Addendum
          to

"The Health Consequences
of Sulfur Oxides: A Report
from CHESS, 1970-1971,"
       Mav 1974

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Contents
             Part 1	:	    3
                      The Environmental Protection Agency's Research Program with
                      Primary Emphasis on the Community Health and Environmental
                      Surveillanpe System (CHESS): An Investigative Report (the Brown
                      Committee Report), November 1976

                      The Environmental Research, Development, and Demonstration
                      Authorization Act of 1978 (ERDDAA) P^L 95-155,
                      November 1977.

             Part 2	 131
                      Research Outlook 1978 (Appendix 3). U.S. Environmental
                      Protection Agency, EPA-600/9-78-001', June 1978.

                      Research Outlook 1979 (Appendix E). U.S. Environmental
                      Protection Agency, EPA-600/9-79-005, February 1979.

             PartS	.....;....	 149
                      Report of the Health Effects Research Review Group (HERRG).
                      Science Advisory Board, U.S. Environmental Protection Agency,"'
                      February 1979.

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Introduction
              This document is an addendum to the 1974 monograph  published by the U.S.
              Environmental Protection Agency, titled "Health Consequences of Sulfur Oxides: A
              Report from  CHESS,  197O1971" (EPA-650/1 -74-004).  A key portion  of  the
              addendum is a copy of a Congressional report which contained recommendations to
              EPA regarding the 1974 monograph and the conduct of health research generally.
              Also included are reports to Congress by both EPA and the Science Advisory Board on
              the Agency's implementation of these recommendations. The Congressional report
              and subsequent legislation which bears on the Agency's compliance with the report's
              recommendations are described below.

              In 1976, the Subcommittees on Oversight and on Environment and the Atmosphere of
              the House Committee on Science and Technology released  an evaluative report on
              EPA air pollution research programs. The report, titled "The Environmental Protection
              Agency's Research Program with Primary Emphasis on the  Community Health and
              Environmental Surveillance System (CHESS): An Investigative Report," is commonly
              referred to as "the Brown Committee Report." The report sets forth in detail findings
              and recommendations regarding epidemiologic investigations carried out by EPA into
              the  human health  effects from air pollution., In particular, the report critically
              addressed the 1974 monograph, which analyzed CHESS studies related to the health
              consequences of sulfur oxides. Also addressed was the effectiveness of EPA's total
              research and development program.

              In  1977, Congress enacted the  Environmental  Research,  Development,  and
              Demonstration Authorization Act of 1978  ("ERDDAA"), P.L. 95-155, November 8,
              1977. Section 8(a) of ERDDAA provided a statutory basis for EPA's Science Advisory
              Board ("SAB").* Section 8(c) directed that  when the Administrator for EPA submits
              his  annual report  to  Congress on  the  Agency's  five-year plan for research,
              development, and demonstration, it be accompanied by the SAB's comments on the
              plan. Section 8(d) further directed that the SAB independently report to Congress on
              EPA's health effects research generally and on the findings and recommendations of
              the Brown  Committee Report in  particular.

              Section 10 of ERDDAA specifically required the Administrator of EPA to implement
              the recommendations of the Brown Committee  Report, unless he makes certain
              determinations. Section 10 also requires the Administrator to report to Congress on
              the status  of implementation of the Brown Committee recommendations  in each
              annual report he makes on EPA's five-year plan for research and development.

               Recommendation 3(c)of the Brown Committee Report was that EPA should publish an
              addendum to the 1974 monograph, containing at a minimum chapters IV, V, and VI
              and Appendix A of the Brown Report. This publication constitutes such an addendum
              to-the monograph.  As set forth below, the addendum contains various materials
              which concern net only the 1974 monograph and the various CHESS studies, but also
               EPA's research and development program generally.
               *The SAB was originally established by EPA in 1974 in order to provide advice to the Administrator on
                scientific and technical aspects of environmental regulation.  By providing a  statutory foundation.
                Congress intended to enhance the status, scope and responsibilities of the SAB.

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Included as Part 1  of the addendum is the entire Brown Committee Report.

Part 2 contains appendices from EPA's Research Outlook reports for 1978 and 1979,
each of which include discussions of compliance with the Brown Committee
recommendations. The Research Outlook reports are EPA's annual  reports to
Congress on  the  Agency's  five-year plans for research and development.  The
availability  of  these  appendices  as  further information on the  Sulfur  Oxides
monograph was previously noticed in the Federal Register of March 7, 1979 (44FR
12490).

Finally, Part 3 contains a report made to Congress in February 1979,  by the SAB's
Health Effects Research Review Group ("HERRG"). The HERRG report, as required by
Section 8(d) of ERDDAA, summarizes the nature of health effects research at EPA and
reports on  steps taken by EPA to implement the recommendations of the Brown
Committee.

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Part 1
                Congressional Report to EPA (1976) and subsequent
                legislation which bears on the Agency's compliance
                with the report's recommendations.

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               [COMMITTEE PEIHT]
    THE EimRONMENTAL PROTECTION
      AGENCY'S RESEARCH PROG-RAM
           Wi'JL'JH PRIMARY EMPHASIS OJT THE
COMMUNITY HEALTH AND ENVIRONMENTAL
     SURVEILLANCE SYSTEM  (CHESS):
        AN INVESTIGATIVE REPORT
                 REPORT    :
                PREPARED FOR THE   !
      SUBCOMMITTEE ON SPECIAL'STUDIES,
        INVESTIGATIONS AND OVERSIGHT
                    AND THE      i
     SUBCOMMITTEE ON THE ENVIEONMENT
            AND THE ATMOSPHERE
                    OS1 THE
               COMMITTEE ON
        SCIENCE AND TECHNOLOGY
    U.S. HOUSE OF REPRESENTATIVES
          NINETY-FOURTH CONGRESS
                SECOND SESSION
                    Serial SS     i
                 NOVEMBER 1976


   Printed for the use of the Committee on Science and Technology
                               !

            V.8. GOVERNMENT PRINTING OFFICE
  77-S90             WASHINGTON : 1976   i
 For eale by the Superintendent of Documents, H.S. Government Printing Office
            Washington, B.C. 20402 - JPrlee $1.35

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              COMMITTEE ON SCIENCE AND TECHNOLOGY

                        OLIN E. TEAGTJE, Texas, Chairman
KEN HECHLER, West Virginia              CHARLES A. MOSHER, Ohio
THOMAS N. DOWNING, Virginia            ALPHON20 BELL, California
EON FTJQTJA, Florida                     JOHN JAEMAN, Oklahoma
JAMES W. SYMINGTON, Missouri           JOHN W.,WYDLER, Now York
WALTER FLOWERS, Alabama              LARRY WINN, Ju., Eansas
ROBEET A. ROE, New Jersey              LOUIS PREY, JR., Florida
MIKE McCORMACK, Washington            BARRY Jr. GOLDWATER, Ja., California
GEORGE E. BROWN, JB., California         MARVIN  L. ESCH, Michigan
DALE MILFO ED, Texas                   JOHN B.  CONLAN, Arizona
RAY THORNTON, Arkansas               GARY A; MYERS, Pennsylvania
JAMES H. SCHEUER, New York            DAVID F. EMERY, Maine
RICHARD L. OTTINGER, New York        LARRY PRES3LER, South Dakota
HENRY A. WAXMAN, California
PHILIP H. HAYES, Indiana                        '
TOM HARKIN, Iowa
JIM LLOYD, California
JEROME A. AMBRO, New York
CHRISTOPHER J.'DODD, Connecticut
MICHAEL T. BLOtJIN, Iowa
TIM L. HALL, Illinois
ROBERT (BOB) KRTTEGER, Texas
MARILYN LLOYD, Tennessee
JAMES J. BLANCHARD, Michigan                  •:
TIMOTHY E. WIRTH, Colorado


    SUBCOMMITTEE ON SPECIAL STUDIES, INVESTIGATIONS  AND  OVERSIGHT

                        OLIN E. TEAGTJE, Texas, 'Chairman
KEN HEOHLER, West Virginia             CHARLES A. MOSHEE, Ohio
DON rUQTTA, Florida                    JOHN W.1 WYD'LER, Now York
JAMES W. SYMINGTON, Missouri
MIKE MoCORMACK, Washington                    i


         SUBCOMMITTEE ON  THE ENVEBONMENT AND THE ATMOSPHERE

                    GEORGE E. BROWN, JR., California, Cftsims-n
MIKE McCORMACK, Washington            MARVIN' L. ESGH, Michigan
DALE MILFORD, Texas                   LARRY WINN, JR., Kansas
RICHARD L. OTTINGER, New York        GARY A. MYERS, Pennsylvania
PHILIP H. HAYES, Indiana                DAVID F. EMERY, Maine
JEEOME A. AMBRO,-New York
JAMES J. BLANCHARD, Michigan
JAMES H. SCHETIER, New York


                                     fll)

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                          CONTENTS
                                                                     Page
Letter of transmittal	;	   vn
  I. Executive summary	,	._•	,	     1
 II. Introduction	~	     5
         A. Background	'.	     5
         B. History of  air pollution health studies leading to  CHESS
              objectives	i	     7
 III. Findings, conclusions, and recommendations	    11
         A. General findings	    11
         B. Specific CHESS findings and recommendations	    12
         C. R. & D. related finding^	    17
         D. Recapitulation of guiding questions	•	    21
         E. Closing remarks	:	    23
 IV. CHESS aerometrio measurements	_	    25
         A. Introduction	    25
         B. Review of chemical and physical methods	    27
                1. The West-Gaeke method for measurement of ambient
                     S02	—_-	.	    27
                2. Total suspended particulates	:	—    28
                3. Suspended sulfate	',	    28
                4. Dustfall bucket, tape sampler, cascade impactor, and
                    cyclone sampler	_	;	    29
         C. Findings and evaluations of measurements and data reduc-
              tion	-		    30
                1. Sulfur dioxide	:	_	    31
                       a. Spillage of reagent, during'shipment	    32
                       b.  lime decay of the reagent SO3 complex	    33
                       c. Concentration   dependence   of   sampling
                           method	.—!	    34
                       d. Low flow correction	_	,—    34
                       e. Bubbler train leakage—:	    34
                2. General assessment of CHESS S02 data...,	    35
                3. Total suspendedpartioulate	..	    37
                4. Total suspended sulfate	.	    39
         D. The CHAMP air monitoring program. -*	    41
                1. Introduction	—.	;	    41
                2. System description	_—;	    42
                3. Findings regarding the CHAMP program	    43
                4. Summary	-	'	___,	    44
  V. Review of CHESS air quality analysis procedures and results	    45
         A. Introduction.	,	1	    45
         B. Use of estimated data		'	    45
                1. Estimated sulfur dioxide  concentration, 92  /tg/m*
                     (Magna)		    46
                2. Estimated sulfur dioxide concentration, 177  #g/ma
                     (Anaconda) __-_______-..__-_____-_„_	    47
                3. Estimated suspended sulfate concentration, 15 #g/m3
                     (Magna)	    49
                4. Estimated suspended sulfate concentration, 7.2 jug/ms
                     (Anaconda)	.		;	    50
                5. Estimates of suspended particulate, Salt Lake basin
                     study	.	    54
                6. Estimates in the Chicago and New York studies-—    54
         C. Use of mathematical dispersion models..:	    54
                                   (in)

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                                     IV-   •:

                                                                       Page
 VI. An analysis of the CHESS health effects studies	     57
         A.  General problems of epidemiologic investigations of pollution
              effects	1	.	     57
         B.  Introduction and definitions	.	     58
         C.  Specific health effects studies	'	     60
                1. Chronic respiratory disease (CRD) prevalence	     60
                2, Retrospective • surveys  for acute lower  respiratory
                      disease (LRD) in children	\	     68
                3. Acute respiratory disease (ARD) in volunteer families     65
                4. Asthma panel studies	j	     68
                5. Cardiopulmonary symptoms in adult panels	     71
                6. Ventilatory function in schoolchildren	     73
                7. Other CHESS studies	'.	     75
         D.  Summary assessment of the population studies.	,    75
         E.  CHESS current status	\	     77
                1.  General	i	     77
                2. Status of analysis	,	   .  78
                3. Recent planning  directions  of  Population  Studies
                      Division	'„--.	     80
VII. Current CHESS status and future programs—	     81
         A,  Retrospection	:	     81
         B,  Current	.	,	     82
         C.  Future	(	     83
APPENDIX A—Recapitulation of the  aerometric  and meteorological
  findings of the investigation as they relate to specific  sections of the
  CHESS Monograph	,	     85
    A.  Introduction	'.	     85
    B.  Critique	•.	:	     85
         1. Prevalence of chronic respiratory disease symptoms in adults:
              1970 survey of Salt Lake Basin communities	     85
         2. Frequency  of  acute  lower respiratory disease in children:
             retrospective  survey  of Salt Lake  Basin communities,
              1967-70	!	     87
         3. Aggravation of asthma by air pollutants: 1971 Salt Lake Basin
             studies	'	     87
         4. Human 'exposure to air' pollutants in five Hooky Mountain
             communities, 1940-70	;	     89
         5. Prevalence of chronic respiratory disease symptoms in adults:
              1970 survey of five Rocky Mountain,communities	,	.   90
         6. Frequency  of  acute  lower respiratory disease in children:
             retrospective survey of five Rocky Mountain communities,
              1967-70	     90
         7. Prevalence of chronic respiratory disease symptoms in military
             recruits: Chicago induction center	'	     92
         8. Prospective surveys  of acute respiratory  disease in volunteer
              families: Chicago nursery school study,  1969-70	     93
         9. Human exposure to air pollution in selected New York metro-
              politan communities, 1944-71	_	     93
        10. Prevalence of chronic respiratory disease symptoms in adults: .
              1970 survey of New York communities	     94
        11. Prospective surveys  of acute respiratory  disease in volunteer
              families: 1970-71 New York studies.	    94
        12. Aggravation of asthma by air poEutants: 1970-71 New York
              studies		!	     95
        13. Frequency and  severity of cardiopulmonary symptoms in
              adult panels: 1970-71 New York studies	     96
        14. Ventilatory function  in  schoolchildren: 1970-71  New York
              studies	     97
        15. Ventilatory  function  in  schoolchildren:  1967-68  testing in
              Cincinnati neighborhoods	'.	     98
     C. Superficial and perfunctory treatment  of meteorological informa-
          tion	:	     99
     D. Insufficient exploration of possible relationships between meteoro-
          logical conditions and asthma attack rates	     99
     E. Failure to consider peak and episode concentrations	    100
                                     8

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                                                                      PRJCC
    P. Use of a single monitoring station to determine the exposure of a
         community	'.	   100
    G, Failure to establish, similarity of exposure and, stress factors be-
         tween communities in the same study, excluding the exposure
         to specific pollutants	,	   101
    H, Impreciseness of monitoring station locations—,		   101
    I. Inexact locations of residences of individuals studied	   101
APPENDIX B—Legislative history of the CHESS program	   103
                                     9

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                LETTER OF TRANSMITTAL
                          HOTTSE OF REPRESENTATIVES,
                  COMMITTEE ON SCIENCE AND TECHNOLOGY,
                           Washington, D.C., November 19,1976.
Hon. OLIN E. TEAGXTE,                      ;
Chairman,  Committee on  Science and  Technology,  U.S.  House of
     Representatives, Washington, D.C.
  DEAR ME. CHAIRMAN: I am transmitting herewith a report entitled
"The Environmental Protection Agency's Research Program with
primary  emphasis on the  Community Health and Environmental
Surveillance System (CHESS): An Investigative Report." This report
provides  the conclusions  and  reconunendations resulting from an
intensive evaluation of the scientific and technical  adequacy of this
important air pollution-health effects surveillance system and related
research programs. The  report indicates that there are a number of
serious issues in EPA's research programs which require resolution in
order to achieve more effective  results.
  The report was prepared by Committee staff members,  Dr.  R. B.
Dillaway, Science Consultant  and Director,  EPA  CHESS  Investi-
gation, -and Oversight Subcommittee on Special Studies,  Investiga-
tions Task Team Leader, and Dr. Radford Byerly,  Jr., Science Con-
sultant-, Subcommittee on the Environment and the Atmosphere, who
was  detailed to assist in the investigation. Committee staff members
were assisted in the preparation of the report and in the conduct of
the oil-site investigation by a special team, of consultants.  The Com-
mittee is  grateful for the cooperation of the agencies which permitted
their participation and expresses appreciation to the consultants for
their assistance. The special  consultants were: Mitchell H.   Gail.
M.D.,  Medical Statistical  Researcher, Biome'try Branch, National
Cancer Institute; Paul  A. Humphrey, Senior Scientist  (Retired),
Division of Meteorology, EPA/NOAA, National Oceanic and Atmos-
pheric Administration; Dr. James M. McCullough, Senior Specialist in
Science and Technology (Life Sciences), Science Policy Research
Division, Congressional Research Service, Library of Congress; Cdr.
John W.  Poundstone,  M.D.,  Chief, Occupational and  Preventive
Medicine, Navy Regional Medical Center, Great Lakes; Dr. Harry L.
Rpojs,  Chief,  Activation  Analysis  Section,   Analytical  Chemistry
Division, National Bureau of Standards; and Charles C.  VanValin,
Research Chemist, Atmospheric Physics and Chemistry Laboratory,
Environmental Research Laboratories, National. Oceanic and Atmos-
pheric Administration. In addition, the Committee sttiff solicited the
opinions  and advice  of  a  number of other scientists, statisticians,
and physicians in other agencies and institutes.
                             (VII)
                               11

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                               vni

  In accordance with your  direction, the staff in this investigation
reported^ to me. I have nothing but praise for the professional manner
with which they carried out the study. I have carefully reviewed this
report and am prepared to  take full responsibility for its contents.
I further  recommend its adoption as a  Science  and Technology
Committee report.
  In closing, however, I would like to make an additional observation
that goes beyond this particular study. The need to regulate pollutants
in this industralized age is likely to grow,'  not diminish.  Regulating
knowledgeably is  therefore  essential. This report  provides  several
examples of the many instances in which the status of environmental
research and technology is not what it should be to assure adequate
and well founded protection  of human health. While this investigative
report has much significance with regard to  research management and
execution, it does not provide all the answers to the policj-maker who
is obliged to act in the face of less than  certain proof.  The policy
oriented questions of "acceptable risk" and "burden of proof" can be
assisted, but never fully answered by better research. I^vould hope that
those who read this report will not use it to undermine the minimal
research work that is now underway, but instead will use it as a reason
to improve and enhance the on-going programs.
       Sincerely,
                           GEOEGB E. BEOWN, Jr., Chairman,
              Subcommittee  on the Environment and the Atmosphere,
                               12

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                  I. EXECUTIVE SUMMARY

  The Staffs of the Subcommittee on Special Studies, Investigations
and Oversight and the Subcommittee on the Environment and the
Atmosphere  have completed an  evaluation  of  the Environmental
Protection Agency's research program related to the health effects
of air pollution, with primary emphasis on the  OQTn.Tm.Tni.ty Health
and Environmental Surveillance System (CHESS). This investigation
was noted earlier in the report on joint hearings held by the House
Interstate and Foreign Commerce Committee and the House Science
and Technology Committee, April 9, 1976.1 While the joint hearings,
held to determine whether  there had been any deliberate distortion
of data during the writing of the 1974 CHESS Monograph,2 produced
general agreement that no basis existed to question the integrity or
scientific honesty  of ^he project leader for tie first CHESS Mono-
graph, the hearings did not resolvemany questions and supported the
need for a comprehensive evaluation of the scientific'and technical
aspects of the CHESS program and related Environmental Protection
Agency (EPA) research efforts.
  The investigation reported herein was conducted by a team com-
posed of members of the staff of the House Science and Technology
Committee with  the support of consulting specialists in aerometry
and analytical chemistry, meteorology, epidemiology, medicine, and
general environmental health. Conferences  were  held on site, in the
field, with individuals in EPA and in State  and local government,
academic, and private institutions who had detailed knowledge of the
conduct of the CHESS programs. A  number of findings and recom-
mendations are provided in the report including  those  highlighted
in the balance of this summary.
 _ To some the findings may appear  overly [Critical since CHESS
pioneered in a difficult research area. However, in part the report is
meant retroactively to complement  the CHESS Monograph which
fails to fully appraise the reader of the errors, .deficiencies, and other
shortcomings in the information presented in, the Monograph. The
intent of the report is to aid in assessing the validity of the conclu-
sions presented in the Monograph and to assist researchers perform-
ing similar studies in avoiding similar problems. The endeavor was
•greatly assisted by hindsight and by^ the splendid cooperation and self-
examination by investigators both inside and outside of the Environ-
mental Protection Agency.  The report also notes where problems
similar to those  found in  CHESS  research still exist in the EPA
program.
 i U.S. Congress. House Interstate and Foreign Commerce and House Science and Technology Committee.
94th Congress, 2nd Session. Report on Joint Hearings on the Conduct of the Environmental Protection
Agency's "Community Health and Environmental Surveillance System" (CHESS) Studies. Washington,
U.S. QPO April 9,1976.                             !
 1 TJ.S. Environmental Protection Agency. Health Consequences of Sulfur Oxides: A Report from CHESS,
1970-1971. May 1974. EPA-650/l-74r004.

                               (1)
                                13

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  The report identifies the need to reexamine the wisdom of legislative
and  executive pressiires  for rapid development of information for
pollution control standards, and the adverse impact of these require-
ments on the performance of research. Also identified were the prob-
lems which are occurring because of  the Office  of Management and
Budget (OMB) assuming operational control over details in the EPA
research programs.
  The CHESS program, has historical value as a first attempt at a
broad based definitive study relating  air quality to health effects in a
precise, quantitative manner. The program is a contribution to the
general field of air pollution epidemiological studies. However, many
problems  critical to obtaining useful quantitive  results were  not
solved in the conduct of this research. This failure to solve procedural
problems became obvious when the studies  were examined. There
were too many inconsistencies in the data, and too manj- technical
problems that resulted in large data uncertainties or errors associated
with the aerometrics for the results of this program to provide quanti-
tative support for policy decisions. _The 25 pg'™? lower sensitivity
limit of the method used for most SOa measurements coupled  with
the overall large error band on all measurements (possibly exceeding
100%)  and the apparent bias  of SO2 concentration di
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  Second, CHESS points out the many difficult problems involved in.
carrying out air pollution/health, effects research.
  Of course, the first lesson had been learned long ago, but failures in
CHESS pi arming and execution precluded the development of new
quantitative information on the relationship of air quality to health.
Thus, CHESS cannot be called a major advance, only a confirmation
of previous advances. With respect to the second lesson, the value of
the CHESS experience lies mainly in the use'to be made of it in
correcting and improving operational procedures and research tools
(i.e., instrumentation,  questionnaires) and in planning future health
effects studies. Finally, it seems that both these lessons could have
been, learned at much less cost in funds, elapsed time, EPA credibility,
and staff morale.                        ' .
  EPA has only recently been reorganized to^modifj7-  the National
Environmental Research Center  concept. This reorganization was
examined in more detail in a previous report.3
  The results of this present investigation suggest that the changes
made last year are less effective than anticipated. The issue of re-
search management should be continuously monitored to build the
Environmental Research Center, Research Triangle Park capability
and reputation. At the end of the 1977 fiscal year the situation should
be examined to determine further need  for reorganization. Perhaps
consideration should be given now to some structure which provides
for a single point of review at both the Research Triangle Park and
Headquarters in order to alleviate the obvious lack of coordination of
multidisciplinary projects, without attempting a major reorganization.
  There is considerable 'evidence  from this investigation that some
critical disciplines, such as  quality control, monitoring and sampling,
and statistical analysis continue to be inadequately addressed in pre-
project planning of health effects studies.
  In  the area of research management, the investigative  team's
recommendations are  critical of the control of research programs
within EPA. There is also concern with the fact that research is oeing
conducted by other EPA offices involving little coordination with the
Office  of Research  and Development.  This functional overlap is
beginning to produce problems within the laboratories  and needs to
be effectively resolved before these programs continue much further.
Related to this overlap and the need for the solution of the problem
of poor communication between the offices and laboratories, are the
needs to provide for a more effective input from the Science Advisory-
Board, to establish a permanent peer review system to insure coordina-
tion among laboratories, and to  expedite the tamely publication of
research results.
  Although the Administrator of EPA  had :indicated during  the
joint hearings that there was a five year plan for research on sulfates,
the investigative team found that only draft plans of this program
were available and that the development of this plan was being poorly
coordinated.  Accordingly, no  specific recommendations  with regard
to this plan can be provided. However, the need for better information
on the species of chemicals, including sulf ates,'which are of primary
 8 U.S. Congress, House Committee on Science and Technology. Organization and Management of EPA's
Office of Research and Development, 94th Congress, 2nd Session, June 1976. U.S. GPO. Washington, D.C.
Serial LL 40 pp.
                                15

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importance in health effects is emphasized and this recommendation
3ias direct relevance to the proposed sulfate program.
  A number of other recommendations are imade with regard to the
•need for improvements in the air  monitoring  and quality control
programs, the need for additional  strength in  meteorology, and a
number of specific suggestions about improvements in the, type of
epidemiological studies reported in the CHESS document.
  It should be noted that the investigative team received friendly
cooperation throughout the entire investigation  and appreciation for
this help  is acknowledged. A number 01 the recommendations for
change  evolved from  the suggestions and the very real concern of
EPA personnel for the improvement of their research  program. The
report bears on the condition of a research a^rea which is the result of
many forces and restraints. There is no intent to  impugn the integrity
or ability of any individual researcher,  all of whom were found to
exhibit professionalism and dedication to their program.
  Finally, a most important point must be made which grows from
but goes beyond the  study.  This report documents many cases of
deficiencies in EPA research both past and present. It does not discuss
many of the fine research efforts ongoing. The overriding purpose of
this report then is to point the way to improving and  enhancing the
EPA research program, not to undermine the program.  EPA can
regulate wisely only if its decisions are based'on information generated
in a sound and comprehensive research program.
                              16

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                     II. INTRODUCTION

                         A. BACKGBOTJND

  The Environmental Protection Agency, in partial response to the
mandate of Congress under the Clean Air Act, conducts research to
study the adverse health effects of air pollution.1 A series of major air
pollution/health effects studies  were carried out  between 1967  and
1975 and were considered by many experts to be the most compre-
hensive of their kind. This program attempted to  implement a co-
ordinated system of aerometric measurements, including measurements
of sulfur dioxide (SOz), particulates,  total sulfate, carbon monoxide
(CO),  ozone, hydrocarbons,  nitrogen  dioxide  (NOg),  and nitrate.
In areas where these measurements were made, the EPA initiated con-
current epidemiological studies embracing acute and chronic respira-
tory illness, ventilatory function of children, and the aggravation of
asthma symptoms. A portion of these  studies eventually was given
the formal title of "Community Health  and Environmental Sur-
veillance System" (CHESS).
  Although data were gathered over the entire 1967-1975 period, the
monograph,  Health Consequences of Sulfur Oxides, A Report from
CHESS, 1970-71, (EPA 650/1-74-5)04, May 1974),  treats only some
of these data. Some controversy exists in the professional community
regarding the technical correctness of the results and conclusions as
presented in that monograph. The controversy was intensified follow-
ing a series of newspaper articles starting with' a February  29, 1976
article in the Los Angeles Times. In this article, scientists both within
and outside of EPA were reported to have alleged that the data and
its analysis were manipulated to more strongly support certain regula-
tory positions taken by EPA.
  Following these allegations,  the  House Science  and  Technology
Committee and the House Interstate and Foreign  Commerce Com-
mittee on April 9,1976 held a joint hearing on the alleged mishandling
of the CHESS program.1
  While the hearing generally negated the idea of a planned manipu-
lation of the data, many questions were raised as to the reliability of
the d.ata, the technical soundness of its analysis,  and the subsequent
-validity of the conclusions reached.
  Further, the EPA Adminfetrator, Russell Train, testified that there
existed a five-year program plan for sulfate air pollution and health
effects R&D which would assure a sound data base for promulgating
air quality standards in the future. However, the plan itself was not
presented.
   As a result of the questions raised by the April 9 hearings and other
sources, the staff of the House Science and  Technology Oversight
  1 U.S. Congress. House. House Interstate and Foreign Commerce Committee and the House Science and
 Technology Committee. 94th Congress. 2d session. Report on Joint Hearings on the Conduct of the En-
 vironmental Protection Agency's "Community Health and Environmental Surveillance System"
 (CHESS) Studies. Washington. U.S. Govt. Print. Off. April 9,1976.25 pp.
                                 17

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                                 6        ;

•Subcommittee and the Subcommittee on the Environment and  the
Atmosphere undertook a technical investigation of the entire CHESS
program, with particular emphasis on the work reported in the 1974
CHE5SS Monograph. The investigation also looked into the follow-on
CHAMP aerometric program and EPA. plans for research to establish
a sound technical basis for air pollutant health effects relationships.
As noted in the Report on Joint Hearings cited earlier:
".  .  .  the  Committee on Science and  Technology is  currently in-
vestigating  EPA's research program. This technical investigation will
focus on CHESS and EPA programs planned to develop information
necessary to make a decision on a sulfate standard." 2
   This investigation was  launched dne  to  the  importance of EPA
research to the Nation, not because of accusations raised in news-
. paper articles. It is simply  that  recognition of the importance of
environmental research as  a basis for regulation has and will continue
to foster reviews of the EPA R&D program. We  would like to em-
phasize that the team conducting  this review worked with the goal of
helping to improve EPA'-s  research for the benefit of the country.
   In planning the investigation, the team formulated the following
13 questions as a means of setting the scope and direction to the in-
vestigation. The team did not expect necessarily to arrive  at findings
in a format  that would explicitly answer the ,13 questions in the form
they were set .down. The questions are as follows:
   (1) Did the CHESS measurement system; utilize the best available
instrumentation and sound operational protocols and quality control
procedures?
   (2) Were the precision and accuracy of  the CHESS aerometric data
sufficient to quantify pollutant exposure differences between commu-
nities where health effects were studied?    ;
   (3) Were the aerometric data consistent with and accurately repre-
sentative of the exposures to pollutants received by  the populations
used in the health effects studies?
   (4) Were new knowledge, instruments, and procedures  introduced
into the program as they became available and proven?
   (5) Were the epidemiological populations adequately selected?
   (6) Were the health measurement endpoints meaningful and reliable?
   (7) Were the data reduction and analysis- accurately and correctly
carried out?
   (8) What factors have retarded the analysis  and reporting of the
CHESS data?                        .
   (9) Did the health and monitoring data  establish unambiguously
what concentrations of specific pollutants  are associated with measure-
able  adverse health effect?  _              :
   (10)  If so,  do the quantitative dose-response estimates in  the
CHESS report have  a firm empirical basis? : •
   (11)  Were the conclusions drawn from the CHESS program suffi-
ciently clear and unambiguous so  as to form a sound basis for future
 action?
   (12)  Does  the new "CHAMP" 3 program provide a substantially
improved mechanism to  provide aerometric data to support future
  > U.S. Congress, House Interstate and Foreign Commerce Committee and House Science and Technology
 •Committee. Report on Joint Hearings, op. cit. p. 25.         .
  3 Community Health Air Monitoring Program, a systematic program for monitoring air pollution in con*
 nection with health effects studies.
                                18

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epidemiological research and is an epidemiological research program
planned to complement future aerometric moniiorings?
  (13) What additional steps, if any, should EPA take to insure that
a sound technical basis will be available for future agency decisions
pertaining to SOa/sulf ates?
  Answers to  these  13 questions were  developed from the specific
findings'and are given at  the  end of Chapter; III, Findings, Con-
clusions and Recommendations.               :
  The investigative team consisted of at least one person with tech-
nical knowledge in each of the scientific disciplines expressly involved
in CHESS, i.e., epidemiology, aerometric measurement, meteorology,
data analysis,  and B&D planning and management.
  The first phase  of the investigation  involved visiting field  data
centers and measurement  stations and interviewing  the ^personnel
who ran monitoring  systems  and who  collected health data. The
next phase involved a review of data and analysis procedures used in
the CHESS monograph and. intensive' interviews with the key scien-
tific and mana'gement'personiiel at the EPA laboratories at Research
Triangle Park, North Carolina. The third phase consisted of interviews
with  EPA headcmarters  personnel who had been  involved in the
CHESS and CHAMP programs.
  This report  documents> the  investigation which  was focused, on
the CHESS program and its published output. It was no.t, however,
restricted to the  CHESS  program. The investigators looked into
related programs (e.g. current epidemiology projects), and into sup-
porting programs  (e.g. development of measurement methods). As a
result, the scope of the report is broader than CHESS.  Since the
CHESS program ended a year ago this report will have most value if
it is pertinent to  existing and future EPA research. It is  definitely
believed that many of the CHESS findings and recommendations are
indeed relevant to current research programs in EPA, and that the
CHESS mistakes might well be repeated if they, are not documented.
An Executive  Summary is  provided at the beginning of this Report
for the convenience of the Committee in quickly getting an overall
picture of the  findings. The body of the report  presents summarized
foldings and recommendations (Chapter III), followed by  a detailed
discussion and critique of the  aerometric measurement and epidemio-
logical parts of the CHESS program.         ;
  The field review  naturally divided into  air quality measurements and
epidemiological studies. The first part of  the field review (Chapter IV)
presents  the results  of the evaluation of aerometric measurements,
including the next generation CHAMP program. Chapter V presents
an overview of the air Duality analysis  procedures, Chapter VI pre-
sents an analysis of the health effects  studies. Appendix A presents a
recapitulation of the aerometric and meteorological findings of the
investigation as they relate to specific health studies. Appendix B
presents  a legislative history relative to  the CHESS program.

B.  HISTORY OF Am POLLUTION HEALTH EFFECTS STUDIES LEADING
                     TO CHESS  OBJECTIVES

  There  has never been any  question about the need for control of
severe air pollution. Undisputed historical data have clearly implicated
high levels of industrial pollutants, which invariably include oxides of
                                19

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                                  8
                                            I

sulfur and particulate matter,  with increased incidences  of  health
effects—both  moribidity  and   mortality.  Those historical  reports
clearly indicated the danger from such incidents and pointed the way
toward a need for additional information on the nature and extent of
the damage which such pollutants might produce.   _           ;
  In early December,  1930, a tliiek fog covered the industrial  Meuse
Valley in Belgium.  Frrket4 recounted that several hundreds were
sickened by suddenly appearing respiratory- symptoms, complicated
in a large number by gra,ve  circulatory failure." lie notes that,  "More
than sixty died on the 4th and 5th of December after only a few hours'
of sickness. A sizeable number  of livestock;had to be slaughtered."
Having  calculated that mortality rates were ten and  one lialf times
average during this period,  Firket commented that, should a similar
fog  afflict  London,  "one would  have  3,179 immediate deaths  to
mourn." His words were prophetic. Four thousand excess deaths were
attributed to the foxtr day London Fog of December, 1952, and Logan5
added the following historical note to his mortality figures:
  "The incident was a catastrophe of the first magnitude in which, for
a few days, death rates attained a level that has been exceeded only
rarely during the past hundred years—for example, at the height of the
cholera  epidemic of  1854 and of the influenza epidemic of 1918-19."
Nor was the United States spared. Nearly half (42.7%)  the inhabitants
of Donora,. Pennsylvania experienced  symptoms during the  "smog
episode" of October, 1948, and  twenty died dining the final week of
October, a period which norm ally occasions  but two or three deaths.6
  A statistically significant increase in mortality was also documented
during  a "pollution incident"  in  New York City  in November,
1953/Thus, "air pollution," or  "smog," or Yfog" was recognized as a
lethal menace, both in the United States and abroad.
  These tragic episodes raised many questions and spawned a genera-
tion of research. Although various products £f sulfur combustion were
considered likely noxious  agents in these episodes, the commentators
were duly  cautious in suggesting which pollutant or  combination of
pollutants might prove harmful. Recent reviews 8 910 describe popula-
tion studies, clinical experiments, and toxicological studies designed to
define which  pollutant (s)  pose risk,  and  a concommitant bod3r of
research sought  to  develop  and  refine  techniques  of pollution
measurement.      ^
   The above  chronicled incidents and research logically led  to the
question: If high levels of pollution can kill,;what  can  low levels do to
susceptible subpopulations,  such as asthmatics, and what harm might
come to the general population if exposed tojlow levels of pollution for
  < Fkket, M., Bulletin it L'Academic Regale de Medicine de Belgigue Series 5, Volume II, Number 10 (1931),
 pp. 683-739.
  B Logan, W.P.D., "Mortality in the London Fog Incident." Lancet Volume 264, Number 6755 (1953),
 pp. 336-338.
  • Shrank, H. H., Heimann, H., Clayton, O. D., Gafafer, W. M., Wexler, H., "Air Pollution in Donora,
 Pennsylvania: Epidemiology of the Unusual Smog Episode of October 1848". Public Health Bullletin
 Number 306 (1949).                               '
  ' Greenberg, L., Jaeongs. M. B., Drolette, B. M., Field,!'., Braverman, M. M., "Report olan Air Pollu-
 tion Incident in New York City, November 1953." Public Health. Rsports Volume 77, Number 1 (1962),
 pp. 7-16.
  «RaU, D.R..  "Review of the Health ESeets of Sulfur Oxides." Environmental Health Perspectives
 Volume 8 (1974), pp. 97-121.       •                  :
  «"Air Quality and Stationary Source Emission Control." National Academy of Sciences Report for the
 Committee of Public Works, United States Senate Pursuant to S. Res. 133 Serial #94-4 (March 1975), pp.
 58-189.        '                               f
  « "A Critical Evaluation of Current Research Regarding Health Criteria for Sulfur Oxides." Technical
 Report prepared for Federal Energy Administration By Tabershaw/Cooper Associates, Inc. (April 11,1973.)
                                  20

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                                  9

years? To answer such questions, epidemiologists began to measure sub-
lethal effects  of pollution such  as eye irritation,  susceptibility to
chest colds, subtle changes in pulmonary function, and asthma attack
frequency (see references ll  and  lz.)  The Community Health  and
Environmental Surveillance System (CHESS) represented a natural
extension of efforts to gather concurrent morbidity  and air pollution
data. In 1970, a description of CHESS1S stated: ;
  The keystone of the CHESS program is the coupling of sensitive health indi-
cators to comprehensive environmental monitoring . . .; ,
  .  . . EPA health research needs are  practical and problem oriented. CHESS
research is thus pragmatic and our goals are threefold: (1)  to evaluate existing
environmental standards: (2) to quantitate pollutant burdens in exposed popula-
tions; and (3) to quantitate health benefits of pollutant cdntrol.
  It was perhaps this last goal which led to title rapid expansion of
the CHESS system in 1968-70 and which necessitated the use of health
measurements and monitoring methods which in some instances had
not been adequately field-tested.  Municipal regulation of industrial
and power combustion, space heating, and incineration resulted in
dramatic decreases in sulfur dioxide and total suspended particulates
in New York City, Chicago, and elsewhere,,14 These favorable pollution
trends were already evident in 1967. Thus, by 1970, it was urgent that
population studies begin immediately if corresponding improvements
in  health indices were to be documented.. CHESS data was gathered
in  New York City, Salt Lake City, Birmingham, Charlotte, and in
Chattanooga from 1970 through 1975 and Los Angeles between 1972
and 1975. The analysis of the data and compiling of conclusions was
begun aggressively as data became available. The facts relating to this
program history are discussed in the following chapters.
  " Nelson, D.J., Shy, O.M., English, T., Sharp, C.R., Andleman, R., Truppl, L., Van Brugeen, J.,
 "Family Surveys of Irritation Symptoms During Acute Air Pollution Exposures." Journal of the Air
 Pollution Control Association Volume 23, Number'2 (1978), pp. 81-80.
  " U.S. Environmental Protection Agency. Health Cousoq.-uen.ces of Sulfur Oxides: A Report From
 OHESS.1970-1971. May 1874. EPA-650/1-7-HXH.
  " Biggan, W. B., Hammer, D. L. Finklea, J. P., Hasselblacl.V. Sharp, C. R., Burton, E. M., Shy,
 C. M., "CHESS, a Community Health and Environmental Surveillance System." Proa, of the Sixth
 Berkeley Symposium on. Mathematical Statistics and Probabilitjr (1970).
  u TJ.S. EPA. CHESS, op. ctt.                          ;
      77-690—76	2
                                   21

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III. FINDINGS, CONCLUSIONS, AND KECOMMENDATIONS

                     A. GENBBAL FINDINGS   \

  The findings resulting from the CHESS program review have
extended into EPA's evolving  task of developing a sulfate standard
as well as a general perspective on EPA's entire air pollution-health
effects research program.
  The EPA five year plan for sulfates research cannot he commented
on at this time because the plan is still in the formative stage. Thus,
the recommendations deal primarily with what it is believed can be
accomplished to prevent repetition of the problems produced by or
related to the CHESS program.
  The EPA CHESS program  intended, as one of its  prime goals,
to provide  a sound basis for relating hximan health effects to precise
quantities of SO2 and other  oxides of sulfur in air and.to provide a
reliable record of the improvement of the health of the U.S. popula-
tion as air pollution was controlled and reduced. The program, span-
ning 6 to 7 years, was to achieve these objectives by measuring  and
analyzing 6 health indicators together  with SO2, NO2, suspended
sulfates, total particulates, and oxidants in the air hi 6 representative
areas throughout the country. Only the 1969-1971 data were analyzed,
correlated and published by  1974 in the CHESS Monograph. Most of
the remainder of the data are  in various states of analysis.
  A critical review of the epidemiological and air monitoring programs
with conclusions for each subprogram is presented in the body of the
report. The results present a picture of a program pressured by EPA
management-imposed time constraints to meet legislated mandates
for promulgating new standards, hampered by inadequate mechanisms
to detect and correct technical problems, and handicapped by budg-
etary and  management restrictions placed on the program after it
was well underway.                    •     ;
  In the drive for results, the program did not adhere to standards of
.quality control,  validation of  methods,  cross-checking of data, ^nd
calibration of instruments required in such research. The decision
not to submit all results of on-going research for publication in pro-
fessional journals deprived  the  CHESS program of an important
source of peer review and evaluation at  various stages,  although the
Monograph was sent to many reviewers for comments. The simulta-
neous'publication of a large number of complex studies in a single
report—the 1974 CHESS Monograph—rather than as individual on-
going research reports may have been an administratively expedient
method of publishing and collating results, but it undoubtedly reduced
the effectiveness of peer review. The complexity of the document also
impeded the public from  acquiring^ an understanding of the results
of the studies associated with  policies of national importance.
                              (ID
                               23

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                               12          I

  As noted in Chapters II and V, the investigative team is aware that
historic incidents and other clinical, toxicological, and specific epide-
miological studies support the general concept that health and welfare
will bo improved as air pollution is reduced. However, technical errors
in measurement, unresolved problems  in statistical  analysis,  and
inconsistency in data in the 1974 CHESS Monograph renderlt useless
for determining what precise levels of specific pollutants represent a
health hazard.  Nonetheless, the CHESS  Monograph presents some
evidence of adverse health  effects of air pollution, and, in particular,
slightly increase^ prevalence of chronic respiratory disease is found
in association with whatever levels of SO2  and.indeterminate particu-
late  pollution were present in the  air during the period  the CHESS
health panels were active. CHESS  also has historical merit for under-
taking the first massive air pollution health effects research program
in the Western World, It is important  to record and remember the
lessons learned for future undertakings.
  As pointed out in  Chapter VII, the findings regarding  CHESS
epidemiologies! work corroborate the issues raised in previous reviews.
This report collects the  issues and goes .into depth as to  effects of
errors, etc., and suggested corrective action.  !
  In addition, this review documents serious errors and omissions in
the  aerometric data  and analysis  meteorology.  Some of  the more
important specific findings and related recommendations related to
the CHESS program are presented below, followed by ETP research
lab operational issues, by suggestions  as to po'ssible improvements in
health effects programs, and finally, by a review of the 13 questions
set forth at the beginning of the investigation.
  It should be noted that  these findings  do not  contradict the con-
clusions in the report of the April 9 joint hearings.

           B. SPECIFIC FINDINGS AND EECOMMENDATIONS

  1. The data  and analysisjn the_1974 CHESS Monograph do not
provide a reliable, quantitative basis for relating SO2 or sulfate levels
in the air to adverse health effects.           j
  The methods and  instruments used  had associated measurement
errors  (inaccuracies)  such  that the threshold curves ("hockey-stick
curves") presented in the Monograph are withoxit basis  in fact. The
indicated thresholds  occurred  at levels at  which the measurement
methods (as  used) were not  reliable.  Specifically in the  case of SO2
measurements the method iised^had  a  threshold of 25/i/m3 and the
accumulative errors found in  hindsight in handling,  shipping,  and
reading the instruments made  SO2 reading between 50 and 200/i/m3
unuseable. There were similar problems with, other measurements as
pointed out in Chapters IV" ana VI.
  2. The CHESS program did appear to demonstrate adverse health
effects in association with  local air pollution of undefined level  and
pollutant mix. Studies of chronic respiratory disease prevalence rates
  Erovided the most consistent results. These results  are not trans-
  table to communities other than those  measured (an  objective of
the research) because the error uncertainties in the aerometric data
made it impossible to arrive at reliable quantitative relationships.
  3. The CHESS monograph has  been referred to either directly or
indirectly as a document supportive of  regulatory and standards ac-
                               24

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                                13

tions. Specific examples were found  such as its use to support EPA
positions on air pollution health effects in the following excerpt from
the Administrator's Eeport to Congress for 1974:
  The CHESS studies have demonstrated [emphasis added] the benefits from im-
proved air quality with respect to the chronic respiratory disease experience of
subjects who have moved to communities having cleaner air.  Also, the studies
have shown [emphasis added] that children living  for '3 or more years in com-
munities having high level of air pollution have more! acute respiratory disease
episodes than recent immigrants to the community. . ... Data obtained from the
CHESS program indicate that adverse health effects are consistently [emphasis
added] associated with exposure to suspended sulfates,  indeed, more so than to
SOs or total suspended particulates.  This information has initiated further study
in the transport processes and control techniques for suspended swlfates.1
  The CHESS study results were cited in an EPA document2 dated
May 1976. The preface of that document states "The report's objective
is to review results of research by and under the  sponsorship of
ERC/BTP, related to criteria and hazardous pollutants since publica-
tion of the criteria and background  documents." CHESS studies are
explicitly mentioned in the report (e.g., page 207, page 276) with no
references. Pages 303 through 308 seem to describe the CHESS studies
as reported in the CHESS Monograph, although no reference to  a
document is given. Curiously, reference numbers 244 through 252 are
not found in the body of the text where they would be expected (be-
tween pages 301 and .308). Inspection of the references list at the end
of the pertinent chapter shows that the "missing" references, numbers
244 through 252, refer to the CHESS Monograph. Thus, it appears that
CHESS results are used without attribution, arid thus without caveat.
   Recommendations:
       (a)  EPA should immediately publish and distribute a formal
     announcement to the effect that the 1974 iCHESS Monograph is
     at best a'preliminary document reporting research of varying
     degrees of reliability and as such should be considered only as a
     beginning study of larger  problems. The notice  should further
     point out: (1) That many of the problems leading to the unre-
     liability of the research are not reported in the Monograph; (2)
     That no interpretations should  be made based only on the data
     in the Monograph; And (3) that other data available at EPA,
     including data taken  since the publication of the Monograph,
     indicate the  need  for reexamination of the conclusions in the
     Monograph. The notice should  also announce the availability of
     and describe how to acquire the addendum recommended below.
       (6)  EPA should not utilize the 1974 CHESS Monograph as a
     source for specific  quantitative data supportive of standards or
     regulatory decisions without explicit qualification.
       (c)  EPA should publish an addendum to the CHESS Mono-
     graph containing at least the materials in Chapters IV, V, and VI
     and Appendix A of this report. EPA should take the initiative
     to make _ sure this addendum  is  available  to  the public  and
     included in all future issues of the Monograph.,
   4. If the EPA had drawn adequate attention to the many difficulties
being encountered in the CHESS program (which was under pressure
to provide data as fast as possible  to support  air quality standards

  1 XJ.S. Environmental Protection Agency. Eeport to Congress. Progress in the Prevention and Control of
Air Pollution in 1974 (undated) p. 39.
  * Scientific and Technical Data BBSS for Criteria and Hazardous Pollutants 1975 EEC/BTP Review.
Health Effects Eesearch Laboratory, U.S. E.P.A. (EPA-600/1-76-023) May 1976.
                                 25

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                               14

under conditions set by the Congress, and on which OMB subsequently
placed restrictions as to the  allocation of positions and funds) it- is
possible that the program could have been  either terminated with
considerable savings or restricted in scope to permit a more satisfactory
research program to be completed.        '
  Recommendations:
       (a) Legislation affecting the research responsibilities  of the
    EPA should be reexamined to insure that unrealistic procedures
    and schedules are'not assigned.
       (6) Research programs should be designed to gain information
    and answer questions, not to support positions.
       (c) If public  policy requires expeditious research, every effort
    should be  made to insure that the OMB  allows all necessary
    funding and personnel.               !
       (d) In the event that budgetary restrictions evolve which will
    have^an impact on the  completion of; major projects, the EPA
    Administrator should be required, to advise the Congress of  the
    potential for such impact.  Consideration  should  be given to
    requiring the Administrator to provide an annual analysis to  the
    Congress which estimates the probable impact of proposed budget
    changes on major projects such as the CHESS program.
  5. At the present  time, OMB  has the power to control the most
detailed aspects in a research program. For example, a delay in  the
approval  by OMB  of  health  effects  questionnaires submitted  by
EPA prevents  or significantly delays the  continuation of epide-
miological studies associated with the establishment of air  quality
standards. Thus EPA has the responsibility for its mission, but lacks
the necessary authority to carry it out.    ;
  Recommendation:
       The OMB should be  asked to  develop procedures by which
    questionnaires and similar documents .required for research pro-
    grams can be given prompt review and approved without restric-
    tive time limits for research programs of like nature.
  6. The Health Effects Research Laboratory at Research Triangle
Park is currently proceeding with the processing of the remaining data
from  the  CHESS program. If adequate resources are made available
to complete both current and past data processing programs, then  the
CHESS data may provide some additional insight into pollution health
relationships or at least identify pitfalls to avoid in future studies. The
loss of some key personnel involved in the CHESS program makes un-
available important insights provided by individuals who were involved
in gathering of the data.                i
  Recommendations:                    ",
       (a) In view of the current unsettled conditions at the Health
    Effects Laboratory and the severe restrictions on manpower and
    budget, it is recommended that the unanalyzed epidemiological
     and aeronietric data be examined critically by year (to determine
     at what point  improvements in measurement make the data
     acceptable) and that analysis be carried out only on that data
     that appears to  have a higher degree of validity than the '69-71
     data used  as a basis of the 1974 CHESS Monograph.
       (&) Steps should be taken  to attempt to publish research in
     traditional, referred, archival journals in a timely fashion.
                               26

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                               15

      (c) The results of large or complex projects should nob be pub-
    lished solely in. monograph form.. If EPA decides to publish such
    results in monographs as well as journals, then EPA should take
    care that,  within the limits  of  reason,  all pertinent data  are
    included.
      ($) Projects should not be initiated unless there is full assurance
    that the data collected in such projects can be properly analyzed
    and reports prepared in a realistic time frame for policy con-
    sideration.  If  policy considerations dictate a time frame, then
    research staff must have a part in deciding what can realistically
    be accomplished in the allotted time.
  7. While CHAMP looks more promising for providing reliable real
time measurements of air quality (absolute pollutant levels),  the sys-
tem reliability and precision for SO2, sulfates, and N02 have yet to be
proven.
  Recommendations:                        ;
       (a) The aerometric and quality  control programs in EPA should
    be further, strengthened and improved.
       (6) Every effort should be made to shorten the time  between
    the acquisition of data and quality assurance analysis of data so
    that errors in instrumentation and collection may be corrected.
       (c) The practice of employing  development stage instruments
    in field operations before qualification testing is satisfactorily
    completed should be stopped.           ;
       (d) Field utilization  of  laboratory models of instruments is
    not acceptable until the instrument has been thoroughly checked
    out in the field and until all field  personnel have been adequately
    trained in its use.
       (e) The opening of the CHAMP operation contract to competi-
    tion now, before  development is  complete should be reexamined
    by EPA policy management to  see whether the merits of open
    bidding at this time outweigh the problems of instability.
       (/) Health effects  research personnel need to coordinate closely
    with air quality and monitornig  personnel  so that there is early
    understanding as to the chemical species to be monitored as well
    as the accuracy needed for support of health effects research.
  8. Meteorological support to the epidemiologieal  program  has
been passive and not fully developed.        >
  Recommendations:                       :
       Additional  meteorological  support is  needed in  the health
    research-air pollution effects studies. Assuming that  CHAMP
    stations will continue in operation, the meteorological instrumenta-
    tion should be uniform and complete for all stations.
  9. The characterization of species of air pollutants and combinations
thereof which are of particular health or welfare significance needs to be
speeded up. The useful output from future large scale epidemiologieal
studies of general air pollution effects will be  minimized if such char-
acterization is  not available.  Such  characterization  will require  a
greater effort than is now possible with currently assigned resources.
The present Federal  effort in this  area is  fragmented and unco-
ordinated.
                                27

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                               16

  Recommendation:
      The EPA Health Effects program as:well as interagency utiliza-
    tion of all  available Federal and extramural resources in  the
    health effects area should be examined with the objective of
    significantly accelerating .research in this area.
  10. The overall impression left with the review group was a general
awareness of many of the problems we found in the air quality health
effects research area but an apathy to really drive to correct them
quickly.
  Recommendations:
       (a) A. truly  interdisciplinary task  force led by an  eminent
    scientist should draw  up  a program plan for EPA  to  develop
    a solid base of knowledge and procedures in aerometric instru-
    mentation and measurements, meteorology, field data gathering,
    quality control,  epidemiology project design and testing  and
    panel planning.                     ;
      The plan should be thoroughly reviewed with peer groups and
    tnen funded for two years or as required at the expense  of other
    programs so that effective tools for meeting research needs will
    be available for future programs.
       (&) At (the very  least, CHAMP should be pushed to verify
    present instruments and protocols  so  that reliable   data at
    pollutant concentrations within instrument capabilities can be
    achieved. New third generation instruments, such  as the pulsed
    fluorescence devices should be developed and  proven for field
    usage so that reliable values with uncertainties of less than ±20%
    can be detected for  pollutants  at concentrations well below
    current standards.
       (c) The epidemiological  questionnaires, panel selection criteria
    and other items criticized in this report should be worked out and
    approved by peer groups so that EPA will be prepared for  the next
    round of  serial or episodes investigations with reliable tools and
    plans.  Specifically,  questions  such  as  the  following must be
    resolved for future epidemiological studies:
           (1) How do CRD* questionnaire responses change on
         serial administration in an area with unchanging pollution
         patterns?
           (2) What  is the sensitivity of the self-administered CRD
         questionnaire compared with its use in an interview?
           (3) What is  the nature of the statistical dependence of
         ARD-^- attack rates, and what formal statistical methods are
         appropriate to the analysis of relative attack rates?_
           (4) What can be done to tighten  the eligibility requirements
         for asthma and cardiopulmonary panels?
           (5) How can the statistical analysis of asthma and cardio-
         pulmonary panels  be unproved?
           (6) What  combination of CHESS health measurements is
         most appropriate to long-term  serial surveillance?
           (7) What  combination of CHESS health measurements is
         appropriate to intensive studies of specific pollution hazards?
  *CED=ohronlcrespiratory disease;
       =acute respiratory disease.
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                              17

      (in Magna, Utah. Such events
        as this  may allow one  to  disentangle the acute effects of
        particular pollutants.
          (7) Alternative  populations should be considered, and
        cohort studies of  particular occupational or  medical risk
        groups may prove valuable.
          (8) More attention might be given the need for individual-
        ized dosimetry.
          (9) Under what circumstances, if any, can  epidemiologic
        studies  alone  provide  unambiguous  dose-response  data?
          (10) More exotic studies might be considered. The health
        effects of  a new event could be observed, such as the con-
        struction  of a coal gasification plant. Changes in a town
        which is known to plan selective modifications in the regu-
        lation of  a specific pollutant could  be studied.  Studying
        vacationers from small towns who spend a week in a polluted
        urban, center  might  be considered. Longer term migrant
        studies might also be useful.

                   C. R&D RELATED FINDINGS

  During the course of this investigation the extensive  interviews
brought to light some issues which did not bear directly on the CHESS
program above but which  are important to the effectiveness of the
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                                18

total EPA R. & D. program. Generally the Research Triangle Park
EPA  Health /Effects  Rose-arch  Laboratory, and  in fact all  RTF
laboratories visited, appear to be inadequately staffed and suffering
from  pooi- morale  due to  a number of factors including frequent
changes in leadership, poorly xmdcrstood organizational changes, im-
certaiiity  about responsibilities,  difficulty in recruiting high  quality
personnel for leadership  positions, poorly  defined  Ions-range task
objectives, and physical separation of working units. In addition, there
appear to  be  serious problems of  coordination and communication
between divisions at RTF as well as at Headquarters, Washington.
  These general  findings are also borne out in  the  report on "The
Organization and Management of EPA's Office of Research and De-
velopment" prepared by the Subcommittee on the Environment and
the Atmosphere of the House Committee oil Science  and Technology
in June, 1976.8
  There1 follow several specific findings and [related recommendations.
  11. The laboratories  have not yet completely recovered from the
(inevitable) disruption  associated" with  the  ,l3ecember, 1975 reor-
ganization of the Office of Research and Development.
Recommendation:
  Since  stability is  an important ingredient in  any good  research
organization, the Center should be allowed-to function in its present
mode without further  significant, reorganization  until -the  end  of
Fiscal Year 1977 with all possible help it can use from Headquarters.
  12. There is evidence of a need for improved coordination between
the four research laboratories at the Environmental Research Center,
RTF, particularly between  the Health Effects Research Laboratory
and the Environmental Monitoring  and Support laboratory.  The
exchange of data and coordination of effort among  the EPA/RTP
laboratories, and between EPA, contractors, and Federal laboratories
involved in similar programs is wholly inadequate.
  A specific example of this lack of coordination is seen in. CHESS.
However,  even  after this  learning  experience  the  Environmental
Protection Agency is still not welf organized to undertake and con-
duct multidiseipliuary field projects and, in fact,  certain of the recent
organizational changes are believed to have exacerbated this problem.
"When  multi-disciplinary  projects  are organized  and run  by staff
having  a  single, particular  discipline,  important elements of ^the
problem ma3r be omitted or given insufficient attention. Objectives
need to be correlated more  effectively with requirements and capa-
bilities. Statisticians and quality control experts need to play a larger
role in  the planning of-such projects. Problems  of coordination and
communication seem to aviso at project levels because  of the Office
of  Research  and Development organizational  structure in  which
individual laboratories report directly to separate management offices
in EPA Headquarters. This is epitomized in the  draft research plan
for sulfates, for example, wherein the research effort is divided into
four distinct segments at RTF but there is no program management
at RTF to insure coordination.. As a result, the four research elements
are not developed on consistent premises.
 3 U.S. Congress, House Coaimittpp. on Science and Technology, Subcommittee on the Environment and
the Atmosphere, Orsanizalion and Management of EPA's Office of Research and Df velommcnt, G4th Con-
gress, 2nd Session, June 1976. U.S. Government 1'riuting Office, Washington, D.C. Serial LL, 40 pp.
                                30

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                               19

Recommendation:
  (a) In  accordance witli  the recommendation  under 11, above,
improved coordination should be sought at this 1 time without formal
organizational changes. This  could  be achieved through  establish-
ment of an authoritative peer review panel to monitor all on-going
projects  and insuie appropriate interface between the various dis-
ciplines.  Such a review panel .should represent the highest level of
research  skill and should assist not only in program planning and
review for scientific objectivity, but in peer review of major scientific
reports with policy implications.  Such review should insure that
future reports are released in a timely fashion after complete scientific
assessment.
  This need for  coordination  cannot  be satisfactorily^ achieved by
ad  hoc arrangements alone. Nevertheless, the formation  of ad  hoc
working  groups, under the  oversight of the continuing peer review
panel mentioned  above, could be  a  useful mechanism for attacking
special problems, such as planning a coherent sulf ate research program.
  In addition, the following additional steps might be taken without
affecting the stability of the laboratory:
  (b) A stronger focus on management at the Environmental Research
Center, RTF, would aid in interf acing with the four Deputy Assistant
Administrator Offices at Washington to prevent separate tasking on
essentially identical problems.
  (c) Consideration should be given to creation of a systems analysis/
operations research program review group at Headquarters of EPA
and perhaps at each technical center. This activity could insure that
proper attention is addressed to all scientific  disciplines in program
plans and budgets, irrespective of which scientific discipline initiates
a program. This  group might  act as staff to the peer review panel.
  (d) The Science Advisory Board's  (SAB)  charter should  be re-
examined to improve the assistance rendered to the Health Effects
Research Laboratory and to Washington project directors. The SAB
should have direct informal  access to  the research programs and
opportunity to review  and  recommend actions relative to planning
and coordination  of projects involving several divisions.  The SAB
should have scientific  review responsibility for programs, and its
participation should not be  limited to  public evaluations after some-
thing goes wrong.                            .
               °  -wroiw"—n1 i i I nil ••'!  I nun m i in IIIUMIMIIIIIIIMBIIMI nn  ill	  inu" r«r-| rn  irr in
  13. The EPA research programs in many cases were found to be
somewhat isolated. The research staff  does not seem to avail itself
of a maximal technical exchange with scientific peers. It seems that
to a large extent outside contracts go  to the, same groups again  and
again.
Recommendations:                          ,
   (a) EPA should actively seek cooperative research programs with a
variety of universities, other laboratories, other agencies. NO TE: This
is not a recommendation that more task-limited contracts be given,
but that truly cooperative  programs  be implemented in  which the
outside laboratory can contribute its own ideas.
   (b) EPA should arrange for research staff to spend six to _eighteen
month assignments working at other labs to reduce scientific isolation
 and to promote career development (see below). Similarly, they should
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                               20

promote reciprocal visiting research assignments for outside scientists
to work at EPA laboratories.
   (c)  EPA should consider funding individual, worthwhile Ph. D.
thesis research as a means of broadening their technical community.
   (d) The Science Advisory Board should be asked to help  in devel-
oping such outreach programs.
   14. There are examples of  increasing overlap amon°; the  Office of
Eesearch and Development (OED), the Office of Pesticides (OP), and
the Office of Toxic Substances (OTS), at Washington, in assignments
to the Environmental Research Center, ETP. Instances were noted
where both ORD and OTS have asked the RTP Center for research
on the same substances  and where it was ;evident  that neither the
divisions at the  RTP Center nor the Offices at Washington had
coordinated the inputs to  the Center during the development and
assignment of projects.
   In  addition it appears  that research is being carried out  in offices
other than ORD.
Recommendation:
   The Administrator should clarify the role of the Office of  Research
and Development in managing Agency research,  and the role of the
laboratories in canying it out.
   15. The various EPA groups at RTP are .now scattered geographi-
cally in such a way that  the  peer interaction needed to insure proper
coordination and exchange of ideas is physically difficult.
Recommendation:
   Whatever final management concepts evolve, this  separation of
facilities must, be resolved in an  expeditious fashion if  the EPA
program at RTP is expected to function- with any  degree of co-
hesiveness.    "                           ;
   16. Poor staff morale seemed largely due to the superposition of a
ver.y difficult task (research in support of EPA's regulatory mission)
upon a very uncertain and fragile system for the support of research.
This would seem to cause or  at least contribute to anxiety among the
professional research staff, especially since there appears  to be no
plan of career development for this staff.
 Recommendation:
   EPA  management  should  develop,  implement, and  defend  a
professional career development plan for each professional  employee
and for the staff as a whole. Developing such a plan will contribute to
better management  by forcing a comparison of goals and  resources.
An emplo3''ec secure in a peer-respected professional career  will more
ha.ppily tolerate  the exigencies of research in a regulatory agency.
 Management of the  ORD  will sometimes have to defend its commit-
ment to such a plan against regulatory demands.
   17. As stated above, major improvements in research execution are
 needed. If, after the end of fiscal year 1977, the present structure is
judged inadequate to achieve  this,  a  number of  alternatives  and
 factors should be considered. The RTP laboratory directors are divided
as to the type of management structure needed "but there is  a general
impression  that  the  National Environmental Research Center
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                               21

(NERO)  concept  was preferred  to  the  four-RTP-division/four
Washington-manager structure which currently  exists.4 A  major
problem is the lack of a single manager's office at the Center to insure
interdivisional  review of multi-disciplinary  projects and to  secure
input from all divisions on such projects.
  if success in recruiting key leadership  and improving program
execution cannot be shown, even more fundamental steps may be
needed.
  The steps to be considered might include (1),moving the existing
EPA research program into a new or existing agency; (2) establishing
a new agency to provide the basic^ long-term research support needed
(but not being done)  and effectively  dedicating  the  present EPA
laboratories to short-leash support of the agency regulatory programs;
(3)  assigning  long-term research  support responsibilities to  other
existing agencies.
Recommendation:
  The Administrator must be prepared to answer hard and  funda-
mental questions such as, should EPA conduct research?

            D. RECAPlTTrLA.TIO]Sr OF GUIDING QUESTIONS

  The following tabulation provides summary answers based  on the
findings of the investigative team to the guiding questions formulated
at the, beginning of the investigation.           ;
   (1) Dm the CHESS measurement system utilise the best available
instrumentation and sound operational protocols and quality  control
procedures?
  The instrumentation was that of the state of the  art at the time the
program started. However, it is quite clear that neither the protocols
nor quality control procedures were adequate to accomplish the objec-
tives of the program, and  that the data usefulness could have been
greatly enhanced if well-known quality control procedures had been rig-
orously followed. For example, if the procedures described in the CHESS
Monograph (but not actually used) had been implemented, the data
would have been much more useful. If error bars nad been associated
with each data point the weakness of some of the  cause-and-effect
relationships might have been evident. This, in turn, would probably
have prevented some of the over-interpretation  of data.
   (2)  Were the precision and accuracy of the CHESS aerometric data
sufficient to quantify pollutant exposure differences between communities
where health effects were studied?
   For many  pairs  of communities the answer is clearly no—both
because of inadequate procedures and  also 'because  at apparent
concentration levels in the lower-concentration areas the measurement
methods were incapable of detecting differences or changes in those
pollution concentrations.
   (3)  Were the aerometric data consistent with'and accurately repre-
sentative of the exposures to pollutants received by the populations used
in the health effects studies?                    L
  « Under the NEED structure, the entire RTF laboratory reported to a NERC Director -who la tarn
 reported to Washington Headquarters.
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                               22

  This question cannot be answered, because there is no information
in CHESS on the relation between individual exposure and ambient
air quality. Thus, the CHESS researchers did not know this answer
either. In addition, the practice of having only one aerometry station
per community made  it difficult to assess area-wide concentrations.
This illustrates the importance of personal dosimeters.
   (4) Were new knowledge, instruments, and procedures, introduced into
the program as they became available and pro'ven?
  It seems the introduction of new techniques was slow at best. For
example, as stated above even well-known quality control procedures
were introduced  only slowly. The Committee understands the im-
portance of consistency in a project like ; CHESS,  but this can be
assured with proper quality control techniques.
   (5) Were the epidemiological populations adequately selected?
  The findings raise doubts as to the validity of certain of the popula-
tion selections.                          ';
   (6) Were the health measurement endpoints  meaningful and reliable?
  Again, the findings disclosed many shortcomings in this  area. As
with the areometry, the health measurements could have been more
useful if validated, etc,
   (7) Were the  data  reduction and  a/nalys'is accurately and correctly
carried out?  _                 ^         ;
  There, were instances of errors in both data reduction and analysis.
   (8) What factors have  retarded the analysis and reporting  of the
CHESS data?
  Several factors were uncovered. The most important appear to be
the forced change of computer and support contractors.
   (9) Did the health and monitoring data  establish unambiguously what
concentrations  oi  specific pollutants  are associated  with measurable
adverse health effects?
  The findings clearly say no.            ;
   (10) If so, do  the quantitative dose-response estimates in the CHESS
report have a firm empirical basis?
  From (9) the answer must be no.
   (11) Were the conclusions drawn from the CHESS program sufficiently
clear and unambiguous so as to form abound basis for future action?
   Again, the answer is no. CHESS does indicate the need for a rigorous
program of health effects research.        '
   (12) Does the  new  CHAMP program provide  a  substantially im-
proved mechanism to  provide aerometric data, to  support future epi-
demiological research and is an epidemiological research program planned
to complement future aerometric monitorings?
   The  CHAMP system is  clearly an  improvement in  aerometric
pollution measurement, although it is not yet fully validated. There
is no  clearly  denned,  well-targeted,  coordinated  epidemiological
program to make use of CHAMP at this tune. There are no projects in
epidemiology making use of CHAMP data.
   (13) What additional steps, if any, should EPA take to insure that a,
sound technical basis  will be  available for future  agency decisions per-
taining to SOz/sulfates?
   For the answer to  this question, refer to all.the recommendations
in the sections B and C concerned with program improvements.
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                               23

                      E.  CLOSING EEMABKS

  The investigative team is aware that this is a very critical report.
The Environmental  Protection Agency is  a  relatively new agency
which has been confronted with the need to grow rapidly and to assume
a large biirden of responsibility. The enforcement of these responsi-
bilities has increased in political significance with the growth in in-
tensity of the overall energy problem. All EPA'personnel consulted
in this study were generally cooperative and hopeful of being able to
provide constructive suggestions. Indeed, the recommendations pre-
sented here are, in many instances, suggestions and comments made by
EPA personnel. It was  not difficult to identify many deficiencies
within the CHESS program or to relate these difficiilti.es to the need
for changes  in organization and management  within EPA.  The
difficult task will be to  resolve these issues arid construct a more
effective organization to  meet the very  real problems of pur society
which have been mandated to the Environmental Protection Agency
for resolution.

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       IV. CHESS AEBOMETKIC MEASUREMENTS

                        A. INTRODUCTION    •
                                            i •
  As pointed put in the introduction, the attainment of precise, reli-
able, reproducible, and real time air Duality measurements in the  field
(e.g., 562 and participates) was a critical element of the CHESS pro-
gram. This chapter provides a  critical review of  the  aerometric
measurement aspects of CHESS.
  However, before reporting on this review two facts about CHESS
aerometry should be mentioned. First, the methods used in CHESS,
especially in 1970-71, were probably as good as any available. Second,
quality control procedures were slowly introduced into the CHESS
program. EPA cannot be criticised, and is. not criticised in this report,
for using the  best available methods. However, EPA can be criticized
for not pursuing a vigorous program of quality control throughout
CHESS.  The review reported here  showed that CHESS did not
employ well-established quality control measures. The quality control
program  described in Appendix A of. the Monograph was not carried
out. A thorough quality control program would have discovered, for
example, the  temperature effects on the method used to measure SC>2
(described below). It would also have  placed  bounds on the validity
of the data and precluded overinterpretations.
  In the design and implementation of any measurement system, the
single most important  consideration is the end user of the data pro-
duced by that measurement system.  In the simplest of all measure-
ment processes,  an individual scientist conducting his own research,
both measures the parameters _of interest and uses the resultant  data
to draw  conclusions about  his experiment.  In such a process the
individual involved has at his disposal all of the information contained
in the data, especially that concerned with the limitations of the  data
and the  constraints under which they should be  used. In this  type
of situation, few formal qualifications of the recorded data are neces-
sary since those'qualifications are implicit in the mind of the scientist.
  In larger programs  however, the measurement process and the
utilization process are  quite often compartmentalized such that one
group of scientists is responsible for the collection, quality assessment
'and storage of the measurement data, and a second, usually nonrelated,
group of scientists is  responsible  for the synthesis  of all pertinent
information into a final set of conclusions.  In this type of systems
research, the  determination of the fundamental quality 01 the measure-
ment data and transmittance of that quality assessment are the single
most important qualifier in the process of going from observation to
understanding.
   The CHESS program, as  designed and implemented by the Envi-
ronmental Protection. Agency, is  a classic example of the large sys-
tems approach  to  research.  The  epidemiological  measurements
were designed, conducted, and stored by one group of scientists; the
                              (25)
           76	3
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                                26       \

aerometric measurements were designed,  conducted and stored by a
second group of scientists. The desired end product, a correlation of
health effects with atmospheric pollution was then derived from these
two independent sets of data accumulated in a large data storage net-
work. It is important to reempbasize here that in such a research
program it is incumbent upon the measurement personnel to transmit
to the data user all of the information contained in the resultant data,
especially that relative to accuracy and precision. In order  to under-
stand the problems encountered in a large research program such as
CHESS, it is necessary to understand the  types of measurements that
were made.
  The assessment of atmospheric  pollution exposure received  by a
defined population can  be derived from.one of two broad  classes of
measurement. The first is a measurement .that yields an "index" of
pollution. The second is a measurement  that yields quantitative in-
formation about a specific pollutant as it is found in the atmosphere.
  A pollution index is a measure of the relative level of pollution which
contains little or no information as  to the specific chemical or physical
properties of that pollution.* These indices 'can be useful in assessing
short-term trends of atmospheric quality in well-defined and limited
geographic regions. They cannot be used to deduce information about
the source or chemical nature of the material being measured.  They
also cannot be used to  assess long-term  trends  of  pollution burden
since gradual changes  in pollution. sources  will distort the  quan-
titative aspect of the index. Most importantly,  they cannot be used to
correlate  atmospheric pollutant levels  among  diverse geographic
areas. Here again, the difference in chemical and physical makeup of
the pollutants being measured distort the quantitative aspect of  the
index.                           -        :
  An example of a measurement that gives a pollution index is the
dustfall observations as  applied in CHESS. In this method, an open
topped cylinder called a dust fall bucket is used to collect any par-
ticulate matter that falls  out of the atmosphere. This collection is
carried out over a long time period, usually;one month; and the total
dry weight of material collected is used to estimate participate burden
of the atmosphere during that time period.1 A detailed description of
this process is given later in this Chapter. This measurement falls in
the index class because all solid material, regardless of its derivation
or chemical nature, is included in the final quantitative result.
  The second  class of pollution measurement is that which contains
information both on the  specific  species of  pollutants and on the
atmospheric concentrations  of  those pollutants.  In this type  or
measurement the signal that is measured is derived from a  process or
property which is specific to the pollutant of interest and which corre-
lates directly with the concentration of that  pollutant in the atmos-
phere. An example of this type  of method is the West-Gaeke proce-
dure for the measxircment of atmospheric sulfur dioxide. In this pro-
cedure, air is bubbled through an absorbing solution at a known rate.
The solution is specific for the absorption of S02 from the air. After a
known duration of sampling, the quantity of S02 which was absorbed
from the  air is quantitatively  determined by  the formation  of a
  * N.B. This index is not the kind of "air quality index" often used popularly (in radio broadcasts, etc.)
to advise citizons of the relative air quality of a city. Such popular to quality indices are usually arrived at
by combining measurements of several pollutants.
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                               27

colored chemical complex of SO2. If carefully carried out, the procedure
gives an accurate value for the S02 concentration. The procedure is
described in detail later in this Chapter.
  Measurements  such  as  the West-Gaeke  procedure, which  are
specific  and quantitative, m can  be used _to  compare  atmospheric
pollutant burdens across diverse geographic areas and through long
tune periods. They can also be used to assess short-term variations in
pollutant levels provided  that  sufficient sensitivity exists in  the
method to obtain a meaningful signal for the short time period used.
In conducting a program such as CHESS, where an attempt is made
to relate health effects to pollution burdens, only those measurements
that fall in  the second class, specific and quantitative, can properly
be used to  assess the relation between health % effects and pollutant
burden.
  In this chapter, an attempt will be made to evaluate the method-
ology used  to measure aerometric parameters  and  to assess  the
validity of the resultant data. The review will encompass procedures
used in  the field situation, the quality control exercised over the proce-
dures, and the data storage and retrieval network.  Conclusions will
be drawn as to the adequacy of the measured pollution levels to assess
exposures received by specific CHESS population groups.

