United States
        Environmental Protection
        Agency
        Toxic Substances
Office of
Toxic Substances
Washington, D C. 20460
EPA 560'5-90-001
October 1989
Washington, D.C. 20460
&EPA NHATS Broad Scan Analysis
        Population Estimates from
        Fiscal Year 1982 Specimens
         •lie

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                                          EPA 560/5-90-001
                                              October  1989
                    FINAL REPORT
             NHATS BROAD SCAN ANALYSIS:
POPULATION ESTIMATES FROM FISCAL TEAR 1982 SPECIMENS
                    Prepared by:
                      Battelle
                  Arlington Office
               2101 Wilson Boulevard
                Arlington, VA 22201
              Contract No.  68-02-4294
                      for the:
           Design  and Development Branch
            Exposure Evaluation Division
             Office of Toxic Substances
     Office  of Pesticides and Toxic Substances
        U.S.  Environmental Protection Agency
                 401 M Street,  S.W.
              Washington, D.C.    20460

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This document  has  been reviewed and approved  for  publication by
the office  of Toxie substances*  offie* of Pesticides  and Toxic
substances,  u.3.  Environmental  Protection  Agency.   Th«  ua« of
trkd«  nam«i or oommareial  products do«a  not constitute  Agency
endorsement or recommendation for uae.

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                     AUTHORS AND CONTRIBUTORS


    The  Broad   Scan  Study  described  in  this  report  was  a
cooperative undertaking that benefitted from the contribution* of
many SPA and contract support staff.  EPA participation cam* from
th« Design  and  Development Branch (ODB)  and the  Field Studies
Branch (FSB) of the Exposure Evaluation Division (BED), Office of
Toxic Substancet  (OTS).  Contract  support  to  OTS was provided by
Battalia and the Midwest Research Institute (MRI).


Battalia

    Developed  the  statistical  methodology  for data  analysis;
designed the  specimen compositing  plan;  created  and maintained
the computer  files of Patient Summary Reports  (PSRs);  analysed
the chemical measurement and demographic data; prepared the final
Broad Scan Report.


Midwest Research Institute  (MRI)

    Prepared the composite samples of  adipose tissue; developed
the methodology and  carried  out  the  chemical  analysis  of  the
samples.


EPA Exposure Evaluation Division (BSD)

    Participated in development of  the study plan;  managed and
coordinated the overall study;  reviewed,   edited,  and finalized
the report.  Kay staff included:

        Joseph  Breen            John Schwemberger
        Mary Frankenberry        Cindy Stroup
        Janet Reminera
        Philip  Robinson
                               iii

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                        TABLE OF CONTENTS

AUTHORS AND CONTRIBUTORS	iii

EXECUTIVE SUMMARY	 X

1.0  INTRODUCTION	 1
     1.1   National Human Monitoring Program	 1
     1.2   National Human Adipose Tissue Survey	 2
           1.2.1   NHATS Objectives	 2
           1.2.2   NHATS Data Uses	 3
     1.3   Broad Scan Analysis Study	 4
           1.3.1   Study Objectives	 6
           1.3.2   Study Schedule	 7
           1.3.3   Report Overview	 7

2 .0  RESULTS	 9
     2.1   Population Estimates of Average Concentration
           Level	13
           2.1.1   National Estimates	14
           2.1.2   Geographical Estimates	14
           2.1.3   Age Group Estimates	19
           2.1.4   Comparison of Estimated Average
                   Concentration Levels Across Sex and
                   Race Groups	55
           2.1.5   Relative Standard Errors	57
     2.2   Incidence of Detection for Compounds Identified
           in the Composite Samples	58
           2.2.1   Volatile Organic Compounds	58
           2.2.2   Semi-Volatile Organic Compounds	65
           2.2.3   Dioxins and Furans	66

3. 0  QUALITY ASSURANCE	77
     3.1   Volatile Organic Compounds	79
     3.2   Semi-Volatile Organic Compounds	82
     3.3   Dioxins and Furans	83

4.0  SAMPLING AND COMPOSITING DESIGNS	91
     4.1   Sampling Design	91
     4.2   Compositing Design	94

5.0  SPECIMEN COLLECTION AND STORAGE	99

6.0  CHEMICAL ANALYSIS PROCEDURES	101

7.0  DATA PREPARATION AND MANAGEMENT	107

8 . 0  STATISTICAL ANALYSIS APPROACH	109
     8.1   Selection and Development of the Statistical
           Model	109

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                        TABLE OF CONTENTS
                           (Continued)

     8.2   Application of the Statistical Model	113
     8.3   Statistical Estimation of Average Concentration
           Levels for the Entire Nation and Various
           Subpopulations	115
     8.4   Significance Testing of Differences Between
           Subpopulations	116
     8.5   Detection and Exclusion of Outliers Among PECDD
           Measurements	116
     8.6   Concentration Estimates and Hypothesis Tests
           for Total Equivalent DDT	117
     8.7   Considerations in the Use of the Broad Scan
           Analysis Study Statistical Analysis Approach... 122

9 . 0  REFERENCES	127

                        LIST OF APPENDICES

Appendix A.  Statistical Estimates	129
    Table A-l.  Weighted Estimates and Their Associated
                Standard Errors of the Average Concentration
                Levels for the Entire Nation and for Each
                Census Region/ Age Group, Race Group,
                and Sex.	131

Appendix B.  Percentage Detected Data	135
    Table B-l.  Volatile Organic Chemicals Identified in
                the Broad Scan Analysis Study	137

    Table B-2.  Semi-Volatile Organic Chemicals Identified
                in the Broad Scan Analysis Study	138

    Table B-3.  Dioxins and Furans Identified in the
                Broad Scan Analysis Study	139

Appendix C.  F782 NHATS Sampling Design SMSAs	141
    Table C-l.  SMSAs Selected for the F782 NHATS Sample.. 143

Appendix D.  Broad Scan Analysis Study Compositing Design. 145
    Table D-l.  Demographic Characteristics for Each
                Broad Scan Analysis Study Sample -
                Volatile Analysis	147

    Table D-2.  Demographic Characteristics for Each
                Broad Scan Analysis Study Sample -
                Semi-Volatile Analysis	148

Appendix E.  Glossary of Terms	149

Appendix F.  Statistical Analysis Methodology	153

                                vi

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                        TABLE OF CONTENTS
                           (Continued)


                         LIST OF FIGURES


Figure 2-1.    Weighted estimates of the average con-
               centration levels of volatile (wet weight,
               /*g/g) for the U.S population.  (Standard
               errors of the of the estimates are in
               parentheses.)	 21

Figure 2-2.    Weighted estimates of the average concentration
               levels of semi-volatiles (lipid adjusted, pg/g)
               for the U.S. population.  (Standard errors of
               the estimates are in parentheses.)	 23

Figure 2-3.    Weighted estimates of the average concentration
               levels of dioxins and furans (lipid adjusted,
               pg/g) for the U.S. population.  (Standard
               errors of the estimates are in parentheses.)... 25

Figure 2-4.    United States Census regions	 27

Figure 2-5.    Weighted estimates of the average concentration
               levels of volatiles ( wet weight, pg/g) for
               each census region.  (Standard errors of the
               estimates are in parentheses.)	 29

Figure 2-6.    Weighted estimates of the average concentration
               levels of semi-volatiles (lipid adjusted,
               for each census region.  (Standard errors of
               the estimates are in parentheses.)	 33

Figure 2-7.    Weighted estimates of the average concentration
               levels of dioxins and furans (lipid adjusted,
               P9/9) f°r each census region.  (Standard errors
               of the estimates are in parentheses.)	 37

Figure 2-8.    NHATS age groups	 41

Figure 2-9.    Weighted estimates of the average concentration
               levels of volatiles (wet weight, pg/g) for each
               age group.  (Standard errors of the estimates
               are in parentheses.)	 43

Figure 2-10.   Weighted estimates of the average concentration
               levels of semi-volatiles (wet weight, j*g/g) for
               each age group.  (Standard errors of the
               estimates are in parentheses.)	 47


                               vii

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                        TABLE OF CONTENTS
                           (Continued)

Figure 2-11.   Weighted estimates of the average concentration
               levels of dioxins and furans (lipid adjusted,
               pg/g) for each age group.  (Standard errors of
               the estimates are in parentheses.)	 51

Figure 2-12.   Percentage of FY82 composite samples in which
               benzenes were detected	 61

Figure 2-13.   Percentage of FY82 composite samples in which
               trihalomethanes and halocarbons were detected.. 63

Figure 2-14.   Percentage of FY82 composite samples in which
               PCB homolog groups were detected	 67

Figure 2-15.   Percentage of FY82 composite samples in which
               organochlorine pesticides were detected	 69

Figure 2-16.   Percentage of FY82 composite samples in which
               aromatics and chlorinated benzenes were
               detected	 71

Figure 2-17.   Percentage of FY82 composite samples in which
               phthalates and phosphates were detected	 73

Figure 2-18.   Percentage of FY82 composite samples in which
               dioxins and furans were detected	 75

Figure 4-1.    Overview of the FY82 NHATS sampling design	 93

Figure 4-2.    NHATS FY82 collection map	 96

Figure 6-1.    Chemical anaysis steps for semi-volatiles,
               dioxins and furans	104

                          LIST OF TABLES

Table 2-1.     Target Compounds Identified in the Broad Scan
               Analysis Study	 10

Table 2-2.     Compounds for Which Statistical Analyses Were
               Performed	 12

Table 2-3.     Weighted Estimates and Their Associated
               Relative Standard Errors of the Average
               Concentration Levels for the Entire Nation
               and for Each Census Region, Age Group,
               Race Group, and Sex	 15
                              viii

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                        TABLE OF CONTENTS
                           (Continued)

Table 2-4.     Summary of Significance Testing for Differences
               Between Subpopulations	 18

