EPA-AA-IMS/81-8
 HEALTH EFFECTS OF CARBON MONOXIDE AND OZONE
                  July 1981
      Inspection and Maintenance Staff
    Emission Control Technology Division
Office of Mobile Source Air Pollution Control
     Office of Air, Noise, and Radiation
United States Environmental Protection Agency
             Ann Arbor, Michigan
      Prepared With  the Assistance Of:

   ENERGY AND ENVIRONMENTAL ANALYSIS, INC.
            1111 North  19th Street
         Arlington,  Virginia  22209

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                                       2

                                 INTRODUCTION
The purpose  of this  report  is to  summarize the  information  known about  the
health  effects  of  carbon  monoxide   (CO)  and   ozone   (03),   and how  that
information  is used  by EPA  to  set  National  Ambient Air  Quality  Standards
(NAAQS's).   An additional  purpose  of  this  report  is to  discuss  the  sources
most  likely  to contribute to  high levels  of  CO  and 03 and  how  EPA  control
programs will  reduce emissions  from these  sources in the future.   For  ease in
reading, all  of the information  in this report  is  presented  in question  and
answer format.

1.  What are carbon monoxide and ozone?

Carbon  monoxide (CO)  and  ozone  (03)  are  two  pollutants  found  in  the  air
which  can  have harmful  impact  on  public  health.   Carbon  monoxide  is  a
colorless,  odorless,   poisonous  gas.    Ozone  is  a  pungent-smelling,   faintly
bluish, toxic  form  of  pure oxygen.  Ozone  differs from molecular  oxygen  (0£)
in  that each  molecule  has  an  additional  oxygen  atom  which makes  it more
chemically and biologically reactive.

2.  What are the man-made and natural  sources of CO and 0^?

High concentrations of CO  are largely  the  result of incomplete  combustion of
fossil  fuels,  especially  from highway vehicles.   Processes   such as  forest
fires and the  oxidation  of atmospheric  methane are natural sources of  CO,  but
together they make only a small contribution to atmospheric CO  levels.

Ozone is formed  by  chemical  reactions  of  volatile organic compounds  (VOC) —
primarily hydrocarbons — and  oxides  of  nitrogen  (NOx)  in  the  presence  of
sunlight.   Ozone  originates  mainly from  VOC and  NOx  emissions  produced  by
motor vehicles, combustion of fossil fuels  and  industrial  processes.   However,
a small amount of  03  occurs  naturally  in  the  lower atmosphere  from  lightning
discharges and as the  result  of downward migration  from  the upper  atmosphere.
In addition,  there  is  evidence that vegetation  emits organic  vapors  that  may
react to form 03.

3.  Why are these pollutants  regulated by EPA?

Ambient  levels (the concentration  in  the  surrounding  air)  of  CO  and 03  can
be  harmful  to  human  health  and  the  environment,  especially  in  urban  areas
where industry and/or  automobiles are concentrated.   Congress  passed the  Clean
Air Act to  abate  the  growing air pollution problem.   To protect the  public's
health and welfare, the  Clean Air Act  and  its 1970 and  1977 Amendments  charge
the U.S.  Environmental  Protection  Agency  (EPA)   with  identifying  harmful  air
pollutants  and setting  ambient  standards  for  each  air pollutant  that  has
observed  health  effects.    In addition,   EPA  is  charged  with  the   job   of
enforcing  these  standards.    Research  has   identified  CO   and  03   as   air
pollutants  which  endanger public  health  at high  concentrations;   therefore,
raanmade CO and 03 are  regulated by EPA.

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4.  How does CO affect human health?

Carbon  monoxide  exposure  can  have  harmful  side   effects,   such  as  those
described below, depending on the concentration of ambient CO  and  the duration
of  exposure.   Carbon monoxide exposure  affects human health  by  reducing  the
oxygen  level  of the blood.  Different  parts  of the  body  then  suffer  because
the  blood cannot  supply  them  with  their  normal amount  of  oxygen.   Carbon
monoxide, like oxygen, can be transported by  the  blood  from the lungs  to  body
tissues.   Hemoglobin is  the substance  in the  blood which  normally  carries
oxygen.   If a  person is  exposed to CO,  the hemoglobin will  transport  more  CO
and  less  oxygen to  body tissues than  normal,  since hemoglobin has a  higher
affinity  for CO than for  oxygen.   Hemoglobin  carrying CO instead  of  oxygen  is
known  as  carboxyhemoglobin  (COHb).   A  deficiency  of   oxygen  reaching  the
tissues of the body, known as hypoxia, can result from elevated  levels  of  COHb
in  the  blood.   Hypoxia  is considered to be one of  the  possible mechanisms  of
CO  toxicity.   Another  possible  mechanism  involves   poisoning  of the  body's
cytochrome system  by CO  (the  cytochrome system  is   the  cellular  pathway  for
utilization of energy from food).

Table  1  presents  the human  health  effects  resulting from different  exposures
to  CO,  and  the corresponding COHb  levels.   For perspective,  CO levels of  15
ppm  to 30 ppm (eight-hour  average)  are typical on bad  days  in major  U.S.
cities.   Inhalation of sufficient  amounts  of CO can result  in  aggravation  of
symptoms  in individuals  with cardiovascular  diseases, central nervous  system/
behavioral impairment, and  possibly effects on fetal growth and  development.
In  addition,  CO exposure may pose  a greater health risk to  persons  at  high
altitudes, particularly  visitors who are accustomed  to  lower altitudes  (EPA,
1979a).

