4962
&EPA
United States
Environmental Protection
Agency
Office of PoHcv Analysis
Office of Policy, Planning
and Evaluation
February, 1987
                                  OOOR87901
Unfinished  Business:
A Comparative Assessment
of Environmental  Problems
Overview Report

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        U.S.  ENVIRONMENTAL  PROTECTION AGENCY
                 UNFINISHED  BUSINESS:



A COMPARATIVE ASSESSMENT OF ENVIRONMENTAL PROBLEMS
                        VOLUME I



                        OVERVIEW
                     February,  1987
                                 U.S Environmental Protection Agenn*
                                 Region 5, Library (PL-12J)   ^enqf

                                 //West Jackson Boulevard  low, n
                                 Chicago, li.  60604-3590      fioor

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                        TABLE OF CONTENTS
Preface, by Lee M. Thomas                                  i

Transmittal Memo                                           lit

Acknowledgments                                            w

Executive Summary                                          xiii


I.   Introduction                                          1


II.  How the Analysis Was Structured                       5

     A.  General Analytical Approach                       5
     8.  How the Project Was Organized:                    17
           The FOU.S- Work Groups
     C.  Specific Approaches of the Work Groups            21
           and Results
         1. Cancer Risk                                    21
         2. Non-Cancer Health Risk                         35
         3. Ecological Risk                                43
         4. Welfare Effects                                50
III. Summary of What We Learned About the 31               56
       Environmental Problems
IV.  Public perceptions of the Environmental problems      91


V.   General Observations and Recommendations              94

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                             PREFACE
                                BY
                          LEE M. THOMAS
                          ADMINISTRATOR
               U.S. ENVIRONMENTAL PROTECTION AGENCY
     The mission of the Environmental Protection Agency is broad.

The challenges we face are complex and varied.  Operating under nine

basic statutes and portions of several others, we have in place

major programs to protect every environmental medium.

     Over the past 16 years, we have seen significant improvements

in the quality Df our ai?, water, and land resources.  Still,

much remains to be done.

     Although EPA1s mission enjoys broad public support, our

agency nonetheless must operate on finite resources.  Therefore,

we must choose our priorities carefully so that we apply those

resources as effectively as possible.

     While we have made much progress to date, the cost of

further environmental improvements in many areas will be high.

For example, removing additional increments of toxics from

industrial effluents or cleaning up contaminated ground water to

background levels can be enormously expensive.  The unit cost of

moving ever closer to the point of zero discharge,  zero contamination,

and zero risk increases exponentially.

     Yet this agency must proceed to carry out its mandates and

to set its priorities.  With this in mind, last spring I asked a

task force of EPA career staff members to examine relative risks

to human health and the environment posed by various environmental

problems.  I am grateful to the 75 agency professionals who helped

in this effoet.

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    These employees assembled available data and applied their



best professional judgment on this complex and controversial



subject.  Their report — although subjective and based on



imperfect data — represents a credible first step toward a



promising method of analyzing, developing, and implementing



environmental policy.' That is why I am presenting it to the



public as I have received it.



    In a world of limited resources, it may be wise to give



priority attention to those pollutants and problems that pose



the greatest risks to our society.  That is the measure this



study begins to apply.  It represents, in my view, the first



few sketchy lines of what might become the future pictujre of



environmental protection in America.



    This study is not the definitive work on the subject of



risk-based programs, but we hope it will  initiate an important



discussion of the concept.  In time, with better data and more



discusssion, I believe the merit in .this idea may prove to be



an invaluable tool.



     In sharing this report I hope that it will stimulate an



informed discussion.  We plan no immediate changes in priorities



until this discussion takes place.  We welcome your reactions.

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                        TRANSMITTAL MEMO
MEMORANDUM TO LEE M. THOMAS, ADMINISTRATOR

    Nine months ago you asked us to look at the various
environmental problems that EPA is mandated to address and
report back to you on the relative risks of each of them.
Since that time we and over seventy other career managers and
experts have been working to prepare the report that we hereby
transmit to you.

    Preparing this report has been a challenge.  Many times we
found that the data we would like to have had simply do not
exist.  For that reason this report can best be described as
being based on "informed judgment."  But collectively we have s
feeling of reasonable confidence in what we are giving you.

    Just as this project made us' stretch to deal with the lack
of good data, it also stretched us to think about the full
range of environmental problems that EPA faces.  We believe
that our product is useful for purposes of general priority-
setting.  We hope that you and others will also find it so.
                         Richard D. Morgenstern, Director
                         Office of Policy Analysis

                         Don R. Clay, Deputy Assistant Administrator
                           for Air and Radiation

                         Gerald A. Emison, Director
                         Office of Air Quality Planning and Standards

                         Rebecca W. Hanmer, Deputy Assistant
                           Administrator for Water

                         Marcia E. Williams, Director
                         Office of Solid Waste
                               111

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                           ACKNOWLEDGEMENTS
Project Leaders

Richard D. Morgenstern - Director, Office of Policy Analysis
                         (overall project direction and coordination)

Don R. Clay - Deputy Assistant Administrator for Air and Radiation
                         (Chairperson, Cancer Work Group)

Marcia E. Williams - Director, Office of Solid Waste
                     (Chairperson, Non-cancer Work group)

Rebecca W. Hanmer - Deputy Assistant Administrator for Water
                    (Chairperson, Ecological Work Group)

Gerald A. Emison - Director, Office of Air Quality Planning and
                   Standards (Chairperson, Welfare Work Group)


Work Group Members and Project Staff

(see following pages)
Key to Abbeviations Used on Following Pages

     OAR      Office of Air and Radiation
     OEA      Office of External Affairs
     OPPE     Office of Policy, Planning and Evaluation
     OPTS     Office of Pesticides and Toxic Substances
     ORD      Office of Research and Development
     OSWER    Office of Solid Waste and Emergency Response
     OW       Office of Water
                               IV

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                      Cancer Risk Work Group
Don Clay
(chairperson)

Anne Barton
Jim Berry



Carey Carpenter



Reto Engler



Bill Farland



Robert Fegley


Jack Fowle
Frank Gostomski
Fred Hauchman
Francine Jacoff
Jeff Kolb
Deputy Assistant Administrator for     OAR
           Air and Radiation

Deputy Director, Hazard Evaluation     OPTS
           Division, Office of
             Pesticide Programs

Special Assistant to the Deputy        OAR
           Assistant. Administrator for
             Air and Radiation

Environmental Protection Specialist,   OU
           Office of Ground Water
             Protection

Chief, Scientific Mission Support,     OPTS
           Section, Toxicology Branch,
             Office of Pesticide

Director, Carcinogen Assessment        ORD
           Group, Office of Health
             Environmental Assessment

Regulatoy Impact Analyst, Office of    OPPE
           Policy Analysis

Acting Director, Water and Toxic       ORD
           Substances Health Research
             Division, Office of Health
             Research

Chief, Water Ouality Criteria Section, OW
           Office of Water Regulations
             and Standards

Environmental Health Specialist,       OAR
           Pollutant Assessment Branch,
             Office of Air Ouality
             Planning and Standards
Former Section Chief, Waste
           Characterization Branch,
             Office of Solid Waste
                                       OSWER
Economist, Analysis and Evaluation     OSWER
           Staff, Office of the
             Assistant Administrator
                              v

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Arnold Kuzraack



A. W. Marks



Carl Mazza


Dave Patrick



Peter Preuss


Tom Purcell
Jerry Puskin


John Quest
James Repace



Art Spratlin



Donn Viviani



Jeanette Wilste


Craig Zamuda
Director, Program Development and
           Evaluation Division
             Office of Drinking Water
OW
Chief, Economic, Policy Analysis,      OW
           and Data Management Branch,
              Office of Drinking Water
Science Advisor, Office of Toxic
           Substances
OPTS
Former Chief, Pollutant Assessment     OAR
           Branch, Office of Air Quality
             Planning and Standards

Director, Office of Health and         ORD
            Environmental Assessment

Environmental Scientist, Criteria      OW
           and Standards Division,
             Office of Water
             Regulations and Standards

Chief, Bio-Effects Analysis Branch,    OAR
           Office of Radiation Programs

Team Leader, Scientific Mission        OPTS
           Support Section, Toxicology
             Branch, Office of
             Pesticide Programs
Chief, Technical Services for Indoor
           Air Program, Office of Air
             and Radiation

Director, Air and Toxics Division
Chief, Regulatory Analysis Branch,
           Office of Standards and
             Regulations

Air Toxics Coordinator, Office of the
           Assistant Administrator

Environmental Protection Specialist,
           Office of Emergency and
             Remedial Response
OAR
Reg . 7
(Kansas
  City)

OPPE
OAR
OSWER
                               VI

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              Non - Cancer Health Effects Work Group
Marcia Williams
 (chairperson)

Don Barnes
Anne Barton
Gary Burin
Ila Cote


Joe Cotruvo



Alex Cristofaro


Kim Devonald


David Fege


Susan Goldhabee


Michael Gruber
Director, Office of Solid Waste          OSWER
Science Advisor, Office of the           OPTS
          Assistant Administrator

Deputy Director, Hazard Evaluation       OPTS
          Division, Office of
            Pesticide Programs

Toxicologist,  Science Integration        OPTS
          Staff, Hazard Evaluation
            Division, Office of
            Pesticide Programs

Toxicologist,  Office of Air Quality      OAR
          Planning and Standards

Director, Criteria & Standards           OW
          Division, Office of Drinking
            Water

Chief, Air Economics Branch, Office      OPPE
          of Policy Analysis

Oceanogsapher, Office of Marine and      OW
          Estuarine Protection

Section Chief, Policy Analysis Section,  OSWER
          Office of Solid Waste

Toxicologist,  Office of Drinking         OW
          Water

Director, Office of Policy, Planning     OSWER
          and  Information, Office of
            Solid Waste
Stephanie Irene
Bruce Jordan
Stacey Katz
Section Chief, General Toxicology        OPTS
          Section, Oncology Branch,
            Office of Toxic Substances

Chief, Ambient Standards Branch,         OAR
          Office of Air Quality
            Planning and Standards

Regulatory Impact Analyst, Office of     OPPE
          Policy Analysis
                                vn

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Carl Mazza


Hugh McKinnon


Paul Milvy


Bruce Mintz


Dorothy Pat ton


Harvey Richmond
Dale Ruhfcer
Science Advisor, Office of Toxic        OPTS
          Substances

Acting Director, Office of Health       ORD
          Research

Senior Analyst/Expert, Office of        OSWER
          Assistant Administrator

Biologist, Office of Drinking           OW
          Wa tec-

Executive Director, Risk                ORD
          Assessment Forum

Environmental Specialist, Ambient       OAR
          Standards Branch, Office of
            Air Quality Planning
            and Standards

Chief, Economic Analysis Staff,         OSWER
          Office of Solid Waste
Randy Smith


Larry Zaragosa
Chief, Hazardous Waste Policy
          Branch
Reg.  10
(Seattle)
Environmental Scientist, Office of      OSWER
          Assistant Administrator
                                Vlll

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                  Ecological Effects Work Group
Rebecca Hanmer
(Chairperson)

Dennis Athayde
Robert Bastian



Jay Benforado

Peter Caulkins



Wendy Blake-Coleraan



Dave Davis


Robert Davis


Charles Delos


Jim Gilford


Charles Gregg


Norbert Jaworski


Deborah Martin



Brian McLean



Jim Plafkin
Deputy Assistant Administrator
Chief, Non-Point Source Control,
         Office of Marine and
          Estuarine Protection

Environmental Engineer, Office of
         Municipal pollution
          Control

Ecologist

Environmental Economist, Economic
         Studies Branch, Office
          of Policy Analysis

Environmental Protection Specialist
         Office of Ground Water
          Protection

Deputy Director, Office of Federal
         Activities

Environmental Scientist
Environmental Scientist, Office of
         Regulatory and Standards

Chief, Environmental Effects Branch
         Office Toxic Substances

Special Assistant, Office of the
         Assistant Administrator

Director, Environmental Research
         Lab, Narragansett

Program Analyst, Program Operations
         Staff, Office of Solid
          Waste

Chief, Implementation Issues Staff
         Office of Program
          Development

Biologist, Office of Water
         Regulation and Standards
OW


OW



ow



ORD

OPPE



ow



OEA
Region 3
(Philadelphia)

OW
OPTS


OW


ORD


osw



OAR



OW
                                ix

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Mike Slimak           Chief,   Ecological  Effects Branch     OPTS
                               Office of  Pesticide
                                 Programs

Jim Weigold           Policy Analyst, Office of Air          OAR
                               Quality Planning and
                                 Standards

Robert Wolcott        Director, Economic  Regulatory          OPPE
                               and Analysis Division,
                                 Office of Policy Analysis

Robert Zeller         Policy Advisor, Office of Marine and   OW
                               Estuacine  Protection
                                x

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                Welfare Effects Work Group Members
Gerald A. Eraison
 (Chairperson)

Allen C. Basala
John Calcagni
 Jary J, Foley
Jeffrey A. Kolb
Peter j. Kuch
Robert E. Lee II
Ralph A. Luken
Mark A. Luttnesr
John L. Malanchuk
William B. O'Neil
?1ichael G. Shelby
Director, Office of Air Quality        OAR
           Planning and Standards

Chief, Regulatory impact Analysis      OAR
           Section, Office of Air
             Quality Planning and
             Standards

Chief, Economic Analysis Branch,       OAR
           Office of Air Duality
             Planning and Standards

Director, Acid Deposition and Atoms-   ORD
           pheric Research Division

Economist, Analysis and Evaluation     03WER
           Staff

Leader, Industrial and Natural         OPTS
           Resource Economics Section,
             Office of Pesticide programs

Chief, Regulatory Impacts Branch,      OPTS
           Office of Toxic Substances

Chief, Economic Studies Branch,
           Office of Policy Analysis   OPPE

Chief, Economic Analysis Branch,       OW
           Office of Water Regulations
             and Standards

Team Leader, Acid Deposition and       ORD
           Atmospheric Research
             Division

Economist, Economic Studies Branch,    OPPS
           Office of Policy Analysis

Economist, Air Economics Branch,       OPPE
           Office of Policy Analysis
                                XI

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Project Staff

Frederick W. Allen - Assoc.  Director,  Office of Policy Analysis
                                      (OPA), OPPE

Robert W. Fegley   - Senior  Analyst, OPA, OPPE (Cancer Work Group)

Stacey A. Katz     - Regulatory Impact Analyst, OPA, OPPE (Non-cancer
                                      Work Group)

Peter P. Caulkins  - Environmental Economist, OPA, OPPE (Ecological
                                      Work Group)

Michael G. Shelby  - Economist, OPA, OPPE (Welfare Work Group)

Deloris A. Swann   - Secretary, OPA, OPPE


Special thanks also due to Stuart L. Sessions (consultant)  and
Joan O'Callaghan (editor).
                                Xll

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                       EXECUTIVE SUMMARY
     When the Environmental Protection Agency (EPA) was established
in L970, the nation's most pressing environnental problems were
obvious.  Important polluters and pollutants we^re the visible
ones:  soot and smoke from caes and smokestacks, and the raw
sewage and chemicals from municipal and industrial wastewater.

     Since 1970 the nation has done much to abate the most visible
forms of pollution, but there is still much unfinished business.
Moreover, new problems have also been "discovered" or have
risen in importance, such as indoos radon, global climatic
change from the buildup of cacbon dioxide in the atmosphere,
acid precipitation and hazardous waste.  Many of these new
problems are difficult to evaluate, as they involve slow,
cumulative changes with very serious possible ultimate effects,
amidst considerable scientific uncertainty.  Many involve toxic
cheniicals that can cause cancer or birth defects at levels of
exposure that are hard to detect.  And many involve persistent
contaminants that can move from one environmental medium to
another, causing further damage even after controls have been
applied for one medium.

     The complexity and gravity of these issues make it particularly
important that EPA apply its finite resources where they will
have the greatest effect.  Thus, the Administrator of EPA
commissioned a special task force of senior career managers and
technical experts to assist him and other policy makers in this
task.  The assignment was to compare the risks currently associated
with major environmental problems, given existing levels of
control.  However, there was no thought that risks alone ought
to determine agency priorities.  Thus, the results of this
project cannot be used by themselves to set priorities.

Methodology

     In conducting the project, we organized and limited our
work in four important ways.  First, we divided the universe of
environmental problems into 31 pieces.  Each of the pieces
represents an environmental problem area defined along lines
corresponding generally with existing programs oe statutes.
FOB" example, some of OUE 31 problem areas a?e:  criteria air
pollutants, hazardous aitr pollutants, contaminants in drinking
water, abandoned hazardous waste (e.g., Supesfund) sites,
pesticide residues on food, and worker exposures to toxic-
chemicals .

     Second, we considered four different types of risk for
each problem area:  cancer risks, non-cancer health risks,
ecological effects, and welfare effects (visibility impairment,
materials damage, etc.).  Each type of risk was analyzed separately.
There were no decisions that one type was more important than
another, and we made no attempt to "add" risks for a problem
area across the four risk types.
                              X1JLL

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     Third, in view of the already massive scope of  the project,
we decided to li
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        o Problems that rank relatively high in cancer and non-
          cancer health risks but low in ecological and welfare
          risks include:  hazardous air pollutants; indooc
          radon; indoor air pollution other than radon; pesticide
          application; exposure to consumer products;  and
          worker exposures to chemicals.

        o Problems that rank relatively high in ecological and
          welfare risks, but low in both health risks  include:
          global warming; point and non-point sources  of surface
          water pollution; and physical alteration of  aquatic
          habitats (including estuaries and wetlands)  and
          mining waste,

        o Areas related to ground water consistently rank medium
          or low.

