January 14, 1977
                          Quarterly Progress Report No.  1
                         September  28  -  December  31,  1976
            EPIDEMIOLOGIC STUDY CONDUCTED  IN POPULATIONS  LIVING  AROUND
              NONFERROUS  SMELTERS  TO  DETERMINE  BODY  TISSUE  BURDENS  OF
                            SELECTED  NONFERROUS METALS
                            EPA Contract  No.  68-02-2442

                             RTI Project  No.  31U-1372
                                  Robert W.  Handy
                            Benjamin S.  H. Harris,  III
                                 Tyler D. Hartwell
                                  Steven Williams
                       Chemistry and Life Sciences Division
                                        and
                            Statistical Sciences Group
                            Research Triangle Institute
                               Post Office Box 12194
                        Research Triangle Park,  N.C.  27709

                                   Prepared for
RESEARCH  TRIANGLE  PARK,   NORTH  CAROLINA  27709

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                    Table of Contents
 I.   INTRODUCTION ......................    1

II.   DESCRIPTION OF OVERALL PROGRESS .............    2

      A.   Field Operations  .................    2

           1.   Development of the Detailed Work Plan and
                Data Collection Instruments ..........    2

           2.   Pretest Site .................    4

                a.   Attitude of the Smelter .........    4

                b.   Attitude of Federal, State, and Local
                     Agencies  ................    5

                c.   Availability of Independent Subcontrac-
                     tors  ..................    5

                d.   Nature of the Site ............    5

                e.   Cost  ...... . ............    6

           3.   Public Relations ...............    6

           4.   Paint and Dietary Lead ............    8

                a.   Paint Lead " ...............    8

                b.   Dietary Lead  ..............   11

      REFERENCES  .......................   16

      B.   Sampling Methodology  ...............   17

           1.   Overview ...................   17

           2.   Work Plan  Summary ........... ...   17

           3.   Pretest ....................   18

           4.   Target Population  ..............   20

           5.   The Sampling Frame ..............   24

           6.   Sample Selection ...............   25
                           ii

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               Table of Contents (continued)



                                                                Page




            7.    Sample Size and Quality Control	     28




            8.    Coordination of Related Studies 	     30




       C.    Chemical Analysis  	     33




            1.    Water	     33




            2.    Urine	     33




            3.    Hair	     33



            4.    Creatinine in Urine	     37




            5.    Curve Fitting of Calibration Data	     38




            6.    Analytical Data Sheets	     48




       D.    Quality Control	     48




            1.    Calibration of Hi-Volume Samplers 	     48




            2.    Precision Measurements - Urine and Hair ...     48




            3.    Working Reference Materials-Air Particulates.     48




            4.    Working Reference Materials-Tap Water ....     49




       E.    Sample Packaging and Shipment  	     49




       F.    Statistical Methods of Analysis  	     58




            1.    Confidentiality of Data Files	     58




            2.    Data Analysis	     59




                 a.   Analysis of Environmental Levels ....     59




                 b.   Analysis of Tissue Levels  	     60




       REFERENCES	     63




III.   POTENTIAL PROBLEM AREAS 	     64




       A.    Field Operations 	     64




            1.    Anaconda	     64




            2.    Project Schedule  	     54






                            iii

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              Table of Contents (continued)

                                                               Page

      B.    Chemical Analysis 	     65

           1.   FEP Analysis	     65

           2.   Blood Clotting	     65

           3.   Conversion of Organometallics Into an
                Assayable Form	     65

           4.   Air Particulate Collection - Power Drops .  .     66

      C.    Statistical Methods of Analysis 	     67

           1.   Missing Observation  	     67

IV.   DESCRIPTION OF FUTURE WORK	     71

      A.    Field Operations  	     71

      B.    Chemical Analysis 	     72

      C.    Quality Control	     72

      APPENDIX A - Instructions for Feces Collection

      APPENDIX B - Study Questionnaire

      APPENDIX C - Analytical Data Sheets
                          IV

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                   List of Figures (continued)




No.                                                                Page




D-l  Calibration of Sierra Instrument Orifice, Model 330 	   51




D-2  HI-VOL Calibration 	   52
                              vi

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I.   INTRODUCTION




     The major effort during the quarter covering September 28 -




December 31, 1976 was directed toward development of the Detailed Work




Plan.  This report includes a summary of some aspects of the Work Plan




and in addition, the following major work areas:




     a)   Proposed plans for the Corpus Christi pretest;




     b)   Discussion of alternative dietary lead procedures;




     c)   Description of paint lead methodology;




     d)   Nonlinear curve fit to calibration data.

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II. DESCRIPTION OF OVERALL PROGRESS




    A.   Field Operations




    During the first quarter of the technical performance period on this research




effort, field operations activities have focused on the following areas:




         1.  Development of the detailed Work Plan and data collection instruments,




         2.  Selection of the Pretest site,




         3.  Public relations related to two of the performance sites, and




         4.  Considerations regarding the collection of data on paint and dietary




             lead.




These aspects of field operations are discussed in subsequent sections.




         1.  Development of the Detailed Work Plan and Data Collection Instruments




    During October, work began on the detailed Work Plan and the data collection




instruments.  The Survey Director performed a limited literature review and •




obtained various materials from and through the Environmental Protection Agency




(EPA) relative to various methods of collecting the necessary environmental and




biological samples.  RTI learned the six performance sites for this research




effort, which are as follow:




         a.  Anaconda, Montana,




         b.  Palmerton, Pennsylvania,




         c.  Herculaneum, Missouri,




         d.  Bartlesville, Oklahoma,




         e.  Bixby, Missouri, and




         f.  Ajo, Arizona,




probably in that order.

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    During November, work continued on the detailed Work Plan and data collec-

tion instruments.  A draft of the text of the Work Plan was delivered to the

EPA Project Officer on November 18.

    For this study, RTI envisions five data collection instruments:  a House-

hold Screening Log  (HSL) to maintain a record of households/residence units

screened/contacted; a Household Screening Questionnaire (HSQ) to determine

eligible and cooperative households and participants; a Participant Consent

Form (PCF) to describe the study and the participant's role and obtain the par-

ticipant's informed consent; a Study Questionnaire (SQ) to obtain household

and individual information on demographic variables, residence histories, and

potential special exposure situations; and a Chemical Analysis Report Form

(CARF) for recording and reporting results of chemical analyses.  Drafts of the

HSL, HSQ and PCF were delivered to the EPA Project Officer on December 2, and a
                                                      •
draft of the SQ was delivered to the EPA Project Officer on December 20; the

CARF is still in various stages of development.  On December 10, the RTI Survey

Director met with Dr. Stephen H. Gehlbach of Duke University and the University

of North Carolina (UNC) to discuss the field operations section of the Work

Plan and the SQ.  Among Dr. Gehlbach1s comments were that venipuncture should

be used as much as possible for the collection of the blood sample, and that,

at least for lead, the small amount and questionable value of data collected

via feces (see below) and urine do not justify the collection problems and

participant (and interviewer) burden;  however, if urine is to be collected,

the RTI procedure for collection and analysis is acceptable.  On December 23,

40 copies of the detailed Work Plan were delivered to the RTI Project Officer,

five in loose-leaf form and 35 spiral bound; an informational copy was also

provided to the EPA Contracting Officer.

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          2.   Pretest  Site

    As  the result  of  a meeting at EPA, Research Triangle Park  (RTP), on


 October 28,  1976,  involving EPA Project Officer Dr. Warren Galke, Dr. Carl Hayes


 of  EPA, and  RTI Survey Director Benjamin Harris, RTI considered two possible


 sites for the Pretest effort—Hayden, Arizona, and Corpus Christi, Texas.


    Over the period November 21-25 the Survey Director was in  the Phoenix,


 Arizona, area to visit prospective and potential performance sites and attend


 a meeting of interested and/or involved agencies.  On November 22, the Survey


 Director visited prospective performance site Ajo, Arizona, and on November 24


 he  visited potential  Pretest site Hayden, Arizona.  The purpose of these visits


 was to  investigate the logistics and staff burden associated with study activities


 at  these sites,  particularly Hayden, such as the availability and problems


 associated with transportation, accomodations, and various ancillary and support
                                 •
 services. Not withstanding the support expressed by the Arizona Department of Health


 Services (ADHS)  and the University of Arizona College of Medicine at a meeting


 on  November  23 (see below), RTI has decided in favor of Corpus Christi, Texas,


 as  the  Pretest site for this study.  This decision has been based on a number


 of  considerations  related to the logistics of executing the study protocol at


 a site  for the first  time, in particular the availability and costs of, and


 problems and staff burden associated with, various ancillary and support services


.including:


               a.   Attitude of the Smelter;  Both of the smelter firms with


 operations at Hayden  are involved in various litigations, although only the


 Asarco  plant at  Hayden is specifically involved in such litigation.  In addition,


 there is information  that the smelter industry may undertake an epidemiological


 study at Hayden.

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                b.  Attitude  of  federal, State, and local agencies;   RTI would




 prefer  a Pretest  site where  the appropriate federal, State and local agencies




 would be interested, perhaps experienced, and hopefully could be actively




 involved,  in  such a  study.   At  the aforementioned meeting at Phoenix, Arizona,




 on November 23, 1976, RTI was encouraged by support expressed by ADHS and the




 University of Arizona College of Medicine; however, the primary focus of that




 meeting was Ajo (see below).




                c.  Availability of independent subcontractors;  The  Pretest




 will attempt  to simulate the main study as closely as possible, except on a




 smaller scale,  and will therefore follow the Work Plan as closely as possible,




 including  involvement of independent subcontractors.  There are a number of




 interviewers  from the current RTI listings living in counties within a reasonable




 distance of the sites in Texas  and Arizona which were under consideration for




 the Pretest.  That is not to  say, however, that all of those individuals would




 be available  or suitable for  this research effort.  For example, RTI has two




 other major survey research  efforts planned for the Phoenix area in early 1977




 which would deplete  the number  of available interviewers in Maricopa county




 during  that time.  Mdre important, however, is the distance which the inter-




 viewers must  travel  to reach  the site and the cost and burden associated with




 that travel.




                d.  Nature of  the Site;  RTI would prefer a community large enough




 to permit  some  flexibility in the event of a large number of nonparticipants, and




 so that the logistics of implementing the field operations for the first time




would not be  too involved.  Both of the Pretest sites under consideration would




present a bilingual population.   However, Hayden and Winkelman, Arizona, which




together make up the Hayden smelter community, have a combined population of

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less than 2,000, have extremely limited transportation and medical facilities,


and are approximately two hours driving one way from the nearest transportation


facilities and sources of supplies and support services.


              e.  Cost;  Since the performance sites for the main study were


not known when the proposal was written, one of the smelter communities in the


St. Louis area was considered as a Pretest site for the purpose of estimating


Pretest cost.  Several of the considerations cited in preceding paragraphs will


have some impact on cost, particularly the availability of independent sub-


contractors within a reasonable distance of the site, the magnitude of the Pre-


test, and the site itself.  For example, round trip tourist air fare Raleigh to


Corpus Christi is $230, and Raleigh to Tucson is $308 (plus ground transportation


to Hayden).


    Some of these same considerations entered into the choice of the three


performance sites where elderly persons will be studied (Herculaneum, Bartlesville,


and Ajo), in that RTI will need a larger population base and additional indepen-

                                                                         •
dent subcontractors.  The outcome of the Pretest may have some impact on RTI's '


time and cost projections.


         3.  Public Relations


    On November 23, a meeting at ADHS in Phoenix was attended by the RTI Survey


Director and representatives of EPA/RTP; various offices within ADHS; the Univer-


sity of Arizona College of Medicine, Tucson; EPA Region IX, San Francisco; EPA


Region VIII, Denver; and the Phoenix Laboratory Division of the Center for


Disease Control (CDC).  After a general presentation of each agency's interest


in Arizona copper smelters, the group divided into two subgroups, one interested


in emissions control standards and regulations, and one interested in health


effects and primarily Ajo.  This latter group consisted of the RTI Survey

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Director and representatives of EPA/RTP; EPA Regions VIII and IX; ADHS; CDC;


and the University of Arizona College of Medicine.  The primary concern was the


coordination of activities in Ajo and, to a lesser extent, Anaconda, Montana.


The tentative decisions reached were that CDC will study a group of children


ages 6 to 18 in Ajo in early 1977 using data collection techniques and procedures


compatible with those planned by RTI with support and assistance from EPA, ADHS


and the University of Arizona; RTI will conduct its study in Ajo in late 1977


with support and assistance from EPA, CDC, ADHS and the University of Arizona;


and RTI and CDC will work toward a concurrent effort at Anaconda in the late


spring of 1977 with support and assistance from EPA—that is, Anaconda would


be RTl's first performance site and Ajo the last.


    On December 2, 1976, a meeting at EPA/RTP was attended by EPA Project


Officer Galke and Dr. Hayes of EPA/RTP; Dr. Malcolm Harrington of CDC, Atlanta;


and RTI study principals Dr. Robert W. Handy, Survey Director Harris, and Steve


Williams.  Again, the primary focus of the meeting was the coordination of

                                                   *
activities in Ajo and Anaconda.  With regard to Ajo, it was decided that CDC


would proceed with their study of 6-18 year olds in early 1977, but that par-


ticipants will be informed that the CDC activity is the first of a two-part


effort, the second part to be completed by RTI later in 1977.  RTI will provide


CDC with a copy of the SQ so that any questions which CDC asks seeking similar


information can be worded the same way, thereby making the data more comparable;


similarly, RTI will provide CDC with details of its sampling plan for Ajo, so


that the population can be selected in the same manner.  With respect to Anaconda,


it was decided that RTI and CDC would work toward a coordinated simultaneous


effort with the State of Montana, represented by Harry Hull, with work to be


completed before the end of June 1977-  In order to assure quality control of


chemical analysis, CDC is considering contracting their chemical analysis to RTI.