Healthy,  non-smoking individuals  commonly maintain a  blood   COHb  level  of
approximately  0.4  percent from  natural  body  sources  (EPA,  1979a).   Research
has  shown that  COHb  from  the  inhalation of  CO   increases  the  COHb  level
additively  (NAS,   1977).   However,  the  COHb  level of  an  individual which
results from inhalation  of a given amount of CO  varies  somewhat  according  to
lung capacity and other factors that depend on  the individual's  age,  amount  of
exercise, and  state of health.    People with established cardiovascular  disease
(e.g.,  angina  pectoris)  and/or pulmonary  disorders  are most  likely  to  be
affected  by CO because  of reduced  resistance  to  hypoxia.  Anemic individuals
and fetuses may also be  particularly sensitive to  CO  exposure.

Cardiovascular Systems

Experimental evidence indicates  that low-level acute CO  exposure (15-18  ppm
for 8 hours) may aggravate angina  pectoris,  a cardiovascular disease in which
mild  exercise  or  excitement produces symptoms of   pressure  and  pain  in  the
chest,  by depriving cardiovascular  tissue  of  oxygen.   Angina  may result  in
cardiovascular damage, the  degree  of which is  unknown,  and it  appears to  be
the  initial  step  in a  series   of  progressively  more  serious  symptoms  that
accompany cardiovascular disease  and irreversible heart damage.

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Increased  COHb  is  known  to  dilate blood  vessels  of the  coronary  system,
permitting increased  blood  flow (EPA, 1979a).  The additional  blood  flow that
occurs  in response to  the  presence  of  COHb is  apparently  not  sufficient  to
provide normal  tissue oxygenation even at COHb  levels  as  low  as  four percent
(EPA, 1979a).   Blood  vessel  dilation,  though having some compensatory effects,
could  result in  coronary damage  or  other  vascular  effects  as  the  cardio-
vascular  system is forced to function beyond its capabilities.

Research  has demonstrated that chronic  exposure to CO  levels  that  are typical
in many U.S. cities (15  to  30 ppm for 8 hours) aggravates angina  pectoris  and
dilates  blood  vessels,  both  of  which  may  lead to  more  serious  effects.
However,  there  are   some  conflicting data  and  more  research is  needed  to
determine whether  CO  exposure from  polluted air contributes to  incidences  of
heart attack or sudden deaths  from coronary disease.

Fetal Abnormalities

Experimental studies  of  the  effects  of CO exposure during  fetal development  of
animals  have  shown   harmful  health  effects  such as   reduced birth  weight,
failure to  gain weight  at  a  normal rate after  birth,  reduced brain protein
levels  at birth,  and reduced  levels of  activity  during  the first year  after
birth (EPA,  1979a).   In  many  cases,  the  effects disappeared when  the animals
reached adulthood.  However,  the  implications of  these  findings in relation  to
learning  and social behavior of human children are clearly of concern.

Long-term exposure of pregnant animals to CO levels  of 50 ppm has been  shown
to result in COHb levels in the fetus that often exceed the  mother's  levels
(EPA,  1979a).   Fetal  hypoxia  may  interfere  with  important  developmental
stages.   Under normal conditions a  fetus  may be functioning  at  nearly critical
tissue oxygen levels, so that  even moderate CO exposure could  affect develop-
ment.   The  effect of CO on human  fetuses  is commonly  measured by  studying
babies  born  to  smoking mothers,  but it  should be  noted that  cigarette  smoke
contains  substances other than CO that may affect fetal development.

Central Nervous System/Behavioral Effects

Experimentation on low-to-medium level CO exposures  and their effects on  the
human central nervous system show behavioral changes in sleep, alertness,  and
muscular  coordination (EPA,  1979a).  Changes in  sleep  patterns may  be  caused
by  reduced  central  nervous   system activity.   Alertness  is   an  individual's
ability to  detect small, unpredictable  changes  in his environment.   Experi-
mental  results  have  shown  that  COHb  levels  of 1.8  and  2.3  percent  are
sufficient to  reduce  human  perception  of small  changes  in  light and  sound,
respectively.   Such blood level  changes  may occur in  persons exposed  to  CO
levels  typical  of bad  days  in major  U.S.  cities.    These  same  experiments
indicated that, after a  time,  ability to detect small  light  and  sound changes
is partially recovered even though COHb levels remain constant or increase.

In summary,  exposure   to carbon monoxide causes  a  reduction in the oxygen  level
of  the  blood,  and may  hinder the  cellular  mechanism  for conversion of  food
energy  into  forms the body  can use.  Harmful  side  effects  which can  result
depend  on the  health of the  person exposed  and  the  level  and duration  of
exposure.    CO  exposure  can be  especially  harmful  for  persons with  cardio-
vascular disease or anemia,  and for fetuses.

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TABLE 1. HEALTH EFFECTS OF VARIOUS LEVELS  OF CARBOXYHEMOGLOBIN (COHb)
         RESULTING FROM CARBON MONOXIDE EXPOSURE
% COHb
in the
Blood
      Approximate  Ambient  CO
          Level  Required
          to Produce
          Given  COHb  *
1 hr (ppm)
8 hr (ppm)
Threshold
 Effects
0.3-0.7
2.5-3.0
4.0-6.0
10.0-20.0
20.0-30.0
                       35
  55-80
  110-170
  280-575
  575-860
   	      Physiologic norm for
            non-smokers.