Table 3-1.     Summary of QA Results for Selected Volatile
               Organic Analytes in Spiked 20 Gram Aliquots of
               Human Adipose Tissue	 80

Table 3-2.     Ranges of Estimated Levels of Detection of
               Volatile Organic Compounds for Composite
               Samples Whose Reported Concentration Levels
               Were Declared Not Detected or Trace	 81

Table 3-3.     Summary of QA Results for Selected Volatile
               Organic Analytes in Spiked 20 Gram Aliquots of
               Human Adipose Tissue	 85

Table 3-4.     Ranges of Estimated Levels of Detection of Semi-
               Volatile Organic Compounds for Composite
               Samples Whose Reported Concentration Levels
               Were Declared Not Detected or Trace	 88

Table 3-5.     Ranges of Estimated Levels of Detection of
               Dioxins and Furans for Composite Samples Whose
               Reported Concentration Levels Were Declared Not
               Detected or Trace.	 90

Table 4-1.     Geographic and Demographic Counts for
               Specimens	 97

Table 6-1.     Pairing of Target Analytes Versus Internal
               Quantitation Standards for Volatile Organic
               Compounds Analysis	102

Table 8-1.     Comparison of Average Concentration Estimates
               and Significance Test Results for 1,2,3,7,
               8-PECD Including, and Excluding Outliers	118

Table 8-2.     Comparison of Average Concentration Estimates
               and Significance Test Results for Alternative
               Ways of Computing Total Equivalent DDT
               (TEDDT)	121
                                ix

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EXECUTIVE SUMMARY
BACKGROUND
         The  National Human  Monitoring Program  (NHMP),  operated
by the United  States Environmental Protection Agency's Office of
Toxic  Substances  (USEPA/OTS)  under  the  1976 Toxic  Substances
Control  Act  (TSCA),  is  an ongoing national  chemical  monitoring
program.  The  main operative program  of the NHMP is the National
Human Adipose  Tissue  Survey (NHATS).   The  NHATS is  an annual
survey  to  collect  and  analyze a  nation-wide sample  of adipose
tissue  specimens from autopsied cadavers  and surgical patients.
The  purpose  of  the  NHATS  is  to  identify and quantify  the
prevalence  and  levels  of  selected  compounds  in  human adipose
tissue.  The analysis results are  used to establish an exposure-
based chemicals  list and to estimate baseline levels  and trends
of the selected  chemicals.
         In the past/ NHATS data  have  been used to monitor levels
of organochlorine pesticides and polychlorinated biphenyls (PCBs)
in the U.S.   NHATS  data have shown that the estimated percentage
of individuals  with levels of PCBs greater  than  three parts per
million  decreased  from  1977 to  1983.   This  decrease occurred
after  the passage  of  legislation   in  1976  which limited  the
production   of   PCBs   (USEPA   1985).      NHATS  studies   on
hexachlorobenzene  and mirex have  helped to  identify  regions of
the country where relatively high levels of these pesticides were
found in human tissue.

METHODS
         Although the NHATS data have proved  useful in the past,
the chemicals  that  could  be monitored were  limited .to selected
semi-volatile  organic  compounds.    To  broaden  the  range  of
chemicals,   EPA  proposed  to analyze  specimens  through  high
resolution gas chromatography/mass spectrometry (HRGC/MS).

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        The  HRGG/MS method, however, required  considerably more
tissue mass  than  the previous method of analysis.   In addition,
the HRGC/MS  protocol was  significantly  more expensive  than the
previous protocol,  thereby limiting the number of  analyses that
could be  performed.  For  these reasons, the individual adipose
tissue specimens were physically mixed to form composite samples.
The composite  sample, rather than  the individual  specimen, was
analyzed.  The use of composite samples created a need to develop
a new statistical analysis approach.
        NHATS  specimens  collected  in  Fiscal  Tear 1982  (FT82)
were  selected  for  the  Broad  Scan  Analysis   Study,  the  first
application  of  HRGC/MS  to  NHATS.    For  this  analysis,  763
individual specimens were  combined into two  sets  of composite
samples:   46  composite samples  used for  analysis of  volatile
organic compounds, and 46 composite samples used for the analysis
of semi-volatiles,  dioxins, and furans.   In total,  57 compounds,
including some  homolog  groups and  isomers,  were  target analytes
for the composite samples analyzed  for the  study.   Of these, 17
were volatile  organic compounds;  30 were  semi-volatile organic
compounds; 5 were dioxins (polychlorinated dibenzo-para-dioxins,
or PCDDs); and 5 were furans  (polychlorinated  dibenzofurans, or
PCDFs).

RESULTS
Compounds Detected
    Volatile Organic Compounds
        Results of the  analysis indicated that  eight of the nine
benzene related volatile  organic compounds  were detected in more
than 90%  of  the  composite samples. • For instance, benzene was
found in 96% of the composite samples and 1,4-dichlorobenzene was
found in all the composite samples.
                               XI

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    Semi-Volatile Organic Compounds
         The incidence  of  detection  of the  composite  samples
varied  considerably for the  organochlorine pesticides;    mirex
was detected in  14% of  the  composite  samples  while  B-BHC  and
£,p/-DDE were detected  in 93% and 100%,  respectively.   PCBs were
detected in 86% of the composite samples.

    Dioxins and Purans
         Four out  of five dioxins were detected  in more than 90%
of the  composite  samples.   The one  exception,  2,3,7,8-TCDD,  was
found  in  74%  of  the  composite samples.    The  incidence  of
detection for the furans ranged from 26% for 2,3,7,8-TCDF to 93%
for 1,2,3,4,6,7-HPCDF.

Average Concentrations
         To  form the required tissue  composites  it was sometimes
necessary,  because  of the  limited number  of  individual samples
available,  to  mix  male and female,   and Caucasian  and  non-
Caucasian specimens, in the same composite.  The need to estimate
average  concentration  levels using  measurement  data  on  these
mixed composites required a model-based approach to the analysis.
A  multiplicative   statistical  model,   which   relates  average
concentration  levels  of the composite  samples  to  demographic
characteristics of  constituent specimens, was  developed for this
purpose.
         The FY82  NHATS survey initiates  new data series for  the
dioxins  and furans, as  well  as  members of the  following semi-
volatile classes:  PCB homologs, aromatics, chlorinated benzenes,
phthalates, and phosphates.   Volatile organic compounds were also
measured in  the FY82 survey, but there  are no  plans  to measure
this class of chemicals in subsequent years.  Comparisons to past
years' results for  organochlorine pesticides are limited in this
report because of the change in chemical methods.
                               xii

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        Estimates  of average concentration levels  in the nation
and  various  geographic  and demographic  subpopulations  (i,e.,
Census region, age group, sex,  and race group)  were derived for
22 of the 57  target compounds,  those  for which more than half of
the  composites  had  measured  concentration  values  above  the
analytical limit of quantification.  This restriction was adopted
to avoid possible  bias in estimating  average  concentrations for
compounds where most of the measurements were imputed (a compound
not detected  in a  particular composite was  assumed to be present
at a  level of  one half  the limit of  detection).    The average
concentration estimates serve  as  baseline  levels  against which
data from other sources can be compared.
        The   national   average   concentrations   for   selected
compounds of current interest to EPA were:

            Benzene,  0.014 /*g/g (wet weight);
            1,4-dichlorobenzene,  0.12  /ig/g  (wet weight);
            PCBs,  0.33 /ig/g  (lipid adjusted weight);  and
            2,3,7,8-TCDD, 6.1 pg/g (lipid adjusted weight).

Regional Differences
        There were statistically significant differences between
regional    concentrations   for    five    compounds:    benzene,
chlorobenzene, 1-4 dichlorobenzene, 3-BHC,  and tetrachloroethene.
The West  and Northeast Census regions  had the highest average
levels for  benzene, while the  South  had the  highest levels for
chlorobenzene and  1,4-dichlorobenzene, two volatile organics, and
for  8-BHC,  an  organochlorine  pesticide.    Average levels  for
tetrachloroethene,  a   volatile  organic,   were  higher  in  the
Northeast and North Central  Census regions  than in the South and
West.
                               xiii

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Age Differences
         Eight    compounds    had    statistically    significant
differences between  age  groups.   Average levels for ethylphenol,
a  volatile  organic compound,  significantly decreased  with age
group.  Among the semi-volatiles, average concentration levels of
total  PCBs, pp'-DDE, and  B-BHC,  an  organochlorine  pesticide,
significantly  increased  with  age group.   Total  equivalent DDT
also significantly increased with age group.  For the dioxins and
furans,  levels  were  highest in  the "15-44 years"  age  group for
2,3,7,8-TCDD, 1,2,3,7-PECDD and 2,3,4,7,8-PECDF.  Levels for OCDD
were higher in the "15-44 years" and in the oldest age group than
in the youngest age  group.

Sex Differences
         Eight   compounds  were  statistically  significant  with
respect  to  sex differences.    Males  had significantly  higher
average   levels  than   females   for   five   volatile  organics:
chloroform, styrene,  tetrachloroethene,  toluene,  and xylene; and
for one  semi-volatile compound,  p_,p_'-DDE.  The result  for p,p'-
DDE appears anomalous and is primarily attributable to a very low
concentration   in  one   pure   female  composite.     Females  had
significantly higher levels of the  dioxin,  HXCDD, and the furan,
HXCDF.

