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PubMed2006

Induction of asthma and the environment: what we know and need to know.

The prevalence of asthma has increased dramatically over the last 25 years in the United States and in other nations as a result of ill-defined changes in living conditions in modern society. On 18 and 19 October 2004 the U.S. Environmental Protection Agency and the National Institute of Environmental Health Sciences sponsored the workshop "Environmental Influences on the Induction and Incidence of Asthma" to review current scientific evidence with respect to factors that may contribute to the induction of asthma. Participants addressed two broad questions: a) What does the science suggest that regulatory and public health agencies could do now to reduce the incidence of asthma? and b) What research is needed to improve our understanding of the factors that contribute to the induction of asthma and our ability to manage this problem? In this article (one of four articles resulting from the workshop), we briefly characterize asthma and its public health and economic impacts, and intervention strategies that have been successfully used to prevent induction of asthma in the workplace. We conclude with the findings of seven working groups that focus on ambient air, indoor pollutants (biologics), occupational exposures, early life stages, older adults, intrinsic susceptibility, and lifestyle. These groups found strong scientific support for public health efforts to limit in utero and postnatal exposure to cigarette smoke. However, with respect to other potential types of interventions, participants noted many scientific questions, which are summarized in this article. Research to address these questions could have a significant public health and economic impact that would be well worth the investment.

Adolescent↗
PubMed2004

Relationships among exceedences of metals criteria, the results of ambient bioassays, and community metrics in mining-impacted streams.

If bioassessments are to help diagnose the specific environmental stressors affecting streams, a better understanding is needed of the relationships between community metrics and ambient criteria or ambient bioassays. However, this relationship is not simple, because metrics assess responses at the community level of biological organization, while ambient criteria and ambient bioassays assess or are based on responses at the individual level. For metals, the relationship is further complicated by the influence of other chemical variables, such as hardness, on their bioavailability and toxicity. In 1993 and 1994, U.S. Environmental Protection Agency (U.S. EPA) conducted a Regional Environmental Monitoring and Assessment Program (REMAP) survey on wadeable streams in Colorado's (USA) Southern Rockies Ecoregion. In this ecoregion, mining over the past century has resulted in metals contamination of streams. The surveys collected data on fish and macroinvertebrate assemblages, physical habitat, and sediment and water chemistry and toxicity. These data provide a framework for assessing diagnostic community metrics for specific environmental stressors. We characterized streams as metals-affected based on exceedence of hardness-adjusted criteria for cadmium, copper, lead, and zinc in water; on water toxicity tests (48-h Pimephales promelas and Ceriodaphnia dubia survival); on exceedence of sediment threshold effect levels (TELs); or on sediment toxicity tests (7-d Hyalella azteca survival and growth). Macroinvertebrate and fish metrics were compared among affected and unaffected sites to identify metrics sensitive to metals. Several macroinvertebrate metrics, particularly richness metrics, were less in affected streams, while other metrics were not. This is a function of the sensitivity of the individual metrics to metals effects. Fish metrics were less sensitive to metals because of the low diversity of fish in these streams.

Amphipoda↗
PubMed2001

Probabilistic risk assessment of cotton pyrethroids: III. A spatial analysis of the Mississippi, USA, cotton landscape.

Estimates of potential aquatic exposure concentrations arising from the use of pyrethroid insecticides on cotton produced using conventional procedures outlined by the U.S. Environmental Protection Agency's Office of Pesticide Programs Environmental Fate and Effects Division seem unrealistically high. Accordingly, the assumptions inherent in the pesticide exposure assessment modeling scenarios were examined using remote sensing of a significant Mississippi, USA, cotton-producing county. Image processing techniques and a geographic information system were used to investigate the number and size of the water bodies in the county and their proximity to cotton. Variables critical to aquatic exposure modeling were measured for approximately 600 static water bodies in the study area. Quantitative information on the relative spatial orientation of cotton and water, regional soil texture and slope, and the detailed nature of the composition of physical buffers between agricultural fields and water bodies was also obtained. Results showed that remote sensing and geographic information systems can be used cost effectively to characterize the agricultural landscape and provide verifiable data to refine conservative model assumptions. For example, 68% of all ponds in the region have no cotton within 360 m and 92% of the ponds have no cotton within 60 m. Only 2% of ponds have cotton present in all directions around the ponds and within 120 m. These are significant modifications to conventional pesticide risk assessment exposure modeling assumptions and exemplify the importance of using landscape-level risk assessments to better describe the Mississippi cotton agricultural landscape. Incorporating spatially characterized landscape information into pesticide aquatic exposure scenarios is likely to have greater impact on the model output than many other refinements.

