EPA/AA/CTAB/PA/81-14
                               TECHNICAL REPORT
              Review of the Literature and On-going EPA Projects
           Comparing Portable Dosimeters and Fixed Site Monitors as
              Accurate Indicators of Exposure to Carbon Monoxide
                                      by

                                 Allan W.  Ader

                                   May,  1981
                                    NOTICE

Technical reports do not necessarily represent final EPA decisions or
positions.  They are intended to present technical analyses of issues using
data which are currently available.  The purpose in the release of such
reports is to facilitate the exchange of technical information and to inform
the public of technical developments which may  form  the  basis  of  a final EPA
decision, position or regulatory action.
           Control  Technology  Assessment  and  Characterization  Branch
                     Emission Control Technology Division
                 Office  of  Mobile  Source  Air  Pollution  Control
                      Office of Air, Noise and Radiation
                     U.S. Environmental Protection Agency
                              2565 Plymouth Road
                          Ann Arbor, Michigan  48105

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Introduction

The primary source of  carbon  monoxide (CO)  present in  the  atmosphere  is the
incomplete    combustion   of    gasoline-fueled    cars   with    carbureted,
spark-ignitipn  reciprocating  engines.   The  CO  emitted  is  a  function  of
concentration  of  CO in  the exhaust  gases,  flow rate  of  exhaust  gases  and
duration  of  operation  (1).   Future  exposure to  ambient   CO  concentrations
will clearly depend on future  amounts of CO emitted  into  the  atmosphere and
future CO  emission patterns.  As mandated  by Section  319  of  the  Clean Air
Act,  substantial  effort  has  been  expended  by  the  U.S. Environmental  Pro-
tection Agency (EPA) to quantify the  extent of CO  exposure  to  the  U.S.  popu-
lation.  EPA and various  state and  local environmental  quality agencies  have
promulgated standards  for CO reduction  based on measurement  of CO  at  fixed
site monitors  located  throughout these  areas.  Whether  CO  levels measured at
these fixed site monitors are  indicative of personal  CO exposure has recent-
ly been examined by several  investigators  (2,3,4).   These  studies  raise  some
important questions as  to whether  personal dosimeters may  be  a  better  indi-
cator of  exposure  and  biological dose  than  fixed site  monitors and whether
fixed site monitor concentrations correlate with biological dose.

This report will be primarily  concerned with  reviewing  and evaluating previ-
ous studies  comparing  personal dosimeter  readings  and   fixed  site  monitors.
The secondary objective will be  to  assess  the correlation,  if  any,  of either
or both of these monitoring  techniques  to various biological measurements of
CO  exposure  including  "end-expired"  breath analysis  and  blood  carboxy-
hemoglobin  (COHb).   An accurate assessment  of  the  above   parameters is es-
sential especially in  urban areas where CO  levels  above the National Ambient
Air Quality  Standard  (NAAQS)  of 10 mg/m^ (9 ppm)  for   an  eight-hour  limit
and 40 mg/m3 (35 ppm)  for a maximum one-hour limit have been reported.     i

The following  studies   in the  literature related  to personal dosimetry and
fixed site monitors have  been evaluated  in depth:

    - Cortese and Spengler (Boston) study (2)

    - Jabara, et al. (Denver) study (3)

    - Wallace (Washington, D.C.)  study  (4)

    - Wilson and Schweiss (Seattle) study (5)

    - Wilson and Schweiss (Boise) study  (6)

Where necessary, the significance  of the findings in terms of  comparing the
two methods of CO  exposure monitoring has  been  reassessed  by additional  sta-
tistical analysis*.  In addition,  the on-going  short-term  and  long-term EPA
projects on  CO monitoring will  be  described.  Hopefully these  EPA projects
will provide a more complete  data  base  in this  area  than  the  aforementioned
studies.
*(Note:  We  wish to thank  Mr.  James Jabara of  the  U.S. Army who  conducted
the  Denver  study for providing  us  with the original  data on which  further
calculations were made.)

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                                      -3-

Boston Study;

Cortese  and Spengler  (2)  conducted  a  monitoring  study  of sixty-six  (66)
nonsmoking  individuals  who commuted  by several means  of  transportation  to
different locations in  the  Boston  metropolitan  area.   The primary purpose  of
the study was  to determine whether 1 hour  concentrations of CO  during  com-
muting  exceeded  the. NAAQS.   Eight-hour  CO dosimeter   readings  were  also
taken.  Results  from personal  dosimeter monitors were  used to determine  com-
muting  exposures  and   integrated  1  hour  and  8  hour  exposures  were  de-
termined.   Personal dosimeter  exposure  data were compared  to concentrations
measured at  fixed location monitors  operated by the Massachusetts  Bureau  of
Air Quality Control  at urban  locations near the employment  .of most of  the
commuters and  suburban locations.   Alveolar  air  samples were  taken  by  each
participant before and  after  each commuting  trip  to  estimate  the  amount  of
CO absorbed by the blood during commuting.