         B. KEVIEW OF CHEMICAL AND PHYSICAL METHODS

1. THE WEST-GAEKE METHOD FOB THE MEASUEEMENT OF AMBIENT SO3
a. Description of the Method
  The West-Gaeke colorimetric procedure for, S02  determination is
the designated Reference Method (Federal Register, 86, No. 84, 6168,
April 30,1971).* Atmospheric SO2 is collected by bubbling air through
a solution of potassium tetraehloromercurate (TCM). The product of
the reaction between  SO2 and TCM  is the nonvolatile dichloro-
sulfitomercurate that is then determined quantitatively by reaction
with formaldehyde  and pararosaniline  hydrochloride,  followed by
photometric measurement of the resulting intensely  colored para-
rosaniline methyl sulfonic acid.
b. Description of the Field Apparatus and Sample Collection
  Outside air is drawn through  a  sample line:at the rate of 200 ml
min"1,  then through a 6-inch long glass bubbler stem (tip diameter
of 0.025 in.) immersed  in 35 rnl (50  ml after January, 1974) of
0.1 M TCM solution contained in a 32 mm diameter by 164 mm long
polypropylene> sample  container. The exhaust air passed through a
glass wool moisture trap, then through a hypodermic needle used as a
critical  orifice to control the flow, through another moisture trap,  and
finally  through a vacuum pump.  A sample consisted of a 24-hour
collection.  Collected samples were stoppered, and  mailed to EPA/
RTP for analysis.
c. Validity as a Laboratory Procedure           ,
  A collaborative study by McKee  et al. (H. C. McKee,  R. E.
Childers, and O. Saenz, Southwest Research Institute, SWRI Project
21-2811, EPA contract CPA 70-40) indicates  that "the method can-
  •Alternately see CFR Title 40, Part 50, Appendix A.
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                               28

not detect a difference smaller than 10 percent between two observa-
tions by the same analyst in the range of 0 to 1000 jug m~3. A difference
of 20 percent or less may be detected above 300#g ra~3, and a difference
of less than 50  percent may be detected: above  100;*g m~3." For
analyses conducted by different laboratories on the same sample, "the
method.cannot detect a difference of less 'than 20 percent between
singlo-replicate observations of two laboratories in the range of 0 to
1000 jig m~3. At a level of 100 pg m~3, a difference of less than  100
percent is  not detectable."  The  National Primary  Ambient  Air
Quality Standard for SOz is: For 24 hour average, 365 MgA*i3. For annual
average,  80 Mg/m3. Thus if the staticlard is iniet, most values will be
around or below SO fig/m?, no more than one will be above 365 M^/m3-
  Regarding the lower  limit of detection, the  authors cited above
propose a value of 25 ng rn~3 as a practical figure. "A single determina-
tion less than this value is not significantly different from  zero"
(Instrumentation  for Environmental Monitoring, Air-SO3, Instru-
mentation, Lawrence Berkeley Laboratories,  March 1972).
  It is therefore evident that a single analysis is of little  use, con-
sidering that the expected concentrations of SOa will usually be less
than the ambient  air quality standard of SO ^g m~3. Results should
be regarded as valid only in terms of the mean of multiple determina-
tions,  and  only  when  the  analytical  method  has been followed
rigorously by experienced analysts.

                2. TOTAL SUSPENDED PABTICULATES

  Total suspended partieulatps (TSP) were'measured using the EPA
Reference  Method as specified  in the Federal Register  (S6 (84):
8191-8194, April 30, 1971J).
  Total suspended particulates (TSP) were-measured by drawing air
through  a prewieghed 8 x 10 inch glass fiber filter for a period of 24
hours. The apparatus used for this procedure was the standard High
Volume Sampler. At the end of the 24 hour time period, the filter was
reweighcd, and the TSP computed on the basis of total air flow. The
air flow rate was approximately 60 ftamin~1 at the start, and must be
not less than 40 ft'min"1 at the end for the measurement to be accept-
able. The average air flow rate was computed on the basis of a straight-
line interpolation between beginning and ending flow rates.
   The National Primary Ambient Air Quality Standard for TSP is:
For 24 hour average, 260 Mg/in3. For annual geometric mean, 75 Mg/ni3.

                      3.  SUSPENDED SULFATE

   Suspended sulfate was analyzed, during the CHESS program, using
  Portions of the TSP samples. From the  'beginning  of CHESS to
  eptember 1971 the turbidimetric method of analysis was used; then
 the turbidimetric method was dropped in favor of the methylthymol
 blue method, which was used throughout the remainder of the CHESS
 program.                                '•.
   Ihe turbidimetric method consists of the water extraction of soluble
 sulfatcs on the TSP filter, the. addition of &' barium chloride prepara-
 tion to the extract, and measurement of the resultant turbidity (from
   Alli-rmiivriy sec CFB Title 40, Z'art 50, AppendixB.
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the formation of insohible barium, sulfate) with a spectrophotometer or
colorimeter. Accuracy of the method is affected by the kind and con-
centration of other ions present, as well as pH, conductance, tempera-
ture, and barium concentration in the test solution.
  The methylthymol blue method also utilisr.es the water extraction of
soluble sulfates from the TSP. The filter extract isithen passed through
an ion-exchange bed to remove interfering ions, and barium chloride
is added under slightly acid conditions, forming barium sulfato. Then
the test mixture is made alkaline  and methylthymol blue is added,
which forms  a chelate with the  excess  barium. The uncomplexed
methythymol blue is equivalent to the amount of sulfate present, and
is measured spectrophotometrically. The methylthymol blue procedure
is automated  (Technicon Auto analyzer) in ail  steps following water
extraction of  the TSP, and this part of the procedure is reproducible
within a range of 2 percent. Error in the determination of sulfate occurs
predominantly in the steps .preceding the methylthymol blue method.

    4. DUSTFALL  BUCKET, TAPE SAMPLER, CASCADE  IMPACTOR,
                     AND CYCLONE SAMPLER   :

  In  addition to  TSP measurements using the Hi-Vol sampler, four
other means  of estimating particulate concentrations were used at
various times. They are the dustfall bucket, the tape sampler, the
cascade impactor, and the cyclone sampler.
  (a) The name  "dustfall bucket" is  adequately  descriptive. It is
basically an open-topped cylinder, with some protection against wind
and rain loss,  that is left out in the open, close  to the ground or on a
rooftop, for a month. At the end of that time the dry matter collected is
weighed, and sometimes analyzed for trace metals. The dustfall bucket
method is very crude and misses almost completely the very significant
part of the aerosol, including the respirable aerosol, that does not settle
rapidly. It must be considered here, however, because dustfall measure-
ments were extrapolated to obtain estimates  of suspended sulfates
and sulfur dioxide in New York City  during the  period 1949-58
((Table 5.2.1, CHESS  Monograph), and intermittently in Chicago
(Table 4.1.A.3),  CHESS Monograph). Dustfall measurements were
used  as the basis for these extrapolations because there was no other
basis for such estimates, but it must be remembered that the relation-
ship between suspended sulfates and dustfall is unknown, and that
between sulfur dioxide and dustfall is another step removed from
reality.
   (6) Coefficient of Haze (COH) is determined by the automatically
operating tape sampler. It is determined by measuring the optical
density; of an aerosol deposited on a filter tape. The aerosol deposit
is obtained by drawing air at a given flow rate through white filter
paper tape for a known period of time. If one  could assume that the
composition  and physical  characteristics of the aerosol in a given
location did  not  change with time—that only atmospheric loadings
would change—then the COH would give a fairly; good approximation
of the variations  of particulate loading and visibility.
   However, this  assumption is seldom justified, and even at a given
location the COH only roughly approximates the true particulate
loading. The COH method is worthless, or nearly so, for comparisons
between areas with dissimilar aerosols. For  example,  the aerosols
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collected at the Utah, sites are primarily the light-colored alumino-
silicate dust, whereas  the aerosol  collected within the inner core of
large cities has a  predominantly sooty character. For  a given par-
ticulate loading the Utah aerosol will often have as little as one-tenth
the optical density of the urban aerosol.
  (c) The cascade impactor operates on the principle that particles
in an air stream will tend to follow a straight line when the air stream
is deflected, and  thus can be impacted  on a surface in  their  path.
The cascade impactor consists of a series of parallel  plates separated
by  precisely  determined spaces.  Alternate, plates contain a certain
number of holes of a size that is decreased as one goes  throxigh the
series of plates from entrance to exit. Alternating  with the plates
containing the calibrated holes are plates without holes.  These may
be coated with a medium for the trapping ,of impinged particles. Air
is drawn through the apparatus at a known-rate, and the particles are
collected in decreasing size fractions related to the decreasing size of
the holes in the plates.
  (d) The cyclone sampler is a device for the collection of the  respi-
rable size fraction of an atmospheric particulnte loading. It operates
on  the principle that the inertia of individual particles will tend to
keep  the particles moving in a straight line when the air stream in
which they are carried is deflected. By this  means the larger size
particles are removed by irnpaction and settling, while the respirable
particles are carried along with the air stream and are subsequently
collected on a filter.

  C.  FINDINGS AND EVALUATIONS OP MEASUREMENTS  AND  DATA
                           REDUCTION

  It is important  to profane this evaluation of the CHESS air  moni-
toring program with  a statement of  the following facts. The inves-
tigative team looked backward at the program  through a window in
time with all of the subsequent knowledg-e built up during that time.
More than ten years  have passed since the initial  planning of the
CHESS program and more than six years have passed since the first
data were collected. During that time there has boon a vast improve-
ment in the understanding of the methods  used for pollution moni-
toring. Many of the  procedures used in CHESS have subsequently
been  found to contain  serious  errors.  These  problems  were  often
uncovered as a direct result of research and quality control programs
ongoing within EPA. It would thus be unjustified to lay criticism on
the principals in the CHESS program for using state of the art meas-
urement technology.
  On the  other hand,  some serious oversights in scientific judgement
did occur. In the area of pollutant monitoring, these oversights could
have been completely avoided had .proper attention been paid to even
rudimentary quality  control procedures. Throughout the program,
much more- emphasis was placed on  the uninterrupted collection of
data than was placed on the systematic evaluation  of data  quality.
The field investigation stage of this review identified numerous prob-
lems that resulted in  the propagation of  unnecessarily large errors in
the aerometric data. These unevaluated  errors persist even  today in
the data as it is stored in the CHESS computer system. They  could
have been avoided or easily discovered and quantified  had a wel!-
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designed quality control procedure been applied to the CHESS aero-
metric monitoring program. This statement is contrary to the state-
ment of  the quality control procedures in appendix A of the 1974
CHESS Monograph.  Appendix  A was not a manual provided  to
CHESS data gatherers, but was written long after the data in the
1974 Monograph were collected. However, during the field investi-
gation of the CHESS monitoring contractors, it was found that the
quality control procedures as described in Appendix A of the CHESS
Monograph were routinely disregarded. In fact, for the first two years
of the program, virtually no EPA
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                              32

  In an attempt to  standardize the methodology and to eliminate
problems associated with, interlaboratory errors, a'CHESS policy was
instituted whereby all air sampling  equipment was  assembled and
tested at the central EPA research  laboratory and then  shipped to
the contractors for field use. Also, bubbler tubes were prefilled with
the appropriate absorber solution, shipped to the contractor for their
daily ^monitoring use, and shipped back to the central laboratory for
chemical anatysis. It was this long distance shipment of the chemical
solutions that led to the first of a series of field-use problems with the
procedure. These problem areas will be summarized  below with an
attempt to evaluate their net effect on the resultant CHESS SO2 data.
Following this summary of individual problem areas, an  assessment
of the overall S02 data quality will be given.
a. Spillage of Reagent During Shipment
  The first field data were obtained in New  York City and the Salt
Lake area (Utah)  in November, 1970. By mid-1971, field personnel
at the Utah site reported to their CHESS field engineers that severe
spillage was occurring during shipment. Many bubbler  tubes were
arriving partially filled with reagent and some were completely empty.
At the Salt Lake  area an attempt was  made to refill with solution
from extra tubes those tubes that were low.  However, due to insuffi-
cient reagent, this was only partially successful. This  problem was
not officially recognized until October, 1972, at which time an internal
EPA/CHESS memo was written outlining tlie problem and suggesting
corrective action. The magnitude of  the problem can be best assessed
by quoting from the memo. "The present reagent tubes for S02 and
NO2 leak during shipment.  . . . The S02 leakage rate (was foxmd to
be) 18% of the total volume, 50% of the time.  ... It follows there-
fore, that the resultant pollution data are unreliable." Recommenda-
tions were made in this memo as to possible corrective measures. These
recommendations were not instituted until ;March, 1973.
   During the subsequent years, many attempts were made to correct
this leakage problem. However, none were wholly successful and as
late as January 1975, another EPA memo described losses of solution
in SOs bubblers during shipment and suggesting appropriate corrective
action.
   The effects of the reagent spillage problem on the SO2 data can
be only grossly estimated. Certainly, many samples were totally lost.
These lost samples were not the major problem. Of more  significance
was the undetermined amount of daily S02 data that were  in error
due to the loss of sample by spillage and yet included in the network
system.
   If the reagent was partially lost during shipment  to the sampling
site and used as received, an increased concentration of TCM-Sp2
complex would occur relative to normal sampling. This potential
positive bias would be corrected by for the analytical procedure used
 (Page A-6 CHESS monograph—Analysis Procedure). "At the labora-
tory, the sample is brought back to its original volume by the  addition
of distilled water to compensate for water loss during sampling."
If however, the reagent spillage occurred after sampling, the  required
 addition of water would result in data  that were biased  low in pro-
portion to the amount spilled relative to the total volume of solution.
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                              33

According to  the EPA Memo of October, 1972, one half of all SO2
data taken between November,  1970 and March,  1973 are likely to
have been biased low by an average of 17%. This problem was cor-
rected after April,  1973.
6. Time Delay of the Reagent—S02 Complex
  The  Reference Method as originally described  in the  Federal
Register, was to be conducted at 20° C. There was a known error in
the method associated with tune delay between sampling and analysis
which was dependent on temperatures. This error was derived from
the spontaneous decomposition over time of  the TCM-SO2 complex
as a function of temperature. The magnitude of the error and its
exact dependence on temperature was not known but a brief study
was conducted to determine its magnitude by scientists of the CHESS
monitoring group in November,  1971. As a result of this study,  a
correction factor of rfl.5% per day was arithmetically applied to all
CHESS SO2 data to compensate for the time delay between sampling
and analysis.
  A more recent and comprehensive study has been carried out within
the Quality Control Branch,  Environmental Monitoring Laboratory
at EPA on the effect of temperature on "The Stability, of SO2 Samples
Collected by the Federal Reference Method." This study indicated a
much more severe problem than was estimated by the original CHESS
study. The evaluation was carried out over the range of 35 to 278
jug/m3 SOa concentration. The following  findings were  presented in
the report:
      Over a normal range of temperature,  the rate of decay of the
    TMC-SO2  complex increases five-fold for every  10°C increase
    in temperature, respectively.
      The rate  of decay is  independent of S02 concentration.
      At 20) 30, 40, and 50° C the following 80s losses were observed:
    0.9, 5, 25, and 74% loss per  day, respectively.
  This study makes abundantly  clear a second and even more severe
error associated with the SO2 measurements conducted by CHESS.
During  the summer months,  when the SO3  absorber solutions were
subjected to high and unknown temperatures between  field sampling
and laboratory  analysis, significant degradation of the samples did
occur. Estimates of time delay between sampling and analysis range
from 7 to 14 days. Estimates  of summer temperature exposures range
from 25 to 40° C being most severe for the Utah CHESS sites. Thus,
CHESS SOs data can  be estimated to be negatively biased, mainly
during the summer months. It would normally be difficult or impossible
to estimate the magnitude of the bias except to say that it is probably
large. However, simultaneous SO2 measurements were taken by the
New York City Department of Air Resources and by the Utah State
Division of Health. These  results were obtained by an independent
method not susceptable to the temperature related error. A consistent
pattern  emerged when side by side data are compared.  From May to
October, the CHESS SO2 data were low with the largest error occurring
in the middle three summer months. The magnitude of the error varied
from month to month and  year to year,  but the CHESS data were
consistently low and represented only a portion of the true ambient SOz
concentration.
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                              34

c.  Concentration Dependence of Sampling Method
  The S02 reference method was subjected to  a collaborative study
program in 1973. Four participating: laboratories tested the 24-hour
version of the Federal Reference Method. A previously unknown source
of error was documented that applies to the CHESS S02 data. It was
found that the 24-hour sampling method does  have a concentration
dependent  bias  which becomes significant' at  the high concentra-
tion levels  (200jug/m3). Observed values tend to be lower thnn the
expected (known) SO2  concentration levels. This error source will yield
a negative bias on the daily CHESS S02 data when they exceed 200
jtg/m3 and on all monthly and yearly average data.
d. Low flow correction
  The determination of atmospheric S02 concentration was dependent
on, among: other factors, the accurate measurement of  air that passed
through the TCM solution. This flow was controlled by a critical flow
orifice in the form of a standard hypodermic needle. In practice, the
air flow throxigh the sampling system was measured at the start and
end of each 24-hour sampling, period. This, was done to detect low
flow due to needle blockage. The Federal Register Method (Reference
Method) calls for an air flow of 200 ± 20 ml/min. In field operation, the
CHESS procedure substantially broadened these tolerances. Replace-
ment needles were installed if the initial air flow was greater than
220 ml/min which is consistent with the Reference  Method; however,
needles were not replaced nor were samples voided until the measured
flow dropped below 100 ml/min. Integrated'flows were calculated  by
assuming a linear decrease in flow between the start and end of the
24-hour sampling period. If, however, the needle was partially blocked
near  either the  beginning or the end' of  the  sampling period, the
linear flow correction would be in error. Using the Reference Method
flow tolerance, only small errors would be introduced by this correction
(less  than  10%). Using  the CHESS procedure,  however,  errors as
large as 50% could be introduced  and not detected. These errors
would be random (either positive or negative) depending on when dur-
ing the sampling period the needle  blockage occurred. Thus a large
random error component was added to the SO2 daily data but this
component was  somewhat damped statistically in the monthly or
yearly averages.
   The modification of flow  tolerance by ;the CHESS aerometric
group is a procedure that would not have withstood the critical review
of a competent quality assurance program.
e. Bubbler train leakage
   The West-Gaeke method,  as described in the Federal  Register,
employs a vacuum .bubbler train. That is, the  sampled air is drawn.
through the bubbler  train by a vacuum pump rather than being
pushed through  by a positive pressure pump. There  are many ad-
vantages to the vacuum procedure, most  important  is that the  air
does not come in contact with any internal pump mechanism. However,
there is a modest pressure differential between the atmosphere and the
internal bubbler; thus all fittings and  joints must be  gas tight. The
bubbler train used in the CHESS program had two points where frequent
air leak problems were  encountered.  One was around the rubber
stoppers for the bubbler tube and moisture trap  and the other was the
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rubber tubing used to hold the glass assembly pieces together.. Field
operators reported consistent problems with leakage in the routine field
use of the bubbler train. In a severe leak situation, the samples were
voided due to out of tolerance (Low) flow rates. There were many
cases however, where small leaks occurred but the final flow was
within specifications so the sample was included as valid. In cases
where the leaks formed  around the rubber stoppers, no significant
error would be introduced except due to the linear flow correction as
applied to instantaneously developing leaks. This error is similar in
nature to that discussed  in the flow section. In the case of leaks up-
stream of the bubbler train, room air instead of outside air is drawn
through reagent. In normal situations, it has been observed that room
air is significantly less  polluted than outside air.  (See page 6-6,
CHESS Monograph—comparison of school air to outside air).  This
effect may not be as large for the small buildings used to house CHESS
stations, but a somewhat decreased pollutant level would undoubtedly
be sampled. The absolute magnitude of this error cannot be adequately
assessed but it can be stated that the error would be  in a negative
direction, that is, again to underestimate SO2 levels.

            2. GENERAL ASSESSMENT OF CHESS SO2 DATA

   The SO2  data, accumulated at "official" CHESS sites, followed a
remarkably uniform trend as  the program progressed. The method
used was the EPA Reference Method which is specific for the chemical
species, SO2. Thus, regional changes in poEutant mix, i.e., the propor-
tion of other pollutant species relative to SO2, had minimal effect on.
the SO2 data. However,  the sum effect of the errors detailed in this
section did have a profound effect on both the accuracy and the preci-
sion of the data.
   Under  normal  circumstances, a retrospective evaluation  of  a
monitoring effort that occurred a number of years in the  past and
which had been terminated, could yield only the broadest of estimates
of data  quality. Fortunately  for  this review, two geographically
different locations with six different monitoring sites were involved
in the collection of simultaneous SO2 data. Further, the groups re-
sponsible for the two data sets were managed independently and the
methodology used was also independent. This fortunate circumstance
enabled  the reviewers to acquire a  quantitative understanding of
absolute.differences among data sets as well as correlations with respect
to time.
   The locations where side by side data existed were the New York
City sites at Bronx and Queens and the Salt Lake Basin sites at Ogden,
Salt  Lake City, Kearns, and Magna.  In  these locations,  the local
environmental monitoring agencies nad sites located within 50 meters
of the CHESS sites and at similar elevations. At these sites, the local
agencies collected daily SO2 and TSP data for the entire life of the
CHESS program. The SO2 methodologies used by both State agencies
'were variations of the peroxide bubbler method in which  twenty-four
1-hour samples were integrated to form a single 24-hour SO2 measure-
ment. In  New York the  samples were measured acidimetricly and in
Salt  Lake City they were  quantified  conductiometrically. Neither
method is as specific for S02 as is the Reference Method, that is,
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                              36

pollutants that are in a significant concentration,  relative  to
and that also oxidize to form an acidic compound will be interpreted
as SO2. For this reason, when the NYC Department of Air Resources
initially brought to the attention of the CHESS Aerometric team the
large discrepancy between their respective data,  the discrepancy was
dismissed as method bias on the part of the New  York method. An
EPA memo dated November 3, 1971 described a limited study into the
Reference Method. The  conclusion reached was  "On  the basis of
(this study) ... I feel there is no sound basis for  discrediting the
EEvS (Environmental Exposure System) methodology."
  No further attempt was made to uncover the cause of the discrep-
ancy in SOa data. Had the CHESS EES team obtained and compared
the Salt Lake Basin data, especially that from Magna site, a disturbing
similarity would have been immediately apparent. This data confirmed
in detail the discrepancies observed in New York. It is important that
the Magna site data were confirmatory since it was in a region of
single source pollution, that from the nearby copper smelter. In this
site very low levels of other pollutants existed relative  to SO2, thus
the peroxide method was capable of giving reasonably  reliable esti-
mates of the S02 concentration. Of equal importance the general pol-
lutant mix wasjvory different between this |rura1 smelter site and the
urban area of New York City.  Despite these differences  the compari-
son of side by side Federal-State data indicate the same  discrepancies
in both trends and absolute concentrations. The following conclusions
as to SO2 data validity can thus be  reasonably drawn from the review
of methodological errors and the comparison of existing side  by side
data.
  From November 1970 until December 1971 the SO2 data generated
from CHESS sites using the modified Reference method were biased
low by 50 to  100 percent in the High Exposure sites when compared
with existing State SO2 data. Thus, the 1971  annual  average SOa
exposure estimates of 60jug/m3  as reported for Magna in the CHESS
monograph (page 2-24) are more likely in the vicinity of 100 Mg/m3.
Also, the same phenomenon  occurred in New York and the reported
values are also in similar error.
  A confirming fact is that  during cool months after 1971 SO2 data
correlated well  both in trends  and absolute concentrations between
State and Federal analyses. It thus seems likely that the State data
were reasonably accurate throughout that time period. However, one
consideration must be applied here: namely, that due to the difference
between the independent methods an error oar of at least one hundred
percent must be  applied to the data and explicitly correct data cannot be
drawn from these observations.  In  other  words,  where  two  or more
independent observations are in disagreement by a  significant  amount
it cannot be said by inference alone that one data  set is more correct
than the other. It is reasonable to assume, however,  from our review
of all State and Federal data in the time period of 1970 through 1971,
that the Federal SO2 data as collected in the CHESS program were
substantially low and went .through an abrupt upward transition in
concentration in December 1971 at all CHESS sites and Federal data
taken before  that time may reasonably be expected  to  have  a large,
unknown negative bias.
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  In November 1971, the CHESS monthly mean SO2 data underwent
an abrupt change in the positive direction. The cause of this change is
not apparent. However, the result was prof (mud. From that time until
the conclusion of the CHESS program in. July of 1975, the fall-winter
data were in very good agreement with other existing data and very"
likely gave reliable estimates of S02 exposures.
  Throughout the entire program, the CHESS SO2 data had  an
associated negative bias during the summer months, becoming most
severe during the hottest periods of July  and August. This error
usually reached a maximum of 60 to 80 percent underestimation of
exposures and was variable. As  a result, even  though wintertime
monthly SO2 averages appear valid from 1972-1975, annual averages
of the same data are biased low due to the inclusion of the summer
errors. The best estimate of error in the annual average data 1972-
1975 is approximately minus 15-20 percent relative.
  The individual daily SO2 levels, when compared  to city or State
data or to replicate CHESS measurements taken after 1973 had so
large  a random error  component that they are not useful to assess
daily SO2 exposure (as attempted in the asthma panels). The random
errors associated with the  daily values were much larger than the
differences observed over time.
  Due to inherent methodological errors, the following may be con-
sidered as minimum differences between High and Low SOg  exposures
which may be considered "real." These are based on EPA's collab-
orative study of the reference method and used a 95 percent confidence
interval.
       Below 100  Mg/m3 SO2, a difference of at least 50 /xg/nx3 is
    necessary to be statistically significant.
       Between 100 and 300 Mg/m.3 SO2, a difference of at least 60 ^g/m3
    is necessary to be significant.            :
       Below 25 /ig/m3, a single  determination is not significantly
    different from zero.                     .

                3. TOTAL SUSPENDED PABTICTLATE

  The Reference Method for the determination of total suspended
particulate matter (TSP) is probably the simplest and most reliable
method used by CHESS. It has been well studied and most error
sources are known. However, it is a method that; measures an arbitrary
and poorly defined portion of the total atmospheric particulate burden
and the portion measured has unknown relevance to the human respir-
able portion. The size fraction measured is somewhat dependent on the
design of the shelter used for Hi-Volume sampler. The design and  di-
mensions of the Reference Method shelter are specified in the Federal
Register, thus the portion  of TSP  that is collected by the method
is generally uniform.  Best  estimates of particle size range included
in the Reference Method are from 0.05 to  60 jon diameter. Above
60 ion diameter, the particle fall velocity is too great to navigate the
bend  around  the roof  of the shelter. Below 0.05  pun the  collection.
efficiency of the glass fiber filter used  in  the method  diminishes.
  A collaborative study was conducted on the  Reference Method
using 12  different groups sampling ambient air at a common location.
The results of this study indicate the method is capable of reproducible
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measurements with less than 5 percent error at the 95 percent con-
fidence level. Also, the minimum detectable amount of TSP is approxi-
mately  2  Mg/nx3 for  a 24-hour sampling period. This sensitivity is
more than sufficient for most 24-hour TSP measurements.
  The TSP measurement method, as used in. CHESS, had one notable
difference  from the laboratory procedure which was collaboratively
studied. The weighing procedure to determine TSP was performed at
EPA/RTP laboratory not by the CHESS contractors on  site.  This
necessitated the shipment  of  individual  filter samples through the
mail and  the  subsequent storages of the samples at EPA. During
laboratory reorganizations  at RTP,  periods as long as  6  months
elapsed between actual field sampling and laboratory analysis.
  The following is a summary of individual errors  and an assessment
of overall TSP data quality.
Loss of partic-ulate matter before weighing     >
  In the TSP methodology there were field-related  procedures that
resulted in partial loss of  particulate matter from the Hi-Volume
filter samples. Due to the exposed location  of the Hi-Vol TSP samplers,
wind and  cold  sometimes made  it very difficult to remove the filter
paper from the apparatus  without losing part of  the sample. No
estimate has been made of loss due to.this problem; it would, of course
bias the reported results only in the direction of lower-than-actual
atmospheric loadings. This wus not a constant problem among; CHESS
sites. It was noted by field operators as  being a  particularly severe
problem in the Salt Luke City area during the winter months.
  Two other error sources have  been identified in the determination
of TSP, both  of  which would also produce a low-side bias: (1) the
shaking-oS of particles from  the filter during transit from the field
site to EPA/RTP, uncl (2) the evaporation of organic substances. In an
attempt to quantify the mass loss during transit, David Hinton, EPA/
KTP, made a comparison of filters collected in. Utah, before and after
mailing from Salt Lake City to RTP  (22). He found that there was a
average 4  percent loss. Carl  Broadhcad, of the Utah Division of
Health, conducted  a  similar comparison.;  however,  he  noted an
apparent loss of approximately 25%.  This difference may, in part, be
due to the time of year the studies were conducted, During the dry
summer months in the Salt  Lake City area, much of the TSP loading
is due to windborn crustal material (sand). This material is much more
easily lost in sample handling that is the finer anthropogenic particu-
late material.
  A final error source, one more difficult, to assess, derives from wind
velocity versus collection efficiency. On days with relatively high wind
(>15 mph), the Hi-Voi sampler is more sxisceptible to the inclusion
of large diameter particulate  material. To compound this problem,
the design of the  shelter makes the magnitude of the error  dependent
on the wind direction relative to the orientation of the shelter. The
main result of this problem is that two side by side Hi-Vol samplers,
oriented 90 degrees  relative  to  each other, will  produce  dissimilar
measurements  with  the discrepancy increasing as the daily  wind
velocity increases.
  The overall  effect  of the  summed errors -with the Hi-Vol TSP
measurement is a slight negative bias. This bias may be as small as
10% or may be as large as 30%. Side by side data from Now York
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and Salt Lake indicate  that  this assessment is reasonable. These
data also indicate that the TSP data were by far the best quality
data taken in the CHESS monitoring program. Differences measured
between High and Low  sites  are  probably reasonable estimates of
the differences of  TSP exposures as received by populations within
these areas. Some local source  variations undoubtedly did occur, but
average annual exposiires were reasonable.
  In anyjoverall assessment of  the CHESS TSP data it  should be
noted that all of the sources of  errors mentioned previously related
almost exclusively to the loss  of large particulate matter  and most
likely that matter is associated with crustal weathering. This material
is outside of the normal human  respirable size fraction and by com-
position, it would be unlikely to be associated with aggravated health.
Thus, loss  of that portion of  the  total material may not have di-
minished the quality of data for  health effects studies. It may in fact
have rendered that data a closer estimate of  the  respirable TSP
exposure to which the CHESS  population groups .were subjected.
  It has been suggested by some environmental scientists that when-
ever Hi-Vol measurements are made for health related studies,  the
filter pads should be "shaken out" much like a housewife does when
shaking crumbs from a used tablecloth. The resultant TSP exposure
estimates derived from such a  procedure would then more closely
relate to the human respirable size fraction of the total atmospheric
particulate  burden. Although  never  actually implemented, this
suggestion indicates the general level of dissatisfaction with the TSP
Hi-Vol measurement method.

                   4. TOTAL SUSPENDED STTLFATE

  The  determination  of atmospheric  ssulfate  concentrations,   as
carried  out in the CHESS program, was a methodological extension
of the Hi-Vol TSP method. Thus, all errors associated with the TSP
method also affect the  sulfate method. Subsamples were cut from the
exposed Hi-Vol filters and were  analyzed for total water soluble sulfate.
Methods available for  sulfate  analysis at the time of CHESS deter-
mined all water-soluble sulfates  as a class rather than distinguishing
them by chemical species. Two  different methods were available for
total sulfate and both were used in CHESS. From November 1970
until September  1971, the manual turbidimetric method was em-
ployed. From September 1971  until July 1975, the methylthymol
blue (MTB) method was used.  The methods are somewhat similar,
and are described in detail above.
  The turbidimetric method is subject to interferences, many of them
being other common pollutants. In areas like the Salt Lake Basin
where the pollutants are dominated by a single source, the procedure
may be adequate. However, in  urban areas like Cincinnati  or New
York City, where the pollutant mix is derived from many independent
sources and is variable  even within the city, the method is capable of
only the crudest estimates of sulfate levels.  It should not be thought
of as an accurate measurement of atmospheric sulfate. Especiall3r,
small differences between High and Low exposure communities, such
as were reported in the Cincinnati Study hi the CHESS Monograph
(page 6-5) cannot be identified as real differences. When a realistic error
estimate is applied to the reported sulfate concentrations, the differ-
                               51

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                               40
                                        i
ence becomes statistically insignificant. Any correlation of CHESS
health effects with sulfate levels where the sulfate data were obtained
using the turbidimetric method must be carefully qualified.
  The MTB method is basically a better measurement method because
most of  the aerometric interferences^ have been eliminated  by its
revised methodology. The two remaining iriterferents, phosphate and
barium, are not normally  found in atmospheric concentrations high
enough to cause inordinate problems.  However, problems associated
with the sampling aspect of the method have been documented and
do impact on the general CHESS sulfate data quality.
  First, problems associated with sulfate blanks  (the level of sulfate
on the niter pad as manufactured) were reported  to be  high and
variable. In the 1971-1973 time period, problems of variable blanks
within the  EPA NASN  program were documented. The general
blank level was equivalent to an. atmospheric sulfate concentration
of 1-2/ug/m3. However, the major problem was  variability of the
blank among manufactured lots of the filters. The blank level often
varied by more than  100  percent among lots so that routine and
continuous blank assessment should  have been mandatory.
  No evidence of routine sulfate blank determination was found  in
the CHESS monitoring program until 1974. From that time period
on, adequate, blank assessment and correction were applied to the.data.
From 1971 until 1974 however, the blank contribution to the CHESS
sulfate data was not adequately assessed and consequently a positive
and  highly variable bias of unknown magnitude was included in the
data.
  Second, adsorption of  atmospheric SO2 onto  the fiberglass filter
material followed by spontaneous oxidation of the SO2 to sulfate had
been well  documented.  A 1966 publication by R.  E.  Lee and
J. Wagman provided results of their investigation of the problem. The
conversion was clearly documented with  severe effects demonstrated
on four-hour samples. The conversion  did appear to  be an active-site
catalytic conversion that  decreased  in  magnitude after  an  initial
saturation of  sites.  Thus, 24-hour samples were much less affected
by this problem than  were those taken fpr shorter time intervals.
Even so, the paper by Lee and Wagman, presented data in which
routinely 0.5 to 1 Mg/m8  of the  measured 'sulfate was  derived  from
SO2  conversion  products.  The maximum conversion  presented was
2.1/itg/m3 derived from SO2;  this constituted  a  10 percent positive
bias of the sulfate data. A more realistic  average bias is likely in the
5 percent range. However, there is clear evidence that in  regions of
high levels of SO2, relative to sulfate,  the positive measurement bias
becomes  much more severe.  This is  probably the  case in the Salt
Lake Basin area.
  The third  and most  devastating  problem associated  with the
CHESS sulfate data occurred when the laboratory analysis  of sulfates
was contracted to an outside firm. During this time period (October
1972-June 1974) the reported sulfate  data underwent a sudden and
sustained decrease in apparent atmospheric sulfate level.   Upon
investigation it was determined  that the laboratory  analysis  of  all
sulfate data from all CHESS sites were biased low by approximately
50 percent. The reason for this negative bias was and still is not
completely clear, but the continued dissemination of  poor data was
clearly due  to inadequate quality controls. An interim EPA report
                               52

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                               41

on  a retrospective  quality assurance evaluation of CHESS Sulfate
Data states:
  A quality control protocol was designed for CHESS chemical analysis but has
not been implemented as per the contract ....  The  quality control protocol
should be implemented immediately.
  In a series of following studies the magnitude of the affected data
and of the error were documented and an attempt was made to correct
and therefore recove-r the data. This  type of procedure is difficult at
best and impossible in most cases. The validity of this data correction
was again assessed by the EPA  Quality  Assurance Branch.  Their
finding was:
  The basic question . . . is—How does one make bad data good? Whatever is
tried will be attacked for a multitude of (justifiable) reasons. Using the existing
data set for relative pollution level assessment will be acceptable, but statements
concerning  absolute levels will not be.  It would not be wise to submit these
data to the NADB,1 but rather answer all requests for these data internally.
  Their statement  gives a  reasonable  assessment of the  CHESS
sulfate data  between 1972 and 1974. The assessment of other year
CHESS sulfate data is more difficult. No comparative sulfate data
exists from the local agencies as it did for SQ2 and TSP. Based on
the intrinsic  capabilities of the methods, and the error assessment of
the field use  procedures, it -can -generallybe stated.that:	
  1. From 1970 to September 1971 the sulfate data were obtained
using the  turbidimetric method. It should be used only as a sulfate
level indicator. Due to interferences,  there will be severe problems if
an attempt is made to correlate sulfate levels in one part of the country
with  sulfate  levels in another.
  2. From October 1971 until October 1972, the data are subject to
the following considerations:
       a.  The  data are  likely biased in the positive  direction from
     1-2 jug/m3. This bias may be more severe  in  areas of high 80s
     concentration  relative to  sulfate.
       b. The random error component of the measurement is probably
     in  the  order  of  ±25%  at  an  atmospheric  concentration  of
     10 Mg/m3.
   3. From October 1972 until June 1974, all CHESS sulfate data were
biased negatively by approximately 50% on an annual average basis
due to improper laboratory analysis by the  contractor.  These data
should be used only on an adjusted annual average basis to establish
local trends  within site locations. The unknown  cause  of  the bias
prohibits  use of the data in shorter time structure (i.e., day, week,
month) increments.
   4. From July 1974 until July 1975, CHESS sulfate data underwent
a marked improvement and was somewhat better than that collected
in  the  1971-1972. era.  The positive bias  of the data is probably
similar to that of the earlier period but the random error component
was improved due to  improved  sulfate blanks on the TSP  filters.

            D. THE CHAMP AIR MONITORING  PROGRAM

                          1. INTRODUCTION
   Early in the execution of the CHESS program in 1969, a number of
staff members in the air quality measurements organization of EPA
  1 National Aerometrlc  Data Bank.
      77-590—76	1
                                53

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                               42

decided it was desirable, indeed imperative, to improve the efficiency
and  accuracy of  short-terra air quality  data  monitoring coverage.
EPA coined the term CHAMP (Community Health Air Monitoring
Program) for this concept of a second generation automatic system of
air monitoring stations. Seven prototype stations were operated in
California from January,  1972  to  February 1974. The manpower
ceiling placed on EPA resulted in a decision to contract for the devel-
opment, installation, and operation of the CHAMP S3rstem. A  con-
tract for the development of the CHAMP system was awarded in
February, 1973. The developmental monitoring s^ystem was to contain
the  newest  technology in  monitoring  instrumentation.   Accurate
measurement of all critical air and liquid flows in the system was
incorporated  to enhance the accuracy of the system. The development
continued to mid 1974 when the first station systems  were installed
in the Los Angeles area for field evaluation.

                      2. SYSTEM DESCRIPTION

   The CHAMP air quality measurement system assembles the avail-
able discrete pollutant measurement devices and associated meteor-
ological  instruments into  a complete system in an air-conditioned
portable building. EPA specified the pollutants, to be  measured and
selected the instruments with the advice  of t.he CHAMP contractor.
All data are recorded  digitally in  a 'mini-computer integral to  each
system. The data are  checked and stored on tape at each  CHAMP
site for transmittal  to  the EPA/RTP Laboratory at Durham, North
Carolina. S03 and NOj, and TSP measurements are also taken  peri-
odically using older  CHESS-type bubblers  and Hi-Vol  sampler
instruments  described  previously for backup and validation of the
CHAMP instruments. These bubbler and filter  samples are sent to
the contractor's chemical laboratory in California for analysis.
   All  the CHAMP systems measure  ozone, total gaseous sulphur
N0/N02, TSP,/KSP combinations, temperature, wind  direction and
velocity, and humidity. Selected systems also incorporate CO and hy-
drocarbon sampling. The CHAMP system while automatic in principle,
requires periodic  calibration and servicing by an operator to maintain
a high duty factor and an acceptable quality of  data (less than 15%
error band). The  operator repairs and adjusts instruments as required,
checks  for failures, and does periodic calibrations and data verifica-
tions.  A quality  assurance specialist continually spot-monitors the
CHAMP sites carrying-out calibration and quality checks.
   It should be  noted that the instrumentation of  the  CHAMP
stations is not completely uniform. Some stations do not have wind and
pressure instruments; not all have CO  and hydrocarbon instruments.
   The manner in which meteorological data from the CHAMP stations
is being analyzed and used has not been investigated. This is a subject
of interest depending on the future of the CHAMP program.
   CHAMP stations were visited in Thousand Oaks, California, and
Salt Lake City, Magna, and Kearns, Utah. The kind of meteorological
instruments in use appeared to be  appropriate and they appear  to be
well-located  and  properly maintained.  Problems have  occurred with
new dew-point measuring equipment that is now being replaced (this
has  to do with humidity measurement. Except for occasional failures
of the sensing element of the dew-point apparatus, collecting meteoro-
logical data from the CHAMP stations should be routine.
                               54

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                               43

  There are at present 18 CHAMP stations on. line at locations se-
lected by EPA; six in the, Los Angeles Basin, three in Birmingham,
Alabama, four in New York City, four in the Salt Lake Valley, and
one at the EPA Health Effects Research Laboratory at Research
Triangle Park, North Carolina.                ;

           S. FINDINGS  REGARDING THE CHAMP PROGRAM

  As in the CHESS program, all the instruments incorporated in the
CHAMP station were developed by the manufacturer for laboratory
use, In fact, some non-commercial instruments were selected by EPA
to try to use the most advanced technology. The CHESS experience
has demonstrated  the need for validation in field use and ike con-
tractor appears to be attempting to do this.
  There was apparently some attempt to standardize on one instru-
ment manufacturer for  ease of maintenance, etc. Bendix ozone and
NOX instruments were  employed. Flame photometric measurement
was selected for $>Q2 EPA apparently was interested in a pulsed
flourescence device but the equipment cost was too high for the budget.
The present instrument actually measures total gaseous sulphur and
it is assumed that this is S02. (The only other likely gaseous  sulfur
compound HZS, does not seem to be widely present.) The rest  of the
measurements  appear to be well-validated. The backup measurement
with bubbler methods have  validated NO2,  to  the extent possible.
The TSP/Hi-Vol  measurements were apparently validated at the
beginning  of the CHAMP program.  However, because of the non-
linear calibration  character of the flame photometric instrument in
the low concentration ranges of interest from Q to 50 jug/M3, calibra-
tion and range setting  by the operator still ^results in 5% to 15%
range of uncertainty in  the total sulphur readings. Further, while the
West-Gaeke bubblers used to check CHAMP SO2 are stored at 70°
F at the sites, they are shipped to the contractor's facilities for analysis
without  temperature control and are subject to the unpredictable
temperature dependent  decay of solutions prior to analysis. Thus, the
SC>2 validation in  the CHAMP system may be in greater error than
EPA expects.
   The execution  of the  CHAMP program has yielded validation
and quality control of field measurements better than CHESS. How-
ever, there are clearly numerous unresolved problems with the opera-
tion which have led to delays in validating the data bank and which
require high level  attention for resolution oefore reliable quantitative
 aerometric data can be  obtained.
   The data processing was 2,900 data-days behind at the time of this
 investigation and no date agreed on  for total  backlog elimination.
 Drift of zero setting and data span of instruments  have invalidated
 part of  the earlier analyses. The data are only about 60 percent
 machine validated. Field operator problems have arisen possibly due,
 in part, to  a  lack of standardized operating procedures. Successful
 operation of the  CHAMP system requires  well-trained instrument
 technicians, and people of this  high level of skill have not been em-
 ployed in the past. Because  of such circumstances, the SOs  data
 obtained  through  1975  have  been  lost  and  apparently are not
 recoverable.
                               55

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                              44

  Some months ago EPA found that significant  data were lost in
transmitting  over "leased lines to the RTF laboratory. Thus,  the
primary data source is the data tapes from the CHAMP site computer
which are mailed to ETP.
  The CHAMP contract is up for renewal in November 1976 and the
bids are being solicited competitively. It is  believed that at this time
competitive bidding could be a destabilizing step in this program and
could delay the  achievement of reliable routine data gathering another
year. On the  other hand there are obvious advantages to open com-
petitive bidding. When system development is more nearly complete,
it  would certainly  be appropriate  for competitive bidding  to  be
adopted. The competition should include quality  control considera-
tions. Unfortunately, the EPA  quality assurance group  was  not
consulted on the renewal request for proposal, although that group did
participate in evaluating proposals received.

                          4. STJMMAEY

  CHAMP appears to be an improvement in real time  field measure-
ment of air pollutants in comparison with  CHESS. However,  the
system is still not completely validated  and may not be ready for
routine use for  6 to 12 months. Data should not be stored in an ac-
cessible data  bank until it is validated.    ;
  The present best estimate  of expected accuracy is ± 15 to  20% on
the CHAMP measurements. However, this will be a significant  im-
provement  over previous CHESS aerometric network mesurement
systems when and if it is realized.
                                56

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      V. EEVIEW OF CHESS AIE QUALITY ANALYSIS
                PEOCEDURES AND EESULTS

                        A. INTEODTCTCTION     '•

  This chapter presents the results of the investigative team's critical
review of the utilization of aerometric data in the analysis and data
modeling presented in the CHESS Monograph. The  citations to
pages, figures and paragraph numbers are to the 1974 CHESS Mono-
graph. The findings are highlighted in terms of examples wherein
it appears that estimates  have been extended beyond the range of
credibility, models have been  misused, or miscellaneous errors of
various types have occurred which lead to misinterpretation or over-
interpretation of data or results of analyses.

                   B.  USE OP ESTIMATED DATA

  A serious weakness in the CHESS study was acknowledged in the
last paragraph on page 7-9, which refers to the Salt Lake Basin study
and the  Rocky Mountain study. It is in part:
  Several factors should be remembered when interpreting tlie results of the
lower respiratory disease studies ...  a majority of the pollution exposure
data in both studies were estimated from emissions data.
  This  statement  applies to one of the most important and  contro-
versial paragraphs in  the CHESS report, also on page 7-9, which
follows:
  It is interesting to  note that larger increases in total lower respiratory disease
and two of its components were observed in the High pollution community of
the  Salt Lake Basin study than in the corresponding communities in the Rocky
Mountain study. Also, the mean  annual suspended sulfate concentration was
higher in the High pollution community in the Salt Lake Basin study than in
the  Rocky Mountain study; the opposite was true for sulfur-dioxide. This suggests
that increases in lower respiratory disease frequency are probably associated
with suspended sulfates rather than sulfur dioxide.
  The paragraph summarizes the argument that exposure  to  sus-
pended sulfates over a period of years produces significant  adverse
health effects.
  Analysis  of  the background material  leading  to the  conclusion
shows that it is derived from an interpretation of the relationship  of
four-numbers all of which are estimated values.  The sulfur  dioxide
values are estimated from smelter emissions and the sulfate values
are estimated from estimates of sulfur dioxide in one case and  esti-
mates of suspended particulate based  on smelter emissions  in the
other, assuming no difference in the ratio of  sulfate to suspended
particulate in the communities, Kellogg, Idaho,; Helena-East Helena
and Anaconda, Montana;  and Magna, Utah.
  The "High pollution community of the Salt Lake Basin" is Magna,
Utah. It is less clear what is meant by the words  "than in the Eocky
                               (45)
                               57

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                                 46

Mountain study". However,  this paragraph refers to the preceding
paragraph of the CHESS report, which speaks of concentrations, "as
low as 7.2 jug/m3 in the Kocky Mountain Study".
  From this it can be concluded that reference is being made to con-
centrations of sulfates in Anaconda, Montana.
  A comparison is  being made,  therefore, between  average sulfur
dioxide concentrations and average sulfate concentrations in Magna
and  Anaconda. The period of the records being compared covers the
years 19GS-1970.
  From the preceding paragraph the values being compared may be
obtained. They  are as follows:               :

           (The concentration values are given in microzrams per cubic meter, written as fig/m*]

                                                       Sulfur  •
                                                      dioxide       Sulfates

Magna	:	        92         15.0
Anaconda	       177         7.2

  Because of  the methods xised  for making estimates,  the absolute
values of these concentrations are questionable. The next four sections
discuss these estimates.

1. ESTIMATED  SULFUR  DIOXIDE  CONCENTHATION, 92 ;iG/M3 (MAGNA) .

  The concentration value 92 jug/m3 for Magna can be obtained from
Table 2.1.A.14 or Table 2.1.A.16.  It is based on the following estimated
values for three years:                       ;
Year:                                  .      •                     wr/w*
    1970			;				  84
    1969	_					    103
    1968	             __„               _      90
      Average	:	    92
   These estimates of annual sulfur dioxide exposures were derived by
multiplying the yearly smelter emission for sulfur dioxide by the ratio
of the 1971 measured annual average  sulfur  dioxide concentration
(61.8 /ug/m3)'to the same year's sulfur dioxide emission rate (193  tons/
day).  The last chapter established  that these data could be off by
100 percent, probably on the low side.
                  61.8/193 =.320  (jug/m3)/(tons/day)
   The emission rates used were as follows  (page 2-37):l
                                                                  Tons!
tr                                                                AW
Year:                                                             (soi)
     1970	1			    261
     1969	                                                      322
     1968			_	    281
   In order  to obtain the estimated sulfur dioxide concentrations, it
must be first assumed  that the meteorological conditions for each of
the years  196S, 1969 and 1970, were identical to those conditions hi
  > These rates of emission ere off by a factor of two. Tons of sulfur, not tons of sulfur dioxide, are listed.
 Tliese values corrected should be 522,644 and 562 tons/day. However, this does not change the estimates of
 sulfur dioxide concentrations, which depend on a ratio between measured 1971 concentrations and 1971
 emissions, whatever they might be. Doubling the emission rate also doubles concentations estimated by the
 application of a mathematical diffusion model (Page 2-23).

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                               47

1971. There was no presentation  in the Monograph of the use of
climatological data to show that 1971 was similar to the other years,
an  average  year, or  a generally  representative  year. Even if the
meteorological conditions for all four years had been identical, there
is still a problem because the year 1971, on which the estimates are
based is" not a normal year for smelter operations. Emissions  were
zero, or practically zero for two weeks during July, and nearly zero
for sis weeks in July and August.  Therefore, the emission/concentra-
tion ratio is deficient in showing  the effects of the summer season,
when wind direction frequencies from the smelter  to Magna might
have been less than during the remainder of the year. This suggests
that the average concentration of sulfur dioxide in Magna is likely to
have been slightly over-estimated, but it supports rather than changes
the conclusion that average concentrations of sulfur dioxide are less
in Magna than in  Anaconda.  Primarily this estimate is  criticized
because it is not supported by climatological information.
  Also it should be realized that the method used for estimating the
annual average concentration can result in ah incorrect estimate if
there is a significant background  of sulfur dioxide  from a  source or
sources other than the smelter. Multiplying the emission rate of the
smelter by a factor assumes that  all individual observational values
that make up the annual average can be multiplied by this same factor,
when actually only those values  totally resulting from  the smelter
emissions would  be  effected. The Salt Lake^City airport wind rose
(Figure 2.1.2)  is probably  not representative for estimating the
percentage of time that Magna is downwind from the smelter because
the smelter stack is  at the base of the Oquirrh  mountain range.
However, the frequency of west northwest and northwest winds at
the airport  suggest  that  Magna is  only downwind  about  5%
o'f the time.  Allowing for the effect of calm  and variable winds, it
seems unlikely that  Magna would be under the influence of the
smelter more than 10% of the  time. It follows then, sulfur dioxide
values for only  these hours  would be affected. On the  other hand,
if the smelter is the only significant source of sulfur dioxide, as may
be the case,  then multiplying individual observation values of zero
concentration would yield only zero, and the procedure for estimating
yields a true result, assuming no change in meteorological or emission
conditions. Since the  sulfur dioxide background in Magna is not
known, the error that could be produced by background concentra-
tions cannot be determined. Probably  most of the  sulfur dioxide
does come from the smelter, so this source of error is not significant.

2. ESTIMATED STTLPX7B DIOXIDE CONCENTRATION, 177 Mg/m3 (ANACONDA)

   A paragraph in the right hand column of page 3-12 explains how the
average concentration of 177 jug/m3 for sulfur dioxide was  estimated
for Anaconda for the period 1968-70 using sulfation plate data and
emission  rates. However, the explanation is  incomplete, because it
requires the 1971 emission rate of the smelter, which has been omitted
from the Monograph. Thus, the validity of the entire procedure is im-
possible to verify. Table 3.1.2., which fists the emission rates by year
begins with the year 1970. The ratio of 0.343±.253  (Mg/m8)/(ton/day)
was obtained by a very dubious procedure. To begin with, sulfation
plate  data  are  of somewhat uncertain nature. The  document "Air

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                                48

Quality Criteria. for Sulfur Oxides", U.S. Department of Health, Educa-
tion and Welfare, Public Health. Service, National Air Pollution Con-
trol Administration, Washington, B.C., January, 1969, pp 24-25
says that sulfatipn "candles"  (and plates) give  only "an empirical
estimate of the average concentration". It also sajrs '^results are influ-
enced by -wind movement and humidity" and that "the lead peroxide
candle provides  intelligence on the  oxidizable sulfur compounds in
the _ atmosphere  which seldom can be  directly  related  to sulfur
dioxide".
  The CHESS Monograph paragraphs refer to sulfation plate data for
1965. The sulfation plate is a variation  of the lead peroxide candle.
Developmental  work on  the  plate  was reported in the following
reference: Huey, N.A.  "The  Lead  Peroxide  Estimation of Sulfur
Dioxide Pollution" J.  Air  Pollution  Control Association, Vol. 18,
pp  610-611, Sept.  1968. Consequently it is unlikely that sulfation
plates were in use in Anaconda in 1965.*
                             ndioxide~ from.
 g^ate an  empirical relationship  must  be used. For example,  in the
  elena Valley,  Montana, Area  Environmental Study, (EPA, Office
of Air Programs, Research Triangle Park,  North Carolina, January
1972) the sulfation. values were converted to sulfur dioxide values by
means of the relationship: 1 mg SO3 per 100 cm2 per day is equivalent
to 0.035 ppm SO2. In the history of the use of lead peroxide devices,
there has , not been  general  agreement  as  to  what ratio should be
used, and a belief prevails  that sulfation  candle or  plate  data are
conservative,  i.e., that  sulfur dioxide concentrations  are sometimes
higher than indicated. Further, more information is needed concerning
the location of the station, or stations, in the Anaconda  area, where
the sulfation data were obtained.  In order  to validate the Anaconda
sulfur dioxide data further work needs to be done.
  In 1965 the  annual average  concentration  of  sulfur  dioxide  was
reported to be 80 Mg/m3 with an emission rate  of 609 tons/day. Since
the 1971 emission rate is omitted from the report it cannot be compared
with the corresponding concentration of 286  Mg/m3.  Assuming that
the 1971 emission rate is also on the order of 600-700 tons/day, then
there seems to  be too great  a difference between the 80 /xg/m3 con-
centration and the 286 Mg/na3 concentration. (Center paragraph, right
hand side, page 3-12.) J
  The ratio 0.343 ±.253 has a large- error factor. The range is from
.090 to .597. If the low value is multiplied by the emissions for the
years 1968-1970, the following concentrations are obtained:

                               iTons per day]

                                                 Table 3.1.2    New value
        Year                                          (SOZ) Montana SDES

    1971 ...... _____ .  .      .  „ . . ........ __________________    Omitted         638
    1970 ____ ......                      ~         ••           635         856
    M69 ......... ______________________ ........... _____________________      . 545         824
    1968 ____________________________________________________ • ___ . _____ „       367         C62
    1967 _____________________________________________________________       346         459

      NOTE.— The omission of the 1971 emission rates maies it impossible to check the effect of using the
    new value for 1971 on the estimated emission rates.
   *Tbe chemical reaction for "candles" and "plates" Is the same.
  {According to information recently received from the Montana State Department of Health and Environ-
 mental Sciences, the emission rates listed for the Anaconda smelter are low.
                                60

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                               49
                                                       Estimated average
                                              SOi emissions    concentrations
   Year                                        (tons par day)        (pg/m')

1970        „          „	        635          57
1969" •          "     	  - 	 . 	 ''       545          49
19631	I"	U	 ,       367          33


  The average of these values is  46 jugM3. This concentration's
considerably less than the 92/tg/m3 value at Magna. However, in-
formation  received  from a  representative  of  the  Montana  State
Department of Health and  Environmental Services, suggests that
the 80 Mg/mS value and  the  286 jug/m3 value -were measured in two
different locations in Anaconda, and that the 80 jug/m3^ value  is too
low. This indicates that the estimated values of sulfur dioxide in the
table comparing Anaconda and Magna values are somewhat too^ low.
  The estimates are further weakened by the fact that an assumption is
made that meteorological conditions during all of the year is identical
for all years. No supporting climatologieai information is presented.
  Also, note that the Table 3.1.7 lists a sulfur dioxide concentration
of 177 Mg/m3 far 1971 instead of the 286 ftg/m? value obtained from
the Montana State Department of Health.
  The  procedure for estimating sulfur dioxide concentrations  in
Anaconda  seems unnecessarily crude, making the average concentra-
tion value for the years 1968-1970 uncertain.  However, since the
reported 1971 values  for Anaconda and Magna are 286 jtg/m3 and
61.8 Mg/ro3* and  these values are the basis for estimates,  it  would
appear  that it was fairly certain that there was more sulfur dioxide
present in  Anaconda,  than at Magna during the '68 to '70  period of
the CHESS studies.

8. ESTIMATED SUSPENDED SULFATE CONCSJNTEATION, 15 /Jg/ms (MAGNA)

  The 15 Mg/m3 estimate is a double estimate since the sulfur dioxide
concentration data on which it is based is also estimated. The sulfate
value seems to be an average for the years 1968-1970. It is obtained
by using the following regression equation, which is found  on page
2-39.
                   Magna—SS=0.09(SO2)+6.66

  This equation is based on 1971 conditions.
  It is of  interest to note that with a zero concentration of  sulfur
dioxide there would still be 6.66 MgM3 of sulfate, or approximately
half the average annual value reported on 1971, which was 12.4 Mg/m3
Further, 44%  of the 15 jug/m3 of interest for ,the years 1968-1970 is
unrelated  to sulfur dioxide concentrations. The Figures 2.4.2 and
2.4.4 suggest some lack of complete correlation between sulfur dioxide
 and sulfate concentrations.
   During  the strike with zero sulfur dioxide  concentrations, there
still  is an appreciable amount of  suspended sulfate.  Also, a peak
value of sulfate occurred during the third week that does not corre-
 spond  with sulfur dioxide value behavior during the same p_eriod.
 Similarly,  tihe very large rise in sulfur  dioxide that peaked  in the
ninth week hardly shows in the sulfate values. Consequently, the
regression equation  can be questioned because the reason for the
                                 61

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                               50

sulfate values is not understood. What is the physical source of the
sulfates?
  Since the sulfur dioxide concentrations used in the regression equa-
tion are themselves estimated, uncertainties in the sulfur dioxide
estimates are compounded in the sulfate estimates. Further, since the
source of a considerable amount of the sullate seems to bo not associ-
ated with the sulfur dioxide, it is not clear what effect the strike period
has on the estimates.
 'The CHESS report lists the suspended  sulfate concentration as
12.4 Mg/m3 hi  1971 and this is the basis for  the estimate of 15 pg/'m3
for the 1968-1970  period. Observations  of sulfate in  Magna  area
subseqxient to 1971 support the argtiment that  average  annual con-
centrations are in the neighborhood of 15 jig/ms, or that they are sig-
nificantly higher than reported for Anaconda.
  On page 2-79, in Table 2.4.1, it may be noted that suspended sulfate
values for the High community do not follow the sullur  dioxide con-
centrations, particularly for  the Spring and Summer. This raises a
question about using sulfur dioxide as an indicator of sulfate, as was
done with  the regression equation on page 2-39. (Median values for
the High community are: Sulfur dioxide, Spring 64, Summer 9, whereas
for suspended sulfate they are 8 and  7, respectively.)
  Wind blowing from the smelter stack ito Magna would generally
cross a portion of the Great Salt Lake and, therefore,  might carry
more moisture, thereby facilitating the conversion of sulfur dioxide
to sulfate. Perhaps this mechanism  helps  to account for the  high
sulfato concentrations observed in Magna.

    4. ESTIMATED SUSPENDED SULFATE CONCENTRATION,  7.2 /ig/m3
                           (ANACONDA)

  The 7.2 Mg/m3  suspended sulfate  value  can be obtained from
Table 3.1,7, page 3-12,  by taking an average of sulfate  values for
three years, as follows:
Year:
    1970	;	
    1969	,_     _
    196S					
      Average	   7; 2

  These sulfate values are estimates, based on estimates of total sus-
pended particulate and an estimate of the ratio of suspended sulfate
concentration to total suspended particulate concentration, based on
results from East Helena and Helena, Montana, and Magna, Utah.
The same procedure was used for Kellogg, Idaho.
  On page 3-11, in an attempt to explain how the suspended sulfate
estimates were made for Kellogg, it is stated that "Data observed for
Magna during the period January 1971-June 1972 indicated an average
ratio of suspended sulfate concentration to  total suspended  par-
ticulate of 0.159." Following this is the reference number "22," re-
ferring to National Air Pollution Control Administration Publication
No. AP-61, "Characteristics of  Particulate Patterns  1957-1966."
This publication presents graphs of suspended particulate concentra-
tions for various cities over a ten year period. In it, suspended sulfates
are not mentioned, the time period is wrong, and there are  no data
                               62

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                                 51

for Magna; therefore, it must be concluded that the reference is an
error.
  An obvious reference for this paper would have been the paper by
Marvin B. Hertz, et al., "Human Exposure to Air Pollution in Salt
Lake Communities, 1940-1971," however, it is not referenced. Perhaps
this was titie  reference intended. Even so, the ratio  0.159 cannot be
obtained from the Hertz paper.
  In the Hertz  paper, page 2-11, Table 2.1.2, which gives CHESS
1971 Annual Averages for Magna,  the suspended sulfate concentra-
tion is 9.6 Mg/in3 as.d the total suspended particulate concentration
is 53.9, which gives a ratio of 0.178. In Tables 2.1.5 and 2.1.A.16, the
following concentrations are given: TSP,  66 MgA&3, SS, 12.4 /ug/m3.
Here the ratio ia 0.188. Other ratios can  be determined for various
time periods  from Tables 2.1.A.4 and 2.1.A.5, but none of these is
0.159.
  Note (page 3-11) that  the  unexplained ratio 0.159 for Magna is
used with the 0.063 ratio  for  East  Helena to  obtain the ratio 0.111
plus or minus 0.057 that is used to estimate suspended sulfate  con-
centrations for Kellogg, and  the 0.11  plus or minus 0.06 ratio for
Anaconda (page 3-13).
   (Pages 3-8 and 3-9) Particulate emissions for East Helena are given
in two tables on pages that face each other. The headings of the'second
column in Table 3.1.4 should be "Emissions, Tons/year," not "Emis-
sions,  Tons/day."                              i
  On  page 3-7 it is stated that estimates of stack emissions for both
particulate and sulfur dioxide for East Helena for the years 1941-1970
were provided by Asarco. Presumably  the data in Table 3.1.3 tare
Asarco data. The source  of the  data in  Table 3.1.4 is  not stated.
  The Offi.ce  of Air Programs Publication No. AP-91, Helena Valley,
Montana, Area Environmental Pollution Study, gives more informa-
tion about the industrial  complex  at  East Helena.  This study was
conducted during the  period June 1969  through June 1970.  The
table below is from this study.                ;

                 EMISSIONS FROM EAST HELENA INDUSTRIAL COMPLEX
                               [Tons per day]
                                           Emissions
    Company and operation
SOs production
Participates production
                         Seduced
   Normal   Maximum   Reduced   Normal  Maximum
Asarco:
Sintering .
Smelting.... 	 . .. . 	 ..
Miscellaneous 	
Subtotal 	 	 	
Anaconda:
Fuming 	
Miscellaneous... 	 . 	 	 .....

Subtotal 	 	
American Chemet: Pigment production.
184.6
8.4
0)
193.0
13.0


13.0
0)
315.6
14.6
0)
330.2
13.0


13.0
0)
355.1
23.2

378.3
13.0
(*)•

13.0
C)
0.8
(0
w
.3

1 0

1.0

0.5
0)
w
.5

1 0

1.0

0.5+

<")
.5+

1.0

1.0

    Total...
                          208.0
                                  343.2
                                          391.3
                     1.3
                             1.5
               1.5+
  < Negligible.
  > The outside storage of concentrates contributes a significant but undetermined amount of participates.
  ' Emissions also occur during the slag charging and tha coal mill, but ro estimates have been made.
  < Emissions occur when slag is dumped, but no estimate of their quantity has been made.
  * Emissions are controlled by cyclones and bag filters with high collection efficiencies.
                                 63

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                               52

  It may be noted that ASARCO is  only one of several particu-
late sources for the  East  Helena  area.  Fuming and other sing
processing activities of the Anaconda Co. are  estimated to produce
1.0 tons per day of ^articulates, resulting in a normal total of 1.5 tons
per day, not a rate in the neighborhood of 0.3 tons per day as Table
3.1.3  suggests.  Further,  the _ total normal sulfur dioxide  emission
rate in the preceding table  is 343.2 tons per day,  a considerably
higher rate than is given in Table 3.1.2. (i.e.3 1969:  221 tons/day;
1970: 239 tons/day).
  On page 3-7, right hand side, is given an explanation of how the
data in Table  3.1.4 were used to obtain a ratio of total suspended
p articulate concentration to  tons of particulate emitted per day for
Bast Helena. However,  after giving  this explanation, the estimates
of TSP in Table 3.1.5, that were used to make the suspended  sulfato
estimates were not obtained by means of this ratio.  They seem to
have been obtained'from the-particulate emission data in .Table 3.1.3,
.using-fee-fo&tei^-3^3-.^—(Trg^^)/{-to^
factor is not explained.  The ratio that is explained never seems to
have been used. The  suspended sulfate  estimates are obtained by
multiplying the total  suspended particxilate concentrations  by the
factor 0.063, which is explained on page 3-8.
  Both observed and estimated suspended particulate  concentrations
are given in Ta.ble 3.1.4 and 3.1.5. It may be noted that the estimated
TSr values are used to estimate the suspended  sulfate  concentrations
and not the observed values for  the years 1966 through  1969. In
1966, the observed value was 87 fig/in3, whereas the estimated value
is  114.2  Mg/m3.  No explanation is given for rejecting the  observed
values.
  Data for Magna during the period January 1971-June 1972  indi-
cated an average ratio  of suspended sulfate concentration to  total
suspended particulate  of 0.159. The  available  data for East  Helena
indicated a suspended sulfate to total suspended particulate  ratio
of 0.063±0.022 jug/m3. For Kellogg,  the  assumption has been made
that the  ratio of suspended sulfate  to total siispended particulate
is  the  average  of these values, or 0.111 ±0.057. For Anaconda, this
value was rounded to 0.11 ±0.06. It is rmiltiplied by the estimated
concentrations of total suspended partieulate  listed in Table 3.1.7,
to obtain the suspended sulfate values for each year.
  The following table has  been  prepared from  the  Helena Valley
study, June through October 1969.

Station
1
2 	
3. .. 	
4 	 ..: 	 	 ,

Average 	 „ 	

Location
Degrees
34
	 105
	 112
	 274



i
Miles
0.8
2.5
.4
4.5




particulate
108
74
59
62

76


• sulfate
3.5
3.7
4.4
2.9

3.6


Ratio
0.032
.05
.069
.047

.050

 »With respect to the smelter stack,
                                64

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                               53

  The data from stations 1 and 3, the stations nearest the stack, were
used to  obtain a ratio range (0.037, pages 3-8), but for some curious
reason the available ratios from the Helena Valley study were not
used. The average ratio for stations 1 and 3 is 0.051.
  The ratio chosen for East Helena, 0.063 plus or minus 0.022 (jttg/m3)/
Gig/m3), is not significantly different from that which might have been
obtained had more  use. been made of the Helena Valley study, but
there is no basis for the assumption that the ratio of suspended sulfate
to suspended participate is similar in Magna, East Helena,  Helena,
and Anaconda.
  The dubious nature of using sxispended particulate concentrations
to estimate suspended sulf ate can be seen by comparing Figures 2.4.3
and 2.4.4. In the Low Exposure Community, the sulf ate level remains
low and nearly constant while the suspended particulate concentra-
tions fluctuate.
  In_the High Exposure Community, the highest concentration of
susperide'd parfic'ulaBe "occurred on" thTfourth" week "whereas th~e~pea"k
sulf ate value occurred on the third week. On the fourth week, sulf ate
levels dropped. A corresponding drop in the sulfate levels does not
occur until the fifth week. Only  during the last seven or eight weeks
do  suspended  particulate  and  suspended  sulfate  concentrations
fluctuate together. There may be  some situations where suspended
particulate and suspended sulfate  concentrations are well correlated.
Justification for assuming correlation in the Salt Lake Basin and the
Rocky Mountain communities is inadequately supported by scientific
evidence presented in the CHESS Monograph.
  Further, the 7.2 Mg/m3 suspended sulfate estimate for Anaconda is
based on an estimate that comes from another estimate of suspended
partieulate values based  on rates of emission from the smelter, touring
the period 1961—1962, the annual total suspended particulate concen-
tration was found to be 84.5 /*g/m3. In 1971, the average suspended
particulate  level was observed _to be 52 jug/m3. By comparing the
observed total  suspended particulate concentration with  the par-
ticulate emitted from the Anaconda plant, a ratio of 9.1 ±2.3 (jug/m3)/
 (ton/day) was determined. This ratio was multiplied by the particu-
late emission for Anaconda shown in Table 3.1.3 to estimate the total
suspended particulate concentrations for the years  1940-1970. This
ratio cannot be actually obtained from the data presented in the report
because particulate emissions for the year 1971 are not given, i.e.,
they are not listed in Table 3.1.3.
   The basis for  this ratio is unfounded since there are sources for the
suspended particulate other than the smelter emissions.
   Although there are no actual sulfate observations from the Ana-
 conda  area included in the CHESS report there  are  some  actual
 observations of suspended sulfate versus total suspended particulate
 available for the year 1971, that were obtained from the Montana
 State Department of Health  and  Environmental  Sciences. These
 suggest that annual average suspended sulfate levels in Anaconda are
 in the  neighborhood of  4  or 5  MgM3, even less than the estimated
 value (7.2 /ig/m3).
                                65

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                               54

  There are also pronounced seasonal effects, with much higher values
in winter  than in summer. The months pf February and April had
values of 7 and 9 M!/m3 whereas the months of July and August have
values of less than 1 ug/m3. Local heating emissions and relative humid-
ity may be significant factors determining the  measured concentra-
tion as well as the smelter emissions.

5. ESTIMATES OF SUSPENDED PARTICT7LATE, SALT LAKE BASIN STUDY

  On page 2-23 it is stated that "the number  of sulfric acid plants
utilizing sulfur recovered from emissions have increased from one in
1940 to seven in 1971, and that air pollution control devices in the
form of baghouses, scrubbers,  cyclones, and mist eliminators have
been installed.  Such changes in the smelter operations would greatly
effect the ratio of suspended particulate to tons of copper produced.
Therefore, aside from the fact that there would be differences from
year to year because of meteorology, the procedure described in the
first paragraph, right hand column, page 2-24, for  estimating sus-
pended particulate from copper production in tons for 1971, is highly
questionable.

        6. ESTIMATES IN THE CHIGACO AND NEW TORK  STUDIES

  In the  Chicago and New York studies suspended sulfate concen-
trations were estimated from suspended particulate  concentrations.
In Chicago, the estimates were used to fill in data for some years when
no data were available. In the New York study measured values for
suspended sulfates for 1956-1970 were available from the Manhattan
121st Street station, and these  values were used as citywide values.
The observed annual ratios  of suspended sulfate to dustfall for New
York City were used to estimate the suspended sulfate levels in Queens
and Bronx. In Table 5.3.1 suspended sulfate levels for the Low Com-
munity (Riverhead) are listed as about 10 jug/m3 for the years 1961
through 1970. The basis for this estimate is not given, although it was
probably  determined from the  1971 concentration, which was 10.2
   In summary, it  appears  that some values, on which are based
important conclusions that  sulfates may ;be harmful to health, are
estimated values.