     9      EPA National Primary
            Ambient Air Quality
            Standard.

  15-18     Cardiac function
            decrements in impaired
            individuals; increased
            blood flow.

  30-45     Visual impairments,
            decreased alertness,
            reduced maximal work
            capacity.

  75-155    Slight headache,
            weakness, dilation of
            veins, central nervous
            system changes,
            general coordination
            problems.

  155-235   Severe headaches,
            nausea.
* For perspective, CO levels of 15 ppm to 30 ppm (8-hour average)  are typical
on bad days in major U.S. cities.

SOURCE: Air Quality Criteria for Carbon Monoxide (Preprint).   1979.
        Environmental Criteria and Assessment Office,  Office  of Research and
        Development, U.S. EPA, Research Triangle Park,  NC.  EPA-600/8-79-002.

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5.  How does Ch affect human health?

Ozone can impair  lung  function,  change the cellular composition of  the  lungs,
increase  susceptibility  to  infectious disease,  and disturb  the  biochemical
balance  of  the  lungs  and  other  organs.    Ozone  is an  irritant which  causes
cough,  chest discomfort,  and  irritation  of  mucous membranes  of  the  nose,
throat and  trachea (windpipe) at  03  levels that are often observed in  urban
environments.   Exercise  requiring  greater air  volume   intake  also  increases
irritation.   Table. 2 lists the health  effects  that  may occur at  various  levels
of ozone concentration and exposure time.

Short-term  exposure   (one  hour)  to approximately  0.30  ppm of  03  has  been
shown  to  impair  lung  function   in   healthy  persons.    In  the  majority  of
experimental  studies  in  which   03   exposure has caused changes  in  lung
function in healthy  individuals,  function has  returned  to  normal within  a few
hours  after  exposure  ended.    Similar   03   exposure   for individuals   with
respiratory  illnesses  such  as  asthma, chronic  bronchitis, or  emphysema  may
result in moderate  to severe interference with  normal   activities.   Approxi-
mately 4.0  to  5.5 million asthmatics  live  in urban areas within  the  United
States  (EPA,  1978a).  More  than  80  percent  of  the 500 03 monitoring  sites
measured values greater than  the  0.12  ppm EPA standard  during 1977  (U.S.  EPA,
1978).  Therefore, it  is  probably safe to  say that 3 to 4 million  people who
are  particularly  sensitive  to  03 pollution live  in  areas  with  high  63
levels.

Ozone inhalation  can increase the  probability  of  infectious lung disease.   The
exact mechanism of this  effect is not well understood.   Research  on  rabbits
has  shown  that  03  damages  the  cells responsible  for   destroying  infectious
bacteria in  the lungs.   Such a finding strongly  suggests the  extent to  which
03 can impair  the body's  defenses and, thus,  increase  the incidence of  acute
and  chronic  respiratory disease.   However, similar  human  responses  may  not
occur at  exactly  the  same doses  at  which effects have  been  demonstrated  in
experimental animals.

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                                     TABLE 2.   SUMMARY OF HUMAN HEALTH  EFFECTS  OF  OZONE
    Ozone
Concentration*  Exposure
    (ppm)
                                  Effect
                                                               Reference
0.02-0.05

0.10


0.12


0.15-0.25



0.30



0.37


0.50


0.50

0.75
1 hour


1 hour


1 hour



1-2 hours



1-2 hours


2.75 hours


6-10 hours

1-2 hours
Detectable odor

Minor breathing difficulties
Decreased lung function in school children,  increased
asthmatic attacks, irritation of respiratory tract
for persons with respiratory illnesses

Impaired lung function in those exercising rigorously,
cough and chest discomfort


Reduction in lung function,  impaired lung function
in lightly-exercising individuals

Increased fragility of red blood cells,  deleterious
effect on cellular enzymes

Increased frequency of chromosomal  aberrations

Decreased lung function (effect enhanced by  exercise),
dryness of nose and throat,  chest discomfort, nausea,
decreased work performance.
Stupfel, 1976
            I
U.S. Bureau of National
Affairs, 1978

EPA National Primary Ambient
Air Quality Standard

FR, 44:8202, 1979
Ferris, 1978; U.S. Bureau of
National Affairs, 1978;
Casarett and Doull, 1975

Ferris, 1978; U.S. Bureau of
National Affairs, 1978

Ferris, 1978
Ferris, 1978

Ferris, 1978
* For perspective, ozone levels of 0.1 ppm to 0.3 ppm (1-hour average) are
  typical on bad summer days in many major U.S. cities.
SOURCE:  Compiled by Energy and Environmental Analysis,  Inc.;  Arlington,  VA,  1979.

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6.  What  are  EPA'9  air  quality  standards  for CO  and 0^  and  how do  these
    standards protect public health?

