EPA-450/5-82-001
REVIEW OF THE NATIONAL AMBIENT AIR QUALITY STANDARDS  FOR  PARTICULATE MATTER:

           ASSESSMENT OF SCIENTIFIC AND TECHNICAL  INFORMATION
                            OAQPS STAFF PAPER
                    Strategies and Air Standards Division
                Office  of Air Quality Planning and Standards
                    U.S.  Environmental Protection Agency
                     Research Triangle Park, N.C.  27711
                              January,  1982
                        U.S. Environmental Protection Agency
                        Region V,  Library
                        230  South Dearborn  Street
                        Chicago, Illinois  60604    ...

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                                   11

                            ACKNOWLEDGMENTS

     This staff paper is the product of the Office of Air Quality
Planning and Standards (OAQPS).  The principal  authors include John
Bachmann, Larry Zaragoza, Jeff Cohen,  and John  Haines.  The report
includes comments from OAQPS, the Office of Research and Development,
and the Office of General Counsel within EPA and was formally reviewed
by the Clean Air Scientific Advisory Committee.
     Helpful comments and suggestions  were also  submitted by a number
of independent scientists, by officials from several state agencies
(California, New York, Arizona and Massachusetts), and by environmental
and industrial groups including the National Resources Defense Council,
the National Audubon Society, the Sierra Club,  the American Iron  and Steel
Institute, the American Mining Congress, the American Petroleum Institute,
the Utility Air Regulatory Group, and  the Non-Ferrous Smelter Companies.
                    jS. Environmental Protection Asomy

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                                         TABLE  OF CONTENTS
^        List  of  Figures	     v
          List  of  Tables	    vi
          Executive  Summary  	    ix
 ^"^
^           I.   Purpose	     1
           II.   Background	     1
 ^       III.   Approach	     3
£          IV.   Air  Quality  Considerations   	     6
                A.   Historical  Trends  	     7
                B.   Current  U.S. Aerosols	    14
            V.   Critical Elements  in the Review  of  the  Primary  Standards   ...    23
t               A.   Mechanisms	    23
                B.   Effects  of  Concern	    40
                C.   Sensitive Population Groups  	    45
                D.   Concentration/Response  Information   	    48
           VI.   Factors  to be Considered in  Selecting Primary Standards  for
                Particles	    64
                A.   Pollutant Indicator(s)   	    64
                B.   Averaging Time and Form  of the  Standards	    79
*               C.   Level  of the Standards	    83
                D.   Summary  of  Staff Conclusions  and Recommendations   	   Ill
          VII.   Critical Elements  in the Review  of  the  Secondary  Standard  ...   115
                A.   Visibility  and Climate	   115
                B.   Materials Damage and Soiling  	   135
                C.   Vegetation  Damage  	   141
                D.   Personal Comfort and Well-Being 	   143
^               E.   Acid Deposition	145
                F.   Summary  of  Staff Conclusions  and Recommendations   	   145
          Appendix A - Factors  that Influence Deposition  and Clearance of
                      Particles	A-l
^               A.   Inhalation  Patterns  	   A-l
                B.   Subject  Airway Dimensions, Disease  State  	   A-2
                C.   Aerosol  Composition  	   A-4

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IV
                                    Page
                                    B-l
Appendix B - Evaluation of Evidence for Effects of Concern  ....
      A.  Respiratory Mechanics and Symptoms  	   B-l
      B.  Aggravation of Existing Respiratory and Cardiovascular
          Disease	B-l 7
      C.  Alterations in Host Defense Mechanisms—Clearance and
          Infection	B-20
      D.  Morphological Damage  	   B-28
      E.  Cancer	B-35
      F.  Mortality	B-40
Appendix C - Visibility—Effects, Mechanisms and Quantitative
             Relationships  	   C-l
      A.  Evaluation of Visibility  	   C-l
      B.  Mechanisms and Quantitative Relationships 	   C-8
Appendix D - Major Particle Indicators   	 D-l
Appendix E - CASAC Closure Memorandum 	   E-l
References

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•                                               v

                                        LIST  OF  FIGURES



gt.          Number                                                           Page

            4-1        Trends in TSP and Benzene  Soluble  Organics  at a
                      Central  London Site and TSP Trends for New  York	  9

 »~          4-2        Grand Average Volume Size  Distribution for  Seven
Q                    Sites in the California ACHEX Study	  15

            4-3        Bimodal  Mass-Size Distributions	-  15

            4-4        Results  of Microscopy/Chemical Analyses of  Urban
                      Particles	  17

            5-1        Regional Deposition of  Monodisperse Aerosols  by
                      Indicated Particle Diameter for  Mouth  Breathing
                      and Nose Breathing	  26

            6-1        Conceptual Relationship Between  Level  of Standard
~                     and Size Indicator	  87
t
            6-2        Average  Deviations of Daily Mortality  from  15-day
                      Moving Averages by Concentrations  of Smoke  (BS) and
                      SC>2 (London, November 1,  1958 to January 31,  1959)	  91

            6-3        Hypothetical Concentration-Response Curves  Derived
*                     from Regressing Mortality  on Smoke in  London  During
                      Winters  1958/59 to 1971/72	  93

            7-1        Median 1974-76 Visibilities and  Visibility  Isopleths
                      for Suburban/Nonurban Airports	  117

^           7-2        Visual Range as a Function of Fine Mass
                      Concentration	  124

            7-3        Cumulative Frequency Distributions of  Visibility  at
                      Urban/Suburban Locations	  131

9           7-4        Summertime Fine Particle Levels  at Non-Urban  Sites	  134

            B-1        Concentration Response  Relationship for Two Sulfate
                      Aerosols in Guinea Pigs	  B-5

            B-2        Bacterial  Mutagenicity  of  Three  Organic Fractions of
I                     Size Specific Particulate  Matter	  B-37

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                                    VI


                              LIST OF TABLES
Number                                                           Page

1         Staff Assessment of Short-Term Epidemiological
          Studies	 xiv

2         Staff Assessment of Long-Term Epidemiological
          Studi es	 xvi

4-1       Comparison of Measured Components of TSP in U.S.
          Cities (1960-65) and Maximum 1-hour Values in
          London (1955-63)	 11

4-2       Normal Size Ranges for Commonly Found Chemicals,
          Based on Impactor Studi es	 17

4-3       Characterization of Particulate Matter Concen-
          trati ons	'20

5-1       Major Regions of the Respiratory Tract	 24

5-2       Possible Responses to Particle Deposition in the
          Respiratory Tract	 32-33

5-3       Sensitive Population Groups	 46

5-4       Summary of Epidemiological Studies Providing Most
          Useful Concentration/Response Information for Acute
          Particle Exposures	 51

5-5       Summary of Epidemiological Studies Providing Most
          Useful Concentration/Response Information for
          Long-Term Particle Exposures	 58

6-1       Standard Level as a Function of Exceedances	82

6-2       Assessment of Short-Term Epidemiological Studies	97

6-3       Assessment of Long-Term Epidemiological Studies	 105

7-1       Summary of Qualitative Evidence for Visibility
          Related Values	 120

7-2       Visibility Associated with Alternative Primary
          Standards	 125

B-l       Respiratory Diseases and Related Impairments
          Associated with Occupational Exposures to
          Particles	 B-2

B-2       Effects of Sulfuric Acid and Other Sulfates on
          Respiratory Mechanics and Symptoms	 B-6

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                                   vn

                              LIST OF TABLES
Number                                                            Page

B-3       Evidence From Epidemiological Studies Showing
          Qualitative Associations Between Changes in
          Respiratory Mechanics and Symptoms and Exposure
          to Particles	  B-14-15

B-4       Evidence From Epidemiological Studies Showing
          Qualitative Associations Between Aggravation
          of Pre-Existing Cardio-Respiratory Disease
          and Exposure to Particles	  B-18

B-5       Effects of Sulfuric Acid, Carbon Exposure on
          Mucociliary Clearance	  B-21

B-6       Effect of Particulate Matter on Host Defense
          Systems	  B-23

B-7       Evidence From Epidemiological Studies Showing
          Qualitative Associations Between Respiratory
          Tract Infections/Altered Clearance and Exposures
          to Particles	  B-26-27

B-8       Results of Selected Long-Term Animal Studies of
          Effects of Lung Structure and Function	  B-29

B-9       Retrospective Pathology Studies	  B-32

B-10      Evidence From Epidemiological Studies Showing
          Qualitative Associations Between Short-Term Changes
          in Mortality and Exposure to Particles	  B-41

B-ll      Evidence From Retrospective Regression Analyses
          Relating Mortality Rates to Chronic Sulfur-
          Containing Particle Exposure	  B-46-47

C-l       Summary Results of Iterative Bidding Visibility
          Studies	  C-4

D-l       Terms Used in the Staff Paper to Indicate
          Particulate Matter 	  D-2

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                                      7X
                           EXECUTIVE SUMMARY
     This paper evaluates and interprets the available scientific and
technical information that the EPA staff believes is most relevant to the
review of primary (health) and secondary (welfare) National Ambient Air
Quality Standards (NAAQS) for particulate matter and presents staff recom-
mendations on alternative approaches to revising the standards.  Review of
the NAAQS is a periodic process instituted to ensure the scientific
adequacy of air quality standards and is required by Section 109 of the
1977 Clean Air Act Amendments.  The assessment in this staff paper is
intended to help bridge the gap between the scientific review contained
in the EPA criteria document "Air Quality Criteria for Particulate Matter
and Sulfur Oxides" and the judgments required of the Administrator in setting
ambient standards for particulate matter.  The staff paper is, therefore,
an important element in the standards review process and provides an
opportunity for public comment on proposed staff recommendations before
they are presented to the Administrator.
     Particulate matter represents a broad class of chemically and physically
diverse substances that exist as discrete particles (liquid droplets or
solids) ranging in size from molecular clusters of about 0.005 micrometers
(ym) to coarse dusts on the order of 100 urn.   Particles originate from a
variety of stationary and mobile sources and may be emitted directly or
formed in the atmosphere by transformations of gaseous emissions such as
SOp.  The major chemical and physical properties of particulate matter
vary greatly with time, region, meteorology and source category, complicating
the assessment of health and welfare effects  as related to various indica-
tors of particulate pollution.  Typical  particle distributions reveal
differences in origin and composition for fine particles (< 2.5 ym)  and

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r
             coarse particles  (> 2.5 urn).  The reference method for the current standards
             for particulate matter is the "hi volume" sampler which collects particulate
             matter of particle sizes up to 25-45 urn (so called "Total Suspended
             Particulate" or TSP).
                  At elevated  concentrations, particulate matter can adversely affect
             human health, visibility, climate, materials, economic values, personal
             comfort and well-being, and vegetation.  Components of particulate matter
             (e.g., sulfuric acid) also contribute to acid deposition.  Typical long-
                                                             3
             term average levels of TSP range from 20-40 pg/m  in rural areas to over 150
             pg/m  in the most polluted urban industrial areas.  Maximum 24-hour TSP
             concentrations exceed 500 pg/m .  Long-term fine particle (< 2.5 pm) levels
                                   3                                             3
             range from 2 to 5 pg/m  in isolated arid western areas to 20-25 pg/m  in
             the rural East.   The highest annual fine particle levels, on the order of
             50 pg/m , occur in the most polluted urban industrial areas.
             Primary Standards
                  The staff has reviewed scientific and technical information on the
             known and potential health effects of particulate matter cited in the
             criteria document.  The information includes studies of respiratory tract
             deposition of particles, studies of mechanisms of toxicity, effects of
             high exposures to various particulate substances in controlled human and
             animal studies, epidemiological studies, and air quality information.
             Based on this review, the staff derives the following conclusions.
                  1)   The mechanisms by which inhaled particles may pose health risks
                       involve (a) penetration into and deposition of particles in the
                       various regions of the respiratory tract, and (b) the biological
                       responses to the deposited materials.
                  2}   The risks of adverse effects associated with deposition of ambient
                       fine and coarse particles in the thorax (tracheobronchial and

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                                     XT
          alveolar regions of the respiratory tract)  are markedly greater
          than for deposition in the extrathoracic (head) region.  Maximum
          particle penetration to the thoracic regions occurs during oronasal
          or mouth breathing.
     3)   The major effects categories of concern associated with high expo-
          sures to particulate matter include:  (a)  effects  on respiratory
          mechanics and symptoms, (b) aggravation of  existing respiratory and
          cardiovascular disease, (c) effects on clearance and other host
          defense mechanisms, (d) morphological  alterations, (e)  carcinogenesis,
          and (f) mortality.
     4)   The major subgroups of the population  that  appear  likely to be  most
          sensitive to the effects of particulate matter include:  (a) indivi-
          duals with chronic obstructive pulmonary or cardiovascular disease,
          (b) individuals with influenza, (c) asthmatics, (d) the elderly,
          (e) children, (f) smokers, and (g)  mouth or oronasal  breathers.
     5)   Although controlled animal and human studies,  and  qualitative
          epidemiological results can provide important  insights  into the
          health risks from particles, the most  useful  concentration-response
          information comes from a limited set of community  epidemiological
          studies conducted over the last 25  years in Great  Britain and the
          United States.
     Based on the scientific and technical  reviews as well as policy con-
siderations, the staff makes the following recommendations with respect
to primary particulate matter standards.
     1)   Despite the variability in the composition  of  ambient particles
          with time and space, the available  data suggest that reductions  in
          ambient particulate matter in  Great Britain and the U.S.  have

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                                 xi i
     benefited public health and reduced the need for separate control
     programs for many of the more innately toxic components of parti -
     culate matter.   Elevated particulate matter exposures in current
     U.S. settings most frequently occur without concomitant high
     S02 levels.   Considering these observations, a separate general
     particulate matter standard remains a reasonable public health
     policy choice.
2)   The current TSP standard directs control  efforts towards particles
     of lower risk to health because of its inclusion of larger particles
     which can dominate the measured mass concentration, but which are
     deposited only  in the extrathoracic region.   A new particle
     indicator representing those particles capable of penetrating the
     thoracic regions (thoracic particles, TP) is recommended.  Protec-
     tion of sensitive individuals breathing oronasally or by mouth,
     sampler reliability, and the convention recently adopted by the
     International Standards Organization (ISO) suggest that the
     particle size range include those particles  less than a nominal
     10 vim (DCQ).  Sampler performance criteria should be related to
     respiratory tract deposition data.  Prototype samplers meeting
     these criteria  are being field tested; reliable commercially
     available models must await test results.
3)   Both short-term (24-hour) and annual arithmetic mean standards
     are recommended.  The short-term standard should be expressed in
     statistical form with the decision on the allowable number of
     exceedances made in conjunction with establishing a level for
     the standard.
4)   Selecting a level for a particulate matter standard with an
     adequate margin of safety will involve a number of uncertainties

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                                   xi i i
          in addition to those involved in making judgments on health
          risks associated with specific substances such as CO or SCL.
          Quantitative assessments must be based on limited epidemiological
          studies conducted in times and places where pollutant composition
          may have varied considerably from current U.S. atmospheres.  Epidemio-
          logical studies are generally subject to a number of inherent
          difficulties involving confounding variables and somewhat limited
          sensitivity.  Most studies have used British smoke (a pseudo
          mass indicator related to small particle (< 4.5 ym) darkness) or
          TSP as particle indicators.   None of the published studies have
          used the recommended TP (< 10 ym) indicator.  Thus, appropriate
          assumptions must be used to express available results in common
          units.
     The staff assessment of short-term epidemiological data is summarized
in Table 1; levels are expressed in both the original and TP units.  The
"effects likely" row denotes concentration ranges derived from the criteria
document at or above which there appears greatest certainty that effects
would occur.  The data do not, however, show evidence of clear population
thresholds but suggest a continuum of response with both the risk of effects
occurring and the magnitude of any potential effect decreasing with concen-
tration.  Thus, effects may be possible at levels below those listed in
the "effects likely" row, but the evidence and risks at lower levels are
much less certain.
     Based on this staff assessment,  the range of 24-hour TP levels of
interest are 150 to 350 yg/m .  Under the conditions prevailing during the
London studies, the upper end of the range represents levels at which
effects are likely in the sensitive populations studied.  Given the uncer-
tainties in translating these results  to U.S.  conditions and the seriousness

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                                                          XIV
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-------
                                     XV



of the potential health effects, the upper end of the above range contains



no identifiable margin of safety and should not be considered as an appro-



priate standard alternative.   The uncertainties and the nature of the



potential effects are important margin-of-safety considerations.  Neither



the studies summarized above  nor more qualitative studies of effects in



other sensitive population groups (e.g., asthmatics, children), or effects



in controlled human or animal  stuides provide scientific support for health



risks of consequence below 150 yg/m .  These qualitative data as well  as



factors such as aerosol composition and exposure characteristics should



also be considered in evaluating margins of safety associated with alterna-


                                       3                            3
tive standards in the range of 150 yg/m  to something below 350 yg/m .



     The staff assessment of  important long-term epidemiological data is



summarized in Table 2.  Long-term epidemiological studies are subject to



additional confounding variables that reduce their sensitivity and make



interpretation more difficult.  The "effects likely" levels are derived



from the criteria document, but again, no clear population thresholds



exist for all effects indicators.  Some risk of effects are possible at



lower levels, but these are uncertain and difficult to detect in these



studies.



     Based on this staff assessment, the range of annual TP levels of

                           •3

interest are 55 to 110 yg/m .   The upper end of this range overlaps the



somewhat uncertain "effects levels" derived from these studies.  Due to

                                                         o

these uncertainties, the upper end of the range (110 yg/m ) may not include



any margin of safety, and should not be considered as an appropriate



standard alternative.  The lower end (55 yg/m ) represents a level where



some risk of symptomatic effects might remain but no detectable differences



in pulmonary function or marked increases in respiratory diseases are



expected.  Increases in symptomatic effects at the lower levels are uncertain



and small in comparison to baseline rates.

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                                  xvn
     When evaluating margins of safety for an annual  standard, it is
particularly important to examine the results of qualitative data from a
number of epidemiological, animal, and air quality studies.   These
suggest concern for effects not directly evaluted in  the studies listed in
Table 2.  Such effects include damage to lung tissues contributing to chronic
respiratory disease, cancer, and premature mortality.  The available scientific
data do not suggest major risks for these effects categories at current ambient
particle levels in most U.S. areas.   Nevertheless, the risk  that both fine
and coarse particles may produce these responses supports the need to
limit long-term levels of TP for a variety of aerosol compositions.
     Because of different form, averaging procedure and size range,-
precise comparisions between the above ranges of TP standards and the
current primary TSP standards are not possible.*  The lower  bounds,  taken
together, result in standards roughly equivalent in stringency to the
current standards.  In general, the  rest of the ranges represent increasing
degrees of relaxation as compared with the current standards.  At the lower
concentrations in the ranges, much of the relaxation  would result because
only smaller particle sizes would be collected.  Thus, a city where  exceedance
of the TSP standard was largely dominated by coarse mode dust (with  sub-
stantial mass of particles greater than 10 ym) would  be less likely  to
violate a comparable TP standard than would an area where exceedance of
the TSP standard was dominated by particles smaller than 10  urn.   At  higher
concentrations in the above ranges,  standards would permit increased levels
for TP as well as for larger particles.
*By applying observed TP/TSP ratios and other factors,  crude comparisons  can
be made.  The current annual TSP standard (75 yg/m , geometric mean)  is
roughly equivalent to an arithmetic mean of 50 yg/m  as TP.   The numerical
value of the 24 hr TSP standard (260 yg/m ) is roughly  equivalent to  140
yg/m  TP, but this does not account for differences between  the deterministic
(current standard) and recommended statistical form.

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                                    xviii
Secondary Standards
     The staff examined information in the criteria document relevant to
the review of the secondary standards.  Categories of welfare effects
examined include visibility and climate, man-made materials, vegetation,
and personal  comfort and well-being.  Major staff conclusions and recommenda-
tions are summarized below.
     1)   a)   Impairment of visibility by fine particles over urban to multi-
          state regions clearly affects public welfare.   Fine particles or
          major constituents thereof also are implicated in climatic effects,
          materials damage, soiling, and acid deposition.  Neither the
          current secondary TSP standard nor the recommended ranges of TP
          standards will protect visibility in an effective manner.  The
          staff, therefore, recommends consideration of a fine particle
          secondary standard, based primarily on the relatively well-defined
          quantitative relationships between fine mass and visibility.
          b)  If a fine particle standard is selected, a seasonal (calendar
          quarter) averaging time could provide a statistically stable target
          and yet achieve most short or long-term visibility goals.
          Consideration should be given to specifying a spatial average of
          three or more monitors placed at distances on the order of 16-50 km.
          c)  Despite the fact that the public is concerned about visibility
          and is willing to pay something for clean air, quantitative bases
          for evaluating visibility goals have not been established.  There-
          fore, the level of any standard must be based on the judgment of
          the Administrator after consideration of aesthetics and transporta-
          tion, as well as non-visibility related effects.  The staff recom-
          mends that any national standards focus on welfare effects associated

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                            XIX
with multistate eastern regional (and western urban) haze.  Such
standards would not of themselves protect sensitive scenic areas
of the West, but these areas are directly and indirectly addressed
by other provisions of the Clean Air Act.
d)  Empirical ranges for standards can be derived from approximate
estimates of eastern natural background and current summertime
fine particle levels.  The range thus derived is 8-25 pg/m , seasonal
and spatial average.  The upper portion of the range would tend to
maintain the status quo in the East.  Current summertime visual
range in much of the East is about 9-15 miles.  Because the lower
portion of the range approaches natural background levels, standards
set at the lower levels would be, in all practicality, unattainable
in most of the eastern U.S.  Estimated summertime visibility under
eastern natural background conditions is on the order of 3 to 5 times
greater than under current conditions.
e)  Because regional fine particles in the East appear to be
influenced most strongly by sulfates, adoption of a fine particle
standard would trigger a substantial departure from current
approaches to particle control strategies.  The evidence suggests
that multistate control of regional sulfur oxide emissons might
be needed to reduce fine particle levels.  Thus, fine particle/
visibility-climate effects are linked to acid deposition, and
these problems would likely be ameliorated by similar control
strategies.  Addressing these welfare effects with a common
standard or control strategy is likely to be more efficient
than establishing separate control approaches for each.
Appropriate scientifically based targets and control strategies
for acid deposition are not yet available.

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                               XX
2)   Although potential  effects on climate support the consideration of
     a fine particle standard,  quantitative relationships  are not well
     enough developed to provide the principal  basis  for selecting
     the level  of the standard.
3)   Consideration should be given to soiling and nuisance effects in
     determining whether a secondary standard for TP  or for TSP or some
     other large particle indicator is desirable to supplement the
     primary health and  secondary fine particle standards.   The available
     data base on such effects  is, however, largely qualitative.   There-
     fore, the basis for selecting a particular level  for  a secondary
     TP or TSP standard  is a matter of judgment.
4)   While chemically active fine mode and hygroscopic coarse mode
     particles have been qualitatively associated with materials
     damage, the available data do not clearly suggest major effects
     of particles on materials  for concentrations at  or below the
     ranges recommended  for the primary health and secondary visibility
     standards.  Therefore, a secondary standard based solely on
     materials damage is not recommended.
5)   The staff concludes that a secondary  particle standard is not
     needed to protect vegetation.
6)   The acid deposition issue will not be addressed  directly in  the
     review of the particulate matter standards.

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REVIEW OF THE NATIONAL AMBIENT AIR QUALITY STANDARDS FOR PARTICULATE MATTER:
           ASSESSMENT OF SCIENTIFIC AND TECHNICAL INFORMATION

                           OAQPS STAFF PAPER

I.  PURPOSE

     This paper evaluates and interprets the most relevant scientific and

technical information reviewed in the draft EPA document "Air Quality

Criteria for Particulate Matter and Sulfur Oxides" (EPA, 1981) in order to

better specify the critical elements which EPA staff believes should be

considered in the possible revision of the primary and secondary particulate

matter National  Ambient Air Quality Standards (NAAQS).  This assessment is

intended to help bridge the gap between the scientific review contained

in the criteria document and the judgments required of the Administrator

in setting ambient standards for particulate matter.   As such, particular

emphasis is placed on identifying those conclusions and uncertainties in

the available scientific literature that the staff believes should be

considered in selecting a particulate pollutant indicator, form, and

level for the primary standards.  While the paper should be of use to

all parties interested in the standards review, it is written for those

decision makers, scientists, and staff who have some familiarity with

the technical discussions contained in the criteria document.

II.  BACKGROUND

     Since 1970 the Clean Air Act as amended has provided authority and

guidance for the listing of certain ambient air pollutants which may endanger

public health or welfare and the setting and revising of NAAQS for those

pollutants.  Primary standards must be based on health effects criteria and

provide an adequate margin of safety to ensure protection of public health.

As several recent judicial decisions have made clear, the economic and

-------
technological  feasibility of attaining primary standards are not to be
considered in  setting them, although such factors may be considered to a
degree in the  development of state plans to implement the standards (D.C.
Cir., 1980, 1981).   Further guidance provided in the legislative history
of the Act indicates that the standards should be set at "the maximum
permissible ambient air level .  .  .  which will protect the health of any
(sensitive) group of the population."  Also, margins of safety are to be
provided such  that the standards will afford "a reasonable degree of
protection .  .  .  against hazards which research has not yet identified."
(Committee on  Public Works, 1974).  In the final analysis, the EPA
Administrator  must make a policy decision in setting the primary standard,
based on her judgment regarding  the implications of all the health effects
evidence and the requirement that an adequate margin of safety be provided.
     Secondary ambient air quality standards must be adequate to protect the
public welfare from any known or anticipated adverse effects associated
with the presence of a listed ambient air pollutant.  Welfare effects, which
are defined in section 302(h) of the Act, include effects on vegetation,
visibility, water, crops, man-made materials, animals, economic values and
personal comfort and well-being.  In specifying a level or levels for
secondary standards the Administrator must determine at which point the
effects become "adverse" and base her judgment on the welfare effects criteria.
     The current primary standards for particulate matter (to protect
                                                      3
public health) are 75 micrograms per cubic meter (yg/m ) annual geometric
mean, and 260  yg/m , maximum 24  hour concentration not to be exceeded more
than once per year.  The current secondary standard for particulate matter
(to protect public welfare) is 150 yg/m  , maximum 24 hour concentration,

-------
not to be exceeded more than once per year.  In addition, the secondary
standard specifies a 60 yg/m  annual geometric mean guide for the achieve-
ment of the 24-hour standard.  The reference method for measuring attainment
of both the primary and secondary standards is the "hi-volume" sampler
(40 CFR Part 50, Appendix B), which effectively collects particulate matter
in the range of up to 25-45 micrometers (ym) (so-called "total suspended
particulate," or "TSP").  Thus, TSP is the current indicator for the
particulate matter standards.
     Preliminary drafts of this paper were reviewed by  the Clean Air
Scientific Advisory Committee (CASAC) in July and November, 1981.  This
final  product incorporates the suggestions and recommendations of the CASAC
as well as other appropriate comments received on the initial  drafts.  The
CASAC closure memo on the staff paper (Friedlander, 1982) is reprinted
in Appendix E.
III.  APPROACH
     The approach used in this paper is to assess and integrate information
derived from the criteria review in the context of those critical elements
which the staff believes should be considered in the review of the
primary and secondary standards. Particular attention is drawn to those
judgments that must be based on the careful interpretation of incomplete or
uncertain evidence.  In such instances, the paper states the staff's evaluation
of the evidence as it relates to a specific judgment, sets forth appropriate
alternatives that should be considered, and recommends  a course of action.
     Sections IV and V review and integrate important scientific and
technical information relevant to standard setting.  Because of the
complex nature of particulate pollution, this review is unusually lengthy.
Therefore, much of this material is included in appendices (A and B) with

-------
only summaries in the main body of the paper.   Section  IV presents  relevant
features of historical and current U.S. air quality to  support discussions
of both primary and secondary standards.   Section  V addresses  the essential
elements with regard to the primary standards;  these include  the following:
     1)   identification of possible mechanisms of toxicity;
     2)   description of effects and judgment  of critical
          effects of concern for standard setting;
     3)   identification of most sensitive population groups;  and
     4)   discussion of community studies relating level(s)  and duration(s)
          of exposure to indicators of health  effects.
     Drawing from the discussion in Sections IV and V,  Section VI identifies
and assesses the factors the staff believes should be considered in selecting
a particulate pollutant indicator, form,  and level of primary  standards.
Preliminary staff recommendations on alternative policy options in  each
of these areas also are presented.
     Section VII examines information in the criteria document the  staff
believes is most relevant with respect to secondary standards  and focuses
on the effects of particulate matter on visibility and  climate, man-made
materials, vegetation, and personal comfort and well-being.   Some of the
scientific and technical review is included in Appendix C.  The elements
addressed include:
     1)   description of effects and judgment  of the critical  effects
          of concern for standard setting;
     2)   identification of causal mechanisms;
     3)   studies relating level(s) and duration(s) of  exposure to
          indicators of effects; and

-------
    4)    factors to be considered in  selecting  a  participate  pollutant
          indicator, form,  and level of secondary  standards.
Preliminary staff recommendations  on policy  options  for  secondary  standards  are
also presented.

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IV.   AIR QUALITY CONSIDERATIONS
     More than any other criteria pollutant,  "particulate matter" represents
a broad class of chemically and physically diverse substances.   Their
principal common feature is existence as discrete particles in  the condensed
(liquid or solid) phase ranging in size from molecular clusters of
0.005 ym to coarse particles on the order of 100 pm.*  The major chemical
and physical properties of particulate matter vary greatly with time, region,
meteorology, and source category.  It is to be expected,  then,  that the
effects of given quantities of particles on public health and welfare also
will vary.  This variable composition complicates the evaluation of the
applicability of specific particle health and welfare studies for establish-
ing National Ambient Air Quality Standards.  This section of the staff
paper summarizes some key features of our understanding of historical and
current particulate matter composition to provide perspective for subsequent
interpretation of health and welfare effects studies.
     The historical aerosol composition information is intended to assist
in interpreting the relevance of historical health effects studies to
current U.S. atmospheres.  Many of the more important epidemiological studies
were conducted in Great Britain, particularly in London,  and in New York City
in the 1950's and 60's.  Important aspects of current physical  and chemical
distribution of aerosols are presented to support identification of those
aerosol fractions potentially responsible for health and welfare effects and
evaluation of standard levels.
*Where not otherwise specified, particle sizes reported in this paper
 reflect aerodynamic equivalent diameter (AED).  A number of terms (e.g.,
 fine, coarse, inhalable, thoracic, TSP) are used to describe various functions
 of particulate matter.  Many of these terms are defined by the instruments
 used for measurement.  The major particle indicators discussed in this
 paper are defined in Appendix D.

-------
A.   Historical Trends
     1.   London 1950's - 196Q's
     Although implementation of the British Clean Air Act effected dramatic
air quality improvements from 1956 to 1970, particle and sulfur oxide levels
from 1955 to 1963 were remarkably high by present day standards.  Typical
annual  SCL and smoke (a pseudo-mass indicator related to small particle
(< 5 ym) darkness, McFarland e_t etl_., 1981) concentrations ranged between
200 to over 300 yg/m3 in Metropolitan London from 1955-1960 (WSL, 1967).
Details on short and long-term levels of interest are reported in the later
health effects discussions.  The major source of these pollutants was the
inefficient combustion of fuel, particularly domestic coal.  In addition,
"industrial processes, building and demolition, wear of roads, tyres (sic)
and other materials, the burning of vehicle fuels containing additives"
contributed to particulate loadings (Lawther e_t al_., 1968).  One would expect
atmospheres dominated by incomplete coal combustion emissions to contain
large amounts of carbonaceous material ranging from fine soot to coarse
cinders, various inorganic elements (e.g., mercury,  arsenic, zinc) found
in coal, primary sulfuric acid aerosol as well as SO,,, and particularly
in the case of British coal, chlorine containing compounds such as
gaseous hydrochloric acid.
     Unfortunately, actual ambient measurements of expected components are
rare.  The best bench-mark for evaluating the composition of London particles
(and comparing them to contemporary U.S. aerosols)  is found in a series of
investigations conducted by Waller, Lawther, Commins and other air pollution
researchers with the Medical Research Council  at the St. Bartholomew's
Hospital Medical College in London.  This location  in the "City," a one square

-------
                                     8
mile area encompassing the business district of London, may not be
representative of greater London levels, but should reflect general
composition and trends.  The monitors were fairly elevated, generally 22
m or more above ground level.  SOp levels appear 50 to 100 yg/m  higher
than levels reported elsewhere in London, but smoke readings were 50 to
100 ug/rn3 lower (Commins and Waller, 1967; WSL, 1967).  The authors
suggest that their site may be strongly influenced by local point sources
of S02» making S0? levels and trends atypical (Commins and Waller, 1967).
The reason for lower smoke readings is less clear and could involve
lower amounts of nearby domestic coal use, since the site was in a smoke
control zone; the lower readings also might be due in part to the more
reliable calibration of the smoke readings with actual mass concentrations
as performed by the St. Bartholomew's group (Waller, 1964).
     The investigators operated standard U.S. hi-volume air samplers
(particle size range collected usually less than about 25-45 ym) as well as
conducting special size and composition studies over the eight year period
from 1955-1963.  TSP readings are plotted in Figure 4-1.  Contemporary
readings from some New York City sites (Eisenbud, 1980) are shown for
comparison.  The beneficial effects of pollution control programs are
apparent from the trends.  Although analyses of the composition of London
TSP samples were performed, long-term composition data are regrettably
available only for the benzene soluble organics (BSO) fraction (see Figure
4-1).  This fraction contains polycyclic organics (POM) as well as other
non-polar organic aerosols.  On average, about 16% of collected TSP mass
consisted of this organic material, but some individual samples taken
during periods of high pollution contained more than 50% BSO (Commins and
Waller, 1967).  Benzo(a)pyrene (BaP), often used as an indicator of

-------
    300
CO

i
 *
O
P
oc
5   200
O
o
o
z
    100
                                                      •    NYC (TSP)

                                                      A   LONDON (TSP)

                                                      D   ORGANIC (BSD)
                            A   *
                                    A
                              A
        1950
                                  1960
1970
                                        YEAR
      Figure 4-1.   Trends  in  TSP  and  benzene soluble organics at a central
      London site  (Commins  and  Waller,  1967), and TSP trends for New York
      City as summarized by Eisenbud  (1980).  TSP in both cities were
      considerably  higher  than  present  day levels in most urban areas.

-------
                                   10


carcinogenic POM, typically ranged from 2-30 ng/m3 with maximal  peaks on

                   3
the order of 1  yg/m .


     Some annual (1964-65) and episodic data for London also are available


for strong acids (reported as sulfuric acid) as measured by filtration and


subsequent titration (Waller, 1963).   Because of potential  interferences


in sampling, handling  and analysis, these numbers should be viewed with

                                       3
caution.  The annual level was 5.4 yg/m , with winter averages  twice those


of summer.  Despite potential methodological problems, these values are not


inconsistent with levels expected if 1-2% of the seasonal  and annual SO
                                                                       /\

emissions were in the  form of primary sulfuric acid.   Episodic  levels (1957-


64), however, present  a different picture, with maximal daily sulfuric acid


values of 30-350 ug/m   and maximal hourly readings of 30-680 yg/m .  In


these cases, sulfuric  acid values were 5-10% of measured S02 levels, suggesting


the occurrence of secondary formation.   Under the episodic conditions of


high particle loadings and humidity,  heterogeneous formation of sulfuric

acid is likely (Criteria Document (CD), p. 2-33).


     Measurements of a number of other substances were also made, but


unfortunately, only maximum hourly values were reported.  These are reproduced

in Table 4-1 to indicate the relative ranking.  Maximum 24 hour values are


also provided for selected U.S. sites (1960-65).  Obviously, these peak


values are not representative of typical conditions.

     The St. Bartholomew's group also examined size distributions of particles


and sulfuric acid.  Using a thermal precipitator and electron microscopy,


Waller e_tal_. (1963) found numerous single particles smaller than 1 ym, aggregates


up to 1 - 2 ym, and evidence of partially neutralized sulfuric acid droplets.

-------
                                            11
       TABLE  4-1.   COMPARISON OF MEASURED COMPONENTS OF TSP  IN U,S, CITIES  (1960-65)
                       WITH MAXIMUM  1-HOUR VALUES  IN LONDON  (1955-63)

Pollutant
Suspended Particles
Fractions:
Benzene-soluble organics___
Chloride (water soluble) 	
Nitrates
Sul fates
Sulfuric acid
Ammonium
Antimony
Arsenic
Beryl 1 i urn
Bismuth
Cadmium
Calcium
Chromium
Cobalt
Copper
Iron
Lead
Manganese
Molybdenum
Nickel
Tin
Titanium
Vanadium
Zinc
Gross beta radioactivity
UNITED STATES a
Concentration ug/m
Number of Arith. Maximum
Stations average 24-Hour
291
218
96
96
56
35
133
100
35
35
f
103
35
103
104
104
103 .
35
103
85
104
99
99
323
105
6.8
2.6
10.6
1.3
0.001
0.02
<0.0005
<0.0005
0.002
0.015
O.0005
0.09
1.58
0.79
0.10
<0.005
0.034
0.02
0.04
0.050
0.67
(O.S pCi/
m3)
1254 (TSP)
39.7
101.2
75.5
0.160
0.010
0.064
0.420
0.330
0.060
10.00
22.00
8.60
9.98
0.78
0.460
0.50
1.10
2.200
58.00
(12.4 pCi/m3)
LONDON b
Maximum
1-Hour (1 site)
9700 ( Smoke f
410
5 .
666
680
<1
<1
<1
1-
82
2
<1
2
25
22
5
<1
1
2
1
2
24
aU.S.  HEW,  1969.
}Commins  and  Waller,  1967.
GBritish Smoke (BS) data reported as
 yg/m .   These data are not directly
 comparable with TSP.

-------
                                     12
The aggregate, which varied with source area, apparently consisted of
carbonaceous material (carbon and organics) from incomplete combustion.
The mass median diameter (MMD) was 0.5 - 1 ym in normal  weather and
somewhat higher (but indeterminate) in foggy weather.
     These values may underestimate the true mass median diameter* of
the total aerosol.  Due to the nature of the thermal  precipitator (Hodkinson,
1960), larger particles (* 2-5 ym) may settle out or be  inefficiently moved
to the collection plate.  The fact that the estimated mass from the microscopy
determination generally approximated smoke readings (Waller ejt al_., 1963),
tends to support the notion that only the smaller portion of the aerosol  was
actually examined.  At this site, calibrated smoke readings were consistently
about 100 yg/m  below TSP levels, particularly at lower  concentrations
           o
(< 500 yg/m ) (Commins and Waller, 1967).  Moreover,  samples collected at
the elevation of the St. Bartholomew's site (22 m) would not be representative
of ground level large particle concentrations.  Other considerations, notably
measurements of dry deposition and the dispersed nature  of coal and oil
emissions (which include large particles), support the notion that substantial
quantities of large particles (2 to over 30 ym) were emitted and were probably
present in the ambient air of British cities (Carey, 1959).  Nevertheless,
during extreme episodes (BS > 500 yg/m ), with low windspeeds, large particles
would be expected to settle relatively rapidly near source areas.
     Waller (1963) estimated the size distribution of sulfuric acid droplets
(pH < 2) using a cascade impactor coated with a pH indicator.  At lower
humidities, the mass median diameter of these droplets was less than 0.5  ym.
During an episode with higher humidities (^ 85%), the mass median diameter
*MMD  is  used  as  an  indicator of relative particle size of a lognormally
distributed aerosol.   The term is  used loosely here, since the distribution
may not  have  been lognormal.