     In some respects, these rankings by risk do not correspond
closely with EPA's statutory authorities.   For example, in two
relatively high health risk areas SPA shares jurisdiction with
other agencies that have more direct responsibility:  consumer
products (the Consumer Product Safety Commission)  and  worker
exposures to toxic chemicals (the Occupational Safety and
Health Administration).

     The rankings by risk also do not correspond well  with
EPA's current program priorities.  Areas of relatively high
risk but low EPA effort include:  indoor radon; indoor air
pollution;  stratospheric ozone depletion;  global warming;
non-point sources; discharges to estuaries, coastal waters, and
oceans; other pesticide risks; accidental  releases of  toxics;
consumer products; and worker exposures.  Areas of high EPA
effort but relatively medium or low risks  include:  RCRA sites;
Superfund;  underground storage tanks; and  municipal non-hazardous
waste sites.

     This divergence between what we found in terms of relative
risks and EPA's priorities is not necessarily inappropriate.
Some problems appear to pose relatively low risks precisely
because of high levels of program effort that have been devoted
to controlling them.  And these high levels of attention may
remain necessary in order to hold risks to current levels.

     Overall, EPA's priorities appear more closely aligned with
public opinion than with our estimated risks.  Recent  national
polling data rank areas of public concern  about environmental
issues as follows:

     o High:  chemical waste disposal, water pollution, chemical
       plant accidents, and air pollution;

     o Medium:  oil spills, worker exposure, pesticides, and
       drinking water;
                              xv

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     o Low:  indoor air pollution,  consumes- products,  genetic
       radiation (except nuclear power),  and global warming.

     A final item resulting from the project is the agenda it
has given EPA for improving data and methods for performing
environmental risk assessments.   We have  found it impossible to
perform this project in a quantitatively rigorous fashion.  The
best information we have is on the  environmental causes of
cancer, but it is weak even here.  There  is a general  lack of
information on and attention to  welfare and ecological effects.
Exposure data are often poor in  all four  areas, even in problem
areas where major regulatory efforts are  under way.  No generally
accepted methods exist for assessing ecological or non-cancer
health effects.

     Despite the numerous difficulties involved in performing
this project, the participants are  confident in its general
results and are enthusiastic about  organizing environmental
protection more around the goal  of  reducing risks.  This study
should stimulate discussion among policy makers and the public
as to what EPA1s priorities should  be.  A collective resolve
that the debates about environmental policy should include more
information of the type in this  report would be a very significant
outcome of this project.
                             xvi

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                            CHAPTER I




                           INTRODUCTION










     The fundamental mission of the Environmental Protection




Agency (EPA) is to reduce risks - to health, ecosystems and



welfare.  When the EPA was established in 1970, Congress set




specific priorities based on the most visible polluters and




pollutants: soot and smoke from motor vehicles and smokestacks,



and raw sewage and chemicals from municipal and industrial waste-



water .




     Substantial progress has been made in controlling these more




visible problems, but much unfinished business remains.  Now "newer"




issues, such as hazardous waste, toxic air emissions, indoor



radon,  global climatic change and acid rain, beg for attention



alongside the old. ones.  It is not immediately clear which




problems pose the greatest risks and which should be given the



greatest priority by an agency that now administers nine major




statutes and has programs that address dozens of environmental



problems.



     This is why the EPA Administrator commissioned a task force



of senior career officials and technical experts staff to carry



out what became known as the "Comparative Risk Project."  The




objective was to develop a ranking of the relative risks associated



with major environmental problems that could be used as one of




several important bases on which EPA could set priorities.  Until




this project was launched, there was no systematic comparison of



the different risks the Agency is addressing or could address.

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     From the outset the project team recognized that it is



impossible to directly compare the risks of different environ-



mental problems.  While great amounts of information do exist,



the inconsistencies in the ways the data have been prepared,  the



data gaps and uncertainties, and the lack of an adequate risk



assessment methodology in some areas prevent a scientifically



precise analysis.  Great differences in types of damages also



hamper comparisons.  In the face of these problems, the project



team was often required to make professional judgments on the



basis of available data.  Because of these uncertainties the



results of this project should be regarded as not analytically



pure but rather as judgmentally correct and unlikely to be far



wrong.



     The project team was willing to make these judgments and



stand behind them because for the purposes of priority setting



absolute precision is not mandatory.  Sufficient precision to



allow a general comparative ranking is all that is needed.



Indeed, by its vesy nature, the process of setting agency priorities



is multifaceted and imprecise.  This report provides insight into



only one factor, risk, of the many which must be considered in



setting priorities.  Other factors are also critical.  Except as



noted, these factors were not studied in this project:



     0  the benefits to society of the activities that cause the



        environmental problems;



     0  the technical feasibility, likely effectiveness, and



        projected cost of available control options;

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     0  the nature and extent of current legislative authority



        and the mandate of political and public opinion to act



        on each identified problem (partly covered in this report);



     0  EPA's own ability to make a difference, as well as the



        extent to which effective action could be or is already



        being taken by others to address the problem; and



     0  the intangible aspects of the risks that people find



        important—the degree to which the risks are voluntary,



        controllable by the individual, familiar, generally



        accepted, equitable, etc., and the extent to which people



        value a resource for its own sake or for future generations.



     Within this context, the results of this project are intended



to serve as a guide to broad, long-term priority setting.  Depending



on how a problem appears against the criteria cited above, EPA's



response to a risk might involve one or more of the following



activities:



     0  conducting research to understand the problem and/or develop



        methods of control;



     0  disseminating information and educating the public;



     0  initiating or increasing program activity, such as issuing



        regulations, writing permits, or enforcing regulations



        and permits;



     0  asking or helping others (e.g., Congress, state and  local



        governments, individual citizens) to legislate or take



        appropriate action; or even



     0  taking no action, where the risk is low.

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     FOB these reasons, setting priorities will always require



managerial judgment.  It will also be a subject of public debate.



This report is intended to assist in those processes.



     This overview report discusses the general analytical approach



followed in the project and the specific methods used  to assess



cancer, non-cancer health, ecological and welfare risks (Chapter 2);



the (results of the comparative ranking of environmental problems



(Chapter 3); public perception of the environmental problems



(Chapter 4); and overall observations and recommendations (Chapter



5).  Four appendices include the detailed reports from individual



work groups on cancer, non-cancer health, ecological and welfare



risks.

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                            CHAPTER II



                 HOW THE ANALYSIS WAS STRUCTURED








A.   General Analytical Approach




     When planning began Eos this project in early 1986, the task



force made several important decisions about the general analytical




approach to be used.  They decided (1) to consider four major



types of health and environmental risks,  (2) to define a specific




set of environmental problems for which these risks would be




assessed, (3)  to focus on risks that exist today, (4)  to use both



quantitative data and expert judgment, and (5)  to set  common



analytical guidelines for analyzing the different risks.



(1)  Consider four major types of risk;  cancer risks, non-cancer



     health risks, ecological effects and welfare effects




     Many studies of risk associated with EPA programs have



tended to focus only on health risks, and more specifically on




cances risks.   Obviously, EPA's role is much bigger than that.



EPA is also legislatively responsible for protecting natural



ecosystems and the general public welfare as well as public



health.  Thus, the task force decided to look at four  major types



of risks that environmental problems present.  Each type of risk




was analyzed separately; no decision was made that one type is



more important than another and no attempt was made to "add"




across risk types.



°     Cancer risks, as examined in this study, are self-explanatory.



     Numerous chemicals are either proven or suspected to be




     human carcinogens, and people may come into contact with

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these chemicals through environmental  exposures.   In



certain instances, where data exist,  both cancer  cases  and



cancer deaths firora environmental issues were studied.



Non-cancer health risks span a very large range.   Toxic sub-



stances in the environment can cause numerous adverse health



effects in addition to cancer.  The project looked at eleven



types of effects: cardiovascular, developmental,  hematopoietic,



immunological, kidney, liver, mutagenic, aeurotoxic/behavioral,



reproductive, respiratory, and "other."  These adverse



health effects can range from acute (e.g., immediate pesticide



poisoning) to chronic (e.g., kidney disfunction from prolonged



exposure to cadmium).



Ecological effects on natural ecosystems result from both



habitat modification and environmental pollution.  Pollutants



of concern can range from toxics (e.g., mercury and pesticides)



to conventional pollutants (e.g., salt and sediment).   They



are produced by such diverse sources as runoff, effluents



and air deposition.  The ecosystems that they can affect



include salt water, fresh water, tesrestrial and avian



systems, both plant and animal.



Welfare effects include a variety of damages to property,



goods and services or activities to which a monetary value



can often be assigned.  These include natural resources



(e.g., crops, forests and fisheries),  recreation (e.g.,



tourism, boating), materials damage and soiling (e.g.,  building



materials), aesthetic values (e.g., visibility) and various



public and commercial activities.

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     While this four-part typology of risk reflects many of the




tangible characteristics of environmental risks,  it does not




reflect most of the intangible characteristics that people often



find just as important.  These include such qualitative aspects



as the degree to which the risks are voluntary,  controllable by




the individual, familiar or generally accepted.   Another important



aspect of environmental problems is equity.  Frequently environ-




mental problems affect some people or ecosystems  more than others




and the most efficient way of dealing with them  (the greatest




good for the greatest number at the least total  cost)  is judged



unfair to some.



     A related aspect that we did not fully consider because of



data limitations is the risks environmental problems pose to




what are often called "options values" and "existence values."




The benefits of something that has a use value are realized when



that thing is used.  In contrast, intrinsic, "nonuser"  benefits



are derived from something with option and existence values.  An



option value is based on the benefit of preserving the option to



use a resource in the future.  Existence value is based on the



knowledge that a resource merely exists or that  it exists in a




pristine form.



     In many instances, people value environmental quality to a



greater degree than the tangible benefits they derive from a




clean environment would seem to suggest.  This is because of the




intangible characteristics of the risks.  People  place intrinsic

-------
value on c r " .in environment.   The public's vehement insistence



on cleaning up contaminated ground-water aauifer-3 even when they



are not currently being used is an example of these important



intangible values.



     The fact that we did not  fully consider these intangible



characteristics in this project should in no way suggest that



they are unimportant.  In fact, a number of studies have found



that they are a significant componeit of what the public perceives



as the total value derived ftrom envieonnental protection.  Rather,



we did not fully consider them here .nerely because not enough



work has been done in this area to enable the project participants



to assess them fairly for all  the environmental problems examined



in the project.



(2)  Define a specific set of  environmental problems for the



     analysis



     The second key decision concerned how the universe of environ-



mental problems was divided up to be analyzed.  There are many



ways to slice the pie.  The most consistent ways to define environ-



mental problems are by sources (e.g., power plants or refineries),



by pollutants (e.g., sulfur dioxide os benzene), by pathways



(e.g., air or water) or by receptors (e.g., people or forests).



But we chose another approach.  We defined the problems on the



general basis of how the laws  are written and environmental



programs ace organized.  Since the goal of the project was to put



together a useful tool to compare the risks with which EPA is



concerned, the project team decided to draw up a list of envinon-

-------
mental problems that reflect how people think of the problems,

even though it turns out that people do not think of them in an

entirely consistent manner.

     The list of problems that the group chose to examine is

shown in Table 2-1.  Some of these problems are diffuse mixtures

of sources, effects and a variety of different problems.   This

has led to some "double counting" of risks in more than one

problem area.  For example, health risks from inactive hazardous

waste sites (problem area #17)  often result when people either

drink contaminated water or inhale volatile toxic chemicals.

Such health risks will be double counted by the drinking  water
  «
problem area (#15) or by the hazardous air pollutant problem area

(#2).  We made these definitional decisions because we thought it

important to define the environmental problems as they are commonly

perceived — that is, from a variety of overlapping points of

view.  The major instances of double counting are noted in the

body of the report.  Further definitions of the problems  are

given in Chapter III of this Overview Report.

       There is no special season why the group chose to  examine

exactly 31 problems (in theory it could have been 11 or 111).

The project team simply decided that a number between two and

three dozen represented an appropriate balance between the guest

for detail and the necessity of keeping the analysis manageable.

In this context, it is also important to note that how the universe

of environmental problems was divided up had an important effect

on the relative ranking of the problems.  The broader the category,

the more impacts it covers, and vice-versa.

-------
                            Table 2-1
      List of Environmental Problems Studied in This Project
                       (Not in Rank Order)
Reference
  Number              Environmental Problem
   1.     Criteria air pollutants from mobile and stationary
           sources {includes acid precipitation)
   2.     Hazardous/toxic air pollutants
   3.     Other air pollutants (includes fluorides, total reduced
           sulfur, substances not included above that e.iit :>dotrs)
   4.     Radon - indoor air only
   5.     Indoor air pollutants - other than radon
   6.     Radiation - other than radon
   7.     Substances suspected of depleting the stratospheric ozone
           layer - CFC' s ,  etc .
   8.     C02 and global warming


   9.     Direct, point source discharges (industrial/•etc.)  to
           surface water
   10.   Indirect, point source discharges (POTW's)  to surface
           water
   11.   Monpoint source discharges to surface water
   12.   Contaminated sludge (includes municipal and scrubber
           sludge)
   13.   To estuaries, coastal waters and oceans from all sources
   14.   To wetlands from all sources
   15.   From drinking water as it arrives at the tap (includes
           chemicals, lead from pipes, biological contaminants,
           radiation, etc.)


   16.   Hazardous waste sites - active (includes hazardous waste
           tanks) (groundwater and other media)
   17.   Hazardous waste sites - inactive (Superfund) (groundwater
           and other media)
   18.   Non-hazardous waste sites - municipal (groundwater and
           other media)
   19.   Non-hazardous waste sites - industrial (includes utilities)
           (groundwatec and other media)
   20.   Mining waste (includes oil and gas extraction wastes)
   21.   Accidental releases - toxics (includes all media)
   22.   Accidental releases - oil spills
   23.   Releases from storage tanks (includes product and petroleum
           tanks - above,  on and underground)
   24.   Other groundwater contamination (includes septic systems,
           road salt, injection wells, etc.)
                                10

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                     Table 2-1 (continued)
25.  Pesticide residues on foods eaten by humans and wildlife
26.  Application of pesticides (risks to applicators, which
       includes workers who mix and load, as well as apply,
       and also consumers who apply pesticides)
27.  Other pesticides risks, including leaching  and runoff of
       pesticides and agricultural chemicals, air deposition
       from spraying, etc.
28.  New toxic chemicals
29.  Biotechnology (environmental releases of genetically
       altered materials)
30.  Consumer product exposure
31.  Worker exposure to chemicals
                               11

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     Another point to note is that when we were able to, we tried



to take account of intermedia transfers and secondary effects.



Some pollutants easily cross the boundaries of environmental



media (e.g., air, water).  Sulfur dioxide (802) emissions are a



good example.  Our estimate of risk from criteria air pollutants,



including S02>  covers risks from SO? in the air (e.q., health



effects from breathing it), as well as damages Eirom the deposit



of sulfates on structures (e.g., materials damage)  and from



their eventual arrival in water (e.g., ecological damages from



acid rain).  Essentially, we attempted to follow the pollutant



"from the cradle to the grave."  Secondary effects occur when



pollutants such as SO? are chemically transformed by natural



processes after being emitted and do damage in a new form.



     While counting intermedia transfers and secondary effects



may have resulted in some double counting of effects (as the same



environmental problems are evaluated in different media) , it



should provide a more comprehensive assessment of comparative



risks.  Unfortunately, for some environmental problems data are



simply too scarce to allow for such a comprehensive assessment.



(3)  Focus on risks present now



     Because the intent of the project was to  identify areas of



unfinished business, we focused on risks that are present now,



or that are being generated by present activities.  We assumed



the maintenance of the existing environmental programs (i.e.,



their existing stages of development and at existing levels of



resources and compliance).  We thus examined residual risks rather
                                12

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than inherent risks (total uncontrolled risks)  or risks that have



already been or could be controlled.  We did not assume that all




current statutory and regulatory requirements are being complied



with; instead, we tried to judge the actual degree of compliance.



Put differently, we looked at where EPA might be able to have an




impact in the future, not where it already has  had an impact.



This assumption is v^cy important.  Many environmental problems




shorf up in this analysis as moderate or low risks precisely



because extensive controls are already in place and are being




maintained, often at considerable expense.



     Within these bounds, we decided .against putting strict




statutory or regulatory bounds on the analysis.  We assessed



environmental risks broadly "defined, whether or not EPA or some



other governmental agency had the mandate or the ability to




address them.  The advantage to this approach is that it can



point us toward areas we need to develop and seek statutory




authority to address.  In addition, it does not prejudge the




policy and legal issues related to EPA's regulatory authority.