Racial Differences
         Five   compounds   were   statistically  significant  with
respect to race differences.  Caucasians had significantly higher
average levels than  non-Caucasians for toluene, <:hlorobenzene, 8-
BHC, butyl benzyl phthalate, and 2,3,4,7,8-PECDF.  There were no
compounds  for  which non-Caucasians  had  significantly  higher
levels than Caucasians.    Because the  non-Caucasian  sample size
was too  small  to create composites that  adequately represented
this  race  group,  the  estimated race group  effects  should  be
interpreted cautiously.
                               xiv

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Qualifications
         In  interpreting the  statistical  results of  the survey,
the reader  should be aware  of the following  characteristics of
its design.  First,  it  is  assumed that the average concentration
levels of  chemicals in the  adipose tissue of  surgical patients
and  autopsied cadavers  is  approximately equal  to  the average
concentration levels in the  U.S.  population.   Second, the survey
is voluntary, and depends on the active participation of hospital
pathologists  and  medical  examiners  (collectively  known  as
"cooperators") who collect the adipose tissue samples that are to
be analyzed.   The cooperators  are given  quotas  of specimens to
fill,  defined in  terms of  the  age,  race,  and sex  of donors;
little additional information  on  donors is collected.  In Fiscal
Tear 1982 approximately 50% of the planned number of samples were
actually  submitted  for  analysis  by  the  survey  cooperators.
Third, the hospitals  in  the  NHATS  sample  are  all  located in
Standard  Metropolitan  Statistical  Areas  (SMSAs),  and  it  is
therefore plausible to expect that  the  distribution  of  survey
specimens  collected at  these  hospitals  will  be  skewed  toward
individuals living in urban  rather than rural  areas.   The impact
on the estimated  average concentrations,  if  any, attributable to
these factors is not known.
                               xv

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1.0 INTRODUCTION
1.1 National Human Monitoring Program
        The  Toxic  Substances  Control Act   (TSCA),  enacted  by
Congress in 1976 as Public Law  94-469,  directs  the United States
Environmental Protection  Agency (USEPA) to  prevent unreasonable
chemical risk to  the human population  and the environment.   To
prevent or reduce  such risk,  it is  necessary for  the EPA  to
identify  and  evaluate   those   chemicals  which   contribute  to
unreasonable  levels  of  risk  to  the  human population  or  the
environment.
        EPA  evaluates  risk  using  both   toxicity and  exposure
data.   EPA determines whether  a chemical  is toxic enough  to  be
harmful to human health or the  environment through toxicological
studies, quantitative assessments,  and phanoacokinetic modeling.
In  addition,  EPA determines  if there  is  sufficient  opportunity
for humans or the environment to be exposed.  Monitoring of both
the environment  and the population  is  one approach  used by the
EPA   to  estimate   exposure.      TSCA  Section   10   (Research,
Development, Collection,  Dissemination, and  Utilization of Data)
allows  the  EPA  to  develop  monitoring   data,  techniques,  and
instruments to detect toxic chemicals and to assess the degree of
chemical risk they represent.
        In  response  to  TSCA,   the  EPA's   Office  of  Toxic
Substances  (OTS)  operates the National Human Monitoring Program
(NHMP).  The NHMP was first established by the U.S. Public Health
Service in 1967.   It  was  transferred to the EPA in  1970 and
operated by  the Office of Pesticide Programs  (OPP)  until 1979,
when the program was assigned to the Exposure Evaluation Division
(EED) of the newly created OTS.
        The  NHMP is  an ongoing  chemical  monitoring  program  in
which  human media  are sampled and analyzed  to   determine  the
extent of human exposure  to toxic  substances in the environment.
By  measuring the  concentrations  of  toxic   chemicals in  human
tissue  and  fluids,  evidence  of  actual   exposure is  obtained.

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Monitoring these  levels  over time provides the EPA  with a means
to  assess and  subsequently to  address,  through  TSCA Section 4
(Testing  of Chemical  Substances  and Mixtures)  and TSCA Section 6
(Regulation of  Hazardous  Chemical Substances  and Mixtures) those
chemicals that  are most  likely to be associated with significant
health concerns.  Historically, the EPA has prioritized chemicals
on the basis  of significant toxicological findings and surrogate
measures  of exposure, such as production volume.  The NHMP offers
the EPA a means to prioritize  chemicals  using direct measures of
exposure.

1.2 National  Human Adipose Tissue Survey
        The National Human Adipose Tissue  Survey (NHATS)  is the
main  operative program  of the  NHMP.   The NHATS is  an  annual
survey,  conducted  since  1970,   which  collects   and  chemically
analyzes  adipose tissue  specimens  for  the presence  of selected
compounds.   The  tissue  specimens are collected  by pathologists
and medical examiners, whose participation in NHATS is voluntary,
from  a   national  sample  of  autopsied  cadavers  and  surgical
patients  in  Standard Metropolitan  Statistical Areas  (SMSAs) in
the  continental United  States.    Past  NHATS  monitoring efforts
have  focused  on the monitoring  of  organochlorine pesticides and
polychlorinated biphenyls (PCBs).  The analysis results have been
used  to  provide  information on  U.S. population  exposure  to the
pesticides and  PCBs.

1.2.1  NHATS Objectives
        The primary purpose of  the NHATS program is  to collect
data  for the  detection  and  quantification  of   selected  toxic
residues  in the adipose tissue of the general population of the
United States.  The specific objectives are to:

            Identify the presence  of toxic  chemicals  in human
            adipose  tissue;

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             Establish  baseline levels of the  selected chemicals
             in   the U.S.   population  and  various  demographic
             subpopulations;
             Measure time trends of these  levels; and
             Make statistical  comparisons  of these  results across
             the   various   geographic  regions   and  demographic
             groups.

1.2.2  MEATS Data Uses
        The  chemicals  identified   through  the  NHATS  provide
information  on  human exposure.   Population estimates establish
baseline levels  and  trends of  these  chemicals  in adipose tissue.
Baseline  levels  serve  as values  against  which other  exposure
levels can  be compared.   NHATS data can be  used to  assist  in
prioritizing the EPA's chemical screening and testing activities.
        Trend estimates of changes in prevalence  and levels are
used to help identify  the need for regulatory action or,  in the
case  of  existing  regulations, to  assess the  efficacy of  such
regulations.  Observed decreases in human monitoring data provide
evidence that chemical  risk has been reduced.   For instance,  in
1976, legislation  limiting the production and usage  of PCBs was
passed.  Through NHATS monitoring of  PCB  levels, it was observed
that  the  estimated  percentage of  individuals  having  total PCB
levels greater  than 3 parts  per  million  (ppm)  decreased during
the  period  from  1977  to  1983  (USEPA  1985).    This  result
demonstrated the efficacy of  the 1976 legislation.   On the other
hand, increasing trends may help to uncover emerging problems-.
        Demographic and  geographic  data are  used  to  estimate
baseline levels  and  trends for various subpopulations of interest
to  EPA.    This   information  identifies exposed  segments  of the
population  for   further investigations  of  chemical risk  and  to
supports  resulting  regulatory  actions.     Several  past  NHATS
studies have resulted in  the identification  of such  high risk
populations.     A   geographical  evaluation  of  NHATS  data  on
hexachlorobenzene (HCB) levels in the U.S. found a high incidence

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of  levels greater  than  0.09  parts  per  million, the  ninetieth
percentile of the  data observed throughout  the nation,  in the
western  region of  the country  (Leczynski and  Stockrahm 1985).
Although  the  direct use of HCB as a pesticide decreased sharply
through   the   1970's,  further   investigation  discovered  that
pesticides  containing  HCB  were  still used  in  several  Pacific
Northwest areas  (USEPA 1986f).  A follow-up study to investigate
evidence  of  mirex  exposure  observed  in  the NHATS  verified the
increased prevalence  of mirex in a  section  of the southern U.S.
(USEPA 1980).  Thus,  the estimation  of levels and trends through
periodic  monitoring  provides  an effective  means  to  maintain
surveillance   of   both  the  general   population  and  selected
subpopulations  with  respect  to  chemical  exposure  (Mack  and
Stanley 1984).

1.3  Broad Scan Analysis Study
        Upon  assuming  the responsibility of  operating the NHMP
in 1979,  the  OTS decided to  expand the usefulness of the program
by broadening the range of chemicals monitored by the NHATS.  OTS
proposed  a Broad Scan Analysis Study of additional semi-volatile
organic compounds,  including the  dioxins and  furans,  as  well as
volatile  organic compounds  and trace  elements  (Mack and Stanley
1984).
        Previous  NHATS  chemical  analyses  were  carried  out  by
packed  column  gas   chromatography/electron   capture  detector
(PGC/ECD)  methods.      These   methods  permitted   analysis  of
individual tissue specimens.  However, since the PGC/ECD protocol
was limited to the analysis of selected organochlorine pesticides
and PCBs  and  was not  readily  expandable  to additional chemicals
(USEPA  1986c),  several changes  in  the  approach  to  analyzing
adipose tissue specimens were required.
        First,  analytical methods based  on high resolution gas
chromatography/mass spectrometry  (HRGC/MS) techniques were needed
for the detection of semi-volatile and volatile organic compounds

-------
(USEPA 1986a).   The HRGC/MS method provided a greater  degree of
certainty   in   compound   determination   than   PGC/ECD   since
identification is based  on  matching both  retention time and mass
spectra.
        The  HRGC/MS method,  however,  required more  tissue mass
per analysis sample than was collected from each individual NHATS
donor.    Furthermore,   additional  sample preparation  work  and
sophisticated  analytical equipment were  needed  to  perform  the
chemical analyses.   These factors greatly increased  the cost of
analyzing each  sample  and thereby reduced the number of samples
that  could  be analyzed.    For  these  reasons, individual  tissue
specimens had to be composited prior to chemical analysis.
        Compositing is a process  in  which a specific  amount of
tissue  is  taken from  each of  several individual  specimens  and
physically mixed to form a  single  sample.  The composite sample,
rather  than   the   individual  specimens,  is   then   chemically
analyzed.  A compositing design was  needed to ensure  that each
composite sample would have sufficient tissue  mass available for
analysis and  that  estimates of average concentration levels  for
aubpopulations and the general population could be obtained.  The
design  specified which  types of  specimens,  in  terms  of  their
geographic and demographic  makeup, to include in  each composite
sample.   The  composite  design  led  to  a  major  change in  the
statistical  analysis  of  the NHATS chemical  analysis  data.    A
statistical  model  was  developed  to  make inferences concerning
average concentration  levels for  subpopulations and  the general
population.
        To  do  this,  a  relationship was  assumed  between  the
concentration of a  composite and  its  geographic  and  demographic
make-up.  That  is,  the concentration of  a composite  was assumed
to  have  a  geographic  component,  age  group,   sex,  and  race
components and  random error  components.   The statistical  model
made  it  possible to  estimate the components  from the observed
concentrations  of   the  composites.    Once the  components  were

-------
estimated,  estimates  of  the  average  concentration  levels  of
geographic  and  demographic   subpopulations   and  the  national
population could be made.
        Reliable  estimates of prevalence, the  proportion  of the
population with concentration levels  above a  specific threshold,
cannot  be  computed   from  the   composited  data   using  the
multiplicative model adopted  for  the  NHATS F782 survey.   Work is
currently underway on  the  development of  a new modeling approach
which will  allow  such prevalence estimates to  be made in future
surveys.
        To  further expand the range of  chemicals  monitored by
the  NHATS,  multi-elemental   techniques   were  needed  for  the
detection  of  trace  elements.    The  two procedures  that  were
identified,  however,   were only  used for the  analysis of nine
selected  individual  specimens (USEPA 1986e).   Thus, compositing
was unnecessary.  Average  concentration levels of trace elements
for the U.S. population were  not estimated.

