OFFICE OF INSPECTOR GENERAL
                                Cutalysf for Improving the Environnu'iit
      Evaluation Report
EPA
350
2006-
P-
00028
            Measuring the Impact of the
            Food Quality Protection Act:
            Challenges and Opportunities
            Report No. 2006-P-00028
            August 1, 2006
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Report Contributors:
Jerri Dorsey
Gabby Fekete
Alice Fong
Jeffrey Harris
Abbreviations

EPA         U.S. Environmental Protection Agency
FQPA        Food Quality Protection Act
GAO         Government Accountability Office
OIG         Office of Inspector General
OPP         Office of Pesticide Programs
USDA       U.S. Department of Agriculture
Cover photo:    The Food Quality Protection Act emphasizes the need to protect children
                from pesticides (EPA OIG photo).

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          r
       PRO'S*0
U.S. Environmental Protection Agency
Office of Inspector General

At   a  Glance
                                                                                       2006-P-00028
                                                                                       August 1,2006
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 20060601-2006-P-OM28A.Ddf
                               Measuring the Impact of the Food Quality
                               Protection Act:  Challenges and Opportunities
                                What We Found
            Although EPA has made progress in implementing the requirements of the FQPA,
            we found that OPP has primarily measured its success and the impact of FQPA by
            adherence to its reregistration schedule rather than by reductions in risk to
            children's health. The measures used by OPP generally indicate actions taken,
            instead of environmental or human health outcomes achieved. OPP lacks outcome
            measures to assess the specific impact of those actions on the health of children
            and others.  OPP has recently taken steps to develop outcome measures, but
            significant challenges remain.

            By integrating existing data into a suite of performance measures, OPP can better
            track the effectiveness of regulatory decisions and program performance.  We
            identified several pools of quantitative  data available for use as a suite of
            performance indicators, but coordination efforts will be needed. OPP can better
            utilize a number of data and measurement sources, including the National Health
            and Nutrition Examination Survey and the U.S. Department of Agriculture's
            Pesticide Data Program, to track health-based indicators of children's health risks.

            EPA can measure the impact of FQPA  on children's health more efficiently
            through the examination of pesticide exposure data, and changes in usage patterns,
            substitutions, and import trends. We used the U.S. Department of Agriculture's
            Pesticide Data Program data to  illustrate dietary risk changes since the passage of
            FQPA in toxicity risks on the foods commonly consumed by children.
                                What We Recommend
                                We recommend that OPP work to move away from primarily using outputs as
                                performance measures, and implement a suite of output and outcome measures to
                                assess the human health and environmental impacts of its work. We also
                                recommend that OPP pursue revision of EPA's goal structure as appropriate, and
                                work with other EPA program offices and other Federal agencies to obtain needed
                                data. EPA generally agreed with the recommendations, and expressed its
                                appreciation for our findings. We made changes where appropriate.

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                   UNITED STATES ENVIRONMENTAL PROTECTION AGENCY
                                  WASHINGTON, D.C. 20460
                                                                           OFFICE OF
                                                                       INSPECTOR GENERAL
                                    August 1,2006

MEMORANDUM

SUBJECT:          Measuring the Impact of the Food Quality Protection Act:
                    Challenges and Opportunities
                    Report No. 2006-P-00028

TO:                 Jim Jones
                    Director, Office of Pesticide Programs

                    Lyons Gray
                    Chief Financial Officer
This is our report on the subject evaluation conducted by the Office of Inspector General (OIG)
of the U.S. Environmental Protection Agency (EPA). This report contains findings that describe
the problems the OIG has identified and corrective actions the OIG recommends. This report
represents the opinion of the OIG and does not necessarily represent the final EPA position.
Final determinations on matters in this report will be made by EPA managers in accordance with
established resolution procedures.

The estimated cost of this report - calculated by multiplying the project's staff days by the
applicable daily full cost billing rates in effect at the time - is $227,099.

Action Required

In accordance with  EPA Manual 2750, you are required to provide a written response to this
report within 90 calendar days.  You should include a corrective actions plan for agreed upon
actions, including milestone dates.  We have no objections to the further release of this report to
the public. This report will be available at http://www.epa.gov/oig.

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If you or your staff has any questions, please contact me at (202) 566-0847 or
roderick.bill@epa.gov. or Jeffrey Harris, Product Line Director for Cross Media Issues,
at (202) 566-0831 or harris. jeffrev(a/epa.gov.
                                         Sincerely,
                                          iill A. Roderick
                                         Acting Inspector General
cc:    James B. Gulliford
       Assistant Administrator, Office of Prevention, Pesticides, and Toxic Substances

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  Measuring the Impact of the Food Quality Protection Act: Challenges and Opportunities
                   Table of Contents
1  Introduction,
        Purpose	
        Background	
        Scope and Methodology.
        Prior Reviews	
        Results of Review	
 1
 1
 2
 3
 4
2  Improvements Needed in OPP's Measurement System.
       OPP's Current Measurement System Focuses on Outputs	    5
       Outcome Measures under Development	    7
       OPP Faces Challenges in Creating Effective Performance Measures	    7
       FQPA Logic Model Can Improve Performance Measuring	    8
       EPA Should Consider Revising Goal Structure	   10
       Recommendations	   11
       Agency Response and DIG Evaluation	   11

3  Suite of Performance Measures Can Help OPP Better Measure Impact	   12

       Using a Suite of Performance Measures Can Help OPP Track Progress	   12
       Five Examples Demonstrate Use of Suite Approach	   15
       Recommendation	   16
       Agency Response and OIG Evaluation	   16

4  OPP Decisions on Pesticide Dietary Exposure Risk Had Positive Impact	   17

       FQPA Actions Decreased Dietary Pesticide Risks to Children	   17
       Reduced Risk Attributable to Two Major EPA Actions	   19
       Method Could Help OPP	   21
       Recommendation	   22
       Agency Response and OIG Evaluation	   22

Status of Recommendations and Potential Monetary Benefits	   23
A    Agency Response	
B    OPP's Proposed Goal-Related Measures
C    Distribution	
24
30
31

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Purpose
             We initiated this review to evaluate the U.S. Environmental Protection Agency's
             (EPA's) activities to implement the Food Quality Protection Act (FQPA) of 1996.
             Our overall objective was to determine the impact of FQPA on Agency practices,
             data requirements, and children's health. The primary goal of FQPA is to protect
             children and infants from pesticide exposures.  In this report, our primary
             objective was to evaluate the effectiveness of EPA's Office of Pesticide Programs
             (OPP) in measuring the overall impact of FQPA implementation activities. We
             specifically sought to determine:

                 •   What are the strengths and weaknesses of OPP's current measurement
                    system in tracking FQPA objectives, and how could it be improved, if
                    necessary?

                 *   What existing data can OPP use to assess its performance under FQPA
                    and measure the impact of its regulatory actions?
                    What impact did FQPA have on mitigating dietary pesticide exposure risk
                    and on children's health?
Background
             Congress unanimously passed the FQPA in 1996, due in large part to a 1993
             National Academy of Sciences report, Pesticides in the Diets of Infants and
             Children.  According to this report, the then-current scientific and regulatory
             approaches did not adequately protect infants and children from pesticides.
             Children are uniquely susceptible to the health threats posed by pesticides, in both
             household chemicals and food. Children generally consume more fresh produce
             and drink more water per pound of body weight than adults. Additionally, a
             child's exposure to pesticides can occur as early as the prenatal phase, or during
             infancy through breast-feeding. Children have higher rates of metabolism, less
             mature immune systems, unique diets, and distinct patterns of activity and
             behavior when compared with adults.