EPA  National  Ambient  Air  Quality  Standards  (NAAQS)  for  CO  and  03  are  as
follows:

                                                       03 Primary Standards
                           CO Primary Standards        (not be exceeded,  on
       Averaging  .         (second highest value       average, more than once
         Time              in the year)	       per year)	
       8 hour                     9 ppm                      No Standard
       1 hour                    35 ppm                      0.12 ppm (on a
                                                             daily maximum
                                                             basis)


For CO, compliance with the NAAQS means  that  the  standard  is  not exceeded more
than one  day per year  in an air quality  region. For ozone,  compliance  means
that the  average  number of days per year  above  the standard, computed  over  a
three year period, is less than or equal to one.   These  standards  were  set and
are periodically  reexamined according to the  results  of  scientific and  medical
studies  that  reflect  the most  recent   understanding  of  the  toxicological
effects of  each  pollutant and  the  potential  of  each  pollutant  to  effect the
health of the  general  public.  An  independent Science Advisory  Board  advises
EPA on  the  standards.  Each  primary  standard provides  an adequate margin  of
safety  because   of   the   uncertainty   in  evaluating  human   health  problems
associated  with  low  concentrations  of  these  pollutants,   and  to  protect
especially sensitive individuals from harmful health effects.

EPA established  the NAAQS  for  CO in  1971 and,  after recently reviewing the
scientific basis  for  the  standard,  proposed revisions to  the  primary  one-hour
CO  standard in  August  1980.  EPA  established  the  NAAQS  for  photochemical
oxidants  in 1971 and replaced it with a revised ozone standard in 1979.

The standards  shown  above are known as  "primary" air quality  standards.   For
ozone,  there is  also a "secondary" standard.   The difference between  the two
is  that  the  primary  standard is  intended  to  protect  human  health, while the
secondary standard  protects  trees, crops  and inanimate  materials, which are
important contributors to human welfare.

The primary  and  secondary standards  for  ozone  happen  to  be  the same.   No
secondary standard  is  required for  CO  because  effects on  trees,  crops,  and
inanimate materials from  CO have been observed only at relatively  high  ambient
concentrations beyond those likely to occur in urban areas.

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7.  What are the major sources of high concentrations of CO and

Carbon  monoxide  from manmade   sources  is  produced- almost  totally  by  the
incomplete  combustion  of fossil  fuels.   In 1977,  an estimated  102.7  million
metric  tons  (113.2 million U.S.  tons) of  CO  were  emitted  to the  atmosphere
from manmade sources  in  the  United States  (EPA,  1979a).   Of this  total,  75.2
percent can be attributed to  highway  transportation  sources,  with approximate-
ly  8 percent,  or 8.3  million  metric tons  of  CO, emitted  from  industrial
processes.  Three  industries  —  chemicals  manufacturing,  petroleum  refining,
and  metal  refining  —  are   the  most  significant  industrial  sources  of  CO
emissions,  a combined  7.3 million metric  tons.    The remaining   17 percent  of
nationwide CO emissions  is attributable  to non-highway vehicles  (construction
equipment, vessels, etc.), stationary  source fuel  combustion,  solid waste,  and
open burning.

Ozone is not emitted directly into the air.  It is a secondary pollutant,  that
is,  a   product  of atmospheric  chemical  reactions between  two   precursors  —
volatile organic compounds (VOC) and oxides of nitrogen (NOx)  —  which,  in the
presence  of sunlight,  react  to  form  03.   Volatile  organic  compounds and  NOx
are emitted from both natural and manmade  sources.  Over the entire  U.S.,  VOC
emissions  from  natural sources  exceed those from manmade sources.   However,
manmade  sources  tend  to  be   geographically  concentrated  in  urban centers  so
they are  by far  the  primary cause of  high  concentrations .of VOC  and  NOx.   The
natural sources  of  VOC are spread out over a much  larger  area  and  their  VOC
emissions  are  very  diluted  with  fresh  air.   In  addition,  urban areas  with
ozone problems usually have ambient VOC to  NOx  ratios of about 10:1,  which  is
close to  the  optimum ratio for ozone formation.   Rural  areas typically  have
much higher VOC  to NOx ratios,  due to the  fact  that NOX emissions are  low  in
these areas.   Therefore,  there  is insufficient  NOX in rural  areas   to  drive
the  photochemical  reactions  necessary for  substantial  ozone  production  (EPA,
1980a).

Approximately  28 million  metric  tons (30.8 million U.S.  tons)  of VOC  are
emitted  from  man-made sources  in the United  States each year.   Most of  the
hydrocarbon  load,  estimated   to  make up  at  least  two-thirds  of  the  VOC
emissions  (EPA,  1980b),   occurs from  gasoline  evaporation  and   motor  vehicle
tailpipe  exhaust emissions.   Other  major  sources of VOC,  including HC,  are
gasoline  distribution  systems,  chemical  processing  industries, and industries
that use  organic solvents, such as paint.

Nationwide estimates of NOx emissions  attribute 21.7 million  metric tons  (23.9
million U.S. tons)  per year  (or  95 percent)  to  fuel combustion  (EPA,  1978a).
The  major sources of  fuel  combustion and  the respective  NOx emissions  are:
highway  fuels,   7.4 million  metric   tons  per  year;  non-highway  fuels,  2.2
million metric  tons  per  year; non-industrial sources, 5.8 million metric  tons
per year.

In  summary, then,  while  both CO  and  the  precursors  of  03 are emitted  from a
variety of source  types,  it  should be noted  that  the major source of  both  03
precursors and CO is motor vehicle tailpipe emissions.

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8.  In what areas are concentrations of CO and 0-3 greatest?