The mean personal 1-hour  commuting exposures measured by  dosimeters  was  1.4
times greater  than the hourly  reading  of the  fixed  site monitors at  urban
locations (10.8 ±,5.1 ppm for  a mean  personal exposure 1-hour concentration
compared to a mean hourly fixed location concentration at the urban stations
of 7.8 _+ 4.9 ppm).   The mean maximum 1  hour  personal  exposure  concentration
was 2.1 times the mean concentration (5.1 _+ 2.9 ppm) of  the fixed site  read-
ings  at  suburban locations.    Cortese  and  Spengler  also  examined  the  re-
lationship  at  the range  of  concentrations  closest to  the NAAQS  (the  upper
5-7%  of  the personal  exposure and fixed  location measurements).  The  mean
personal exposure concentration (25.3  ppm)  was 1.6  times the mean  concen-
tration  at  all  fixed  stations  (15.6  ppm)  and  1.3 times  the mean  concen-
tration at urban  stations (19.9 ppm).

In contrast to the 1-hour exposure data, a comparison  of maximum  8 hour  mean
personal exposure readings with  those measured  at  fixed  site monitors showed
the mean 8  hour  fixed  site  urban station readings  (6.6  ppm)  to be  1.6  times
higher than the  mean  8 hour  personal  dosimeter  hourly  average  (4.2 +  1.9
ppm).  Average  concentrations  at  suburban  fixed  site  monitors were  similar
to the 8  hour  average  personal  dosimeter  readings.   Table  1  summarizes  the
results of  the Cortese and Spengler study.

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                                      -4-


                                    Table 1

                     Summary of Cortese and Spengler Study

    Measurement From              Compared To               Result

      Commuter               Urban Fixed-Site               Personal Dosimeter
    Personal Dosimeter       Monitor, 1-hr average          higher by a factor
      1-hr average                                          of 1.4 (ave.) to
                                                            2.1 (max.)

      Commuter               Urban Fixed-Site               Personal Dosimeter
    Personal Dosimeter       Monitor, 8-hr                  lower by a factor
      8-hr average           average                        of 0.63

      Commuter               Suburban Fixed-Site            Personal Dosimeterr
    Personal Dosimeter       Monitor, 8-hr                  about the same
      8-hr average           average                        as fixed-site
                                                            monitor
The alveolar air  sample measurements  showed  no relationship with commuting CO
exposure  measured by  dosimeters.  Although  actual  data  on alveolar  "end-
expired" breath samples are not  presented  by Cortese  and Spengler,  they imply
that  there  was essentially no difference  between before and after commuting
alveolar  air  concentrations  of CO.   The  basic  premise   upon  which  these
results are valid concerning biological dose of CO is if "end-expired" breath
samples are truly indicative of  blood  COHb and/or dose.   Cortese and Spengler
state  the following  on  this subject  concerning  the relatively  low CO  ex-
posures measured:

    "It is  also  difficult  to measure  blood  COHb  levels below  2% [references
    deleted] and  the data relating alveolar air concentration  to  blood COHb
    at  such  levels  are  sparse  and  difficult  to  interpret.   Therefore,
    alveolar air  samples  may  not reflect  the slight  changes in  COHb concen-
    tration that occur from ambient CO exposure." (2)

Denver Study;

Jabara,  et   al.   (3)  evaluated   the  occupational  exposure  to  CO  of  Denver
traffic  officers  during  eight hour work  shifts   by  comparing  personal
dosimetry,  before and after  workshift breath samples  analyzed  for  CO,  and
ambient CO  levels at  fixed  site  monitors.   The study design was  a  structured
random  sampling  of  volunteers separated  into  control  and  exposed  groups  by
shift  and job  classification.   At the  beginning  of each  shift,  dosimeters
were  distributed to  three  exposed  and  one  control   volunteer  and  breath
samples were taken.   The controls were police department employees  who worked
at the traffic bureau but remained indoors during working  hours.  The exposed
group  consisted  of  traffic officers working at urban traffic  locations.   At
the end  of  the  work shift, breath  samples   from  all participants   were  col-
lected,  dosimeter  readings  were  recorded   and  questionnaires  concerning

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                                      -5-

smoking  habits  were returned  and the  information  recorded.   Breath  samples
were analyzed by  the method of  Jones,  et al.  (7)  and were collected  in the
same manner as  in  the  Boston study.   The average ambient  CO levels monitored
at fixed sites  were  also  recorded on the same day  as  the  personal monitoring
took place.  Ambient concentrations  of  CO were  determined  by reference to the
three nearest fixed  site  monitors within the Denver metropolitan  area to the
traffic officers in the field.