Thus, foe example, we assessed environmental risks over which



other agencies have lead responsibility  (e.g.  worker and consumer



exposures).  Even in an area where EPA does have clear statutoffy



authority, such as in assessing the risks of abandoned hazardous



waste sites, we tried to the extent possible to address (1)  waste




sites that are currently on the National Priorities List, as well




as (2) sites that states are handling because they did not rank



high enough on the Superfund Hazard Ranking System.
                                13

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     Further, as mentioned in Chapter I, we looked only at risks,



and not at the feasibility or costs of controlling those risks.



Thus, we repeat, the information collected in this report is not



by itself sufficient to support an analysis of agency priorities.



(4)  Use both quantitative data and expert judgment



     The results* of this project can best be described as being



based on "informed judgment."  Frorn the outset we recognized



that the data available for this analysis are incomplete and of



highly variable quality.  For this treason, making very precise



quantitative comparisons is impossible.  In some problem areas,



trisk estimates exist only for a portion of the problem; for



example, to our knowledge no one has produced a nationwide estimate



jf the risks from abandoned hazardous waste (Superfiind) sites.



In some problem areas data exist on risks from one but not another



route of exposure.  In other problem areas, risk data may exist



for some chemicals but not others.  Even where data do exist on



risks, they have frequently been generated somewhat differently



and are therefore difficult to compare.  Thus, the we frequently



had to extrapolate risks from incomplete analyses and had to



compare estimates of disparate quality.



     In doing so, we took several precautions.  We collected



quantitative information available within the Agency, interpreted



the types and qualities of data, stated our assumptions, and,



finally, made educated judgments.  We also compared outr results



with those of other studies.  Because our use of qualitative



judgment was extensive, the results of  this study are not
                                14

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scientifically "reproduceable."  Nevertheless, we are generally



confident in the overall rankings, given the way the problem



aceas were defined.  in each case we have stated our confidence



in the data and in our judgments.



(5)  Set Common Analytical Guidelines



     To ensure consistency in the analyses, we t;ried whenever



possible to apply similar -nethods across the four areas when



estinating .-risks.  However, in many cases we .vere not able to do



this, and had to resort to our collective professional judgment.



In general, OUE attempts in this respect included using common



assumptions about emissions, exposure and dose/casponse relation-



ships; measuring effects whenever they occur from current problems;



and presenting the risks in terms of both the risk to the total



population and the maximum risk to an individual, where possible



and appropriate.



             a.  Using Assumptions About Emissions, Exposure and



                 Dose/Response Relationships



     EPA analyses have made differing assumptions about emissions



of various pollutants, the exposure that people, ecosystens and



objects receive and dose-response relationships.  Comparing estimates



generated under incompatible assumptions was difficult.  In some



instances where there were sufficient data, we tried to coordinate



assumptions.  Tn other instances, we sinply tried to judge the



magnitude of the bias produced by the incompatible assumptions



and compared risks without reworking the underlying quantitative



estimates.
                                15

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             b.   Measuring Effects Whenever They Occur From



                 Current Problems



     The time frame during which exposures (and subsequent damages)



occuir may bias an analysis either in favor of or against certain



problems.  For example;



     0  many of  the effects associated with various air pollutants



        take place at essentially the sane time as they are emitted



        into the environment;



     0  ground water contamination from hazardous waste sites may



        not affect human health for years, even decades, after



        contaminants have leached from a site.



     To facilitiate a fair representation of the damages from all



environmental hazards, we tried to estimate all the damages that



will occur from the problem as it exists now.  Instead of discounting



or using some other method of indicating time preference, we



simply presented damages in terms of their magnitude, sometimes with



a notation about the time at which they occur. 'If, for example,



damages from exposure to various air pollutants begin to accrue



in year 1, while those associated with Superfund sites do not begin



for 30 years, we simply recognize those facts, without any accompanying



judgment on their policy importance.



     Just as there may be a time lag between emissions and exposure,



there may also be a time lag between exposure and damages.



Latency, which is the time lag between exposure and final



effect, has been a very controversial issue, particularly for



carcinogens.  It is also relevant to mutagenic and certain repro-
                                16

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ductive effects.  Latent effects should not be confused with



damages from chronic exposures, which require long periods of




exposure before effects atre noted.  We have chosen again to



assess damages whenever they will occur from current environmental



problems, and thus do not discount latency periods.



             c.  Considering Total Population and Maximum Individual




                 Ris ks




     The first priority in this project was to evaluate risks to



the total population.  However, the cancer and non-cancer work



groups characterized both the risk to the total population and




the risk to the most exposed individual.  Foe certain environmental



problems only a relatively small number of people may be exposed




(e.g., pesticide applicators);  however, the risks those individuals




face may be significant.  Therefore,  we were interested in descriptions




of both aggregate population and individual risk.






  B.   How the Project Was Organized  - The Four Work Groups



       The general analytical approach determined how the project



would be organized.  Four work groups — on cancer, non-cancer



health effects, ecological effects and welfare effects -- were



established and given the task of ranking the 31 problem areas



according to each type of risk.  The  work groups were given the



common analytical ground rules discussed in the previous section,




but were otherwise left to develop their own approaches to ranking.




       The work groups were selected  with great care.  Each was




chaired by a senior EPA official who  had many years of Agency
                                17

-------
experience covering multiple program areas.   The work group

chairpeople were:

        o Cancer: Don Clay, at first Director of the Office of
          Toxic Substances, and now Deputy Assistant Administrator
          for Air and Radiation;

        o Non-cancer: Marcia Williams, Director of the Office of
          Solid Waste;

        o Ecological: Rebecca Hanmer, Deputy Assistant Administtrator
          for Water;

        o Welfare: Gerald Edison, Director of the Office of Air
          Quality Planning and Standards,

Each wock group had at least one representative from each of SPA1s

program offices.  /The work groups had expertise appropriate to their

subject areas.  For the most part, health scientists were on the

cancer and non-cancer groups, biological scientists were 0.1 the

ecological group, and the welfare group consisted mostly of

economists.f Most of  these individuals were either managers or

senior scientists who were chosen because of their extensive

knowledge of data and methods for assessing risks in their

program areas.

     Although each work group devised its own approach to

assessing risks and ranking the 31 problem areas, there were

some similarities among the processes that each eventually

followed.  All of the work groups proceeded through three basic

steps:

     1.  Agreeing on  an overall conceptual approach fotr comparing

         risks among  the problem areas.  For cancer and welfare

         effects  this task was more straightforward than for
                              18

-------
    the other two groups.   Standard or agency-approved




    methods already existed for assessing cancetr risks and



    for valuing welfare damages.  Common denominators for



    comparing cancer risks (numbers of cases)  and welfare



    effects (dollar losses) also already existed.  Developing



    the conceptual approaches in the non-cancer and the




    ecological areas was much more difficult.



2.   Accumulating and organizing existing data  on Brisks foe




    each problem area.   Each work group prepared "sum-nary




    sheets" on the 31 problem areas, typically describing



    existing information on risks, sources of  data and




    major uncertainties.  The summary sheets were prepared



    by the program office nost knowledgeable about each




    problem area, and they were then circulated to the




    entire work group to provide a common base of information



    fos ranking the problem areas.



3.   Combining the data from the summary sheets with the judg-




    ment of work group members to produce a relative




    ranking of the problem areas.  In all four work groups,



    gaps and uncertainties in the available quantitative



    information made it impossible to produce  a purely



    objective ranking.   The groups typically had data on



    only portions of environmental problem atreas, e.g., on




    some chemicals, some exposures, some health effects,




    or some impacts.  The four groups each had to face the




    issue of how to extrapolate from the portion of the




    problem that they could assess to the likely extent of




    the entire problem.




                         19

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     The differences in how the work groups approached  their



tasks were largely the result of the characteristics  of the risk



areas they studied and the available data.   For  instance,  as



outlined in the following section of this chapter,  the  non-



cancer and ecological groups dealt with many different  effects.



The non-cancer group developed a special severity index to help



rank problems.  The ecological gcoup created a special  panel  of



outsile experts to help organize their data.



     Throughout this process, the work g;?oup chairpersons



sought to create conditions that would make the  judgments  as



informed, expert and systematic as possible.  The work  groups



successfully developed a spirit of striving for  objectivity in



this project; the participants generally have not pursued



parochial interests or sought to make their own  programs "look



good."  Work group judgments have all been arrived at collectively.



     Central direction for the work groups, on matters  such as



the project schedule, common definitions of problem areas  and



methodological ground rules, was provided from three sources.



First, Richard Morgenstern, Director of the Office of Policy



Analysis (OPA), provided overall coordination for the project.



Second, one OPA analyst was assigned to each work group to serve



as a primary staff member and to provide linkage among  the work



groups.  Finally, the four work group chairpersons and  Dr.



Morgenstern met frequently to compare progress and resolve



crosscutting issues.
                               20

-------
     The entire project took about nine months.  Significant



amounts of managerial and staff time were spent on it.  Besides



providing a sense of the comparative risks of various environ-



mental problems and a basis for establishing better environmental



priorities, the project was an especially valuable experience



for the participants, many of whom knew relatively little about



environmental problems beyond those in their own program areas



when they stasted this project.



     The next section of tnis chapter summarizes the methods used



by each of the four work groups to rank the 31 problem areas and



their results.





C.    Specific Approaches of the Workgroups and Results



     (1)   Cancer Ri.sk



     In one sense, the cancer work group faced an easier task in



comparing the risks of the 31 environmental problems than did



the other work groups.  A basic method for assessment of



carcinogenic risk has been adopted by the Agency.  Furthermore,



the agency has generally followed a policy of aggregating different



forms of cancer with the exception of skin cancers.  The result



was that the work group began this project with a base of a



single common currency for comparing disparate environmental



problems, and an approved procedure for estimating this quantity.



     The work group initially aimed to assess the cance? incidence



associated with environmental exposures to carcinogens for each



of  the 31 problem areas.  As was true for some of the other
                               21

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several environmental problems.   Wetlands and estuaries (environ-



mental problems 13 and 14)  were eliminated from consideration



as their inclusion would necessitate double counting.   It was



assumed that the cancer risk attributed to these environmental



problems, largely through the consumption of contaminated



seafood, would be captured by other problems which investigate



discharges into surface and ground waters.



     Because this project drew only on existing quantitative



information, and did not involve research to generate new



information, the group had to do without quantitative information



on several programs that do not generally conduct cancer risk



assessments.  In general, it was the consensus of the committee



that these environmental problems posed relatively low cancer



risks, but the reader should be aware that this assessment may



be biased by a lack of quantitative information.  Problems that



fell into this category were direct and indirect point source



discharges to surface waters (#9 and #10), and other groundwater



contamination (#24).



     There were three environmental problems for which no cancer-



risk could be identified.  "Other air pollutants" (13) were not



considered in this analysis, as it was assumed that carcinogenic



air pollutants, by definition, would be captured under problem



#2 (hazardous/toxic air pollutants).  While the implications of



C02 and global warming (#8) may be large for the ecological



and welfare assessments, no information on how this problem may



increase cancer incidences is known.  Finally, no cancer risk



was identified for biotechnology (#29).
                               22

-------
     The first phase of this exercise involved the compilation



of the results of existing analyses to estimate cancer risks



for each of the remaining environmental problems.  In general,



this information was taken from risk assessments performed in



support of specific regulatory activities performed by the Agency.



Individual committee members from each program office took



responsibility for gathering information specific to each



environmental problem.  This information was then condensed



into short summaries of the cancer risk information for each of



the environmental problems investigated.



     Each of these summaries begins with a short definition of



the nature of the environmental problem, describing the boundaries



and giving examples of the problem to the extent possible.



This is followed by a discussion of the specific contaminants



assessed, and the reasons why these substances were chosen.



Following this introductory material, each summary outlines the



methods by which quantitative risk estimates were developed.



Cancer potencies, where different from the approach taken by



EPA's Carcinogen Assessment Group (CAG), are presented, along



with an explanation of why a different approach was taken.  In



the cases where risk estimates are based on "non-CAG" methods,



comparisons are made to the model used by CAG.  Methods used to



estimate exposure are also outlined in this section of the



summary, including the extrapolation from specific exposure



situations to nationwide estimates, whether contaminant concen-



tration estimates are based on measured or modelled data, and
                               23

-------
what assumptions are made with respect to human intake of air,



food, or water.   The final section of each summary presents the



results of the risk assessment for both population and maximum



individual risk, where possible.



     Throughout the summaries, uncertainties and caveats specific



to each environmental problem are addressed as they arise in



the discussion.   Where there are particular uncertainties



and/or caveats that do not easily fit into -the structure of the



summary, they are addressed at the end of the discussion of the



environmental problems.



     These summary estimates of cancer risks by problem area



provided an initial basis for ranking the problem areas.  The



ranking could not, however, simply follow these quantitative



estimates mechanistically.  The estimates fell short of the



ideal in a number of respects.



     1.  Risk estimates in different program areas were not



         directly comparable.  They often relied on different



         models and reflected differing degrees of conservatism.



         Some relied on epidemiologically-developed potency



         estimates, some on data from animal studies.  Some



         estimates were clearly of better quality and more



         certain than others.



     2.  Many of the estimates of risks in a problem area were



         incomplete, covering only some of the carcinogens or



         some of the exposures comprising the entire problem



         area.  Some environmental problem areas, such as radon
                               24

-------
         (#4), were based on nationwide assessments of the issue,



         theoretically accounting for 100% of the problem.  On



         the other hand, the estimate for inactive hazardous



         waste (Superfund)  sites (#17)  was an extremely rough



         nationwide extrapolation from limited data,  covering



         only exposures via drinking water.   And for  worker



         exposure to chemicals (#31), risk estimates  were



         generated for only four of the thousands of  potential



         workplace carcinogens,  and no attempt was made to develop



         a quantitative nationwide risk estimate.



     3.  Finally, all of the estimates were  subject to.the massive



         and well known uncertainties inherent in quantitative



         cancer risk analysis, inter-species comparison,  choice of



         low dose extrapolation  model, estimation of  emissions,



         ambient concentrations  and exposures, etc.



The result was that the work group had to do a great  deal of



qualitative weighing of the quantitative evidence in  order to



produce a ranking of problem areas.



     After the group gathered the quantitative risk estimates,



it reviewed the information presented on each of the  environmental



problems.  A full-day work group meeting was held.  The first



part of this meeting was devoted to a discussion of the information



presented, focusing on specific  questions about the methods



used by program offices to estimate risks for each environmental



problem.
                               25

-------
     The work group then systematically worked  through each  of



the problems and ranked them as to their relative severity.



The ranking depended upon the available quantitative risk



estimates, a judgment about how risk for an entire problem area



related to the risk for these portions of the problem that had



been covered in the estimates, and a judgment about the quality



and certainty of these estimates.   In a number  of instances,



the work group ranked problem areas in a manner different than



the quantitative estimates alone would suggest.



     The work group based its ranking of environmental problems



primarily on population risk.  In general,  regulation of environ-



mental problems may be warranted by either  high population or



high individual risks.  Exposure of large numbers of individuals



to relatively small cancer risks may result in  an unacceptable



number of "expected" cancers associated with an environmental



problem.  Conversely, very high excess cancer risks to even  a



few individuals may prove unacceptable, even if the expected



number of cases is small.  The work group decided to recognize



the importance of high individual risks, not in the basic



rankings, but by separately noting those problems with very



high potential risks to individuals.



     The first stage of the ranking was performed in terms of



general qualitative categories (i.e., high/medium/low).  When a



consensus was reached at this level of specificity, ordinal



ranking of each problem was undertaken, with pairwise comparisons



used within categories to ferret out differences between closely
                               26

-------
ranked problems.   Following this meeting,  the ranking results



were circulated for review by the committee.   Work group members



reviewed the results, generated additional information on some



problem areas, and reconvened to produce the  final rankings.
                               27

-------
The five categories represent decreasing magnitude of cancer r:
the highest relative risk, and Category 5 representing problem
Problems are also ranked numerically within each category.
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                                                  34

-------
     (2)  Non-Canceg Risk



     The non-cancer group had to develop a special approach for



raakiag the 31 environmental problems reflecting the relative



magnitude of the different non-cancer health risks associated



with each problem.  The methodology addressed a number of



complex iss'ues relevant to evaluating non-carcinogenic health



risks.



     There are thousands of different chemicals in the environ-



ment that may cause adverse human health effects.   Little is



known about the toxicological properties of most of these



chemicals; only a few have good infornation on health endpoints,



potency and hu^an exposure.  Nevertheless, the work group was



interested in all of these factors.



    Different chemicals produce different adverse effects,



ranging from effects of lesser concern (e.g., dental mottling



from fluoside in drinking water) to severe ones (e.g., death



from pesticide poisoning).  Entirely different health effects



may arise from a single chemical when exposure occurs at different



levels or by different routes.  Effects for a given dose may



differ depending on whether the exposure was acute, subchronic,



or chronic.  Different individuals may react differently to the



same chemical; some substances at typical ambient concentrations



are of concern only to sensitive subpopulations such as asthmatics



or infants.  And, a health effect may even be more specific, fo*



example depending on whether or not the asthmatic is exercising.
                               35

-------
     In short, to the extant we do have knowledge about non-cancer



health effects from toxic chemicals, it is highly particularized



and difficult to aggregate.   In constsast to analyzing cancer



OE welfare effects, there is no accepted common denominator



by which to compare different health effects.  Because of



thresholds instead in non-cancer does-response functions, ve



can Tiake no simplifying linear assumptiois to --illow us to



aggregate non-cancec effects ovec tine and oves people.