-------
                                    13
was 0.5 ym, but 16% of the sulfuric acid mass was greater than 4.0 ym
(estimated a  of 2.1).  During high humidity fogs measurable amounts of
large (20 ym) sulfuric acid droplets (pH < 2.0) were often observed.
     2.   U.S. Particle Trends
     As indicated in Figure 4-1, annual TSP levels from 1955-65 in New
York City were in the same range as those in London.  However, even
during this period, the influence of particles from inefficient fuel
combustion may have been somewhat lower than for London.   Organics (BSO)
from 1961-65 were about 10% or less of total particulate  mass as compared to
15-20% at the London site (DHEW, 1969).  Long-term and maximum dai.ly
values of a number of compounds for a number of U.S. cities are compared
with maximum hourly London data in Table 4-1.  Although hourly values
cannot be strictly compared to 24 hour data, maximum levels for sulfates,
lead, and some trace elements were probably higher in London.  Maximal
levels of nitrates, manganese, and some additional elements were higher
in U.S. cities.   A striking feature of available information in both
London and the U.S. is the inability to account for more  than about 25%
of TSP by the available compositional analyses.
     From the early 1960's through the mid-1970's, U.S. control programs
continued to result in substantial reductions in TSP and  S02 levels in
most of the more polluted urban areas.   In these areas, concentrations
of a number of components of interest also decreased markedly, most notably
carbonaceous material  (BSO), trace elements (lead, nickel, vanadium, cadmium,
and iron), and in some areas, sulfates  (Faoro and McMullen, 1977;  Faoro,
1975; Altshuller, 1976).   During this same time period, available  information
suggests that eastern U.S. regional levels of summertime  fine particles,

-------
                                   14
particularly sulfates, increased (EPA, 1975b, 1979; Frank and Posseill,
1976; Altshuller, 1976).
B.   Current U.S. Aerosols
     Changes in the nature and distribution of combustion related and
other sources, and the implementation of various control  programs since
the 1970's have brought about substantial  changes in the  distribution,
quantity and composition of airborne particles in the U.S.  Moreover,
the quantity and nature of accompanying pollutant gases are also sub-
stantially different than those of the earlier London and U.S. atmospheres
discussed above.  Notably, areas or times  with higher particle loadings
are now more likely to be accompanied by lower SIX, levels and higher
oxidant levels than occurred in the past.   Although the diversity of
particles and gases in U.S. atmospheres is, if anything,  greater, important
advances in measurement and approach in aerosol  science during the
1970's have afforded a far greater understanding of the general  features
and origins of contemporary airborne particles.   The criteria document
discusses the results of a number of these advances in chapters  2-6.
Some key features, and their implications, are outlined below.
     1.   The Multimodal Distribution
     The atmospheric aerosol surface area, volume, and mass tend to be
distributed in two to three distinct size  modes  (Figure 4-2):
     1)   The nuclei (Aitken) mode (< 0.1  vim) accounts for most of the
          particles by number, some of the surface area,  and little
          mass, but is short-lived and observed only near combustion
          sources.  Through coagulation, nuclei  mode particles grow
          into the next mode, the accumulation mode.

-------
                                     15
                                              R- RICHMOND
                                              SF- SAN FRANCISCO AIRPORT
                                              F - FRESNO
                                              HL-HUNTER-UGGETT
                                              HF-HARBOR FREEWAY
                                              P -POMONA
                                              G -GOLOSTONE
Figure 4-2.  Grand  average volume size distribution for seven sites  in  the
California ACHEX  study in 1972.  Particle size  reflects optical  rather  than
aerodynamic diameter.   Volume (and mass) tends  to be bimodally distributed
although the relative  proportion of fine (l-3  ym)  modes
as well as location of maxima and minima vary considerably.  The increased
volume of 0.01 -  0.1 ym particles at the Harbor Freeway site is evidence of
the transient nuclei mode near a strong source  (automobiles)   (Whitby,  1980).
             180


             80
           s-
             20
Scalt Chang*
                   Run Conctntration  Ptretnt
                   No
                                   I       3       10
                                  Particle  Diameter * fj.n\
                                                      30
                                                              100
                                                                    300
Figure  4-3.   Bimodal mass-size distributions measured with  impactors.  Unlike
Figure  4-2,  particle size reflects  aerodynamic diameter.  The  increase in
coarse  mode  particles in Run  14  shows  the influence of upwind  construction
activity.  Note that the "minimum"  in  the original distribution  disappears and
the  coarse increase occurs in the range of 1 to 300 ym.   (Reprinted from NAS,
1977).

-------
                                   16
     2)    The accumulation  mode  (0.1 -  2.5  ym)  contains  much  of the
          surface area  and  about 1/3 to 1/2 of  particulate volume  and
          mass.   Under  normal  circumstances, little mass is transferred
          into the next larger mode.   Collectively, the  nuclei  and
          accumulation  modes  are termed the fine mode (< 2.5  ym).
     3)    The coarse mode ( > 2.5 ym)  contains  small  numbers  of particles
          and about 1/2 to  2/3 of particulate volume and mass.   Although
          much of the aerosol  surface  area  is associated with the  fine
          mode,  a secondary peak in surface area often appears  in  the
          coarse mode at about 10 ym (NAS,  1977a).
     Although substantial overlap can  exist, the fine and coarse modes  tend
to have  more or less distinct origins,  elemental distribution,  residence times,
and removal  processes.   Fine  particles  originate in the  nuclei  mode by  conden-
sation of materials produced  during combustion  (e.g., inorganic lead) or
atmospheric  transformation  (e.g., sulfuric  acid).  Due to long  residence times
and atmospheric formation,  fine  particle levels can build up  far from source
regions  over large geographical  areas.   Coarse  particles are  largely derived
from mechanical  processes such as grinding  or wind erosion.  Because they
settle out more rapidly, elevated levels of coarse particles  usually occur
only near strong source emissions, for example, construction  activity
(Figure 4-3).
     Because fine and coarse modes are often derived from separate mechanisms,
the chemical species comprising  each mode are not usually evenly distributed
between modes.  Table 4-2 and Figure 4-4 show the size distribution of various
substances derived from available chemical  analysis of size segregated samples
and microscopy of hi-vol filters.  Although regular elemental/chemical
segregation occurs, each mode is chemically heterogeneous in the sense
that each consists of a number of different substances.   The dominant

-------
                                           17
           TABLE 4-2.  NORMAL SIZE RANGES FOR COMMONLY FOUND CHEMICALS, BASED ON IMPACTOR STUDIES
                                       (After Miller et al... 1979)
Normally fine
Sul fates
Organic (condensed
vapors)

Soot (carbon)

Water (except fog)

Lead

Anmonlum Ion

Hydrogen 1on

Arsenic
Selenlun
Normally coarse
Iron, calcium
Titanium

Organic, biological

Magnesium

Aluminum

Silicon

Potassium

Phosphate


Normally blmodal
Chloride
Nitrate














Variable
Nickel
Tin

Lead

Vanadium

Copper

Zinc

Antimony

Manganese



         AEROSOLS COLLECTED ON HI VOL FILTERS. MULTIPLE CITIES IORAFTZ. ItMl
                                                                      MANGE Of ESTIMATED
                                                                      CONCENTRATION PERCENT
                                                                      OF TOTAL) FOUR CITIES*
                                                                      (AFTER MAS. IttOI
                                  NOT MEASURED

                                  NOT MEASURED
ELEMENTAL CARSON    4J • •>

SULFATES          11A-SU

FIVASH             —

COAL FRAGMENTS       	

FOLLENS * STORES     1-1««

TIRE FRAGMENTS        —

PAVEMENT MATERIALS   13 •«•

SOIL MINERALS       U-44

VOLATILE CARSON     a-SQCITIUI

UNACCOUNTED FOR    S-47
         L-L
        ai
                                 PARTICLE SIZE bull
      • THE FOUR AREAS NOTED INCLUDE PORTLAND. OREGON, LOS ANGELES, ST. UMMS,
       AND WASHINGTON, D. C.
     •• 14 CITY STUDY (RECORD « 
-------
                                   18
substances in the fine mode,  in rough order of mass, are water, ammonium
sulfate and sulfuric acid, carbonaceous material  (carbon and a variety of
condensed organics), lead, nitrates, and small amounts of trace elements.
These may take the form of mixed salt droplets, and a variety of heterogeneous
particles with adsorbed gases, organics, or trace element as surface coatings.
Sulfates and some other aerosols are hygroscopic (absorb water), growing to
several times their original  size (and mass) at higher relative humidities.
This growth has important implications for deposition in the respiratory
tract and for effects on visibility and climate.
     The coarse fraction is more variable and less well  characterized,
containing a number of crustal and industrial minerals such as quartz, clays,
limestone, and asbestos, rubber tire particles, as well  as organics, nitrates
and both road and sea salt.  Salt is also hygroscopic.  Among the trace
substances that may be associated with coarse particles  are pesticides,
biological toxins, and soil dwelling microbes (Fraser and McDade, 1979).
     2.   Exceptions
     The bimodal model of particulate matter is an extremely useful tool
in describing typical aerosol distributions and elucidating formation and
removal mechanisms and source contributions.  This model also may be useful
in considering welfare effects of particulate matter such as visibility
or dustfall where a single mode clearly dominates.  In evaluating the
health effects of particles, however, conditions under which the distinction
between modes becomes blurred may assume some importance.
     Table 4-2 and Figure 4-4 list a number of important substances that,
depending on location, apparently may be readily found in both modes.  These
substances include fly ash, coal fragments, minerals, nitrates, and trace

-------
                                   19
elements such as vanadium.  The relative contribution varies substantially.
Under strong source or meteorological conditions that produce very high
coarse or fine particle levels, the overlap between modes can increase
substantially, thus making the demarcation between the two more difficult
to detect.  See, for example, the Pomona data of Figure 4-2 or Run 14 of
Figure 4-3.  In these cases, substantial fine or coarse particle mass
may occur in the 2-5 urn range, which coincides with a maximum in deep lung
deposition efficiency (CD, Figure 11-14).  These extreme conditions of
high concentration therefore may often be of more interest for primary
standard setting than the more typical distributions encountered with
lower levels.
     3.  Exposures
     As a basis for comparison, Tables 4-3a and b provide estimates of
typical ranges of TSP, dichotomous total (labeled Inhalable Particles or
IP-ic. <15 pm), and fine particles (<2.5 ym) as measured in three size
specific particle sampling networks* for varying periods during 1977-81
(Pace, 1981).  Analysis of limited temporal trends indicate that maximum
seasonal averages for all three particle indicators occur in the summertime,
particularly in the East (Pace ejt a]_., 1981).  Overall ratios of IP,,-/TSP
in the most recent urban data remain fairly close to that reported by
Pace (1980) for earlier data, which was 0.65 j^0.12.  Interpolation of
TSP, IP, and FP results and examination of expected particle size distribu-
tions (Watson et_ al_., 1981) suggest that the ratio of particle mass
<10 ym (PM-|Q) to TSP in most areas would lie between about 0.5 to 0.6.
Data on composition of these particles are not yet available.
*The data used from the three networks include:  EPA's Inhalable Particulate
 Network, 35 urban sites, April  1980-March 1981; EPA's Western Fine Particle
 Data Based, 40 non-urban sites, Summer 1980-Spring 1981; Electric Power
 Research Institute SURE data base, 9 rural  sites,  15 months, 1977-1978
 (Pace 1981).

-------
                                20
TABLE 4-3.  CHARACTERIZATION OF PARTICIPATE MATTER CONCENTRATIONS  FROM
            SIZE SPECIFIC NETWORKS,  1977-81  (Pace,1981)
a) LONG-TERM (6-12 MONTHS) AVERAGE
EASTjRN LOCATIONS
Undisturbed
Downtown
Industrial
ARID WESTERN LOCATIONS
Undisturbed
Downtown
WEST COAST
Los Angeles Area
Pacific Northwest
TSP

30-40
60-90
60-110

15-20
75-130

90-180
45-95
IP15

25-35
40-50
45-70

10-15
40-70

50-110
20-65
FP

15-20
20-30
25-45

3-5
' 15-25

30-40
15-25

b) TYPICAL 24-HOUR MAXIMA*
EASTERN LOCATIONS
Undisturbed
Downtown
Industrial
ARID WESTERN LOCATIONS
Undisturbed
Downtown
WEST COAST
Los Angeles Area
Pacific Northwest
TSP

60-100
90-210
150-360

50-100
125-310

170-460
115-310
IP15

50-100
75-140
100-250

25-40
70-180

150-200
50-190
FP

30-80
40-90
50-180

10-15
45-70

100-110
45-90
*60 Samples/Year

-------
                                   21
     Given reduced outdoor particle loadings and the trend toward year-
round heating/cooling cycles, the relative contribution of indoor pollution
to total particle exposures has clearly increased in the U.S.  Indoor
particle levels can be higher than outdoors because of smoking and other
activities.  For homes of non-smokers homes, the mass of smaller particles
(e.g., sulfates) tends to be similar indoors and outdoors, but larger
outdoor particles (as indicated by TSP) apparently do not completely
penetrate (CD, p. 5-121 to 5-131).  The size and compositional differences
between indoor and outdoor particles, as well  as routine daily activities,
complicate the assessment of personal exposure and confound appraisal  of
both health and welfare (e.g., soiling) effects of particulate matter.
     4.   Comparison with Historical  Composition
     Although current particle levels are clearly lower than those
reported in the historical London data, it is  more difficult to assess
differences in composition and comparisons are limited to sulfuric acid
and primary carbonaceous material.  Near major U.S. sulfur oxide sources,
short-term peaks of 1 ppm S02 might be accompanied by primary sulfuric
acid concentrations on the order of 50 yg/m *.   Episodic levels of
                                                    3
sulfuric acid equivalents in the range of 15-20 ug/m  may occur over
large scale regions during the summer, accompanied by elevated oxidant
levels (Lioy e_t al_., 1980).  These levels are  an order of magnitude
lower than the highest peaks reported during fall  and winter British
episodes but represent a greater proportion of particulate matter mass
*Assuming 1-2% of emitted SO  is primary sulfuric acid.   In this  context
"primary" refers to pollutants directly emitted from sources,  while "secondary"
pollutants are formed in the atmosphere from precursor materials  as in the
case of secondary particulate sulfates derived from oxidation  of  gaseous
S02 .                                                             s

-------
                                  22
and may occur over far larger regions.   The frequency of occurrence of
such peaks, particularly in urban areas or during nighttime inversions where
substantial ammonia neutralization may occur,  is not well  characterized.   The
relative proportion or primary organic and carbon particles probably is
lower than that of London particles.  This could change with increased
use of residential wood or coal and passenger diesels.   Secondary organic
particle (e.g., oxygenated organics) levels probably are higher in the
U.S.  Peak levels of extractable organic particles can comprise as much
as 50% or more of TSP in Southern California.   Thus, the total  extractable
or volatizable organic fraction of particulate loading (as percent of
TSP) in some U.S. cities can be equivalent to that of London (see Figure
4-4), but components within the organic fraction probably differ.
Although it is reasonable to expect substantially higher quantities of
fine particles during London episodes, reliable comparisons of other
particle components (e.g., coarse carbon, dust) or of relative particle
size distributions is not possible.

-------
                                23
V.   CRITICAL ELEMENTS IN THE REVIEW OF THE PRIMARY STANDARD
A.   Mechanisms
     This section discusses the deposition and clearance of particles in
the respiratory tract and the possible physiological and pathological
responses to particulate substances.  Implications of relevant deposition
studies are assessed in light of current U.S. particle distributions and
qualitative evidence from animal, controlled human, and epidemiological
studies is used to identify potential mechanisms of toxicity.  The major
purposes of this discussion are to provide a basis for identifying the
most appropriate indicator for those fractions of particulate matter
of most concern to health and to examine plausible links between regional
deposition of particles and observed responses in humans.
     1.   Particle Deposition and Clearance
     a)   Major Regional  Divisions
          An evaluation of the mechanisms by which inhaled particles ultimately
may affect human health must recognize the importance of deposition and
clearance in the respiratory tract.   The major regions of the respira-
tory tract differ markedly in structure, size, function, and sensitivity
or reactivity to deposited particles.  They also have different mechanisms
for particle elimination  or clearance (Lippmann, 1977).   As described by
the criteria document (CD, Chapter 11),  in discussing deposition and
clearance, three major regions can be specified:  extrathoracic, tracheo-
bronchial, and pulmonary  or alveolar.  The nature and characteristic
deposition and'clearance  mechanisms  of these regions are outlined in
Table 5-1.
     The criteria document presents  the  range of available experimental
deposition data for total  and regional  deposition in a series  of figures •

-------
                                                                           24
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-------
                                  25
(CD, Figs. 11-3 to 11-9).  For simplicity, only alveolar and an estimate of
tracheobronchial deposition (mouth breathing) are reproduced in Figure 5-1.
A variety of subject related and environmental factors can influence
deposition and clearance of aerosols, including inhalation patterns (rate
and route), airway dimensions, disease state, particle composition, and
the presence of pollutant gases.  Their impacts are briefly summarized in
Appendix A.
     b)   Deposition and Clearance of the Ambient Particle Distribution
     The available data on respiratory tract deposition as discussed in
Appendix A can be used to provide a preliminary qualitative evaluation of
deposition of typically observed ambient particle distributions.  Based on
the deposition curves for normal nasal breathing in Chapter 11 of the
criteria document, over half of the total mass of a "typical" mass distribution
(see Section IV-2) would be deposited in the extrathoracic region, most of
this being coarse particles.  Clearance of most of this material to the
esophagus would occur within minutes.  Up to about half of the hygroscopic
fine mass  (e.g., sulfates and nitrates that grow to 2-4 pm in the respiratory
tract) also might be deposited and dissolve in this same region.  Smaller
fractions  (5-25%) of the hygroscopic and non-hygroscopic fine particles
(mostly <1 um) would be deposited in the tracheobronchial and alveolar
regions, respectively.   A similar fraction of coarse particles (size range
2.5-8 pm) will be deposited in these thoracic regions.   Clearance of
hygroscopic material by dissolution and reaction would be relatively rapid
in both regions.  Clearance of insoluble coarse mode substances would
increase from less than an hour for the larger particles deposited in the
upper portion of the tracheobronchial region to as much as a day for the
more distally deposited.   Insoluble fine and coarse particles deposited in

-------
                                                                  26
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                                27
the alveolar region would be expected to have lifetimes on the order of
weeks to months or longer.
     With mouth only breathing, the regional deposition pattern changes
markedly, with extrathoracic deposition reduced and thoracic deposition
enhanced.  Extrathoracic deposition, although reduced, still would be dominated
by coarse mode aerosols and contain little fine mode contribution.  Both
tracheobronchial and alveolar deposition of coarse mode and hygroscopic fine
mode aerosols would be substantially increased (Figure 5-1).  The higher
endogenous ammonia in the mouth may, however, reduce the net deposition of
acid aerosols (Larson ejt al_., 1977).  Remaining fine particle deposition
efficiency would be little changed over nasal breathing (<20%). .
     In essence, regional deposition of ambient particles in the respiratory
tract does not occur at divisions clearly corresponding to the atmospheric
aerosol distributions.  Coarse mode and hygroscopic fine mode particles are
deposited in all three regions.  A fraction (5-25%) of the remaining fine
mode particles (e.g., organics and carbon not associated with hygroscopic
material) is deposited in the tracheobronchial and alveolar regions.  Little
particle mass in excess of 15 ym is deposited in the thoracic region, and
little mass greater than 10 urn is deposited in the alveolar region.
     The above discussion represents a qualitative assessment of regional
deposition of a "typical" ambient distribution for normal  adults and breathing
rates.  Because atmospheric distributions and individual  deposition  characteris-
tics, as well as other factors, vary widely, the above may not be represen-
tative of potentially important exposure/deposition cases.  Considerations
include:
     1)   Regional  deposition data for mouth breathing tend to overestimate
resting thoracic deposition for oronasal breathing and are strictly  applicable

-------
                                    28
to those individuals who breathe only through the mouth.  Nevertheless, a number
of disease states and other conditions temporarily or permanently result  in
mouth only breathing.  During exercise, even oronasal breathing can permit
flow through the mouth comparable to or greater than used in mouth only
studies (CD, p. 11-11).  Moreover, the results of Hounam e_t aJL (1969) and
Andersen e_t a]_. (1979) suggest conditions or subject-related variability
causing substantially lower nasal removal efficiency for coarse particles
(in the 2.5 to over 12 ym range) than the ICRP model (CD, Figure 11-5)
suggests.   This would result in enhanced thoracic deposition for coarse
particles during nasal breathing.
     2)   The peak in alveolar deposition efficiency for mouth and nose
breathing (Figure 5-1) tends to occur at or near the normal minimum in the
bimodal distribution (2-4 ytn MMAD).  The data of figures 4-2 and 4-3 suggest,
however, that near sources or in other polluted conditions, substantial
increases can occur in the coarse or fine mode contribution to this most
efficiently deposited size range.  Moreover, near sources a transient nuclei
mass mode may be present (Figure 4-2).  Theoretical models (Yu, 1978) and
limited experimental results (CD, Figure 11-4) suggest that nuclei mode
particles will be more efficiently deposited than accumulation mode aerosols.
     3)   As discussed in Appendix A, the deposition of both coarse and fine
particles in the tracheobronchial region can be increased over "normal" ranges
for:  a) increased breathing rates during exercise; b) mouth breathing;
c) cigarette smokers; d) bronchitics; and e) asthmatics.  Although it
reduces subsequent alveolar deposition, enhanced tracheobronchial deposition
may not be protective, particularly for disease states such as bronchitis
(Chan and Lippmann, 1980).
     4)   Regional mass deposition data do not provide insights into localized
"hot spots".  Significantly higher mass/lung surface ratios can occur in

-------
                               29

the extrathoracic and tracheobronchial regions as compared to the alveolar
region.  As noted in Appendix A, enhanced deposition in the carina and
other airway bifurcations should occur for both coarse and fine particles
(Bell and Friedlander, 1973).  Natural or deposition related slowing in
clearance may occur in these areas (NAS, 1977a).  Particles with surface
coatings of toxic elements, organics, allergens, or gases (LaBelle et al.,
1955; Natusch and Wallace, 1974) may result in greater effects than that
suggested by total mass deposited because of initial localized surface
reaction with tissue or macrophages (Camner ejt al_., 1974a).
     5)   Although probability of deposition of particles larger than 10 ym
in the alveolar region is low, small  numbers of such particles have been
found in human lungs (Michel ejt al_.,  1977).  Some evidence suggests that
those large insoluble coarse substances that do penetrate may be cleared at
a much slower rate.   Animal tests indicate that 15 urn particles instilled in
this region clear much more slowly than smaller particles of the same
composition (Snipes and Clem, 1981).
     2.   Mechanisms of Toxicity
     Upon deposition, particles may produce physiological and ultimately
pathological effects by a variety of mechanisms.  Although the respiratory
tract is equipped to remove inhaled foreign materials, if particle exposures
are sufficiently high or if clearance mechanisms are impaired, accumulation
of particles may reach levels that produce responses.   Variations in subject
related characteristics and aerosol physical and chemical composition play
important roles in the nature of these responses.  For purposes of discussion,
the major mechanisms by which particles potentially may produce effects can
be categorized as follows:

-------
                                      30

     1)    Chemical  or mechanical  irritation  of  tissues  or nerve receptors
          at the  site of deposition.   This may  result in  immediate functional
          changes or cumulative insult.   Substances  as  diverse  as  fine acid
          aerosols,  insoluble coarse  dusts,  and SCL/aerosol  combinations can,
          in varying degrees, produce these  responses in  animals and humans.
     2)    Alteration of host defense  systems, particularly clearance mechanisms.
          This may result in increased susceptibility to  infection and potentiate
          development of chronic lung disease.   Acid aerosols  and, to a lesser
          extent, insoluble dusts might  affect  clearance  rates  by  altering
          deposition patterns,  increasing mucous secretion,  or  affecting
          the physiochemical properties  of the  mucous.   Various particles
          may also damage alveolar macrophages.
     3)    Direct  or indirect damage leading  to  morphological changes.  This
          may lead to compromised lung function, potentiating  development of or
          aggravating existing disease.   Acid aerosols  may produce direct
          tissue  damage; certain coarse  dusts,  notably  silica,  may act
          indirectly through macrophage  damage.
     4)    Systemic toxicity.  Particularly toxic particles may  be transported
          to and  produce effects in other areas of the  body.  Examples include
          trace elements such as lead and arsenic or carcinogens such as
          polycyclic organics.
     The extent to which these mechanisms may be operative depends strongly
on the region of deposition, concentration,  and relative chemical/toxicological
activity of the aerosol, and the time the material remains in  contact with
respiratory surfaces.  Pharmacological principles would indicate that
response should be related to the dose delivered to the target area and hence

-------
                                 31
be related to mass.  In some cases, however, the effective dose may be related
to other moments of the particle distribution, particularly surface area
(NAS, 1977a; Natusch and Wallace, 1974).  Particle deposition efficiency and
surface area are inversely related in some regions of the respiratory tract,
which may explain some apparently paradoxical animal and human study results.
For example, depending on concentration, smaller particle sizes may result in
either increased or decreased flow resistances in guinea pigs as compared to
larger particle sizes (Amdur, 1958).
     Table 5-2 presents a summary of potential mechanisms that might account
for some of the responses and associations observed in toxicological and
epidemiological studies of particulate matter.  Potential mechanisms, con-
sequences, and responses to particle deposition are organized according to
the major regions of the respiratory tract.  This summary is for qualitative
purposes only; many of the mechanistic studies cited involve exposures signi-
ficantly higher than those encountered under ambient conditions. The extent
to which any one of these mechanisms explain observed epidemiological results
or unexamined potential  effects from ambient air exposure is speculative, but
does serve to suggest which regions of the respiratory system are at greatest
risk, based on current understanding.   The following subsections briefly
discuss some of the listed potential mechanisms following deposition by
region.  Discussion of studies relating to effects of concern is presented in
Section V.B. and Appendix B.
     a)   Extrathoracic Deposition
          The major ambient materials  deposited in the extrathoracic region
are coarse mode particles, with some contribution from hygroscopic fine
particles.  This region  appears to be  significantly less  responsive to
pollutant irritation than the tracheobronchial  region (Nadel,  1973; Widdicombe

-------
                                                       32
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                                   34
et_ aj_., 1962).  Exposures of normal subjects to high levels of coarse "inert"
dust* (carbon impregnated plastic) resulted in a mild increase in symptoms,
especially dryness of the nose and throat, but no effect on mucociliary
clearance (Andersen e_t al_., 1979). Studies of nasal exposure of normal subjects
                                                                  o
to fine sulfuric acid aerosol for 1 hour at levels of 110-980 ug/m  reported
no extrathoracic related symptoms (Leikauf et al_., 1981), but particle clearance
in this region was not measured.   Oral exposure to sulfuric acid (220-940
yg/m ) produced throat irritation that affected greater numbers of subjects
with higher concentrations (Horvath e_t al_., 1981).  Deposition of pollens
or other allergens may result in rhinitis, the major nasal response to
irritation.  The findings of slowed nasal mucociliary clearance from
exposure to wood dust (Schlesinger and Lippmann, 1978) and S0? (Andersen
ejt al_., 1974) suggest that additional study is needed on the effects of
aerosol exposure on nasal mucociliary clearance, especially in view of
the findings of nasal cancer in wood workers.  Available information
provides no indication of substantial effects on clearance at typical
ambient levels.
     b)   Tracheobronchial Deposition
     The tracheobronchial region is exposed to a mixture of fine (particularly
hygroscopic fine) and coarse particles.  Among the major effects possibly
associated with deposition of particles in this region are bronchoconstriction,
altered clearance, aggravation and promotion of chronic respiratory diseases
(e.g. asthma, bronchitis) and cancer.
     Bronchoconstriction is one of the most common responses associated with
particle exposure and has been reported following short-term exposure to
*This synthetic particle as well as a number of insoluble mineral dusts are
often termed "inert" because of their general chemical and biological stability.
Because such materials can produce biological responses, however, quotation
marks are used.

-------
                                 35
high concentrations of a variety of "inert" dusts, and acidic and alkaline
aerosols of varying particle sizes (<1 to over 10 ym).  Current evidence suggests
that bronchoconstriction produced by acute exposures is probably a reflex
reaction resulting from chemical and/or mechanical stimulation of irritant
neural receptors (Widdicombe e_t ^1_., 1962).  Although dose/response characteris-
tics vary among substances, both dusts and chemically active substances
appear to induce bronchoconstriction in a similar manner because broncho-
constriction can be blocked by the administration of drugs or surgical
removal of nerves (Nadel e_t a\_., 1967; Widdicombe e_t al_., 1962; Toyama, 1964).
     Because deposition is elevated at, and epithelial nerve end'ings tend to
be concentrated near, airway bifurcations, deposition at bifurcations may
well have a major influence on pulmonary mechanical changes induced by either
mechanical or chemical stimulation of receptors (Nadel e_t al_., 1967).
The nerve endings of the more central airways are especially receptive to
mechanical stimulation that lead to reflex coughing and bronchoconstriction.
     Alterations of lung function in this region may be, in part, related to
effects observed in epidemiological studies of particle exposure, such as the
aggravation of chronic respiratory disease, including asthma, bronchitis and
emphysema.  The airways of asthmatics are hyperreactive to a variety of
irritants (Boushey e_t a]_., 1980).  Individuals with chronic obstructive
lung disease may not be hyperreactive, but typically have abnormal lung
function.  Further depressions in lung functions by particle exposures that
may be of no consequence to normal individuals could be incapacitating for
individuals with asthma, or even life threatening for individuals in the
later stages of chronic lung disease suffering some degree of oxygen
deficiency (hypoxia) (Morris and Bishop, 1966).  Moreover, as indicated
earlier, individuals with asthma and bronchitis may have significantly
higher deposition rates in the tracheobronchial region (Albert et al.,

-------
                                   36
1973).   This enhanced particle deposition may trigger further broncho-
constriction and further increase deposition above that in the initial
exposure condition.
     Another carefully studied biological endpoint in the tracheobronchial
region is mucociliary clearance.  As with bronchoconstriction, pollutant
effects on mucociliary transport involves mediation, in part, through the
nervous system (Camner ^t aj_., 1974b; Camner et al_., 1976).  As indicated
in Table 5-2, human studies have found that mucociliary clearance is
affected by fine sulfuric acid, high levels of coarse carbon dust, and
cigarette smoke.  Substances that affect clearance do not always cause
bronchoconstriction at similar levels (Lippmann ^t al_., 1981).
     Repeated exposures to substances that alter mucociliary clearance may
potentiate development of chronic obstructive pulmonary disease.  Lippmann
et^ aj_.  (1981) proposes the following sequence of events in producing chronic
bronchitis:  Acute high level exposures to particles increase mucus production
and mucociliary transport.  Continuation of these exposures leads to bronchial
mucous gland hypertrophy and goblet cell hyperplasia.  Mucus transport in
small airways might be normal or increased during this stage.  As gland
hypertrophy continues, the mucociliary transport system becomes inadequate in
removing mucous secretions.  This leads to chronic cough, accumulation of
secretions, and further susceptibility to inhaled particles, noxious gases,
and pathogenic organisms.
     Following this sequence of events, particulate exposure may be:  1) causal
factors in chronic bronchitis; 2) predisposing factors to acute bacterial and
viral bronchitis, especially among children and cigarette smokers; and
3) aggravating factors for acute bronchial asthma and the terminal stages
of oxygen deficiency associated with chronic bronchitis and/or emphysema and

-------
                                    37
its characteristic form of heart failure (cor pulmonale) (MAS, 1977a).  In-
creased prevalence of bronchitis has been observed in cigarette smokers and
people exposed to high community particle and sulfur oxide pollution (Holland
and Reid, 1965) or various occupational!,/ derived mineral dusts (Morgan,
1978).
     In vitro studies suggest that some particles deposited in the tracheo-
bronchial region may become attached to the mucosal  surfaces of the airways
(Mossman ejt al_., 1978).  Larger particles (10-15 ym) can be lodged on trachea!
surfaces despite continued mucociliary action; these particles have been
associated with the in vitro sloughing of cells shortly thereafter.  Smaller
particles (0.5-1 urn) may be transported to the submucosa where they can be
taken up by mesenchymal cells of the trachea (Mossman ejt al_.,  1978).  These
findings indicate that not all insoluble particles are necessarily rapidly
cleared from the tracheobronchial region by mucociliary action.
     As noted above, the bifurcations of the larger airways appear to be
especially vulnerable to the accumulation of particles.  Increased deposition
and potentially resulting slower clearance (Hilding, 1957) in  these sites
are correlated with major locations of lung tumors (Schlesinger and Lippmann,
1978).
     c)   Pulmonary (Alveolar) Deposition
     Particle deposition within the alveolar region of the lungs is essentially
limited to particles less than 10 ym.  Several important characteristics in
the alveolar region affect response to particle inhalation. As indicated
earlier, clearance from the alveolar region of the lungs is much slower than
from the tracheobronchial region.  The alveolar region is the  site of oxygen
uptake and of various non-respiratory functions of the lungs that may be
affected by pollutant exposures.

-------
                                     38
     Many victims of the London air pollution episodes were patients suffering
from cardiopulmonary disease and were thought to have emphysema and bronchitis.
Such diseases normally reduce the ability of the lung to transfer oxygen to the
blood.   It is hypothesized that the disturbance of normal ventilation and
perfusion in the lung by acute pollution exposure may shunt air from some
alveoli so that a sudden lack of available oxygen may be experienced.  A
reflex constriction of blood vessels supplying part of the lungs may follow,
resulting in increased pulmonary arterial pressure.  Although this added load
(associated with pollution exposure) should be tolerable in normal individuals,
the added stress and chain of events could possibly lead to fatal or irreversible
damage in individuals compromised with cardiopulmonary disease.
     The alveolar region of the lung is the site of several respiratory
diseases that are associated with inhalation of particles.  Long term exposures
to high levels of acid aerosols, as well as some other pollutants, have
produced conditions resembling emphysema in controlled animal exposure
studies (Hyde et^ £1_., 1978).  Various animal, occupational, and community
exposures to insoluble particles, including coal dusts, silica, asbestos, and
ambient dust may result in accumulation of material in lungs, and possibly
through damage to macrophages, are associated with inflammation, fibrosis and
other conditions (Brambilla et. a]_., 1979; Sherwin et a]_., 1979; Ziskind et
al., 1976).  This "dust lung disease" or pneumoconiosis may vary in severity
and pathological condition.
     d)   Thoracic Deposition, (Not Necessarily Specific to TB, AL Regions)
     Infection may be initiated in any area and spread to other regions.
Exposure to specific particle components has been shown to affect clearance
(Leikauf j^t !]_., 1981) and the immune system (Zarkower,  1972), both of which
are considered to be important host defense mechanisms against infection.

-------
                                 39
Observational studies show that exposure to particle/sulfur oxide pollution
is related to increased prevalence rates of infection among children (Lunn e_t
a1., 1967).  Observational studies also indicate that when children experience
a history of greater respiratory illness (associated with pollutant exposure),
these illnesses may produce small decrements in pulmonary mechanics.  Speizer
et_ aHL (1980) speculate that the lungs of those children affected by respiratory
diseases associated with pollutant exposure ultimately may not develop full
potential capacity as adults.  Long term British studies of individuals born
in 1945 (Douglas and Waller, 1966; Colley e_t al_. 1973; Kiernan et al_., 1976)
appear to support this possible mechanism in that a history of childhood
respiratory disease is associated with persistent changes in airways as
indicated by increased prevalence of respiratory illness in later years.
     Systemic toxicity may result from deposition in any region.   Some con-
stituents of particulate matter produce systemic toxicity when they enter the
blood and are transported to extra-respiratory sites.  Systemic toxicity has
been shown following inhalation of several  metals including lead (EPA, 1977),
mercury (Hammond and Beliles, 1980), arsenic (NAS, 1977b), cadmium (Hammond
and  Beliles, 1980), and some organic substances (NAS, 1972). Clearance of
inhaled carcinogenic particles to the gastrointestinal tract might account
for  the observed association of elevated gastrointestinal cancer with high
particle levels (Winklestein and Kantor, 1967).  The observed association is,
however, questionable (CD, p. 14-83).

-------
                                   40
B.   Effects of Concern
     This section identifies and describes the principal  effects of concern
associated with exposure to participate matter.   Evidence for such associa-
tions drawn from animal toxicology,  controlled human exposures,  and community
epidemiological studies is discussed and evaluated in Appendix B. Based
on these data, the following effects areas appear to be of most interest:
     1)   Respiratory Mechanics and Symptoms;
     2)   Aggravation of Existing Respiratory and Cardiovascular Disease;
     3)   Clearance and other Host Defense Mechanisms:
     4)   Morphological Alterations;
     5)   Carcinogenesis; and
     6)   Mortality.
     The major implications of the literature evaluated in Appendix B
relating to each of these effects areas are briefly summarized below.
     1.   Respiratory Mechanics and Symptoms
     Effects on respiratory mechanics can range from mild transient
changes of little direct health consequence to incapacitating impairment
of breathing.  Symptomatic effects also vary in severity, but at minimum
indicate a biological response.  Key conclusions with respect to the
effects of particles  include:
     1)   A number of long-term observational studies (Table B-3) have
     found that populations living in areas with high particulate pollution
     (usually with high SCL) tend to have a higher prevalence of respiratory
     symptoms and lower lung function capability compared with other groups
     in areas with lower pollution levels.  When differences in particle
     concentrations are small, effects are difficult to detect.
     2)   Only two community studies (Lebowitz e_t a]_., 1974; Dockery et a].,
     1981) have reported lung function decrements (in children and adolescents,
     some exercising) in association with short-term particle exposures.
     Occupational studies, controlled human expoures, and animal studies

-------
                               41
discussed in Appendix B suggest that a variety of particles can, at
high levels, produce relatively rapid functional changes.
3)   Most short-term (10 minutes-4 hours) animal and human investigations
of sulfuric acid and other sulfates have found no direct respiratory
mechanical changes below 1000 Mg/m , a level higher than those seen
even in peak London episodes (Table B-2).  Asthmatics show some
enhanced response, but other sensitive groups and longer exposures
(> 2-4 hours) have not been tested.  Responses to sulfates in
both asthmatics and normals generally decrease with lower particle
acidity.  Differences in subject sensitivity and health status may
be in part responsible for some observations of respiratory
mechanical changes at lower sulfuric acid levels in guinea pigs
(100-1000 yg/m ) and humans (350 ug/m ).  The importance of health
status is illustrated by the reactivity of people with influenza
to an apparently neutral nitrate salt (Utell e_t al_., 1980), at
high concentrations that produced no responses when the same
subjects were healthy.
4)   Short-term exposures (minutes - 4 hours) to various insoluble
                                                                 •3
particles and resuspended dustfall at high levels (2 to > 50 mg/m )
have produced variable degrees of bronchoconstriction and respiratory
symptoms in normal healthy adults and in diseased subjects.  In some
of these studies, coarse dusts (2 to > 12 ym) are clearly implicated
(McDermott, 1962; McKerrow, 1964; Andersen et^ al_., 1979; Toyama, 1964).
Although some negative findings are reported, the lower concentrations
                                                                 o
tested and found to produce responses in some subjects (2-10 mg/m )
are in the range of peak 1-hour smoke levels reported in London

-------
                                      42


             •3
     (10 mg/m ),  and within an order of  magnitude of likely hourly peaks


     during less  severe British and U.S. episodes.


     5)   Particles can enhance penetration and toxicity of soluble

     pollutant gases, notably, SOp (McJilton e_t al_., 1976; Amdur and


     Underhill, 1968).   The nature of the interaction is a matter of


     some complexity and debate (NAS, 1978).  The data suggest that

     higher particle solubility and surface area increase interaction

     potential.

     2.   Aggravation of Existing Respiratory and Cardiovascular Disease


     Particle-induced brochoconstriction, mucous secretion, and other


effects might aggravate those with respiratory and cardiovascular disease.

A number of community observational studies (Table B-4) of episodic as

well as more moderate peak exposures to  particles (usually with $02)

suggest that these exposures aggravate the conditions of cardiovascular

patients and, individuals with bronchitis, emphysema, pneumonia,

asthma, and influenza.