Figure 1 presents  the  average  daily  dosimeter  readings for the  subjects and
controls compared  to the  ambient CO  concentrations.   Statistical  analysis  by
Jabara,  et  al.   showed   a  significant  difference   between   subjects   and
controls.   Of   particular  interest  to  this  paper,  however,  was  whether the
dosimeter readings of controls who may  be more  representative  of the environ-
mental exposures  expected  in  the general  community  (the majority of  their
time  is  indoors),  was  significantly different  than  the  ambient  readings  at
fixed  site monitors*.  Jabara1s survey  data were  obtained and  statistical
analysis was performed  on the  matched  sets  of  data by  the  "Student"  t-test,
which is used to detect significant  differences between independent groups or
several  different  observations  for  each individual within  a group.  A  sig-
nificant difference  (0.0005 •* P<0.005)** was found  between  control dosimetry
values and  ambient CO from fixed-site  monitors, with  as  shown in  Figure  1,
the dosimeters  indicating  a higher  value than  the fixed-site  monitors.  As
could be expected  from Jabara1 s  initial analysis  of variance of  the  subject
and  control  data,  the   "Student"   t-test   showed  a  signficiant  difference
(P<0.0005)   between  matched observations  of  subject   dosimetery  values  and
ambient  CO  from fixed site  monitors.  Table 2  summarizes the  exposure  data
from the Denver study.
* The  author acknowledges that  indoor  air pollution  factors  such  as  under-
ground garages and cigarette smoking may have been  a  factor  in these results,
but the controls were not exposed to CO  as  commuters,  therefore  reducing this
aspect of their exposure; it is not known if these balance out.

**  The  author  would like to thank Mr.  Martin  Atherton of the EPA  Office  of
Mobile Source  Air  Pollution Control for  performing the  statistical  analysis
of the original data provided by Mr. Jabara.

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                                      -6-
Ambient CO fixed
  site monitors-
  8-hour average

Dosimeter
Readings - 8-hour
  average - All
  participants*

Dosimeter Readings
  8-hour average
  Subjects

Dosimeter Readings
  8-hour averages-
  Controls
                                    Table 2

                        Summary of Denver Exposure Data

                             Number         Mean PPM
98
98
 6.4
18.9
Standard
Deviation

   3.2
  10.4
75
19
21.7
 9.9
   9.9
   5.9
  4 Dosimeter readings could not be classified as either subjects or
  controls because of mixed exposures but were included for this data
  analysis.
Jabara  determined   the   correlation  coefficients  between   the  different
parameters measured  in the  study  for smoking and nonsmoking subjects.  These
data,  shown  in Table  3,  show  that  smoking  greatly  influenced  COHb levels
determined by  before and  after shift breath  analysis.   The non-smoking sub-
jects correlations did  show some significant results.   The relationship  be-
tween  dosimeter  and  after  shift   breath   analysis  (r =  .82)  showed  that
dosimeter readings are  a good  indicator of  COHb  at the  end of  the shift.
This result was  in contrast  to  the  previously mentioned Boston  study.   The
dosimeter versus change in  breath (after-shift breath CO level minus the  be-
fore  shift  breath  CO level)  relationship  for  nonsmoking  subjects  in  the
Denver  study   also  indicated a  significant  correlation (r  =  .64)..   These
relationships  for  nonsmokers are important  in  terms of EPA's  proposed  re-
visions of  the CO  standard  (45  Federal  Register  55066,  August 18,  1980)
because EPA has considered  only nonsmokers  in evaluating COHb data.   Another
important relationship to point out  is that  the  dosimeter  readings and fixed
site monitor  data do not  correlate well  for  nonsmokers  (r  =  .3990)  and
smokers (r = .2119).

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                                     -7-
                                    Table  3

              Correlation Coefficients Between Measured Data for
               Smoking and Nonsmoking Subjects for Denver Study

                                        Smokers         Nonsmokers

        1.  Dosimeter vs. After          .1829            .8228

        2.  Dosimeter vs. Change         .4947            .6431

        3.  Before vs. After             .8171            .3091

        4.  Before vs. Ambient          -.1483            .3631

        5.  Dosimeter vs. Before        -.1292            .2177

        6.  Dosimeter vs. Ambient        .2119            .3990

        7.  Before vs. Change            .0409           -.4051

        8.  After vs. Ambient            .0139            .3018

        9.  After vs. Change             .6094            .7443

        10. Ambient vs. Change           .2280            .0381


NOTES:   Dosimeter:   Personal  breathing  zone  sampling  for  CO,  with  an
integration of  the CO dose  over  the entire  workshift  (8-hour time-weighted
average).   Ambient:   Stationary   site   sampling  for  CO,   8-hour  moving
average.   Before  (breatn):   Personal  measurement  of  CO   in the  workers'
expired breath  before  the workshift.  After  (breath):   Personal  measurement
of  CO  in the  workers'   expired  breath  after  the  workshift.   Change  (in
breath):   After-shift breath  CO  level  minus  the  before-shift  breath  CO
level.  (Adapted from Reference 2)


Further  statistical  analysis was performed with  Jabara's  data to  determine
whether   work-related  proximity   to  traffic  congestion   was   related  to
dosimeter  readings.   Traffic  officers  who Jabara had  separated by  job clas-
sification were grouped  in ascending order of proximity to  auto  traffic con-
gestion  and  coefficients of correlation were determined for  exposure class
versus  dosimeter and  before  and after breath  analysis.  Work  related proxi-
mity to traffic congestion correlated fairly  well (r =  .625) with the 8 hour
average  dosimeter  reading but  did  not correlate  as  well,  if at all,  with
after shift breath analysis (r = .140) and change in breath (r = .360).