          C. USE OF MATHEMATICAL DISPERSION MODELS

   The dispersion model shown in Figure 2.1.16 is incorrectly applied.
It was used in the Salt Lake Basin study to determine sulfur dioxide
contours around the smelter source and to >show that annual exposure
estimates obtained from the ratio of 1971 observed air quality to
1971 emissions were not unreasonably high or low. First, the contours
are incorrect because the model used  does not take into account the
elevation of the terrain and the wind direction frequencies  for the
Salt Lake City airport, which were  used  are different from those
affecting the  smelter plume,  which  originates  at  the base of the
Oquirrh Mountains. Second, a^dispersion model is based on numerous
assumptions and applied in this way might be off by a factor of two,
or more. It does not make sense to use a model to check observations.
                                66

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                               55

The usual application, is to apply observational data to calibrate,
or verify,  a model. A model such  as the one used might have been
applied to show some sort of relative distribution of concentrations
across  the Salt Lake Valley, however, it should not have been used
to justify  estimates of concentrations  over  the  period  1940-1970.
(See Tables 2.1 .A. 14 and 2.1.A.16). Further, during this review of the
CHESS report it was discovered that smelter emissions used for the
model  estimates were tons of sulfur, not tons of sulfur dioxide.  There-
fore, the model estimate is only half what it should have been. Doub-
ling the emission rate and reducing the wind  direction frequency
somewhat with respect to Magna  might result in an estimated con-
centration near that measured, which was 61  Mg/m3-
   Apparently the dispersion model was run only once  and then the
ratio between the emission at the smelter for 1971 and the calculated
concentration was applied to emission values for the other years in
order to obtain the other listed concentrations in the column headed
"Diffusion Model". No account is taken of the fact that meteorological
conditions,  or perhaps stack conditions, were not the same  for all
years.  More information should have been included in this report on
exactly what meteorological data were used in the model. The model
requires the use of the STAB program, which is obtained from the
National  Climate Center. Frequently  the results of  running  this
program are based on data for the year 1964, which is  the only year
when wind directions were punched on data  cards to the nearest 10
degrees each hour rather than each 3-hours. Therefore, the model is
likely  to have incorporated meteorological data for some year other
than 1971,  the year of the emission data. No. at tempts is made to
show that the year (or period) of the meteorological data is average,
good or bad. Similarly there is no  attempt to show that 1971  was an
average year, yet all of the estimates are based on this assumption.
   Considering how the model estimates for the years  1940-1970 were
obtained it is misleading to include them in the table, and they serve
little purpose since the ratio for the year 1970 is repeated throughout.
   On page 2-43, bottom of right  hand column,  the  following state-
ments appear: "Estimates of sulfur dioxide,  total suspended paitic-
ulates, and suspended sulfate  concentrations in the High exposure
community for 1940-1970 and  the Intermediate  II exposure com-
munity for 1950-1970 were obtained by a mathematical dispersion
model, which utilized^ emissions from the industrial source and exten-
sive local meteorological data, and by observed relationships among
pollutants.  Observed  suspended particulate,  suspended sulfate,  and
sulfur dioxide concentrations for 1970-1971 were used to calibrate the
models used to estimate exposure levels for previous years." This is an
overstatement. The estimates were obtained from simple ratios  and
the application of a regression equation. See page 2-39. The model
was only applied once to demonstrate that annual exposure estimates
obtained from a ratio were not unreasonably high or low.
   In the Chicago study, another attempt was made to apply a dis-
persion model (Figure 4.1.10). This^ model gives  a  false picture of
pollution conditions that prevailed  in the study area because it is
based only on pollution sources within the  city limits of Chicago,
omitting effects of adjoining large industrial sources in Indiana and of
some suburban communities to the southwest of the Loop area, which
have considerable air pollution.
                                67

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                              56

  Maps recently published by the Chicago Department of Environ-
ment Control, for the years 1970 and 1975 clearly show that pollution
concentrations are  not simply concentric around the urban core as
the model indicates.
  On page 4-8, it is stated Measured data from  the  City network,
from which the exposure estimates were made, were best supported
by the -Mitre model. It is not clear why a greater use was not made of
the available actual measurements instead of the model estimates.
Also, it is not sufficiently clear why the model happens to be for the
year 1968.
                              68

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       VI. AN  ANALYSIS OF THE  CHESS HEALTH
                     EFFECTS STUDIES

A.  GENEHAL  PROBLEMS OF  EPIDEMIOI.OGIC  INVESTIGATIONS  OP
                      POLLUTION EFFECTS

  Before discussing health effects problems specific to CHESS, some
discussion of general  difficulties inherent  to pollution epidemiology
may be helpful.
  Exposure to suspect pollutants is not controlled in  population
studies. Indeed with, current technologies, it is not possible to be sure
that the  correct pollutant  is even being measured. Combinations
of pollutants may be more harmful than any single pollutant, and the
number of studies needed to investigate such synergisms (interactions)
increases rapidly with the number of pollutants under consideration.
The analysis of  synergisms  is often impractical since sites  with the
needed configurations of pollutants are seldom at hand.
  Not" only "is "exposure uncbTItS'olled; it isr often "difficult to measurer
Even when aerometric measurements are  valid, special meteorologic
conditions or personal habits may cause a given subject to experience
pollution levels very different from those measured at a nearby fixed
monitoring  station. These problems are  exacerbated in long term
studies during which the quality of aerometric data has bee^x variable
and individuals have changed jobs and residences. Aerometric methods
for measuring hourly or  daily pollution levels are often less reliable
than required for studies associating pollution levels with short term
health effects.
  The health measurements are often subjective responses to a ques-
tionnaire  or interview. An individual may give  one answer on a self-
administered questionnaire  and another  to  a  friendly  interviewer.
Other factors, such as the public announcement of a pollution alert,
can also  influence subjective  health  measurements. Some  health
measurements, such as pulmonary function tests or,blood analyses, are
less influenced by jpoorly defined conditions surrounding the meaure-
ments and  are said to be objective. However, even objective end-
points respond to uncontrolled events like an undetected  influenza
epidemic  or high pollen count.
  Whether the  health measurement is subjective or objective,  the
response is often affected by factors (covariates)  associated with the
subject studied and  unrelated to  pollutant  exposure.  Whether tihe
individual smokes or is subjected to cigarette smoke at home or work
is a covariate of dominant importance in pollution studies. Educational
attainment may affect responses to questions about phlegm or pneu-
monia. Occupation, age,  sex, race, immunity  to influenza, allergy,
access to air-conditioning and  countless other  covariates complicate
the interpretation of epidemiologic  data.  Epidemiologists  treat
covariates in two ways. They try to choose study populations  which
                               (57)         !

      77-590—76	5
                               69

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                               58

have  similar  covariate  characteristics so  that health  differences
between such populations can be ascribed to pollution  effects. Al-
ternatively, they  make mathematical adjustments  to nullify  the
effects of  covariate imbalances. Both strategies have weaknesses,
and neither works if the investigator is 'unaware of an important
covariate or has failed to measure it.
  The epidemiologist has little control over the subjects studied. He
cannot assign them at random  to reside in polluted communities of
interest. Thus, a clean  town may contain many asthmatics because
asthmatics have wisely chosen  to live there rather than in a more
polluted community. This fundamental problem of self-selection must
qualify any  conclusions obtained from  non-randomized  population
studies: it  may be possible to demonstrate temporal or spatial associa-
tions between health and pollution measurements,  but a causal rela-
tionship cannot be inferred on the basis of a single epidemiologic study.
  Students of'pollution counter these weaknesses in several ways. One
strategy is to replicate an  epidemiologic 'study in a variety of cir-
cumstances and serially in  time. If  a  consistent association between
pollution and health measurement is .observed, it is held to be reliable
since covariate imbalances and problems of self-selection are unlikely
to  affect all sites and to persist over time. Clinical stiidies, in which
healthy volunteers are subjected to controlled pollution exposures,
and toxicological studies, in which animals are subjected to various
combinations and  doses of pollutants, complement information ob-
tained from epidemiologic  studies.  This body of information  from
clinical  and toxicological studies and  from  several epidemiologic
studies may substantiate an interesting association suggested by the
health and pollution measurements of a single epidemiologic study.
  In addition to these general issues, several questions directly perti-
nent to the CHESS health measurements;were examined, namely:
       (1)  Was the health measurement a reliable and  meaningful
     indicator of public health?
       (2)  Was the statistical analysis sound and impartial?
       (3)  Were the methods used to ascribe specific health effects to
     specific pollutants and to  establish dose-response relationships
     logically compelling?
   The sources of information used in  this assessment include:
        (1)  The CHESS Monograph cited previously which contains
     data  gathered in 1970-1971 as well as some earlier studies.
        (2)  Preliminary internal EPA  drafts of 1971-1972 studies.
        (3)  External peer review documents.
        (4)  Interviews and  progress reports of  contractors  and EPA
     personnel who gathered health and  aerometric data.
        (5)  Interviews with EPA personnel who gathered and analyzed
     the data.
    Time limitations prohibited  a complete reanalysis  of the primary
 health and aerometric data.

                B. INTRODUCTION AND DEFINITIONS

    What follows is a detailed discussion of each type of study found in
 the CHESS Monograph.  Each  health  measurement is considered
 together with_ special  problems associated with particular CHESS
 sites.  Comparisons across  CHESS  sites  and comparisons  with sub-
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                               59

sequent CHESS studies are made (when possible). A relatively non-
technical summery follows the discussion of each health measurement.
Unfortunately, much of the terminology is specialized. A short glossary
of statistical terms is  given below for those who wish to read the
detailed assessments. This glossary is intended to convey the purpose
and use of certain statistical terms rather than to give precise defini-
tions, which are available from standard statistics texts.  The defini-
tions are particularized to pollution applications.
  Adjustment Procedure.—This is a mathematical method, based on
an assumed model, to compare populations exposed to various pollu-
tion levels when other factors which might affect health measurements,
such as age, sex, or race also differ among communities.
  Autocorrelation.—This term describes the way in which the asthma
attack rate on a particular day depends on the attack rate on other
days. Pollution levels, which are also time series, also  have auto-
correlation structure, since a pollutant which is elevated above usual
levels on one day is likely to be elevated on the next day  also.
  Correlation.—Correlation is a measure of the strength of the linear
relationship between two quantities.  Positively correlated quantities
tend to rise and fall together, whereas negatively correlated quantities
tend to rise and fall out of phase.
  Goodness-o/-Fit Statistic.—This quantity is used to gauge how well
a mathematical model fits a set of data.        !
  Least Squares Method.—This is  a method of estimating the param-
eters of a mathematical model so that the final estimates bring the
model into closest possible congruence with the data.
  Linear Model for Categorical Data.—Linear models are models in
which the average value of the observation (dependent  variable) is
assumed to be a linear function of  independent variables, such as
pollution category, age or sex. If the expected frequency of a cell in a
contingency table is assumed to be  a linear function of such inde-
pendent variables, one has a linear model for categorical data. The
value of such a model, if it fits the data, is that it enables one to
estimate the  relative contributions of  the various independent
variables.
  Multiple Regression  Analysis.—Multiple regression  analysis is  a
method for relating an observation (dependent  variable) such as
asthma attack rate  to several independent variables, such  as  sus-
pended sulfate levels,  sulfur dioxide  and perhaps other pollutants.
Usual applications require that the expected value of the observation
is a linear function of the'independent variables,  and that observa-
tions are statistically independent with constant variability about the
expected value. A multiple regression model can be used to describe
a given set of data and to predict the outcome of future observations
for known values of the independent variables. However, the _fact
that a multiple regression model fits  a given data set well or yields
good predictions of future observations need not imply that the inde-
pendent variables determine the observations  or bear  any  causal
relationship to the observations.
   Pooled.—Pooled data  is data obtained  by [combining data from
two or more samples and then ignoring the fact that  the combined
data came from various sources.              •
   Residuals.—Kesiduals are  differences between observed data and
values expected under a mathematical model., Kesiduals are helpful
in assessing the appropriateness of the model.
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                                 eo      ;

  Ridge Regression.—If independent variables are highly correlated,
estimates of the effect of  a particular independent variable on the
dependent variable can be greatly influenced  by what other inde-
pendent variables are  included in the  multiple regression model.
Ridge regression  is a method of determining  the importance of a
particular independent variable in the presence of other highly cor-
related independent variables.
  Statistical Significance.—A statistical hypothesis is tested by com-
puting how probable a set of data is under that hypothesis. This
level of probability is called the significance level and a level p<.05
means mat the chances are less than 5 in 100 that the observed
outcome could have occurred if the hypothesis were true. The signifi-
cance level is often taken  as a measure  of the strength of evidence
against  the  hypothesis, with  smaller significance levels providing
more  evidence  against the  hypothesis,  buppose, for  example,  the
hypothesis being tested is that  two populations have the same risk of
chronic respiratory disease. This is called a "null" hypothesis—that is,
there is no difference. If, in view of the data, this hypothesis is found
to be highly improbable (that is, to have low probability of occur-
rence) one rejects the hypothesis (of no  difference in risk of disease
between populations)  and assumes instead that there is a difference in
risk of chronic  respiratory disease between  the two populations.

              C.  SPECIFIC HEALTH EFFECTS STUDIES

         1. CHRONIC RESPIRATORY DISEASE (CUD) PREVALENCE

  CHESS estimates  adult  chronic respiratory disease prevalence by
means  of a self-administered questionnaire  which inquires  whether
the subject coughs and produces phlegm  for at least three months of
the previous year. These studies compare CUD prevalences in ad-
jacent communities with different pollution levels, often designated
"High," "Intermediate" or "Low." The  Monograph reports on data
gathered in the New York City and Salt Lake City areas in 1970-1971
and also includes studies  from the Chickgo area and five Rocky
Mountain communities.  CHESS monitoring  stations were  never
present in Chicago or the Rocky Mountain communities,  and ex-
posure estimates  were based on local data  sources  and theoretical
extrapolations in  these areas  (see  Chapters  IV and V).  CHESS
monitoring stations  onlv became operational in Salt Lake City in
December,  1970.  Attention in this  investigation was confined to the
four  surveys, which wer.e reviewed by Chapman et al,1 and to New
York City CHESS follow-up data 2 from 1971-1972.
  The CHESS CRD questionnaire was  adapted for self-administra-
tion from an interview-administered questionnaire used by the British
Medical Research Council.3 Although a similar questionnaire  had
been validated for self-administration in  a 1971 Japanese study,* the
  i Chapman, E. S., Shy, C. M., Finklea, J. F. House, D. E., Goldberg, H. E., Hayes, C, G., "Chronic
 Respiratory Disease in Military Inductees and Parents of Schoolebildren.'T.4rcAise» of Environmental Health. ,
 Volume 27, Number 3 (1973), pp. 138-142.
  > Galke, W. A., House, D., "Prevalence of Chronic Respiratory Disease Symptoms in New York Area
 Adults, 1972." EPA In-House Technical Report (June 7,1976).
  s "Standards for Epidomio'.ogic Surreys in Chronic Respiratory Disease." National Tuberculosis and
 Respiratory Disease Association. (1969).
  4 Tsunetosht, Y,, Shimiza, T., Takanashi, E., Ichinosava, A., TJeda, M., Nakayama, N., Yagamata, Y.,
 "Epidamtological Study of Chronic Bronchitis with Special Reference to Effect of Air Pollution." Int
 Arch Arbeitsmed. Volume 29 (1971), pp. 1-27.
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                               61

Monograph does not contain validating data for U.S. surveys. An
internal EPA report8 dated 1973  showed that the self-administered
questionnaire detected only three  of nine cases of chronic bronchitis
found  through interview. Survey supervisors noted that the word
"phlegm"  was not understood by  some subjects, suggesting^ that
educational attainment affects CRD response. However,  even if the
CHESS questionnaire underestimates CRD prevalence  in a given
community, it may give a reliable indication of the difference in CRD
prevalence  between  two   communities   of  similar  educational
attainment.
  The Bronx, Queens  and Riverhead, Long Island represented two
Intermediate and one Low level of urban pollution in the New York
City area. The Intermediate  regions< exceeded1  Riverhead in total
suspended particulate (TSP), sulfur dioxide (SOz), suspended sulfate
(SS) and  suspended nitrate  (SN).  Generally,' questionnaires were
given to school children who gave them to their parents to  fill out.
Thus,  the  sample is not representative of adults in general but only
of parents of school children. Only 73% of Riverhead parents re-
sponded to the questionnaire which probably reflects the fact that a
large number of Riverhead questionnaires were mailed to  the parents
rather than distributed through the children. Only white respondents
who provided sufficient questionnaire  data and' who  had stable
residence histories were included in the analysis. Queens  was shown
to have  the highest income and educational level and unpublished
data showed Queens to have a larger proportion of Jews than Bronx.
These  facts may account for the higher CRD! prevalence rates re-
ported for the Queens  than Bronx.  No formal adjustments  were
applied for these socio-economic covariates. While smokers and non-
smokers were treated  separately, no covariate adjustments  were
made for exogenous exposure to cigarette smoke at home or work or
for occupational  exposure  (which affected less than  1%  of respond-
ents).  The statistical methods were sound. Sex- and smoking-specific
prevalence rates were consistently lower in. Riverhead than in Queens
or Bronx, the difference being 5% typically. For comparison, smokers
had prevalence jrates nearly 10% above non-smokers in the same
community.  A linear model for categorical  data 6 was used to make
smoking-,  age-, and sex-adjusted  tests for community differences in
prevalence' rates, and  the  differences were statistically significant.
A parallel analysis using severity  scores for; CRD confirmed the
analysis of prevalence. While the statistical methods were appropriate,
additional information would be helpful. In 'particular, confidence
intervals  on the prevalence rates in ^Table 5.2.7 (unless otherwise
indicated,  figure, page and Table citations refer  to the  CHESS
Monograph) and observed and expected rates under the linear model
of Table 5.2.8. would allow the reader  to  make specific prevalence
comparisons  and  to  verify that  the  linear  model held  for  all
subcategories.                              '.
   Communities in the  Salt Lake  region provided an opportunity to
study the  effects of sulfur oxide (SS,  SO2)  smelter emissions. Other
urban pollutants,  including  SN  and TSP, were moderate or low.
Magna was  exposed to intermittent smelter fumigations of SO2 and
  ' House, D., "Eaaabflity of the CHESS School and FamUy Health Questionnaire." EPA Haman Studies
 Laboratory Internal Kaport (April 12,1973).
  1 Grizzle, I.E., Starmer, C.F., Koch, G.G,, "Analysis of Categorical Data by Linear Models."
 Volume 25, Number 3 (September 1969), pp. 489-504.
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                               62

had the highest average S02 and SS levels of these pollutants, and
Ogden was designated Low. Aerometric copper data was not available.
The qxiestionnaire was distributed through elementary school children
and mailed  to  parents of high school students. Response  rates of
85%.and 35% were found for child-carried and mailed questionnaires
respectively. Although the 65% nonresponse rate to mailed question-
naires admits the possibility of  serious reporting bias, the authors
assure the reader that inter-community CRD differences (presumably
similar) were observed for both  sets of parents. Respondents were
excluded for incomplete questionnaires, for >a residential change within
the previous two years, and for occupational exposure to irritants
such as coal dust, cutting oils, asbestos,  jnine dust, smelter fumes,
cotton dust and foundry dust. Subsequent analysis showed that the
occupational  exclusion  gives a  conservative  estimate  of. effects
attributable to pollution. All races were included, but the proportion
of black respondents was trivial. No covariate measurements were
made to assess religion,  exposure  to exogenous cigarette smoke at
home or work,  or racial  composition, although Salt Lake City has
proportionately fewer Mormons, and Magna more Spanish Americans.
Educational attainment was comparable; in  the four  communities.
CRD prevalence rates reflected pollution levels faithfully, and rates
in Magna  (High) exceeded those in Ogden (Low) by 2-7%, depending
on sex  and smoking status. These differences  were found  to  be
statistically  significant using the  sex, smoking and age  adjusted
linear model.7  For comparison,  differences  in CRD prevalence
attributable to  smoking and to occupational exposure were  10-20%
and 2-8% respectively. Thus, air pollution and occupational exposure
were associated with comparable increases in CRD prevalence, and
personal smoking habits seemed to be a more important determinant.
  The exposure data from the Rocky Mountain communities were
least adequate. Two smelter communities,  Kellogg and Anaconda, had
relatively ^ high levels of  SO2.  East  Helena and  two  non-smelter
communities, Bozeman and Helena, were classified as Low. Ambient
zinc, copper and lead were not measured. Nearly 85% of the ques-
tionnaires distributed by elementary school children were returned.
Respondents were   excluded  for  occupational  exposure,  but  no
residence duration requirement is mentioned. Over 97% of respondents
were  white. Low communities  were  better  educated than  High
communities, and most occupational exclusions were from the latter,
but these factors  tend to  reduce  the  apparent  pollution  effect.
Conversely, the increased residential crowding in High communities
might increase  apparent pollution effects. Sex-, education-, smoking-
and  age-adjusted  prevalence rates were  statistically  significantly
higher in High than Low communities  (Table 3.2.6). High com-
munities had  CRD prevalence  rates  1-3%  higher than found in
Low communities (Table 3.2.5). Corresponding differences associated
with smoking and occupational exposure were 10-16% and 0.1-3.6%
respectively.
  The Chicago studies compared urban (High), suburban (Inter-
mediate) and clean surrounding areas of Illinois and Indiana (Low).
Local SOz, SS and  TSP  measurements were  used, and other urban
pollutants were not measured. Gary, Indiana was included in urban
  ' Grizzle N. E., at al., op. clt.
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                                63

and may represent a special  industrial pollution hazard. A CUD
questionnaire designed  by  Julius  Goldberg was  administered to
recruits reporting to the Chicago induction center.  This population
obviously differs from the previous^ three  and contains only young
male adults. Some with  serious respiratory problems may have been
exempted prior to induction. To be analyzed, the questionnaire had
to be adequately filled out and the respondent had to have lived at
'his present address  for  at least three years. Statistically significant
age-, race-,  smoking-, and education-adjusted community differences
in prevalence rates were found  for  black smokers  and white non-
smokers (Table 4.2.8).  However, the  significance levels  for black
smokers and the adjusted rates in Table 4.2.7 are suspect since the
linear model does not fit the data well for black and white smokers.
(The "adjusted"  rates  in  Table 4.2.7 are  really  expected  rates
under the linear model, which is a useage  unfamiliar  to  epidemi-
ologists.)  Race and smoking  specific prevalence rates tend to be
0.4-3.6 percent higher among urban than Low communities, while
smoking" effects are  0.3-3.5 percent for blacks and 12.4-15.1 percent
for whites.
   To summarize, these  four studies demonstrate that higher adult
CRD prevalence rates  are  associated with  pollution in two urban
sites and in two smelter-exposed sites with high sulfur oxide  emissions.
The magnitude of these differences is comparable to  that  associated
with occupational exposure but  smaller  than that associated with
smoking. Such differences were not seen in a 1970  CHESS study in
Chattanooga, comparing communities with different nitrogen dioxide
levels.8 New York CHESS studies in 1971-1972 showed no significant
differences in CRD prevalence among Riverhead, Queens Bronx and
Sheepshead Bay,9 and  prevalence rates werejdramatically reduced
compared  to 1970-1971 values. Perhaps subjects tire of  the CRD
questionnaire and report less symptomatology on repeated sampling.
This would limit the usefulness of the CRD questionnaire as a health.
surveillance measurement. An alternate explanation is that decreasing
CRD prevalence reflects decreasing pollution in New  York.10
   These studies demonstrates  that small CRD prevalence increases
are  associated with pollution levels  which are: moderate by historic
standards in urban  and smelter  sites. The Monograph^ contains no
formal methods for associating these effects with a specific pollutant
or for establishing a dose-response relationship. Any such  inferences
are tenuous, especially since the aerometric data is of  dubious quality
and completeness (See  Chapters IV and V). The authors are to  be
complimented for applying newly developed and appropriate statisti-
cal methods.

2. EETHOSPECTIVE StTBVEYS  FOE ACUTE  LOWER EESPIBATOEY DISEASE
                         (LED) IN CHILDEEN

   The Monograph contains data from questionnaires asking mothers
 to recall how many times each child under age twelve had had pneu-
 monia, croup, or bronchitis during the previous three years. Data was
 also gathered on related hospitalizations and doctor visits.
  • Chapman, E.S., et. al., Prevalence of Chronic Respiratory Disease In Chattagnooga: ESeet of Com-
 munity Exoosors to Nitrogen Oxides. EPA Internal Draft. July, 1973.
  • Galfce, W.A. and D. House. PrsTalence of Chronic Eespiratory Symptoms in New York Area Adults-
 1972. EPA Internal Draft. Jane 7,1976.
  10 Galke, W.A. and D. House, op. cit.
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                               64

  These questionnaires were distributed  through,  school  children
together with the 1970 Salt Lake and Rocky Mountain CRD ques-
tionnaires.  Children less than one year old, those with incomplete
questionnaires, and asthmatics  were excluded from analysis.  This
last exclusion tended to minimize estimates of pollution affects  (See
Table 2.3.4). The sample is not  a random selection from all children
aged  1-12,  but represents only schoolchildren  and- their siblings
Because the  data  is retrospective,  validation  is  crucial.  Nurses
examined medical records to document LRD (any croup, bronchitis
or pneumonia) detected by questionnaire. In Ogden  (Low),  70%
of questionnaire-detected cases were  confirmed, whereas 78% were
documented  in Kearns (Intermediate) and Magna (High). These
differences would tend to reduce estimates of pollution effects.  The
corresponding figures were  SS% and 75% for pooled Low and pooled
High JRocky Mountain communities, which would tend to increase
estimates of pollution effects.
  Parents smoked less in Magna than in other Salt Lake communities
(Table  2.3.3), which would minimize pollution effects.  The Mono-
  fiph presents a higher percentage  of parental smoking in pooled-
  gh Rocky  Mountain communities  (Table 3.3.2), but argues no
adjustment is needed.
  The monograph does not specify how age-, sex-, and socioeconomic-
"adjusted" rates are computed. Since the epidemiolpgic interpretation
is predicated on these adjusted rates, some clarification, obtained from
EPA interviews, is  given.
  A linear modelfl containing community, age,  sex, and  socio-
economic main effects and no interactions was fitted separately for
the three residence  designations hi Table 2:3.12. The "adjusted" rates
hi each column of this table are simply the sum of the estimated
overall  mean-and community effect.  Differences of rates within each
such column are estimated community effects under the linear model.
These comments may explain the anomaly that adjusted rates exceed
unadjusted rates hi every community, both for Salt Lake and Rocky
Mountain studies.  A more reasonable "adjusted"  rate would be
obtained by applying the total estimated linear model, including^ all
main effects, to the actual  cpvariate composition of each community.
The "adjusted" rates given in the Monograph still provide reasonable
estimates of community effects, provided' the linear model used fits
the  data well. The Salt Lake studies give no goodness-of-fit statistic
or analysis of residuals, and the model is riot even specified by Table
2.3.9. Thus the Salt Lake "adjusted" rates and significance levels must
be regarded as provisional. Although Rocky Mountain studies  give
no analysis of residuals, the goodness-of-fit>statistics suggest the linear
model is valid.
   If one assumes the validity of the linear model used, the Salt Lake
studies demonstrated statistically significant community differences
in three-year croup, bronchitis, and LTJD incidence rates after adjust-
ment for sex, age, and socioeconomic status  (actually educational
attainment of the mother). Magna residents of three years duration
had LRD, croup  and bronchitis rates which exceed corresponding
rates in Ogden by  10.9 percent, 9.5 percent, and 7.1 percent respec-
  ively. However, these rates did not increase hi strict accordance with
  11 Grizzle, J. E. et si., op. tit.
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                               65     .

pollution levels and Magna residents of fewer than three years actually
experienced the lowest croup, bronchitis, and LED rates. No signifi-
cant community differences were found for pneumonia or hospitaliza-
tion rates.                                   ;
  Pooled High Rocky Moxmtain communities had significantly higher
adjusted croup rates than pooled Low communities. No significant
differences (at p<.05) were found for LED, bronchitis, pneumonia,
or hospitalization. Those residents in.  pooled Low communities for
fewer than three years experienced higher adjusted croup, bronchitis,
and LED rates than corresponding  inhabitants of pooled High
communities.
  The basic observation that children of families resident in sraelter-
exposed communities for three years or more experience higher croup
rates than those hi nearby communities may be valid. However, these
rates do not increase consistently with increasing pollution (Tables
3.3.A.2, 2.3.8, and 2.3.A.2), and recent migrants'to High areas have
lower croup rates than migrants to Low areas (Tables 2.3.8, 2.3.A.2,
3.3.A.2, and 3.3.8). These inconsistencies deserve further elucidation.
The documented insensitivity of the LED questionaire reminds us
that this  endpoint is no better than a mother's ability to recall a
three-year illness history for each of her children and to remember
specific diagnoses, such as croup and bronchitis. Finally, the conclusion-
in the Monograph (p. 7-9) that "increases hi lower respiratory disease
frequency are probably associated with suspended sulf ates rather than
sulfur dioxide" is tenuous at best, since no formal methods of relating
health effects to a specific pollutant are described and since suspended
sulfate measurements  are not available in  Salt  Lake and  Eocky
Mountain  communities for the years 1967-1970 surveyed by these
questionnaires.

    3. ACUTE BESFIRATORY DISEASE (ABD) IN VOLUNTEER FAMILIES

  The Monograph contains New York AED studies from 1970-1971.
Telephone interviewers made biweekly calls to mothers of families
enrolled in the study to inquire whether  any family  member  had
developed upper or lower respiratory illness in the preceding two weeks,
and, if so, whether a doctor had been consulted and how many days of
restricted activity had eventuated. If an individual was reported to
have both upper  and lower respiratory symptoms,  his illness  was
classified  as  lower respiratory disease.  Thus, the least ambiguous
diagnostic category is "all respiratory illness." A 10 percent subsample
of families who had cooperated on  the  CED questionnaire was re-
cruited for the AED study. An eligible family had to have resided at
least the past year within 1.5 miles of a CHESS monitoring site, to
be white,  to have one or more  children age 12 or less, and to have a
working phone. Priority was given to  families with many  preschool
siblings, and in a subsequent protocol, such "priorities" were specified
in writing. These priority  schedules introduce ambiguity into the
eligibility requirements. 'The major response variables were the num-
ber of respiratory illnesses per hundred person-weeks exposure  (the
attack rate) and the severity score, which reflected physician visits,
fever, and restricted activity. The severity score scale lias been criti-
cized as arbitrary, and inversions for scores II and III in the upper
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                               66

respiratory column of Table 5.3.9 support this view. Table 5.3.4
(which has obvious misprints for Bronx data) shows that only 750
of 1,136 families in Riverhead participated for the full 32 weeks of
study, white  887 of 1,153 families did so for Queens. Selected inter-
views were repeated a few days after the initial call and concordant
results wero obtained in over 90 percent of 'those previously reporting
ARD and 93 percent of those previously denying ARD, This valida-
tion shows the interviews were reproducible,  but it does not verify
the medical content.
  The authors point out that the pooled Bronx-Queens community
has a higher  proportion of adult smokers and of children exposed to
smoke at home than Riverhead. More cooking gas was also used in
Bronx-Queens. But no formal  adjustments  were  made for these co-
variates. The percent of crowded families was 15 percent in Riverhead
and 17 percent ia Bronx-Queens, a difference the. authors judged to be
inconsequential. (Table,  5.3.14).
  _ The analysis of these panel studies  is complicated by the fact that
biweekly attack rates  are  statistically dependent,  since  the  same
people are repeatedly surveyed. The same comment applies to severity
scores. Significance levels or confidence limits cannot be estimated
without an analysis of such dependence, which the Monograph does
not provide. In particular the Monograph does not specify the methods
used for computing significance levels in Tables 5.3.5, 5.3*7, and 5.3.15,
and the quoted significance levels are suspect. The formal statistical
properties of  "attack rates"  and "relative risks"  are insufficiently
ciefined to allow us to  calculate confidence  intervals and perform
significance tests,  even though these quantities  may be useful de-
scriptive statistics.
  Figure 5.3.1 shows that  Riverhead attack rates are usually lower.
than either Queens or Bronx rates. It is inconsistent with the pollution
hypothesis that Queens has higher rates than  Bronx for 13 of the 15
surveys shown. Perhaps this reflects  socioeconomic differences men-
tioned in the CRD discussion.
  Tabla 5.3.6 contains ratios of attack rates with the Low community
rate as denominator.
  Bronx and Queens rates usually exceed Riverhead rates for lower
respiratory illness  and all respiratory illness,  but the relation  is in-
constant for  upper respiratory illness.- This  difference may  be an
artifact of classifying all  those with upper  and lower respiratory
symptoms  as lower.  For the  unambiguous category of  "all  acute
respiratory disease," Table 5.3.6 shows the pooled Queens-Bronx rates
to exceed Riverhead rates for fathers, mothers, school children, and.
preschool children. Table  5.3.13 divides  the populations shown in
Table 5.3.6 into those  who have lived five or more years at their
present residence (stable) and those who have moved (mobile). It is
surprising that stable fathers and mothers actually experience  lower
attack rates in pooled  Queens-Bronx than Riverhead, and this in-
consistency warrants special consideration. Likewise confusing is the
result (Table 5.3.14)  that  crowded families have lower attack rates
than less crowded families.
  The 1969-1970 Chicago ARD study compared Intermediate, High,
and Highest  Chicago  neighborhoods. Twenty monitoring sites run
by the City of Chicago were ranked in order of increasing 1960 TSP
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                               67

values. The lowest 10 were designated as Intermediate, the next five
as  High,  and ^ the five with highest TSP values as Highest.  Such
designations did not correspond to SOj ranking (Table 4.3,1) and SS
was not measured for these sites. Families with 2-5 year old children
in day care centers located near monitoring stations were recruited.
The family was assigned the exposure classification of a monitoring
station in the same census tract, if any, but the Monograph is unclear
about exposure designations for families in unmpnitored census tracts.
Over 500 of the families initially enrolled participated throughout the
study. Biweekly  telephone interviews were used to gather  data for
attack rates and  severity scores as in New York. Review of doctors'
records documented 95.3% of telephone-survey-idetected ARD.
  The Highest exposure  category contains  more smokers and  more
professionals than the two other categories. The Monograph  gives
smoking-adjusted relative attack rates (Table  4.3.15) which  show
this covariate does not alter conclusions,  but the method of adjust-
ment is not presented. Although families of professionals appear at
higher risk than those of non-professionals (Table 4.3.13), adjustment
for this covariate was  said to produce little change. The racial com-
position of the exposure categories is not given.
  Figure  4.3.1  shows that  Intermediate families  experienced  the
lowest attack rates during 20_of 25 biweekly surveys, but the largest
differences were  evident during the three  month influenza season.
One wonders why the first three surveys were omitted hi Chicago but
not New York. Severity score rankings show inversions in days of
restricted activity (Table 4.3.7) as  in the  New York study, which
argues against this scoring system.  The relative risk data  in Table
4.3.5 shows higher ABD attack rates in Highest than in Intermediate
exposure families for fathers, mothers, older siblings, nursery school
children, and younger  siblings. This result holds both for mobile and
, stable (three year residency) families (Table 4.3.11), in contrast to the
New  York study. The  Monograph  does  not  define  Table 4.3.12
adequately. If the  analyses were  performed on attack rates,  the
significance levels quo ted ^ are untrustworthy. If by "frequency" the
authors mean the proportion of families ever experiencing ABD dur-
ing the study period, then use of the linear model is justified, but more
explication is needed.
  These two ARD studies have the advantage that health data were
gathered  prospectively by telephone interview, so the recall of the
mother was not taxed as in the LRD studies. The  quality of the
health data are probably adequate, and descriptive statistics, such as
 "attack rates" and "relative risks" are no doubt useful guides. How-
ever, some mathematical statistical investigations to compute ^confi-
dence intervals and significance tests would be a valuable addition to
 this methodology, especially since these problems are non-trivial. It is
likely true .that families exposed to high levels  of urban  pollution
 experience higher ARD attack rates than those less exposed. However,
 two  surprising findings  require further study, namely: (1) Why do
 residentially  stable fathers and  mothers  experience lower attack
 rates in  Bronx-Queens  than in Riverhead? (2) Why do crowded
 families in New York and less educated families in Chicago appear at
 lower risk?
   Summary statements linking specific SO2, SS  and TSP  levels to
 excesses hi ARD attack rates must be viewed with customary caution.
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                                68

                    4. ASTHMA PANEL STUDIES

  The 1970-1971 Salt Lake asthma panel studies attempt to corre-
late the daily proportion of panelists suffering an asthmatic attack
with daily pollutant levels. The studies were complicated by practical
and theoretical problems. Many relevant factors, including; medica-
tion  (steroids),  humidity,  exercise,  daily  temperature  changes,
nitrogen dioxide  levels, copper levels,  and exposure  to  smokers at
home or work were not evaluated, and the,study focused on TSP, SS,
SO2, SN (suspended nitrates),  and temperature. Daily SO2 measure-
ments may be too unreliable for meaningful assessment (Chapter 3),
and Awhile midnight to midnight daily  asthma rates were used, air
monitoring samples were obtained from 10:00 A.M. one day to 10:00
A.M. the next, introducing a lag.
  Potential panelists, recruited from families who had responded to
the CRD questionnaire, or suggested by doctors or known asthmatics,
were interviewed to obtain covariate and eligibility data. To be eli-
gible,  the asthmatic had to have been previously diagnosed by a
physician and had to give a history of two or more episodes of wheezing
and shortness-of-breath during the previous year.  In addition he had
to live within two miles of a monitoring site. This residency require-
ment was violated from time to time, and1 in 1975, 38 of 222 asthma
panelists resided outside a 2.5 -mile-radius.12
  Since a physician was not available to make the diagnosis of asthma
for prospective candidates,  certain individuals with unlikely asthma
histories (such as elderly smokers with a sudden onset of "asthma")
were  eliminated.  While this second level of panelist selection may
have reduced the number of non-asthmatics, it introduces uncertainty
as to what the exact eligibility requirements were. The monograph
states only: "Highest priority for selection; was given to non-smokers
over  sixteen years of  age." In _1974,_ EPA staff suggested that ^an
improved initial interview qiiestionnaire was needed " for separating
asthma from  other cardiorespiratory disease, but these suggestions
were not implemented. Asthma panelists were mailed weekly ques-
tionnaires and asked to record day by  day whether no  attack, one
attack, or more than one attack had d'ccurred. Some failed to return
diaries, and some filled them out for the  wrong week. Those who con-
sistently failed to return diaries were eliminated from the panel, as
were those who never reported an attack and those  who reported
an attack every dav.
  The 1970-1971  "Utah CHESS Progress BeportM  gives summary
asthma panel data indicating  that mailed diaries are inconvenient.
During week  eight, 183 'diaries were mailed out. Of these, 126 were
returned on time, and 30  additional  diaries  were returned  after
telephone prompting.  Ten  calls were required to obtain or correct
particular entries. Of the 183 diaries sent out, 156  provided "useable"
data for this typical week. The mailed diary was  discontinued in the
1973-1974 protocol and replaced by a weekly telephone interview
to gather diary data kept by panelists at home.
  w Back, M. M. and P. Carl, Bureau of Environmental Epidemiology Teohnlcal Eeport Number 3. TTtab
State Department of Social Services. Division of Health. 1975.
  » Calanore, D. Memorandum to CHESS Field Epidemiology Director. HSL., and Attachments, (Janu-
ary SO.1974).
  « Utah CHESS Progress Eeport. October 22,1970 to Dacember^l, 1971.
                                80

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                                69

  The Monograph deompliasizes covariates since no intercommunity
comparisons are made. Some  community differences  in  age,  sex,
education, and smoking habits are noted (Table 2.4.2).
  Dropout rates varied by community. Magna, Kearns, Salt Lake
City, and Ogden had respective dropout rates of 13/48, 24/55, 20/46
and 14/46 during 43 weeks of study.13
  The measured response was the daily proportion of panelists re-
porting an asthma attack. The daily composition of the panels (age,
sex, severity or illness) changes as panelists drop-out and are replaced.
Since some panelists continue throughout the study, daily asthma
attack  rates  are  statistically  dependent,  which  complicated  the
analysis.
  Figures 2.4.1-2,4.4 relate mean weekly attack rates for each panel
to  weekly  minimum temperature,  weekly  TSP,  weekly  SC>2, and
weekly SS. By superimposing these graphs  one can see that Ogden
(Low) often has higher attack rates than Magna (High). The Mono-
graph makes no such comparison. Conspicuously absent  are corre-
sponding graphs for Salt Lake City and Kearns.;
  Sample  correlations for daily attack  rate with  daily  pollutant
levels are shown in Table 2.4.3.  Sulfur dioxide has negligible positive
correlations with daily attack rate. Correlations for TSP are positive
in all sites' and negative for SN and imfiimiinxt-eniperatttre in all sites..
Suspended sulf ates are negatively correlated with daily attack rate in
three of four sites. These correlations indicate that SS, SN, and mini-
mum temperature are usually low when daily attack rates are high.
Quite the opposite was observed in New York'(Table  5.4.3.) where
SOa shows negative correlations in two of three sites, SN is positively
correlated in all sites, and SS is positively correlated in two of three
sites. While these conflicting correlations may have descriptive value,
the significance levels in Tables 2.4.3.  and 5.4.3. are untrustworthy
since daily attack rates are statistically dependent.
  This remark applies to the multiple regression analysis (Tables 2.4.4.
and 5.4.4.). Researchers at EPA and collaborators  have recognized
that both the  daily  attack rates and pollution levels are time series
with autocorrelation structure,  and  they  have begun to explore
alternative analyses. Stebbings 16 noted that  Autocorrelations affect
multiple regression parameter estimates and mentioned the need for
methods which could detect lagged relationships between pollutant
and attack rate.
  Bloomfield" responded  by  suggesting an analysis of  spectral
coherence to  relate attack rate  and  pollutant level time series
Hasselblad 18 recently suggested methods based on first order Markov
structure,  and French, et. al.19 recently used an informal but sensible
analysis to relate  pollutant combinations to attack rate.
  Even if daily attack rates were statistically independent, so that
the significance levels in Table 2.4.4 had meaning, one would need to
exercise caution   when  inferring  that  particular   pollutants  are
associated  with daily attack rate.  This is  because  daily pollutant
  11 Utah CHESS Progress Report, op. clt.
  « stebMngs, J. H. Some Problems In the Design and Analysis of Panel Stadlesln Epidemiology. Seminar
at Princeton s Department of Statistics. October 18,1975.
  " Blnomfielcl, P. "Spectrum Analysis of Epidemiological Data." Updated reprint from the Department
of Statistics, Princeton University.
  i« Hasselblad, V., "Analysis of Panel Studios." EPA Internal Draft (June tBTff).
  « French, J. G., Hasselblad, V., Sharp, O., Truppi, I/., "A Study of Asthma la the Los Angeles Basin:
1972-1973." EPA Internal Dra,}t (June 10,197S).                ;
                                 81

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                                70

levels  are correlated  (Table 2.4.3.)- Ridge  regression methods20
applied to the Salt Lake data to investigate this "multicollinearity"
of pollutants show that temperature adjusted SS effects are stable.
This result tends to support the hypothesis that SS may be important,
but  formal  statements of statistical  significance are not justified.
  To compute the relative risks in Table 2.4.5. (and 5.4.5.), 'the data
from all  days with  minimum temperature between  30-50° F and
integrated SO2 less than or equal to 60  pg/M3 were pooled, and the
total number of attacks was divided by fthe total number of per?ons-
days to obtain the rate 16.9 (Table 2.4.5.).  Ratios of such numbers
were termed  "relative risks."  The ^statistical  properties of  these
relative risks require further study,  since the days contribtite statis-
tically dependent data. Also no consideration is given special com-
binations of  pollutants since the same days are used (except for days
with missing pollutant data) for each pollutant. The only large in-
creases in relative risk occurs on days with high SS and high minimum
temperatures, but these relative risks are based  on numerators with
few  person-days exposure^ and the  corresponding increases in New
York (Table 5.4.5.) are unimpressive.
  The "hockey stick" model21 used to determine threshold is. a three
parameter non-linear model (attack rate intercept,  threshold, and
suprathreshold slope) which  the authors fit by  least squares. Con-
fidence limits are not given for the  estimated  slopes and thresholds;
nor are these appropriate since the daily attack  rates are dependent
and possibly  heteroscedastic (i.e.,  with  different variances).  The
Monograph  gives no analysis of residuals, nor  is the original data
plotted on the fitted  graphs (Figs.  2.4i5.-2.4.7.). Thus, the  reader
cannot assess whether the "hockey Stick" model fits the data  or
whether  the data suggest that a threshold even  exists.  One such
scatterplot of S02 data does not support  the concept of a threshold 22
and it is likely that uncritical use of  the hockey stick function has
led to estimates of non-existent thresholds on occasion.
  t The New  York asthma studies had similar practical and theoretical
difficulties as documented in the 1970 Biannual Report.23 Figure 12 of
that Report shows 74  of 80 mailed diaries were  useable, ofwhich  14
required  telephone prompting  or  interviewing. Eleven  of  43  Bronx
  Eanelists  dropped but  during the study whereas  the rates for  River-
  ead (8/38)  and  Queens (11/52) were smaller (Figure  10 of the Bian-
nual Report24).  Superimposition  of  the Figures 5.4.1.-5.4.4.  shows
that. Riverhead often has lower weekly attack rates than Queens, but
such data is not given for Bronx. Preliminary analysis of 1971-1972
New York asthma panels using the same statistical methods as  in
the  Monograph  suggest that SN is  a  more  important risk factor
than SS.  The Monograph gives no relative risk  calculations for SN,
and SN was  discounted in correlation and multiple regression, analyses
in 1970-1971 Salt Lake and New York studies.  Relative risk tables
from the  1971-1972 New York study confirm  the 1970-1971 associa-

  » Smith, E. J. C., "A Ridge Regression Analysis of the CHESS Studies; Salt Late Asthma." Undated
EPA Internal Draft.
  » Hassalblad, V., Creason, T. P., Nelson, W. C., "Regression tJsing Hockey Stick Functions." EPA-
600/1-76-024 (June 1978).
  » Deinill, K. M., Wride, W. P., "Technical Memorandum,76-2." Kennecott Copper Corporation, Opera-
tions Research. Salt Lake City.
  a Prsvda, M., "Community Health Effects Surveillance Studies: New York City." Internal Biannual
Kaport to EPA (December 1970).
  "Ibid.
                                 82

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                               71

tion of SS with daily attack rate, but the effects  of SN  cannot be
disentangled since SN is highly correlated with TSP, ESP  (respirable
difficulty of associating a specific pollutant with asthma attack rate,
but both  studies show  attack rate is associated  with daily  urban
"pollution."                                 ;
  These panel studies suffered from several practical and theoretical
deficiencies. Panelists were not  examined by  a physician and eligi-
bility requirements were somewhat obscured by a  "priority" system
of secondary selection. Numerous factors known1 to precipitate asthma
attacks were ignored. The analyses failed to consider autocorrelation
in the asthma attack rate and daily pollution levels, and the authors
did not present spectral or  lag  analyses. The  significance  levels
presented are untrustworthy,  since the attack rates are dependent.
The statistics used have descriptive value, but the patterns of cor-
relation between pollutants and attack rate are strikingly discordant
in Salt Lake and New York. It is disturbing that Ogden (Low) often
has higher attack rates than Magna (High), and this observation re-
quires further investigation. Although SS may well precipitate asthma
attacks, the hockey stick model  used to estimate thresholds was
not shown to fit the data. Tentative findings  of the 1971-1972 New
York asthma study  highlight the difficulty of  relating asthma  attack
rate to a specific pollutant.         .          :
  This commentarytemphasizes limitations of  the analytical method-
ology and problems in data collection because these topics are scarcely
mentioned in the  Monograph. The  panel strategy is nonetheless an
appropriate tool for studying the effects of pollution on selected high
risk populations, and the statistical methods used  provided  consider-
able  insight in exploring possible relationships between pollutants
and asthma attack rates. The fact that time series methods were not
used  or that theory could not provide formal inference  (without
further research) for statistics such as the "relative risk" should not
obscure the descriptive and exploratory merits of  the methods used.

          5. CARDIOPULMONAKT SYMPTOMS IN ADULT PANELS

  These 1970-1971 New York studies attempted to associate symptom
aggravation in  high risk elderly panels with daily pollutant levels.
Since these studies  were similar to the asthma panel  studies,  they
shared similar practical  and methodological  problems.  Figure 14 of
the Biannual Eeport25 shows that recruitment varied by community.
 Eiverhead  contacts  came from trailer parks and from recreation and
golden age clubs whereas Queens and Bronx participants were con-
tacted on park benches or through the New York Housing Authority.
 It is hardly surprising, therefore, that Eiverhead  (Low) participants
were generally  younger  and healthier than those from Queens and
 Bronx (Table 5.5.A.I.)  Candidates were interviewed and  question-
naire information was used to  classify them  as well, heart, lung, or
heart-lung  panelists. No previous  or concurrent physician  diagnosis
 was  specified in the 1971-1975 protocols  (although the ^Monogpaph
 summary  on  page 5-104  mentions  physician diagnosis). EHgible
 candidates had to reside within 1.5 miles of a1 monitoring site and to
 _____
                                83

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                               72

be 60 years of age or more.  In later studies, younger panelists were
accepted and some candidates were found outside the 1.5 mile moni-
toring radius, especially in Biverhead.
   Substantial numbers of enrollees dropped out during  the study,
many because they were too sick, had difficulty filling out the weekly
diary,, or  just found the study bothersome (Figure 16 of Biannual
Report26).
   The Monograph states that dropout rates exceeded 50% in Bronx
and Queens and approached 30% in Riverhead.
   Many panelists failed to return weekly diaries. Figure 15 of the
Biannual  Report 2r> shows that only 49 of 86  Riverhead panelists
provided useable diaries for the week November 22-28,  and corre-
sponding fractions for Bronx and Queens were 38/99, and 9/59. The
fraction of useable diaries for the  heart, lung and heart-lung panels
was usually even smaller. Thus Bronx, Queens and Riverhead yielded
respectively 24/47, 18/40 and  10/13 heart-lung diaries, 14/31, 6/21,
and 20/26 lung diaries  and 26/59,  19/52, and  27/39  heart  diaries.
Mailed  diaries were replaced by telephone interview in the 1973-1974
protocol.
   The high dropout rates and poor weekly diary response rates limit
the generality of these studies since the data was generated by a self-
selected population. This fact also complicates community comparison.
   Panelists were  asked to specify daily  whether symptoms were
"worse," "much worse," "the same," "better," or "never present"
and daily aggravation rates were  computed as  the sum of  "worse"
plus "much worse" divided by all participants that day. (The "much
worse"  category was eliminated in subsequent protocols.) Table 5.5.2
shows that Bronx and Queens aggravation rates are usually higher
than Riverhead rates, but the authors do not ascribe these differences
to pollution since  Riverhead is known to contain younger, healthier
panelists.
   Figures 5.5.3-5.5.6 relate composite weekly symptoms aggravation
rates to weekly S02, TSP, SS, and SN for the Riverhead and Queens
heart-lung panels.  The  aggravation rate seems to rise and fall with
SS levels. No such graphs are given for Bronx nor for well, heart and
lung panels.
   Table 5.5.4 shows that SS is positively correlated with daily symp-
tom aggravation in the well and  heart-lung panels, but the stated
significance levels  are untrustworthy since daily aggravation rates
and pollution levels are each autocorrelated. Multiple  correlation
analysis confirms  that  temperature adjusted SS is  associated with
symptom  aggravation,  especially  in the  heart-lung  panel  (Table
5.5.6), but these significance levels too can only be taken  as qualita-
tive indicators. Because the  daily pollutant levels are highly corre-
lated (Table 5.5.5), specification of a particular pollutant for particular
concern is speculative. However, it is impressive that other pollutants
have little explanatory power after temperature and SS adjustment
whereas SS still explains substantial variation in daily aggravation
rate after  adjustment for temperature,  SN, TSP, and  SO2. Table
5.5.3  shows that daily SS was strongly positively correlated with
shortness of breath aggravation in  six panels and strongly negatively
correlated  in none.  These figures  are derived  from Table  5.5.A.3
 "Ibid.
 "IbiO.
                               84

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                               73

which  shown that, the. correlation was strongly positive iu. all three
heart-lung paaols, in two of three heart panels and in one lung paael
(Queens).  Temperature1  specific relative  risk  calculations  (Tables
5.5.7-5.5.9) also suggest that RS is associated .with increased symp-
tom aggravation, rates, especially in  the heart-lung panel on warm
days. Such a table is not presented  for SN. All these methods suggest
an' association between SS and symptom aggravation rate in heart-
lung panels. It would be interesting  to  know if the SS data indeed
exhibited a threshold effect and fit the. hocko.y-stu'fc model in Figure
5.5.S.
  Tiic severe dropout rates and low weekly diary returns (especially
for the heart-lung, heart and lung panels)" raise important questions
as to the type of respondent and the meaning of the response "wor.se."
The statistical melhods  have the limitations -[Mentioned i'or asthma
panels. Moreover, a subsequent New York 1971-1972 study28 failed
to confirm the dominant importance of SS but did find that SS, SN,
SO2 and RSP were associated with  symptom aggravation of the well
panels. (This study did not use the same analysis as the Monograph
and, in particular, did  not include  temperature  adjusted multiple
regression or temperature specific  relative risk calculations.) None-
theless, the 1970-1971 data suggest an association between symptom
aggravation rates and various pollutants,  especially suspended sulfates.

           6. VB.NTIIiA.TOHY KUNCiTIOiV IN  SCHOot OHILDRBN

  The  Cincinnati study  of ventilafcory function in school children
preceded CHESS.  Children from  schools in an industrial valley of
.Cincinnati were, compared with  children  from  schools in  a non-
industrial river valley on the. east sido of the. metropolitan area. Two
upper-middle white, lower-middle, white,  arid  lower-middle black
schools were selected from each valley. Air monitoring stations Avithin
three blocks of  the schools showed that seven month average TSP
values were from .18 to 32 /ag/m3 higher in the. industrial valley than
in the  non-industrial valley, but corresponding differences for SS, SN
and SO2 ranged from 0.1 to 1.1, 0.1  lo 0.8, and 0.6 to 10.4 respectively
(Figure. 6.1.1). Thus, the industrial valley had more  TSP thaii tlie
non-industrial Vi'illoy, but its levels of SS, SN, and S0s> exceeded
those iu the non-industrial valley by veiy small margins. Ventilatory
function  was measured as the forced  expiratory volume at thre'e
quarters second (FEV .75), and height, sex, and  race were noted to
make adjusted FEV .75 comparisons.
  The study was confined to 394 second graders who participated in
weekly measurements during November 1967,  February 1968  and
May 1968. These students represented 93 percent of second  graders
in the  classrooms selected. Mothers were interviewed to  obtain socio-
economic data. The educational attainment of, fathers was similar for
corresponding schools in tho industrial and  non-industrial  valleys
(Figure 6.1.2).
  Figure 6.1.3 shows that average height adjusted FEV .75 in "clean"
schools exceeded that in "polluted"  schools in all three months  for
lower-middle whites  and in two of three months for upper-middle
  n Stebbinss, J. H., Hayes, C. U.. "Panel Studies of Acute Health.Efforts of Air Pollution I. Cardio-
 pulmonary Symptoms tn Adults," Environmental Research Volume 11 (1978), pp. S9-1U.

      77-580—76	6
                                85

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                               74

whiles. Blacks hud consistently  lower FJEV .75 values, and a "pollu-
tion" effect was only seen among blacks during: one of throe months.
The absolute  differences in average FEV .75 were roughly 40-120
milliliters (or  less than 10%) in most cases.  Table? 0.1.5 presents n
multivaritittt analysis of variance which allows one to test for  com-
munity effects adjusted for a possible month  effect and for the co-
variatcs  height, sex, race,  and social class. The dependent variable
for each child was his vector of three monthly average FEV .75 values.
No test for a community effect (industrial valley versus non-industrial
valley) was performed, but the significance, lovels given  suggest that
community differences exist. The conclusion that "suspended sulfates
exerted the strongest influence" (pages 6-7) is unwarranted in view of
the high correlations commonly Found among these- pollutants. None-
theless, these studies support the notion that FEV .75 is 3-10 percent
less among white second graders in. the industrial valley than among
those in the non-industrial  valley.
  The 1970-1971 New York ventilatory study included children ages
5 to 13. Schools were situated within 1.5 miles\>f CHESS air monitors,
and Riverhead, Bronx, and Queens were represented by three schools
each. Only white children were eligible for  analysis.
  A new electronic spirometer,  the National Gas Cylinder (NGO),
exhibited serious drift (perhaps 350  railmiters).  This  problem was
detected by field  teams who had difficulty  reproducing measurements
and  who made several trips to  the manufacturer for adjustments.
The June 1071 Progress Report28 gives  an  account of difficulties with
the spirometer,  arid the Assistant Commissioner of the New York
Cjty Department of Health expressed  serious reservations about the
reliability of those measurements in. a January 18, 1972  letter to the
Acting Chief of the EPA Epidemiology Section.30 It is possible that
drift of this magnitude biased the results,  since one community may
have  been  systematically  subjected to a spirometer with extreme
drift (especially if drift varied in phase with the rotation of spirometers
through ^communities). Even if rotation  of the spirometers among
communities; distributed drift equally, the  variability of  the observa-
tions is greatly increased by random distribution of drift, since the
community effects  (60 milliliters or less) are much smaller than the
drift. The NGC  spirometer was replaced  in late  1971 by a bellows-
type spirometer described  in the May  1972 CHESS protocol. How-
ever,  the_NGC spirometer  was used throughout the 1970-197,1 study
reported in the Monograph.
  The 1970-1971 protocol instructs investigators to "deduct one inch
for stacked heels for those girls wearing such shoes." In the. .1972-1973
protocol  this height adjustment was reduced to % inch.
  No data were presented  to compare families of children studied in.
Riverhead, Queens, and Bronx, but the ago distribution and parental
smoking habits were  said to be similar.  Income  and  educational
attainment  were said  to decrease  in the  order  Queens, Riverhead,
Bronx. The Monograph contains no comparison of children's smoking
habits in these communities; this covariate  may be relevant  since
.statistically significant differences were found  only for older children.
 » "New York City CHESS Progress Saport." (Juna 1971).
 *> Bergner, Dr. L. (Assistant Commissioner for the Department of Health, N&w York City), Letter to
Dr. Douglas L. Hammer, Acting Chief, Epidemiology Section, EPA (January 18,1972).
                              86

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                                75

  Figure  5.6.1 shows thai male* height and  age adjusted FEV .75
values from Riverhead wore intermediate between. Queens and Bronx
values for throes of four test periods.  For females, the lliverhead
values exceeded Bronx and Queens  values  in  each tost  period, hut.
the differences were usually less than 50 mUlilitors. Table 5.(3.5 show
that Biverhead height adjusted  FEV .75 values  were- largest during
one of four test, periods for young males, three, of four for older mates,
one of four for young females, and  three of four for older females.
Thus these  differences were inconstant, and even for older females,
the average difference between  Riverhead  and Queens was only 42
milliliters (about 2.4%). Table  5.6.6 is milling since, it includes a
degree of freedom for "ethnic, differences'5 not  doso.ri.bed in the. text.
Perhaps blacks were included .in  this analysis. The imiltivaria-to
analysis of  variance used in Table  6.1.5 is mbr.e  appropriate  than
averaging over all test periods as in Table 5.0.6.  However, the analyses
for individual test periods in Table 5.6.6 show statistically significant
differences for older males and females.
  The Cincinnati study demonstrated small (less than 10%) differences
ii\ FEV.75 between white- children in schools located in a non-hid list-rial
valley and those in schools  in an industrial valley. For  New York,
small, inconstant differences  were  fount!   between  liiverhoad  and.
Queens-Bronx only  for older (9-13  years old) children. Preliminary
analysis of  197J--1972 New York CHESS winter and spring data
obtained with a bellows-type spirometer shows, that older Riverhead
children had statistically significantly higher  FEV .75  values  than
Bronx children in winter and statistically significantly lower values
iu spring.31 In view of these findings, the problem of spirometer drift,
and  the possibility that  older children  in Bronx and Queens srnoke
more than in  Riverhead, one must be caution's in linking New  York
pollution  effects with ventilatory differences.   .

                      7.  OTHKll CHKSK STUDTKS'

  CHESS has conducted two types of studies not found in the- Mono-
graph. The. "Episode. Study" measures rates  of discomfort (cough,
shortness of breath, restricted activity, and |»ye,  throat, and  chest
discomfort)  during control periods and  during]air pollution episodes.
A 1973 report32 shows higher rates of  cough, chest discomfort and
restricted activity  during episodes  of high  air pollution. "Pollutant-
Burden"  studies are designed  to quantitate the  levels of metals and
other pollutants found in human tissues and to relate these levels  to
exposure history. Scalp hair was collected from families participating
in ARD  studios, maternal hair, blood, cord  blood, and  placenta!
samples were obtained from willing mothers, and various tissues were.
obtained  at autopsy from  pathology laboratories.

     .1). SUMMARY  ASSESSMENT  OF  THE POPULATION STUDIES

  This assessment is made from the point of  view of an epidemiol-
ogist.  More global judgments, made in consideration, of the quality
of both epidemiologic and aerometric data,  are found in Chapter IT I.
  at Chapman. R. S., Hasselhlad, V., Burton, E., Williams, .T.. "Air Pollution and Vcntllatory Function."
EPA Draft (April 8, W75).
  32tNeIson, C. J., Shy, C. M., English, T., Sharp, C. R,, Atidleman, E., Truppi, L., Van Brngpcen, J.,
"Family Surveys of Irritation Symptoms During Acute Air Pollution Exposures." Journal of the Air
Pollution Control Association, Volume 23, Number 'I (Fn.bnmry 1073), pp. 31^00,
                                87

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                               76

  No formal methods arc used to link specific pollutants with specific
health effects in the, CRD, LED, ventilation, and ARD studies; If a
demonstrated  health  difference  between  communities  cannot  be
explained in terms of imbalances in known coyariatcs, it- is generally-
ascribed  to pollution. The CRD studies convincingly demonstrated
small increases in  the prevalence of productive cough  in polluted
urban and smelter sites. The retrospective LRD studies may have.
demonstrated higher croup and bronchitis rates in cliildren in polluted
smelter communities,  and the prospective ARD are rather more con-
vincing in. demonstrating  an increase in acute respiratory disease in
polluted urban settings. The Cincinnati ventilation study demonstrated
small differences in FEV .75 between  white second graders  attending
schools in industrial and non-industrial urban valleys. If the aerometric
measurements had been entirely accurate and reproducible, during
these studies, it might "be safe to conclude that health effects had been
demonstrated in association with known patterns of pollution. Unfor-
tunately, this was not the case. It is not possible to know which, specific
pollutants, if any, or  what concentrations  of any suspect pollutants,
were responsible for the health effects. The health effects data provide
at most a rough guide for making general judgments about probable
health effects  in other communities with  similar pollutant  sources,
meteorology and population composition. However, even though the
aerometric data are of poor quality, the studies appear to demonstrate-
some health effects of air pollution at concentrations which might
possibly  be moderate (lower) compared with some high urban  levels
of the early 1960's. In this light, the data in the CHESS study provide
no support for those who would significantly relax current standards;
oil the other hand,  neither do they support a need for more stringent
standards. Thus, the  CHESS studies have  proved to be valueless for
assessing  or supporting setting of quantitative regulatory standards
which was a goal of the program.
  The methodology used in the panel studies (asthma  and cardio-
pulmonary)  attempts to  disentangle  the  effects of  the  several pol-
lutants.  The multiple regression and relative risk  calculations are
interpreted as implicating  suspended  sulfates, particularly in  the
Salt Lake asthma and New York cardiopulmonary studies. While this
interpretation appeal's reasonable, these formal methods  do not pro-
vide  logically compelling evidence that: SS, or indeed  any of the
measured pollutants  is of dominant/  importance. Despite the  many
practical and methodological difficulties of these studies, they support
the  belief that asthma attacks and cardiovascular symptoms  occur
with greater frequency when the air is polluted.
  These findings may appear overly critical especially since  CHESS
pioneered many research techniques. However, this report  comple-
ments the CHESS Monograph, which often fails to apprise the reader
of practical or  theoretical problems encountered  in this research.
These remarks are meant to aid in the assessment of the validity  of the
conclusions presented in  the Monograph  and  to assist researchers
performing similar studies and encountering similar difficulties. This
ondoavor was greatly assisted by  hindsight  and  by the  splendid
cooperation and .self-examination of investigators both inside  and out-
side the Environmental Protection Agency.
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                               77

                  E.  CHESS CURRENT STATUS

                          1.  GENERAL

  la the process of interviewing EPA personnel concerning CHESS
background, a good deal of information ivas obtained as to present
and future plans for tho program. Many other program and manage-
ment- ideas were also offered by  tho Ef'A personnel.
  Tho CHESS program uo longer officially exists within  EPA except
os a historical rofere.ii.co point. Administrator Train on April 9th com-
mitted to have all datw. from the program  analyzed by  mid-1977.
However, the effort within the Health Effects  Research Laboratory
directed at processing; the. several years of data remaining (1972-75)
unanalyjsed from the CHESS studies is progressing slowly. A forced
change of computers  (see  below) caused major delay. In addition,
the investigative team  sensed ambivalence  as to how  much effort
is justified. Discussions with EPA Headquarters jjersonnel indi-
cated that,  in  keeping  with the Administrator's  commitment,  the
analysis is of sufficient importance in its own right as well as to con-
tinuing programs to warrant early completion. Yet, from discussions
at Research* Triangle Pai'k, it can only be concluded that many would
rather  spend resources  initiating new projects  or refining  CHESS
methodology. Perhaps this is just as well, since there is serious doubt
that the analysis even  when completed will ever be sufficiently credible
to support the stated  objectives  of the program. Any results from the
(inal CHESS analysis may be. examined with suspicion since the doubt
concerning the reliability of aorometric measurements and the accuracy
a.nd acceptability  of health measurements which evolved following
the first CHESS report will affect any further reports from this same
program. The past loss of experienced" personnel has impaired the long
iprm research  effort  required by CHESS objectives and has  hurt
morale among the. remaining researchers.
   The investigative team found  that the disorganized state- of affairs
described above is compounded  by the iact that the  Health Effects
 Research Laboratory still lacks  key personnel  in the health research
Held. The Laboratory Director has been actively seeking  persons to
fill several key positions, but without success;
   Several personnel problems continue to frustrate members of the
Population Studies Division, of  the Health Effects Research. Labora-
tory. An impending retirement leaves the Division without leadership
in a period when long range plans arc to be reformulated. Members
of the Division wonder, in view of recent investigations including this
one, whether yet another reorganization is soon to come, and many
regard this organizational instability  as  an  impediment to sound
work and career development. Most believe that Population Studies
staffing is inadequate in relation  to program funds. This disproportion
requires that most real  work be done by contractors. Not only are
 ETP staff deprived of the incentive of planning and  executing their
own studies, but they lack time  and travel funds to monitor the con-
 tracts  satisfactorily.  The  Population Studies Division responds to
special regulatory needs (e.g. sulfate studies) and to unforseen events
such as  the demand  for assessment of  Kepone effects in Hopewell,
Virginia. While these situations and demands might form the basis of a
muled program in the future, at present they are regarded as "fire-
fighting" distractions.
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                               78

  The team found strong evidence of a continuing lack of coordination
between field and Headquarters and insufficient coordination among
regional programs, Environmental Research Center Laboratories, con-
tractors,  other  Federal  agencies  studying  health  effects  of  air
pollutants, and Headquarters, not only in total program objectives
but also in program coordination of quality control, sample collection
and  analysis,  and standardization  of health  effects  data  collection
tools.
                      2. STATUS. OF ANALYSIS

  Schedules 3IJ for analysis of CHESS data show that CHESS health
data  were collected  from 1970 through  1975 for asthma panels,
cardiopulmonary panels, and yentdlatory  function panels.  The last
surveys for acute respiratory disease (ARD), and chronic respiratory
disease (CRD), and acute episodes took place in 1973, 1974,  and 1975
respectively. CHESS surveys were  completed for 25  asthma panels,
12 cardiopulmonary panels, 28 ventilatory function panels, 15 ARD,
12 CRD, 8 episodes and  8  acute  lower respiratory disease panels
during this period.  The Monograph reported on only eight of these
panels conducted in the 1970-1971 New York and Salt Lake studies.
(The Rocky Mountain, Chicago, and Cincinnati studies contained in
the Monograph  were not CHESS studies.) Thus, CHESS generated
only a portion of the data analyzed and reported in the 1974 Mono-
graph, and the Monograph reports on only a small fraction of CHESS
data.
  The present analysis of the studies proceeds hi steps. First,  the
survey data is edited for computer processing and  subjected to pre-
liminary statistical analyses. Then an  epidemiologist writes a draft
on the basis of the preliminary statistical 'analyses of health and aero-
metric data. Other  analyses may be done if judged necessary by the
epidemiologist or statistician. KPA staff have tabulated the fraction
of surveys subjected to preliminary statistical analysis and the fraction
for which a preliminary draft has been written.34 Drafts exist for 6 of
8 episode and 7 of 8 LRD panel studies. Drafts have been written for
7 of  15 ARD and 8 of 12 CRD studies, but no CRD drafts have been
written for survey years 1973 or 1974, By comparison,  asthma, cardio-
ptihnonary and ventilatory function  analyses are far behind  schedule.
Of 28 ventilatory surveys, 10 have undergone preliminary analysis,
and  8 drafts have been written (as of June 28, 1976).  Of'25 asthma-
surveys,  nine  have undergone  preliminary analysis and nine  drafts
have been written,  and of 12 cardiopulmonary panels, two have been
analyzed and two drafts written. These figures substantiate the degree
to which the CHESS program has fallen far behind in analyzing and
writing up survey data (61 data sets are yet to be written up).
  The figures quoted above  indicate that a major  bottleneck in the
analysis of survey data has been the preliminary editing and statistical
processing. It should  be noted that EPA had little or no control over
two disruptive events which retarded, preliminary analyses by a year or
more. GSA ordered a change of computer from IBM  to Univao in
August 1974 as part  of a general government policy  related to com-
petitive bids. Both hardware and software conversions were difficult,
and  most  programs had lo  be  completely rewritten.  Compounding
  a Unpublished tables giving dates of CHESS data collection prepared by Dr. Dorothy Calafiore, EPA/
RTF.
  » Unpublished tables showing chronology of survey data analysis and draft •writing prepared by Drs.
Carl Hayes and/or Katbryn McClain (June 28,1070), EPA/RTP.
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                               79

this problem was the need to rely increasingly on outside data process-
ing contractors, since increases in EPA staff needed to meet the
increased data load  never materialized  even though verbal  com-
mitments had been given to the laboratory directors. 6SA contracting
procedures required  two  changes in data processing  contractors
between "1972 and  1974. Other problems impeded the  preliminary
statistical analyses.  The loss of key personnel imposed new scientific
and  administrative  burdens on remaining statisticians and epidemi-
ologists. Moreover, responsibilities of the Statistics and Data Manage-
ment Office were broadened during this period to include projects
with the Toxicology said Clinical Studies Divisions as well as special
tasks, such as preparing data tapes in reponse to outside  requests for
EPA data. CHESS analyses (Population Studies Division)  now ac-
count for about half the Statistics and Data Management Office work
load. However, the most important delays in the preliminary analysis
are attributable to the forced computer change and to problems with
outside data processing contractors.
  The epidemiologists charged with writing  a draft monograph must
await receipt  of aerometry computer  output and biometry output.
Epidemiologists interviewed attributed delays to the failure of  these
preliminary analyses  to  arrive and to subsequent changes  in  aero-
metric  values used in the  manuscript.  Other problems retard the
epidemiologists once preliminary analyses are in hand. To begin with,
the Population Studies Division has lost many of the important early
authors or researchers within CHESS. It is hard for an epidemiologist,
not familiar with the background  and history of the data collection
and faced with two computer outputs, to. assess the quality of the
data and to obtain specific  scientific guidance.
  Morale is low, and  this may be  due  in part to the loss of key per-
sonnel,  to investigations of the CHESS program, and to organizational
instability affecting Population Studies. Furthermore,  during the
past year, epidemiologists have been encouraged  to pursue competing
scientific  interests,  and  they have had to  shoulder administrative
burdens associated with increased reliance  on  external  contractors
and to meet special tasking such as the Keppne'Task Force.
  It was interesting to find that several epidemiologists  interviewed
complained that the current team structure for analyzing  survey data
does not function well without a strong authority to resolve scientific
and scheduling conflicts between epidemiologists and statisticians.
While these factors and lack of staff have not seriously impeded the
drafting of CHESS reports until now,  they may  become  pressing
problems as the backlog of preliminary analyses'clears the new com-
puter system in the near future.
  The  continued delays  in analyzing CHESS data have  had several
adverse effects. Contractors gathering survey data and panelists have
been embittered and demoralized by lack of data and feedback from
EPA. The failure to provide contractors with timely aerometric and
health  data summaries stifled local initiative in analyzing the data.
Thus, the CHESS program did not benefit fully from local field level
insights as to local peculariti.es of the survey and populations or from
comparisons with independent local air pollution measurements and
data analysis.
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                               80

        3. RKCBNTT PfiANNTXtr DIIUSCIIONS OF THE POPULATION
                        STUDIES DIVISION


  The following comments ui'e largely speculations and impressions
based on interviews with EPA staff.
  CHESS data acquisition ended in 1974-1975 when OMB did not
approve questionnaires needed for the study. Had OMB approved
the forms, however, it is likely that 6 asthma, 6 ventilatory function,
2 LED and 2 CED surveys 'would  have taken place in 1975-1976."
Instead the Populations Studies Division worked on old  CHESS
data and made several proposals for noii-CIIESS studies to be run
on  contract. One of these is  a cohort study of ventilatory function
in. adolescents which uses  a  CHESS enclpoint (measured  variable)
but does not  use  a cross-sectional  CHESS replicate 'population.
Another uses  the CHESS AED enclpoint to study the effects ,of
  f>ak NO2 values. One  study entitled "A study to Determine the
  ealth  Effects Associated with Emissions from Coal Combustion.
and Coal Gasification" uses the CHESS AED and FEV .75 ondpoints
to  study the  impact of coal combustion and gasification  in  local
populations  (Hair,  blood,  and urine  samples are also obtained to
assay for products  of combustion and gasification). Other proposed
studies  do not use CHESS endpoints. These include: (1) a study of
mortality patterns  in  Montana, where,  excessive can'cor mortality
has been noted, (2)  a general household health survey given to mem-
bers of a community located near a new sewage treatment plant,
(3)  a study of trace metal burdens found in the hair, blood, and urine.
of people Jiving near non-ferrous smelters, and (4) an  evaluation of
hyperactivity  and cognitive function in children with asymptomatic
lead burdens.  These proposals build on CHESS experience, but they
do  not  embody  any continuation of CHESS surveillance. However,
only one study plan and questionnaire  was  approved by OMB at.
the time of  this investigation. The contained resistance by OMB to
approve new  study forms  and questionnaires is  a great frustration
to  the researchers.  There  was a strong feeling evident that  this re-
sistance stems from a  misguided assessment of scientific merit as
much as from a Presidential concern for the rights of privacy.
  The Scientific Advisory Board (SAB)  has fallen short of EPA staff
expectations.  The staff members had'hoped to work closely  with
SAB to formulate  and  refine new proposals. Instead, the SAB has
provided only formal criticism, expressed in public meetings attended
by press and industry. This is a time when the EPA staff needs new
leadership from  a  Director  of  Population Studies  and from  close
informal working relations with the SAB.
 » Table of proposed CHESS studies for 1W5-1976 prepared by Dr. Carl Hayes, KPA/UTP.
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VII. CURRENT CHESS STATUS AND FUTURE PROGRAMS

                       A.  RETBOSPECTION

  It is always easier to look at the past and detect mistakes than.
it is to look forward and avoid them. There are lessons which can be
learned from  the research which produced the CHESS Monograph
as well as from the efforts to process the balance of the CHESS data
which remain unanalyzed and unpublished.
  This investigative report supports  much of the criticism of  the
CHESS Monograph as developed by  other earlier and independent
examinations. For example, a report prepared for the Federal Energy
Administration in 1975 f describes the  use of the unvalidated version
of the British Medical Research Council questionnaire  as limiting
the reliability of the health effects analysis in programs, utilizing this
health indicator. The Subcommittee's investigation, no ted this same
defect. Questions regarding the analysis of the data on asthma attacks
indicated serious discrepancies. In the report to FEA, however, the
significance of the errors in the aerometric data which are detailed
in  the Subcommittee'sinvestigation  was not fully  recognized.  In
their review of  the CHESS Monograph, the EPA Science Advisory
Board (SAB) identified many of the same problems noted  by the
investigative  team, again  primarily  in the epidemiologies!  areas.
In the SAB,  or so called Whittenberger, Report 2 other deficiencies
included: limited population sampling control; shortcomings in the
methods used for assessment of past  air pollution levels; variations
in sample populations which limit comparison of communities; high
drop-out rates in asthma panels; inadequate consideration of tempera-
ture as an important variable in consideration of asthma attacks; and
serious concern  about the  problem of gaining information on  in-
dividual exposure to pollutant levels.  All of these points and others
are confirmed by the Subcommittee's investigation.
   As noted in the legislative history of this report (Appendix B), other
independent investigators also had  offered criticism of the CHESS
Monograph during the brief period of peer review which occurred
prior to publication and this criticism  also appears to be well founded
for the most part. In separate talks with researchers who had either
participated in some  phase of CHESS  or had reason to follow the
progress of the CHESS  investigations and review  of data samples,
the Subcommittee investigators had occasion tp gain separate con-
firmation of many of these same concerns  about the validity of the
instruments, questionnaires, and methods used for collecting  data as
well as the methods of analysis.
  1 Preliminary Report. A Critical Evaluation of Current Research Regarding Health Criteria for Sulfur
 Oxides. Technical Seport Prepared tor the Federal Energy Administration. Tabershaw/Cooper Asso., too.
 April 11,1975.
  1 Review of the CHE S3 Program. A Report of a Review Panel of the Science Advisory Board—Executive
 Committee, March 14,1975.
      77-890—78
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                               82

  Thus, the conclusions contained within Chapter Til of this report are
not exceptional in their general tenor. However, the serious errors in
the aerometric data and the verified  significant effect of the poor
quality control during the early stages of the CHESS air monitoring,
measurements and analyses  efforts are identified more precisely for
the first time by an outside investigation.