     3.   Alterations in Host Defense Mechanisms

     The major mechanisms discussed include clearance of particles and

other foreign matter from the respiratory tract and other respiratory

system-related defenses against infectious agents.  Important conclusions

include:

     1)   Studies of animals  (donkeys) and humans suggest that exposure to
                                                         3
     repeated short-term peaks of sulfuric acid  (100 jjg/m , 1 hour/day,


     6 months) may produce long-term slowing of mucociliary clearance,


     and by analogy  to cigarette smoke,  might play a role in the etiology

     of chronic bronchitis (Lippmann ejt aj_., 1981).   These sulfuric acid

-------
                                  43
     levels are roughly within an order of magnitude of possible repeated
     U.S. peaks, and within the range of maximal  London episode peaks
     (Section IV).
     2)   Community epidemiological  studies (Holland and Reid,  1965;
     Lambert and Reid, 1970) of particles and sulfur oxides and
     occupational studies of industrial bronchitis in workers exposed
     to high dust levels (Morgan, 1978) suggest that high long-term particle
     exposure is associated with an  increase in the prevalence  of
     bronchitis.
     3)   Animal exposure studies show that particles of various types
     may damage alveolar macrophages and affect immunology (CD,
     Section 12.3.4.2).  Animal infectivity model  results do not provide
     convincing evidence of enhanced mortality following administration
     of pathogens and exposure to particle components commonly  found
     in the ambient air, with the possible exceptions of high levels
     of sulfuric acid and carbon or  ozone exposure mixtures.   The
     relevance of these results to human exposures is unclear.
     4)   Community studies (Table B-7) suggest increased infectious
     disease during pollution episodes and in children and adults living
     in areas of higher particle and SCL pollution.   As noted in Table 5-2,
     such infections in children might have longer term consequences.
     4.   Morphological Damage
     Long-term exposures to particles damage lung  tissue, but the available
evidence is mainly  qualitative.  Specifically:
     1)   Multi-year studies of dogs exposed to sulfuric acid/SCL mixtures
     (Table B-8) indicate damage to  the tracheobronchial  region and

-------
                                 44
     alveolar lesions that are analogous to an incipient stage of emphysema.
     Damage apparently continued to increase following the termination of
     exposure.   Several  factors outlined in Appendix B complicate application
     of the results to real  world human exposures.
     2)   12-18 month exposures of monkeys and guinea pigs to various
     mixtures of sulfuric acid, SCU, and fly ash suggest that most
     morphological  damage reported was due to sulfuric acid perhaps
     in combination with ammonium sulfate salts (Table B-8).   Although the
     fly ash particles were somewhat large for deep lung penetration
     in this small  animal, some accumulation was noted, but without
     obvious effect.  Post exposure examinations similar to those
     in the above dog studies were not performed.
     Retrospective  autopsy studies (Table B-9) of animals and humans exposed
to various crustal  dusts at near to slightly above  ambient levels suggest
these exposures result in silicate pneumoconiosis.   Responses range from
the build up of particles in macrophages with no clear clinical significance
to possibly pathological fibrotic lesions.  The studies suggest deposition
of ambient coarse particles in the alveolar region  is of some concern but
do not provide a basis for quantitative health assessments.
     5.   Carcinogenesis
     Cigarette smoking is generally considered to be the major determinant
of lung cancer (Higgins, 1976; Doll, 1978).  The high particulate air pollution
of the 1940-60's contained carcinogens and may have potentiated or otherwise
contributed to elevated cancer rates in urban areas.  Based on filter
chemical analyses,  levels of some particulate carcinogens have declined
since that time and hence carcinogenic risk from these substances

-------
                                   45
presumably has been reduced.   The available evidence does not unequivocally
show that current particle exposures contribute to cancer.   Neither does
                                                             •
it disprove any effect.  Because lung cancer is the leading cause of
cancer-related deaths, the risk of a small effect could assume some
importance.  The presence of mutagens in organic particulate fractions
from unidentified sources (Pitts et al_., 1977) and potential interaction
between these or inert particles and carcinogens from cigarettes or
occupational exposures suggests some need for caution and further study.
     6.   Mortality
     A number of epidemiological studies demonstrate an association
between peak particle and S02 pollution and mortality in certain sensitive
populations (Table B-10).  While some analyses suggest that the observed
pollution effects may be more attributable to particles, it is not clear
that the available data permit such a determination.
     Regression analyses of long term mortality and pollution data
(Table B-ll) have been used to suggest that sulfur-containing particulate
matter at current ambient levels is associated with excess mortality.
A number of inherent difficulties confound such studies to the extent
that they do not provide reliable evidence on such effects of particles
and sulfur oxides.   They are not, however, inconsistent with the possibility
of associations at levels below those observed in the more extreme episodes.
C.   Sensitive Population Groups
     This section identifies those groups most likely to be among the
most sensitive to the effects of particulate matter, based principally
on material presented in Sections A and B.  Available estimates of the
size of each of these groups in the U.S.  population are also given.

-------
                                                               46
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                                 47
     The presence of certain diseases appears to be an important factor
in the predisposition of certain individuals to the harmful effects of
particulate matter.  The history of catastrophic pollution episodes
(Firket, 1931; Schrenk e_t al_., 1949; Ministry of Health, 1954) as well as
the lesser episodes in London (Martin, 1964) has clearly indicated that
chronically ill individuals, especially those with cardiovascular and
respiratory diseases, as well as the very young and the very old, were
more severely affected than other groups.
     Data derived from lower levels of community exposures and from other
sources suggest additional segments of the population that may be at
higher than average risk.  These include children, asthmatics, smokers,
obligatory mouth breathers, and individuals with pneumoconiosis or
influenza.  Table 5-3 draws upon information from epidemiological, toxico-
logical, human clinical and physiological research in summarizing the
observations that have identified various subgroups and possible explana-
tions for their sensitivity.  Much individual variation exists among the
sub-groups.  For example, at any given level of particles, some exposed
children may note only symptomatic irritation, while others may suffer
deterioration of respiratory function.  Moreover, in some respects, these
groups can sometimes be at lower risk, as in the case of influenza
patients confined to indoor environments with lower than ambient pollution
levels.
     Data from the U.S. National  Health Safety Survey for 1970 indicates
that chronic respiratory disease makes up ten percent of all  conditions
causing disability of one week or more.  In 1970, there were  about 6.5
million chronic bronchitics, 6.0 million asthmatics, 1.3 million

-------
                                48
individuals with emphysema and about 10 million adults with heart disease
severe enough to limit activity (DHEW,  1973).   These are rough estimates
since some surveys have reported higher figures depending on age, sex, and
the definition of disease that is used.  Limited physiological studies
suggest that about 15% of the population are habitual  mouth or oronasal
breathers (Saibene, et^al_., 1978; Niinimaa e_t al_.,  1981).  Anyone may temporarily
switch to mouth breathing during exercise, illness, and conversation.
     Although there are about 50 million smokers, the number of people at
a higher than expected risk because of smoking may also include children
living with smokers, and ex-smokers (DHEW, 1977).  In addition, some
workers who are occupationally exposed to dusts might become more .susceptible
to community particulate pollution, even if they are not classified as
having respiratory disease.  The more sensitive individuals, however, often
do not remain in such work environments (Morgan, 1978).

D.   Concentration/Response Information
     As outlined in Section B, reactions to particulate matter can be
divided into acute and chronic effects in healthy individuals as well as
those with existing pulmonary or cardiovascular diseases.  Air pollution
clearly has been associated with an increase in both mortality and
morbidity during smog episodes, as well as impaired lung function and
increased respiratory symptoms among individuals with long-term high-level
exposures.  The literature summarized in Appendix B shows that the existence
of these general associations has been demonstrated in many countries and
population groups, and is at least qualitatively supported by controlled
laboratory exposures of animals and humans to various components of particulate
matter.

-------
                                  49
     Trying to assess the precise level of particulate pollution associated
with observed effects on health, however, has many problems.  Suspended
particulate matter is not a uniquely defined entity.  The comprehensive
physical and chemical characteristics are not only hard to measure and
relate to health effects, but vary with monitoring device, geography,
and time.  This increases the uncertainty of any extrapolations from
one set of circumstances to another, and greatly limits the utility of
laboratory studies of single substances for quantitative purposes.
     Epidemiological  studies can provide strong evidence for the existence
of pollutant effects, but are more limited for identifying accurate effects
levels for specific pollutants or pollutant classes.  Among the more
important limitations of epidemiology as discussed in Section 14.1.1 of the
criteria document are:  1) inadequate and inconsistent measurement of the
exposure burden of individuals; 2) variability in the measurement of
health endpoints (e.g., lung function, hospital admissions, frequency of
symptoms) and in the sensitivity of populations studied; 3) failure, especially
in cross-sectional studies, to control fully for confounding, or covarying
factors, such as cigarette smoking and socioeconomic status; 4) difficulty
in distinguishing particles from other pollutants; and 5) inability
to establish a causal relationship, or negate one, based only on statistical
associations.
     Recognizing these limitations, epidemiological studies must still
form the principal basis for developing concentration response assessments
for particulate pollution.  The following review summarizes those studies
cited by the criteria document as providing the most reliable quantitative
information as well as other studies that provide reasonable evidence of

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                                  50
exposure response relationships without allowing derivation of specific levels.
A further assessment of these studies as applied to selecting alternative
levels for air quality standards is presented in Section VI.
     1.    Acute Exposures
     a)    Mortality
     During the historical London pollution episodes, significant increases
                                                                             3
in mortality occurred when daily averages of British smoke exceeded 1000 yg/m
together with daily average S02 levels in excess of 1000 yg/m  (Ministry
of Health, 1954; Scott, 1963).  Smaller increases in mortality also have
been observed in episodes in New York (Glasser et^ aj_., 1967).  The
criteria document states that these studies "tentatively suggest that
small increases in excess mortality may have occurred at simultaneous
elevations of 1000 yg/m3 S02 and PM above 5.0-8.0 CoH, but this is much
less clearly established "(CD, p. 14-15).  Most of these episode-related
effects were among particularly vulnerable sections of the population,
such as the elderly and those with cardiopulmonary disease.
     Studies of pollution/mortality associations during less extreme
conditions are more relevant for current purposes.  Several studies,
listed in Table 5-4, have examined minor or non-episodic variations in
pollution.  Martin and Bradley (1960) related daily mortality from all
causes (and from bronchitis and pneumonia) to daily levels of smoke and
S02 in London during the winter of 1958/59 which was an unusually foggy
period.   A considerable number of coincident peaks in pollution concen-
tration and daily mortality were found.  British smoke and S02 correlated
highly with mortality from all causes.  An influenza epidemic during the
month of February may have confounded the results.  The correlation
between mortality and mean daily temperature was not significant and

-------
51










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                                    52
only marginally significant for humidity.   Visibility, which is influenced
both by fog and particulate pollution, was also highly correlated with
mortality.
     Martin (1964) analyzed the winter of 1959-60 in which there were fewer
incidents of high pollution and still found significant positive correlations
between mortality and pollution.  Both studies relied on measurements
taken from a seven station monitoring network in central London that, according
to the criteria document, was a good index of city-wide concentrations.
The errors for individual measurements are difficult to calculate.  Ware
e_t ^1_. (1981) re-examined the data from both winters after excluding the
month of  the influenza epidemic  and provided evidence that positive deviations
                                                          3
in mortality occurred with BS levels greater than 500 yg/m  with increasingly
negative  deviations below that level.  The criteria document points out
that  it is unclear at what level significant excess mortality occurred, but
concludes that notable increases in excess mortality occurred in the
range of  500-1000 yg/m  BS and SO,, and were most likely when both pollutants
                 3
exceeded  750 yg/m ; small increases in mortality may also have occurred at
levels below 500 yg/m  of either pollutant (CD, Table 14-7).
      The  Ware e_t al_. (1981) and some other analyses (CD, Appendix 14-D) omit
data  for  the month of February 1959 because an influenza epidemic confounds
the results.  The relationship between mortality and pollutant levels continued
during this month, but the mortality deviations appear exaggerated compared to
previous  months.  Significantly, the peak daily mortality deviation during
the epidemic, as well as the entire winter (+ 150 deaths), occurred on the
day of peak smoke (1600 yg/m ) and SOp (0.6 ppm) levels for the month.
On this same day sulfuric acid  levels at a central London site reached
        3
350 yg/m   (Commins and Waller,  1967).  The peak daily deviation for the
rest  of the winter, even with similar pollution levels was about + 60.

-------
                                      53
Although the influenza epidemic was undoubtedly the major factor, the
clinical results showing pulmonary functional changes in influenza patients
with exposures to a normally innocuous neutral salt,  (sodium nitrate, Utell
_et aJL , 1980) support the suggestion that the more irritant London aerosol
may have been causally involved in increasing mortality during the epidemic.
Such enhanced responses in influenza patients might also occur at lower
concentrations, and suggest that  inclusion of such epidemics in daily
mortality analyses might be appropriate.
     An exploration of daily mortality in London extended to 14 winters,
(1958/59 to 1971/72, Mazumdar et_  al_., 1981) provides  a much larger, and
thus more reliable, data base, and may be of more relevance to current
conditions.  This 14-year study period saw a major change in London's
pollution mix, with declines in SCL and BS of 50% and about 80%, respectively,
as well as a change in the nature of the particulate  complex from the
black tarry matter of the 1950's  and early 1960's.  After adjusting for
meteorological variables, seasonal and yearly trends, and multi-collinearity
of the pollutants, a strong association between daily mortality and
daily pollution for the entire period was found.  The authors concluded
that:  l)this  association was  primarily  due  to  smoke  and  not  S02  and  no
synergistic effects between SCL and smoke could be shown; 2) when
"episodic" days, classified as a  day when BS concentrations
exceeded 500 ug/m  plus the seven adjacent days on each side, and "non-
episodic" days, which made up the balance, were analyzed separately, the
association persisted throughout  both classes of days, and; 3) linear
and quadratic models of exposure-response between daily smoke and daily
mortality were both compatible with the data.

-------
                                   54
     Based on the exposure-response curves derived from these models
(depicted in Figures 14-2 and 14-3, CD), the criteria document concludes:
1) steadily rising increases in excess mortality were associated with
                                          3                   3
increasing BS concentrations over 500 yg/m , 2) under 500 yg/m  the
relationship is uncertain, but the data provide some indications of small
increases in mortality in the range of 150-500 yg/m  BS (CD, p. 14-21) and,
3) it is unclear whether the Mazumdar e_t al_. analysis truly distinguished
the effects of BS from SOp or whether the associations are due to some
other unmeasured covarying factor (CD, p. 14-24).  Comparison of the
Mazumdar regression analyses (both linear and quadratic models) with
the Ware and EPA reanalyses of the Martin and Bradley (1960) data ('CD,
Appendix 14-D) indicate that the four analyses were reasonably consistent
in both direction and magnitude.
     Other time-series analyses of daily variations in mortality and
pollution in New York City suggest weak but positive associations between
nonepisodic mortality and daily levels of PM (daily peaks up to 5.0-6.0
CoHs, Schimmel and Murawski, 1976; Schimmel, 1978).  According to site-
specific mass calibrations of particulate density readings in New York
during this period, these CoH values were approximately equivalent to
575-750 yg/m  BS (Ingram and Golden, 1973).  Although these results
appear to be consistent with those from the London studies, the reliance
on a single, central Manhattan monitoring station as an estimate of
pollutant exposures for the entire New York City area precludes evaluation
of quantitative effect levels.
     b)   Morbidity
     The work of Lawther e_t a]_. (1970) is widely regarded as among the
most reliable epidemiological investigations of the effects of particles
and sulfur oxide pollution.  Day-to-day changes in the health status

-------
                                 55
among a group of 180 and later about 1000 chest clinic patients (mostly
bronchi tics, but some patients had asthma or emphysema) were shown to
depend on daily variations in London pollution, measured at seven sampling
sites, most close to ground level, in a ring around the city's inner
residential area.  The same seven sites were referred to earlier in the
London mortality analyses.  Although exposures varied, the pollution levels
derived from the measurements in central London were considered reasonable
estimates of exposure, since most subjects worked in the central district.
For two winters, 1959-60 and 1964-65, the minimum daily pollution level
leading to exacerbations among this group of bronchitics is considered
to be about 250 yg/m  BS together with about 500-600 vig/m3 S02 (CD, p. 14-28).
As the criteria document (CD, Table 14-7) points out, however, a summary
of results in a subgroup of sensitive patients for the winter of 1967-68
(Table III, Lawther ejt aj_., 1970) indicates a statistically significant
correlation between smoke and symptoms in a winter with only one day of
BS >_ 250 yg/m  and SOo > 500 yg/m .  Because daily temperature, SO^* and
BS levels were all significantly correlated with symptoms during the
winter, the pollutant or combination of pollutants responsible for the
observed effects could not be determined.  Interestingly, sulfuric acid
was strongly correlated with effects in a sample of patients during one
winter, but less so the next.
     The authors concluded that the reported aggravations in health
likely reflected the effects of brief exposures to the maximum concentrations
occurring during the day.  These peaks were probably several times the
24-hour averages, but, because of the wide dispersion of subjects and
the variation in the magnitude and timing of such peaks across the study
area, the impact of peak values could not be directly examined.  The smoke

-------
                                  56
shade data were obtained from the same network as used in the mortality
studies.   A centrally sited unit not in the network was calibrated with
mass readings and according to the criteria document, this calibration
tends to conform "reasonably" well with the mass calibrations in the seven
station network from 1959-63 (CD, p. 14-18).  After that time, the calibration
may have tended to overstate the true ambient mass levels (CD, Table 14-7).
     Two other studies used hospital admissions/visits as indicators of
acute morbidity.  Martin (1964) found that applications for hospital
admissions for cardiovascular and respiratory conditions among London
men (45-79 yrs) were highly correlated with particulate matter (BS) and
S02 during two winters of periodic fogs and minor pollution episodes.
Again, no clear threshold exists; where deviations from the adjusted
15-day moving average become positive, however, marked increments in
hospital admissions can be discerned, but only at concentrations above
those apparently associated with excess mortality.  Hospital admissions
suggest a relatively serious effect and are clearly not as sensitive an
indicator of pollution related morbidity as that used by Lawther et a!.
(1970).  Because of these and other limitations in the use of hospital
admissions data (Bennett, 1980), the Martin (1964) results do not provide
reliable estimates of morbidity effects levels.
     Samet et aj_.  (1981), related hospital emergency room visits during
March, April, October, and November of 1974-1977 to daily levels of TSP,
SOp, N02» CO and 0, in Steubenville, Ohio, a heavily industrialized town.
After adjusting for meteorological variables, weekly, seasonal and yearly
cycles, possible day-of-week effects, and multi-collinearity of the pollu-
tants in a quartile analysis, emergency room visits for all respiratory
diseases did not vary significantly with pollution.  However, the largest

-------
                                     57
deviations from average numbers of visits occurred at the highest pollutant
levels (>_ 202 yg/m3 TSP and >. 121 yg/m  SO,,).  A regression model utilized
to test for linear relationships identified a significant same-day effect
of both TSP and S02 on respiratory disease visits.  This effect was quite
small, only 1% of these visits could be explained by changes in TSP and 1%
by SOp.  Based on the model, the authors suggested that an increase from the
observed daily mean TSP level (156 yg/m ) of 100 yg/m  might result in a
corresponding 3% increase in emergency room visits for respiratory disease.
Nevertheless, no level at which increased visits occurred can be derived
from this study.
     The use of emergency room visits as a health end-point is analagous to
hospital admissions data.  Neither would be expected to be as sensitive
an index of morbidity as that used by Lawther et^ al_. (1970).  The Samet
et. aj_. (1981) work does indicate that effects may occur in groups other than
bronchi tics.
     2.   Chronic Exposures
     The relationship between long-term exposure to air pollution and
health has been extensively studied, but few of the studies provide sound
data or consistent findings sufficient to make quantitative conclusions.
Geographic comparisons of morbidity (see Appendix B.5) and mortality rates
among populations suffer from many limitations (see CD, Sections 14.1.1.1 and
p. 14-35).  Those studies that are useful in delineating quantitative
relationships between particulate matter and chronic morbidity effects are
summarized in Table 5-5.
     a)   Ch i1dren
     As pointed out in Section V-C, children who suffer respiratory insults
may be predisposed to developing chronic respiratory diseases as adults.
Therefore, results on children should be considered as particularly important.

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                    58
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                                     59
     Lunn e_t al_. (1967, 1970) studied respiratory disease and lung functions
of school children in four areas of differing pollution levels in Sheffield,
England.  At ages 5-6 both chronic upper respiratory infections and lower
respiratory tract illness were associated with residence in more polluted
areas.  An illness gradient corresponding to increasing pollution was found
and was independent of socio-economic factors, although parental smoking,
parental respiratory diseases, and home heating systems were not taken into
account.  Lung function (FEV 75, FVC) was lower among the children in the
most polluted area compared with the other areas.  Based on the results
from the lung function tests, the authors concluded that, "a pattern of
respiratory disability had appeared at an early age and was sufficiently
established to persist although the factors of pollution and infection were
temporarily absent or at a low level."  The criteria document notes that
the effects levels listed in Table 5-5 have been widely accepted as being
valid by several reviews (CD, p. 14-47).  However, the levels must now be
considered only as very approximate "observed effects" levels due to the
uncertainties associated with estimating PM mass based on BS readings
(CD, Table 14-8).
     After four years of improving air quality, differences in the incidence
of respiratory illness and in lung function among these children, now
nine years old, were no longer significant (Lunn e_t al_., 1970).  The authors
attributed the disappearance of differences over this period to the reduction
in air pollution, especially in smoke levels with a small decrease in SO
levels.  Given the size of the population, it is not likely that the study
had sufficient power to detect small  changes among the cohorts.   Also,  no

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                                 60
site-specific calibrations of the BS mass readings were made at the time of
the later study.  Because of these limitations, the criteria document
concludes that smoke levels at which no differences in respiratory disease
symptoms or in lung function among the children occurred cannot be determined.
     b)   Adults
     A series of investigations followed changes within Berlin, N.H.,
adults over a 12-year period (Ferris and Anderson, 1962; Ferris e_t al_.,  1973,
1976).  After an essentially negative cross-sectional  survey in the winter
of 1961, the population was followed up in the summer  of 1967 when pollution
levels dropped.  Small  reductions in respiratory disease symptom rates,
principally chest colds, together with an indication of small lung function
improvement (as measured by FVC and PEFR), were associated with a decline
                                  3
in TSP levels from 180 to 130 ug/m  and in sulfur pollution levels, which
were apparently moderate (based on unreliable measurements using "lead
candles").  Although the TSP level for 1961 was based  on only two months of
monitoring, levels were clearly higher in 1961 than in 1967.  Another
survey in 1973 when TSP levels dropped further to 80 ug/m  and sulfur
pollution slightly increased (based on lead candle and limited S02 data)
found no further improvements in respiratory health.  Because the trend  in
SO- did not correspond with the changes in the respiratory health of the
population, the observations apparently reflected the  effects of reduced
particulate pollution.
     Although seasonal factors were not directly controlled between the  first
two surveys, the investigators attempted to rule out possible confounding effects

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                                    61
by retesting some subjects in the winter and the summer in 1961.  No signi-
ficant differences were found.  In addition, the survey regarding respiratory
illnesses was in reference to the previous three years, which likely minimized
seasonal effects on illness and symptom differences between the years.
     The results from this study must be interpreted with caution inasmuch
as air pollution in Berlin, N.H., is dominated by the emissions of a pulp
mill, unlike more typical situations in the U.S.  However, the findings are
generally consistent with those of other studies and suggest that marginal
decrements in respiratory health and mechanics occurred between 130 and 180
    o                                                       o
yg/m  TSP (annual average) and that the range of 80-130 yg/m  TSP (annual
average) is a possible lower limit at which any effects are difficult to
detect.
     A comparison of residents in two communities in Connecticut with
different ambient exposures to TSP and S02 found no differences in pre-
valence rates of chronic bronchitis symptoms among white adults (25 years
of age and older) nor in lung function among persons seven years of age and
older (Bouhuys ejt ci]_., 1978).  A history of bronchial asthma was signifi-
cantly higher among residents in the cleaner town, Lebanon.  However, the
prevalences of cough, phlegm, and dyspnea (when hurrying on level  ground or
walking uphill) were significantly higher for adult non-smokers in Ansonia.
Prevalence of cough and phlegm in this group increased along a gradient from
lifetime rural, to partly urban, to lifetime urban residences.  The prevalence
of recent wheeze was also higher in Ansonia residents, but only in comparison
to lifetime rural residents in Lebanon, while part-time urban residents in
Lebanon and Ansonia had equal prevalence rates as lifetime urban residents.
     Response rates differed markedly between the two towns (56% versus
    , however, follow-up analysis of the non-responders indicated that

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                                    62
little potential  for bias existed.   Seasonal  effects were not accounted
for, but as in the Ferris study,  these may have been minimized by the
nature of the survey questions.   The authors  state that occupation was
controlled for, though no data are provided to support this.
     Although no differences in lung function or bronchitis prevalence were
detected, the significantly increased symptom rates among the Ansonia
residents indicate some small differences in respiratory health associated
with pollution.  It is not clear whether the reported effects related to
then-current or historical pollutant levels.   As the criteria document
notes (p. 14-45), average annual  TSP levels for the previous seven
years in the urban area were between 65 and 150 yg/m .  This is perhaps
best characterized as the median value of about 110 yg/m.  TSP levels in
                                                       •3
the rural area were provided for only one year (40 yg/m ) but were reported
to be consistently low.  SOp was low in both areas in 1973, but might have
been higher in previous years in the urban area.  The lack of a detectable
difference in  lung function accompanied by some contrast in symptom rates
is consistent with other studies (Ferris e_t al_, 1976, 1979; Aubry et a!.,
1979) in which effects were either undetectable or marginal at annual
TSP levels between 60 and 130 yg/m3.
     As  the criteria document notes (p. 14-45), size-fractionation of a
limited  number of TSP samples in Ansonia by Hosein e_t a]_.  (1977) showed
that 81% of the TSP sample was 9.4 ym or less in diameter.  This estimate,
however, was based on 15 samples taken only on "dry days" with a cascade
impactor of uncertain reliability.  The size data were apparently
characterized  as log-normal, suggesting particle bounce problems and
underestimation of the "MMD" common to much impactor data.

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                                      63
     Other studies of community health provide mainly qualitative support
for the existence of exposure/response relationships between sulfur oxide/
particle pollution and chronic morbidity (see Appendix B).   Notable examples
include two well conducted British studies (Douglas and Waller, 1966;
Lambert and Reid, 1970) that indicate positive gradients of respiratory
illness with increasing coal consumption.   Because of various deficiencies
in design or methodology, these studies cannot be considered useful in
yielding information on levels of pollution at which the observed effects
occurred.

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                                 64
VI.  FACTORS TO BE CONSIDERED IN SELECTING PRIMARY STANDARDS FOR PARTICLES
     This section, drawing upon the previous summary of scientific
information, enumerates the key factors that should be considered by the
Administrator in deciding what particle fractions  should be used as  an
indicator of particulate pollution, establishing the levels of primary
standards and designating appropriate averaging times and frequency
criteria.  Preliminary staff recommendations on the most appropriate
policy options in each of these interrelated areas also are presented.
A.   Pollutant Indicator(s)
     1.   Major Approaches
     Faced with obvious evidence of adverse health effects in heavily
polluted areas in the decades after World War II,  public health au-
thorities in the U.S. and Great Britain pushed for reductions in general
particulate matter as indexed by available monitors, despite the fact
that the identity of causative agents and mechanisms was not well-known.
That these efforts were largely successful is evidenced by the review of
epidemiological data; it is extremely difficult to reliably detect
particle related health effects in areas where levels approach the
current U.S. primary standards. Furthermore, as Section IV indicates,
concentrations of many of the more innately toxic components of par-
ticulate matter (e.g., trace metals, BaP) have declined substantially in
previously polluted areas.  This has reduced the need to consider
additional regulations (ambient or source) for control of such sub-
stances.  The initial steps to control particles largely undifferen-
tiated in terms of size and chemical composition appear to have been good
public health policy, even though "particulate matter" is toxicologically
undefined.

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                                  65
     Nevertheless, the efficiency and effectiveness of total  particulate
standards have been justifiably questioned in recent years.   In this
standards review, then, it is necessary to use available information to
specify what measurable particulate fractions are the most suitable
indicators of those particles potentially of concern to health; in
essence, we must define the pollutant.
     Although a number of approaches are available, the major policy
options with respect to particle indicators include:
     1)   Indicators used in community  epidemiological  studies (TSP, BS,
          CoH);
     2)   Chemically specific indicators - (By class, e.g.,  sulfates,  or
          compound, e.g., sulfuric acid);
     3)   Size specific indicators (e.g., FP, MRP,  BMRC, IP); and
     4)   Combined particle (as above)/S02 index.
Each of these approaches is discussed and evaluated briefly  below.
     a)   Indicators used in Community  Epidemiological  Studies
     Three major indices of particulate matter have been associated with
health effects in community epidemiological studies:  Total  Suspended
Particulate Matter (TSP), British Smoke (BS), and Coefficient of Haze
(CoH).  The advantages of using these techniques  as indicators include
direct relationship to the quantitative health data base and/or his-
torical continuity of particle data.  None of these approaches,
however, were designed to account for respiratory tract deposition  or
variable ambient composition.  Each has specific  design flaws making
application for U.S. health standards much less than optimal.   Briefly,
major problems include:
     i)  TSP - Windspeed dependent particle acceptance  of the hi-vol
         sampler (<  25-45 vim) is unrelated to respiratory tract

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                                    66
         deposition.   In  current U.S.  atmospheres,  substantial  quantities
         of coarse particles  too large to reach  the thoracic  region  are
         collected.   Thus,  large (>  10 \im)  coarse  particle  control is
         emphasized.
    ii)   BS, CoH - Particle acceptance of these  instruments (<  4-5 ym)
         includes much of the material potentially  deposited  in the
         alveolar region  of the lung,  but may exclude  some  alveolar
         deposition,  and  a  major fraction of particles  that can be
         deposited in the tracheobronchial  region.   More  importantly,
         the BS reading varies more  with darkness  of the  particles •
         (carbon content) than with  mass, making associations with mass
         highly site  and  time specific.   Control of primary elemental
         carbon emissions is  emphasized; elemental  carbon is  a  minor
         contributor  to fine  and total mass in current U.S. atmospheres.
   iii)   TSP/BS Relationships - In addition to the  above  problems, the
         lack of any  consistent relationship between TSP  mass and BS
         reflectance  diminishes one  of the major advantages of  these
         indicators;  direct relatability to the  available quantitative
         health data.
     b)   Chemically Specific  Indicators
     Regulation of specific chemical substances  or identified classes
could potentially improve the effectiveness of particulate control
programs.  Ideally, it would be useful to identify a few  specific chemical
substances of defined size range that are responsible  for the vast
majority of observed  effects.  Despite efforts on  three continents over
the last thirty years, however, no such specific "active  agents" have

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                                   67
been unequivocally identified.  Instead, our review suggests that a
large number of different particulate substances may produce responses
in animals and humans, usually at levels higher than those found to be
associated with effects in community epidemiological studies.
     Identification and control of each of the many ambient aerosol
components would be difficult to accomplish, time-consuming,
and would place excessive monitoring,  compliance, and other requirements
on affected agencies and industries with no clear potential  for improv-
ing public health protection over general  particulate regulation.
Exceptions, such as trace constituents of high toxicity which  are  inade-
quately controlled by general particle standards, can be regulated by
specific ambient or emissions standards, as in the  case of lead or asbestos.
     A somewhat more practical intermediate approach would be  to use
chemical classes (e.g., "sulfates", "organics")  as  indicators  of particulate
pollution.  The available epidemiological  data base, however,  does not
provide quantitative or qualitative support for chemical  class standards
and both animal and human laboratory studies indicate variable toxicity
even within such categories.  Given current knowledge and technical
capabilities, separate standards for chemical  classes would  be difficult
to support and implement, again with no obvious  advantages for improving
health protection.  Work to identify particularly significant  classes/
sources/substances is needed to support future standard reviews.
     c)  Size Specific Indicators
     All commonly used particulate monitoring  devices are in some  measure
size specific; the key issue is to determine what the most appropriate
size fractions are for ambient air quality standards.  Aside from  con-
tinuity with historical epidemiological  instruments  (see  a)  above), the
two major approaches to selecting such size fractions include

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                                  68
1) size divisions according to regional human respiratory tract de-
position and 2) size divisions according to typical atmospheric size
distributions, for example, fine and coarse.  These two approaches are
not necessarily completely independent.
     i)  Human Respiratory Tract Deposition
     Particulate indicators based on regional human respiratory tract
deposition have long been adopted in occupational settings (Lippmann,
1970) and were recently recommended for ambient particles (Miller ejt
al_., 1979; ISO, 1981).  Although this approach forms the most logical
basis for defining a health related particulate standard, there may be
difficulties in relating deposition derived indicators to the epide-
miological results, as well as uncertainties in translating available
human deposition data into uniform size fractions.  Criteria are dis-
cussed more fully in Section 2 below.
     ii)  Ambient Size Distribution
     Recognition that ambient particle mass and volume are typically
distributed bimodally has led to the suggestion that the health (as well as
other) effects of the two modes might ultimately be treated separately
(NAS, 1977a; Miller e_t_ al_., 1979).  Because the chemistry of the two
modes tends to differ, this approach is essentially a simplified version
of the chemical class index approach discussed above.
     This "natural" dividing line is at least partially relatable to
human deposition.  The typical minimum dividing the fine and coarse
modes (1 - 3 urn) is near the 50% size  "cut" used in occupational settings
to indicate insoluble "respirable" particles (3.5 - 5 ym).*  Signif-
icant alveolar penetration, the enhanced effects with decreased
*A1though precise collection methods may vary, "respirable" particles have
 been defined as those penetrating to the non-ciliated portions of the lung
 (Miller et al., 1979).

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                                  69
particle size noted in some animal studies, and the substantial  surface
area in the sub-micrometer range have long been cited as  indications  of
the need to develop data in support of separate fine particle standards
(Natusch and Wallace, 1974; NAS, 1977a).   Moreover, it has  been  argued
that the British epidemiological studies  might be relatable to a fine
particle index, both because of the nature of the BS measurement and  the
nature of the historical British aerosol  (Waller, 1980).
     Nevertheless, some difficulties and  uncertainties exist in  adopting
a fine/coarse fractionation for primary standards.   Briefly, these
include:
     1)  The dividing line between fine and coarse  particles is  neither
         sharp nor fixed and substantial  over-lap may occur.
     2)  The minimum in the bimodal distribution  may, in  effect, disappear  near
         strong sources or under other peak loading conditions (see Section IV);
         this minimum as well  as smaller  coarse particles lie near the size
         range of maximum efficiency for  alveolar deposition (2-4 urn).
     3)  Although the two modes have differing origins and  chemistries,
         each is chemically heterogeneous.
     4)  The respiratory tract in effect  alters the ambient distribution,
         with a mixture of fine and coarse particles being  deposited  in
         the tracheobronchial  and alveolar regions.
     5)  The mixing of modes in the respiratory tract and the heterogen-
         eity within each mode blur the distinction between the  modes  in
         terms of health effects.  For example, with respect to  health effects,
         fine sulfates may have more in common with coarse  nitrates than
         with fine polycyclic  organic compounds.  Similarly, it  is not
         clear that 1  pm carbon particles  are more  likely to result in
         pneumoconiosis than 4 urn silica  particles.

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                                  70
     6)   Respirable  sampling  used  in occupational  studies  is  ap-
         parently  not  a  good  indicator  of  some  effects  associated with
         occupational  exposure  to  insoluble  mineral  dusts,  particularly
         industrial  bronchitis  (Morgan,  1978).   The  fine fraction
         alone,  then,  also  would not adequately include particles re-
         lated to  such effects.
     7)   Given that  coarse  "insoluble"  dusts can result in responses
         such as bronchoconstriction, altered clearance and alveolar
         tissue damage (Section V),  and the  likelihood  that coarse
         particles were  present in British air (Section IV),  it would
         be premature  to ascribe all of the  effects  noted  in  British
         studies solely  to  fine particles. Neither the  British nor  other
         community epidemiological studies permit unequivocal separation
         of the effects  of  fine and coarse particles.   Indeed, until
         ongoing studies make more definitive divisions possible,  the
         most prudent  and defensible course  may well be to combine  both
         British and U.S. epidemiological  data in support  of a single
         size specific indicator based  on  human deposition data.
     d)   Combined PM/SCL Index
     Elevated particle levels associated with health effects  in historical
episodes were most often accompanied by high levels  of  sulfur dioxide.
As discussed in previous sections, it  has  been difficult  to separate  the
effects  of particles and S02  in these  cases, and both pollutants might
have been acting as  indicators for some hitherto unidentified "active
agent."   Mechanistically, particles may increase penetration of sorbed
SCL or otherwise enhance toxicity  by chemical or physical  transfor-
mations.  Combined SCu/PM indices  have  been  suggested to  account for
these potential interactions.

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                                   71
     The relevance of such a combined index to contemporary U.S. at-
mospheres is, however, unclear.  The sources of high SCL levels often
are well-controlled with respect to particulate matter while many major
sources of particles emit little or no SCL.  The combination of high
levels of both S02 and particles is comparatively rare, since the S02
standards are largely met.  Moreover, particles may interact with other
gases more commonly found in U.S. atmospheres than in historical epidem-
iological studies, notably photochemically generated pollutants such as
ozone, and N02.
     Epidemiological evidence suggests that reduction in particulate
matter levels may improve health status even when S02 levels remain
elevated or are initially low  (Lawther e_t al_., 1970; Ferris e_t al_., 1973).
As Lawther et aj_. (1970) point out, this should not be construed as an indi-
cation that SOp produces no effect, merely that control of one indicator
can reduce risks.
     In light of the above considerations, linking the allowable U.S.
particle levels to S02 concentrations through a combined index would not
necessarily offer any improvement in health protection over a separate
particle standard.  Even with a separate particle standard, the pos-
sibility of linking S02 standards to particle levels still can be con-
sidered later in the review of the S02 standard.
     2.  Staff Recommendations for a Particle Indicator
     a)  Recommendations for Approach
     Based on the above evaluation, the EPA staff reaches the following
conclusions with respect to an approach to selecting a particle indicator:
     1)   The current primary standard indicator, TSP, can and should
          be improved upon during this standard review.  Choice of other
          indicators used in historical epidemiological studies (BS, CoH)
          is not advisable, both on health and technological grounds.

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                                     72
     2)    Movement to  chemically  specific  indicators  ultimately may  be
          desirable but  not  advisable during  this  review.   Of  the  particulate
          chemical classes,  most  is  known  about  sulfates.   Nevertheless,
          most reviews have  concluded that insufficient  data exist to
          set a separate national  sulfate  or  sulfuric acid  standard
          (NAS, 1977a, 1978).   We concur with these judgments.
     3)    From the standpoint  of  protecting public health from the
          effects  of particulate  matter, a combined SO?/PM  index  is  not
          necessary.
     4)    Choosing a size specific particle indicator based primarily
          on respiratory tract deposition  data is  the best  approach  for
          improving the  particulate matter standard.   The multimodal
          nature of the  ambient aerosol  distribution should be consid-
          ered, but should not form the  principal  basis  for selecting  a
          health-related indicator at this time.
     b)    Recommendations for  a Size Specific Indicator
     The main questions  to be  addressed  in selecting a size specific
indicator are i) what particles deposit  in various regions  of  the respira-
tory tract; and ii) what are the  potential health  consequences of such
deposition for normal  and sensitive population groups?  Drawing on the
discussion in Section V  of available regional deposition data  as  applied
to various ambient size  distributions, potential mechanisms of toxicity
and possible health responses, a  brief summary of key considerations for
each region is outlined  below.

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                               73
i)   Extrathoracic Region - The only particles uniquely deposited in
     this region are coarse mode particles larger than 10 - 15 ym.
     Because clearance is normally rapid (minutes),  only systemic
     toxicants (not normally present at high levels  in this size
     range), direct irritants, or pollens  are likely to
     produce effects.  The major responses are symptoms
     such as rhinitis and dryness in the throat.   Occupational
     exposures suggest wood dusts can slow clearance and may produce
     cancer, but no evidence suggests that inert  dusts or other
     common ambient coarse particles produce these effects.
ii)  Tracheobronchial Region - Particles deposited in this region
     (<15 pm) are also deposited in one or both of the other
     regions.  Average clearance takes  hours to days, but may be
     slower at the airway bifurcations.  Potential physiological  responses
     to high levels of both coarse "inert" dusts  and acid aerosols
     include bronchoconstriction, altered  clearance, and buildup of
     fine and coarse particles at the bifurcations.   These responses
     may result in reduced lung function,  aggravation of existing
     respiratory disease (particularly  in  bronchitics and asthmatics
     with enhanced tracheobronchial deposition),  increased infectious
     disease and potentiation of the effects of cigarette smoking or
     other exposures in development of  bronchitis and the most  common
     forms of lung cancer.   Although many  of these responses have been
     observed in community epidemiological  studies,  the relative  role of
     fine  and coarse particles in producing them is not clear.