             The Government Performance and Results Act of 1993 requires Federal agencies,
             including EPA, to prepare performance plans containing annual performance
             goals and measures to help move them toward managing for results. Performance
             measurement is the monitoring and reporting of program accomplishments,
             particularly progress toward pre-established goals. Performance measures may

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             address the type of program activities conducted, the direct products and services
             delivered by a program (outputs), and the results of those products and services
             (outcomes). Effective performance measurement enables an agency to establish
             baselines; identify and prioritize problems; and evaluate, manage, and improve
             programs. Table 1.1 further defines performance measurement terms.
             Table 1.1: Performance Measurement Terminology
Term
Inputs
Outputs
Intermediate
Outcomes
End
Outcomes
Definition
Personnel, funds, and other resources that contribute to an activity
Quantitative or qualitative measures of activities, work products, or
actions
Changes in knowledge, behavior, or conditions that result from
program activities and are needed to achieve the end outcome
The ultimate outcomes of program activities - the results compared
to their intended purpose
             EPA's strategic plan outlines the Agency's five long-term goals and guides in
             establishing the annual goals that must be met along the way. To fulfill its five
             strategic goals, the plan includes a series of more specific goals in the form of
             objectives and sub-objectives.  Each of these objectives has associated
             performance measures designed to demonstrate progress in achieving the
             objective and, eventually, the strategic goal.  The annual performance plan defines
             the Agency's budget and associated goals and objectives in greater detail and ties
             the annual budget to the 5-year strategic plan.

             The mission of OPP is to protect human health and safeguard the environment
             from unreasonable adverse effects resulting from the use of pesticides. OPP is
             responsible in part for implementing the FQPA. To successfully implement
             FQPA, OPP needs to use new tools to reduce pesticide exposures and resultant
             risks for children. OPP is responsible for using performance measures and goals
             to assess the impact of its actions.
Scope and Methodology
             We generally performed our evaluation in accordance with Government
             Auditing Standards, issued by the Comptroller General of the United States.
             We performed our field work from July 2005 through January 2006.

             To determine the strengths and weaknesses of OPP's current FQPA-related
             measurement system, we reviewed internal OPP documents, EPA Office of the
             Chief Financial Officer reports and plans, and Office of Management and Budget
             documents. We reviewed EPA's 2003 - 2008 Strategic Plan: Direction for the
             Future, fiscal 2004 and 2005 annual performance plans, and the Agency's fiscal
             2004 and 2005 annual reports.  We interviewed internal program staff, and

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             internal and external stakeholders.  We reviewed reports issued by the
             Government Accountability Office (GAO).  We reviewed Florida State
             University's Program for Environmental Policy and Planning Systems' Chemical
             and Pesticide Results Measures project, a cooperative agreement with OPP, and
             interviewed the author of a report prepared as a result of the project.  We also
             interviewed other members of academia.

             To determine what additional data sources and measures OPP could use and other
             ways it can use existing data sources, we consulted the U.S. Department of
             Agriculture, U.S. Department of Health and Human Services, Office of
             Management and Budget, and EPA's Office of the Chief Financial Officer.

             In assessing the overall impact of OPP's actions on children's health, we
             interviewed internal program staff, and internal and external stakeholders, to
             identify measures, additional data, and trends in children's health. We reviewed
             other entities' research on potential human health indicators related to pesticide
             exposures, dietary risk, and reductions in risk due to EPA action.  We conducted
             an analysis of publicly available toxicological and residue data supporting EPA
             dietary risk assessments to assess the impact of FQPA on dietary pesticide risks
             from 1994 through 2003.' A detailed discussion of the methodology for this
             analysis, which can be used by OPP to perform its own analyses, is in a
             supplemental report.

             Our review focused on existing data and interviews, and we did not examine
             internal controls. We evaluated OPP's compliance with  the Government
             Performance and Results Act, FQPA, and other regulations as appropriate.
Prior Reviews
             This report is the last in a series of three EPA Office of Inspector General (OIG)
             reports on the Agency's FQPA implementation efforts. The prior two reports are:

                 •   EPA OIG Report No. 2006-P-00009, Opportunities to Improve Data
                    Quality and Children's Health through the Food Quality Protection Act,
                    January 10, 2006
                 •   EPA OIG Report No. 2006-P-00003, Changes Needed to Improve Public
                    Confidence in EPA 's Implementation of the Food Quality Protection Act,
                    October 19,2005
             In addition, we reviewed the following GAO reports that addressed performance
             measures:
1 Some of the analysis work was conducted through a contract with Benbrook Consulting Services, Sandpoint,
Idaho.

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                 •  GAO-05-52, Environmental Indicators: Better Coordination Is Needed to
                    Develop Environmental Indicator Sets That Inform Decisions,
                    November 17, 2004
                 •  GAO-02-372, Performance Reporting: Few Agencies Reported on the
                    Completeness and Reliability of Performance Data, April 26, 2002
                 •  GAO Letter Report B-285312, Managing for Results: Assessing the
                    Quality of Program Performance Data, May 25, 2000
                 •  GAO/RCED-00-77, Managing for Results: EPA Faces Challenges in
                    Developing Results-Oriented Performance Goals and Measures,
                    April 2000

             Further, we reviewed a report issued by the Florida State University's Program
             for Environmental Policy and Planning Systems in February 2003, Chemical and
             Pesticide Results Measures II.  The report was based on a joint effort by EPA and
             the university to develop a national set of chemical, pesticide, and pollution
             prevention indicators to describe and understand environmental trends and
             conditions concerning chemical and pesticide issues.

             We also reviewed reports issued by the Office of Management and Budget on its
             Program Assessment Rating Tool assessments of EPA. The Office gave OPP's
             pesticide registration and reregistration programs "results not demonstrated"
             ratings in fiscal 2003, but improved the rating for the registration program to
             "adequate" in fiscal 2004.
Results of Review
             OPP needs to move to a better mix of output and outcome measures to assess its
             performance in achieving FQPA's mandate of protecting children from pesticide
             exposure risks. Although EPA has made progress implementing the requirements
             of FQPA, we found that OPP has primarily measured its success and the impact
             of FQPA by adherence to its reregistration schedule rather than by improvements
             in children's health.  While OPP has recently taken steps to develop more
             outcome measures, significant challenges remain. We identified opportunities for
             OPP to utilize existing data in different ways to track the effectiveness of its
             pesticide regulatory decisions and program performance. We conducted an
             analysis of the dietary pesticide residue data from the U.S. Department of
             Agriculture's Pesticide Data Program and found that EPA's regulatory actions
             had a significant impact in reducing pesticide exposure risk on domestic foods
             commonly eaten by children. The Agency concurred with our recommendations.
             We summarized the comments and provided our evaluations at the end of each
             chapter. The full text of EPA's memorandum and comments is in Appendix A.

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             OPP launched an internal workgroup in May 2005 to develop better measures, but
             none of the proposed measures have been implemented.  OPP faces a number of
             challenges in creating effective measures, including: the complexity of
             environmental problems, external factors, cost, and an historical reliance on
             output measures. Since 1996, OPP has tracked success in meeting statutory
             deadlines and progress toward mandated FQPA goals. FQPA required OPP to
             complete the reassessment of all 9,721 food-related pesticide tolerances by
             August 2006. While important and required, these output measures, which
             comprise the majority of OPP's performance measurement system, do not
             measure impact.  Because it lacks measures on the impact of actions on the health
             of infants, children, and the overall human population, OPP cannot state the
             impact of its FQPA efforts. Several opportunities for OPP to improve
             performance measurement are discussed in this chapter and Chapters 3 and 4.

OPP's Current Measurement System Focuses on  Outputs

             A good performance measurement and reporting system ensures transparency and
             holds an organization accountable. OPP adopted transparency and accountability
             as goals, and further noted that accountability is paramount to the development of
             effective performance measures.
             OPP uses the graphic in Figure 2.1   Figure 2.1: Performance Measures for Accountability
             to illustrate its view on the
             importance of performance
             measures as accountability tools
             for a number of purposes.  The
             measures ensure that OPP provides
             stakeholders and the Agency with a
             cohesive display of the program.
             OPP intends to use performance
             measures in most if not all of the
             areas indicated in the figure.  OPP
             uses performance measures as part
             of EPA's strategic planning.  In the
             Agency's overall structure, OPP's
             FQPA-related work falls under
             Goal 4: Healthy Communities and
             Ecosystems.
                                     erformance
                                    Accountability
                                    Reports
                                     Employee
                                     Standards
                                      PARS
                                             Guidance
                                             to States
                                             and
                                             Tribes
                                               Source: OPP
Output measures were important to OPP during FQPA implementation in terms of
meeting congressionally mandated deadlines and timeframes.  While output

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              measures are needed, they comprised all but two of OPP's performance measures
              in the Fiscal Year 2005 annual report. The lack of outcome-based measures
              impedes OPP's ability to assess the impact of its actions.