                          B. CURRENT

  Moving from the historical perspective, an appropriate question to
be asked is whether the errors suggested in other critiques and con-
firmed in greater detail by the investigative team are being adequately
addressed  in  the current and  planned Environmental  Protection
Agency's air pollution/health effects programs.
  It was of interest, first, to determine the approximate status of the
CHESS data which remain unanalyzed and to ascertain  whether
.these data will suffer from the same or other discrepancies as the data
presented in the 1974 CHESS Monograph. As is documented at the
end of  the last chapter  (VI), in discussions with EPA personnel at
Research Triangle Park, the investigative team determined that there
still remains a considerable amount of  analysis to be completed. The
impressions gained from these interviews was  that it  would be at
least until the summer of 1977 before the final assembly of data and
examination for potential analysis and publication would be possible.
  However, as noted earlier in the report (Chapter VI), a number of
draft studies were completed  at the time of the visits to ETP. For
example, draft reports have been prepared for  6 of the 8 remaining
episode type health studies and for seven of the 8 remaining; lower
respiratory disease studies. Seven of the remaining acute respiratory
disease studies have been prepared and 8 of the remaining 12  chronic
respiratory disease studies are in hand. No draft of the data on chronic
respiratory disease studies appears to be ready for the  survey years
1973  or 1974. Analyses of a number of other health effects studies
have not been initiated.
  The  general impression is  that there is still considerable effort
required for the basic transfer of field data to computer tapes for
analysis.  Unfortunately,  serious reservations are retained  by the
investigative team about some of these data since some of the same
criticisms about  the techniques used  to collect the health effects
information in the CHESS Monograph continue to apply  to some of
the data accumulated after 1971.
  The establishment of a more vigorous quality control system appears
to have improved the  collection of aerometric data after 1974. The
aerometric review  (Chapter IV) points out that CHESS instrumenta-
tion,  as used in the CHESS  studies, did not consistently^ generate
valid, reliable data in the range of the National Ambient Air Quality
Standards. Thus, it is likely that no amount of effort on analysis of
CHESS data would achieve the desired objectives. There is doubt that
adequate meteorological support  is being provided. Further, as noted
in other sections of this report,  there does not yet appear to be  an
adequate systematic planning effort to insure the full participation of
all research components.
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                               83            i

                           C. FtTTtTBE        !

  Since sulfates were  identified witMn the CHESS monograph as
being a pollutant requiring an immediate increased priority of investi-
gation, the investigative team attempted to determine the status of
work on this pollutant.  Mr. Train had indicated during testimony
before the joint hearing on April 9, 1976,  that a five year plan for
study of .sulfates was  available. Actually,  it was found during the
investigation in the summer of 1976 that the sulfate_plan was still
in draft form although passing through a second; iteration. There was
some indication that even, now there is not a full appreciation of the
need for planning input with regard to quality control, ak monitoring,
level of cooperative preplanning does not scemj to be present. In a
letter to the chairman of the Subcommitfcee on f;he Eiivironment and
the Atmosphere  (undated)  in May, 1976,  Mr.  Train summarized
EPA's projected research program on sulfates.  '
  In measurement and monitoring, the emphasis in the draft plan is
placed upon the development of reliable analytical  and sampling
techniques and instrumentation  to support laboratory  and field
measurements pf sulfates and  sulfur compounds';  the development of
quality assurance programs;  data audits, and providing technical,
support. The ongoing research and near-term [research is aimed  at
increased  data  collection on sulfates with emphasis on measurement
methodology, instrument development and field! tests. Emphasis is to
be placed also on the development of reliable models to predict sulf ate
concentrations  and precursor emissions over long distances. The plan
indicates a recognition of the need for instrument and field tests.
  A continuation of the concept that more data on the health  effects
of sulfates are needed is reflected in an intention^ to expand emphasis
on the toxicological, epidemiologies!  and clinical  studies on the
effects of sulfates. The plan includes a recognition by EPA  of the
difficulty  of conducting  epidemiological  studies,  particularly  in
correlating ambient pollutant (sulfates)  concentrations with  health
effects.
  With the exception of the particular emphasis on sulfates, these
objectives are essentially the same as the objectives cited as necessary
upon the initiation of the original CHESS studies. If these objectives
are to be achieved  in the near future, it will be  necessary for EPA
to avoid the errors of CHESS.  It is not clear either from the proposed
programs or from discussion with individuals who will be implementing
these programs that some of  the basic errors committed  during the
CHESS studies will be corrected before such field, air monitoring, and
epidemiological studies  are  continued  with • different  pollutants.
Certainly, the manpower  problems have not been resolved.
  In the aerometric area,  the CHAMP aerometric measurement and
analysis is entering a new phase of development. It is essential that
the aerometric  measurement and analysis errors detected  during the
CHESS time period be eliminated  as the CHAMP effort is expanded
and greater emphasis is placed upon this program. The CHAMP
instruments, when  verified, may be capable of  identifying  reliable
differences in absolute air nollutant levels but, the instruments will
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                               84

be pushed to their limits of sensitivity and will  require  constant
attention  by skilled technicians. 'New instruments just developed
may be able to meet the ultimate requirements of the air pollution.
health effects program.                   ,
  A sound program of development and testing (verifying) question-
naires and other approaches to epidemiologieal research also must be
mounted  and completed before another ;CHESS-type program is
initiated.  Completion of both phases of such a program to provide
the tools  and techniques for a sound health effects program might
require up to 2 years  and several million dollars. If  this work is
not carried out, progress in the area is doubtful.
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                        APPENDIX A

 A  EBCAPITDLATION OF THE AEROMETRIC AND  METEOROLOGICAL
   FINDINGS OF THE INVESTIGATION AS  THEY DELATE TO SPECIFIC
   SECTIONS OP THE CHESS MONOGRAPH AND THE HEALTH FINDINGS
                                             I
                        A. INTRODUCTION

   This section contains citations of errors  and omissions found in a
 careful review of the CHESS Monograph which ishow that the use of
 aerornetrie and meteorological data in correlation with health effects
 end point measurements can easily mislead the reader of the CHESS
' document  into  inferences  which are not  wholly  or even partially
 supported  by the data in the report. Page,  paragraph, and  figure
 references are to the 1974 CHESS Monograph,  i
   Since an important application of the aerometrie data is to  deter-
 mine  correlations with,  health  effects,  any errprs or  overusage of
 aerometrie data based upon estimates or improper measurements will
 obviously reduce or negate  the value of any health effects correlations-
 which are attempted. This misusage or overusage of  aerometrie data
 will be particularly  damaging as the  extension of  the conclusions is
 made in an attempt to discover possible threshold effects.

                           B. CRITIQUE

 1. Prevalence of Chronic Resmratory Disease Symptoms in Adults:
      1970 Survey of Scdt Lake Basin Communities
   Observed  concentrations for  only  one year;have been  used to
 crudely estimate concentrations of  sulfur dioxide  and suspended
 sulfates relating to  a 4-7 year exposure. The. 1971 observed annual
 average concentration  of  sulfur dioxide was used with the  1971
 emission rate from the smelter to obtain a ratio that was then mul-
 tiplied by emission  rates for other years to estimate concentrations
 for the other years. The estimated sulfur  dipxide concentrations
 were then used in a regression equation based on a 1971 relationship
 to estimate suspended  sulfate  concentrations. Possible  changes in
 meteorological  conditions  and  mode of  smelier  operations  were
 neglected. Acknowledgment is not given in the1 discussion and sum-
 mary that the critical concentrations relating to health effects are
 nothing more than estimated concentrations.    ,
   It is questionable whether or not long-term exposures should have
 been attempted for  Magna, based on only one year's record of ob-
 servations mat  are abnormal because of the smelter strike. It would
 certainly have been appropriate to have  mentioned that  only es-
 timated long-term data were available and indicated their degree of
 uncertainty in the discussion and summary.
                               (85)
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                               86

  Further, we find many errors on Page 2-37, Table 2.1.A.14. It seems
that this table should have never been included in the report. Aside
from the misuse of the diffusion model (discussed in Chapter IV) this
table lists suspended sulfate values for Magna for the years 1940-1970,
that are not the same as listed in Table 2.1. A. 16, on page 2-39. The
values_ are estimated by a simple ratio froih the smelter emission rates,
but this is not explained. On page 2-39 a regression equation is used for
thesame purpose. All of the sulfate concentrations under the heading
CHESS are estimated observations except those for the year 1971.
This has not been properly indicated, e.g. by the use of parentheses.
  On pages 2-37 emission rates are not sulfur dioxide rates as indicated
but emission rates in tons of sulfur per day. This means that the sulfur
dioxide emissions. were twice the values listed. It also means that the
dispersion model estimates are incorrect. However, the listed estimated
•concentrations in Magna and Kearns,  which are based on a simple
ratio between observed concentrations in 1971 and some emission rate
for 1971, whatever it might be, are not changed.
  Note that the regression  equation  for suspended sulfates, Salt
Lake  City, (pages 2-39) which is:

                     SS=0.101(TSP)-J3.65
                                      i
is quite different than that which can be' obtained from Table 2.1.4,

                     SS=0.065(TSP)-}-1.93
       exposures were derived by multiplying the yearly smelter
emission of SO2 by the ratio of the 19711 measured annual average
SO2 concentration to the  1971 SO2  emission  rate (193 tons/day).
  Estimates of suspended sulfates were derived from the estimates of
SO2, using the following regression equation for 1971 :

                      88=0,09(302) +6.66.

  The annual TSP exposures were derived by multiplying the yearly
smelter production of copper by the ratio jof the 1971 measured annual
arithmetic mean TSP concentration to the 1971 copper production
rate (260,000 tons/year).
  Smelter emissions of sulfur dioxide in the early 1940's were roughly
three times greater than they were after 1956  although copper pro-
duction has remained more or less constanib. The method for estimating
are estimated lower in 1940 than in 1971. The procedure used produced
very high ratios between SS and TSP for the earlier years. For example,
the 1940ratio (34.6/63) is 0.55. This ratio is so large that it is obviously
questionable.
   The audacity of the estimates can be; seen in Figure 2.1.17. The
lowest value, which occured in 1971, is extrapolated aE the way back to
1940, reaching unusually high annual average concentrations of more
than one part per million. Considering the effects of wind direction,
which would result in low concentrations much of the time because the
Bmelter stack plume would not be blowing toward the town, such an
annual average would result in short-period concentrations many tunes
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                               87

'the annual average. It is questionable thai; such, high concentrations
ever occurred. If they did, they_ would be well-remembered, and living
conditions in MagJmwxmW be different than hi 1971. Such unreasonably
high estimates should have been further investigated before being
presented.
  The.grossness of the estimates made overrides other shortcomings
in this study pertaining to exposure that might |be mentioned. How-
ever, more carefully made estimates would have required considerably
more work,  including obtaining meteorological records and details of
smelter operations affecting plume behavior over the period of years
studied. Such a large effort may not have been worthwhile considering
the inexactness of some of the other aspects of-the study. Nevertheless,
a study of this nature seems to call for actual observations, more ac-
curate estimates, or considerably less exactitude in its conclusions.
2. Frequency of Acute Lower Respiratory Disease in Children: Retro-
     spective Survey of Salt Lake Basin Communities, 1967—1970
  The same comments apply to  this study as for the preceding study
on the prevalence of disease symptoms in adults. Inadequate recogni-
tion is given to the fact that  only estimated concentration data are
being used in the discussion and summary.     ;
3. Aggravation of Asthma by Air Pollutants: 1971  Salt Lake Basin
     Studies
  In this study, daily entries in a dairy were used to determine weekly
asthma attack rates.  A statistical relationship was then  determined
between the attack rates (weekly) and observed air pollution concen-
trations (averaged weekly).  Participants lived within a 2-mile radius
of air monitoring stations.
  Daily exposure of asthmatics in a community such as Magna, which
is close to the smelter, are poorly characterized by a single monitoring
station. On a given day, one side of the community could be much more
affected by the smelter stack plume than the other, and high concen-
trations from looping or fumigation might affect one neighborhood
but not others. The study inadequately assesses 'the effects of peak ex-
posures and episodes.
  This report does not make  clear that  the minimum temperatures
used were from the Salt Lake  City airport. The assumption seems to
have been made that temperature was uniform'over the entire study
area. This is not true because of the differences in elevation and the
effects of  the mountains, and  the lake. Perhaps the differences were
not important, but they should  have been considered. It is not clear
why days were stratified by mmimum rather than mean temperature.
  Minimum temperatures occur during the early morning when peo-
ple are generally indoors and perhaps in bed. When temperatures are
low, windows are generally closed. Also, lower mmimum temperatures
are correlated with other meteorological phenomena that could also
affect asthma attack rates, e.g., lower humidity land lower wind speed.
Further there may be a correlation with wind direction. A lower^than
average minimum temperature probably is also associated  with a
strong temperature inversion  which would be; conducive to lofting
the smelter stack plume. Because of the many questions raised, the
findings pertaining to temperature merely suggest further study and
have no general application.                  !
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  Near the middle of the left hand column, page 2-89, the following
sentence  appears. "The shut-down  of operations by the strike was
accompanied by a pronounced improvement in air quality and a reduc-
tion in asthma attack rates that occurred sooner and were larger than
seasonal reductions  observed in the  more 'distant study communities
some 2 weeks later." Here there is a lack of appreciation of the natural
climatic differences  that exit in the  Salt Lake Basin. Some effects of
summer weather could easily be delayed 'two weeks before reaching
Ogden. The average date for the last killing frost in Ogden is  about
May 6, whereas the average date of the last killing frost at Saltair
(the climatic station nearest to Magna with  a long record) is  about
April 12.
  On Page 2-76 (near middle of page, right hand column) the smelter
is not "5 miles north of Magna."         I
  On page 2-81 the first graph in Figure 2.4.1 is incorrectly drafted.
After the 17th week the broken line  should be solid and the solid line
broken. The temperature curve should appear  as  hi  the  graph for
the high exposure community.
  Figure 2.4.2, page 2-81, shows a weakness in the argument that the
sulfur dioxide  concentrations are responsible  for the asthma attack
rate. In the High Exposure Community the attack rate starts  up at
the 18th week as the sulfur dioxide concentrations  approach zero, or
near zero, and remain very low for about six weeks. It is noted that
this same graph shows the highest S02 peak occurring at the 9th week,
which seems to begin about May 9. The graph on page 2-16 seems to
show the peak in April.                 i
  In Figure 2.4.4,  page 2-82, with respect  to  tlie High Exposure
Community, it may be noted that the sulfate concentrations are not
particularly  well-correlated with the sulfur  dioxide  concentrations
plotted in Figure 2.4.2, on the preceding' page. The highest sulfate
reading occurs  in the 3rd  week, whereas the  sulfur  dioxide  levels
build up to a peak in the 9th week.
  On page 2-87, left hand column, it is stated that a threshold concen-
tration of 1.4 Mg/m3 was  calculated for suspended sulfates  for  the
higher temperature range. In Figure 2.4.4 all of the plotted concentra-
tions are greater than  this value.  Considering the background of
suspended sulfates generally observed, thislow threshold value  seems
to have no  practical significance.
  The  third paragraph that appears in the right hand  column, page
2-89, probably applies to Magna, however, this is not made  clear.
There  is a  possibility that the paragraph could  be given  broader
interpretation than  actually intended since the last three sentences
seem to refer to conditions in urban areas generally. The  paragraph
  g'obably should have been divided into  two  separate paragraphs.
  owever, the main fault with the paragraph is that important con-
clusions are drawn that  are not supported by information presented
elsewhere in the report. It says "excess asthma attributable to  sulfur
dioxide might be expected 5 to 10 percent of summer days",  "total sus-
pended particulates could occur on up to 5 percent of summer days and
30 percent of fall and winter days", and 'i'excesses due to  suspended
sulfates are likely to occur on 10 percent of fall  and winter days  and
90  percent of summer days." Assuming  that  the stated relationships
                              100

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between concentrations and temperature are true, the report does
not explain how the percentages of days were  obtained. The  study
covered only 26 weeks, but these conclusions apply to an entire year.
The percentages given seem to be rough estimates since they appear to
be given only to the nearest 5 or 10 percent. The percentages might
have been obtained from daily values for the minimum temperature,
pollutant concentrations and asthma attack rate:; but it is not clear
how they were  obtained.
  Presumably daily average concentration levels of specific pollutants
were used in the construction of the "hockey stick" curves shown on
pages 2-86 and 2-88. The discussion implies that "24-hour levels"
were used, but the precise nature of the air quality data used in the
threshold analyses is nofe made clear.            j
  There could be various reasons not explored by the study why the
thresholds for asthma attacks were lower  on w)armer  days. One of
these is that there may be more plume looping on warmer days. This
might  result in  localized, short-period,  high concentrations,  but
relatively low average concentrations.           '
  The validity of scientific work can be tested by the repeatability of
results. In this and  the  other CHESS studies  there were factors
affecting asthma attack rates that were not cpnsidered and whose
effects are unknown, Such factors are: time spent Outdoors, percentage
of time windows are open, temperature change, relative humidity, etc.
The incompleteness of the study and the lack of 'Understanding of the
causes of the asthma attacks suggest that it might be repeated with
significantly different results.                   !
  Short-term exposures to concentrations much higher than average
annual or weekly concentrations could have occurred in the commu-
nities studied  that  were near large sources of  air pollution such as
smelters. There exists the possibility that asthma attacks could be
triggered by brief-duration high concentrations.  Such exposures could
have been  determined only inadequately by the procedures used in
the study.  The report does not make clear why more attention was
not devoted to peak concentrations.            i
4, Human  Exposure to Air Pollutants in Five Rocky Mountain Com-
     munities, 1940-1970                      '
  On pages 3-7  through 3-12 beginning  with  the second columnj
paragraph near middle of page, which begins "By comparing . . .".
There is not a simple relationship between average daily pollutant
emissions and average annual pollutant concentrations because the
receptor area is often now downwind. Also, some; consideration should
have been given to determining if the years for which data are available
were representative meteorologically.
  (Page 3-11) Second paragraph, left hand side ;of page. Information
obtained during this investigation indicates that the ratio 1.63 ±0.21
should be 1.42±0.21. (The value 1.63 is the upper limit of this ratio.)
  (Page 3-12)  Emission ratios of  particulate and sulfur dioxide for
1971 are omitted from this report. Therefore,  it  is not possible to
verify the ratios given here.                    :
  (Page 3-12) According to information obtained during this investi-
gation, the two values for TSP listed as 99.5 for the years 1971-70,
should be 98.1 for both years.
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                               90

S. Prevalence of Chronic  Respiratory Disease Symptoms in Adults:
     1970 Survey of Five Rocky Mountain (Communities
  Four comTn.TinJ.ties were studied: Bozeman, Helena (Low), Helena
(High), Anaconda, and Kellogg. These communities are all in moun-
tainous areas and subject to terrain effects, some much more than
others. Average pollution patterns are  irregular so that exposures in
a  particular community  will vary considerably. It is particularly
important  whether the  community is somewhere  downwind of ^a
source, such as Magna, or on either side of it, as might be the case in
Helena (High), or perhaps  Kellogg. In these communities assump-
tions should not have been made about exposure without some effort
of sampling and/or meteorological modeling to determine what the
actual exposure might be.               I
  In this study long-period  concentrations of sulfur dioxide and sus-
pended sulf ates are estimated. Also, the mbst important finding, which
was that excess bronchitis occurred with 2-3 year exposure to sulfur
dioxide concentrations of 177  to 374  /^/m3 and suspended sulfate
concentrations  of  7.2  to  19.9  jug/m3  (in !the presence of  low total
suspended participates),  covers such a wide range of concentrations
it has hardly any practical significance.   '
   On page 3-31, in the Summary is stated i "Metallic sulf ates may well
have accounted for the findings of excess bronchitis." The nature of
the sulfates is  nowhere mentioned in the -report. The smelter is ap-
parently the source of only some of the sulfates, and the nature of none
of the sulfates has been determined.
6. Frequency of Acute Lower Respiratory Disease in Children: Retro-
     spective Survey of Five  Rocky Mountain Communities, 1967-1970
   Sulfur dioxide levels are crudely estimated from sulfation plate
(or candle) data and smelter emission rates. Suspended sulfates are
estimated  from suspended  particulate data using  a ratio found in
East Helena, Helena and Magna. It was assumed that the estimated
values prevailed throughout the community. This is unlikely to have
been true considering the topographic effects in the Rocky Moxtntain
Communities. A major shortcoming in this paper is a failure to make
clear the inaccuracies that  might be associated with estimating the
pollution levels.
   There is an irregular distribution of annual average sulfur dioxide
concentrations in. the  vicinity of a smelter.  These differences affect
concentrations in East Helena and can be! confirmed by examination
of a report on the Helena  Valley Envirqnmental Pollution Study.1
   During 1965-66, 66 measurements of suspended sulfate indicated
an average concentration of 7.9 ng/ia3. The observed total suspended
particulate during this period of time was 96 /tg/m3. Hence the ratio
of suspended suMate  observed to particulate during this  period was
.082. A series of 25 measurements made during the time period April
to  August  1968 indicated  a suspended sulfate to  total suspended
particulate ratio of 0.057.
   Then to determine a ratio range, measurements made during the
period June through October at two  stations of the Helena  Valley
study were used. The original information is as follows:
  i Helena Valley, Montana, Area Environmental Pollution Study, Environmental Protection Agency
 Office of Air Programs, Research Triangle Park, North Carolina,' January 1972.
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                               91
                       Location from stack     Suspended    Suspended
                                       paniculate-      sulfate
    Station                  De&     Miles     Oig/m:)      g/in3. It may also be noted that the  ratio for  Magna is much*
larger than for other locations. No explanation is given for including-
the Magna value in the average. From the applications of these ratios
to  estimates of suspended particulate concentrations came  the con-
clusions pertaining to  the health effects of sulfates. It is stated that.
"we conclude that excessive acute lower respiratory illnesses can be
expected among asthmatic and nonasthinatic children who are exposed
for longer than 2 years to  elevated annual average sulfur dioxide
levels (177 Mg/m3)  accompanied by elevated  annual average suspensed
sulfate levels  (7.2 /xg/m8) in  the presence of low levels of suspended
particulates (65 /ug/m3)." This statement refers to findings in Ana-
conda.  No mention is made  that concentrations of suspended sxilf ate
might range from 3.51 yg/m3 to 10.92 ng/m? because  of the uncertain.
nature of the ratio alone.                   ;
   The following statement from the Helena Valley Study (Page 45) is
of interest. "These results (i.e., average concentrations ranging from
2.9 to 4.5 Mg/m3 for the period of the study) are considerably below the
national average and serve to point out that there is no problem from.
sulfates. It should be noted that the sulfate content is evenly distrib-
ute^ among the five sampling stations, which: indicates that there is
no significant increase in concentration in the  vicinity of  the East
Helena industry."                          ;
   Suspended  sulfate observations made by tjae Montana State De-
partment of Health and Environmental Sciences suggest that average
annual concentrations of 4  or 5 Mg/m3  occur! in Anaconda  [See dis-
cussion of Estimate  Suspended t Sulfate  Concentration, 7.2  jtg/m3
 (Anaconda), Chapter II]. Assuming that suspended sulfate concen-
trations of about 7 Mg/ua3 did occur in the Rocky Mountain communi-

  * Referenced publication contains no Information pertaining to Magna.
                               1O3

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                               92      ;

ties  where certain health  effects were observed,  the source of the
suspended sulfate is inadequately determined. The study findings are
much too incomplete to call for the stringent control of suspended
sulfates as has been done on page 3-51.
7. Prevalence  of Chronic Respiratory Disease  Symptoms  in Military
     Becruits:  Chicago Induction Center (Paragraph 4-®)
  Exposure estimates in this study are extremely crude.  In tiie sum-
mary the following statement is made, "Available evidence indicates
that exposures lasting  12  years or morei to ambient air pollution
characterized  by  elevated  annual  averagfe levels of sulfur dioxide
(96  to 217  jug/m3), suspended particulates  (103 to  155  pg/m3)  .and
suspended sulfates (14  Mg/m3) were accompanied by significant in-
•creases in the frequency of chronic respiratory disease  symptoms."
  The 96 Mg/m.3 value is the average urban core value for 1969-70,
which ranges from 54 to  138 Mg/m3, whereas the 217 pg/ia.3 is an average
•value for five suburban communities for tlxe year 1969.  Going back
12 years concentrations were much higher. During  the  period  1960
through 1965, the lowest value was 222, and there was a high of 344
in 1964. For the five suburban communities there was data only for
one other year. It averaged 183 jug/na3. The 14 pg/m3 concentration for
sulfates is for a period of 7  years, not 12 as' stated. It basically repre-
sents data for  the Chicago core area, with some scattered observations
from East Chicago and Hammond, Incl. The average concentrations
for the city should be somewhat less than in the core area. Use of the
core area value would generally result in an overestimate.
  It is difficult to characterize exposures lasting 12 years for the entire
Chicago  area. Either this  should have  been done  in very general
terms, nonquantifcatively, or a greater effort should have been made
to present more representative estimates,  j
  The assumption is being made that sulfate observations made at a
central urban location in Chicago, averaged with a few observations
from East Chicago and Hammond, Ind. are generally representative of
the entire Chicago area.                 :    - •
  (Page 4-8) Referring  to the Chicago area the following  statement is
made: "Each sampler  location, identified by a station name  in
Figure 4.1.2,  represents the central business-commercial district of
that particular area." This statement is not true. Practically all, if
not all the samplers are located on the roofs of school buildings in an
effort to  obtain  representative community values. They were not
located deliberately in business commercial districts  and  do not
slightly overestimate area-wide concentrations as suggested.
  (Page 4-23) In reading this paper abouti the prevalence of chronic
respiratory disease symptoms in military recruits, questions arise about
the actual locations from which the men came and the local pollution
levels to which they might have been exposed. Some rural occupations
result in high  exposures to  dusts, plant allergens, etc.
  (Page  4-35) (Summary)  The 12-year value for  suspended sulfates
should be 16 mierograms per cubic meter, not 14, as stated. Also, it
appears that the concentrations of sulfur dioxide and suspended par-
ticulate are for only  the period 1969-1970 and not  for 12 years as
is stated. (See Table 4.1.A.6)
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                               93

8, Prospective Surveys of Acute Respiratory Disea.sf in Volunteer Fam-
     ilies: Chicago Nursery School Study, 1969—1970
  On page 4-41, in Table 4.3.1, it is not clear where the sulfur dioxide
data for the years 1959-63 come from. The Chicago network, which
would have provided community data, was not operating effectively
until 1964.                                   :
  On the  same page the suspended stilfate data; are probably repre-
sentative for the core, area but are high to be used !as an average for the
city as a- whole.      ...            i  '
  A serious weakness in this sttidy is that the communities are ranked
Intermediate,  High, and Highest  according to a ranking that was
determined by suspended particulate values, whereas the  most im-
portant finding pertains to sulfur  dioxide. Referring back to Table
4.1.A.I, it can be seen that a considerably different ranking would have
resulted if the communities had  been  ranked i according  to sulfur
dioxide  concentrations. In Table 4.3.1, it may be noted that during.
the study that the "High" community had the lowest concentration
of sulfur dioxide.
  Also note in Table- 4.I.A.I that the Highest communities include
GSA, which happens to be on the  south edge qf the Chicago Loop
area. This station  probably contributed considerably to  the  high
concentration of sulfur dio?cide attributed to the. Highest  community
during 1969-1970, yet it is very npnrepresentative of a nursery school.
Also, note that the Highest stations include Carver, which for some
reason ranks highest because of suspended participate concentrations .
whereas the sulfur dioxide concentrations arc relatively low.
  Sulfates are not considered in the summary of ,this study, which
seems to focus on sxilfur dioxide without quantitative considerations of
suspended sulf ate levels.
   (Page 4-54) In the first paragraph of the Summary, the following
statement appears: "It is  also possible that more  recent  lower air
pollution levels contributed to increased respiratory illness." On page
4-51 the following statement is found. "Acute respiratory morbidity
was significantly lower among families living in neighborhoods where
sulfur dioxide levels had been substantially depreased."  These two
statements are  contradictory and require clarification. The  first
statement is remarkable. It can be  interpreted tp mean that some air
pollution is good for you. Did the authors intend to say this? Such an
important finding is inadequately  supported by the contents of the
report.
9. Human Exposure to  Air Pollution in Selected New York Metro-
     politan Communities, 19^4—WH1
  An overusage of estimated data can be found on page 5-19. The
following  two  statements appear:  (Left hand  column, middle para-
graph) "Measured values for suspended sulfates for 1956-1970 were
available from the Manhattan 121st Street Station,  and these values
were used for citywide values."  (Last  paragraph on page)  "The
observed annual ratios of suspended sulfate to dpstfall for New York
City were used to estimate the suspended sulfate levels in  Queens and
Bronx."
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                               94

10. Prevalence of Chronic Respiratory Disease Symptoms  in Adults:
      1970 Survey of New York Communities
  Three communities were compared: Rivethead, Long Island, a low
exposure community, Queens, an intermediate exposure community,
and the Bronx,  a high exposure community. Parents of all children
attending certain elementary schools located within 1.5 miles of an
air monitoring station in each community were asked to participate
in the study. JEach child was given a questionnaire to be filled out by
his parents and returned.                 !
  Regarding exposure,  were  the concentrations measured  at the
monitoring  stations generally representative? Assuming  a person
remains reasonably near the station, in this case within lj| miles, and
breathes the outside air, the station measurements would be generally
representative  for  long-term average  exposure. Maps  or  annual
concentrations which are for sulfur dioxide and suspended particulate
matter, show reasonably uniform concentrations across  the study
areas. However, as has been mentioned in  the report (5.1) Human
Exposure  to Air Pollution Selected  New York Metropolitan Com-
munities,  1944-1971, by Thomas D. English, et al., the Queens Com-
munity lies about 1 mile west of the John F. Kennedy International
Airport. The effect of this airport  and the various other possible
sources of -air pollution  that could have;  affected,  particular local
areas were not determined.
  The fact that the CHESS  monitoring si^es were the same as used
in  the  city air  pollution control programs suggests that the sites
were picked and are being used  because they seem to be generally
representative.                          \
   More important than the representativeness of the monitoring
site locations in this study is the proper interpretation of the  effects
of the greatly reduced pollution levels during the period  1969-1971.
It is not meaningful to draw conclusions from sulfur dioxide exposures
ranging from 144 to 404 Mg/m8  and sulfat'e exposures ranging from
9-24 jig/m3, as was done in this study. The| implication is that health  -
effects can be caused by the lowest concentrations mentioned, and this
is not shown in the study. Also, it is  stated that annual sulfur dioxide
levels of 50 to 60 Mg/m3  (accompanied by annual average suspended
sulfate levels of about 14 Mg/m3 and  annual  arithmetic mean total
suspended particulate levels of about 60 to 105 ptg/m3) could be assoc-
ciated with such effects.  These are levels that were measured in 1971,
whereas in the study there seems to  have been no way to have differ-
entiated between the effects of pollution in  1971, or that might have
occurred  during some earlier time. It is not reasonable to infer that
lower pollution levels are responsible for the observed health effects.
11. Prospective  Surveys  of Acute Respiratory Disease  in Volunteer
      Families: 1970-1971 New York Studies
   In this study families were telephoned once every two weeks and
questioned about possible health effects. The families resided within
 1 to 1.5 miles of the air monitoring stations.
   In the discussion it is stated that acute lower respiratory disease
morbidity can be  attributed to exposures! to  2 to 3 years involving
 annual average sulfur dioxide levels of 256 to 321 jug/m3 (accompanied
 by elevated annual average levels of  total suspended particulate of
                               1O6

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                               95

97 to  123  Atg/m3 and animal average  suspended sulfate  levels of
10 to 15 fig/nr). These values are average values for the period 1966—
1970, a five year period, and not period of 2 to'3 years as indicated.
Also, they  are the averages for the Bronx and Queens, respectively,
and  therefore do not represent a range of concentrations that would
have occurred in any particular community, as implied. For example,
the sulfur dioxide concentrations in the Bronx; ranged from 184 to
472 Mg/ni3 and in the  Queens from 131 to 420 jug/m3, during the five
year period. Three year averages are 174 to 247 Mg/m8? aild two year
averages, lower still.
  On page 5-16 the dustfall concentrations shirwn in Figure 5.1.21
seem to be  greater than would be obtained fromithe data presented in
Figure 5.1.16.                                 ;
  On page 5-36 (Table 5.2.1) the values in this table seem to  come
from Table 5.1.A.8, The values in the  column headed 1949-58 are,
except for dustfall,  for shorter time periods. For example, the values
for Queens  come from data for the years 1956-58.
  On page  5-45 (Summary) we find that since the concentration data
base comes from Table 5.1.A.8,  the long term exposure values repre-
sent a period of less than 20 years.             '.
  Further,  it is stated that there  is a distinct possibility that in-
creased suscep'tibility  to" scute lower respiratoryillness is maintained
or induced by exposures  involving annual  average sulfur  dioxide
levels of 51 to 63 Mg/EQ8 (accompanied by annual average  total sus-
pended particulate levels of 63 to 104 jig/in3 and annual average sus-
pended sulfate levels of 13 to 14 Mg/m3). The 51 io 63 MgM3, is a range
resulting from  two different analyses of samples (see page 5-53).
It represents uncertainty in measurement techniques rather than a
range  of exposure  as would be interpreted. These concentrations
and  the suspended sulfate concentrations of 13 to 14 Mg/m3 happen to
have occurred in the Intermediate I and the Intermediate II com-
munities during 1971. This particular study as conducted  could not
have differentiated between the effects of these levels of pollution
and  the effects of higher levels that occurred earlier.
  Only average annual concentrations were considered and not peak
or episode concentrations.                    !
IS. Aggravation of  Asthma by Air  Pollutants:  1970-1971 New York
  Panelists who lived within a 1.5 mile radius of three monitoring
stations in communities identified as Low, Intermediate I, and Inter-
mediate  II, because  of  their average air pollution concentrations,
recorded asthma attacks each day in a diary for a period lasting 32
weeks, October 1970-May 1971. From a statistical association between
asthma attack rates, 24-hour average concentrations from the moni-
toring stations, and daily minimum temperatures from airports near
the  study communities, it was concluded that 24-hour suspended
sulfate levels of 12 Mg/m3 on cooler days (Tmll,  equal  to 30 to 50°)
and 7.3 Mg/m8 on warmer days (Tmm greater than 50°F) were thresh-
olds for the induction of excessive asthma attacks. No firm evidence
could be found to  associate  elevations in sulfur dioxide  (100 to 180
jug/m3  on 10 percent of days) with excessive asthma attack rates on
either cold or warmer days.
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  Regarding exposure levels, there is much! less assurance that daily
average levels throughout a community would be more or less uni-
form, than would be the case with annual average levels. More moni-
toring stations might have  been operated, or mobile stations used,
to determine how pollution exposure varied'from location to location.
The determination of such differences in air pollution concentrations
might have been important, but probably more important is that the
other factors (in addition to the observed air pollutants) that could
have caused or contributed to the asthma attacks were not examined.
It would not be worthwhile to refine the information on  the distri-
bution of the air pollutants studied, unless a greater effort were made
to study all of the various possible causes of the asthma attacks more
thoroughly.
  The study focused on the effects  of minimum temperature. The
possible effects of other meteorological variables could also have been
explored. Of particular interest would be the effects of sudden, large
temperature changes.  .
  It is not  made clear why minimum instead of average, or even
maximum,  temperatures were picked for  correlation.  Generally
there would be less actual exposure to minimum temperature, which
usually occurs about sunrise, than to warpaer temperatures. Asth-
matics would generally be expected to protect themselves from colder
temperatures, staying indoors and keeping;windows  closed, whereas
on warmer days they might be more subject to exposure to outdoor
air with its assortment of possible allergens. There are diverse reasons
why temperature might be an important factor determining asthma
attack rates.  No attempt was made Jin., the  study to provide an
explanation.                          ;   '
  It is expected that there would be noticeable temperature differences
between Biverhead (the Low  community); and Queens (the Inter-
mediate I, community). Although it is stated that the temperatures
come from nearby airports, the temperature curves plotted in Figure
5.4.1 seem to be identical for  both communities. It may be noted
that a different curve is plotted for the low!community Figure 5.5.2.
  (Figure  5.4.4) Although at a glance it appears that for  the Inter-
mediate community that the "Attack Kate" and the  "Suspended
Sulfate" curves are similar, close inspection shows that more often
than not, they are out  of phase. Between the 2nd and 3rd week  the
attack rate (AB) curve continues down as the suspended sulf ate (SS)
curve starts  up,  between the  10th  and  llth  week the  AB-curve
continues  down after the SS-curve starts up, between the 14th and
16th week the AB-curve goes up while the SS-curve continues down,
between the 19th and 20th week the AB-cur,ve starts up while the  SS-
curve continues down, and again  on the 27th week the  AB-curve
rises a week before an increase hi the suspended sulf ate concentrations.
In all, three of the five increases in attack rate precede, rather than
follow, increases in suspended sulf ate concentrations.
IS, Frequency and Severity  of  Card'iopulmo'nary Symptoms in Adult
      Panels. 1970-1971 New York Studies (Paragraph B.ff).
  Symptom  diaries were maintained daily, for the 32-week period
October 8, 1970 through May  22, 1971,  by four panels, depending
on state of health. The panelists were distributed in three communities
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                               97
                                             i
and lived within 1.5 miles  of air pollution monitoring stations. 16
was concluded that elderly panelists in the low iexposure community
reported higher symptom rates on days when sulfate levels exceeded
10  jug/m3. There seemed to be good evidence  bf a threshold effect
between 6 and 10 fig/m?, with a greater morbidity excess on warmer
days.                                         •
  Since suspended sulfates  seem to be more uniformly distributed
than a pollutant such as sulfur dioxide, the concentrations determined
by  monitoring should be generally representative of outdoor exposure
ard in most cases indoor and outdoor  average exposures would be
expected to be similar.  The question not  answered by this study is
whether or  not the  panelists  are also being exposed to some other
causative agent, or stress factor, that might happen to correlate with
the sulfate  concentrations.  It,  and not the suspended  sulfate con-
centrations, might be the cause of the observed  health effects.
  (Page 5-91)  (Figure  5.5.3)  The low value of sulfur dioxide that
began at the 19th week and continued until the 24th week are sus-
pected of not being true values. Near the end of the last paragraph
on  the preceding page it is suggested that meteorological conditions
may have  been responsible. A  careful study of the  meteorological
conditions and fuel usage would be necessary  to determine if these
might have  caused  the persistent low concentrations. However, a
scanning of  the daily local climatological  data shows no obvious
reason for the reported low values.             ',
  Furthermore, the minimum temperature curve for  the Low com-
munity in Figure 5.5.2 is not the same as given in Figure 5.4.1.
  The New York Department of Air Resources also reported a large
drop in concentrations following the mid-winter peak at the Queens
(Intermediate I) monitoring station, but reported values^ were never
as low, and a period of low values was not followed by a rise as shown
in the Figure. Further, the low values shown, which are  about 25
jug/m8, or .01 ppm or less, are quite low  for the New York metro-
politan area. Average weekly low values two or three times this value
would generally be expected for a comparable period.
14- Ventilatory  Function in School Children: 1970-1971 New  York
      Studies (Paragraph 6.6).
  Pulmonary tests were made in three elementary schools in com-
munities with different air pollution levels,  and there were four rounds
of testing, November-December 1970, January 1971, February-March
1971, and April 1971. The children lived within 1J5 miles of a particular
air monitoring station. The  Queens  monitoring  station is on top_of a
school where the testing was done. However, the Bronx station is on
top of a "court house hi the center of a busy commercial area" (page
5-6) and may not be close to the  school. For the Riverhead com-
munity it is not made clear whether or not-the school and the monitor-
ing station are at the^same location or near each other. It is assumed
that the schools in Riverhead and the Bronx were within 1J^ miles of
the monitoring stations, but this is not actually, stated.
  It was concluded  that 9  or more years exposure to annual sulfur
dioxide levels of an  estimated  concentration  of 131 to 435  jug/m3
(accompanied by  suspended particulate  levels of about 75 to 200
Pg/m3)  and suspended sulfate levels of about 5 to 25 jig/m3 can be
                                           i
     77-590—76	8                          •
                               709

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                               98

associated  with a small but significant impairment in ventilator
function. These values are from Table 5.6.2,' and are the extreme big
and low values listed. There is an implication here that the low con-
centrations, 131 jug/m3 for sulfur dioxide and 5 ^g/m3 for suspended
sulfates represent threshold values.  Actually they are only annual
average concentrations  for the years 1969 and 1970.  The observed
health effects may have been the result of exposure to much higher
concentrations in other years, or to some other cause.
16. VentHatory Function in School Children: 1967-68 Testing in Cin-
      cinnati Neighborhoods (Paragraph 6.1}.
  This study included a pair of public elementary schools in each of
six neighborhoods differing in socioeconomic  level, race, or pollution
exposure. All children in one or two classrooms of the second grade of
the elementary schools were asked to participate in the study to achieve
sample  sizes of 60 to 75  children in each of the six study  sectors.
Ventilatory performance as measured by a spirometer was obtained 12
tunes from each child: once weekly in the months of November 1967
and February and May  1968.  The tests were; administered on Tuesday
and Wednesday mornings.                 ;
  Air monitoring stations were placed in locations within three blocks
of each school to provide samples representative of the air quality in
the neighborhood served by  the  school.  No  information is reported
on  the distances of the homes of the children  from the school. Ap-
parently it was assumed that the home environment and the school
environment were the same.  Indoor soiling, index and  sulfur dioxide
observations were taken in the schools, but results are not reported.
It is reported that it was  determined that indoor and outdoor sulfur
dioxide,  soiling index,  and suspended  particulate levels  measured
over ^the 24-hour or 4-hour  period directly preceding pulmonary
function tests did not consistently correlate with the test values.
  Details of this lack of correlation are not given, but it was concluded
that 'Ventilatory performance of children thus did not appear  to be
acutely affected by variations in pollutant;levels on the day of the
test." Possible exposures over intermediate periods, say three days or
one week, prior to testing were not considered. Conclusions seem to be
based on possible long-period exposures, probably over a lifetime.
  Concentrations of sulfur dioxide were low1 (less than 52 jag/m3) in all
areas,  so health effects were attributed  to particulate  pollutants
independent of atmospheric levels of gaseous  sulfur dioxide.
  Average sulfate levels during the period of the study were observed
to be between 8.9 and 10.1 Mg/m3, in the polluted lower middle white
community, but previous  average exposure .was estimated to be 10.7
to 12.1 jug/m8, based on the National Air Surveillance Network station.
The average suspended sulfate level in the clean white sectors was 8.3
/ig/m.3, a relative difference of I3;percent.  (The largest differences in
area exposure were in the concentrations of  suspended particulates.
Levels of total suspended particulates were 131  jtg/m3 in polluted sec-
tors and 61 to 92 jug/m3 in clean sectors.
  In reading this paper one wonders about  the psychological inter-
action between the children and the team members administering the
tests, who could anticipate the outcome of the experiment. The curves
for the  black children in Figure 6.1.3, are  particularly interesting.
                              110

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                               99           ,

There was only 0.1 jig/m? difference between the average sulfate levels
between the Clean Lower Middle Black  and the Polluted Lower
Middle Black, yet there was a large difference in ventilatory function
that disappeared as the study progressed. The discussion acknowledges
a  culturally determined response  of  these  children  to  the white
interviewers. The effect of the interviewers on all of the children may
have been greater than was realized.
  It was concluded that the observed area effect on ventilatory per-
formance was  probably attributable mostly tp suspended sulfates.
There is no particular reason to challenge the estimated average ex-
posure of the children to suspended sulfate concentrations. However,
it should be noted that the sulfate level in the (f clean"  school #4, was
9.1 Mg/na3>  more than the 8.9  MgM3 concentration in the polluted
schools #8,  #11, and #12. The sulfate concentration differences  be-
tween the schools is acually very slight. It seems far-fetched that the
observed average differences in ventilatory performances were caused
by a difference in suspended sulfate concentrations of only 1.2
 C. STJPEBFICIAL AND PEBFT7NCTORY TBEATMENT OF METEOBOLOGICAIi
                          INFOKMATION                  *

   A discussion of meteorology is included in the CHESS report on the
 studies in the Salt Lake Basin, Chicago, and 'New York. The treat-
 ment is so superficial and perfunctory that there is hardly any useful-
 ness. Little attempt has been made to tie the meteorological informa-
 tion with information subsequently presented!, or to use it to make
 clearer the possible reasons for the study findings.
   The air now over the 'Salt Lake Basin is much more complicated
 than implied by the wind information included on pages 2-4 and 2-5.
 Winds in the vicinity of the Oquirrh  Mountains, where the smelter
 is located  are  significantly  different from those at the Salt Lake
 City airport. Also, the wind rose for Hill Air: Force Base shows the
 effect of a  nearby canyon and is not  indicative of air _ trajectories
 affecting the Ogden area generally. The meteorological discussion on
 these pages could have made clearer  the fact that Ogden  is rarely,
 if ever, affected directly by the smelter plume, and that Salt Lake
 City is infrequently  affected.
   Similarly, Chicago winds are inadequately explained by the Midway
 and O'Hare Airport wind rose; and the reader remains unsure of the
 wind conditions at Riverhead even though John  F.  Kennedy and
 La Guardia wind roses are given.
   Even so, the wind rose data, no matter how carefully given, is of
 practically no  value  for interpreting  the CHESS studies because
 source-receptor orientations are generally unknown and were not a
 factor considered in developing the CHESS conclusions.

 D. INSUFFICIENT EXPLORATION OF POSSIBLE RELATIONSHIPS BETWEEN
       METEOBOLOaiCAL CONDITIONS AND ASTHMA ATTACK BATES

   With regard to meteorological correlations; the CHESS studies for
 the most part  only explored a possible relationship between asthma
 attack rates  and minimum  temperature. In designing studies  of
 asthma attack rates it would seem that steps would have been taken
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                               100

to investigate other meteorological factors also. Of particular interest
would be the effect of large and sudden  temperature changes. Some
other  factors that could affect  asthma attack  rates  are relative
humidity, frontal passages  with their  change  of  air  mass, wind
direction and speed, precipitation, type  and amount, frozen  or wet-
ground,  and possibly atmospheric pressure.
  A community study of asthma attack rates would also be expected
to take note of any air pollution episodes resulting from atmospheric
stagnation that occurred during the course of the study. If there were
none, notice would be taken of this  also.

  B.  FAILURE TO GONSIDEE PEAK AND  EPISODE  CONCENTRATIONS

  The CHESS studies do not adequately consider the short-period.
exposures to high concentrations that would occur in the smelter
communities. It is conceivable, that two different communities might
one of them might be subjected much more to short-period high level
concentrations that could trigger health effects, asthma attacks in
particular. Three causes of much higher than average concentrations
are plume looping, plume fumigation associated with the dissipation
of a  surface-based temperature inversion, .and episode conditions-
caused by a shallow mixing layer and light winds, perhaps with fog.
  In order for the CHESS studies to be complete much more needs to-
be known about the short-period exposures  to high  air pollution
concentrations in the smelter communities. :

P. tTSE OF A SINGLE MONITORING STATION TO DETERMINE THE EXPOSURE:
                         OF A COMMUNITY ,

  Although it may be reasonable to assume an average concentration
based on  a single monitoring station, in a large metropolitan area
without any well-defined sources of air pollution, such an assumption
may not be reasonable in a mountain community with a single large
source such as a smelter and possible topographic effects. For example,
air pollution concentrations in East Helena, j Anaconda, and  Kellogg
are likely to be rather non-uniform.  There is no assurance that the
air Duality values being used by CHESS  are average, or that some
families were not subjected to much higher or -lower levels of pollution.
  One would expect hi community studies such as conducted  under
CHESS that more effort would be  made to  determine  if a  single
monitoring station is sufficiently representative, particularly in areas
where there is but one major source of air pollution. More use could
have  been made of meteorological technique^ in the CHESS studies
to estimate  exposures  and  the  representativeness of (monitoring
stations, including the wider application of simple dispersion models.
Where there were particular sources, wind direction frequency infor-
mation should have been examined.  Generally, a visit by a  meteor-
ologist ^ to a monitoring station location would have been helpful in
determining its suitability. Temporary or mobile monitoring stations
might have been used to determine if there were significant concen-
tration differences from one location to another within a community.
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                              101

G. FAILURE TO  ESTABLISH  SIMILARITY OF  EXPOSURE AND STRESS
  FACTORS BETWEEN COMMUNITIES IN THE SAME STUDY, EXCLUDING
  THE EXPOSURE TO  SPECIFIC  POLLUTANTS
                                            I
  No account seems to have been taken in the CHESS studies of
actual exposure inside of buildings with various kinds of ventilating
•or air conditioning systems, or from air at various elevations above
•ground. Neither was there any effort to determine if there were any
significant differences in vegetation. Any of these things might have
-caused the actual exposure to air pollutants and' allergens to be quite
different from that estimated on the basis of usual ambient air moni-
toring. Further, the general stress factors affecting health are no doubt
different in the Bronx than they are in Riverhead, or perhaps between
Ogden and Magna, where,  for example, homelife might nave been
upset by  the smelter strike.                  I
  Still another shortcoming^was that no information was collected on
possible exposures of individuals when tfaey"weTrtroTrteidtnjf1fae study
community.                                 i
  The CHESS reports do not carefully distinguish between outdoor
concentrations such as might be measured  at >a monitoring station
and true exposure, which might be significantly different. Throughout
the report the concept of dosage is never used, Whole communities
were  assumed to  have the same exposure and presumably were con-
sidered to have received the same dosage. A more careful study might
have  considered  the ^actual community dosages of air pollutants,
which might be  significantly  different, even  though  the potential
exposures are the same.

       H. IMPRECISENESS OF MONITORING STATION LOCATIONS

  Monitoring stations used  in the CHESS studies are not precisely
located within the. community with which they are identified. In some
instances  it may not be necessary to know  the exact geographic
location, but it is not ^true for a community such as Anaconda. The
Rocky Mountain Studies report leaves completely indefinite where the
Anaconda, station was located with respect to the smelter,, or the com*
munity itself. It may even be possible  that more than one station is
involved  in the determination of the  exposure' estimates. Similarly
the reader of this particular report has no idea  where the monitoring
stations in the two Helena  areas were located. Perhaps the general
nature of  the epidemiological studies is  an excus0 for omitting details,
b\it a follow-up effort to verify some  of the GJHESS  results would
require the precise location of certain monitoring stations from which
exposures were determined.

   I.  INEXACT LOCATIONS OF RESIDENCES OF  INDIVIDUALS STUDIED
   Assuming that an attempt was  made  to
•apply  meteorological
 •* * " •   --   .vwpv&e-v **• r~t
 modeling techniques to better  determine erppsure in the CHESS
 studies, there would be a severe limitation on what could be accom-
 plished because the locations of residences of participating individuals
 within the study area  are never given except!to say that they are
 within a certain radius of a monitoring station.,
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                               102

  There .are two problems. First, one cannot ,be sure that the popu-
lation, was all within the stated radius as claimed. Inquiries made in.
New York and elsewhere indicate that some of the children studied
rode school buses for greater distances and; that for various reasons
some other  participants in studies lived outside of what'might  be
considered the effective radius  of an air monitoring station.  Second,
and probably much more important, are the uncertainties with respect
to populations in the vicinity of  single large  sources such as the
smelters in the Rocky Mountain communitie^. Insufficient information
has been given about the distance and direction  that participants
lived from the smelter stack, and perhaps where they live with respect
to significant topographic features. When determining possible expo-
sure, it is particularly important  to  know if participants  lived in
different  directions from the stack because of the effects  of  wind
direction.                                ;
   In general, the conclusions from the CHESS studies are weakened
because there is a lack of assurance that the .populations were actually
located as claimed, and in the  smelter communities that the popula-
tions were so located with respect to a stack, or stacks, that it is
feasible to represent exposure  with a single monitoring  station^ per
community.  The presentation of maps that showed, at least in a
general way, the location of the residences of participating individuals
would  have helped to engender more  confidence in the estimated
exposures.
   These commentSj many of which are minor and have various orders
of significance in total implication, are an indication of the many
observations which cumulatively support the need for careful peer
review of each research project. In  the limited time available  for
analysis of historical research of this nature, it is difficult to determine
the net impact of these errors on the final conclusions in the study but
such errors certainly tend to  reduce  the credibility of the research
results as published.                      ;
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                        APPENDIX B     :

         LEGISLATIVE HISTOBY OF THE CHESS  PKOGBAM
                                            i
  The programs now referred to as CHESS studies evolved during:
a period of increasing concern about air pollution. This same period
produced significant changes  in  government organization to  cope
•with new air quality legislation and substantial 'increases occurred in
the funding levels in support of this legislation. In order to place this
evolution in some legislative perspective, the following brief history
has been prepared. The information is summarized and citations are
primarily (except  as noted)  from House  Appropriations  Hearings
held during the period 1964-1975.
  By 1964, weU before the 1974 publication of'the 1970-71 CHESS
studies,  air pollution health  effects had been  under investigation
within the Department of Health, Education and Welfare's (DHEW)
Bureau of Disease Prevention and Control, National Center for Air
Pollution Control. The Center was'conducting clinical and laboratory
studies in humans and experimental animals. The plans of the Center
included a comprehensive program of research on the health effects of
exposure to oxides of sulfur alone and in combination with particulates.
In addition to clinical and laboratory studies, epidemiological studies
were planned for,the St. Louis-Philadelphia areas as well as a con-
tinuation of a statewide study in Alabama to assess the relationships
of air pollution to  the prevalence of pulmonary emphysema. The
budget proposals  in 1964  were the first to be  specifically  rela-ted
to the Clean Air Act which had been adopted in 1963. At that time
also, there was a concern within the scientific community about the
conversion of SC>2 to sulfate and the potential health effects of such
sulfates.  (Estimated funding  levels for 1965  were $2.1 million for
the medical and biological studies and $1.5 milliqn for the epidemiolog-
ical studies).                                ;
  In 1965,  a spokesman for  the Air Pollution Control Center in-
dicated  during hearings that the 1963 Clean'Air Act had  opened
"a new era of opportunity to cope with the growing national problem
of air pollution..  . . There is overwhelming evidence that air pollution
is a serious threat to public health and welfare as well as an economic
burden costing the  Nation several billion  dollars  annually." In the
request  for appropriations at that  time,  the, Center indicated  an
intent to continue the same programs supported in the previous year.
Again, studies of the acute and chronic effects of inhalation of oxides
of  sulfur were specifically cited as receiving! support. Human ex-
periments to study the effects of these pollutants under controlled
laboratory  conditions which had  been accelerated in 1965 were
designated for expansion in  1966.  Additional!,  surveys to identify
field sites with varying levels of sulfur  oxides and to clarify the
effects on human health of single pollutants or single-source pollutants
                               (103)
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                              104        !

were identified as priority fields for investigation. A small increase
to support these additional studies was requested.
  The field studies identified for continuation in the 1967 program
included  the  Alabama  air  pollution-emphysema studies  and  the
detection of asthma epidemics; the epidemiology of air pollution of
asthma in New Orleans, and the relationships between air pollution
and  absenteeism. It was also indicated that in 1967 there would be
a retrospective survey of the effect of air pollution on human health
through the use of Social Security disability records, Veterans' Ad-
ministration records,  and^ insurance  records. A study  of nursing
home residents as a high-risk group was to ibe initiated and a study
to survey air pollution in San Antonio was \planned to place special
emphasis  on the synergistic effect of man-toade air pollution and
aeroallergens. A mortality study in large cities to determine if excess
mortality could be correlated with air pollution was considered for
support.
  Studies scheduled for continuation in 1968 included the Alabama
studies mentioned previously; the New Orleans studies; the continua-
tion of  the excess mortality studies; and thje designation of Chicago
as one area for studying the correlation of disease with air pollution.
  Plans for 1969 again emphasized the need for continuation of studies
on several air pollutants including sulfur oxides. By .this time, the
testimony being  provided to the Appropriations Committees was
citing as  justification for some of the work the new requirements
specified in the 1967 Air Quality Act. The need for data to develop air
quality criteria was being emphasized as a prime goal for the continua-
tion of  many  of the epidemiological studies. The criteria for sulfur
oxides, had been published. By July 1, 1968, the  reorganization plans
of the Administration had resulted in the establishment of the Con-
sumer Protection  and Environmental Health Service,  and  the re-
sponsibility for air pollution programs was assigned  to the National
Air Pollution  Control Administration (NAPCA). Objectives of this
reorganization included increased  autonomy and a higher visibility
within DHEW for the air pollution control programs. Progress cited
during  the • 1969  hearings  included the publication in  the Federal
Register of February 11, 1969 of the air quality criteria and related
information on control technologies for sulfur oxides and particulate
matter. The discussions also directed attention to the increased level
of activity required to generate data on health and economic effects
of pollutants.  Plans for leasing facilities  at1 Research Triangle Park
(RTF), North Carolina, for NAPCA were under way and an increase
of almost $11 million for this transfer was requested. Among the many
justifications offered in support for the concentration of air pollution
research at RTP  and the  move to that location of personnel from
DHEW Washington and Cincinnati facilities was the planned con-
struction  of the  new National Institute  of Environmental  Health
Sciences at RTP. It was believed that a consolidation of NIEHS and
NAPCA at RTP would facilitate general planning and centralization
of related research programs. A continued expansion of the  general
air pollution monitoring network was supported.
  Hearings  in 1970  indicated that further reorganization  of  the
Environmental Health Service had occurred iwith the splitting out of
the Food and Drug Administration. Fiscal Year  1971 was designated
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                                105

as a key year for  developing Federal-State machinery for  effective
na tional control of air pollution. A majority of NAPCA personnel were
located at RTF and close liaison with. NI'BHS was cited as  real and
viable.  By this tame, NAPCA was referring to the epidemiplogical
studies which were being correlated with air monitoring collection as a
health surveillance network (HESN).  The effort was described as a
"medical research  effort destined to assess changes hi  the health of
the population as a result of air pollution control program activities.
It is also specifically directed toward conducting studies in unique air
pollution types so  we can have the kind of data we require for  the
proper  development of air  quality criteria." A Chattanooga, Ten-
nessee study of nitrogen dioxide emissions was described as a specific
example of the type of study intended to provide data for further air
quality criteria development. At this  time the! HESN program was
being 'highlighted among the several types of epidemiological studies
and funding levels for ITY 1970 were  estimated for this  program at
about $400,000 with an expected growth in 1976; to about $2.3 million.
Other epidemiological. studies had been  initialed or were  planned
including studies of air pollution in New York and Seattle, and in
several university  grants. In general, the HESN  program  involved
cities purportedly selected for high to low exposure gradients to specific
pollutants to correlate with  appropriate health indicators, as a means
to measure health effects. The HESN program had as its objective the
construction of a .framework of information in \ which selected health
parameters such as pulmonary functions, acute respiratory disease and
chronic respiratory disease could be evaluated at one or more points in
time. The network was to be initiated on a nine-city  basis in fiscal
year 1970 and was to be expanded to a 12-city basis in fiscal 1971.
  By appropriations hearing  time  ha April  1971, a major Executive
Reorganization had occurred (Plan No. 3 of 1970—December 2,1970)
and the  air pollution program had been transferred  from DHEW
NAPCA to  the newly created Environmental Protection Agency.
At this time, Mr.  Euckelshaus, the first Administrator of EPA to
appear before an appropriations committee,  prdvided some summary
data about the health effects surveillance studies which had now been
given the new acronym CHESS (Community Health Effects Surveil-
lance Studies). Despite this change in title, it1 was obvious that the
CHESS studies  were simply  a further expansion  and formalization
of the HESN programs which in turn had evolved from earlier effort
in epidemiology. Several of the comments offered by Mr. Ruckelshaus
are of interest as they relate to the priorities associated with CHESS
at  that time:                        	;
  CHESS studies have already associated environmental pollution with a number
of health, problems. Air pollution was associated  with significant increases in
acute respiratory disesases among schoolchildren  and their parents who  also
reported chronic respiratory disease symptoms more  frequently. Both parents
and  children residing in polluted areas  exhibited significant decreases in lung
function not accounted for by  other factors. Asthmatics were also adversely
affected, reporting more attacks  on days with increased air pollution.
  The  CHESS concept is anchored to extensive environmental and health
monitoring in sets of communities demonstrating an exposure gradient for specified
pollutants. Three years of  intense effort have been devoted to the design and
field testing of the health impact indicators now a part pf CHESS. The air quality
aspects of CHESS will not be fully operational until 1973 and will evaluate the
health effects of specific pollutant sets. In other words',  the air quality aspects of
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                                  106


CHESS are designed to obtain the maximum amount of health effects information
about the most important air pollutants. These effects win be continually moni-
tored as pollution is controlled and can thus document the health benefits of
abatement. Extending intensive CHESS air monitoring  with limited health
monitoring to a larger number of cities would probably be  counterproductive in
terms of health information.                     '
  First, to evaluate existing environmental pollutant standards as these relate
to health. Second, to measure pollutant burdens in exposed populations. And
third, to determine the health benefits of environmental pollution control; that
is decreased adverse health effects as a result of improved environmental quality.
  Presently,  major CHESS studies are being conducted in the following areas:
New York City; Chattanooga, Tenn.; Birmingham, 'Ala.; Salt Lake City, Utah;
and Los Angeles,  Calif.
  CHESS operations essentially involve four basic: integrated functions; data
collection; bioenvironmental measurement; information synthesis ', and research
and development.

   Testimony  at  the  time  indicated  that about $6.7 million  was
programed lor the CHESS  program for fiscal year 1973 with opera-
tions anticipated in 27-30 communities in fiv& geographical areas. To
add additional areas was estimated to require about $1 million and 15
staff persons per area. CHAMP (Continuous' Health Air Monitoring
Program) was described for the first time during these appropriation
hearings  as an integral portion of the CHESS program which  would
eventually  be the total air measurement part of CHESS. As  noted
by Dr. Greenfield:                           ;

  Comprehensive  monitoring is required  to relate changes hi sensitive health
indicators to existing environmental pollutant levels, i From these data, pollutant
effects that occur from very short exposure, that is, from 10-minute peak to 24-hour
average values, can be documented'and available for ambient air quality standard
setting. To date, stations [CHAMP] in the Los Angeles Basin have been selected,
partially equipped, and data is being transmitted to North Carolina [RTF], The
cost  for initiating the more  comprehensive  CHAMP , program, to have 27-30
completely equipped and installed stations, is $2,400;000. The in-house costs are
$750,000 and the contract costs are $1,650,000. The contract includes $465,000
for operating the stations in  Los Angeles  for this year. The yearly operational
costs for the 27 to 30 stations will be $1,240,000; $465,000 is in contract  and
$775,000 of in-house funds.

   During the 1973 hearings,  the question was raised as to  whether
the health effects being measured in the CHESS studies were actually
based on medical diagnosis and not on individual reports of health on
a questionnaire which "then some research clerk .codes as a specific
disease." Mr.  Euckelshaus replied:

  To the fullest extent possible, the medical response to EPA health questionnaires
are validated by appropriate techniques.  It would 'not be possible to  have  a
physician visit the home of thousands of respondents to ascertain if their responses
to medical questions were correct. However, we can; assure the committee that
the questionnaires we employ are a representative subset of the responses received
and nave been  appropriately validated against physician records. Further, the
questionnaires used in the CHESS program were previously well validated with
clinical examinations by competent investigators.     :

   In more detailed hearings held in September 1973 (Committee on
Interstate and Foreign Commerce) it was already being reported tihat
the  CHESS program had provided  information that adverse  health
effects might  be more closely associated with suspended sulfates than
with SO2 or total suspended particulates. The tune period estimated
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                                107

at that time to permit expansion, and modification of health effects
research on sulfuric  acid and suspended  sulfates in  the ambient
atmosphere was 5-10 years. A very extensive expansion of the study
of oxides of sulfur with emphasis on sulphates, including sxilfuric acid.,
was being recommended. The FY 74  program rwas estimated to be
about $1.2 million with about $780,000 devoted specifically to  the
CHESS studies, the remainder directed toward supportive biomedical
research,  methods  development,  atmospheric chemistry  and  moni-
toring.  Reference was made to the fact  that the data from CHESS
suggesting significant health effects from sulfates had been presented
in'a scientific  conference as early as December; 1972. The total  air-
health research program was summarized  as having expanded from
about $4 million in FY 69 to about $11 million in FY 74. During  this
hearing, EPA  personnel pointed out that  the National Academy of
Sciences was reviewing a number of data bases on air pollution health
research and would be providing reports.        >
  At this time, the program at RTF was being affected by manage-
ment adjustments  involving the transfer of temporary personnel to
permanent positions  with some total  reductions in personnel as a
result of insufficient permanent positions to accommodate all temporary
personnel. Thus,  although  the air-health  effects program at RTF
showed some growth in general trends,--there actually appeared to be
some slowing of growth and some adjustments'in programs because
of the impact of inflation and fewer permanent positions than had been
anticipated. With  regard to the National  Academy of Sciences' re-
view of the EPA  research  program on  sulfates, it is  of  interest to
note that shortly after  these congressional hearings, the implications
of the potential dangers^f sulfates were  discussed and acknowledged
by several investigators at an Academy conference. At this same con-
ference, however, Higgins and Ferris noted with regard to the EPA
CHESS studies:                               !
  This is not the place to criticize these studies in detail.  A few general points
only will be made. The need for a great deal of information in the shortest possible
time has meant that the E.P.A. has been forced to attefaipt too much too super-
ficially. A more deliberate approach with outside consultation might have led to
a more  solid body of knowledge. As it is,  the  studies  have a number of
deficiencies which make evaluation difficult.  The samples studied, the response
rates in certain categories, the methods and procedures which have been used and
the analysis of the results can all be criticized. It is particularly disquieting, in
view of these deficiencies, that there has been a tendency to select findings which
point to an effect of pollution on health and  ignore those which do  not. Perhaps
the wisest conclusion which can be drawn from these studies in relation to current
standards is that taken in the aggregate they do not appear to justify any lower-
ing of the  current standards for SOs and particulates. But on the other hand
neither do they suggest that any relaxation ot these standards is justified.1
  It is of interest for purposes of  this report that the Academy in
the final report to the Senate on the results of a special review of the
health effects of ah- pollutants noted also with regard to the CHESS
report:
  The 1970-1971 CHESS'studies have received a good deal of criticism, although
it must be noted that many of the potential problems >are discussed in detail in
the CHESS document (EPA 1974). Specific problems with the two asthma studies
 1 Higgins, Tan T, T. and Benjamin Q. Ferris. Epidemiology of Sulphur Oxides and Particles. In:
Proceeding of the  Conference On Health Effects of Air Pollutants. TT.Ss. Senate. Committee on Public
Works. Proceedings of the Conference on Health Effects Of Air Pollutants. 93d Congress, 1st session.
November 1973. Serial No. 93-15. Washington, D.C., Govt. Print. Off. p. 247.
                                 779

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                                   108         :


described above include the relatively poor response rate and high turnover,
which may be inherent in diary studies of patients with this disorder; the presence
of anomalous data, such as a decrease in the temperature-specific risk of asthma
attacks associated with increasing sulfate concentrations on days when the
minimum temperature was 30-50° F in the Salt Lake area; the failure to consider
temperature change,  rather than absolute temperatures; the lack of information
on atmospheric allergens, which conceivably vary with pollution concentrations;
and the  tendency toward overanalysis and overinterpretation of  the  available
data.  Reasonable preliminary conclusions from these studies are  that they do
provide support for the association of air pollution with asthma attacks  and that
they further implicate suspended sulf ates as an important deleterious component
of polluted air. It does not appear to be necessary or reasonable at this time to
draw firm conclusions concerning the 1970-1971 CHESS asthma studies, inasmuch
as data have been collected and analyzed for later.years and  the reports will be
forthcoming soon. If  the more recent studies are able to replicate the 1970-1971
findings,  this will provide much firmer support for the interpretations advanced
by the CHESS investigators.3                    ;

   In April, 1974 Mr. Train, now the Administrator of EPA,pointed
out that he considered 1975 to be a critical year for the EPA air
programs. He emphasized the need for considerable more research in:

  Better defining the health effects of air pollutants,'  determining the causes and
effects of atmospheric concentrations of sulfates and developing  improved in-
strumentation and analytical methods for monitoring air pollutants.
  Our proposed 1975 program  shows a substantial increase of approximately
$9 million over the funding levels of this area during' 1975.
  The overwhelming bulk of this increase, some $7 million, will be used to con-
siderably accelerate our programs dealing with the health effects of air pollutants.

