This Public Health Statement is the summary chapter from the Toxicological Profile for thorium. It is one in a series of Public Health Statements about hazardous substances and their health effects. A shorter version, the ToxFAQs™, is also available. This information is important because this substance may harm you. The effects of exposure to any hazardous substance depend on the dose, the duration, how you are exposed, personal traits and habits, and whether other chemicals are present. For more information, call the ATSDR Information Center at 1-888-422-8737.

This Statement was prepared to give you information about thorium and to emphasize the human health effects that may result from exposure. At this time, thorium has been found above background levels at 16 out of 1177 National Priorities List (NPL) hazardous waste sites. We do not know how many of the 1,177 NPL sites have been evaluated for thorium. As EPA evaluates more sites, the number of sites at which thorium is found at above background levels may change. Because these sites are potential or actual sources of human exposure to thorium and because thorium may cause harmful health effects, this information is important for you to know.

When a radioactive chemical is released from a large area, such as an industrial plant, or from a container, such as a drum or bottle, it enters the environment as a radioactive chemical emission. This emission, which is also called a release, does not always lead to exposure. You are exposed only when you come into contact with the radioactive chemical. You can come into contact with it in the environment through breathing air, eating, drinking or smoking substances containing the radioactive chemical. Exposure may also result from skin contact with the radioactive chemical alone, or with a substance containing it. Exposure can also occur by being near radioactive chemicals at concentrations that may be found at hazardous waste sites or industrial accidents.

If you are exposed to a hazardous chemical, several factors determine whether harmful effects will occur and the type and severity of those health effects. These factors include the dose (how much), the duration (how long), the pathway by which you are exposed (breathing, eating, drinking, or skin contact), the other chemicals to which you are exposed, and your individual characteristics such as age, sex, eating habits, family traits, life style, and state of health. 

Thorium is a naturally-occurring, radioactive metal. Small amounts of thorium are present in all rocks, soil, above-ground and underground water, plants, and animals. These small amounts of thorium contribute to the weak background radiation for such substances. Soil commonly contains an average of about 6 parts of thorium per million parts (ppm) of soil. Rocks in some underground mines may also contain thorium in a more concentrated form. After these rocks are mined, thorium is usually concentrated and changed into thorium dioxide or other chemical forms. Thorium-bearing rock that has had most of the thorium removed from it is called "depleted" ore or tailings.

More than 99% of natural thorium exists in the form (isotope) thorium-232. Besides this natural thorium isotope, there are more than 10 other different isotopes that can be artificially produced. In the environment, thorium-232 exists in various combinations with other minerals, such as silica. Most thorium compounds commonly found in the  environment do not dissolve easily in water and do not evaporate from soil or water into the air.

The thorium isotope-232 is not stable. It breaks down into two parts. This process of breaking down is called decay. The decay of thorium-232 produces a small part called "alpha" radiation and a large part called the decay product. The decay product of thorium-232 also is not stable. Like thorium-232, it in turn breaks down to an unstable isotope and the process continues until a stable product is formed. During these decay processes, the parent thorium-232, its decay products, and their next decay products produce a series of new substances (including radium and radon), alpha and beta particles, and gamma radiation. The alpha particles can travel only very short distances through most materials and cannot go through human skin. The gamma radiation can travel farther and can easily go through human skin. The decay of thorium-232 into its decay products happens very slowly. In fact, it takes about 14 billion years for half the thorium-232 to change into new forms. Fourteen billion years is called the radioactive half-life of thorium-232.

Due to the extremely slow rate of decay, the total amount of natural thorium in the earth remains almost the same, but it can be moved from place to place by nature and people. For example, when rocks are broken up by wind and water, thorium or its compounds becomes a part of the soil. When it rains, the thorium-containing soil can be washed into rivers and lakes. Also, activities such as burning coal that contains small amounts of thorium, mining or milling thorium, or making products that contain thorium also release thorium into the environment. Smaller amounts of other isotopes of thorium are produced usually as decay products of uranium-238, uranium-235, and thorium-232, and as unwanted products of nuclear reactions.

Thorium is used to make ceramics, lantern mantles, and metals used in the aerospace industry and in nuclear reactions.  Thorium can also be used as a fuel for generating nuclear energy. More than 30 years ago thorium oxides were used in hospitals to make certain kinds of diagnostic X-ray photographs. 