     EPA has therefore had great difficulty in analyzing non-



cancer health effects, and has not yet been able to develop



the guidelines on how to assess rrisks feo
-------
severity.  And, the shape of the dose response function at



levels above the RfD probably varies substantially across



chemicals.



     As a result, the non-cancer effects work giroup had to



break new ground to compare the non-cancec risks associated



with major  environmental problem areas.   With established



methods and data lacking, the work group relied extensively on



its judgment.



     Shortly after starting this project, it became cleatr to the



work group that the 31 problem areas involved numerous different



substances with the ability to cause numerous different health



effects.  There appeared to be no strong pattern to the sorts



of health effects associated with a particular environmental



problem; the association was much stronger between health effects



and specific chemicals, with a problem representing the sum of



the diverse effects caused by its component chemicals.  The



work group made an early decision to focus on a limited number



of substances associated with each environmental problem that



are representative of the problem and are reasonably well



understood.  The work group would then scale up from the



representative substances to the entire problem.



     The work group developed a format for recording existing



data on representative substances.  These summary sheets were



prepared for nearly all of the 31 environmental problems.  The



summary sheets included the following information:
                               37

-------
     o  A selection of 3-6  substances  to represent  the environ-
        mental problem, and a  description of the rationale for
        selecting these substances.

     o  An estimate of the  proportion  of risk associated with
        the entire problem  that is accounted for by the selected
        substances.

     o  Data on health endpoints,  levels of toxicological
        concern (e.g., RfD, NOEL,  etc.), ambient concentrations,
        exposed populations,  incidence and other information
        bearing on the magnitude and severity of the risks from
        each selected substance,

     o  Sources and methods for tiie data on the selected sub-
        stances.

     The work group aimed to assess the risks from  each selected

substance via a logic akin  to  that used in calculating the

number of cases expected from  a chemical:

               Exposure   x    potency   =    Incidence

The differing health effects caused by a single substance could

then be aggregated into a total risk from that chemical through

use of a severity index.

     The data available on  health effects from and  exposures to

toxic substances were far from adequate to perform  these calcu-

lations in a guantitatively precise way.  Exposure  or potency

data were frequently not available for the substances of interest.

When data were available, they were of highly variable quality.

They were often generated using different and incompatible pro-

cedures by different programs, and they reflected very different

degrees of conservatism.

     The work group added its judgment to these data and developed

a semi-quantitative scoring system with which to represent key

attributes foy each selected substance.  Scores were developed

to cover:
                               38

-------
o  The severity of the health endpoints caused by the sub-
   stance.  Severity indexes have been developed in many
   ways, and they are invariably controversial.   One
   approach that has been used estimates severity in
   economic terms, reflecting the lost earning power and
   added medical expenses associated with different
   diseases.  Another approach relies on polling people
   about which health effects they would least like to
   •suffer.  For this project, a subcommittee of  health
   scientists developed a severity index reflecting
   primarily a judgment Vnout the extent to which the
   health effect was life threatening and secondarily
   about whether it was permanent, reversible and manage-
   able therapentically.

   Over 100 health endpoints associated with the selected
   substances were scored from 1 (mild) to 7 (very severe)
   through use of this index.  A few of the mild health
   effects, with scores of 1 or 2, included:  non-infectious
   herpes, increased.1iver enzyines, reduced corneal
   .sensitivity and dental motthing.  Some of the severe
   health effects with scores of 6 or 7 included:  kidney
   o.r liver necrosis,  emphysema, teratogenic i ty and mortality.
   This scale of 1-7 was ultimately converted to a scale of
   1-4 to be comparable to the other two factors.

o  The population exposed to the substance.

   The exposed population was converted into a score ranging
   from 1 to 4 as follows:

         Population score        Number of people exposed

               1                         <1000
               2                     1000 - 100,000

               3                  100,000 - 10,000,000
               4                       >10,000,000

o  The potency of the substance at the ambient concentration
   or dose to which this population is exposed.   This
   potency was represented by the ratio between  the ambient
   concentration at which exposure occutrs and the RfD for
   the substance.  The higher this ratio, the greater the
   probability of the health effect occurring, or the greater
   the potency.  This  ratio can also be thought  of as an
   index of the individual risk at a specific ambient
   concentration of a  substance.
                          39

-------
        Here also a score ranging from 1  to 4 was developed:

              Ratio score             Ambient dose divided by RFD

                   1                           1-10
                   2                           10  - 100
                   3                           100-1 ,000
                   4                             >   1 ,000

        Developing this scone also was highly controversial.
        The wo^k group implicitly assumed that dose-response
        functions for different chemicals have the same shapes
        and slopes.  In effect, the work group issumed  that a
        dose of ten times the RFD is tvice as bad as a  dose OL
        five times che RFD,  no matter what the chemical.

We tried to develop these three scores consistently for all the

selected substances.  We used a different method when available

data covered incidence of a  health effect from a substance

rather than exposure and potency (for exanple,- when we  had data

on numbers of pesticide poisonings orr on numbers of deaths fcon

accidental releases of toxics).  When data on individual

substances was lacking, the  work group used its best judgment

to score a problem area as a whole without reference to its

component substances.  In a  few other cases when available

information was minimal, the entire problem area was ranked

without developing component scores.  Finally, we did not sank

at all some problem areas where we could not deelop any way to

estimate risks.

     We combined these three scores -- representing the severity

of the endpoints, the exposed population, and the likelihood of

an effect given an exposure  -- in various alternative ways to

produce tentative risk rankings of substances and of problem

areas.  We paid special attention in sensitivitiy analysis to
                               40

-------
ascetr taining whether ranking by individual risk would yield



results much different from ranking by population risk.   It did



not.  In addition, different approaches were used to aggregate



scores from selected substances into scores for an entire



problem.  With different approaches, a few problems (hazardous



air pollutants, drinking water, worker and consumer exposures)



moved between the medium and high risk categories.  All  were



ultimately ranked high.



     We reviewed the various tentative rankings of problem



areas and developed our own qualitative ranking of problem



areas that was consistent with most of the tentative rankings.



We assigned problem areas to categories of high, medium  or low



non-cancer risks.  The available quantitative data underlying



the scores suggest that there is about a 2+ order of magnitude



difference in risk between each sucessive risk category.  As a



final step in the ranking, we adjusted the rankings slightly to



reflect the quality of data on each problem and the proportion



of each problem and the proportion of each problem we had



covered with the substances we studied.
                               41

-------
                                           Table  2-3
                         Relative Ranking of Environmental Problem Areas
              Problem Area
 Level of
Confidence*
% of Problem
  Covered*
High Non-Cancer Risks

  Criteria air pollutants (#1)
  Hazardous air pollutants (12)
  Indoor air pollutants - not radon (#5)
  Drinking water (#15)
  Accidental releases - toxics (#21)
  Pesticide residues on food (#25)
  Application of pesticides (#26)
  Consumer product exposure (#30)
  Worker exposure to chemicals (#31)
  High
  Medium
  Medium
  High
  High
  Medium
  High
  Medium
  High
  30-100
    <3
  30-100
  30-100
  30-100
    <3
   3-10
   3-10
    <3
Medium Non-Cancer Risks

  Radon - indoor air (#4)                       Low
  Radiation - not radon (#6)                    Medium
  UV radiation/ozone depletion (#7).             Low
  Indirect discharges (POTWs) (#10)             Medium
  Non-point sources (#11)                         —
  To estuaries, coastal waters, oceans (#13)    Medium
  Municipal non-hazardous waste sites (#18)     Medium
  Industrial non-hazardous waste sites (#19)    Low
  Other pesticide risks (#27)                   Medium
                    30-100
                    30-100
                    30-100
                     3-10

                    30-100
                    10-30
                    30-100
                    10-30
Low Non-Cancer Risks

  Direct discharges (industrial) (#9)
  Contaminated sludge (#12)
  To wetlands (#14)
  Active hazardous waste sites (#16)
  Inactive hazardous waste sites (#17)
  Mining waste (#20)
  Releases from storage tanks (#23)
  Medium
  Medium

  Medium
  Medium
  Low
   3-10
  30-100

  10-30
  10-30
  30-100
Unranked

  Other air pollutants (#3)                       —                —
  C02 and global warming (#8)
  Accidental releases - oil spills (#22)          —
  Other ground-water contamination (#24)          —
  New toxic chemicals (#28)                       —                —
  Biotechnology (#29)                             —

* For some problem areas, the work group did not believe it had sufficient
  information to fill out these columns.
                                      42

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(3)  Ecological Risk





     No generally applicable methodology for evaluating



ecological risk currently exists.  The workgroup therefore



undertook to develop a pragmatic methodology for evaluating



ecological risk that incorporated a structured logical



process and featured frequent, open debate among workgroup



members.  The development and refinement of methodology



took place over the course of several months as the workgroup



conducted successive rankings of the environmental problems.



     This process took place in three phases.  The workgroup



began by conducting an initial assessment that included a



redefinition and modification of the list of environmental



problems to be evaluated, and evaluated the risks of those



problems to a set of ecological systems and other objects



of concern.  At the end of this phase, at the request of



the workgroup, the Cornell Ecosystems Research Center



convened a panel of scientific experts to conduct an independent



evaluation.  While the expert panel determined that, principally



for lack of adequate information, it could not rank the problems



as such, the panel did provide an evaluation of the potential



for effects on ecological systems presented by various



environmental stresses.  To do this, the panel prepared a



list of stress agents and a set of ecosystems against which



the potential impacts of the stress agents would be assessed.



The panel also developed and applied the concept of scale of



impact of risk (local ecosystem, region, biosphere).





                              43

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The workgroup benefit ted greatly from this approach and



employed much of it.



     In the third phase of activity leading up to its




final ranking, the workgroup settled on the methodology



that it applied for this ranking.




     There follows a  more detailed statement of how the




workgroup approached  its task and developed a methodology



and rankings of the ecological risks associated with a set



of environmental problems.




     o   The workgroup modified the initial list of




environmental problems by dropping five which presented




little or no ecological risk (e.g., indoor air pollution);



by combining other problems whose risks could usefully be



assessed together (e.g., all point source discharges to water,




both direct and indirect); and redefining other problems to



account better for ecological risk (e.g., redefining




discharges to estuaries, near coastal waters and wetlands



as physical modification of aguatic habitat).  The resulting



list contained 22 problems (Table 3 of the workgroup report).



The workgroup noted that the original list (as well as the



modified list) included disparate and overlapping environ-



mental problems of different magnitudes, and that this tends




to bias the rankings.




     o   A task that  the workgroup addressed early was to



define a set of ecosystems against which the ecological risk



presented by the problems could be evaluated.  For its first
                               44

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ranking, the workgroup developed and used 19 categories of



ecosystems and other objects of ecological concern.  In its



final ranking, following the lead of the expert panel, the



workgroup used the panel's reasonably similar breakout into



16 ecosystems of concern (4 freshwater, 3 marine and



estuarine, 4 wetland and 5 terrestrial).



     o   The expert panel, in its evaluation of the potential



risk to ecosystems, broke out the types of stress agents



associated with the problem list into 26 airborne, waterborne



and other stress agents (for example, waterborne toxic organ-



ics, radionuclides, gaseous phytotoxicants).  The workgroup



used this categorization of stress agents in its final ranking.



     o   As noted above, the panel had developed geographical



scales of potential impact of stress agents.  The stress



agents' impacts could be on local ecosystems, on broader



geographical regions or on the entire biosphere.  In its



final ranking, the workgroup applied this scalar concept.



It did not, however, attempt to formulate a precise defini-



tion of the lines between these scalar categories.  The



workgroup did not, for instance, set a radius or other



specific boundary between local and regional risk.



     o   To evaluate and rank the estimated  ecological



impacts that actually derive from the 22 problem areas



(as distinct from assessing the potential impact of parti-



cular stress agents on individual ecosystems), problem-



related information was needed concerning the sources and
                             45

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extent of emissions and discharges from individual problems,



and especially information concerning exposures of ecosystems



created by those problems.  Ideally, this would include the



geographical extent and location of exposure, its intensity,



the length and frequency of exposure, and other factors.



For this purpose, papers were prepared for the workgroup



for each of the 22 problems.  The workgroup used the infor-



mation and judgments contained in these papers, as well as



its own individual and collective knowledge.  It is important



to recognize that the information available was of variable



depth and duality, and weak in many problem areas.



     o   To assess the ecological risk that derives from



the various environmental stresses presented by an individual



problem, workgroup members were asked to take into account in



their individual ratings the basic changes that environmental



stresses would cause in the structure and functions of the



ecosystems being evaluated, as well as the reversibility of



the impact and time required for the ecosystem to recover



once the stresses were removed.  The workgroup did not



settle on a prescriptive or quantitative approach as to the



weight that should be given these factors, or how to sum



up impacts estimated to occur in varying degree across the



range of exposed ecosystems.  The individual rankings given



by workgroup members were tabulated according to overall



classifications of high, medium and low.  A cluster analysis



of these rankings showed good agreement, and consensus
                              46

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supporting the final rankings was reached in subsequent



discussion.  The workgroup also grouped the environmental



problems according to scale of impact.



     0  The workgroup attempted to rank problems with the



high-medium-low groupings.  This resulted in dividing the



problems ranked high into three rank groups and the problems




ranked medium into two rank groups.  Problems were not




ranked within the six resulting rank groups.  Three problems



were not ranked because of the extent of uncertainty as to



the severity of risk.



     o   The workgroup gave some effort to trying to rank



ecosystems according to their inherent vulnerability to




damage from environmental stresses.  The workgroup concluded




that this was not a useful approach.  Even though some




ecosystems tend to have about the same degree of resilience



to different kinds of stresses, many (and perhaps most)



ecosystems react differently to different kinds of stresses.



     o   To sum up the workgroup approach/ the workgroup




evaluated and attempted to rank the ecological risk posed



by 22 environmental problems by estimating the significance



of the impact of those problems on a set of ecosystems and



on broader geographical regions and the biosphere.  The



estimated impacts are those that occur under current



conditions of control as a result of exposure to the stress




agents produced by the set of problem sources.
                             47

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                          Table  2-4
             Summary Ranking of Ecological Risks
Rank   Environmental
         Problem
  Rationale for Ranking Position1
      Stratospheric ozone
       depletion (7)

      CC>2 and global
        warming (8)
      Physical alteration
       of aguatic habitats
       (13/14)

      Minina, gas, oil
       extraction and
       processino wastes
       (20)
Intensity of impact;  High (can
 severely damaae all natural systems,
 particularly primary productivity).
Scale of impact;  Mospheric
Ecosystem recovery;  Recovery period
 extremely long; inpacts mav be
 irreversible.
Control;  Effective controls reguire
 coordinated, international effort
 that will be very difficult to
 obtain.
Uncertainty;  Fffects of ozone
 depletion uncertain; ecological
 response to global warming is well
 characterized.  PatP and timina
 of the problem is uncertain.
      Criteria air
       pollutants (1)

      Point-source
       discharges (9/10)

      Nonpoint-source
       discharges and
       in-place toxics in
       sediment (11)

      Pesticides (25/27)
Physical risks from problems *13/14
and #?0 are similar, except #20 in-
cludes terrestrial impacts.
Intensity of impact;  Hiah (can
 both degrade and comnletely
 destroy ecosystem structure and
 functions).  Mining poses severe
 impacts on water ecosystems.
Scale of impact;  Local to regional.
Ecosystem recovery;  Physical impacts
 are generally irreversible.
Control;  Low degree of controll-
 ability.
Uncertainty;  High degree of cer-
 tainty associated with effects.
While problems #1, #9/10, 11, and
#25-27 do not share common charac-
teristics, they are rank-qrouped to-
gether »
Intensity of impact;  High (tend to
 directly affect ecosystem functions
 and indirectly affect ecosystem
 structure).
Scale of impact; Local and regional.
Ecosystem recovery; Impacts are
 generally reversible.
Control; Degree of control varies
 among the problems in this rank
 group; more controllable than rank
 group #1.
Uncertainty;  Some uncertainty, but
 much is known about these effects.
1 Problems are presented in numerical order within each category
  of rank; no ranking inference should be made within these categories.
  The numbers in parentheses following the problems are those used in
                                                 48

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                Summary Rankina of Ecoloqical Risks
Rank   Environmental
         Problem
  Rationale for Raakinq Position^
      Toxic air pollutants
       (2)
Intensity of impact;  Medium. Grow-
 ing evidence to indicate that toxic
 air pollutants responsible
 for ecological damage.
Scale of impact;  Local to regional ,
Ecosystem recovery;  Unknown.
Control;  Unknown, but likely to be
 difficult
Uncertainty;
                                            Substantial.
      Contaminated sludge
       (12)

      Inactive hazardous
       waste sites (17)
      Municipal waste
       sites (18)

      Industrial non-
       hazardous waste sites
       (19)

      Accidental Releases
       of Toxics
       (21)

      Oil spills (22)

      Other ground water
       contamination
       (24)
These problems overall have localized!
 releases and effects                 I
Intensity of impacts; Medium (many
 sources; impacts.generally low, but
 can be high locally).
Ecosystem recovery;  Uncertain.
Control;  Variable.
Uncertainty;  Moderate
      Radiation other
       than radon (6)

      Active hazardous
       waste sites (16)
      Underground Storage
       tanks (23)
These problems are characterized
by few large releases, a high
degree of control for #6 and #16.
Intensity of Impacts; usually low
though could be moderate to severe
locally in unusual circumstances.
Scale of Impact;  local
Ecosystem recovery; uncertain
Uncertainty; moderate
                                 49

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(4)   welfare Effects



     The Welfare Effects work group began by filling out a set of



fact sheets that detailed the types of welfare risks related to each



of EPA1s programs.  The fact sheets briefly describe each environ-



mental problem, note the studies that have been conducted on



the welfare effects the problem poses, prresent an estimate "of



the damages expected (ream the problem, and point oat any serious



methodological limitations of the studies the damage estimate



is based on.  To draw out relevant studies and data and to ensure



the accuracy of the woirk groups' conclusions, we circulated the



fact sheets to all of the relevant program offices for review and



comment.