Animals↗
PubMed2001

Occupational and environmental causes of bronchogenic carcinoma.

Occupational and environmental carcinogens account for an important minority of cases of bronchogenic carcinoma. From a public health perspective, it is important to characterize occupational and environmental carcinogens and to define disease risk to reduce preventable lung cancer. From a clinician's perspective, it is important to distinguish individual cases of occupational lung cancer from nonoccupational cases, because cancer acquired from work may be compensable through worker's compensation claims and litigation. Important carcinogens include asbestos, radon daughters, diesel exhaust, and metals. Epidemiologic investigations identify excess cases of lung cancer in populations exposed to carcinogens. Experimental animal and ex vivo human research provide complementary information supporting causal relationships between exposure and carcinogenesis. Clinical challenges include proving that a given case of lung cancer is due to an occupational exposure. Research challenges include determining safe exposure thresholds. Only a small percentage of all chemicals used in industry have been extensively analyzed for their carcinogenic potential. Scientific and regulatory information about pulmonary occupational and environmental health and safety is available from several important agencies and organizations, including the Occupational Safety and Health Administration, the National Institute for Occupational Safety and Health, the International Agency for Research on Cancer, the American Lung Association, and the Environmental Protection Agency.

Carcinogens, Environmental↗
PubMed1984

The genotoxic/epigenetic distinction: relevance to cancer policy.

Should federal agencies use separate, less stringent guidelines for regulating epigenetic or nongenotoxic carcinogens on the assumption that thresholds are likely to exist for these agents? This article reviews recent initiatives by the Environmental Protection Agency that either propose or informally adopt this approach in light of responses from the scientific community and a review of the recent literature. Relevant background is provided by current research concerning the role of chromosomal damage and oncogene activation in carcinogenesis along with findings that classical promoters or "epigenetic" agents can induce both DNA damage and chromosomal rearrangements. The conclusion is that such a revision of cancer policy is not now supported by available scientific data concerning chemical carcinogenesis.

Animals↗
PubMed2004

Environmental impacts of dispersed development from federal infrastructure projects.

Dispersed development, also referred to as urban growth or sprawl, is a pattern of low-density development spread over previously rural landscapes. Such growth can result in adverse impacts to air quality, water quality, human health, aquatic and terrestrial ecosystems, agricultural land, military training areas, water supply and wastewater treatment, recreational resources, viewscapes, and cultural resources. The U.S. Environmental Protection Agency (U.S. EPA) is charged with protecting public health and the environment, which includes consideration of impacts from dispersed development. Specifically, because federal infrastructure projects can affect the progress of dispersed development, the secondary impacts resulting from it must be assessed in documents prepared under the National Environmental Policy Act (NEPA). The Council on Environmental Quality (CEQ) has oversight for NEPA and Section 309 of the Clean Air Act requires that U.S. EPA review and comment on federal agency NEPA documents. The adverse effects of dispersed development can be induced by federal infrastructure projects including transportation, built infrastructure, modifications in natural infrastructure, public land conversion and redevelopment of properties, construction of federal facilities, and large traffic or major growth generation developments requiring federal permits. This paper presents an approach that U.S. EPA reviewers and NEPA practitioners can use to provide accurate, realistic, and consistent analysis of secondary impacts of dispersed development resulting from federal infrastructure projects. It also presents 24 measures that can be used to mitigate adverse impacts from dispersed development by modifying project location and design, participating in preservation or restoration activities, or informing and supporting local communities in planning.

Cities↗
PubMed1999

Audit-privilege laws: the right to know nothing?

In theory, environmental audit-privilege laws grant immunity to companies that uncover environmental problems during self-audits and that take steps to correct them so that information gleaned from such audits cannot be used against the company in a lawsuit. Supporters of audit-privilege laws believe these laws encourage more audits and more disclosures of regulatory violations because of the greatly reduced chances that audit findings will result in penalties. Opponents argue that in actuality, the level of audit activity in states that have audit-privilege or immunity laws is no different from that in the states without them and that companies in states with the laws are no more likely to disclose violations than companies in states without them. In addition, some citizens' groups, as well as the U.S. Environmental Protection Agency, continue to criticize the worst of the audit-privilege laws as measures that protect potential polluters.

