CHAMP


  Corcmunity Health Air Monitoring  Program
A Program of Monitoring  Huroan  Exposure for
    Health Effects Research  to Develop
      Short and Long-Term  Standards
             Ferris B.  Benson
                       n ^,-K-v--i
                       1,1 uii;uci y
               .Robert Burlxsn
               Thomas Mauser
      Envirorimsntal Exoosure  Section
         Cor,:,iunity Rc^c^ych Branch
        Division of Effc-cts Research
      Bureau of Air Pollution Sciences
      Office5 of Reseerch ar:d  Nbnitor"i'rig
       Environmental Protection  Agency
              August  10,  1971

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                                    -1-
 Intreduction

 For the  last decade the federal air monitoring effort has focused on providing

 data from a single central city station for comparisons between communities, and

 for describing annual trends.  Sampling frequency was usually twenty-six random

 selected days out of a 365-day-year.  The methodology employed involved inteorating

 the sample for twenty-four hours or longer.  The attached briefing document details

 the environmental monitoring program and health effects studies needed to establish

 defensible short-term air quality standards.




 Other monitoring efforts have also focused on population health effects studies.

 These studies require that monitoring points be located so that the resulting

 data represent the population group under study.  The monitoring stations are

 therefore established in the center of small well-defined residential areas within

 a community.  Data correlations arc nw.de between observed health effects and

 observed air quality exposure.  Sampling frequency and methodology employed for

 these studies have been designed to provide twenty-four inteorated data taken on

 an "every day" basis (7 days/wk or 365 days/yr).  The results of these studies

 provide valuable information for the development of criteria for long-term

 standards, i.e. for times longer than twenty-four hours.




An integrated twenty-four hour sample does not provide peak or diurnal  information

for environmental health studies.   It is known that early morning  inversion

 conditions exist in most communities and concomitant pollutant concentration

 peaks may be most important in causing health disorders.  Both diurnal  patterns
                                                                               •*
which have been well-documented and fumigation peaks from point emission sources

exist,  by design, in  the selected  CHESS areas and provide the opportunity for

obtaining the health  data needed for defensible short-term air Quality  standards

 (Page 1).  Note:   Page numbers given in this  text  refer to the attached briefing

document.

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                                      9
                                      t.
 CHESS  Health  Indicators
 The  present CHESS  program  includes  health  indicators for  determining  short-term
 exposure  effects.  Active  indicators  include  panel studies of  symptom frequency
 and  severity  involving asthmatics,  elderly cardiacs, elderly bronchitics, well
 elderly and families with  school  children.  Other planned "short-tenr"  health
 indicators are  listed on page  2.  Health indicators for long-term  standards
 have been previously discussed in a CHESS overview paper.

 Exposure  Monitoring (Present CHESS Operations)
 Present CHESS program monitoring  efforts and  a comparison between  monitoring
 programs  with respect to variables  sampled, sampling frequencies,  sample averaging
 times  are illustrated on pages  4, 5 and 6.  The time restraints to final output
 of validated  data  from all CHESS  areas produce a lag of approximately 35-40 days
 for  usable data  (Page 7).  A total of 24 man-years/year is required to  operate
 the  present CHESS  monitoring program (Page R).

 CHAMP  Exposure Mon i_tg_ri ng
 The  proposed CHAMP monitoring operations are  illustrated on pages  9 and 10 which
 details the variables sampled  and sampling frequencies for the various  pollutants
 compared  to the other federal  programs mentioned above.

 The  present CHESS  program  is operating in five communities selected for pre-
 dominance of specified pollutant exposures.  Within each of these  communities,
 well-defined areas are further selected where population groups are exposed to
 gradients of a predominant pollutant or combination of pollutants.   Each of the"
 areas  have an air monitoring site centered to represent the population's exposure.
The  number of monitoring sites by communities are:

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                                    -3-
     Conmunlty
     Chattanooga
     S.E. Trio
       Birmingham
       Charlotte
       Greensboro
     New York City
     Utah
     California
Predominant
Pollutant
  NOX
  TSP
S02 and TSP
  SO,,
   0
No. of Areas
     3
     3
     3
     6
     4
     6
    No. of
Monitoring Sites
                                                                Total
       4
       4
       3
       7
       4
       6
     ~37~
The CHAMP proposal is presented by three optional plans (pages 11-17).  Information
concerning pollutants monitored for CHESS communities, time delays to final usable
data and manpower requirements are given for each optional plan.   Dollar costs for
instrumentation and equipment are shown for each option by CHESS  communities on
page 18.
A data acquisition system is proposed (page 19) which provides magnetic tape
recordings of the variables sampled.  It also provides the capability for an
"on-call" data retrieval operation.  Normally the system records, into SAROAD
format, digital data which is compatible to NADIS.  In the event of pollution
episodes, the data record is immediately available through a telephone calling
system and logic command to the monitoring site.  The system also serves as an
interrogation method for checking instrument operation and calibration on an
"on-call" basis.  A comparison of the minimum time to useful data between the
present CHESS operations and the proposed CHAMP system is described on page 17.

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                                    -4-
The methodology used for exposure rronitoring involves the selection and application
of the most appropriate method available.  The use of EPA standard measurement
methods is mandatory.  Recent research and development are visioned toward the
use of automated, instantaneous analysis instruments placed at the monitoring
site.  Such devices, if made official standard methods, will necessitate a
CHESS program change to the CHAMP proposal.

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                                     -5-
                                      Sinnrnary
This paper describes the present and past national air monitoring efforts of EPA,
as  a reference frame for discussion and exposure monitoring for health effects
studies.  A Community Health Air Monitoring Program (CHAMP) is proposed that will
provide data to develop criteria for both short and long term air quality standards.
Present air monitoring techniques deployed in the CHESS program are largely in-
tegrating methods for determining pollutant concentrations for twenty-four (24)
hours or longer.  These data have value for developing long term (>_ 24 hrs.)
ambient air quality standards-.  They do not provide adequate averaging times for the
development of short term (<_ 24 hrs.) standards.  This paper proposes a program
which will provide adequate averaging times and air monitoring techniques for
developing short term standards.  In addition, the new program would provide "on
call" capability invaluable to local control  officials in the New York and Los
Angeles air quality regions.
                                    \                                         J

The design of the Community Health and Environmental  Surveillance System (CHESS)
has focused monitoring of air, water, tissue, food and housedust into well de-
fined residential  areas within selected communities.   These population studies
require air quality exposure data to be representative of the population's en-
vironment under surveillance.

Estimates of equipment costs and manpower required are summarized into three
optional plans  as  follows:

 Monitoring Plan                    Equipment Costs           Manpower (Man  yrs/yr)
 CHESS CHAMP -  Optimum                 $1,295,600                       39
 CHESS CHAMP -  Intermediate              1,124,400                       31
 CHESS CHAMP -  Minimum                    955,800                       25
 Present CHESS                              24,900                       24

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    I.  Existing indicators: panel studies of symptom frequency
       and severity
       A. Asthmatics
       B. Elderly cardiacs
       C. Elderly bronchitics
       D. Well elderly
       E. Families with school children during acute episodes
    !l.  Fluctuations in daily mortality
   HI. Planned indicators:
       A.  Eye irritation and tear lysozyme levels*
       B.  Coronary artery diseaso deaths*
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       D.  Red blood cell fragility and survival ss indexed by GfiPD
           level and reticulocyte counts
        E.  Carboxhsrnoglobin_me{Jiemoglobin,and methemoglobin
           reductase levels
       F.  Sputum cellular and enzyiw content
*Feasibility studies under contract

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