1.3.1  Study Objectives
        The specific  objectives of  the Broad  Scan Analysis Study
were to:
        •    Identify  the presence of a wider range of chemicals
             in the adipose tissue of  the U.S.  population than
             had been  identified in  the  past;
        •    Estimate  the  FY82 average levels  of  the chemicals
             for the  entire U.S.  and  for  selected geographic and
             demographic subpopulations; and
        •    Make  comparisons of  the  estimated average  levels
             across  these   various   demographic  and  geographic
             subpopulations.

        To  accomplish  these  objectives,  several activities were
required.   They were to:
        •    Develop,    refine,   and   conduct   a   preliminary
             evaluation of  appropriate analytical protocols based
             on HRGC/MS and   the  two  proposed  multi-elemental
             techniques;

-------
         •    Derive a statistically based  compositing design for
             the F782 specimens that would provide  a high degree
             of  sensitivity  for  detecting  chemicals  (Mack  and
             Stanley 1984), and  permit appropriate  estimates to
             be made for populations of interest.
         •    Develop,   implement,   and   initially   assess   an
             appropriate statistical analysis methodology.

1.3.2  Study Schedule
         Specimens  collected during Fiscal  Tear 1982  (F782) were
selected  from the  NHATS repository for  use in  the  Broad  Scan
Analysis  Study.    These specimens were collected  from October,
1981 through September, 1982.   Two sets of composite samples were
prepared  for chemical  analysis,  one  set  for the  semi-volatile
analyses, including  the  dioxins  and the furans  analyses,  and one
set for  the  volatiles analyses.   Both  sets  of  composite samples
were prepared for  chemical analysis during February and March of
1984.  The  semi-volatiles analyses were performed  between April
and June, 1984; the volatiles analyses were performed during June
and July,  1984; the dioxins  and furans analyses were performed
from October,  1984 through March,  1985.   The  chemical analysis
results  for  the   semi-volatile and   volatile  compounds  were
completed in  November,  1985.   The dioxin  and furan results were
completed in March, 1986.   The statistical analysis procedures
were performed between December, 1985 and May,  1989.

1.3.3  Report Overview
         This  report summarizes the  analysis  approach adopted for
the  Broad Scan  Analysis Study.   It  describes  the statistical
methodology  and provides  population  estimates  of  the  average
concentration levels obtained  for the  volatile  and semi-volatile
organic compounds  and  the  dioxins  (polychlorinated dibenzo-para-
dioxins,  or  PCDDs)  and furans (polychlorinated  dibenzofurans, or
PCDFs).    Additional  information  on the chemical  analysis
procedures used  in the analysis of these  compounds, the results

-------
for  trace elements,  and  related quality  assurance  efforts  is
found in  the five volume  series/ "Broad Scan Analysis  of Human
Adipose Tissue* (USEPA 1986a-e).
                                8

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2.0  RESULTS
        Fifty-seven compounds,  including  some homolog groups and
isomers,  were the  target compounds  for  the composite  samples
analyzed for  the  Broad Scan  Analysis Study.   Seventeen  of these
were volatiles;  thirty were  semi-volatiles;  five were  dioxins;
and five were furans.   The volatile organics are  members  of six
chemical classes:  benzene, substituted benzenes, alkyl benzenes,
chlorinated  benzenes,   trihalomethanes,   and  halocarbons.    The
semi-volatile organics are also members of six chemical classes:
PCB homologs,  organochlorine pesticides,  aromatics,  chlorinated
benzenes,  phthalates,  and phosphates.   The results  presented in
this report  are  grouped  into  these  chemical classes.    The 57
compounds and their CAS  numbers  are listed  in  Table 2-1.   The
compound  1,2-dichlorobenzene  was included in both  the  volatile
and semi-volatile compound lists because  it could be measured by
both the volatile and semi-volatile protocols.
        Estimates  of  population  average  concentration  levels
derived from the  statistical  model  for  analysis  of  composite
sample data were obtained for those  compounds for which at least
half of the  reported  concentrations  were above the limit of
quantificaton.     Twenty-two   of  the  57  compounds  met  this
condition.  These compounds are listed in Table 2-2.
        For   the  volatile  organic  compounds,  the  statistical
analyses were based on wet weight  concentration  levels.   For the
semi-volatile  compounds,  including the  dioxins  and  furans,  the
analyses  were  based  on   lipid adjusted  concentrations.    The
concentrations for the volatiles were not lipid  adjusted.   To do
so  would  have  required  further  handling  of  samples,  which
increases  the  potential for  volatile   compounds   to  escape.
Concentrations  were reported in parts  per  million  (ftg/g)  for
volatiles and semi-volatiles and in parts per trillion (pg/g) for
the dioxins and furans.

-------
  Table 2-1.
Target: Compounds Identified in the Broad Scan
Analysis Study
Class
        Compound:
CAS Number
VOLATILE ORGANIC COMPOUNDS
Benzene
Substituted Benzenes
Alkyl Benzenes
Chlorinated Benzenes
Trihalomethanes
Halocarbons
        Benzene

        Styrene
        Ethylphenol

        Toluene
        Ethylbenzene
        Xylene

        Chlorobenzene
        1,2-Dichlorobenzene
        1,4-Dichlorobenzene

        Chloroform
        Bromodichloromethane
        Dibromochloromethane
        Bromoform

        1,1,1-Trichloroethane
        1,1,2-Trichloroethane
        1,1,2,2-Tetrachloroethane
        Tetrachloroethene
SEMI-VOLATILE ORGANIC COMPOUNDS
PCBs
Organochlorine
  Pesticides
        PCBs
        Trichlorobiphenyl
        Tetrachlorobiphenyl
        Pentachlorobiphenyl
        Hexachlorobiphenyl
        Heptachlorobiphenyl
        Octachlorobiphenyl
        Nonachlorobiphenyl
        Decachlorobiphenyl
        8-BHC
        p_,p/-DDE
        E/E'-DDT
        Mirex
        trans-Nonachlor
        Heptachlor Epoxide
        Dieldrin
   71-43-2

  100-42-5
25429-37-2

  188-88-3
  100-41-4
 1330-20-7

  108-90-7
   95-50-1
  106-46-7

   67-66-3
   75-27-4
  124-48-1
   75-25-2

   71-55-6
   79-00-5
   79-34-5
  127-18-4
 1336-36-3
25323-68-6
26914-33-0
25429-29-2
26601-64-9
28655-71-2
31472-83-0
53742-07-7
 2051-24-3
  319-85-7
   72-55-9
   50-29-3
 2385-85-5
39765-80-5
 1024-57-3
   60-57-1
                               10

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Table 2-1.(Continued)  Target Compounds Identified in the Broad
                       Scan Analysis  Study
Class
Compound
CAS Number
Aromatics
Chlorinated Benzenes
Phthalates
Phosphates
Naphthalene
Phenanthrene
Pyrene

1,2-Dichlorobenzene
1,2,4-Trichlorobenzene
Pentachlorobenzene
Hexachlorobenzene

Diethyl Phthalate
Di-n-butyl Phthalate
Di-n-octyl Phthalate1
Butyl Benzyl Phthalate

Triphenyl Phosphate
Tributyl Phosphate
Tris (2-Chloroethyl)
  Phosphate
   91-20-3
   85-01-8
  129-00-0

   95-50-1
  120-82-1
  608-93-5
  118-74-1

   84-66-2
   84-74-2
  117-84-0
   85-68-7

  115-86-6
  126-73-8

  115-96-8
DIOXINS AND FURANS

Dioxins
Furans
2,3,7,8-TCDD
1,2,3,7,8-PECDD
HXCDD
1,2,3,4,7,8,9-HPCDD
OCDD

2,3,7,8-TCDF
2,3,4,7,8-PECDF
HXCDF
1,2,3,4,6,7,8-HPCDF
OCDF
 1746-01-6
40321-76-4
34465-46-8
35822-46-9
 3268-87-9

51207-31-9
57117-31-4
55684-94-1
67562-39-4
39001-02-0
  The chemical actually identified was diethyl hexyl phthalate,
an isomeric compound to di-n-octyl phthalate, that exhibits
many of the same chemical and physical properties.
                               11

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   Table 2-2.
Compounds for Which Statistical Model Analyses
Were Performed
Class
                     Compound
VOLATILE ORGANIC COMPOUNDS
Benzene
Substituted Benzenes

Alkyl Benzenes

Chlorinated Benzenes

Trihalomethanes
Halocarbons
                 Benzene
                 Styrene
                 Ethylphenol
                 Toluene
                 Ethylbenzene
                 Xylene
                 Chlorobenzene
                 1,4-Dichlorobenzene
                 Chloroform
                 Tetrachloroethene
SEMI-VOLATILE ORGANIC COMPOUNDS
Organochlorine Pesticides

PCBs
Phthalates
                 B-BHC
                 2/2'-DDE
                 PCBs   ^
                 Butyl  Benzyl  Phthalate
DIOXINS AND FURANS
Dioxins
Furans
                 2,3,7,8-TCDD
                 1,2,3,7,8-PECDD
                 HXCDD
                 1,2,3,4,7,8,9-HPCDD
                 OCDD
                 2,3,4,7,8-PECDF
                 HXCDF
                 1,2,3,4,6,7,8-HPCDF
                                12

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        Average  concentration  levels  were  estimated  for  the
entire  nation and  for various  geographic  (Census region)  and
demographic  (age group,  sex,  and  race  group)  subpopulations.
Data  on the  percentage  of  composite  samples  having  detectable
levels of the 57 compounds were also obtained.