              For Fiscal Year 2005, OPP used the following output measures to assess
              programs:

              •  Cumulative number of safer chemicals/biopesticides registered.
              •  Cumulative percentage of the 9,721 tolerances required to be reassessed over
                  10 years that have already been reassessed.
              •  Cumulative number of new uses.
              •  Number of inert ingredients in pesticide products reregistered.
              •  Cumulative number of new chemicals registered.
              •  Cumulative percentage of Reregistration Eligibility Decisions completed.
              «  Percentage of tolerance reassessments issued for the "Top 20" foods eaten by
                 children.
              •  Children's exposure data and tools for assessing aggregate exposure to
                 residential use pesticides.
              •  Number of product reregistrations.

              One of the strengths of OPP's current output measures is that the majority are
              based on actual counts, not on modeling or predictions.  Staff can easily collect,
              compute and analyze the data.  However, one of the major weaknesses is that OPP
              staff and other data users cannot draw conclusions, trends, or significant analyses
              from the measures about the impact of actions. While output measures are
              important as an internal program management tool, their value in illustrating
              actual programmatic success and impact is severely limited. Counts of
              registration and reregistration numbers alone do not provide evidence that
              children's health benefited from a reduction in pesticide exposure risk.

              OPP's two outcome-based measures for FY 2005 were:

              1.  The reduction of detections on a core set of 19 foods eaten by children relative
                 to detection levels for those foods reported in 1994-1996; and
              2.  The percentage of acre treatments with reduced risk pesticides.

              Both were low-level outcomes in the  hierarchy of measures,2 but nonetheless
              provided a clearer picture to OPP of the impact of its FQPA-related actions than
              the output structure.
2 Performance measures can be categorized along a "hierarchy" of measures. Levels 1 and 2 measure administrative
actions and program activities (outputs), while levels 3 through 5 represent intermediate outcomes and level 6
represents long-term outcomes. As the measures progress from levels 3 to 6, the association of the indicator to
environmental outcomes strengthens. While level 6 outcomes are important, they are less feasible for measurement
than levels 3 through 5.

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             OPP staff said the greatest outcome from implementing FQPA is the reduction in
             household poisonings. By removing household uses of many toxic pesticides,
             OPP reduced the potential for children's exposure to those pesticides. However,
             OPP does not have measures to show reduction in household poisonings or use
             patterns. In its 2004 annual report, OPP cited two success stories that lacked
             measures with which to capture their impact. One involved the elimination of a
             product (thiram) from almost all residential uses. OPP also noted that EPA
             pesticide reregistration decisions in response to FQPA resulted in removal of
             15 million to 20 million pounds of organophosphates from use in and around
             homes annually. These successes, however, cannot be inferred by the general
             public and stakeholders from any of OPP's performance measures.

Outcome Measures under Development

             In May 2005, OPP established an internal workgroup to develop results indicators
             for its program as a whole.  OPP has had one full time person working on
             performance measures since the inception of the workgroup, but other staff
             members have devoted significant amounts of time in developing the initiative.
             The workgroup has proposed measures (see Appendix B), but these measures
             have not yet been implemented.  Under this performance measurement project,
             OPP has identified the following overall strategic measures for reducing risk to
             the general public:

             •  Reduce the number of acute poisoning incidents from pesticides in and around
                the home.
             •  Reduce the level of currently registered pesticides in the general population.
             •  Reduce pesticide residues in the 20 foods most commonly eaten by children
                using Pesticide Data Program residue data.

OPP Faces Challenges in Creating  Effective Performance  Measures

             OPP faces a number of challenges in creating effective, outcome-based
             performance measures. These include: the complexity of environmental
             problems, external factors, data housed in other Federal agencies, the expense of
             collecting new human health data, and the historical reliance of the organization
             on output-based measures.

             OPP, like EPA as a whole, faces significant performance measurement challenges
             related to environmental problems. Data on environmental conditions and health
             effects of pollutants are limited.  Further, there are difficulties in  linking a
             program's activities and the resulting changes in the environment. Numerous
             factors beyond EPA's control, such as technological change and socioeconomic
             factors, play a role. Although EPA has volumes of data on individual pesticides,
             OPP is often prohibited from releasing it due to confidential business information.

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             OPP needs to obtain a great deal of its data from other Federal agencies, and thus
             is reliant on the type of data those other agencies collect. The U.S. Department of
             Agriculture (USDA) provides data on food consumption, food commodity, and
             pesticide residue through such databases as the Food Commodity Intake
             Database.  FQPA contains specific provisions for cooperative activities between
             EPA and USDA. Since 1999, USDA integrated its food intake survey with
             another large survey - the National Health and Nutrition Examination Survey -
             conducted by the U.S. Department of Health and Human Services. The main data
             source for dietary residues is the monitoring study conducted by the Pesticide
             Data Program at the USDA Agricultural Marketing Service.  This program has
             generated extensive pesticide residue data on over 50 foods eaten daily, including
             data on pesticide residues in fruits, vegetables, grains, dairy products, and meats.
             OPP recognizes that it can obtain valuable data from such sources as the National
             Health and Nutrition and Examination Survey and Pesticide Data Program, and it
             needs to maximize its opportunities to obtain and use this information.

             OPP's mission is not one of zero risk or zero exposure, which makes it difficult to
             set ambitious, aggressive goals. This is compounded by the legality of pesticides;
             they are not "end of the pipe" pollution, but substances legally in the
             environment. OPP must balance its dual mission of providing a gateway to the
             marketplace for pesticide products with the protection of the  public from harmful
             pesticide exposures. Further, determining attribution for changes in pesticide
             residue in humans as a result of EPA actions taken is problematic.

FQPA Logic Model Can Improve Performance Measuring

             Logic models and performance indicators are tools to provide better performance
             measures and, thus, program management decision making.  Our prior January
             10,2006 FQPA report (2006-P-00009) addressed how logic models distinguish
             outputs and outcomes in program design. OPP developed logic models for
             individual programs during its current performance measurement initiative, but
             did not develop a logic model for the pesticide program as a whole.

             The logic model in  Figure 2.2, prepared by the EPA OIG, provides an overarching
             picture of OPP's FQPA-related activities and potential outcomes. Those
             measures, activities, and resources in orange boxes are currently used by OPP.
             Those in green boxes are proposed and/or prospective measures.  Some of the
             measures are proposed by OPP (shown in Appendix B); others come from
             literature related to pesticide performance measurement.  The logic model
             illustrates the potential flow from activities through long-term outcomes from
             OPP actions.

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EPA Should Consider Revising Goal Structure

             The structure of EPA's Goal 4 is currently not set up to accomplish or measure
             human health or environmental outcomes. OPP has the potential to measure
             ambient conditions, body burdens, quantities and toxicities of pesticides sold, and
             residue levels, but cannot currently tell the public anything about these elements
             because the current goal structure does not reflect the fact this is part of its
             mission.  OPP said that the existing structure is highly output-oriented, and does
             not correlate well with OPP's three major mission areas (see Figure 2.3).

             OPP has proposed a new goal structure for its portion of Goal 4 that outlines
             changes for three major mission areas - human health, the environment, and other
             benefits - as shown in Figure 2.3:

             Figure 2.3: Existing and Proposed Goal 4 Structure for EPA Strategic Architecture
Goal 4: Healthy communities and ecosystems
Existing Structure Proposed Structure
4.1 Chemical, organism, and pesticide
risks
4.1.1 Reduce exposure to toxic
pesticides
4.1.2 License pesticides meeting safety
standards
4.2.1 Protect human health from
pesticide risk
4.2.2 Protect the environment from
pesticide risk
4.2.3 Realize the benefits from pesticide
use
             OIG staff developed figure based on data collected during evaluation.