Because fuel  combustion in highway  vehicles  is  the -single largest  source  of
0  precursors and  of CO,  pollution  levels  tend  to  be greatest  in  urban areas
with  high traffic  volumes.   Also,   basin-like   geography  and  meteorological
conditions that  reduce  ventilation  decrease  the rate at  which air  mixes  and
disperses pollutants.   Table  3 presents major U.S. cities  (population greater
than 200,000) with  the  ten worst CO  and  03 levels  based on the  design values
used  in  1979 State  Implementation  Plans.   (Design  values are  the  pollutant
measurements  that  are  compared  to  the  air  quality standards to  determine
whether the standards are  being met  or  not.  Thus,  they are an indicator of a
city's level of  a pollutant over  a  recent period of  time.)  In 1982,  39 major
cities are projected not  to  attain  the  CO standard and  36 major cities  are
projected not to attain the ©3 standard.


         TABLE 3. MAJOR U.S. CITIES  (POPULATION GREATER THAN 200,000)
                 WITH THE  TEN  HIGHEST CO AND 03 DESIGN VALUES*
Cities with Highest CO Values

 1. Bridgeport (Fairfield), CT
 2. Los Angeles (South Coast Air
    Basin), CA
 3. Phoenix, AZ
 4. Denver, CO
 5. Cleveland, OH
 6. Albuquerque, NM
 7. New York, metropolitan
 8. Pittsburgh, PA
 9. Chicago, IL
10. Fresno, CA
 Cities with Highest 0-^ Values

 1.   Los Angeles (South Coast Air
     Basin), CA
 2.   Houston, TX
 3.   Milwaukee, WI
 4.   New York, metropolitan
 5.   Chicago, IL
 6.   Detroit, MI         tied
 6.   Cleveland, OH
 7.   Philadelphia, PA
 7.   Wilmington, DE
 7.   Pittsburgh, PA      tied
 7.   Cincinnati, OH
 7.   San Diego, CA
 8.   Ventura-Oxnard-Thousand Oaks,  CA
 9.   St. Louis, MO
10.   Allentown-Bethlehem-Easton,  PA
* In 1982, 39 major  cities  (population greater than 200,000)  are  projected to
exceed the national  ambient  air quality standard  for  CO and  36  are  projected
to exceed the 03 standard.

SOURCE: EPA  Internal Memorandum;  March  26,  1980; from G.T.  Helms,  Chief,
        Control  Programs  Operations Branch,  CPDD,  to   all  Air Branch  Chiefs,
        Regions I-X.

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                                      11

9.  Under what weather conditions and at  what  times of day are  concentrations
    highest?

In  generali    concentrations   reach   the  highest   levels  when   temperature
inversions occur or when stagnant air masses lie over urban areas  for  extended
periods.   Inversions (which limit vertical  mixing)  can occur  when a  layer  of
cool,  heavy air falls and is warmed  through  compression.   When this air  layer
comes  to rest,  it  is frequently of  a higher temperature  than  the  surface  air
layer, so that  the surface air  layer  is  trapped.   This  phenomenon  is  known  as
a  subsidence  inversion  and  occurs  most  frequently  during   summer  months.
Ground-based   inversions  also  may  trap  surface  air  and  inhibit pollutant
dispersion.   They  occur  during cold  fall and  winter  months  when the ground
cools  faster  than the air column, creating a cool  surface air layer that will
not rise,  mix with  upper  air  layers,  and  disperse  pollutants.   Finally,
large-scale  air masses  associated   with high  pressure  weather  systems may
occasionally  stall for several  days,  leading to the buildup of high pollutant
concentrations.

Ozone  formation requires  sunlight  and high  temperatures  (greater  than 70°F).
Therefore, concentrations of 63 are  higher  on  sunny days,  especially in  the
summer in the  early  afternoon  when  sunlight  is more direct  than it is in  the
winter.   Subsidence inversions, which are common during summer months,  further
aggravate  the  problem  by  preventing  the normal  dispersion  of   63.   In  the
absence  of  an inversion,  03  generated during  daylight  hours  is  lost   by
atmospheric  mixing,  the  natural movement   of  air  masses,  and  by  chemical
reaction, especially on ground  surfaces.  Nighttime  levels  are  consequently
greatly reduced.  Urban 03  levels rise  again the next  day as automobiles  and
stationary  sources  emit  ozone  precursors  and  sunlight  promotes  the   63
producing reaction.

Carbon  monoxide  concentrations  often  follow  predictable  trends.   In  most
cities,  CO levels peak at seven to nine a.m., four to seven p.m.,  and  ten p.m.
to  midnight.   The  first   two  peaks  are  due  to  emissions   from rush-hour
traffic.   The  midnight  peak  can   be   attributed   primarily   to  undispersed
emissions, as  a result of  calm wind  conditions or  the  reversal  of wind flow
patterns  from  the  daytime  norm.  The highest  CO levels  tend  to  occur in  the
fall  and  winter  when   colder  ambient  temperatures  result   in increased
production of  CO emissions  from  cars,  in addition  to CO  emitted from  other
fuel-burning  sources.  Also, low wind speeds and ground-based  inversions  which
occur during  winter  and fall  result  in decreased dispersion  of  CO emissions
and  contribute  substantially  to  the   occurrence   of   high  ground-level   CO
concentrations.

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                                      12

10. What is the air quality index given on radio and TV?

The air quality index, also known as  the  Pollutant  Standards  Index (PSI),  is a
health-related index designed to inform  the  public  about  harmful air pollution
levels  (see  Table 4).  The PSI  is  based generally  on the primary  short-term
National  Ambient  Air  Quality  Standards  (NAAQS)  and  Federally  established
levels  for categorizing  the  severity of pollution episodes.   Each day,  the
highest pollutant level in relation to the ambient  standard  for that pollutant
measured  at  any .one  monitoring  area  is   reported   as  the  PSI  index.    As
described  in Table 4, a  PSI value of  100 or above signifies  that  health risks
are . present  for  certain  segments  of  the population.   The  proportion  of  the
population for which health risks are present increases as the PSI value rises.