2.1  Population Estimates of Average Concentration Level
        For   the Broad   Scan  Analysis  Study,  763  individual
specimens, collected  from the nine U.S.  Census divisions, three
age groups,  two  sexes and two race  groups,  were composited into
two sets of 46 composite samples each prior to chemical analysis.
One set was  prepared  for the analysis  of the volatiles,  and the
other for the analysis of  the semi-volatiles and the dioxins and
furans.   The compositing  procedures were performed  following a
design which  ensured  that  estimates  of the average concentration
levels  for populations  of  interest  could  be obtained  from an
eight  parameter statistical  model.     The  model   has  eight
parameters to be estimated  from 46 samples.   Estimates  for 48
target  subpopulations, corresponding to the  4 Census  regions, 3
age groups, 2 race groups  and 2  sexes  (4x3x2x2-48), were
derived from the model.    These estimates were  then  weighted to
obtain  estimated   average   concentrations   for   the  selected
subpopulations,  as well  as  for  the  entire nation.   The  weights
corresponded to the 1980 U.S. Census population counts for the 48
target subpopulations.
        The  estimated average  concentration  levels  as  well as
their relative standard  errors are provided  in  Table  2-3.  This
table is reproduced in Appendix A, Table A-l with standard errors
rather than  relative  standard errors.   A summary  of  the  results
of significance  testing  for differences  between  populations is
presented in Table 2-4.
                                13

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2.1.1  National Estimates
        Figures  2-1,  2-2, and 2-3 graphically  show the national
estimates of  the average  concentration  levels for  22  compounds
classified as    volatiles,    semi-volatiles,    and    dioxins
and   furans,  respectively.   For  selected compounds of current
interest to EPA, the  estimated  average concentration levels were
0.014 /*g/g for benzene,  0.12  pg/g for 1,4-dichlorobenzene,   0.33
ftg/g PCBs, and 6.1 pg/g for 2,3,7,8-TCDD.

2.1.2  Geographical Estimates
        The  graphs  in  Figures  2-5,  2-6 and 2-7  depict  the
estimated average  concentration  levels  of the volatiles,  semi-
volatiles, and dioxins and furans,  for  each of the  four Census
regions shown  in  the map  of the continental  United  States  in
Figure  2-4.    There  were  statistically  significant  regional
differences at the p-values shown in Table 2-4 for five of the 22
compounds:    benzene,    chlorobenzene,    1,4-dichlorobenzene,
tetrachloroethene, and B-BHC:

    •   Benzene  concentrations  ranged  from  a  low of
        0.010  pg/g   in   the  North   Central   and  South
        regions  to a  high of  0.019 pg/g in the  West;
    •   Chlorobenzene concentrations ranged  from  0.0025 ftg/g
        in  the North  Central region  to  0.0072 pg/g in the
        South;
    •   1,4-dichlorobenzene concentrations ranged from  0.052
        pg/g in  the West  to 0.20  pg/g in the  South;
    •   Tetrachloroethene levels were higher  in the  North
        Central  region  (0.044  pg/g)  and in  the  Northeast
        (0.041  pg/g)  than they  were  in the  South  (0.016
              or the West (0.0086 pg/g)} and
        8-BHC  concentrations ranged from  0.097 pg/g  in  the
        West region to 0.31  pg/g in the South.
                                14

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                                           Table t-S.     Weighted Estimates (and Associated Relative Standard Errors)1
                                                         of tho Average Concentration Levels for the Entire Nation and
                                                         for Each Census Region, Age Group, Race Group, and Set
Coapound
'Population Percentages
VOLATILE3
Benzene
Benzene
Substituted Benzenes
Styrene
Ethylphenol
Alkyl Benzenes
Toluene
Ethyl benzene
Xylene
Chlorinated Benzenes
Chlorobenzene
1,4-Dichlorobenzene
Relative standard error
2HE • North East S
NC • North Central 1
Entire
Nation


0.014
(12)
0.096
(20)
0.086
(26)
0.046
(37)
0.077
(41)
0.30
(42)
0.0044
0.12
(17)
expressed
• South
• lest
Census Region
ME
22

0.018
(21)
0.096
(38)
0.13
(47)
0.023
(62)
0.072
(72)
0.20
(71)
0.0033
(30)
0.075
(32)
as s percentage

NC
26

0.010
(19)
0.069
(37)
0.029
(46)
0.062
(48)
0.076
(70)
0.26
(71)
0.0026
(24)
0.11
(29)
S
33

0.010
(16)
0.10
(31)
0.090
(37)
0.046
(47)
0.10
(69)
0.49
(69)
0.0072
(24)
0.20
(23)
I
19

0.019
(28)
0.13
(40)
0.10
(61)
0.061
(69)
0.039
(75)
0.12
(72)
0.0030
(33)
0.062
(39)
1-14 yrs
23

0.016
(19)
0.12
(24)
0.17
(33)
0.036
(48)
0.063
(47)
0.27
(46)
0.0038
(24)
0.12
(28)
Age Qroups
16-44 yrs
46

0.014
(17)
0.10
(23)
0.065
(31)
0.066
(44)
0.090
(44)
0.33
(43)
0.0061
(20)
0.13
(24)
Race Oroups
46* yrs
31

0.012
0.076
(22)
0.060
(31)
0.038
(43)
0.066
(44)
0.26
(43)
0.0037
(22)
0.11
(24)
•hits
83

0.016
(12)
0.095
(21)
0.079
(27)
0.063
(38)
0.078
(42)
0.31
(42)
0.0048
(17)
0.11
(19)
Non-lhite
17

0.0096
(29)
0.10
(33)
0.12
(47)
0.013
(63)
0.070
(58)
0.23
(61)
0.0018
(28)
0.19
(39)
Sex
Uale
49

0.017
(20)
0.14
(24)
0.096
(34)
0.080
(46)
0.11
(47)
0.43
(44)
0.0067
(23)
0.13
(29)
Feeala
61

0.010
(21)
0.060
(26)
0.076
(37)
0.014
(47)
0.048
(48)
0.17
(46)
0.0032
(26)
0.11
(31)
of the estinte.










'Volatile average concentrations are expressed  in vet Might in parts per ail I ion

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                                                                             TibU 2-3.   (continued)
Coapound
Population Percentages
VOLATILE OMMIICS*
TrilnloMthaiMs
Chlorofora
Malocarbona
Tetrachloroethene
SEW-VOLATILE ORMNICS4
PCBa
PCBa
Organociilorino Pesticides
Beta-BHC
E-E'-K*
Total DOT
Phthalatea
Butyl benzyl
phthalate
Entire
Nation


0.047
(42)
0.027
(29)

0.33
(23)
0.19
(16)
1.3
(23)
1.6
(26)
0.39
(60)
Census Region
HE
22

0.021
(67)
0.041
(46)

0.31
(42)
0.19
(26)
1.1
(36)
1.4
(37)
0.11
(73)
NC
26

0.041
(«4)
0.044
(42)

0.23
(38)
0.11
(21)
0.73
(32)
0.87
(33)
0.46
(68)
S
33

0.049
0.016
(37)

1.61
(32)
0.81
(22)
1.9
(31)
2.4
(33)
0.62
(66)
1
19

0.081
(72)
0.0086
(62)

0.20
(63)
0.097
(33)
1.3
(46)
1.7
(47)
0.21
(86)
0-14 yre
23

0.063
(61)
0.017
(37)

0.071
(34)
0.071
(23)
0.76
(32)
0.98
(36)
0.46
07)
Age Groups
16-44 yra
46

0.063
(49)
0.030
(36)

0.30
(31)
0.17
(20)
l.S
(30)
1.7
(32)
0.31
(68)
Race Groups
46* yra
31

0.033
(47)
0.031
(84)

0.67
(30)
0.31
(21)
i.a
(29)
2.1
(30)
0.46
(61)
•hi to
83

0.046
(44)
0.029
(30)

0.32
(26)
0.21
(17)
1.4
(26)
1.7
(27)
0.46
(62)
Non-lhite
17

0.062
(69)
0.019
(62)

0.41
(47)
0.088
(30)
0.73
(44)
1.1
(62)
0.096
(84)
Sex
Vale
49

0.081
(49)
0.044
(37)

0.36
(38)
0.19
(24)
2.0
(32)
2.4
(33)
0.64
(67)
Feaale
61

0.014
(63)
0.011
(40)

0.32
(40)
0.19
(29)
0.64
(40)
0.93
(46)
0.24
(69)
9 Volatile average concentrations are expressed in wet Might  in parts per Million (pg/g).
4 Seat-volatile average concentrations are expressed in lipid  adjusted might in parts per Billion (pg/g).