Washington, D.C. Study:

Wallace of EPA1 s Office  of Monitoring and Technical  Support  reported CO con-
centrations inside vehicles  of  commuters  travelling to  and  from  Washington,
D.C.   from  Reston,   Va.  during   the   summer  of  1978   (4).    Dosimeter

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                                      -8-

readings  taken  inside  the  vehicle  (most  often  on  the  rear  seat)  were
compared to ambient  CO readings obtained from a  Washington,  D.C.  fixed site
monitor.  Although the  intent  of the Wallace study was to  examine intrusion
of CO  into automobile  and  bus  interiors, the results of  the  study point out
the  difference  in  results  between  dosimeters  located  fairly  close  to
commuters  (perhaps  more  indicative  of  personal  exposure)  and   fixed  site
monitors.

Mean CO  concentration for all  vehicles  (buses  and  automobiles)  was  11.7  _+
4.9  ppm.   The values  in  the interiors  of  the  vehicles  during city  driving
averaged 50%  higher  than  during  suburban  driving.  The  difference was sig-
nificant at  the p ^.01 level.   Ambient levels measured by  the  fixed  site
monitor averaged 3.5  ^1.6 ppm  in  the city.   Even vehicles  in the  suburbs,
where ambient  levels  are presumed to  be  lower,  contained concentrations more
than twice as  great  as ambient  levels measured by the  fixed  site  montior in
the  city.  It  should also be noted  that although a  considerable  portion of
commuting time was in  the  suburbs,  mean  in-vehicle concentrations  were still
3-4  times  the values  recorded  by  the  fixed site monitor.   Figure  2  shows
that ambient  concentrations  measured  by  the fixed site monitor  and  interior
concentrations measured  by the dosimeters  are  not related  (r =  .1).   How-
ever,  the  five days  when  ambient levels were high  coincided with the high
exposures  inside  the  vehicles  probably   indicating   the  communter's  high
exposure as well.

Seattle and Boise Studies;

Wilson  and  Schweiss  of EPA's  Surveillance and  Analysis Division Region  X
prepared reports on  the work performed  in  Seattle (5)  and  Boise  (6)  of the
extent of CO in these  urban  areas.  Although these studies  cannot  be  used to
compare  fixed  site monitors  and personal  dosimeters,  they did examine the
correlation between  ambient  CO  at fixed site monitors  and  CO concentrations
at  street  level bag  samplers  and  indoor   locations  which  were believed to
more accurately reflect actual human exposure.

The  Seattle study  involved a 20-day monitoring  for  CO at  36  outdoor sites,
five  indoor  sites,  and  two  pedestrian  walking  routes  in  downtown  Seattle.
For  the  36 outdoor  sites, bag  samplers were placed at representative lo-
cations some  of which were  expected  to  yield  low CO values because  of re-
moteness from  cars.   Locations  where  idling vehicles  occur  were  deliberately
avoided.   At  each site,   the  sample  inlet was  about  3.5  meters  above the
sidewalk, more  than  10 meters from an intersection  and more  than  2   meters
from  a vertical walk.   Most  samples were over  one meter  from  the  street
curb;   two  were at  a much  greater  distance (in  parks).  These  bag  sample
results were compared  to  the five permanent monitoring  sites  located in the
downtown area.   The  Boise  study  design  was similar and  involved  40  outdoor
sites, six indoor sites, and two  pedestrian walking  routes.   In  Boise,  there
is  only  one  continuous monitor  to  compare CO  data.   Indoor  sites   in the
Boise study,  as in the Seattle  study, were  chosen  within a  few blocks of the
permanent monitor(s)  and data from  these sites were  compared  to  the  adjacent
outdoor sites.   Indoors  sites were  equipped with bag  samplers and  continuous
analyzers to monitor the daily pattern of indoor CO levels.

The  Seattle data show that the  permanent  monitoring  network was  not repre-
sentative of the highest frequency of exceedences  of  the 9  ppm NAAQS  within

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                                      -9-

the  study area  for  the  twenty  day period.   The  eight-hour  standard  was
exceeded at one or  more  sites  on 80% of the study days.   Exceedences  at  one
or more of the permanent monitors occurred  on  45%  of the sampled days.  Each
day  the  highest  eight-hour average  for any of  the  five  permanent  monitors
was  compared  to  the  highest eight-hour average at  any  of the  study  sites.
On most  days,  the  maximum  CO  average  at  the  study site  was less  than  1.5
times  that  at  the  maximum  permanent monitor,  but on  six days was  over  1.5
times as great.  On four of the  days  when  no violations  were  observed  at  the
permanent monitors, the maximum  study site's eight-hour  average  exceeded  9.0
ppm and was more than 1.5 times greater than at the permanent monitor.

