vvEPA
                                  United States
                                  Environmental Protection
                                  Agency
                                  Health Effects Research
                                  Laboratory
                                  Research Triangle Park NC 27711
                                  Research and Development
                                  EPA-600/S1-81-041  July 1981
Project Summary
                                 Microwaves,
                                 Hyperthermia,  and
                                 Human  Leukocyte Function

                                 Norbert J. Roberts, Jr., Shin-Tsu Lu, and Sol M. Michaelson
                                   The objective of this study is to
                                 determine whether exposure to micro-
                                 waves (2450 MHz) affects the func-
                                 tion of human leukocytes in the resting
                                 state and during antigenic or mitogenic
                                 challenge. This publication is a sum-
                                 mary report of the  construction and
                                 calibration of a waveguide exposure
                                 system for the exposure of human
                                 mononuclear leukocytes to 2450 MHz
                                 (CW) microwave energy. A description
                                 of the dual vial waveguide exposure
                                 facility for in vitro irradiation of human
                                 leukocytes is presented. Calorimetric
                                 determinations of specific absorption
                                 rates (SAR) were made using heating
                                 curves measured with a microwave
                                 transparent Vitek 101 Electrothermia
                                 Monitor. The correlation between
                                 SAR and forward power was highly
                                 significant (r = 0.95). At a forward
                                 power of 0.55 W, the averaged SAR
                                 was approximately 33 mW/ml. How-
                                 ever, inhomogeneity and significant
                                 resonance absorption were noted in
                                 the dual vial waveguide exposure
                                 facility. A 30-point  measurement of
                                 SAR distribution revealed that the
                                 SAR at any  of the measured points
                                 could range between 0.12- and 3.94-
                                 fold of the average SAR within the
                                 given vial. Measurements indicated
                                 that this variability in SAR values did
                                 not create significant thermal gradients
                                 within the vials when external agita-
                                 tion was applied.
                                   This Project Summary was devel-
                                 oped by EPA's Health Effects Research
                                 Laboratory, Research Triangle Park,
                                 NC, to announce key findings of the
                                 research project that is fully docu-
                                 mented in a separate report of the
                                 same title (see Project Report ordering
                                 information at back).

                                 Introduction
                                   Microwave radiation  has many cur-
                                 rent uses that result in public exposure,
                                 with very little information available on
                                 the effects of microwaves on man.
                                 Investigators have reported increased
                                 spontaneous transformation of lympho-
                                 cytes from animals that have been ex-
                                 posed to microwaves. These effects are
                                 still of unknownfunctional significance.
                                 Quantisation of thermal variables is
                                 difficult but it is critical to understanding
                                 these effects. This study will determine
                                 whether microwave exposure of human
                                 mononuclear leukocytes in vitro will
                                 similarly affect these cells, and will
                                 determine whether  such effects are
                                 beneficial or detrimental and finally, will
                                 determine the influence of thermal flux
                                 in  these reactions. In addition, the
                                 studies will explore the effects of micro-
                                 wave-induced hyperthermia on the
                                 function of human leukocytes in host
                                 defenses that are pertinent when chal-
                                 lenged by bacteria, viruses, toxic foreign
                                 material and neoplastic  tissue.
                                  Human mononuclear  leukocytes will
                                 be  exposed in vitro to microwaves in a
                                 37°C environment to effect no change
                                 in temperature and to attain tempera-
                                 tures in the range of 37 to 42°C, to
                                 provide a definition  of temperature-
                                 response relationship. Low equivalent

-------
power densities (<0.5-10 mW/ml) will
be specifically examined. Exposure
without temperature increase will be
studied initially. The function of these
cells, measured by transformation re-
sponse to mitogen or antigen, will be
assayed and compared to that of cells
treated concurrently in a like fashion
with the exception of microwave expo-
sure.  The latter  cells, in studies  of
temperatures >37°C, would have their
temperature set by exposure to appro-
priate ambient temperature conditions.
  This  report details the  construction
and calibration of the dual vial waveguide
system to be used for the in vitro expo-
sure of human leukocytes at 2450 MHz.

Technical Discussion
  The study reached these objectives:
(1) design, acquisition and construction
of the  microwave dual vial exposure
system; and (2) dosimetry analysis of
the system. Analysis of dosimetric and
thermal characteristics constituted the
major  scientific  effort after system
procurement and construction.
  Figure  1 shows  the block diagram of
the waveguide exposure facility for cell
exposure to microwaves. The waveguide
exposure chamber dimensions are
shown in Figure 2.
  Calorimetric determination of specific
absorption rate (SAR) was made using a
microwave transparent Vitek 101  Elec-
trothermia Monitor. SAR  values were
determined  using heating curves  at
Coaxial
Termination
f

^-XXV>
~r

	 !