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                                                                                Table 2-3.  (continued)
Coapound
Population Percentages
•pyjffljjP
2,8,7,8-700
1,2.1,7,6-PBCDD
HXCOD
1,2,8,4,7,8,9-
OCDO
FuwiB1
2,3,4,7,6-PKDF
HXCDF
1,2,3,4,6,7,6-
Bit ire
Nation

6.1
(13)
76
(23)
120
(20)
140
(19)
820
(13)
40
(16)
24
21
(13)
Census Region
NE
22
6.6
(26)
120
(39)
160
(32)
160
(32)
760
(24)
49
(30)
20
(24)
18
(24)
HC
26
7.1
(22)
62
(34)
110
(29)
180
(28)
920
(21)
38
(26)
29
(22)
26
(21)
S
33
6.1
(19)
60
(30)
100
(26)
110
(24)
780
(18)
30
(24)
24
(19)
22
(17)

19
4.1
(28)
73
(42)
120
(39)
100
(39)
860
(30)
62
(34)
23
(30)
16
(29)
0-14 yra
23
4.1
(20)
64
(30)
92
(29)
89
(29)
410
(21)
36
(26)
18
(22)
19
(21)
Age Groups
16-44 yra
46
7.8
130
(27)
120
(28)
160
(26)
920
(18)
63
(22)
27
(19)
22
(IB)

46* yra
31
6.0
(19)
11
(31)
130
(26)
160
(26)
990
(18)
26
(24)
26
(20)
20
(18)
Race
White
83
6.4
(14)
83
(24)
120
(21)
140
(21)
810
44
(18)
26
(16)
20
(14)
Groups
Non-Mite
17
4.3
(30)
39
(46)
110
(42)
140
(42)
880
(31)
22
(39)
18
(31)
26
(30)
Sex
Hale
49
6.7
(21)
100
(34)
70
(27)
89
(27)
760
(22)
61
(27)
13
(20)
16
(20)
Feaala
61
6.6
(24)
49
(39)
160
(31)
180
(31)
880
(24)
30
(31)
36
(23)
26
(23)
*Dioxin and furan avaraga concantrationa  ara  expressed in lipid adjusted  weight in parta par trillion (pg/g).

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Table 2-4.
               Summary of Significance Testing for
               Differences Between Subpopulations"
Chemical
                                  Effect  Due To...
                       Census Region
                 Age
                                                    Race
                                                               Sex
VOIATILES
Benzene
  Benzene                   .059*
Substituted Benzenes
  Styrene                   .502
  Ethylphenol               .138
Alkyl Benzenes
  Toluene                   .505
  Ethylbenzene             .757
  Xylene                    .450
Chlorinated Benzenes
  Chlorobenzene            .049**
  1,4-Dichlorobenzene      .038**
Trihalomethanes
  Chloroform               .524
Halocarbons
  Tetrachloroethene        .078*

SEMI-VOLATILES
PCB8
  PCBs                      .385
Organochlorine Pesticides
  Beta-BHC                  .012**
  2/£'-DDE                  .145
  Total DDT                .166
Phthalates
  Butyl benzyl phthalate   .232
                 .411
                                                    .161
                                           .194     .882
                                           .002***  .595
DIOXINS
  2,3,7,8-TCDD
  1,2,3,7,8-PECDD
  HXCDD
  1,2,3,4,7,8,9-
  OCDD
                 HPCDD
FURANS
  2,3,4,7,8-PECDF
  HXCDF
  1,2,3,4,6,7,8-HPCDF
                            .569
                            .464
                            .712
                            .412
                            .875
.506
.663
.339
                 .621
                 .526
                 .438

                 .242
                 .879

                 .596

                 .219
                                                    .034**
                                                    .779
                                                    .244
                                                              .158

                                                              .001***
                                                              .674

                                                              .016**
                                                              .116
                                                              .006***
                                                      .001***  .108
                                                      .310     .734
                                                    .954

                                                    .695
                                           .000***  .545

                                           .000***  .022**
                                           .064*    .169
                                           .010***  .254
                 .732
                                                    .078*
                 .029**   .276
                 .000***  .102
                 .643     .936
                 .215     .734
                 .003***  .658
                                           .043**   .091*
                                           .349     .333
                                           .815     .440
                                                              .011**

                                                              .013**



                                                              .823

                                                              .958
                                                              .045**
                                                              .141

                                                              .384
                                                            .590
                                                            .230
                                                            .078*
                                                            .142
                                                            .751
                                                              .280
                                                              .008***
                                                              .244
  * Indicates  significance at the .10 level.
 ** Indicates  significance at the .05 level.
*** Indicates  significance at the .01 level.
   The table entries are p- values, which indicate the exact level of significance at which a statistical difference
  can be declared, given the observed data.
                                  18

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        Note  in  Table 2-4 that the estimated  regional effect on
average  concentration  was  not  declared  to  be  statistically
significant for  the other compounds.   In these cases  the total
survey  and   laboratory   variability   may  preclude   detecting
differences that may  be present.   See section  2.1.4 below for a
discussion of race group influences on regional estimates.

2.1.3  Age Group Estimates
        The  NHATS  classifies  specimens  into   one  of  three  age
groups: 0 to 14 years, 15 to 44 years, and 45 years and older, as
displayed  in  Figure   2-8.    The  age  group  estimates  for  the
volatiles, the semivolatiles, and the dioxins and furans are
displayed in Figures 2-9, 2-10, and 2-11, respectively.  Eight of
the   twenty-two    chemicals    had   statistically   significant
differences  between  age  groups.    Only one  volatile  organic
compound,  ethylphenol, had  statistically significant  age group
differences.  For ethylphenol, average concentration decreased as
age group increased.
        In  the  semi-volatiles,  FCBs,  p_,p/-DDE,  and  Q-BHC  had
statistically  significant differences  between  age groups.  For
these three chemicals, average concentrations  increased  for the
older age  groups.    Total Equivalent  DDT,  which  was  calculated
from measured  concentrations,  also was  significant with respect
to  age,  and  average  concentrations  increased  as  age  group
increased.
        Four   of   the   eight  chemicals   with   statistically
significant age group differences were dioxins and furans.  These
four chemicals were:
                     2,3,7,8-TCDD,
                     1,2,3,7,8-PECDD,
                     OCDD, and
                     2,3,4,7,8-PECDF.
                                19

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          0.35
           0.30-
          0.25-
           0.20-
Concentration
   (pg/g)
           0.15H
           0.10^
           0.05-
           0.0 -
                  0.047
                  (0.020)
               Chloroform  Benzene
Tetra-
chloro-
ethene
                                          Toluene
Chloro-
benzene
 Ethyl-
benzene
                                                                    Styrene
  1,4-
Dichloro-
benzene
Ethyl-
phenol
Xylene
                                                    Compound
               Figure 2-1.   Weighted estimates of the average concentration levels of volatiles
                            (wet weight, jig/g) for the U.S. population. (Standard errors of the
                            estimates are in parentheses.)
                                                21

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            2
            2.0 -
            1.5 -
Concentration
    (pg/g)
            1.0 -
            0.5-
                    Beta-BHC
                                    p,p'-DDE
  Total DDT

Compound
PCBs
Butyl Benzyl
 Phthalate
             Figure 2-2.   Weighted estimates of the average concentration levels of semi-volatiles
                         (lipid adjusted, ng/g) for the U.S. population. (Standard errors of the
                         estimates are in parentheses.)
                                                23

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           200

           180-

           160 -1

           140-

           120-

           100-
Concentration
    (pg/g)  so -


            so -

            40 -

            20 -
   Dioxins

  1 Furans
*OCDD = 820(100)
                      6.1
                    (0.76)
                   2,3,7,8-     1,2,3,7,8-    HXCDD     1.2,3,4,   2,3,4,7,8-
                   TCDD      PECDD               7-8-9-      PECDF
                                                  HPCDD
                                                    Compound
                                                   HXCDF
                                                            1,2,3.4.6,7,8-
                                                              HPCDF
          Figure 2-3.   Weighted estimates of the average concentration levels of dioxins and f urans
                       (lipid adjusted, pg/g) for the U.S. population. (Standard errors of the
                       estimates are in parentheses.)
                                               25

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Figure 2-4.   United States Census regions
                      27

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            05
            0.4-
            0.3-
Concentration
    (pg/g)
            0.2-
            0.1 -
                                         Census Region = Northeast
                                                           0.20
                                                          (0.14)
                   0.021    Q.018
                   (0-01*)  (0.0038)
 0.041
(0.019)
               Chloroform   Benzene   Tetra-  Toluene Chloro-    Ethyl-  Styrene   1,4-
                                   chloro-
                                   ethene
                                                  benzene  benzene
                                                   Compound
                                       Dichloro-    phenol
                                       benzene
                                                  Ethyl-   Xylene
           0.5
           0.4-
           0.3-
Concentration
    (ng/g)
           0.2 H
           0.1-
           0.0-
                                                                                       0.49
                                                                                       (0.29)
                                      Census Region =  South
                                          0.20
                                         (0.047)
                   0.049
                   (0.027)
                            0.010
                                    0.016
         0.046
        (0.022)
                           (0.0017)  (0-0058>
                 0.0072
                (0.0017)
                                                             0.10
                                                            (0.061)
                Chloroform Benzene
 Tetra-  Toluene   Chloro-    Ethyl-   styrene    1,4-    Ethyl-    Xylene
 chloro-          benzene  benzene         Dichloro-  phenol
 ethene                                  benzene
                                                  Compound
                   Figure 2-5.  Weighted estimates of the average concentration levels of
                               volatiles (wet weight, pg/g) for each census region.  (Standard
                               errors of the estimates are in parentheses.)
                                                 29