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    On December 20, 1976, RTI Survey Director Harris met at EPA/RTP with EPA

Project Officer Galke and Dr. Hayes.  At that time, there was some discussion of

initiating public relations activities with representatives of the smelter

industry—American Mining Congress, Washington, D. C.;  International Lead Zinc

Research Organization, New York; and the Smelter Environmental Research Association,

represented by Ralph Smith, University of Michigan, Ann Arbor—and Mildred Smith,

EPA, Dallas and Ken Nelson of Asarco regarding the Corpus Christi Pretest site.

There may be some problems with the RTI/CDC joint effort in Anaconda (see

Problems section).

         4.  Paint and Dietary Lead

    In addition to the environmental and biological samples specified in Exhibit

A:  Scope of Work for this contract, the Project Officer has asked RTI to con-

sider two additional measurements, paint and dietary lead, which might increase

the significance of data collected in this research effort.  Since these measure-

ments are not part of the Scope of Work, procedural and cost considerations are
                              *
discussed in this report.

              a.  Paint Lead;  Paint lead would be determined by the field

interviewer (FI) at the time of household data collection using a portable

lead detector.  Since the EPA Project Officer has indicated that EPA would

purchase the lead detectors, the primary impact on the  study as described in

the detailed Work Plan would be the time and cost for the FI to make the

determination(s) and record them on a supplement to the SQ.  If one assumes

that 30 households will be investigated for every 40 participants, and that the

paint lead determination will require 30 minutes per household, then the paint

lead determination would require 678 hours of FI t'ime for 1,356 households

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containing 1808 Pretest and study participants; at an FI rate of $3.50


per hour for this study, costs for the paint lead determination would


oome to $2373 plus appropriate overhead and fee rates.


     According to EPA and manufacturers, the portable lead detectors can


be operated by non-scientists and the readings recorded for interpre-


tation by a more qualified person at a later point in time.  There are


other methods that can be used for the detection of lead paint in houses,


such as chemical spot tests and sophisticated laboratory analysis;


however, these alternatives to the use of portable lead detectors are


more time consuming, expensive and likely to be unacceptable to dwelling


occupants than the portable lead detectors [1].


     Mr. John Rhodes, Columbia Scientific Industries (CSI), Austin,


Texas, was contacted for information on portable XRF analyzers.  CSI has


developed new procedures and technology for the detection and measure-


ment of lead in paint under contract to HUD.  CSI supplies a Model 700


unit.which has the capability of scanning surfaces in situ for lead


levels.  Since the device is not a high resolution instrument, scattering


from the wall material interferes with the direct determination of lead.


These interferences must be measured and appropriate corrections made.


CSI has devised a method for overcoming much of this difficulty.  An


initial reading is made with no filter (lead plus background) followed


by a second reading with a tungsten filter (background only).  Both


readings may be referred to a graph to give a lead concentration value

      2
(mg/cm ) - if the nature of the backing material is known.  However, CSI


has prepared a nomograph which allows one to read the corrected Pb
                        •

content without prior knowledge of the backing.  The nomograph procedure


is clearly the measurement method of choice.  The cost of the Model 700

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                                                                     10
is $4,750.  Mr. Rhodes made the comment that the unit should be operated



by a trained individual.  On the other hand, he claimed that the improved,



direct-reading Model 750 (see below) is easily operated by semiskilled



personnel  (i.e., field interviewers).



     A new Model 750 portable lead in paint film analyzer has been



developed by Columbia Scientific Industries, under contract with the



HUD.  This portable device is capable of rapid, in situ measurement of



lead content in a variety of painted surfaces, irrespective of the



substrate or wall material.  The unit provides a direct readout of lead


                                               2
content with a detection limit of 0.1-0.3 mg/cm .  This instrument is



claimed to be the only one with adequate sensitivity, accuracy and



applicability to meet the needs of HUD and other lead control programs.



     Mr. Rhodes stated that the Model 750 will not be commercially



available for 5-6 months; only 4 experimental units exist at this time.



The cost of the Model 750 Analyzer will be in the $5,000-$10,000.



     Bill Hall and Phil Cramp were contacted at NBS concerning available



XRF lead analyzers.  They indicated that in addition to Columbia Scientific,



Princeton Gamma Tech, Rocky Hill, New Jersey also offers an analyzer



designed to determine lead content in wall paint.



     The latest Princeton Gamma Tech Instrument, Model XK-3, appears to



have some advantages over the Columbia Scientific device.  It is lighter



in weight  (5.5 Ibs.) and does not require calibration as often.  The



Model XK-3 is direct reading and will provide accuracy at the +0.3


     2                                            2
mg/cm  level.  Sensitivity is claimed at 0.5 mg/cm .  The cost is approxi-



mately $4,500 less expensive than CSI's Model 750.  Although NBS is



still in the process of evaluating this instrument, Princeton Gamma Tech



is already offering them for sale.

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                                                                    11






     On the basis of its preliminary evaluation, NBS ranks the Princeton




Gamma Tech instrument ahead of the Columbia Scientific analyzer.  This




fact coupled with the lower price directs us to recommend the Princeton




Gamma Tech Model XK-3 for use in the upcoming study.




               b.   Dietary Lead;  Diet is an important contributor of




trace metal to an individual.  EPA personnel have indicated that the




proportion due to diet of the total lead absorbed by individuals may be




as high as .66.  In addition, the 'amount of lead in various diets may




vary by several orders of magnitude.  Accordingly, it may be quite




important to the success of the present study to obtain some measure of




the amount of trace metals in the diets of the sample individuals.




Procedures which have been suggested for obtaining diet trace metal




levels include:




          (i)  Feces samples,




         (ii)  Analyzing duplicate diets or meals from sample individuals,




        (iii)  Adding questions about diet to the Study Questionnaire,




               and




         (iv)  Analyzing area grocery store food samples (Market Basket




               procedure).




     It may be appropriate to field test these procedures to determine




their accuracy and feasibility; however, RTI would like to offer the




following comments regarding these procedures:




          i.    Feces




     At the time of household data collection, the FI would explain to




each participant the procedures for collecting the feces sample and




provide the necessary apparatus.  RTI anticipates that the procedure and




apparatus employed would be similar to that utilized by Southwest Research

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                                                                    12
Institute and described in a letter to EPA Project Officer Galke and




reproduced as Appendix A.  Feces samples would not be collected from




pre-school age participants since the participant must be toilet-trained




and able to understand and adhere to the collection procedure.




     RTI is concerned about the rationale, procedure, interviewer and




participant burden, and expense of collecting feces samples from smelter




community subjects in this study.  At a meeting on December 10 with the




RTI Survey Director, RTI consultant Dr. Stephen Gehlbach was of the




opinion that the limited amount and questionable value of data regarding




dietary lead from such a feces sample would not justify the collection




problems and interviewer and participant burden; his opinion is based




partly upon the rapid turnover of feces lead with respect to the objectives




of the study and other study measurements.  The oost for the sample




Qolleotion alone could be as mueh or move than $14,934, plus appropriate




overhead and fee, based upon the following assumptions:




          1.   A feces sample is required from each non-pre-school




               subject in the Pretest and study populations (1,296




               persons)-




          2.   A feces sample is collected from each of those 1,296




               persons.




          3.   It is not necessary to go beyond 1,296 persons.




          4.   Fifteen (15) minutes of interviewer time are required per




               subject to explain the procedure for collecting the feces



               sample (at $3.50/hour).




          5.   A ten dollar ($10.00) incentive per subject for the feces




               sample will be sufficient.

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                                                                    13
          6.   One hundred (100) of the portable seats will be sufficient




               at an estimated retail unit cost of $5.97 not including




               the collection bags, at an additional estimated retail




               price of 5 bags for $.94.




     The analysis will be carried out on a Perkin-Elmer Model 403 atomic




absorption spectrophotometer with a HGA-200 Graphite Furnace and deuterium




background.




     The total feces collection will be lyophilized overnight, ground




with a mortar and pestle and well mixed.  A total weight will be obtained




and an aliquot (approx. 500 mg) weighed and placed in an Erlenmeyer




flask to which 5-20 ml of cone. HNO_ is added.  A Vigreaux column will




be placed on each flask to prevent loss due to foaming and the total




heated for 1 hour.  After cooling, the columns will be rinsed with de-




ionized water, the digests transferred to a volumetric flask and the




final solution analyzed directly for lead.




     A control feces sample will be collected and analyzed for lead by




the method of standard additions.  The lyophilized control material will




be stored frozen and used to prepare calibration solutions.




     Suggested graphite furnace conditions [2]:




                                  Time             T, °C




             Dry                 20 sec             150




             Char                20 sec             550




             Atomize             15 sec            2200




     The cost (exclusive of fee) of packaging, shipping and analyzing




feces samples from all pretest and study participants is approximately




$32,000.  This amount is in addition to the sample collection cost cited



above.

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                                                                    14
         ii.   Duplicate Diets



     In this procedure, a duplicate of everything ingested by a participant




over a certain time period would be collected in a plastic bag and




provided RTI for analysis for dietary lead intake.  Apparently, various




experts differ regarding the amount and time over which this duplicate




intake should be collected, ranging from one meal to nine meals over a




one month period.




     Mr. Wayne Watson was contacted at Environmental Science Associates.




They have developed a technique for estimating dietary lead intake they




refer to it as the "fifth meal concept."  For each family being evaluated




a fifth or extra place is set at the table.  The food prepared for that




meal is portioned out and finally placed in a plastic bag.  The meal(s)




is ground in a Teflon blender and analyzed by anodic stripping voltametry.




Eight or nine meals (including breakfast, lunch and dinner) are collected




from each family over one month.  This approach is claimed to be superior




to the market basket technique developed by FDA since it takes into




account the preparation of the food (i.e., cooking utensils, tableware,




etc.) .




     RTI feels that the participant burden would be unjustified, even in




the light of an incentive and reimbursement for food; the collection




problems could be enormous; and participants might change their eating




habits to simplify the collection process, thereby reducing the value of




the procedure.




        iii.   Dietary History




     RTI has included several questions regarding eating habits and diet




in the SQ which will be completed for every participant by the FI during




household data collection, including the frequency with which the partici-

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                                                                    15
pant eats certain foodstuffs known to be high or low in various heavy




metal content [3].  RTI has planned that these questions would be part




of the data collection process from the beginning; therefore, this




method of collecting information on dietary lead results in no additional




cost.  A copy of the draft questionnaire is presented as Appendix B.




         iv.   Market Basket




     In this approach, which is relatively inexpensive, the RTI Site




Administrator would purchase exemplary market baskets of food from




grocery stores at the smelter sites.  The food would then be returned to




RTI for analysis for lead content.




     Based upon the preceding paragraphs, RTI would recommend that an




estimation of dietary lead be based upon a combination of limited dietary




history and market basket approaches3 and that the collection of feces




samples and duplicate diets not be considered further for this research




effort.

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                                                                     16
                           REFERENCES




1.   Hall', W. G., and L. T. Slovic, U. S. Department of Commerce, National




     Bureau of Standards.  Survey Manual for Estimating the Incidence of




     Lead Paint in Housing (NBS Technical Note 921).  Washington, D. C.:




     U. S. Government Printing Office, 1976.




2.   Riner, J. C., F. C. Wright and C. A. McBeth, Atomic Absorption




     Newsletter, 13_, 129 (1974).




3.   Bureau of Foods, Compliance Program Evaluation, FY 1974 Heavy Metals




     in Foods Survey (7320.130, Chemical Contaminants Project), June 19,




     1975.

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                                                                     17
B.    Sampling Methodology




      1.  Overview



          During the quarter ending December 31, 1976, RTI staff met on




several occasions with the project officer, project consultants, and RTI




staff to outline the initial planning for the study.  Additionally,




joint RTI-EPA meetings were held with a representative of the Center for




Disease Control (CDC) to coordinate related studies being conducted by




RTI and CDC at common sites, specifically, Ajo, Arizona and Anaconda,




Montana.  The sampling implications of these meetings are either reflected




or summarized in this section.  Also, preparatory sampling work completed




to date are summarized.  This work consisted largely of specifying the




sampling tasks for the work plan and obtaining detailed mapping and




climatic information on Corpus Christi, Texas (the pre-test site).




Also, availability of such materials was investigated, and a preliminary




profile was developed for all study sites.




     2.   Work Plan Summary




          The sampling methodology described in the work plan is basically




the same as that alluded to in the RTI proposal, that is,  the plan




involves a stratified area sample in which a sequential sample of persons




is to be selected for participation in the study survey.  Also, a probability




sample of sites and days is to be selected for the purpose of obtaining




high-volume air samples.  Selective sampling is to be used to collect




samples of tap water, house dust, and soil because random sampling for




these data was deemed impractical.  Additionally, the work plan listed




the key persons in the sampling center that will be working on this




study and their responsibilities as they relate to this project.  The




work plan outlines survey methodology that will result in the selection

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                                                                     18






of a stratified probability sample of individuals that reside downwind




of selected nonferrous smelters.  Approximately 240 persons, aged 35 and




under, will be selected at varying distances from the emission source in




each of six smelter communities (a selective sample of study sites was




identified by the Project Officer on the basis of prior investigation).