-•
^
> 6.*30
J5.40
( Pov
\Sou
Plexiglass holder
/ 'Low density styrofoam spacer
1 	 /_/ 	 CC 	 II 	 ,
O /i
A - 'i - rv-
0 0.95 ^ 0-
-*lt " ll
\ ta- "*J3/
2.90 J'c
« f /? ifn hi IA.O /r/ih

•JO.UU "• •
f/ns/dej



      11.80
    f /1.00 •*
     (Inside)


Figure 2.    Dual vial waveguide exposure chamber.
steady state [Ln( ATss-AT) = Ln ATss-k-t].
Heating analysis was employed for the
following reasons: (1) deviation from
linearity occurs consistently earlier  in
the cooling curve than in the heating
curve; and-(2) a slower and larger devia-
tion is noted in the cooling constant
determined by cooling analysis than by
heating analysis.  Table 1  shows the
calorimetric determination of SAR using
u


1

WR430 WR430 \
Sham Exposure
Agitator \
                                                       Jacketed Incubator
 Figure  1.    Microwave exposure system
heating analysis. Specific absorption
rates were also determined from the
power reading sampled by,4he bidirec-
tional  coupler. SAR  determinations of
the dual tube waveguide exposure
facility are shown in Table 2.
  Determination of SAR under different
dosimetric procedures is shown in Table
3. SAR determinations using muscle
phantom material in the vials and
medium in the vials with agitation but
no insulation and under  non-steady-
state conditions gave the highest SAR
values. A 30-point measurement of
SAR distribution in the  vials using
muscle phantom  material showed 0.12
to 3.94-fold variation from the averaged
SAR for the vial.

Conclusions
  Inhomogeneity and significant reso-
nance absorption were noted in the dual
vial waveguide exposure facility. A 30-
point measurement of SAR distribution
revealed that  the SAR at any of the
measured points could range between
0.12- and 3.94-fold of the average SAR
within the given vial. However, such
variable SARs did not create significant
thermal gradients within vials when
external agitation was applied. The
differences in  averaged SAR between
vials of the present dual-vial waveguide
system were not significant, irrespective
of the method of quantitation used. This,
as well as the fact that  much lower
averaged SAR values are  planned for

-------
able 1 . Calorimetric Determination of SAR Using Heating Analysis
Forward
Power" (W) &.Tss(°Cf kfrnin'^f SAR (mW/mlf
0.22
0.33
0.45
0.55
0.55
0.67
0.67
0.77
0.78
0.78
0.79
0.89
0.89
J.OO
1.01
1.01
1.10
1.13
1.18
1.28


2.28
3.04
3.47
4.91
4.53
4.79
4.57
6.98
6.44
5.63
5.10
7.24
6.40
6.60
7.03
7.43
6.40
8.10
9.24
9.39


-0.0617
-0.0928
-0.0710
-0.0794
-0.0961
-0.0751
-0.0921
-0.0763
-0.0856
-0.0824
-0.0864
-0.0798
-0.0841
-0.0783
-0.0882
-0.0942
-0.09O2
-0.0896
-0.0809
-0.0909
-0.0838
±0.0087 (mean ±S.D.)
9.54
15.96
16.70
26.49
29.57
24.45
28.59
35.68
37.89
31.48
29.92
39.22
36.54
35.12
42.10
47.54
39.20
49.26
50.78
57.95


*A7"ss = steady state temperature increment.
bk = cooling constant.
CSAR: specific absorption rate.
'able 2.    Comparison of SAR's for Right and Left Vials
                                                                              the biological work, indicates that this
                                                                              exposure system can provide an assess-
                                                                              ment of the importance of inhomoge-
                                                                              neous SAR in the absence of substantial
                                                                              compromise by thermal mechanisms.

                                                                              Recommendations
                                                                               The construction and dosimetry mea-
                                                                              surement phase of this project has gone
                                                                              well.  The dosimetry should go a long
                                                                              way in  evaluating the data of human
                                                                              leukocytes exposed to  microwaves. It is
                                                                              recommended that this project proceed
                                                                              to the evaluation of the effects of micro-
                                                                              waves on human leukocytes exposed at
                                                                              2450 MHz in this exposure system.
Forward Power
(mW -20.4 dB)
0.1
0.5
0.8
1.0
1.5
1.8
2.0
2.5
2.8
2.85
3.0
3.5
3.8
4.0
5.0
5.1
6.0
6.1
7.0
7.2
8.3
8.4
9.2
10.0
SAR, Left Vial
0.93
4.70
7.51
9.40
14.09
16.92
18.80
23.51
—
26. 80
28.21
32.91
35.74
37.61
—
47.97
—
57. 38
65.84
—
—
78.98
86.48
93.98
SAR, Right Vial
0.93
4.69
7.50
9.38
14.08
16.88
18.78
23.46
26.30
—
28.17
32.89
35.71
37.60
47.03
—
65.43
—
—
67.73
78.07
—
86.54
94.06
                                                                                   * US. GOVERNMENT PHNTING OFFICE 1M1 -757-012/7213