             The proposed strategic plan structure is more outcome-oriented, and better
             addresses OPP's strategic goals. OPP wants the goal structure to acknowledge
             OPP's dual role as a gateway to the market for pesticide products and as a steward
             of human health and the environment. The proposed goal structure reflects this
             dual role. OPP officials have expressed this concern to the Office of the Chief
             Financial Officer in the past.  The 2006-2011 EPA Strategic Architecture drafted
             by the Office of the Chief Financial Officer incorporated OPP's proposed
             structure and strategic goals, and allows for the development and use of outcome-
             based performance measures.

             One problem with the existing goal structure is that the reregistration program
             will be ending in August 2006, turning into the registration review process, as
             outlined under FQPA. Although the registration and reregistration processes
             provide support for what OPP does, they are activities, not outcomes. OPFs
             performance measures and budget will be merged by the end of this process, and
             the proposed goal structure better allows for the merging of measures, goals, and
             budgeting.
                                          10

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Recommendations

             We recommend that the Director, Office of Pesticide Programs:

              2-1   Continue to move away from focusing primarily on outputs when
                   examining the human health and environmental impacts of work by
                   continuing the current measurement initiative.

              2-2   Implement the following three human health performance measures in the
                   next round of strategic planning:

                       •   Reduce the number of acute poisoning incidents from pesticides in
                          and around the home.
                       •   Reduce the level of currently registered pesticides in the general
                          population.
                       •   Reduce pesticide residues in the 20 foods most commonly eaten by
                          children using Pesticide Data Program residue data.

              2-3   Work with other EPA program offices and other Federal agencies to
                   ascertain supporting data for new measures of FQPA results.

             We recommend that the Chief Financial Officer:

              2-4   Revise the Goal 4 structure in the next round of strategic planning to
                   create a more outcome-oriented goal structure and to acknowledge OPP's
                   dual role as a gateway to the market for pesticide products and as a
                   steward of human health and the environment.

Agency Response and OIG Evaluation

             The Agency agreed with the recommendations provided in Chapter 2, and
             believes that many of our suggested measures support its current system of
             measurement. Appendix A provides the full text of the Agency's response.
                                         11

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             By integrating data into a suite of performance measures, OPP can better utilize
             existing data to track the effectiveness of pesticide regulatory decisions and
             program performance. We identified several pools of quantitative data available
             for use as performance indicators. To manage FQPA performance indicators
             effectively, coordination between OPP staff, other EPA offices, and external
             entities is needed. Developing a suite of performance measures will facilitate
             such an approach.

Using a Suite of Performance Measures Can Help OPP Track Progress

             While OPP has limited in-house data on human health effects, there are numerous
             databases and data sources external to EPA that can provide information for
             developing health-based outcome measures. Integrating this data into a suite of
             performance measure can better enable OPP to measure progress.

             For example, biomonitoring data are helpful in tracking trends and extremes of
             pesticide exposure. Biomonitoring is the term given to the analysis of biological
             samples (e.g., human blood, bodily tissues and fluids, and breast milk) to identify
             the presence and levels of specific substances in the body.  By comparing levels
             in one individual to normal levels in the general population, and then comparing
             them to levels recognized by the medical community to cause harm, scientists and
             public health officials are able to make more accurate and effective decisions to
             prevent illness and protect the public. However, biomonitoring data alone do not
             constitute a complete pesticide exposure risk assessment, since exposure to
             multiple pesticides from many sources rather than just one pesticide from one
             source is a routine part of life for children.

             Integrated environmental monitoring and health tracking systems that employ
             well-validated performance indicators can enable  EPA officials to scan for
             potential causes or triggers of changes in trends and patterns.  The following is a
             list of existing data sources from which OPP can pull integrated outcome
             performance measurement information:
                                          12

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•  The National Report on Human Exposure to Environmental Chemicals, from
   National Health and Nutrition Examination Surveys
•  Pesticide residual data from the:
       o  Pesticide Data Program managed by USDA's Agricultural Marketing
          Service
       o  Total Diet Study, sometimes called the Market Basket Study, by the
          Center for Food Safety and Applied Nutrition of the Food and Drug
          Administration within the Department of Health and Human Services
*  The Agricultural Health Study
•  Research data from the various EPA-funded Centers for Children's
   Environmental Health and Disease Prevention Research
*  Poison Control Centers Data
•  Pesticides Industry Sales and Usage Data
•  National Home & Garden Pesticide Use Survey

OPP is currently looking for new opportunities to gather data for non-
occupational exposures, including what can be targeted in future rounds of the
National Health and Nutrition Examination Surveys. OPP plans to target groups
of chemicals by class to provide a historical, retrospective picture of OPP impact.
In addition, OPP plans to do more collaborative work with the other EPA offices,
such as the Office of Water, to ascertain whether there is any additional data
in-house that OPP could use in developing FQPA performance indicators.

Although these data sources are available to OPP, we found little evidence to
suggest OPP mines datasets to uncover less-obvious human health effects, such as
developmental health risks or long-term diseases. Although some  data from the
list above could be used as stand-alone performance indicators, others should be
grouped during analysis to uncover effects from regulatory decisions or complex
interactions requiring regulatory interventions.  This grouping of measures will
provide a "suite" of measures from which OPP can garner trends and impact.
Using a suite of FQPA performance measures would demonstrate OPP
performance in mitigating children's pesticide exposure risk and enhancing public
health from reduced risk pesticide usage.

In Table 3.1, we outline potential FQPA performance measures from existing data
sources and how these measures can be used in a suite.  In the absence of ideal
end outcome measures of human health, the Agency could employ a suite of
surrogate measures.  For example, dietary consumption data from the National
Health and Nutrition Examination Survey can be paired with pesticide residue
data analyzed by the USDA's Pesticide Data Program and the Food and Drug
Administration's Total Diet Study to determine pesticide exposures from
ingestion.  Examining these measures along with information on the frequency of
foods consumed with nonviolative pesticide residues could confirm effectiveness
of OPP's pesticide tolerance determinations.
                             13

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Table 3.1: Examples of Suites of Measures to Illustrate Children's Pesticide Exposure Levels,
Body Burdens, and Possible Health Effects
Data
Sources
Pesticide Residual Data
from Agricultural
Marketing Service,
USDA's Pesticide
Data Program
Dietary: Total Diet Study
& Food Market Basket
Surveys
National Health and
Nutrition Examination
Survey
Poison Control Centers
Data
Farm Family Pesticide
Exposure Data: Farm
Family Pesticide
Exposure Study and
Studies In the
Agricultural Health
Study
Pesticides Industry
Sales and Usage Data
National Home &
Garden Pesticide Use
Survey
Possible Measures
(Using Existing Data)
• Dietary risk trends from
domestic vs. imported foods.
• Pesticide exposure risk from
drinking water and water
treatment processes.
• Effects of regulatory decisions
in mitigating risk sources.
• Risk-drivers from chemical
trading or substitutions.
• Compliance with tolerances.
• Measure of contaminants and
body burdens.
• Pesticide residue levels in
drinking water quality.
• Residential dust/ambient
exposures.
• Dietary consumption
information matched with
biomarker and pesticide
residue information.
• Acute illnesses associated
with pesticide exposures at
schools and municipal parks.
• Health effects among farmers'
wives at reproductive age.
• Birth weights, birth defects,
and asthma/chronic
respiratory diseases among
farmers' children.
• Risk-drivers from chemical
trading or substitutions.
• Economic profile/regulatory
impacts on industry.
• Trends from self-reported
home and garden pesticide
use data
• Trends in residential usage,
reduced risk pesticide sales,
and acute poisoning data.
Potential Measures
(No National Data
currently exists)
• Meta measures: Food
and water consumption
data linked to pesticide
residue analysis and
violations.
Pesticides and their
metabolite levels in
• Human umbilical cord
blood.
• Birth outcome (weight
and length).
• Paraoxonase 1 (PON1)
activity.
• Human breast milk.
• Schools and municipal
parks participating in
Integrated Pest
Management programs.
• Spray drift and acreage
treatment data.
• Birth outcome data.
• Asthma data.
• Market share of reduced
risk pesticides.
• Self reported residential
usage data.
Indicators of:
Protection of
children's health
V
V

^


Impact of OPP
actions on use
V
V
V
V
V
>/
Impact of FQPA
on behavior


-------
Five Examples Demonstrate Use of Suite Approach

              The following five examples show how a suite of performance measures using
              external sources could help OPP track regulatory progress and demonstrate
              effectiveness of FQPA-relevant decisions. Each example focuses on observable,
              quantifiable exposure and offers a long-term strategic picture of the gap between
              regulatory actions and outcomes of children's health. Collectively, they offer
              broad measures of the effectiveness of the pesticide programs' aggregate effects
              on children's health.  In addition, some of these examples focus on the type of
              developmental and exposure data that may be necessary for future pesticide
              registrations.