Environmental Health↗
PubMed1991

ASTER: an integration of the AQUIRE data base and the QSAR system for use in ecological risk assessments.

Ecological risk assessments are used by the US Environmental Protection Agency (US EPA) and other governmental agencies to assist in determining the probability and magnitude of deleterious effects of hazardous chemicals on plants and animals. These assessments are important steps in formulating regulatory decisions. The completion of an ecological risk assessment requires the gathering of ecotoxicological hazard and environmental exposure information. This information is evaluated in the risk characterization section to assist in making the final risk assessment. ASTER (ASsessment Tools for the Evaluation of Risk) was designed by the US EPA Environmental Research Laboratory-Duluth (ERL-D) to assist regulators in producing assessments. ASTER is an integration of the ACQUIRE (AQUatic toxicity Information REtrieval system) and QSAR (Quantitative Structure Activity Relationships) systems. ACQUIRE is a data base of aquatic toxicity tests and QSAR is comprised of a data base of measured physicochemical properties, and various QSAR models that estimate physicochemical and ecotoxicological endpoints. ASTER will be available to international governmental agencies through the US EPA National Computing Center.

Animals↗
PubMedDate not supplied

The Agency for Toxic Substances and Disease Registry's role in development and application of biomarkers in public health practice.

An overview of the Agency for Toxic Substances and Disease Registry's (ATSDR) biomarker program is presented in the context of the paradigm for biomarkers developed by the National Research Council (NRC, 1987, 1991). The status and projected utility of four biomarker studies conducted by NRC and sponsored by ATSDR, the Environmental Protection Agency (EPA), and the National Institute of Environmental Health Sciences (NIEHS) are discussed. These studies include a review of relevant research on biomarkers for specific toxicologic end points, including reproductive toxicology, pulmonary toxicology, neurotoxicology, and immunotoxicology. Also, the scope of related research on exposure characterization being conducted by the ATSDR-sponsored research program at Rutgers University is reviewed. The potential impact of biomarkers on public health assessments and on the range of ATSDR programs is described. Specifically, the role of biomarkers in dose reconstruction, in ATSDR's health studies program, and in the emerging field of molecular epidemiology is reviewed. In addition, future directions and research needs are addressed.

Animals↗
PubMed1990

Hazard evaluation for complex mixtures: relative comparisons to improve regulatory consistency.

The traditional "absolute decision-making" process used by federal regulatory agencies to derive permissible exposure concentrations for hazardous substances is initiated by an evaluation of the "weight-of-evidence" that a substance is a potential human carcinogen. Subsequent conservative procedures applied variably to noncarcinogens and carcinogens yield exposure limits for individual substances based on "data-sparse, model-intensive" techniques which may lack consistency and have difficulty directly addressing the hazards from complex mixtures. This paper describes how a "relative decision-making" technique applicable to complex mixtures can supplement the "absolute" approach currently used. Estimates obtained through this "data-intensive, model-sparse" technique may be evaluated by comparisons to estimates representing a range of hazards "generally regarded as safe" derived through analyses of chlorinated drinking water, cigarette smoke condensate, and other common human exposures. Comparisons are also used to evaluate the relative degree of consistency in risk estimates between 58 suspect human carcinogens analyzed by the U.S. Environmental Protection Agency Carcinogen Assessment Group and by the authors.

Animals↗
PubMed1989

The new standard environmental inventory questionnaire for estimation of indoor concentrations.

Several investigators have developed indoor air quality questionnaires for use in field studies. The approach used in many of them have numerous features in common, but most of them are unique in their content (wording, format, item selection). It is thought that indoor air quality research could be greatly advanced if the primary or fundamental questions and instruments could be consolidated. The use of a basic set of "standard" questions would permit intercomparison of results from different research studies. It is generally agreed that environmental inventory questionnaires (EIQ) help to classify, at least in screening, relative concentration estimates, which precede exposure estimation. Thus, such instruments are not equivalent to monitoring for exposure assessment. However, data linkage and mega data bases are important for some comparative analyses of exposure assessment and exposure-response relationships. Standard instruments such as the EIQ are useful as a screening device to precede other tests to allow identification of potentially high exposure situations. They can also amplify information from other tests. General usage of standard questionnaires and protocols can lead to cumulative improvements in data collection, specificity and effectiveness. This has been the rationale for the present efforts by investigators to form a standardized environmental inventory questionnaire, under the auspices of the U.S. Environmental Protection Agency (EPA), Gas Research Institute (GRI), and Electric Power Research Institute (EPRI).