-------
   Table 3.    Determinations of SAR with Different Dosimetric Procedures

   	Procedure	Right Vial	Left Vial

    Muscle phantom,"
    Urn d/dt
    f-0
    Culture medium, agitated,
    non-insulated, non-steady-state

    Culture medium, agitated,
    insulated, linear heating rate

    Culture medium, agitated,
    non-insulated, steady-state
      58.7 ±46.2 (30f   76.1 ±63.9 (30f
      63.4 ± 45.4 (29)


      80.0 ± 23.1 (4)     72.9 ± 9.2 (4)


      34.1 ±2.9 (4)      31.3 ±3.2 (4)


      26.4 ±4.4 (4)      28.8 ±0.7 (4)
    ^Multiple points measured within the vial.
    "Mean ± S.D. (no. of determinations).
                                               NorbertJ. Roberts, Jr., Shin-Tsu Lu, and SolM. Michaelson are with the Univer-
                                                 sity of Rochester School of Medicine, Rochester, NY 14642.
                                               Ralph J. Smialowicz is the EPA Project Officer (see below).
                                               The complete report,  entitled "Microwaves, Hyperthermia, and Human Leuko-
                                                 cyte Function." (Order No. PB 81 -208 951; Cost: $6.50, subject to change) will
                                                 be available only from:
                                                      National Technical Information Service
                                                      5285 Port Royal Road
                                                      Springfield, MA 22161
                                                       Telephone: 703-487-4650
                                               The EPA Project Officer can be contacted at:
                                                      Health Effects Research Laboratory
                                                      U.S. Environmental Protection Agency
                                                      Research Triangle Park, NC 27711
United States
Environmental Protection
Agency
Center for Environmental Research
Information
Cincinnati OH 45268
Postage and
Fees Paid
Environmental
Protection
Agency
EPA 335
Official Business
Penalty for Private Use $300

-------
 United States
 Environmental Protection
 Agency
 Health Effects Research
 Laboratory
 Research Triangle Park NC 27711
 Research and Development
 EPA-600/S1-81-042  July 1981
 Project  Summary
Determinants  of  Cancer and
Cardiovascular  Disease
Mortality  in  Mining
Counties of  California

R. A. Ziskind, D. F. Smith, J. L Hahn, and G. Spivey
  The purpose of this research effort
was to  design an epidemiological
study protocol to evaluate the influence
of environmental asbestos exposure
on mortality from lung cancer, meso-
thelioma. and cardiovascular disease
in the asbestos mining areas of Cali-
fornia. Mortality data (1968-1978)
and emissions data (both anthropo-
genic) were reviewed in an effort to
determine the most preferable study
area. The area selected for future
study was Western Calaveras and
Tuolumne Counties which contain the
Calaveras serpentine deposit. Selec-
tion criteria included suitable popula-
tion base, sufficient number of deaths,
evidence of elevated airborne and
waterborne asbestos concentrations,
and the existence of archives contain-
ing ambient air sampler filters for
preceding years. A questionnaire was
developed for obtaining information
from next-of-kin of  decedents in the
study area though interviewing was
not attempted. Next-of-kin interviews
are expected to be  a component of
future studies. Necessary elements of
quality assurance were identified and
documented as part of protocol design.
  This Project Summary was devel-
oped by EPA's Health Effects Research
Laboratory, Research Triangle Park.
NC, to announce key findings of the
research project that is fully docu-
mented in a separate report of the
same title (see Project Report ordering
information at back).