11. What effects do CO and 0-^ pollution have on plant life?^

Carbon  monoxide  and  63  both  are   capable   of affecting  plant  growth.    In
general, 03  is much  more harmful  to plant  life  than CO  because  plants  are
capable  of absorbing and metabolizing  small  amounts   of CO.   Effects of  03
usually are measured  as  changes in plant growth (stem and  root),  coloration,
vigor, photosynthesis, respiration,  or leaf injury.

Ozone  is  highly  toxic  to  plant   life.   It  has  been  shown   to  affect  the
permeability of  cell membranes which,  depending on the  03  concentration  and
length of  exposure,  can  result  in effects to  the  entire plant.   Research  has
determined that  chronic  exposure to  03  in  concentrations at  or below those
often  found  in  urban areas  (0.05  ppm  to  0.20 ppm)  causes  leaf  injury  and
reduces  root  and top weight  in trees,  shrubs, and  agricultural crops  (EPA,
1978a).

Botanical  experimentation has found that chronic exposure to CO  I.-vels  as  low
as 20 ppm and 24  ppm may  suppress the nitrogen-fixing  bacteria  in :oot  nodules
of  legumes or  produce  abnormal  leaf formation in pea  and bear,  seedlings.
However, these  concentrations should  not be considered  threshold  levels  for
plants in  general due to  the  lack  of supporting research  findings  and  because
plants vary widely in their sensitivity to  CO  (EPA,   1979a).  Also,  food crops
and forests  are  not  generally  located near  areas of  dense   traffic, which  is
where these levels of CO can occur.

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                                              TABLE 4.  DEFINITION OF POLLUTANT STANDARD INDEX (PSI) VALUES
                                          Pollutant Level
 PSI
 Index
 Value
Air Quality
   Level
   TSP
(24-hour)
  ug/m3
   S02
(24-hour)
  ug/m3
   CO
(8-hour)
  mg/m3
   °3
(1-hour)
  ug/m3
   N02
(1-hour)
  ug/n3
Health Effect
General Health
    Effect*
Cautionary
Statements
500
Significant
   Harm
                         1000
               2620
             57.5
             1200
           3750
400
        Emergency
                857
               2100       46.0        1000       3000      Hazardous      Premature death of ill and
                                                                       elderly.  Healthy people will
                                                                       experience adverse symptoms
                                                                       that affect their normal
                                                                       activity.
                                                                                          All persons should remain
                                                                                          indoors, keeping windows
                                                                                          and doors closed.  All
                                                                                          persons should minimize
                                                                                          physical exertion and avoid
                                                                                          traffic.
300 Warning 625
200 Alert 375
100 NAAQS 260
50 501 of NAAQS 75"
0 0
1600 34.0 800 2260 Hazardous Premature onset of certain
diseases in addition to signi-
cant aggravation of symptoms
and decreased exercise toler-
ance in healthy persons.
800 17.0 400C 1130 Very Significant aggravation of
Unhealthfi/1 symptoms and decreased exer-
cise tolerance in persons with
heart or lung disease, with
widespread symptoms in the
healthy population.
365 10.0 240 Unhealthful" Mild aggravation of symptoms
in susceptible persons, with
•irritation symptoms in the
healthy population.'
80° 5.0 120 Moderate8
0 0.0 0 . Good3
Elderly and persona with
existing diseases should
stay indoors and avoid
outdoor activity.
Elderly and persons with
existing heart or lung
disease should stay indoors
and reduce physical
activity.
Persona with existing heart
or respiratory ailments
should reduce physical
exertion and outdoor
activity. '


D Annual primary NAAQS.
c 400 ug/m3 was used instead of the 0-j Alert Level of 200 ug/m3.

SOURCE: U.S. Environmental Protection Agency, "Guidelines for Public Reporting of Daily Air Quality
                                                                                              Pollutant Standard Index."

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                                      14

12. How prevalent are these effects on plant life?

The environmental-effects on plants  of 03 pollution  are more  prevalent  than
the effects of  CO pollution.  Many  cases  of  regional vegetational  effects  of
03 have been  documented.   Similar reports of CO  toxicity do not appear  to  be
available.

Ozone pollution has been  recognized  as  a  chronic  pollution problem  only during
the last 20 to 25 years.  It was  first  noted  in Southern California, where the
impact appears to be most severe.  Studies were made  to  determine the economic
losses  incurred in  citrus   groves  and vineyards as  a   result  of  03  in  the
Southern  California  atmosphere.   It was  found  that  03  was responsible  for
reduced plant water  use,  reduced  photosynthesis,  increased leaf  and  fruit
drop, and severe  reduction  of  marketable  fruit yield.   Lemon  trees  and orange
trees exposed  to  at least  0.10  ppm of 03  over  a  growing season produced  32
percent and  54 percent less fruit,  respectively,  than  an atmosphere  with  no
0 .   Vineyards in  areas  where  the  ambient  03  concentration  often  exceeded
0.25 ppm  over the May through September  growing  season  reported a  12  percent
yield reduction the first  year  and  a  61 percent  yield reduction  the  second
year (U.S. EPA,  1978a).   And from  1972 through  1976, ozone-induced  damage  to
Southern  California  vegetable  and field  crops  resulted  in an estimated  $14.8
million per year in consumer losses (EPA,  1979b).