The  Seattle  data  was also  analyzed  to   look at  the 20  day average CO  con-
centrations measured  by  stationary  monitors  and  those  by the  two  nearest
experimental samplers.  Table  4  presents these data and  shows that  seven of
the  ten  averaged   values  are  only  marginally higher   than  their  matched
counterparts.  Linear regression analysis  of these  averaged  values  revealed
fairly good  correlation  (r^ =  .6)  between the  experimental  and  fixed  site
measures.
                                    Table  4

                     Twenty Day Average CO Concentrations
                 Stationary Monitors vs. Experimental  Samplers
                              Seattle,  Washington
                                                 CO Concentration
                                                         PPM
Station Site
Stationary Monitor

      x      s
EPA Site #1
Pike Street Station

University St. Station

James Street Station

Fire Station

Smejcor Street Station
EPA Site #2
8.0
6.0
4.4
2.3
5.5
4.5
3.5
4.2
2.3
3.6
5.5
6.4
3.9
5.1
5.4
3.4
4.0
3.0
2.8
3.0
8.2
6.6
5.5
2.9
6.0
3.0
3.0
2.6
1.1
1.7
Paired  average  concentration  values   for  Seattle  indoor/outdoor  measures
appear in Table 5.  Three of  the  five  grouped  averages  are  higher for indoor
measures than  those outdoors.   Wilson  and  Schweiss  concluded that changes in
CO  concentrations  at  outdoor sites  frequently coincided with changes  in CO
concentrations  at  indoor  sites,   but   the  relationship  between  indoor  and
outdoor values was not constant.

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                                     -10-
                                    Table 5

           Average Concentration CO Values for Indoor/Outdoor Sites
                              Seattle,  Washington

       Sample Site Pairs               CO Concentration Means (PPM)

             Indoor776
             Outdoor                                6.6

             Indoor                                 5.4
             Outdoor                                5.5

             Indoor                                 6.0
             Outdoor                                4.5

             Indoor                                 5.2
             Outdoor                                6.3

             Indoor                                 8.2
             Outdoor                                5.5
The Boise study data  indicate  that  the  fixed  site permanent monitors gave CO
readings generally  lower than the  experimental  stations.   On every day but
one of  the  twenty day study,  the  eight-hour  concentration  at  the permanent
monitor  was  exceeded at  one  or  more  study   site.   Wilson  and  Schweiss
conclude, "the  permanent monitor  was generally  representative of  the higher
concentrations but did not represent  the  highest concentrations  or frequency
of exceedences within the  study area."  On 95%  of the study days  (19 of 20)
the  eight-hour  NAAQS was  exceeded at   one  or  more  experimental  sites.
Exceedences  at  the  permanent monitor  occurred  on  47%  (9  of  19) of  the
sampled  days.   The  Boise  study  found that changes  in CO  concentrations at
outdoor  sites  frequently  coincided  with changes  in  CO   concentrations  at
indoor sites, but the relationship  between indoor and outdoor  values was not
constant.   Concentrations  were usually  lower  indoors  than at  the  adjacent
outdoor  site in this  limited study.

Other Considerations  in  the Literature:
In addition  to  the studies described  above,  several other  studies  have re-
ported  on   the   relationship   between  fixed   site  monitors  and  personal
dosimeters.  Studies by Ott and Eliassen  (8),  Godin et  al.  (9)  and Wright et
al. (10)  have  shown that pedestrians  on  downtown urban  streets  are exposed
to CO  concentrations  that exceed  the  NAAQS that  are  not being  observed at
fixed  site  monitoring  stations.    CO  dosimeter  concentrations  were  sub-
stantially  higher  than  concentrations   measured  by   fixed  site  monitors.
Other work  has  been performed  on  CO  "hot  spots" (11), areas such  as  major
urban  intersections where CO  levels may  be  highest.   Further  analysis of

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                                    -11-
this study  performed  in San Jose,  Chicago,  Seattle and  Phoenix  is required
to determine  the relationship between  CO hot  spots  and fixed  site  monitor
readings.

Another  consideration is  the  sampling  height  of  air  quality monitors  and
their effect  on  CO'concentration.  Johnson  et  al (12)  discovered  that  ele-
vating the sampling height from the breathing zone  (5.5  ft)  to the height of
most  fixed site monitors  will  produce decreases  in  CO  concentration  of
between  5 and  15%.  A further  study in this area by Brice  and Roessler  (13)
on horizontial and  vertical  CO concentrations  found that mobile  individuals
are  exposed  to  CO concentrations  different than  those measured at  fixed
sites.   In the study  of  six  cities of the  Continuous Air Monitoring  Program
(CAMP; of  EPA, integrated 1/2  hour CO  samples  taken within  automobiles  in
traffic  were  compared to fixed site monitor readings.   The ratio  of  simul-
taneous  concentrations  of  CO  in traffic  to  concentrations  at   fixed  site
monitors ranged  from  1.3 to 6.8.