              Example 1:  Research results reported by the Centers for Children's
              Environmental Health and Disease Prevention Research3 illustrate the importance
              of using a suite of measures to highlight regulatory pesticide exposure risk
              mitigation efforts by EPA. Three recent studies4 appearing in the journal
              Environmental Health Perspectives examined the relationship between pregnant
              women's exposures to selected pesticides and birth outcomes. Participants in
              each study were likely exposed to many classes of pesticides as well as other
              environmental chemicals, but the focus of these studies was on organophosphorus
              pesticides.

              Example 2:  One major advantage of using biomarker data from the National
              Health and Nutrition Examination Survey is that the data provide an ongoing
              assessment of the U.S. population's exposure to environmental chemicals using
              biomonitoring. Centers for Disease Control and Prevention scientists measure
              chemicals or their metabolites (breakdown products) in blood and urine samples
              from selected participants in each survey, and the chemical analysis of
              environmental monitoring samples collected during each survey.  Analytical
              results are published in the National Reports on Human Exposure to
              Environmental Chemicals. Human exposure data from the survey would allow
              EPA officials to track children's body burden trends and determine whether past
              and current regulatory actions are effective in reducing or mitigating pesticide
              exposure risks for children and women of childbearing age.

              Example 3:  In Chapter 4, we noted the use of an empirical approach to examine
              and document OPP's performance in mitigating dietary pesticide exposure risks
              for children from  domestic foods that they consume frequently. If OPP carries
              our analysis  one step  further, it could track actual consumption risks by
3 Funded by EPA in partnership with the National Institute of Environmental Health Sciences and the Centers for
Disease Control and Prevention.
4 Berkowitz, Gertrud S et al. In Utero Pesticide Exposure, Maternal Paraoxonase Activity, and Head Circumference.
Environmental Health Perspectives 112:388-391,2004.  Eskenazi, Brenda et al. Association of in Utero
Organophopshate Pesticide Exposure and Fetal Growth and Length of Gestation in an Agricultural Population.
Environmental Health Perspectives 112:116-1124, 2004. Whyatt, Robin M et al. Prenatal Insecticide Exposures
and Birth Weight and length among an Urban Minority Cohort. Environmental Health Perspectives 112:1125-1132,
2004.
                                            15

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             integrating food and water pesticide residue measures from USDA's Pesticide
             Data Program with the National Health and Nutrition Evaluation Survey data on
             children's actual food consumption amounts and urinary biomonitoring.

             Example 4:  External stakeholders continue  to express concern over the health of
             farm workers and their families from pesticide exposures.  Two pools of data are
             available to EPA for using real-world pesticide exposure information on farmers
             and their families to track progress in pesticide exposure risk management: the
             Farm Family Pesticide Exposure Study and the substudies of Agricultural Health
             Study.  Such studies  are epidemiological-based and use health outcomes, along
             with biomonitoring of pesticides in urine, to  quantify the exposure of
             farmers/applicators and their families. Also, the Centers for Children's
             Environmental Health and Disease Prevention Research conduct research on farm
             families and  their children.

             Example 5:  EPA collects information about pesticide poisonings by a variety of
             mechanisms. In 2004, approximately 70,000 children were accidentally exposed
             to or poisoned by pesticides. OPP has used Poison Control Centers' data to show
             information on how EPA is improving protection from acute adverse effects of
             pesticide exposure. OPP receives mandated  reports of adverse effects from
             manufacturers, and periodically reviews both the Toxic Exposure Surveillance
             System data maintained by the American Association of Poison Control Centers
             and aggregated data from State-based surveillance programs.  A 2005 study was
             published in  the Journal of the American Medical Association that illustrated the
             importance of tracking risks of pesticide use in and around the nation's schools.
             We believe EPA can further analyze available data from State and toxic exposure
             surveillance systems to extract pertinent pesticide poisonings trends in schools
             and childcare centers.

Recommendation

             We recommend that  the Director, Office of Pesticide Programs:

             3-1    Evaluate the use of suites of performance measures to more
                    comprehensively assess OPP's FQPA implementation performance and
                    impacts on children's health.

Agency Response and OIG Evaluation

             The Agency  agreed in general with the recommendation provided in Chapter 3.
             OPP noted that measures are only  as good as the data upon which they are based,
             and have concerns that such data do not exist for some of our recommended
             measures.  OPP additionally stated that it will consider the measures provided and
             further evaluate the recommendation as they make progress in implementing
             FQPA performance measures.  Appendix A provides the full text of the Agency's
             response.
                                          16

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              OPP has not yet stated the impact of its performance under FQPA on children's
              health.  As discussed in Chapter 2, this occurred because OPP did not have
              adequate measures. To get a general idea on the impact of OPP's actions on
              children's health based on the FQPA, we examined pesticide dietary risk.  Dietary
              risk is based on both the exposure to a pesticide and the pesticide's toxicity. We
              conducted an analysis of the dietary pesticide residue data from USDA's Pesticide
              Data Program and found that EPA's regulatory actions had a significant impact in
              reducing pesticide exposure risk. Risks associated with 16 foods commonly eaten
              by children declined almost 50 percent. However, while we noted positive
              changes for domestic foods, there has been a shift of risk to imported foods.

FQPA Actions Decreased Dietary Pesticide Risks to Children

              Using USDA's Pesticide Data Program data, we found that risks  associated with
              16 foods commonly eaten by children declined by almost 50 percent.
              Specifically, as illustrated in Figure 4.1, the total dietary risk index amount
              (domestic and imported combined) decreased from 3,170 in 1994 to 1,532 in
              2003.5

              Figure 4.1: Total Dietary Risk Index Scores for Selected Children's Foods6
5 2003 is currently the last year for which data is available through USDA's Pesticide Data Program.
6 Certain years included in our sample lacked data. For these years, the trend data and data points are extrapolated.
Details on dietary risk index values for selected foods are in the supplemental report.
                                           17

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              To evaluate the impact of the FQPA on dietary pesticide exposure risk for
              children, we analyzed data on food intake and exposure to food pesticide residues.
              The methodology we developed is discussed in our supplemental report. The
              Dietary Risk Index is a basic unit of measure the OIG team used to track pesticide
              dietary risks for food commonly consumed by children. Our index values are
              based on risk assessment methods and publicly available toxicological data
              supporting EPA dietary risk assessment.

              We found risks have declined by about two-thirds in domestically grown foods in
              16 important children's foods7 included in our analysis. Figure 4.2 illustrates that
              between 1996 (when FQPA was implemented) and 2003, the average Dietary
              Risk Index values across the 16 domestically produced foods declined from
              175 to 65, or about 63 percent.

