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Document ID ca-dtdgcdwq-2022-12-23-3 Title Draft technical document guidelines for Canadian drinking water quality - Antimony: Health considerations, derivation of health-based value URL https://www.canada.ca/en/health-canada/programs/consultation-draft-technical-document-guidelines-canadian-drinking-water-quality-antimony/health-considerations-derivation-health-based-value.html Jurisdiction /ca Subdomain(s) Drinking water Language en Status completed Analyzed at 2026-03-19 09:12:25.600715+00:00 Relevance Draft technical guideline for Canadian drinking water quality standards.

Q Qualitative Requirements (0)

No qualitative requirements.

P Quantitative Requirements (37)

Req ID Category Intent Legal Status Name Subdomain(s) Limit Type Limit Value Context Conditions Confidence
#P001chemicalhealthguidelineHealth-based value (HBV) for antimonydrinking waterrequirement0.003 mg/LCalculated by multiplying the antimony TDI of 0.0002 mg Sb/kg body weight per day by the average adult body weight of 74 kg by the allocation factor for drinking water of 0.3, divided by 1.53 L/day.Applicable for adult exposure via drinking waterhigh
#P002chemicalhealthguidelineTolerable daily intake (TDI) of antimonydrinking waterunknown0.0002 mg Sb/kg bw per dayCalculated by dividing the NOAEL of 0.06 mg Sb/kg body weight per day by the uncertainty factor of 300.high
#P003chemicalhealthrecommendedAbsorption factor for dietary intake of antimonyotherunknown10 %The International Commission on Radiological Protection recommends the use of a 10% absorption factor for the dietary intake of antimony.high
#P004chemicalhealthrecommendedDefault absorption factor for antimonyotherunknown5 %An absorption of 5% is recommended for situations where specific information is not available.Situations where specific information is not availablehigh
#P005chemicalhealthguidelinePoint of Departure (NOAEL) for HBV derivationdrinking waterrequirement0.06 mg Sb/kg bw per dayPoint of departure chosen for deriving the HBV based on liver histology and serum biochemistry changes in ratsPoon et al. (1998) 13-week drinking water studyhigh
#P006chemicalhealthguidelineUncertainty factor for antimony HBV derivationdrinking waterrequirement300 unitlessAccounts for interspecies variation (10x), intraspecies variation (10x), and subchronic study duration (3x)high
#P007chemicalhealthguidelineAverage adult body weightdrinking waterrequirement74 kgUsed for HBV derivation for a Canadian adulthigh
#P008chemicalhealthguidelineDrinking water intake rate for a Canadian adultdrinking waterrequirement1.53 L/dayUsed for HBV derivation for a Canadian adulthigh
#P009chemicalhealthguidelineDrinking water allocation factor for antimonydrinking waterrequirement0.3 unitlessBased on the upper bound of the estimated intake for drinking waterhigh
#P010chemicalhealthunknownNOAEL for B6C3F1 mice (14 days)drinking waterrequirement99 mg Sb/kg bw per dayForestomach lesions and increased liver weight observed in NTP (1992) study14 days exposure via drinking waterhigh
#P011chemicalhealthunknownNOAEL for F344/N rats (14 days)drinking waterrequirement61 mg Sb/kg bw per dayIncrease in relative liver weight in NTP (1992) study14 days exposure via drinking waterhigh
#P012chemicalhealthunknownNOAEL for Wistar rats (90 days)drinking waterrequirement1408 mg Sb/kg bw per daySmall increase in liver weight and plasma enzymes observed in Hext et al. (1999) study90 days exposure via diethigh
#P013chemicalhealthunknownLOEL for Wistar rats (24 weeks)drinking waterrequirement418 mg Sb/kg bw per dayLiver histopathological changes and increased AST activity in Sunagawa (1981) study24 weeks exposure via diethigh
#P014chemicalhealthunknownNOAEL for SD rats (Gestational Day 6 to 19)drinking waterrequirement49 mg Sb/kg bw per dayDelayed skeletal development in mid and high dose groups in ECHA (2014) studyGestational Day 6 to 19 exposure via gavagehigh
#P015chemicalhealthunknownLOAEL for Long-Evans rats (Lifetime)drinking waterrequirement0.43 mg Sb/kg bw per dayReduced survival rate and reduced non-fasting serum glucose levels in Schroeder et al. (1970) studyLifetime exposure via drinking waterhigh
#P016physicalhealthunknownAntimony-induced emetic threshold (adults)drinking waterunknown0.4 to 0.9 mg Sb/kg bwExposure to levels between 0.4 and 0.9 mg Sb/kg bw has been reported to induce vomiting in adults.Adult humans, oral ingestionhigh
#P017chemicalhealthunknownOral median lethal dose (LD50) for APT in rabbits/ratsotherunknown115 mg/kg bwIndicates acute toxicity of antimony potassium tartrate in experimental animals.Oral exposurehigh
#P018chemicalhealthunknownOral median lethal dose (LD50) for APT in miceotherunknown600 mg/kg bwIndicates acute toxicity of antimony potassium tartrate in mice.Oral exposurehigh