On-Going EPA Projects:

To  establish   a  more   complete  data base on  fixed  site monitor  readings,
personal dosimeters and  general  population CO exposure  and  applicability of
these measurements  to biological dose,  EPA has established a multi-faceted
research program to answer the questions raised  in  the  previously mentioned
studies.  Short-term  studies  have recently  been  completed  or are  near  com-
pletion  to examine  individual variation  of  CO exposures  and microenvironment
exposures to  CO.  A  microenvironment  is defined as  a discrete  place  (e.g.
underground  parking  garage,  shopping  center)  or   location   (urban  street)
which may  have a specific CO  level different  from  other microenvironments.
A  person's  total exposure  to  CO  would  be  the result  of  the CO  exposures
received  in  each microenvironment.  Longer term studies will be  larger  in
scope and will try  to relate  individual activity patterns  to  CO  exposure in
determining a complete profile of CO exposure to the general population.

The  initial short-term monitoring study was conducted  in Los Angeles by an
EPA  contractor,  Science Applications,  Inc.  (SAI).   Nine volunteers  carried
dosimeters  in  their daily activities  to determine  the reliability  of  state-
of-the-art  personal  exposure  monitors.   In the  first  phase  of  the  project
conducted  September-December  1980,  9  volunteers  carried  CO detectors  to
various  locations during the  course of  ordinary workday  and weekend  activi-
ties  for 45  days  each,  recording  their  activity  and integrated  CO  ex-
posures.   Preliminary analysis  indicated  that  automated  data loggers  were
required  for  the  general public  to  use  these  monitors  in  a   large  scale
study.   A  total  of 10 were  designed  and constructed by SAI  and  appear  to
satisfy  this need.  Further work  indicated  that the  CO detectors  were  usable
and  the  integrators  provided  the  ability  to  collect  data in  environments
with  rapidly  varying  CO levels.   The  data collected  will  be   compared  to
ambient  CO levels measured at  fixed site monitors.   A draft report on  SAI1 s
work is  expected in June, 1981.

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                                     -12-
In addition to the CO monitoring work  in  Los  Angeles,  other contractors have
recently  completed  the  experimental  parts  of  monitoring   studies  from
January-March  1981  in Denver,  Co.,  Phoenix,  Az.,  and Stamford,  Ct.   These
cities were  selected  because  of previous  histories  of high CO  levels above
the  NAAQS.   One of  the  main objectives  of these monitoring  studies  is  to
accurately assess CO exposures  to  individuals in  the population during their
daily activities.  Contractor personnel took  dosimeter  readings  in simulated
human activities by  driving in commuter traffic and  entering  offices, shops
and public areas, and in  residential areas.   The  dosimeter  readings taken in
the downtown  areas will  be  in close proximity to  the CO fixed  site  monitor
and  will  be  compared  to determine  if the  fixed site  monitors  are  repre-
sentative of CO concentrations  along  commuting routes  and other  monitored
locations.  These data will serve  to expand the information data base of ex-
posure to CO temporally  and in  various  activities and locations.  GCA Inc.
is obtaining  these measurements in Stamford while PEDCo  Environmental,  Inc.
and Systems Sciences Software,  Inc. are performing these  tasks in Denver and
Phoenix,  respectively.  The contractors  will  obtain the measurements  and do
limited analysis.  EPA  will perform additional data analysis and  prepare  a
comprehensive report that will be released later this year.

Other data related to  CO exposures in microenvironments  have  been collected
by Dr. Wayne Ott  of  Stamford  University  and EPA1s  Office of  Research  and
Development.   He has conducted  field studies  of CO exposures of occupants of
motor vehicles  on  El  Camino Real  in California,  a one year study  that  will
give data on urban arterial highway CO exposure.   Dr.  Ott also has collected
field data on CO levels in commercial settings.

The objective of EPA"s long term CO studies is to  develop a methodology that
can  identify a  distribution  of  the  number  of  people  exposed to  various
levels of CO averaged  over  appropriate  times,   e.g.,  one  hour  or  eight
hours.  Two  approaches  are  being  taken to address this  problem.   The first
approach, being  coordinated by  Dr. Wayne Ott is  the development of  a model
that will predict,  based on field  and  activity pattern  data, the CO exposure
of individuals  in  the urban population.   CO  exposure data  of microenviron-
ments collected  from the  four  contractor  studies  and subsequent  work  by Dr.
Ott and ORD  staff  will  be  applied to  the  Simulation of Human Air Pollution
Exposures  (SHAPE)  computer model.   The  program  combines  activity  profiles
with data on  CO  concentrations  in  specific microenvironments and urban back-
ground concentrations in  order  to  calculate integrated exposures  of  a large
number of persons  over  a 24-hour  period.  The  second approach  is  a  compre-
hensive monitoring  program of  an urban  population  with  approximately  100
volunteers or more participating.*  The approach  of  tnis study  would  be  to
identify  representative  people,  equip   them  with  personal  CO  exposure
monitors, have  them  record their  CO exposure and then  take  the  results  of
these exposures  and extrapolate  the exposures to  the  urban  population.  This
study is  planned to be performed over  several years  in  different urban areas
to estimate  the frequency  distribution of CO exposures  during a  full  year
for  the  subject  population.    These  data  will  be  compared  to fixed  site
ambient CO  readings  to  determine  the  relationship  of  these  two parameters
for different activities.
* As of May, 1981, EPA has not formalized the details of this work.