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                                    74
    iii)   Alveolar Region  -  Particles  less  than  10  ym may  be  deposited
          in this  region.  Because  clearance  of  insoluble  materials may
          require  months  to  years,  any material  deposited  is  of  concern.
          Possible responses include reduced  lung  function, damage to
          lung tissues,  increased  susceptibility to infection, and
          aggravation or potentiation  of cardiopulmonary  diseases.
          Although more  of the  total  deposited mass in  this region is
          likely fine mode,  much of this is soluble and cleared  rapidly
          by dissolution.   In current U.S.  atmospheres, over  half of  the
          insoluble material deposited in this region  likely  originates
          in the coarse  mode.  Autopsies of groups  exposed to fugitive
          dusts suggest  potential  for damage  from such  deposition.
     Based on the above  considerations, it appears  that the risk of
adverse health effects associated  with extrathoracic deposition  of
commonly found particles larger than 10 to 15 urn is sufficiently low
that they can be safely  excluded from the primary particulate standard.
In rare cases where systemic toxicants are present in  significant concen-
trations in this fraction, any general particle standard likely  would be
insufficient and other sections of the Clean  Air Act (Hid,  112) would
have to be considered.  Pollens,  although included in  TSP samples, have
not generally been subject to particulate pollution control programs,  so
their exclusion would not materially affect health protection.
     Our review suggests that the  risks of adverse effects associated
with deposition of coarse particles in the tracheobronchial  region are
markedly greater than those  for extrathoracic deposition.   Support for
this position can be found in the  International  Standards Organization

-------
                                   75
(ISO) report (1981) which states "It was the opinion of the ad hoc
working group that tracheobronchial deposition is more often of health
interest than extrathoracic deposition."  Until the chemical and physical
characteristics and biological effects of coarse particles and accompanying
trace constituents are better understood, it would be premature to
exclude those deposited in this region from control.  It follows that
fine particles, particularly hygroscopic particles, both acid and neutral,
depositing in this region also should be included in a particle indicator.
     The risks of fine and coarse particles deposited in the alveolar
region also are of clear concern.  Nevertheless, because substantial
overlap exists between particle deposition in the tracheobronchial•and
alveolar regions and because epidemiological studies frequently do not
permit distinction between these regions or between the effects of fine
and coarse particles deposited in these regions, separate indices for
alveolar and tracheobronchially-deposited particles are not advisable at
this time.  Rather, an index representing particles that penetrate to the
thoracic region or "thoracic particles" (TP)* is recommended.  This indicator
includes both alveolar and tracheobronchial penetration.
     The approach and criteria for defining TP advocated by Miller et al.
(1979) and utilized by the International Standards Organization (ISO)
are consistent with Clean Air Act guidance for protecting sensitive popu-
lations and providing a margin of safety.  Specifically, size specific
deposition estimates should reflect those portions of the population who
through illness, habit, exercise or other conditions breathe through the mouth.
*The term "thoracic particles" ('TP') will be used throughout the remainder
 of this paper to mean particles penetrating to the thoracic region.  The
 term is intended for use only in the context of this staff paper to distinguish
 it from other particle indicators associated with specific size cuts, namely
 inhalable particles (<15 ym), respirable particles (3.5-5 urn), and fine
 particles (<2.5

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                             76
     Using available data for mouth only deposition, the ISO has essen-
tially recommended two alternative definitions for particles potentially
depositing in the thoracic region; those particles less than 15 pm and
10 pm respectively.  In effect,  TP monitors would need a 50% "cut" point
at one of these diameters with a specified geometric standard deviation
(GSD) or other indicator of sharpness.   Both are based on extrapolation
of extrathoracic deposition data for mouth breathing which suggests that
under normal  flow conditions, less than 10% of 15 pm or larger particles
reach the tracheobronchial region.  The 15 pm definition of TP represents
the precautionary "envelope" approach advocated by Miller ejt al_. (1979)
in defining "Inhalable Particles".  The 10 ym definition of TP represents
the more traditional approach of approximating the intake deposition profile
of the respiratory tract, in this case, the thoracic region.  Although
particle deposition patterns vary with  factors such as individual
characteristics and flow patterns, based on controlled experiments
involving mouthpiece inhalation  (Figure 5-1), roughly 50% of inspired
particles of 10 pm size are deposited in the tracheobronchial region
with mouth breathing.
     The staff believes that both definitions have merit.  Some con-
siderations in this regard include:
     1)   These alternatives happen to lie near the peak of the
          coarse mode (see Figure 4-3).  The major difference will be
          in the amount of coarse material collected.
     2)   The 15 pm limit ensures almost all tracheobronchial deposition
          and additional extrathoracic deposition (< 5 pm) are included,
          and, in that sense, is more conservative.  The 10 pm limit may
          be somewhat conservative for thoracic deposition because the

-------
                                 77
     data are based on mouthpiece experiments.   The use of mouth
     pieces should tend to increase particle penetration.   The
     "margin of safety" however,  is a function  of both the size
     fraction and level of the standard.   Thus, a 15 urn cut does
     not inherently provide any greater "margin of safety", than
     a 10 ym cut.
3)   The probability of thoracic deposition, time for clearance,
     and risk of health effects increases as particle size is
     decreased from 15 urn to 10 ym.
4)   Both definitions offer an envelope for particles penetrating
     the alveolar region.   This is a desirable  feature, in that the
     full range of alveolar penetration (up to  10 urn) is included in
     the sample.
5)   Based on indoor/outdoor studies (CD, pp.  5-127-131),  the 10 ym
     fraction may be a more reliable indicator  of that portion of
     ambient particles that contributes most to indoor exposures.
6)   Either definition would tend to place greater weight  on
     controlling smaller particles than does a  TSP standard.
7)   The availability of 10 ym monitors and ambient data for regu-
     latory analyses is not a serious constraint on this decision.
     Prototype samples and inlets for retrofitting the existing IP
     (15 ym) network are available and data from the current size
     specific networks can be interpolated to provide reasonably
     reliable estimates of mass <10 ym for interim use. Theoretical
     and practical experience to date would suggest that 10 ym
     samplers would be more reliable and less sensitive to windspeed
     than 15 ym samplers (CD, p.  2-61).

-------
                                    78
     8)   The representatives of member countries of the ISO recently
          voted to adopt the 10 ym definition for measuring the thoracic
          fraction of particulate matter (Ogden,  1981).
     Given these considerations, the staff recommends that the 10 ym
alternative be selected for the particle standard indicator.   This
alternative appears to be at least somewhat conservative with respect to
thoracic penetration and, all else being equal,  offers the possibility
of more reliable monitoring. Moreover,  matching  the intake profile  of
the thoracic region places greatest emphasis on  fine particles, while
including those coarse particles most likely to  be of health concern.
Based on typical urban particle size distributions, fine particles  con-
stitute over 60% of the particle mass less than  10 ym.  A 10 ym particle
sampler would collect 100% of the fine  mass (<2.5 ym) and between 50 and
100% of the coarse mass in the 2.5 to 10 ym range.  In contrast, the deposi-
tion data of Figure 5-1 show that most  fine mass  is not deposited in
the respiratory tract, while for mouth  breathing  most coarse mass in the
2.5 to 10 ym range is deposited.  Given the larger surface area in  the
fine mode as well as other concerns outlined previously, the greater
weight given fine vs. coarse particles  by a 10 ym indicator appears to
be prudent and appropriate.
     In addition to selecting a particle size, practical tolerance
limits for both the midpoint and shape  of a sampler particle acceptance
curve must be specified.  At 10 ym, it is possible to design sharp  (low
GSD =1.1-1.3) or somewhat less steep particle inlets.  The sharper
acceptance curves tend to more accurately reflect the ambient concen-
tration, while less steep curves appear to more  closely conform to  the
ideal of matching respiratory tract characteristics.  An EPA analysis of
sampling alternatives has been conducted in support of this staff paper

-------
                                   79
(Rodes et jjl_.,  1981).   The following conclusions and recommendations are
derived from that analysis:
     1)   The respiratory tract penetration/particle size data are not
          lognormal and hence a single GSD is not realistic.  The Chan
          and Lippmann (1980) data provide a reasonable basis for an
          "ideal" sampler that matches respiratory tract penetration.
     2)   Recommended sizing tolerance limits for TP samplers are D5Q =
          10 _+ 1 pm for all windspeeds from 2 to 24 km/hr.  No exact
          constraints are given for sharpness of cut.   However, the
          total mass collected by the sampler should be in agreement
          with that collected by the "ideal" sampler for expected ranges
          of windspeed and particle distributions.
     3)   At least two prototype sampling systems are available that are
          expected to produce mass concentration results within +_ 10%
          of the ideal TP sampler and within 15% of each other under
          "worst case" fugitive dust sampling conditions.
     In summary, the staff recommends that the particle standard indicator
represents those particles penetrating the thoracic region.   The size
range should include those particles less than a nominal 10 urn and
sampler performance criteria should be related to respiratory tract
deposition data.
B.   Averaging Time and Form of the Standard
     1.   Averaging time(s)
     The current averaging times for the particulate matter NAAQS are
annual and 24 hour and were based on available epidemiological studies.
The quantitative and qualitative studies outlined previously still

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                                  80
suggest the need for both a 24 hour and annual standard.  Some epidemio-
logical investigators (Lawther e_t a]_.,  1970) have speculated that the
observed health effects might be largely due to short-term peaks on the
order of an hour.   Controlled human exposures to specific particles also
indicate that some effects can occur after exposures of minutes (e.g., Utell
et_ al_., 1980) to hours (McDermott, 1962).  Controlled human data on
specific substances, however, do not provide a satisfactory quantitative
basis for selecting general particulate standards and epidemiological
studies have as yet been unable to provide exposure/response information
for less than 24-hour periods.
     Therefore, the staff recommends retention of 24 hour and annua-1
averaging times for particulate matter standards.
     2.   Form of the Standard
     The current particulate matter annual primary National Ambient Air
Quality Standard (NAAQS) is based on the geometric mean of all valid
daily total suspended particulate (TSP) measurements in a calendar year.
The use of a geometric mean in the standard may have originated from the
fact that TSP and other pollutant levels do not follow  a normal distribution.
It may also, in part, be a carry over of its use to describe long-term
air quality in the Winkelstein (1967) study, which was  a major epidemiological
study  featured in the 1969 criteria document for particulate matter
(DHEW, 1969).
     The use of an annual average based on the arithmetic mean of the
daily  averages may provide a more appropriate form of the standard for
providing health protection.  Health effects are most likely a function
of dosage, a quantity more directly related to the arithmetic mean
(Mage, 1980).  The arithmetic mean is more sensitive to repeated short-
term peaks than is the geometric mean.    If these peaks  fall below the

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                                    81
level  of the short-term (24 hour) standard (which is designed to protect
against acute effects from maximal  24-hour exposures), but above some
lower level at which repeated short-term exposures can adversely affect
health over the long run,  the arithmetic mean can provide better health
safeguards.  An arithmetic mean form of the standard will also allow
comparison and consistency with other annual  NAAQS's.  For these rea-
sons,  the staff recommends an arithmetic mean form of the annual particu-
late matter NAAQS.
     The staff recommends  that the 24 hour standard be stated in a statistical
form rather than the current deterministic form (the current standard is not
to be exceeded more than once per year).  This would mean either 1). that the
allowable number of exceedances would be expressed as an average or expected
number per year, or 2) that a given percent of the daily values would be
expected to be less than or equal to the standard level.  The emissions
reductions to be achieved  in the required control implementation program
would be based on statistical analysis  of monitoring data over a multi-year
period (e.g., the preceeding 3-year period).
     The statistical form  can offer a more stable target for control programs
and, with reasonably complete data, is  less sensitive to truly unusual meteoro-
logical conditions  than the deterministic form.   The general  limitations of
the deterministic form are discussed more fully elswhere (Biller and Feagans,
1981).  Recognition of the limitations  has led EPA to promulgate or propose
statistical forms for the  ozone and carbon monoxide standards.

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                                 82
     An additional consideration arises in the case of participate
matter. Unlike ozone or CO,  participate matter is not monitored con-
tinuously but, typically, on a one in six day schedule.   In a year where
there are actually two exceedances of a standard level,  the probability
of detecting both is only 0.03.  -Thus, the relative protection provided
varies significantly with frequency of sampling.  This represents a flaw
in both the form of and monitoring requirements for the  current standard.
The interaction between form of the standard and alternative monitoring
requirements should be considered in developing the standard.  The issue
of allowable number of exceedances is an important one in that it inter-
acts with selection of the level of the standard.  This  interaction
should be specified so that it can be explicitly considered.
     Conceptually, the least complex approach might be first to select
an acceptable standard level based on one exceedance and complete
sampling, and then adjust the level so as to provide roughly equivalent
protection under alternative exceedance/sampling schedules.  Table 6-1
illustrates the relationship between standard level and  exceedances for
one representative temporal  distribution function (Frank, 1981) and a
sampling frequency of 365/yr.
        TABLE 6-1.  STANDARD LEVEL AS A FUNCTION OF EXCEEDANCES
1
1.00
Number
2
0.92
of Allowable
3
0.87
Exceedances*
4 5
0. 84 0. 81
6
0.79

        *Entries are the relative levels of an expected exceedance (statistical
      form of the standard, 3 year attainment test) that provide the same
      degree of protection as provided by 365 sampling days per year
      with one allowable exceedance (normalized to 1.0).   Values are for
      an assumed exponential distribution (xe = 2.0) but are also close to
      those for lognormal (GSD =1.6) and Wei bull  (K = 1.5) distributions
      (Frank, 1981).

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                                   83
     The table shows that as the number of allowable exceedances increase,
the level of the standard to provide equivalent protection decreases.  The
analysis of Frank (1981) shows that the degree of protection is not very
sensitive to sampling frequencies between 60 and 365 per year for the
statistical form of the standard.  More complete sampling does, however,
provide a more stable target.  For the statistical form with one expected
exceedance, as the sampling frequency is decreased from 365 to 61/yr,
the equivalent standard level decreases from 1.0 to 0.98.  In contrast,
with the current deterministic form and the same distribution function,
as the sampling frequency is decreased from 365 to 61/yr, the equivalent
standard level decreases from 1.0 to 0.76 (Frank, 1981).
     For the purposes of this paper, ranges for 24-hour standards pre-
sented later will assume a statistical form, with no more than one
expected exceedance per year over any consecutive three year period.
Alternative numbers of exceedances (and sampling frequencies) may be
desirable and should be considered.  In so doing, the interaction
between these alternatives and the level of the standards can be speci-
fied.
C.   Level of the Standard(s)
     1.   General Considerations
     Selecting a particulate matter air quality standard with an ade-
quate margin of safety is a difficult challenge for the decision maker.
In addition to the normal uncertainties involved in making judgments on
the health risks of specific substances (such as carbon monoxide or NO*)
in real world atmospheres, the decision-maker must take into account the
fact that the chemical and physical characteristics of particles vary

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                                84
with time and location.  This makes translation of epidemiological
evidence difficult and diminishes the utility of controlled human and
animal studies in making quantitative judgments.  Some important general
considerations in approaching this problem are outlined below.
     1)   Particulate matter remains a pollutant class with variable
          composition.  The relative proportion of fine and coarse
          particles and chemical components such as sulfuric acid,
          carbon, and silica vary significantly with geographical
          location, source mix, meteorology and time.  The recommended
          size specific indicator (TP) only partially reduces this
          variability, but does limit control to those particles .with
          the greatest potential for damage.  Nevertheless, the risks
          (margins of safety) associated with attainment of a given
          national standard will vary from one location to another.
     2)   It follows that, although the scientific literature supports
          the notion that various mixes of particles pose risks to
          health, the basis for any general particulate standard is
          largely a public health policy judgment.  The more rigorous
          approach of identifying each key toxicant and combination must
          continue, but control of size-specific particles ultimately
          may continue as an effective policy response to reduce the
          need for more numerous specific standards.
     3)   As noted earlier, epidemiology, with mechanistic support from
          toxicological and deposition studies, provides the major basis
          for identifying and/or setting the level of the standard.
          None of the published studies have used TP as a pollutant
          indicator.

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                               85
4)  The difficulties in conducting and interpreting epidemiological
    studies are discussed in Section V-D and in the criteria
    document.   All epidemiological studies appeared flawed to some
    degree (e.g., confounding variables, characterization of
    exposures), further limiting the reliance that can be placed on
    the results of any single study.  Furthermore, discord is
    apparent among epidemiologists over the acceptability and proper
    use of some studies (e.g., Holland ot_ al_., 1979; Shy, 1980;
    Ware et al_., 1981).
5)  As pollutant levels decrease, it becomes extremely difficult to
    discern effects in epidemiological studies, indicating that pollutant
    effects, if any, are small in comparison to other causes.  In
    some cases (e.g., mortality), however, even small differences
    in effects may be viewed as serious.  In this context, it should
    be noted that a prospective epidemiological study would need
    a study group of about 200,000 people to detect a 2%  (2/100)
    difference in mortality rate (Wilson et. a1., 1981).
6)  Even the best epidemiological studies can do no more  than provide
    site, time, and monitor specific associations between levels of a
    given particulate/other air pollutant mix and observed health
    responses.  Moreover, such studies often provide no clear
    evidence of population "thresholds."  Thus, the approach of
    identifying specific "lowest demonstrated effects levels" and
    adding margins of safety considerations is less appropriate in
    this case.  Instead, attempts must be made to assess  the nature
    of health risks along a continuum of exposures using  the full
    range of available health and exposure data.

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                                    86
     7)    Based on  the above  considerations,  it  is  apparent that decison
          makers will  have  to deal  with unusually large  uncertainties  in
          selecting national  particle  standards.   In  evaluating  health
          risks (margins  of safety), the following  aspects  must  be
          balanced:
          a)   Particle size range selected as an  indicator;
          b)   Level (concentration);
          c)   Range of expected aerosol composition;  and
          d)   Potential effects not examined in  the more quantitative
              epidemiological  studies.
     The conceptual relationship between size index and  levels of 'the
standard in the range of interest is illustrated in Figure  6-1.   The
range of aerosol composition  initially must be considered in comparing
current U.S.  compositional  data to the composition  of particles  in the
relevant epidemiological  studies (if available).   In most cases, it may
be reasonable or necessary to assume comparable  toxicity due to  a lack
of detailed data.  In addition, the quantitative community  epidemiological
data base does not provide exposure-response information for some of the
likely effects of major TP components  (e.g., pneumoconiosis from insoluble
particles).  Thus, the levels of interest for TP derived from the quantitative
studies also should be evaluated with respect to any unquantified potential
effects that may be reasonably anticipated, based on TP  composition and
the qualitative effects studies summarized in Section V-B.
2.   Qualitative Assessment of Risks of Thoracic Particles
     The most useful epidemiological studies for establishing exposure-
response relationships are presented in the main text of Chapter 14 of the
criteria document and summarized in Section V-D and Tables  5-4 and 5-5

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                                 87
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                    STANDARD LEVEL (NORMALIZED TO TSP = 1)
Figure 6-1.  Conceptual relationship between  level  of standard and size
indicator.  Assuming a typical ambient distribution  and  equal  toxicity
in the 10-15 ym range, equivalent health protection  may  be  achieved for
<10 or <15 ym size fractions by adjusting the  level  of the  standard as
indicated.  In essence, as the size of the  indicator increases,  a larger
portion of the coarse mode is collected, permitting  the  standard level to
increase with no change in health risk.

-------
                                    88
of this paper.   Following the approach used in the criteria document and by
other reviewers, the PM and SCL concentrations listed represent indicator
levels at or above which the pollutant mix present in the particular
study location is likely to be associated with observed health effects.
As such, they are characterized as "effects likely levels" in Table 5-4 and 5-5.
They must not be viewed as "thresholds" below which no_ effects can be
inferred.  Given the variable pollutant mixes and indicators studied,
they also can not be unequivocally considered "demonstrated effects
levels" in the context of current U.S. particulate matter exposures.
Study authors and various reviewers often differ with respect to specifying
effects levels from these studies.
     As noted in the criteria document, by some reviewers (Ware et al.,
1981; Wilson et al_., 1981; NAS, 1978) and in Section V-D of this paper,
a striking feature of many of these studies is the lack of strong evidence
for any threshold levels and the suggestion of a dose response relationship
along a continuum of exposures.  Nevertheless, the most common approaches
to assessing risks of particulate matter and sulfur oxides have been:
1) tabular or graphical listing of "effects levels" from these studies,
sometimes normalized to single indicators; and 2) regression analyses of
national mortality statistics, making little or no use of the remaining
epidemiological data (e.g., Lave and Seskin, 1977).  The first approach
gives no clear sense of the risk of effects below the stated levels, even
though  the original data often suggest this possibility.  The second
approach, while usually consistent with a continuum of exposure/response
even at low levels, looks only at one endpoint and often produces con-
flicting results with respect to pollutant indicator and strength of the
relationship because of confounding variables.  Although some reviewers

-------
                                     89
feel that these studies suggest particle-sulfur/mortality associations
at ambient levels (Thibodeau et al_., 1980; Wilson et aj_., 1980), it does
not appear that these studies provide reliable quantitative estimates of
risk (Ware .et _al_., 1981).   Furthermore, neither of the above approaches
makes much use of the weight of evidence from relevant qualitative
epidemiology, controlled human exposures, and animal toxicology.
     The following sections present a brief staff assessment of the
concentration/response relationships suggested by the most significant
epidemiological studies in the criteria document and how these studies
may be applied in developing ranges for decison-making on standards for
particulate matter, as indicated by Thoracic Particles (<10 ym).  The
presentation also outlines a qualitative assessment of the key factors
that affect the margins of safety (risks) associated with the concen-
tration/response relationship derived from these studies, as translated
to contemporary U.S. exposures.  This includes identification of those
important aspects of the qualitative human and animal health studies as
summarized in Section V (and Appendix B) that should be incorporated
into margin of safety considerations.  Short and long-term exposures are
discussed separately.
     a)   Short-term Exposures
     1)   Derivation of Ranges of Interest from Epidemiological Studies
     1.   Concentration-Response Relationships
          Although a number of epidemiological investigations provide
qualitative evidence for the effects of short-term exposure to particulate
matter (usually with S02 and other pollutants), the criteria document
indicates that those most useful for developing quantitative conclusions

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                                     90
include a series of studies and reanalyses of daily mortality in London
(Martin and Bradley, 1960; Martin, 1964, Ware et al_.  1981; Mazumdar et. al_.,
1981; CD, p. 14-16 to 14-24) and studies of bronchitis patients in London
(Lawther et a].., 1970).
          The London mortality studies have been characterized by the
criteria document as suggesting notable increases in excess mortality
                                      3
occurred in the range of 500-1000 yg/m  BS and S02 and are most likely when
                                       3
both pollutants exceeded about 750 yg/m .  These estimates represent judgments
of the most scientifically reliable "effects levels", for daily smoke and
mortality, at least in the context of historical London pollution exposures.
Because of the severity of the health end points and the need to consider
margins of safety in standard setting, it is important to determine whether
the data support the possibility of health risk below these "effects likely
levels."  As discussed in Section 14.3.1.2 of the criteria document, the  London
mortality studies and reanalyses do support the possibility of a monotonic
dose-response  relationship for particles  (and perhaps SO,,).  Figure 6-2
(CD, Figure 14-1) illustrates the relationship between deviations from
average mortality(15 day moving mean) and smoke and S02 concentration
for the London winter of  1958-59  (Ware et _a]_., 1981).  Figure 14D-3
in the criteria document  presents unadjusted mortality data from the same
winter but includes confidence intervals  that show the uncertainties
added by monitoring and other errors.  Both seasonally adjusted and crude
mortality data suggest the possibility of a gradient in mortality across
a range of exposures from about 150 yg/m  (the lowest average daily
                          3
values) to over 1200 yg/m  of both BS and SO^.  Analyses by Martin and
Bradley  (1960) indicate that, during this winter, temperature was not

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                                     91
                                                             • (5)
         +30
        +20
         +10
I   °
(-  ,
1
5  -10
         -20
         -30
                                  O<27)
                                      • (6)
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                                                () NUMBERS IN PARENTHESES
                                                 INDICATE NUMBER OF DAYS
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                                                 CONCENTRATIONS IN THE
                                                 RANGE SURROUNDING THE
                                                 POINT
                            j_
                   200
                      400


                     BS,
                                    600
                                             800
                                                     1000
                                                             1200
                                    , 24 hr. AVERAGE
Figure 6-2.  Average deviations of  daily mortality from  15  day moving
average by concentrations of smoke  (BS)  and SUg (London,  November 1,
1958 to January 31, 1959).  Martin  and Bradley (1960) data  as  summarized
by Ware ejt a]_.  (1981).  As daily pollutant levels decrease, the
positive mortality deviations also  decline.  At still lower pollution
levels, daily mortality deviations  fall  increasingly below  the 15 day
moving mean, suggesting the possibility  of a continuum of exposure-
response over the range examined.   Uncertainties in mortality  data and
aerometry are not depicted by these averaged points.  Examination of
Figures I4D1 and  14D3 (CD) give some sense of the variability  in
unadjusted mortality and in aerometry.   Note that point with asrow
represents mortality deviation for  all days with SCL >500 yg/m .

-------
significantly correlated with mortality, and humidity was only marginally
significant.   The analysis of Figure 14D-3 suggests that at lower concentration
                    o
ranges (150-500 jjg/m ), errors associated with variability in air quality
estimates from the seven station London network are small to negligible.
Other possible errors in aerometry are more difficult to specify (CD,
p. 14-18 to 19).   Because of the variability in the mortality data and
the nature of the confidence intervals, the criteria document notes that
the relationship becomes increasingly less certain below about 500
Although the Ware et a]_.  (1981) and criteria document analyses both omit
data from a month with an influenza epidemic, the Martin and Bradley (1960)
data show that the association between mortality and pollution continued
during the epidemic.  Peak mortality during the epidemic occurred on the
day with peak smoke and S02-
     As indicated in the criteria document (CD, p. 14-21) and by data
summarized by Mazumdar et. al_. (1981), the winter of 1958-59 may have
been unusual in the following respects:  (1) mortality rates were higher
than for 12 of 13 subsequent winters; (2) particle and S02 levels were
higher than in all subsequent winters; and (3) relative humidity and
the number of days of intense fog contributing to episodic conditions
(with concomittant high sulfuric acid) were increased.  Thus, examination
of mortality-pollution relationships in subsequent years is important
in determining whether any indication of health risks below the suggested
effects levels persists in later years.
     Analysis of the adjusted daily mortality for all London winters from
1959-72 (Mazumdar et al. 1981) again illustrates the possibility of
a continuum of response over a wide range of particle concentrations
(Figure 6-3a,b) (CD, Figures 14-2 and 3).  Of particular interest is the fact

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                                  93
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t«2*T2S M «| t ••fl •  • <  • • \
1 t M <• M n *«t» *t* f» f  •  *
M*I 2T.«a^- ; ..•  • quadratic
("e*  ** •  *• I • •     nuv4*l
                    to
                         2O  30 4090
                                      100   200 300  900
                                     Smoke (pg/m3)
                                                        1000   2000
Figure 6-3.  a) Hypothetical concentration-response curves derived from
regressing mortality on smoke  in London  during  winters  1958/59 to 1971/72
Results obtained with linear (•) and quadratic  (A)  models  are depicted
for comparison,  b) Same concentration and  response models plotted on the
scattergram of adjusted mortality and smoke for same winters  as in (a).
Note that the smoke scale (abscissa) is  logarithmic.  This plot illustrates
variability in the data (Mazumdar et al., 1981).

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                                  94
                                                           o
that the investigators analyzed episodic (days of >500 pg/m  and adjacent 7
                                                                       o
days on either side) and non-episodic days (remainder when BS <500 ug/m )
separately and attempted to separate the effects of particles and S02-  In
discussing their regression analyses, the authors point out that "in the non-
episodic period when the pollutants (SOp and BS) are considered separately,
the coefficients are positive, significant, and similar.  When they are
considered together, only the coefficients for smoke remain statistically
significant" (Mazumdar ejt al_., 1981).  This analysis provides clear support
for the possibility of health risks associated with BS concentration below
500 ug/m  over 12 London winters, and suggest that S02 might be less impor-
tant in non-episodic mortality.  Because the early winters contained no
non-episodic periods, the non-episodic analysis actually reflects only
winters from 1960-61 to 1971-72, a time span that includes a significant
change in the composition of London particulate matter as smoke controls
were implemented.  That the regression still indicates significance for
the combined non-episodic days in these winters gives some confidence
that the results may be relevant to areas with different particle composi-
tion, lower humidities and fewer periods of intense fog.
          A comparison of the various analyses of London mortality (CD,
Section 14.3.1.2, Appendix D) show qualitative similarities and suggest
that smoke accounts for a small but statistically significant portion of
daily mortality in London.  The quantitative estimates vary with model
and, as noted in the criteria document, the estimates should be viewed
with caution and are quite uncertain, particularly at lower concentrations.
No basis exists for selecting any of the approaches as most representative,

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                                 95
although the Mazumdar analysis does reflect a much larger number of observa-
tions and conditions.  Mazumdar et^ a]_.  (1981) indicate linear and quadratic
models are "both compatible with the data" and suggest consideration of
controlled experiments or of further analyses.
     Although the data are uncertain, the London mortality analyses suggest
a risk of effects below the more certain effects levels of 500-1000 ug/m .
Based on the comparison of analyses in the criteria document (CD, Section 14.3.1.2
Table 14-7), some small risk may exist at BS levels as low as 150 ug/m ;
the risk of any effect as well as the potential  magnitude of the effect
increases in the range of 150 to 500 yg/m .  The criteria document (CD, p.
14-26) suggests that qualitative support for "weak but positive" associations
between mortality and non-episodic particle concentrations (5-6 CoHs) is
provided by analyses of New York City data by Schimmel and Murawski (1976),
Schimmel (1978), and others (summarized in Table B-10).  Qualitative data
from regression analyses (Table B-ll) are not inconsistent with the possi-
bility of cumulative short-term mortality effects in U.S. atmospheres
although their inherent difficulties limit their utility even in a
qualitative context.  Data from controlled human, animal, and other
epidemiological studies, outlined in Section V.A. and B, suggest
mechanisms by which various exposures to particles might result in
mortality in susceptible individuals, but do not provide evidence for
specific levels of concern.
          Lawther1s studies of bronchitic patients began during periods
of high pollution (1954) and continued through the time when levels were
considerably lower (e.g., 1967-68; mean winter S02, 204 pg/m3,  BS, 68
    2
ug/m ).   Lawther et a]_. (1970) found an association between peak pollution
and health status of bronchitics and that responses declined as controls
reduced pollutant levels.   Because of the nature of the study,  effects

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                                     96
were related to peak daily concentrations, but the authors felt the
effects were more likely the result of brief exposures to short-term
peaks "several-times the 24-hour average."  While this suggestion is
plausible, the available data preclude any quantitative evaluation.
Thus 24-hour, or to a lesser extent, long-term pollutant averages, must
be used to indicate the possibility of peak short-term levels of concern.
                                                     3
Lawther's suggestion that 24 hr. averages of 250 yg/m  smoke and 500
    3
pg/m  SOg represent "the minimum pollution leading to any significant
response" appears reasonable, although the possibility that short-term
peaks of concern may occur at lower 24-hour levels cannot be discounted.
The criteria document notes that a summary of results for selected patients for
the winter 1967-68 (Table III, Lawther et_ al_., 1970) suggest a statistically
significant correlation between smoke and symptom scores for a winter
                                   3                  3
with only one day of SOp > 500 yg/rn  and BS >_ 250 yg/m .  The criteria
document also suggests that BS measurements after 1963 may have overstated
actual levels (CD, Table 14-7).
     2.   Translation to Thoracic Particle Indicator
          A number of factors make use of these British studies in
assessing risks of U.S. aerosols difficult.  The most reliable conclu-
sion that can be drawn is that as daily particle and S02 levels increase,
mortality and symptoms increase.  However, because the majority of U.S.
studies of acute effects have been judged to be inadequate for quantita-
tive evaluation of these effects, an attempt at translation of the
British work must be made.  The assessment outlined below incorporates
reasonable assumptions concerning indicator pollutants, pollution compo-
sition, relative role of particles, and the nature of U.S. vs. British
exposure regimes.  In some cases assumptions are conservative (in the

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                                     97
sense that they increase the margin of safety); in other cases their
relative nature cannot be identified.   This staff assessment is summarized
in Table 6-2 and discussed below.

      TABLE 6-2.  STAFF ASSESSMENT OF SHORT-TERM EPIDEMIOLOGICAL STUDIES

Effects/
Study
Effects
Likely
Effects
Possible
Measured British Smoke Levels (as yg/m )
Daily Mortality
in London
500-1000
150*- 500
Aggravation^of
Bronchitis
250*- 500*
<250*
Combined
Range
250-500
150-250
Equivalent TB
Levels (yg/m )
3
Combined Range
350-600
150-350
1
 *Indicates  levels  used  for  upper  or  lower  bound of  range.
 Martin  and  Bradley (1960);  Ware et al_.  (1981); Mazumdar  et  al_.  (1981)
"Lawther et  a]_.  (1970)
 Boundary assumptions for  estimating  TP  levels  from  BS  readings  detailed  in  text.
          Both the mortality and bronchitic studies represent population
groups among the most sensitive to pollutant effects.   Because mortality,
even in the sick and elderly population at greatest risk, is a more
serious consequence than symptom aggravation,  the risk of an effect at
concentrations below the "effects likely levels"  in the mortality studies
should be given more weight than similar concerns for the bronchitic
studies.   As noted above and in Table 6-2, effects may be possible at
the lower concentrations indicated,  but the evidence and risks are much
less certain.   Therefore,  the lowest pollutant levels  of interest in
the short-term studies were 150-500  yg/m3 (BS) and 150-500 yg/m3 (SOJ
(based on the  mortality studies) and 250 yg/m3 (BS) and 500 yg/m3 S02
(based on the  bronchitic studies).   The relative  importance of S00

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                                   98
cannot be unequivocally specified, but for reasons outlined in
Section VI.A a separate particle standard is warranted.  Thus, the
conservative assumption (with respect to particles) is made that similar
responses might have occurred without substantial amounts of SCL present.
The Mazumdar et. aj_. (1981) and Schimrnel (1978) analyses suggest this
might not be a conservative assumption for mortality risks.
          Because the smoke reading responds to darkness instead of
mass, any relationship between BS and any mass index is particularly
uncertain.  Insofar as can be determined from the literature, smoke
readings made prior to 1964 in British networks were not routinely
calibrated against comparable mass readings (Holland et al_., 1979).  The
most notable exception was the St. Bartholomew's site  in central London
(Waller, 1964).  BS levels at this site are approximately related
to particle mass less than about 5 ym.  No such approximation is possible
for the 7 stations in the exposure network used for the mortality and
bronchitic studies, but the criteria document indicates that the central
London site calibration tends to confirm "reasonably well" the mass
calibrations in the 7 station network from 1959-63.  After that time,  BS
readings may have overestimated actual concentrations  (CD, Table 14-7).
Comparisons of long-term averages of TSP vs. BS in central London from
1955 to 1963 suggest that when smoke levels in the range of 100-500
    3                                                      3
ug/m  are calibrated, they are consistently (about 100 ug/m ) below TSP
readings  (Commins and Waller, 1967), further confirming the presence of
particles larger than 5 ym, some of which must have been in the range
that can be deposited in the thorax.  At sites where BS is not calibrated
to sampled mass (e.g. Salford in Lee et. aj_. 1972), seasonal BS readings
may actually exceed TSP readings.

-------
                                   99
          Although far from conclusive, the available data as discussed
above and in Section IV suggest the following generalizations on the
comparison between BS and TP (< 10 ym) are reasonable for the historical
London data:
                                                                  o
     1)   When London BS readings are in the range of 100-500 yg/m ;
          fine particle mass < calibrated BS value < TP mass < TSP mass.
     2)   Where BS values are not calibrated, the uncertainty in these
          general relationships increases significantly; the extent of
          this uncertainty is difficult to assess.
     3)   Given the uncertainties in the uncalibrated data, it may be
          reasonable, but not highly conservative, to assume for historical
          (1959-72) London data, during the lower BS readings of interest
          (100-500 yg/m  BS), the following boundaries;
          a)  As a lower bound, BS reading - TP mass.
          b)  As an upper bound, BS reading < TP mass - TSP mass.
          c)  As an upper bound for multiple daily readings, TP mass =* TSP
              mass = BS reading + 100 yg/m3 (Holland et. aj_., 1979).
Based on these general boundary relationships, 24 hour TP levels of interest
                                                             3
derived from the British studies would range between 150 yg/m  and 350
    •3
yg/m  (Table 6-2).  By virtue of the assumptions in their derivation, these
estimates should not be considered as demonstrated "effects levels."
          Although no generally applicable relationships exist for predicting
TP levels from specific BS readings, the available aerometric evidence sug-
gests that the above ranges represent true boundaries that are likely to
encompass the majority of values.   In this regard, lower bounds derived
from the above relationship include an additional margin of safety over
that derived from the assessment of health data in the original units

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                                   100
while upper bounds would tend to reduce any margin of safety incorporated
in the original assessment of health data.  Thus, under British conditions,
                                                o
the upper end of the range of interest (350 yg/m ) overlaps levels at which
effects are likely and does not include any margin of safety.
    ii)   Additional Factors to be Considered in Evaluating Margins of
          Safety and Risks - Short-term Exposures
           As applied to the British exposures and particulate composi-
tion of 1959-1965, TP standards in the above range would provide a
moderate to negligible "margin of safety" for the sensitive populations
and effects studied.  When applied to U.S. pollution, the following
additional factors should be considered:
     1.   Aerosol Composition
     1)   Where high S02 levels are present with the above TP levels,
          the risks of effects are increased; any margin of safety inherent
          in applying the London data to U.S. areas with low S02 is reduced.
     2)   Where high photochemical smog levels are present, effects not
          accounted for by the British data may ensue.
     3)   Where U.S. particle components differ substantially from British
          particles, risks will vary.
          As indicated in Section IV, it is difficult to compare acute toxicity
of U.S. and British particles on a unit mass basis.  The variability of
TP composition among U.S. cities might be as great as that between any single
U.S. city and historical London.  Many U.S. urban areas have lower primary
carbonaceous material, and higher sulfate, nitrate and secondary organics
than London.  This may not be the case in areas with heavy residential wood
burning.  Some areas have a relatively higher proportion of coarse mode
material  in the TP  range.  Therefore, risks associated with daily levels
of 150-350 ug/m  TP will vary among U.S. cities, but it is difficult to pre-
dict the magnitude of the variability based solely on composition.