Air↗
PubMed1983

Health issues in the Clean Air Act.

Major conclusions and recommendations of the National Commission on Air Quality on issues of health in the Clean Air Act are presented. The issues revolve mainly about the standard setting processes for ubiquitous pollutants, controlled through ambient air quality standards (Section 109), and for hazardous pollutants controlled through emission standards (Section 112). The conceptual difficulties inherent in the terms "adequate margin of safety" (Section 109) and "ample margin of safety" (Section 112) are discussed. The Clean Air Science Advisory Committee is widely viewed as having a salutary effect on standard setting. The need for maintaining strong research capabilities within the Environmental Protection Agency that are reasonably buffered against sudden disruptive events is emphasized. Mechanisms for achieving this goal through special congressional appropriations are considered.

Air Pollution↗
PubMed1986

Sources of hazardous waste in hospitals.

Knowing which hospital wastes the Environmental Protection Agency considers hazardous and which are considered nonhazardous can mean big dollar savings in proper handling and disposal costs.

Materials Management, Hospital↗
PubMed1990

Waterborne disease outbreaks, 1986-1988.

From 1986 to 1988, 24 states and Puerto Rico reported 50 outbreaks of illness due to water that people intended to drink, affecting 25,846 persons. The protozoal parasite Giardia lamblia was the agent most commonly implicated in outbreaks, as it has been for the last 10 years; many of these outbreaks were associated with ingestion of chlorinated but unfiltered surface water. Shigella sonnei was the most commonly implicated bacterial pathogen; in outbreaks caused by this pathogen, water supplies were found to be contaminated with human waste. Cryptosporidium contamination of a chlorinated, filtered public water supply caused the largest outbreak during this period, affecting an estimated 13,000 persons. A large multistate outbreak caused by commercially produced ice made from contaminated well water caused illness with Norwalk-like virus among an estimated 5,000 persons. The first reported outbreak of chronic diarrhea of unknown cause associated with drinking untreated well water occurred in 1987. Twenty-six outbreaks due to recreational water use were also reported, including outbreaks of Pseudomonas dermatitis associated with the use of hot tubs or whirlpools, and swimming-associated shigellosis, giardiasis, and viral illness. Although the total number of reported water-related outbreaks has been declining in recent years, the few large outbreaks due to Cryptosporidium, Norwalk-like agent, Shigella sonnei, and Giardia lamblia caused more cases of illness in 1987 than have been reported to the Water-Related Disease Outbreak Surveillance System for any other year since CDC and the Environmental Protection Agency began tabulating these data in 1971.

Centers for Disease Control and Prevention, U.S.↗
PubMed1989

Formaldehyde. Council on Scientific Affairs.

In response to Resolution 195 (A-87), the medical literature on the adverse health effects of formaldehyde was reviewed, and the potential cancer risk to anatomists and other related health professionals from exposure to the chemical is described. Though the evidence in humans is limited and controversial, both the Environmental Protection Agency and the Occupational Safety and Health Administration, in their consideration of available epidemiologic and toxicological studies, now regard formaldehyde as a possible human carcinogen and will regulate it accordingly.

Anatomy↗
PubMed1996

Setting exposure standards: a decision process.

Increased emphasis on routine screening of chemicals for potential neurotoxicity has resulted in the development of testing guidelines and standardized procedures. A multiphased, tiered-testing strategy has been proposed by numerous expert panels to evaluate large numbers of chemicals. In a regulatory context, however, a formal tiered-testing approach is not used, mostly because of the constraints of differing regulatory authorities and the potential cost of such a testing strategy. Instead, current regulatory decision making utilizes all available animal and human data to identify a critical adverse effect which is then used for setting standards. Although the current decision-making process does not use a formal tiered-testing approach, it appears to identify chemicals with neurotoxic effects. An analysis of U.S. Environmental Protection Agency integrated risk information system (IRIS) indicates that about 20% of the chemicals having standards or health advisories are based on neurotoxicity.

Algorithms↗
PubMed1998

Biological effects of low-level exposures: a perspective from U.S. EPA scientists.

Biological effects of low-level exposures (BELLE) may be very important in characterizing the potential health risks of environmental pollutants. Before some features of BELLE, such as effects that may be modulated by adaptive or defense mechanisms, can be taken into greater consideration in U.S. Environmental Protection Agency risk assessments, however adequate information on a toxicant's mode of action and answers to other questions are needed.

Adaptation, Physiological↗