   During detailed hearings in July 1975 'held by the  Subcommittee
on the Environment and the Atmosphere, Committee on Science and
Technology, Dr.  Greenfield,  as a former administrator  of EPA re-
search which included  the CHESS programs,, provided comment on
this program from-his new perspective as a private consultant:

  If you  take the report from CHESS for 1974, the thing that is forgotten is that
this relates to the data that was collected in 1970-71. Where are the data for 1971-
72 and 1972—73. These have never been released. Yet, if you go back  and look
at these data there are interesting ambiguities relative to the correlations between
sulfates and these health effects and whether or not they show up  again the fol-
lowing year.  There are interesting ambiguities, for example,  in the number of
chronic bronchities shown in the 1970-71 period thatiactually  dropped out in the
1971-72,  as if you have suddenly removed chronic  bronchitis, and they  don't
remove from the population in that way, which raises serious questions  as to
whether or not the sampling techniques were really correct.
  Finally, we come to the question of health  effects,; and potentially dangerous
pollutants. I do not want to spend a great deal of time describing the EPA  Com-
munity  Health Environmental  Surveillance  System, the  CHESS program.
I'm sure  that's been described here previously. But these studies have given rise
to the most recent sulfur oxides health effects data  which have implicated sul-
fates. Suffice it to say that this was a massive epidemioiogical  program,  probably
the largest ever attempted, but suffers from many of'. the deficiencies inherent in
all such studies. These deficiencies identified by the CHESS investigators, them-
selves, have included an [in] ability to adequately quantify the exposure of in-
dividuals to various  pollutants  simultaneously present. These deficiencies pre-
clude the ability to unilaterally ascribe the observed adverse health  effects to any
single pollutant. It should be noted that  an even more  fundamental problem
pervades those data  that purport to demonstrate adverse health effects due to
sulfates.  The sulfates measured were total water soluble sulfates. No attempt
was made to separate the various sulfate, and sulfite, compounds so as to de-
termine which forms may be innocuous and which |forms may be deleterious.
Neutral sulfate compounds such as sodium and magnesium sulfate occur naturally.
 * 7.8. Senate. Committee on Public Works. Air Quality aad Stationary Source Emission Control. A.
Report By the Commission on Natural Resources, National Academy of Sciences, National Academy'of
Engineering, National Research Council. March 1975. Serial No. 94-4.94tb Congress, 1st session. Washing-
ton, B.C., Govt. Print. OS. p. 81.
                                   720

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                                109

Are thfise compounds harmful? If not, what fraction of the measured sulfates
represent a potentially harmful concentration? The problem is further compound-
ed by the fact that nitrates may correlate better with the selected health indicators
than sulfates, and this, incidentally, is shown more clearly in the 1971-72 data
than in the 1970—71 data. That was what I mentioned earlier. In fact, in one
analysis  made of the data, the most consistent correlation  occurred with sus-
pended particulates including irritant respirable particulates.
  This does not necessarily mean that some oxides of sulfur are not deleterious
to health. Rather, it implies that the health effects observed are probably due to
a complex, multipollutant mix of irritant respirable pa.rticulates consisting of sul-
fates, nitrates, organic and inorganic acids, et cetera, the sources of which are
as complex as the mixture itself. There is no question that we just do not under-
stand the nature of this complex mixture pollutant well enough today to either
assign a safe threshold level or ascribe a cause/effect relationship to any or  all
components of the mixture. In the absence of such ability it is almost impossible
to stipulate an effective control strategy for these pollutants.
  The March 1976 House Appropriation hearings duplicated much of
the information which had been provided the previous year. The 1976
planned program was modified slightly to indicate that the objectives
on air health research were intended to focus studies toward selected
poptilation subgroups to describe health effects  of exposure to sulfur
oxides,  respirable participates and other pollutants as well as refining
the  data on acid sulfate  aerosols. The general: impression is  one  of
reduction  and refinement rather than expansion of  surveillance pro-
grams.  This impression is strengthened by examination  of the pro-
posed 1977 program which does include a number  of objectives re-
lated to clarification of sulfate air chemistry and health effects.  Again,
no information is provided with regard to anticipated completion of
final analysis ol the remaining three years of diata from the 1971-74
CHESS data.
  To briefly recapitulate  this legislative history, the CHESS pro-
grams evolved from smaller sets  of epidemiological studies initiated
well before the establishment of EPA.  The  concept  of longitudinal
health studies hi selected cities to try to correlate health effects with
air pollutants was a well  established requirement prior to 1970. The
phasing together  of health indicators with real time measurements
of air pollutants received more attention as  the air monitoring cap-
ability  became more available. The history does show that the execu-
tion of such epidemiological studies requires considerable preplanning
and coordination; some of the studies have persisted for considerably
longer periods of time than had been estimated for the data gathering,
analysis, publication and utilization  in  policy  planning.  Associated
with the  evolution of  the surveillance type health  studies^ was a
sequence of reorganizations and  establishment  of new organizations
which  undoubtedly produced significant management problems  in
maintaining continuity for projects requiring long term commitment
of manpower  and management attention. The CHESS program thus
was essentially a continuous program, including many specific  studies
not originally contemplated as a part of a total system of programs.
Reorganizations within EPA, such as the consolidation of laboratories
at  B.TP under a different management system and significant  re-
structuring  of data processing systems are identified as  other tem-
porary  obstacles to  effective progress. It  now appears that  the
epidemiological studies of the health effects of air pollutants have
been somewhat restructured and reduced in scope to focus on  specific
subsets of populations for more specific objectives.
                                 121

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                               110
                                          i
  It is evident that the February 1976 Los! Angeles Times series of
articles on the 1974 CHESS report were preceded by a number of
public discussions of the total problem of the'health effects of sulfur
oxides and including criticisms of the significance of the analyses in-
these reports. The 1974 CHESS monograph is actually a simultaneous.
publication of a number of studies of health! effects of sulfur oxides,.
including some not actually a part of the heialth surveillance system
known as CHESS. Critical evaluation of these analyses has been
difficult  as compared with the usual type of scientific peer review.
Access to the data had been somewhat limiied, and there was little-
time  provided for  review outside the writing team.  Unlike  most
reports in scientific literature, the CHESS papers were not referreed
in the usual manner nor^ are the epidemiological experiments readily-
repeated by  individual independent researchers as is the case with
more  controlled  experiments.  Rather  significant  resources in  air
monitoring and data processing as well as in statistical analysis and
collection of health effects information are required and for this reason,
the studies represent a unique contribution to jbhe literature. Neverthe-
less, experts in the  field had drawn attention' to several of their own
misgivings about the conclusions of the CHESS reports. As discussed
herein in more detail, the conclusions from! epidemiological studies
frBquently.-ar.e-diffieult-4o~suppor4^
in the context of many other variables.       ;
  The task of evaluating the CHESS program then must include an
understanding of the historical issues which identified the oxides  of
sulfur as a potential hazard  to health, the problems of conducting
epidemiological studies, and then an examinsition of the various sci-
entific processes and management structures 'which- were brought  to
bear upon the problem during  the past 6-8 years. As noted in the
Introduction to the Monograph, the purpose of the program was "to
evaluate existing environmental standards, obtain health intelligence
for new standards, and document the health benefits of air pollution
control." It is this last task of defining benefits that requires a high
degree of precision and for which maximum assurance must be present
that the data being considered are indeed valid and not overintei'—
preted.                                   '
                               o
                               122

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              PUBLIC LAW 95-155—NOV. 8, 197?
91 STAT. 1257
Public Law 95-155
95th Congress
                            An Act
   To authorize appropriations for activities of the Environmental Protection
                   Agency, and for other purposes.

  Be it enacted by the Senate and House of Representatives of the
 United States of America in Congress assembled, That th1 is Act may
 bo cited as the "Environmental Research, Development, and Demon-
stration Authorization Act of 1978",                     ;
  SEC. 2.  (a) There are authorized to be appropriated to tjhe Environ-
 mental Protection Agency for environmental research, development,
 and demonstration activities for fiscal year 1978—  -      i •
       (1)  $92,500,000 for water quality activities authorized under
    the Federal Water Pollution Control Act of which—
           (A) $25,200,000  is for the Health and Ecological Effects
        program;                                     ;
           (B) $9,300,000 is for the Industrial Processes program;
           (C)  $6,069,000 is for the Monitoring and Technical Support
        program;
           (D) $'22,300,000  is for the Public Sector Activities pro-
        -gr.am-;.-and-..
           (E) $29,631,000 is f or the Energy program.
       (2)  $10,800,000 for activities  authorized under  the  Federal
    Insecticide, Fungicide,  and Rodenticide Act, in the! Health txnd
    Ecological Effects program.
       (3)  $16,000,000 for water supply activities authorized under
    the Safe Drinking Water Act, in the Public Sector program.
       (•t)  $8,200,000 for toxic substance control activities'authorized
    under the Toxic Substances Control Act, in the Health and Eco-
    logical Effects program.
       (5)  $830,000 for radiation activities authorized tinder the Public
    Health Act, in the Health and Ecological Effects program.
       (6)  $35,000,000 for air quality activities authorized under the
     Clean Air Act, which shall be in addition to funds previously
     authorized in the Clean Air Act Amendments of -1977 i ( Public Law
     95-95), so that the total amount authorized for such activities in
     fiscal year 1978 is $155,000,000, of which—
           (A) $36,000,000  is for the Health and Ecological Effects
        program;
           (B) $11,000,000 is for the Monitoring and Technical Sup-
        port program;
           (C) $7,000,000 is for the Industrial Processes program;
        and
           (D) $101,000,000 is for the Energy program.;
       (7) $31,273,000 for interdisciplinary activities, of which—
           (A) $9,230,000 is for the Health  and Ecological Effects
         program;                                  !
           (B) $6,066,000 is for the Industrial Processes program;
           (C) $1,599,000 is for the Public Sector Activities program;
         and                                        ;
           (D) $14,378,000 is for the Monitoring and Technical Sup-
         port program.
   Nov. 8.1977
   [H.R. 5101]
 Environmental
 Research,
 Development,
 and
 Demonstration
 Authorization Act
 of 1978.

 33 USC 1251
 note.
  7 USC 136 note.
  42 USC 300f
  note.
  15 USC 2601
  note.


  42 USC 201 note.

  42 USC 1857
  note.
  Ante, p. 685.
 29-139 O - 77 (170)
                                      723

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91 STAT. 1258
               PUBLIC LAW 95-155—NOV. 8, 1977
Ante, p. 687.
Appropriation
authorization.

Transfer of funds,
restriction.
  (b) In addition to any other sums authorized by this section or by
other provisions of law—           ;  -    •
      (1) there are authorized to be appropriated to the Adminis-
    trator of the Environmental Protection Agency for fiscal year
    1978, $10,000,000 for  long-term, research  and development in
    accordance with section 6 of this Act;
      (2) there are authorized to be appropriated to the Adminis-
    trator, for fiscal year 1978, $2,000,000 for training of health sci-
    entists needed  for environmental  research and  development in
    fields where there arc national shortages of trained personnel;
    and                            ',
      (3) there are authorized to be. appropriated to the Administra-
    tor, for fiscal year 1078, $3,000,000 to implement the study author-
    ized in section 103 (d) of the Clean Air Act Amendments of 1977
    (Public Law 95-93).
  (c) There is authorized to be appropriated  to the Administrator
$19,000,000 for fiscal year 1978 for program management and support
related to environmental research and development.
  (d)  No funds may be transferred from any particular  category
listed in subsection (a)  or (b) to any-other category or categories
lis.ted in  either such subsection if the total of the funds so transferred
from that particular category  would: exceed 10 per.centum thereof,
and no funds may he transferred to any particular category listed in
subsection (a) or (b) from any other category  or categories listed in
either such subsection if fhe. total of the funds  so transferred to that
particular category would  exceed 10 per centum thereof, unless—
      (1) a peribd of  thirty  legislative  days ha.s passed after the
    Administrator of the  Environmental  Protection Agency  or his
    designee has transmitted to the Speaker of the House of Kepre-
    sentatives and to the  President of the Senate a written  report
    containing a full and  complete' statement concerning the nature
    of the transfer and the  reason therefor, or
       ('2) each committee of the House of Representatives and the
    Senate  having jurisdiction over the subject- matter involved,
    before the expiration of such period, has transmitted to the Admin-
    istrator written notice rw the effect that such committee has no
    objection to the. proposed action.
  SBC. 3. Appropriations  made pursuant  to the authority  provided
in section 2 of this Act shall remain available for obligation for
expenditure, or for obligation and expenditure, for  suoh period or
Budget
projections.
42 USC 4361a.
42 USC 4361.
Public sector
agencies, grants.
42USC300j-3a.
gress under section 3 of Public Law S)4-4ff>, .shall include budget pro-
jections for a "no-growth"- budget, for a "moderate-growth" budget,
and for a '"high-growth" -budget. In addition, each such annual revi-
sion shall include a detailed explanation of the relationship of each
budget projection to the existing laws which authorize the Adminis-
tration's environmental research,  development,  and  demonstration
programs.
   SEC.  5. (a) The Administrator  of; the Environmental Protection
Agency shall offer grants to public sector agencies for the purposes
of—
       (1)  assisting in the development and demonstration  (includ-
     ing^ construction)  of any project!which will demonstrate a new
     or improved method, approach, or technology for providing a
     dependably safe supply of drinking water to the public; and
                                     124

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             PUBLIC LAW 95-155—NOV. 8, 1977
91 STAT. 1259
      (2) assisting in -the development and demonstration (includ-
    ing construction) of any project which will investigate and dem-
    onstrate  health  and conservation implications involved in the
    reclamation,  recycling, and reuse of wastewaters for drink-
    ing and  the processes and methods for the preparation of safe
    and acceptable drinking water.                    :
  (b) Grants made by the Administrator under this section shall be
subject to the following limitations:
      (1) Grants under this section shall not exceed 66% per centum
    of the total cost of construction of any facility and 75 per centum
    of any other costs, as determined by the Administrator.
      (2) Grants under this section shall not- be made for any proj-
    ect  involving  the> construction or modification of any facilities
    for any  public water system in a State unless such project has
    been approved by the Jstate agency charged with :the responsi-
    bility for safety of drinking water (or if there is no such agency
    in a State, by the State health authority).
      (3) Grants under this section shall not be made -for any proj-
    ect  unless the Administrator determines, after consultation, that
    such project will serve a' useful  purpose relating to the develop-
    ment, and demonstration of new or improved techniques, methods,
    or technologies for the provision of safe water to the public for
    drinking.
  (c) There are- authorized to be appropriated for the purposes of this
section $25.000.000 for fiscal year 1978.
  SpjC. 6. (a) The Administrator of the Environmental Protection
Agency shall establish a separately identified program to conduct eon-
timiing  and long-term environmental  research and : development.
Unless otherwise specified by law, at least 15 per centum of any funds
appropriated to the Administrator  for environmental  research and
development under section 2(a) pf this Act or under any other Act
shall  be allocated for long-term environmental research and devel-
opment under this section.
  (b) The Administrator, after consultation with the Science Advisory
Board,  shall submit to  the President and the Congress; a report con-
cerning  the  desirability  and  feasibility  of establishing a national
environmental laboratory, or a system of such laboratories, to assume
or supplement  the long-term environmental research .functions cre-
ated by subsection (a) of this section. Such report shall be submitted
on or before March 31, 1978, and shall  include findings and recom-
mendations concerning—                 "          ,   .      ...
       (1)  specific types of research to be carried out by such labora-
    tory or laboratories;                            !
       (2)  the  coordination and integration of  research to be con-
    ducted by such laboratory or laboratories with research conducted
    by existing Federal or other research facilities;    ;
       (3)  methods  for assuring continuing long-range funding for
    such laboratory or laboratories; and     •%;-.
       (4-)  other administrative or legislative  actions necessaiy to
    facilitate the establishment of such laboratory or laboratories.
  SEC.  7. (a) The Administrator of the .Environmental .Protection
 Agency shall assure that the expenditure of any funds appropriated
. piirsuant to  this Act or any other provision of law f orienvironmon^l
 research and development related to regulatory program aefiv>Hes
 shall be coordinated with and reflect the research needs and priorities
 Grants,
 limitations.
  Research and
  development
  program.
  42 USC 4363.
  Report to
  President and
  Congress.
  Contents.
  42 USC 4364.
                                      725

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91 STAT. 1260
               PUBLIC LAW 95-155—NOV. 8, 1977
Program offices.
Report to
President and
Congress.
Science Advisory
Board.
Establishment.
42 USC 4365.
Membership.
42 USC 4361.
Report to
Administrator,
President, and
Congress:
of the program offices, as well as the overall research needs and priori-
ties of the Agency, including those defined in the five-year research
plan.                    .          ;
   (b)  For purposes of subsection '(a),  the appropriate program
offices are—                        •
      (1)  the Office of Air and Waste Management, for air quality
    activities;                     .1
      (2)  the Office of Water and Hazardous Materials, for water
    quality activities and water supply activities;
      (3)(the  Office of  Pesticides,; for environmental  effects of
    pesticides;
      (4.) the Office of Solid Waste, for solid waste activities;
      ( 5 ) the Office of Toxic Substances, for toxic substance activities;
      (6) the Office of Radiation Programs, for radiation activities;
    and
      (7)  the  Office of Noise Abatement and Control, for noise
    activities.
   (c) The Administrator shall submit to the  President and the Con-
gress a report concerning the most appropriate means of assuring, on
a continuing basis, that the research efforts of the Agency reflect the
needs and priorities of the  regulatory program offices, while main-
taining a high level of scientific quality ..Such report shall be submitted
on or before March 31,1978.          '
  SEC. 8.  (a) The  Administrator of the  Environmental Protection
Agency shall establish a Science Advisory Board which shall provide
such scientific" advice as the Administrator requests.
   (b) Such Board shall be composed 6f at least nine members, one of
whom shall be designated Chairman, and shall meet at such times and
places as may be designated  by the Chairman of the Board in  consul-
tation with the Administrator. Each ^member of the  Board shall be
qualified by education, training, and Experience to evaluate scientific
and technical information on matters referred to the Board under this
section.                            ;
   (c) In addition to providing scientific advice when requested by the
Administrator  under subsection  (a)j the Board  shall review  and
comment on  the  Administration's five-year plan for environmental
research, development, and demonstration provided for by section 5
of Public  Law 94-4.75  and on each  annual  revision 'thereof. Such
review and comment shall  be transmitted to  the Congress  by the
Administrator, together with his comments thereon, at the time of the
transmission to the  Congress of the annual revision involved.
   (d) The Board shall conduct a review of and submit a report to the
Administrator, the  President, and the  Congress,  not  later  than
October 1,1978, concerning—
      (1)  the health effects research authorized by this Act and other
    laws;                           ;
      (2)  the procedures generally  used in the conduct of such
    research;                     ,;
      (.3)  the internal and external "reporting of the results of such
    research;
      (4)  the review procedures for such research and results;
      (5)  the procedures by which such results are used in internal
    and external recommendations on policy, regulations, and legisla-
    tion ; and
      (6)  the findings  and  recommendations of the report to the
    House Committee on Science and  Technology entitled "The
                                     126

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              PUBLIC LAW 95-155—NOV. 8, 1977
91 STAT. 1261
    Environmental Protection Agency's Research  Program  with
    primary emphasis on the Community Health and Environmental
    Surveillance System (CHESS) : An Investigative Report".
The review shall focus special attention on the procedural safeguards
required to  preserve the scientific integrity of such research and to
insure reporting and use of the results of such research in subseqxtent
recommendations. The report shall include specific recommendations
on the results  of the. review to ensure scientific integrity throughout
the Agency's health effects  research, review, reporting, and recom-
mendation process.
  (
-------
91 STAT. 1262
               PUBLIC LAW 95-15S—NOV. 8, 1977
Report.
42 USG 4361.
Report to
President and
Congress.
Legislative
recommenda-
tions.
Presidential
report to
Congress.

42 USC 4361b.
Personnel
positions,
increase.
    mentj which may need to bo more effectively coordinated in order
    to minimize unnecessary duplication of programs, projects, and
    research facilities;             '
       (2) to determine the steps which might be taken under existing
    law, by him and by the heads of such other agencies, to accomplish
    or promote such coordination, and to provide for or encourage the
    taking of such steps; and
       (3) to determine the additional legislative actions which would
    be needed  to assure such coordination to the maximum extent
    possible.            ...
The Administrator shall include in each annual revision of the five-
year plan provided for by section 5 of Public Law 94-475 a full and
complete report on the actions taken and determinations made during
the preceding year under this subsection,  and may submit interim
reports on such actions and  determinations at such other times as he
deems appropriate.
   (b) The Administrator of the  Environmental Protection Agency
shall coordinate environmental research, development, and demon-
stration  programs of such Agency with the heads of other Federal
agencies in order to minimize unnecessary duplication of programs,
projects, and research facilities.
   (c)(l) In order to promote the coordination  of environmental
research and development activities, aiul to assure that the action taken
and methods used (under subsection (a) and otherwise) to bring about
s"ch rpordination will be as effective 'as possible for that purpose, the
Council on Environmental Quality iii consultation with the Office of
Science  and Technology Policy shall promptly undertake and carry
out a joint study of all aspects of th£ coordination of environmental
research and development. The Chairman  of the Council shall pre-
, pare a report on the results-of such study, together with such recom-
mendations (including legislative recommendations) as  he deems
appropriate, and shall submit such report to the President and the
Congress not later than May 31,1978.
   (2) Not later than September 30, 1978, the.  President shall report
to the Congress on steps ne has taken to implement the recommenda-
tions included in the report  under paragraph (1), including any  rec-
ommendations he may have for legislation.
   SEC. 10. The Administrator of the Environmental Protection Agency
shall implement the recommendations of the report prepared for the
House Committee on Science and Technology entitled "The Environ-
mental Protection Agency Research Program with primary emphasis
on the Community Health  and Environmental Surveillance System
 (CHESS): An Investigative Report",  unless for any  specific  rec-
ommendation he determines (1) that such recommendation has been
implemented, (2) that implementation ;of such recommendation would
not enhance the quality of the research, or (3) that implementation of
 such recommendation  will  require funding which is not available.
 Where such funding is not available, jthe Administrator shall request
the required authorization or appropriation for such implementation.
 The Administrator shall report  the'status of such implementation
 in each  annual revision of the five-year plan transmitted to the Con-
 greps under section 5 of Public Law 94-475.
   SEC. 11. The Administrator of the Environmental Protection Agency
 shall increase the number of personnel positions in the Health  and
 Ecological Effects program to 862 positions for fiscal year 1978.
                                     725

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              PUBLIC LAW 95-155—NOV. 8, 1977
91 STAT. 1263
  SEC, 12. (a) Each officer or employee of the Environmental Protec-
tion Agency who—
       (1) performs any function or duty under this Act; and
       (2) has any known financial interest in any person who applies
    for or receives grants, contracts, or other forms of financial assist-
    ance under this Act,                                 ;
shall, beginning on February 1, 1978, annually file with the Admin-
istrator a written statement concerning all such interests held by such
officer or employee during the preceding calendar year. Such statement
shall be available to the public.
   (b)  The Administrator shall—
       (1) act within ninety days after the date of enactment of this
    Act—
           (A) to define the term "known financial interest" for pur-
         poses of subsection (a) of this section; and
           (B) to establish the methods by  which the requirement to
         file written statements specified in subsection (a) '.of this sec-
         tion will be monitored and enforced, including appropriate
         provision for the filing by such officers and employees of such
         statements and the review by the Administrator of such state-
         ments; and
       (2) report to the Congress on June I of each calendar year with
    respect to such disclosures and the actions taken in regard thereto -
    during the preceding calendar year.
   (c) In the rules prescribed under subsection (b) of this section, the
Administrator may identify specific positions of a nonpolicymaking
natiire within the Administration and provide that officers or employ-
ees occupying such positions shall be exempt from the requirements of
this section.                      ......                 		
   (d) Any officer or employee who is subject to, and knowingly vio-
lates, this section, shall be fined not more than $2,500 or | imprisoned
not more than one year, or both.
   SEC. 13. It is the national policy that to the maximum extent possible
the procedures utilized for implementation of this Act shall encourage
the drastic minimization of paperwork.

   Approved November 8, 1977.
 Annual
 statement, filing.
 42 USC 4367.
  Report to
  Congress.
  Violation,
  penalty.


  Paperwork
  minimization,
  encouragement.
 LEGISLATIVE HISTORY:

 HOUSE REPORTS: No. 95-157 (Comm. on Science and Technology) and No. 95-722
                (Comm. of Conference).                     i      .  .   .
 SENATE REPORT No. 95-188 accompanying S. 1417 (Comm. on Environment and
                Public Works).
 CONGRESSIONAL RECORD, Vol. 123 (1977):
      Apr. 19, considered and passed House.                   ;
      May 27, considered and passed Senate, amended, in lieu of S. 1417.
      Oct. 20, Senate agreed to conference report.
      Oct. 25, House agreed to conference report.

                                o
                                      129

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Part 2
                EPA's annual reports to Congress on the Agency's
                five-year plans for research and  development, as
                required by Section 10 of ERDDAA.
                                   737

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APPENDIX  E
CHESS--The Community
Health and
Environmental Surveillance
System--                          ;
Congressional
Recommendations-
Status Report U                •
                                     !
  Background: A controversy about the
scientific credibility of results from the
CHESS study prompted a series of con-
gressional hearings in 1976. Subsequently,
17 major recommendations were made by
Congress to EPA regarding methods and
means  to  upgrade its  environmental  •
research.  These  recommendations.;
covered  a wide spectrum  of subjects.
Public Law  95-155, the  Environmental
Research, Development and Demonstra-  \
tion Authorization Act of 1978 specified  ,
that EPA annually report on  the im-  ;
plementation status of each recommended  \
action. This report is the second  status  <
report; the first was in Research Outlook
1978.                                ;
   Because last year's report was the first  :
status report, it included descriptions  of  \
all the recommendations and subsequent  •
EPA actions. The  reader is referred  to  ,
that  report and  documents  in  the
bibliography for detailed information  _
about the recommendations. Given below
is a status update of only those EPA ac-;
tions taken last year.                   ;

Recommendation            ;
 3--CHESS Monograph
   This   recommendation  concerns thei
public access to and understanding of the.
limitations of the CHESS monograph. To,
comply, we have  sent an  appropriate
 cover letter and copies of the Research]
 Outlook 1978 (which contains  the first,
 status report on the CHESS recommenda-
 tions) to locatable holders of the CHESS
 monograph. Any additional copies of the
 CHESS monograph that are distributed
 will  be  accompanied by copies of the
 cover letter and the Research  Outlook
1978. Finally, a notice is planned for the
Federal Register informing the public of
the availability of further information on
the CHESS monograph. These  actions,
we believe, satisfy the intent of recom-
mendation 3.

Recommendations  10(a),
10(c) and 12(a)

  These recommendations concern peer
review of EPA's scientific research. The
subject has received increased attention in
various quarters of EPA in the past year.
  To improve the quality of  research
throughout ORD, the EPA Assistant Ad-
ministrator for  Research and Develop-
ment has directed establishment of peer
review mechanisms  at the  laboratory
level. He  has  also  directed the  head-
quarters line managers, to  whom the
laboratories report, to structure a head-
quarters level peer review. Submission of
ORD research results to referred  scientific
journals is also being stressed.
  The EPA  Science  Advisory Board
(SAB) is a prime source for peer review
of research and research program plan-
ning  advice. Its various  components
regularly examine elements  of ORD's
research program.
   Recommendation  10(a)  specifically
concerns  establishment  of  an  inter-
disciplinary task force to draw up a plan
for EPA  to develop  "a  solid  base  of
knowledge and procedures in aerometric
instrumentation and measurements, mete-
orology, field data gathering, quality con-
trol,  epidemiology project design, and
testing and panel planning."  Last year's
status report indicated that this recom-
mendation would be discussed  with the
EPA's  Science  Advisory  Board. The
Board's Health  Effects Research Com-
mittee was directed by Public Law 95-155,
the  Research,  Development  and
Demonstration  Act of 1978, to review
EPA's health effects research,  including
the recommendations of the CHESS In-
vestigative Report. The Committee is in
the process of completing its report, We
 await that report, and the recommenda-
                     733

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RESOLUTION OF INVESTIGATIVE REPORT RECOMMENDATIONS
Number
3
3(c)
*M
4
5
6
12(b)
12(c)
12
CHESS dale analyses should be carried out only OB data with high validity potential '
EPA should publish research in referred journals in a timely fashion
EPA should not publish large projects solely in monograph form
EPA should not initiate projects for policy consideration unless they can be completed ,
in a realistic time frame ',
EPA should strengthen the CHAMP aerometric and quality control programs ;
EPA should shorten the time between data acquisition and quality assurance analysis
of data
EPA should stop employing development stage instruments before qualification testing •
EPA should not use laboratory models of instruments In the field until they have been
field checked and operating personnel trained
EPA should reevaluale the opening of the CHAMP operations contract to competition •
EPA research and monitoring personnel should closely coordinate regarding
chemical species '
EPA should have additional meteorological support for air pollution health effects
research studies '
EPA should examine accelerating research In pollutant characterization
An interdisciplinary task force should draw up an integrated air epidemiology-exposure ;
assessment program plan for EPA
CHAMP should verify instruments and protocols so that reliable data can be achieved
EPA should have epidemiologies! questionnaires and panel selection criteria approved
by peer groups
EPA should review research concepts obtained from learn interviews
The Environmental Resarch Center at Research Triangle Park (RTF) should not be '
reorganized until the end of FY 77 ;
EPA should establish authoritative peer review panels (o assist In improving j
research coordination
EPA should have a stronger focus on management at the Environmental Resarch Center, RTF '
EPA should create a systems analysis-operations research program review group
The Science Advisory Board's charter should be expanded
EPA should seek cooperative research programs with universities and other
laboratories and agencies
EPA should promote the exchange of scientists within and outside the Agency
EPA should fund individual Ph.D. thesis research
Action
Implemented
Implemented
Implemented
Implemented
Implemented
Implemented
Implemented
Implemented
Implemented
Implemented
Implemented
Implemented
Implemented
Implemented
Implemented
Implemented
Implemented
Implemented
Implemented
Implemented
Implemented
Implemented
Implemented
Implemented
Implemented
Implemented
Implemented
Implemented
Implemented
Implemented
Implemented
Under
consideration
734

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(CONT.)
Number Summary of Recommendations Action
13{d)
14
IS
K
17
The Science Advisory Board should develop outreach programs
The Administrator should clarify the role of the [Office of Research and Development
and its laboratories
EPA should resolve the separation of facilities at RTF
EPA should develop a professional caner development program for each
professional employee
. The Administration should determine if EPA should conduct research under its present
organizational configuration
Under
consideration
Shall be
implemented
Under
consideration
Implemented
Implemented
Source: Research Outlook 1978
tions of the Committee's Subcommittee ;
on Epidemiologic Studies. We will take '
appropriate action based on the recom-
mendations.
  Recommendation 10(c) concerns peer <
review and approval of epidemiological i
questionnaires  and  panel  selection
criteria. Appropriate review and approval ,
are part of the review of epidemiology '•
studies in EPA's research program, con-
ducted by the  SAB's  Health  Effects ;
Research Review Committee. It should be
noted  that the Interagency Regulatory
Liaison Group (IRLG),  composed  of
EPA,  OSHA, CPSC, and FDA has a j
working  group   on  epidemiology.  A
subgroup   addresses  standards  which •
would apply to epidemiological studies in '.
order to assure scientific validity for use
as court evidence.
  Recommendation 12(a)  refers  to peer :
review panels for increased coordination !
of research. The review responsibilities of i
the Committees mentioned in recommen-
dations 10(a) and 10(c) fulfill this recom-
mendation.  In addition, improved peer
review of EPA research was incorporated
within a new research  planning system
established within the past  year to im- ,
prove the responsiveness of ORD to EPA ,
program offices. This subject is discussed ;
in two reports to Congress: "The Plan-:
ning and  Management of Research and
Development Activities  Within EPA,"
June 1978, and a follow-up status report
in December 1978.
  These reports describe research plan-
ning via specially formed research commit-
tees.  Each  committee  will  consist  of
representatives from ORD and EPA Pro-
gram  Offices, and  will plan  research
specific to those offices. The new research
planning system calls for  incorporation of
peer review  mechanisms throughout the
planning and management  process  in
order to improve research quality. Several
research committees have been operating
successfully on a pilot basis, and more are
planned. While systematic peer review has
not yet been  implemented in the  pilot
committees,  EPA hopes to do so within
the coming months.

Recommendations  13(a),
13(c) and  13(d)
  These  recommendations  address  a
perceived isolation of EPA research. They
concern technical information exchange
and interaction of  EPA scientists with
peers outside EPA,  particularly with the
university community.
  Last  year's status report  described
EPA's  ties  with  the  university com-
munity, mentioning, most notably, EPA
extramural research which involves grants
                      735

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with  universities.  In FY  1977,  EPA
awarded 618 grants to 355 academic in-
stitutions. Each grant is monitored by an
EPA  project  officer,  an arrangement
enabling our people to work closely with
researchers outside EPA.
  Additionally,  the Intergovernmental
Personnel Act has allowed an exchange of
researchers between EPA and state and
local   governments  and universities.
A report  to  Congress,  "Laboratories
Needed to Support Long-Term Research
in EPA," April 1978, further  explores
possible ties between ORD and univer-
sities.  The report  recommends  a selec-
tively  expanded program of long-range
research  with  both intramural  and ex-
tramural  components.  An  important
means of assuring coordination of these
components is scientisMo-scientist con-
tact between EPA and the academic com-
munity. The extramural  portion of the
program  would initially  be  a series of
small centers for long-range research at
universities   and  other institutions
dedicated to specific research problems.
In FY 1979, ORD will propose three such
centers, one each  for advanced control
technology, epidemiology, and ground-
water research. These centers would serve
as bridges to  the  academic  community
and should provide ORD with a reservoir
of talented scientists.
  ORD's Minority Institutions Research
Support (MIRS) program also serves the
spirit of recommendation 13. MIRS was
established in  1972 to help minority in-
stitutions develop the potential  for con-
ducting environmental research and thus
become  more competitive for federal
funds. The EPA's MIRS staff maintains
continual liaison  between  university
researchers and the ORD scientific staff
to develop relevant research proposals.
Some expansion of the program is being
considered.
  Recommendation  13(c)   refers
specifically to  EPA programs to fund in-
dividual  PhD theses. EPA's workforce
training  program,  recently placed under
ORD's aegis,  includes both  academic
training  grants given to various institu-
tions  and  fellowships  to individuals.
EPA's role in this  type of program is
unique since many whose work is crucial
to achieve environmental • goals are  not
directly employed by EPA. This non-
federal  workforce  includes  wastewater
treatment operators, state/environmental
employees, and other professionals. EPA
currently is working with the Department
of Labor and the Office of Education to
address various options for further work-
force  development.      :

  Recommendation  13(d)  concerns
Science Advisory  Board ; assistance  to
EPA to develop an outreach program. We
have  actively  sought  SAB counsel  for
many activities related to our connections
with the academic community. For exam-
ple, the SAB helped prepare the report
cited  above,  "Laboratories  Needed to
Support Long-Term Research in EPA."
Additionally,  the  EPA Assistant  Ad-
ministrator for Research {and  Develop-
ment made a formal presentation to SAB
concerning  ORD's  university  relations.
As  a  result  of  this presentation  and
previous discussion, the SAB will develop
outreach program suggestions for further
consideration.            ,

Recommendations 14 and

17                      ;
  These recommendations  -state that the
EPA  Administrator should  clarify  the
role of the EPA Office of Research  and
Development and determine if research
should  be  conducted  in its  present
organizational configuration.
  The Environmental Research, Develop-
ment  and Demonstration  !Act  of 1978
(Public Law 95-155) directed  the EPA
Administrator to report to ithe President
and Congress the most appropriate means
of assuring that EPA's research efforts
reflect the needs and priorities of the EPA
regulatory program offices. The EPA Ad-
ministrator fulfilled that mandate with
the distribution of the report "The Plan-
ning and Management of  Research  and
Development  Activities within EPA"
(June  1978).  The  information  in  this
                                                    736

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report satisfies both recommendations.
  Concerning Recommendation 14—the;
clarification of the role of ORD and its,
laboratories—the  report  provided  a.
mechanism  for  improved  coordination;
between ORD and program offices forj
planning  research.  This  mechanism,,
described above  in connection  with peer;
review, is a series of research committees, j
established for  each  research planning
unit. Five pilot committees have already:
been established for  key research areas;
and  more  are planned.  Each research
committee  is chaired  by  a  research,
manager (designated by ORD) and has'
representatives from relevant program of-j
fices and EPA  Regions.  At  a  hearing
before the House Science and Technology
Committee, Subcommittee on the  En-
vironment and the Atmosphere, the EPA
Administrator and Assistant Administra-
tors attested to  the  success of this  ap-
proach. A formal status  report on  the
pilot activities was provided to ORD's
authorizing committees in December, 1978.
   Further exploration of ORD's role in
the Agency was provided by the report
mentioned under  Recommendation  13.'
This report, "Laboratories Needed  to
Support Long-Term Research in EPA"
(April   1978)  examines  alternative  ar>i
preaches  for  conducting  long-term  en-
vironmental  research and presents find-
ings  and recommendations. The report
also reviews the history of ORD labora-
tories,  describes representative research
areas that could benefit from enhanced
long-term support, describes mechanisms
used by other federal agencies for carry-
ing out this kind of research, and presents
options  for long-term  research within
EPA.                                ,
   Concerning Recommendation 17—that
EPA determine whether it should conduct
research under its present organizational
configuration—a study group found that
"the Agency's R&D problems have  no't
resulted from the way the R&D program
is organized." To reach this conclusion,
the group  reviewed a number of similat
organizational  structures  in  various
federal agencies. Possible use of some of
those organizational structures was re-
jected and, instead, the study group pro-
posed for ORD the management system
changes described above.

Recommendation 15
  This recommendation directs EPA to
resolve  the separation  of facilities at
Research  Triangle Park  (RTP),  North
Carolina.  EPA's Office of Research and
Development (ORD) is presently prepar-
ing a program of requirements for a new
research  and development  facility at
Research Triangle Park. Additionally, the
Agency has set  up an EPA  long-range
plan for special purpose facilities. This
long-range plan  would be agency-wide
and would include the EPA regional of-
fices' facilities as well as the Office of
Research and Development laboratories.
                      137

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CHESS                  :

   Health Consequences of Sulfur Oxides: A
   Report  from CHESS,  1970-1971.  United
   States Environmental Protection Agency.
   EPA 650/1-74-004. May, 1974.

   Laboratories Needed  to Support  Long-
   Term Research in EPA: A|  Report to the
   President and the Congress,. United States
   Environmental Protection Agency.  EPA
   600/8-78-003. April, 1978.

   Pilot Study of the Revised Planning and_
   Management  System  for Research  and
   Development in the Environmental Protec-
   tion Agency: A Status Report to the Con-
   gress. United States Environmental Protec-
   tion Agency. November, 1978.

   Report   of  the  Task  Force to  Review
   CHESS. United States Environmental Pro-
   tection Agency. April 7, 1976.

   Report  on Joint Hearings on the Conduct
   of the Environmental! Protection Agency's
   Community  Health  and  Environmental
   Surveillance System' (CHESS)  Studies.
   United  States Congress. House Interstate
   and Foreign Commerce and House Science
   and  Technology Committee. 94th  Con-
   gress, 2nd  Session.  Washington,  United
   States Government Printing Office, April,
   1976.

   Report on  the Environmental Protection
   Agency's Research Program with Primary
   Emphasis on the Community Health and
   Environmental Surveillance  System
   (CHESS). United States Congress. House
   Committee  on  Science and  Technology
   Committee.  94th Congress;  2nd  Session.
   Washington,  United  States  Government
   Printing Office,  November,  1976.

   Research Outlook 1978. United States En-
   vironmental  Protection Agency.  EPA
   600/9 78-001, June 1978.   I

   Rood,  W.B. EPA Study-r-The  Findings
   Got Changed.  Los   Angeles   Times,
   February 29, 1976.        i

   The Planning and Management of Research
   and Development Within EPA: A Report
   to the President and the Congress. United
   States Environmental. Protection Agency.
   June 30, 1978.
            138
                                           it US. GOVERNMENT PRINTING OFFICE 1973 (3—291-132

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                                                                Appendix 3
                                Community health  and
        environmental  surveillance system
Introduction
  On November 24, 1976, the House Sub-
committee on the Environment and Atmo-
sphere of the Committee on Science and
Technology released a report titled, "The
Environmental Protection Agency's Research
Program with Primary Emphasis on the
Community Health and Environmental Sur-
veillance System (CHESS): An Investigative
Report" (Ref. 1). The Environmental Re-
search, Development, and Demonstration
Authorization Act of 1978 (P.L. 95-155)
specifies that EPA shall report the implemen-
tation status of the Investigative Report's rec-
ommendations in each annual revision of its
five-year plan. This is the first EPA im-
plementation status report.

Background
  CHESS emerged as a major program in
1970. A discussion of goals and objectives is in
"Environmental Science and Technology"
(Ref. 2). CHESS was designed, as the name
indicates, to monitor the health status of the
United States population with respect to vary-
ing environmental conditions. For the most
part, the environmental considerations were
limited to meteorologic conditions and pollu-
tion levels. The program included studies of
health  groups and potentially  susceptible
groups such as asthmatics. CHESS data,
gathered over five years, have been analyzed
for relationships between health effects and
exposure to such pollutants as sulfur oxides,
nitrogen oxides, paniculate matter, and
oxidants.
  In May 1974, EPA published the  "Health
Consequences of Sulfur Oxides: A Report
from CHESS, 1970-1971" (often referred to
as the CHESS Monograph) that included sev-
eral of the early CHESS aerometric and
health studies (Ref. 3).
  On February 29,1976 (he Los Angeles Times
published the first of several articles implying
that studies hi the CHESS Monograph on die
health effects of ambient sulfur oxides were
distorted (Ref. 4). Basically, die Times articles
made three allegations: (1) the analysis of the
CHESS data shows a stronger  than actual
correlation of adverse health effects with; in-
creased levels of ambient sulfate; (2) Dr. John
F. Finklea was responsible for the distortion,
with the passive  assistance of his subordi-
nates; and (3) the EPA regulatory program
for sulfur oxides rests solely on the CHESS
program.
  On April 7,1976., an EPA investigative task
force appointed to review the entire matter
reported its  findings  (Ref. 5). This group
interviewed'most of the EPA employees who
participated in the CHESS data analysis.
From these interviews, it became apparent
that comments of EPA personnel made to the
Times reporter  referred  to the 1972 draft
version of the report, and not to the final
publication of 1974. The group's unanimous
opinion concerning both the draft and final
versions was "that there is no evidence of dis-
honesty or deliberate distortion of data by Dr.
John F. Finklea or members of his staff who
worked on the Monograph. On the contrary,
there is evidence of an honest and aggressive
effort to  publish the sulfur oxide findings
from the CHESS studies so that they would be
available in a timely fashion for use by the
Agency and die public at large."
  On April 9, 1976, the allegations concern-
ing the CHESS report and the Times  articles
were the subject of a Congressional hearing
convened by two House Committees: Science
and Technology and Interstate and Foreign
Committee (Ref. 6, pp. 23-24). Three of the
Committees' conclusions, which directly re-
late to the Los Angeles Times allegation, are:

  —"There was agreement that the CHESS
    studies confirm an association between
    sulfur oxides emissions and adverse
    health effects."
  —"There was no evidence that Dr. Finklea
    tampered with, distorted, or withheld
    data."
  —"The National Ambient Air Quality
    Standards (NAAQS) for sulfur dioxide
    were set before CHESS, and were based
    on odier data."

  An examination of the Times articles and
the Congressional hearing is published in Sci-
ence and the Environmental Health Letter (Ref.
7,8).
  The House Committee  on Science and
Technology started an investigation concern-
ing technical issues relating to CHESS in
April of 1976. The Committee released the
Investigative Report on November 24, 1976
(Ref. 1).

Investigative report
recommendations
  The recommendations in the Investigative
Report concern two major topics: the scien-
tific assessment of the CHESS program, and
the present and future management of EPA
research. EPA agrees with many of the Inves-
tigative Report's statements and recommen-
dations regarding the quantitative limitations
of the CHESS results. Also, EPA concurs with
the majority of the recommendations for the
                        139

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improvement of research. The implementa-
tion status for each recommendation is dis-
cussed in the following paragraphs.
Recommendation 3
CHESS Monograph
  Recommendations 3(a), (b), and (c) in the
Investigative Report  concern the CHESS
Monograph. Recommendation 3(b) directs
that the Monograph should not be used with-
out explicit qualifications. Recommendations
3(a) and 3(c) state that EPA should publish an
announcement regarding the limitations of
the Monograph and publish an addendum to
the Monograph (including at least Chapters
IV, V, VI, and Appendix A of the Investiga-
tive Report). Priorto presenting our response
to these recommendations, the EPA air
health effects research program, the CHESS
Monograph, and EPA's regulatory respon-
sibilities will be placed in perspective.
  The air health effects research program
.uses a combination of research approaches:
human epidemiological studies, human clini-
cal studies,, and toxicological studies on ani-
mal models (Ref. 9). Integrating the capabili-
ties and advantages  of these approaches
provides the best overall scientific strategy
for informed regulatory decisions. Concern-
ing the CHESS program, epidemiologic in-
vestigations offer the advantages of studying
the biological responses of people, including
vulnerable groups, under ambient condi-
tions.
  The major problems are related to quan-
tifying the exposure, dealing with many typi-
cally unknown covariates, and interpreting
association vs. causation. Several publica-
tions, including the Investigative Report,
contain detailed explanations of the strengths
and weaknesses of epidemiology (Ref. 1, pp.
57-58; Ref. 10, pp. 16-17; Ref. 11, pp. 16-17).
  EPA acknowledges the limitations of in-
dividual epidemiologic studies. For example,
the Summary and Conclusions of the CHESS
Monograph states:
  "The findings summarized in this paper
  must be substantiated by replicated obser-
  vations in different years and under dif-
  ferent circumstances. Weil controlled
  human and animal studies are required to
  isolate several of the important intervening
  variables that are inherent to studies of free
  living populations, and to elucidate the
  precise nature of the pollutant-disease rela-
  tionship. Hence, the conclusions put  forth
  at this time cannot be definitive, but are of-
  fered in the sense of developing more re-
  fined quantitative and scientific hypotheses
  concerning pollutant-health effect associa-
CHESS Study Areas
             Rocky Mountain Cities—5
             (Sulfur oxides)
                  Salt Lake Basin—4
                  (Sulfur oxides)
 New York City Metropolitan Area—
 (Sulfur oxides and paniculate matter
         Los Angeles Basin—7
         (Photochemical oxidants)
         and nitrogen oxides)
 Chattanooga—3
 (Nitrogen oxides)
                                       Southeastern Cities—9
                                       (Paniculate matter)
 Note: Numbers indicate number of neighborhoods studied per area.
                                                              140

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                                                                   Appendix 3
  dons in a real life environment." (Ref. 3, p.
  7-4).
  Most epidemic logic studies are open to crit-
icism and this was the reason spatial and tem-
poral replication was  fundamental to the
CHESS  designs. Further, in  practically ail
areas of epidemiology, conclusions rest on
the weight of evidence from  many studies,
not on  individual studies. Thus, there is
ample justification to cite CHESS studies as
they bear on existing EPA standards. An im-
portant feature of several of the CHESS
studies reported in the Monograph  is their
general consistency with the majority of
epidemiologic, clinical, and toxicologic
studies  previously published in the  sulfur
oxides and particular matter literature. The
CHESS studies tend  to support the rea-
sonableness  of existing ambient air quality
standards for sulfur oxides and paniculate
matter. However, EPA agrees that there is far
too much uncertainty and lack of qualifica-
tion in findings contained in the Monograph
to support any new or modified air quality
standards.
   Finally, the Monograph assessments of cur-
rent pollution exposure were among the most
complete that had ever been performed
within  the  then existing state-of-the-art.
These epidemiologic findings, although hav-
ing a limited ability to affect EPA regulatory
policy, have materially advanced our knowl-
edge concerning the general distribution and
behavior of the exposure-response variables
employed.
   Misunderstandings still exist,  however,
over the CHESS Monograph and EPA's regu-
latory posture on sulfur oxides. Therefore,
this report to the Congress shall be widely cir-
culated and sent to all holders of the CHESS
Monograph with an appropriate cover letter.
With this action, EPA believes that the intent
of Recommendation 3 will be adequately im-
plemented.

Recommendation 4
research responsibilities
   Recommendation 4 addresses research re-
sponsibilities and  resources.  Recommenda-
tion 4(a) directs thai: legislation should be re-
examined regarding unrealistic procedures
and schedules. Legislative mandates are the
most important considerations in the annual
program planning process. EPA maintains an
in-house research capability and expertise to
respond to short deadlines. However, when
procedures or schedules are unrealistic, the
Congress and the O ffice of Management and
Budget (OMB) are informed by either the
normal budget submission process, during
 oversight hearings, or by other appropriate
 mechanisms. Recommendation 4(b) specifies
 that research be designed to gain information
 and not support positions. The Office of Re-
 search and Development is organizationally
 separated from offices having regulatory re-
 sponsibilities. Therefore, scientists conduct
 research to gain accurate information and are
 riot under pressure to support existing or
 preconceived positions held by the regulatory
 offices. The Science Advisory Board, an in-
 dependent advisory body, has established a
 Subcommittee on Epidemiological Studies to
 independently review EPA's epidemiology
 (Ref. 12). Recommendations 4(c) and (d) con-
 cern the Office of Management and Budget
 allowing all necessary funding for expedi-
 tious research and advising the Congress of
 budgetary restrictions affecting completion
 of major projects. Through the  normal
 budgetary process, the Office and the Con-
 gress are advised for EPA resource require-
 ments and which programs are affected by
 budgetary restrictions.

 Recommendation 5
 {questionnaires
   Recommendation 5 advises that the OMB
 should be asked to develop procedures for
 prompt review of questionnaires. OMB and
 EPA's research managers and scientists have
 .discussed this matter. These discussions have
 i expedited questionnaire clearances.  How-
 : ever, the total number of questionnaires allo-
 ! cated to EPA is small and therefore limits the
 number of epidemiologic studies that can be
 performed  (Ref. 13). The control of ques-
 . tionnaires by the Federal Government was in-
 tended to reduce involuntary solicitations
 from the private sector. Only selected volun-
 teers participate in EPA's  epidemiologic
 studies. Therefore,  we believe that EPA's
 voluntary questionnaires should be free of al-
 location limitations.

 Recommendation 6
 i CHESS data
    Recommendation 6 concerns the process-
 i ing and publication of the remaining CHESS
 1 data. Recommendation 6(a)  directs that un-
 : analyzed data be examined and that analyses
 be carried out on those data that appear to
 have a higher degree of validity than the
 CHESS Monograph data base. In general,
 the quality  of the CHESS data improved as
, experience was gained. Therefore, a plan has
. been developed for validation of 61 of the 65
, data sets for which reports have not yet been
r published (Ref. 14). Four episode studies will
! not be validated because their usefulness is
                            141

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questionable. Recommendations 6(fa) and (c)
concern publishing research in traditional,
refereed, archival, journals and not publish-
ing solely in monograph form. EPA endorses
this policy. Independent university scientists
are being used to analyze, interpret, and re-
port on appropriate CHESS data. Manu-
scripts of research investigations  are being
submitted for publication in the scientific lit-
erature as relevant studies are completed. As
of December .1, 1977, there have been 28
CHESS publications in  scientific journals
(Ref. 15). Monographs are, and have mainly
been, used as a vehicle to present all pertinent
data that would be inappropriate for publica-
tion  hi scientific journals. Recommendation
6(d) states that projects for policy consid-
erations should not be initiated unless they
can be completed in a realistic time frame and
unless the research staff can be involved in
the process. Several mechanisms  have been
incorporated to develop achievable program
plans. These include a joint program plan-
ning process where the staffs of the research
laboratories and headquarters, and the pro-
gram offices participate. In addition, labora-
tory program reviews are conducted  and
problems associated with the implementation
of investigations are discussed and resolved.

Recommendations 7,8,
and 10(b)—CHAMP
  Recommendations 7, 8, and 10(b) are di-
rected toward CHAMP, EPA's Community
Health Air Monitoring Program. Recom-
mendation 7(a) states that the aero metric and
quality control programs should  be further
strengthened and improved.  An expanded
quality  control program is being im-
plemented in EPA (Ref.  16). Specifically for
CHAMP, comparisons  for  instruments,
techniques, and standards  are being con-
ducted among the EPA laboratories measur-
ing  air quality. In addition, a contractor is
providing additional quality control audits of
die  CHAMP field and  laboratory systems
(Ref. 17). This includes the use of National
Bureau of .Standards flow and measurement
standards as well as gas mixture  standards.
Recommendation 7(b) directs a shortening of
time between data acquisition and quality as*
surance analysis of data. The new CHAMP
contractor has been given: technical direction
to minimize the time between data collection
and validation (Ref. 18). To accomplish this,
software is being developed and maintenance
practices have been revised.
  Recommendations 7(c) and (d) specify that
development stage instruments should not be
employed before qualification  testing has
been done and that laboratory models of in-
struments should not be used in the field until
they have been field checked and operating
personnel have been  trained. The present
CHAMP policy calls for complete checkout,
acceptance testing, and personnel training
before field placement of any developmental
stage instruments. Recommendation 7(e) di-
rects that the opening of the CHAMP opera-
tions contract to competition should be reex-
amined to see whether the  merits of open
bidding outweigh the problems of instability.
This revaluation took place and it was de-
termined that the merits of open bidding with
the possibility of improved performance
outweighed any problems of instability. In
due course, the contract was awarded to a
new contractor after competitive bidding.
The transition period between the old and
new contractors disclosed several major defi-
cient areas. This finding confirmed the wis-
dom of the decision to reopen the CHAMP
operations contract. Recommendation  7(f)
concerns health effects personnel closely
coordinating with air quality and monitoring
personnel to understand chemical species to
be monitored. The CHAMP staff is cooperat-
ing closely with the epidemiologists and other
health scientists in the design and protocol
development for epidemiologic studies. This
cooperation  includes reaching mutual
agreement on chemical species to be moni-
tored.                  ;
  Recommendation 8 concerns additional
meteorological support for health research-
air pollution effects studies. This recommen-
dation also directs that meteorological in-
strumentation be uniform: and complete for
all stations. There  is one  full-time
meteorologist assigned to the epidemiologic
program. He  works >with   both  the
epidemiologists and CHAMP personnel to
assure that the appropriate and uniform
meteorological measurements are made. Be-
cause of the  reduction in the number of
epidemiologic studies since the termination
of CHESS field studies, the meteorological
support to this activity is now at  the proper
level. Additional meteorological support will
be seriously considered if  the number of
epidemiologic studies is significantly in-
creased.                !
                  742

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                                                                   Appendix 3
  Recommendation 10(b) directs  that in-
struments and protocols used in CHAMP be
verified to ensure: reliable data. EPA is
testing all instruments in present use for
precision and accuracy. The present system
of continuous air monitors appears to have a
precision and accuracy such that errors are
less than plus or minus 15 percent. Third
generation instruments are being evaluated
when obtained to improve the present sys-
tem.

Recommendation 9
pollutant characterization
  Recommendation 9 directs that the EPA
Health Effects program as well as interagency
utilization of all available Federal and ex-
tramural resources in the health effects area
should be examined with the objective of sig-
nifscandy accelerating research in pollutant
characterization. Liaison is maintained with
other Federal agencies and the non-Federal
sector regarding air pollution characteriza-
tion. In accord with the 1977 Clean Air Act
Amendments, EPA has organized an intera-
gency task force to determine the effects of
environmental pollutants on cancer, heart,
lung, and other chironic diseases (Ref. 19). In
addition, on a case by case basis we are exam-
ining the proper l>alance between pollutant
characterization and health effects research.
Adjustments are being made as deemed ap-
propriate. We fully appreciate, for example,  :
the necessity of having adequate pollutant ,
characterization data prior to the beginning i
of laboratory toxicoiogic experiments. The
same  principle  clearly  applies  to '
epidemiologic research.                   >

 Recommendations 10(a), 1Q(c),  <
 12(a)  and 12(d)—peer review
  Recommendations 10(a), 10(c), 12(a) and i
 12(d) concern peer review. Recommendation '
 12(d) concerns expanding the Science Advi- ;
 sory  Board charter. The charter has been
 modified in accord with the Environmental:
 Research, Development, and Demonstration '
 Act of 1978. (Ref.  20). Under the previous
 and new charter, die Board is authorized to ;
.conduct peer reviews. The Board, an inde-
 pendent advisory body, decides how it will re-
 spond to requests for assistance. The Office ,
 of Research and Development  encourages:
 die Board to conduct such reviews. However,
 it is impossible for die Board to review all re-
 search programs because of the limited time'
 Board members can devote to EPA activities, j
 TheOfficeof Research and Development has
 started discussions with the Board to establish <
 a more effective internal peer review process.
  Recommendation 10(a) states that a truly
interdisciplinary task force led by an eminent
scientist should draw up a program plan for
EPA to develop a solid base for knowledge
and procedures in aerometric instrumenta-
tion and measurements, meteorology, field
data gathering, quality control, epidemiology
project design and testing, and panel plan-
ning. This recommendation will be discussed
with the  Board. The activities of several
groups are pertinent to the recommendation.
The Board's Subcommittee on Epidemiolog-
ical Studies provides advice and assistance in
the review and evaluation of. proposed or
existing programs of epidemiologic  studies
relating to the health effects of environmen-
tal pollutants (Ref. 13). Interactions between
our scientists and this subcommittee are con-
tinuing. The Environmental Measurements
Advisory Committee has visited several EPA
laboratories and evaluated current analytical
methods and instrumentation research (Ref.
21).
  Recommendation 10(c) directs that EPA
should have epidemiological questionnaires
and panel selection criteria approved by peer
groups before the next round of investiga-
tions. Specific questions that must be resolved
are identified. Regarding the latter, all ques-
tions are presently being addressed either by
the in-house staff or through contracts. As
mentioned previously, the matter of peer re-
views is being discussed with the Board.
  Recommendation 12(a) directs EPA to es-
tablish authoritative peer review panels to as-
sist in improving research coordination. This
is being discussed with the Board.

Recommendation 10(d)—ideas
  Recommendation 10(d) instructs that EPA
should review several ideas raised in the in-
vestigation team interviews. These have been
reviewed and some have been incorporated
into the epidemiology program.
                           143

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Recommendation 11
reorganizations
  Recommendation 11 states that no signifi-
cant reorganization should occur at Research
Triangle Park's  Environmental Research
Center until the end of Fiscal Year 1977, No
significant reorganizations have occurred
during that specified time period.

Recommendation 12(b)
management
  Recommendation 12(b) instructs that EPA
should have a stronger focus on management
at the Environmental Research Center, Re-
search Triangle Park, North Carolina. In its
laboratory reorganization, the Office of Re-
search and Development established a line
structure with accountable managers direct-
                                        ing the. research programs at each laboratory.
                                        In turn, each laboratory has programs as-
                                        signed on the basis of scientific areas that are
                                        carried out by its complement of scientists
                                        and engineers. In addition to the line man-
                                        agement of each Laboratory, the  Research
                                        Triangle Park includes an office of the senior
                                        research and  development official. Essen-
                                        tially, this official (who is, also a Laboratory
                                        director) is responsible to the Assistant Ad-
                                        ministrator for Research and Development to.
                                        assure effective operation and administration
                                        in the laboratories.      '

                                        Recommendation 12(c)
                                        systems analysis
                                          Recommendation 12(c) instructs that EPA
                                        should create a  systems analysis-operations
                                        research program review {group. Using sys-
 FederaJ Health Facilities in
 Research Triangle Park, North Carolina
                             Durham       A
                             Duke University J
                             10 Kilometers
                                            EPA Interim
                                          — Facilities
  Chapel Hill
  University of
  North Carolina
  16 Kilometers
                                              National
                                              Center for
                                          jjjfl Health
National Institute
for Environmental
Health Sciences
                                                                 EPA Interim
                                                                 facility
                                     National
                                     Environmental
                                     Health Sciences
                                     Center
                                     Permanent
                                     Federal Site
                                                        Raleigh >
                                                        North Carolina
                                                        State University
                                                           144

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                                                                   Appendix 3
terns analysis and operations research as
tools, significant program reviews are carried
out by the Office of Planning and Manage-
ment in its Program Evaluation Division. As
needed, the Division:
  —Assembles and evaluates scientific,
  .  technological, cost, benefits, and institu-
    tional data to critique existing program
    activities, and recommends alternatives.
  —Develops a long-range policy framework  :
    for EPA goals and objectives in consulta-
    tion with other Agency offices; identifies
    strategies for accomplishing these goals;  ;
    and assures that program activities are  '
    evaluated in relation to such strategies.   :
  —Conducts and coordinates analyses and  •
    evaluations of Agency-wide  programs,
   ' including those crossing EPA orgaraiza-  :
    tional lines.

Recommendation 13
technical exchange
  Recommendation 13 relates to the EPA re-  ,
search program and maximal technical ex-
change. Recommendation 13(a) directs that  j
EPA should seek cooperative research pro-
grams with universities and other laborato-
ries and agencies. The research program in
EPA has a large  extramural component in-  :
volving research grants with universities and  i
interagency agreements with other Federal
organizations. For example, the overall coor-
dination and detailed planning of the Inter-
agency Energy/Environment Program is the
responsibility of the EPA (Ref. 22). Research  .
and development activities  under this pro*  •
gram are performed by several agencies in
addition to EPA. Also, most of the EPA re-
search laboratories are located on university  :
campuses, or in research parks developed by
universities, and have close working relation*
ships with nearby institutions. Recommenda-
tion 13(b) directs that EPA should promote
the exchange of scientists both within and j
outside the Agency, Over the last few years,;
the Office of Research and Development has
used the Intergovernmental Personnel Act,
mobility program. This  program authorizes
the temporary exchange of career employees
between  the Federal Government and state:
and local governments, institutions of higher,
education,  and Indian  tribal governments.
Currently, 66 individuals are participating in
the Office's mobility  program.
   Recommendations 13(c) and (d) concern;
EPA of funding individual Ph.D. thesis re-
search and the Science  Advisory Board de-,
velopment of outreach programs. The Office,
of Research and Development will discuss
these recommendations  widi the Science Ad-1
visory Board and-specifically seek their assis-
tance in developing effective outreach  pro-
grams. Board members have provided  gen-
eral comments but have not yet undertaken
any formal actions related to outreach  pro-
grams.

Recommendations 14 and 17
research rote
  Recommendations 14 and 17 state that the
EPA Administrator should clarify the role of
the Office of Research and Development and
determine if research should be conducted in
its present organizational configuration. EPA
is preparing a report  to the Congress on
planning and management of the Agency's
research and development activities. This re-
port will address the most appropriate means
of assuring,  on a continuing  basis, that re-
search in the Agency reflects the needs and
priorities of the regulatory program.

Recommendation  15—facilities
  Recommendation 15 directs EPA to resolve
the separation of facilities at Research Trian-
gle Park. This is the largest EPA field facility
and  is located in North Carolina within the
geographical triangle bounded by the North
Carolina cities of Raleigh, Durham, and
Chapel Hill. In this area, three major EPA
components with a total of 1,857 employees
and  contractors occupy leased space in nine
buildings. In 1967,  a 509-acre tract at the
Park was donated to the Federal Government
for  the construction of the National En-
vironmental Health Science Center. An over-
all master site plan was completed in  1971
and EPA was assigned a 44-acre site for con-
struction of a permanent facility (Ref. 23).
Recently EPA developed a long-range space
plan for its activities in the area (Ref. 24). This
plan is presently under consideration,

Recommendation 16
career development
   Recommendation 16 states that EPA man-
agement should develop, implement, and de-
fend a professional career development pro-
gram for each professional. It is the policy of
EPA to plan and provide for the training, de-
velopment,  and  necessary career planning
for  employees (Ref. 25). In July  1977, the
Agency strengthened existing mechanisms to
insure adequate career  development  (Ref.
26). As  part of their  annual performance
evaluation, supervisors are required to de-
velop a yearly training plan for  each
employee.
                             145

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Resolution of Investigative Report Recommendations
Number
3(a)

3(b)

3(c)

4(a)

4(b)

4(c)

4(d)

S

6(a)

6(b)

6(0)

6(d)

7(a)

7(b)

7(c)

7(d)


7(8)

7(f)

8

Summary of Recommendations
EPA should publish an announcement regarding the
limitations of the CHESS Monograph,
EPA should not use the CHESS Monograph without
explicit qualification.
EPA should publish an addendum to the CHESS
Monograph including most of the Investigative Report.
Legislation should be reexamined regarding unrealistic
procedures and schedules.
EPA should design research to gain information and not
support positions.
OMB should allow all necessary resources if public
policy requires expeditious research.
EPA should advise Congress if budgetary restrictions will
impact completion of major projects.
OMB should be asked to develop procedures for prompt
review of questionnaire.
CHESS date analyses should be carried out only on data
with high validity potential.
EPA should publish research in refereed journals in a
timely fashion. ,
EPA should not publish large projects solely in
monograph form.
EPA should not initiate projects for policy consideration
unless they can be completed in a realistic time frame.
EPA should strengthen the CHAMP aierometric and
quality control programs.
EPA should shorten the time between data acquisition
and quality assurance analysis of data.
EPA should stop employing development stage
instruments before qualification testing.
EPA should not use laboratory modete of instruments in
the field until they have been field checked and
operating personnel trained.
EPA should reevaluate the opening of the CHAMP
operations contract to competition.
EPA research and monitoring personnel should closely
coordinate regarding chemical species.
EPA should have additional meteorological support for
air pollution health effects research studies
Action I
Shall ba
implemented
Shall be
implemented
Shall be
implemented
Implemented
t
Implemented
!
Implemented
i
Implemented

Implemented

Implemented
;
Implemented

Implemented
1 . 1
Implemented
' ,
Implemented
;
Implemented
i
Implemented
!
Implemented


Implemented
;
Implemented

Implemented

                                        146

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                           Appendix 3
Number
9
10(8)
10(b)
1
-------

-------
Part 3
               Report to Congress in February 1979, as required by
               Section 8(d) of ERDDAA,
                                   149

-------

-------
    Report of the
    Health Effects
Research Review
            Group
  U.S. Environmental Protection Agency
        Science Advisory Board I
             February 1979 \

           75?

-------
                            EPA  NOTICE
     This report has  been  written as a part of the activities of
the Agency's Science  Advisory  Board, a public advisory group
providing extramural  scientific  information to the Admin-
istrator and ot her ' of fj_c1_aj j>__ of _th.eJE nv irojun e_nt_aj _Rr_oi JBJ: tl o. n. _______
          tre~"B^aTrcr i s  structured to provide a balanced expert
assessment of scientific: matters  related to problems facing the
Agency.  This report  has not  been reviewed for approval by the
Agency, and hence  its contents  do not  necessarily represent the
views and policies  of the  Environmental  Protection Agency.
                                 752

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                             TABLE  OF CONTENTS
                                                                       Page
   I.   Introduction	,	154
  II.   Summary and Recommendations	  156
 III.   Committee Membership,  Approaches,  and Procedures ........  164
  IV.   Research in a Regulatory Agency: The Conflict Defined  	  167
   V.   Observations of Current EPA  Research and Development 	  172
  VI.   Utilization of ORD Results . ... . . . .  .  .  . .  ......  .189
 VII.   Status of Implementation of  Two Sets ofNational Academy of
         Sciences (NAS) Recommendations to EPA	  190
VIII.   Community Health and Environmental Surveillance-System"""
         (CHESS): An Investigative  Report . . . V~.  .  . .  . ...  .  .  .  205
APPENDICES
                                                i
       A.  Charge to Committee and  Authorization for Charge in
             Public Law 95-155	211
       B.  Committee Membership and Consultants 	  219
       C.  Chronology of Committee Visits to Facilities and
             Meetings	221
       D.  List of Principals Interviewed and/or Supplying
             Information  ........  ..".":..  ..........  .223
       E.  Agenda of Major Regulations Being Considered by EPA  ....  239
                                     153

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I.   INTRODUCTION

     The Congress required an evaluation of the health effects
research efforts of the U.S. Environmental Protection Agency in
section 8(d) of Public Law 95-155, enacted November 8, 1977.*

     Subsequent to the passage of the Act, EPA's Science
Advisory Board formed a special  committee to perform the
mandated evaluation.  This Committee, named the Health Effects
Research Review Group (HERRG) and composed of experienced
scientists and research managers, began their task i.n May 1978.

     The Act stated that the evaluation include the following:

     1)   The health effects research authorized by this
          Act and other laws;
     2)   The procedures generally used in the conduct of
          such research;
     3)   The internal and external reporting of the results
          of such research;            I
     4)   The review procedures for such research and
          results;                     j
     5}   The procedures by which such .results are used in
          internal and external  recommendations on policy,
          regulations, and legislation;i and
     6)   The findings and recommendations of the report to
          the House Committee on Science and Technology
          entitled "The Environmental Protection Agency's
         -Research Program with Primary! Emphasis on the
          Community Health and Environmental Surveillance
          System  (CHESS):  An Investigative Report."

The Act further stated that            :

     "the review  shall focus special attention on the
     procedural safegards required to preserve the scien-
     tific  integrity of such research and to insure
     reporting and use of the results of such research
     in subsequent recommendations.  The report shall
     include specific recommendations on -the results of the
     review to ensure scientific,integrity throughout the
     Agency's health effects research, review,^ reporting,
     and recommendation process."       \
                                       . ^
     The word "research" takes on a broad .meaning in a regula-
tory agency.  For the purpose of  this evaluation, health
effects research will be defined as requested by Mr. Costle in
his letter  of June 17, 1978, to the Chairman of the Science
Advisory Board. A quotation from that-letter foil ows.  ...
  *Section 8(d) of this Act requires that a special evaluation
of EPA's health effects research be prepared by the Science
Advisory Board (SAB) and the report be submitted to the
Administrator, the President and the Congress.
                                154

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     "To delineate the Congress1  charge more sharply,  I
     urge the Study Group to define health  effects  research
     to include all planned activities, collection  and
     analyses of data done within the Agency for  the  purpose
     of adding to the scientific  basis for  understanding
     the effects of environmental factors on human  health.
     This definition would include those activities within
     the Agency which may be used to assess human risk,  and
     which support standard setting and; regul atory  deci-
     sion and any activity which  gathers new knowledge
     about human health, or improves oujr understanding of
     human health either directly or which  can  be used to
     extrapolate to human health  impacts."

     In view of the limited time  available  to the Committee,
this study focused on the collection and analysis of data
primarily to add new knowledge.  The analysis of  existing
information and data, which already satisfies generally
acceptable criteria for scientific adequacy, was  not  considered
to be within the scope of the charge to; the Committee. Some
requested data were unavailable or not provided to  the
Committee, therefore,the evaluation is ;not  as complete as
initially anticipated or desired.
                              755 .

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II.  SUMMARY AND RECOMMENDATIONS

      A.  Summary

      The purpose of this report is to summarize the nature of
health effects research in a regulatory agency,  to describe the
current status of that function in EPA, and to present conclu-
sions and recommendations.  Supporting data and  reports
relating to individual ORD facilities are available but are not
included.

      The Committee visited (either as a full or partial
committee) all EPA laboratories performing health effects
research.  Interviews were conducted with senior laboratory
staff, managers, and bench scientists as well as with senior
managers in the Office of Research and Development (ORD)  and in
the Program Offices. For the purposes of this report, a
"Program Office" refers mainly to the Offices of Water and
Waste Management; Air, Noise, and Radiation; and Toxic
Substances, as these are the offices responsible for developing
regulations and setting standards or tolerances  in response to
specific legislative acts. A 1ist of the faci1 ities visited,
Committee members visiting each facility, a:nd those EPA
employees interviewed or providing information can be found in
Appendices C and D.

      The Committee also utilized the services of SAB members,
other scientists, and research managers on .an ad hoc basis
(Appendix B).

      Programs and facilities were evaluated using a number of
criteria relating to the objectives of the .research and the
quality of facilities, staff and results.  Among these criteria
were  responsiveness of the research functio-n, research
influence in the decision making process, coherence of planning
and goal-setting between ORD and the Program Offices, and
quality assurance through peer review and publications.

      The Committee interviewed many competent and dedicated
people with a real desire to work in a more effective,
efficient and involved way«

      Research and development in a regulatory agency is  a
complex task, one  requiring research targeted to regulatory
requirements usually having short (six month to two year) time
frames.  Research  and development must be related to specific
regulatory needs.   Identification of gaps in data and needed
research effort  necessitates cooperative planning between
                                156

-------
program managers*, often unfamiliar with; research, and research
managers, who are often insensitive to regulatory pressures and
requirements. Researchers, as professionals, may have
difficulty in identifying  results  which will satisfy regulatory
needs when these results are not in theiir scientific
specialties. Constantly altering budgetary allocations to adapt
to rapidly changing regulatory needs aggravates research-
program staff relations.  For these and ;other reasons, ORD has
frequently been viewed as  unresponsive by many program
managers, who do not, in general,  depend; upon ORD to support
their regulatory efforts.   The Committee concluded that it
would require far greater  joint planning and coordination of
ORD and Program Office staffs if ORD outputs, useful to
regulation, were to be commensurate with the funds allocated.
At present,  it is not an effective or an efficient system.  The
dilemma of research in a regulatory agency is further treated
in Chapter IV.                   .       <

      The most successful  and useful research programs were
found where  there was a close working relationship and
understanding between scientists in the 11aboratories and their
counterparts  in the Program Offices.  Such  communications are
essential to an understanding of priorities, quality demands,
timing and what was truly needed to back up the regulatory
process  in the short and long terms.  Poor  results were .seen
all too  often, however, because close relationships did not
exist.                                 "".
                                        i
      Pilot  research committees have  helped to establish
essential communications between those who  have direct and
indirect  responsibilities.  Where  successful, the resulting
agreements,  e.g., Drinking Water and  Pesticides, have helped to
make  research more  responsive  and  have  icut  across juris-
dictional barriers  to establish objectives, goals and plans.
The  pilot  research  committees  are  one rrveans to an end, but
shorter  and  more  direct communications  flines are needed between
data  generators  and data  users.        !

      Beyond a committee  approach, therje seemed to be little
consideration of  organizational structures  designed to
streamline  decision  making.   Hopelessness was expressed many
times by those  concerned  when  faced with  the  seemingly obdurate
character  of the  civil  service  system and the highly  placed,
inflexible,  and  sometimes  less  than adequate  individuals  who
occupy unessential  positions.  Inflexibility makes it  difficult,
indeed,  to  place  people properly  and  to transfer  or  get  rid  of
people not  performing  up  to expectations  in their jobs.
       *A program  manager  is  defined  as ;that  person  in  the
 Program Office who is  responsible for  developing  the  regulatory
 or standard-setting  activity for  a  specific  program as  mandated
 by legislation.   A research  manager  is;that  person  in  ORD  who
 is responsible for formulating,  planning,  and  executing specific
 research programs.                    I
                              157

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      Recent changes in the civil service laws were not seen as
adequate to effect much improvement.  Desirable changes can
occur, but they will require enormous ieffort, training in, and
application of the principles of management by objective and
job performance evaluation to establish a clear understanding
of what is expected of each employee.