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                                      -13-
Several  parts of  the  long-term  program  are  presently  underway.   The  EPA
Office of  Research  and Development (ORD)  is developing  screening techniques
to select  typical volunteers  to carry  CO  monitors.   ORD  is  also evaluating
whether  it  is better to have many  individuals  carry the  monitors  for short
periods  of time  or  fewer  individuals  carry  them  for  shorter  periods  of
time.  This evaluation  will depend on whether daily CO  variation is greater
or  less  than person-to-person CO  variation.    ORD  is  also  developing  a
questionnaire  to administer to  people  carrying  the  CO monitor so  that  they
may accurately and  easily record  their daily activities.  Evaluation of  CO
monitoring  instrumentation  is  also  presently  being  performed  by  EPA1s
Environmental  Monitoring and   Support  Division.  The   contract  for  actual
monitoring of volunteers is expected to be awarded in 1982 or 1983.

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                                     -14-
                                  CONCLUSIONS

Accurate determinations  of  community exposure to carbon monoxide  are needed
to  determine  wnether  the  NAAQS  is being  met  and  whether CO  levels  as
measured  by  fixed-  site monitors  reflect   its  demonstrated  health  risk.
Review of the  data  on  the relationship of  fixed  site monitor concentrations
and personal dosimeter readings  and the accuracy of  these  readings  to human
exposure has led to the  following conclusions.

1)    Fixed site air quality monitors underestimate  short  term variations in
      CO  exposure.   Fixed  site  monitors  are  not  good  measurements  of
      exceedences  of  EPA1s one-hour NAAQS  for  CO.   This  conclusion  is  in
      general  agreement  with  Goldstein and  Landovitz's  study of  fixed site
      air quality monitors  in  New York City  (14).   Cortese  and  Spengler (2)
      found  that  mean  personal  1-hour  commuting  exposures  measured  by
      dosimeters were  1.4 times  greater  than the  hourly readings  of fixed
      site monitors in urban locations of Boston,  Massachusetts.

2)    For commuting and  urban  pedestrian  exposures  urban  fixed site  monitors
      underestimate CO exposure.   Studies by Wallace  (4)  and several authors
      (8,9,10) support this conclusion.   Further  work is being  performed by
      EPA to quantify this relationship.

3)    Data on  eight-hour CO exposures tend  to snow  that  fixed-site  monitors
      underestimate personal  exposures by  dosimeters but  some evidence  is
      contradictory.  Data  from EPA studies now underway  at Stamford Ct.,
      Los Angeles, Ca.,  Phoenix, Az., and Denver, Co.,  should provide a more
      definitive statement on this topic.

      It  is  realized  that  the  8-hr CO  NAAQS is  the  critical  issue  with
      respect  to the level  of  control needed from mobile  sources.   The 1-hr
      CO  level is  assumed  by  the EPA Office  of Air  Quality  Planning  and
      Standards (OAQPS)  to  be  related  to  the  8-hr  average  CO value.   Our
      previous conclusions  show how  1-hour  CO exposures  are underestimated
      by the fixed site monitors.  However,  no advice  can  be  given as to the
      ratio  of fixed  site  monitor  8-hour  average   readings  to  dosimeter
      8-hour averages.   The studies  in  this  report  put  some  doubt  on whether
      this ratio is unity.

4)    The fixed-site monitoring system  does  not accurately  assess  the extent
      of CO  problems  in  U.S.  cities.  CO  levels at  urban  locations  often
      exceed the NAAQS and are not observed at the fixed site monitors,

5)    The  relationship   of  fixed  site  monitors  and/or  personal  dosimeter
      readings  to  biological   dose  is  unclear.   Smoking has been  shown  to
      interfere  with  any  relationship  that  may   exist  between  personal
      dosimetry  readings and   biological  dose.   The  studies  on  alveolar
      "end-expired"   breath    samples    and    dosimetry    readings    are
      contradictory.  It  is recommended  that any furtner  EPA work  in this
      area include  a complete  analysis  of fixed  site  and  personal dosimetry
      readings, along  with  blood  COHb  and  "end-expired"  breath  samples  to
      find the relationship between these parameters.

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                                     -15-

                                  References

1.    U.S. Environmental  Protection  Agency,  Air Quality  Criteria  for Carbon
      Monoxide,  EPA-600/8-79-022,   Environmental   Criteria  and  Assessment
      Office, Office of Research  and Development,  Washington,  D.C., October,
      1979.