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                                    101
     2.   Relative Exposure
          Based on measurement of indoor exposures and general ventilation
rates reported by Lawther et^ &]_.  (1970), indoor pollutant exposures in
British residences more closely tracked outdoor levels than is the case
in more tightly sealed U.S. residences.  Thus, for comparable outdoor
concentrations, the overall exposure to maximum 24-hour outdoor pollution
was likely to have been greater in urban areas of Great Britian than in
contemporary U.S. exposure situations.   Since many of the more sensitive
individuals may be confined indoors, the extent of increased mortality or
symptoms would tend to be lower in the U.S. than observed at comparable
levels in the British studies.
     3.   Risks for Other Sensitive Groups, Effects Not Evaluated
          Based on the evaluation of toxicological, controlled human, and
qualitative epidemiological data, Section V-B and Table 5-3 identify a
number of groups that would be expected to be sensitive to ambient particles
and a variety of effects that have been observed or anticipated to occur
as a result of such exposures.  The studies used to derive ranges address
a number of these groups and effects, but omit others.  Specifically, the
derived range addresses 1) premature mortality in very sensitive individuals
with chronic respiratory and cardiovascular diseases, individuals with
influenza, and the elderly, and 2) morbidity (aggravation of disease) in
bronchitic patients.   Because it is reasonable to expect morbidity at or
below levels at which mortality occurs in these sensitive groups, the
London mortality studies also may be considered as an indicator of
morbidity.  Due to the unequivocal  nature of the end point, the unusually
large study population and substantial  number of study days,  the chance

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                                102
of detecting any marginal mortality effects is likely to be greater than for
most studies of morbidity.  Thus, to the extent the London data suggest a small
risk of slight increases in mortality in the range of concern, an additional
risk of morbidity is suggested and should be considered.  Because the range
is substantially below the mortality "effects" levels, the derived range
would appear to be protective against the unmeasured morbidity risk.
          Other sensitive groups not expressly addressed by the short-term
British studies are children and asthmatics.  Daily exposure to particles
and SOp appear to be associated with increased symptoms of respiratory
disease, particularly in sensitive children (Lebowitz et. aK, 1972).  Other
qualitative studies (see Table B-3) suggest possible effects of particulate
matter on lung function in children and exercising adolescents in contemporary
U.S. cities (Lebowitz e_t a]_., 1974; Dockery e_t al_., 1981).  The significance
of these preliminary findings is not clear, however, and no reason exists
to suggest important effects below the range noted above.  Animal and
controlled human exposures support the notion that acute exposure to a
variety of particles can affect lung function (Section V.B.I) but usually
only at high short-term  (minutes to hours) exposures.
          Asthmatics have proven difficult to evaluate in community studies.
Clinical evidence suggest that they may respond to SOp alone  (or in combina-
tion with particles) at levels likely seen in a number of community studies
(e.g., Sheppard ejt al_., 1981; Koenig et al_., 1981).  This confounds the
results of studies where high SO  levels also were present.  As discussed
in the criteria document  (CD, p. 14-30 to 14-33), both positive and negative
findings have been reported for asthma and few studies have adequately
controlled for temperature or other confounding variables.  Thus, although
clinical studies (Utell et al., 1981) and mechanistic considerations

-------
                                 103
(Boushey et al_., 1980) suggest asthmatics are a sensitive group, the data
do not support the existence of significant effects below the suggested
range.
          The above discussion addresses, in part, three of the six major
categories of expected effects of particulate matter:  1) respiratory
mechanics and symptoms; 2) aggravation of existing disease; and 3) mortality.
The available data summarized in Appendix B suggest that two other categories
(morphological alterations and carcinogenesis) may be better related to
long-term exposure.  Qualitative evidence summarized in Section V.B. suggests
acute exposure to high levels of specific particles and community air pollu-
tion can affect clearance and other host defense mechanics, possibly re-
sulting in increased infections and disease.  In children, such infections
might have longer-term consequences (Table 5-2).
          Studies of hospital admissions or emergency room visits, although
a crude indicator of morbidity, sometimes can provide some suggestion of
the effects of pollution on several of the above categroies.   The results
of Samet £t al_. (1981), although essentially negative,  provide a suggestion
of a very small, but statistically significant, association between daily
particle loadings and emergency room visits for respiratory diseases for
TSP levels in the range of 14 - 700 pg/m3 with S02 levels of 2 - 369 yg/m3.
     b)   Long-Term Exposures
          i)   Derivation of Ranges of Interest from Epidemic!ogical Studies
          Cross-sectional and longitudinal studies most useful in establishing
ranges of interest for long-term (annual) exposures for particulate matter
are summarized in Section V-D.  As  noted in that section and in the criteria
document, cross sectional studies are subject to a number of methodological
uncertainties and confounding variables, such as differences  in smoking,

-------
                                 104
occupational exposures, and socioeconomic status among communities.  Moreover,
differences may exist in particle composition among areas, magnifying or
diminishing apparent differences in effects.  Nevertheless, the studies
listed in Table 5-5, as well as more qualitative studies, suggest a relation-
ship between various health responses and long-term exposures to particles.
     A key feature of studies where more than two geographic areas are com-
pared is the existence of a gradient of exposure and response for a number
of health indicators.  Examples suggesting a continuum of response from
several qualitative European cross-sectional studies include Douglas and
Waller (1966), Lunn et al_.  (1967) (see CD, Figure 14-4) and, less reliably,
Lambert and Reid (1970).  Although no obvious thresholds exist for many
responses, not all of the health responses measured in these studies show
a gradient.
     When only two geographic areas or time periods are involved in a study,
the levels that happened to exist in the more polluted area or time period
usually are listed as the "effects" levels (Ware et al_., 1981; CD, p. 14-49).
Effects levels thus derived are somewhat arbitrary, but do represent con-
centrations where effects can be ascribed with some certainty.  Because a
gradient of effects is often observed for multiple area studies, however,
some risk exists that effects decrease but do not necessarily disappear
at concentrations substantially below those of the more polluted area.
Therefore, "effects" levels derived from two-area (or time) studies cannot
be regarded as thresholds or "no detectable effect" levels.
     Table 6-3 is a staff assessment of the levels of interest derived
from the most useful long-term epidemiological studies.  In this Table,
the "effects likely" line lists concentrations in the more polluted area

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-------
                                   106
(or time) as derived from the similar "effects likely levels" column of
Table 5-5.  For the Limn study, effects are possible at lower concentrations,
but lower boundaries cannot be specified.   Based on the evaluation of the
Lunn follow-up study (Lunn ejt aj_.,  1970) in the criteria document, the "no
effects" level for smoke sometimes  ascribed to these studies (140 yg/m  BS;
Holland et .ah, 1979) is not reliable.   The "effects possible" levels
for Ferris represent a lower bound  for detectable effects in the Ferris
studies, based on the lack of measurable differences in effects between
years when TSP dropped from 130 to  80 yg/m .   Based on the mixed but
suggestive results from Bouhuys et^ al_.  (1978), effects are possible at
levels observed in the more polluted city.  Effects, if any, are most
likely to have resulted from higher exposures in previous years (60 - 150 yg/m ),
with the median concentration (110  yg/m ) serving as a reasonable lower
bound.
     Based on the above assessment, levels of interest for effects measured
in these studies are as follows:  1) Decreased lung function and increased
acute respiratory disease in children may occur at levels below 230 yg/m  BS
(Lunn) 2) Decreased lung function in adults may occur at TSP levels as
low as 130-180 yg/m3 TSP (Ferris) but is less likely to be detectable at
about 110 yg/m  (Bouhuys).  3) Some risk of increased respiratory disease
and/or symptoms in adults may exist at levels of 110-180 yg/m TSP (Bouhuys,
Ferris).
     It must be stressed that effects are not demonstrated within these
ranges; the lower bounds represent conservative estimates where some risk

-------
                                    107
of effect is not ruled out by the data.  Moreover, the differences in effects
at lower levels (e.g., Bouhuys) were, as might be expected, small in com-
parison to baseline rates.
     Conversion of the BS data to TP is quite uncertain for these long-term
studies because sites were located in different geographic areas and times
and because no mass calibrations are available for these areas.  Because reliable
lower bounds cannot be estimated for the Lunn study and because  the levels
in the more polluted areas are relatively high, no attempt at  translation
of these results to thoracic particle equivalents will be attempted.
     Approximate conversions of TSP data to that  fraction more likely
to have produced the observed responses (TP) may  be accomplished by using
relationships developed from reliable particle size distribution measurements
and compared with data from the inhalable particle (IP) network  (Watson et
atl_., 1981).  For TP <10 ym, the TP to TSP ratio expected for typical urban
U.S. sites averages between 0.5-0.6.  Although these average ratios might
not have been obtained in the Ferris and Bouhuys  studies, the  range
is probably reasonable and conservative.  Applying these factors to the U.S.
studies summarized above  (Table 6-3),  the range of some interest
for TP is 55 to 110 yg/m  .  The upper end of this range overlaps the
somewhat uncertain "effects level" derived from these  studies.   As such,
the upper bound contains  no identifiable margin of safety.  It is emphasized
that the results of the original studies, assessment of risks  at lower levels,
and conversion to a common indicator all are subject to considerable uncertainties.
          ii)  Additional Factors to be Considered in  Evaluating Margins of
               Safety and Risks - Long Term Exposures
          It is apparent  that long-term concentrations in the  range of 55-110
ug/m  are in the "noise level" for the above epidemiological studies and that
effects measured to date  are likely to be small for the groups studied.  Preliminary

-------
                                   108
results of  cross sectional  data from the ongoing "Six Cities Study" tend to
support this judgment (Ferris e_t aK, 1979,  1980).   When evaluating margins of
safety (risks) in this range, the following  additional factors should be
considered.
     1.   Aerosol Composition:
          1)   Because S02 levels in New Hampshire were generally low,
               the Ferris study provides some support for separate standards.
               Where high SO^ levels co-exist with TP, however, the lower
               portion of the above range still is protective.
          2)   The Bouhuys and perhaps the Ferris studies are directly rele-
               vant to current U.S. atmospheres with periodic elevations of
               ozone.
          3)   Although relative aerosol toxicity among the various regions
               studied cannot be compared on a unit mass basis, the results
               of the above analysis of U.S. and British studies do not
               suggest an order of magnitude difference.  Each area, however,
               probably contained city specific sources producing somewhat
               different particle composition.  For example, particles in the
               city studied by Ferris were largely affected by pulp mill
               emissions.  As such, their composition may be somewhat
               unusual, but no measurements are available.  The risks of
               lung function and symptomatic effects noted in these chronic
               studies can be expected to vary with composition, but reliable
               estimates of the variability are not available.

-------
                                   109
     2.   Relative Exposures
         The Bouhuys and possibly the Ferris studies may represent
contemporary U.S. indoor/outdoor exposures.   It is apparent, however, that
at lower outdoor particle levels (< 130 ug/m  TSP), longer term particle
exposures may be significantly affected by indoor pollution.  With one
or two smokers present, indoor particle exposures will  exceed outdoor
exposures.  This can be viewed in two ways:   a) reduction in outdoor
particle levels will not produce proportional  reduction in total  exposures;
or b) in terms of total body burden, the uncontrolled indoor contribution
reduces the subject's capacity for dealing with outdoor levels, thereby
increasing concern over both sources of exposure.  About 50% of homes,
however, have no smokers in them and indoor particle generation is normally
much smaller (Spengler et aJL, 1980),
     3.   Risks for Other Sensitive Groups,  Effects Not Evaluated
     The groups examined in the studies used to derive  ranges include
children and adults in the general population.   Effects categories addressed
include 1) respiratory mechanics and symptoms  and 2) effects on host defense
mechanisms, as suggested by increased respiratory diseases.   Different
effects categories and other,  more sensitive,  subgroups were not analyzed
separately.   Although children can, on the  basis of mechanistic and
activity pattern arguments, be considered a  sensitive group, they are
not necessarily the most sensitive.
     Other sensitive groups listed in Table  5-3 not directly addressed by
the long-term studies include  asthmatics, bronchitic subjects,  the elderly,
and individuals with cardiopulmonary disease.   Based on the  summary of

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                                   no
mechanisms and qualitative effects data in Section V, these groups would
appear most likely to respond to single or repeated acute exposures.  They
should be largely protected against such effects by the 24 hour standard.
However, these as well as other sensitive groups in Table 5-3 may be subject
to additional potential effects of concern associated with long-term exposures
that were not adequately addressed in the studies used to derive ranges.
These potential effects include:
     1)  Direct or indirect effects on lung tissues contributing to develop-
ment or aggravation of emphysema, cardiopulmonary disease, and pneumoconiosis.
Controlled animal and human studies of the effects of acid aerosols on
clearance (Table B-5), community studies of high long-term exposures to
sulfur oxide-particle pollution (Table B-7), the occurrence of industrial
bronchitis with very high mineral dust exposure (Morgan, 1978), and the well
established effects of cigarette smoke suggest that long-term exposures to
repeated peaks of ambient particles, particularly acid aerosols, may play a
role in the etiology of chronic bronchitis, and ultimately aggravation of
emphysema and associated cardiopulmonary difficulties.  Toxicologic studies
of high exposures to sulfuric acid/ammonium sulfate S02 aerosols  (Table B-8)
and autopsies of humans and zoo animals (Table B-9) show that long-term
exposures to both acid aerosols and crustal dusts can damage or alter lung
tissues.  Acid aerosols effects were related in one study to an incipient
stage of emphysema, while crustal dusts produce silicate pneumoconioses with
varying degrees of clinical significance.  Although these qualitative data
generally involve exposures higher than any expected with the derived range,
the possibility of some risks at lower exposures should be considered.
     2)   Carcinogenesis - Cigarette smoking generally is recognized as the
major determinant of  lung cancer.  The available epidemiological  evidence

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                                     Ill
does not unequivocally show that current particle exposures contribute
to cancer nor does it rule out the possibility of some small contribution.
The presence of mutagens in organic particulate fractions from unidentified
sources and the potential interaction between these, as well as inert
particles, and carcinogens from cigarettes or occupational exposures
(Appendix B, Section E), suggest some need for caution and further study.
     3)   Premature Mortality - Regression analyses of long-term mortality
(Table B-ll) have been used to suggest effects of sulfur containing particulate
pollution.  The criteria document discusses a number of inherent difficulties
and inconsistencies that preclude quantitative conclusions and limit their
qualitative use.
     The available information does not suggest major risks for these effect
categories at current ambient particle levels in most U.S. areas.   Nevertheless,
the risk that both fine and coarse mode particles may produce these responses
supports the need to limit long-term levels of TP for a variety of aerosol
compositions.
D.   Summary of Staff Conclusions and Recommendations
          The major staff conclusions and recommendations made in Section
VI. A-C above are briefly summarized below:
     1.   A separate general particulate standard remains a reasonable
          public health policy choice.
     2.   The current TSP standard directs control efforts towards particles
          of lower risk to health because of its inclusion of larger
          particles which can dominate the measured mass concentration, but
          which are deposited only in the extrathoracic region.   A new
          particle indicator representing those particles capable of
          penetrating the thoracic regions (thoracic particles,  TP)

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                             112
     is recommended.   The size  range should include those particles
     less than a nominal  10 ym  and sampler performance criteria should
     be related to respiratory  tract deposition data.
3.    Both short-term (24-hour)  and annual  arithmetic mean standards
     are recommended.   The short term standard should be expressed in
     statistical form, the decision on allowable number of exceedances
     should be made in conjunction with establishing a level  for
     the standard.
4.    Based on a staff assessment of the short-term epidemiological data,
                                                                   3
     the range of 24-hour TP levels of interest are 150 to 350 yg/m .
     Under the conditions prevailing during the London studies, the
     upper end of the range represents levels at which effects are
     likely in the sensitive populations studied.   Given the  uncertainties
     in translating these results to U.S.  conditions and the  seriousness
     of the potential health effects, the upper end of the above range
     contains no identifiable margin of safety and should not be
     considered as an appropriate standard alternative.  The  uncertainties
     and the nature of the potential effects are important margin-of-
     safety considerations.  Neither the studies used to derive the
     range nor more qualitative studies of effects in other sensitive
     population groups (e.g. asthmatics, children), or effects in
     controlled human or animal studies provide scientific support for
     health risks of consequence below 150 yg/m .   These qualitative
     data as well as factors such as aerosol composition and  exposure
     characteristics should also be considered in evaluating  margins
     of safety associated with alternative standards in the range of
             3                            3
     150 yg/m  to something below 350 yg/m .

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                             113
5.    Based on a staff assessment of the long-term epidemiological
     data, the range of annual  TP levels of interest are 55 to
             •3
     110 yg/m .   The upper end  of this range overlaps the somewhat
     uncertain "effects levels" derived from these studies.  Due to
                                                              q
     these uncertainties, the upper end of the range (110 yg/m )
     may not include any margin of safety, and should not be considered
     as an appropriate standard alternative.  The lower end (55 yg/m )
     represents a level where some risk of symptomatic effects might
     remain but no detectable differences in pulmonary function or
     marked increases in respiratory diseases are expected.  Increases
     in symptomatic effects at the lower levels are uncertain and small
     in comparison to baseline rates.

          When evaluating margins of safety for an annual standard, it
     is particularly important to examine the results of qualitative
     data from a number of epidemiological, animal, and air quality
     studies.  These^suggest concern for effects not directly evaluated
     in the studies used to develop the ranges.  Such effects include
     damage to lung tissues contributing to chronic respiratory
     disease, cancer, and premature mortality.  The available scientific
     data do not suggest major risks for these effects categories at
     current ambient particle levels in most U.S. areas.  Nevertheless,
     the risk that both fine and coarse particles may produce these
     responses supports the need to limit long-term levels of TP for
     a variety of aerosol compositions.

-------
     Because of different form,  averaging procedures and size range,
precise comparisons between the  above ranges of TP standards and the
current primary TSP standards are not possible.*  The lower bounds,  taken
together, result in standards roughly equivalent in stringency to the
current standards.   In general,  the rest of the ranges represent varying
degrees of relaxation as compared with the current standards.  At the
lower concentrations in the ranges much of the relaxation would result
because only smaller particle sizes would be collected.   Thus, a city
where exceedance of the TSP standard was largely dominated by coarse
mode dust (with substantial mass of particles greater than 10 urn) would
be less likely to violate a comparable TP standard than would an area where
exceedance of the TSP standard was dominated by particles smaller than
10 urn.  At higher concentrations in the above ranges, standards would
permit increased levels for TP as well as for larger particles.
*By applying observed TP/TSP ratios and other factors,3crude comparisons
can be made.  The current annual TSP standard (75 ug/nu, geometric mean)
is roughly equivalent to an arithmetic mean of 50 ug/m  as TP.   The
numerical value of the 24 hour TSP standard (260 ug/m ) is roughly equivalent
to 140 yg/m  TP, but this does not account for differences between the
arithmetic (current standard) and recommended statistical form.

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                                115
VII. CRITICAL ELEMENTS IN THE REVIEW OF THE SECONDARY STANDARD
     This section discusses information drawn from the criteria document
that appears most relevant in the review and possible revision of secondary
standards for particulate matter.  Four major categories of welfare effects
are examined. Within each category, the paper presents 1) a brief summary
of relevant scientific information, 2) an evaluation of potential  quantitative
relationships between atmospheric particles and effects, and 3) a staff
assessment of whether the available information suggests consideration of
secondary standards that differ from the recommended primary standards.
Where applicable, preliminary staff recommendations are presented on the
most appropriate pollutant indicator and form of standards, in the event
the Administrator determines such standards are warranted.

A.   Visibility and Climate
     1.   Nature of Effects
          a)   Visibility
          i)   Categories and Extent of Perceived Effects
          Impairment of visibility is perhaps the most noticeable and best
documented effect of particles in current U.S. atmospheres.   Although
often equated with "visual  range" as measured by airport weather observers,
visibility in a broader context relates to visual perception of the environment
and involves color and contrast of viewed objects and sky,  atmospheric
clarity, and the psychophysics of the eye-brain system (CD,  p.  9-43 to 9-46).
     For present purposes,  it is useful to classify pollution-derived
effects on visibility into  two categories:  1) regional  haze and 2) visible
plumes.  The nature and extent of these effects are determined  largely by
the distribution and characteristics of anthropogenic and natural  particles

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                                   116
and, to a lesser extent, by NCL.  Salient features of both categories are
outlined below.
     Regional haze is relatively homogeneous, reduces visibility in every
direction from the observer, and can occur on a geographic scale ranging
from an urban area to multistate regions.  Increased haze reduces contrast
causing more distant objects to disappear.  Nearby objects can appear
"flattened" and discolored, the horizon sky is whitened, and scattered
light is perceived as a grey or brown haze (Charlson ejt a]_., 1978).  When
urban light and haze combine at night, the contrast between the night sky
and the stars is reduced, markedly limiting the number of stars visible
in the night sky (Leonard et aj_., 1977).
     Visual range (visibility) measurements at airports are a useful
indicator of the extent and intensity of regional haze.  Analyses of
airport visibility trends from 1948 to 1972 suggest that while visibility
in some urban areas improved or stayed the same during the winter months,
the occurrence of episodic eastern U.S. regional haze with visibilities
less than seven miles appears to have increased.  This later occurrence
has been most notable during the summer months (Husar et al_., 1980).
Since 1972, regional visibility in both the East and West apparently has
improved slightly but not to pre-1960 levels  (Sloane, 1980; Marians and
Trijonis, 1979). Whether this recent improvement is related to more
favorable meteorology or reduced regional particle and sulfur oxide
emissions is not known with certainty, but such reductions are reflected
in emissions inventories in both East and West.  Regional differences in
visibility are illustrated in Figures 7-la and 7-lb.  As indicated by suburban
and non-urban airport data, visibilities in the East are substantially

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                                          117
      P: Based on photographic
       photometry data
      N: Based on nepAelonefry 4*ta
      *: Based on uncertain extrapolation of
       visibility frequency distribution
     P: Based on photographic
       photometry data

     N: Based on nephelonetry data
     *: Based on uncertain extrapolation of
       visibility frequency distribution
Figure  7-1.  Median 1974-76  visibilities(miles)  and visibility  isopleths  for
suburban/nonurban  airports:   a) yearly and b)  summertime  (Trijonis  and Shapland,
1979).   Data are subject to  uncertainties associated with suburban  airport
observations, but  show general  regional  patterns.   The  clear differences between
East and West are  parallelled by regional humidity'(CD, Figure 1-17) and nonurban
fine particle levels.  Summertime fine mass averaged from 22 to  25  iag/nr at  12
eastern nonurban sites (Watson  et al., 1981) and  about  4  ng/m3 for  40 Rocky  Mountain
and southwest background sites  "(Snelling, 1981).

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                                    118
lower than in most of the West.  Some of the difference between East and
West may be related to the lower regional humidity in the West, but a more
important difference is the generally higher regional particle loading in
the East.  Based on:  1) long-term historical data in the northeast from 1889
to 1950  (Husar and Holloway, 1981); 2) examination of airport visibility
trends after deleting data possibly influenced by obvious natural sources
(fog, precipitation, blowing dust) (CD, p. 9-75); and 3) current assessments
of natural sulfur sources and regional fine particle levels  (Galloway and
Whelpdale, 1980; Stevens et al_., 1980; Pierson et al_., 1980, Ferman et
al.. 1981), anthropogenic particulate pollution would appear to dominate
eastern  regional haze.  Relying on the analysis of Ferman jjt aj_. (1981),
the criteria document estimates that, in the absence of anthropogenic
sources, summertime visibility in the Shenandoah Valley would range between
60 and 80 km (36 - 50 miles) (CD, p. 9-63).  The median daytime visual
range actually observed during the one month study at this site was 4 to 5
times lower  (9 miles).
     Visible plumes of smoke, dust, or colored gas obscure the sky or
horizon  relatively near their source of emission (EPA, 1979).  Black,
gray, or bluish plumes are caused by particles.  Brownish plumes may be
carused by N02 or particles.  Perception of plumes (and regional haze) is
strongly influenced by factors such as viewing angle, sun angle, and
background objects  (CD, p. 9-46).  Because visible particle  plumes often
are subject  to state and local opacity regulations and because it is
difficult to specify air quality standards to deal with elevated plumes,
the focus here will be on urban and larger scale regional haze.

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                               119
     ii)   Evaluation of Visibility
          Visibility impairment may adversely affect public welfare in
essentially two areas:   1) the subjective enjoyment of the environment
(aesthetics, personal comfort and well-being); and 2) transportation
operations.  As discussed in the criteria document, evidence on the
effects is drawn from studies of social perception and awareness of air
pollution, economic studies, and visibility/air transportation requirements.
These studies are discussed and evaluated in Appendix C.   Key findings are
summarized in Table 7-1 and discussed below.
     1)   Early studies of social awareness (e.g., Schusky, 1966) have
          found that as particulate pollution levels increase, an increasing
          portion of the population is aware of air pollution and considers
          it a nuisance.  A more recent Los Angeles study (Flachsbart and
          Phillips, 1980) found that of nine pollutant indices, only two,
          visibility and ozone, were consistently and significantly related
          to perceived air quality for all averaging times.
     2)   Economic approaches to evaluation of visibility include "iterative
          bidding" and property value studies.  Despite their limitations
          for providing quantitative estimates, iterative bidding studies
          (see Table C-l) suggest that visibility is of substantial
          economic value in both urban and natural settings.  Although
          the value of visibility in other areas may vary significantly
          from that suggested for the areas studied to date (chiefly the
          rural southwest and Los Angeles), no a priori reason exists to
          suggest that visibility is of little value in heavily populated
          eastern urban areas or in widely visited eastern recreational
          areas.   The Los Angeles iterative bidding study (Brookshire et al..
          1979) suggests that about 2/3 of the estimated willingness

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                                                         120
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                                 121
to pay for visibility improvement was related to concern over
potential health effects.
     3)   Property value studies are  less useful indicators of visibility
          values, but when combined with perception and bidding studies,
          the data suggest that visibility may have tangible effects on
          property values in urban areas.
     4)   The available information indicate that the major effects of
          visibility on transportation are related to air traffic,
          particularly when visibility falls below three miles and FAA
          restricts visual flight (VFR) operations.  The data show that
          episodic regional haze over large segments of the East tends to
          curtail some segments of general aviation aircraft and slow
          commercial, military, and other instrument flight (IFR) operations
          on the order of 2-12% of the time during the summer.  The
          extent of any delays varies with airport.  Reduced visibility
          also may tend to increase risks associated with aircraft
          operations in the mixing layer, but quantitative assessments
          are not available.
     b)   Climate
     The presence of particles that scatter and absorb light also may
affect climate.   Principal effects of concern include:
     1)   Reduction of net solar radiation to the earth's surface—this
          may lead to small local or  regional reductions in temperature
          and ultimately affect climate.   Trends in atmospheric turbidity
          (a measure of the reduction in the intensity of direct sunlight
          reaching the ground) are qualitatively similar to those for
          visibility (CD,  Figure 9-37).
     2)   Enhanced cloud and fog formation,  and possible increased preci-
          pitation (CD,  p. 9-95).  Enhanced fog formation would add to the
          adverse visibility effects  discussed above.

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                                     122
     Because available information as summarized in the criteria document
does not permit quantitative assessment of the relationship between the
presence of particles and effects on climate,  such effects, although poten-
tially of significance,  cannot form the principal  basis for a secondary
particle standard at this time.   Nevertheless, because effects of particles
on climate and on visibility both appear to be dominated by fine particles,
the potential climatic effects would tend to provide support for decisions
based on visibility criteria.
2.   Mechanisms and Quantitative Relationships
     The more important studies in the criteria document on mechanisms by
which particles impair visibility and quantitative relationships between
particles and visibility are evaluated and discussed in Appendix C.
Key conclusions are summarized below.
     1)   Visibility impairment is caused by light scattering and absorption
          by atmospheric particles and gases.   Theoretical and empirical
          results provide strong evidence that visual range reduction in
          urban and regional haze normally is controlled by fine particles
          (<2.5 ym).  The only important situations where larger particles
          dominate are some naturally occurring phenomena including
          precipitation, fog, and dust storms.
     2)   The relative importance of scattering and absorption by particles
          and the extinction (scattering and absorption) efficiency per
          unit mass of fine particles vary with chemical composition and,
          to some extent, humidity.  Scattering dominates regional haze,
          but absorption can be important in urban settings.  As humidity
          increases from 70 to 90%, fine particle scattering can increase
          by a factor of about two.

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                                 123
     3)   Two fine particle components, hygroscopic sulfates and elemental
          carbon, generally tend to be the most important in reducing
          visibility.  Sulfate compounds with associated water often
          dominate fine mass and light scattering, particularly in the
          East, while elemental carbon accounts for most particle absorption
          in urban areas.
     4)   Within reasonable limits, the Koschmieder equation (Equation C-l)
          can be used to relate visual range and fine particle concentration.
          To do this, the Koschmieder constant (K) must be estimated.
          Available data (CD, p. 9-9) suggest that due to imperfect
          techniques and observers, reported K varies from the commonly
          used value of 3.9 (ranging from 1.7 to 3.6).  Figure 7-2 illustrates
          the Koschmieder equation for the standard K = 3.9 and a representative
          range of fine particle extinction efficiency per unit mass
          (Y).  Cases are detailed in Appendix C.
3.   Staff Recommendations
     a)   Rationale for Consideration of a Secondary Standard
          Impairment of visibility over urban to multistate regions is
clearly an effect on public welfare as specified in the Clean Air Act.
The relationship of fine particles to visibility impairment in such cases
is known well enough to permit quantitative predictions of the ranges of
visibilities for given fine particle levels.  Of initial  concern is whether
the range of recommended primary standards would provide adequate protection
against these welfare effects.  Rough estimates of visibilities associated
with alternative primary standards are listed in Table 7-2.
     Precise comparisons of predicted visibility associated with primary
standard attainment with current airport visibility information are
difficult.  It would appear, however, that none of the alternative

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                                 124
   60
   30
ui
O
I


I
   10
                                VISUAL RANGE - 3.9/c.,,,
                                   AEROSOL. <80%RHO I

                                   AEROSOL. 90X RH M m2A|)

                                   AEROSOL. 90% RH (10 m2/|l
                                                                             20
                                                                              10
                             GO
                                         75
                                                    100
                                                                126
                                                                       160
                            FINE MASS CONCENTRATION. pg/mj

                          range as a function of fine mass concentration
Figure 7-2.   Visual
(determined  from equilibrated  filter) and Y, assuming  the "standard"
K = 3.9.   Because K is commonly  lower in non-ideal  application,
results from this relationship should not be compared  directly to
airport visibility data.

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                                   125
TABLE 7-2.  VISIBILITY ASSOCIATED WITH ALTERNATIVE PRIMARY STANDARDS
TP (< 10 um)
Standard
24-Hour


Annual


150
250
300
55
75
100
Range of Visibility (miles)*
1.9 -
1.1 -
1.0 -
8.4 -
6.2 -
5.2 -
6.2
3.8
3.1
16
12
10
*Range derived from application of relationship in Figure 7-2 with K =
3.9 and Y = 4 to 8 m /g. Comparable visibilities reported by airports
would be lower.  For 24 hour cases fine mass/TP mass ratios are assumed
to range from 0.6 - 1.  For annual cases the ratio was fixed at 0.6.
Primary standards are assumed to be just met throughout the viewing
distance. Because primary standards usually are directed at maximum
point measurements, this assumption tends to understate visibility
resulting from primary standard attainment.  Nevertheless, it is not
clear whether control strategies directed at attaining TP standards
would reduce the fine fraction responsible for visibility impairment by
the same proportion as total TP mass is reduced. The effect of 24-hour
standard on annual visibilities was not evaluated.  The annual values
are made less certain because natural impairment (fog, rain) is not
included and because the arithmetic mean particle mass was used to
derive visibility.  These errors tend to be in opposite directions.  The
visibility estimates for the annual standards are, therefore, best
interpreted as representative of "typical" days rather than as annual
averages.

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                                      126
primary standards would materially improve regional  visibility over current
levels unless attainment strategies included regional  fine particle controls,
With the exception of the lower half of 24 hour values,  most of these
alternative standards might permit some decrease in  visibility, even in
the East.
     The question then arises as to whether a separate secondary standard
is needed to limit further impairment of visibility  or improve visibility
over levels permitted by the primary standards and other applicable
regulations.  Unfortunately, reliable quantitative information on the
value of visibility on a national  level is not available.   Taken together,
however, the qualitative benefits  of improving or maintaining visibility
summarized in Table 7-1 suggest that visibility values,  although of
uncertain magnitude, are important in a variety of contexts.   Because
of this, and the uncertainty as to whether the recommended primary standards
would provide adequate protection  of public welfare  with respect to these
values, the staff recommends that  a visibility-related particle standard
be considered.
     b)   Factors to Be Considered in Selecting a Standard
          In the event the Administrator decides to  propose a secondary
standard, decisions will be necessary on the most appropriate pollutant
indicator, averaging time, form, and level of the standard.  Preliminary
staff recommendations in each of these areas follow.
     i)   Pol 1utant Indicator
          The indicator for the current secondary particle standard is TSP.
The available information shows that TSP is a poor indicator for particles
that impair visibility.  The current secondary standard tends to focus
controls on coarse particles with  little resulting benefit for visibility.
Alternative indicators for a visibility related secondary standard include:

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                                     127

     1)   Direct measurements of visibility and long-path extinction through
          a)   human observers/photography
          b)   telephotometers
          c)   transmissometers
     2)   Measurement of the optical  properties of the aerosol
          a)   Light scattering (nephelometer)
          b)   Light absorption (carbon analysis or transmittance)
     3)   Measurement of fine particles
          a)   Fine mass
          b)   Specific chemical components
     Direct measurement of visibility is attractive in that it is directly
related to the effect, responds to changes in humidity (unlike heated
nephelometers), and provides long-path integration of pollutant impacts.
However, such measurements are labor-intensive, vary with observer, target
and atmospheric conditions, and are affected by natural  phenomena such as
dust and fog as well as N0?.  These limitations would make specifying
reference methods incorporating such  approaches in support of particle-
based air quality standards difficult.   Thus, direct visibility measurements
are not recommended as the principal  indicator for standard compliance.
     Measurement of the optical properties of the aerosol has a number of
advantages.  Nephelometers are available and provide continuous readings
of light scattering by particles.   The high correlation  between fine mass
and light scattering suggests the nephelometer is a good indicator of fine
mass, and one that is somewhat sensitive to changes in composition that
tend to affect scattering.   Although  routine measurements for light
absorption are not yet available,  promising methods are  under development.

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                                        128
In the case of regional haze, however, absorption is generally small  and
measurements may be unnecessary.
     Despite the advantages of nephelometers, it might not be wise to
recommend these as the principal measurement method at this time.   To
date, they have been used principally by trained researchers.  Large-scale
networks with routine quality assurance programs have not been tested.
Moreover, companion measurements of fine mass and composition probably would
be needed for source assessment.  If, however, short-term (<24 hour)
average times become important, measurement of scattering by automated
nephelometer might be the most appropriate particle indicator.
     Although fine particle mass measurements are less directly related to
visibility than scattering on an absolute basis, the two measurements are
highly correlated at most sites.  Furthermore, the relationship between
fine particle mass and visibility is relatively straightforward.  Fine
particle instruments are available and long-term (1 year) data exist from
at least three major networks (Pace e_t aj_., 1981; Cahill ejt aJL, 1981;
Watson et_ a]_., 1981).  Compositional analyses of mass measurements provide
important insights as to the sources of the haze.  Some obvious natural
sources (coarse dust, fog) are excluded by such measurements.
     Because sulfates and carbon are often the most significant fine
particle components contributing to extinction, some consideration might
be given to their use as standard indicators.  A sulfate standard would
direct control towards eastern regional visibility impairment, but have
little impact in most western urban areas.  Carbon standards would direct
control towards urban areas, with little regional impact.  Neither indicator
would include other fine particles.  If all fine particles are to be
accounted for, specific substance indicators might be unnecessarily complex.

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                                     129
     Considering the practical constraints associated with large monitoring
networks and because fine mass may be better related to other welfare
effects of fine particles (e.g., soiling, materials damage), than optical
measurements, the staff recommends fine mass as the principal pollutant
indicator.  On both practical and empirical grounds, the commonly used
DCQ of 2.5 pm for fine mass is acceptable.  Fine mass measurements could,
in some cases, be supplemented by "equivalent" extinction measurements.
     Because fine mass (and light scattering) instruments provide point
measurements, it is recommended that concentrations from several instruments
(three or more) be spatially averaged to provide a more reliable indication
of the long-path concentrations that are more directly related to visibility.
Separation of instruments should be on the scale of the desired visual
range.
     Spatial averaging tends to minimize the chance of singling out point
source or urban "hot spots" of maximum concentration that are unimportant
on a regional scale.  Addressing regional scale visibility problems
will require a fundamentally different control approach than has been used
in the past for TSP.  Available information on composition, extinction, and
transport suggests that multistate regional scale control of the gas
phase precursors (notably SCL) of secondary aerosols would be considerably
more important than additional controls on traditional local primary
particle emitters (Lodge et a]_., 1981).  A spatially averaged pollutant
indicator should facilitate focusing on the more important sources.
     ii)  Averaging Times
          As indicated in Table 7-1, visibility impairment can be of
importance for hourly to annual (or longer) time scales.   Although close
control of appropriate and practical short- and long-term averaging times
is important in establishing standards for protecting public health with

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                                   130
an adequate margin of safety, it is less clear that multiple averaging
times are necessary for welfare effects such as visibility.
     For control purposes, longer averaging times are desirable in that
effects of extreme weather and source conditions tend to be dampened.
To the extent that long-term average visibilities correlate with the
occurrance of the best and worst daily visibilities, a single long-term
standard may be sufficient.  This indeed seems to be the case.  The
evaluation of eastern airport visibility trends by Trijonis ejt jil_. (1978a,b)
and Trijonis and Shapland  (1979) indicates similar trends in best tenth
percentile, worst tenth percentile, and median visibility.  Figure 7-3
shows representative cumulative frequency plots for visibility.  This
nearly linear relationship is found at most Eastern and Western sites
evaluated by Trijonis and  co-workers (1978a,b).  It thus appears that a
single averaging time for  visibility should provide a reasonable index
for all averaging times.   Spatially averaged fine particle levels may
follow different, but still predictable, distributions.  Thus, if the
rationale for the standard were derived largely from a short-term effect
(e.g., airport operation)  a longer term standard could be specified to
provide adequate protection within predictable statistical limits.
     A seasonal averaging  time may represent the most reasonable indicator
of both long-term and short-term visibility values. Additional supporting
factors include: 1) visibility in the eastern U.S. has a strong seasonal
character; 2) the greatest impacts on recreation and transportation
occur in the summer months; and 3) regional models currently under
development can deal with  seasonal averages better than with daily
averages.  The staff therefore recommends a calendar quarterly (three
month) averaging time for  a secondary visibility based standard.  The

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                                     131
     15 —
uo

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                                  132
standard should be expressed in statistical form such that seasonal
(quarterly, e.g., summer) values are compared for multiple years.   This
tends to smooth variability due to natural  fluctuations in seasonal
meteorology from year to year.
     i i i) Level of the Standard
          The available data on the value of visibility (both aesthetic and
transportation related) provide no clear guidance for an acceptable  level
of a standard.  In arraying the elements of the decision, it is helpful
to focus on those aspects of visibility impairment where national  air
quality standards appear most useful.
     A major difficulty in selecting a national standard is evidence
that both the extent of visibility impairment and the value people place          ^
on visibility vary widely with  affected populations,  region of the
country, and settings within each region.  Therefore  an air quality
standard cannot reasonably address all facets of the  visibility problem           <
equally.  In particular, a standard that would maintain current visibility
levels in the rural West (< 3-5  ug/m ) might require lower than natural
background levels in the East.   Fortunately, other Clean Air Act mechanisms       I
directly and indirectly address visibility.*  These clearly provide  the
Administrator with the flexibility to deal  directly with visibility  in
sensitive non-urban areas of the West.  Thus, the level of any secondary          4
fine particle standard might best be directed at establishing desirable
visibility goals for those regions in the East affected by large scale

*The prevention of significant deterioration (PSD) provision of the  CAA establishes
limits on particle (and other pollutant) increases over "baseline" conditions.
Certain "class I" areas (e.g.,  national parks, wilderness areas) where
visibility is an important value receive special PSD  and visibility protection.
The interaction among these and other CAA regulatory  mechanisms that affect
visibility is further discussed in Chapter 7 of Protecting Visibility:   Ajri^        <
EPA Report to Congress  (EPA, 1979).

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                                 133
regional haze of multistate origin and those major western urban centers
affected by haze predominately of local origin.
     The level of any standard must be based on the judgment of the
Administrator after considering the available evidence on both aesthetic
and transportation effects as well as other welfare effects associated
with fine- particles.  Long or short-term visibility impacts of alternative
seasonal fine mass standards can be estimated using the relationships
and assumptions outlined previously.  Empirical boundaries for standards
can be estimated from the available technical data.  One reasonable
upper bound might be derived from the desire to ensure that eastern
regional visibility does not become significantly degraded over current
levels.  Based on measurements from 12 non-urban eastern sites (Watson
e_t al_. , 1981) as well as estimates based on typical summer time visibility
(Figure 7-lb), spatially averaged seasonal fine particle levels
of 22-25 yg/m  would tend to maintain the status quo.  Typical urban
scale fine particle levels are about 5 yg/m  higher in the East (see Table
4-3).  Due to the limited number of sites and years of data, these
estimates obviously are uncertain.  Available summertime fine particle
levels from non-urban sites of three research networks are depicted in
Figure 7-4.
     An absolute, but unattainable, lower bound can be derived from the
criteria document's estimate of natural background visibility in the
East.  Based on the assumptions in the criteria document (CD, p. 9-63)
and the data of Ferman et^ al_. (1981) estimated natural background fine
                                           3
particle levels in the East are 6-10 yg/m .  As noted earlier, this
corresponds to visibilities of 60 - 80 km, or 3 - 5 times greater than
current levels.  These estimates are quite uncertain, but the basic
assumptions do not appear likely to underestimate natural contributions.
                     o
The mid-point (8 yg/m ) might serve as a single lower bound.