Additionally, 80 residents aged 60 and older will be selected in each of




three of these communities.  Blood, urine, and scalp-hair samples will




be obtained and analyzed for these persons and will comprise the basis




for estimating community uptake coefficients of lead, zinc, arsenic,




copper, manganese, and cadmium.  To estimate the exposure levels of the




downwind residents to these six elements, individual and residence data




and samples of soil, household dust, and tap water will be obtained at




each of the six communities selected for study.  To estimate levels of




atmospheric exposure, high-volume air samples will be obtained at random




locations throughout the target area and at random points in time.  The




number of dust and tap water samples will be equivalent to the number of




households that have individuals in the sample; that is, less than or




equal to 1,680, the total number of individuals to be selected.  It has




been assumed for planning purposes that sample households will contain




an average of approximately 1.3 sample individuals.  Additionally, we




anticipate that a minimum of 90 high-volume air samples will be taken at




each smelter site, a total of approximately 540 (90 x 6) air samples for




the study.   One soil sample will be collected at each pre-schooler play




area, school playground, and 20-30 air sampling sites.




     3.   Pre-test




          Prior to the studies in the six sample communities, a pretest,




or pilot survey, will be conducted at Corpus Christi, Texas.  The methodology

-------
                                                                       19





will be identical to that planned for the survey sites except that a




smaller sample of persons will be selected to participate.  Approximately




two persons per age/sex cohort will be selected from each geographic




stratum resulting in a total of approximately 128 (2x8x8) individuals.




The survey design for air sampling will also be equivalent to that




planned for the main study sites except the period of time that is




"sampled will be reduced from 20 to 10 days—that is, approximately 45




high-volume air samples will be collected during the pretest.




     Each study site (community) will be visited prior to the survey in




order to ascertain the appropriate delineation of target (high-risk)




population and to develop sampling materials.  The actual sampling plan




will be developed individually to suit the particular circumstances of




the community, such as, availability of mapping materials, prevailing




atmospheric patterns, geographic topography, type and location of the




smelter and other major emission sources, and population densities.




Tentatively, we expect to obtain a balanced sample of five individuals




in each cohort from each cohort from each of approximately eight distance




strata (40 persons in each age/sex cohort being studied).   These strata




will generally increase in size (land area) as the distance from the




stack emission increases, in order to optimize the sample design according




to the usual pattern of particulate fallout.




     Although the actual number of high-volume air samples will ultimately




depend upon the site circumstances, the number of air samples per stratum




will range from approximately, 2 obtained on each of 3 days to 3 obtained




on each of 7 days; the number of observations will incease as the distance




from the stack increases.  The number of electric hookups needed to




accommodate the air samplers at each of the study sites is expected to

-------
                                                                     20





range from 8 to 18 depending upon the number of strata used for sampling




at the particular site.




     4.   Target Population




          The target population consists of the relatively high-risk




human population that resides "downwind" of lead, zinc, and copper




smelters in selected U.S. smelter communities.  Specifically, American




Smelting and Refining Company (zinc), Corpus Christi, Texas, will be




used as a pilot test and the six study smelters consist of :




     (1)  St. John Mineral Corporation (lead), Herculaneum, Missouri;




     (2)  Missouri Lead Operating Company, Bixby, Missouri;




     (3)  Anaconda Company (copper), Anaconda, Montana;




     (4)  Phelps Dodge Corporation (copper), Ajo, Arizona;




     (5)  National Zinc Company, Bartlesville, Oklahoma; and




     (6)  New Jersey Zinc Company, Palmerton, Pennsylvania.




     The sites are characterized in table 1 according to population,




migration, and age characteristics.  Other neighboring communities, some




of which are listed in this table, may also be included in the target




populations.




     Delineation of the target population will be based largely on




prevailing wind patterns.  Wind roses have been developed and are presented




in the work plan for all study sites.  Also, wind data for the pretest




site were obtained from the National Climatic Center of the U.S. Department




of Commerce and the resulting wind rose is depicted in figure 1.  These




diagrams depict the relative frequency of wind by velocity and direction.




At Corpus Christi, for example, winds from the south-east, south, and




east prevail 63 percent of the' time—largely at 7 to 16 miles per hour.




The target population for Corpus Christi,  therefore, would  ideally

-------
             Table B-l Selected population characteristics of survey sites.*
_ Smelter
State
town
Arizona . Ajo

Missouri Bixby



Herculaneum




Montana Anaconda


Oklahoma Bartlesville


Pennsylvania Palmerton
Texas Corpus Christi
(pretest site)
Neighboring
towns

Rowood

Bass
Buick
Viburnum

Fes t us
Crystal City
Horine
Povely

Gregson
Warmsprings

Dewey
Tuxedo Park



„ ., . Net migration
Population i , iqrn '
. since ±yt>u,
number , c
percent 1-5
5,881 -16.6 12
-
<1,000
-
—
520
1,885
7,530
3,898
-
517
9,771 -18.9 10
-
—
29,683 6.4 10
3,958
*
5,620 -5.4 9
204,525 22.0 11

^ge groups, percent
6-17 20-35 60+
25 19 14










22 18 19


20 20 17


17 20 22
26 19 12

*Based on the 1970 Census of Population.

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                           :Figure B-l
                                                                         22
CORPUS CHRISTI, TEXAS
0.00
                                                           10.8
                                                               17.8
0.05      0.10    j 0.15 :-   <  0.20

  Per-cent Occurence i   i   '   .
                                                17.0
         1-3    4-6    7-10 L	
                             11-16  17-21 Over 21
   Based on data obtained from National Climatic Center, U.S. Department
   of Commerce.                        "

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                                                                      23
comprise all persons  (with exceptions noted below) residing in a fan-




shaped area to the northwest af the smelter.




     The population in these communities is additionally restricted to




the relatively young  (preschool, school age, and age 20 to 35), and to




the relatively old (age 60 and older) that have not had occupational




exposure at the community smelter.  The exact delineation of this population




will differ by site depending on local circumstances such as those




alluded to in the previous section.  Presurvey site visits are being




anticipated for the purpose of gaining the pertinent local information




needed to construct a sample frame.




     Several aspects of the study present somewhat unique sampling




problems. For example, most smelter communities are relatively small




(population 1,000 to 5,000) and show net outmigration during the past




decade.  In this stereotype community, relatively few of the older male




residents will not have had occupational exposure, and relatively few of




the 20 to 35 age group will remain in the community.  The minimum size




for each stratum will be imposed by the expected number in the population




of the most scarce cohort, usually the preschool group.  Again, the




stratification will differ by site.  We anticipate, depending on the




community, that virtually all of the families residing near the stack




will need to be screened in order to obtain adequate information about




uptake of some of the cohort groups in that area.  Residential exposure




of the population near the smelter stack is highly variable and, hence,




a larger sampling rate there than in more distant neighborhoods, the




efficiency of the sample and, additionally, will yield approximately




equal precision for each stratum estimate.




     It is noteworthy that from 5 to 8 kilometers downwind of the smelter




is generally considered to be beyond the range of atmospheric transport

-------
                                                                    24


and, therefore, will serve to some extent as a control group with minimal

exposure; More accurately, however, the mobility of individuals in the

area can be expected to result in some exposure for most individuals

living in the community, thus precluding selection of a true control

group from a smelter community.

     5.   The Sampling Frame

          For the planned survey, one must assume that a complete list

of the target population at each study site will not be available and

will be costly to develop.  Therefore, an area sampling frame will be

developed. Such a frame will result in a probability sample; that is,

all persons in a yet unspecified target population will have a known,

nonzero probability of being selected for the study.  The method and

materials used to obtain a stratified area sample will vary by site.  As

shown in table 1, the sites to be studies are generally characterized by

such small populations that Census of Population data are not sufficiently

detailed to use as a sampling frame. Corpus Christi, the one exception

to this characterization, is a tracted area for which the Census material

constitutes a suitable base for constructing an area frame.  The following

tasks,  completed and planned, are needed to construct a sampling frame

for Corpus Christi:

     (1)  The -pertinent Census materials have been obtained by RTI and
          include 16 sheets of enumeration district/block maps and block
          statistics (on magnetic tape);

     (2)  County highway maps showing roads and other boundaries useful
          for constructing area segments outside the urban area and also
          showing locations of dwelling units outside the urban area have
          been ordered from the state highway department for Pima
          county which contains all the area within approximately 25
          kilometers of Corpus Christi;

     (3)  Pertinent stratification information from local sources, such
          as, health departments and weather services will be sought at the
          site;

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                                                                     25

      (4)  Target area and strata boundaries will then be delineated;

      (5)  For each stratum, enumeration districts (EDs) will be selected
          with probability proportional to their 1970 population, and a
          sufficient number of sample segments (a sample segment will com-
          prise a cluster of from 6 to 14 households).

     The process of developing the sampling frame for less populated

areas encompasses the same tasks except that aerial photography and

street maps will be used to delineate the primary sampling units (PSUs).

To facilitate the selection of sample segments, the sample PSUs will be

cruised and subsegmented and households will be listed according to

methodology developed at RTI.  The date and scale of available aerial

photography for all study sites was obtained from the National Cartographic

Information Center.  For Ajo and Rowood, Arizona, for example, 1961

photography at 1:23,000 scale is available.  Prints with a scale of

approximately 1:7,670 were ordered for the Ajo area.  The culture at

this scale should be sufficiently detailed for constructing a sampling

frame of dwellings.

     6.   Sample Selection

          Recall that the downwind population in each "distance stratum"

will be partitioned into small segments such as city blocks.  To obtain

randomized samples from an adequate representation over a wide range of

distances from smelters for 6 to 8 cohort groups, instructions to data

collection field staff will necessarily contain the following informaton:

          A list of segments to be surveyed and the order of visiting
          these segments;

     -    Maps showing segment locations and specific boundaries;

     -    A form on which a tally will be maintained for each cohort
          group for each stratum;

          A form for recording a count of all eligible persons in those
          segments visited, which of them were asked to participate, and
          which did participate.

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                                                                     26

     The field enumerator will continue to visit segments and households

in the predesigned order in each stratum until either the cohort samples

(5 in each cohort group) are filled or until all households in the

stratum have been either contacted or verified as not containing any of

the eligible individuals still needed.  Except for eligible individuals

that do not cooperate, this technique will result in a probability

sample of the target populations that will facilitate valid inferences

and analyses of the data.  The use of cash incentives is expected to

hold the nonresponse and hence the departure from a probability sample

to a minimum level.

     The placement of the air-sample locations will coincide with the

first segments selected in each stratum for the sample of individuals.

Also, for each air-sample location, a list of days during which the 24-

hour samples are to be obtained will be provided to the field enumerators.

This list of days comprises a probability sample of time periods throughout

the survey period.  From 4 to 6 air-samplers will be operating virtually

throughout the survey period, and the requisite number of electric hook-

ups is expected to range from 8 to 18 for each smelter site depending on

the number of strata.  Constraints on the allocation require that no

more than 2 strata are designated for monitoring on a particular day,

and that no stratum will be assigned more than 3 monitors on any single

day.  The procedure is as follows:

     (1)  Randomly select 3 days from the first 19 days of the survey
          period without replacement and assign these to stratum 1—two
          locations proximate to the first two segments (household
          sampling units) will be monitored on each of these 3 days;

     (2)  Repeat the procedure for the remaining strata except that
          days already assigned twice are ineligible, and the number of
          days to be assigned to each stratum increases for strata that
          are more distant from the smelter.

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                                                                    27






     Composite samples of surface soil are to be collected in play areas




of all study children.  Approximately 80 (or less to the extent that




some families may have more than one child in the study) of these soil




samples will be obtained from residential play areas for each smelter




site, and one composite sample will be taken from each school yard where




study children attend.




     Variation in the soil content of study elements throughout the play




areas, both for different locations and timesj is expected to be small




relative to variation in the air samples.  For this reason, and because




random sampling appears impractical, a selective composite sample will




be relied upon to measure element exposure from soil in the play area.




The enumerators will first establish the boundaries of the most commonly




used play area and will then select from 3 to 5 surface soil samples




from scattered points in the play area.  These samples, which will be




obtained concurrently with the interview, will comprise the composite




sample for that play area.




     A sample of tap water will be obtained during the interview at the




residence of each study participant.  The tap water sample will be




obtained from the kitchen tap or other source commonly used for drinking




and cooking (a single pass after the water has been allowed to run for a




few seconds). Random sampling at different locations and times was not




proposed for this measure of exposure, because it should be relatively




homogeneous within a household, and because what little improvement in




data that might result from a suitable randomization of this measure




does not appear to justify the accompanying increase in respondent and




interviewer burden.

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                                                                     28






     7-   Sample Size and Quality Control




          To the extent possible, the sample data will be stored in the




lab and analyzed in random groups rather than in batch groups as they




are sent in from the field in order that analysis error can be identified




as error rather than as factor effect.  Also, the forms used for tallying




eligibles in the sample segments will identify 10 percent of the eligibles




as quality-control individuals.  Two samples of blood and hair will be




obtained for each of these individuals and two samples of tap water and




dust will be taken at their dwelling.  Also, two soil samples will be




taken for 10 percent of the sample preschool children that are designated




for quality control.  The purpose of these quality control observations




is to measure the possible influence of sample acquisition, packaging,




shipping, and lab analysis. Additionally, 10 percent of the sample




individuals will be reinterviewed at a later date to verify the information




obtained on the survey questionnaire; the identity of these persons will




be unknown to the initial interviewer.




     The desired sample allocation of the 1,680 sample persons is described




in table 2, although, as noted earlier, the actual stratum sizes may




differ among smelter sites.  Based on what prior studies have shown,




this sample size should result in a reasonable capability (Type I and




Type II error both at 0.05) for detecting a lead difference, for example,




of 5yg/100 ml blood; 40 is generally accepted to constitute the point




above which health problems are likely to result).




