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Socioeconomic and racial disparities in cancer risk from air toxics in Maryland.

We linked risk estimates from the U.S. Environmental Protection Agency's National Air Toxics Assessment (NATA) to racial and socioeconomic characteristics of census tracts in Maryland (2000 Census) to evaluate disparities in estimated cancer risk from exposure to air toxics by emission source category. In Maryland, the average estimated cancer risk across census tracts was highest from on-road sources (50% of total risk from nonbackground sources), followed by nonroad (25%), area (23%), and major sources (< 1%). Census tracts in the highest quartile defined by the fraction of African-American residents were three times more likely to be high risk (> 90th percentile of risk) than those in the lowest quartile (95% confidence interval, 2.0-5.0). Conversely, risk decreased as the proportion of whites increased (p < 0.001). Census tracts in the lowest quartile of socioeconomic position, as measured by various indicators, were 10-100 times more likely to be high risk than those in the highest quartile. We observed substantial risk disparities for on-road, area, and nonroad sources by socioeconomic measure and on-road and area sources by race. There was considerably less evidence of risk disparities from major source emissions. We found a statistically significant interaction between race and income, suggesting a stronger relationship between race and risk at lower incomes. This research demonstrates the utility of NATA for assessing regional environmental justice, identifies an environmental justice concern in Maryland, and suggests that on-road sources may be appropriate targets for policies intended to reduce the disproportionate environmental health burden among economically disadvantaged and minority populations.

Black or African American↗

Comparative sensitivity of sea urchin sperm bioassays to metals and pesticides.

A simple sperm/fertilization bioassay, primarily using sea urchin gametes, has been developed and used by a variety of laboratories. This assay was recently refined into a standard test and is now being used by the U.S. Environmental Protection Agency and others for toxicity testing in marine waters. One factor that has lagged behind the development of this assay is the comparison of its sensitivity to various common toxicants as compared to other bioassay systems and life stages of other marine organisms. The objective of this study was to compare the sensitivity of a standardized sea urchin sperm/fertilization assay to the responses of embryo, larval, and adult marine organisms to metals (Ag, Cd, Cu, Pb, Zn) and pesticides (DDT, Dieldrin, Endrin, Endosulfan) added to natural seawater. The results, although highly variable, generally showed that sperm/fertilization and embryo assays were quite sensitive to the metals tested, but that the larval and adult assays were more sensitive to the pesticides. These comparative data, together with other studies of complex effluents, show that the standardized sperm/fertilization bioassay is an especially quick and useful tool for biomonitoring of marine waters.

Animals↗

External exposure model in the RESRAD computer code.

An external exposure model has been developed for the RESRAD computer code that provides flexibility in modeling soil contamination configurations for calculating external doses to exposed individuals. This model is based on the dose coefficients given in the U.S. Environmental Protection Agency's Federal Guidance Report No. 12 (FGR-12) and the point kernel method. It extends the applicability of FGR-12 data to include the effects of different source geometries, such as cover thickness, source thickness, source area, and shape of contaminated area of a specific site. A depth factor function was developed to express the dependence of the dose on the source thickness. A cover-and-depth factor function, derived from this depth factor function, takes into account the dependence of dose on the thickness of the source region and the thickness of the cover above the source region. To further extend the model for realistic geometries, area and shape factors were derived that depend not only on the lateral extent of the contamination, but also on source thickness, cover thickness, and radionuclides present. Results obtained with the model generally compare well with those from the Monte Carlo N-Particle transport code.

Computer Simulation↗

Pesticide testing in humans: ethics and public policy.

Pesticide manufacturers have tested pesticides increasingly in human volunteers over the past decade. The apparent goal of these human studies is to establish threshold levels for symptoms, termed "no observed effect levels." Data from these studies have been submitted to the U.S. Environmental Protection Agency (EPA) for consideration in standard setting. There are no required ethical guidelines for studies of pesticides toxicity conducted in humans, no governmental oversight is exercised, and no procedures have been put in place for the protection of human subjects. To examine ethical and policy issues involved in the testing of pesticides in humans and the use of human data in standard setting, in February 2002 the Center for Children's Health and the Environment of the Mount Sinai School of Medicine convened an expert workshop for ethicists, physicians, toxicologists, and policy analysts. After a peer consensus process, participants developed a number of ethical and public policy recommendations regarding the testing of pesticides in humans. Participants also strongly encouraged active biomonitoring of every pesticide currently in use to track human exposure, particularly in vulnerable populations, and to assess adverse effects on health.