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134
                                                                   OJ
                                                                  (X)


                                                                   to
                                                                  -Q
                                                                   S_
                                                                  Z3
                                                                   I
                                                                   C
                                                                   o
                                                                   I

                                                                   to
                                                                   
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                                    135
     The upper and lower bounds for a seasonal (three month) fine particle
                                     3
standard thus derived are 8-25 yg/m, spatially averaged over distances
on the order of 16 - 50 km.   The range is perhaps surprisingly narrow.
Nevertheless, as illustrated in Figure 7-2, visibility is extremely
sensitive to fine particle levels in this range.   If visibility benefits
were proportional to "typical" annual visual range, then marginal benefits
would increase with decreases in fine particle concentrations.

B.   Materials Damage and Soiling
     1.   Description of Effects
     The deposition of airborne particles can become a nuisance, degrade
aesthetics and material usage through soiling and may contribute directly,
or in conjunction with other pollutants, to structural damage by means of
corrosion or erosion.  The nature of these effects is discussed below
and the relative importance of particle size, composition, and other
environmental factors such as moisture, temperature, sunlight, and wind
also is considered.
     a)   Materials Damage
     Particles affect structural materials principally by promoting and
accelerating the corrosion of metals, the degradation of paints, and the
deterioration of building materials such as concrete and limestone.
Particles exhibit these effects because of their electrolytic, hygroscopic,
and/or acidic properties, and their ability to sorb corrosive gases.  Our
review suggests that only chemically active fine mode or hygroscopic coarse
mode (mainly sea or road salt) particles materially contribute to such
effects (CD, p. 10-41).

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                                     136

     While particles have been qualitatively associated with damage to
paints and building materials, there are insufficient data at present to
relate such effects to specific pollutant levels.   With respect to the
corrosion of metals, field studies (Mansfield, 1980; Haynie and Upham,
1974; and Upham, 1967) have not established a quantitative relationship
between particles and corrosion (CD, p.  10-41).   This may be explained by the
presence of sulfur dioxide which,  in combination with sufficient moisture,
dominates the corrosion rate to such extent that an independent effect of
particles is not evident (Yocom and Grappone, 1976).  The available data
do not clearly suggest major effects of particles on materials for
concentrations at or below the ranges recommended for the primary health
standards, but to the extent damages occur, they are more likely associated
with active fine particles.  Potential materials damage effects thus may
provide ancillary support for a fine particle secondary standard.
     b)  Soiling
     Soiling is the accumulation of particles on the surface of an exposed
material resulting  in the degradation of its appearance.  When such
accumulations produce sufficient changes in reflection from opaque
surfaces and/or reduce light transmission through transparent materials, the
surface will become perceptibly dirtier to the human observer.  At higher
loadings, the effect will be detectable by touch.   In a subjective
perception/values study, Hancock ert al_.  (1976) determined that "dirtiness"
for a flat surface would occur when the accumulation of dust particles is
sufficient to cover 0.7% of the material's surface  under conditions of
maximum contrasts  (e.g., black on white or vice versa).  Similar studies
have not been reported for other soiling effects.

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                                    137
     Despite the numerous observations that airborne particles soil a
wide range of man-made materials, there is only limited information
available with respect to the size and composition of the culpable parti-
cles.  In general, the soiling of fabrics and vertical surfaces
has been ascribed to fine particles, particularly dark carbonaceous
materials.  Soiling of horizontal surfaces may result from deposition of
a wide range of particles, including coarse mode dusts.
     Theoretically, coverage of horizontal surfaces will be related to
particle surface area and deposition velocity.  Particle surface area per
unit mass decreases linearly with diameter (assuming spherical particles),
while, under quiescent conditions, deposition velocity increases with
the square of the diameter.  Under such conditions, large particles would
result in more soiling than an equivalent mass of smaller particles.  Although
second order effects may enhance fine particle deposition relative to larger
particles, the deposition velocity data in Chapter 6 of the criteria document
still suggest substantially higher deposition on horizontal surfaces for
particles larger than 10 pm than for smaller particles.
     The increasing soiling potential associated with increased particle
size is mitigated by lighter particle color, smaller transport distance
from sources, and markedly lower penetration of larger particles to indoor
surfaces (relative to smaller particles).  Alzona et^ al_. (1979) concluded,
on the basis of their study of indoor/outdoor element ratios, that indoor
exposure to outdoor dust would be reduced by two-thirds with the doors and
windows partially closed (CD, p.  5-127).   Because these conflicting factors
have not been quantitatively evaluated, it is not possible to make clear
particle size divisions with respect to soiling of horizontal surfaces.

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                                    138
     The time interval that it takes to transform horizontal  and vertical
surfaces from a clean to a perceptibly dirty state is generally determined
by particle composition and the rate of deposition.   This process also is
influenced by the location and spatial alignment of the material, the
texture and color of the surface relative to the particles, and meteoro-
logical variables such as moisture, temperature, and wind speed.
     2.  Quantitative Associations
     a)  Soiling/Property Values
     The effect of particles on aesthetic quality depends in part on human
perception of pollution.  The reduction of aesthetic quality may arise from
the soiling of buildings or other objects of historical or social interest
or by the mere dirty appearance of the neighborhood.  A number of studies
have indicated that such perceptions of neighborhood degradation are
revealed indirectly through effects on the value of residential property.
That is, when residential properties similar in other respects are com-
pared, the properties in the more highly polluted areas typically have
lower value.
     Freeman (1979a), reporting on 14 property value studies that used
particulate matter or dustfall as one of their pollutant measures, noted
that the results generally supported the premise that property values are
affected by the full range of particle pollution.  He cautioned, however,
that direct comparison of the monetary results is not possible since the
studies cover a number of cities, use different data bases, empirical
techniques, and model specifications.
     The extent to which the city specific results represent soiling as
opposed to perceptions of the effects of particles on health and visibility

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                                   139
is not clear.   Therefore, the results of studies such as those described
above cannot provide reliable quantitative estimates of the effects of
soiling on property values.
     b)  Soiling/Household Cleaning
     Airborne particles soil a wide range of materials in all sectors of
the economy.  Assuming that these sectors are not as well off in a dirtier
state as a cleaner one, soiling will result in an economic cost to society.
While the household sector has been examined by a number of investigators,
their results have been questioned because of methodological problems and
their failure to appropriately address particle size, composition, and
deposition rates.  As a result, no single study has produced a completely
satisfactory estimate of soiling costs for the household sector.  It is
unfortunate that little or no effort has been expended to account for
soiling costs in the commercial, manufacturing, or public sectors.  For
example, preliminary results from Manuel e_t jil_. (1981) suggest that the
omission of the manufacturing sector alone could result in a significant
understatement of soiling costs due to particle pollution.
     In its review of effects of household soiling, the criteria document
relied principally on Booz,  Allen, Hamilton (1970), Watson and Jaksch
(1978, 1982), and Freeman (1979b) to derive estimates for both household
soiling costs in 1970 and the benefits that accrued in 1978 as the
result of reduced total suspended particulate (TSP) levels.  For the year 1970,
the estimate for amenity loss due to exterior household soiling was estimated
to range from 1  to 3.5 billion dollars (1978 dollars).  The 14 yg/m  reduction
in U.S.  annual TSP levels between 1970 and 1978 was estimated to have
resulted in an annual benefit for the year 1978 of 0.2 to 0.7 billion
dollars or 14 to 50 million  dollars for each yg/m3 of reduction (CD, p.  10-73).

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                                 140
     These estimates obviously are rough and mainly provide an indication
that substantial costs may be associated with particle related soiling.
Some of the important limitations include:
     1)   The exclusion of interior household soiling costs from these
          estimates would tend to bias the results downward since the
          analysis did not address the soiling effects of those smaller
          particles that readily penetrate the indoor environment (CD, p.
          5-131).
     2)   Even for estimating exterior soiling costs, the use of TSP may be
          a poor pollutant indicator.  As noted earlier, the soiling of
          vertical surfaces generally have been ascribed to fine particles
          while the soiling of horizontal surfaces may result from the
          deposition of a wide range of particles, including coarse
          dusts.  Moreover, national average TSP readings may be a poor
          surrogate for actual exposures.
     3)   The basic data on costs and frequency of performing household
          cleaning and maintenance tasks  used in the studies relied on
          were derived for Philadelphia and may not be readily transferable
          to other parts of the country.
     4)   The studies relied on had both  positive and negative biases which
          cannot be assumed to cancel out, thus adding additional uncertainty
          to the final estimates.
     3.   Staff Recommendations
     It is clear that at high enough concentrations, the full size range of
particles including dustfall can contribute to soiling, become a nuisance
and result in increased cost and decreased enjoyment of the environment.

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                                    141
The available data are limited, however,  and do not permit any definitive
findings with respect to the economic costs or other response functions
associated with particle soiling or provide clear quantitative relationships
between ambient loadings and soiling.  The limited data do suggest, however,
that soiling costs can be significant.
     The key question is whether the recommended range of primary standards
would provide adequate protection against these effects.  Much of the range
of primary standards would appear to permit increases in TSP loadings.
Thus, the staff recommends consideration of the economic and other effects
associated with soiling and nuisance when determining whether a secondary
standard for TP or for TSP or other large particle indicator is desirable
to supplement whatever soiling benefits accrue from the primary health
standards.  Because fine particles are a significant contributor, soiling
effects also should be considered in determining whether a fine particle
secondary standard is needed.  Given the uncertainties in the data,
recommendations on ranges of interest are not appropriate at this time.

C.   Vegetation Damage
     1.  Description of Effects/Relationships
     Controlled laboratory and crop field studies indicate that current
levels of "general" particulate matter are relatively unimportant from the
standpoint of vegetation damage.  Controlled laboratory studies have
associated vegetation damage only with very high particle dustfall rates
of insoluble particles (Lerman and Darley, 1975; NAS, 1977a).  Field
studies near emission sources have reported injury to vegetation following
exposures to high dustfall rates of general particulate matter or specific
phytotoxic substances that may be found in particulate matter (EPA,
1975a; Lerman and Darley, 1975; NAS, 1977a).

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                                      142
     Controlled exposure studies of insoluble dusts (e.g., cement dust)
indicate that the accumulation of particulate matter on leaf surfaces can
result in damage to vegetation when particle dustfall  rates are very high.
Although some leaf injury from insoluble particles may result from reduced
light transmission to the leaf surface following heavy particle accumulation
on leaf surfaces, the more likely cause of leaf injury from insoluble
particles is from particle lodging/penetration in stomatal apertures.
Partial stomatal occlusion by particles could alter normal gas exchange
patterns resulting in reduced carbon dioxide uptake during the day when
plants fix carbon dioxide into carbohydrates.  Since most stomatal apertures
are less than 10 ym long and 4 urn wide when open (Esau, 1960), particle
lodging/penetration should become more efficient as particle sizes approach
                                                                      2
those that can fit into stomatal apertures.  Plant exposure to 0.6 g/m /day
             2
(~500 tons/mi /mo) of cement dust ("most" of the dust represented particles
less than 10 urn) for 8-10 hours/day is the lowest exposure regime reported
to produce a physiologic response (a reduction in carbon dioxide uptake).
Foliar injury was reported at higher exposure regimes  in this study (Darley,
1966).
     Field studies of the effects of cement dust on citrus trees have
reported foliar injury, damage to fruit, and reduced yield at high
                                 2
dustfall rates (about 290 tons/mi/mo) that were observed around 1900
(Parish, 1910).  Since deposition rates substantially less than about 75
       2
tons/mi /mo have generally been observed even in the more polluted urban
areas of the United States in the 1960's (DHEW, 1969), it is unlikely
that plants would be injured by the lower particle deposition likely to
be found today.  Exceptions could occur in proximity to strong point
sources.

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                                     143

     Plants have, however, been shown to respond to exposure from relatively
high concentrations of specific phytotoxic substances that are sometimes
found in particulate matter.   The entrance of such particles into plant
tissues is facilitated when such particles are small  enough to penetrate
stomatal apertures or when soluble materials are deposited in the soil
and absorbed by plant roots (Brady, 1974).  In addition, some components
of particulate matter (especially soluble fractions)  that are deposited
on leaf surfaces could subsequently penetrate to the  leaf interior.
Substance specific toxicity has been reported in plants following exposure
to arsenic (Linzon, 1977), boron (Kupra and Kohut, 1976), fluorides  (Lerman
and Parley, 1975), soot (Lerman and Darley, 1975), zinc (Yopp ejt al.,
1974), and other substances.
     2.   Staff Recommendations
     Recognizing that specific toxic particulate substances that may affect
public welfare generally are found only in trace quantities except near specific
sources, regulatory mechanisms other than the national  ambient air quality
standards (e.g., section lll(d)) are used to regulate specific toxic substances.
The effects of fine acid aerosols on vegetation should be considered as a
part of the acidic deposition phenomenon.
     In view of the lack of any clear effect of particle exposure that
is not composition specific on plants at current particle levels, the
staff concludes that a secondary particle standard is not needed to
protect vegetation.
D.   Personal  Comfort and Well-Being
     Because the effects of thoracic deposition, including the production
of health related symptoms causing discomfort, are incorporated in the
primary standard discussion and recommendations, this assessment will  focus

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                                      144
on direct effects of extrathoracic and extra-respiratory particle deposition
on personal comfort.
     1.   Description of Effects, Quantitative Data
     A controlled exposure study found that discomfort is proportional  to the
concentration of dust and that symptoms can be produced by "inert" (carbon
impregnated plastic) particles deposited in the nose and throat (Andersen
ejt al_., 1979).  Subjects were young, healthy adults characterized as nose
breathers, and were at rest during exposure.  Symptoms from extrathoracic
particle deposition included dryness of the nose, pharynx, and throat and other
mild symptomatic responses.  Particle size was about 9-11 pm (MMAD) with 30% of
the mass larger than 12.4 ym.  The lowest reported concentration associated with
                              o
symptomatic effects was 2 mg/m  (Andersen ejt al_., 1979).  Although the  sympto-
matic response to dust exposure was noted one to two hours following the
beginning of the dust exposure, available subjective information indicates that
discomfort was mild.
     In high enough concentrations, large particles such as wind blown  dust
or cinders also might cause discomfort through impact!on on the eye or
skin (extra-respiratory deposition).  The scientific literature summarized
in the criteria document, however, provides no basis for evaluating the
concentrations at which such effects might occur.
     2.   Staff Recommendations
     The available information suggests that particles might affect personal
comfort at total particle concentrations in excess of 2 mg/m  for short
exposure (2 hour) periods.  The data are, however, extremely limited, and
not unequivocally associated with larger particles.  Although it is reasonable
to suggest that high dust concentrations are a nuisance that affects personal
comfort, the available data provide no clear evidence as to what concentrations

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                                     145
of larger particles not included in the primary standards might be of
concern.   The data in the criteria document in this area thus provide
little support for a TSP or other large particle indicator secondary standard
based on soiling and nuisance effects discussed in Section VII.B.
E.   Acidic Deposition
     On August 20-21, 1980, the Clean Air Act Scientific Advisory Committee
(CASAC) concluded that the issue of acidic deposition was so complex and
important that a significantly expanded and separate document would be
necessary if NAAQS were to be selected as a regulatory mechanism for control
of acidic deposition.  CASAC noted that a fundamental problem of addressing
acid deposition in a criteria document is that acidic deposition is pro-
duced by several pollutants (including oxides of nitrogen, oxides of sulfur,
and acidic fine particles).  Consequently, a document on acidic deposition
would include various pollutants contributing to wet and dry deposition.
The Committee also recommended that a revised version of the acidic deposition
chapter be retained in PM/SO  and NOV criteria documents.  In response to
                            A       X
these recommendations, EPA is in the process of developing an acidic deposi-
tion document that will provide a more comprehensive treatment of this
subject.   Thus, the issue will not be directly addressed in this staff
paper.
F.   Summary of Staff Conclusions and Recommendations
     Major staff conclusions and recommendations made in Section VII.A-E
are summarized below:
     la)  Impairment of visibility by fine particles over urban to multi-
          state regions clearly affects public welfare.   Fine particles or
          major constituents thereof also are implicated in climatic

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                               146
     effects,  materials  damage,  soiling,  and acid deposition.   Neither
     the current TSP secondary standard nor the  recommended ranges  of
     TP standards will  protect visibility in an  effective manner.   The
     staff,  therefore,  recommends consideration  of a fine particle
     secondary standard,  based primarily on the  relatively well  defined
     quantitative relationships between fine mass and visibility.
b)   If a fine particle standard is selected, a  seasonal  (calendar
     quarter)  averaging time could provide a statistically stable  target
     and yet achieve most short or long-term visibility goals.   Considera-
     tion should be given to specifying a spatial average of three
     or more monitors placed at distances on the order of 16-50 km.
c)   Despite the fact that the public is concerned about visibility
     and is willing to pay something for clean air, quantitative bases
     for evaluating visibility goals have not been established.   Therefore,
     the level of any standard must be based on  the judgment of the
     Administrator after consideration of aesthetics, transportation,
     as well as non-visibility related effects.   The staff recommends
     that any national  standards focus on welfare effects associated
     with multistate eastern regional  (and western urban) haze.   Such
     standards would not of themselves protect sensitive scenic areas
     of the West, but these areas are directly and indirectly addressed
     by other provisions of the Clean Air Act.
d)   Empirical ranges for standards can be derived from approximate
     estimates of eastern natural background and current summertime fine
     particle levels.  The range thus derived is 8-25 ug/m , seasonal
     and spatial average.  The upper portion of the range would tend to

-------
                                147
     maintain the status quo in the East.   Because the lower
     portion of the range approaches natural  background levels,
     standards set at the lower levels would be,  in all practicality,
     unattainable in most of the Eastern U.S.
e)   Because regional fine particles in the East  appear to be
     influenced most strongly by sulfates, adoption of a fine particle
     standard would trigger a substantial  departure from current approaches
     to particle control strategies.  The  evidence suggests that multistate
     control of regional sulfur oxide emissions might be needed to reduce
     fine particle levels.  Thus, fine particle/visibility-climate effects
     are linked to acid deposition, and these problems would likely be
     ameliorated by similar control strategies.  Addressing these
     welfare effects with a common standard or control strategy is likely to
     be more efficient than establishing separate control approaches for
                                                         »
     each.   Appropriate scientifically based targets and control
     strategies for acid deposition are not yet available.
2)   Although potential effects on climate support the consideration of
     a fine particle standard, quantitative relationships are not well
     enough developed to provide the principal basis for selecting the
     level  of the standard.
3)   Consideration should be given to soiling and nuisance effects in
     determining whether a secondary standard for TP or for TSP or some
     other large particle indicator is desirable  to supplement the
     primary health and secondary fine particle standards.  The available
     data base on such effects is, however, largely qualitative.
     Therefore, the basis for selecting a  particular level for a
     secondary TP or TSP standard is a matter of  judgment.

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                                148

4)   While chemically active fine mode and hygroscopic coarse mode
     particles have been qualitatively associated with materials damage,
     the available data do not clearly suggest major effects of particles
     on materials for concentrations at or below the ranges recommended
     for the primary health and secondary visibility standards.   Therefore,
     a secondary standard based solely on materials damage is not
     recommended.
5)   The staff concludes that a secondary particle standard is not
     needed to protect vegetation.
6)   The acid deposition issue will  not be addressed directly in the
     review of the particulate matter standards.

-------
APPENDIX A.  FACTORS THAT INFLUENCE DEPOSITION AND CLEARANCE OF PARTICLES

     This material briefly summarizes subject related and environmental
factors that affect deposition and clearance of particles, and supports the
discussion in Section V A.1 of this paper.
A.   Inhalation Patterns
     The most important aspects of inhalation pattern are flow rate,
breathing frequency, and whether breathing is through nose, mouth, or
both.  Nasal breathing results in nearly complete extrathoracic deposition
for all particles larger than about 10 pm, with removal efficiency
decreasing to less than 10% for particles less than 1 urn  (CD, p. 11-23).
In contrast, extrathoracic deposition of 10 pm and 1 ym particles for
mouth breathing is about 65% and 2%, respectively (CD, p. 11-23).  As
illustrated in Figure 5-1, mouth breathing enhances the availability of
> 1 pm particles for deposition in the alveolar and tracheobronchial
regions.  Because the mouth can release substantial quantities of
endogenous ammonia, mouth breathing may provide partial protection from
airborne acids by ammonia neutralization (Larson et_ ajL,  1977).
     Except in the case of blockage of the nasal passages by mucus or other
obstruction, typical "mouth" breathing is better characterized as "oronasal"
breathing, since the larger portion of the inspired air does pass through
the nasal passages.  Therefore, experimental deposition studies as summarized
in Figure 5-1 that use mouth piece only breathing may tend to overestimate
thoracic deposition for oronasal breathing at rest.  Approximately 15% of the
population are habitual oronasal or mouth only breathers  (Saibene et aj_., 1978;
Niinimaa et. aj_., 1981).  Anyone may shift to oronasal breathing during
conversation, singing, illness related congestion, and exercise.  Most

-------
                                        A-2
people shift to oronasal breathing at flow rates greater than 30-35 I/minute
(Ninnimaa e_t al_.,  1981), which is equivalent to moderate exercise as in walking
briskly or bicycling (Cotes, 1979).   At these flows, the quantity of air
passing through the mouth is greater than that used in resting, mouth only
deposition studies.  Thus, results of such studies might not overestimate
deposition for exercising conditions with oronasal breathing.
     Increased flow rates also increases impaction related deposition in
all regions and apparently speeds mucuciliary clearance (Wolff et^ al_., 1975).
The generally increased extrathoracic and tracheobronchial deposition
efficiency in the  2-10 ym range, reduces the alveolar deposition efficiency
in this same range (Heyder et_ a]_., 1980; Stahlhofen £t al_., 1980).  Nevertheless,
because of increased intake, as well as a shift to mouth breathing, total
dose to the alveolar region may increase with exertion related increases
in flow rate.  For example, Heyder et_ al_. (1980) found that the alveolar
deposition efficiency (mouth breathing) for a 5 ym particle was about
                            3
0.4 at a flow rate of 250 cm.  At three times the flow rate, with constant
breathing frequency, the efficiency dropped to 0.3, but alveolar dose/unit
time would be increased by a factor of about 3 x 0.3/0.4 = 2.2.
B.  Subject Airway Dimensions, Disease State
     Size, shape and branching of the airways and other airspaces markedly
affect deposition of particles (Palmes and Lippmann, 1977).  Evaluation of
available data reproducibility of individual deposition curves (Chan and
Lippmann, 1980) and studies of identical twins (Bohning et_ al_., 1975) suggest
that much of the variability observed in various deposition studies is largely
due to anatomical  differences among subjects.  Among normal adults total
respiratory deposition can vary by a factor of 4  (lowest to highest)
(Giacomelli-Matoni et al., 1972).  Although the criteria document

-------
                                        A-3
reports no deposition studies on children, it is reasonable to expect
that the smaller airway dimensions in children would result in rela-
tively greater impaction related deposition in the tracheobronchial and
extrathoracic regions than in normal  adults.
     Disease states or other conditions that constrict, inflame, or cause
mucous build-up in the airways can substantially increase tracheobronchial
deposition (Lippmann et_ aj_., 1971).  Otherwise normal cigarette smokers
have somewhat increased bronchial deposition (Lippmann et_ al_., 1971), and
greatly enhanced bronchial deposition was seen in chronic bronchitics and
asymptomatic asthmatics (Albert «rt al_., 1973).  Over a size range of 1.5 to 6
urn, deposition was up to a factor of 5 greater than the upper bound of the
normal range.
     Clearance rates for deposited materials also varies substantially among
normal healthy adults (Yeates et_ aK, 1975).   Studies of bronchial clearance
in patients with chronic lung disease have reported transport rates
which were faster, slower, and similar to those of healthy adults (NAS,
1977a).  Within the tracheobronchial  region the nature of the branching
airways also results in nonhomogeneous deposition patterns.  Of par-
ticular significance are the observations and calculations indicating
increased deposition at "hot spots" located around the carina of airway
bifurcations (Bell and Fried!ander, 1973; Schlesinger and Lippmann,
1978).  The latter authors were able to demonstrate a correlation of
upper airway deposition patterns and reported incidence of bronchogenic
carcinoma.  Effects at the bifurcations also may be enhanced due to
potentially slower clearance rates (Hilding,  1957).
C.   Aerosol Composition
     Aerodynamic diameter, chemical composition, and shape are among the
more important particle specific parameters affecting deposition.  The

-------
                                    A-4
importance of initial aerodynamic diameter is illustrated in Figure 5-1.
A substantial fraction of ambient aerosol  consists of hygroscopic acids or
salts (e.g., sulfuric acid and sulfates, sea salt).   As noted in Section IV,
as humidity increases, these substances accumulate water and increase in
size.  The respiratory tract humidity of inspired air nears 100% in the
vicinity of the nasopharyngeal cavity, and the residence time of smaller
aerosols is sufficient to allow growth by a factor of 2 to 4 (Perron, 1977;
Tang, 1980).  Evidence of such growth is provided by Utell et al_. (1981)
who measured total respiratory tract deposition after oral inhalation of
several sulfates and sodium chloride, initially of 0.5-1.0 ym aerodynamic
diameter.  Total deposition efficiency  (.55 - .65) was much higher than
expected for the initial size, and was  in the range expected for 2-4 urn
particles (Figure 11-4, CD).
     Growth of ambient hygroscopic aerosols in the fine mode would be
expected to enhance deposition in all three regions of the respiratory
tract.  Because total deposition increases rapidly with sizes above
about 1-2 um, increased deposition resulting from hygroscopic growth of
a factor of 2 to 4 would be most important for accumulation mode particles
larger than about 0.4 um.  Neutralization of acid aerosols by endogenous
ammonia decreases with larger particle  size  (Larson ejt al_., 1982).
     Gaseous components of pollutant atmospheres, as well  as irritant particles
can affect particle deposition by causing bronchoconstriction (Lippmann, 1977).
As noted above, airway constriction tends to markedly increase tracheobronchial
deposition.  Among the more prevalent irritant gases that  occur  in combination
with particles in U.S. atmospheres are  ozone, sulfur dioxide, nitrogen
dioxide, and formaldehyde.  As discussed in Section V.A.,  a number of
particulate substances may cause bronchoconstriction.

-------
APPENDIX B.  EVALUATION OF EVIDENCE FOR EFFECTS OF CONCERN
     This section discusses and evaluates the key studies providing evidence
on the kinds of effects that might reasonably be anticipated to result from
exposure to atmospheric particles.  As outlined in Section V-B, the principal
effects of concern include:
     1)   Respiratory mechanics and symptoms;
     2)   Aggravation of existing respiratory and cardiovascular disease;
     3)   Clearance and other host defense mechanisms;
     4)   Morphological alterations;
     5)   Carcinogenesis; and
     6)   Mortality.
     Because of the complexity of the data base and lack of clear quantitative
relevance to general populations, the criteria document lists but does
not discuss a number of occupational studies and reviews that may be of
qualitative interest.  The staff has evaluated a number of these documents
and has selected those of interest for discussion in this section.
These results are illustrative of the kinds of responses that can be
elicited in groups usually characterized as normal, adult healthy males
after prolonged high exposures to a variety of different "inert" dusts
and reactive particle classes.  Although significant weight is not given
to these studies in the following discussions, they are listed in Table
B-l as supportive material.
A.   Respiratory Mechanics and Symptoms
     A number of functional measurements are used to indicate altered mechanical
and flow attributes of the respiratory tract following pollutant exposures.
Effects on respiratory mechanics and function can range from mild transient
changes of little direct health significance to incapacitating impairment of
breathing.  Mild effects in normal subjects may indicate potentially more

-------
                          B-2
TABLE B-l.  RESPIRATORY DISEASES AND RELATED IMPAIRMENTS
   ASSOCIATED WITH OCCUPATIONAL EXPOSURE TO PARTICLES
Biological Endpoint

1. Deterioration of lung capacity/
Pulmonary Function Decrement
2. Bronchitis
3. Asthma
4. Pneumoconiosis
4a. Si li cos is
4b. Sili cosis and Mycobacterial
Infection (e.g., Tuberculosis)
5. Pulmonary Fibres is
6. Byssinosis
7. Mesothelioma and Respiratory
Cancer
Particle

Coal Dust
Carbon Black
Cotton, Flax and
Hemp Dust
Grain Dust
"Coal Dust
Grain Dust
Grain Dust
Coal Dust
Slate Dust
Free Silica Dust
(sandblasting)
Kaol i n
Mica and Quartz
(slate)
Free Silica Dust
Granite Dust
Asbestos
Cotton, Flax and
Hemp Dust
Asbestos
Arsenic
Coke Oven
Emissions
Reference

Lapp et al ., 1972
Morgan, T9~78
Valic et al.. 1975
NIOSH, 1975b
Dosman et al. , 1980
Morgan, 1978
Dosman et. al. , 1980
Dosman et. sK , 1980
Morgan, 1978
Glover et al. , 1980
Ziskind et al., 1976
Ziskind et aj_. , 1976
Ziskind et aj_., 1976
Ziskind et al., 1976
Craighead and
Vallyathan, 1980
NIOSH, 1976
NIOSH, 1975b
NIOSH, 1977
NIOSH, 1975a
NAS, 1972

-------
                                     B-3
serious responses in more sensitive subjects.   Symptomatic effects such as
coughing, wheezing, or bronchospasm also vary in severity, but at minimum
are indicative of a biological response.  This section discusses the effects
of specific particulate components and community aerosols on respiratory
mechanics and symptoms.
     1.   Sulfates and Other Water Soluble Aerosols
     Sulfate compounds are among the most widely tested particulate components
in animal and human controlled exposure studies.  Studies of these and
other soluble aerosol substances provide some clues to their relative
irritant potential and factors that affect responses.
     Unfortunately, animal studies of sulfur-containing acid aerosols
(sulfuric acid, ammonium bisulfate) may be seriously compromised by the
presence of high chamber ammonia which may partially or fully neutralize
the acidity. The problem of neutralization is most serious in long-term
studies where both exhalation (Larson et_ a_l_., 1977) and the accumulation
of excrement (Malanchuk et_ aJL , 1980) contribute to chamber ammonia.
Short or long term studies that do not explicitly deal with this problem
by measurement or other approaches do not provide reliable quantitative
assessments of the effects of acid aerosols alone.   In some short term
studies, neutralization may be reduced to some extent by systems that
use head only exposures and should not be compromised by excrement
ammonia (e.g., Amdur and Mead, 1955).  Even in well designed studies,
however, it is difficult to determine the reliability of reported
sulfuric acid and bisulfate levels, due to possible differences in
exhaled ammonia between animals and people (Larson  et jil_., 1977).
     A number of experiments have been conducted in guinea pigs to rank
the relative respiratory irritancy potential (as measured by airway

-------
                               B-4
resistance) of sulfuric acid and other sulfates by size and species.
Amdur and co-workers report that the relative irritancy increases as
particle size decreases but only at lower concentrations (Amdur, 1958).
However, observations of animal  response at higher concentrations than
in this study indicate that increases in airway resistance are greater
for 2.5 than for 0.8 ym diameter particles.   Other investigators comparing
the relative irritancy of 2.7 and 0.8 pm sulfuric acid aerosol report
that death rates are higher for larger particles (Rattle e_t al_., 1956).
     Amdur and co-workers (1978a) report that the irritancy potential of various
sulfates roughly follows their acidity, with the exception that NH.HSO*  was
less irritant than (NH.KSO..   Clear distinctions between these substances
are difficult to resolve because of differences in particle size and
concentrations and the potential neutralization problem.  Although Amdur
and co-workers (1978b) report changes in pulmonary mechanics following a
                                          3
single hour of exposure as low as 100 yg/m  HUSO,, other investigators have
not been able to produce similar changes in guinea pigs, dogs, sheep,
and donkeys below at least 1,200 ug/m  (Sackner et_ a]_., 1978; Schlesinger
ejt al_., 1978; Silbaugh et_ al_., 1980).  Differences in animal susceptibility
(CD, p. 12-79) and experimental  techniques may be responsible for these  observed
differences.  Within Amdur's studies, some guinea pigs were apparently more
susceptible than others.  One interesting feature of the Amdur work is the
apparently linear dose response curve for some sulfate species (Figure B-l).
No evidence exists for a "threshold" of response in this animal  model.
     A number of recent studies have examined human respiratory mechanical
responses to sulfuric acid and other sulfates (Table B-2).  In essence,  no

-------
                              B-5
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                                  B-7
direct changes in respiratory function have been reported for short term
exposure to normals and asthmatics at levels below 350 yg/m , and only one
study has reported symptomatic responses in these groups at levels below
1000 yg/m3.
                                                     3
     Both normals and asthmatics exposed to 1000 yg/m  of sulfuric acid,
ammonium bisulfate, ammonium sulfate, and sodium bisulfate responded
with small but significant reductions in maximum expiratory flow volume
at 60% total lung capacity (TLC) and partial expiratory flow-volume at
40% and 60% TLC (Utell e_t al_., 1981).  At this concentration, sulfuric acid
and ammonium bisulfate also produced significant reductions in airway
conductance and forced expiratory volume at 1 second.  All sulfates also
enhanced the response of normals and asthmatics to subsequent bronchoconstrictor
challenge.  In the two asthmatics most sensitive to sulfate at 1000
ug/m , sulfuric acid potentiated the effect of bronchoconstrictor on
airway conductance and flow rates at the lowest dose tested, 100 yg/m .
In this test, the irritant potency more or less followed the acidity of
the sulfates (H2S04 > NH4HS04 > (NH4)2$04).  This is somewhat different
than the irritant potential ranking indicated by guinea pig experiments
discussed above.
     The positive results of Utell et_ aj_. (1981) are in obvious contrast to
the negative findings of other investigators at similar levels (Sackner
e_t al_., 1978; Avol e_t aj_., 1979).  The authors offer four possible explanations:
     1)   Utell's group selected asthmatics according to carbachol reactivity;
          they should have been more homogeneous in terms of airway reactivity
          and, as a group, they may have been inherently more sensitive than
          other asthmatics tested;

-------
                                    B-8
     2)    Unlike the Avol  subjects,  Utell's subjects  breathed orally;
     3)    Sackner's  group  studied asthmatics using daily medication to control
          bronchospasm.  This medication may have reduced any response;
          none of Utell's  subjects used medication; and
     4)    The parameters used by Utell  may have been  more sensitive
          to respiratory changes than those of the other investigators.
     Of the above explanations,  1, 3, and 4 appear most plausible.   Like Utell,
Sackner employed oral only exposure, making the second point less pertinent.
Perhaps  a more important difference between Avol  and  Utell  is that the former
did not test bronchial reactivity.  There was some suggestion of airway resistance
changes  in two of AvoTs asthmatics.  Sackner reportedly generated very small
particles (= 0.1-0.2 ym) compared to the 0.5-1.0 ym particles of Utell.  Considering
hygroscopic growth in the  respiratory tract, deposition of the larger aerosols
on the sensitive receptors in the tracheobronchial region could have been
substantially greater for  similar initial concentrations.  Moreover, the smaller
aerosols used by Sackner would undergo more rapid neutralization by respiratory
tract ammonia (Larson et ail_., 1977).  The aerosols used by Utell should have more
closely matched typical  ambient size distributions.
     The greater effectiveness of larger particle sizes (as well as longer exposure
durations) may also be responsible for the increased respiratory symptoms reported
by Horvath et al. (1981).   Subjects were exposed for 2 hours to 0.9 ym
sulfuric acid aerosol.  Reports of sore throat, irritation and dryness increased
at 220 yg/m   (3 of 9 subjects), again at 420 yg/m3 (5 of 9 subjects), and at
940 yg/m  (8 of 9 subjects).   Reports of cough paralleled those for the other
symptoms.  Other investigators reporting equivocal results or an absence of symptoms
usually used smaller particle sizes and/or substantially shorter exposure periods.
     A recent study on influenza  patients indicates that bronchial reactivity
to another soluble aerosol, sodium nitrate,  (NaNO.,) is increased during
infectious disease.    In this study, Utell et aj_.  (1980) examined influenza

-------
                                     B-9
                                                         3
patients exposed to aerosols of NaN03 or NaCl (7,000 yg/m , ^ 0.5 urn
MMAD, a  =1.7).  Patients were exposed to both aerosols at the onset
of sickness and at 1, 3, and 6 weeks after the initial exposure.  Alternate
exposures of NaCl or NaNO., lasted 16 minutes and were separated by 3
hours.  Specific airway conductance and maximum expiratory flow at 60%
of total lung capacity were significantly diminished following NaN03
exposure (but not NaCl) at the onset of sickness and exposure one week
later, but no differences betweeen NaCl and NaNO., exposure treatments
could be resolved after 3 weeks.  The authors suggest several possible
explanations for the increased sensitivity of the influenza patients.
For example, epithelial damage exposing and sensitizing reflex receptors
is postulated to result from viral infection.
     Long term animal studies of effects of sulfuric acid or other soluble
aerosols have produced either no lasting mechanical response or the reported
respiratory functional measurements are of less interest than the results
of direct examination of the damaged lung tissues.  These studies are
discussed in Section B.4.
     2.   Insoluble "Inert" Aerosols
     Few animal studies have examined the effect of non-sulfur containing
particles at levels approaching those observed in the ambient air.  Studies
in Amdur's laboratory of guinea pig exposures to fine oil mists,  (^ < 2.6 ym
AED) spectrographic and activated carbon (< 1 ym CMD), MnO? (< . 5 ym AED),
open hearth dust (2 ym AED), and iron oxide (0.3 ym AED) have only found
changes at relatively high concentrations (Amdur and Underhill, 1968,
1970; Costa and Amdur, 1979)*.  These non-hygroscopic fine substances were
apparently less irritating than sulfuric acid in this animal model.
     Most of the controlled human exposure work involving insoluble
*Aerodynanric Equivalent Diameters (AED) reported here were calculated based
 on reported geometric count mean diameters (CMD).   For these studies CMD's
 were < 1 ym.

-------
                                 B-10


particles was conducted before 1970.  Using a variety of particle types

and sizes (< .5 to over 12 pm), investigators have studied effects on

adult workers and other subjects of high concentrations (2 to over 50

mg/m ) for very short (2-10 minutes) to moderate (4-5 hoars)  duration.

Even with differences among studies, the following findings appear to be

relatively consistent:

     1)   Although there is variability among individual  subjects, changes

          in pulmonary mechanics are concentration-dependent  (Dubois  and

          Dautrebande, 1958; McDermott, 1962; McKerrow, 1964).

     2)   Changes in pulmonary mechanics are most pronounced  during the

          first few minutes and generally appear to diminish  with time

          (Dubois and Dautrebande,  1958; McDermott, 1962;  McKerrow, 1964).

     3)   The relative irritant potential of the various  particulate

          substances (coal  dust, carbon, calcium carbonate, iron  hydroxide,

          india ink, charcoal  and carbon) is difficult to  compare due to

          differences in techniques, subjects, and exposures  regimes.

     4)   The effects in polydisperse aerosol studies cannot  be ascribed to

          fine particles alone.  McDermott (1962) and McKerrow (1964) studied
                                             O
          the effects of coal  dust (9-50 mg/m , size < 7  urn), found increases in

          airway resistance following a 4 hour exposure and concluded that

          "significant increases in airway resistance occurred and the  response

          was correlated to the weight of coarse particles between 3.6  and

          7 urn."  The lowest level  tested in these healthy at rest subjects

          (9 mg/m3) produced no significant responses, but all  higher levels

          tested (> 19 mg/m3) did.