     The high-volume air samples are needed to estimate exposure levels




at varying distances from the emission source, at varying distances from




the transit line of the downwind pattern (corresponds to primary wind




direction), and at varying wind velocity and direction.  Several 24-hour

-------
                                                                          29
         'Table B-2 -Tentative sample allocation for individuals*
                            at the study sites .
Number of
Geographic
Site
Lead (1)
Lead (2)
Zinc (1)
Zinc (2)
Copper (1)
Copper (2)
Preschool
Male Female
5
5
5
5
5
5
5
5
5
5
5
5
Individuals by Cohort Group in Each Stratum
School Age
Male Female
5
5
5
5
5
5
5
5
5
5
5
5
20-35 Years
Male Female
5
5
5
5
5
5
5
5
5
• 5
5
5
60 Yrs
Male
5
0
5
0
5
0
& Older
Female
5
0
5
0
5
0
     *Assuming, tentatively, eight strata as depicted in figure 1.1:  0.0 - 0.29 km,
0.3 - 0.69 km, 0.7 - 1.09 km, 1.1 - 1.59 km, 1.6 - 2.19 km,  2.2 - 2.99 km,
3.0 - 4.99 km, and 5.0 - 7.99 km.

-------
                                                                    30





readings are needed in each stratum in order to measure the variation




over time as well as the need to measure the influence on exposure of




different wind velocities and directions.  The approximate sample size




and allocation, which is presented in table 3, will be adapted to suit




the individual site circumstances.  The per-site sample size totals 87




location-days.  This size sample is expected to produce a coefficient




variation for element content of atmosphere of 0.20 or less at the




stratum level.




     8.   Coordination of Related Studies




          Recall that meetings were held with CDC to investigate the




feasibility of coordinating CDC and RTI efforts in Ajo, Arizona and




Anaconda, Montana. It was concluded at these meetings that many of the




same families would be contacted for both studies and that many of the




same children would be asked to participate in both studies.  Also, the




participant information requested and even selected types of biological




samples will be common to both studies. It was concluded, therefore,




that the purpose and scope of each study must be carefully explained"to




all individuals that might be participants in both studies.   It was also




agreed that the sample selection and data collection would be coordinated




to reduce the combined cost of conducting the surveys and to facilitate




combined analyses of data from the two studies.  It is noteworthy that




some information and tests will still be duplicated but that such duplication




can be useful as a quality check of data collection and analysis. The




protocol for this coordination effort is presently being developed.  The




CDC survey in Ajo is expected to be conducted first, using questionnaires




and methodology that will be compatible to the RTI survey.  In Anaconda,

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                                                                     31






        Table B-3 -Tentative sample allocation for air samples*.
Type of Observation
Locations (A)
Days (B)
24-hour samples (A x B)
Ratio, days/locations

Sl
2
3
6
1.5
Number
S2
2
3
6
1.5
of Observations,
S3
2
4
8
2.0
S4
2
4
8
2.0
S5
2
5
10
2.5
S . , in Each
S6
2
5
10
2.5
S7
3
6
18
2.0
Stratum
S8
3
7
21
2.3

Total
18
-
87
-
*Based on data presented in appendix 1.2 of.the work plan.

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                                                                     32






it is expected that the CDC and RTI studies will be based on a single,




dual-purpose survey, which will obtain the information and samples




requisite to both studies.

-------
                                                                     33
     C.   Chemical Analysis




          1.   Water




     The drinking water and lab tap  water at Dreyfus Labs., RTI, was




analyzed for the metals of interest, except arsenic.  Samples were spiked




with cone. HNCL to give a final acid content of 0.5% in the sample.  In




every case, the quality of the tap water in the laboratory was better




than that from a refrigerated water fountain.  The analytical results




are shown in Table C-l.




          2.   Urine




     A urine sample was analyzed for the metals of interest, except




arsenic.  Samples were diluted 1:1 with dilute HNO, (except for Zn in




which case  a 50:1 dilution was necessary) and analyzed directly.  Con-




centration values were obtained by the method of standard additions




(except for Cd).  These data are included in Tables C-2.




          3.   Hair




     Sample preparation and analytical conditions have been established




for the analysis of all'the elements of interest, except arsenic.




     Development of these procedures were carried out on male and female




hair samples collected at a local barbershop and beauty salon.  A summary




of these hair washing and metal analysis results is given in Table C-3.




The optimum washing, digestion and instrumental conditions are detailed




below.




     Wash Procedure




     Hair samples should be cut into 3-5 mm lengths by use of a paper




cutter or stainless steel scissors.  The hair is then rinsed in 1:1




ether/methanol solution, using about 25 ml solution for a 500 mg hair




sample.  The organic solvents are then drawn off through a Buchner funnel.

-------
                                                               34
                       Table C-l




Analysis of a Lab Tap Water and a Drinking Water Sample




                              Concentration




     Element          Tap water          Drinking water




       Cd                ND                 .92 yg/1




       Cu                ND              203    yg/1




       Mn               3.44 yg/1          5.2-yg/1




       Pb                ND                1.6 yg/1




       Zn             626 yg/1             1.4 mg/1




       ND - Not detected

-------
                                                              35
       ~,
                      Table C-2

             Analysis of a Urine Sample

           = 2087 ml (from creatinine analysis)
                                              Est. weight
                                              excreted over
Element      Dilution      Concentration         24 hrs
Zn
Pb
Mn
Cu
Cd
1:50
1:1
1:1
1:1
1:1
4.3 yg/ml
24.0 ng/ml
40.8 ng/ml
21.6 ng/ml
4.6 ng/ml
9.0 mg
50.0 yg
85.1 yg
45.1 yg
9.6 yg

-------
                                                                          36
                                 Table C-3




            Effect of Washing Procedure on Metal Content of Hair

Sample
female



female



female



male



male



male



Wash Wash
Soln. No.
deionized
water 1
2
3
10% Snoop
1
2
3
10% Prell
1
2
3
deionized -
water 1
2
3
10% Snoop
1
2
3
10% Prell
1
2
3
ppm Zri
167
164
164
157
167
159
163
160
167
150
132
128
151
148
137
132
151
140
141
142
151
138
141
138
ppm Cu
32.5
26.4
26.7
29.6
32.5
29.0
26.2
28.1
32.5
24.9
23.4
27.5
26.0
28.1
29.5
28.1
26.0
28.9
28.1
31.5
26.0
28.0
24.5
29.3
ppm Cd
12.1
1.25
1.13
1.08
12.1
1.85
1.49
0.98
12.1
1.27
2.08
1.92
1.83
1.57
1.34
1.08
1.83
1.81
1.51
1.60
1.83
1.44
1.29
1.37
ppm Pb
12.9
10.6
11.3
11.2
12.9
10.9
10.2
10.8
12.9
8.9
8.5
8.9
148*
134*
125*
124*
148*
125*
75*
117*
148*
114*
84*
113*
ppm Mn
1.38
1.36
1.02
1.17
1.38
1.65
1.07
1.09
1.38
0.96
0.57
0.43
1.49
1.02
0.99
1.10
1.49
1.28
1.08
1.08
1.49
0.88
0.67
1.30
Pb values are about 10X the normal range of  Pb  in hair, which  is  5-25  ppm.

-------
                                                                     37
The sample is washed by sonicating 30 min in 10% Prell solution.  After




washing, the sample is rinsed six times in about 100 ml deionized water,




followed by about 25 ml acetone.  The wash procedure is performed a




total of 2x.  The sample is then dried for 1 hr at 110°C.




     Digestion Procedure




     All glassware used for digesting and diluting samples should be




cleaned by standing overnight in 1.0% HNO, followed by rinsing with




deionized water.




     Approximately 250 mg washed hair are accurately weighed into 50 ml




beakers.  The sample is then heated at 103°-104°C for 3 hrs in 10 ml




50% HNO-.  At the end of the heating period, the volume is reduced to




0.5 ml by gently boiling off excess solvent.  The residue is transferred




to a 5 ml volumetric flask and diluted to the mark with deionized water.




The Zn analysis can then be performed at this concentration if the less




sensitive Zn wavelength is used.  The Cu, Cd, Mn and Pb analyses are




performed by diluting 1 ml of the 5 ml sample to 10 ml with 0.5% HNO~.




          4.   Creatinine in Urine




     A standard creatinine curve was generated using the 490 nm absorption




maximum of the Jaffe Reagent complex.  Linearity was noted for creatinine




concentrations from 0 to 2.5 mg % (see Figure C-l).  Although literature




accounts of the analysis stress the necessity of carrying out the analysis




15-20 mins after the addition of the Reagent, we found no change in the




absorption characteristics of the analytical solution two hours later.




     A urine sample (diluted 100 fold) was analyzed and showed a creatinine




content of 80 mg % or 0.8 mg/ml.




     Calculation of estimated 24 hr urinary output (V0/ ):

-------
                                                                     38
            WC
     v    _ 	c

     V24e ~ C
             u


        W = 72.6 kg (weight of individual)



       C  = 23 mg/kg (creatinine coeff. for male)



       C  =0.8 mg/ml (creatinine cone.)



     V07  - 2087 ml
      24e


     This creatinine value has been used to estimate weight of metals



excreted over 24 hrs (see Table C-2).



          5.   Curve Fitting of Calibration Data



     Although it is conventional to describe calibration data in linear



terms and to limit the analytically usable range within these bounds,



there appears to be no theoretical basis for this restriction.  A study



was initiated to test the premise that typical calibration data might be



better fit by either an exponential (y = a exp (bx) - k) or a^ quadratic


                  2
expression  (y = ax  + bx + c).



     In Figs. C-2 to 7 are shown plots of the least squares nonlinear



regression curves generated by a small computer plotting program.  Note



that recorder response (in millivolts) is given on the x-axis and y is



equated to weight of metal (in nanograms).  Examples of all six elements



are shown on these graphs.  In Fig. C-2, the clearly nonlinear Cd data



points are fitted equally well by the exponential and quadratic curves.



Copper calibration data (Fig. C-3) are nearly linear and are adequately



represented by both nonlinear equations.  Figure C-4 shows a set of poor



Pb data obtained with an unstable EDL light source; both expressions



yield similar curves.  Zn calibration data tends to be nonlinear.  This



phenomenon is shown in Figs. C-5 and 6.  A basic difference between the

-------
                                                                    39
two treatments is shown dramatically in Fig. C-5.  The parabola described


by the quadratic expression possesses a negative minima and a blank


signal twice that of the experimental value.  On the other hand, the


exponential treatment yielded an equation which was much more successful


in accommodating all of the calibration data - particularly near the


blank value.  Another Zn plot is shown in Fig. C-6.  These data are


handled equally well by both treatments.  The As (Fig. C-7) and the Mn


(Fig. C-8) plots show essentially linear characteristics and super-


imposable fits by both expressions.

                                                       2
                                    Closeness of Fit, r


                                                  y = a+bx (linear)


                                                        .983


                                                        .994  '


                                                        .920
Fig.
C-l
C-3
C-4
C-5
C-6
C-7
C-8
Element
Cd
Cu
Pb
Zn
Zn
As
Mn
y = a exp (bx)-k
.999
.995
.915
.990
.974
.998
.999
                                                        .996


                                                        .994



     The following conclusions can be drawn from this study:


     a)   In no case was the linear regression line superior to either


nonlinear curve.


     b)   One advantage of the nonlinear approach is their ability to


fit calibration data near the blank.  In the case of Zn, the exponential


equation is clearly superior to the quadratic expression.


     c)   There is an obvious advantage to using nonlinear expressions


for data outside the "linear range."  An upper weight limit appropriate


for each metal is being investigated.

-------
                                                                                                                    40

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-------
                                                                     48
          6.   Analytical Data Sheets

     A data sheet format has been developed for use in this project.

These forms will be filled out by the chemical analyst and will include

information ranging from sample code number and peak height to the final

result.  These forms and the instructions for their use is included in

Appendix C.

     D.   Quality Control

          1.   Calibration of Hi-Volume Samplers

     The quality assurance group at EPA, RTF, has calibrated our top

loading orifice calibrator, Sierra Instruments, against a standard

(RWOTS) Meter (positive displacement meter) (see Fig. D-l).  A Hi-Vol

sampler has been calibrated using one, two and three filters to simulate

resistance to air flow.  The results of this trial are shiwn in Figure
                                              •
D-2.

          2.   Precision Measurements - Urine and Hair

     As part of the development of the urine and hair procedures, standard

deviation and % RSD (i.e., coefficient of variation) values were calculated

for these matrices spiked with known amounts of the metals of interest.

These data are shown in Tables D-l to D-5.

          3.   Working Reference Materials-Air Particulates

     The quality assurance group at EPA, RTF has available glass fiber

filter strips (3/4" wide) containing known amounts of arsenic and lead.

These reference materials are available in 9 different concentration

levels.  They are submitted and analyzed blind.  Results are then for-

warded to EPA.  On request, similar materials will be made available for

the four other metals.  The preparation of these "standards" is being

considered by EPA.

-------
                                                                     49
     We have requested the presently available arsenic and lead standards




to validate our analytical methodology.  The evaluation will be done




directly with the Project Officer.  These materials will also form the




basis of our air particulate QC program.




          4.   Working Reference Materials-Tap Water




     The quality assurance branch of EPA, Cincinnati has quality control




water samples available to laboratories involved in monitoring water




quality.  Samples "certified" for trace metal content are available free




of charge.  They are prepared as concentrates and are supplied in three




different concentration ranges.  Wehave received a set of these QC




samples for method validation purposes.  These materials will become a




part of our routine QC program.




     E.   Sample Packaging and Shipment




     The following summary describes our proposed packaging and shipping




protocol.




     All samples will be chilled to 0°-5° (not frozen) after collection




and will be shipped in this condition via Federal Express.  It is also




proposed that samples on arrival at RTI be stored under refrigeration.




     High density polyethylene containers (120 ml) will be used for tap




water, urine and soil samples.  Polyseal caps will be used to provide




a leak-proof seal.  Shipment by Federal Express eliminates the possi-




bility of sample contamination and leakage due to pressure gradients in




transit.




     Ziploc plastic containers will be used for air and hair samples.