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          0.5



          0.4 -



          0.3 -

Concentration


          0.2 -i
          0.1 -1
                                   Census Region =  North Central
                 0.041
                (0.026
             Chloroform Benzene  Tetra-  Toluene  Chloro-   Ethyl-  styrene  1-4- Ethylphenol  Xylene
                              chloro-         benzene benzene        Dkhloro-
                              ethene            ,—     __,          benzene
                                              Compound
          0.5
          0.4
          0.3
Concentration
          0.2-
          0.1-
                                      Census Region = West
                0.081
               (0.058)
                                                          0.13
                                                         (0.054)
                                                                 0.052
                                                                (0.020)
  °-10    (0084)
 (0.053)   MM
11
             Chloroform  Benzene   Tetra-  Toluene  Chloro-   Ethyl-  styrene   1.4- Ethylphenol  Xylene
                              chloro-         benzene  benzene       Dichloro-
                              ethene                             benzene
                                             Compound
                                       Figure 2-5  (Continued)
                                         31

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            1.5 -
 Concentration
    (pg/g)
            1.0 H
                                                            Census Region =  Northeast
                    Beta-BHC        p,p'-DDE          Total DOT          PCBs

                                                 Compound
                                               Butyl Benzyl
                                                Phthalate
           2.5
           2.0 -
           1.5 -

Concentration
           1.0 H
           0.5-
                   Beta-BHC
                                                                Census Region = South
p.p'-DDE
  Total DDT

Compound
                                                                   PCBs
                                                                                Butyl Benzyl
                                                                                 Phthalate
             Figure 2-6.  Weighted estimates of the average concentration levels of semi-volatiles
                        (lipid adjusted, ng/g) for each census region. (Standard errors of the
                        estimates are in parentheses.)
                                              33

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           2.5
           2.0 ~
           1.5-
 Concentration
           1.0 -\
                     Beta-BHC
                                    p,p'-DDE
                                                       Census Region = North Central
   Total DDT

 Compound
PCBs
                                                                                    0.45
                                                                                    (0.31)
Butyl Benzyl
 Phthalate
          2.5
          2.0  -
          1.5 -
Concentration
                   Beta-BHC
                                  p.p'-DDE
  Total DDT

Compound
                                                                 Census Region  = West
                                                                   0.20
                                                                   (0.11)
                                                                   PCBs
                                   0.21
                                  (0.18)
           Butyl Benzyl
             Phthalate
                                           Figure 2-6. (Continued)
                                              35

-------
           200
           150
                                                            Census Region = Northeast

                                                                    *OCDD = 750(180)
Concentration
    (pg/g)  100 -
            50-
                   2.3,7,8-
                   TCDD
        1,2,3.4,6,7,8-
           HPCDF
                                               Compound
           200
           150-
Concentration
    (pg/g)
                                                               Census Region = South

                                                                      *OCDD = 780(140)
                   2,3,7.8-
                   TCDD
HXCDF   1,2,3,4,6,7,8-
          HPCDF
                                               Compound


               Figure 2-7.   Weighted estimates of the average concentration levels of dioxins and
                           furans (lipid adjusted, pg/g) for each census region. (Standard errors of
                           the estimates are in parentheses.)
                                              37

-------
            200
            150 ~
 Concentration
     (Pg/9)  100
             50 -
                                                  180
                                                  (51)
                               Census Region =  North Central

                                           *OCDD = 920(190)
                   2,3,7,8-
                    TCDD
1.2.3,7,8-
 PECDD
HXCDD
1,2,3,4,
 7,8,9-
HPCDD
2,3,4,7,8-
 PECDF
HXCDF   1,2.3,4.6.7,8-
          HPCDF
                                                   Compound
           200
           150 ~
Concentration
    (pg/g)  100
            50 -
                                                                    Census Region  = West
                                                                           *OCDD = 850(250)
                                                1.2,3,4,    2,3,4,7,8-
                                                 7,8,9-     PECDF
                                                HPCDD
                                                  Compound
                                       HXCDF   1,2,3,4.6,7,8-
                                                 HPCDF
                                             Figure 2-7.  (Continued)

                                                 39

-------
         0-14 Years
Figure 2-8.  NHATS age groups
           41

-------
            0.35


            0.30-


            0.25-


            0.20-

 Concentration
     (jig/g)  0.15-


            0.10-


            0.05-
                      Age = 0-14 years
            o.o
0.053
(0.027)
                Chloroform  Benzene
                Tetra-
                chloro-
                ethene
Toluene
                                                   Chloro-
                                                   benzene
 Ethyl-
benzene
                         Styrene   1.4-     Ethyl-
                                Oichloro-  phenol
                                benzene
Xylene
                                                      Compound
            0.35-


            0.30-


            0.25-


            0.20-
Concentration
    (pg/g)  0.15-


            0.10-


            0.05-
                        Age = 15-44 years
            o.o
 0.053
(0.026)
                Chloroform  Benzene
                                    Tetra-
                                   chloro-
                                   ethene
                        Toluene
                                 Chloro-
                                 benzene
                   Ethyl-
                 benzene
         Styrene   1.4-     Ethyl-
                Dichloro-  phenol
                benzene
 Xylene
                                                      Compound
                    Figure 2-9.  Weighted estimates of the average concentration levels of volatiles
                                (wet weight, ng/g) for each age group. (Standard errors of the
                                estimates are in parentheses.)
                                                  43

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          0.30
          0.251
          0.20-

Concentration
          0.15-
          o.io-
          0.05
                                        Age = 45 +  years
          0.0
                  0.033
               Chloroform Benzene   Tetra-   Toluene  Chloro-    Ethyl-  Styrene    1,4-     Ethyl-    Xylene
                                  chloro-           benzene  benzene         Dichloro-   phenol
                                  ethene                                   benzene
                                                  Compound
                                          Figure 2-9.   (Continued)
                                                   45

-------
            2.5
            2.0 -
            1.5 -
 Concentration
    (pg/g)
            1.0  -1
            0.5-
                    Beta-BHC
                                                              Age = 0-14 years
                                      0.75
                                     (0.24)
p,p'-DDE
  Total DDT

Compound
                                                                     PCBs
Butyl Benzyl
 Phthalate
           2.5
           2.0 -I
           1.5 -
Concentration
           1.0 -I
           0.5-
                    Beta-BHC
                                   p,p'-DDE
               Total DDT

              Compound
                                                                      Age  = 15-44 years
                   PCBs
                                                                                     0.31
Butyl Benzyl
 Phthalate
            Figure 2-10.   Weighted estimates of the average concentration levels of semi-volatiles
                         (wet weight, pg/g) for each age group. (Standard errors of the estimates
                         are in parentheses.)
                                             47

-------
           2.5
           2.0 -
           1.5 -
Concentration
    (ng/g)
           1.0 -i
           0.5-
 0.31
(0.065)
                   Beta-BHC
                                                                     Age  = 45+  years
                                   p,p'-DDE
                              Total DDT

                            Compound
PCBs
Butyl Benzyl
 Phthalate
                                         Figure 2-10.  (Continued)
                                              49

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            200-
            150^


 Concentration
            100-
                                                                   Age = 0-14 years
                                                                       *OCDD = 410(85)
            50-
                                                                HXCDF   1,2,3,4.6,7,8-
                                                                          HPCDF
                                                  Compound
           200
           150-


Concentration
           100-
                                                                  Age  = 15-44 years
                                                                     *OCDD = 920(170)
                   2.3,7,8-
                    TCDD
            Figure 2-11.
                       Compound
Weighted estimates of the average concentration levels of dioxins and
furans (lipid adjusted, pg/g) for each age group. (Standard errors of the
estimates are in parentheses.)
                                           51

-------
            200-
            150-
Concentration
    (pg/g)   100-
                                                                         Age = 45 +  years
                                                                            'OCDD = 990(180)
2,3,7,8-    1,2,3.7,8-   HXCDD
 TCDD      PECDD
                                                  1-2,3 A.
                                                   7-8,9-
                                                  HPCDD
2,3,4,7,8-
HXCDF    1,2,3,4,6,7,8-
           HPCDF
                                                   Compound
                                            Figure 2-11.  (Continued)
                                              53

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Concentrations  of  2,3,7,8-TCDD, 1,2,3,7,8-PECDD,  and 2,3,4,7,8-
PECDF were higher in the 15 to 44 age group than in other two age
groups.   Concentration levels  of  OCDD were  higher  in  both the
adult groups  (15-44 and 45  years and older)  than in the youngest
(0-14  years)  age  group.    For the  dioxin  1,2,3,7,8-PECDD,  the
oldest age  group had a much  lower concentration  than  either of
the other two age groups.   This did  not appear to be an artifact
of the model, as the concentrations of the composite samples from
the oldest  age  group,  with one exception, were  clustered at the
lower  end  of  the  range.    Other  researchers  have found  that
2,3,7,8-TCDD concentration levels increase with age (Patterson et
al., 1986).   Future years' surveys  will  be  closely monitored to
see if the results of the FY82 NHATS survey are replicated.

