AHS is a high quality, prospective epidemiology study evaluating the link between pesticide 

use and various health outcomes including cancer. The AHS includes private and commercial 

pesticide applicators and their spouses. If there are AHS findings relevant to a particular 

pesticide going through registration review, the Agency will ensure they are considered in the 

problem formulation/scoping phase of the process and, if appropriate, fully reviewed in the risk 

assessment phase of the process. The AHS includes information on use of 80 different pesti cide 

active ingredients commonly used in agriculture. Triticonazole is not included in the AHS, and 

therefore this study does not provide information for this report. 

IV. CONCLUSION 

Based on the low frequency and severity of the incident cases reported for triticonazole in both 

IDS and SENSOR-Pesticides there does not appear to be a concern at this time that would 

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warrant further investigation. The Agency will continue to monitor the incident infomiation and 

if a concern is triggered, additional anal ysis will be included in the risk assessment. 

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