      B«  Recommendations             ;

      The Committee recommends that:

                (1)  ORD and Program Office
           leadership take immediate sjteps to
           coordinate all research plajnning and
           activities in the Agency. Joint
           planning to identify  information needs
           must begin as soon as a decision is
           reached to prepare a  regulatory
           proposal.
                                      !
      Immediately following a program decision to develop a
regulatory proposal, Program Office and ORD staff should be
assigned to review existing information nee"ds.  This group
should be given authority to organize Program Office-ORD staff
to identify regulatory needs for specific proposals and outline
the required research to fill the gaps";

               (2)  ORD continue to use
           appropriate research  committees, but
           they should no.t be ORD's exclusive
           planning mechanism.

      Research  committees, initiated on a  pilot scale in 1978 to
help  ORD plan  and coordinate its research activities with the
Program Offices,  should be used  sparingly.  These research
committees, really task forces,  will be most useful when
research needs relate to multiple Program Offices and
laboratories.
                                       *

      The research committees should beiused for identification
and prioritization of needs. These committees should not be
involved with  research implementation.

       Key managers within ORD should devise mechanisms to
develop well understood objectives, goals, plans and measures  of
performance for how research should be conducted.

      The Committee  does not  believe 'that  it will be possible for
ORD to fulfill its function without extensive agreement by key
personnel  on objectives, goals,  plans,,:and measures of
performance. It might be helpful for ORD  to hire experienced
management  specialists, as consultants, to help address some of
the difficult  managerial problems which currently exist.


                               158

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      ORD leadership must take steps as sopn as possible to work
out an understanding with Assistant Administrators in the
Program Offices to simplify and shorten lihes of communication
and to cut to a minimum the reprocessing of decisions by the
Washington ORD staff.

               (3)  The scientific staff ojf ORD
           identify subject areas and establish
           active investigatory groups to pursue
           long term research essential to
           regulatory needs. (Implementatilon of
           recommendation 1 will ensure th;at long
           term research efforts remain
           relevant.)                     i

     There should be a long-term ORD investment in researchers
and facilities to develop highly active and productive groups
in those research areas which are central !to large segments of
the Agency's regulatory activity.  Allocation of  a specific
percentage, at least 10%, of the ORD budget for relevant
research in case  subject areas seems to be reasonable.

    "   	- •	"(4)  The incorporation of ORD
           research results into-criteria,
           standards, and regulations be
           strengthened.                  ;

     ORD must stress, at all levels, the importance  of producing
results  and assisting with  their incorporation  into  regulations
and standards. ORD has neither fully recognized or accepted this
criterion for  judging its efficiency,  nor1 developed  mechanisms
for efficient utilization of research results by  Program
Offices. ORD does not maintain  records  of; results which  have
been  incorporated into regulations.

     The formation  of the Environmental Assessment Groups  is  a
step  in  the right direction.   Part of the*  responsibility of
these  groups -shoul d  be the  documenting  o.fL which research results
have  been utilized, the continuing audit iof the usefulness of
ORD results to  regulations  and  standard setting,  and getting
feedback from  the Program  Offices  about the research and
research  planning activities.  The  Committee  found the model,
outlined  on page  9  of Volume  11,1 of.. "Research and Development  in
the Environmental Protection  Agency,"  toibe  still relevant  for
Agency use.                    -..--     ,. - '
                                         1
                 (5)   Responsibility  and ;
             authority for  implementation;of
             research  and  reporting of  research
             be  vested  in  the  laboratory \
             directors  and  the staff  scientists,
             after agreement on  research p'la'ns.
                                159

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     The Committee feels that too many specific directions
regarding research implementation come, from headquarters.  This
prevents the scientists from using their talents and diminishes
the scientific climate for innovative research.

               (6)  After agreement ori
           responsibilities for research
           implementation, laboratory i
           directors and their scientific
           staff be permitted to performed
           their assigned tasks. (See
           recommendation 5.)

     Laboratory staff need protection against unwarranted
mandates, incursions into allotted time for research, and
reorganizations and spurious changes iin policies that occur with
the all-too-frequent changes in leadership.  The scientists also
need a sense of the Agency's long range commitment to its stated
goals.                                ;

                (7)  An expansion of the
           Interagency Regulatory Group (IRLG)
	   activities be carried out. i The
     -  -    excellent planning initiatives of
           IRLG should be "extended to include
           environmental health research.

     -The IRLG is seen as an excellent beginning with the
potential of reducing duplication and confusion among agencies.
This effort should be extended to strengthen coordination of
research planning by all agencies conducting environmental
health research.                      [

                (8)  A simple, easily under-
           stood accounting system be
           established for planning, assigning
           and monitoring use of funds'and
	      personnel relative to ORD's'
     	intramural and extramural programs.

     Effective use of limited funds and personnel requires that
they be carefully managed.  The accounting systems now in use
are inadequate. At the present time, analyses  are not performed
to,place in perspective salaries, equipment costs, services,
etc.  Those cost breakdowns are necessary to give ORD
information about responsive and nonresponsive work at the
different laboratories performing health effects research.

                (9)  Standard procedures for
           awarding contracts, grants, land
           cooperative agreements, and
           monitoring extramural research be
           simplified and enforced.    ;
                               160

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     Current elaborate rules for contract ^and grant awards
should be reviewed and revised to promote^efficiency and
timeliness of extramural awards. All personnel must adhere to
these new procedures. This would end the durrent abuses of the
extramural award system.  Procedures should be adopted to ensure
adherence to the new requirements after revisions are made.

     The monitoring  procedures should  indicate methods for
evaluating the performance of contractors and grantees during
and after completion of their work.  Furthermore, the extramural
research results should be published in peer reviewed scientific
journals. EPA-published reports are no  substitute for open
literature publications.

     Adequate travel funds should be allocated for  proper site
visits and for monitoring of extramural work.  Presently, there
is  no routine, operational audit of the quality  of  extramural
research.                                 :

      Responsibility for extramural research  (planning,  awards,
and monitoring) should be made according to the  staff's
.capabilities: ,t.o_ effectively  plan and monitor  such research.  This
should take  into account the amount of  independent  in-house
research .expected  from"the staff scientists.   Extramural
monitoring assignments should only be  mad£ to  scientists who
have demonstrated  professional competence; and  are thoroughly
fajniliar with, bow  research is conducted i|n the field being
monitored.

                 (10)   Scientific peer  rev;iew  of
           proposals,  programs,  and  intramural  and
           extramural  research be greatly
           intensified.
                                         i
     Scientific credibility  and  def ensi bi'l ity  of research done
in  support of  regulations  are  key elements  of the success  and
acceptance of the  Agency's role  by the  public.   The Committee
feels th'at,  to  the maximum extent practical,  scientific  peer
review mechanisms  should be  utilized to improve  the quality  of
final  research  results.                  i

     All  programs  and  organizational units  should be
periodically subjected to  peer  review  byiqualified  scientists
from outside the  Agen;cy.'   All  proposals and  completed  research
 should  be reviewed by  peer scientists  withi n  the Agency, and
 representative  items should  be  reviewed by  scientists  outside
the Agency.

      The  quality  of research in  EPA  is important not  only
 because  any  research should  meet standards acceptable to the
 scientific community but  also^-for  reasons derived from the
 regulatory  nature of the  Agency.         ;
                                161

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     To ensure acceptability of research results, the studies
must be reviewed by one's scientific peers  and published in
reputable scientific journals.  Failure to  so treat results of
research investigations involves the rjis'k that review will  occur
at a later date, in a adversary situation,  with possible
refutation of results and embarrassment to  the Agency.

                (11)  A dual-ladder promotional
           system be implemented for qualified
           scientists to advance in grade and
           salary without having to undertake
           supervisory or managerial  !
           responsibilities.          ;

     Presently EPA has a promotion ladder inadequate to allow
scientists to remain in the laboratory and  be promoted strictly
on the basis of their scientific excellence.  EPA suffers from a
poor reputation as far as the scientific quality of its health
effects research is concerned.  This reputation is not totally
deserved.  There does need to be a system whereby both qualified
scientists and qualified managers can ieach advance and be
rewarded in their own fields.
                                      1
     Well qualified personnel are the key ingredient to the
conduct of a scientifically sound research  program. At the
present time, there are both formal and  informal procedures that
encourage scientists seeking promotion's to  accept supervisory
and administrative responsibilities, thereby reducing the amount
•of time they have to spend on laboratory research.

     When personnel are assigned to senior management positions,
primary consideration should be given ;to individuals who have
demonstrated scientific and managerial! capabilities; an
understanding of how research is plann.ed, conducted and
reported; and the ability to communicate research information
and needs to both scientists and non-s;cientists.

                (12)  Research management give
           immediate-attenti on to instituting,
           in the laboratories, a variety of
           procedures to create an atmosphere
           conducive to scientific excellence.
                                      i
     Even though the laboratories are located on or near
university campuses or other research  institutions, EPA
scientists were somewhat outside the mainstream of scientific
events.  The Committee, therefore, urges management to regularly
schedule seminars in which both outside  scientists and Agency
scientists participate,  invite  outside scientists to  spend time
in EPA laboratories  (in addition to use  of the  Interagency
Personnel Agreement--IPAs), encourage :EPA scientists  to spend
time in outside laboratories  (an exchange program), sponsor
workshops and symposia,  and generally .institute  a closer
interaction with geographically close institutions.
                              162

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           (13)   ORD and senior Program Office staff
      rotate assignments,  preferably on the basis  of
      those ORD  and Progam organizational; units
      which consistently interact.        '.

      It is essential for effective performance that Program
Office and ORD managers understand  the problems and capabilities
in each organization. Program managers are often unfamiliar with
research planning, laboratory work  and this inherent time
constraints. Likewise, research managers are often unaware and
insensitive to regulatory pressures and rjequirements and with
the dilemma of how to present data  in a fiorm useful to the
Programs.                                 \

                (14)  The research  progra!m
           using the clinical inhalation ;
           exposure facility at Chapel Hi;ll,
           North Carolina, be fully staffed and
           a sound research program implemented
           as soon as possible.          ;
                                         i
     The clinical inhalation facility at Chapel Hill is a unique
facility,,  engineered to deliver the desirjed exposure levels;
however, the scientific program, staffing, and plans to utilize
the facility are: total ly inadequate — a ve^ry conspicuous waste,
as it now stands.                        j
                                         !
     ORD should immediately assess  the fu:ture need for and use
of this facility, establish goals and support for the facility,
and assure that the facility is not wasted—even if EPA has to
make it available to outside groups. This facility was designed
for long range studies to accurately asse!ss and predict the
potential  adverse effects of selected environmental chemical
agents.                                  !

     The inhalation  program, once developed, should be
scientifically peer  reviewed and approved.
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III. COMMITTEE .MEMBERSHIP, APPROACHES AND PROCEDURES

     A.   Committee Membership         ;               .

     The Health Effects Research Review Group (HERR6) consisted
of core members and consultants selected for their scientific
expertise and  research management skillis. The consultants
supplemented core members and were used; to provide specific
expertise for  the evaluation of individual laboratory programs
or special topics of research.  A list iof Committee members and
consultants is Appendix B.
                                       T
     B.   Approach to the Assessment of R&D and Procedures
          Used

     It was apparent from the outset thjat the Committee needed a
clear  understanding of the mission of health effects research  as
seen from the  viewpoints of the personnel in both the various
Program Offices and ORD. Responsiveness; of the research function
to the pressing (often mandated) needs ;of the Program Offices
has  been  inadequate in the past; this problem has been clearly
described in a report by a committee of the National Academy of
Sciences, Analytical Studies of the U.S. Environmental
Protection Agency, Vol ume III: "Rese'arch and Development  in the
Environmental  Protection Agency," 1977.•

     Of necessity, the Committee had to; subdivide much of  its
-i nvesti gat ion . into-smal 1 study group activities.  A common
approach  was taken to make it easier 'to- analyze and assemble, the
findings  of the various  study groups into an integrated final
report. Thus,  the research function of the Agency was to  be
analysed  1n'the1 context  of the regulatory  responsibilities of
the  Agency, which in turn requires a reliable and defensible
data base for  decision making.  The Committee agreed that
research  can only be understood if the {reciprocal relationship
.between the users of the  information  (the Program Offices)  and
the  generators of the information (ORD) was examined. The
perceptions of both/the  generators and ithe users were,
therefore, to  be probed  to determine if: there were  shared  goals
and  a  shared understanding of what is known, what  is unknown,
and  what  needs to be known.  It was also necessary to determine
whether there  was a shared understanding  of the time frame
necessary to generate or assemble the needed data.   These
perceptions -were to be examined at several hierarchical  levels
to  determine if the intentions of the supervisors were accepted
in  a way  that  motivated  the  respective Organizational  units
regardless  of  location or attitudinal preferences.

     While  conducting  interviews  and  fact-finding  sessions,
Committee members tried  to use some of :the following checkpoints
as  they  were  appropriate for  the  various  situa-tions.   These
points were- the basis for the  formulati'on of this  report.
                               164

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     a.   Checkpoints relating to the mission of health-
related research as it supports short-tefm and long-term
Agency needs:

          1.    Responsiveness of the res'earch function (as
               defined at the outset)   '•
          2.    Sense of urgency and commitment of the
               research function        ;
          3.    Research influence on judgments made on the
               decision making process (jle^el of influence
               and dependence by the program offices)
          4.    Coherence of planning and goal setting be-
               tween the Program Offices, and ORD  (Are
               budgets really reconciled and supported
               by both the Program Offices and ORD?)
          5.    Examples of good and poor! responses by ORD
          6.    How and by whom is the decision made to
               initiate and conduct specific research
               investigations?          s
          7.    How are information gaps 'identified?  How
               are long-term trends with potential
               environmental impacts identified?  How are
           :    long-term research needs jdefined and planned
               to assure budgetary support"?"" "  	
          8.    Beyond the Program Offices and the ORD
               functional organizations, what other factors
               help  influence what research  is to be done?

      b.   Checkpoints relating to the qua!ity of health
effects research as  it supports short-term and long-term
Agency  needs:

          1.   Quality assurance:
               a)    Good laboratory  practices
               b)    How is quality assurance implemented  to
                     improve  the  defensibi1ity of  results?
               c)    Evidence of  attention to detail and
                     carefulness  (facilities, work  flow,
"    	"     "'	    housekeeping, attitude,  safety program)
                d)    Personal  scientific  integrity,
                     including  quality of  planning  and
                     experimental  design:,  rigor  of  analysis,
                     courage  to disprove;one's hypotheses
                     (or  hypotheses  of  a; superior),  and
   •--•"•• 	            acceptance of opinions of qualified
         •"•"•""         peers
                e)    Can  the  most  qualified people  be
                     quickly  identified?'
           ••    f)    Is the- civil  service  system  seen  as- a
                     positive factor  in  the  encouragement of
                     a good research  program  within EPA?
                              165        I

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          2.    Publication of results (reporting)
               a)   In journals  requiring scientific peer
                    review, internal government
                    publications, journals or meetings  not
                    requiring scientific peer review
               b)   Methods for  approving manuscripts
                    before release or publication
               c)   Is publication seen as helpful  to
                    career development?

     With these checkpoints in mind, the Committee  conducted
its assessment through a series  of fact-finding sessions and
public meetings in Washington and in va'rious EPA laboratories
(see Appendix C).  The Committee chairman and co-chairman first
discussed the charge arid the plans f or 'accompl i shi ng the
evaluation with the appropriate Congressmen and their staffs.
Subsequently, the Committee met  with the Administrator, the
Assistant Administrators and other senior EPA policy and
management staff in various Program Offjices, and with
representatives from the regions, laboratory directors, senior
science managers, and individual laboratory scientists
(Appendix D).  The Committee members reviewed legislative
mandates, various EPA documents, and othei—p-apers and memoranda
relating to the Committee's charge. ,
                               166

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IV.   RESEARCH IN A REGULATORY  AGENCY:   THE  CONFLICT  DEFINED

     A.    Present and Future Agency Needs; for Data

          Volumes have been written on regulatory  agency
research needs in general  and on EPA research needs  in
particular.   Therefore, the Committee  approached the subject of
the research and development needs of  EPA with trepidation and
elected  initially to describe  the pressures and constraints
imposed  generally upon a research and  development  group in a
regulatory agency and those imposed upon EPA in particular.

     Program administrators in regulatory agencies are captives
of the calendar deadlines  imposed for  regulation by  the specific
statutes they enforce.  These agencies rqutinely deal with
Congress,  irate constituents,  citizen  groups, the  media, and
others.   The professional  skills which contribute to their
success  and/or survival are all  devoted to integrating immediate
pressures and existing knowledge into  a s.et of regulations
acceptable to all. This is a difficult situation,  one requiring
sensitivity to human behavior and appreciation for the relevant
available data base.  Regulations are  usually compromises, their
political socio-economic impact and whet her,..they., can be
enforced.  The scientific and technical bases for a regulation
will be put to rigorous test if, and only if, the regulation is
challenged.  Judicial review will incorporate and  consider all
relevant data; an administrative "gamble" made in the absence of
sufficient data to support regulation  will  very likely lead to
remanding the rule to the Agency.  Development, promulgation and
enforcement of regulations, particularly jin an area  as
underdeveloped and evolutionary as environment, is a difficult
exercise.                                ;
                                         i
     The formal  challenges to regulat  1 on(are cyclical. Because
of inflationary  pressures on regulatees since 1976,  there has
been an increasing trend toward challenging environmental
regulatory promulgations,.  The courts  have been sympathetic to
the innovative promulgations of EPA,  but'the economic impacts of
EPA administrative interpretations of  enabling statutes have led
to regulatee demands for more complete substantiating data  for
promulgated rules; those demands will  increase in the future.
Even those sympathetic to prudent  Federal environmental
regulations are  demanding higher standards of proof during this
highly  inflationary  period of increasingly demanding and  varied
Federal  regulation.  Because environmental rules are still
perceived by many as  a luxury affordableionly by  a prosperous
private sector,  EPA  must anticipate continuous, more
sophisticated private  sector challenges  because of  inflationary
pressures.1 i"                      :r
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     These challenges will be overcome only by convincing
arguments for regulation, arguments drawing upon defensible
data.  These data will have to relate:specifically to
improvements in human health if EPA is to fulfill  its mandate as
an Agency. In the future EPA will increasingly have to document
health gains anticipated from allocation and expenditure of
large sums of money for regulation and control of environmental
pollution.


     B.   Investigatory Time Frames   '

          Specific statutes include timetables for regulation
assigned by Congress.  The Agency has;formulated a table of
regulations scheduled or in progress  (Appendix E).  Program
administrators will formulate these regulations with whatever
data are available prior to and until|the scheduled completion
date.  In general, schedules for EPA  to write regulations are
short; 6-12 months is normal, while 18 months is considered
long. These are short time frames for: generation of new
information in. the laboratory or in the field.  EPA Research and
Development Office (ORD) personnel have had enormous difficulty
responding within-the t-ime al 1 otted.  |t_ jjs essential that ORD
and Program Office personnel carefully evaluate information
needs critical to implementation of scheduled regulations. This
must be done as soon as a statute is  {assigned to EPA for
enforcement.  In this way, ORD will be able to utilize the
maximum available time to generate needed data -for--regulation.
We did not perceive that research needs are routinely approached
in this manner.                       ;
                                      i

     C.   Investigator and Program Staff  Interactions

          The perceived needs of program  managers are usually
very specific and often conflict withjneeds perceived by
researchers.  For example, researchers may regard experiments
requiring toxicity data from animal exposure to pollutant agents
at concentrations far in excess  of those  likely to  occur under
normal exposure as of little relevance to scientific
understanding. Program personnel, howiever, may  regard
demonstrated toxicity data, even at unrealistically high
exposure  levels,  as a rationale  for regulation. Sorting out
these differing perceptions requires  personal interchange if ORD
is to respond in  a timely and meaningful  manner.  Too often  in
the past  the Program  Offices have perceived ORD as  unresponsive
because  results were  of  a kind different  from what  had  been
anticipated and because research time; frames were too long to
allow the Program Offices to  use the  data produced.  Under these
circumstances, program administrators did not look  to.ORD for
solutions to their problems.          ;
                               168

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     Principal Program Office and ORD adm(i ni strators are located
in Washington, D.C.   ORD investigators are located in laboratory
facilities throughout the nation.  Specific administrative
mechanisms are required to ensure that communications occur
between Program Office administrators and; ORD investigators as
research in support  of specific regulations progresses.   In 1978
five research committees were initiated on a pilot basis to help
ORD plan and coordinate its research activities and become more
responsive to the needs of designated Program Offices.  These
pilot research committees have helped to provide an essential
communication function; furthermore, they have helped to
establish understanding and commitment to: objectives, goals, and
plans.  Carefully selected research commijttees are seen as a
means to an end, although a cumbersome onie, because their
meetings help to educate those who need to know.  In the long
run, however, the functions served by the pilot research
committees need to be  institutionalized so that laboratory
directors are not excluded from key roles in leadership or from
maintaining a high level of competence in their respective
laboratories.

     Program  administrators frequently have their primary
training in the legal  or engineering professions; they are often
not familiar  with the  state-of-the-art of ORD scientific
research.  ORD utilizes scientifi-cal ly trained personnel, at all
levels  of the organization, those working at science on a  daily
basis.  One can draw flow diagrams of the decision making
processes in  a regulatory agency, diagrams illustrating ORD and
Program Office personnel interactions.  However, in the final
analysis, exchange of  information and resolution of  issues  is
required of persons with essentially different bases of
understanding.  There  will be  a major built-in obstacle to
communications between ORD and Programs Offices as long as ORD
relies  entirely on scientific  managers and the Program Offices
on  managers who pride  themselves on their pragmatic  approach,
managers  grounded in  law  and/or  engineering sciences.  By  one
mechanism or  another  (rotation of assignments, creation of  new
positions for complementary  professionals  in each Program  Office
and ORD), .there must  be' promotion of ORD-Program  Office
communication by ensuring  that senior managers have  a common
1anguage(s).

     •  D•  Evaluating  the  Responsiveness lo'f OR'D'	

     -  The responsiveness  of-ORD-.i-s-judged  by a variety of  groups
and individuals, including EPA program managers,  Congress,
citizen  groups, and  the  media, to name a'  few.  The  Committee
probed primarily EPA program managers' perceptions  of ORD's
responsiveness  to their  needs... .Senior program managers have.
indicated that  there have been recent  improvements,  but much
                                169

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remains to be done.  In the past, many Program Offices did not
participate in ORD planning.  Recent joint ORD-Program Office
research planning exercises, such as the; pilot research
committees, have caused Program Offices to be more favorably
disposed toward ORD activities.

      Ultimately, ORD's response to the Program Offices will be
more stringently judged by how effectively the research results
meet the specific needs of the regulators in a timely and
scientifically rigorous fashion.  The current auspicious climate
for ORD pilot research committee planning must not be confused
with future ORD outputs necessary to satiisfy hard-pressed Agency
program managers.  For this reason, the 'major ingredients of ORD
research that would allow ORD to be considered "responsive" to
regulatory program needs will be briefly discussed. Following
this discussion will be comments on the ;current EPA research
process from the planning stages to the 'final utilization of
results by Agency Program Office staffs.:

      The timing of the delivery of research results to a Program
Office  is  a major factor contributing to the perception of ORD's
responsiveness to Agency needs.  Regardless of the quality of
research results, they are  viewed as only.marginally. useful if
available  after statutory deadlines have; passed.   One can argue
that in the long .run "late"  results will b.e-integrated into
environmental programs, but this does not engender Program Office
staff confidence in or support  for ORD. >
      The scientific and technical soundness 'of-ORD'-'-result's is
crucial  if  EPA Program Offices  are to  sustain  their regulatory
positions.  Transfer of weak results by iORD will lead either to
rejection of  these  resul'ts  by administrators or  to  utilization
with subsequent public embarrassment upon disclosure of  a weakly
supported position  and/or  reversal of  the Agency position by the
Courts.                                 ;

      In addition to being  scientifically defeasible, research
results  must  be targeted to  meet  Program Office  needs.Needs
must be  commonly  perceived  and  agreed  upon-by  researchers and
program  administrators.  Dictation of  needs by regulatory staff
to  researchers can  result  in untimely  and fruitless
investigations; likewise,  researchers  with  inadequate
understanding of  program needs  may pursue scientifically sound
studies,which are irrelevant to the  Programs.

      f h e understanding of  ORD  results b'y potential users  i s
probably a  major  ingredient  of  the perception  of responsiveness.
ORD must not  only deliver  sound results in  a timely manner,  but
must also trans!ate_these_results into terms and ...concepts	
understandable to the  users, i.e., the Program Offices.   ORD has
a  responsibility  to assist  its  users in ^understanding the
strengths,  weak/nesses  and  full  significance of those  research
results  transmitted for Agency  use.     :
                               17O

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      The above ingredients of "responsiveness" relate to the
research function as it serves regulatory needs.   Each ingredient
must be carefully developed and nurtured, literally on a project
basis, if expectations of ORD efforts are [to be fulfilled.

      With this brief introduction to the idemands placed upon
ORD, specific aspects of performance of he'alth effects research
and development in the Agency will now be idiscussed.

      E.  What is an Investigatory Product in a
          Regulatory Agency?              ;

      The investigatory product in a regulatory agency is that
body of scientific information and data base which  is either
available to or resides with the scientific staff.  The product
must be provided to the Program Office in;a form that is useful,
understandable, and defensible in setting^reasonable standards
and for writing regulations.              ;
                                          I
      This scientific information can be provided to the Program
Offices in many ways.  The best way would^undoubtedly be to have
the research described and published in professionally peer
reviewed journals, but information can also be provided-through
monographs, letters and verbal presentations.  The  key to the
desired investigatory  product  is  for the Agency to  have  an in-
house core of capable scientists who understand the regulatory
and standard setting  requirements, who can  perform  the necessary
literature searches, can perform their own  research and  evaluation,
and can freely attend  professional scientific  meetings where
discussions and  information exchanges occur.
                               777

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V.    OBSERVATIONS OF CURRENT EPA RESEARCH AND DEVELOPMENT

      A.  Identification of Research Needs

      ORD can be viewed as a large multifunction apparatus
capable of responding in a variety of! modes if appropriate
planning of the necessary dynamics anjl a complete "tune-up"
occur prior to "start-up."  The initial step is to identify the
required outputs. ORD outputs should be responsive to regulatory
needs, in the short or long term. At present and, indeed, during
the entire history of EPA, short term* R&D needs have been
stressed.  We do not see any conflict; between simultaneously
sustaining research programs with long (years) and short term
(months to years) goals, provided Program Office-ORD concurrence
is reached as to these goals.        ;

      Historically, Program Offices outlined needs according to
their perceptions of the problem.  It* was a hierarchical
planning process which gave the scientists at the laboratory
little understanding of what was need:ed or why.  Laboratory
scientists often communicated with loWer level Program Office
staff who did not fully understand the needs and priorities of
their program.                       I    .     .

    .  There seems to be no systematic identification of
information gaps (research needs) in the Agency. This
identification should take place as sioon as EPA receives
legislation on which it must act; it requires close cooperation
between the appropriate Program Off ice and" ORD scientists,
especially those in the laboratories..  These staff members
should carefully analyze the Act to a.ssess what the Agency must
do to gather the needed information and to fulfill the
requirements of the Act. Additional research needs come from the
process  of drafting regulations and from writing the criteria
documents when perceived needs for information are recognized.
Better  identification of needs takes place when there is  a close
association between ORD and the Program Office, but this  must be
directed throughout the Agency in a systematic way.

      Long-term  (anticipatory) research in subj.ect, areas  central
to Agency responsibilities should be^planned as a natural
extension of the identification of gaps in the data baseT It
cannot  be designed  in a vacuum, as an  activity to be initiated
or terminated at will.  When effective cooperation occurs
between  ORD laboratory and Program Office  personnel and when
effort  is expended  to define common objectives, goals, and
plans,  opportunities are  likely to arise for defining relevant,
long-term research  programs.         ;

      The perception of needs  for  longer term  research  arises
from the interaction of key  regulatory people and creative
researchers who  are in touch with the  issues  and the scientific
literature.  People who do research, read  scientific literature,
                               172

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attend meetings and work cooperatively with the Program Offices
are those with the best resources to define needs.  The
Committee believes that the stress on identifying long-term
research needs must come from ORD and that more attention must
be devoted to identifying these needs and; pursuing the
associated research studies.

     The pilot research committees have helped to identify gaps
deserving further research effort, to date only short term; but
even this has helped to gain better insight into Agency
priorities. Because of the large number oif people involved,
these pilot research committees are cumbersome, but they have
forced a meeting of minds among key people in the Program
Offices and ORD. In fact, the identification of research needs
by individuals with diverse backgrounds and responsibilities is
a very strong feature of the pilot research committee effort and
should be retained regardless of the ultimate fate of the
activities of these committees.  This should be expanded to
include identification of long term needs.

     Several  efforts at identifying research gaps and
implementing  research should be highlighted.  The Drinking Water
Program has been an example of effective .cooperation in      .
identifying and i mplementing. research ne.ed.s,, whe.reas the Human
Inhalation Exposure program, at''HERL,. RTR~,( Chapel.  Hill) and the
Animal Exposure Program at HERL, Cincinnati are examples of very
poor coordination.  In the  area,  of  pollutant inhalation  studies
on human subjects, the _sci;ent"i s.ts,, j)f •.Jhe_LChape f. Hi 11 f aci Tity
have attempted to  implement longer  range1studies  to  predict  and
assess more accurately the  potential adverse health  effects of
selected chemical  agents.   In general,  ORD administrators  have
been sympathetic to funding short-term  inhalation projects, but
have not been supportive  of longer  term inhalation  research
programs.  The Inhalation Toxicology  (animal model)  Program at
HERL, RTP, on the  other hand, was  enthusiastic about its
relationship  with  the  Program  Office.   This group is well
supported, largely as  a  result of  a  sustained  effort by  the
section leader to  keep close contact with ORD  and Program  Office
personnel  in  Washington.  Development  of new methodologies  was
considered to be a major  responsibi1ity"pf the group "working "on
animal  inhalation  toxicology;  they  expreissed .the  desire  to be
involved, in toxic  substances support  as well. - This  group  also
supervised contracts  and  grants.  Management  of both  grants and
contracts  in  addition  to  the "in-house" respons.i bi 1 i ty was  seen
as  a .desi rable  comporierit  of the  total  jo:b done by'the  Inhalation
Toxicology Section.  A  key  element  of  this  program  seemed  to  be
the desire on the  parts  of  the Program Office  and the  laboratory
to engage  in  cooperative  planning  and  goial  setting.  The result
is  a~very  spirited and productive  group :of  researchers.  -
                                173

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     Scientists in the Diesel  Exhaust Program at Center Hill
(Cincinnati) clearly foresaw the emerging importance  of diesel
engines and attempted to start long-range research several  years
ago.   These projects were turned down by ORD staff members  in
Washington, who have recently recognized the need for such
studies.  Work is now frantically underway to obtain needed
results to meet the statutory deadline;for establishment of
diesel  emissions criteria.             ;

     B .  Plan nin g Rese a r c h Projects   ;

     1.   Budget Formulation          \

     During the period of our Committed review, the Agency  was
in the second year of zero based budgeting (ZBB), i.e., fiscal
years 1979 and 1980 budgets were in progress.  Funds are
authorized and appropriated directly tp ORD in categories
related to enabling legislation or special projects.

     Prior to the introduction of the ZBB process, senior ORD
personnel often established project allocations without
communicating with Program Office managers.  The zero based
budgeting process has been an exasperating  (but probably
desirable) experience for all  concerned — Program Offices, ORD,
and laboratories alike.  It has forced: a .certain amount-of
communication and has led to some good^ though torture-d,
outcomes, especially in the pilot research committees. However,
communications are/still occurring only, between ORD and Program
Office personnel of relative seniority.  We perceive that many
bench scientists in ORD do not understand the relationship  of
their work to overall ORD and Agency goals.  If communication
involved the laboratory investigators doing the work, even  more
effective decisions could be reached, while simultaneously
gaining the commitment of the researchers to the work.

     An additional budgeting problem is the mismatching of
personnel ceilings and funding for specific programs and
laboratories.  Numerous examples were found in which program
areas in specific laboratories had very few or no people
assigned and relatively large amounts of funds available..  In a
few instances, relatively large numbers of personnel were
assigned with limited funds available.'  At the headquarters
level"," the view was frequently expressed that OMB had" mi nimized
management's latitude for shifting personnel between programs to
better match program needs and fund allocations.   Laboratory
personnel expressed a feeling of hopelessness  in  dealing with
the problem and were, on occasion, forced  into the unrealistic
posture of  showing, for the record,  programs with  substantial
fun-ding managed with zero personnel ; obvi ously this does not
ha'ppen.  The people who are assigned to  manage the program
simply charge their time to some other  program that has a more
adequate manpower ceiling.  The  result  is  manpower accounting fay
progam that  is  suspect, at best, and probably of  limited value.
                               174

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Clearly, if laboratory directors are to be effective research
managers, they must be given the latitude: to utilize assigned
personnel without rigid program area constraints.  A change in
approach should allow laboratory directors to place increased
emphasis on developing the appropriate mix of disciplinary
skills of their staffs to better serve current and future
program needs.                           i

     Allocation of travel funds is another budget problem. When
travel funds are allocated to the laboratories, consideration
should.be given not only to the number of scientists in the
laboratories, the degree of participation in extra laboratory
Washington mandated activities, and the required extramural
program monitoring required, but also to;the geographic location
of the laboratories with respect to these activities and to the
location of national scientific meetings.  Furthermore,
increased flexibility should be given to the laboratory
directors for control and- utilization of travel funds.  For
example, the laboratory director at the ERL in Duluth should be
authorized to approve travel for his staff to go to Canada.  One
of the major functions of this laboratory is scientific
cooperation with their counterparts in Canada. Yet this
collaboration is minimal because travel to the: .Canadian . .
-laboratory,in Thunder.Bay is considered foreign travel  and must
be .approved each time, well in advance, by ORD headquarters in
Washi ngton.                           "  i
'-'•'•'•:.---,'....-.--2.  Resear.ch,..Progr'am--Eormul ation v     . ;.;; _/.V.

     The  Committee senses that the major; contribution  of  the
pilot research committees in program formulation has been to
overcome  previous inadequacies in planning  and to initiate
discussions of research by the many individuals with an interest
in the  outcome and utilization of the work.   The previous  "old
system" of hierarchical planning failed  to  establish
understanding and commitment by those who should have  been
involved.  The pilot research committee  Approach to planning  has
been warmly endorsed, by laboratory staffjs because they,
personally, provided inputs-and gained familiarity with and
perspective of the entire program and an awareness of  their
projected contributions to the entire prbgram.  This type  of
"grass-roots" motivation must be retained,  but the leadership
must_.alsp be _.i nvol ved  in the process.  Methods need to  be
established to institutionalize the  i nvol veme.nt. and commitment
of the .staff through proper involvement  of  laboratory  directors,
as well.  Pilot  research committees  are  a useful means  to an
end, but  they are no substitute for accountable leadership,
whjch.must_beresponsible for the integrity and quality of the
final—product.          "    ~"'  "'      '   >'     • •'-

     When laboratory personnel did feel  ;that they had  an
influence in setting priorities, they became i nvolved  with  input
to the  Program Offices, became i nvol ved  ,1' n  the  objective
                               175

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 setting,  and  became  involved  in  the design of protocols to meet
 objectives.   The  drinking  water  projects  are  outstanding
 examples  and  illustrate many  of  the elements  of success that
 need  to be  emulated  by  others.   The reputation of the people,
 their professional  standing,  and thelhistory  of performance
 stemming  from the Cincinnati  laboratory and its predecessor, the
 Taft  Center,  are  influential  factors which command the respect
 and attention of  the Program  Office.  A critical  factor in
 responsive  and quality  programs  is the need to maintain a
 continuum of  qualified, knowledgeable; personnel.  Also, it is
 important to  recognize  that,  in  the drinking  water program
 office, there are counterparts to ORE) staff who understand the
 scientific  and technical issues.     ;

          3.   Pre-project  Evaluation :of Productivity and
               Costs                   i

      The  laboratories in ORD  are mostly media oriented, and
 scientific  program projects and  resources are assigned
 accordingly without  assessment of the cost-effectiveness of
 performing  research  in  each specific-laboratory.

   ..ORD, or  an outside agency,  should perform a yearly
 assessment  of each 1 aboratory's  pas.t .performance with  respect
 to"the quality of the research  information produced, the
 timeliness  of delivery  of research results, the cost-
 effectiveness of.the laboratory, and ;other factors which deal
 with  a 1aboratory's  .performance  and prbductiyity.; Only after
 such  assessment has"been performed and defi ciences corrected
 should the  scientific work (decision units) and resources be
 assigned  to a specific  laboratory.

           4.   Good and  Poor Planning:

                a.  Some examples of good responses by  ORD

                     -The drinking water program at Cincinnati
                     -The animal  inhalation toxicology  program at
;. __../;	 '  ..    ....  -.-.    RT.P.    ;.  .  -, .,.;..._ .._	_..„•_;._.:.•.;...
                     -The pesticide pilot research program
                        involving program and  laboratory personnel
.. ,	     ...       -T.h.e Wenatchee  Laboratory studies  of field
                       exposure, of  applicator  to pesticides
, :                     ^'(relevant  workigoes back in history and
":._..                  ""should be better" uti 1 i zed)

      These  good responses all have  a,very important  common
 element; namely, the participants  work at  good communication.
.-Objectives,  goals and  plans are understood by the affected  *
 parties.   Solid  scientific approacheis  are  being  utilized  and
 researchers  in the  laboratory are  involved with personnel  in
 ..the  Program  Offices.                  _  -.    .
                               176

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                           Figure
Diagrammatic Representation of Old and New Systems  to Develop
   Experimental Protocols  at Bench Level of Investigation
        Old System
         New System
 Assessment of Research
 Needs by ORD Headqtrs
 (from internal ORD and
 external sources)
Lists of In-
dividual Pro-
gram Research
Priorities
 priori t-
 ization
ORD Lists of
Research Pro-
gram Priori-
ties
 Development of ubjecfive
 Statement by Hdqtrs ORD
  (includes statements of
 scientific objective plus
 dollars and manpower)
      Senior Managers
    Intermedia Ranking of
     Research Priorities
    To Laboratories  for
    Development  of Accom-
    plishment  Plans
  Decision Units for Research
                                     funding 'of
                                     decision
                                     unit    ;
    Laboratory Development
    of Work Unit Document
    for Each Accomplishment
    Plan (retained at Lab-
    oratory)
   To Laboratories to Develop
      Work  Unit Documents
                                      Lab Development  Protocols
                                      for Individual Project  Con-
                                      tracts  or Grants
    Lab Develop Protocols
    Individual in-house
    Projects, Contracts,
    or Grants
                                 777

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                b.   Some  examples  of  poor  responses  by  ORD

      The  Human  Inhalation  Facility at; Chapel  Hill is an  unusual
 facility,  engineered  to  deliver the  desired  exposure levels,
 but the scientific  program or plan toi utilize  it  is totally
 inadequate--  a  very conspicuous wastej.

      The  Diesel  Exhaust  Program at Center Hill was  prevented
 from  doing adequate dosage response  tests because of directives
 from  Washington.   The Epidemiology Program associated  with the
 Diesel  Emissions  Program lacked adequate  and mature direction.

       C.   Performance of Research    ;

       EPA's intramural  health effects; research is conducted  in
 two major  laboratories  and in portions  of three  other
 laboratories, which were established primarily for  other
 purposes.   The  major  laboratories are Research Triangle  Park,
 North Carolina, and Cincinnati, Ohio. '• Small  programs  are in
 effect  at  the environmental  biology  laboratories  at Duluth,  Gulf
 Breeze, Narragansett, and the Environmental  Monitoring and
 Support Laboratory, Las  Vegas.  There are  also  health-related
 field laboratories in Wenatchee.,—Washington  and  W*  Kingston,
 Rhode Is! and.                     ..!....

       All  of the laboratories  have  close  relationships with
-neighboring universities; in some cases the  laboratories are
 1 ocated on university campuses  (the  main  Ci ncirinati Laboratory,
 the  W.  Kingston Laboratory,  and the  Human Inhalation  Facility  at
 the  University of North Carolina, Chapel  Hill).

          1.  Adequacy of Facilities  for Research
                          " 	' ""™        i          ~'
       The facilities  of the  health  effects laboratories  are
 generally excellent.   The major exceptions are the  RTP
 laboratory and the W. Kingston  facility,  neither of which was
 built for biomedical  research  purposes.  Some laboratory
 buildings, on the other hand,  were  constructed for  biomedical
 research- within the past five years   (e.g., £l!icj_nnatj).   in
 spite of limitations  of physic al  p T a n t, s u c h" ~ as t h e If b s e n c e  of
 modern animal care facilities  at  Research Triangle  Park, EPA
 laboratory staff have improvised  and created the physical
 conditions necessary  for good  research.  The laboratories are,
 in general,  notably well-equipped for physical and  chemical
 analysis  and modern biologic research; they also appear  to  have
 adequate library, data processing and statistical services  on
 the  premises or conveniently accessible.

 ""-  ^The Committee did riot  conduct   a formal audit"of good
 laboratory practice at any laboratory visited.  However, the
 Committee did consider as part  of their  general review many of
 the  items that would  be considered  in'such an audit.   It was the
                                178

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Committee's perception that additional attention is needed in
this area if EPA laboratories are to achieve the same standards
that EPA expects from research conducted outside the Agency and
submitted to the Agency.

      Some of the specialized physical facilities are unique
in the cabability of their chambers to provide accurate
concentrations of gasses and aerosols at viery low
concentrations for human exposure. The inhalation facilities
at Cincinnati for experimental animal exposures and the
Inhalation Exposure Facility at Chapel Hill for controlled
human exposures are good examples,        •

      Housekeeping and safety programs wer;e generally quite
satisfactory.  Animal facilities  in only two laboratories were
examined (Cincinnati and RTP).  The facilities at Cincinnati
have been approved by a national  animal facility accreditation
committee, while no such accreditation hasj been attempted at RTP
due to its many deficiencies.  Our Committee agrees with the
findings of the accreditation committee and suggests that EPA
devote the necessary resources to  bring t^je RTP animal facility
into similar compliance.                  '

          2.   Staffing for Research      •«-—.- -

      The Committee recognizes the role of history in present
EPA staffing, not only  the  legacies of personnel from the
predecessor agencies and programs  that were coalesced into EPA
in  1970  but also the effects of  legislative actions, OMB
decisions, and civil service regulations.  The Committee,
therefore, addressed only  limited aspectS'Of the total problem,
including the effects of imbalance between funds available for
extramural research and professional  staff available to monitor
the research, the availability of  research staff to make
effective use of special facilities,  and the utilization of
scientists from academic institutions to supplement EPA
research staff.
                                         h
      Over the past three  years,  there have been, several
increases  in  research appropriat ions,-without  proportional
increases in  personnel  (Energy-Environment Act,  TOSCA, CAA
amendments,  etc.).  One  result  is. an  increase  in  the  burden  of
monitoring extramural grants ,,and  contracts.  We  found  great
variability  from one  research^ program to another in  the
distribution  and intensity of  the .monitoring""! oa-d.   There was
also  much  variability  in  attitudes toward1  an  extramural "
program.  Ideally an  extramural  project should complement and
enrich  the  intramural  scientific endeavor.  The  individual
research worker= may  or  may not wish to exp.and  his  (her) own
research effort through an extramural  grant or two.
                               179

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      The  Committee  found  that  some  EPA  scientists  were
attempting to monitor six  or more extramural  projects  and  had
no time  for  their  own research.   In  one  instance, every  member
of a  laboratory division was fully occupied monitoring grants
or contracts; there  was  no intramural ^research.   This  is  an
unsatisfactory method for  establishing and maintaining a
program  of high quality; it  is  made  even worse  when
appropriations are increased without additional  staff
increases, as frequently happens.     •

      EPA's  special  inhalation  facilities were  costly  to  build
and  are  expensive  to maintain  (over  $1 million  annually  for  one
facility).   It is  important  that  such facilities  be competently
and  fully  staffed  to be  effectivly used.   In  fact,  these
facilities are seriously underutilized!,  due both  to lack  of
skilled  personnel  and to lack  of  funds for  research projects.
At the same  time multi-billion  dol1ar decisions  are being  made
which would  benefit  greatly  from  the l<:ind of  information  these
laboratories could provide (for example,  the  standard  setting
for  ozone  and NC^).

      One  practice which increases available  manpower  and
promotes intellectual quality  is  the exchange of staff between
universities, industry,  and  the Agency"(Ihteragency Personnel
Agreement-IPA). The  exchange is largely  from  academic
institution  to research  laboratory,  and  we  found universal
enthusiasm for this  arrangement within the  laboratories.
However, there seems, to -be 1 ittl e.-systiema.tip  effort to recruit
IPAs; most of the  arrangements  develop out  of personal
acquaintances.  While these  arrangements are  mutually  benefical
and  should be encouraged,  EPA  has recently  adopted  a policy
which will make university recruitment much more difficult—an
academic institution must  guarantee  a  position  for  a returning
IPA.  This would severely  limit opportunities for young
scientists in the  early  post doctorate period of their careers.

           3.  Accountability  for Expenditures

      The  Committee  did  not  discover any managerierl accounting
and  auditing efforts within  ORD -to--(a)-anal-yze  the  success or
failure  of research  projects after the,ir conclusion or (b)
apply account i ng methods... to  individual projects to  determine
dollar  allocations to  equipment,  salaries,  travel,  and ,
."services.   There  is  a remarkable  and conspicuous lack  of
.managerial aud-iting  procedures in the ORD operation. After
initial  formulation  of the decision  units and their overall
budgets, the laboratories  are  assigned  the implementation of
projects.  In general,  it  is  at the laboratory level that  work
-yjijt ..productivity .and  cosis  must  be  tracked on a continuing
basis and  evaluated  for  effectiveness  and adherence to or
departure  from  categorical costs  of  ORD  operations. The
insensitivity to  project  evaluation  after completion of effort
was  reflected  by  attitudes of managers  and bench scientists.
 The  unawareness  of costs  was also widespread.
                               180

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     D.   The Quality of Health Effects Research
                                         i
     The quality of research in EPA is important not only
because any worthwhile research should meet standards acceptable
to the scientific community but also for reasons derived from
the regulatory nature of the Agency. Presumably all research
supported by EPA should be related in the short or long term to
the development of a regulation or standard.  In this context
scientific information is likely to be examined critically in an
adversary relationship.  Any sloppiness in conduct or
interpretation of the work is likely to weaken or destroy EPA's
position.                                ;

     Another characteristic of a regulatory agency is the
importance of the credibility of research supported by the
Agency.  Just as research supported by industry is often
suspected of bias, whether justified or not, so research
supported by EPA is often alleged to be biased toward the
overzealous protection of public health., This question of
credibility is a difficult one and is never easily solved. For
EPA it  implies a great need not only for|the highest standards
of quality in scientific work but also fpr active and constant
efforts  o-f EPA scientists to participateMn and have the  support
of the  scientific community.           "'

      It  was our experience in visiting "the  health effects
research laboratories and Program Offices that EPA has many
scientists who would be  welcome in the nation's universities  and
private  research institutions.  Many, of .fehfi: scientists we talked
to" were  clearly dedicated to the best traditions of public
service  in carrying out  the missions of EPA.   The Committee
found  areas of high morale  and  sense  of  accomplishment, but was
disturbed to find areas  of  low  morale and frustration from
frequent changes of  research direction or even the  absence of a
sense  of direction, often stemming from frequent changes  in
leadership.                             i

      In  trying to assess quality, the  Coimmittee used what it
could of the  usual  criteria  for evaluation.    The  legal
counsel's interpretation of the Privacy  Act did not permit the
Committee to  request  a  curriculum vitae  of  any  scientist, but
many  offered  them voluntarily.The  following  information was
usually obtained from  each  research  unit: the  number of  staff
with  research  doctorates; the scientific publication record of
the  unit,  in  peer  reviewed  journals  and  others; the  statistical
and  computational resources' of  the  unit; the procedures used  for
 peer review;  and a  sense of the intellectual  climate of  the
unit.                                   !

 -.r-:-.:.;.....T.he _Commi ttee al so .e.xami ned  the .procedures  used  in  conduct
 of  "extramural"  research through  grants  and contracts.
 Consultants  were added as  necessary to  evaluate  specific
 programs and  special  facilities such  as  animal  housing  and care.
 These and  other aspects of  quality  assurance  are  described  under
 the  headings  that  follow.
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          1.   Publication and Reporting of Research
               Results               '
                                     !

          Scientific  investigators are part of a tradition
which places great importance on scientific peer review of
results prepared for  publication in professional journals.  As
with other characteristics, there was high variability of
attitudes and procedures  among the different  laboratories and
divisions of laboratories.  Some resembled university
laboratories in their emphasis on scientific  peer  review of
research plans and peer review of manuscripts before submission
to  high quality journals.  In these cases  publication was seen
as  an incentive for promotion and professional advancement.
Publication  in peer reviewed journals enhances the  probability
that a product of research will  "stand up  in  court."  These
research units usually  had strong interactions with  local
universities and promoted attendance at scientific meetings,
development  of symposia and workshops,, and participation by
IPAs.

     At the  other extreme were units that  appeared  to put no
emphasis on  publication in the scientific  literature and who
sensed that  there was no  incentive in EPA  for such  publication.
Others recognized the desirability ofi such publication but felt
so  overwhelmed by other responsibilities that they; could not
find time to publish. Some felt  that internal reports were all
that the Agency expected.
      The  policy  on  review  of  manuscripts  varied  from  in-house
 review  only  to  submission  of  the  document  to  up  to  five
 external  reviewers.   Some  scientists  hot  only  met the formal
 requirements  but also sent their  manuscripts  to  one or two
 personal  acquaintances whose  opi ni ons'. they  particularly  valued.

      To ensure  acceptability  of research  results, the studies
 must  be reviewed by  one's  scientific  peers  and published in  a
 reputable journal.   Failure to so treat  results  of  research
 investigations  involves  the risk  that  review  will occur  at a
 later date,  with possible  refutation  of  results" and""	
 embarrassment to the Agency.  "Specif ic mechani sms= must be
 established  to  require  peer review of.. ORD results and to
 encourage prompt publication  in peer  reviewed  journals.

      Attendance at  professional scientific meetings to present
 research  results is  not:consistentTy  encouraged. "

      It has  been argued by some  laboratory staff that peer
 review  and publication  are not necessary  for  mission-oriented
i-researchj-the EPA focus.- The Committee rejects this viewpoint;
 applied research, often  with  short-term  goals, must be reviewed
 and published as surely as that  related  to more  fundamental
 investigations.   Applied research is  the •••f-i rial-product of years
 of basic research and should receive even greater review.
                               752

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          2.   Quality Assurance  in Grants  and Contracts

          Examinations of this important component  of the
health  effects research  program  revealed .serious  problems,
which affect in-house performance as well; as the  quality and
relevance of extramural  research.  One  aspect  is  wide
variability in funding from year  to year iand the  assignment of
funds without  any  addition of  personnel  (ithis  happens with  the
Energy-Environment  "pass-through" appropriation,  for example).
Another serious  problem  is the uneven  distribution  of
monitoring  responsibility among  scientists  in  a laboratory
unit; some  are overloaded to the extent  they cannot possibly  do
a  satisfactory job.                      j

      Both the  old  and new planning systems  give authority  to
laboratory  directors to  obtain extramural: services  through
award of contract  or  grant funds.  Laboratory  directors  rely
upon  their  managers to allocate  resources under their juris-
diction to  complete work unit  tasks.   Thus  there  is local  or
section management  of contractors performing services for  ORD.
In depth examination  of  several  of the laboratory,  sub-unit
extramural  program  procedures  for contractor selection,
monitoring  and evaluation  revealed good examples  of contractor
or grantee  selection , based on  submissions and  competitive
selection.   There  were  also  examples  of selection of weak  or
incompetent applicants,  failure  of 1aboratory"  staff, to  monitor
performance,  and almost  a  total  absence of  evaluation  of the
final submission and  its relevance to  the ORD  program  and  EPA
 in general.             - • ~ -	      .,-;.;•.--;•--  - •'••

      Some scientists  see grants  and contracts  as  a  desirable
extention of the scope  of their  personal efforts  and en-
hancement of  their contacts  with the  scientific community.
 Indeed, a healthy balance between intramural  and  extramural
work  can benefit both  EPA and  the universities.   These  kinds  of
 relationships do not  currently appear to; be the norm.

    -  Three  kinds of arrangements are  used  for  support  of the
 extramural  research program:   contracts, grants,  and
 cooperative agreements.   Increasingly^ contracts~have~ also been
 used to provide  operations  and mafntenanc-e- services d-vrect-ly
 supporting  in-house efforts.  The Committee  did not
 systematically examine  the quality of contract . research and did
 not look at all  of the  cooperative  agreements, a  recent
 development which has been Tittle used so far.	

      EPA has more specific ' requirements'for the award of
 contracts than for grants.   The Committee was told repeatedly
 that grants are  being used increasingly,! because processing
~ them-is-easier- anxl takes -less  time (three or four  months •,-,"-- —
 in.stead of six months to a year for  a contract).

   --Examination of selected  files i indicated^ that -the review
 procedures for grants were being abused :in at least one
                                183

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laboratory.  There were examples of critical reviewers recom-
mending that the work not be funded of stating that the
proposed project was only marginally acceptable.  Yet the
project officer proceeded to rationalize the reviewer's comments
and  indicated  alterations in the study protocol of  the grant
applicants which would overcome the objections of the reviewers.
Because the  proposed project review and the project officer's
revisions were performed near the end; of the Federal fiscal
year, the funds were awarded without either further submissions
or a modified  submission by the applicant. In one example,
inquiry revealed that one year  later the project monitor still
did  not know if the grantee had modified the protocol, added
additional personnel, etc., as  was recommended by reviewers and
as was rationalized by the project officer in justification of
awarding the grant.                  ;

     In other  examples the Committee found that external reviews
were not obtained  before award  of grants.  {Some EPA staff
informed the Committee that soliciting external reviews of
contract proposals was illegal, except with permission of the
appl icant s . )                         :
                                     i
     Scientists were encountered who had difficulty keeping
track of" the number of awards they were assigned to monitor;
they -were not  familiar with the details of extramural contract
or grant work  as it progressed.- The quality of investigatory
work external  to EPA laboratories and: supported by  ORD funds was
highly variable and of great concern, mainly, because ORD
oversight was  usually lacking.  It requires project monitoring
effort to ensure that contractors or grantees perform responsive
work on a timely basis.  There  is an efficient  "mix" of one's
own  research and that of others that can be effectively
monitored. Conversations with ORD laboratory staff  suggested
that monitoring one or two contracts 6r grants totalling perhaps
$100-150,000 per year would be  a stimulus to a  senior ORD
scientist. More extensive monitoring responsibility is a burden
to the ORD scientist and, even  more important,  he/she cannot
efficiently  discharge the monitoring responsibilities.  Some
research units-are so heavily committed to monitoring grants and
contracts that no  scientist i n "the unfit has -any t-i-me for his/her
own  research.  TFfe lesson is a  clear one; Congress  should not
increase R&D funding without concomitant ly increasing ORD
staffing or  without  identifying alternative approaches.

  -   A frequent complaint was that monitoring was handicapped  by
the  absence  of travel funds for the project officer to  visit the
institution  where  the research  was being done.
           ..app.l i cat-i on,s, are of two •- types—sol i cited -and - ------
 unsolicited.   The  latter presumably  represents  the  spontaneous
 interest  of  university scientists to do research  on
-.environmental  problems in which EPA mi gh.t.. be. .interested.  .The
                                184

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common response to the Committee's inquiry was that unsolicited
grant proposals have almost no chance of .being funded, primarily
because they are judged "not relevant." Ijt seems clear that EPA
scientists are using grants in lieu of contracts, that they
monitor them like contracts, and that the're is little
opportunity for "investigator initiative.;"
                                         i
     The mechanisms for soliciting grant ^proposals vary from one
unit to another.  We found little evidence that EPA has found
effective ways to interest university scientists in its problems
on a sustained basis.                    j

     Another practice, employed to extend the time for longer-
term research but with the potential for [abuse, is the "front-
end loading" of a newly awarded grant,  in this practice the
amount of the award may be as much as twice the amount of the
first year's budget.  The  investigator can then request an
extension for a second year without additional funds, an action
routinely granted without  a critical review of research
progress.  The Committee does recognize the need for  assured
funding of projects that may require more than one year to
complete.  However, if funds required for more than the first
year's operation must be obligated, the project must  be
carefully monitored to assure that funds1for the second year are
required  and appropriately usedi     . / . ,  ,:-,-. -... —7••_:•• - :,- _....r~-

     Another shortcoming of the present EPA system is the
absence of a routine  operational,  audit .of.-the qualjty of
extramural research.  Individual  scientists and laboratory
directors told  us that a contractor or  grantee who performed
poorly was not likely to obtain another jgrant or contract.  This
informal  and spottily used system is  not  adequate to  assure the
high quality of extramural performance. \

     ORD's entire program  to make extramural  awards  of  funds
under contracts, grants or cooperative  agreements requires  a
thorough  overhauling.  Extensive  standard operating  procedures
for  awarding grants and contracts  exist In the Agency; they are
voluminous, difficult to comprehend,  and  are  avoided  by-   	
laboratory staff. —It is necessary to  establ i sh  si mpl e,.-'e-xpl i ci t
procedures to  be followed  by  laboratory directors and scientists
throughout the  life of an  extramural  award.   At  present,
laboratory directors  are expected to  satisfactorily  complete
work unit tasks; extramural  projects  are  their choice and
responsibility.  The  Committee  recognizes the need  for ..... .-..
extramural assistance, particularly  if  the trend  continues  to
increase  ORD  dollars  without  increasing the number  of positions
for  investigators,  but the procedures  for extramural  programs
mcrst be  p.1aced on  a more-defensible.--basis throughout 0-RD.  	
                               785

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         3.   Career  Opportunities     :

       The civil  service  system was examined as an influence on
the  quality  of  research  programs  and  on  career opportunities for
EPA  scientists.  There were several examples of negative effects
of the civil  service system; for  example,  it  does not  permit the
flexibility  to  hire  new  people or to  move  people as program
orientation  shifts.  Consequently, there  are cases in which
excellent scientists are  placed on projects where their
expertise is not needed  and  where they  have to be "re-tooled".

       Although  the  Committee talked to  people who had  been
promoted because of  the  quality of their research, more
frequently promotion related to the assumption or increase of
administrative  responsibility.  Many  times a  good scientist
makes  a poor administrator,  but the scientist takes the
administrative  position  for  the highef  salary, not because he  or
she  has management  skills. Talented researchers must be
encouraged to continue  as investigators.   Mechanisms must be
instituted to further their  professional  development and their
allegiance to the Agency.            •
                                      i
       It appears that the policies ancl  procedures for
advancement  do  not  encourage the  emergence of e.ither top,,.
scientific or managerial-performance..  The system does encourage
job-hopping  by  bright people,  particularly those  in Program
Offices.  A  promotion ladder based on;scientific achievement
rather than  admrni strat i ve res'pans i bi 1 rty wbuld help to  solve
this problem.  Many  industrial research  laboratories use dual
ladders for  advancement-- administrative and  research.   Senior
research personnel  are  rewarded with  remuneration and  privileges
comparable to those of  a senior manager.   ORD is  experiencing
difficulty in retaining  research  physicians,  epidemiologists,
and  toxicologists,  among others.   At  the time of  this  writing,
the  Human  Inhalation Laboratory in Chapel  Hill, N.C.,  a  unique
facility,  is virtually  without  physicians to  perform the
research  vital  to scheduled  regulations  in the air media.

 _." .  Admi ni strati ve mechanis"ms~s~h'ou1 d "be deyel oped to offer  a
challenging  career  ladder to these pirpfes'sTohats"Tf"first rate
health effects  research is to  be  performed in ORD.   The
Committee  recognizes that many of the reforms addressed
elsewhere  in this report will  improve conditions  for these
professionals,  but  an explicit analysis  of conditions  and
^incentives  related to a research  career in ORD must  be performed
"and  improvements implemented where necessary.

          4.   Other Components  of  Quality Assurance

       Performance evaluations  of  individuals  and  laboratories
 are  often  perfunctory.   Many individual scientists  were  unclear
about the  criteria applied to  their  evaluations  and  advancement.
                                186

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Evaluation of laboratories is not being done in terms of good
laboratory practices,  rewards and incentives,  budget and
resource allocations,  and accountability!

    Personal  scientific integrity is difficult or impossible to
determine in a study of this kind.  To the extent that personal
conversations, attitudes expressed,  and .measures taken to assure
the quality of research, design, and analysis  can be used to
assess scientific integrity, the Committee was favorably
impressed.  If there were subtle biases in the interpretation of
research results, they were not detected:in this study.

      There are periodic "program reviews" in  which head-
quarters' staff members visit the laboratories.  These are
described by the laboratory scientists as superficial "show and
tell" sessions.  There is limited scientific feedback from
headquarters' staff, and the only benefit to the laboratory is
the stimulus to prepare material for presentation.

      By contrast, it was noted that when NIH  is involved in a
jointly sponsored project, there is  a vijsit by NIH staff
members, who conduct an intensive critical analysis of the
proposed research- project.  EPA- staff who have thus been "nailed
to the wall" to defend their projects say they would welcome
this kind of evaluation of EPA projects.
    There appears to be a general lack of understanding of the
Science Advisory Board and its constituent committees by
laboratory staff.  In view of this, it was not surprising that
the Science Advisory Board was criticized for its lack of
scientific interaction, failures in communica-tion, and lack of
subsequent feedback.
                                                   i
         5.    Interagency Agreements    :

         The  Interagency Regulatory Liaison Group (IRLG) is a
hew activity  which seems to "be off to a'promising start. Si nee
it is a developing program, no attempt was made to evaluate it.

    Other programs involving  interagency  agreements  have had
mixed success, at. best.  EPA has substantially supported the
National Center  for Toxicologic Research  since its inception,
with little evidence of any product benefiting EPA.  Disap-
pointment was also expressed  about interagency agreements with
Los Alamos and Oak Ridge National Laboratories and three of the
National Institutes of Health.          >

    A significant portion of  EPA's health effects research is
supported by  interagency .agreement for the special Energy-
Environment appropriation.  No attempt, was made to examine this
program .in detail.                      '
                               187

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     E.   Other Relevant Topics      i

          1.   Long Range, or Core, Program Research

          There are subjects for research which are important
to several of the media programs.  Examples are the properties
of particle dispersions, be they in air or water, because of
their relevance to collection of the disperse phase prior to
effluent discharge, to particle deposition in the human
respiratory tract and to particle retention or solubi1ization
in the human gastrointestinal tract; iepidemiol ogical
methodology because it is a major tool for relating exposures
to pollutants to potential effects in the exposed population;
and techniques of risk assessment and: presentation of the
implications prior to judging acceptability of risk.  There
should be a long term ORD investment in researchers and
facilities to develop highly active and productive groups in
those areas of research which are central to large segments of
Agency regulatory activity.  This investment is currently being
augmented by initiation of extramural university centers. It  is
planned to shuttle ORD staff between :their resident
laboratories and the centers for "leaves of absence" during
which they can pursue studies in core- areas while upgrading
thei r capabi 1 i t i es on a university campus.  We applaud this
plan, but also see the need for" small;, active core" research
groups in ORD la,bora.tories. Allocation" of a specific
percentage, at least 10%, of the ORD budget for relevant
research in core subject areas, but not on projects
specifically traceable ..t.o....immediate., program needs (6 months-2
years), is a reasonable assignment of funds.'""There is rib
obstacle to this programming of funds under the present
procedures for funds authorization.  They are part of the funds
assigned to research for the specific statutes, because  results
will be applicable to those statutes, as well as to others.

          2.   ORD/Congressional Stafif Information Transfer

          The relationship and  relevance of ORD projects to
regulatory  needs is  not  always  obviou's,  particularly  to  non-
scientists.   It is-essential— that members of- Congress and their
staffs understand the efforts of ORD.Sueh understanding does
not develop accidentally.  ORD  should develop a plan  to
regularly  inform interested members  of Congress  and their   .  .
staffs of the results of ORD efforts ;and the manner in which
they further  the goals  of  statutes  administered  by  the Agency.
ORD1 s ,i nvestment in  what  is .essenfrdalTy  an educational program
for legislators  should  invo-lve  Q-RD's  most  senior  scientific
staff. It is  critical * that this  communication effort  include
laboratory  personnel who  are directly  involved  in the conduct
of,research. .We  note the  1978 and  1979 Research  Outlook  efforts
by  ORD,  but  believe  efforts must go  far  beyond  this and  must
incorporate personal communications,  as  well as transfer of
printed  information.  The  conLcep.ts.:  x>f .chroni c  disease, multiple
etiologies  of disease,  host factors,  and  cumulative effects,  to
name only  a  few,  are complex and crucial  to  understanding  the
underlying  approaches to  research  in  ORD.


                               188    i

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VI.  UTILIZATION OF ORD RESULTS

     Different Program Offices utilize ORD research results to
different extents.  Senior program managers indicated that they
did not look to ORD for results; rather,  ;they sought capable
laboratories and investigators related to their needs, be they
within or outside the Agency.  A Radiation Program manager
indicated that ORD has little capability to assist them;  ORD
has no capabilities in the area of biological effects of noise.
ORD appears to have little involvement with the Toxic Substances
Office. The Water Program draws heavily on ORD at the present
time,  and recently ORD had a major involvement in the
formulation of criteria documents for 65 water pollutants.

     The input of research to the screening test and risk
assessment process was clearly evident from the Drinking Water
Research Program in Cincinnati and the Pesticide Programs at the
Gulf Breeze and Wenatchee Laboratories.  Their scientific
standing is recognized.  The respective  leadership has
maintained the kinds of communication necessary (with the help
of  pilot research committees) to keep this personnel  in
Washington knowledgeable and involved.

     It  is not surprising to find that the utilization of
results from ORD projects is not..carefully tracked when tlie
joint  planning of research by ProgranrOffices  and ORD is  in  its
infancy with the pilot research committee program. Program
managers elaborated on=,many..needs- not  ke'tng  met by ORD.; there
were few illustrations of ORD responsiveiness to programs and-
subsequent  incorporation of  results  into regulatory  programs.  On
the other hand, ORD staff were often praised for their responses
to requests for  preliminary  review of  regulatory documents,
consultation on  imminent regulatory  submissions to the courts
and,  in  general,  what  can be  characterized as  technical  support
to  the Program Offices.  The  Committee  was not  able to estimate
the average percentage of ORD professional staff time devoted  to
technical support;  it  varied with individual research sections.
It was clear  that  in  some instances  it represented  a significant
portion  of  some  individuals' time-.—This-technical -support  has  -
on some  occasions  played a critical  role in.  the.Agency.1 s .  	 ... ..
formulation and  defense  of regulations.

      The ORD  function in the Agency  is defensible  mainly  on the
basis  of program  utilization  of  insights and results developed
intramurally  or  extramural ly under  its auspices  a.nd  guidance.  :
The Committee  found that ORD did  not fully recognize or  accept  -
this  criterion for  judging  its  efficacy, had not  developed
mechanisms  for efficient utilization of  research  results  by
Program  Offices,  and  did-not maintain records  of  results .which
had been incorporated into regulations.;
                               189

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VII.  STATUS OF IMPLEMENTATION OF TWO SETS OF NATIONAL ACADEMY
      OF SCIENCES (NAS) RECOMMENDATIONS TO EPA

     The analytical  study of Research and Development in the
Environmental Protection Agency conducted by the Environmental
Research Assessment Committee (Joh-n M. Neuhold, Chairman), of
the National Academy of Sciences, National Research Council,in
1974 and 1975 set forth a number of useful recommendations.*

     Before that, a Review Committee on the Management of  EPA's
Research and Development Activities (Robert W. Berliner,
Chairman) had developed recommendations submitted to the Agency
on August 27, 1974.   Our Committee (HERRG), therefore, in  its
collective judgment, has attempted to evaluate the extent  to
whic'h former recommendations have or have not been implemented.
This final exercise was undertaken at the end of our study when
all visits had been completed.  It was possible by this means to
add a different, but closely related, viewpoint against which to
compare our own observations of performance and changes during
the past four years.

     Although there has been significant improvement in
selected aspects of EPA research planning and management,  most
notably the development of pilot research committees with
representatives from across the Agency, the overall planning  and
management system is still unsatisfactory.  Many of the reasons
for inadequacies in the system in 1974 still exist today  and
will be enumerated fn thevrf o-l Towi n g.  - -^ 1 --•-. .-;1_;~' 1.1 .:.•_;   1.1;*.

     A.  Recommendations from the Environmental Research
          Assessment Committee of 1975 **

     (1)  "EPA's research and development should
          concentrate primarily on support of the Agency's
          decision making and anticipation of future
          problems."

     There  are  improvements arising from  better communications
between reseefrch workers in the'laboratories an"d~'the'"'Pr"ogram"
Offices.  The  pilot research committees have~helped establish
communications and understanding.
~"*Analytica1  Studies  for  the  U.S.  Environmental  Protection
Agency,  Volume  IHj  "Research  and  Development  in  the    ~~
Ertvironmental  Protection Agency,"  Environmental Research
Assessment  Committee,  Commission  on Natural  Resources,  The
National  Research  Council,  National  Academy  of  Sciences,
Washington,  D.C.  1977.	          	     •   ..-..-.-.	

   **Ibid. page  2.                    ;
                               19O

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     (2)   "EPA should supplement its primary research
          responsibilities with some fundamental research
          to help advance understanding !i n environmental
          sciences and technology."

     Planning for fundamental or longer ,term research is still
inadequate.  However, to achieve the rigJit kind of balance there
first needs to be a close and direct relationship between
researchers and program managers.  Both 'must understand the
research process and information needs pf the regulatory
process.                                 :

     (3)   "A new legislative mandate will be required if
          EPA is to conduct effective anticipatory and
          fundamental research."        i

     The HERRG Committee does not agree jthat additional
legislation is needed to fund and conduct "anticipatory and
fundamental research."                  I

     (4)  "We recommend that the Office of Science and
          Technology Policy (OSTP) develop a federal
          environmental research, development,  and
          demonstration strategy that -includes  designation
          of the appropriate roles of all participating
          federal agencies and existing  interagency
         ~ coord.i nat~i ng committees ,. and delineation of_the
          relationships between federal ; and nonfederal  -•.»•••-••
          research  and development.  The OSTP should
          coordinate the implementation;of the  strategy
          through  its mandated consultations with the
          Office of  Management and Budget (OMB) about the
          scientific  programs  of  federal agencies."

     This recommendation has not  been followed, per se.
However, the Interagency Regulatory  Lia;ison Group is seen  as  an
excellent initiative which has the potential of reducing
dupl icat ion and  conf usi on among  a gene i es .—•  Better-e-oo-r-di-nati-on
of research efforts  and better agre-ement -on the-met-hodo.log-i.es.
applicable to  hazard  assessment  are  encouraged  by this
Committee.                      .  . •    i
                                       i
    •  (5)   "We  recommend that the  management  of  all  research
   ---	and  development in E:PA  be  central fzed in the
  -••"-••    Office of Research and  Development  (OR&D)."  	

     There seems to be progress  in centralizing the management
of-R&D within  ORDi  but  a  number  of Program  Offices  administer
R&D  contracts  and  grants directly.   The  Committee urges  th'at
this  Academy  recommendation  be implemented  to  assure  that  proper
oversight  and  scientific  peer  review be  applied whenever
research  is conducted by  the Agency.  •
                              191

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      (6)   "EPA's  research  program  needjs to  be better
           organized for  balance  and continuity, through
           planning developed around a logical conceptual
           framework of environmental protection..."

      A  number  of  areas within the  present  EPA research and
development  program are  still not  aligned  within  a  logical
conceptual framework of .environmental protection  and  thus are
not  as  effective  as they could  be.  Th;e conceptual  framework
proposed in  the  earlier  NAS/NRC  report  (1977) still  appears  to
offer a sound  framework  for the  assessment of research  needs,
the  planning and  conduct of research, iand  the utilization of
research results.  The framework is sh'own  below:

              Framework for Environmental  Protection
              Natural,
              Economic, and
              Human Resources
Production Processes
(including control technology),
Transportation, and Use
                    Emissions
                    (residuals)
   Other Environmental •
   Impacts Including :
   Unintentional Release
   of Pollutants
                   Transport,
                   Transformation,
                   Accumulation
                 Ambient" Environmental
                 Quality (air, water,
                 soil, biota)
                               Decisions to Control
                               Effects
                                   752

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     (7)   "A central  function of scientific support to
          decision  making should be to provide integrated
          assessments of available scientific, technical,
          and economic data pertinent to pending decisions
          in forms  suitable for use by Agency decision
          makers.   We recommend that the importance of this
          function  be recognized by giving it formal status
          and organization in OR&D."    ',

     The importance of integrated assessments continues to be
recognized,  and the Agency is moving toward establishing the
formal organization required to make such assessments.  When
such an organization  is fully operational, it should be of major
assistance in providing information that; is useful to the
regulatory decision makers; but of equal; importance is inform-
ation that is crucial for the planning of a responsive research
program.   Carefully conducted assessments can identify gaps in
research information or parameters that tiave the greatest
influence on the effects of emissions. In the absence of such
assessments there is a risk that research efforts may be
directed to developing information that may have limited value
in establishing or reassessing standards, or in guiding their
enforcement.                         •-'•,•      	

      (8)  "The research planning system now in use 'in OR&D,
          characterized as "top-down" in structure, should
          be retained f or .resear.ch  i n .s.upp..qrtL, of decision
          making.  For anticipatory and fuTi"d"amenta4:—- :
          research,  however, we recommend a "bottom-up"
          scheme that relies on the scientific community to
          identify research  needs."     '

      Except for the  pilot research committees, the planning
process  remains "top-down."  Substantial  improvements  are  needed
to achieve involvement of those generating and using the data.