Dust samples will be enclosed in glassene envelopes.  Provisions will




be made to insure a tight seal to prevent sample loss and contamination.




The plastic bags will be shipped in a styrofoam-lined box.

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                                                                     50
     Plastic containers will be shipped in styrofoam blocks in which




depressions are cut to exactly hold each container.  Our experience with




such shippers has resulted in no container damage and a minimum of sample




temperature change during transit.




     Blood samples will be shipped to RTI in specially designed 8-tube




vacutainer shippers.  Blood samples will be chilled (not frozen).

-------
                                                              »= O. 00 AH
                13=0.77^
0.0HJIB0
Figure D-l   Calibration of Sierra Instrument Orifice, Model
                                                                        330

-------
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                                                                                         52
                             .__£.

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-------
                                                                      53
Element
— EDL (8.4)/D
   5mV 218 nm
   Gas Int. Auto
   Slit 4
— HC(8mA)/D
   2mV 229 nm
   Gas Int. Man.
   lOmV
   HC/D,
   lOmV
   Gas Int. Man.
— HC(8mA)/D2
   2mV 326 nm
   Gas Int. Auto

   5mV
Table
Urine Spiked


Blank
0.5 ng/25yl
1.0
2.5
Blank
0.1
0.2
0.5
Blank
0.1
0.2
0.5
1.0
2.0
3.0
Blank
1.0
2.0
3.0
5.0-
7.5
Blank
0.5
1.0
Blank
0.5
1.0
2.5
5.0
D-l
Standards
Mean
(mV)
0.39
0.773
1.335
3.115
0.438
0.036
0.518
1.323
0.38
0.075
0.425
1.130
3.23
5.667
5.943
0.41
0.715
1.630
2.54
3.56
4.59
0.24
0.185
0.912
0.28
0.265
0.813
2.127
4.197
Std. Dev.
 0.040
 0.032
 0.068
 0.173
 0.045
 0.018
 0.014
 0.027
 0.007
 0.007
 0.014
 0.094
 0.188
 0.147

 0.014
 0.126
 0.085
 0.071
 0.191
 0.605
 0.058
 0.014
 0.044

 0.035
 0.035
 0.031
 0.045
 0.371
R.S.D.
10.26
 4.15
 5.06
 5.55
10.36
48.8
 2.66
 2.02
                                                                     9.33
                                                                     1,
                                                                     1,
                                                                     2,
                                                                     3,
   65
   24
   91
   32
                                                                     2.47
 3.44
17.62
 5,
 2.
 5.
21
80
37
                                                                    13.20
24.16
 7.57
 4.85

12.36
13.21
 3.81
 2.12
 8.86

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                                                   54
           Table D-2




Hair Samples Spiked With Copper

Sample No
female 4




female 8




Cone, of
aqueous std.
(ng/25 ul)
blank (0.5% HN03>
2
4
6
8
blank (0.5% HN03)
2
4
6
8

SD
0.0057
0.0424
0.0282
0.0424
0.0353
0.0212
0.0353
0.0707
0.0212
0.0707

X
2.60
3.37
4.02
4.75
5.43
2.59
3.40
4.05
4.59
5.25

% RSD
0.22
1.3
0.70
0.89
0.65
0.82
1.0
1.7
0.46
1.3

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                                                     55
             Table D-3




Hair Samples Spiked With Manganese

Sample No.
female 2
(no corrector)




female 2
(corrector)



Cone, of
aqueous std.
(ng/25 nl)
blank (0.5% HN03)
0.1
0.2
0.3
0.4
0.5
blank (0.5% HN03)
O.l"
0.2
0.3
0.4

SD
0.0100
0.0208
0.0305
0.0288
0.0665
0.0057
0.0115
0.0458
0.0503
0.0200
0.0472

X
0.45
1.36
0.97
1.14
1.41
1.56
0.56
0.86
1.18
1.27
1.66

% RSD
2.2
1.5
3.1
2.5
4.7
0.37
2.1
5.3
4.3
1.6
2.8

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                                                  56
          Table D-4




Hair Samples Spiked With Lead

Sample No.
female 4





female 8





male 2




Cone, of
aqueous std.
(ng/125 pi)
blank (0.5% HN03)
2
4
6
8
10
blank (0.5% HNO.)
2
4
6
8
10
blank (0.5% HN03)
2
6
8
10

SD
0.0
0.0424
0.0282
0.0
0.0707
0.0212
0.0288
0.0707
0.0565
0.0
0.0212
0.0070
0.0353
0.0
0.0353
0.1414
0.0

X
1.65
2.45
3.19
3.80
4.35
4.70
1.57
2.36
3.02
3.70
4.20.
4.77
1.38
2.20
3.54
4.20
4.55

% RSD
-
1.7
0.88
-
1.6
0.45
1.8
3.0
1.9
-
0.50
0.15
2.6
-
1.0
3.4
_

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                                                  57
          Table D-5




Hair Samples Spiked With Zinc
Sample
No.
7




12





Cone, of
aqueous std.
(ng/25 yl)
blank (0.5% HN03)
50
100
150
250
blank (0.5% HNO,)
50
100
150
200
250
SD
0.0389
0.0035
0.0450
0.0353
0.353
0.0202
0.0141
0.0106
0.0141
0.0212
0.0212
X
0 . 706
0.923
1.043
1.225
1.500
0.828
1.045
1.173
i:330
1.465
1.735
%
RSD
5.5
0.4
4.3
2.9
23.5
2.4
1.3
0.9
1.1
1.4
1.2

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                                                                    58
     F.   Statistical Methods of Analysis

          1.   Confidentiality of Data Files

     In carrying out its statistical analyses, RTI will utilize machine-

readable data files maintained at the Triangle Universities Computation

Center (TUCC) located in the Research Triangle Park.  To maintain the

confidentiality of these data files, RTI will use an encrypting of data

procedure.

     The encrypting procedure involves the use of a routine which scrambles

data passed to the routine so that they are meaningless to anyone unless

they are decrypted.  The routine draws random numbers and adds a different

number to each character of the data.  The starter for the random number

generator, referred to as the key, is passed to the routine in the

calling sequence.  Thus with the same starter to the -random number
                              •
generator, the data can be decrypted when required for processing.  An

encrypting procedure has the advantage of not splitting the primary data

base and not having to depend on computer center personnel (non^RTI

personnel) to maintain the confidentiality of a link file.

     In addition to the encrypting procedure, TUCC has developed an

extensive security system which RTI programmers use to protect computer

account codes and data from other users.  This is accomplished through a

password protection system for account codes, data sets, and data storage

volumes.  These facilities are different from and replace the similar

features provided by IBM.  This system is described in TUCC publication

GI-066-0, TUCC Security Features [Ref. 4.1].  Copies of this publication

are available on request.

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                                                                    59
          2.    Data Analysis


     RTI will use the TUCC IBM 370/165 computer facility for its data


analysis.  The data will be stored on 9-track tapes written at 1000 bpi


with an OS standard label.


     In its analysis, RTI will examine the following relationships:


     (a)  the relationship between environmental levels of the trace


          metals of interest (i.e., levels of metals in air, water, soil


          and dust samples), the distance from the smelter, wind speed,


          and wind direction; and


     (b)  the relationship between tissue levels of the trace metals


          (i.e., levels in hair, blood and urine), environmental levels,


          and sociodemographic variables (e.g., age, sex).


     As is now envisioned, the principal statistical techniques that will


be used to examine these relationships are the analysis of variance,


multiple regression and stepwise regression.  In addition,  it may also


be worthwhile to examine some multivariate techniques (i.e., techniques


which consider the above relationships for more than one trace metal at


a time).


               a)   Analysis  of  Environmental Levels


     In particular, for the relationships in (a) above, the following type of


model will be analyzed for each trace metal being studied:


     Y.jk(M) = u + D. + S. + Wk + e..k                           (1)



where
     Y.-t(M) = concentration of metal M in either air, water, soil, or dust


               samples for the i   distance, j   wind speed,
                    J.-T
               and k   wind direction,


           u = mean metal M level,

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                                                                     60






          D. = i   distance effect
           i


          S. = j   wind speed effect,



          W,  = k   wind direction effect, and



        e. .,  = random error.
         1JK



     In the above model, the independent variables (distance from smelter,




wind speed, wind direction) have been categorized and indexed by i, j,



and k, respectively.  This'allows for a general type of relationship



between the levels of the metals and the independent variables rather



than imposing a functional relationship as does regression.  With this



model, one may use the technique of analysis of variance to test for the



effects of different distances from the smelter, differences in wind



speed, and also differences in wind direction.  These correspond to



tests of equality of the D., the S., and the W, , respectively.
                          1       J           *


     As required by the subject Request for Proposal (RFP), the analyses of



the environmental levels, whether they be air, water, dust, or soil,



will be done separately for each site.  If differences between sites ase



also of interest, this may be investigated by including a site variable,



L, , in model (1) to produce





     Yhijk(M) ' U + Lh + Di + Sj + Wk + ehijk .                  (2)



Site differences may then be tested by testing the equality of the L,



and the differences may be exhibited by displaying the adjusted site



means from model (2).




               b)    Analysis of  Tissue Levels



     For the relationships in (b) above, the analysis will again be done by




site and in this case will also be done by broad age categories, since



soil samples are taken only for school and preschool children.  In

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                                                                    61
particular, the following type of model will be analyzed for each  trace



metal:



     Y   (M) - u + A  + S  + B X   + B X
      -LJK           1    J    J. J.K    £ £K








where



         Y.-k(M) = concentration of metal M in either blood, hair or


                   urine samples for the k   individual in the i   age

                            , .th
                   group and 3   sex group;
              A
               u = mean metal M level;



               .. = age effect for the i   age group;



              S. = sex effect for the j   sex group;



       B,,...,B_ = regression coefficients to be estimated;



     X,,,...,X_, = corresponding concentration of metal M in the air,


                   water, soil, and dust samples, respectively,


                   for the k   individual; and



            e. ., = random error.
             ijk


The above model will permit the examination of the effect of age and sex



as well as environmental levels on metal M tissue levels.  A similar



model may also be used to examine the effects of distance and wind



direction on metal M tissue levels.  In model (3), testing for age and



sex effects corresponds to testing the equality of the A. and S. while



testing for the relationship between tissue levels and environmental



levels corresponds to testing the nullness of B-.,...,B,..  When the



parameters in model (3) have been estimated, the resulting fitted equation



may serve as a predictive model for the reference population.



     In order to help determine the form of model (3) for the various*



metals, it may be worthwhile to employ the technique of stepwise regression.

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                                                                    62






This technique can be used to give insight into the relative strengths




of the various demographic, environmental and meteorological variables




in predicting tissue levels in humans.  In essence, this technique selects




those variables (in a stepwise manner) which best predict the dependent




variable of interest (i.e., tissue levels).




     In addition to using the various statistical models given above,




other techniques which will be employed to examine the relationships of




interest include:  computing correlations between pairs of variables;




examining scatter plots of tissue levels versus the demographic,  environ-




mental, and meteorological variables; and computing means of the demo-




graphic, environmental, and meteorological variables for various cate-




gories of tissue levels and then plotting these means.

-------
                                                                       63
                              REFERENCES
4.1.      Triangle Universities Computation Center (TUCC), Memorandum:
          TUCC Security Features (General Information Series Document
          No. GI-066-1).  Research Triangle Park, North Carolina:  TUCC,
          February 1976.

4.2.      Sarhan and Greenberg, Contributions to Order Statistics.  New
          York:  John Wiley & Sons, Inc., 1962.

4.3.      Cochran, W. G. and G. M.  Cox, Experimental Designs.  New York:
          John Wiley & Sons, Inc.,  1962.

4.4.      Service, J., A User's Guide to the Statistical Analysis System
          (SAS).  Raleigh:  North Carolina State University, 1972.

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                                                                          64
III.   POTENTIAL PROBLEM AREAS




      A.    Field Operations




           1.    Anaconda




      In the course of various conversations with EPA Project Officer Galke and




 Dr.  Carl Hayes of EPA, and at the aforementioned meeting at EPA on December 20,




 RTI learned that there may be some problems with the RTI/CDC joint effort at




 Anaconda in that the State of Montana may proceed with their study very early




 in 1977, in which case RTI may have some involvement with public relations




 at the site,  similar to that in Ajo.   EPA is investigating the possibility




 of delaying the State study to coincide with an RTI/CDC effort.  There is a




 possibility of a meeting in early January to discuss this matter involving




 representatives of EPA/RTP, RTI, CDC, and the State of Montana.




           2.    Project Schedule




      The RTI field operations schedule as presented in the detailed Work Plan




 calls for RTI to develop the training manual during February; conduct a




 training session for central project  staff at RTI the first week of February;




 conduct a training session at the Pretest site March 5-6; and begin data




 collection at the Pretest site on March 7.  This schedule assumes appropriate




 approvals of the protocol and data collection instruments by EPA and the




 Office of Management and Budget (OMB) in time to implement this schedule.   At




 the meeting at EPA on December 20, EPA Project Officer Galke and Dr. Hayes of




 EPA indicated that the detailed Work  Plan would be distributed for review




 shortly after it was delivered; that  they hope to have comments back from




 appropriate persons by the end of January; that the EPA review committee would




 meet at the end of February; and that in the meantime it was hoped that pre-




 liminary Pretest approval could be obtained from OMB.

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                                                                     65
     B.   Chemical Analysis




          1.   FEP Analysis




     Our development work on the FEP assay has not produced a satisfactory




analytical method.  Both the Granick-Sassa and the Piomelli procedures




have given unsatisfactory FEP response.  This problem was discussed with




Mr. Tom Porro, Analytical Applications Department at Perkin-Elmer




Corp., Norwalk, Conn.  He strongly emphasized the necessity of using a




red sensitive photomultiplier tube.  Work done to date has been carried




out with a standard R-106 tube.  On Mr. Porro's recommendation the re-




cently developed R-777 photomultiplier tube has been ordered and will




replace the currently used PMT.