     Because one goal of this project was to generate cross-



fertilization between program offices, we grouped the fact



sheets by type of welfare effect, instead of along programmatic



lines.  The topics we examined encompassed the full range of



welfare effects:  soiling and other material damages; recreation;



natural resources; damages to other public and commercial prop-



erty and ground-water supplies, and losses in aesthetics and nonuseir



values.  These fact sheets formed the basis for the body of the



report.



     Before ranking the environmental problems, we established



the following ground rules to ensure consistency in accounting



for the significance of environmental problems:






     0  Quantify effects as best as possible.  Even when infor-



        mation about the extent of effects is sketchy or prelim-
                                50

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        inary, weigh it so that the effects of alternative en-



        vironmental problems can be projected.



     0  If possible, present a monetary estimate of damages.



        A monetary numeraire or unit provides a common basis



        for comparing effects across environmental settings.



     0  When possible, annualize monetary damages, and convert



        them into 1986 dollars,



     0  Aggregate damage estimates to a national basis whenever



        possible.



     0  Evaluate only current and future environmental effects—



        not effects that current EPA programs have already elim-



        inated.  This project is only concerned about ranking



        so-called uncaptured, or residual, effects.



     0  Rank future effects lower than present effects, all else



        being held constant.



     We next ranked the 31 environmental problems.  Each member



first ranked the problems separately.  Then, based on these



individual rankings, the full work group constructed a composite



ranking of the 31 environmental problems.



     The original 31 environmental problems represent an overlap-



ping set of sources, receptors, and pollutants.  In many cases,



we had difficulty classifying effects based upon the 31 problems.



Fotr instance, many of the welfare effects from pesticides are



attributed to two environmental problems:  Nonpoint Source Dis-



charges to Surface Waters (a source category) and To Estuaries,



Coastal Waters, and Oceans from All Sources (a receptor category)
                                51

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As a result, the environmental problem Other Pesticide Risks



is ranked lower than if these effects were considered as a sep-



arate source category.  Thus, knowing what types of effects are



included in each of the environmental problems is important for



interpreting the rankings.



     We also had difficulty ranking environmental problems with



less severe welfare effects.  Consequently, we are not confident



of the relative rankings for this group of environmental problems.



     Finally, it was not clear how to distinguish "welfare"



effects from "health" or "ecosystem" effects.  Often it is dif-



ficult to compartmentalize environmental problems into this set



of categories.  Partly, this is the result of the multidimensional



nature of many environmental problems.  Also, in many cases, the



scientific  literature and economic valuation techniques do not



adequately  distinguish effects by these separate categories.



     For example, reductions in the property values of residen-



ces close to a hazardous waste disposal site may at first appear



to be welfare losses.  In this case, a welfare loss is defined



as a loss in the commercial value of an asset or a good due to



its exposure to an environmental pollutant.  However, it could



be argued that the reductions reflect peoples' responses to a



"health" threat.  Thus, the case could be made that reductions



in property values indicate the amount people must be compensated



to bear added cancer and noncancer risks and therefore should



be evaluated in the health reports of this project.
                                52

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     Alternatively, suppose that risk assessments indicate that



only small health effects can be documented as a consequence of



the hazardous waste disposal site.   This might be the case if many



of the health effects were perceived but could not readily be



identified.  In this situation,  it  would be less clear as to



whether to attribute the declines in property values to a



"health" effect.



     Similarly, problems result  when attempting to distinguish



"welfare" from "ecosystem" effects.  In many cases, an environ-



mental problem may fall into either type of effects.  For in-



stance, acid precipitation may reduce the diversity of forests



(an ecoystem loss), thereby changing animal populations and



limiting hunting opportunities (a welfare loss).



     In cases of this sort, this report classifies welfare



effects as those that are likely to result in losses to commer-



cial activity or losses that can be monetized.  On the other



hand, ecosystem effects are effects that can be monetized in



theory, but the techniques for doing so are too unreliable to be



particularly useful or meaningful.



     Given all the gaps in our knowledge, it was virtually impos-



sible to sort out many of the complicated issues in evaluating



welfare effects.  We attempted to characterize welfare effects



as accurately as possible, while explicitly recognizing the many



difficulties associated with an  effort of this nature.  We gen-



erally included in our assessments  welfare effects that are
                                53

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intertwined with health and ecosystem affects.   Thus,  double



counting is likely to be present in the reports of the four



work groups.
                                54

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                             Table 2-5

           Final Rankings of Welfare Effects Wogk Group


Rank                      High Effects

 1      Criteria Air pollutants from Mobile and Stationary
          Sources (including acid precipitation)
 2      Nonpoint Bounce Discharges to Surface Waters
 3      Indirect Point-Source Discharges (POTWs) to Surface Waters
 4      To Estuaries, Coastal Waters, and Oceans from All Sources* .
 5      C02 and Global Warming
 6      Stratospheric Ozone Depletion
 7      Other Air Pollutants (odors and noise)
 8      Direct point-Source Discharges (industrial, etc.) to Sue-face
          Waters

                         Medium Effects
 9      Hazardous Waste Sites — Inactive (Superfund)
 10     Nonha zardous Waste Sites — Municipal
 11     Hazardous Waste Sites — Active (RCRA).
 12     To Wetlands from All Sources
 13     Other pesticide Risks — leaching and runoff of pesticides
          and agricultural chemicals, air deposition from spraying,
          etc.
 14     Biotechnology

                           Low Effects

 15     Nonhazardous Waste Sites — industrial
 16     Releases from Storage Tanks (including product and petro-
          leum tanks that are above, on, and underground)
 17     Accidental Releases of Toxics
 18     Accidental Oil Spills
 19     Drinking Water as It Arrives at the Tap
 20     Radon — indoor only
 21     Mining Wastes (including oil and gas extraction wastes)
 22     Contaminated Sludge
 23     Hazardous/Toxic Air pollutants

                          Minor Effects

        Other Ground Water Contamination
        Radiation Other Than Radon
        Indoor Air Pollutants other than Radon
        Pesticide Residuals on Foods Eaten by Humans
        Applicators of Pesticides (risks to applicators and con-
          sumers)
        New Toxic Chemicals
        Consumer Product Exposure
        Worker Exposure to Chemicals

    Includes effects from Pesticides.


                                 55

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                         CHAPTER III
SUMMARY OF WHAT WE LEARNED ABOUT THE 31  ENVIRONMENTAL PROBLEMS
     This chapter summarizes and brings together  the findings



of the four work groups concerning each of the thirty-one



environmental problems studied.   For a Cull understanding of  the



information presented here,  as well as references on which it  is



based, the reader is directed to the four work group reports.



The information on public opinion is explained in Chapter IV.



Several other points should  also be remembered when reading



this chapter:



     0  Each group looked at risks existing now,  given existing



        controls, and not at inherent irisks or at risks that



        have been or could be controlled.  Existing controls



        are assumed to be maintained.  This is a  key assumption.



        Many environmental problems show up in this analysis



        as posing moderate or relatively low risks precisely



        because extensive controls are in place and are being



        maintained, often at considerable expense.



     0  All of the work groups ranked problems in general cate-



        gories, such as relatively high, medium or low.  (The



        reader should note that the ecological group called



        the first three of theie six rank groupings "relatively



        high", groups four and five "medium" and  group six



        "relatively low".)  In addition, two of the groups,



        cancer and welfare,  ranked problems ordinally.  The



        reader is cautioned not to place great weight on the






                                56

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   precision that may appear to be implied  between



   closely ranked problems.   In various cases,  further



   study might cause the the iraakings of closely-ranked



   problems to be reversed.   However, the work  groups



   are confident in the differences  implied by  rankings



   that are farther apart.



0   How we divided up the universe of environmental



   problems significantly affected the ranking  of  the



   problems - the broader the category the  more impacts



   it covers, and vice-versa.  As noted earlier,  there are



   also substantial overlaps among the thirty-one  problems.



   The reader is reminded that the universe of  environmental



   problems was divided the  way it was because  the project



   participants felt that these categories  most closely



   approximate how people generally think of the problems.



   Also, while the work groups generally used the  same



   definitions of categories, they did not  always  do



   so; the major cases where this happened  are  noted.



0   The rankings of the different environmental  problems



   are based on the risks to the entire U.S. population



   in terms of total incidence of disease,  etc. Where



   risks to individuals (as  opposed  to the  population



   at large)  can be relatively high, that is noted.



   It is important to understand that because local



   situations vary widely,  the risks faced  by any



   particular individual or  community probably  do  not



   rank the same as shown here.






                          57

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                   1.  Criteria Air Pollutants
Description of Problem

The criteria air pollutants are sulfur dioxide, total suspended
particulates, carbon monoxide, nitrogen oxides, ozone, and lead.
Acid precipitation is included in this problem area.  Major
sources of these pollutants are combustion from motor vehicles,
electrical utilities, and industrial boilers and smelters.

Cancer Risks

Ranked in category 3 of 5 (#22 of 29).
Ranked low because none of the criteria pollutants has been
  adequately shown to cause cancer.  If any shown to be carcinogenic
  (e.g., lead), it would move this problem to a much higher category
  due to high population exposure.  This assessment excludes
  carcinogenic particles and volatile organic compounds, considered
  under #2 (Hazardous/Toxic Air Pollutants).

Non-cancer Health Risks

Relatively high risk.  High level of confidence in data/judgment,
  compared with other problems examined.
Large populations exposed, with moderate to severe health eftects.
  Ranked relatively high, mostly on the basis of ozone and acid
  aerosols.  Large numbers of people exposed to ozone at levels
  far above safe levels.  Large numbers of people exposed to acid
  aerosols, with increased mortality possible.

Ecological Effects

Relatively high risk (#3 out of 6 rank groupings).
Scale of impact - regional.
Acid deposition and ozone most important.
Risks tend to affect ecosystem functions and structures.
Impacts not considered irreversible, except for impacts of ozone
  on forests and natural ecosystems.
Some uncertainty, but a fair amount is known about ecological effects,

Welfare Effects

Ranked relatively high (#1 of 31).
Multiple damage categories have been documented: materials damage
  and soiling to residential, industrial,  and commercial property;
  visibility impairment; decreased sportfishing; reduced crop
  and forest yields.   Materials damages estimated at over $20
  billion/year.  Damages are immediate, ongoing, and tangible.

Comments

Compared with other environmental problems, these are well analyzed
  and understood.  The public rates air pollution as a serious
  risk, but behind chemical waste disposal, water pollution, and
  chemical plant accidents.

                              58

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               2.  Hazardous/Toxic Air Pollutants
Description of Problem

This problem area covers outdoor exposure (primarily through in-
halation) to toxic and hazardous air pollutants.  For purposes
of this project, to the extent possible, this.category excludes
risks from pesticides, radioactive substances and chlorofluoro-
carbons.  It includes emissions from treatment, storage, and
disposal facilities, chemical plants, motor vehicles, metallur-
gical processes, and sewage treatment plants.

Cancer Risks

Ranked in category 1 of 5 (#6 of 2y).  Individual risk can be
  relatively high.
Ranked high largely as a result of quantitative assessment of
  approximately 2,000 cases annually from 20 substances.   Large
  total number of pollutants to which people are exposed in
  ambient air.

Non-cancer Health Risks

Relatively high risk.  Medium level of of confidence in data/
  judgment, compared with other problems examined.   Ranked high
  although only a small proportion of the problem was covered
  by the substances studied.
Large exposed populations, but effects are often not severe
  (e.g., general pulmonary irritation).

Ecological Effects

Relatively medium risk (#4 out of 6 rank groupings).
Scale of impact - regional.
Growing evidence of adverse regional impacts (e.g., Great Lakes),
  though substantial uncertainty exists.
Recovery period - years to decades.
Substantial uncertainty (most of data developed have been for
  human health).

Welfare Effects

Ranked relatively low (#23 of 31).

Comments

This problem is not as well understood as criteria air pollutants.
  Cancer is responsible for much of the attention it receives.
                             59

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                     3.   Other Air Pollutants
Description of Problem

This group of air pollutants includes sulfuric acid mist,
total reduced sulfur, fluorides and odor-emitting substances
not included under problem areas #1 and #2, and noise.

Cancer Risks

 Ranked in category 5 of 5 (no cancer risk identified).  By
  definition, carcinogenic pollutants in the outdoor air are
  considered under #2 (Hazardous/Toxic Air Pollutants).

Non-cancer Health Risks

Not ranked.  Thought to be quite a low risk compared with other
  problems examined.
Principal health effect is stress.

Ecological Effects

Not ranked.  No significant risks to ecosystems.

Welfare Effects

Ranked relatively high (#7 of 31).
Over half the complaints received by state and local environmental
  agencies concern odors and noise; large exposed populations,
  particularly in urban areas.
Difficult to place monetary value on this problem, but value
  appears to be very significant.

Comments

These problems have been largely ignored at the federal level,
  in favor of others that pose larger health risks.
                            60

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                     4.  Radon - Indoor
Description of Problem

Padon is a radioactive gas produced by the decay of radium,
which occurs naturally in almost all soil and rock.  It migrates
through the soil into buildings, where it is trapped by dense
building materials.   The decay products of radon,  called radon
daughters, can cause lung cancer.   This category covers indoor
radon only.  Outdoor concentrations of radon are far lower.

Cancer Pisks

Ranked in category 1 of 5 (tied for #1 of 29).   Individual risk
  can be relatively high.
Current estimates of 5,000 to 20,000 lung cancers  annually.   Some
  of these cancers caused by the joint action of radon and to-
  bacco smoke.

Non-cancer Health Risks

Relatively medium risk.  Low level of confidence in data/judgment,
  compared with other problems examined.
Ranking derives from incidence modeling.  Effects  are related to
  cancer.  perhaps 200 cases per year of serious mutagenic and
  teratogenic effects.  Very large population exposed.  Effects
  are severe, but their probability is low.

Ecological Effects

Not ranked.  No ecological effects.

Welfare Effects

Ranked relatively low (#20 of 31).
Could require average of $1 ,000-$! ,500 modification per house for
  many houses or cause equivalent lowering in property values.  But
  counting dollar costs for remedies may double-count the health
  risks by capitalizing the costs of their control.

Comments

Serious health problem in certain areas.  Different from most other
  environmental problems, because individuals must decide to spend
  their own money on their homes.
                              61

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          5.   Indoor Air Pollution Other Than Radon
Description of Problem

This category applies to indoor air pollutants (except radon)
from sources in buildings (e.g., unvented space heaters and
gas ranges, urea-formaldehyde foam insulation, pesticides,
tobacco smoke, wood presevatives, fireplaces, solvents from
cleaning and waxing agents).  Pollutants that are indoors as a
result of diffusion from outdoors are not included,  unless
indoor levels are a function of the building itself (e.g., poor
ventilation).  Sorae risks are double counted with those from
Consumer Product Exposure (#30), Other Pesticide Risks (#27)
and Drinking Water (#15).

Cancer Risks

Ranked in category 1  of 5 (tied for #4 of 29).  Individual
  risk can be relatively high.
As people spend most of their time indoors and are exposed to
  a number of substances from a variety of sources,  the risk
  is judged relatively high.  Quantitative assessment indicates
  3,500-6,500 cancers annually, with passive smoking responsible
  for the majority.  Risks from organic chemicals estimated on
  the basis of monitoring 600 U.S. homes.

Non-cancer Health Risks

Relatively high risk.  Medium level of confidence in data/judgment,
  compared with other problems  examined.
Large populations exposed above level of concern.  Effects are
  moderate to severe (from jaundice to teratogenicity and
  mortality).  Ambient levels are often substantially above
  reference doses.  Environmental tobacco smoke thought to
  contribute the largest portion of total risk.

Ecological Effects

Not ranked.  No ecological effects.

Welfare Effects

Ranked as relatively minor.   Not ranked numerically.

Comments

Important health problem, although not generally recognized as such
  by the public.  For a variety of reasons (statutory, multitude
  of sources, difficulty of control, etc.), this has not been
  a major EPA priority.
                             62

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        6.  Radiation from Sources Other Than Indoor Radon
Description of Problem

Occupational and consumer exposure to ionizing and nonionizing
radiation (beyond natural background) are included here.   Increased
radiation from stratospheric ozone depletion/UV light is included
in problem area #7.  Medical exposures not counted.