      (9)  "We  recommend  that block  funding of extramural
          -grants, contracts, and-i nteragency  agreements^ be	,
          considered  as  a mechanism_tQ;.._e_stabl i sh  centers  of	
          excellence, federally funded contract  research
          and  development  laboratories,  and umbrella
          interagency agreements to  supplement the  intra-
      — --mural research  and development  program.,"

      To  date,  block  funding  mechanisms have.not".been  extensively
used  by  ORD,  although  legislation  has  provided  the  opportunity
for use  of  cooperative  agreements  that may very  well  match ORD
needs-* -ORD. has made preliminary  plans  for using such  agreements
and should  proceed expeditiously to  implement their  use.   Such
agreements  offer an  opportunity  for a  complementary approach  to
the present  system of grants and  cpjrtracts for_ extramural
performance.                            ;
                              193

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                                     i
     (10)  "All proposals and completed research should  be
           subjected to review on their technical merits by
           scientific and technical  peers."

     Peer review of proposals and completed research was
inconsistent and, in many cases, inadequate.

     (11)  "We recommend the use of  a parallel grade
           advancement system, based .on performance  of
           research, that does not require researchers to
           assume administrative or  managerial tasks to
           attain promotions."       ;

     There was little evidence of implementation of  a parallel
grade system.  In some cases, individuals have accepted
administrative or managerial assignments  based on the perception
that such assignments are critical to obtaining promotions.

     B.  Recommendations of the Review Committee on  Management
          of EPA's Research and Development Activities *

     The Review Committee report noted that the  present  (1974)
"Office of Research and Development  planning  and management
system fails to meet the. needs of the. Agency" and proceeded  to
identify two main categories .of.failure:   (1) the nature of  the
system itself  and (2) external constraints  as perceived  by the
Office of Research and ^Development an;d communicated  to the
Review Committee^! /::7 "  ";ivv\   \:":"rT;:IL?,i  :.,-.„..           -      '

     1.  The nature of the system itself.

     a.   "Planning  is separated from
          responsibility for executioin, leading
          to severe  resentment among performing
          researchers.  The assignment of
          responsibility for specific actions and
          decisions  is difficult."
     There  fs""stili  an  inadequate  linkage  between planning and
responsibility  for execution  that  is  apparent,  in"varying
degrees,  at  all  levels  of  the organization below the Assistant
Administrator for Research  and Development.   An individual
researcher  charged with.responsibility  for performing a task may
:have no input to theL-planni ng of that; task.

     b.   "Priorities  do  not  reflect  the needs  of
          regulatory offices  and regional  offices
          because of the  'vacuum cleaner1
'  	  "  "approach to  soliciting ideas,  and  the      -
          system-induced  barriers  to  using common
          sense in the  selection process."
        bia.page  96.
                               194

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     There has been improvement in the establishment of
priorities in selected areas, most notably those for which pilot
research committees have been established,, to yield a research
program potentially more responsive to the needs of the Program
Offices.  In other areas, the research program is less clearly
defined and priorities have not been established.  Faced with
necessarily limited resources, the responsible individuals have
frequently elected to continue work in all areas at a reduced
level of effort rather than electing to eliminate or defer the
lowest priority projects.  The result is a reduced potential for
success in the highest priority areas because of lack of funds.

     c.   "Inadequate attention has been 'paid to
          the possibility for trade-offs,; or
          modifications in budgeted costs!, among
          various projects.  This has aided in
          the development of a situation -where
          there is only a series  of discrete
          projects and no Agency  program.  This
          situation is further aggravated by the
          absence of  long-term (3-5 year);
          pianni ng."
     Long-range planning within the Agency remains, inadequate.
The  large portion of the planning within |ORD-is necessarily
dependent upon the needs identified by the Program Offices.
These  long-term needs  have  oft.en . been -/i nadequatelystated,  if
at all, thereby handicapping the development of a responsive
long-term research plan.   It was originally  anticipated  that
the  pilot research committees would develop  a strategic  plan
for  their areas of responsibility.  However,  this was  not done,
in part because of the timing and pressure of the ZBB process
which  forced  the  pilot research committees to take a  shorter-
term outlook.  An additional factor which should also be
recognized  is  the reluctance of some individuals to engage  in
defining a  strategic plan  until they are certain that managers
are  serious  about the  effort.            ,

     d.   "  The complexity  of the system mak.es ,it   -
          counter-productive.  The «large amount
          of  paperwork and  excessive bureaucratic
          review  is  a  wasteful consumption of
          time and energy.  The needs  of the
          Agency  are  complex; however," this  does  -.._•----
          not  change — but  rather heightens—the
          need for a  simple and understandable
          planning and reporting system  clearly
          directed by  the  Assistant  Administrator
          and  in  which field personnel have  a      "   	
          real participatory  input.-"     '
                               195

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     The planning and management system is still extremely
complex, involves a large amount of paperwork, and is often a
waste of valuable time.and energy.  An inadequate amount of
authority has been delegated downward;to the laboratory
directors and lower echelons of the Agency.  In those cases
where authority has been delegated, there appear t.o be excessive
requirements for keeping all upper levels of the Agency
informed.  One example is the use of the highly structured
quarterly "Project Status Reports," which include detail at the
task level  (tasks ranging in expenditures of less than $10,000
to over $200,000 per year); the volume of material developed at
the laboratory scientist's level is passed successively to the
Division Director, the Accomplishment'P1 an Manager, and the
Office of Health and Ecological Effects and its various staff
units.

     e.   "Accountability is made impossible by
          the parallel but separate management
          systems — some for housekeeping and the
          others for program content — and by the
          hopelessly complex Program Area
          Manager-Program Element Director-
          Program Assessment Group-Strategies
          system which obfuscates management
          responsibility."   ...     : .    ;     ;  • -  - -.--

     The chain of accountability is extremely  difficult to trace
from the laboratory, scient/ist^ (ei±herJ.i n:-.hquse or engaged as a
contractor or grantee) to the-'Assistant-•-Ad-mi nist rat or "f or
Research and Development.  The  "chain 'of command" is excessive
with numerous intermediate steps that serve only to delay or,  in
some cases, reprocess information without serving any clear
management functions to enhance research productivity,
efficiency, or responsiveness.  Indeed, in many areas the number
of  information reprocessors and/or relayers makes it difficult
to identify the laboratory scientist.

     f.   "Excessive requirements  for detail at
          all planning levels lead to ,an     ---—	
          oversized headquarters staff and to  the
          stifling of innovation in the
          laboratory."                  ,

     The 1 eve! of .de.tai 1. required  at  all levels and the transfer
of materials with limited,informational -or management  value
continues t.o, contribute to the  maintenance of  an overly large
Washington staff.   In what appears to be a contradiction, the
Washington staff is understaffed in relation to the amount of
material beijig transferjie.d an.d  processed.  Unfortunately, much
of this  effort is misdirected.  Because of the attempts to
maintain detailed accountability of  even extremely  small
projects, the innovative responsibilities of ..the laboratory
scientists continue to  be  unfulfilled.
                                196

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     g.    "The existing management structure does
          not allow for the corrective feedback
          and flexibility which are essential to
          any successful  research and development
          program."                     j

     Because the "chain of command" is so long and the
communication pathways are jammed with trivia, corrective feed-
back does not occur at the level required for effective manage-
ment.  The rigid system of accountability to the laboratory
directors diminishes the flexibility needed for operation of a
responsive and innovative research program.

     h.    "A long-term program designed,to meet
          stated goals is missing and this is
          vital for any scientific venture."

     The ORD program has few clearly stated  long-term
strategies, specific to each Program Office, with easily
identifiable objectives and goals. In the absence of long-term
objectives and goals, the Agency's research  and development
resources seem excessively preoccupied with  meeting short-term
goals, some of which are restatements of goals not previously
attai ned.                   ......

     i.   "A false sense of control  is generated
          by the highly structured mechanism for
          planning.,"     -   ;  -_.;	:-...._..,..,......	_:.._.._... ,.-,_.	_;.. : ...
     The highly  structured  planning and control  system,  which
generates considerable activity, has promoted the feeling
that something is  happening that is of a  positive nature.   The
widespread lack  of clearly  stated and agreed upon long-term
objectives and goals,  however, makes it difficult to  determine
whether the movement is positive, negative, or  random in nature.

     j.   "Relationships  between the headquarters
          and field are strained at best;  a state
          of frustration  in the field staff  is
          apparent."    -•••-

     Considerable  frustration  is apparent in many of
the organizational units  below the Assistant Administrator's
office.   In many cases, the individuals have resigned themselves
to tolerating a  work environment that is-constantly changing,
but rarely for^the better.

     2.   External  constraints  as perceived by the Office of
Research  and Development. ;           _..-	 ..

     a.   "Enabling legislation is noncoherent
          and mandates a .set  of unbalanced and
          uncoordinated research objectives  and
          timetables."
                              197

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     The enabling legislation for the Agency has been
and continues to be viewed as noncoherent, mandating a set of
unbalanced and uncoordinated research objectives and timetables.
Since the enabling legislation has not and may not be changed in
the near future, ORD has no real choice but to accept the
situation that exists and strive to adjust its planning and
operations accordingly,

     b.   "The lack of an integrated approach to
          environmental pollution control in the
          Agency as a whole makes an integrated
          research and development program very
          difficult to form."

     Although some individuals view the Agency as not
having an integrated approach to environmental pollution
control, some progress has been made, and the use of approaches
such as the pilot research committees offers the opportunity for
developing an integrated research program with long-range
objectives and goals as recommended ini!974.

     c.   "Civil Service rules, parochial
          political pressures, and human nature
          combine as barriers to the ,. ;    -
          simplification, assembly into  'critical
          masses,' and logical organization of
          the research units which were inherited   -.
          by EPA when it was' created. "
                                      i
     Civil service rules, parochial political pressures, and
human  nature continue to be barriers to simplification, assembly
into "critical masses," and logical organization of the research
units.  Of perhaps equal importance has been the failure to
recognize that in the absence of a clearly recognizable research
and development strategies specific for the Program Offices, the
constraints of civil service rules, the influence of political
pressures, and human nature will have substantial adverse
impacts on the , re,s,earch program.  An identifiable strategy with
well thought out-objectives and goals will..go a  long way toward
minimizing the impact of factors that can push a reaction-
oriented program, with ill-defined objectives and goals, off
course.  As addressed elsewhere in this report,  civil service
rules  do adversely impact the research program,  and suggestions
for change are offered. However, In t-he absence  of changes in
the ruleSjjthe situation must be accepted and plans developed
within the constraints of the rules.  Parochial  political
pressures have been, and probably will continue  to be,  brought
to bear. However, it should*be recognized that the Agency has
strong poTit'-ical  supporters, who can counter  parochialism  if
they know that the Agency has^a "research program that is
scientifically and managerially sound and programatically
responsible with  a plan for the future. Without  question human
nature may at times  offer constraints, ;but,  if properly
directed, can also provide forward momentum.
                               198

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     d.   "A level  budget  (except  for th:e  energy
          'roller coaster1 of FY 74,75,7J6)
          prevents  transitions which would  be
          possible  in a steady growth situation.
          An internal  'roller coaster'  budget
          appears to be particularly disruptive
          to individual projects."

     The  level budgets of  fiscal years  1:974, 1975, and  1976 were
 given  as  the reason for the  failure  of  the  ORD  planning and
 management  progression.  The level budget  was said to prevent
 transitions that  would be  possible in a  steady  growth situation.
 Recent  budgets have shown  an increase;  however, transitions do
 not  appear  to  have  occurred  any more smoothly.  A concern  raised
 even more frequently than  the shortage  of  funds is the
.restriction on the  number  of full-time  employees. Although the
 impacts of  the restriction are real, little  has been or is
 likely  to be accompl is.hed  by merely  accepting the OMB mandated
 personnel ceilings  until they can  be changed.   Until changes  are
 made,  it  would seem prudent  to exercise greater care in the use
 of available personnel and to have a strategic  plan for addition
 of personnel when vacancies  do occur.   Such a strategy  for the
 management  of  personnel resources  is an  essential part  of  the
 total  Agency research  and  development plan and  is the only way
 the  personnel  resources  (as  to number of individuals with
 specific  types and  levels  of disciplinary training) can be
 matched to  the long-term needs . of  the Agency-.  ....  .........

     The 1974 letter report of the  NAS/NRC Review  Committee listed
 four major  recommendations.* The  recommendations have  been
 implemented to varying degrees and,  even where  not  fully
 implemented, still, seem appropriate.  Because they  are  still
 germane,  each  is  reviewed  below.        :

      1. "The  Environmental Research  Objective Statement-
          Research Objective  Achievement PIari-Program Area
          Manager-Program  Element  Direction-Program
          Assessment Group-system  should be abolished.
          Responsibility for  carrying "out a program.
          designed to meet  the  goals  of  the Office  of
          Research and  Development  should be delegated
          directly to, the  National  Environmental Research
          Center  directors.   Resources of manpower and
          money should  be  allocated-directly to  each-
          Na-ttonal Environmental  Research Center."
      *Ibid. •  *e 98,
                              199

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              The planning and management system referred to has
been largely abolished.  It has not been replaced by a system
that is understandable to all parties involved; thus vestiges of
the old system remain.  The five Pilot Research Committees cover
a portion of the ORD program and partially meet the planning
function requirement. The National Environmental Research
Centers and related field stations in existence in 1974 have
since been separated into 15 individual!  laboratories, which
report through four deputy assistant administrators to the
Assistant Administrator for Research and Development.  Although
allocations of resources are made directly to the individual
laboratories,  there appear to be numerous strings attached which
severely restrict the authority of the;laboratory directors.

     2. "The line reporting within the,Office of Research
         and Development should be from the National
         Environmental Research Center directors to the
         Assistant Administrator.  The Assistant
         Administrator should have a small staff to
         perform only staff functions and not to serve as
         a filter or layer through which the National
         Environmental Research Center directors report.
         This  should develop into a simple pyramidal
         management system through which aTT~rfirection,
         supervision, and evaluation is accomplished.
         This would, in effect, eliminate all layers or
         parallel management plans and result in a clear
         chain of .authority from the individual
         researchers to the Assistant Administrator for
         Research and Development.  The pyramid should
         decentralize quickly from Washington Headquarters
         to major field units.  The Headquarter*s staff
         should be trimmed appropriately and those
         necessary for "Washington liaison" activities
         clearly labeled.  We did not h.ave sufficient time
         to evaluate the role and position of the
         Washington Environmental Research Center. Such an
         evaluation should be made.

         "Because of the recent formation of--the
          Agency by coalescence of disparate portions
          of other agencies, a particular need for
          intra-agency communication exists.  To this
          ends a planned continuing rotation of field
          pers'onnel into .andjpack fronr a small
         jHeaciquarters staff unit and between other
          units  should be carried out.  Short term,
          non-government talent should also be worked
          into this rotation system."
                                200

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         --The Washington staff of ORD is still quite large with
a relatively large number of individuals serving in special
staff roles and on numerous ad hoc committees.  Clear chains of
authority do not exist between individual researchers and the
Assistant Administrator for Research and Development; rather
there are numerous filters through which^information exchange
must take place.  Despite the largeness of the Washington staff,
many appear overwhelmed by their work load, while others
apparently fill slots for which there are no longer meaningful
work assignments.  Approximately 90% of the work load seems to
be carried by one-half of the staff.

          Communication between Program Offices and the Office
of Research and Development has been virtually non-existent in
some areas.  The five recently organized pilot research
committees appear to have helped improve; intra-agency
communication and offer considerable promise for further
improvement.

          Rotation of field personnel into and back from head-
quarters has occurred to  a  limited  extent, but more exchanges
are needed.  A limited number of short-term, nongovernment
 individuals have  rotated  through the system, however more
exchanges of this type are  also needed.         ,

        3. "The function  of  the Assistant Administrator
           for Research  and Development  should be to
            assemble,  analyze,  and clearlyr  defi/ne Agency
           research and  development needs  and  objectives
           with  the participation of the other Assistant
           Administrators and the National Environmental
            Research Center  directors as  the  mechanism  to
            develop goals, programs, and  priorities.  He
            should allocate  objectives  and  the  resources  for
            their  accomplishment to  the  National
            Environmental  Research Centers.   Once allocation
            is  decided  upon, the performer  of the research
            or  devel opment..shoul d  be linked directly  to the
            user- of the projected  output  f or. i nf ormati on
            exchange.

           "A  performance evaluation should be  set  up to
          "  include continued  inputs from users,  and  outside
           -visiting committees  reporting at  a  high  level
         -.should be  regularly employed.   The  system of
            visiting committees  employed by the National
            Bureau of  Standards should  be studied for
           jippl icabil ity.

           "A plan for a  3-5 year  period to be revised  at
            least annually should  be deviel oped."
                               20?

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         --The Assistant Administrator for Research and
Development has not systematically assembled, analyzed or
clearly defined research and development needs and objectives.
"The Research Outlook: 1978-1983",, which has been published, and
"The Research Outlook: 1979-1984",, currently nearing completion,
are perhaps the most definitive statements of research and
development needs and objectives.  Ho.wever, neither document is
an adequate statement of near-term, mid-term or long-term plans
and objectives.  Participatory discussions have apparently
occurred with^laboratories.   Until initiation of the pilot
research committees, most planning activities were carried out
in headquarters with only limited and late stage input from the
laboratories.  With the advent of the^ pilot research committees,
laboratory and Program Office input to near-term research
planning has occurred in those research areas for which
committees have been developed.  This, has had a positive impact
on planning; however, in most cases where the laboratory
director was not involved in the committee's _acti v_itie,s_» .it. .has. ..
m-in-frrrized the role "O'f th'e" Ta~boratory" director in the planning
process.  For a majority of the research programs, the
laboratory directors and staff have been involved primarily in
near-term planning and then most frequently at late stages of
the budget cycle.  In many cases the input has been, fragmentary
and spurious, i.e., "What would you and your people like to do
n.ext year?"   -         *   -  • •   	~  ; " '

     Resource allocations (personnel and finances) are in a
continuous state of flux.  -As •'-expected in relation to the
Federal budget system, chaffges aTe made up to the beginning of
the current fiscal year, but frequently continue on throughout
the year.  The major certainty appears to be that change will
take place.  The laboratory directors apparently are given
little authority for shifting resources within program areas and
even less authority for shifting resources between program
areas.  This lack of flexibility, with continuous management
from headquarters, appears to have had a negative impact on the
productivity of the programs.  EPA scientists, in many cases,
are confronted with changes in program direction and level of
effort with very short; notice. Extramural projects have, in many
cases, been"treated -as the most flexible portion.of the system.
Contracts that have been expanded or shifted in direction on
very short notice have served to alienate substantial portions
of the research community.  Precipitous actions, discontinuation
of programs, or shifting of program direction raises legitimate
questions "concerning the adequacy1 "of'"Agency research and
development planning.  Precipitous  increases of funds, although
having associated moments of elation, are usually followed by a
recognition that the time and personnel resources available do
not allow careful selection of new contractors, resulting in
projects that are less successful than they  should be.
                               202

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          4. "Not only the changing nature of
              environmental  problems but also the
              exigencies of the economy, suggest that it
              would be inadvisable to build up a large
              permanent staff. Rathera maintaining the
              necessary competence to monitor grant and
              contract work as needed would appear to be
              a prudent course.

             "A careful review of the contract and grant
              procedures should be undertaken."

          --The Agency has not given adequate attention to
developing a strategy for the implementation of its research
program, i.e., balance among intramural research, contracts,
grants and interagency agreements.  Although the mandated
ceiling on numbers of personnel is recognized, the Agency has
not -m-ade- a-de-q-ua-te pl-a-ns fo-r -1-i.v_in.g. -w~ithin. Lhajt. celling.  ..To..
circumvent the personnel ceiling, contracted personnel are used
on site at many laboratories to perform maintenance operations,
thereby extending the work force.  There are numerous
individuals who are faced with a multitude of competing
responsibilities:  performing hands-on  research; supervising  .
technicians who directly assist them; preparing orders and
monitoring the efforts of on-site contract personnel; soliciting
and reviewing research grants and proposals; monitoring research
being perf=q.r;med_ by contractors and prantees, either by personal
visit or review of innumerable reportsi  expected of the
contractors and grantees; and  participating  in the preparation
and review of criteria documents and related material. In some
instances, there are  experienced scientists  and managers
available who do an excellent job of balancing and meeting these
competing demands. In a few  instances,  individuals, who have  been
unwilling to accept the demands placed  on them, have  retreated
into their  corners to do  "their thing," ;i.e.,  perform specific
research in line with their  interests,  and are content to let
the system  go on its  own  merry way.  Although  this has solved
th.ei r -i mmedi ate.....p.r.obj em,  it  has increased the workload and
demand  placed on their col leagues.   In  many  cases, the demands
are excessive in relation to the experience  an"d training of the
staff member, and  one or  more  of  the  aspects  of the job are
performed poorly.                                        ,

     The  impact  on botK intramura,] .and  extramural  research  is
apparent., jvh.e,Impact oh  th.e  intramural" program is discernible
by  the  fact that many EPA scientists  do not  publish because  they
have performed relatively little  research. A review of how
selected  grants  and  contracts  were  initiated and  monitored
suggests that, in  some cases,  the  individuals  involved did  not
have  adequate  experience  or  time  to  perform  their  assignments.
A  related and contributing  factor  has  been the  development  of  an
"unwritten" set  of procedures  for  promoting  the  use  of grants
rather  than contracts  because  of  the  more  cumbersome  nature  of
the contract  award process.
                               2O3

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     In summary, a careful review of contract and grant
procedures is as much needed now as i£ was at the time of the
NAS/NRC report.  A key aspect of such a review should be the
development of a strategy dealing with how much research can be
appropriately performed in the Agency:and how extramural work
can best be performed.
                              2O4

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 VIII.   COMMUNITY  HEALTH  AND  ENVIRONMENTAL  SURVEILLANCE  SYSTEM
       (CHESS):. AN  INVESTIGATIVE  REPORT   j

     A.   Background  of the CHESS  Program

     The  Community  Health and  Environmental  Surveillance System
 (CHESS) was  initiated  about  1970  and  involved  collection of  data
 during  the period  1970 to, 1975.   This research and surveillance
 program was  designed to  investigate the  relationship,  if any,
 between air  pollution  and health  in human  populations  (up to a
 few thousand persons),  studied at single Contacts  or followed
 for short periods  of time (up  to  two years), for
 characterization  of health status.  These  observations  were
 coordinated  with  observations  on  air  pollution in  the
 environments of  the study populations.   The  populations and
 areas  included for  study were  selected to;  represent pairs or
 larger sets  of contrasting exposures, for  example, a "clean" and
 a  "dirty" town or a  series of  several communities  with  a known
 or suspected substantial range of air pollution  conditions.  Most
 populations  consisted  of persons  not  previously  known  to have
 any special  health problems, although some studies within CHESS
 were directed at  groups  defined  by  disease conditions,  for
 example,  known ast-hma  patients.        .  T..

      The  program  operated from 1970 to  1975  and  resulted in  a
 major  publication in May 1974 (Health Consequences of  Sulfur
 Oxide:  A  Report  from CHESS,  1970-1971)..  That publication
 included  analysis and  interpretation  of  the first  two  data
 collection years.   Other smaller papers  and  presentations
 involved  these and some later years1  data.  The  major  review in
 1974 implicated  sulfates, sulfuric  acid,  and sulfur dioxide  as
 causing health  effects,  chiefly respiratory tract  disease  or
 disturbance  of pulmonary function,  at or  near  levels of these
 pollutants  common.ly considered "safe."   That report was
 extensively  reviewed by  a number of  individuals  and groups  and
 received  both praise and criticism.   In  part because  of some of
 the criticism, CHESS,  in its original form,  was  discontinued.
 It was recommended, however  that add.itiohal  substantial efforts
 be made to.optimally use the collected  data beyond those uses
 reported  in  1974.  Special  features to  be considered  in further
 work were to include:  (1)  analysis  of extensive  data collected
 from 1973 to 1975 and not  included in thb 1974 report; (2)
 improvements of  statistical  data and  analytic  techniques;  (3)
 assessment  of validity of  coded data  and- of extent of  coding
- errors or other  correctable  problems  in  the data set;  (4)
 increased objectivity i'n interpretation :of findings;  and (5)
 assessment  of confidence range of estimates of pollution.
                               2O5

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     B.   Findings of the Subgroup

     During the site visit in September 1978,  the status of the
CHESS program was reviewed and a summary follows.  The mechanism
for continuing work on CHESS is a contract from the Environ-
mental Protection Agency to the University of North Carolina,
Chapel Hill, principal investigator Dr. Carl  Shy. This contract
work is  closely followed by members of the epidemiology division
and the  statistics unit of the Health Effects Research
Laboratory, Environmental Protection Agency.  Dr. Shy was
formerly extensively involved with the CHESS  project as a member
of the epidemiology unit; he is now a member of the faculty,
University of North Carolina.  The plan is to review all of the
CHESS data collected for 1970 to 1975.  The contract to the  -
University was let in September 1977.

     To date there has been a major effort to validate the CHESS
data sets.  This was projected to require two years but is now
expected to be completed about eight months ahead of schedule
because special priority was given to the validation project.
This has been accomplished in spite of a budget deletion of the
funds planned for this purpose, thereby making it necessary to
discontinue other work to meet this mandated task. The
validation project is designed to identify discordances between
manually recorded original data and tape recordings on exposure
(pollution), outcome  (health measures);, and control demographic
and confounding variables.   It is being done very effectively
under the direction of Mr. Gerald Nehls, Director of the Data
Management Unit in the Health Effects  Research Laboratory.   It
must be noted that any validation of these old data is now
limited to  validation of the previous  coding and automating  and
not to any review of the correctness of initial observations of
symptoms and other health effects.
                                       !
     A standing committee has been created, reporting to Dr. Shy
and supported  under the  research contract, to review all planned
publications of the CHESS data.  The committee presently
consists of Dr. Warren Winkelstein  (University of California),
Dr. James Grizzle  (University of North Carolina), and Dr.
Michael Lebpwitz  (University of Arizona).  This  committee  has
just been funded, and"its effectiveness cannot yet be judged.
The membership  seems  appropriate, and  the  plan for a standing
procedure for outside review is a useful move in response  to
criticism regarding objectivity of  reporting.

•---"••  A report  of  a current analysis of a portion of the CHESS
data  from the  Southeast  region  (Charlotte, North Carolina  and
Birmingham, Alabama)  was  presented to  the  site group by Ms.  Shi-
Ping  Lan.   The  analysis  and  presentation  indicated  a  high  degree
of  statistical  competence and good collaboration among  Dr.  Shy,
Ms.  Lan,  and Dr.  Hasselblad  of  the Health  Effects  Research
Laboratory.   The  material presented will  presumably be  in  a  form
for publication  soon.  A principal  feature of the  new  analysis
is  more adequate  use  of  the  symptoms data  from the health
survey, employing a 5-level  symptom  scale  rather than  the
dichotomy used  in  earlier analyses.


                               205     !

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     The information that can optimally be obtained from this
Southeastern study is limited,  however, because any possible
effect of air pollution on the measured health indices is lower
by factors of 10 to 100 than effects of smoking or job
exposure.  Even though a pollution (intercity) association is
found, it remains possible that this association is not causal
but is due to a variable related to the stronger effects of
smoking or job exposure or to other confounding variables for
which no observations are available.

     While the acronym CHESS is understood to apply to the 1970
to 1975 group of studies, certain new work in progress
follows the general outline of that program.   The study most
clearly conforming to that design is in four Utah communities,
in which 1976 observations are being compared with former 1970
CHESS observations of chronic respiratory disease and of acute
lower respiratory tract disease, as related to increasing S02
pollution in the region.

     A substantial change in the operation of CHESS and related
studies has been made in the past three years with a change in
emphasis from in-house research to research grants and
contracts.  This appears to be a result, in part, of the
extensive criticism of the previous CHESS program and is
reflected in the entire activity of the Epidemiology pi vision.
Only four professional researchers from a previous epidemiology
staf f of ,15 , rem.ai n In that division.  Three new, young junior
investigators have recently joined the division.  The reduced
staff is essentially  completely occupied with their duties as
project officers on contracts and grants.  The result of this
change from intramural to extramural with regard to CHESS
appears not to be obstructive and may offer certain advantages.

     C.  Steps Taken  by EPA to Meet Brown Committee
         Recommendations

      Public Law  95-155, passed by the 95th Congress, mandated  a
review of and a  report on "the findings and recommendations of
the  report  to the  House Committee on.Science  and Technology
entitled  'The Environmental Protection Agency's Research
Program with Primary  Emphasis  on the Community  Health  and
Environmental Surveillance System (CHESS): An  Investigative
Report.1"   It was  further specified that; special  attention  be
focused on  "procedural safeguards required to preserve
scientific  integrity  of  such research  and to  insure the  ,
reporting and use  of  such research  in  subsequent  recom-
mendations."
                               207

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     Although Chairman Brown emphasized the desirability of a
positive.attitude in the letter of transmittal  of the Committee
Report, the document impressed some members of the subgroup as
often being hypercritical  and demanding an approximation to
perfection that is not obtainable in studies of human
populations.  The EPA has  published a response to the recom-
mendations of the Investigative Committee in the EPA Research
Outlook of March 1978.  The report of this subgroup will
addre,ss only those recommendations that deal with on-going
activities related to CHESS or other epidemic!ogical  and bio-
statistical work at HERL/RTP. Recommendations will be ident-
ified by the numbers used  in the Investigative Report and in
the Agency's response.

     3(a):  EPA should publish an announcement regarding the
limitations of the CHESS Monograph.
     3(c):  EPA should publish an adderidum to the CHESS
Monograph including most of the Investigative Report.

     Subgroup findings;   It is believed that the EPA response
covers these recommendations satisfactorily, although it is
difficult to see how the response can be delivered to all
holders of the CHESS Monograph.  .Most scientists, however, will
be aware .of the limitations of the data in this Monograph.

     4(a):  Legislation should be reexamined regarding
unrealistic procedures and schedules,  i

     Subgroup findings:   The legislative mandate for a study of
air pollution and its effects on the Gulf Coast (Houston) area
appears to require an unreasonably rapid approach to a very
complex problem.  The epidemiology group expressed an interest
in investigating this situation in a systematic, planned
fashion.  They doubted that the mandated crash approach would
be maximally productive but stated their intent to obtain as
much valid data as possible.  It is not known to what extent
this legislative mandate was reexamined.  No evidence was found
at this Jeyel to indicate  that reexamjRation was effective in
producing any important changes.  Current procedures referred
to in the Agency's response in the EPA Research Outlook do not
appear to be adequate to solve problems caused by unrealistic
legislative mandates.
tions
~4(d):  EPA should advise. Congress if budgetary restric-
 wijl impact completion of major projects/
 "*"""' *~ 'F ' ""          '      "" "    "    '    , •«- 
-------
     5:  OMB should be asked to develop procedures for prompt
review of questionnaires.   ,              '

     Subgroup, findings:  The Population Studies Division has
found OMB responsive to their need for quick approval of
questionnaires.  The subgroup supports the EPA position that
its questionnaires for volunteers in research projects should
not require submission to OMB.

     6(a):  CHESS data analyses should be carried out only on
data with high  validity  potential.        .

     Subgroup findings:  Dr. Shy's group  at the University of
North Carolina  and the epidemiologists and statisticians at
HERL have reviewed the CHESS data and have decided which data
sets warrant analysis for publication.

     6(b):  EPA should publish research in refereed journals in
a  timely  fashion.
     6(c):  EPA should not  publish large  projects solely in
monograph form.
     6(d):  EPA should not  initiate projects for policy
consideration unless they can be  completed in a realisti'c time
frame.   -

     Subgroup findings:  Staff  indicated  their desire to see
results published  in scientific peer reviewed journals but
emphasized  their  lack  of time to  do or report their  research or
the findings of contractors.   It  is reasonable to assume,
however,  that most  grant recipients and contractors  will
publish their findings in appropriate journals.   It  should be
noted,  however, that a document  entitled  "CHESS Bibliography,
December  1,  1977"  lists, for the  period 1/75 to 12/77, only one
journal  article,  seven government publications, and  ten  EPA  in-
house  publications,  plus three more in-house publications that
are  undated but whose  authors  or  titles suggest that they
belong  in this  time  period.  For  1977, the bibliography  lists
..only  one ..government  publication,  which must  have  been-planned
well  in  advance of -the Brown  Committee report.	  ...  .  . .

     .It  seems  unlikely that the  EPA responses  to  this
recommendation  can  be  properly  assessed until  the epidemiologic
 staff.... is  increased to  a  size  more commensurate with  its  duties.

	-7(a):-  'EPA should strengthen the  CHAMP  aerometric  and
 quality control programs.
      7(b):   EPA should shorten  the time between data acquisi-
 tion  and quality  assurance  analysis  of data.
      7(c):   EPA should  stop employing  development  stage
 instruments before qualification testing,
      7(d):   EPA should  not  use  laboratory models  of  instruments
 in"the field until they  have been field  checked  and  operating
 personnel  trained.
                               205

-------
     7(e):  EPA should reevaluate the opening of the CHAMP
operations contract to competition.

     Subgroup findings:  CHAMP is no ;longer at HERL.  We were
informed that it no longer exists as ian identifiable unit
separate from other monitoring activities.

     7(f):  EPA research and monitoring personnel  should
closely coordinate regarding chemical species.
                                     !
     Subgroup findings:  Coordination of CHAMP with health
effects personnel is now potentially more difficult because of
the transfer of the responsibil ities ;0f CHAMP to another
laboratory.  It is still too early to tell whether the transfer
will help by strengthening this type of monitoring activity or
will hinder the accomplishment of the Agency's mission by
impeding coordination.

     10(a): An  interdisciplinary task force should draw  up an
integrated air epidemiology exposure assessment program plan
for EPA.

     Subgroup findings:  There.is a_desire for an advisory
group not only  to meet this recommendation for assessing health
effects of air  pollution but also to provide consultation for
other epidemiologic studies, both intra- and extramural.

     10(cj: EPA should have epidemi©logical questionnaires and
panel selection criteria approved by peer groups.

     Subgroup findings:  Aside from a comparison of self-
administered versus interviewer-administered questionnaires,
the work  related to this recommendation is limited to the
information that can  be gathered  from the extensive analyses of
CHESS data being carried out by  Dr. Shy. The panel data  are not
scheduled for analysis.              :

     Planning for a second  round  of CHESS or for investigation
of  aJr .pol1ution,"episodes" was  not, ment.lon.ed,.  It  is difficult
to  see  how very much  can be done" along this line with the
limited staff.   It  seems reasonable to delay  planning for  a
second  round of CHESS  until the  current analyses are completed.
                               210

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     >                            APPENDIX A   :

     I    UNITED STATES ENVIRONMENTAL PROTECTION AGENCY
                           WASHINGTON. D.C. 20460

                                JUL 12 1978     !
                                                :                THE ADMINISTRATOR

TO:            Dr. Emil M. Mrak
               Chairman                         '
               Executive Committee, Science Advisory Board

THRU:          Dr. Richard M. Dowd

SUBJECT:       Charge to the Science Advisory Board's Health Effects
               Research Review Group            i

                                                \
     The Authorization Act of 1978 for Research and Development, PL 95-155,
requires that a special evaluation report on th^ Agency's health effectis
research efforts be prepared by the Science Advisory Board (SAB).  The Act
specifically outlines what is expected to be included in the report regarding
your assessment of our health effects research programs, and the procedures
fo.r the conduct, review, reporting and use of such research.

     To -delineate the Congress's charge more sharply; I urge the Study Group
to define health effects research to include all planned activities, col-
lection and analyses of data done within the Agency for the purpose of
adding to the scientific basis for understanding the effects of environmental
factors on human health.  This definition would, include those activities
within the Agency which may be used to assess human risk, and which support
standard setting and regulatory decisions, and  any activity which gathers
new knowledge about human health, or improves our understanding of human
health either directly or which can be used to  jextrapolate to human health
impacts.  I am happy to hear that Dr. James Whittenberger and Dr. Roger
McClellan-will chair and  co-chair this review group.

      I can assure you that your assessment of the Agency's activities*?
within the scope of this  definition will be appreciated and that^you will
have  our  full cooperation in this endeavor.
                                        Doug
                                     211

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                        -1-                   ,

              PUBLIC LAW 95-155—NOV. 8, 19*7               91 STAT. 1257


Public Law  95-155                         ;
95th Congress
                            An Act

   To authorize appropriation*) tor activities of the Environmental Protection      Nov. 8. 1977
                   Agency, and for other purposes.                       [H.R. 5101]

  lie it enacted by the Senate and  House of Ke-prcxcntatives of the
United States of Aincnaa in (Jonyrasx axxrmbli'd, That this Act may Environment*!
bo cited as the "Environmentul Ke.suarch, Development, and Demon- Research,
Stratkm Authorization Act of 1978".                                 Development,
  SKC. 2.  (n)  There, arc authorized to bo appropriated to the Environ-
mental Protection Agency for environmental research, development.
   11      A   i*    tt
-------
91 STAT. 1258
                PUBLIC LAW 95-155— NO.V. 8, 1977
Ante, p. 687.
Appropriation
authorize tion.
Transfer of funds,
restriction.
 Budget
, projections.
 42 USC 4361*.
 42 USC 4361.
   (b) In addition tb any other sums authorized by this section or by
 other provisions of law —              ,
       (1) there are authorized to bo,  appropriated to the Adminis-
     trator of the Environmental 1'rotection  Agency  for fiscal year
     1978,  $10,000,000 for long-term  research nnd development in
     accordance with section C of this Act;
       (2) there are authorized to be  appropriated to tin1. Adminis-
     trator, for  fiscal year 1'JTH, $2,0(X),000  for training of health sci-
     entists needed for environmental research and development in
     fields where there arc national shortages of trained personnel;
     and
       (3) there arc authorized to be appropriated to flic Administra-
     tor, for fiscal year 1078, $:}, 000,000 to implement the study author-
     ized in section 103(d) of the Clean Air Aet Amendments of 1977
      (Public Law 05-95).
   (c) There is authorized to  be appropriated to the Administrator
 $10,000,000 for  fiscal year 1978 for program management and support
 related to environmental research and development.
   (d) Xo  funds may  be. transferred from. any particular  category
 listed in suljsection (a)  or  (b)  to any  other category or categories
 listed in either  such subsection if the. total  of the funds so transferred
 from that, particular category would exceed  10 per centum thereof,
 and no  funds may be transferred to any particular category listed in
 subsection (a)  or 00 from any other category or categories listed in
 cither such subsection if the total of the ;funds so transferred to that
"particular category "would exceed 10 per centum thereof, unless —
       (1)  a period  of thirty legislative  days has passed after the
      Administrator of  the. Environmental Protection .Agency or Ins
      designee. lias transmitted to the Speaker  of  the House of Kepre-
      sentativcs  and to  the President of the Senate a written report
      containing a full and complete statement concerning the nature
   .:.-_ of the transfer aiid the reason 'there f of. or     '-     -••--,
       (2)  each committee, of the House of Representatives and the
      Senate, having jurisdiction  over the subject  matter  involved,
      before the expiration of such period, has transmitted to the Admin-
      istrator written notice ro the effect -that such committee  has no
      objection to the proposed action.
   SKC.  3. Appropriations made pursuant to the authority  provided
 in  section 2 of this Act shall remain  available for obligation for
 expenditure, or for  obligation and expenditure, for  such period or
 periods as may be specilied in the Acts making sneh  appropriations.
   SKC. 4. The Administrator of the Environmental Protection Agency,
 Public sector
 agencies, grants.
 42 USC 300j~3a.
  sion shall include a detailed explanation of the relationship of each
  budget projection to the existing laws which authorize the Adminis-
  tration's  environmental research,  development, and  demonstration
  programs.    -   - -
    SEC. 5.  (a)  The Administrator  of the  Environmental  Protection
  Agency shall offer grants to public sector agencies for the purposes
  of—    •         .
        (1) assisting in the development and demonstration  (includ-
      ing^ const ruction) of any project which will demonstrate a new
      or improved method, approach, or technology for providing a
      dependably safe supply of drinking water to the public; and
                                         273

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           -3-
              PUBLIC LAW 95-155-^NOV. 8, 197?               91 STAT. 1259

      (2) assisting in -the development ami  demonstration (includ-
    ing construction) of any project which will investigate and dem-
    onstrate  health  and conservation implications involved  in the
    reclamation,  recycling, and reuse of waste-waters for  drink-
    ing and  the, processes and methods for the preparation of safe
    and acceptable drinking water.
  (b) Grants made by ilhe Administrator under this section shall be  Grants,
subject to the following limitations:              <                   limitation*.
      (1) Grants under this section shall not exceed 60% per centum
    of the total cost of construction of any facility;aud 75 per centum
    of any other costs, as determined by the. Administrator.
      (2) Grants  under this section shall not be made for any proj-
    ect  involving  the construction or modification of any facilities
    for any public witter system in a State unless such project has
    been approved by the State agency rharged with the responsi-
    bility for wifety of drinking water (or if there is no such agency
    in a State, by the State health authority).
      (3) Grants under this section shall not be made for any proj-
    ect unless the Administrator determines, after consultation, that
    such project will serve a useful  purpose relating to the develop-
    ment- and demonstration of new or improved techniques, methods,
    or_technologies for the provision of safe water to the public for
    drinking.
  (e) There are authorized to be appropriated for the purposes of this
section $25,000,000 for fiscal year 1978......  .;...,....  ...
  SKC. 6. (a) The Administrator of the Environmental  Protection
Agency shall establish a separately identified program to conduct con-
tinuing  and  long-term  environmental research and development.
Unless otherwise specified by law, at  least 15 per centum of any funds
appropriated  to the. Administrator  for environmental research and
development under section 2(a) of this Act.-or under any other Act
shall  be allocated for  long-term environmental research  and devel-
opment- under this section.                       ;
  (b) The Administrator, after consultation with the Science Advisory
Board, shall submit to the President and the* Congress a report con-
cerning the desirability and  feasibility of establishing  a national
environmental laboratory, or a system of such laboratories, to assume
or supplement, the long-term environmental  research  functions cre-
ated bv subsection (a)  of this section. Such report shall be submitted
on or before March 31,  1078, and shall include findings and  recom-
mendations concerning—
      (1)  specific typos of research  to be carried out by such labora-
    tory or laboratories;                         :
      (2)  the coordination and integration of research  to be con-
    ducted by such laboratory,or hibpratorjes_wjt.h research conducted
    &y existing Federal or other research facilities: ,
      (3)  methods for assuring continuing long-range funding for
    such laboratory or lulKmitories; and
      (4)  other a'clm'mtstrative or  legislative, actions necessary  to
    facilitate the establishment of such laboratory]or laboratories.
  SKC. 7. (a) The Administrator of the Environmental  Protection  42USC4364.
Agency shall assure that the expenditure of .any funds appropriated
pursuant to this Act or nny other provision of liiw^for environiMpn*i»l
research and  development  related to regulatory jirosiram nc*5v!'ips
      bo coordinated with and reflect the research needs and priorities
Research and
development
program.
42 USC 4363.
Report to
President and
Congress.
Contents.
                                       214

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                        -4-
91 STAT. 1260
PUBLIC LAW 95-155—
                                            8, 1977
Program offices.
Report to
President and
Congress.
Science Advisory
Board.
Establishment.
42 USC 4365.
Membership.
42 USC 4361.
Report to
Administrator,
President, and
Congress.
 of the program offices, as well as tho overall research needs and priori-
 ties of the Agency, including those  defined in the five-year research
 plan.                                  ;
   (b)  For purposes of  subsection  (a)j the  appropriate program
 offices are—                            :
       (1) the Office of Air and Waste Management, for air quality
     activities;
       (2) tho Office of Water  and  Hazardous Materials, for water
     quality activities and water supply activities;
       (3) the Ofltce  of Pesticides, for  environmental  effects  of
     pesticides;                        !
       (4) the Office of Solid Waste, for solid waste- activities;
       f5) the Office of Toxic Substances, for toxic substance activities;
       (6) the Office of Radiation Programs, for radiation activities;
     and                               ;
       (1) the Office of  Noise  Abatement and Control, for noise
     activities.
   (c)  Tho Administrator shall submit to the President and the Con-
 gress a report concerning the most appropriate means of assuring, on
 a continuing basis, that the research efforts of the Agency reflect the
 needs and priorities of the regulatory program offices, while main-
 taining a high level of scientific quality., Such report shall be submitted
 on or before March 31,1978.
   SEC. 8. (a)  Tho Administrator of the Environmental Protection
 Agency shall  establish a Science. Advisory Board which shall provide
 such scientific advice as the .Administrator requests.
   (b) Such Board shall lx», composed of at least nine members, one of
 whom shall be designated Chairman, and;shall meet at such times and
 places as may be designated by the Chairman of the Board in  consul-
 tation with the AdministratoV.  Kaeh .member of the Board shall bo
•qualified-by-education, training, and experience, to evaluate scientific
 and^technical information on matters referred to the Board under this
 section.                               ;
   (c)  In addition to providing scientific advice when requested by tho
 Administrator under subsection  (a),  the Board shall review and
 comment on  the Administration's five-year  plan for  environmental
 research, development, and demonstration provided for by section 5
 of Public Law 94—t75 and on each annual revision thereof. Such
 review and comment shall be  transmitted to the Congress  by the
 Administrator, together with his comments thereon, at the time of the
 transmission to the Congress of tho  annual revision involved.
   (d) The Board shall conduct  a review:of and submit a report to the
 Administrator, the President,  and the Congress, not later than
 October 1,1978, concerning—
       (1) "the hcalth-elFccts research authorized by this Aet-and other
     laws;
        (2) the procedures  generally  used in the conduct of such
     research;
       (3) the internal and external reporting of the results of such
     research;                        •
       (4) the review procedures for such research and results;
       (5) the procedures by which such results are used in internal
     and external recommendations on policy, regulations, and  legisla-
     tion; and
       (0) the findings  and recommendations of the  report to  the
     House Committee on  Science  and Technology  entitled "The
                                      215

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                        -5-
               PUBLIC LAW 95-155—NOV. 8, 19J7

     Environmental Protection  Agency's lie-search  Program  with
     primary emphasis on the Community Health and Environmental
     Surveillance System (CHK.SS) : An Jtivwitiga'tive Kcport".
 The review sliall foc.iis special uttc.ntion on the procedural safeguards
 requirtul to preserve the .scientific integrity of sucli research and to
 insure reporting iincl use. of the results of such research in suhseq.ue.nt
 recommendations. The report sliall include specific-recommendations
 on the results of the review to ensure scientific integrity throughout
 the Agency's health effects  research,  review,  reporting, and recom-
 mendation process.                               j
   (e) (1) The Administrator, at the time any proposed criteria docu-
 ment, standard, limitation, or regulation under the dean Air Act, the
 Federal  Water Pollution Control Act, the Kesource, Conservation and
 Kceovery Act  of )!)7c chaired by a member of the Board.
   (h)(l) Upon the recommendation of the Board, the Administrator
 shall appoint a secretary, and  such other employer-sUis deemed neces-
 sary to  exercise and fulfill iho  Board's powers and responsibilities.
 The compensation  of all employees appointed under this paragraph
 shall be fixed in accordance with chapter f>l  and  siibchapter III of
 chapter flSof tit le it of the United States Code.       I
   (2) Members of  the Board may be compensated atn rate to be fixed
 by the President but. not in excess of the maximum rate  of pay for
 grade GS-18, as provided in the General Schedule under section 53S2
 of title 5 of the United Stales Code.                '
••  (i)-In carrying out the/functions assigned by this section^ the Board
 shall consult and "coordinate,Its activities with  the Scientific Advisory
 Panel' established  by the Administrator pursuant  Ito  section 25(d)
 of  the.  Federal Insecticide,  Fungicide,  and  Kodenticidc Act, as
 amended.   :
   SKC. 9.  (a) The. Administrator of the Environmental  Protection
 Agency, in consultation and cooperation with the heads of other Fed-
 eral agencies,  shall.take such actions on :i continuing basis as may be
 necessary or appropriate—
       (1)  to  identify environmental  research,  development, and
     demonstration activities, within and outside the.;Federal Govcrn-
91 STAT. 1261
 42 USC 1857
 note.
 33 USC 1251
 note.
 42 USC 6901
 note.
 42 USC 4901
 note.
 15 USC 2601
 note.
 42 USC 300f
 note.
 Member
 committees and
 investigative
 panels.

 Secretary,
 appointment.
 5 USC 5101,
 5331.
 5 USC 5332 note
 7 USC 136w.
 42 USC 4366.
                                      216

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                                 -6-
91 STAT. 1262
Report.
42 USC 4361,
 Report to
 i'rciwient *nd
 Congress.
 Legislative
 recommenda-
 tion*.
 Presidential
 report to
 Congreis.

 42 USC 4361b.
 Personnel
               PUBLIC LAW 95-155—NOV. 8,1977

    mcntj which may need to be. more, effectively coordinated in order
    lo minimize unnecessary duplication of programs, projects, and
    research facilities;
       (2) to determine the: steps which might be taken under existing
    law, by him und by the. bends of such other agencies, to accomplish
    or promote such coordination, and to provide for or encourage the
    taking of such steps; and            ;
       (8) to determine the. additional  legislative, actions which would
    be needed  to assure such coordination  to the maximum extent
    possible.
The Administrator shall include in each annual revision  of the five-
year plan provided for by section 5 of Public Law 94-475 a full and
complete report on the actions taken ami determinations made during
the, preceding year under this subsection1, and may submit interim
reports on sucli actions and  determinations at such other times as ho
deeiMS appropriate.                  _   ;
   (b) The Administrator of the Environmental Protection Agency
shall coordinate-  environmental research,: development, and demon-
stration- programs of such Agency with the heads of other Federal
agencies in order to .minimizeunnecessary duplication olprograms,
projects, and research facilities.
   (o)(l) In order  to  promote the  coordination of environmental
research and development activities, aiuljo assure that the action taken
and methods used (under subsection (a) and otherwise) to bring about
s"ch ^ordination will be asell'eetuv as possible for that purpose, the
 Council on Environmental Quality in consultation with the Oflice of
Science  and Technology Policy shall promptly  undertake and carry
out- a joint study of all aspects of the coordination of environmental
research and development. The Chairman, of the Council shall pre-
 pare a report on the results of such study, together with  such recom-
mendations  (including legislative recommendations) as he-  deems
 appropriate, and shall submit- such report to the President and the
 Congress not later than May HI, 1978.
   (2) Not later than September  30, 1078, the President  shall  report
 to the Congress on steps he  has taken to implement the recommenda-
 tions included in the report under paragraph (1), including any rec-
 ommendations he may have for legislation.
   SEC. 10. The Administrator of the Environmental Protect ion Agency
 shall implement the 'recommendations of-the report 'prepared for the-
 House Committee on Science, and Technology entitled ''The Environ-
 mental Protection Agency Research Program with primary emphasis
 on the Community  Health  anil Environmental Surveillance System
 (CHESS): An  Investigative  Report", unless  for any  specific rec-
_ ommendation ho determines (.1)  that such recommendation has been
 implemented, (2) that implementation of 'such recommendation would
 not enhance the quality of the research, or (3) that implementation of
 such recommendation will  require funding which is not  available.
 Where such funding is not  available, thiV Administrator shall request
 the required authorization or appropriation for such implementation.
 The Administrator shall report the status of  such  implementation
 in each annual revision of the five-year  plan transmitted to the Con-
 groi-s under section 5 of Public Law 1)4-475.
    SKC. 11. The Administ rat or ot the Environmental Protection Agency
 shall increase, the number of personnel positions in  the Health and
 Ecological Effects program to 862 positions for fiscal year 1978.
                                    217

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                                 -7-
              PUBLIC LAW 95-155—NOV. 8, 1977
91 STAT. 1263
  SEC. 12, (a) Each officer or employee of the Environmental Protec-
tion Agency who—
       (1) performs any function or duly under this Act; and
       (2) has any known iinancial interest in any person who applies
    for or receives grants, contracts, or other forms of iinancial assist-
    ance under this Act,
shall, beginning on February 1, 1978, annually file with the Admin-
istrator a written statement concerning all such interests held by such
officer or employee during the preceding calendar year. Such statement
shall be available to the public.
  (b)  The Administrator shall—               ;
       (1) act within ninety days after the date of enactment of this
    Act—
           (A) to define the term "known financial interest" for pur-
         poses of subsection (a) of this section; and
           (B) to establish the methods by which;the requirement to
         file written statements specified in subsection (a) of this sec-
         tion will be monitored and enforced, including appropriate
         provision for the filing by such officers and  employees of such
         statements and the review by the Administrator of sxich state-
         ments; and        -   ..                 •    ,  ••-•;.  •.  _• .,
       (2) report to the Congress on June 1 of each1 calendar year with
    respect to such disclosures and the actions, taken in regard thereto
    during the preceding calendar year.             •
  (c)  In the rules prescribed under subsection (b) of this; section, the
Administrator may identify specific positions of a nohpblicymaking
nature within the Administration and provide that  officers or'employ-
ees occupying such positions shall be exempt from the requirements of
this section.                                    >
   (d) Any officer or  employee who is subject to, and knowingly vio-
lates, this section, shall be fined  not more than $2,500 or imprisoned
not more than one year, or both.                  '<
  SEC. 13. It is the national policy that to the maxhnum extent possible
the procedures utilized for implementation of this Act shall encourage
the drastic minimization of paperwork.

  Approved November 8, 1977.
 Annual
 statement, filing,
 42 USC 4367.
 Report to
 Congress.
  Violation,
  penalty.


  Paperwork
  minimization,
  encouragement.
 LEGISLATIVE HISTORY:                            ;

 HOUSE REPORTS: No. 95-157 (Comm. on Science and Technology) and No. 95-722
                (Cornm. of Conference).
 SENATE REPORT No. 95-188 accompanying S. 1417 (Comm. on Environment and
                Public Works).
 CONGRESSIONAL RECORD, Vol. 123 (1977):
      Apr. 19, considered  and passed House.             ,
      May 27, considered and passed Senate, amended, in lieu of S. 1417.
      Oct. 20, Senate agreed to conference report.         •
      Oct. 25, House agreed to conference report.         i
                                  275

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              Appendix 6

   COMMITTEE MEMBERS AND  CONSULTANTS

                                   »
1.  Subcommittee Core Members

    Chairman:  Dr. James  L. Whittenberger
               Professor of Physiology
               School of Public Health
               Harvard University

    Co-chairman:  Dr. Roger 0. McClellan
               Director of Inhalation Toxicology
                 Research  Institute
               Lovelace Foundation ;

    Members:   Dr. Peter Bloomfield
               Associate Professor ;
               Department  of Statistics
               Princeton University

               Dr. George  W. Comstock     ......
               Professor of Epidemiology ~
               Johns Hopkins Training Center

               Dr. Morton  Corn
       .        Professor of Industrial  Health and
                 Ai r Engineering   \
               Graduate School of Public Health
               University  of Pittsburgh

               Dr. Julius  E. Johnson
               Consultant
               Dow Chemical Company

               Dr. Wendell Kilgore
               Professor of Toxicology
               Department  of  Environmental
                 Toxicology
               University  of  California at Davis

               Dr. Robert  A.  Neal
                Director, Center  in Toxicology
               Department  of  Biochemistry
                Vanderbilt  Medical School
                         219

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               Dr.  Gerard A.  Rohlich
               Professor of Environmental
               Engineering, Department of Civil
               Engineering, University of Texas

    SAB Staff Officer:   Dr. Frpde  Ulyedal
               Supervisory lexicologist
               Office of Research  and Development
               Environmental  Protection Agency

2,   Consultants

    Dr. Edwin Lennette,  Biomedical Labs, Cali-
               fornia State Department of Health
               expertise:  microbiology, virology
                              1
    Dr. Jeanne Manson,  Ketterihg Laboratory
               University of Cincinnati
               expertise:  reproduction,teratology

    Dr. Sol M. Michaelson, Professor of Radiation
               Bi ol-ogy. a.nd Bi ophysics , Uni versity
               .pf Rochester   ;
               expertise:  non?-ionizing radiation
                              i
    Dr. Steven M. Horvath, Director,  Institute of
   ;    ,   ~ ..En vi ronmental Stress ,.Uni versity
               of Californi a  ,
               expertise:  pulmonary  physiology,
                 inhalation toxicology

    Dr. George Hutchinson, Professor  of Epidemi-
               ology, Harvard School  of Public
               Health
               expertise:  epidemiology,
                 microbiology
    Dr. James
          G* Fox, Director^ Laboratory of
           Animal Medicine, Massachusetts
           Institute of Technology
           expertise:  laboratory animal care
             and facilities
                          !
Or. Jennifer L. Kelsey, Associate Professor
           of Epidemiology, Department of
           Epidemiology and Public Health,
           Yale University School of Medicine
           expertise:  epiidemiology of chronic
             disease

Dr. Ralph C. Buncher, University of Cincinnati
           Medical Center
           expertise:  epidemiology
                        220

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DATE
              APPENDIX  C   '

MEETING AND TRAVEL SCHEDULE FOR HERRG

     LOCATION        .      :  PARTICIPANTS
21 June 78



13-14 July 78


20-21 July 78



23 Aug. 78
25 Aug 78
25-27 Sept. 78
28 Sept. 78
 5-6 Oct. 78
 16-18  Oct.  78
 19  Oct.  1978
     Preliminary  meeting,  ;  Dr.  Whittenberger
     with  Dr.  Hueter,      !  Dr.  Ulvedal
     HERL/RTP              :
     Public  meeting,
     Washington,  D.C.

     Envi ronmental
     Research  Lab
     Duluth, Minn.

     Office  of Water &
     Waste Management
     Washington,  D.C.
     Office of Toxic
     Substance's
     Washington,  D.C.
     Health Effects
     Research Lab
     Research Triangle
     Park,,  N.C.
     Preliminary Mtg.
    -with Dr*—Garner
     HERL/Cincinnati

     Envi ronmental
     Research Lab
     Gulf Breeze, Fla,

     Health Effects
     Research Lab
     Ci nci nnati, Ohio
     .Health Effects
     Research Lab.
     Fie!d Station
     Wenatchee, Wash
HERRG
Dr.  McClellan
Dr.  Kilgore
Dr.  Ulvedal

Dr.  Rohlich
Dr.  Neal
Dr.  Johnson
Dr.  Ulvedal

Dr.  Neal
Dr.  Ktlgore
Dr.  Johnson
Dr.  Ulvedal

HERRG  and
Dr.  Manson
Dr.  Michaelson
Dr.  Horvath
Dr.  Hutchinson
Dr.  Fox
Dr.  Kelsey
Dr.  Ulvedal

Dr.  McClellan
~Dr..Ulvedal,
 Dr.  Whittenberger
 Dr.  Kilgore
 Dr.  Ulvedal

 HERRG and
 Dr.  Lennette
 Dr.  Hutchinson
 Dr.- Fox
 Dr.  Buncher

 Dr.  McClellan
 Dr.  Johnson
 Dr.  Kilgore
 Dr.  Ulvedal
                              227

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                               -2-
DATE
LOCATION
PARTICIPANTS
24 Oct. 78
26 Oct. 78
27 Oct. 78
30 Oct. 78



8 Nov. 78


9 Nov. 78
13-14 Nov. 78


13 Nov. 78
 13 Nov. 78
Office of Ai r,
Noise, & Radiation
Environmental
Research Lab.
Narragansett, R.I.

Health Effects
Research Lab
Field Station
W. Kingston, R.I.

Office of Planning
and Management
Washington,  D.C.  ,

Region I
Boston, Mass.

Environmental Monr
it oring & Support
Laboratory,
Las Vegas,  Nev.

Public Meeting
Washington,  D.C.

Office of Planning
and Management
Washington,  D.C.
Office of Research
and Development
Washington, D.C.
Dr.  Whittenberger
Dr.  Corn
Dr.  Bloomfield
Dr.  Ulvedal

Dr.  Whittenberger
Dr.  Lennette
Dr.  Ulvedal

Dr.  Whittenberger
Dr.  Lennette
Dr.  Ill vedal
Dr. McClellan
Dr. Ulvedal
Dr. Whittenberger
Dr. Ulvedal

Dr. McClellan
Dr. Ulvedal
HERRG
Dr. Corn
Dr. McClellan
Dr. Johnson
Dr. Bloomfield

Dr. Whittenberger
Dr. Kilgore
Dr. Neal
                             222

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                           APPENDIX D

     PRINCIPAL EPA PERSONNEL PROVIDING INFORMATION TO HERRG
                                        !
* Interviewed
+ Provided written Information
                                        !
                                        i

                   Office of the Administrator

                       Douglas  M.  Costle*+
                         Administrator  \

                        Dr.  Ri chard Dowd*
           Science  Policy Advisor  to the1 Administrator
             Staff Director, Science Advisory Board

                        Dr. Toby Clark*f
             Special Assistant to the Administrator
                                        !

                        Regional Offices

                     William R. Adams, Jr.*
                Regional Administrator, Region I

                      Dr* Richard Keppler*
                     Director,  ORD, Region  I

                    Office  of  General  Counsel
                                        i
                        James C.  Nelson*-*
                        Attorney  Advisor

                         John  W.  Lyon*
                            Attorney

                          Edward  Gray*
      Deputy Associate General Counsel  for Program Support

                      Office of Legislation      ;" "

                       Marianne Thatcher*
                Congressional  Liaison Specialist

                          Alice White*
                Legislative Reference Specialist

               Office  of International  Activities

                        Jack E. Thompson*  -~  .
   Director,  International Organizations and  Western  Hemisphere
                            Division
                             223

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                              -2-    |

         Office of International  Activities (Continued)

                         Thomas  Lepine+
          Chief, Scientific Activities  Overseas Branch

                Office  of Planning and  Management

                         Roy  N.  Gamse*
   Deputy Assistant Administrator for Planning and Evaluation

                         Frans J. Kok*
              Director, Economic Analysis Division

                          Marian Ml ay*;
              Director,  Program Evaluation  Division
Associate Deputy Assistant Administrator for Resource Management

                        Raymond A Pugh*+
              Director, Budget Operations Division

                         Donald  Hambri c +
              Chief, Cost Review and Policy Branch
               Contract Management Division (CMD)

                         : Vi ncerit-.d.ay,+..  ,
            Chief,  Interagency  Agreements  Branch,  CMD

                        Carlene Foushee*
               Grants Specialist, Grants Division

              Office of Water and Haste Management

                       Thomas C. Jorlijng*
     Assistant Administrator for Water and Waste Management

             		 Allen  Cywi n**
                     Senior Science Advisor

                         Swep T. Davis*
 Deputy Assistant Administrator for Water Planning and Standards

                       Albert""J™.  Erickson*
   Associate Deputy Assistant Administrator for Water Planning
                          and Standards

                        - John T. Rhett*
   Deputy Assistant Administrator for  Water Program Operations

                        Henry L.  Longest*
   Associate Deputy Administrator for  Water Program Operations
                               224

-------
                             -3-

       Offlce  of  Water  and  Waste Management  (Continued)

                     Kenneth Mackenthuh*
          Director, Criteria and Standards Division
                                      i

                      Gary N. Dietrich*
    Direcotr, Office of Program and Management Operations

                       Victor J. Kimm*;
       Deputy  Assistant Administrator for Drinking Water

                       John P.  Lehman*
         Director,  Hazardous Waste Management  Division

                       Joseph Cotruvo*t
     	Director, Criteria and Standards  Division
             	Office of11 Drink-trrg—W-at-er	
                      Shelly  Williamson1**
                        Epidemiologist:

              Office of Air. Noise and:Radiation

                      David 'GT Hawkins*
     Assistant Administrator for Air,  Noise and Radiation

                     Rudo 1 -pfr-M-.- -Mar razz o*
  Science Assistant  to the  Deputy Assistant Administrator for
                  Noise Abatement and Control

                       William A. Mills*
      Director,  Radiation Criteria and Standards Division
  Acting  Deputy Assistant Administrator for Radiation  Programs

                     Walter C.  Barber,  Jr.*
  Deputy Assistant Administrator for Air Quality Planning and
                           Standards

                        John O'Connor**
             Strategies and Air Standards Division

                        Joseph Padgett*
          Director,  Strategies and Standards Division

                       Michael P. Walsh*
 Deputy Assistant  Administrator for Mobile Source  Air Pollution
                             Control

                         Stan  Blacker*
Special Assistant  to DAA for  Mobile Source Air Pollution Control
                              225

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                   Office of Toxic Substances

                       Steven D. Jel11 nek*
          Assistant Administrator  for Toxic Substances

                         Warren R.  Mulr*
   Deputy Assistant  Administrator  for  Testing and Evaluation

                          John DeKane^*
       Deputy  Assistant  Administrator  for Chemical Control

                        Edwin L. Johnson*
Deputy Assistant Administrator  for Pesticide Programs

                        James M.  Conlon*
 Associate Deputy  Assistant  Administrator for Pesticide  Programs

                       William S.  Murray*+
              Director,  Technical  Services  Division

                         Jack Griffith*
   Chief, .Human Effects Monitoring Branch,  Technical Services
                            Di vi si on

                           Don Barnesf
   Special Assistant to the Assistant Administrator for Toxic
                           . Substances

                          Norbert  Page*
                Director, Health Review Division

                         James R.  Bea'll*
              Toxicologist, Health Review Division
                                     i
                          David Gould*
              Toxicologist, Health Review Division

                       -—David Anderson*
               Biochemist,  Health  Reyiew Division

                          Carl Morri s*
              Pharmacologist, Health Review Division

               Office  of  Research  and  Development

                        Stephen  J.  Gage*+
       Assistant Administrator for  Research and Development

                          Sam Rondberg*+
             Director,  Office of  Planning and Review

                          Dennis Tirpak+
       Special Assistant  to  AA for  Research and Development
                               226

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                              -5-  •      :

           Office of Research and Development (Cont.)

                       Randal 1 W.  Shobe*
            Director, Technical  Information Division

                        Robert W. Lane*+
      Special  Assistant to AA for Research and Development

                         Delbert  Barth*  !
 Deputy Assistant Administrator  for Health & Ecological Effects

                       William S. Murray*
Associate Deputy Assistant Administrator for Health & Ecological
                             Effects      \

                         Roger Cortes 1*
   Director, Criteria Development  and Spetial  Studies  Division

                          Davi d Flemer*   ',
              Director,  Ecological  Effects Division

                       George Armstrong**
              ~  Director,  Health  Effects  D'i vision

                       Alphonse Forziati+
       Director,  Stratospheric Modification Research Staff

                       William A-; Cawley*
              Director, Technical Support Division
           Office of  Monitoring and  Technical Support

                       Michael Mastracci*
                 Director, Regional Service Staff
           Office of  Monitoring and  Technical Support

                        Gerald J. Rausa+;
         Program Officer9 Energy  Related  Health Effects
             Office  of Energy, Minerals  and Industry

                      William  A. Rosenkranz*
               Director,  Waste Management Division
                Office of Air, Land and Water Use

                         ,Wi Vson  Tal 1 ey* i   .
   Former Assistant  Administrator for-Research -and- Development

                           Mel Myers*
      Technical Assistant  to  AA for Research  and Development

                       Richard E. Marland-f
       Special Assistant  to AA for Research  and Development
                                227

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                        -6-    ;

     Office of Research and Development (Cont.)

                   George  Simon+
     Supervisory Health Scientist Administrator

                  Bernie McMahon+
       Chief,  Administrative Management Staff
                               i
                               i
                   Robert  Edgar*
                Chief,  Planning iStaff
                               ';
                     Robert  l.ee+
                 Management Analyst

                   Denise  Zwink:+
                  Health Scientist

                   Oeanie Loving*
                  Health Scientist

                 Robert E.  McGaughy+
    Senior lexicologist, Cancer Assessment Group

Health Effects Research Laboratory, Cincinnati, Ohio

                Dr.  R. John Garner*-*-
                 • ,.    Di rector
                 Dr.  James  B.  Lucas*
                   Deputy  Director

                 Dr. Elmer V. Akin*
             Chief, Viral Disease Group

                 Dr.  Peter  J.  Bercz*
      Chief,  Chemical  and  Genetic Effects Group

               Dr^- David A. Brashear*
                   Mi crobi ologist

                Dr.  Richard  J.  Bui 1* +
       Chief, Toxicological Assessment Branch

             ..._;;. Mr...J.,K..:.8ur.k3r.d*,		
               Chief, Mechanical  Group

               Dr. Kirby I. Campbel 1*
      Acting  Chief,'Functional  Pathology  Branch

               Dr. Kenneth P.  Cantor*
                   Epidemiologist
                         228

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                      -7-

         HERL, Cincinnati (Continued)

             Dr. Norman  A. Clark*
     Director,  Laboratory Studies Division

             Mr.  Emile W. Coleman*
               Research  Chemist;

             Mr«  Gunther F,.  Craun*
          Chiefs Epidemiology Branch

               Dr.  B.F.  Daniel*
             Genetic  lexicologist

               Mr.  R.M.  Danner*
       Acting  Chief,  Biochemistry  Group

               Mr.  T.H.  Erickson*
                Microbiologist

             Mr.  D.G.  Greathouse*+
Chief, Chronic Diseases and Biostatistics Group

               Dr.  W.E.  Grube*+ "   ;:
  -Acting Director, Program Operations Staff

               Mr.  A.E.  Hammonds*
              Computer Specialist

             Mr,,  W.  Paul  Heffernan*
     Chief, Developmental Toxicology Group

               Mr.  R.G.  Hinnsers*
         Chief,  Exposure Systems Branch

            Mr. Walter Jakuborvyski*
  Chief,  Bacterial  and Parasitic Disease Group

               Dr.  F.C.  Kopfler*
       Chief, Exposure  Evaluation  Branch

               Dr.  Norman Kowal*
            Research Medical  Officer

                Mr. D.A. Laurie*
                  Physiologist-- 	-

                Dr. R.D.  Lingg*
      	    Research Chemist

                Mr. Edwin Lippy*
      Chief, Outbreak  Investigation  Group
                       229

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                 -8-
    HERL.CINCINNATI  (Continued)
       Mr.  Myron Malanchuck*
Chief, Experimental  Aero;metry  Group
       Mr.  Lei and J.  McCabe*
  Director, Field Studies Division
          Dr. R.G. Milton*
Chief, Organics  Identification Group
         Dr.  Robert  Mi day*
           Medical  Officer
         Mr.  G.E. Michaeil*
   Environmental Health Scientist
          Mr. R.G. Miller*
    Chief,  Tissue Analysis Group
         Mr.  James Milletjte*
  Chief,  Particulate  Analysis  Group
       Dr.  John G.  O.rthoefer*+
       Chief, Pathology Group
       Mr.  Herbert L. Pahren*
      .Physical Science Advisor
         Dr.  W-.E. Pepelkp*
       Chief,  Physiology  feroup
        Dr. Michael Pereira*
       Research Pharmacologist
        Mr. Merrel Robinson*
              Biologist
       Dr.  Frank  W; Schaefer*
         ' Microbiologist
         Ms. Cynthia  Sonich*
   Environmental  Health Scientist
       Dr.  Robert  W.  Tuthill*
         -  Epidemiologist
         Ms. Nancy S. Ulmer*
           Research; Chemis't
        Dr. Jean M.  Wiest,er*
        Research Physiologist
                 230

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                               -9-
                     HERL,  Cincinnati^ Cont . )
                       Mr. P.P. William^*
                         Microbiologist:
    Health Effects Research Laboratory ,; Marine Field Station
                   West  Kingston,  Rhode  Island
                     Dr.  Victor J.  Cabelli*-*-
                     Director,  Field  Station
                       Dr. Morris Levinje*
                     Research  Microbiologist
                       Dr. Alfred Dufouir*
                     Research  Microbiologist
                         Dr.  Paul  Cohen*
    Chairman, Microbiology Dept., University  of  Rhode  Island
Health Effects Research Laboratory, Research  Triangle  Park,  NC
                     Dr. F. Gordon Huet£r*+
                            Di rector   .;  .
                       Dr. Robert E.  Lee*
                         Deputy Director
                       Dr. R.J.M. Horto'n*
                     Senior Research Adi/isor
                     Mr.  Or in  W. Stopin^ski*
                       Physical Scientist
                       Mr. James R.  Smith*
                       Physical Scientist
                      Dr. ..QonaJd. K^,,,Hin.Kl,e*
                          Veterinari an ;
                     Dr., Thomas M.  Wagner**
           Acting Director,  Program Operations  Office
                       Ms. Ann H. Akland*
                  -Superv-isory,, R to gr!,am. Analyst
                   Ms. Margaret C.  Mickelson*
                     Administrative Officer
                     Dr. William  C.  Neison*
       Acting Chief, Statistics and Data Management Office
                               231

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                  -10-

            HERL,RTP  (Cent;.)