Introduction
  This epidemiological study evaluates
the hypothesis that asbestos-related
health effects have been observed
among populations not occupationally
exposed. The study was divided into four
conceptual tasks:
  Epidemiological protocol design. I n
this segment, alternative study ap-
proaches were evaluated. The mortality
data base, the sources, and the exposure
to asbestos were considered.
  Questionnaire development. In con-
cert with  protocol design and exposure
findings,  the primary data-gathering
mechanism for obtaining subject infor-
mation from survivors was drafted, pre-
tested, revised, and submitted.
  Source inventory and exposure char-
acterization. All anthropogenic and
natural emission sources of asbestos
were delineated and quantified in each
California study area. Existing occupa-
tional and ambient data were reviewed
to establish inhalation and ingestion
population exposure.
  Quality assurance. Elements of qual-
ity assurance were to be identified and
documented as part of the protocol
design.
  The  initial components of this study
were the source inventory and exposure
characterization. A summary  of the

-------
principal findings are given here.
  Two distinct California asbestos min-
ing and milling areas were researched.
One is  associated with a serpentine
deposit running through the junction of
Fresno and San Benito Counties (herein
referred to as the  New  Idria Deposit).
The second  is located throughout the
western sections of Calaveras and
Tuolumne Counties (the  Calaveras De-
posit). The preferable study area was
determined to be that associated with
the Calaveras Deposit. Selection criteria
included greatest population base, evi-
dence of elevated airborne and water-
borne concentrations of  asbestos, and
the existence of archives of useful
ambient air sampler filters dating back
over seven years.
  For  the case of the New Idria Deposit,
the mining areas are sufficiently remote
to make it unlikely that any population
center will  be affected. One mill is
located  near a community and limited
airborne asbestos measurements  point
to significant concentrations there at
the time taken.
  By  contrast, the Calaveras Deposit
area has a greater at-risk population as
a result of mining and milling of asbestos
and other minerals. In addition, airborne
background ambient levels taken up-
wind or remote from known sources are
elevated. No waterborne asbestos mea-
surements were made specifically  for
the water distribution systems serving
the Calaveras Deposit area; however,
measurements on San Francisco Bay
water district reservoirs located in
western CalaverasandTuolumneCoun-
ties show higher than average concen-
trations for those with supplies passing
through serpentine formations. The
oldest ambient data uncovered for the
Calaveras Deposit area was reported in
the California Department of Health
Study of 1965-1967. Asbestos concen-
tration was  measured by dust sample
collection through impingers. Quantifi-
cation was by optical  microscopy. Mea-
sured ambient levels (upwind at a  large
mine  site, etc.) on  two separate occa-
sions  ranged between 0.1 and 2 million
particles per cubic fcfot of air. A federal
study  at about the same time of the area
"Environmental Survey of Asbestos
Mining  and  Milling in California" De-
cember,  1966,  Public Health  Service
Division of Occupational Health, suggests
the equivalence 10 total fibers/cc = 1
mppcf by impinger. In the cited ambient
concentrations (from the NIOSH Rec-
ommended Asbestos Standards), the
levels across the country are summar-
ized as generally < 10 ng/m3 with
occasional peaks as high as 100 ng/m3
(by electron microscopy). Using optical
microscopy, ambient levels are generally
less than 0.01 fibers >  5 /um/cc with
peak values as high as 0.03 fibers > 5
//m/cc. Use of the Public Health Service
equivalence 6 fibers >  5 //m/cc = 1
mmpcf by impinger yields the mine area
ambient (upwind) concentration range
0.6-12 fibers/cc.*  Further, use of the
NIOSH suggested equivalent 20 fibers
> 5 ism in length (as determined by
optical microscopy) per nanogram of
asbestos yields the mine  ambient range
12-240 ng/m3. Thus, the ambient levels
detected at upwind locations in the
vicinity of a Calaveras mine/mill are at
the extreme high end of the surveyed
range.


  High volume air sampler filters from
the Calaveras Deposit area population
centers have been located in the Cali-
fornia Air  Resources Board archives
dating back to the early 1970s. They can
be utilized to quantify airborne asbestos
concentration and they therefore ap-
proximate exposure data. Coupled with
the water assay, they will establish the
quantitative relationship among popu-
lation centers in the serpentine area
and the other areas  of Calaveras and
Tuolumne Counties. Also, they will
provide the basis for stratifying the
populations according to inhalation and
ingestion exposure.