Environmental Exposure↗

Environmental exposure to benzene: an update.

During the 1990s, several large-scale studies of benzene concentrations in air, food, and blood have added to our knowledge of its environmental occurrence. In general, the new studies have confirmed the earlier findings of the U.S. Environmental Protection Agency Total Exposure Assessment Methodology (TEAM) studies and other large-scale studies in Germany and the Netherlands concerning the levels of exposure and major sources. For example, the new studies found that personal exposures exceeded indoor concentrations of benzene, which in turn exceeded outdoor concentrations. The new studies of food concentrations have confirmed earlier indications that food is not an important pathway for benzene exposure. The results of the National Health and Nutrition Examination Survey on blood levels in a nationwide sample of 883 persons are in good agreement with the concentrations in exhaled breath measured in about 800 persons a decade earlier in the TEAM studies. Major sources of exposure continue to be active and passive smoking, auto exhaust, and driving or riding in automobiles. New methods in breath and blood sampling and analysis offer opportunities to investigate short-term peak exposures and resulting body burden under almost any conceivable field conditions.

Air Pollutants↗

Automated sample preparation for monitoring groundwater pollution by carbamate insecticides and their transformation products.

We investigated automated on-line solid-phase extraction (SPE) followed by liquid chromatographic (LC) techniques for monitoring carbamates and their transformation products. Analytical determinations were performed by LC with UV or postcolumn fluorescence detection (U.S. Environmental Protection Agency Method 531.1 for carbamate insecticides) after preconcentration with on-line SPE using C18 Empore extraction disks. On-line SPE/LC/thermospray mass spectrometry with time-scheduled selected-ion monitoring was used as confirmatory method. The method was used to determine pesticide traces in well waters of a typical aquifer in the Almeria area (Andalucia, south of Spain) from March 1993 to February 1994. The major pollutants, found in highest amounts, were carbofuran, methiocarb, and methomyl, at levels of 0.32, 0.3, and 0.8 micrograms/L, respectively. According to results of seasonal variation studies, pollution by carbamate insecticides is sporadic and exceeds the limit of 0.5 micrograms/L for total pesticides allowed by the European Economic Community Drinking Water Directive only twice a year. 3-Hydroxycarbofuran and methiocarb sulfone also were detected, showing the importance of including the main toxic break-down products of carbamate insecticides in future monitoring programs.

Autoanalysis↗

Drinking water disinfection byproducts: review and approach to toxicity evaluation.

There is widespread potential for human exposure to disinfection byproducts (DBPs) in drinking water because everyone drinks, bathes, cooks, and cleans with water. The need for clean and safe water led the U.S. Congress to pass the Safe Drinking Water Act more than 20 years ago in 1974. In 1976, chloroform, a trihalomethane (THM) and a principal DBP, was shown to be carcinogenic in rodents. This prompted the U.S. Environmental Protection Agency (U.S. EPA) in 1979 to develop a drinking water rule that would provide guidance on the levels of THMs allowed in drinking water. Further concern was raised by epidemiology studies suggesting a weak association between the consumption of chlorinated drinking water and the occurrence of bladder, colon, and rectal cancer. In 1992 the U.S. EPA initiated a negotiated rulemaking to evaluate the need for additional controls for microbial pathogens and DBPs. The goal was to develop an approach that would reduce the level of exposure from disinfectants and DBPs without undermining the control of microbial pathogens. The product of these deliberations was a proposed stage 1 DBP rule. It was agreed that additional information was necessary on how to optimize the use of disinfectants while maintaining control of pathogens before further controls to reduce exposure beyond stage 1 were warranted. In response to this need, the U.S. EPA developed a 5-year research plan to support the development of the longer term rules to control microbial pathogens and DBPs. A considerable body of toxicologic data has been developed on DBPs that occur in the drinking water, but the main emphasis has been on THMs. Given the complexity of the problem and the need for additional data to support the drinking water DBP rules, the U.S. EPA, the National Institute of Environmental Health Sciences, and the U.S. Army are working together to develop a comprehensive biologic and mechanistic DBP database. Selected DBPs will be tested using 2-year toxicity and carcinogenicity studies in standard rodent models; transgenic mouse models and small fish models; in vitro mechanistic and toxicokinetic studies; and reproductive, immunotoxicity, and developmental studies. The goal is to create a toxicity database that reflects a wide range of DBPs resulting from different disinfection practices. This paper describes the approach developed by these agencies to provide the information needed to make scientifically based regulatory decisions.