         Dr.  Victor Hasselblad*
 Supervisory  Mathematical  Statistican

          Dr.  John P.  Creason*
 Supervisory Mathematical JStatistician

         Dr. Daniel  F. Cahill*
Director, Experimental Biology Division

           Dr.  Neil Chernoff*
           Research Biologist

          Dr.  Lawrence Retter*
        Research  Pharmacologist

          Dr. John W. Las key*
     Supervisory Research Biologist
                          \
             Dr. Joe  Elder*
       Chief,  Neurobiology Branch
                          s
           Dr.  Carl G.  Hayes*
      Chief,  Air Pollutants Branch

           Dr.  D.G.  Gillette*
                Economist  ,

         Dr.  Willson  B,  Ri;ggan*
 Research Health Scientist; (Statistics)

         Dr.  Dorothy  Calaf;iore*
             Epidemiologist

         Dr.  Robert  S. Chapman*
       Medical  Officer (Research)

          Dr.  G.S. Wilkinson*
             Epidemiologist

            Dr. Gregg Pran:g*
             Epidemiologist

         Dr. Mi'chael  D.  Waters*
       Chief, Biochemistry' Branch

        Dr. Joel!en L. Huisingh*
      Supervisory Research Chemist

           Mr.  Larry Claxton*
                Biologist
                   232

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                   -11-       ;

              HERL.RTP (Cont)

             Ms. Martha Brown*
                 Biologist    i

            Dr. Stephen Nesnow*
        Supervisory Research  Chemist
                              ! '
           Dr.  William F.  Durham*
Director, Environmental Toxicology Division

            Dr.  Ronald L.  Baroin*
       Physical  Science Administrator

             Mr.  August Curley*
        Chief, Toxic  Effects Branch
                              i

             .Or..  T.M. Scottl*
         Medical  Officer,  Pathology

            Dr. C.Y.   Kawanishi*
          Research Microbiologist

            Dr.  Jeffrey Charles*
    Research Phafmacplogist/Toxicologist

            Dr.  Joseph Roy croft*
               Pharmacologist

            Dr.  John  H. Knelsbn*
    Director, Clinical Studies Division

            Dr. Ralph W.  Stacy*
         Research Health  Scientist

           Dr»  Donald E.  Gardner*
     Chief, Biomedical Research  Branch

              Dr. "John" 0' Neil*
            Re sea re h  Physi ologi st

            Mr.  Jerome M.  Kirtz*
                  Engineer
              ,Dr. Edward .
               Microbiologi^st '

         Dr. Mary Jane K. Sel grade*
               :M i c r 6 b i 6 1 o g i s t ~ "
                     233

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                        -12-

                  HERL.RTP  (Cont.)

              Dr. George  M.  Goldstein*
          Chief,  Clinical Pathology  Branch

                Dr.  Mirzda  Peterson*
               Research Microbiologist

                 Dr.  E.D.  Haak, Jr.*
              Chief,  Physiology 'Branch
                                i
                Mr. Matthew  Petrovick*
            Research  Biomedical Engineer

               Dr. Vernon A. Benignus*
                Research Psychologist

                  Dr.  David  A.  Otto*
                Research Psychologist

                Dr.  Brock T. Ketcham*
                   Medical Officer

                  Dr.  Milan  Hazucha*.
                   Medical Officer

                Mr.-. Walter L. Crider*
           Chief,  Research Services  Branch

  Health Effects Research Laboratory, Field Station
                Wenatchee, Washington"

                 Mr.  Homer R. Wolf*+
          Director and Research  Entomologist

                 Dr.  James E. Davis*
             Deputy Chief and Biochemist

                Dr. Donald C. _Staiff*
                   Research  Chemist

                  Dr.  Larry Butler*
                   Research  Chemist

Environmental  Research Laboratory, Narragansett,  R.I.

               Dr. Eric D. Schneider**
                  ..._._	J3.j.rjELCtQ.r

               Dr. Richard W. Latimer*
 Director,  Laboratory and  Program, Operations Division
                          234

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                         -13-
               ERL, Narragansett (Cont)
                    Dr. J. Prager*
                       Ecolegist
                      P. Yevich*
          Research Biologist and Pathologist
                   Dr. P. Rogerson*
          Chief, Analytical Chemistry Branch
                    Dr.  G.  Hoffman*  .
                   Research Chemist
                   Dr.  G.  Zaroogian*
                   Research Chemist
                    Dr.  G.  Gardner*
                   Aquatic Biologist,
                   Dr. A.R. Malcolm*+
                   Research Chemist :
                    Dr. E. Jackim*
                   Re sea re h Ch e m i s t
                    Dr. G. Persch*  '
                   Aquatic Biologist
   Environmental Research Laboratory, Duluth,  Minn.
                 Dr. J. David Yount*+
                    Deputy Di rector
                Dr. Wil1iam A. Brungs*
       Director, Office of Technical Assistance
               Dr.  Kenneth E.  Biesinger*
Director, Office of Extramural, and.Interagency Programs
                 Ms.  Evelyn P. Hunt*+
            Chief, Research,Support :Section
                   Dr.  Gary E. Glass*
                    Research Chemist
                  Dr. James M. McKim*
  Chief, Physiological Effects of Poillutants  Section
                  Mr.  James H. Tucker*
                   Aquatic Biologist
                          235

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                     -14-    |

              ERL,  Duluth  (Corjt.)

             Dr. Gil man D. Verth*
               Research Chemist

             Dr.  William A.  Spoor*
              Aquatic  Biologist

            Mr.  Charles. E.  Stephan*
            Environmental  Scientist

             Dr.  Bernard R.  Jones*
       Director, Duluth Research Branch

             Mr. Armond E. Lemke*
                   Ecologist  .

          Dr. Glenn M.  Christiansen*
               Research Chemist

             Mr.  Frank  H.  Pulglisi*
                    Chemist

             Mr..  Douglas W.  Kuehl*
               Research Chemist

            Mr..Richard E.  Siefert*
Chief, Physical  Pollutants and Methods Section

              Dr.  Philip M.  Cook+
               Research Chemist

           Dr. Richard  L. Anderson*
             Research  Entomologist

            Mr.  Anthony R.  Carlson*
              Aquatic  Biologist

            M"rV J'ohn H. McCormick*
              Aquatic  Biologist
                             i
             Mr. John"  I. Teasley*
               Research Chemist

              Mr. John  G. Eaton*
      Chief, Chemical  Pollutants Section

             Mr.  Robert W. -Andrew*
               Research Chemist

            Mr.  Leonard H.  Mueller*
               Research Chemist
                       236

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                          -15-     |

                   ERL, Duluth (Cont.)

                 Mr,, Robert A. Drummond*
                    Aquatic Biologist

                  Dr. John E. Poldoski*
                     Research  Chemist

   Environmental  Research  Laboratory,  Gulf  Breeze,  Fla.

                     Dr. T.W. Duke**
                         Di rector

                     Dr.  T.T.  Davis*i+
                     Deputy Director

                    Dr.  N.L.  Richards*
       Associate  Director for Extramural  Activities

                     Dr. J.A. Couch*
          Coordinator,  Experimental  Biology Team

                     Dr.  W.P.  Schoor*
                    Aquatics-Biologist '

                      Dr.  J.I.  Lowe*
         Chief,  Experimental; Environments  Branch

                     Dr. D.R. Nimmo*
                    Research Ecologist

                     Dr. G.E. Walsh*
                    Research Ecologist

                     Mr.  D.J.  Hansen*
                    Aquatic  Biologist

                    Mr. S.C.  Shimmel*
                    Aquatic  Biologist

                     Dr.  N.R. Cooley*
                 Research Microbiologist

                    Dr. Richard Garner*
                     Research Chemist

Environmental Monitoring and Support Laboratory, Las Vegas

                     Dr. G.B. Morgan*
                         Director

                     Dr.  R.E.  Stanley*
                     Deputy  Director
                           237

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                             -16-

                    EMSL,  Las  Vegas  (Cont.)

                       Mr. W.E. Petrie+
      Director, Office of Program Management and Support

                    Dr. J.A. Santolucito*+
Director, Monitoring Systems Research and Development Division
                                   !
                        Dr. Pong Lern*
                       Researach  Chemist

                        Dr.  J.V.  Beh'ar*
    Director, Monitoring Systems Design and Analysis Staff

                      Dr.  Robert. Papcher*
                        Medical  Officer

                         Dr.  E.  Meier*
          Methods Development and Analytical Support

                        Mr. A. Jarvis*
                Chief,  Quality Assurance  Branch

                        Dr.  G.  Wiersma*
                Chief,  Pollutant Pathway Branch ,  -   _•-.

                        Dr. G. Potter*
            Chief,  Exposure/Dose Assessment ..Branch

                         Dr.  D.  Smith*
          Chief,  Farm  and Animal  Investigation  Branch
                              235

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  THURSDAY, NOVEMBER 30, 1978
       PART II
 UNITED STATES
ENVIRONMENTAL
  PROTECTION
    AGENCY
     s>EPA
 REGULATORY AGENDA
      239

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56158
              NOTICES
[6560-01-M]

   ENVIRONMENTAL PROTECTION
               AGENCY

              [FRL 983-5]

        AGENDA OF REGULATIONS

AGENCY:  Environmental  Protection
Agency.
ACTION: Agenda of Regulations.
SUMMARY:  Four times  a year the
Agency  publishes a summary of the
significant  regulatory  actions  under
development to help assure that inter-
ested parties have an early opportuni-
ty to participate in shaping our regula-
tions.  We  call  the   summary  our
Agenda of Regulations.
FOR   FURTHER  INFORMATION
CONTACT: For  information  about
any  particular  item on  the  Agenda
contact the individual identified as the
contact person for that item. For gen-
eral information about public partici-
pation  in  the  regulatory process  con-
tact:
  Chris  Kirtz,  (PM-223),  Standards
  and  Regulations  Evaluation  Divi-
  sion,    Environmental  _  Protection
  Agency,  401  M Street, SW Washing-
  ton, D.C.20460.
SUPPLEMENTARY INFORMATION:
On  March 23,  1978, President Carter
signed Executive Order 12044, Improv-
ing  Government  Regulations,  which
directed  all   executive  agencies  to
adopt procedures  to improve existing
and future regulations. One procedure
which the Order required all agencies
to adopt was  the publication twice a
year of a list of significant regulations
which  are under  development   or
review. The Order also directed  that
the  Agenda provide the  following  in-
formation about the potential regula-
tions:
  • A brief description
  • A citation  of its statutory authori-
ty
  • Its status
  • The name and phone number of a
knowledgeable official
  • Whether we will prepare a regula-
tory analysis due  to the regulation's
potentially   major  economic   conse-
quences
  • Whether the listed item is  an ex-
isting regulation which we  are reeva-
luating
  The   Order also  directed  that the
Agenda provide the status of all items
listed on the previous Agenda.
  EPA's previous  Regulatory Agenda
was published April 6, 1978

              COVERAGE

  We have  tried to list all significant
actions  which  are going through the
Agency's  formal  regulation develop-
ment process, but  we may have inad-
vertently omitted  a few. Appearance
or nonappearance in the Agenda car-
ries with it  no legal significance.
  Executive Ord< r  12044 gave  general
guidelines on determining what regu-
lations  were  significant  and   which,
therefore, should  be included  on the
Agenda. It  directed each agency to de-
vt lop specific  criteria for identifying
significant  regulations.  We will  de-
scribe cur criteria  for determining sig-
nificant regulations in our final report
responding  to  the  Executive Order. I
will  be signing this report soon, and
you  will be able to obtain copies of it
from   Philip    Schwartz   (PM-223),
Washington, D.C., 20460.
  The  Agency's formal process of regu-
lation  development starts when an As-
sistance Administrator sends a notice
form to the Administrator and other
senior management. This form  notifies
all  EPA  offices that  a  regulation is
about to be prepared and allows these
offices  to plan their participation.
  Different events might  trigger the
start of the Agency's formal  regula-
tion development  process.  The most
common event  is  the  passage  of new
legislation.  Other common triggers in-
clude new  scientific studies; advances
in technology;  petitions for rulemak-
ing sent in  from outside EPA;  judicial
documents  such as court orders and
consent agreements; and simply, oper-
ating experience with a particular reg-
ulation which may suggest ways that
we can improve it.

 EXPLANATION OF INFORMATION IN THE
               AGENDA

  The Agenda lists prospective regula-
tory actions authorized by the follow-
ing laws:
  • the Clean Air Act (CAA)
  •  the  Motor  Vehicle  Information
and Cost Savings Act (MVICSA)
  •  the  Safe  Drinking  Water  Act
(SDWA)
  • the Noise Control Act (NCA)
  • the Federal Insecticide, Fungicide,
and Rodenticide Act (FIFRA)
  • the Atomic Energy Act (AEA)
  •  the  Public Health  Service  Act
(PHSA)
  •  the  Resource  Conservation  and
Recovery Act (RCRA)
  • the Toxic Substances Control Act
(TSCA)
  • the Federal Water Pollution Con-
trol  Act  as  amended by the  Clean
Water Act (CWA)
  The first column of the Agenda pro-
vides the following information about
each regulation:
  • A citation from the Code of Feder-
al Regulations
  • A short title
  • A citation of statutory authority
  • A description,  including whether
the  item  is  an  existing  regulation
which we are reevaluating
  If the regulation may have economic
consequences large  enough to require
a  regulatory analysis,  an  asterisk (*)
appears at the beginning of the entry.
  The second column lists the date we
proposed  a regulation  in the FEDERAL
REGISTER  or the month in which we
expect to  propose it.
  The third column lists the date we
published  a  final  regulation  or the
month  in which we expect to publish
the final regulation.
  The  fourth  column  provides  the
name, address, and phone number of
whom to contact for each regulation.
               DOUGLAS M. COSTLE,
                     Administrator.
  NOVEMBER 20, 1978.
                                  MAJOR EPA REGULATIONS UNDER CONSIDERATION
      Name and description of regulation
                                       Proposal date in FEDERAL REGISTER    Final date in FEDERAL REGISTER
                                                                                               Contact person and address
                                                    THE CLEAN AIR ACT
    We are developing the following seven items under the au' hority of sees. 108 and 109 of the CAA which direct the Administrator to establish national Ambi-
ent Air Quality Standards (NAAQS). To write a NAAQS for an, pollutant, we first prepare a criteria document which contains the latest scientific knowledge on
the kind and extent of public health and welfare problems cau-.cd by the presence of the pollutant in the air. If we revise the criteria document, we may find it
necessary to also change the NAAQS.
    A National Primary Ambient Air Quality Standard define;, the Maximum amount of an air pollutant which the Administrator of EPA determines is compati-
ble with an adequate margin of safetyto protect the public h< Ut.h. A National Secondary Ambient Air Quality Standard defines levels of air quality which the
Administrator Judges necessary to protect the public welfare from any known or anticipated adverse effects of a pollutant.
40 CFR 50 'Review of NAAQS for Photochemical  Junt 22, H'78.
  Oxidants. CAA 108. The proposed regulation
  would change the existing primary, health-based
  standard to 0.10 ppm for a 1-hour average from
  the existing 0.08 ppm standard. The secondary,
  welfare-based standard would remain at 0.08 ppm
  for 1-hour  average. The pollutant we control
  would be changed from photochemical oxidants
  to ozone, which is the principal  measurable in-
  gredient in photochemical oxidants.
                                                                 December 1978..
                                                    Joe Padgett (MD-12).
                                                    Environmental Protection Agency,
                                                     Research Triangle  Park,  N.C.
                                                     27711, 919 541  5204, FTS 8-629-
                                                     5204.
                             FEDERAL REGISTER, VOL. 43,  NO.  231—THURSDAY, NOVEMBER 30,  1978
                                                         240

-------
                                                            NOTICES

                            MAJOR EPA REGULATIONS UNDER CONSIDERATION—Continued
                                                                                                                                     56159
Name and description of regulation
                                         Proposal date In FEDERAL REGISTER    Final date in FEDERAL REGISTER
                                                                                                                Contact person and address
                                                          THE CLEAN AIR ACT
                                                                           February 1980.
                                                                           December 1980.
                                                                           June 1979.
40 CFR 50  -NAAQS for Lead. CAA 108. EPA pro- Dec. 14. 1977	  Oct. 5, 1978
  posed an  ambient lead  standard of 1.5 micro-
  grams per cubic meter  averaged over  30 days.
  Public reaction has been mixed. Federal agencies
  and public interest groups support the proposal.
  Industry argues  that: (1) the health data ;ind
  analyses do not support  the standard,  <2> large
  parts of the secondary lead and foundry indus-
  tries are Technically unable to comply, and <3)
  plant  closures for economic and technical rea-
  sons will result from enforcement  of the stand-
  ard.
40 CFR 50  'Review 6{ NAAQS for Carbon Monux- September 1979
  ide. CAA 108. The health basis  for control of tins
  pollutant will we  reviewed. This requires prepa-
  ration of an updated criteria document and anal-
  ysis of whether or not NAAQS should be revise d.
40 CFR 50  'Rei'ieir of NAAQS  lor Sulfur Oxniea. May 1980 	
  CAA 108. A review of the health basis for control
  of this  pollutant  will  require ['reparation of  an
  updated  criteria   document   and  analysis  of
  whether or not NAAQS should be revised
40 CFR 50  *Rci-ieu- oj Long Term NAAQS for  \i- January 1979...
  trogcn  Dioxide CAA 108. The  NAAQS for nitro-
  gen dioxide is undergoing review. ORD will com-
  plete  a revised criteria  document  by January
  1979. Under the CAA amendments, the criteria
  and the decision to revise the standard must ad-
  dress both the long-term effects of NO2. and  ef-
  fects associated with  other nitrogen  species in
  the air,  particularly nitrates, and nitric acid aero-
  sol.
40  CFR  50 'Rei'iew of NAAQS for Particulates. May 1980	   December 1980	
  CAA 108. A review of the health basis for control
  of this  pollutant  will  require  preparation of an
  updated  criteria  document  and  analysis  of
  whether or not NAAQS should be revised.
 40 CFR  50  * Development of Short Term NAAQS January 1979	  June 1979	
  for Nitrogen Dioxide.  CAA 109. The Clean  Air
   Act Amendments of  1977  require proposal and
   promulgation of  a 1-3  hour  standard  for NO2
   unless EPA finds that such a standard is not nec-
   essary to protect the public health.
      We are developing performance standards to control emi.ssions from the following industries under sec.  lll(b) of
 Administrator develop New Source Performance Standards (NSPS) for stationary sources which significantly contribute
 the best system of  continuous emission reduction which has been adequately demonstrated. The standards would apply
 which are modified after approval of the regulation.
 40 CFR 60 'NSPS—Fossil Fuel Steam Generators Sept. 19, 1!*78	   March 1979	
   (.Revision). CAA 111. Revised standards are being
   proposed for  utility boilers for control  of KO2,
   NOx and participates.  The  revised  NSPS  will
   apply  to any fossil-fueled utility boiler with  a
   heat Input of 25© million Btu/hour or greater.
   The  NSPS  will  require a percent removal  of
   sulfur dioxide and will include  an emission ceil-
   ing and an emission flow.
 40 CFR 60 NSPS—Petroleum Liquid Storage Ves- May 18, 1978	do  	
   teU. CAA 111. This is a revision of 1974 NSPS.
   The  revised standard  will propose the  use of
   double seals rather than single seals on floating
   roofs. The  standard, as currently being devel-
   oped, will essentially eliminate one of two types
   of seals currently in use.
 40  CFR  60  NSPS—Glass  Manufacturing. CAA February 1979....
   111. This regulation will address the problem of
   emissions from  new  glass manufacturing  fur-
   naces.  The Governor of New Jersey  requested
   that EPA develop national standards.
 40 CFR  60  NSPS—Internal Combustion Engines.
   CAA 111. These  regulations will require the ap-
   plication of  best demonstrated control  technol-
   ogy to  control emissions from stationary internal
   combustion engines. It will also require States to
   act under  sec.   lll(d)  to  regulate these com-
   pounds from existing sources.
 40  CFR 60  NSPS—Sulfur  Recovery in  Natural July 1979.	   May 1980	
   Gas Fields.  CAA 111. This regulation will control
   emissions of total reduced sulfur compounds.
 40  CFR 60  NSPS—Non-MetaUic Minerals. CAA January 1979.._	   December 1979.
   111. Particulate  emissions from quarrying oper-
   ations and related facilities will tie controlled.
 40  CFR  60 NSPS—Organic Solvent Metal Clean-
   ing. CAA 111. This rule will control evaporative
   emissions from  metal  cleaning and degreasing
   operations.
                                                                                                                 Do.
                                                                                                                 Do.
                                                                                                         the CAA. This section requires that the
                                                                                                         to air pollution. The NSPS are based on
                                                                                                         to both new sources and existing sources


                                                                                                         	   Don Goodwin (MD 13).
                                                                                                              Environmental  Protection Agency.
                                                                                                               Research   Triangle  Park,  N.C
                                                                                                               27711, 919-541-5271,  FTS  8 629
                                                                                                               5271.
                                                                            December 1979	
                                          December 1978	..	do
                                           March 1979	  January 1980.
Do.






Do.




Do.






Do.


Do.


Do.
                              FEDERAL  REGISTER,  VOL  43,  NO.  231—THURSDAY, NOVEMBER 30, 1978
                                                                    241

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56160
                                 NOTICES

MAJOR EPA REGULATIONS UNDER CONSIDERATION—Continued
        Name and description of regulation
                                                Proposal date in FEDERAL REGISTER    Final date4n FEDERAL REGISTER
                                                                                                                       Contact person and address
                                                                  THE CLEAN AIR ACT
                                                                                                                       Do.
40 CFR 60  NSPS—Surface Coating Operations for February 1979  	cio	
  Auto  Assembly Plants.  CAA  111.  Evaporative
  emissions from coating  operations  in  the  auto
  and light trurk industry will be controlled.
40 CFR 60  NSPS-Synthetic  Organic  Chemical March 1979	do	
  manufacturing. CAA 111. Selection of a degree
  of control of emission from manufacture of over
  100 major  organic chemicals  is  to  be made. A
  series of standards will be proposed.
40 CF'R 60  NSPS-Can Coating.  CAA  111.  This November 1979	  September 1980.
  regulation  will establish  emission standards for
  volatile organic emissions from can coating oper
  ations.
40 CFR 60  NSPS—Pressure Sensitive Tapes and Januarv  1980	  November 1980 ..
  Labels Coating. CAA 111. This regulation will en
  tablish emission standards for volatile organic
  emissions from pressure  sensitive tapes and  label
  operations.
40 CFR 60  NSPS—Metal  Furniture Surface Coat- December 1978	  December 1979..
  ing. CAA 111. This regulation will establish emis-
  sion  standards  for  volatile  organic  emissions
  from metal furniture operations.
40 CFR 60  NSPS-Lead  Battery  Manufacturing. April 1979	  February 1980...,
  CAA  111. This regulation will establish emission
  standards for  lead and  sulfuric  acid  mist emis-
  sions  from  lead battery  manufacturing facilities.
  The action on H2S04 will key the  requirement
  that States regulate existing sources under sec.
  lll(d).
40 CFR 60  NSPS—Gas Turbines. CAA  111  This Oct. 3, 1977	
  regulation  will establish  limitations on oxide of
  nitrogen  emissions from  stationary gas turbines.
40 CFR 60  NSPS-lndustnal Boilers. CAA 111. October  1980   	
  This regulation will control the emissions of par-
  ticulates, NOx and SO2.
40 CFR 60 NSPS-Phosphate Rock. CAA 111. This May 1979	  March 1980.
  regulation  will control the emission of particu-
  lates.
40 CFR 60  Aluminum Plant  Flouride  Control— Januarv 1979   	
  Existing Plants.  CAA lll(d). These  are guide-
  lines for State control of flouride emissions  from
  existing aluminum plants.
40 CFR 60  Guidelines for Existing  Krajt  Pulp Feb. 23  1978	
  Mills. CAA lll(d). These are guidelines to con-
  trol sulfur (odors) from existing Kraft pulp  mills
  will allow States flexibility in establishing con-
  trols.
40  CFR  60  List  of New  Source   Performance Aug. 31.1978   	  May 1979.
  Standards.  CAA  lll(f).  The  1977 Clean Air Act
  requires the Administrator to list the categories
  of major stationary sources that  are not already
  controlled by NSPS. He  must then issue stand-
  ards for these categories within 4  years.
     We are  developing emission standards for hazardous air pollutants under sec. 112 of the CAA. This section requires that the Administrator develop National
Emission Standards for Hazardous Air Pollutants iNESHAPS) for emissions which cause or contribute to air pollution which results in an increase in mortality, or
an increase in serious or incapacitating illness. The standards would apply to both  new sources and existing sources.
                                               February 1979.
                                               August 1981
                                               November 1979 .
                                               January 1979.
                                                                                    Do.
                                                                                    Do.
                                                                                    Do.
                                                                                    Do.
                                                                                    Do.
                                                                                    Do.
                                                                                    Do.
                                                                                    Do.
                                                                                    Do.
                                                                                    Do.
                                                                                    Do.
                                                 September 1979	  July 1980.
40 CFR  61  NESHAPS: Asbestos-Iron Ore Benefi-
  ciation. CAA 112. This regulation would  estab-
  lish limits on  asbestos emissions from iron ore
  beneficiation facilities.

40  CFR 61  NESHAPS:  Vinyl  Chloride  Amend-  June 7,1977	  Indeterminate...
  ments.  CAA 112. The proposed regulations have
  called for increased-control of existing  sources,
  stringent control of new sources, and a zero emis-
  sion goal.
40  CFR 61  NESHAPS:  Handling  and  Storage.  August 1979	  June 1980	
  CAA 112. This regulation would control the han-
  dling and storage of benzene and benzene-rich
  liquids.
40 CFR 61  NESHAPS: Gasoline Distribution Sys-  Indeterminate	  Indeterminate...
  terns.  CAA 112. This regulation  would control
  benzene emissions from major  marketing sources
  such as bulk terminals, bulk plants, and service
  stations.
40CFR 61  NESHAPS—Refinery Sources. CAA 112.  September 1979	  November 1980 .
  This regulation would control the emission  of
  benzene from point sources as well as  from fugi-
  tive sources (pumps, valves, etc.)  and  waste dis-
  posal.
40 CFR 61 NESHAPS-Maleic Anhydride. CAA 111!.  January 1979	  November 1979 .
  This regulation would control the emission  of
  benzene in the manufacture of maleic anhydride.
40 CFR  61  NESHAPS—Ethyl Benzene.  CAA 112.  March 1979	  January 1980	
  This regulation would control the emission  of
  benzene in the manufacture of ethyl benzene.
                                                                                Don Goodwin (MD-13).
                                                                                Environmental Protection  Agency,
                                                                                  Research   Triangle  Park,  N.C.
                                                                                  27711,  919-541-5271, FTS 8-629-
                                                                                  5271.
                                                                                    Do.
                                                                                    Do.
                                                                                    Do.
                                                                                    Do.
                                                                                    Do.
                                     FEDERAL REGISTER, VOL 43, NO. 231—THURSDAY, NOVEMBER 30,  1978
                                                                        242

-------
                                                                   NOTICES

                                   MAJOR EPA REGULATIONS UNDER CONSIDERATION—Continued
                                                                                                                                           56161
       Name and description of regulation
                                                Proposal date In FEDERAL REGISTER    Final date In FEDERAL REGISTER
                                                                                                                      Contact person and address
                                                                 THECLXAX AIR ACT
                                                June 1979	


                                                May 1980	
                               April 1980	


                               March 1981	
40 CFR  61  NESHAPS-Styrene.  CAA  112. This
  regulation would control the emission of benzene
  In the manufacture of styrene.
40 CFR  61  NESHAPS:  Asbestos  Released from
  Crushed Stone. CAA 112. Use of crushed serpen-
  tine rock for roadway surfacing may  release sig-
  nificant quantities of. asbestos, A monitoring pro-
  gram is under way and results indicate standards
  will be proposed.
40  CFR  61 NESHAPS   Coke  Oven   Emission-  December 1978	   September 1979.
  Charging  Operations. CAA 112. The regulation
  would define coke oven  emissions as a hazardous
  air pollutant.  Charging  operations would be reg-
  ulated first. Regulations on top side leaks would
  follow.
40 CFR 61   NESHAPS. Arsenic. CAA  112. A health  December 1979	
  risk assessment is being conducted. If i is deter-
  mined  that arsenic emissions (primarily from
  copper smelters) are a  hazardous air pollutant,
  then emission standards would be proposed.
40 CFR  57  Primary Nonferrous Smelter Orders.
  CAA 119. These  regulations  will establish the
  substantive requirements of initial  primary non-
  ferrous smelter  orders  (NSO's) and  the proce-
  dures to be used  in issuing  them.  NSO's will
  allow certain  copper, lead,  and zinc smelters  to
  delay compliance with the  requirements for con-
  stant control of sulfur  dioxide emissions and let
  them use  tall stacks and supplementary control
  systems to meet ambient standards.
40 CFR  56  Npncompliance  Penalties.  CAA  120,
  EPA is required to establish a penalty program
  to  start  collecting money  from  polluters after
  mid-1979 in an  amount equal to  the  money the
  polluter saves by failing to obey the law.
40 CFR 51  Tall Stack Regulation. CAA 123. The  November 1978  	   April 1979 .
  regulations will specify what  height  stacks  may
  be given credit for dispersion under State imple-
  mentation plans.
                                                December 1978.
                                                                                  April 1979 .
                                                  ,.do	   Undetermined
40 CFR 51.240  Regulations Providing for State/  May 18, 1978	
  Local Consultation. CAA  121. The regulations
  will ask the States to provide a satisfactory proc-
  ess of consultation with local governments, elect-
  ed officials, and Federal land managers. The reg-
  ulations will also require the States to choose a
  lead  planning organization  to coordinate the
  State Implementation Plan revisions for oxidants
  (smog) and carbon monoxide.
    ^979 Listing of Radioactive Pollutants. CAA  August 1980	   Undetermined.
  122.  Determine whether  radioactive pollutants
  shall be classified as 108, 111. or 112 pollutants or
  none of these categories.
40 CFR 51  Emission Offset Policy Regulations.  Dec. 21, 1976	„	   November 1978
  CAA 129. These regulations address the issue of
  whether and  to what extent the national ambi-
  ent air quality standards established under CAA
  restrict or prohibit  growth of  major new or ex-
  panded air pollution sources. These proposed re-
  visions  reflect the  public  comments (including
  four  public hearings on the December  21 ruling
  and the changes required by CAA Amendments
  of 1977).
40 CFR 51 and  52  Prevention of Significant Dele-  December 1979	   October 1980...
  rioratton (PSD). Set II. CAA 166. These  regula-
  tions will insure that areas which are  in compli-
  ance with  hydrocarbon, carbon monoxide, photo-
  chemical oxidant, and nitrogen oxide  standards
  will remain in compliance.
    Visibility Protection.  CAA 167(a). EPA is re-  October 1979	   August 1980	
  quired to prepare a report to Congress and guide-
  lines which  require SIP's to  address  visibility
  problems.
40 CFR 85 Requirement* to Build Demonstration
  Cars Meeting 0.4 Ornm/Mile NOx Standard. CAA
  202.  All manufacturers with a least  a 0.5  pet
  share of the U.S. passenger car market will have
  to  build research vehicles which meet the  0.4
  grams nitrogen dioxide per mile research objec-
  tive. This regulation will be published in interim-
  final form.
40 CFR 86  Light-Duty Diesel Particulate Stand-
  ards. CAA 202. EPA is required to set paniculate
  standards for  mobile sources  starting In  1981.
  The  regulation will contain  1981 standards and
  more  stringent standards  for  1983  and  later
  model years.
                                                December 1978		   July 1979.
..do	_	  July 1979.
Do.


Do.
                                                                                                                       Do.
                                                                 Joe Padgett (MD 12).
                                                                 Environmental  Protection Agency,
                                                                   Research  Triangle   Park.   N.C.
                                                                   27711 919-541-5204,  FTS  8-629
                                                                   5204.
                                                                 Judith Larsen (EN 341).
                                                                 Environmental  Protection Agency,
                                                                   Washington, D.C. 20460, 202-755-
                                                                   2583.
                                                                 Bob Homiak (EN 341).
                                                                 Environmental Protection Agency,
                                                                   Washington. D.C. 20460, 202-755-
                                                                   2542.

                                                                 Dick Rhoads(MD  15).
                                                                 Environmental Protection Agency,
                                                                   Research  Triangle  Park,  N.C.
                                                                   27711, 919-541 5251.  FTS  8-629-
                                                                   5251.
                                                                 John Hidinger (AW-445).
                                                                 Environmental Protection Agency,
                                                                   Washington. D.C. 20460, 202-755-
                                                                   0481.
                                                                 William A. Mills (AW-460).
                                                                 Environmental Protection  Agency,
                                                                   Washington. D.C. 20460. 703-557-
                                                                   0704.
                                                                 Kent Berry (MD-11).
                                                                 Environmental Protection  Agency,
                                                                   Research  Triangle  Park.  N.C.
                                                                   27711,  919-541 5343, FTS 8-629-
                                                                   5343.
                                                                 Dick Rhoads (MD-15).
                                                                 Environmental Protection  Agency,
                                                                   Research  Triangle  Park.  N.C.
                                                                   27711,  919-541-5261,  FTS 8-629-
                                                                   5251.

                                                                 Joe Padgett.
                                                                 Environmental Protection  Agency.
                                                                   Research  Triangle  Park,  N.C.
                                                                   27711.  919-541-5204,  FTS 8-629-
                                                                   5204.
                                                                 Karl Hellman.
                                                                 Emission Control Technology Divi-
                                                                   sion,  Environmental  Protection
                                                                   Agency. 2566 Plymouth Rd.. Ann
                                                                   Arbor,  Mich. 48105, 313-668-4246.
                                                                                                                    Merrill Korth.
                                                                                                                    Emission Control Technology Divi-
                                                                                                                     sion,  Environmental  Protection
                                                                                                                     Agency, 2565 Plymouth Rd., Ann
                                                                                                                     Arbor,.Mich. 48105. 313-668-4299.
                                      FEDERAL REGISTER, VOL 43, NO. 231—THURSDAY, NOVEMBER 30,  1978
                                                                        243

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  56162
                                  NOTICES

MAJOR EPA REGULATIONS UNDER CONSIDERATION—Continued
                                                  Proposal date In FEDERAL REGISTER    Final date in FEDERAL REGISTER
                                                                                                                        Contact penon and address
                                                                   THE CLEAR AIR ACT
  40  CFR 86  Heavy Duty Diesel Particulate Stand-  December 1980	   August 1080	
   arris  CAA 202.  Although required by CAA  for
   1981 models, there is no test procedure available
   I hat can be used a.s the  basis for a standard. A
   1983 model year is targeted.
 40 CFR 86  Text Procedures for Measuring Heavy December 1978	  August 1980	
   Duly  Evaporative Emissions. CAA 202(a>  The
   Clean Air  Act requires  that a test procedure  be
   promulgated which will require  measurement  of
   evaporative  emission  from  the  vehicles  as  a
   whole.  EPA  will  promulgate test  procedure and
   standards
 40  CKR 8ti  Heavy Duty Evaporative  Emission January 1979	  August, 1980	,
   Standards. CAA  202(3>. The CAA requires EPA to establish
   emission standards for engines for heavy-duty ve-
   hicles  over 8,500 pounds. Standards for HC and
   CO  are  a  90 percent  reduction  from baseline
   emissions for 1983 model  year.  EPA  is  in the
   process of  developing a new test procedure  for
   measuring  exhaust emissions and measurements
   of baseline emissions.
 40 CFR  86  NOx  Emission Standard  for  Heavy December 1919	  September 1980
   Ditty   Vehicles   (Over  8,500   Pound* >.  CAA
   202ia)(3). The CAA requires EPA to establish
   emission standards for heavy-duty vehicles (over
   6.000 IDS. GVWR). A  75  percent reduction  for
   NOx beginning with 1985 model  year.  EPA is  in
   the  process of developing a new te«t  procedure
   for measuring exhaust emissions and must then
   measure baseline emissions.
   Fill Pipe Standards. CAA  202(a)<5>.  At such  September 1979	   June 1980	
  time as phase II  vapor  recovery regulations are
  promulgated. EPA is required to set standards
  for vehicle refueling orifices and  associated parts
  of  the fuel system to provide effective connection
  between the fill  pipe and vapor  recovery refuel-
  ing nozzles. The  effective model is to  be deter-
  mined  on the basis  of lead time  required for
  design  and  production of  the required systems.
  The  type of fill pipe  needed depends of whether
  phase II or on-board  HC  control  is selected  by
  EPA.
   On-Board   Hydrocarbon   Technology.   CAA  September 1979	   June 1980	
  202<6). Under  this section EPA is required to
  determine whether onboard HC controls are fea-
  sible and more desirable than Phase II: Vapor
  Recovery, taking into consideration such factors
  as  fuel economy, costs, adminlnstrative burdens,
  equitable distribution  of  costs  and  safety.  If
  found feasible and desirable, onboard HC control
  standards are to be set  by EPA, with such lead
  time as is needed for implementation. In issuing
  such regulations, EPA is required to consult with
  the Department of Transportation regarding the
  safety of the controls.
40 CFR  86  Interim High Altitude Requirements.  December 1978	   August 1979	
  CAA 202.  The  regulations will
  identify the components and specifications that
  are a required part of motor vehicle certification;
  the parameters of allowable deviation  of parts;
  and the specifications for the certification tests.
                                                                                                                         Do.
                                                                               Mike Lelferman.
                                                                               Environmental Protection Agency,
                                                                                 Ann Arbor, Mich. 48105. 313-668-
                                                                                 4271.
                                                                                   Do.
                                                                               William Houtmann.
                                                                               Environmental Protection Agency,
                                                                                 Ann Arbor, Mich. 48105, 313-668-
                                                                                 4272.
                                                                                Chet France.
                                                                                Environmental Protection Agency,
                                                                                 Ann Arbor, Mich. 48106, 313-668-
                                                                                 4338.
                                                                                   Do.
                                                                               Ernie Rosenberg (AW-455).
                                                                               Environmental Protection  Agency,
                                                                                 Washington, D.C. 20460. 202-756-
                                                                                 0596.
                                                                               Paul Stolpman (AW-443).
                                                                               Environmental Protection  Agency.
                                                                                 Washington. D.C. 20460. 202-426-
                                                                                 2484.
                                                                               William Houtmann.
                                                                               Environmental Protection  Agency,
                                                                                 Ann Arbor, Mich. 48105. 313-668-
                                                                                 4272.
                                                                               Tom Preston (EN-340).
                                                                               Environmental Protection  Agency,
                                                                                 Washington, D.C. 2O460, 202-755-
                                                                                 0944.
                                                                                  Do.
                                      FEDERAL REGISTER, VOL. 43, NO. 231-THURSDAY,  NOV-MBER 30,  1978
                                                                       244

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                                                                     NOTICES

                                    MAJOR EPA REGULATIONS UNDER CONSIDERATION—Continued
                                                                                                                                             56163
        Name and description of regulation
                                                 Proposal date in FEDERAL RBOISTKK    Final date in FKDOIAL Rxcisrn
                                                                                                                        Contact person and address
                                                                  THE CLJEAN AIR ACT
40 CFR 86 Selective Enforcement Auditing of Mo-  Holding	
  torcycles. CAA 206(b). The regulation will estab-
  lish a program for testing motorcycles at the as-
  sembly line to assure compliance with emission
  standards.
 40 CFR  86 Selective Enforcement Auditing  of December 1978	  February 1979....
   Heavy Duty  Engines and Vehicles. CAA 206(b>.
   The regulation will establish a program for test-
   ing heavy duty engines and vehicles at the as-
   sembly  line to assure compliance with emission
   standards.
 40 CFR 86  Engine Parameter Adjustment Regula- Oct. 21. 1977	  November 1978..
   tions. CAA 206
-------
                                                                    NOTICES

                                    MAJOR EPA REGULATIONS UNDER CONSIDERATION—Continued
        Name MM! (4). These
  regulations will authorize States to establish reg-
  ulatory programs for the discharge of dredge and
  fill material to supplement State 404 permit pro-
  grams.
40 CFR 233  Modification of Secondary Treatment  Apr. 25, 1978.
  Requirements  for   Marine  Dischargers.  CWA
  301(h). The 1977 amendments of the Clean water
  Act allow EPA to modify the treatment require-
  ments for existing  ocean dischargers  from Pub-
  licly  Own Treatment Works (POTW's) in regard
  to the required degree of removal of Biological
  Oxygen Demand (BOD), Total Suspended Solids
  (TSS), and pH. Applicants are  required to meet
  eight specific 301(h) criteria in  addition  to any
  other applicable criteria of the Act. The  receipt
  of modification would not relieve a POTW from
  compliance with performance  standards  which
  EPA will later publish to reflect Best Practicable
  Wastewater  Treatment Technology  (BPWTT).
  This rule establishes the criteria which EPA will
  apply and the procedures it will follow in its eval-
  uation of application for a modification.
40 CFR 124  Extension of Pollution Control Dead-
  lines for Publicly Owned  Treatment Works and
  Other Point Sources Planning  to Discharge to
  Those Publicly Own  Treatment  Works.  CWA
  30KJ). This regulation establishes criteria which
  EPA and NPDES States will use in reviewing re-
  quests  for  301(i)  extensions from  the July 1.
  1977, treatment requirements.
40 CFR 125  Requirements for Application  for 301  Sept. 13  1978, interim final
  (c) and (g) Variances. CWA 30KJM1XB).  These
  regulations require  discharges  desiring 301 (c)
  and (g) variances to file Initial applications by
  Sept. 25, 1978, or 270 days after promulgation of
  BAT limitations whichever is later .

     Effluent guidelines representing best  available treatment technology, new source performance standards, and pretreatment standards are being developed
for the following industries to comply with the Act and a court order mandating control of certain toxic substances in industrial effluents. CWA 301  304  306  and
307.
                                                May 16, 1978, interim final.
                                                                                 Will be incorporated into NPDES
                                                                                   program regulations 40 CFR 122
                                                                                   to 125.
                                                                                 January 1979, will be Incorporated
                                                                                  into NPDES program
                                                                                  regulations 40 CFR 122 to 125.
                                                                                                                  Ed Kramer (EN-336).
                                                                                                                  Environmental Protection Agency,
                                                                                                                    Washington. D.C. 20460, 203-765-
                                                                                                                    0750.
                                                                                                                  Scott Sleslnger (EN-336).
                                                                                                                  Environmental Protection Agency.
                                                                                                                    Washington, D.C. 20460, 202-755
                                                                                                                    0750.
40 CFR 420  Iron and Steel Manufacturing.
                                                November 1979 .
                                                                                 May 1980
40 CFR 435  Petroleum Refining	  March 1979.
                                                                                               	  Ernst Hall (WH-552).
                                                                                                                  Environmental Protection Agency.
                                                                                                                    Washington, D.C. 30460. 203-426
                                                                                                                    2576.
                                                                                 October 1979	  Robert Dellinger (WH-552).
                                                                                                                  Environmental Protection Agency,
                                                                                                                    Washington. D.C. 20460. 202-426-
                                                                                                                    3497
40 CFR 429  Timber Products Processing	  May 1979	   December 1979	  John Riley (WH-652).
                                                                                                                  Environmental Potection Agency.
                                                                                                                    Washington. D.C. 30460. 202-426-
                                                                                                                    6664
40 CFR 423  'Steam Electric Power Plants	do	do	  John Lum (WH-552).
                                                                                                                  Environmental Protection Agency,
                                                                                                                    Washington. D.C. 20460 202-426-

40 CFR 436  Leather Tanning and Finishing	  January 1979	   August 1979	  William Sonnett (WH-552).
                                                                                                                  Environmental Protection Agency.
                                                                                                                    Washington, D.C. 20460 202-426-
   	                                                                                                             3440.
40 CFR 421  Nonjerrous Metals Manufacturing	  August 1979....	   March 1980	  Patricia Williams (WH-662).
                                                                                                                  Environmental Protection Agency,
                                                                                                                    Washington, D.C. 20440, 302-424-
                                                                                                                    2684.
                                   PEDEftAL UeiSTER, VOL  43, NO. 231—THUtSDAY, NOVEMBBI 30,  1978
                                                                     246

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                                                                     NOTICES                                                             56165

                                    MAJOR EPA REGULATIONS UNDER CONSIDERATION—Continued
        Name and description of regulation         Proposal date In J-'EDERAL REGISTER    Final date In FEDERAL REGISTER       Contact person and address
                                                                THE CLEAN WATEH ACT
40 CFR 46  Paint and Ink Formulation	  September 1979	  April  1980	   Richard Gigger iWH 55'2V
                                                                                                                    Environmental  Protection Agency,
                                                                                                                      Washington, DC, 20460. 202 426
                                                                                                                      2583.
40 CFR 448  Printing and Publishing Services 	  November 1979	  June 1980	      Do.
40 CFR 440  Ore Mining and Dressing	do  	July 1980	   Gail Coiui (WH 586).
                                                                                                                    Environmental  Protection Agency,
                                                                                                                      Washington, D.C"  20460, 202 426
                                                                                                                      2503.
40 CFR 434  Coal Mining	  Dec. 'mb.'i 1979   	JKmelPHO 	   William Tellinni ' V.'H 586 i.
                                                                                                                    Em iroiimer.lnl  Protection Agency,
                                                                                                                      Washington. DC  20460. 202 426
                                                                                                                      2726.
40CFR414  Organic Chenm-alii M(inufiu'h.,-i  	   AuguM 19riO	   Paul Kan nUioi.i < VA H :>f>2>.
                                                                                                                    Environmental  Pi »;. <•! ion Aj.:encv.
                                                                                                                      Washington. !.)('  'JuUiu. 2'.J2 42ti
                                                                                                                      2497
40CFK415  Inorganic rhciniciili, Manujictun-!g..  Septcmt.  1"79    	  A;>',M!»HU  	   Wult IT H ur.l . WH f>;,2>
                                                                                                                    Environmi-iil.U  1 , .>teet.".>n AM-IK \ .
                                                                                                                      W;u lnrii'.'on  I) C   LV-i'iO  20. 426
                                                                                                                      2724
40 CFR 410  Textile Mills	  V:i\ l'.»7<>    ...     	  D.-cii-ihet l'.'7<>	   J:un< - i in! ii;;. i XV i! 552 >
                                                                                                                    t.in ircMirn. iil-il  P; ol ••<•',.>n Agency,
                                                                                                                      vV;Lshit!i '•.;;. !U   .:0460. 202-426-
                                                                                                                      2.r).:i4
40CKR416  Plastics and SvnU;i-ti<-Material	  January  11)80....     	  August 1980	   Paul KiUin-i.liu.iKi • WH  552).
                                                                                                                    EIH iroiimentiU  Protection Agency,
                                                                                                                      Washington, D.C'. 20460. 202-426-
                                                                                                                      2497.
40 CFR 430  Pulp and Paper	  February 1980	do	   Bob De'.llnger (WH 552).
                                                                                                                    Environmental  Protection Agency.
                                                                                                                      Washington, D.C  20460. 202 426
                                                                                                                      2554.
40 CFR 428  Rubber Processing	  June 1979	  January 1980	      Do.
40CFR417  Soap and Detergents Manufacturing..  July 1980 	  July 1981	   Sammy Ng (WH 586).
                                                                                                                    Environmental  Protection Agency.
                                                                                                                      Washington. D.C. 20460, 202 426
                                                                                                                      2503.
40 CFR 444  Auto and Other Laundries	  Decemhei 1979	  July 1980	   Richard GigRer'WH 552).
                                                                                                                    Environmental  Protection Agency.
                                                                                                                      Washington, D.C. 20460. 202 426-
                                                                                                                      2583.
40 CFR 456  Miscellaneous Chemicals—Adhesivcs  February 1980	  August 1980	   F.I wood Forsht (WH 552).
  and Sealants.                                                                                                      Environmental  Protection Agency,
                                                                                                                      Washington. D.C. 20460. 202 426
                                                                                                                      2707.
40 CFR 457  Miscellaneous  Chemicals--Explosives  December 1979	  July 1980	   Elwood Martin (WH 552).
  Manufacturing.                                                                                                    Environmental  Protection Agency.
                                                                                                                      Washington. DC. 20460, 202 426
                                                                                                                      2440.
40 CFR 454  Miscellaneous Chemicals—Gum  and  August 1979 	  March 1980	   Richard Williams (WH  552).
  Wood.                                                                                                            Environmental  Protection Agency,
                                                                                                                      Washington, DC. 20460. 202 426
                                                                                                                      2555.

40 CFR 455  Miscellaneous Chemicals—Pesticides..  March 1980	  October 1.980	   George Jett (WH 552).
                                                                                                                    Environmental  Protection Agency.
                                                                                                                     Washington, D.C. 20460.  202 426
                                                                                                                     2497.
40 CPR 439  Miscellaneous Chemicals—Pharma-  Decembci 1979	  July 1980	   Joe Vitalis (WH 552).
  ceuticalt.                                                                                                          Environmental  Protection Agency.
                                                                                                                     Washington. D.C. 20460.  202 426
                                                                                                                     2497.
40 CFR 413  Electroplating	  March 1980	  October 1980	   Maurice Owens (WH 586)
                                                                                                                    Environmental  Protection Agency.
                                                                                                                     Washington. DC. 20460.  202 755
                                                                                                                     1331.
40 CFR 459  Machinery  and  Mechanical Prod-  February 1980	  August 1980	   Ernst Hall (WH 552).
  ucts—Photographic Equipment and Supplies.                                                                          Environmental  Protection Agency,
                                                                                                                     Washington. DC. 20460.  202 426
                                                                                                                     2576.
40 CFR 433  Machinery  and  Mechanical Prod-  August 1980	  March 1981	      Do.
  ucts—Mechanical Products.
40 CPR 469  Machinery  and  Mechanical Prod-  March 1980	  October 1980	      Do.
  ucts—Electrical and Electronic Components.
40 CFR 464  Machinery  and  Mechanical Prod-  October  1979	  May 1980	      Do.
  uctt—Foundry Off ration*.
40 CPR 468  Machinery  and  Mechanical Prod-  April 1980	  November 1980	      Do.
  ucts—Copper and Copper Alloy Products.
40 CFR 461  Machinery  and  Mechanical Prod-  March 1980	  October 1980	      Do.
  uctt—Battery Manufacturing.
40 CFR 465  Machinery  and  Mechanical Prod-  August 1979	  March 1980	      Do.
  ucts—Coil Coating.
40 CPR 443  Machinery  and  Mechanical Prod-  October  1980	  May 1981	      Do.
  *ct*—PUutics Proceuing.
40 CFR 466  Machinery  and  Mechanical Prod-  October  1979	  May 1980	   Ernst Hall (WH-552).
  ucts—Porcelain Enamel.                                                                                             Environmental  Protection Agency,
                                                                                                                     Washington.  DC. 20460. 202-426-
                                                                                                                     2576.
40 CFR 467  Machinery  and  Mechanical Prod-  March 1980	  October 1980	      Do.
  ucts—Aluminum Forming.

                                     FEDERAL ROISTER, VOL tt, MO,  HI—THURSDAY, NOVEMKt  30, 1978
                                                                      247

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 56166
                                                                     NOTICES

                                    MAJOR EPA REGULATIONS UNDER CONSIDERATION—Continued
         Name and description of regulation
                                                 Proposal date in FEDERAL REGISTER    Final date in FEDERAL REGISTER
                                                                                                                       Contact person and address
                                                                 THI CLEAN WATER ACT
                                                 Jan. 6, 1978	  May 23, 1978.
                                                 January 1979 	  Will be incorporated into NPDES
                                                                                    program regulations 40 CFR 122
                                                                                    to 125.
                                                 March 1979	  March 1980.
                                                 (29 pollutants) March 1979	  September 1979 .
                                                 (36 pollutants) July 1979	  December 1979...
                                                Aug. 23, 1978	  April 1979.
                                                Sept. 1, 1978.
 40 CFR  124  and  125  Veto  Modification. CWA
   301(b)(a), 304(1),  307(a), 402(b), 501(a). This reg-
   ulation revises existing regulations to conform to
   the requirements in the NRDC versus Train Con-
   sent Decree June 8, 1976 and to clarify the proce-
   dures under which EPA will exercise its power to
   object to (veto) State issued NPDES permits.
 40 CFR 125  Substantive Criteria for 30KO and
   («r) Variances from BAT Requirements. CWA 301
   (c) and (g). This criteria will establish informa-
   tion necessary  for  assessment of economic and
   environmental variance requests.
 40 CFR 130.17  'Revision of Water Quality Stand-
   ards  Regulation  (Part 130.17). CWA 303.  This
   regulation will  amend  the existing  regulation
   covering State Water Quality Standards to estab-
   lish  requirements  regarding  States  adopting
   standards for  toxic pollutants when EPA  has
   issued national ambient water quality criteria for
   those pollutants. One effect of this amendment
   will be that dischargers (both  municipal  and  in-
   dustrial) may have to install treatment technol-
   ogy beyond  that  required by  Best Available
   Wastewater Treatment Technology (BPWTT) or
   Best Available Technology (BAT) guidelines.
 40 CFR  Quality Criteria for Water:  Volume  11.
   CWA 304(a). Ambient water quality criteria will
   be established for 65 pollutants.
 40 CFR 400 to  469  Secondary  Industry Review
   CWA 304(b). This regulation will provide for pro-
   mulgated  of Best Practicable Conventional Pol
   lutant Control Technology (BTC) for  certain
  subcategories of the "secondary industries" in-
  dustries not covered by the NRDC  Settlement
  Agreement. For other subcategories, Best  Availa-
  ble Technology (BAT) limits will be  suspended.
  The methodology that will be  used for BCT for
  secondary industries will also be applied to BCT
  for primary industries at the time that BAT reg-
  ulations are established.
 40 CFR 125  Criteria and Standards for Imposing
  Best Management Practices for Ancillary  Indus-
   trial Activities.  CWA 304(e). This regulation will
  indicate how "best management  practices" for
  on-site industrial activities may be imposed  in
  NPDES permits to  prevent release of toxic and
  hazardous pollutants to surface waters.
 General Pretreatment Regulations for Existing and
  New Sources of Pollution. CWA 307
-------
                                                                     NOTICES

                                    MAJOR EPA REGULATIONS UNDER CONSIDERATION—Continued
                                                                                             56167
              •nd dcau'lptton of regulation
                                                 Proposal date in FEDBRAL Rcoismt    Fmal date In PKDKXAL Rmsra
                                                                                                                       Contact person and address
                                                                Tm CUBAN WATTS ACT
                              (Federal Water Pollution Control Art as amended by the dean Water Act Amendment* of 1*77)
4*  CPR  231  Ocean  Discharge Criteria.  CWA
  403(c). These guidelines pertain to discharges to
  the ocean. They are based on prevention of envi-
  ronmental degradation of waters of the territori-
  al  seas,  the contiguous zone, and  the oceans.
  Both Industrial and municipal dischargers would
  have to meet these criteria
40 CFR 230  Guidelines to Protect the Aquatic En-
  vironment, Including Wetlands, From the Dis-
  charge  of Dredged or  Fill   Material  CWA
  404(4xB)  program.  Failure   to
  comply with these guidelines justifies denial  of
  permit applications and  return of State permit
  programs  to the  Corps of Engineers. Sept.  5,
  1975,  interim-final guidelines are being revised
  and expanded by this effort
40 CFR 123 Procedural Regulations  Concerning
  State  Qualifications lor  Assuming  the Section
  404 Permit Program.  CWA  404(g),  Certain  re-
  quirements that  musi  be  met for  States  to
  assume  permitting  authority under  sec. 404
-------
56168
        Name and description of regulation
                                                Proposal date In FEDERAL REGISTER   Final date in FEBEKAL Rmsm
                                                                                                                       Contact person and address
                                                               THE NOISE CONTROL ACT
40 CFR 205 Light Duty Motor Vehicles. NCA 5. Work plan unuer development	  William Roper (AW-490).
  This  action will result in  a  decision regarding                                                                    Environmental Protection Agency,
  whether or not light duty vehicles are or are not                                                                      Washington, D.C. 20480. 703-567-
  a major noise source.  If they are found to be,                                                                      7747.
  then resulting noise emission  and/or noise label-
  ing standards will be prepared.
40 CFR 205  Buses. NCA 5/6. This regulation will Sept. 12, 1977	  June 1979	      Do.
  set noise emission standards for new inter-State,
  inner-city, and schoolbuses.
40 CFR 204  Truck-mounted Solid  Waste Compac- Aug. 26, 1977	  June 1979	  Kenneth Felth (AW-4«0).
  tor. NCA 5/6. The regulations sets noise emission                                                                    Environmental Protection Agency,
  standards for solid waste compactors.                                                                                 Washington, D.C. 20480, 703-557-
                                                                                                                     2710.
GFR 206, 207  Lawnmowers. NCA 5/6. The regulia- October 1979	  October 1980	  Henry Thomas (AW-490).
  tion sets noise emission standards for new lawn-              •                                                      Environmental Protection Agency,
  mowers                                                                                                            Washington, D.C. 20460, 703-557-
                                                                                                                     7743.
40 CFR 204  Pavement Breakers and Rock Drills. June 1979	  June 1980	  Kenneth Feith (AW—490)
  NCA  5/6.  The  regulation sets  noise emission                                                                    Environmental Protection Agency,
  standards for  new pavement  breakers and rock                                                                      Washington, D.C. 20460, 703-557-
  drills.                                                                                                              2710.
40  CFR  204  Truck  Transported  Refrigeration Developmental work halted         .,	      Do.
  Units. NCA 5/6. The regulation  sets noise emis-   pending analysis of regulatory
  sion standards for new truck transport refrigera-   alternatives.
  tion units.
40 CFR 204  Wheel and Crawler Tractors. NCA 5/ July 11, 1977	  June 1979	  Henry Thomas (AW-490).
  6.  The regulation sets a noise emission standard                                                                    Environmental Protection Agency.
  for new wheel and crawler tractors.                                                                                   Washington, D.C. 20460, 703-557-
                                                                                                                     7743.
40 CFR 205 Motorcycles. NCA 5/6.  This regula- Feb. 15, 1978	  October 1979	  William Roper (AW-490).
  tion sets noise emission standards  for motorcy-                                                                    Environmental Protection Agency,
  cles and replacement exhaust  systems.                                                                                Washington, D.C. 20460, 703-557-
                                                                                                                     7747.
40 CFR 211  Labeling: Hearing Protectors. NCA 8. June 22, 1977	  January 1979	  Henry Thomas (AW-490).
  The regulation requires the labeling of hearing                                                                    Environmental Protection Agency,
  protectors.                                                                                                         Washington, D.C. 20460, 703-557-
                                                                                                                     7743.
40 CFR 211  Labeling: General. NCA 8. The regu- 	do	do	      Do.
  lation establishes general labeling provisions.
40 CFR 210 Administrative Hearing Procedures. Aug. 3, 1978	  December 1978	  Jim Kerr (EN-387).
  NCA 11. These procedures will apply to hearings                                                                    Environmental Protection Agency,
  for the issuance of remedial orders under  sec.                                                                      Washington, D.C. 20480 703-557-
  ll(d)  of the Act. As mandated, these are adjudi-                                                                      7410.
  calory hearings under the Administrative Proce-
  dure Act, 5 U.S.C. 554.
40 CFR 203  Low Noise Emission Products. NCA May 27, 1977	  May 1979	  Henry Thomas (AW-490)
  15. This regulation allows a determination of                                                                    Environmental Protection Agency,
  when  a product is  a low noise emission product                                                                      Washington, D.C. 20460 703-557-
  and whether  it is suitable for special considera-                                                                      7743.
  tion in Federal purchasing.
40 CFR  205  Interstate Rail  Carriers. NCA 17. December 1978	  February 1979	  William Roper (AW-490)
  This regulation sets noise emission standards for                                                                    Environmental Protection Agency
  railroad ••facilities." EPA has prepared this regu-                                                                      Washington, D.C. 20460 703-557-
  lation as a result of a successful lawsuit brought                                                                      7747.
  by the Association  of American Railroads which
  said EPA's regulations setting  noise  emission
  standards  for locomotives and cars  failed to ad-
  dress the related problem of noise from facilities
  such as railroad yards. The Court  ordered EPA
  to  adopt  final regulations controlling railroad
  facilities—everything in  addition  to the cars and
  locomotives.
40  CFR  201  Special  Local  Conditions.  NCA Nov  29, 1976	      Henry Thomas (AW-490)
  17(02/18(02.  The-regulation establishes proce-                                                        	  Environmental Protection Agency
  dures  permitting adoption by a State or other-                                                                      Washington D C 20480 703-557-
  wise preempted State and  local  rail and motor                                                                      7743.
  carrier noise  regulations when necessitated by
  special local conditions..
40 CFR 202 Interstate  Motor Carrier. NCA  18. Work plan under development	             William Roper (AW-490)
  This action will update the noise  emiss10n sta.nd-                                                           	  Environmental Protection Agency
  ards for interstate  motor carriers to reflect in-                                                                      Washington. D.C. 20460, 703-557-
  creased  knowledge  about available noise abate-                                                                      7747
  ment technology.
                                   FEDERAL REGISTER, VOL 43, NO. 231— THURSDAY,  NOVEMBER 30, 1978
                                                                         250

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                                                                     NOTICES

                                     MAJOR EPA REGULATIONS UNDER CONSIDERATION—Continued
                                                                                            56169
         Name and description of regulation
Proposal date In FEDERAL RECISTEB    Final date in FEDERAL REGISTER
                                                                                                                        Contact person and address
                                                THE FEDERAL INSECTICIDE, FUNGICIDE, AND RODENTICIDE ACT
40 CFR 162  'Pesticide Registration Guidelines:
    Introduction. FIFRA 3. This subpart  B (will  July 10, 1978	   April 1979	
  become A) includes the general purposes of all of
  the guidelines, degree o.f flexibility in require-
  ments  and in interim  data  usage, definition of
  terms  used  throughout the guidelines, and re-
  quirements for retention of data and  test sam-
  ples at laboratories.
    Experimental Use Permits. FIFRA 3.  This sub-  	
  part A (will become subpart C) specifies the data
  that must be submitted in support of an applica-
  tion for an experimental use permit.
    Chemistry Requirements. FIFRA  3. This sub-  July 10, 1978	   April 1979	
  part D covers data submission requirements re-
  lating  to chemistry of pesticide products' active
  ingredients  and their  formulation  components
  and manufacturing impurities. (Chemical study
  requirements dealing with environmental fate of
  pesticides may be included here or be moved to a
  new subpart.).
    Hazard Evaluation:  Wildlife and Aquatic Or-  	do	   May 1979	
  ganisms.  FIFRA 3. This subpart E outlines the
  data submission requirements for studies of pes-
  ticide  effects on birds, wild  mammals,  fish, and
  other aquatic animals.
    Hazard Evaluation:  Humans and  Domestic  Aug. 22. 1978	   June 1979	
  Animals. FIFRA 3. This subpart F delineates the
  data submission requirements for studies of pes-
  ticide  effects in  laboratory animals  involving
  oral,  dermal,  and  inhalation  uptake  routes,
  acute,  subchronlc, anbd chronic exposures, and
  including local or systemic injury  and maladies
  such as  oncogenic. teratogenic,  mutagenic, and
  neurotoxic effects.
    Product Performance. FIFRA 3.  This subpart  December 1978	   August 1979	
  O specifies the  data  submission  requirements
  that registrants must submit to demonstrate that
  the prospective pesticide product will control the
  pests or control undesired growth or behavior as
  specified  in label claims.
    Label Development. FIFRA 3. This subpart H  March  1979	   October 1979	
  describes all essential parts of a pesticide product
  label,  how labeling  and label statements must
  comply with the Act, and how claims and direc-
  tions must correspond to  evidence presented or
  on hand in data on efficacy and safety.
40 CFR  162  Pesticide Use Restrictions. FIFRA 3.  December 1978	   January 1979	
  This regulation will classify pesticide uses for re-
  stricted use..
                                                                   Bill Preston (TS-769).
                                                                   Environmental Protection Agency,
                                                                     Washington, D.C. 20460, 703-557-
                                                                     7351.
                                                                   Do.
                                                                   Do.
                                                                       Do.
    Conditional  Registration  Regulation. FIFRA  	  February 1979	
  3(c)(7) (A) and (B). This interim/final regulation
  would establish procedures for conditional regis-
  tration of pesticide products which are identical
  or substantially similar to those currently regis-
  tered or new uses of existing pesticide products.
    Conditional  Registration  Regulation. FIFRA  July 1979	
  3(c)(7)(C). This regulation provides for the condi-
  tional registration of new chemicals when certain
  data are missing.
40 CFR 162.9, 173  Registration  Data Compenaa-  June 21. 1977	  February 1979	
  tion. FIFRA 3(C)(1)(D). These  rules  provide for
  compensation  when  one  pesticide registrant
  relies  on test data generated by another  regis-
  trant.
40  CFR  172  State Experimental Use  Permits.  Sept. 30. 1975, intei im final	
  FIFRA (5)f.  The regulation defines the scope of
  State Jurisdiction to allow experimental uses of
  pesticides.
40 CFR 165 Storage and  Disposal Practices (Pro-  Oct. 15, 1974	  Will not be issued.
  hibition).  FIFRA 19.  These rules will  prohibit
  dangerous or environmentally unsound  pesticide
  storage practices.
40 CFR  162 State Registration  to Meet Special  Sept. 3, 1975	  March 1979	
  Local Needs. FIFRA 24(c). This part  defines the
  scope of State jurisdiction over the registration
  of pesticides.
40 CFR  162.16  Pesticide Special  Packaging Reau-  Feb. 16, 1977	  December 1978
  lations. FIFRA 25. The rule prescribes when and
  what form of child-proof packaging is required

40 CFR  162  Exemption  of New Human Drugs.  Oct. 13, 1978	do
  FIFRA 25(c)(2).  This  part would exempt  from
  FIFRA pesticides  that are also  new drugs  regu-
  lated by  FDA.
                                                                   Walt Waldrop (TS-770).
                                                                   Environmental Protection  Agenry.
                                                                     Washington. D.C. 0460, 202-755-
                                                                     7014.
                                                                   Bob Rose (TS-767).
                                                                   Environmental Protection  Agency,
                                                                     Washington. D.C. 20460. 202-426-
                                                                     2510.
                                                                   Ed Gray (A-132).
                                                                   Environmental  Protection Agency.
                                                                     Washington. D.C. 20460. 202-755-
                                                                     0846.

                                                                   Phil Gray (TS-770).
                                                                   Environmental  Protection Agency,
                                                                     Washington. D.C. 20460. 202 755-
                                                                     7014.
                                                                   John Lehman (WH-565).
                                                                   Environmental  Protection Agency,
                                                                     Washington. D.C. 20460. 202-755-
                                                                     9185.
                                                                   Phil Gray (TS-770).
                                                                   Environmental  Protection Agency.
                                                                     Washington, D.C. 20460. 202-755-
                                                                     7014.
                                                                   Maureen Grimmer (TS-766).
                                                                   Environmental  Protection Agency.
                                                                     Washington, D.C. 20460. 202-755-
                                                                     8030.
                                                                   Dave Brandewein (TS-766).
                                                                   Environmental  Protection Agency,
                                                                     Washington, D.C. 20460, 202-755-
                                                                     8037.
                                    FEDERAL REGISTER, VOL 43, NO. 231—THURSDAY, NOVEMBER 30, 1978
                                                                       251

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56170
                                 NOTICES

MAJOR EPA REOmJlTIONB UNDER CONSIDERATION—OORtfaraed
        Name and description of regulation
                                                Proposal date tn FEDERAL RTOISTCT   Final date in FEDERAL REGISTER
                                                                                                                       Contact person and address
                                                               Tire ATOMIC EKEROY ACT
 Protective Action Guidelines for Nuclear Emerges-  September 1979 .
  cies. AEA 274
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                                                                      NOTICES

                                     MAJOH EPA  HEGUI.ATIONS UNDER CONSIDERATION—Continued
                                                            56171
        Name and description of regulation
                                                          date In FEDERAL Rec.ibTE*
                                                                                     Final date In FEDERAL KroiSTZR
                                                                                                                        Contact person and address
                                                     THE RtsouRcr CONSERVATION AND RWOVCKY ACT
                                                                                   June 1979
40  CFR  250  GuHtrlinex for  Stale  Hazardous  Feb  1. 197H	   January 1979
  Waste  Pru'jram'i.  RCRA 3006 These guidelines
  aro to  assist Si.at'-s in the development of their
  own ha/.ardous waste regulatory programs. The
  guideline;; also specify  minimum  re.ivnreincnUs
  States  must me''t  in order to be authon/.ed  by
  EPA to implement their  hazardous waste pro-
  grams.
40 CFR  250  Notification System for Hazardous  July  11. 1978	   August 1979..
  Waste  Generators, Transporters. Storeri.  Treat
  ers. ar.d Disposers. RCRA 30!0  The regulation
  describes thP one-time notification  requirement
  for  generators,  transporters, trt aters. siorcrs.
  and  di.,poseis of hazardous  wa_s'.e.  which will
  bring them  to the attention  of the  persons ad-
  ministering RCRA's hazardous wa..te  program.
40 CFR 256  Guidelines for State S'.lid Waste Pro-  Aug.  28. 1978
  grains.  RCRA 4C02(b). These guidelines are  to
  assist States in the development and implemen-
  tation of solid wa.ste management programs.
40 CFR  257  Criteria  for  Clas^irication of Solid  Feb. 6. 1978..
  Waste  and  Dispose! Facilities.  RCRA 400-lci).
  These criteria provide a basis  against which solid
  waste land disposal facilities can  be evaluated in
  order to determine probability of adverse effects
  on health or the environment.
Guidelines  for  Federal  Procurement Practices.
  RCRA  6002(e). These guidelines  will  assist Fed-
  eral  agencies to comply  with the RCRA's re-
  quirement that procured materials be composed
  of the highest percentage of recovered materials
  practicable:
   Utilization of Fly Ash and Slag	
   Use of Recycled Paper in Paper Products....
   Use of Waste in Construction Products	
                                                                                   July 1979.
                                                                                                                      Dan Derkus .c)
                                                                                                                       9190
                                                                                                                     Timothy Fields (WU 565)
                                                                                                                     Environmental Protection Agency.
                                                                                                                       Washington. DC  20400. 202 755
                                                                                                                       91!06
                                   George Garland (WH-555).
                                   Environmental  Protection  Agenrj
                                    202 753-9125

                                   Kenneth Shuster (WH-564).
                                   Environmental  Protection  Act-no;,
                                    Wa.shington.DC  20460.202-755
                                    9116
                                                                                                                     Stephen Lingle (WH-563).
                                                                                                                     Environmental Protection Agency.
                                                                                                                       Washington, D.C. 20450. 202 755
                                                                                                                       9140
                                                 April 1979
                                                 June 1979
                                                 July 1979
July 1979	
September 1979 .
October 1979	
                                                           THE Toxic SUBSTANCE CONTROL ACT
40 CFR 740 to—  'Testing of Chemical Substances  December 1978	  Mar. 1979. 749..
  and mixtures. TSCA 4. These regulations require
  testing of chemical  substances that may present
  an unreasonable risk to  human henlcii or the en-
  vironment, or are produced in substantial ouanti-
  ties but are not supported by adequate test data.
  EPA is prepanun two testing regulations:  on co-
  Remcity testing and  environmental fate testing.
40 CFR  720 Premanufaclure Notification.  TSCA  December 1978	  April 1979	
  5.  This regulation  will  establish the procedure
  whereby a company will notify EPA of its intent
  to  manufacture a new chemical. The regulation
  will prescribe the required premanufacture noti-
  fication form, describe  the  procedure for EPA
  review, and contain testing guidelines.
40 CFK 761 PCB's Manufacture and Distribution.  June 7. 1978	  January 1979	
  TSCA 6. This regulation bans the manufacturing
  and distribution of  PCBs and products contain-
  ing PCBs.
   Control of Polybrominatcd Biphenvls TSCA 6.  January 1979	  July 1979	
  The regulation would  control the use of polybro-
  minated biphenyls.

   C7iloro/7uorocar6on  Emissions.  TSCA  6. This  To be determined 	
  regulation would apply  to  nonaerosol  uses of
  chlorofluorocarbons.

                                                 May 1979  	  December 1979..
40  CFR 730  Reporting  on  Substances Recom-
  mended for Testing TSCA »""  The  regulation
  requires reporting of existing health and safety
  studies for chemical categories as recommended
  for testing.
40 CFR 720  Records of Adverse  Reaction. TSCA  March 1979	   October 1979
  8
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                                    TECHNICAL REPORT DATA
                            (Please read Instructions on the reverse before completing)
1. REPORT NO.
  EPA-600/1-80-021
                              2.
                                                             3. RECIPIENT'S ACCESSION NO.
4. TITLE AND SUBTITLE
  Addendum  to  "The Health Consequence;  of Sulfur Oxides
  A Report  from CHESS,. 1970-17971,"  May 1974
             5. REPORT DATE
               April  1980 issuing date
             6. PERFORMING ORGANIZATION CODE
7. AUTHOR(S)
                                                             8. PERFORMING ORGANIZATION REPORT NO.
9. PERFORMING ORGANIZATION NAME AND ADDRESS
                                                             10. PROGRAM ELEMENT NO.
                                                             11. CONTRACT/GRANT NO.
12. SPONSORING AGENCY NAME AND ADDRESS
  Office  of Research and  Development
  U.S. Environmental Protection  Agency
  Washington,  DC  20460
                                                             13. TYPE OF REPORT AND PERIOD COVERED
              14. SPONSORING AGENCY CODE

                EPA/600/00
15. SUPPLEMENTARY NOTES
   Original report,  EPA-650/1-74-004;  available from NTIS PB  234-920
16. ABSTRACT                                                                   '   ~~   ~~~"~
  A controversy about the scientific  credibility of results  from the Community Health
  and Environmental  Surveillance  System (CHESS) study prompted  a series of Congressional
  hearings  in  1976 ("The Brown Report")  with subsequent  legislation (Public Law  95-155)
  to enact  the Environmental Research,  Development and Demonstration Authorization Act
  of 1978.  This addendum has been compiled to satisfy Recommendation 3(c) of The Brown
  Committee Report,  entitled "The Environmental Protection Agency's Research Program
  with Primary Emphasis on the Community Health and Environmental Surveillance System
  (CHESS):  An  Investigative Report."  It  contains the following  materials which concern
  the 1974  CHESS Monograph and various  CHESS studies, in addition to EPA's research and
  development  program in general: as  follows The Brown Committee Report; P.L.  95-155;
  Appendices from EPA's Research Outlook for 1978 and 1979;  and the Science Advisory'
  Board's Health Effects Research Review Group Report to Congress in February 1979.
17.
                                 KEY WORDS AND DOCUMENT ANALYSIS
                  DESCRIPTORS
                                               b. IDENTIFIERS/OPEN ENDED TERMS  C. COSATI Field/Group
18. DISTRIBUTION STATEMENT

  RELEASE TO PUBLIC
19. SECURITY CLASS (This Report)
  UNCLASSIFIED
21. NO. OF PAGES
     258
                                               20. SECURITY CLASS /This page I
                                                 UNCLASSIFIED
                                                                           22. PRICE
EPA Form 2220-1 (Rev. 4-77)    PCJEVIOJS EDITION >i OBSOLETE

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