     In view of this difficulty, the December CDC quality control samples




for blood protoporphyrin were not analyzed.




          2.   Blood Clotting




     This phenomenon will not only make FEP analysis impossible but will




require the use of more time consuming trace metal workup conditions.




Clotting is clearly undesirable and must be prevented.  Implementation




of adequate anticoagulant treatment is absolutely essential.




          3.   Conversion of Organometallics Into An Assayable Form




     Certain organometallics may escape detection by AA analysis.  This




potential analytical problem is of particular concern with arsenic.  A




thorough recovery study of organo-arsenites (arsenates) will be conducted




and if required, appropriate sample preparation methods developed for




total metal assay.

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                                                                     66
     It is also possible that other forms of the metals of interest will




resist degradation to assayable forms.  More severe workup conditions




will be investigated on real samples to determine the magnitude of this




phenomenon.




          4.   Air Particulate Collection - Power Drops




     An unknown factor in the placement of power drops for the Hi-vol




air samplers is the time lag between the request for such drops and




their installation.  Undue delay will result in air sampling operations




continuing after all other smelter site activities are concluded.  To




avoid this potential difficulty, air sampling strata will be identified




and requests for drops will be made at the earliest possible time.

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                                                                    67
     C.   Statistical Methods of Analysis




          1.   Missing Observations




     Because of the nature of the data being collected for the present




study, there undoubtedly will be a large number of missing observations.




These missing observations may consist of all or only selected observations




from a sample individual (e.g., the individual refuses to give any data




at all or he gives all the data desired except a urine sample).   In




order to carry out the analyses described in section 4.2, it will be




necessary to determine how these missing observations are to be  handled,




keeping in mind that the easiest solution of only analyzing individuals




with complete observations is probably unsatisfactory because too many




individuals with partial observations would have to be discarded.




     The specific techniques to be used for handling missing observations




will be determined during the analysis, and will depend upon several




considerations.  Some of the pertinent considerations include the



following:





          The reason for the missing observation,




          The type of measurement (e.g.,  tissue level)  for  which the




          observation is missing,




          The type of analysis or estimate for which the missing obser-




          vation is needed,




          The number of missing observations for that measurement,




          The minimum measurable level if the observation is missing




          because it is less than that level, and




          The information available from that and other individuals that




          may facilitate the estimation of the missing observation.

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                                                                     68





 The methodology  decided upon will be made available for Project Officer



 review and will  be fully documented in the final report.  The following



 methodologies will be among those considered.



     If relatively few observations are approximately "randomly" missing



 for a  particular measurement, cohort means will probably be substituted



 for the value and the degrees of freedom will be appropriately modified.



     If relatively few observations are missing because they are below a


                                                            Xi
 measurable minimum, the range midpoint of this observation, —=-, may be



 substituted for  the missing value, particularly if the range is small



 (i.e.,  if  [0,x!] is small where x! is the smallest measurable value for



 X.)-   However, if the number or range of unmeasurable observations is



 large,  a more refined technique may be used.  Under this condition,



 methodology for  the estimation of distributional location and scale



 parameters under the situation of singly censored samples, would be



 appropriate for  the initial analysis.  In Sarhan and Greenberg [Ref. 4.2],



 order  statistics are used to obtain unbiased best linear estimates of



 location and scale parameters from samples of size  20  or smaller  and



 unbiased "nearly best" linear estimates from larger samples in which



 single censoring occurs.   Once the distributional parameters are  estimated,



 it will then be possible to substitute values for the  unmeasurable



 observations based upon the estimated distribution.



     In running  the regression analyses described in section 4.2,  one



may encounter either missing dependent (Y) or missing  independent (X)



variables.   To handle this problem,  one might use a model in which an



 indicator variable reflects the missing independent variables and "two-



 stage" estimation models [Ref. 4.3]  are used to predict missing dependent



variables.   The  two-stage method is used in SAS [Ref.  4.4], one of the

-------
                                                                     69
 software systems utilized by RTI.  The method uses a least squares

 solution to obtain parameter estimates from the available observations,

 and then uses estimates of missing values from this preliminary model in

 place of the missing values—the analysis can then be conducted as if

 the data were complete except for changes in degrees of freedom.  However,

 if information is known about the range of the dependent variable, i.e.,

 that 0 <_ y. .  <_ y! where y! is the minimum detectable level for Y., then

 the two-stage estimation alone would ignore this useful bit of informa-

 tion.  Therefore, the two-stage estimation (estimating missing data on

 the basis of complete observation vectors) would be used to set values

 when they fall below the minimum measurable level,  but only if these

 estimated values were within the known range [0,y!].  Thus, the following

 inputed value would be used for a missing y^.:

                 r. ., if 0 2 y   < v1
                 1J           i j    i
        7*  =
                0,  if y± < 0

                y!  otherwise
where
     y*. is the imputed value for the missing y. . value,
     s\
     y^  is the first-stage estimate of the missing y.., and

     y! is the minimum detectable level of Y..

     The indicator variable model suggested above for accommodating

missing X variables in regression analysis might be of the following

type :
where

-------
                                                                70
y.  is an observed dependent variable for individual j,




I.  is an indicator variable (0,1) according to whether  the X obser-




   vation is present or missing because it is below measurability,




g,  are parameters to be estimated, and




e.  is a stochastic error term.

-------
                                                                        71
IV.  DESCRIPTION OF FUTURE WORK




    A.    Field Operations




    During January, RTI hopes to accomplish the following tasks:




         1.    Finalize the Chemical Analysis Report  Form;




         2.    Initiate public relations with the smelter  industry;




         3.    Initiate public relations with regard  to  the Pretest  site,




              including a possible visit to Texas;




         4.    Investigate the availability of interviewers in  the Corpus




              Christi area; and




         5.    Continue communications with CDC regarding Ajo and Anaconda,




              including possible trips to Atlanta and Anaconda.

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                                                                    72
     B.   Chemical Analysis




          1.   A series of experiments will be performed to determine the




extent of metal losses during digestion of hair samples.




          2.   A series of experiments will be carried out to determine




the stability (retention of titer) of dilute aqueous standards, hair di-




gests and diluted urine samples on storage at room temperature and in




the refrigerator.




          3.   Establish instrumental conditions for blood analysis.




          4.   Establish workup and instrumental conditions for dust




samples.




          5.   A series of experiments will be performed to determine




the extent of metal losses during soil, dust, and air particulate diges't




conditions.




          6.   Spike glass fiber filter strips with known amounts of




metals of interest and determine workup recoveries.




          7.   Determine atomic absorption response to solutions of




cacodylic acid (dimethylarsinic acid) and establish the means for its




optimization.




     C.   Quality Control




     The following external quality control samples will be analyzed:




               a)   Water samples for all six elements - EPA/Cincinnati,




               b)   Blood samples for Pb - CDC/Atlanta,




               c)   Glass fiber filter samples for Pb and As - EPA/RTP.

-------
           APPENDIX A









  Southwest Research Institute




Instructions for Feces Collection

-------
SOUTHWEST RESEARCH  INSTITUTE
8500 CULEBRA ROAD  •  POST OFFICE DRAWER 28510  •  SAN ANTONIO. TEXAS 78284
                                           Division of Chemistry and
                                           Chemical Engineering

                                           October 29,  1976
 Dr. Warren Galke
 Mail Drop 54
 Population Studies Center
 NERC, EPA
 Research Triangle Park,  N.C. Z7711
 Dear Dr. Galke
        Enclosed please find a drawing of the portable toilet seats that
 have been used on projects requiring a feces collection.  These seats
 were used by the participants of the study concerning John E. Egan
 Wastewater Plant in Schaumburg,  Illinois.

        An instruction sheet for the proper collection of the feces  sample
 was given to each participant.  A copy of these instructions is attached.
 The bags provided were attached to the seat and the sample was
 collected.  All excess air was squeezed  from the bag and sealed with a
 twist-tie.  The participants were cautioned against contaminating the
 outside of the collection with feces.

        The use of the toilet is fairly  straightforward and the only
 assembly required is the attachment of the seat to the folding legs.
 Quick connect plastic catches are provided for this purpose on the
 bottom on this seat.

        Two precautions were pointed out to the users of the toilets.
 Even though the legs had rubber feet, it  was  suggested that carpeted
 floor would prevent the assembled toilet from sliding.  Secondly,
 although the seat can support up to 200 Ibs.,  anyone of lesser weight
 could break the plastic catches holding the legs if the person  sat down
 heavily upon the seat.  It was suggested  that  the participant carefully
 sit down on the seat.
       SAN ANTONIO. HOUSTON. CORPUS CHRISTI. BLOOMFIELD. AND WASHINGTON.
                                                                         D.C

-------
Dr. Warren Galke                           :  October 29, 1976
NERC,  EPA                                  Page 2
Research Triangle Park,  N.C.
       These portable camping seats can be purchased at a number of
sporting good stores or department stores  with camping or  sporting
good departments.

       If this letter does not meet your requirements, or if you have
further questions, please don't hesitate to call.
                                      Very truly yours,

                                             V-
                                      John M. Hosenfeld
                                      Research Chemist
                                      Department of Environmental Sciences
JMH:pb
Encl.

-------

^'^^^

-------
  SOUTHWEST  RESEARCH   INSTITUTE
  8500 CULE8RA ROAD " •  POST OFFICE DRAWER 28510  •  SAN ANTONIO, TEXAS 78281
                        INSTRUCTION SHEET
        The success of this research project depends on your complete
 cooperation.  Only through the assistance of volunteers,  such as you, can
 we obtain information on environmental pollutants.  Your samples will
 also provide a free check on your current health status.  Incomplete
 sampling of feces and sputum will produce incomplete information, so
 please follow these instructions.

 Feces Collection
        1.   You will be given a collection container for feces that has
 been cleaned in a special manner.  Your feces will be the only contents
 placed in this container.

        2.   The portable  toilet bag assembly has been provided for your
 convenience in feces collection.  Open the sample bag and place it on the
 portable seat as  shown in the instructions included with the kit.  Beginning
 in the evening (approximately  5 PM) you will begin collecting all of your
 feces in the container provided.  Please collect all of your  feces until
 approximately 8  AM the  next morning, the day of your blood test.  If
 possible, continue to collect your feces until your appointment time.  We
 realize that this  may not  be possible due to you being away from home, etc.,
 but at the minimum collect all your feces between 5PM and 8. AM the next
 day.. If your appointment for the  blood test is on Friday,  begin feces
 collection on Thursday .evening.  If your appointment is for Saturday,  begin
 collecting on Friday evening.

      "  3.   When collecting your  specimen, be sure not to mix any urine or
 toilet paper with the feces.  Analysis cannot be done on a sample that has
•been mixed with  urine or paper.  Also,  take great care not  to contaminate
 the outside of the collection vessel with feces.  The  specimen bag is to be
 sealed with the twist ties and then placed in the polyethylene  container
 designated for feces.

       4.   There is no restriction on your diet.  You can eat or drink
 anything you wish.
                                                    over, please .  .  . .
        SAN ANTONIO. H O'U STON. CORPUS CHRIST
                                                 ItXAS. AND WASHINGTON. D.C

-------
Sputum Collection

       1.  You will be given a collection container that has been cleaned
in a special manner for your sputum. Remove the lid from this container
only when collecting your sputum and then immediately replace the lid.

       2.  Upon arising in the morning, cough deeply at least several
times.  The material collected on the back of the tongue or in the mouth is
to be placed in the container provided.   Remember we are interested in
collecting the material coughed up from the throat,  not saliva which
normally collects in your mouth.

       3.  If you are unsuccessful in producing a specimen after coughing
deeply, lie across a bed with your head  and chest slanting downward
toward the floor for 10 or 15 minutes.  Coughing after this procedure  will
very likely result in producing an acceptable specimen for collection.
Current Health Status Questionnaire
       Please bring with you to the  collection centef; the questionnaire
that we mailed to you in March.  If you have misplaced it,  another form is
included with this instruction sheet.  Please fill out this questionnaire at
home.  This will save time at the collection center.

       Please report to the collection center at the time designated  for
blood and  throat swab collections.  Please bring your feces and sputum
specimens and the completed current Health Status Questionnaire with you.
                     Thank you very much-for your help.