Acetates↗

[Relationship between emergency consultations for respiratory diseases and air pollution in Juarez City, Chihuahua].

OBJECTIVE: To assess the relationship of < or = 10 microns particles (PM10) and atmospheric ozone concentrations, with the daily number of emergency visits due to asthma and acute respiratory diseases, among children aged under 15, living in Ciudad Juarez, Chihuahua, Mexico. MATERIAL AND METHODS: Between 1998 and 1999, an ecologic study was conducted. Atmospheric data were obtained from the Environmental Protection Agency (EPA), from eight monitoring stations located in Ciudad Juarez, Chihuahua, and EI Paso, Texas. From July 1997 to December 1998, data from emergency room visits for respiratory illness were abstracted from existing medical records of two Mexican Institute of Social Security (IMSS) hospitals in Ciudad Juarez. Diagnoses were classified into two groups: a) asthma, and b) upper respiratory infections (URI), according to the International Classification of Diseases (ICD-9 and/or IDC-10). Statistical analysis was carried out using the Poisson regression time series method. RESULTS: During the study period, the mean 24-hour PM10 level was 34.46 micrograms/m3 (SD = 17.99) and the mean ozone level was 51.60 ppb (SD = 20.70). The model shows that an increase of 20 micrograms/m3 in the mean 24-hour exposure to PM10 was related to an increase of 4.97% (95% CI 0.97-9.13) in emergency visits for asthma, with a 5-day lag, as well as to an increase of 9% (95% CI 1.8-16.8) when a cumulative 5-day exposure was considered. URI increased 2.95% as a cause of emergency room visits, for each 20 micrograms/m3 increase in the mean 24-hour exposure to PM10. The impact of PM10 on emergency visits for asthma was greater on days with ozone ambient levels exceeded 49 ppb (median value). CONCLUSIONS: A positive association was found between environmental PM10 and ozone concentrations and the daily number of emergency room visits due to asthma and acute respiratory diseases, even with levels lower than the Mexican standard levels. Also, a synergic effect between PM10 and O3 was found.

Acute Disease↗

Avian toxicity reference values for perfluorooctane sulfonate.

Toxicity reference values (TRVs) and predicted no effect concentrations (PNECs) were derived for perfluorooctane sulfonate (PFOS) based on the characteristics of a top avian predator. On the basis of the protective assumptions used in this assessment, the benchmarks are protective of avian populations and were based on acute and chronic dietary exposures of northern bobwhite quail and mallard. Toxicological endpoints included mortality, growth, feed consumption, and histopathology. Reproductive endpoints included egg production, fertility, hatchability and survival, and growth of offspring. On the basis of the U. S. Environmental Protection Agency Great Lakes Initiative methodology, and a lowest observable adverse effect concentration (LOAEC) of 10 mg PFOS kg(-1) feed, an uncertainty factor of 36 was derived. The TRV based on PFOS dietary intake was 0.021 mg PFOS kg(-1) body weight day(-1), while for serum, liver, and egg, TRVs were 1.7 microg PFOS mL(-1), 0.6 microg PFOS g(-1) wet weight, and 1.7 microg PFOS mL(-1), respectively. On the basis of the European Commission methodology, a correction factor of 2 (for lowest observed effect level to no observable effect level) and an assessment factor of 30, for a total adjustment of 60, were used to derive PNECs. PNECs based on dietary, mean serum, liver, and egg PFOS concentrations were 0.013 mg PFOS kg(-1) body weight day(-1), 1.0 microg PFOS mL(-1), 0.35 microg PFOS g(-1) wet weight, and 1.0 microg PFOS mL(-1), respectively.

Alkanesulfonic Acids↗

A hydrologic network supporting spatially referenced regression modeling in the Chesapeake Bay Watershed.