#P019chemicalhealthunknownOral median lethal dose (LD50) for sodium hexahydroxoantimonateotherunknown> 2000 mg/kg bwIndicates lower acute toxicity for sodium hexahydroxoantimonate compared to APT.Oral exposurehigh
#P020chemicalhealthunknownOral median lethal dose (LD50) for ATOotherunknown> 20000 mg/kg bwIndicates very low acute toxicity for antimony trioxide (ATO).Oral exposurehigh
#P021chemicalhealthguidelineAlternative point of departure (BMDL10) from OEHHA (2016)drinking waterunknown0.14 mg Sb/kg bw per dayUsed by OEHHA to derive the public health goal for antimony, based on liver anisokaryosis in males.Poon et al. (1998) rat study datahigh
#P022chemicalhealthguidanceAlternative NOAEL proposed by Lynch et al. (1999)drinking waterunknown6 mg Sb/kg bw per dayProposed alternative NOAEL suggesting histological effects were not necessarily indicative of overt toxicity.Review of Poon et al. (1998) studyhigh
#P023chemicalhealthunknownRapid elimination phase half-lifeotherunknown24 to 72 hoursReported in patients treated with meglumine antimoniate for 30 days.Patients treated for leishmaniasis; 5 mg Sb/kg bw per day dosehigh
#P024chemicalhealthunknownSlow elimination phase half-lifeotherunknown> 50 daysReported in patients treated with meglumine antimoniate for 30 days.Patients treated for leishmaniasis; 5 mg Sb/kg bw per day dosehigh
#P025chemicalhealthunknownAntimony trichloride dose in mice study (Wan et al. 2021)otherunknown15 mg/kgDose used to investigate nephrotoxicity induced by antimony exposure via intragastric intubation.60 days duration in micehigh
#P026chemicalhealthunknownAntimony trichloride concentration in in vitro study (Wan et al. 2021)otherunknown25 µMConcentration used to treat renal tubular epithelial (TCMK-1) cells.24 hours durationhigh
#P027chemicalhealthunknownGastrointestinal absorption of diantimony trioxide (ATO) in humansotherunknown1 %Reported for the relatively insoluble ATO form in humans.high
#P028chemicalhealthunknownDermal absorption of diantimony trioxide at 100 µg/cm2otherunknown0.26 %Total estimated dermal absorption from in vitro exposure of human skin samples.24-hour exposure periodhigh
#P029chemicalhealthunknownDermal absorption of diantimony trioxide at 300 µg/cm2otherunknown0.14 %Total estimated dermal absorption from in vitro exposure of human skin samples.24-hour exposure periodhigh
#P030chemicalhealthguidelineHealth-based value (HBV) for antimonydrinking waterrequirement0.003 mg/LCalculated based on TDI, adult body weight (74 kg), allocation factor (0.3), and intake rate (1.53 L/day).Applicable for adult exposure via drinking waterhigh
#P031chemicalhealthguidelineTolerable daily intake (TDI) of antimonydrinking waterunknown0.0002 mg Sb/kg bw per dayCalculated by dividing the NOAEL of 0.06 mg Sb/kg body weight per day by the uncertainty factor of 300.high
#P032chemicalhealthrecommendedAbsorption factor for dietary intake of antimonyotherunknown10 %The ICRP recommends use of a 10% factor for dietary intake.high
#P033chemicalhealthrecommendedDefault absorption factor for antimonyotherunknown5 %Recommended for situations where specific information is not available due to variability.Situations where specific information is not availablehigh
#P034chemicaltreatmentunknownTherapeutic dose for visceral leishmaniasis treatmentotherrequirement20 mg/kgSodium stibogluconate administered i.m. once daily for 30 days in pregnant women; associated with spontaneous abortions.Intramuscular injectionhigh
#P035microbiologicalhealthunknownSpontaneous abortion (SA) risk odds ratio for antimonyotherunknown1.65 unitlessNoticeable positive relation with risk of SA in maternal blood models (95% CI: 1.08 to 2.52).Early gestation mothershigh
#P036chemicalhealthunknownAbsorption of antimony potassium tartrate (APT) in humansotherunknown5 %Reported from acute intoxication data for 4 individuals exposed to APT.Acute intoxication (poisoning)high
#P037chemicaltreatmentunknownMeglumine antimoniate treatment doseotherunknown5 mg Sb/kg bw per dayDose administered by intramuscular injection for 30 days in patients studied for elimination kinetics.Intramuscular injection for 30 dayshigh

D Definitions (19)

Req ID Category Name Context Confidence
#D001GIGastrointestinalhigh
#D002APTantimony potassium tartratehigh
#D003GSHreduced glutathionehigh
#D004SAspontaneous abortionhigh
#D005TENDTehran Environment and Neurodevelopmental Defectshigh
#D006LD50median lethal dosehigh
#D007ASTaspartate transaminasehigh
#D008ROSreactive oxygen specieshigh
#D009SODsuperoxide dismutasehigh
#D010HBVhealth-based valuehigh
#D011PODpoint of departurehigh
#D012TDItolerable daily intakehigh
#D013antimonialsantimony-based drugshigh
#D014leishmaniasisa parasitic diseasehigh
#D015autophagy and pyroptosis2 types of programmed cell deathhigh
#D016TCMK-1renal tubular epithelial cellshigh
#D017anisokaryosisvariation in size and shapehigh
#D018hyperchromicityincreased optical densityhigh
#D019BMDL1010% benchmark dose levelhigh