-------
    APPENDIX B









Study Questionnaire




  (Draft 12-17-76)

-------
                                                                     OMB No.
                                                                     Approval Expires
                    STUDY OF HUMAN TISSUE HEAVY METAL BURDEN IN
                          NON-FERROUS SMELTER COMMUNITIES
     Sponsored by:
        Health Effects Research Laboratory
        Environmental Protection Agency
        Research Triangle Park, North Carolina 27711
                                     Conducted by:
                                        Research Triangle Institute
                                        P.O. Box 12194
                                        Research Triangle Park, North Carolina 27709
                        QUESTIONNAIRE
         THE RESEARCH TRIANGLE INSTITUTE OF RESEARCH TRIANGLE PARK, NORTH CAROLINA
         IS  UNDERTAKING A RESEARCH STUDY FOR  THE U.S. ENVIRONMENTAL PROTECTION
         AGENCY OF THE HEALTH EFFECTS, IF ANY, OF HEAVY METAL ABSORPTION BY PERSONS
         LIVING IN COMMUNITIES NEAR NON-FERROUS SMELTERS. WE WILL BE ASKING SEVERAL
         QUESTIONS ABOUT YOU AND YOUR FAMILY. YOUR COOPERATION, ALTHOUGH ENTIRELY
         VOLUNTARY, IS ESSENTIAL TO ASSURE THE SUCCESS OF THIS STUDY.
                                       IMPORTANT

         ALL  INFORMATION  RECORDED  ON THIS  DOCUMENT  WHICH WOULD PERMIT
         IDENTIFICATION OF AN INDIVIDUAL WILL BE HELD STRICTLY CONFIDENTIAL, WILL BE
         USED ONLY BY PERSONS ENGAGED IN OR FOR THE PURPOSES OF THIS RESEARCH STUDY,
         AND WILL NOT BE DISCLOSED OR RELEASED TO OTHER PERSONS OR BE USED FOR ANY
         OTHER PURPOSE.
                           Study Number
Site Number
Segment Number
Household Number
Participant Number

-------
                                        A.  HOUSEHOLD INFORMATION
1.   For each person in your household, including yourself, please indicate age and educational level, beginning with the oldest and
    proceeding to the youngest (enter responses in matrix below):
Household
Member
Number
01
02
03
04
05
06
07
08
09
10
Age
(years)




















Educa-
tional
Level
(Years)











•








Currently
Employed at
Smelter
1 = Yes 2 = No










Normally
Spend Day
at Home
1 = Yes 2 = No





-




Excess Metal Absorption
Screened










Diagnosed










Partici-
pant
Number




















2.  Does anyone in your household currently work at the smelter? (Enter responses in matrix above.)
3.  Which members of your household normally spend their day at home? (Enter responses in matrix above.)
4.  Has anyone in your household ever been screened for excess heavy metal absorption?
            Yes
No
                                    3    Do not know
                (Enter response in matrix above.)
5.  Has any member of your household ever been diagnosed as having excess heavy metal absorption?
                                          Do not know      (Enter response in matrix above.)
                           No


6.   Male head of household:

    a.   Household member number:
                                                                  b.  Occupation
    c.   Highest educational level completed:
              8th grade or less
                                           College - incomplete
           2  High school - incomplete     5   College graduate
                           Technical school beyond high school
                                                                   8  Do not know
         |  3 I High school graduate

7.   Female head of household:

    a.   Household member number:
                                        6  Graduate school
                        9  Other (Specify)
                                                                  b.   Occupation
    c.   Highest educational level completed:

        0
             8th grade or less
          2   High school - incomplete
          3 I  High school graduate
College - incomplete     [ 7 |  Technical school beyond high school
                                           College graduate
                                       6 ] Graduate school


                                                       -2-
                       8   Do not know
                       9   Other (Specify)

-------
8.  What is the approximate age of your house?
             Years
                            Do not know
9.  What type of structure is your house? (51 percent or more of exterior surface.)
           Solid brick, concrete, or rock
           Brick or rock veneer
           Stucco
4l  Asbestos


5   Aluminum siding


6   Composition siding
                                                                          7   Wood frame
                                                                              Do not know
                                                                        j_9j Other (Specify)


10. Is there evidence of flaking paint present in the home?      Ill Yes       |  2 J No
 11. Are paint chips present in the soil surrounding the home?
                                                               Yes
                                                                              No
                                                                                        3    Do not know
 12. Do you cool your home with any of the following appliances? (Check all that apply.)
            Central air conditioning
                                             Window fan(s)
        2  Window air conditioner(s)       5   Ceiling exhaust fan(s)
                            None of these
                            Do not know
            Evaporative cooler! s)          | 6| Circulating fan(s)       [  9 |  Other (Specify)
 13.  Are any of the following articles used in storing, preparing, and/or serving food in your household? (Check all that apply.)


      I  1 |  Unglazed pottery (home-made or craft)         |  4| None of these


      |  21  Glazed pottery (home-made or craft)           |  5 [ Do not know


      I  3J  Hand-painted flatware


 14.  Does your household grow any of its own food in a home garden? ,   | 1  | Yes    [ 2  | No    | 3  | Do not know


 15.  Where does your household obtain fresh fruit and/or vegetables?   (Specify)  	.	

 16.  What is the primary source of your water for drinking?

       | i I  Bottled water             | 3  [ Tap - community well       5   Tap - cisterrt


            Tap - municipal supply     [ 4 | Tap - private well          | 6  | Do not know
                                                                        Other (Specify)
 17. What is the primary source of your water for cooking?

       I 1  I Bottled water             | 3  | Tap - community well


        2   Tap - municipal supply      4   Tap - private well
                         5  Tap • cistern
                             Do not know
                                                                     7'
                             Other (Specify)
 18. Has anyone in your family ever been treated for:
                                No       Yea     Relationship to respondent and/or household member number:

     a.   Seizures?


     b.   Hyperactivity?


     c.   Mental retardation?
LiJ
1

1

2
2

2
(Specify)
(Specify)
(Specify)
                                                          -3-

-------
                                      B.  PARTICIPANT INFORMATION
      IF THE PARTICIPANT IS UNDER 18 YEARS OF AGE. THIS SECTION OF THE QUESTIONNAIRE MA Y HA VE
      TO BE  ADMINISTERED  IN  WHOLE OR IN  PART TO  THE PARENT OR GUARDIAN, AND MUST BE
      ADMINISTERED IN THAT PERSON'S PRESENCE. IF THE PARTICIPANT SUFFERS FROM  A SPEECH OR
      HEARING DEFICIT. THIS SECTION OF THE QUESTIONNAIRE MAY HAVE TO BE ADMINISTERED TO  THE
      SPOUSE OR ANOTHER SPOKESMAN-SEE SECTION C.
First, I would like to ask some general questions about you/the participant.

1.  Sex (by observation):    \  1 | Male   [ 2 [  Female

                         I	1        I	1
2.  Race (by observation):
                    1   White   2  Black
       3   American Indian   4  Asiatic  5  surname
                             I Other
                           7 | (Specify).
6  Unknown
3.  What was your/the participant's age in years at last birthday?

                            Years
                                                    4.  What is your/the participant's birth date?
                                                             (Month)      (Day)      (Year)
                                                    5.  What  is your/the participant's  approximate weight in
                                                        pounds?
                                                    6.  What is your/the participant's marital status?
                                                          I 1 I Married   [ 2 [  Never married    [ 3 |  Widowed

                                                          til
Divorced
Separated
                                                                  6   Other (Specify).
Next, I would like to ask some questions about your/the participant's education.

7.  Are you/is the participant in school now?   |  1  [  Yes (Go to question 8)   \  2 | No (Go to question 11)

8.  What type of school do you/does the   [ 1 [ Nursery school or kindergarten (Go to question 10)
    participant attend?                 ___                                    ,	1
                                      2  Elementary school                   I  5  | Junior college
                                      3  Junior high school
                                         Senior high school
                                                     (Go to question 9) \ 6 | College
9.   What grade are you/is the participant in?

10.  What is the address of the school?	
                                        (Continue)
                                       (Street)

11.  Highest educational level completed:

     |  1 I None                      I 4 [ High school graduate

     I  _2J 8th grade or less             | 5 [ College - incomplete

       3 I High school - incomplete       6  College graduate
                                                                                 Graduate school
                                                                              8 I Technical school
                                                                                 Other
                                                                                 (Specify)
                                                                                                   (Go to question 12)
                                                                  (City)
                        (Go to question 12)
                                                             I 7 [ Graduate school

                                                             I 8 I Technical school beyond high school

                                                             I 9 | Other (Specify)	

-------
 Next, I would like to ask some questions about your/the participant's occupation and residence.
                                                                      Yes (Go to question 14)
 12. Are you/is the participant presently employed in any capacity?
                                                                                                       No (Go to question 13)
 13.  If not presently employed, which of the following best describes your/the participant's status?

                                                 I 4 |  Unemployed
                                                                        (Go to question 15)
                          (Go to question 20)
      I  1 I  Housewife
        2 I  Student                              | J3j  Retired
      |  3 |  Child (Go to question 23)              \  6 [  Disabled
14. If presently employed,, which of the following best describes your/the participant's status?
                                                                3  I  Employed part-time
        1
            Self-employed
Employed full-time
15. What is/was your/the participant's usual occupation? (Specify)
16. Are you/is the participant presently employed in this occupation?
                                                                     Yes     2   No
17. If yes to above question, how many years have you/has the participant been employed in that occupation?
    If no to above question, how many years were you/was the participant employed in that occupation?
18. If you are/the participant is presently employed, what is the nature of the company for which you/the participant worlds)?
    (Specify) 	,	
19. How long have you/has the participant been employed by your/the participant's present employer?
                                                                                            Units
                                                                                                            Months
                                                                                                            Years
20. How many times have you/has the participant changed occupations during the past 5 years?

21. Does your/the participant's occupation usually take you/the participant away from home?   |  1 |

22. Have you/has the participant worked at a smelter at any time during the past 12 months?
                                                                                             Yes   I  2 |  No
                                                                                            Yes (STOP!)     2  I  No (Continue)
23. Have you/has the participant ever worked at or lived within 2 miles of:
                                     Worked at
                                    Ye»       No         	

                                    0     a        0
    a.   Paper/wood industry
    b.   Smelting industries
    c.   Glass manufacturing plant
    d.   Pesticide manufacturing plant  |  1 |
    e.   Mining area                  | i [
                                                           Lived near
                                                         Yes       No
                                                                    2
                                                         0
24. How many hours of the day, on the average, do you/does the participant normally spend away from home?              Hours

25. How many hours of the day, on the average, do you/does the participant normally spend more than 2 miles from home?

                                                                               Years (If less than 1 year, STOP!
26. How many years have you/has the participant lived in this city or town?

27. How long have you/has the participant lived at this address?
                                                                     Units
                                                                                    Days
                                                                                                 Months    3    Years
28. How many times have you/has the participant changed living quarters during the last 5 years?
                                                        -5-

-------
Next, I would like to ask some questions regarding your/the participant's personal habits.

29. What is the natural color of your/the participant's scalp hair?
      0
Brown   2  Black    31 Red
Blonde   5   Gray
       6
                         Bald
0
                        Other (Specify)
30. How many times per week, on the average, do you/does the participant shampoo your /the participant's hair?
31. Which of the following hair care products do you/does the participant use? (Check all that apply and specify the most frequently
    used brand.)                                „.	,                                                Brantj
                                               Brand
        1  Washing (Shampoo or soap)
           Setting lotion
        3  Hair spray
                                                         Artificial coloring
                                                      5  Permanent
                                                                    Last application date (Month)      (Day)
                                                                                                      (Year)
32. Do you/does the participant use any foot powder or toenail polishes?    [  1  |
    If yes, specify brand) s)	
                                                                Yes
                                            No
33. Oo you/does the participant drink? (Check all that apply and indicate amount.)
                     How much/week?
      m
 Beer
       2    Wine
            Liquor
                    None of these
0
| 5  I  Other alcoholic beverage (Specify)
34. Have you/has the participant ever smoked as many as 5 packs of cigarettes—that is, as many as 100 cigarettes during your/the
    participant's entire life?

                           I  i I  Yes (Go to question 35)       \ 2 |  No (Go to question 39)

35. Do you/does the participant now smoke cigarettes?     |  1  |   Yes     [  2 |   No

36. How old were you/was the participant when you/the participant first started smoking?
                                                                               Years
37.  If you/the participant no longer smoke(s), how old were you /was the participant when you/the participant last gave up smoking?

                  Years
38. On the average, how many cigarettes do (did) you/does (did) the participant smoke per day?

      I  1 [ Less than % pack (1-5 cigarettes)                    |  4] About 11/i packs (26-34 cigarettes)

      |  2[ About 1/2 pack (6-14cigarettes)

        3  About 1 pack (15-25 cigarettes)
                                                  5 |  About 2 packs (35 or more cigarettes)
 39. What is the average number of hours that you/the participant spend(s) out of doors each day?

 40.  Do you/does the participant ever eat non-food substances such as paint, clay, dirt, or plaster?
                                                                                         Hours
                                                                                                  Yes
                                                                                                                 No

-------
 41.  (For children participants only)  Where does the participant play most frequently? (Check one.}
            At home indoors
                      3  On the same block indoors
                           On a different block indoors
         2  At home outdoors
                         On the same block outdoors     6  On a different block outdoors
            Other (Specify!
 Next, I would like to ask some questions regarding your/the participant's health.



 42. What do you consider the current status of your/the participant's health?
1 Excellent
43. Are you/is the particip
I 0 I None
| 1 | Tranquiiizer
2 Sedative
I 2 I Good I 3 | Fair
4 Poor
ant currently taking any prescription medication(s) on a regular daily basis?
• I 3 | Analgesic I
I 4 I Hormone
| 5 | Oral contraceptive
44. Do you/does the participant suffer from any of the folio
If yes, specify
Yes No how long
a. Loss of appetite | 1 | | 2 |
b. Weight loss
c. Fatigue
d. Nausea and/or
vomiting
e. Diarrhea
f. Abdominal -pain
g. Sore throat
mm
mm
mm
mm
mm
m m





wing symptoms?
h. Cough
i. Changes in skin pigmentation
j. White lines across fingernails
k. Pins and needles, numbness or
pain of the limbs
I. Weakness or wasting of the
muscles of the limbs .
m. Pain or soreness of the
mouth, nose, or eyes
(Check all that apply.)


Z LJU 1 "1 1 "1
sQQQ
M =


If yes, specify
o how long
1
1
1


HFI
mm


Next, I would like to ask some questions regarding your/the participant's diet.



45. Which meal(s) do you/does the participant usually eat at home? (Check all that apply.)




         [ 1  [ Breakfast        [  2  [ Lunch       | 3 [ Dinner





46. When you do not/the participant does not eat at home, where do you/does the participant eat? (Check all that apply.)



         I 1  I Meal prepared at home but eaten elsewhere  [ 2  | School     ,  | 3  [ Work
                                                                              Restaurant
          5   Other (Specify)
47. Are you/is the participant presently following any of the following dietary regimens? (Check all that apply.)
          1
Formula/prepared baby foods
              Bland food ulcer diet
          3   Diabetic diet
[ 4  [ Reducing diet




| 5  I Organic foods




 6   Vegetarian
I 7  I None of these




 8   Other (Specify)

-------
48. On the average, how often do you/does the participant eat the following foods? (Check the appropriate box.)