-------
                              B-ll
          5)    Symptomatic effects (tightness  of the chest,  dyspnea,  cough and
               wheeze) may be observed concurrently even when broncoconstriction
               is clearly insignificant (Dubois and Dautreband,  1958).   Similar
               studies comparing normal subjects and subjects with chronic lung
               disease (asthma,  bronchitis,  and emphysema)  indicate that relative
               changes in respiratory mechanics can be similar in various
               diseased and normal groups following exposure to  insoluble
               dusts.   Some investigators have suggested that because many
               individuals with  chronic lung disease have compromised pulmonary
               mechanics, the bronchoconstriction produced  by particle exposure
               may place serious stress on such individuals at levels that should
               be easily tolerated in normal subjects (Constantine et aj_., 1959;
               Morris  and Bishop, 1966).
                                                          3
     A more recent study indicates that exposure to 2 mg/m   of "inert"
polydispersed plastic  dust containing carbon black (MMD was 9-12 urn,  30%
mass > 12.5 ym) decreases forced expiratory volume at 1 second and forced
expiratory flow in normal resting subjects (Andersen et a]_., 1979).  Unlike
the change in pulmonary mechanics, discomfort was proportional to the
concentration of dust  and was not immediate, lagging almost 2 hours behind
changes in dust concentration.  While the symptomatic effects may have
caused personal discomfort, the  noted results  do not appear to be of
substantial health import for resting normal healthy adults after 2-4 hour
exposures.  Exercise,  oronasal breathing, or the presence of illness  would
increase the possibility of more significant responses for  short term peak
levels of such particles, perhaps at lower levels.

-------
                                    B-12
     3.  Particles and Pollutant Gases
     The interaction of particles and gases has been reported to produce
responses on respiratory mechanics and symptoms sometimes exceeding those
attributable to the two agents administered separately.  Enhanced responses
may arise from deposition and combined action of gases and particles in
various respiratory sites, physical sorption of gases on particles permitting
enhanced respiratory tract penetration of the gas, and chemical reactions
to form more irritant pollutants.  The combination of SQ~ and particles
has been most widely studied.
     Based on the work of McJilton et al_. (1976) and Snell and Luchsinger
(1969), water or salt droplet aerosols may potentiate the effect of SCL by
increased penetration, but probably not by oxidation to sulfuric acid.
Amdur's work suggests the possibility that chemical transformation may
occur within exposure chambers to enhance irritant potential of combinations
of SQp and soluble, but not insoluble, aerosols (Amdur and Underhill,
1968).  In some cases, stable sulfite-particle complexes might be implicated
(Hansen et aj_., 1974); in others, sulfuric acid may be formed.  Andersen ejt al
(1981) examined the combination of the dry "inert" carbon containing
plastic dust described previously and sulfur dioxide.  Effects were at most,
additive.  These combinations will be discussed more fully in the sulfur
oxides staff paper.
     Various particles also may enhance penetration and effects of other
soluble gases, notably formaldehyde (LaBelle et al_., 1955), and presumably,
may increase effects on respiratory mechanics and symptoms.

-------
                                 B-13
     4.   Community Air Pollution
     Changes in respiratory mechanics, or lung function, provide a sensitive
and objective index of respiratory health status and have been employed
in combination with respiratory symptom questionnaires to assess long-term
alterations in populations exposed to air pollution.  A number of community
epidemiological studies have attempted to demonstrate an association between
long-term exposure to particulate matter and impairments in respiratory
mechanics and symptoms.
     Table B-3 summarizes studies derived from the criteria document
that best describe this relationship and are at minimum judged to be
useful for qualitative comparisons.  A few studies failed to show an
association or show only a marginal one; they appear to compare populations
with similar exposures to relatively low levels of particles.   In general,
populations living in areas with higher particulate pollution tend to have
a higher prevalence of respiratory symptoms and lower lung function capability
compared with other groups in areas with less particulate pollution.  Many
of the studies suffer from the design or methodological flaws associated
with most cross sectional epidemiological studies (CD, p. 14-2 to 4).
In addition, these studies rely on lung function tests that use devices
and techniques subject to various methodological errors (e.g., calibration,
seasonal effects, technician).  Table B-3 indicates where these deficiences
further limit a study's utility or reliability.  In most studies, high
levels of other pollutants, notably S02, were also present.  These and other
considerations, outlined in Chapter 14 of the criteria document, also apply
to the epidemiological studies discussed in Sections B-F that follow.
     In summarizing the studies of long-term (chronic) effects of particles
and related pollutants on respiratory mechanics and symptoms,  a clear and

-------
B-14




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                                    B-16
consistent association emerges for higher exposures that applies to
children as well as adults.  Long-term occupational exposures to various
particles at high concentrations also have been implicated in the prevalence
of airway obstruction, as indicated in Table B-l.   These findings qualitatively
support the evidence from community studies which indicate that an
association exists between respiratory mechanical  impairments and long-
term exposures to elevated particle levels.
     In contrast, the information on acute effects of ambient particles
on respiratory mechanics is limited to two studies, also summarized in
Table B-3.  Lebowitz ert al_. (1974) suggests that the observed pulmonary
function decrements in exercising children and adolescents exposed to
southwest U.S. urban aerosols may be linked to short-term exposures to
particles at high temperature and that the mechanism for chronic effects
might be mediated by acute insults to the respiratory tract.  Dockery et_
al. (1981) reported on preliminary studies of acute respiratory mechanical
changes in children exposed to higher concentrations of particulate
matter in Steubenville.  The investigators found that children exposed
to sudden increases of TSP and SCL concentrations had declines of 1 to
2% in forced expiratory volume in 1-second (FEV-, Q).  These changes were
considered small relative  to sampling variability and marginally significant.
The authors concluded that this study provides suggestive but inconclusive
evidence concerning the relationship between short-term changes in air
pollution concentration and the level of FEV      The long-term significance
of these effects remains to be determined.
     A somewhat unique controlled study of community air pollution also
supports these  acute effects associations.  Toyama  (1964) exposed 10 healthy

-------
                                   B-17
males to high levels (10 mg/m ) of resuspended dust collected by deposition
in a Japanese urban area.  Exposures were brief, consisting of 20 deep
breaths.  The dust ranged from 0.5 to 10 pm (MMD ^2.0 urn) and was composed of
crustal material (64% as Si02, A1302, CaO, MgO), sulfates (10%), and volatile
material (19%).  Bronchoconstriction effects as measured by airway resistance
varied with individual, ranging from no response (one subject) to a 70%
increase. The response appeared to be mediated by a reflex reaction to
mechanical  irritation and was said by the authors to be consistent with
insoluble dust studies (see Subsection B.l.b.  above).   Subsequent experiments
suggested a greater than additive effect of resuspended dust and S02 (> 3 ppm).
B.   Aggravation of Existing Respiratory and Cardiovascular Disease
     Because bronchoconstriction is one of the major mechanisms by which
particles may aggravate existing respiratory disease,  many of the animal
and human studies most relevant to this issue have been discussed in the
preceeding section; this section will focus on the results of community
epidemiological studies.
     The epidemiological evidence suggesting an association between particles
and aggravation of the various states of respiratory illness and associated
cardiovascular disease is summarized in Table B-4.
     Evidence from the "smog" episodes of Donora, London, and New York
City, in the 1950-60's indicate that individuals with pre-existing respiratory
and cardiac illness are especially vulnerable to sudden increases in air
pollution.   Furthermore, the acute changes or aggravations of their
conditions  provide a more sensitive index of the effects of air pollution
than do day-to-day changes in relatively healthy individuals.

-------
B-18






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-------
                                      B-19
     Based on the possible responses to particle deposition in the tracheo-
bronchial and alveolar regions as outlined in Section V.A, and the suscepti-
bility of cardiopulmonary patients to stress from infections or increased
airway obstruction (Fishman, 1976), the observed associations are biologically
plausible.
     Effects of ambient particles on asthmatics are also to be expected.
Asthma is a disease characterized by a high degree of airway reactivity, with
a plurality of causes (allergy, inflammation, irritation, temperature changes,
etc.) and a wide variation of physical manifestations.  These factors make
asthmatics an important and difficult group to study.  Despite these diffi-
culties, and the limitations in assessing personal exposures inherent in
epidemiological research, some studies have attempted to delineate relationships
between aggravation of asthma and particulate matter.  Although the results
are equivocal, there is an indication that an association may exist, especially
when the particle pollution contains dusts derived from biologic matter
(e.g., grain dust).  Due to their apparent sensitivity to SCL (Sheppard e_t
a!., 1981; Koenig ejt a]_., 1981) epidemiological studies of asthmatics where
high SCL levels were present (e.g., Cohen et al_., 1972), cannot be used as
qualitative support for an association with particulate matter.
     It must be emphasized that in most of the studies of acute exacerbations
of chronic or acute respiratory conditions, the effect of particles cannot
be distinguished from other pollutants, usually SOp.  However, clear evidence
emerges from the body of epidemiological  literature that implicates particles
in aggravating disease among bronchitics, asthmatics, cardiovascular patients
and people with influenza.

-------
                                 B-20
C.    Alterations in Host Defense Mechanisms—Clearance and Infection
     1.   Clearance
     The effects of particulate exposure on clearance have been examined
using several different types of particles.  Studies of exposures to
cigarette smoke and sulfuric acid have received more attention than other
particulate types.   These studies have focused on mucociliary clearance in
various regions of the respiratory tract.
     As indicated in Table B-5, the exposure-dependent response of mucociliary
clearance rates to particle exposure can be complex.  Observations in humans
indicate that a single exposure to as little as 100 yg/m  of sulfuric acid
for 1 hour can accelerate bronchial clearance rates in some individuals.
Leikauf et, aj_. (1981) note that as sulfuric acid concentrations are increased,
mucociliary clearance rates are progressively reduced.  Although donkeys
exposed by the same investigators do not appear to show any change in
                                                2
mucociliary clearance rates below about 200 yg/m  sulfuric acid (1 hour),
depressions in mucociliary clearance rates have been reported in donkeys
following repeated exposures of 100 yg/m  sulfuric acid for repeated 1 hour
exposures (5 days/week for 6 months).  Two (of four) donkeys in this experiment
developed grossly abnormal clearance times during the fourth through sixth
months of exposure and remained so for at least three months after exposure
was ended (Schlesinger et a]_., 1979).
     Lippmann and co-workers (1981) have stressed several similarities
between the above effects of sulfuric acid on clearance and those of cigarette
smoke:  1) transient accelerations of clearance are produced by low dose
                   o
exposures (100 ug/m  sulfuric acid for 1 hour or 2 to 7 cigarettes); 2) a
transient slowing of clearance follows high dose exposure (1 mg/m  sulfuric
acid for 1 hour or > 15 cigarettes); and 3) alterations in clearance rates

-------
                                   B-21
TABLE B-5.   EFFECTS OF SULFURIC ACID,  CARBON  EXPOSURE ON MUCOC1LIARY CLEARANCE

Clearance Region Pollutant Exposure
Sulfuric Acid
Tracheobronchial Ten healthy adults
exposed for one
hour (via nasal
face mask) to:
a) 110 ug/nr H-SO.
(0. 5 um MMAD,
o. » 1.91
b) 330 p"g/mf
c) 980 ug/m









Tracheobronchial Four donkeys ex-
posed for 1 hour
(via nasal cathe-
ters) tOi
194 wg/m3 H,SO.
(0.3 - 0.6 &» *
MMAD, og - 1.5)
Trachea Eight dogs ex-
posed for 1 hour
(via nasal face
mask) to:
500 ug/m^ H.-SO
(0.9 urn MMAD,
"o * ^-3)
9
Tracheobronchial Four donkeys ex-
posed for 1 hour per
day; 5 days per week
for 6 months- 122 ex-
posures (via nasal
catheters) to:
105 »g/mj H,SO.
B" Z 4

Trachea Hamsters exposed for
3 hours to:
1 . 1 mg/mj H,SO.
(0.12 uml and/or
1.5 mg/m carbon
(0.3 um)
Time After
Exposure

0-10 hours

















0-24 hours






a) 30 min-
utes



b) 1 week


a) 1 week



b) 6-9 mos.



Immediate





Effect(s)

a) Acceleration in
bronchial mucoclllary
clearance





b) Varied




c) Depression In
bronchial mucoclllary
clearance rates


Depression in bron-
chial mucoclllary
clearance




a) No group change




b) Depression in
tracheal mucus
flow rate

Bronchial clearance
becomes erratic


Varied



Ciliary beat frequency
depressed by both
H2S04 exposures



Comment

Six of ten healthy non-smoking adults
exhibited increases in bronchial
clearance half times that were
greater than 25% of control values.
As a group, a significant (P<0.02) 40%
decrease in mean bronchial clearance
half times was observed.

Three persons showing substantially
faster clearance than in the control
test and three persons showing sub-
stantially slower clearance than in
the control test.
As a group, the mean rate of clearance
was significantly depressed (P<0.03)
with mean bronchial clearance half
times being about 150% of control
values.
Transient increase in bronchial clearance
half time in one of four donkeys.
Transient increases in two other animals
were observed at higher concentrations.
Persistent alterations in clearance
produced in two animals.

One dog (16) showed an increase in
tracheal mucus velocities of about
300% of control values at 30 minutes
after exposure.

A significant depression (P<0.05) was
observed for the group. One dog (#6)
showed an increase in tracheal mucus
flow rate unlike the rest of the group.
The bronchial clearance half times became
significantly different from controls on
many test days.

Two animals sustained impairment of clear
ance towards the end of the 6-month
exposure period and continued to have
erratic clearance during a 3-month
follow-up period.
Morphological damage was greatest for the
H2S04 and carbon exposure




Reference

Leikauf et al..
1981
















Schlesinger
et aj_.. 1978





Wolff et al..
1981






Schlesinger
et aj.. , 1979






Schiff et al.,
1979




-------
                              B-22
that can persist for several  months following multiple exposures (> 6 one
                               3
hour exposures at 200-1000 yg/m  sulfuric acid, 6 months of daily exposure
           3
to 100 yg/m  sulfuric acid for 1 hour/day, and/or 4 to 8 months of 30
cigarettes for 3 times/week).
     Based on these similarities, together with the well established role of
cigarette smoking in the development of chronic bronchitis in humans, it is
suggested that sulfuric acid exposure may play a role in the etiology of
chronic bronchitis (Lippmann et_ jil_., 1981).  Significantly, although these
sulfuric acid levels are perhaps a  factor of two or more of peak U.S. levels,
they are in the range of peak levels of sulfuric acid during London episodes
as reported by Commins and Waller (1967).  Even in London, however, such
levels apparently were rare.
     Several clearance studies have also been conducted using carbon or
carbon/SOp mixtures.  Camner ejt al_. (1973) reported that brief but extremely
high exposure to 11 ym carbon particles usually accelerated clearance.   In
contrast to the studies on tracheobronchial clearance, normal subjects
have not shown changes in nasal mucous clearance rates following exposure to
polymerized plastic dust containing carbon black below 25 mg/m  (Andersen et^
al... 1979).
     2.   Infection
     As indicated above, changes in mucociliary clearance are the most
studied effects on host defense systems.  No controlled human exposure
studies have evaluated the effect of particulate exposure on other mechanisms
affecting susceptibility to infection.  Table B-6 lists animal studies  high-
lighted in the criteria document.  Animal exposure studies indicate that
single or repeated exposures to high levels of toxic metal salts increases

-------
                                               B-23
                TABLE B-6.  EFFECT  OF  PARTICIPATE MATTER ON HOST  DEFENSE SYSTEMS
Concentration
  Observation
                                                                                Reference
Acute exposures; Infactivity Model
Mice exposed for 2 hours to:
0.075 - 1.94 mg/m3 CdCl9
   (94-99* <1.4 urn)

0.1 - 0.67 mg/m3 NiCl,,
   (94-99% <1.4 urn)  *
0.5-5 mg/m  Mn.,0
   (94-99% <1.4 y
  Increased  mortality  at  .1  mg/m
  Cd  following  bacterial  challenge
  (Streptococcus  pyogenes)

  Increased  mortality  at  0.5 mg/m
  Ni  following  bacterial  challenge
  (S.  pyogenes)

  Increased  mortality  at  1.55 mg/rrf
  Mn  following  bacterial  challenge
  ($._ pyogenes)
                                                                                Gardner et al.,
                                                                                1977b
                                                                                Adkins et al.,
                                                                                1979
                                                                                Adkins ejt al.,
                                                                                1980
Mice exposed for 3 hours to:
0.1 ppm 03 followed by 2
'jours at 6.9 mg/m  H~SO,
(0.23 vm AED, o  = 2f4r
  Increased  susceptibility
  to  infection  by  !S^ pyogenes.
  Neither  pollutant  alone produced
  an  effect.  Order  of  exposure
  (ozone first) was  important.
                                                                                Gardner et
                                                                                al., 1977a
Chronic Exposures

Mice exposed for 100 hours per
week for 192 days to:
0.56 mg/m  carbon
(1.8 to 2.2 ym MMD)
and/or 5.24 mg/m  (2 ppm) S02
  Immunological  (and  morphological)
  alterations  in  the  lungs.
  Systemic  immune system affected
  after  192 days.   S02  + carbon  and
  carbon alone were more effective
  than S02  alone.
                                                                                Zarkower,
                                                                                1972
Mice exposed for 3 hours per day for
5 days per week for 20 weeks to:
1.4 mg/nr H2$0. (0.12 pin/nT)
        -  and/or         -
1.5 mg/m  carbon (0.3 pm/m )
             or
2.9 mg/m  H9SOA coated carbon
(0.4 pm).   ^  4
Increased mortality and pulmonary
consolidation following exposure
to virus in the acid coated carbon.

No change in resistance to
Klebsiella pneurnoniae (a bacteria).
Immunological changes were similar
to those observed by Zarkower, 1972.
                                                                                Fenters ejt
                                                                                al., 1979

-------
                                 B-24
the rate of mortality resulting from induced bacterial infection (Maigetter
et al_.,  1976; Gardner et al..>  1977b; Adkins et al_.,  1979, 1980).  Using the
same model, however, no increased mortality rates were observed in animals
exposed to sulfuric acid, ammonium sulfate, iron oxide, and carbon black
(Gardner et al_., 1977a; Gardner, 1981; Ehrlich et al.., 1978; Ehrlich, 1979).
Sulfuric acid and ozone, however, increased mortality even though neither
pollutant alone produced an effect.   Long-term studies of combinations
suggest that high levels of carbon or carbon plus S02 or sulfuric acid may
affect the immune system (Zarkower,  1972; Renters et a]_., 1979).
     The mouse studies in Table B-6 suggest that high levels of particles
and gas (CL, S02)—particle combinations may increase susceptibility to a
bacterial or viral challenge and produce immunological changes.  The rele-
vance of many of these high dose results to real world exposures can,
however, be questioned.  Of similar interest are in vitro and in vivo studies
of various particles on alveolar macrophages which are the primary defense
cells of the lungs.  A variety of trace elements, minerals, fibrous materials,
and other particles have been observed to damage macrophages to varying
degrees (CD, Section 12.3.4.2).
     3.   Clearance and Infection - Community Air Pollution
     The first part of Table B-7 summarizes the studies  that demonstrate the
influence of particulate pollution on acute infections in populations.
     Insults to the respiratory tract such as acute infections  in childhood
may be important in the subsequent development of obstructive airways
disease, where exposure to adverse environmental factors changes a relatively
minor infection into one that produces permanent changes in the respiratory
tract (Colley et al_.,  1973; Kiernan et a]_., 1976).

-------
                                   B-25
     Because the impact of ambient pollutants on respiratory illness may
have important consequences for the subsequent development of functional
abnormalities, and a substantial  proportion of these illnesses in very young
children involve the lower respiratory tract (Speizer ejt al_- > 1980) and
particularly the small  airways (Tager and Speizer, 1976), the studies in the
second part of Table B-7 relating chronic exposures to pollution to childhood
respiratory infection are especially significant.
     Based on animal and clinical data, episodic infection with a variety of
microbial agents might be an important risk factor in the evolution of mucus
hypersecretion and chronic obstructive airways disease.   (Speizer and Tager,
1979).  It is thought that upon irritation, excessive mucus is secreted
into the airways, causing airway blockage and reduced mucus clearance.  This
damage predisposes the individual to infection, particularly in the lower
airways.  At this stage, characterized by cough and phlegm production, the
effect may be reversible.  Chronic irritation, however,  may allow infections
to persist in the airways, ultimately producing irreversible obstruction.
Thus, impaired mucus clearance appears to be an important indicator in the
evolution of obstructive diseases such as bronchitis.
     Studies of normal  population groups, with comparable smoking and age
distributions suggest a greater prevalence of symptoms of mucus hypersecre-
tion (e.g., runny nose, persistent cough, phlegm production) in subjects
living in more polluted environments (Holland and Reid,  1965; Holland et a!.,
1969; Lambert and Reid, 1970; Rudnik et ^]_., 1978).  To  the extent that
the longitudinal study of Fletcher et al_. (1976) is related to air
pollution, it distinguishes the effect of particles from SCL with regard

-------
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                                 B-28

to impaired mucus clearance and is consistent with the evidence that
suggests that particles, with and without S02, have acute and long-term
impacts on the respiratory system that may increase its susceptibility
to infection.
D.   Morphological Damage
     Damage to respiratory tract tissues has been associated with exposure
to a variety of different types of particles, including direct acting
irritants (sulfuric acid) and insoluble dusts.  Because detection of such
damage normally requires invasive techniques, evidence for these effects is
derived from controlled animal tests and autopsy studies of individuals
characterized as having long-term exposures to urban, rural, or occupationally-
related particles.  As such, evidence for morphological damage is mainly
qualitative.
     1.   Sulfuric Acid/Combinations
     Table B-8 summarizes a variety of studies examining the effects of
sulfuric acid and fly ash alone or in combination with other pollutants.  As
discussed earlier, a serious complication of all animal acid aerosol expo-
sure studies is the potential neutralization by chamber ammonia.  In the
absence of special precautions, chamber ammonia concentrations may average
up to 25 ppm (Malanchuk e_t al_., 1980).  Thus, the sulfuric acid exposure
studies listed may actually have examined ammonium sulfates/sulfuric acid
mixtures, even where frequent cage cleanings may have reduced contamination.
Nevertheless, some morphological effects have been observed in some studies.
     The chronic exposure of beagle dogs provide several interesting findings
(Hyde et aQ_., 1978; Gillespie, 1980).  Distinct, pathological changes in
structure and pulmonary mechanics were found  (by electron microscopy) at

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                                                           B-29
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                                B-30
exposure levels that were considerably lower than those used in earlier
experiments.  As discussed in the criteria document (CD, p.  12-60),  the
evidence suggests that pathological  changes continued to become progressively
more severe with time after exposure had been terminated,  highlighting the
importance of post-exposure follow-up studies.   The authors  consider the
morphological changes to be analagous to an incipient stage  of emphysema.
     In applying these beagle dog studies to real world exposures, the
following points should be considered:
     1)   The alternating exposure/clean air system was useful, but
          does not simulate repeated short-term peaks or lower long-term
          averages more likely to be experienced in the ambient air.
     2)   Based upon the information presented in the studies, it is difficult
          to determine whether the particle size was representative of that
          normally found in ambient air.
     3)   Actual sulfuric acid exposures were probably lower due to unknown
          chamber levels of endogenous ammonia.  Neutralization is faster
          for smaller particles.
     4)   It seems reasonable to attribute most of the deep  lung changes to
          the sulfuric acid or acid/ammonium sulfate mixture, based on the
          probability of deep lung deposition.   Sulfuric acid aerosols are
          unlikely to absorb SCL and increase penetration, although ammonium
          sulfate aerosols might.
     5)   If the two sets of dog studies can be directly compared, they
          indicate that morphological effects of the SO  mixture are more
                                                       A
          pronounced with extended lower level  exposure.  This is in con-
          trast to acute bronchoconstrictive responses for these substances,

-------
                                 B-31


          where higher concentrations appear more important than exposure


          duration.  Although the time integrated dose (concentration x


          time) in the Hyde ejt aj_. study was lower than in the Lewis work,


          morphological effects were apparently much more pronounced,


          suggesting time integrated dose is not necessarily a good indicator


          of morphological damage.

     The Alarie e_t aj_. (1975) studies also suggest that sulfuric acid (between

0.1-1 mg/m ), may affect bronchial morphology; in two cases, sulfuric acid


was more potent when combined with SC^. in one case it was not.  Fly ash


accumulated in the lungs but apparently (using light microscopy) did not


affect morphology, even in combination with SOo-  Although 3-5 urn fly ash


can be efficiently deposited in mouth breathing humans, the alveolar


penetration in guinea pigs and small monkeys might well be significantly


lower.  Pulmonary function testing suggested possible effects for most
                                               2
sulfuric acid combinations tested (0.1 - 1 mg/m ), but the differences in


response to these levels were not large and interpretation difficult


due to anomalous trends in the control group.  In view of the beagle


dog studies, (Gillespie, 1980), it is unfortunate that post-exposure


follow-up studies were not conducted.


     2.   Insoluble Particles


     As indicated earlier, slowly cleared insoluble particles may accumulate

in the alveolar region of the lung.   Controlled animal exposures and in vitro

studies have typically been conducted at unrealistically high concentrations


and are most useful in identifying mechanisms.  (NIOSH, 1974; White and


Kuhn, 1980; Ziskind et^ aj_., 1976).   Besides accumulation in lung tissue

-------
                                            B-32
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-------
                                   B-33
and macrophages, insoluble particles (most notably various free silica
minerals) may indirectly produce fibresis through macrophage damage.
     Autopsies of both humans and animals naturally exposed to various
kinds and amounts of fugitive crustal material have found changes in
many ways similar to the morphological responses produced in controlled
studies (see Table B-9).  The occurrence of silicosis in workers exposed
to high levels of silica in occupations of sandblasting and granite
mining is well documented (Ziskind et aj_., 1976; NIOSH; 1974).  Evidence
for varying degrees of penumoconiosis has recently begun to appear in
the literature for animals and people exposed to crustal dust near or
not far above ambient levels.  Silicate pneumoconiosis has been reported
in zoo animals (Brambilla e_t al_., 1979), farm workers (Sherwin et al.,
1979), desert dwellers  (BarZiv and Goldberg, 1974), and residents of the
southwestern United States (Brambilla et al_., 1979).
     Routine examination of over 11,000 San Diego zoo animals exposed to
ambient particulate matter indicated the presence of crystalline material
in 20% of the cases (Brambilla et _al_., 1979).  Accumulation of crystal-laden
macrophages was the only lesion in about 50% of the cases, but more
serious lesions were observed in some animals.  Macrophages and birefringent
particles had accumulated in pulmonary lymphatics.   Crystals from lung tissues
were lamellar, 1-10 urn long and 0.5-7 urn wide, and were chemically and
physically similar to those found in local air samples as determined by
electron microscopy and X-ray analyses.  The authors noted that they had
observed similar accumulations and responses in autopsies of various
human residents of this area, apparently not related to occupation.

-------
                                B-34
     Sherwin ejt al_. (1979) found fibrotic lesions in 6 vineyard workers and
one farm housewife.  Particles measuring up to 3 by 12 ym were found in the
lungs and were minerologically similar to local soil samples.  The deaths of
these subjects were apparently related to respiratory difficulties, but the
role of high soil particle loadings cannot be unequivocally separated from
possible pesticide contamination, organic dusts, and in some cases, smoking.
Nevertheless, these coarse particles apparently produced responses in lung
tissues, since in most cases interstitial deposits of particles were associated
with areas of chronic inflammation and fibrosis.
     A study of Bedouin desert dwellers identified several degrees of accumu-
lation and response (see Table B-9) associated with exposure to desert dust
of undetermined particle size (Bar-Ziv and Goldberg, 1974).  Accumulation
tended to increase with age and probable degree of exposure to higher
concentrations.  In some cases mild focal emphysema was present in areas
surrounding dust nodules.  The authors suggest this was not of clear clinical
significance.  A number of pathological conditions were noted in the 54 lung
specimens examined, but effects were not necessarily related to dust accumula-
tion.  More advanced nodules characteristic of classical occupational
silicosis were not observed.  The authors suggest that the limited fibrotic
response might be explained by the reduced activity of aged desert dust
compared to freshly generated particles.  Cigarette consumption or other
personal particle exposure unrelated to desert dusts were not evaluated.
     Although the findings are difficult to ascribe to particulate air
pollution, Ishikawa et_ al_- (I969) found that the prevalence and severity of
emphysema was greater in smokers, but, for all degrees of smoking, emphysema
was worse in residents of St. Louis than those in less polluted Winnipeg,
Canada.

-------
                                   B-35
     Because the accumulation of particulate matter typically results in
pigmentation in lungs, several studies have evaluated the pigmentation and
particle deposition of lungs in urban air.   Pratt and Kilburn (1971) examined
the degree of lung pigmentation and found it was affected by both smoking
and urban pollution.  Another study found dust (Sweet et a]_t, 1978) and
accumulation in urban dwellers.  These studies provide evidence for the
longer lifetime of soluble particles in the alveolar region.
     These autopsy studies, particularly the more recent work in Table B-9,
suggest that deposition of ambient coarse particles in the alveolar region is
a matter of some concern.  Unfortunately, they provide no basis for reliable
quantitative assessment of potential health effects or risk factors.
E.   Cancer
     The relationship between particulate air pollution and cancer has been
approached in essentially three ways:
     1)   Whole animal (in vivo) and or in vitro tests of collected ambient
          particulate and extracts;
     2)   Animal and occupational epidemiologic studies of specific substances
          found in ambient particles; and
     3)   Retrospective community epidemiology.
     1.   Toxicological Studies of Ambient Particles
     A number of early studies examined the carcinogenicity of combustion
emissions, ambient air and extracts (e.g. Campbell, 1939; Leiter et a!.,
1942; Kotin et a\_., 1954).  These studies have generally found that
organic extracts were more potent tumor producers or promoters than
whole samples and that, based on the size distribution of such organics,

-------
                                     B-36
much of the tumor producing activity should be found in the fine fraction.
A notable exception is the observation of McDonald and Woodhouse (1942),
who found dust from a freshly tarred road was carcinogenic to animals.
Early studies of extracts of particles from atmospheres dominated by  coal
combustion and industrial emissions also found the aromatic (neutral)
fraction of organics dominate tumorogenicity  (Stern, 1968; Wynder and
Hoffman; 1965).  This fraction contains polycyclic aromatics such as  BaP.
     More recent studies on current U.S. aerosols have focused on the mutagenic
potential of airborne particles as indicated  by Ames and other in vitro
tests (Pitts etal_., 1977; Huisingh, 1981; Daisey, 1980).  Mutagenic
extracts have been found by preliminary studies in a number of urban  areas
and, to a lesser extent, non-urban particles  (Kolber et al_., 1981;  Pitts
ejt a]_., 1978).  As in earlier tumorogenesis studies, organic extracts and
smaller particles tend to dominate activity.  The neutral fraction, however,
does not appear to be most potent on a unit-mass basis (e.g. Figure B-2).
Moreover, the coarse fraction contains some mutagenic activity (Kolber
et^ jil_., 1981).  These animal and in vitro studies of particles are
useful in identifying potential problems but  are limited by sampling
artifacts, questions on the bioavailability of the extracts, and their
relationship to human exposures.
     2.   Studies of Specific Particulate Carcinogens
     A number of particulate substances, normally present in ambient  air  in
trace amounts have been found to be carcinogenic in animal and occupational
studies.  Examples include several polycyclic organics, compounds of  trace
elements such as chromium, arsenic, nickel, and beryllium and minerals  (e.g.
asbestos) (See NIOSH, NAS documents on these  substances).  Inorganic

-------
                                B-37

          Bacterial Mutagenic Activity of Respirable Particulate Organic Matter (Rev.//ig)
                  S typhimunum TA-98, no microsomal activation
5.0

=,40
-5-
V
1 3-°
'H
1 2.0
i
% 1.0
n
— New York C
ty Moderately
— Sterling Forest Polar Fraction
-

- Non-Pol
i-T




or Fraction
ITT
Tl



















Polar Fraction

i— 1
                        18
                                 Date
Figure B-2. Bacterial mutagenicity of three organic fractions of  size
specific participate matter  (<3.5 urn) collected  in New York City and
Sterling Forest (The latter  site is in Tuxedo, N.Y., about 70  km
northwest  of  Manhattan, Daisey,  1980).  The moderately polar fraction
is a more  potent direct acting mutagen than the  PAH containing neutral
fraction.   All  fractions show somewhat more activity in the winter.
The polar  fraction accounts  for  over half of  the organic mass  followed
by- the non-rpolar and polar fraction respectively (Daisey et_ al_., 1980).

-------
                                 B-38
materials (iron ore, carbon, asbestos) have been found to potentiate the
oncogenic effect of BaP in intratracheal instillations in rodents (Pylev
and Shabad, 1973; Stenback et al_., 1976; Safflot! et a].., 1968).
     These insoluble particles may act as carriers for carcinogens (Stenback
et_ ^1_., 1973) or delay lung clearance (Hilding, 1957) which would increase
the contact time between the carcinogen and bronchial mucous membranes.
This is especially important considering that most lung tumors occur at
the carina or bifurcations of the larger airways (Schlesinger and Lippmann,
1978) where deposition is high and particles tend to accumulate  (see Section
V-A).
     3.   Community Epidemiology
     Due to the apparent lag between exposure and onset of cancer, available
community epidemiological evidence reflects more the polluted conditions
in U.S. and British cities in the 1950's and 1960's.  The data indicate
that cigarette smoking is the dominant cause of respiratory cancer, but
that some carcinogenic risk related to air pollution may be present.  A
higher incidence of lung cancer morbidity and mortality among smokers and
non-smokers in urban compared with rural areas, suggests that differences in
smoking habits and specific occupational exposures cannot account for all of
the urban excess in cancer rates.  Several observations implicate particulate
matter as contributing to this urban/rural gradient.
     As evaluated in several review articles (Higgins, 1976; Holland et  al.,
1979; Doll, 1978), reductions in particulate matter  in London (1954-70)
were  followed by a reduction in male lung cancer mortality in that city  for
1960-1970  (Higgins, 1976).  Lung cancer mortality in other urban areas
remained constant and increased in rural areas.  Although changes in cigarette

-------
                              B-39
tar content or consumption may have been responsible, Higgins (1976) con-
cludes that reductions in ambient smoke levels may have been partly responsi-
ble.  Support is provided by cross-sectional studies that have found weak
associations between BS levels and lung cancer in England, after adjusting
for cigarette smoking (Higgins, 1976).
     Analyses of differential cancer rates between areas are usually limited
by a lack of social class, occupational, smoking and mobility information,
indirect estimates of exposure to air pollutants, and the long induction
time of cancer.  Associations between lung cancer and specific indicators
(BaP) (MAS, 1972) are not reliable in the context of current exposures.
These difficulties preclude any quantitative relationships to be drawn
from community studies of particulate matter and cancer.
     d)   Summary of Evidence on Carcinogeneses
     Cigarette smoking generally is considered to be the major determinant
of lung cancer (Doll, 1978).  The high particulate air pollution of the
1940-60's contained carcinogens and may have potentiated or otherwise
contributed to elevated cancer rates in urban areas.  Based on filter
chemical  analyses, levels of polycyclic organics and some inorganic
carcinogens have declined since that time and hence carcinogenic risk
from these substances has been reduced (Section IV).  Studies of current
U.S. air suggest mutagenicity of particulate extracts is dominated by
other organic particle fractions that may not have been of significance
in historical  settings.   Epidemiological  evidence relating to current
exposures will  not be available for years.
     In essence,  available evidence does  not unequivocally show  that current
particle  exposures contribute to cancer.   Neither do they disprove any

-------
                                  B-40
effect.   Because lung cancer is the leading cause of cancer-related deaths,
the risk of a small effect could assume some importance.   The presence
of mutagens in organic participate fractions from unidentified sources
and the potential interaction between these or other particles and carcinogens
from cigarettes or occupational exposures suggest some need for caution
and further study.
F.   Mortality
     1.    Acute Studies
     Community epidemiological studies linking acute particle exposure
to mortality are listed in Table B-10.  During the "killer fog" episodes
in Europe and the U.S., mortality rates rose far above their expected
levels, coincident with several days of extremely high levels of particulate
and sulfur oxide pollution presumably (Firket, 1936; Schrenk, 1949; Ministry
of Health, 1954).  Subsequent deaths and chronic disease attributed to
severe illnesses during one such episode has also been reported (Ciocco
and Thompson, 1961).
     Other episodes, though less dramatic, have been reported in London
(see CD, Table 14-1) and New York City (Greenburg et al_., 1962, 1967).
As noted in Section 14.3 of the criteria document much smaller estimates of
excess mortality were reported for the New York episodes (at most 4 to 20%)
compared to the 15 to 350% death rate increases during the London episodes.
Several factors could account for these differences, for example: 1) extremely
dense fog associated with the higher levels of sulfuric acid in London (see
Section IV); 2) differences in diurnal patterns of pollution levels and in

-------
                                          B-41
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Obs
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nd/or Illness,
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sed
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area episodes. Available autopsies (Sch
Health) generally revealed non-specific Irri
of upper respiratory tract. Imprecise
ut clear qualitative associations.
ncre
ndiv
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disord
In oth
Mln. of
tations
aerometry
vid
ase
rde
the
Increase in dally mortality above 15-day moving average.
especially among Individuals with preexisting cardio-
resplratory disease. Bronchitis, but not pneumonia ,
mortality significantly correlated with pollution. Peak
mortality occurred during an Influenza epidemic on • day
with peak pollution levels. Meteorological variables do
not confound associations.
ly

or
ients

artll
and
ality and da
marily due t
is with super
ssion coeffi
djustment fo
nsidered. Q
preliminary
rta
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sis
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dally
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ced anal
rs of re
ible ove
nges not
nd smoke
Clear ass
pollution
smoke and
data base
liable t
weather.
analysis
question
Apparent Increase In dally mortality above 15-day moving
age and 5-year dally average on days with high CoH
SO. levels. SO. most strongly correlated with
ality. Data from one central monitoring station .
to estimate city-wide exposure levels. Mortality
temperature, but not other environmental variables,
sted. 'Some Internal Inconsistencies, relation-
clear only for 1963. See follow-up NYC analyses
w.
ave
and
mor
used
and
adju
hip
elow
shi
bel
Consistent association between smokeshade and dally
mortality. Reduction In SO, levels were not accom-
panied by decreased mortality rates. SO. not sig-
nificant In multiple regression. Temperature
strongly correlated with mortality. Data from one
central monitoring station used to estimate city-wide
exposure levels. Demographic changes not considered.
Clear association between dally mortality and PH bu
not SO.. Seasonal and temperature effects controll
Preliminary results from ongoing study. Improved
exposure estimates but complex terrain limits for
quantitative purposes.
de
Cons
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                               B-42
the duration of inversions between the two cities, and; 3) differences in
exposure patterns, e.g., London residents typically were exposed to higher
levels of indoor pollution.
     Studies of two London winters, one being particularly foggy, have
shown consistent relationships between particles in the presence of SCL, and
daily variations in mortality  (Martin and Bradley, 1960; Martin, 1964).
These studies, and reanalyses by Ware e_t afL (1981) are discussed more
fully in Sections V-D and VI-C.  An exploration of the relationship
between daily levels of pollution to daily mortality in London, extended
to 14 winters, 1958-59 to 1971-72, (Mazumdar et al_., 1981) is also discussed
in these sections.
     The attempt of Mazumdar et_ aj_. (1981) to separate SCL and particles
is of particular interest.  Based on quartile and multiple regression
analyses, a strong association between daily mortality and daily pollution,
primarily smoke and not SOp, was found for 1) all days in the data set,
                                                          q
2) episodic days (days when smoke values exceeded 500 yg/m  plus the
seven days adjacent on either side), and 3) non-episodic days (the remaining
days).  No synergistic effects between the pollutants could be shown.
     Advanced analytical techniques were applied in this study in an
attempt at separating the effects of S02 from smoke and to eliminate  the
confounding influences of meteorological variables, seasonal and yearly
trends, and the strong correlation between the two pollutants.  The
complexity of the mathematical approach, however, requires cautious
interpretation of the results. For instance, there may have been over-
adjustment for weather influences, mortality being regressed on seven

-------
                                   B-43
weather variables.  Therefore, it is not clear whether the effects of
S02 and BS were truly separated.  Despite the limitations, the study's
superior data base, the attempt at specifying the most appropriate
model, and the internal consistency of results add validity to the
analyses.  The ongoing year by year analyses of this data base should
provide additional insights into the potential relationships.
     The series of studies that analyzed daily mortality variations in
New York City from 1960-1976 also attempted to separate the effects of
SCL from particulate pollution by calculating the partial correlation
coefficients between individual pollutants and health measures.  Glasser
and Greenburg (1971) reported that SCL, (based on hourly readings from a
single monitoring station) was associated most strongly with daily
mortality during the 5 year period, 1960 to 1964.  Although the analysis
was adjusted for temperature and seasonal variability in mortality
rates, no adjustment was made for other environmental variables.
     Schimmel and Murawski (1976) and Schimmel (1978) analyzed daily New
York City mortality data using time series techniques (e.g., "pre-
filtering, nested quartile analysis), refined subsequently by Mazumdar
e_t al_. (1981). They concluded that particles, as measured by coefficient
of haze  (CoHs), were associated with mortality and that S02 is merely an
index variable for other unmeasured extraneous variables and is not a
cause of mortality. Buechley (1975) employed similar techniques for
approximately the same time period and reached similar conclusions after
allowing for many factors (e.g., heat waves, annual mortality cycles,
influenza epidemics).   This approach, however, unlike Schimmel's, depends
upon the specification of the adjustment variables and cannot avoid
confounding between the air pollution variables and other components of
mortality.