Cancer Risks

Ranked in category 2 of 5 (#11  of 29).  Individual risk can be
  relatively high.
Did not consider medical exposures and natural background levels,
  which could cause 10,000 cases/year; thus, would rank higher if
  these were included.  Two-thirds of assessed risk of 360 annual
  cases from building materials.   No information available on
  nonionizing radiation.

Non-cancer Health Risks

Relatively medium risk.  Medium level of confidence in data/
  judgment, compared with other problems examined.
Ranking derives from incidence modeling; perhaps 200 serious
  rautagenic and teratogenic effects per year.  Very large
  populations exposed to radiation; effects can be severe, but
  their probability is low.  Incidence might increase by a factor
  of 15 if medical X-rays are counted.  Nonionizing radiation not
  considered.

Ecological Effects

Relatively low risk (#6 out of 6 rank groupings).
Scale of impact - local.
Many uncertainties.

Welfare Effects

Ranked as relatively minor.  Not ranked numerically.

Comments

Medical radiation risks (not subject to EPA regulation) are best
  understood and accepted.  Together with natural background
  radiation they constitute the bulk of radiation most people
  receive.
                            63

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    7.  Substances Suspected of Depleting the Stratospheric
        Ozone Layer
Description of Problem

The stratospheric ozone layer shields the earth's surface from
harmful ultraviolet (UV-B) radiation.  Releases of chlorofluoro-
carbons (CFCs) and nitrogen dioxide from industrial processes
and solid waste sites could significantly reduce the ozone layer.

Cancer Risks

Ranked in category 2 of 5 (#7 of 29).
Current analysis projects that fatal skin cancers could rise
  steadily to perhaps an additional 10,000 per year in 2100.
  Considerable uncertainties concerning future estimates; would
  rank higher in future if projections are correct.

Non-cancer Health Risks

Relatively medium risk.  Low confidence in data/judgment,
  compared with other problems examined.
Principal non-cancer effects are (1) cataracts (1% ozone depletion
  estimated to increase cataracts by 10,000-30,000/year); and (2)
  adverse effects on immune system (effects not estimated).

Ecological Effects

Relatively high risk (#1 out of 6 rank groupings).
Scale of impact - biosphere.
Could affect all natural systems, particularly primary pro-
  ductivity systems (e.g., phytoplankton).   Recovery period
  extremely long, if recovery is possible at all.  Effective
  controls require coordinated international effort.  Severity
  of impact more than offsets uncertainties, which are considerable,

Welfare Effects

Ranked relatively high  (#6 of 31).
Value of crop, livestock, and fish species at risk is very high.
Considerable uncertainty surrounding  (1) UV-B dose-response
  relationships for different species and  (2) projections for
  ozone depletion.

Comments

Issue of uncertainty is important, but risks are potentially
  very significant.  While the issue has recently received
  some attention in the press, it is not well understood by
  the public.
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                   8.  Ct>2 and Global Warming
Description of Problem

Atmospheric concentrations of carbon dioxide (C02) are projected
to increase over the next century due to an increase in fossil
fuel combustion and a decrease in tropical forests.  Higher
levels of C02 may raise climatic temperatures globally, raising
the sea level.

Cancer Risks

Ranked in category 5 of 5 (no cancer risk identified).
Cancer not considered a significant aspect of this environmental
  problem.  Thus, risk not assessed.

Non-cancer Health Risks

Not ranked.
Global warming would change heat stress and disease patterns.

Ecological Effects

Relatively high risk (#1 out of 6 rank groupings).
ScaJ.e ofo impact - biosphere.
1.5 -4.5  warming in next 50-75 years would raise sea level and
  alter the hydrological cycle, affecting all natural systems,
  particularly primary productivity systems.   Recovery period
  is extremely long, if possible at all.   Effective controls
  would require very significant coordinated  international
  effort.

Welfare Effects

Ranked relatively high (#5 of 31).
Sea level rise threatens large investment in urban infrastructure
  and both urban and rural lands.  Changes in weather patterns
  could also cause substantial welfare effects.   Some positive
  effects (e.g. on crop yields) possible in some areas.
Considerable uncertainty with magnitude of projected effects.
  The speed with which they occur is also important.

Comments

Issue of uncertainty is important, but risks are potentially very
  significant.  In addition to the risks described here, geopolitical
  risks are potentially serious.  Partly because the risks are
  in the future and partly because they are difficult to understand,
  the public  is not strongly concerned.
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     9.  Direct, Point Source Discharges to Surface Waters
Description of Problem

"Point sources" are specific stationary sources of pollution,
such as industrial plants which directly discharge toxic,
acidic, and organic waste effluents into rivers, lakes, and
coastal areas.  Category excludes POTW's (#10).  Substantial
double-counting with #13-estuaries, near-coastal waters and
oceans.

Cancer Risks

Ranked in category 4 of 5 (#23 of 29).
No quantitative assessment available.   Only ingestion of contaminate
  seafood considered; drinking water impacts covered under #15.

Non-cancer Health Risks

Relatively low risk.  Medium confidence in data/judgment, compared
  with other problems examined.
Risks from consumption of fish and shellfish that have bioaccumulate
  toxics or that are contaminated by pathogens thought to be
  generally low.  Risks from consumption of drinking water
  contamined by surface water discharges thought to be minimal.
Ranked without data on specific substances.

Ecological Effects

Relatively high risk (#3 out of 6 rank groupings).
Scale of impact - regional.
Direct and indirect point sources (problems #9 and #10)
   release more toxics than any other sources and are major
   contributors of other pollutants.
Points sources have impaired or otherwise affected ecosystems
  in 41% of 328,000 stream miles analyzed; 15% of lakes; 49%
  of estuaries; 58% of coastal waters.
(Grouped with #10)

Welfare Effects

Ranked relatively high (#8 of 31).
Losses to recreational uses of surface waters  (e.g.  swimming,
  fishing, boating) estimated at $800 million/year.   Commercial
  fishing yields can be reduced.  Damages generally of the
  same type as nonpoint and indirect point sources (#10, #11),
  but less.

Comments

Low health risks due to extensive controls and the assumption
  that they stay in place (worldwide, a large proportion of
  diseases are waterborne).  The public ranks water pollution as
  high risk, second only to chemical waste disposal.

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   10.  Indirect, Point Source Discharges (POTWs) to Surface
        Waters
Description of Problem

Includes the discharges from specific points of pollution, after
passing through municipal sewage treatment systems (Publicly
Owned Treatment Works - "POTW's") into fresh, brackish or marine
waters.

Cancer Risks

Ranked in category 4 of 5 (#24 of 29).
No quantitative assessment available.  Only ingestion of contaminated
  seafood considered; drinking water impacts covered under #15.

Non-cancer Health Risks

Relatively medium risk.  Medium confidence in data/judgment, compared
  with other problems examined.
Ranked without data on specific substances.
Problem considered mostly to be ingestion of seafood contaminated
  with pathogens from inadequate sewage treatment.

Ecological Effects

Relatively high risk (#3 out of 6 rank groupings).
Scale of impact - regional.
Direct and indirect point sources (problems #9 and #10) release
  more toxics than any other sources and are major contributors
  of other pollutants.   Point sources have impaired or otherwise
  affected ecosystems in 41% of 328,000 stream miles analyzed;
  15% of lakes; 49% of estuaries; 58% of coastal waters.

Welfare Effects

Ranked relatively high (#3 of 31).
Important contributor to loss of recreational uses of surface
  water (e.g. swimming, fishing, boating) -- estimated at $2.4
  billion/year.  Commercial fishing yields can be reduced.
  Damages generally similar to those from non-point source
  discharges to surface waters (#11), but somewhat less.

Comments

Low/medium health risks due to extensive controls and the
  assumption that they stay in place (worldwide, a large proportion
  of diseases are waterborne).  The public ranks water pollution
  as high risk, second only to chemical waste disposal.
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       11.  Nonpoint Source Discharges to Surface Water
Description of Problem


Includes pollutants that reach fresh, brackish or marine waters
from such nonspecific sources as rainwater runoff of pesticides,
herbicides and fertilizers from the land; infiltration from
ground water; and air pollutants that settle into the water.

Cancer Risks

Ranked in category 3 of 5 (#21 of 29).
Judged to be more serious than other surface water categories ,
  but no quantitative analysis is available.

Non-cancer health Risks

Relatively medium risk.
Moderate concern for bacteriological contamination of shellfish
  and other fish from agricultural and urban runoff.  Some
  concern for runoff and bioaccumulation of pesticides and
  other toxics in shellfish and other fish.
Ranked without data on specific substances.

Ecological Effects

Relatively high risk (#3 out of 6 rank groupings).
Scale of impact - regional.
Analysis includes in-place toxicants in sediments.
Ubiquitous problem affecting water quality in streams that
  do not have sufficient dilution to recover rapidly.  However,
  since releases are not continuous, ecosystems may recover more
  quickly than from chronic, low-level releases from point
  sources.

Welfare Effects

Ranked relatively high (?A2 of 31).
Major contributor to loss of recreational uses of surface waters
  (e.g., swimming, fishing, boating) -- estimated at $3.6 billion/
  year.  Runoff can also decrease crop yields and downgrade
  agricultural lands.

Comments

Hard data on this problem are not as good as for some other
  problems.  The public ranks water pollution as high risk,
  second only to chemical waste disposal.
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                    12.  Contaminated Sludge
Description of Problem

Sludge is generated by various sources, such as municipal
sewage treatment plants and scrubbers used as pollution control
devices.  It may be recycled, impounded, landfilled, land-spread,
dumped in the ocean or incinerated.  Some double counting with
Hazardous/Toxic Air Pollutants (#2), Nonpoint Sources (#11) and
Non-Hazardous Municipal toaste Sites (#18).

Cancer Risks

Ranked in category 3 of 5 (#17 of 29).
Preliminary analysis estimates several dozen cases annually,
  primarily from incineration and landfilling.

Non-cancer Health Risks

Relatively low risk.  Medium confidence in data/judgment, compared
  with other problems examined.
Human exposure to contaminants in sludge thought to be indirect
  and extremely limited.

Ecological Effects

Relatively medium risk (#5 out of 6 rank groupings).
Scale of impact - local.
Extensive damage not expected to natural ecosystems, where
  current plus reasonably anticipated control programs are
  properly implemented.  However,. the risk could be high
  locally if programs are not properly implemented.

Welfare Effects

Ranked relatively low (#22 of 31).
Disposal usually takes place in isolated areas.

Comments

Data on impacts are limited.
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    13.  Discharges to Estuaries,  Coastal  Waters,  and  Oceans
         from All Sources
Description of Problem

This problem area includes a wide variety of pollutants and
sources that reach such waters.   Likely double counting with
criteria air pollutants (#1); toxic aiir pollutants (#2);  dis-
charges from point (#9, #10) and nonpoint (til)  sources;
sludge (112); active (#16) and inactive (#17)  hazardous waste
sites; municipal (418) and industrial (119)  nonhazardous waste
sites; mining waste (#20); accidental releases of toxic pollu-
tants (#21); oil spills (#22); releases from storage tanks
(#23); and risks from pesticides (#27).

Cancer Risks

Not ranked.  Because this category represents a conglomeration
  of other categories, the work group decided not to rank it to
  avoid double counting.

Non-cancer Health Risks

Relatively medium risk.
Moderate concern over consumption of fish and shellfish contaminated
  with pathogens, pesticides and other toxics.  Large numbers of
  people exposed.
Ranked without data on specific substances.

Ecological Effects

Work gioup combined this problem with #14 and redefined it as
  "hydrological modification."
New category ranked as relatively high risk (#2 out of 6 rank
  groupings).
Scale of impact - regional.
Can result in profound, generally irreversible, physical destruction
  of ecosystems.
Difficult to control.
High degree of certainty.

Welfare Effects

Ranked relatively high (#4 of 31).
Damages include reductions  in recreational uses and in commercial
  harvests of shellfish and other seafoods.
Damages have been estimated at S150-$500 million annually for six
  major estuaries, but no attempt has been made to extrapolate
  these figures to a national damage estimate.

Comments

This problem sometimes does not get the attention that others get
  because direct health risks are not dramatic.  Ecological and
  welfare problems are the most important aspects.


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               14.  To Wetlands from All Sources
Description of Problem

This problem area includes all risks from pollutants reaching
wetlands.  It includes double counting with criteria air
pollutants (#1); toxic air pollutants (#2); discharges from
point (#9, #10) and nonpoint (#11) sources; sludge (#12);
active (#16) and inactive (#17) hazardous waste sites; municipal
(#18) and industrial (#19) nonhazardous waste sites; mining
waste (#20); accidental releases of toxic pollutants (#21);
oil spills (#22); releases from storage tanks (#23); and risks
from pesticides(#27).

Cancer Risks

Not ranked.  Because this category represents a conglomeration of
  other categories, the work group decided not to rank it to
  avoid double counting.

Non-cancer Health Risks

Relatively low risk.
Minimal concern over consumption of contaminated food or water
  from wetlands.  Exposure to contaminated food thought to be
  considerably less than from estuaries.
Ranked without data on specific substances.

Ecological Effects

Work group combined this problem with #13 and redefined it as
  "hydrological modification."
New category ranked as relatively high risk (#2 out of 6 rank
  groupings).
Scale of impact - regional.
Can result in profound, generally irreversible, physical destruction
  of ecosystems.
Impacts generally irreversible.
Difficult to control.
High degree of certainty.

Welfare Effects

Ranked relatively medium (#12 of 31).
Sizable quantities of harvestable shellfish and wildlife at risk.
  Damages are similar to those to estuaries, coastal waters, and
  oceans (ranked #4), but commercial products of wetlands and
  swimming are more limited.

Comments

This problem sometimes does not get the attention that others
  get because direct health risks are not dramatic.  Ecological
  problems are the most important aspect.
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          15.  Drinking Water As It Arrives at the Tap
Description of Problem

As drinking water arrives at the tap,  it may contain a wide variety
of volatile and synthetic organic contaminants,  such as pesticides,
lead from pipe corrosion, several organic chemicals falling under
a group known as trihalomethanes, and  several natural and man-
made radionuclides,  including radon.   There may be some double
counting of risks from this problem with those from Radon (#4),
Indoor Air (#5), and several categories related to ground water
contamination.

Cancer Risks

Ranked in category 2 of 5 (#9 of 29).
Cancer risks principally from disinfection by-products and
  radon.
Quantitative assessment estimate of 400-1000 cases annually,
  based on surveys of public drinking  water systems.

Non-cancer Health Risks

Relatively high risk.  High confidence in data/judgment,
  compared with other problems examined.
Generally very large exposed population.  Serious health
  effects (neurotoxicity, mortality)  are possible, but
  exposures are not often far above levels of concern,  primary
  concerns are over disinfection by-products, lead, and
  pathogens.

Ecological Effects

Not ranked because this is not an ecological problem.

Welfare Effects

Ranked relatively low (#19 of 31).
Corrosive water damages municipal water systems and household
  plumbing.

Comments

Concerns over chemical waste disposal, various forms of surface
  and ground-water pollution, and lead in drinking water have
  raised the public profile of this problem, but still not to
  the levels of many other environmental problems.  It is
  important to note that on a national scale our analysis shows
  that most of the health risks result from contaminants from
  sources other than waste disposal,  a belief that does not
  appear to be shared by the general  public.
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              16.  Hazardous Waste Sites - Active
Description of Problem

This category generally includes the risks posed by active
hazardous waste sites regulated under the Resource Conservation
and Recovery Act (RCRA).  More specifically, it includes RCRA
landfills and surface impoundments (both open and closed),
hazardous waste storage tanks, hazardous wastes burned in
boilers and furnaces, hazardous waste incinerators, waste oil
and solid waste management units.  Seepage and releases of
substances from these sources contaminate surface and ground
water and pollute the air.  There is potential double counting
of the risks from this problem with those from Drinking Water
(#15) and Hazardous/Toxic Air Pollutants (#2).

Cancer Risks

Ranked in category 2 of 5 (#13 of 29).  Individual risks can be
  relatively high.
Data very spotty.  Extremely difficult to extrapolate to national
  estimate, but most likely fewer than 100 cases annually.
  Risk estimates are sensitive to assumptions regarding proximity
  of future wells to waste sites.
Solid waste management units were excluded from analysis.

Non-cancer Health Risks

Relatively low risk.  Medium confidence in data/judgment, compared
  with other problems examined.
Very low number of humans potentially exposed around active
  hazardous waste sites.  Exposure concentrations for non-
  carcinogens also thought to be low relative to levels of
  concern.  Substances involved are generally of moderate
  toxicity.
Ranked without data on specific substances.

Ecological Effects

Relatively low risk (#6 out of 6 rank groupings).
Scale of impact - local.
Most sites probably adequately controlling releases to ecosystems
  (although problems can result if not properly controlled).

Welfare Effects

Ranked relatively medium (#11 of 31).
Sites can threaten nearby drinking water supplies and thus
  depresses property values in vicinity.  Effects similar to
  inactive hazardous waste sites (ranked #9), but better controls
  are expected for new wastes in the future.
No monetary estimates of national impact exist.
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Comments

The public is more concerned about chemical waste disposal than
  any other environmental problem.   While health data ^re very
  spotty, total health impacts do not appear to matin public
  concern in most areas.    The importance of this problem, especiall
  as it relates to public concerns, may not be fully reflected in
  the risk categories studied in this project.
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       17.  Hazardous Waste Sites - Inactive (Superfund)
Description of Problem

This category includes Superfund sites that have reached any of
the following stages:  discovery, removal, preliminary assessment,
site investigation, placement on the National Priorities List,
remedial investigation, feasibility study, record of decision,
remedial action, deletion.  It also includes sites that states
are addressing if they do not already fit into any of the categories
listed above.  As  with active hazardous waste sites, these sites
may contaminate ground and surface water, threaten nearby residents
with exposure to toxic chemicals, and pollute the air.  There may
be some double counting of the risks from this problem with those
from drinking water (#15) and hazardous air pollutants (#2).