Foodstuff



a. Shellfish
b. Fish
c. Liver
d. Kidney
e. Hamburger
f. Eggs
g. Milk
Canned Foods:
n. Tomatoes
i. Beans
j. Peas
k. Peaches


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Foodstuff


Baby Foods:
1. Oranqe iuice
m. Apple juice
n. Applesauce
o. Peaches
p. Spinach
q. Mixed vegetables
r. Beef

8
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                                                               Comments!.
                               C. RESPONDENT/INTERVIEWER INFORMATION
 1.  Site number
 5.  Interviewer number
2.  Segment number
3.  Household number

   *
         (Month)      (Day)
                                         6.  Date of interview
 4.  Participant number

(Year)
 7.  Part A Respondent (Check all that apply.)     Household member number


           Participant        2  Parent or guardian of participant  [  3| Head of household
                                                                 Other household member
 8.  Part B Respondent (Check one.)   Household member number

        1J Participant       j 2J Parent or guardian of participant

 9.  Does participant have transportation to central data collection facility?   | 1 [  Yes     | 2  |
                        (Month)      (Day)      (Year)
    Appointment date


    And time

    Comments:   	
                                                               No

-------
COMMENTS
    -9-

-------
                              D. SAMPLE INFORMATION

                 For  each sample  collected  for a  given  household  or
                 individual, attach the appropriate label to the appropriate
                 container before collecting the sample. Complete section D
                 below when appropriate.
       Study Number
    1.  Site Number
2.   Segment Number
                                                                      3.  Household Number
4.   Participant Number
5
6
7.
8.
9.
i
10.
Type of
Sample
Soil
Tap Water
Source:
House Oust
Scalp Hair
Blood
Urine
Original Sample
Collected
Yes
1
1
1
1
1
1
No
2
2
2
2
2
2
If Collected, Date
Month












Day












Year












If Not Collected,
Reason






Interviewer
Number


















Duplicate Sample
Selected
Yes
1
1
1
1
1
AA
XX
No
2
2
2
2
2
A<^
vv
AA
Collected
Yes
1
1
1
1
1
1
No
2
2
2
2
2
2
If Collected, Date
Month












Day












Year












If Not Collected,
Reason






11.    Hurnatocrit
                                              {Month}       (Day}       (Year)
                              %       Date
                                                                                                  COMMENTS:
12.    Urine Protein
                                       Interviewer Number
                                                                                   -10-

-------
      APPENDIX C
Analytical Data Sheets

-------
              ANALYTICAL DATA SHEETS - AA ANALYSIS




                          INSTRUCTIONS





     There is a separate form for reporting the analytical results of




each matrix.  The individual forms have several features in common and




some which are unique for the matrix material being analyzed.  The




following information will be supplied in the appropriate space:




     a)   The chemical symbol of the element being analyzed,




     b)   A bound notebook reference will be cited for each analytical




          run.  This notebook will be used to record all operating con-




          ditions and any observations or remarks concerning the analysis.




          The notebook reference will also be noted on the strip chart




          recording.




     c)   The date and the operator(s) initials will be shown.




     d)   All calibration standards will be injected in duplicate and the




          corresponding peak height recorded.




     e)   A least squares regression analysis will be carried out on four




          standard solutions run in duplicate and the equation representing




          the best fit will be noted.




     y = weight of metal injected




     x = peak height




     All samples analyzed during a run will be injected in duplicate.  The




following data will be recorded for each matrix type:




     a)   Column 1.




     Each sample will be identified by the same code numbers used to




label the sample container at the smelter site.

-------
     b)   Column 2.




     Instrument response during atomization is. measured as peak height,




expressed in units of millivolts (mv).




     c)   Column 3.




     The weight of metal injected is calculated from calibration equation.




     y = weight of metal injected




     x = peak height




     d)   Column 4.




     F is a function of the volume of analytical solution injected into




the graphite furnace.




               Volume injected               I?




                    10 yl                   100




                    25 pi                    40




                    50 ul                    20




     e)   Column 5.




     The weight of metal contained in each ml of the solution injected into




the furnace is calculated by multiplying the number in Column 3 by F.




     The remaining columns on the Data Sheet are treated differently for




each matrix.




     a)   Drinking Water -




     To convert weight of metal/ml water to weight of metal/liter water




simply change the units of weight as follows:




               Units wt/ml              Equiv. units wt/1




                    Pg                       ng (ppt)




                    ng                       yg (ppb)




                    Ug                       mg (ppm)

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     b)   Urine -



     The constant D (Column 6) is defined as the volume  (ml) to which one



ml of urine sample is diluted prior to injection in the  graphite furnace.



For example, if a 1:1 dilution is performed, D = 2; if a 1:49 dilution



is necessary, D = 50.



     The weight of metal/ml urine (Column 7) is determined by multiplying



the value in Column 5 by D.



     c)   Blood -



     As with urine, the constant D (Column 6) is defined as the volume  (ml)



to which one ml of urine sample is diluted prior to injection in the graphite



furnace.  For example, if a 1:9 dilution is carried out, D = 10.



     The weight of metal/100 ml blood (Column 7) is determined by multiplying



the value in Column 5 by 100D.



     d)   Hair -



     D (Column 6) = V. (-r^) .
                     1  *l


     where, V. = volume (ml to which sample digest is diluted.



            Vf = final volume (ml) of diluted aliquot.



             A = volume (ml) of aliquot withdrawn from initial sample



                 volume (V.) for further dilution to V,.



     NOTE - If no aliquoting of V. is performed, the term V-/A = 1.



                                   D = V.
                                        i



     The weight of metal/gm hair (Volumn 8) is found by  multiplying Column 5



by D and dividing this product by the sample weight, W (gm)(Column 7).



     Wt. metal/gm hair = Column 5 (—)



     Example;  A 250 mg hair sample was digested and diluted to 5 ml.   Two



ml of this solution was diluted to 10 ml prior to furnace injection.

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          V. = 5; Vf = 10; A = 2; W = .25

          D - 5 <") - 25; | - 100

          Wt. metal/gm hair = Column 5 (100).

     e)   Air Particulates

     In the case of air particulate analysis, D is defined as follows:
                      V   F
     D (Column 6) = V±(^) ^.
                           a
     where, V. = volume (ml) to which the extract of the entire filter

                 strip is diluted.

            V  - final volume (ml) of diluted aliquot.

             A = volume (ml) of aliquot withdrawn from initial sample

                 volume (V.) for further dilution to V_.

            F  = total filter area
            F  = area of filter used in analysis
     NOTE
- If no aliquoting of V. is performed, the term Vf/A = 1.
                                       a

     The weight of metal on the entire filter (Column 7) is determined
                                                                   3
by multiplying Column 5 by D.  Column 7 is divided by air volume (m )
                                    3
(Column 8) to give weight of metal/m  air (Column 9) .  The calculation

of air volume is shown on the air collection log sheet.
                     3
          Wt. metal/m  air = Column 5 (D/air volume)
                        2
     Example :  A 40.6 cm  section of a 20.3 x 25.4 cm filter was treated

with acid and diluted to 100 ml.  Two ml of this solution was diluted
                                                        3
to 5 ml prior to furnace injection.  Air volume = 2500 m .
   = 100; V  = 5; A = 2; F  = 515.6; F  = 40.6
           I              t           Si
          V.
          D = 100(4)  TTTZ " 25° <12-7) • 3175

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          Wt metal/m3 air = Column 5 (3175)/2500



                          = Column 5 (1.27)



     f)   Housedust


                      Vf
     D (Column 6) = VjL(^i-).



     where, V. = volume (ml) to which sample digest is diluted.



            V  = final volume (ml) of diluted aliquot.



             A = volume (ml) of aliquot withdrawn from initial sample



                 volume (V.) for further dilution to Vf.



     NOTE - If no aliquoting of V. is performed, the term Vf/A = 1.



                              D = V.
                                   i


     The weight of metal/gm dust (Column 8) is found by multiplying



Column 5 by D and dividing this product by the sample weight, W(gm)



(Column 7).



          Wt. metal/gm dust = Column 5 (—) .



     Example;  A 250 mg dust sample was digested and diluted to 25 ml.



Two mis of this solution was diluted to 25 ml prior to furnace injection.



          V± = 25; Vf = 25; A = 2; W = .25



          D = 25 (jp) = 312.5; |= 1250



          Wt. metal/gm dust = Column 5 (1250).


                                          2
     The total weight of metal in a .25 cm  collection is found by either



multiplying Column 8 by the weight of sample collected over this area  or



multiplying Column 5 by D.



     g)   Soil

                      Vf

     D (Column 6) = V.C-r^).
                    X A

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     where, V. = volume (ml) to which sample digest is diluted.




            V  = final volume (ml) of digested aliquot.




             A = volume (ml) of aliquot withdrawn from initial sample




                 volume (V.) for further dilution to V-.




     NOTE - If no aliquoting of V. is performed, the term Vf/A = 1.




                                   D = V.




     The weight of metal/gm soil (Column 8) is founding by multiplying




Column 5 by D and dividing this product by the sample weight, W(gm)




(Column 7) .




          Wt. metal/gm soil = Column 5 (— ) .




     Example ;  A 1.0 gm soil sample was digested and diluted to 250 ml.




One ml of this solution was diluted to 100 ml prior to furnace injection.




          V± = 250; Vf = 100; A = 1; W = 1
          D = 250 (p-) = 25,000;   = 25,000




          Wt. metal/gm soil = Column 5 (25,000).

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Matrix
- Housedust
Standard (wt/vol . )
1.
Sample
code




2.
Peak
height
(mv)




3.
Wt.
metal
injected
ANALYTICAL DATA SHEET
Peak Height (mv)
>
>
9
5
4. 5.
Wt. metal/
ml anal.
F soln .
- AA ANALYSIS
Element -
Notebook No.
Date
Operator (s)
Calibration Equ.
6. 7.. 8. 9. 10.
Wt . metal .
Sample Wt. metal/ .25 cm2
D weight gm dust area Comment

-------
ANALYTICAL DATA SHEET

Matrix
- Air Participates
Standard (wt/vol
1.
Sample
code




2.
Peak
height
(mv)




3.
Wt.
metal *
injected
.) Peak




4.
F
Height (mv)




.5.
Wt. metal/
ml anal.
soln.
- AA ANALYSIS
Element -
Notebook No.
Date
Operator (s)
Calibration Equ.
6. 7. 8. 9. 10.
Air Wt.
Wt. metal volume metal/
D on 'filter (m^) m^ Comment

-------
ANALYTICAL DATA SHEET - AA ANALYSIS
1.
Sample
code
Matrix -
Standard




2.
Peak
height
(mv)
Blood
(wt/vol.) Peak Height




3. 4.
Wt.
metal
injected F
Element -
(mv) Notebook No.
Date
Operator (s)
Calibration Equ.

5. 6. 7. 8.
Wt. metal/ Wt. metal/
ml anal. 100 ml
soln. D blood Comment

-------
ANALYTICAL DATA SHEET - AA ANALYSIS
1.
Sample
code
Matrix -
Standard




2.
Peak
height
(mv)
Urine
(wt/vol.) Peak Height
»
j
»
»
3. 4.
Wt.
metal
injected F
Element -
(mv) Notebook No.
Date
Operator (s)
Calibration Equ.

5. 6. 7. 8.
Wt. metal/ Wt. metal/
ml anal. ml
soln. D urine Comment

-------
ANALYTICAL DATA SHEET - AA ANALYSIS
1.
Sample
code
Matrix - Drinking Water
Standard (wt/vol.) Peak Height (mv)
»
»
>
»
2. 3. 4.
Peak Wt .
height metal
(mv) injected F
Element -
Notebook No.
Date
Op era tor (s)
Calibration Equ.
5. 6. 7.
Wt. metal/
ml anal. Wt. metal/
soln. 1. water Comment

-------
1.
Sample
code
Matrix -
Standard




2.
Peak
height
(mv)
Soil
(wt/vol.)




3.
Wt.
metal
injected
ANALYTICAL DATA SHEET -
Peak Height (mv)
>
»
»
9
4. 5.
Wt. metal/
ml anal.
F soln
AA ANALYSIS
Element -
Notebook No.
Date
Operator (s)
Calibration Equ.
6. 7. 8. 9.
Sample Wt. metal/
D weight gm soil Comment

-------
ANALYTICAL DATA SHEET - AA
1.
Sample
code
Matrix -
Standard




2.
Peak
height
(mv)
Hair
(wt/vol.)




3.
Wt.
metal
injected
Peak Height (mv)
»
5
»
»
4. 5.
Wt. metal/
ml anal.
F soln.
ANALYSIS
Element -
Notebook No.
Date
Operator (s)
Calibration Equ.
6. 7. 8.. 9.
Sample Wt. metal/
D weight gm hair Comment

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ANALYTICAL DATA SHEET - CREATININE IN URINE
1.
Sample
code
ESTIMATION
Standard Soln. OD at 490 nm

.01 mg/ml
C (Creatinine coeff.) =
V2, (Estimated
2. 3.
Diluted
urine
OD at Cu, creatinine
490 nm cone (mg/ml)
OF 24 HOUR URINE VOLUME
23 mg/kg (males) ;
24 hr urine vol.)
4. 5.
W, subject
F/M. weight (kg)
Notebook No.
Date
Operator (s)
18 mg/kg (females)
we
u
6. 7. 8.
Wt. metal/
C V0, ml urine

9.
Est. wt.
metal
excreted
in 24 hr

-------