2.    A.D. Cortese, and J.D.  Spengler,  "Ability of Fixed Monitoring Stations
      to Represent  Personal  Carbon Monoxide Exposure", J.  Air  Poll.  Control
      Assoc., ^6, 12, 1144-1150,  1976.

3.    J.W.  Jabara,   T.J.   Keefe,   H.J.   Beaulieu  and  R.M.  Buchan,  "Carbon
      Monoxide  Dosimetry   in Occupational  Exposures  in Denver,  Colorado",
      Arch. Env. Health, 15.  198-204, 1980.

4.    L.A. Wallace, "Use  of  Personal Monitor to Measure Commuter Exposure to
      Carbon  Monoxide   in   Vehicle  Passenger  Compartments",   Paper   No.
      79-59.2.   Presented at the 72nd Annual  Meeting of  the  Air Pollution
      Control Association, Cincinnati, Ohio, June, 1979.

5.    U.S. Environmental  Protection  Agency,  Carbon  Monoxide  Study, Seattle,
      Washington, October  6  - November 2, 1977, Prepared by  C.B.  Wilson and
      J.W.   Schweiss,   EPA  910/9-78-054.   U.S.   Environmental  Protection
      Agency, Region X, Seattle, Washington, December, 1978.

6.    U.S. Environmental  Protection Agency,   Carbon Monoxide  Study,  Boise,
      Idaho, November  25  - December 22,  1977.   Prepared by C.B.  Wilson and
      J.W. Schweiss, EPA  910/9-78-055,  U.S.  Environmental Protection Agency,
      Region X, Seattle, Washington, December,  1978.

7.    R.H.  Jones,  M.R.  Elliott,   J.B.  Cadigan  and  E.A.  Gaensler,  "The
      Relationship Between Alveolar  and  Blood  Carbon Monoxide Concentrations
      During Breath Holding:  Simple  Estimation of COHb  Saturation",  J.  Lab.
      Clin. Med., _5_1, 553-564, 1958.

8.    W.  Ott  and  R.  Eliasson,  "A  Survey  Technique  for Determining  the
      Representativeness  of  Urban Air Monitoring  Stations with  Respect  to
      Carbon Monoxide", J. Air. Poll. Control Assoc., 23, 8, 685-690, 1973.

9.    G.  Godin,  G.R.  Wright and  R.J.  Shephard,  "Urban Exposure  to  Carbon
      Monoxide", Arch. Environ. Health, 25, 305, 1972.

10.   G.R.  Wright,   S.  Jewczyk,  J.  Onrot,  P.  Tomlison  and   R.  Shepherd,
      "Carbon Monoxide  in the Urban Atmosphere:   Hazards  to  the  Pedestrian
      and Street Workers", Arch.  Environ. Health, 30, 123,  1975.

11.   Analysis  of  Pollutant  and   Meteorological   Data  Collected  in  the
      Vicinity of Carbon  Monoxide "Hot Spots",  SRI  International  Discussion
      Draft Report for EPA Contract  No. 68-03-2545, May, 1979.

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                                     -16-

12.    W.B. Johnson, W.F.  Dabberdt,  F.L.  Ludwig and R.J.  Allen,  "Field Study
      for  Initial  Evaluation  of  an   Urban   Diffusion  Model   for  Carbon
      Monoxide",  Report  for Contract  CAPA 3-68 (1-69)  prepared  by Stanford
      Research  Institute  for  the  Coordinating  Research Council  and the U.S.
      Environmental Protection Agency, 1971.

13.    R.M.  Bruce  and  J.F.  Roessler,  "The  Exposure  to  Carbon   Monoxide  of
      Occupants of  Vehicles Moving in Heavy Traffic",  J. Air Poll.  Control
      Assoc., 16,  597, 1966.

14.    I.F.Goldstein and L.  Lanovitz,  "Analysis of Air Pollution Patterns  in
      New York  City - I. Can One  Station Represent  the  Large  Metropolitan
      Area?", Atmos. Envir., 11, 47-52, 1977.

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    36
     32
     28
     24
  o
  o
     20
   OL
      12
       8
       O1
^ Control Dosimeter  ppm  CO/hr
* Subject Dosimeter ppm  CO/hr
n Ambient ppm CO/hr
    «   *   •
                                                                                    N
          8     10    12    14    16
                    Day Sampled
                                                             13
20    22    24    2f
Figure 1.  Average Dally Dosimeter Readings  for Subjects and Controls Compared
To Ambient CO Concentrations for Denver Study  (From Reference 3)

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     ,  30 h
    •  25h
                                                                                        Conc*nlra!lorn In City
                                                                              During Commuting Hours
   I .13 h
                                                                                —- Carbon Monoxld«
                                                                                  Concentritlcni In Vahicla
         »         ,   _                          	
         789  10)1112i13|l4|l6ilQ 17 W\1Z\202J22 23 /     3 4-  6l6  7)8 6 101112131141516
                                                                ""
Figure 2.   CO Concentrations in Vehicle Compared  to Ambient CO Levels
in Washington, D.C.    (From Reference 4)

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