Cancer Risks

Ranked in category 2 of 5 (#8 of 29).  Individual risk can be
  relatively high.
Nationwide cancer incidence estimated at just over 1,000 cases
  annually on the basis of 6 chemicals.  Considerable uncertainty
  since nationwide estimates are based on extrapolation from 35
  sites to estimate of 25,000 total in the U.S.

Non-cancer Health Risks

Relatively low risk.  Medium confidence in data/judgment, compared
  with other problems examined.
Moderate number of people potentially exposed around inactive
  hazardous waste sites, but exposure concentrations for non-
  carcinogens thought to be usually low relative to levels of
  concern.  Substances involved are generally of moderate
  toxicity.
Ranked without data on specific substances.

Ecological Effects

Relatively medium risk (#5 out of 6 rank groupings).
Scale of impact - local.  (Effects could be regional, depending on
  quantity and toxicity of contaminants and potential for
  migration.)
Estimated that 6% of sites are likely to significantly damage
  natural resources (wetlands, fisheries, etc.).
Lack of data makes it difficult to assess overall ecological
  effects.

Welfare Effects

Ranked relatively medium  (#9 of 31).
Sites can threaten nearby drinking water supplies and can depress
  property values in vicinity.  Effects are usually localized,
  most sites are not close to major urban populations or their
  drinking water supplies, and alternative water supplies often
  exist.
No monetary estimates of national impact exist.

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Comments

The public is more concerned about chemical waste disposal than any
  other environmental problem.   While health data are very spotty,
  total health impacts do not appear to match public concerns
  in most areas.   The importance of this problem, especially as
  it relates to public concerns, may not be fully reflected in
  the risk categories studied in this project.
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           18.  Nonhazardous Waste Sites - Municipal
Description of Problem

Consists primarily of 16,000 open and closed municipal landfills,
municipal sludge and refuse incincerators and municipal surface
impoundments, which contaminate ground and surface water and
pollute the air.  There is potential double counting of the
risks from this problem with those from Hazardous/Toxic Air
Pollutants (#2), Contaminated Sludge (#12), and Drinking Water
(#15).

Cancer Risks

Ranked in category 3 of 5 (#16 of 29).
Very difficult to estimate national impact: quantitative estimate
  of about 40 cases per year.
Estimate excludes municipal surface impoundments.

Non-cancer Health Risks

Relatively medium risk.  Medium confidence in data/judgment,
  compared with other problems examined.
Large number of people potentially exposed, due to large number
  of such sites and proximity to populations.  Exposure concen-
  trations thought to be very low relative to levels of concern
  because of low concentration of hazardous constituents in
  such sites and indirect routes of exposure.  Substances in-
  volved are generally of moderate toxicity.
Ranked without reference to specific substances.

Ecological Effects

Relatively medium risk (#5 out of 6 rank groupings).
Scale of impact - local.
Ecosystems can be affected directly by surface water runoff and
  generation of gases; wastes can also enter surface waters
  indirectly via ground water.
Sheer number of sources (over 16,000) is largely responsible for
  medium ranking (as opposed to severity of risks at most sites).

Welfare Effects

Ranked relatively medium (#10 of 31).
Sites can threaten nearby drinking water supplies and depress
  local property values.   Property value effects are hard to
  measure because other facilities, such as industrial plants,
  are often nearby and can also have the same effect.
No monetary estimates of national impact exist.

Comments
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           19.  Nonhazardous Waste Sites - Industrial
Description of Problem

There are about 3,400 nonhazardous industrial landfills, 15,000
industrial surface impoundments, and 120,000 oil and gas waste
impoundments throughout the country.  This category includes
nonhazardous wastes from the1 food industry, slaughterhouses,
iron and steel industry, utilities, and the chemicals industry.
There is some potential for double counting the risk from this
category with those from Drinking Water (#15).

Cancer Risks

Ranked in category 2 of 5 (#14 of 29).
No analysis of cancer incidence exists, so ranked on the basis
  of committee consensus: less severe than hazardous waste,
  more severe than municipal non-hazardous waste.

Non-cancer Health Risks

Relatively medium risk.  Low confidence in data/judgment,
  compared with other problems examined.
Moderate number of people potentially exposed.  Exposure concen-
  trations may not always be low relative to level of concern
  because wastes are concentrated in these sources and controls
  are often not extensive.  Substances involved are generally
  of moderate toxicity.
Ranked without reference to specific substances.

Ecological Effects

Relatively medium risk  (#5 out of 6 rank groupings).
Scale of impact - local.
Ecosystems can be affected directly by surface water runoff and
  air emissions; wastes can also enter surface water indirectly
  via ground water.
Sheer number of sources is largely responsible for medium
  ranking (as opposed to severity of risks at most sites).

Welfare Effects

Ranked relatively low (#15 of 31).
Leachates not as damaging to local ground-water supplies
  as are hazardous chemicals or toxics.

Comments
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             20.  Mining Waste (Includes Oil and Gas
                  Extraction Wastes)
Description of Problem

This category includes the risks posed by mining operations,
wastes from oil and gas extraction and benefication (which
dominate most of this category) , and wastes from smelting
and refining processes.  Major contaminants include acid mine
drainage, toxic inorganics, nutrients, turbidity, oils, and
solids.  There is some potential for double counting of the
risks from this problem with those from Drinking Water  (#15).

Cancer Risks

Ranked in category 3 of 5 (#19 of 29).  Individual risk can be
  relatively high.
Principal risks analyzed were from smelting and refining wastes
  (oil and gas operations excluded).  Estimate of 10-20 cases
  annually largely due to arsenic.  Severity of problem is
  relatively low because remote locations expose relatively low
  population. .

Non-cancer Health Risks

Relatively low risk.  Low confidence  in data/ judgment,  compared
  with other problems examined.
Low number of people potentially exposed due to distance of sites
  from population.   Low concentrations when exposure does occur.
  Substances have low toxicity.
Ranked without reference to specific  substances.

Ecological Effects

Work group redefined the problem to include all mining  extraction
  processes.
New category ranked as relatively high risk (#2 out of  6 rank
  groupings).
Scale of impact - regional.
Can result  in profound, generally irreversible, physical destruction
  of ecosystems.
Difficult to control.
High certainty.

Welfare Effects

Ranked relatively low  (#21 of 31).
Leachate and runoff kill fish and degrade surface water quality.
  But most mining generally occurs  in sparsely populated semi-
  arid areas, which mitigates runoff.

Comments

Principal risks are ecological (making this problem similar
  to #13 and #14).
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               21.   Accidental Releases of Toxics
Description of Problem

Toxic chemicals are accidentally released into the environment
in a variety of ways.  For example,  an industrial unit may
explode, emitting toxics into the air, or a railroad tank car
may turn over, spilling toxics into  surface water, soil,  and
roads.

Cancer Risks

Ranked in category 4 of 5 (#25 of 29).
No information is available on which to base estimates of. total
  potential cancer effects, but because of short duration of
  exposure, cancer risk judged to be very small.  Nature  of
  substances ranks it above oil spills.  Longer-term exposure
  from contaminated groundwater not  considered.

Non-canceg Health Risks

Relatively high risk.  High confidence in data/judgment,  compared.
  with other problems examined.
Incidence data show substantial morbidity and mortality.
  Principal populations at risk are  chemical plant and transportation
  workers.  Believed that chronic risks are small compared with
  acute -risks (most incidents counted result from fires and
  explosions).  Perhaps l%-4% of risks are borne by individuals
  other than chemical workers.
Ranked without reference to specific substances.

Ecological Effects

Relatively medium risk (#5 out of 6  rank groupings).
Scale of impact - local.
Toxic spills, such as tank cars overturning and spilling  into
  streams, are perhaps more frequent than oil spills, but
  volumes are typically less.  Spills in small, low-order
  streams can significantly damage stream ecology.
Data on incidence, exposure, and impact are limited.

Welfare Effects

Ranked relatively low (#17 of 31).
Damages to waterways and nearby property, but most releases
  affect only nearby property.  Damages to industry often are
  the result of the accidents (e.g., fires) themselves, rather
  than the toxics released.

Comments

Individual events cause certain clearly identified problems and
  receive widespread attention.  The public Jranks this problem
  as a high risk, right behind chemical waste disposal and
  water pollution.
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              22.  Accidental Releases - Oil Spills
Description of Problem

Oil spills from offshore drilling accidents or ruptures in
storage tanks or tanker vesels can damage coastal and ocean sea
life.   Some oil spills have been extremely difficult to control
and have occurred in prime fishing grounds.

Cancer Risks

Relatively very low risk (#26 of 29).
The likely cancer effects are negligible.

Non-cancer Health Risks

Not ranked.
Risks thought to be very small.

Ecological Effects

Relatively medium risk (#5 out of 6 rank groupings).
Scale of impact - local.
Oil spills can have spectacular consequences if of sufficient
  magnitude, but usually they occur in areas where there is
  sufficient dilution to result in only a short-term impact.
Data on overall impacts are limited.

Welfare Effects

Ranked #17 of 31.
Loss of recreational use of water areas, and danger to wildlife and
  some fish species.  But tangible economic damages are usually
  limited, and most spills are small.

Comments

Overall, the public ranks this problem as a moderate risk.
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                23.  Releases from Storage Tanks
Description of Problem

Includes product and petroleum tanks that are above, on, and
underground, tanks owned by farmers, and the fuel oil tanks of
homeowners.  Does not include storage of hazardous wastes in
tanks.  The primary environmental hazard is contamination of
ground water.  Most of the data available are on underground
storage of gasoline.  There is some potential for double counting
of the risks from this problem with those from Drinking
Water (#15).


Cancer Risks

Ranked in category 3 of 5 (#20 of 29).
Preliminary analysis suggests relatively low cancer incidence
  (less than one annually), but exposure modelling not as conservaf
  as for some other problems.


Non-cancer Health Risk

Relatively low risk.
Risk thought to be 'small.  Relatively few health impacts have
  been reported, controls are fairly good, and people generally
  avoid drinking water known to be contaminated with motor
  fuel.
Ranked without reference to specific substances.


Ecological Effects

Relatively low risk (#6 out of 6 rank groupings).
Scale of impact - local.
While there are many storage tanks with hazardous chemicals,  the
  limited volume of releases and known ecological effects resulted
  in a low ranking.


Welfare Effects

Ranked relatively low (#16 of 31).
  Damage to local property from leakage.  While these releases
  contaminate water supplies, they are less of a problem than
  releases from waste sites.
Comments

Overall, the public ranks this problem as a moderate risk.
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              24.  Other Ground-Water Contamination
Description of Problem

A variety of sources of pollution not counted in other
categories for this analysis also contaminate groundwater.
These include septic systems, road salt, and underground
injection wells.  Some double counting with Drinking Water
(#15).
Cancer Risks

Ranked in category 3 of 5 (#21 of 29).
Data very incomplete.  Assessment of one chemical in septic
  systems indicates  risks well under one case annually.
Non-cancer'Health Risks

Not ranked.
Risks generally thought to be small.  Difficult to assess
  magnitude of problem involving bacteriological contamination
  of private wells by septic systems.


Eological Effects

Relatively medium risk (#5 out of 6 rank groupings).
Scale of impact - local.
Large number of sources,  few strict controls.  Risks somewhat
  diminished because ecological impact occurs only when
  ground water contaminated by these sources is released to
  surface waters in sufficient volume and concentration to
  affect ecosystems.  Soils also filter and streams dilute and
  disperse pollutants, further reducing ecological risk.


Welfare Effects

Ranked as minor.  Not ranked numerically.


Comments
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        25.  Pesticide Residues on Foods Eaten by Huinans
             and Wildlife
Description of Problem

Humans and other animals are directly exposed to pesticides
through residues on food.  In addition, certain pesticides
bioaccumulate and contaminate food chains.
Cancer Risks
_________^__            c

Ranked in category 1 of 5 (#3 of 29).
Cancer incidence of 6,000 annually extrapolated from seven known
  oncogens to 200 potential oncogens (one-third of total pesticides
  in use).  Assessment does not account for so-called "inert"
  materials in pesticides.


Non-cancer Health Risks

Relatively high risk.  Medium confidence in data/judgment, compared
  with other problems examined.
High ranking due to large populations exposed and potentially
  serious health effects (e.g., acetylcholinesterase inhibition),
  rather  than levels of exposure, which are often not much
  higher  than levels of concern.


Ecological Effects

Work group combined this problem with #27 (other pesticide
  risks).  New category ranked as relatively high risk (#3 out
  of 6 rank groupings).
Scale of  impact - regional.
Since pesticides are designed to kill living organisms, unintended
  exposure can be very destructive, both to ecosystem functions
  and structures.  Impacts are generally not irreversible.
  Certain pesticides bioaccumulate and contaminate food chains.
  Some uncertainty due to lack of data.


Welfare Effects

Ranked as minor.  Not ranked numerically.


Comments

Despite many analytical uncertainties, this is clearly a relatively
  high risk problem.  Public attention tends to focus on individual
  events  and pesticides (e.g., EDB) and not on the overall problem
  (which  the public ranks as moderate).
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                 26.  Application of Pesticides
Description of Problem

Risks to people applying pesticides, including farm workers
(about 10,000-250,000) or other people who mix, load, and apply
them.  Major routes of exposure are inhalation and dermal
exposure.


Cancer Risks

Ranked in category 2 of 5 (#10 of 29).  Individual risks can be
  relatively high.
Individual risk for an applicator is usually much higher than
  for the general population consuming pesticide residues on food,
  but the population risk is lower because the population of
  agricultural workers is small by comparison.
Total cases estimated at 100/year (estimated by a method analogous
  to that used in pesticide' residues on foods (#25)).


Non-cancer Health Risks

Relatively high risk.  High confidence in data/judgment, compared
  with other problems examined.
Modest applicator populations exposed, but potentially very
  serious health effects (acute poisoning, fetotoxicity,
  teratogenicity).   Exposures often far above levels of concern.
  Substantial incidence estimates (e.g., 350 annual poisonings from
  ethyl parathion, 100 from paraquat).


Ecological Effects

Problem not ranked because risks in this category only concern
  pesticide applicators.


Welfare Effects

Ranked as minor.  Not ranked numerically.


Comments

Applicators (although moderate in total numbers) can face high
  risks.  Public ranks problem as moderate risk.
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                   27.  Other Pesticide Risks
Description of Problem

This problem includes leaching and runoff of pesticides and
other agricultural chemicals, and air deposition from spraying.
These chemicals contaminate ponds and affect water supplies,
and can affect cattle, farm animals, and such wild birds as
geese and ducks.  Double counting with #11  (non-point sources),
#15 (drinking water), #5 (indoor air) and #30 (consumer products).
                                         6

Cancer Risks

Ranked in category 2 of 5 (#12 of 29).
Ranked medium largely due to use of termiticides and widespread
  consumer use of pesticides.


Non-cancer Risks

Relatively medium risk.  Medium confidence in data/judgment,
  compared with other problems examined.
Large populations exposed to pesticides in drinking water, very
  large number exposed to pesticides in indoor air.  Potential
  health effects range from moderate (e.g., increased liver
  weight) to serious (e.g., acetycholinesterase inhibition).
  Exposures typically low relative to levels of concern.


Ecological Effects

Work group combined this problem with #25 (pesticide residues
  on foods).  New category ranked as relatively high risk (#3
  out of 6 rank groupings).
Scale of impact - regional.
Since pesticides are designed to kill living organisms, unintended
  exposure can be very destructive, both to ecosystem functions
  and structures.  Impacts are generally not irreversible.
  Certain pesticides bioaccumulate and contaminate food chains.
  Some uncertainty due to lack of data.


Welfare Effects

Ranked relatively medium (#13 of 31).
Damages to shellfish and certain fin fish from pesticide
  runoff and air deposition.  Many damages already accounted for
  in other environmental problems (e.g., pesticides from non-
  point sources, and pesticides from all sources entering
  estuaries, coastal waters, and oceans).  Ranking based largely
  on subjective judgment.

Comments

Large populations exposed (as opposed to high doses) is reason
  for "medium" ranking.  Public also finds risks moderate.

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                    28.  New Toxic Chemicals
Description of Problem

This problem area includes new chemicals introduced into commerce.
These chemicals are defined as chemicals not already listed on
the TSCA Inventory of Existing Chemical Substances.  New substances
typically enter the market as substitutes for existing chemicals.
Therefore, risks considered in this environmental problem
category cover the range of risks presented by existing chemicals.
The term "new chemicals" as used here refers to "industrial
chemicals."  New pesticides are considered elsewhere,  and new
food additives and drugs are not considered at all in this
project.


Cancer risks

Ranked in category 2 of 5 (#15 of 29).
Extremely difficult problem to rank.  The consensus is that
  with the existing TSCA program the risks are moderate.