Various   species  of   pine   trees  also  are   experiencing   effects  from  03
pollution, especially  in  certain regions of  the  country.  In the  Appalachian
Mountains, a  disease  known as  emergence  tipburn  (which  mainly affects  the
eastern white pine)  has  been  attributed  to   03  levels as  low as 0.12  ppm
(U.S.  EPA,  1978a).   Emergence  tipburn  appears  to  affect  only  genetically
sensitive trees within the   species  and gradually destroys them.  The  eastern
white pine is an important pioneer tree (i.e.,  it often  is  one of the first  to
grow  in a previously  unfcrested area),  which starts  the natural  ecological
progression toward  a fully  established forest  ecosystem.  The  destruction  of
these trees,  then,  may disrupt  the  balance of some  forest ecosystems  in the
eastern United States.

Mixed pine  forests in  the  San  Bernardino  Mountains  east  of Los Angeles  and
ponderosa pine in the Sequoia National  Park also  have  sustained  serious injury
from chronic  03 exposure.  Mixed pine  forests located  on the  western slopes
of the  southern Sierra Nevadas  appear  to be affected by 03  transported  from
the San Joaquin Valley of  California (U.S.  EPA,  1978a).   These trees are  an
important part of California's  lumber industry.

It is  evident, then,  that  secondary 03  standards  are  needed  to protect  the
quality of forest ecosystems and food  crops  in  the  U.S.  and that  primary  CO
and 03 standards are needed to protect the health of the  U.S. population.

13. What is EPA doing to help reduce levels of these pollutants?

EPA is working  to  carry out the Clean  Air  Act  as amended in 1970 and  1977  to
reduce  air  pollution and improve air  quality.   In response  to these  amend-
ments, EPA promulgated  National  Ambient Air Quality Standards (NAAQS).   These
standards defined the principal types of air pollutants  and  the  levels  of each

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                                      15

that should not be  exceeded  for the protection  of  public health  and  welfare.
Carbon monoxide  and  63 are  two of  the  six  regulated air  pollutants  (the
others are sulfur dioxide,  particulate matter,  nitrogen dioxide,  and lead).

According to the provisions of  the  1977  Amendments  to the Clean Air Act,  each
State is  required  to develop specific  State  Implementation Plans  (SIP's)  for
improving air quality in areas  not  meeting the  NAAQS and for maintaining  the
purity of the air  in areas as  clean as  or cleaner  than that specified  by  the
NAAQS.   EPA is  assisting  the  States   in the  technical  work  of pollution
measurement, planning,  and control  so   that  they may  develop  and carry  out
their implementation  plans.   EPA also  distributes  Federal funds  appropriated
by Congress to the States  for use in achieving air quality goals.

Besides setting and  enforcing air  quality  standards,  EPA also  is responsible
for establishing pollution emission limits for automobiles.  To enforce  these
emission standards, EPA tests prototype models of all  new  cars  and trucks  to
ensure that they comply with the legal  standards, performs  assembly line tests
and orders  recalls  when defective  emission control  components  are identified
through  in-use  testing.   And  under  EPA's guidance,  state  are  implementing
inspection and maintenance (I/M) programs  to  reduce  levels  of  in-use emissions
from motor vehicles.

Another  EPA  program mandated   by   the  Clean  Air   Act  is   the   New  Source
Performance Standards (NSPS) for stationary sources,  which  are emission  limits
for certain  source categories  (e.g., power plants)  determined  to contribute
significantly to air pollution levels.

14. How much progress has  been made?

Progress has been  made  both  in the development of  programs  to  clean the  air
(planning)  and  in  actual  reductions   in ambient   pollutant   concentrations
(implementation).  For  example,  State   Implementation  Plans (SIP's) have  been
developed  by  all  States.   These  plans include a   definite  timetable  for  a
step-by-step attainment of  National  Ambient  Air Quality  Standards  (NAAQS).
Also  included  in the SIP's  of  those States  granted extensions  from  1982  to
1987  for  demonstrating  attainment  with   03  and/or CO  standards  are plans  for
motor  vehicle  inspection  and   maintenance,   and  programs  to   improve mass
transportation and  reduce  personal vehicle use  in  urban areas,  in order  to
reduce automobile exhaust  emissions.

In general, ambient levels of CO are lower now than  in  the  recent  past and  are
continuing to decline.  Between  1972 and 1977, approximately 80  percent  of  the
monitoring  sites  in  the  United  States showed  long-term  improvements  in  CO
levels  (EPA,  1978b).   This  trend  is fairly  consistent throughout the  United
States.   On  the  other  hand,   03   trends are  not  as  encouraging.    About
one-third of all monitoring sites throughout  the country have  noted increasing
03  levels  from 1972  to 1977 (EPA,  1978b).   And in the period  from  1974  to
1978, there were no substantial changes  in  the yearly average of daily maximum
ozone levels for  a collection of 51 sites  studied  by  the  President's Council
on  Environmental  Quality   (CEQ,  1980).   However,   ozone  monitoring   in  Los
Angeles, where the problem is most  severe,  has  indicated substantial  long-term
reductions in ambient levels.