  Based upon the source and exposure
information available to this study, the
potential study group was defined as
those people who died in Calaveras and
Tuolumne  Counties during the last ten
years. Approximately 4,300 people will
be included. Exposure of the prelim-
inarily identified group is expected to be
significant; principally due to general
ambient sources rather than a dominant
single point source. Exposure may be
differentiated among the group members
between air and water, with either
predominating in particular residential
segments.  This  approach will permit
investigation of the relative importance
of different exposure routes and will
facilitate  interpretation of possible
dose-effect relationships. Water distri-
bution systems for the area through the
last ten years were described.
 •Note: The current NIOSH recommended standard
 is 0.1 fiber/cc for an 8-hour time-weighted
 average.
Conclusions
  There  are two principal areas of
California in which asbestos mining and
milling activities are conducted. This
study investigated both areas and sur-
veyed the anthropogenic and natural
sources of asbestos emissions into the
environment. The county areas which
constitute both regions are principally
rural; the cities generally contain less
than 6,000 people. The only large cities
in Calaveras,  Fresno, Monterey, San
Benito, and Tuolumne Counties are
located apart from the serpentine areas.
The coincidence of asbestos mining and
milling with such less-urbanized county
areas is  a favorable factor;  people in
more populous urban  centers are ex-
posed to a number of toxic substances in
their ambient environment.
  Based upon the synthesis of published
literature, a field survey, and the review
of the limited asbestos monitoring infor-
mation available, the study concluded
that airborne and waterborne asbestos
levels in  particular areas of  Calaveras
and Tuolumne Counties may be elevated
with respect to background. In the other
principal  serpentine area (San Benito,
Fresno,  Monterey),  insufficient  infor-
mation is available to estimate exposure.
In these  latter areas, mining activities
are relatively isolated  from population
areas. However, ore transport and
milling are  in the King City-San Lucas
areas. Isolated airborne data taken in
King City showed elevated concentra-
tions; more extensive mill site data
(provided by the mill  management)
appears somewhat lower. The single
piece of waterborne assay information
from the Coalinga vicinity is insufficiently
documented to be definitive.
  Upwind data taken at Calaveras as-
bestos during 1965-1967 range from
12-240 ng/m3 extrapolated to electron
microscope concentrations from optical
microscopy counts of fibers greater than
5 yum. Ambient concentrations across
the country are generally below 10
ng/m3.
  High volume air quality sampler filters
were located in the archives of  the
California Air Resources Board for a
number  of sites in Calaveras and
Tuolumne Counties. Samples of 24- and
48-hour duration date back to the early
1970s. These asbestos analyses  are
practical and may be utilized to provide
an exposure mapping of the areas of inter
est.
  Water distribution systems in Cala-
veras and  Tuolumne Counties have
been  identified.  Sources, routes, and

-------
 reatment differ throughout the area. No
 specific asbestos analyses of the water
 jsed for local supply was found. Based
 jpon several available  measurements
 if elevated asbestos content in serpen-
 ine  deposit area reservoirs (which
 ;erve San Francisco Bay communities),
 water sampling and analysis should be
 jerformed for chrysotile asbestos.
  Based upon available air and water
 Jata, elevated asbestos exposure to the
 jeneral population may have occurred
 n areas  of Calaveras and Tuolumne
 bounties.

 Recommendations
  Water sampling and air/water anal-
 ysis should be conducted to define ex-
 sosure to the population by place of
 •esidence. Parallel with that effort,
 nformation from the California death
 ape rolls can be initially extracted on an
 mnual basis for  both counties. These
 apes can be processed according to
 :ause of death (ICO system) with case
 md control groups extracted, and dis-
 tase mortality rates compiled. The
 statistical adequacy of all cause-of-
 leath categories of interest would then
 3e determined. All diseases associated
with occupational exposure to asbestos
would be  considered. In addition,  all
 itatistically adequate death category
 loputations can be contrasted as a
 unction of exposure. The product of this
 iffort is the delineation of the range of
 correlation of mortality categories with
 ixposure. This may suggest additional
 :ause-of-death categories. These steps
will be followed by the final study
 components which will include the
 detailed data gathering by survivor
 questionnaire and medical records and
 he comprehensive data analyses.
                                           /?. A. Ziskind, D. F. Smith, J. L Hahn, and G. Spivey are with Science Applica-
                                             tions, Inc., Los Angeles, CA 90067.
                                           John Acquavella is the EPA Project Officer (see below).
                                           The complete report, entitled "Determinants of Cancer and Cardiovascular
                                             Disease Mortality  in Asbestos Mining Counties of California," (Order No.
                                             PB 81 -208 985; Cost: $11.00, subject to change) will be available only from:
                                                  National Technical Information Service
                                                  5285 Port Royal Road
                                                  Springfield.  VA 22161
                                                  Telephone: 703-487-4650
                                           The EPA Project Officer can be contacted at:
                                                  Health Effects Research Laboratory
                                                  U.S. Environmental Protection Agency
                                                  Research Triangle Park, NC 27711
                                                                                      > U£ GOVERNMENT PfdNTINO OfFRE. 1981 -757-012/7211

-------
United States
Environmental Protection
Agency
Center for Environmental Research
Information
Cincinnati OH 45268
Postage and
Fees Paid
Environmental
Protection
Agency
EPA 335
Official Business
Penalty for Private Use $300
      HS
      U   b

-------