-------
                                   B-44
     These analyses, like Mazumdar et_ _al_.  (1981), represent methodological
advances over similar epidemiological studies, particularly in their
explicit recognition of the time series structure of the data and the
requirements this imposes on analysis and conclusions.   A number of
limitations should be recognized, however, for example:  1) the effect
of temperature which was great in NYC, in contrast to London, was treated
by a linear analysis, although a nonlinear treatment might have been
more appropriate, 2) as in the London study (Mazumdar et^ al_., 1981),
changes in the demographic profile in the New York City population
during the study period were not considered, 3) as in the London study,
the many coefficients studied and the intercorrelations among variables
make the standard errors of the coefficients liable to be large, and
4) it is doubtful that measurements from a single monitoring station in
central New York City could generate representative exposure estimates
for the entire metropolitan area (Goldstein and Landovitz, 1975; 1977a;
1977b). In contrast, Mazumdar et al_. (1981), like Martin and Bradley
(1960), used pollution data measured at seven stations, which represented
the London metropolitan area relatively well (CD, p. 14-19).
     Based on a preliminary time-series analyses similar to that of
Mazumdar et_ aj_. (1981), Mazumdar and Sussman (1981) found that daily levels
of particulates (as measured by CoH at three monitoring stations), but not
S02, were associated with daily mortality in Pittsburgh, Pennsylvania.
Another approach was developed by Lebowitz  (1973) who, using a stimulus-
response model, showed that daily mortality in New York (1962-1965),
Philadelphia (1963-1964), Los Angeles  (1962-1965) and Tokyo  (1966-1969)
was associated with high concentrations of  S02 and particles as measured
by TSP  (Los Angeles, Philadelphia) and by CoH  (New York, Tokyo).

-------
                                   B-45
     In summary, these acute studies, both episodic and time-series,
indicate that high levels of particulate matter, in combination with SO,,
increase mortality rates among individuals with cardiorespiratory disease
and influenza.  The analyses of daily mortality in London show that the
associations may be stronger for particles in some cases, however, SOp
cannot be clearly excluded.  The evidence from New York City analyses is
less clear, mainly because of inadequate aerometric data and the confounding
influences of temperature.
          2.   Long-Term Regression Analyses
          A number of retrospective regressions analyses have examined
the relationship between mortality and sulfur-containing particulate
matter as indicated by sulfates.  These studies have assumed some prominence
in policy analyses and risk assessment of coal combustion (e.g., Wilson
e_t aL, 1980).  A listing of cross-sectional geographic comparisons is
given in Table B-ll.
     The most widely quoted of these studies are the analyses of Lave
and Seskin (1977), which have consistently indicated an association
between both sulfates and particulates and mortality.  They failed to
find a consistent association between non-pollution related effects,
such as suicides, venereal diseases, and crime, and sulfates or TSP and
hence concluded that the pollution variables were not acting as surrogates.
The study's validity in demonstrating a causal association between
mortality and TSP and sulfate is limited because of several  factors, for
example: 1) the omission of important variables (e.g., smoking, diet),
2) aggregate analysis of inadequate data (e.g., minimum sulfate levels),
3) estimation methods which possibly make inefficient use of the information

-------
                                                            B-46
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                                 B-48
contained in the data, 4) the failure to consider inherent simultaneous
relationships, making interpretation of the estimated coefficients
difficult, or even meaningless, and 5) internal inconsistencies that were
not adequately addressed.  (See CD, p. 14-36 to 14-43).
     The original Lave and Seskin model was refined and re-estimated using
1974 data (Chappie and Lave, 1981) and although the results were qualitatively
similar to those for 1960 and 1964, the particulate variables were not
significant.  A consistent and statistically significant association
between sulfates and mortality persisted.  The authors attempted to respond
to past criticisms by adding variables for smoking, alcohol consumption,
medical care and nutrition, by using city or county instead of SMSA data,
by using a generalized least squares estimator instead of ordinary least
squares, and by testing a simultaneous equation framework.  However, the
major criticism of their results owing to the inherent limitations in the
mortality and exposure data bases, cannot be removed.
     Some cross-sectional regression analyses and critiques of Lave and
Seskin's work, have found similar relationships (Thibodeau ejt aj_., 1980;
Christainsen and Degen, 1980; Schwing and MacDonald, 1976; Mendelson and
Orcutt, 1979).  Others have demonstrated a much smaller influence of
sulfur-containing particles and other particle pollutant indicators (Crocker
et al_., 1979; Lipfert, 1980), while Gerking and Schulze (1981) found a
negative, though non-significant, association.
     In general, like any epidemiological studies, these models can only be
approximately correct; the surrogate explanatory variables can never lead
to an adequately adjusted analysis, and separating associations between
mortality rates and pollutant and confounding variables is impossible  (Ware
et^l_., 1981).  Thus, these studies deal with unknown levels of exposure of

-------
                               B-49
ill-defined groups of individuals to unspecified pollutants for unstated
periods of time, and fail  to control for many variables known to affect
health status.   As such, this group of cross-sectional  mortality studies,
although suggestive, do not provide reliable quantitative evidence on
effects of particulate matter and sulfur oxides.  They  are, however,  not
inconsistent with the evidence from acute studies which suggests that a
linkage between mortality and pollution may occur at levels below these
observed in the more extreme episodes.

-------
APPENDIX C.  VISIBILITY—EFFECTS, MECHANISMS AND QUANTITATIVE RELATIONSHIPS
     This appendix discusses and evaluates the key studies in the
criteria document that provide evidence on the effects associated with
reduced visibility, and on both mechanisms and quantitative relationships
linking reduced visibility to atmospheric particles.
A.   Evaluation of Visibility
     Visibility impairment may adversely affect public welfare in essentially
two areas:  1) the subjective enjoyment of the environment (aesthetics,
personal comfort and well-being); and 2) transportation operations.   As dis-
cussed in the criteria document, the aesthetic aspects of visibility values
can be categorized according to: 1) social/political  criteria, community
opinions and attitudes held in common about visibility; 2) economic  criteria,
the dollar cost/benefit associated with visibility; and 3) psychological
criteria, the individual needs and benefits resulting from visibility.
These categories are not exclusive, but relate to different approaches for
measuring somewhat intangible values.
     1.   Aesthetic Effects
     Assessment of the social, economic and psychological value of
various levels of visibility is difficult.  The criteria document, an EPA
report to Congress (EPA, 1979), Rowe and Chestnut (1981), and Fox, Loomis,
and Greene (1979) discuss and evaluate several approaches that have  been
used or proposed towards this end.  In particular, the criteria document
indicates that preliminary studies of social  awareness/perception and the
economic value of visibility in urban and non-urban areas support the
notion that visibility is an important value  in both  settings.

-------
                                   C-2
     Early social  awareness studies (Schusky,  1966;  DHEW,  1969,  p.  100-102;
Wall, 1973) conducted in polluted urban areas  have generally shown  that at
higher pollution levels an increasing portion  of the population  is  aware
of air pollution and considers it a nuisance.   In St.  Louis, a linear
                                                                       2
relationship was observed between annual particle levels (50 - 200  ug/m
                                                  3
TSP) and public awareness and concern.  At 80  ug/m  annual  geometric mean
TSP, about 10% of those surveyed reported air  pollution as  a nuisance
(Schusky, 1966).  Although it is reasonable to attribute more of these and
other perception results to particulate matter than to gaseous pollutants
(Barker, 1976; Wall, 1973), the relative importance of visibility degradation
by plumes and haze as compared to dustfall was not clearly  addressed in
these studies.  A more recent study of perception of air pollution  in Los
Angeles  (Flachsbart and Phillips, 1980) represents the most comprehensive
evaluation of major pollutant indicators and perception to  date.  Five
gaseous pollutants (03> CO, N02, NO, S02), 4 particle related indices (TSP,
dustfall, CoH, visibility), and 6 averaging times were compared with
perceived air quality as reported by 475 respondents living in 22 residential
areas in Los Angeles County.  Only two indices, visibility  and ozone, were
consistently significantly related (a  = 0.001) to perceived air quality
for all  averaging times.  The highest correlation coefficient (Kendall's T)
occurred for yearly visibility (T = -.29) and  for number of days visibility
was less than 3 miles (T = 0.32).*  Of the other particle indices,  only
monthly  average dustfall was significantly correlated (T =   .12)  with
perception.  Consistent with other studies, the survey also found that air
*KendalVs T is a non-parametric statistic.  The negative correlation between
the number of people perceiving poorer air quality and visibility and the
positive correlation with the number of days visibility is less than three
miles are consistent with expectations.

-------
                                    C-3
quality is valued less by minority groups and long-time urban residents
than by whites (all  income classes) and those with some history of rural
residence.
     The two major approaches to economic valuation of visibility include
1) survey (e.g., iterative bidding) and 2) property value studies.  The
major published iterative bidding studies of visibility, conducted in the
rural southwest and in the Los Angeles area (South Coast Air Basin), are
summarized and evaluated in Table C-l.  The Four Corners and Lake Powell
studies deal only with single sources and visible plumes, while the Farmington
and Los Angeles studies address haze.  The preliminary nature of these
studies makes them useful primarily as qualitative indicators of the economic
value of visibility.  Among the more important limitations of the published
results are the following:
     1) None of these studies has measured existence values (benefit
     of just knowing pristine areas exist, regardless of intent
     to use them) or options values (wish to preserve the opportunity to
     view an unimpaired vista).  Rowe and Chestnut (1981) suggest that
     existence values of good visibility in natural settings may be
     significantly greater than measured activity values.
     2)  The studies may be subject in varying degrees to methodological
     problems.  The Farmington study, in particular, discovered a number
     of biases probably related to the credibility of the contingent market.
     These biases were not always large but show the difficulty of valuing
     visibility through iterative bidding.
     3)  Even if the available results could be taken at face value, so few
     studies have been conducted that results cannot be directly transferred
     to other areas  of the country.  For example, it might be expected that

-------
                                                   C-4
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                                     C-5
     willingness to pay for improved visibility in Los Angeles might be
     greater than that for areas in flat terrain without background hills or
     mountains.
     Despite their limitations, the iterative bidding studies suggest that
visibility is of substantial economic value in both urban and natural settings,
Although the value of visibility in other areas may vary significantly from
that suggested by studies in the rural southwest and Los Angeles, no a priori
reason exists to suggest that visibility is of little value in heavily
populated eastern urban and rural areas.  With respect to recreational
settings, of the 23 most heavily used national parks and monuments, 11 were
in the East (NFS, 1981).  In 1979 over 90 million visits were recorded in
all eastern National Park Service managed facilities.
     A large number of property value studies related to air quality have
been conducted.   These have been reviewed by Freeman (1979) and Rowe and
Chestnut (1981).  Although a variety of air quality indicators have been used,
the results of awareness/perception studies strongly suggest visibility plays
an important role in air quality related impacts on property values
(Rowe and Chestnut, 1981).  This contention is best documented in the case of
the South Coast Air Basin property value survey (Brookshire _et aj_., 1979).
There, the estimated annual benefit of a 25% - 30% improvement in air quality
based on property values was about $500 per household.  These results are
qualitatively similar to the companion iterative bidding study (about $300/
household).  The bidding study suggests that 22-55% of the bids to improve
visibility were related to aesthetic effects.  Both the bidding results and
the perception study (Flachsbart and Phillips, 1980) conducted in the same
area support the possibility of substantial impacts of visibility on Los
Angeles area property values.

-------
                                  C-6
     None of the other published property value studies are accompanied by
companion studies that suggest what portion willingness to pay for improved
                                                                                     t
air quality may be due to visibility.  Moreover,  theoretical  problems
remain in relating willingness to pay functions from property value differentials
(Rowe and Chestnut, 1981).   No single study has examined all  of the variables
that might be important in influencing property values.  Because air pollution
tends to be a small influence compared to other variables, earlier studies
that examined a limited number of variables are particularly suspect.  In
essence, the available literature suggests that perceived air pollution,
and hence visibility, may have tangible effects on property values in urban
areas such as Washington, Boston, Los Angeles, and Denver (Rowe and Chestnut);
nevertheless, additional theoretical and empirical work is needed before
reliable and transferable quantitative relationships for visibility evalua-
tion can be established.
     2.   Transportation Effects                                                      *
     Although all forms of transport may be affected by poor visibility
(e.g., slowing of highway traffic by anthropogenically induced fog), at
current ambient levels, aircraft operations appear to be most sensitive.              *
When visibility drops below 3 miles, FAA safety regulations restrict flight
in controlled air spaces to those aircraft and pilots that are certified
for operation under Instrument Flight Rules (IFR) (FAA, 1980a).  The most             <
severe impact in such cases is usually on non-IFR general aviation aircraft
which are, in effect, grounded or forced to search for alternate landing
sites.  In 1979, there were about 210,000 active general aviation aircraft            (
which accounted for about 84% of total airport operations.  Over 23% of all
general aviation aircraft had no IFR capability (Schwenk, 1981).  Estimates
of the percentage of pilots certified for IFR are not available.  Commercial,         i
military, and other IFR aircraft operation also may be affected by reduced visibility.

-------
                                   C-7
Under IFR conditions, the number of arrivals and departures per hour can be
significantly decreased as compared to Visual Flight Rules (VFR) conditions.
The effect varies with airport, and in some cases, the visual range cutoff
for the most efficient visual approaches (VAPs) may be 5 miles (FAA, 1980b).
For example, the performance standard for one configuration at Boston Logan
International Airport is 109 operations per hour for VAPs (5 miles), 79 operations
per hour for "basic" VFR (3-5 miles), 79 operations per hour for "controllers"
visual approach IFR  (2-3 miles), and 60 operations per hour for "category
I" IFR (2 miles).  Thus, depending on airport configuration, schedules, and
the extent and duration of haze induced visibility reduction, delays in
commercial and other aircraft operations can occur.  In large segments of the
eastern U.S., midday visibilities less than 3 miles with no obvious
natural causes occur 2-12% of the days in the summer and 1 - 5% of the
time during other seasons (CD, Table 9-5, Figure 9-31).  Visibilities
less than 5 miles would, of course, be more frequent.   Based on typical
eastern summertime diurnal cycles in humidity and light scattering (e.g.,
Ferman et ^1_., 1981), the occurrence of morning visibilities (6-8
a.m.) less than 3-5 miles would be somewhat greater than for midday
visibility, even discounting naturally occurring fog.
     Compared with other modes of transport, air travel is generally
considered to be safe.  It is not, however, riskfree;  based on reasonable
expectations and the available record, air pollution visibility impairment
would tend to increase risks of aircraft operation (U.S. Senate, 1963).  Failure
to see and avoid objects and obstructions during flight is one of the ten
most frequent cause factors for general aviation accidents (FAA, 1978).
Another important cause factor is continued VFR flying into adverse weather.

-------
                                  C-8
Although such action is normally attributed to errors in judgment (FAA, 1978),
in some cases, pilots who by choice or necessity fly in the mixing layer,
could fail to distinguish storm fronts or thunderclouds from the prevailing
haze until they are upon the adverse weather.   The available data in the
criteria document do not, however, permit any quantitative assessment of
the risks to commercial and general aviation aircraft operation associated
with reduced visibility.
     The available information on the effects of visibility on transportation
suggest that episodic eastern regional haze tends to curtail substantial
segments of general aviation aircraft and slow commercial, military, and
other IFR operations on the order of 2-12% of the time during the summer.
The extent of any delays varies with airport.   Reduced visibility may also
tend to increase risks associated with aircraft operations in the mixing
layer, but quantitative assessments are not available.
B.   Mechanisms and Quantitative Relationships
     The mechanisms by which atmospheric pollutants degrade perceived
visibility are reasonably well understood (Middleton, 1952; Friedlander,
1977). Visibility impairment is the result of light scattering and absorption
by the atmospheric aerosol  (particles and gases).  The "extinction" or
attenuation coefficient  (aext) is a measure of aerosol optical properties and
is the sum of blue sky or Rayleigh scattering by air molecules (aD ),
                                                                 Kg
absorption by pollutant gases (a), and particle scattering  (a__) and absorption
                                ag                             sp
(a,,,)-  Visibility is inversely related to total extinction from these sources.
  ap
Blue sky scattering is relatively constant and is significant only under
relatively pristine conditions.  Absorption by pollutant gases, notably
N02, usually contributes only a small amount to total extinction (CD, p. 9-
20).  Even brown hazes in Denver and Los Angeles formerly attributed solely

-------
                                   C-9
to NCL, are often dominated by particles (Husar and White, 1976; Groblicki
et_ &]_., 1980).   Thus atmospheric extinction and visibility impairment are
normally controlled by particulate matter.   Important causes include natural
sources (fog, dust, forest fires, sea spray and biologic sources) and
anthropogenic sources of sulfur oxide, soot and other particles, nitrogen
oxides, and volatile organics (EPA, 1979).
     Reduction of visual range by particle extinction is normally dominated
by fine particles.*  The only important exceptions are some naturally
occurring phenomena including precipitation, fog, and dust storms, where
larger particles control visibility.  Theoretical calculations show that
extinction/unit mass efficiencies are substantially greater for fine particles
in the 0.1 to 2.0 pm size range than for larger particles (Faxvog and Roessler,
1978).   For most commonly observed size distributions of particulate matter,
the increased extinction efficiency of fine particles results in fine particles
accounting for most of total extinction even though they are only a third
or so of the total mass of particles (Latimer et. a]_., 1978).  This theoretical
expectation is borne out by the unique experiment of Patterson and Wagman
(1977)  where independent measurement of light scattering and particle size
distributions verified the importance of fine particles in controlling
scattering in New York City.  In addition,  a number of experiments have
found consistently high correlation (.8 to .98) between light scattering and
fine mass (CD,  Table 9-1).
     The relative importance of scattering and absorption as well as the
extinction efficiency per unit equibilibrated mass (y) of fine particles
varies  with location.   On large regional scales, about 80-95% of particle
*For purposes of this document,  fine particles include those smaller than
2.5 ym AED.

-------
                                  C-10                                                •

extinction is due to light scattering (Waggoner ejt al_., 1980; Wolff et al.,
1980), with the remainder due to absorption.  In urban areas absorption may
                                                                                      *
account for up to 50% of particle extinction (Waggoner et_ al_., 1980; Weiss,
1978).  The particle scattering efficiency/unit mass varies from about
       p
3 - 5 m /g at various sites, with higher values tending to occur in eastern
locations (CD, Table 9-1).
     The variations in fine particle extinction noted above are due largely  to
variations in size, chemical composition and to some extent, relative humidity.
Based on theoretical (Faxvog and Roessler,  1978) and empirical (e.g., Trijonis
et a]_., 1978 a,b; Stevens e_t a]_, 1980; Groblicki et al_., 1980) results, two  components,
hygroscopic sulfates and elemental carbon,  generally tend to be most significant.
Sulfate, with associated ammonium, and hydrogen ions and water, often dominates
regional fine mass and extinction, particularly in the East, while elemental
carbon accounts for most of the particle absorption observed in urban areas.
The relative importance of sulfates to extinction depends on relative humidity,
both at the site in question and perhaps along the transport path where
secondary formation occurs.  Project VISTTA found that sulfates formed in
dry desert air were of relatively low light scattering efficiency, compared           *
to sulfates apparently formed in more humid conditions in southern California
and transported to the desert (Macias e_t al_. , 1980).  Our understanding of
the role of fine organics and nitrates in  light scattering is hindered                ^
by the lack of reliable data.   In the eastern regional haze these components
are likely to amount to less than half of  the sulfate component, but may
dominate scattering in western  urban areas  such as Denver and Portland                •
(Groblicki £t aj_., 1980; Cooper and Watson, 1979).  The remainder of fine
mass  (soil-related elements, lead and trace species)  contributes only a
minor amount to extinction in most U.S. atmospheres  (Stevens ejt aj_., 1978).           4

-------
                                    C-ll
     Humidity is important to visibility because of the presence of fine
hygroscopic aerosols (e.g., sulfates) which tend to absorb atmospheric
water and thus increase light scattering.  Measurements in several areas
suggest that the extinction due to fine particle scattering will increase
by a factor of about two as relative humidity is increased from 70 to 90%
(Covert et^ aj_., 1980).   Based on laboratory studies, reduction in humidity
from 90% to 70% might not produce corresponding decreases in scattering
because of hysteresis (Tang, 1980).   In essence, the hysteresis effect
means that the aerosol  may tend to retain water absorbed at higher humidities
even at lower relative humidities.  This effect has not yet been demonstrated
to occur in the ambient air.
     Through the Koschmieder equation, the extinction coefficient, measured
or estimated from fine particle levels, may be used to estimate visual range
(CD, p. 9-6).  The relationship has the general form:
                                   V = _K_               (C-l)
                                       aext
     Where:  V = the visual range, the distance at which a large black
                 object is just visible against the sky.
             a  .  = total extinction, the sum of light scattering and
                    absorption by air molecules, fine particles, and
                    N02  (CD, p. 9-19).
             K = a function of the intrinsic target brightness and observer
                 threshold contrast (E).  E is a function of the observer
                 and of target size.
     Although a number of factors may limit the applicability of this
relationship, for homogeneous pollution, reliable extinction measurements,
uniform illumination, large dark targets, and moderate visual ranges,
agreement between experiment and theory is rather good.   The correlation

-------
                                        C-12
between visual range and the scattering portion of extinction is typically
on the order of 0.9 where comparisons have been made (CD, p. 9-9 to 9-10).
     This relationship depends, in part, on human perception of contrast
as well as target size and brightness.   For a typical observer with a
reasonable time for observation and large black targets, a "threshold" of 0.02
is commonly assumed and K = 3.9 (CD, p. 9-9).  As noted in the criteria
document empirical determinations of K have yielded somewhat lower values,
ranging from 1.7 to 3.6 for studies discussed in the criteria document
(CD, p. 9-9).  The most complete analysis (Ferman et al_. , 1981) reported
a value of 3.5 for well mixed periods.   The lower values likely arise from
higher threshold contrasts, non-ideal targets, (too bright and/or too
small), and the exclusion of absorption estimates.  The available data
also suggest that reported airport visibilities may significantly underestimate
standard visual range.  Thus, lower values of K may be more appropriate
for matching airport data with higher values for observations in natural
settings (CD, p. 9-43).
     The relationship between extinction due to dry particle scattering
and fine mass is sufficiently stable over a wide range of areas that
reasonably quantitative estimates of fine/particle visibility relationships
can be made where long-term relative humidity is low (<70%) and particle
absorption is small or otherwise known.  For such purposes, the Koschmieder
relationship can be written as:
                                                            (C-2)
                         V=     K
     Where FMC = fine mass concentration, and
             * = (o
  ap
  rti
distance, (e.g., km" )
           a   = particle absorptioncoefficient (in units of inverse
             p                      "
           a   = particle scattering coefficient

-------
                                  C-13
      a0  = Rayleigh or "blue sky scattering" (Rg - 0.12 km"1)
       Kg
      a   = absorption by gases (usually small  in non-urban areas)
       ag
Thus, with appropriate K and y derived from available studies, visual
range can be estimated from fine mass.  Although less certain, the measurements
of Covert e_t al_. (1980) and regression relationships developed by a number of
investigators can be used to estimate fine particle/visibility relationships
for higher humidities and hygroscopic aerosols.  The criteria document
indicates that to correct for the humidity effect, y (as determined by heated
nepholometers and equilibrated filters) should be increased by a factor of
about 1.5 at 80% RH, and about 2 at 90% RH.  The Koschmieder relationship
strictly applies for short-term observations.  In estimating long-term
(e.g., annual) average visibility from long-term fine mass data, the temporal
distribution of fine particle concentrations (e.g., lognormal) must be specified,
or median values used.
     Figure 7-2, adapted from Figure 9-18 of the criteria document, presents
fine particle/visual range relationships for three cases selected as
representative of the range of normal situations encountered in the
eastern U.S. regional haze and in western urban areas:
                2
     1)  Y = 3 m /g; representative of a dry aerosol (CD, Table 9-1) at
         <_ 50%2RH.  Absorption may be 10% of extinction where a  /unit mass =
         2.7 m /g. This is close to typical measurements in western
         areas but below most eastern data (CD, Table 9-1).
                2
     2)  Y = 6 m /g; representative of the same aerosol as in 1) at 90%
         humidity, a   increased by a factor of 2.
                 p
     3)  Y = 10 m /g, representative of the similar aerosol, but
         with absorption accounting for 40% of extinction.  Such high
         absorbtion (predominately associated with carbon) is likely only in
         urban areas.

-------
                                   C-14
     Each case may actually be representative of a variety of aerosols.  For
example, case 2 closely approximates the aerosol observed by Ferman et al.
(1981) during their month long study in the Blue Ridge Mountains, even
though typical daytime humidities were less than 70%.  In this study
                   p
corrected y = 5.5 m /g as measured by heated nephelometer and when the measured
effect of condensed water is added, y increases.  Thus, even though 90% RH
is comparatively rare during the daylight hours, case 2 is likely to be
closer to typical summertime eastern conditions than is case 1.
     Figure 7-2 shows the powerful effect of humidity and carbon absorption
on visual range for a given particle level.  The curves also indicate that
visibility becomes more sensitive to changes to fine particle levels below
about 100-200 yg/m .  Results from this figure should not be compared
directly with airport visibility data.  Due to non-ideal targets and
observation conditions, airport visibilities will tend to be lower than
predicted by the Koschmeider relationship with K = 3.9.

-------
APPENDIX D. TERMS USED TO INDICATE PARTICULATE MATTER

     A number of terms are used in the staff paper to indicate various
fractions of particulate matter.  Table D-l  lists the most frequently
used terms and briefly summarizes the relevant size range, definition, and
measurement principles for each.  Terms are  grouped according to their
discussion in the staff paper.  The table is intended as a ready reference
for the reader.  A more complete listing of  terms and discussion of measurement
can be found in the criteria document.
     Because conversion among various indicators may be site and time
specific, conversion factors are not listed  in the Table.   Approaches for
bounding TP levels from BS readings for certain periods of time in London
are presented on pages 96-99 (Section VI-C)  of the main text.  The relationships
between TSP and both IP and TP for contemporary US urban areas are summarized
on page 19 (Section IV) and pages 108 and 115 (Section VI).

-------
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APPENDIX E.  CASAC CLOSURE MEMORANDUM

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                               E-2

       \
             UNITED STATES ENVIRONMENTAL PROTECTION AGENCY
                         WASHINGTON. D.C. 20460
                           January 29,  1982
                                                           OFFICE OF
                                                        THE ADMINISTRATOR
Subject:  CASAC Review and Closure  of  the  OAQPS  Staff
            Paper for Particulate Matter            /V

From    :  Sheldon K. Friedlander, Chairman
          Clean Air Scientific Advisory  Committee

To      :  Anne M. Gorsuch
          Administrator
     The Clean Air Scientific Advisory  Committee  (CASAC)
recently completed its second and  final  review  of  the document
entitled Review of the National Ambient  Air  Quality  Standards
for Particulate Matter;  Assessment  of  Scientific  and Technical
Information, OAQPS Staff Paper.  The  Committee  notes with
satisfaction the improvements made in the  scientific quality
and the completeness of the staff  paper.   It has been modified
in accordance with the recommendations  made  by  CASAC in  July
and November 1981.  This document  is  also  consistent in  all
significant respects with the scientific evidence  presented
and interpreted in the combined criteria document  for sulfur
oxides and particulate matter.  It has  organized the data
relevant to the establishment of particulate primary and
secondary ambient air quality standards  in a logical and
compelling way, and the Committee  believes that it provides
you with the kind and amount of technical  guidance that  will
be needed to make appropriate revisions  to the  standards.

     CASAC has prepared this closure  memorandum to inform you
more specifically of its major findings  and  conclusions
concerning the various scientific  issues and studies discussed-
in the staff paper.  In addition,  the Committee's  review  of the
scientific evidence leading to the particulate  standard  revision
leads to a discussion of its own role in the process for  setting
the standard.

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                               E-3

CASAC Conclusions and Recommendations on  Major  Scientific  Issues
and Studies Associated With the Development  of  Revised  NAAQS  for
Particulates

     1.  Based upon the review of available  scientific
evidence/ a separate general particulate  standard  remains  a
reasonable public health policy choice.

     2.  CASAC reaffirms its initial recommendation  of  July 1981
to establish a 10 micrometer cut point  for a revised primary
particulate standard.  This recommendation is based  upon a
recognition of the periodic, and sometimes frequent,  tendency of
both healthy and sensitive populations  to breathe  through  their
mouths and/or oronasally.  This practice  increases the  amount of
particulate matter that can penetrate into the  thorax because
the larger particles are not filtered in  the oronasal passages.
Deposition of particulates into this region  is  of  special
concern to those individuals with pre-existing  respiratory
problems and children.  In addition, the  collection  of  particles
of less than 10 micrometer diameter size  more closely resembles
particles passing into the thoracic region of the  human
body than the collection of larger sized  particles.   Furthermore,
monitors equipped for a 10 micrometer cut are less wind dependent
and can provide a more accurate profile of the  contemporary
ambient air than samplers which measure total suspended particles.

       CASAC1s recommended size cut is also similar to proposals
of other scientific  associations.  For  example, 88%  of the national
members of the Air Quality Committee of the  International  Standards
Organization recently voted for a particulate cut  point at
10 micrometers for sampling particles which  can deposit in the lungs.

     The CASAC recommendation  is based  upon  available scientific
data.  Other individuals and  groups have  discussed the
possibility of establishing a  revised particulate  standard
at a size  cut considerably less than  10 micrometers.  However, for
the  current revision of  the standard,  the scientific data more
readily  support  a 10  micrometer size  cut.

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                               E-4

     3.  CASAC reached several major  conclusions  concerning the
revision of the 24-hour and annual particulate  standards.   At
the upper bound of the proposed ranges  of  150-350  ug/m3  for the
24-hour and 55-110 ug/m3 for the  annual  averages,  detectable
health effects occur in the.populations  evaluated  in  the epi-
demiological studies.  Since the  upper  end  of  these  ranges contain
little or no margin of safety, it would  be  appropriate  to  consider
lower values for revising the 24-hour and  annual  standards.  In
addition, the stated ranges are based solely on quantitative
evidence reported in epidemiological  studies.   A  final  decision
on a revised standard should also incorporate  information  generated
through controlled human, animal  toxicology, and  from other less
quantitative epidemiological studies  discussed  in  the criteria
document.

     There is an absence of a clearly definable exposure-response
relationship for particles, as amply  discussed  in  the criteria
document and the staff paper.  In addition, because  airborne
particles are heterogeneous in composition, the potential
toxic effects of individual constituents should be considered
in setting the standard.  Thus, compared to margins  of  safety
set for pollutants such as ozone  and  carbon monoxide,  where
exposure-response relationships are better  established  and
small margins of safety are more  justifiable,  CASAC believes you
should consider a revised standard with  a wider margin  of
safety.

      4.  The Committee reached general  agreement  that  the
annual particulate standard should consist  of  an  arithmetic
mean.  It is recommended that the 24-hour standard include a
statistical form and that the number  of  exceedences  is  set
in relation to the revised standard level.

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                             E-5
     5.  During the past decade, the  link  between  visibility and
fine particle mass concentrations has been convincingly  documented.
Visibility is a sensitive indicator of  accumulated man-made
pollutants in the ambient-air.  The public cares about visibility
and is willing to pay something for clean  air.  However,  the
quantitative basis for establishing a psychological,  economic,
transportation or any other welfare cost associated with
visibility impairment has not been established.  In addition,
controls required to achieve a given  visibility standard  are
not known due to the complexities of  pollutant transport  and
transformation.

     Defining acceptable levels of visibility is a social/
policy judgment as well as a scientific decision,  but science
can provide some guidance.  The upper end  of the 8-25 ug/m^
range for fine particles  (those particles  with a diameter
size of less than 2.5 micrometers) would tend to maintain
the status quo for the eastern United States and some western
urban areas, but would permit air quality  degradation for large
areas in the west including national  parks.  Also, it is  highly
uncertain that the recommended thoracic particle ranges  for the
primary standard will protect visibility.   The S-25 ug/m^
range for fine particles suggested for  visibility  protection
is a seasonal and spatial average, unlike  peak values which
will be recommended for the primary standard.

     The strongest case for a visibility related standard is
one that links emissions of nitrogen  oxides and sulfur dioxide
with the interrelated aspects of acidic deposition, possible
climatological effects, and visibility.  Each of these three
air quality issues is related to the  fine  particles which
originate both as primary particulate emissions and as
secondary aerosols from atmospheric conversions of sulfur
dioxide and nitrogen oxides emitted as  vapors.  In terms  of a
control strategy to protect public welfare, it may be more
efficient to consider a common  standard linked  to  fine
particles than to establish a separate  set of controls  for
each of these problems and pollutants.

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                              E-6
     6.  The Committee's evaluation of  scientific  data  and
studies in the criteria document and the  staff  paper  lead  it
to conclude that there is no scientific justification for  the
establishment of a particulate standard for  the  specific
protection of vegetation.

     7.  The Committee discussed what effect  elimination of  a
Total Suspended Particulate  (TSP) standard would have on the
environment.  The soiling and nuisance  aspects  of  TSP are
essentially local air quality problems  because  such coarse
particles are not transported great distances.   This  contrasts
with visibility or oxidant related problems  which  are
distinctly issues of long range pollution transport.
Individuals who serve on the Committee  made  various recommenda-
tions regarding retention or elimination  of  a secondary
standard for TSP, but no clear consensus  evolved.

The Processfor Setting the Ambient Particulate  Standard

     In its report of September 21, 1981, CASAC  made  several
major recommendations relating to the process for  setting
ambient air standards.  The Committee is  aware  that your
staff is analyzing its report and is awaiting a  response.

     A major underlying assumption of the Committee's recommen-
dations was the need to make more explicit the  relationship
between the scientific evidence in the  criteria  document and the
staff paper and the eventual selection  of a  numerical level  for
individual standards.  The Committee strongly believes  in  the
need to clarify the standard setting process  by  identifying
the key studies that will shape the determination  of  a  standard.
Intensive evaluation of such studies by CASAC and  the public
will considerably increase your ability to set  a scientifically
supportable standard.

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                              E-7
     The Committee is greatly encouraged by your  decision  to
improve the format and content of OAOPS scientific  issue  staff
papers.  In the Draft Staff Paper for Particulate Matter
key studies are identified a.nd their implications for  setting
primary and secondary standards are discussed.  More  importantly,
the inclusion of numerical ranges and their supporting rationale
enabled the Committee and the public to critically  examine the
staff's proposed use of the studies.  This led  to a marked
improvement in the quality of the public dialogue concerning
the scientific basis for revising the standard.   CASAC commends
your effort and recommends that all staff papers  developed
for ambient air standards contain numerical ranges.

     CASAC recognizes that your statutory responsibility  to
set standards requires public health policy judgments  in
addition to determinations of a strictly scientific nature.
While the Committee is willing to further advise  you  on the
particulate standard/ we see no need, in view of  the  already
extensive comments provided, to review the proposed particulate
standards prior to their publication in the Federal Register.
In this instance, the public comment period will  provide
sufficient opportunity for the Committee to provide any
additional comment or review that may be necessary.

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                                 20

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                                       21

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                                        22

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                                         23

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Stevens, R. K., T. 6. Dzubay, G. Russworm, and D. Rickel (1978).  Sampling
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Stevens, R. K., T. G. Dzubay, R. W. Shaw, Jr., W. A. McClenny, C. W. Lewis, and
     W. E. Wilson (1980).  Characterization of the aerosol in the Great
     Smoky Mountains.  Environ. Sci. Technol. 14:1491-1497.

Sweet, D. V., W. E. Grouse, and J. V. Crable (1978).   Chemical and stastical
     studies of contaminants in urban lungs.  Am. Indust. Hyg. J. 39:515-526.

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Tang, I. N. (1980).  Deliquescence properties and particle size charge of
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     Long Term Visibility Trends and Visibility/Pollutant Relationships.
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     Isopleth Maps of Visibility in Suburban/Nonurban Areas During 1974-1976.
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     Triangle Park, N.C.

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                                      24

Upham, J. B. (1967).  Atmospheric corrosion studies in two metropolitan
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                                 25


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                                       26

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TECHNICAL REPORT DATA
(Please read Instructions on the reverse before completing)
1.
4.
7.
9.
12
15
16
REPORT NO.
EPA-450/5-82-001
2.
TITLE AND SUBTITLE
Review of the National Ambient Air Quality
for Particulate Matter: Assessment of Scie
Technical Information - OAQPS Staff
AUTHOR(S)

PERFORMING ORGANIZATION NAME AND ADDRESS
Office of Air, Noise and Radiation
Office of Air Quality Planning and Standar
U.S. Environmental Protection Agency
Research Triangle Park, North Carolina 277
. SPONSORING AGENCY NAME AND ADDRESS
. SUPPLEMENTARY NOTES

3. RECIPIENT'S ACCESSION NO.
5. REPORT DATE
Standards January 1982
ntific and 6- PERFORMING ORGANIZATION CODE
Paper
8. PERFORMING ORGANIZATION REPORT NO.
10. PROGRAM ELEMENT NO.
dS 11. CONTRACT/GRANT NO.
11
13. TYPE OF REPORT AND PERIOD COVERED
Final
14. SPONSORING AGENCY CODE

. ABSTRACT
This paper evaluates and interprets the available scientific and technical infor-
mation that the EPA staff believes is most relevant to the review of primary (health)
and secondary (welfare) National Ambient Air Quality Standards for Particulate Matter
(PM) and presents staff recommendations on alternative approaches to revising the
standards. The assessment is intended to bridge the gap between the scientific review
in the EPA criteria document for particulate matter and sulfur oxides and the judge-
ments required of the Administrator in setting ambient air quality standards for
particulate matter.
The major recommendations of the staff paper include the following:
1) that TSP be replaced by a new particle indicator that includes only those
particles less than a nominal 10 ym (thoracic particles or PM-i0);
2) that the levels of both 24-hour and annual standards be revised;
3) that the statistical form of the standard should be changed;
4) consideration of a fine particle (<2.5 urn) secondary standard recognizing the
advantages of combining any action with later decisions on acid deposition programs;
and
5) consideration of secondary standards related to soiling and nuisance.
17.
a
DESCRIPTORS
KEY WORDS AND DOCUMENT ANALYSIS

Parti culate Matter
Aerosols
Air Pollution
Sulfur Oxides
18
DISTRIBUTION STATEMENT
Release to Public

b. IDENTIFIERS/OPEN ENDED TERMS C. COSATI Field/Group
Air Quality Standards
19. SECURITY CLASS (This Report) 21. NO. OF PAGES
Unclassified 276
20 SECURITY CLASS (This page) 22. PRICE
EPA Form 2220-1  (Rev. 4-77)    PREVIOUS EDITION is OBSOLETE

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