              Figure 4.2: Average Total Dietary Risk Index Values for Selected Foods
                      (0

                     i
                     £
                     o
400

350

300
                                   Domestic         • Import         O Combined
                             1994  1995  1996 1997 1998  1999  2000  2001  2002  2003
                                                     Years
              A similar analysis was conducted on pesticide residues in imported samples.
              Although there was a decline in the total imported food dietary risk index, the
              decline was not nearly as significant as it was for domestic foods.  On a serving-
              compared-to-serving basis, dietary risks in 1996 were roughly comparable for
              imported and domestic foods. By 2003, however, total pesticide residual risk for
              imported foods were nearly four-times higher than those of the domestic scores
              (see Figure 4.3).8 Breakdowns for specific domestic and imported food
              commodities are in the supplemental report.
7 Apple juice, apples, broccoli, cantaloupe, carrots, celery, cucumbers, grapes, green beans, lettuce, oranges,
peaches, potatoes, spinach, sweet bell peppers, and tomatoes.  These foods were selected based on the amount of
data points in the Pesticide Data Program database, and the frequency with which they are consumed by children.
8 The word "total" in our analysis refers to the "total" summed values of the risks we assessed using the Pesticide
Data Program data. It is important to note that USDA's sampling is limited. Therefore, "total" does not reflect all
foods, but simply the sum of the risk from our analysis and USDA's sampling.
                                             18

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              Figure 4.3: Comparisons of Total Pesticide Dietary Exposure Risks in Domestic
              and Imported Foods
                         2000-1
                                        1996
2003
                                                   Years
Reduced Risk Attributable to Two Major EPA Actions

              FQPA required EPA to evaluate all pesticides specifically to assess their potential
              damage to the health of infants and children based on complete and reliable data
              on exposure and the pesticide's toxicity. As part of EPA's ongoing FQPA
              implementation, EPA began conducting individual assessments of
              organophosphate pesticides.9 As a result of this review for two specific
              organophosphate pesticides, EPA canceled the use of methyl parathion on all
              fruits and many vegetables and eliminated the manufacturing of chlorpyrifos for
              nearly all residential uses.  According to Agency documents, regulatory actions
              on individual organophosphate pesticides during the past few years have
              substantially reduced the risks of these pesticides. Details follow.

                     Methyl Farathion is one of the most  toxic organophosphate pesticides.
                     It can over stimulate the nervous system, causing nausea, dizziness,
                     confusion, and - at high exposures - respiratory paralysis and death.
                     EPA's risk assessment showed that methyl parathion posed an
                     unacceptable risk to infants and children. To mitigate the high dietary risk
                     to children, EPA accepted voluntary cancellation of the use of this
                     pesticide on those crops that contribute most to children's diets. These
                     canceled uses represented 90 percent of the dietary risk to children,
                     dramatically reducing the estimated dietary risk and thus making the risk
                     acceptable for children and all others in the U.S.  population.
 Organophosphates are a high priority group of chemicals with a common mechanism of toxicity that affects the
nervous system, and requires a cumulative risk assessment. They can pose known risks of acute and chronic toxicity
to humans and wildlife. They are widely used on many food crops, and in residential and commercial settings.
                                            19

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       Chlorpyrifos was one of the most widely-used insecticides in the United
       States, and was commonly found in many home-and-garden insecticides.
       Additionally, it was used in some termite treatments and on agricultural
       crops. In June 2000, EPA released a revised risk assessment and
       announced an agreement with registrants to phase out and eliminate
       certain uses of chlorpyrifos. This action eliminated home, lawn, and
       garden uses by the end of the 2000, as well as all termite-control uses in
       existing homes and for new home-and-building construction by the end of
       2004. Additionally, the use of chlorpyrifos for all sensitive areas, such as
       schools, day cares, parks, hospitals, nursing homes and malls, were
       eliminated by the end of the 2000. EPA also canceled the use of
       chlorpyrifos on tomatoes and restricted the use on apples.

Looking at Pesticide Data Program data, we found a single pesticide  like
chlorpyrifos accounted for 70 percent or more of total dietary risk contributions in
apples grown in the United States between 1999 through 2002.  As Figure 4.4
illustrates, risk associated with chlorpyrifos on apples has declined dramatically.
Figure 4.4: Changes on Dietary Exposure Risk from Chlorpyrifos for Apples
   160
t* 140-
   120-
S 100-
|  80-
o  60
S  40^
    20-
      0
  tt
  a
                            Chlorpyrifos
                1999
                            2000
2001
2002
                                     Year
Table 4.1 illustrates that the contribution of chlorpyrifos to total dietary pesticide
risk decreased to only 8 percent in domestically grown apples, with the remaining
risk coming from newer, lower-risk pesticides.
                             20

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             Table 4.1: Chlorpyrifos as a Single-Risk Driver in Domestically Grown Apples
•• ': '• "•' • : 'f:;'t TbWP^ici^ ,
Dietary Exposure Risk Chtorpyrtfos/Apple %of
: Year " "" !:
1999
2000
2001
2002
in Apples
(Dietary
180.2
144.3
144.1
43.7
Combination
Risk Index Values)
140.2
112.0
105.2
3.6
Total
78%
78%
73%
8%
             In Table 4.2, we show that EPA's August 1999 regulatory actions against the
             parathions resulted in a drop of about 83 percent of the total impact in domestic
             foods triggered. Changes in chlorpyrifos tolerances reduced total Dietary Risk
             Index values by another 241 points. Taken together, tolerance revocations and
             reductions imposed on 8 uses of the parathions and chlorpyrifos accounted for
             98 percent of the total impact of EPA actions to date on a set of 30 of the most
             serious domestic "risk drivers." Risk drivers are high risk pesticide-food
             combinations accounting for the majority of summed pesticide dietary exposure
             risk. Details are in the supplemental report.
             Table 4.2: EPA Regulatory Actions Decrease Dietary Pesticide Exposure Risks
                 Pesticide

              Parathions
              Chlorpyrifos
                Total
 Aggregate Dietary Risk Index/
   Year before EPA Action   '
  (For Domestic Food Samples)
            1,369
             241
	1,610	
% Reduction


    83%
    15%
    98%
Method Could Help OPP
             The Dietary Risk Index described in this chapter is one method for OPP to
             consider in assessing the impact of its performance. This index could be used in
             combination with the proposed measures and suites of measures recommended in
             Chapters 2 and 3. We recognize that there are limitations, including cost and data
             collection constraints, to OPP's use of this methodology. Nonetheless, we believe
             it is important for OPP to take action to improve its ability to document impacts
             of the FQPA on dietary risk levels for foods that contribute significantly to the
             diets of infants and children.
                                          21

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Recommendation

             We recommend that the Director, Office of Pesticide Programs:

             4-1   Develop a cost-effective and scientifically defensible method to assess its
                   performance in decreasing dietary pesticide exposure risks to children
                   from its tolerance assessments and reassessments.

Agency Response and OIG Evaluation

             The Agency agreed in general with the recommendation provided in Chapter 4.
             OPP noted that under the Federal Food, Drug, and Cosmetic Act, it has regulatory
             authority to reduce a tolerance only if dietary exposure risks do not meet the
             "reasonable certainty of no harm" standard established by FQPA. However, OPP
             also stated that an exposure-based measure utilizing USDA's Pesticide Data
             Program data offers the best alternative at this time, and that it is always
             interested in exploring ways to measure the human health and environmental
             impacts of our work based upon risk-based measurements.