Non-cancer Health Risks

Not ranked because no satisfactory method exists for projecting
  what risks will be.  Risks probably low.


Ecological Effects

Not ranked.  Potential effects and risks not well enough understood.


Welfare Effects

Ranked as minor.  Not ranked numerically.


Comments

Very difficult to project national impacts, as it is hard to
  assess new chemicals' future uses and the risk of chemicals
  not yet manufactured.  Risks are reduced by the following
  factors:  (1) EPA's new chemicals program weeds out many
  potential problems; (2) new chemicals often replace riskier
  existing chemicals, thus giving net risk reduction;  and (3)
  most new chemicals are produced in very low volumes, have
  specialty uses, and have little chance for broad exposure.
                             87

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                       29.  Biotechnology
Description of Problem

Category includes planned and accidental releases of genetically
altered microorganisms.


Cancer Risks
                                                          »
Ranked in category 5 of 5 (no cancer risk identified).
Difficulty of assessing cancer risk is similar to that  for new
  chemicals (#28) , but even less information on which to base
  conclusions.  No known instances of carcinogenic bioengineered
  substances.
Non-cancer Health Risks

Not ranked.
No satisfactory method for projecting risks.  Suspect risks
  to be low.


Ecological Effects

Not ranked.  Potential effects and risks not well enough understood,
  Effects could be very large or small.


Welfare Effects

Ranked relatively medium (#14 of 31).
Much disagreement on how to rank this problem.
Potentially severe danger to crops, livestock, trees, marine life
  accompanies introduction of new species into the environment.
  U.S. agriculture is highly concentrated in only a few major
  crops, increasing vulnerability.


Comments

Very difficult to assess overall risk.  Public appears to rank
  this as a lower risk than a number of other environmental
  problems.
Generally, genetically engineered microorganisms are not expected
  to survive long in conditions other than those for which they
  were designed.  However, there is a possibility that some of
  these organisms may both survive and multiply.  Given the
  current system of monoculture, wherein U.S. farms specialize
  in producing a small number of crop varieties, a biological
  change could rapidly cause serious damage before countermeasures
  could be developed.  The situtation is somewhat analogous to
  imported insects (e.g., gypsy moth) that have escaped and, in
  the absence of predators in their natural habitats, become
  major pests.

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               30.   Exposure to Consumer Products


Description of Problem

Over 10/000 chemical substances are present in two categories
of consumer products:   (1)  formulations and mixtures of various
types (paints, solvents,  glues, detergents, polishes, deodorizers,
etc.) and (2)  in manufactured articles (clothing, housewares,
batteries, etc.).  While  exposure to substances in manufactured
articles is usually limited, experience has shown that potential
risks can sometimes be significant—e.g., TRTS used on pajamas,
friable asbestos in building materials, DEHP in plastic articles
that are southed by young children, formaldehyde emissions
from pressed wood products.  Not included in this category is
exposure from substances  released into the environment and
transported beyond  the immediate vicinity of the user—e.g.,
contamination of drinking water or non-point source air pollution.
Where consumer products are used indoors and contaminate indoor
air, any resulting  risks  are likely to be double counted with
indoor air (#5).


Cancer Risks

Ranked in category 1 of 5 (tied for #4 of 29).
Risks from four substances in consumer products estimated at
  100-135 cases annually.  Even though exposures generally inter-
  mittent, risk believed  to be high given concentrations
  to which individuals are exposed.


Non-cancer Health Risks

Relatively high risk.   Medium confidence in data/judgment, compared
  with other problems examined.
Large populations exposed.  Ambient exposures can be at levels well
  above RfD's.  Serious health effects possible, including terato-
  genicity and hepatotoxicity.


Ecological Effects

Not ranked.  Extent of effects not adequately known.
Scale of impact - local.
Discarded plastic materials can choke fish and wildlife.


Welfare Effects

Ranked as minor.  Not ranked numerically.
Comments

Clear important health risks.
Public rates this problem as lower risk than other environmental
  problems.
EPA shares jurisdiction with Consumer Product Safety Commission.
                                  89

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               3J.   Worker Exposure to Chemicals
Description of Problem

Humans are exposed to numerous chemical substances in a variety
of occupational settings.   These include chemical manufacturing,
chemical processing, industrial uses, and the use of chemical
substances in the trades.   Because of the diverse nature of
processes and equipment and great range of physical properties
of chemicals, occupational exposure varies greatly in different
settings.


Cancer Risks

Ranked in category 1 of 5 (tied for #1 of 29).  Individual risks
  can be relatively high.
Large numbers of chemicals in the work place and concentrated
  exposures.
High ranking due more to the consensus of the work group
  than quantitative estimates.   250 cases annually from four
  substances, but workers face potential exposures to over
  20,000 different substances.


Non-cancer Health Risks

Relatively high risk.  High confidence in data/judgment, compared
  with other problems examined.
Exposed population of workers somewhat smaller than consumer
  category, but still large.   Work place concentrations can be
  extremely high, exceeding RfD's by over three orders of
  magnitude in some cases.


Ecological Effects

Not ranked because this is not an ecological problem.


Welfare Effects

Ranked as minor.  Not ranked numerically.


Comments

Clearly important health risks.
Public rates this problem as moderate risk.
EPA shares jurisdiction with the Occupational Safety and Health
  Administration.
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                            CHAPTER IV




         PUBLIC PERCEPTIONS OF THE ENVIRONMENTAL PROBLEMS
     How the public perceives the seriousness of different



environmental problems is very important to the setting of EPA



prioffities.   Measuring these perceptions was not part of the main



work 06 the Comparative Risk Project, but the results of a short



study done by the project staff do provide an interesting comparison



to the information developed by EPA experts as the principal



product of the project.



     In order to get a better idea of how the public ranks the



problems, the project staff undertook a brief review of polling



data collected over the past two years by the Roper Organization,



Based on Roper's questions and the public's responses, the staff



developed an ordinal ranking of public concerns covering 19 of the



31 problems studied in this project.



     The questions Roper asked the public do not neatly match the



31 problem areas.  Only 20 of the areas are directly or indirectly



addressed by Roper.  Ropes frequently asked about an environmental



issue that encompassed several of the 31 problem areas.  FOJT



example, Roper's questions on chemical off toxic waste disposal



typically cover Doth active and inactive hazardous waste sites



(problems #16 and #17).  Roper's questions on water pollution do



not distinguish between direct and indirect dischargers and



non-point sources (problems #9, #10 and #11).  On the other hand,



some of Roper's questions are more detailed than the 31 categories.
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For example, Roper asked separate questions about acid rain,



industrial air pollution and auto exhaust,  all of which are



components of criteria air pollutants (problem #1).   As a result,



we had to apply some judgement to translate Roper's  results into



as assessment of how the public ranks the 31 problem areas.



     Our interpretation of Roper's results  yields the ranking



of the 31 problem areas shown in the chart  on the following



page.  Twenty problem areas are ordinally ranked.  In addition,



we put these problem areas into groupings reflecting either



generally high, medium, or low perceived risk by the public.



     Our ranking was based initially on Roper questions that



ask the respondent which of nine environmental problems are



most serious.  Other problem areas asked about in other



questions were then fit into the ranking by how they compare



to one of these original nine.  Finally, some environmental



problem areas are asked about in other contexts, without



comparison to other environmental concerns.  In these cases,



we placed the problem area in the ranking according  to the



absolute level of public concern about it.
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                                    Table 4-1
       Summary Ranking of Environmental Problan Areas by Level of Public Concern
    Public
 Perception of
    and Ranking
High
Moderate
            Ropes Area
Lower
1.   Chenical waste disposal


2.   V&ter pollution



3.   Chemical plant accidents

4.   Air pollution


5.   Oil tanker spillage

6.   Exposure on the job

7.   Eating pesticide-sprayed food

8.   Pesticides in farming


9.   Drinking water

10.  Indoor air pollution

11.  Indoor air pollution

12.  Genetic engineering

13.  Strip mining

14.  Non-nuclear radiation

15.  The "greenhouse" effect
           Qoggesponding EPA
       Environmental Problem Area
Ha2ardous waste sites - active (#16)
Hazardous waste sites - inactive (#17)

Direct point source discharges (#9)
Indirect point source discharges (#10)
NOnpoint source discharges (#11)

Accidental releases - toxics (#21)

Criteria air pollutants (#1)
Hazardous air pollutants (#2)

Accidental releases - oil spills (#22)

vtorker exposure (#31)

Pesticide residues oa foods (#25)

Application of pesticides (#26)
Other pesticide risks (#27)

Drinking water (#15)

Indoor air pollution (#5)

Consumer product exposure (#30)

Biotechnology (#29)
                 «

Mining waste (#20)

Radiation - other than radon (#6)

002 and global wasming (#8)
      Note:  Adeguate information was not available from Roper to rank the following
             EPA problem areas:  Other aic pollutants (#3), Radon - indoor aitr (#4),
             Stratospheric ozone depletion (#7), Contaminated sludge (#12) / Estuaries,
             coastal waters, and oceans (#13), Wetlands (#14), Non-hazardous waste
             sites - municipal (#18), Non-hazardous waste sites - industrial (#19),
             Releases from storage tanks (#23), Other groundwater contamination
             (#24), and New toxic chemicals (#28).
                                             93

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                      CHAPTER V




       GENERAL OBSERVATIONS AND RECOMMENDATIONS
NO PROBLEMS RANKED CONSISTENTLY "HIGH"  OR "LOW"  ACROSS ALL



FOUR RISK TYPES.   Whether an environmental problem appears



large or not depends critically on the  type of adverse



effect with which one is concerned.   In many cases a problem



is ranked high on one and/or the other  health risk categories



and low on ecological and welfare risk, os vice versa.  This



makes the job of using these rankings to set priorities



especially tricky, and emphasizes the importance of value



j udgments.



0  Problems that received relatively high rankings in three



   of the four risk types, or at least  medium in all four,



   include criteria air pollutants,  stratospheric ozone



   depletion and pesticide residues  on  food and "other"



   pesticides risks.



0  Problems that ranked relatively high on health but low



   on ecological or welfare effects  (or by definition are



   not an ecological problem) include radon, hazardous air



   pollutants, indoor air pollution, drinking water,



   pesticides application, and consumer and worker exposure



   to chemicals.



0  Problems that ranked relatively high on ecological and



   welfare effects but low/medium on health include global



   warming, point and nonpoint sources  of water pollution,



   physical alteration of aquatic habitats (including



   estuaries and wetlands), and mining  waste.






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     0  Problems where SPA has programs to prevent future risks



        are difficult to rank on a risk basis - new toxic chemicals,



        biotechnology and pesticides.






2.   THE PROJECT HAS DEVELOPED A USEFUL TOOL TO HELP SET PRIORITIES.



     Despite their limitations, the data and judgments assembled



     in this project are sufficiently well founded for EPA to




     use in the priority setting process.   As noted in the




     Introduction, many factors (including laws, technology and



     cost)  must he considered in setting priorities.  Thus,




     while the results of this project are not sufficient by




     themselves to detetmine EPA's priorities, the feasibility



     of organizing environmental protection more around the



     fundamental goal of reducing risks is clear and the concept




     appears compelling.






3.   RISKS AND EPA's CURRENT PROGRAM PRIORITIES DO MOT ALWAYS



     MATCH.  In part, these differences seem to be explainable



     by public opinion on the seriousness  of different environmental




     problems.



     0  Areas of high risk/low EPA effort  - radon, indoor air



        pollution, stratospheric ozone depletion, global warming,




        accidental releases of toxics, consumer and worker



        exposures to chemicals, non-point  sources of water




        pollution, "other" pesticide risks.




     0  Areas of medium Off low risk/high EPA effort - active



        (RCRA) and inactive (Superfund) hazardous waste sites,




        releases from storage tanks and municipal non-hazardous




        waste.






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0  The data appear to support the contention  that  EPA has



   been more concerned about pollution  that  affects  public



   health, as opposed to protection of  natural  habitats



   and ecosystems, in all programs except surface  water



   protection.



°  Problems related to ground water consistently ranked



   medium or low in most respects.  This may be because of



   our lack of understanding of these issues.   It  is also



   because exposure to ground water —  whether  of  humans,



   ecosystems or economic values — is  significantly



   limited.  Other types of exposure (e.g.  air, pesticides)



   are simply much motre direct and widespread.   Groundwater



   protection also raises significant issues  concerning



   intangible aspects of risks.



0  This divergence between risks and priorities is not



   necessarily inappropriate.  Not only must many  factors



   beside risk (legislation, technology, etc.)  be  considered



   in setting priorities, but some problems  appear to pose



   relatively low risks precisely because of the high



   levels of effort that have been devoted to controlling



   them.  It may be necessary to continue to invest in



   permit processing, inspections and enforcement  in order



   to maintain high level of compliance.



0  In this context it is interesting to note that  EPA.1 s



   priorities appear more closely aligned with  public opinion



   than with estimated risks.  Public polls  conducted



   over the last two years by the Roper Organization,



   indicate that the public appears to be most  concerned





                               96

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        with chemical waste disposal, water pollution, chemical




        plant accidents and ait? pollution, in that order.  Oil



        spills, worker exposure, pesticides and drinking watear are



        rated as medium risks, and indoor air pollution, consumer



        products, genetic engineering, radiation and global




        warming are ranked as comparatively low cisks.






4.    STATUTORY ArJT40RITIES 00 MOT MATCH MblATLY WITH RISKS.



     °  In two relatively high health risk areas SPA shares



        jurisdiction with other agencies: consuaec and worker




        exposures to chemicals.  Good coordination with CPSC



        and OSHA is needed.



     0  In some othec relatively high risk areas neither EPA




        nor other Federal agencies have extensive statutory



        authorities: indoor aitr pollution, C02 and global warming




        and non-point sources of water pollution.






5.    NATIONAL RANKINGS DO NOT NECESSARILY REFLECT LOCAL SITUATIONS



     LOCAL ANALYSES ARE NEEDED.  This analysis is not a guide to



     what may be the most serious problems in a particular area or



     foe particular individuals.  Any attempts to set local



     priorities should take into account local conditions (e.g.



     presence of Superfund sites, presence of wetlands, etc.).




     Indeed, more widespread use of risk as one basis for setting




     environmental protection priorities would be beneficial




     at all levels of government.
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6.   SOME CHEMICALS SHOW UP AS MAJOR CONCERNS  IN  MULTIPLE
     PROBLEM AREAS, notably lead,  chromium,  formaldehyde,
     solvents and some pesticides.   This  suggests the need  for
     integrated strategies to deal  with them.

7.   MORE RESEARCH IS NEEDED IN SEVERAL AREAS.  The basic data
     are on many subjects studied  in this project are surprisingly
     poor.  The general weakness of exposure data is a special
     problem because exposure is such an  important determinant
     of risk.  in addition, specific data on the  different  types
     of risks and environmental problems  are often lacking.
     More research would be very useful to clarify the issue of
     how serious various environmental problems are, particularly
     in the instances described below:
     0  The best information available is for  cancer risk.
        Even these, however, it was not nearly as good as one
        might expect.
     0  The data and methods available for assessing non-cancer
        health risks are poor.  Exposure data are surprisingly poor,
        even on chemicals that are objects of major regulatory
        efforts.  There is no general methodology for assessing
        non-cancer risks.
     0  There is no generally applicable methodology for ecological
        risk assessment.  The number of different types of
        ecological systems, the relative scarcity of ecosystem
        exposure data and methods,  and scientific uncertainties
        confound the problem.  Moreover,  the extraordinary
        complexity of ecological systems prohibits objective
        assessment of ecological risks.
                                   98

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0  While there axe generally accepted methods for assessing



   welfare effects, there is a general scarcity of data



   and analysis in this area.  Many programs have paid



   little or no attention to these effects.



0  Intangible aspects of risk play a very important part



   in the way the public values environmental problems,



   particularly those related to qroundwater.  Howeve?



   we do not understand them- very well and perhaps under-



   estimate them.



0  The data on active and inactive hazardous waste sites,



   biotechnology, and new chemicals are very poor.



0  There are two areas where the risks could be very great,



   but our understanding of the problems is  not very good:



   global warming and stratospheric ozone depletion.



0  The overall impact of pesticides on health and ecosystems



   is both large and not well understood, either by the



   science community oir the public.






EPA SHOULD NOW STUDY OTHER AREAS IMPORTANT TO SETTING



PRIORITIES.  Had this exercise been conducted five, ten



or twenty years ago, the results would have  been rather



different.  Fo? example:



0  only recently have some serious environmental problems



   been "discovered," such as radon and other indoor air;



   pollutants;



0  some problems that were once much more serious



   are now much better controlled, such as direct and



   indirect discharges to surface water; and





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0  some parts of the old problems  are  still  serious, such as

   some of the criteria air pollutants and  certain pesticide

   exposures.

Over time, as some problems are  brought under better control

and as more is learned about others  the relative rankings

of environmental problems described  in this  report are

likely to change.  But this is not likely to happen Quickly.

Thus, while EPA should carry out the research on specific

items mentioned above, it should now focus  more effort on

the systematic study of the other  factors involved in

priority setting, such as costs  and  feasibility of addressing

the unfinished business described  in this report.
                                                r •
     U.S. Environmental Protection Aeencvmci{
     Region 5, Library (PL-12J)           '
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