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                                      16

15. What are the legal deadlines for attainment of the standards?

Provisions of the'Clean Air Act Amendments  of  1970 originally established July
1975  as  the deadline  for compliance  with  the  National  Ambient Air  Quality
Standards  (NAAQS).   This deadline was  found  to  be  unachievable  and  was
extended  to 1982  by  the  1977 Amendments  to  the Clean  Air  Act.   For  some
States, the  deadline was  further  extended  to  1987  for CO  and 03  because  of
the demonstrated difficulty in reducing current  emission levels,  especially of
motor vehicles, within a relatively short time frame.

16. What is EPA doing to help ensure attainment of the standards?

EPA has a  number of continuing programs  to ensure that CO and 03 NAAQS"s  are
attained  and  maintained.    For  mobile   sources,  the  Federal  Motor  Vehicle
Control  Program  provides  for  an  increasingly  stringent  set  of  emission
standards  designed  to  control emissions  from  cars,  trucks, buses,  and  motor-
cycles.  As new  vehicles  with low emission levels replace  older  vehicles with
high  emissions,   the  total  pollutant  burden  from motor  vehicles  should  be
lessened.   However, emissions  will  continue   to  deteriorate  as  individual
vehicles  age.    In  addition,  total  miles  traveled  by  passenger  vehicles
increased  during  the decade   from  891  billion miles  per year  in 1970  to  1.1
trillion  miles  per year  in  1978  (MVMA,   1980);  this  meant  that  emission
reductions in  the  1970's  were at  least  partially  offset by  increased  vehicle
usage  and  this  could  also  happen  in  the  1980's.    Population  and  economic
growth have  also led to increases  in emissions  from  sources other  than  motor
vehicles.   Therefore,  in  order  to further  reduce motor  vehicle  emissions,
Congress required in the  Clean Air Act  Amendments  of  1977  that inspection and
maintenance  programs be   implemented  if  State  Implementation  Plans  for  03
and/or CO  cannot demonstrate attainment  of the NAAQS  by  1982.   I/M  programs
will  help  maintain the  efficiency of automotive  emission control  systems  by
requiring  repair of  vehicles which  do  not  pass  a   tailpipe  emission  test.
Transportation  control  measures are  another  option  available  to  States  and
local areas  for  reducing  mobile  source pollution.   Examples  of transportation
control measures include  carpool/vanpools,  express  bus lanes,  park-and-ride
lots, and parking surcharges.

Controls on  stationary  sources are  dependent  on whether the  source is  in  an
attainment or a nonattainment area  and whether the  source  is  to be constructed
or  already exists.  Some  new sources  have emission  limits  dictated  by  New
Source Performance  Standards (NSPS's) if they  are  in  a  category  of  sources
determined  to  contribute  significantly to  air  pollution levels.  New  sources
in  nonattainment  areas  are  required  to  control to  the  lowest  achievable
emission  rate,  while  new sources  in  attainment areas  must  use  the  best
available  control  technology.  Existing  sources  in   nonattainment  areas  are
required  to reduce  emissions by   adopting  at a minimum reasonably available
control technology.

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                                      17

                                  REFERENCES
Casarett, L.J.,  and Doull,  J.  1975.   Toxicology.  The Basic Science of Poisons.
New York: MacMillian.

Ferris, B.J. 1978.   "Health Effects  of Exposure to Low Levels of Regulated Air
Pollutants," Journal of Air Pollution Control Association 28(5):482-497.

National Academy of Sciences (NAS).   1977.   Carbon Monoxide.   Prepared by the
Committee on Medical and Biologic Effects of Environmental Pollutants,
National Research Council.

Stupfel, M.  1976.   "Recent Advances in Investigations of Toxicity of
Automotive Exhaust." Environmental Health Perspectives 17:253-285.

U.S. Bureau of National Affairs.   1978.   "Criteria for Ozone  and Other
Photochemical Oxidants," Environmental Reporter,  Federal Laws Index
BNA:31:2151-31:2162.

U.S. Environmental Protection Agency (EPA).  1978a. Air Quality Criteria for
Ozone and Other Photochemical Oxidants.   EPA-600/8-78-004.

U.S. EPA.  1978b.  National Air Quality,  Monitoring and Emissions Trends •
Report. 1977.  EPA-450/2-79-022.

U.S. EPA.  1979a.  Air Quality Criteria for Carbon Monoxide (Preprint).
EPA-600/8-79-022.

U.S. EPA.  1979b.  Methods Development for Assessing Air Pollution Control
Benefits. Vol.  III.  EPA-600/5-79-001c.

U.S. Government Printing Office.   1979.   Federal  Register 44:8202.

U.S. EPA.  1980a.  Natural Sources of Ozone: Their Origin and Their Effect on
Air Quality.  EPA-AA-IMS/AQ-80-2.

U.S. EPA.  1980b.  Review of Criteria for Vapor-Phase Hydrocarbons.
EPA-600/8-80-045.  RTF, N.C.

EPA Internal Memorandum; March 26, 1980,  from G.T. Helms, Chief, Control
Programs Operations Branch, CPDD, to all  Air Branch Chiefs, Regions I-X.

Council on Environmental Quality.  1980.   Environmental Quality -'1980.  The
Eleventh Annual Report of the Council on Environmental Quality.

Motor Vehicle Manufacturers Association of the U.S. Inc. (MVMA).  MVMA Motor
Vehicle Facts and Figures '80.  Detroit,  Michigan.

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