             Appendix A provides the full text of the Agency's response.
                                         22

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                      Status of Recommendations and
                            Potential Monetary Benefits
                                    RECOMMENDATIONS
                                                                                                POTENTIAL MONETARY
                                                                                                 BENEFITS (in JOOOs)'
Rue.
No.
2-1
2-2
Page
No. Subject Status'
11 Continue to move away from focusing primarily on 0
outputs when examining the human health and
environmental impacts of work by continuing the
current measurement initiative
1 1 Implement the following three human health 0
performance measures in the next round of
Action Official
Director, Office of
Pesticide Programs
Director, Office of
Pesticide Programs
Planned
Completion
Date1
TBD
TBD
2-3
            strategic planning:
              • Reduce the number of acute poisoning
                incidents from pesticides in and around the
                home
              • Reduce the level of currently registered
                pesticides in the general population
              • Reduce pesticide residues in the 20 foods
                most commonly eaten by children using
                Pesticide Data Program residue data

       1 1   Work with other EPA program offices and other
            Federal agencies to ascertain supporting data for
            new measures of FQPA results
                                                              Director, Office of
                                                              Pesticide Programs
                                                                                                 Claimed    Agreed To
                                                                                                 Amount     Amount
                                                                                    TBD
2-4     11   Revise the Goal 4 structure in the next round of
            strategic planning to create a more outcome-
            oriented goal structure and lo acknowledge OPP's
            dual role as a gateway to the market for pesticide
            products and as a steward of human health and the
            environment

3-1     16   Evaluate the use of suites of performance
            measures lo more comprehensively assess OPP's
            FQPA implementation performance and impacts on
            children's health

4-1     22   Develop a cost-effective and scientifically
            defensible method to assess its performance in
            decreasing dietary pesticide exposure risks to
            children from its tolerance assessments and
            reassessments
                                                           The Chief Financial Officer
                                                                                    TBD
                                                              Director, Office of
                                                              Pesticide Programs
                                                              Director, Office of
                                                              Pesticide Programs
TBD
TBD
 
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                                                                      Appendix A
                           Agency Response
MEMORANDUM
SUBJECT:
FROM:
TO:
OPP's Comments on the OIG's Draft Evaluation Report
"Measuring the Impact of the Food Quality Protection Act: Challenges
and Opportunities" (Assignment No. 2005-001034)

Jim Jones, Director
Office of Pesticide Programs

Jeffrey K. Harris, Director for Program Evaluation, Cross Media
Office of Inspector General
This memorandum is in response to the recommendations made by the Agency's Office of
Inspector General (OIG) in its April 13, 2006, report evaluating EPA's implementation of the
Food Quality Protection Act (FQPA). The report, the final in a series of three planned reports,
comments on OPP's ongoing work to develop better performance accountability measures.

The EPA's OIG report, "Measuring the Impact of the Food Quality Protection Act: Challenges
and Opportunities," focuses upon the following issues:

   •  What are the strengths and weaknesses of OPP's current measurement system in tracking
      FQPA objectives, and how could it be improved, if necessary?

   •  What impact did FQPA have on mitigating dietary pesticide exposure risk and on
      children's health?

Our response is organized as follows: The first section summarizes our responses to the OIG's
specific recommendations. The second section contains more detailed comments on the text of
the report.
                                        24

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  1. OPP's Responses to the OIG's Recommendations

QIC Recommendations

Chapter 2 - "Improvements Needed in OPP's Measurement System."

O1G Recommendation 2-1;  Continue to move away from focusing primarily on outputs when
examining the human health and environmental impacts of work by continuing the current
measurement initiative.

OPP Response: OPP agrees with this recommendation. OPP agrees that our performance
measures in the past have primarily been output measures. Although we recognize that there will
always be a need to track such outputs, we are striving to develop more direct and effective ways
to assess the human health and environmental impacts of our decisions.

OPP recently conducted a multi-year effort with extensive stakeholder input to develop a
comprehensive suite of outcome performance accountability measures. The final product of this
effort will be the establishment of a comprehensive and consistent set of realistic, meaningful,
and supportable outcome performance measures, and steps to ingrain those measures in the
program's activities. OPP is working to include these new measures in EPA's strategic plan, and
to begin implementation of measures and collection of baseline data.

OIG Recommendation 2-2;  Implement the following three human health performance
measures in the next round of strategic planning:

   •   reduce the number of acute poisoning incidents from pesticides in and around the home;

   •   reduce the level of currently registered pesticides in the general population; and

   •   reduce pesticide residues in the 20 foods most commonly eaten by children using
       Pesticide Data Program residue data.

OPP Response: OPP agrees with this recommendation.

The recommended measures comport with the measures OPP is recommending for the Agency's
draft strategic plan. However, with regard to the first measure (to reduce incidents in and around
the home) OPP's interest is in reducing all incidents - both human and environmental - from all
pesticide uses, not just those in and around homes.

OIG Recommendation 2-3:  Work with other EPA program offices and other Federal Agencies
to ascertain supporting data for new measures of FQPA results.

OPP Response: OPP agrees with this recommendation. For many years, OPP has worked
extensively with other program offices within EPA, as well as other Federal (e.g., USDA,
DHHS/CDC) and state agencies, to use the results of their studies and data collection as
indicators in measuring results of FQPA implementation.  EPA plans to continue such
collaboration.
                                         25

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OIG Recommendation 2-4;
We recommend that the Director, Office of the Chief Financial Officer:
Revise the Goal 4 structure in the next round of strategic planning to create a more outcome-
oriented goal structure and to acknowledge OPP's dual role as a gateway to the market for
pesticide products and as a steward of human health and the environment.

OPP Response:  OPP is in discussion with the Office of the Chief Financial Officer regarding
our dual role as gateway to the market and steward of human health and the environment as it
relates to Goal 4.

Chapter 3 - "Suite of Performance Measures Can Help OPP Better Measure Impact."

OIG Recommendation 3-1:  Evaluate the use of suites of performance measures to more
comprehensively assess OPP's FQPA implementation performance and impacts on
children's health.

OPP Response:  OPP appreciates OIG's suggestions for developing a proposed suite of
measures. The list of potential performance measures and examples given in Table 3.1 presents
thoughtful examples of approaches using different data sources to measure the impacts of FQPA
implementation.  OPP has had a history of using information from listed and other data sources
to make more informed science and regulatory decisions.  OPP has also given significant
consideration to using these data sources to formulate meaningful measures but has recognized
that data sources often have limitations (e.g., quality, quantity or focus of data) which may affect
our use of those data for valid and desirable measurements. OPP provides further discussion on
this issue below under Technical Comments.

OPP generally supports the concept of using a suite of measures to evaluate impacts. However,
measures are only as good as the data upon which they are based. In general, the data need to be:
1) of high quality, statistically representative of the population and directly related to the
measure; 2) collected  over a time frame sufficient to  show trends; and 3) collected in a consistent
manner to permit meaningful comparisons across different collection intervals. For the most part,
such data sources are very limited. The exceptions appear to be POP and FDA compliance data;
Poison Control Center (PCC) data; NHANES data; and possibly pesticide sales and usage data.

A group of similar data can be pooled to provide a "snap-shot" of the impact of OPP's actions
upon public health. While a snap-shot of data cannot be used to provide information on trends, it
can be used for identifying potential new measures.

Again, OPP appreciates OIG's thoughtful development of a proposed suite of measures, and will
consider them and further evaluate the recommendation as we make progress in  implementing
FQPA performance measures. We welcome new ideas and studies for finding appropriate
measures of our performance.
                                          26

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Chapter 4 - OFF Decisions on Pesticide Dietary Exposure Risk Had Positive Impact

O1G Recommendation 4-1:  Develop a cost-effective and scientifically defensible method to
assess its performance in decreasing dietary pesticide exposure risks to children from its
tolerance assessments and reassessments.

OFF Response;  OPP generally agrees with this recommendation.  It should be noted that under
FFDCA, OPP has regulatory authority to reduce a tolerance only if dietary exposure risks do not
meet the "reasonable certainty of no harm" standard established by FQPA.

OPP believes that an exposure-based measure utilizing USDA's POP data offers a good data
source for dietary exposures.  In addition, OPP is always interested in exploring ways to measure
the human health and environmental impacts of our risk based upon risk-based decisions.

   1. Technical comments

Page 7: "Although EPA has volumes of data on individual pesticides, OPP is often
prohibited from using it due to confidential business  information conflicts."
OPP believes this sentence requires correction.  The real issue is not that we are "prohibited"
from using confidential business information, but that we are prohibited from releasing CBI
without the owner's permission due to statutory restrictions on the disclosure of CBI. In
addition, OPP may release reports with the CBI information redacted. In any case, the CBI
material is used in decision making, but ordinarily cannot be made publicly available due to
statutory restrictions on the disclosure of CBI.   Further, this sentence is misleading because it
ignores the facl that safety data on registered or previously registered pesticides are explicitly
excluded from CBI protection. 21 USC 136h(d)(l).