The U.S. Geological Survey has developed a methodology for statistically relating nutrient sources and land-surface characteristics to nutrient loads of streams. The methodology is referred to as SPAtially Referenced Regressions On Watershed attributes (SPARROW), and relates measured stream nutrient loads to nutrient sources using nonlinear statistical regression models. A spatially detailed digital hydrologic network of stream reaches, stream-reach characteristics such as mean streamflow, water velocity, reach length, and travel time, and their associated watersheds supports the regression models. This network serves as the primary framework for spatially referencing potential nutrient source information such as atmospheric deposition, septic systems, point-sources, land use, land cover, and agricultural sources and land-surface characteristics such as land use, land cover, average-annual precipitation and temperature, slope, and soil permeability. In the Chesapeake Bay watershed that covers parts of Delaware, Maryland, Pennsylvania, New York, Virginia, West Virginia, and Washington D.C., SPARROW was used to generate models estimating loads of total nitrogen and total phosphorus representing 1987 and 1992 land-surface conditions. The 1987 models used a hydrologic network derived from an enhanced version of the U.S. Environmental Protection Agency's digital River Reach File, and course resolution Digital Elevation Models (DEMs). A new hydrologic network was created to support the 1992 models by generating stream reaches representing surface-water pathways defined by flow direction and flow accumulation algorithms from higher resolution DEMs. On a reach-by-reach basis, stream reach characteristics essential to the modeling were transferred to the newly generated pathways or reaches from the enhanced River Reach File used to support the 1987 models. To complete the new network, watersheds for each reach were generated using the direction of surface-water flow derived from the DEMs. This network improves upon existing digital stream data by increasing the level of spatial detail and providing consistency between the reach locations and topography. The hydrologic network also aids in illustrating the spatial patterns of predicted nutrient loads and sources contributed locally to each stream, and the percentages of nutrient load that reach Chesapeake Bay.

Delaware↗

Total organic carbon analyzers as tools for measuring carbonaceous matter in natural waters.

For some utilities, new US drinking water regulations may require the removal of disinfection byproduct (DBP) precursor material as a means of minimizing DBP formation. The Environmental Protection Agency's Stage 1 DBP Rule relies on total organic carbon (TOC) concentrations as a measure of the effectiveness of treatment techniques for removing organic material that could act as DBP precursors. Accordingly, precise and accurate methods are needed for the determination of TOC and dissolved organic carbon (DOC) concentrations in raw and finished potable water supplies. This review describes the current analytical technologies and summarizes the key factors affecting measurement quality. It provides a look into the fundamental principles and workings of TOC analyzers. Current peroxydisulfuric acid wet ashing methods and combustion methods are discussed. Issues affecting quality control, such as non-zero blanks and preservation, are covered. Some of the difficulties in analyzing water for TOC and DOC that were identified up to 20 years ago still remain problematic today. Limitations in technology, reagent purity, operator skill and knowledge of natural organic matter (NOM) can preclude the level of precision and accuracy desirable for compliance monitoring.

Carbon↗

The ecological condition of Gulf of Mexico resources from Perdido Key to Port St. Joe, Florida: Part II near-shelf coastal resources.

In 1999, the United States Environmental Protection Agency Gulf Ecology Division initiated a pilot study to assess the condition of nearshore coastal resources. Near-shelf areas associated with coastal beaches are susceptible to land based activities, but are not consistently monitored. Additionally, few or no marine water quality criteria exist for evaluating these waters. The goal of this pilot study was to assess the ecological condition of Gulf of Mexico near-shelf resources using a probability-based survey design. Data are used to generate a baseline assessment of condition in coastal nearshore areas and provide a comparative tool for evaluating future trends in condition. Water quality, sediment quality and benthic diversity data can provide a baseline assessment for managers to evaluate the potential for future problems such as nutrient over-enrichment, sediment contamination and degraded biological condition. We present results from a probability-based survey demonstration assessing near-shelf resources along the Florida panhandle.

Caribbean Region↗

Correlation of polychlorinated naphthalenes with polychlorinated dibenzofurans formed from waste incineration.