Since thorium is found almost everywhere, you will be exposed to small amounts of it in the air you breathe and in the food and water you eat and drink. Scientists know, roughly, the average amounts of thorium in food and drinking water. Most people in the United States eat some thorium with their food every day. Normally, very little of the thorium in lakes, rivers, and oceans gets into the fish or seafood we eat. The amounts in the air are usually so small that they can be ignored. 

There may be more thorium than normal near an uncontrolled hazardous waste site in which thorium has not been disposed of properly. Consequently, you may be exposed to slightly more thorium if you live near one of these sites because you could breathe windblown dust containing thorium or eat food grown in soil contaminated with thorium. Children playing near a waste site could get thorium into their bodies if they eat contaminated soil. You could also be exposed to more thorium than normal if you work in an industry that mines, mills, or manufactures products containing thorium, or work in a research laboratory performing experiments with thorium. Larger-than-normal amounts of thorium might also enter the environment through accidental releases from thorium processing plants. 

Only a small amount of the thorium that you breathe or swallow in food, water, or soil enters your blood. One animal study has shown that thorium can enter the body if it is placed on the skin. After breathing thorium, you will usually sneeze, cough, or breathe out some of it within minutes. Some forms of thorium can stay in your lungs for long periods of time. However, in most cases, the small amount of thorium left in your lungs will leave your body in the feces and urine within days. After you eat or drink thorium, almost all of it leaves your body in the feces. The small amount of thorium left in your body may enter your bones from the blood and stay there for many years. The main way thorium will  enter your body is by breathing dust contaminated with thorium. 

Studies of thorium workers have shown that breathing thorium dust may cause an increased chance of developing lung disease and cancer of the lung or pancreas many years after being exposed. Changes in the genetic material of body cells have also been shown to occur in workers who breathed thorium dust. Liver diseases and effects on the blood have been found in people injected with thorium in order to take special X-rays. 

Many types of cancer have also been shown to occur in these people many years after thorium was injected into their bodies. Since thorium is radioactive and may be stored in bone for a long time, bone cancer is also a potential concern for people exposed to thorium. 

Animal studies have shown that breathing in thorium may result in lung damage. Other studies in animals suggest drinking massive amounts of thorium can cause death from metal poisoning. The presence of large amounts of thorium in your environment could result in exposure to more hazardous radioactive decay products of thorium, such as radium and thoron, which is an isotope of radon. Thorium is not known to cause birth defects or to affect the ability to have children. 

Thorium is odorless and tasteless, so you cannot tell if you are being exposed to thorium. We know very little about specific exposure levels of thorium that result in harmful effects in people or animals. High levels of exposure have been shown to cause death in animals, but no direct cause of death could be determined and no other health effects have been reported. 

Special tests that measure the level of radioactivity from thorium or thorium isotopes in your urine, feces, and air you breathe out can determine if you have been exposed to thorium. These tests are useful only if run within several days to a week after exposure. The tests cannot, however, tell you if your health will be affected by the exposure. The tests can be run only with special equipment and are probably not available at your local clinic or hospital. 

The EPA has set a drinking water limit of 15 picocuries per liter (15 pCi/L) of water for gross alpha particle activity and 4 millirems per year for beta particles and photon activity (for example, gamma radiation and X-rays).

The federal recommendations have been updated as of July 1999. 

If you have any more questions or concerns, please contact your community or state health or environmental quality department or:

Agency for Toxic Substances and Disease Registry
Division of Toxicology
1600 Clifton Road NE, Mailstop F-32
Atlanta, GA 30333

Information line and technical assistance:

Phone: 888-422-8737
FAX: (770)-488-4178

ATSDR can also tell you the location of occupational and environmental health clinics. These clinics specialize in recognizing, evaluating, and treating illnesses resulting from exposure to hazardous substances.

To order toxicological profiles, contact:

National Technical Information Service
5285 Port Royal Road
Springfield, VA 22161
Phone: 800-553-6847 or 703-605-6000

Agency for Toxic Substances and Disease Registry (ATSDR). 1990. Toxicological profile for thorium. Atlanta, GA: U.S. Department of Health and Human Services, Public Health Service.