Page 9, Figure 2.2:
OPP appreciates OIG's work and thoughtfulness in developing the "Logic Model on FQPA
Implementation and Children's Pesticide Exposure Health Risk Mitigation" Figure 2.2. OPP
does have an exposure measure for the foods most commonly consumed by infants and children
that we have been working to refine.  However, OPP agrees that logic modeling can be a useful
tool in measures development, and we like the concept of a broader children's health measure.
Generally, OPP will consider the OIG's children's exposure/risk logic model as we continue to
refine measures of human health and environmental impacts of our work.

OPP has a few additional comments on the suggested logic  model.  Specifically, the OIG could
have included many other critical resources, such as other Federal agencies (USDA for POP,
FDA for tolerance monitoring, CDC for NHANES), state lead agencies who have been
supportive of our measurement effort, industry, public interest groups, and other offices within
EPA, such as the Office of Water.  Another key resource, especially in the area of reducing
exposure to pesticides, and mitigation of exposure risks, is OPP's outreach and communication
activities to educate the public. OPP's outreach and communication efforts should be included
under the heading of "activities."
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Page 12:
The leading sentence of the second paragraph states "While OPP has limited in-house data on the
health effects of pesticides..." implies our data base on human health effects from pesticides is
moderate to inadequate and therefore understates the scope and breadth of information OPP
actually has and uses to characterize potential human health effects from pesticides. This also
discounts OPP's use of published studies. OPP recommends omitting the word "limited."

Page 12/13:
OPP agrees that several of the studies referenced in this section contain data useful for measuring
the impacts of EPA's pesticide regulatory program. For example, OPP intends to develop
measures based on the NHANES and PDF data.  Data from other sources, while informative,
cannot be used to form the basis of a measure for tracking OPP's impact because they do not
collect data over different time periods that may be statistically analyzed to show changes and
trends (e.g., National Home and Garden Use Study.)

Page 14, Table 3.1:
For the data source "Family Farm Pesticide Exposure Data..." In order to have an indicator of
the "Impact of FQPA on Behavior" there should be a commensurate "Impact of OPP Actions on
Use." Therefore, all three boxes should be checked in this row.

Page 15, Example 1:
Note: The three studies cited are of interest for identifying a snap-shot of success or a potential
problem area. However, because they are one-time studies, they are not useful as a measure of
long-term success. In addition, it is important to note that these studies do not provide data
demonstrating causation or information about trends, which are particularly important for
tracking progress that may be used as a meaningful measurement.

Page 15, Example 2;
OPP is currently developing an NHANES measure and we are amenable to examining whether
or not the National Report on Human Exposure to Environmental Chemicals may be useful for
such a measure.

Page 15, Example 3:
OPP has a measure using PDP data and is developing a measure using CDC's  NHANES data.
OPP is interested in developing a more accurate and reliable measure using these data.  We are
also interested in moving from exposure measures to risk-based measurement. To  date, all risk
measures considered would require direct comparisons of different health effects.

Page 15, Example 4:
OPP supports the creation of a farm health measure and we are aware of the studies referenced in
this example. However, we  are unaware of data sources that are regularly collected and
statistically robust to provide accurate and meaningful measures.

Page 15, Example 5:
As data that are regularly collected, PCC data can provide a basis for a long-term measure.
However, the PCC data has some significant limitations; most notably the number  of incidents
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appears to fluctuate with funding levels of PCC's across the country.  If there is less funding,
there will be fewer poison control centers, with shorter hours and less data compilation. On a
limited basis, other data can be used to augment these data.

Chapter 4, pages 17-22:
OPP believes that it has positively affected the health of children through its implementation of
FQPA. We agree that the two specific decisions mentioned were among many that contributed
to the improvement of children's health. We are also eager to develop and use a measure that
could show how our regulatory programs are affecting public health.  Despite considerable
effort, OPP has been unable to develop a scientifically sound measure that uses available data
and can be implemented efficiently. At present, the most scientifically defensible approach for
assessing changes in risk appears to be repetition of the kinds of dietary risk assessments for
pesticides  that OPP has conducted during the tolerance reassessment program. The repeat risk
assessments would need to use updated PDF or FDA residue data that were collected after EPA
had taken regulatory actions affecting pesticide use.  At present, such an effort appears
impractical given OPP's resource levels and its statutory mandates.

OPP is in agreement that a scientifically sound, risk-based measure would provide a more
accurate and effective indicator than an exposure measure, and is conceptually preferable. Once
a draft measure is developed, it should undergo external scientific peer review and public
comment.

OPP questions the validity of the OIG risk measure used to draw the conclusions in this chapter
and the Supplemental Report. One of OPP's fundamental concerns with the "risk index"
developed by OIG is that it makes no distinction among the potential adverse effects prevented
by OPP's actions. For example,  this approach could actually give a higher weight to a quickly
reversible  skin irritation  than to a severe birth defect.  OPP believes there would be value to a
more  in-depth review of the index and plans to schedule a meeting for our scientists to talk with
the creators of the proposed index.

Page  21:
The sentence: "We recognize that there are limitations to OPP's use of this methodology"
should be clarified to explain the limitations.

Supplemental Report:  Details  on Dietary Risk Data:
OPP appreciates OIG's time and effort in developing the proposed measures in the supplemental
report. We will consider these suggestions as we continue with development of meaningful
measures.
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                                   Appendix B



OPP's Proposed Goal-Related Measures
ID # Measure Goal
Human Health
•
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Reduce the concentration of specific
pesticides detected in the general population
by 50% by 2011
Measure concentration in drinking water and
raw water over time as a result of mitigation
Reduce pesticide residues in 20 foods most
commonly eaten by children using Pesticide
Data Program residue data
Ensure efficacious public health antimicrobial
products in the marketplace
Reduce number of acute poisoning incidents
from pesticides in and around the home
Provide aggregate picture of
effectiveness of OPP actions on
U.S. population
Show impact of regulations and
mitigation on pesticides in drinking
water over time
Show how combined efforts within OPP
have reduced pesticide exposure to
children
Assure that antimicrobial products
registered and on market efficacious
Capture reductions in number of
adverse effects associated with
residential exposure
Worker Safety
WS1
WS2
WS3
WS4
WS5
WS6
Survey of agricultural workers' awareness of
Worker Protection Standard provisions
Increase in percent-change in Worker
Protection Standard planned use compliance
ratio over time {# establishments in
compliance with Worker Protection Standard/
# inspections)
Percent-change in number of Worker
Protection Standard violations for each
category over time (# Worker Protection
Standard violations/* inspections)
Protect those occupational^ exposed to
pesticides by improving or sustaining the
extremely low rate of 3.5 or less incidents per
100,000 potential risk events.
Reduce number of certified applicators with
repeated enforcement violations
Improve the health of those who work in or
around pesticides by reaching a 50% targeted
reduction in moderate to severe incidents for
six acutely toxic agricultural pesticides with
the highest incident rate.
Increase awareness of agricultural
worker protection provisions for
agricultural employees
Have all employers in compliance with
Worker Protection Standard
Have agricultural employers and
employees use knowledge and skills to
reduce pesticide risk in workplace
Improve health of occupational
pesticide workers
Change behavior of certified applicators
out of compliance with pesticide laws
and label directions
Improve health of occupational
pesticide workers
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                                                                         Appendix C
                                 Distribution
Office of the Administrator
Assistant Administrator for Prevention, Pesticides, and Toxic Substances
Assistant Administrator for Research and Development
Chief Financial Officer
Director, Office of Pesticide Programs
Acting Director, Office of Children's Health Protection
Associate Director, Field and External Affairs, Office of Pesticide Programs
Agency Followup Official (the CFO)
Agency Followup Coordinator
Audit Followup Coordinator, Office of Prevention, Pesticides, and Toxic Substances
Audit Followup Coordinator, Office of Research and Development
Audit Liaison, Office of Pesticide Programs
General Counsel
Associate Administrator for Congressional and Intergovernmental Relations
Associate Administrator for Public Affairs
Acting Inspector General
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