Isomer composition of polychlorinated naphthalenes (PCNs) was measured for municipal waste incinerator fly ash samples and for emission samples produced from soot and copper-deposit experiments conducted at the United States Environmental Protection Agency (US-EPA). Two types of PCN isomer patterns were identified. One pattern contained specific PCN isomers in which chlorine atoms are substituted as if the peri(alpha-) position were dechlorinated from the higher chlorinated PCNs one by one. In another pattern, the isomers had a tendency for the chlorine atoms to assume successive positions on the naphthalene ring, which may be caused by specifically oriented chlorination. Some of these isomers increased, together with several polychlorinated dibenzofuran (PCDF) and a few polychlorinated dibenzo-p-dioxin (PCDD) isomers. The ratios between some specific PCN, PCDF, and PCDD isomers measured for the fly ash samples agree with those obtained from the soot and copper-deposit experiments. The observations suggest that these isomers were formed possibly from de novo synthesis utilizing the carbon structure contained in soot under the catalytic effect of a copper compound. Typical isomers for PCNs and PCDFs produced from incineration emissions were identified.

Air Pollutants↗

Development of source testing, analytical, and mutagenicity bioassay procedures for evaluating emissions from municipal and hospital waste combustors.

Incineration is currently being used for disposal of about 10% of the solid waste generated in the United States, and this percentage will likely increase as land disposal declines. Siting new incinerators, however, is often controversial because of concerns related to the possibility of adverse health effects and environmental contamination from long-term exposure to stack emissions. Specific concerns relate to the adequacies of a) stack emission testing protocols, b) existing regulations, and c) compliance monitoring and enforcement of regulations. U.S. Environmental Protection Agency laboratories are cooperatively conducting research aimed at developing new testing equipment and procedures that will allow a more comprehensive assessment of the complex mixture of organics that is present in stack emissions. These efforts are directed specifically toward developing source testing equipment and procedures, analytical procedures, and bioassay procedures. The objectives of this study were to field test two types of high-volume source dilution samplers, collect stack samples for use in developing analytical and mutagenicity bioassay procedures, and determine mutagenicity of organics associated with emission particles from two municipal waste combustors and a hospital waste combustor. Data are presented for particle concentrations and emission rates, extractable organic concentrations and emission rates, and Salmonella (Ames) mutagenic potency and emission rates. The mutagenic emission rates and emission factors are compared to other incinerators and combustion sources.

Air Pollutants↗

Air contaminant exposures during the operation of lawn and garden equipment.

The US Environmental Protection Agency (EPA) initiated the Small Engine Exposure Study (SEES) to evaluate potential exposures among users of small, gasoline-powered, non-road spark-ignition (SI) lawn and garden engines. Equipment tested included riding tractors, walk-behind lawn mowers, string trimmers, and chainsaws. Personal and background air quality measurements were collected on equipment operators for carbon monoxide (CO), particulate matter <or=2.5 microm in aerodynamic diameter (PM(2.5)), volatile organic compounds (VOCs), and aldehydes. PM(2.5) measurements included continuous and integrated mass, elemental and organic carbon (EC/OC), and trace metals. Aldehyde measurements included speciation for formaldehyde and acetaldehyde. The results demonstrated that equipment operators can experience elevated exposures to CO, PM(2.5) and air toxics while operating these engines. Ten-second average CO personal exposures spanned over two orders of magnitude, with short-term concentrations exceeding 120 p.p.m. for some engine applications tested. PM(2.5) concentrations averaged over each engine test period also spanned two orders of magnitude. The results also suggest that health standards, such as the CO and PM(2.5) National Ambient Air Quality Standards (NAAQS), may be exceeded for certain equipment types under certain operating scenarios. Aldehyde measurements suggested exposures from primary engine emissions that exceed typical ambient concentrations, but do not exceed occupational health standards. Continuous exposure measurements illustrated the important role of the operator's activity and environmental conditions in affecting exposure levels.

Air Pollutants↗

Personal exposure to environmental tobacco smoke: salivary cotinine, airborne nicotine, and nonsmoker misclassification.

A large study was conducted to assess exposure to environmental tobacco smoke (ETS) in a geographically dispersed study population using personal breathing zone air sampling and salivary cotinine levels. Approximately 100 self-reported nonsmoking subjects in each of 16 metropolitan areas were recruited for this investigation. Cumulative distributions of salivary cotinine levels for subjects in smoking and nonsmoking homes and workplaces exhibited a general trend of decreasing salivary cotinine levels with decreasing time spent in smoking environments. Median salivary cotinine levels for the four experimental cells in the study (product of smoking and nonsmoking home and workplaces) were comparable to those reported for a large national study of serum levels of cotinine (Third National Health and Nutrition Examination Survey, NHANES III), when the latter was corrected for expected differences between serum and saliva concentrations. However, the most highly exposed group in this study had a median salivary cotinine concentration approximately a factor of 2 greater than that of the comparable group in the NHANES III study. Misclassification rates, both simple (for self-reported nonsmokers) and complex (self-reported lifetime never smokers), were near the median of those reported for other studies. Estimated misclassification rates for self-reported lifetime never-smoking females are sufficiently high (2.95% using a discrimination level of 106 ng/ml) that, if used in the Environmental Protection Agency (EPA) risk assessment related to ETS and lung cancer, would place the lower 90% confidence interval (CI) for relative risk at nearly 1.00, i.e., no statistically significant increased risk. For the 263 most highly exposed subjects in the study whose self-reported nonsmoking status was accurate, the correlation between airborne exposure to nicotine and average salivary cotinine is so small, on an individual basis, that it makes the relationship useless for estimating exposure on a quantitative basis. When subjects are grouped according to likely categories of nicotine exposure, correlation between group median airborne nicotine exposure and salivary cotinine level increases dramatically. The comparison improves for the most highly exposed subjects, suggesting that such quantitative comparisons are useful for only those subjects who are exposed to the higher levels of ETS. However, airborne nicotine exposure for most of the subjects does not account for estimated systemic levels of nicotine, based on salivary cotinine levels.

Adolescent↗

Can cohort studies detect any human cancer excess that may result from exposure to dioxin? Maybe.

We use the available information about concentrations of dioxin in highly exposed humans along with estimates of the half-life of dioxin and durations of exposure to calculate lifetime average daily doses (LADDs) of dioxin in those populations. We compare those LADDs to the LADDs of dioxin used in rodent carcinogen tests, and we also compare the tissue levels of dioxin in exposed humans and the test rodents. Using the maximum likelihood estimate of the Environmental Protection Agency's (EPA) calculated potency factor for the carcinogenicity of dioxin, we calculate the number of cancers that dioxin might be expected to cause in the exposed human populations. If dioxin causes an increase in total cancers or of a common cancer such as lung cancer, the calculated expected increases in cancer are below the limit of detectability in epidemiologic studies. If, on the other hand, dioxin causes a tumor with incidence comparable to that of soft tissue sarcomas, the calculated expected increases should be detectable in dioxin-exposed chemical workers and in the Seveso population. Our calculations lead to the conclusion that the failure of epidemiology to produce convincing evidence of any chronic human health effects from dioxin probably results from the relatively low exposures experienced by humans. From our analyses, there is no reason to allude to differential sensitivities between test animals and humans to explain the lack of convincing evidence for dioxin causing human cancers.

Adult↗

Use of retrospective data to assess ecotoxicological monitoring needs for terrestrial vertebrates residing in Atlantic coast estuaries.

The "Contaminant Exposure and Effects-Terrestrial Vertebrates" (CEE-TV) database contains 4,336 records of ecotoxicological information for free-ranging amphibians, reptiles, birds, and mammals residing in Atlantic and Florida Gulf coast estuaries and their drainages. To identify spatial data gaps, those CEE-TV records for which the specific study location were known (n = 2,740) were combined with watershed and wildlife management unit boundaries using Geographic Information Systems software. The US Environmental Protection Agency's Index of Watershed Indicators (IWI), which classifies watersheds based on water quality and their vulnerability to pollution, was used to prioritize these data gaps. Of 136 watersheds in the study area, 15 that are classified by the IWI as having water quality problems or high vulnerability to pollution lacked terrestrial vertebrate ecotoxicological monitoring or research in the past decade. Older studies within some of these watersheds documented high levels of contaminants in wildlife tissues. Of 90 National Wildlife Refuge units, 42 without current data fall within watersheds of concern. Of 40 National Park units larger than 1 km2, 17 without current data fall within watersheds of concern. Issues encountered in this analysis highlighted the need for spatially and temporally replicated field monitoring programs that utilize random sampling. Without data from such studies, it will be difficult to perform unbiased assessments of regional trends in contaminant exposure and effects in terrestrial vertebrates.

Animals↗