2.1.4  Comparison of Estimated Average Concentration Levels
       Across Sex and Race Groups
             Table  2-4  shows  the p-values   for   comparisons  of
average concentration levels by race and sex  for  each  of the 22
compounds.  For five of the ten volatile organic compounds  there
was a  statistically significant sex effect,  with the  estimated
average  concentration  levels  for males  being  greater  in  each
case.   These compounds were styrene,  toluene, xylene, chloroform,
and tetrachloroethene.
        Among  the semi-volatiles, the average  concentration of
p_,p_'-DDE was significantly greater for males.  The sex difference
in p_,p_'-DDE appears anomalous  and  is primarily attributable to a
very low concentration in one pure female composite.   The model-
based average concentration estimate was  less than twice as high
for males as for females when this composite was omitted, and the
difference    was    no     longer     statistically    significant.
Historically,  p_,p_'-DDE  estimates   from  the  Human  Monitoring
Program for the two sexes have been about the  same.
                                55

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        Among  the dioxins and furans,  the  average concentration
levels  for females  were  significantly greater  for the  dioxin
HXCDD and the furan HXCDF.
        The  average   concentration  levels  of  five  compounds
different  significantly  by race group.   Toluene,  chlorobenzene,
B-BHC, butyl benzyl phthalate, and 2,3,4,7,8-PECDF each showed an
average concentration  level  for  Caucasians  that was greater than
the average level for non-Caucasians.
        However,  because  all   six  of  the  pure  non-Caucasian
composites were located  '- the  South and no composite outside of
the South was  more  than  .1^  non-Caucasian,  the estimation of the
race group effect in the model  was driven almost entirely by the
data in the South.  Therefore,  the validity of the national race
group  effect  estimated  by the  multiplicative model depends  on
accepting  the  assumption  that  there  is no  interaction  between
race  and  region,  and that  race-group  effects  observed  in the
South apply elsewhere.
        In  fact,  for  the  chemicals  B-BHC  and  chlorobenzene,
where the  model  declared a  statistically significant race group
effect  on  concentration,  the  arithmetic mean  concentrations  of
non-Caucasian  composites in  the South  were  not  much  different
than the mean  concentrations of  the Caucasian composites outside
the South.  In comparison, the  means of the Caucasian composites
in the  South were higher than those of the  non-Caucasians in the
South.   The combination of  these  data result in  a model-based
estimate of a  significant  regional effect—the South higher than
the  other  regions—and  a  significant   race  group  effect—
Caucasians higher.   This  situation  did not occur  for  the three
other  chemicals   showing  significant  differences  by  race;  the
average concentrations  of these  chemicals were  less for non-
Caucasian composites  in  the South  than for Caucasian composites
in all  regions.   Also, all chemicals showing significant average
concentration  differences  by  region  but  not  by  race  group
(benzene,   1,4-dichlorobenzene,   and  tetrachloroethene)  had mean
                                56

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concentrations in  Caucasican composites  in  the South  that were
similar to the levels observed in non-Caucasian composites in the
South.
        Because  of the lack of  empirical  support  for estimating
race  group differences  in  regions other  than  the South,  the
model-based estimate  of a  national race group effect  should be
interpreted cautiously.   Race group effects  estimated  in future
surveys will  be  monitored  closely  to  see if the  results of the
NHATS FY82 survey are replicated.

2.1.5 Relative Standard Errors
        The   precision  of   each of  the  average  concentration
estimates  at  the national level, and by region,  age group, race
group,  and sex  is  measured by an  associated standard error.
Contributing  to  the standard   error  of  the  estimated  average
concentration  are  errors due  to sampling  Standard Metropolitan
Statistical Areas  (SMSA's)  and  individual specimens within SMSA,
errors in  tissue preparation and chemical analysis, and possible
errors  introduced  because  of  model  mis-specification.    The
standard error of  the estimated average  concentration  is also a
function of  the underlying variability of the concentration in
the population.   Estimates  of  the  standard errors  are shown in
Table 2-3, where they are expressed as relative standard errors,
which  are  percentages  of  the  associated average concentration
estimates.  Note that at the national level the relative standard
errors range  from  a low of 12 percent  for benzene,  to  a high of
50  percent  for  butyl benzyl   phthalate;  10  of  the  relative
standard errors are less than 20 percent, 8 are between 20 and 30
percent,   and  the   other   5—toluene,   xylene,   ethylbenzene,
chloroform, and  butyl benzyl phthalate—exceed 30  percent.   The
high  relative standard errors of 37  percent for  toluene and 42
percent  for  chloroform  are primarily  attributable   to  a  few
composites  with  extreme  concentration  values.    The  relative
standard errors  of 50 percent for  butyl  benzyl phthalate and 42
                                57

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percent for xylene were  high  because  the concentrations of these
chemicals  had  a  greater  degree  of  variability  across  the
composites than  the  other  chemicals  and their  distribution  did
not  fit  the  multiplicative  model as  well.    In  the case  of
1,2,3,7,8-PECDD the  two  highest measured concentrations  were so
much  greater  than the rest of  the distribution that  they were
deemed  to be  outliers  and removed  from the  analysis to avoid
distorting  the  estimate  of   average concentration level.    A
detailed  explanation  of  the  rationale for  this  decision  is
contained in Section 8.5.

2.2   Incidence of Detection for Compounds Identified
      in the Composite Samples

        Results  on  the  percentage of composite  samples  having
detectable levels  do not necessarily  imply  that the percentages
of  detected  levels  for  individual  samples were  similar.   For
example,  if  a compound  is  detected in  all  of   the  composite
samples,  it may  or may  not be present in all  of  the individual
specimens contained  in the  composite  samples.   The estimation of
prevalence in  composite  samples  is  addressed in a separate study
(Orban  et al. 1987).

2.2.1   Volatile Organic Compounds
        The   incidence   of   detection   for   volatile  organic
compounds varied across  the chemical  classes.   Eight of the nine
compounds from the four  benzene  related  classes were detected in
greater than 90% of the composite samples.  For instance, benzene
was detected in 96%  of composite samples and 1,4-dichlorobenzene
was  found in  all  the  composite  samples.    The   compound 1,2-
dichlorobenzene,  which was detected in 63% of the composites, was
the lone exception.
        Several  compounds,  specifically  styrene,  ethylphenol,
xylene, and  1,4-dichlorobenzene,  were  detected in  all  of  the
composite samples.   Bromodichloromethane,  dibromochloromethane,

                                58

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bromoforra and  1,1,2-trichloroethane from the  trihalomethane and
halocarbon  chemical classes  were  not detected  in  any of  the
composites.     Incidence  data  for  the  volatile  compounds  are
provided in graphical format  in Figure 2-12  for benzenes/  and in
Figure 2-13 for trihalomethanes and halocarbons.   These data are
listed in tabular format in Appendix B, Table B-l.
                               59

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   Benzene   Styrene  Ethylphenol Toluene  Ethylbenzene Xylene   Chloro- 1,2-Dichloro-  1,4-Dichloro-
                                                         benzene  benzene    benzene

                                      Compound
Figure 2-12.  Percentage of FY82 composite samples in which benzenes were detected
                                         61

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          Trihalomethanes

          Halocarbons
                                                 46
     Chloroform
                  Bromo-
                 dichloro-
                 methane
Dibromo-
 chloro-
methane
Bromo-
 form
  1,1,1-
Trichloro-
 ethane
  1,1,2-
Trichloro-
 ethane
  1,1,2,2-
Tetrachloro-
  ethane
Tetrachloro-
  ethene
                                         Compound
Figure 2-13.    Percentage of FY82 composite samples in which trihalomethanes and
               halocarbons were detected
                                        63

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2.2.2  Semi-Volatile Organic Compounds
        The  semi-volatile  organic  compounds  were  detected  in
various degrees across and within  the  chemical classes.   For the
PCB homolog groups, the incidence of detection ranged from 7% for
decachlorobiphenyl  to 75%  for  hexachlorobiphenyl.    PCBs  were
detected in 38 out  of  44  of  the composites,  or  approximately 86%
of the  sample.   All  six of the  composites  where PCBs  were not
detected were  from the youngest  age group.   This result  is  at
variance with what  was observed in the  survey of FY81—when all
422  individual  samples including  94  from the youngest  age were
found to have detectable levels of PCBs—and the survey of FY83—
when all 407  specimens including 63 from the youngest age group
had  detectable  PCB levels.   The  surveys from these  other years
were  not  strictly comparable  to  FY82  since   they   employed  a
different analytical  procedure  and measured concentration levels
on  individual specimens,  not   composites.   PCB levels  will  be
closely  monitored  in  future  surveys  to  clarify  the  trend.
Percentages for the organochlorine pesticides ranged from 14% for
mirex to 100% for p_,p_'-DDE.  The incidence  for  p_,p_'-DDT was 68%.
Only these  two of  the six  DDT isomers  were  identified  in the
Broad  Scan  Analysis Study composite  samples.    Of  the aromatics
and  chlorinated  benzenes,  only  hexachlorobenzene  (79%)  was
detected in more than 50% of the composite samples.
        The  phthalates were  detected in more   of  the composite
samples   than    the   phosphates.    Tributyl   phosphate   and
tris(2-chlorethyl)  phosphate were  detected in  only  2%  of the
composite samples.   Graphs  depicting the incidence  of detection
for  semi-volatile  compounds  are provided in Figures  2-14, 2-15,
2-16, and 2-17 for PCBs, organochlorine pesticides, aromatics and
chlorinated   benzenes,    and    phthalates   and    phosphates,
respectively.    These  data  are   listed in  tabular  format  in
Appendix B, Table B-2.  In general the detection percentages were
lower for the FY82  composite samples  than they were for the FY81
and  FY83  individual  specimens.    For  example,  p,p'-DDT  was
                                65

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detected  in  only 68%  and hexachlorobenzene  in  only 79%  of  the
FY82  composites,  in contrast  to the other  two years  when  more
than  99%  of  the survey  specimens  were  found to  have detectable
amounts of both compounds.   One  exception  to the general rule is
the  compound  mirex,   which  was  detected  in  14%   of  the  FY82
composites but in less than 1% of the FY81 and FY83 specimens.

2.2.3  Dioxins and Furans
        Four  of  the five dioxins were detected  in  more than  90%
of the  composite  samples.  The  exception  was 2,3,7,8-TCDD which
was detected  in  74% of the composites.   The percentage detected
for  the  furans  ranged  from  26%  for  2,3,7,8-TCDF  to 93%  for
1,2,3,4,6,7,8-HPCDF.   Graphs  for  percentage  detected  data  are
provided in Figure 2-18.  These data are listed in tabular format
in Appendix B, Table B-3.
                                66

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     PCBs       Tr'-      Tetra-     Pcnta-    Hcxa-    Hepta-     Oeta-     Nona-      Deea-
               chloro-    chloro-     chloro-    chloro-    chloro-    chloro-    chloro-    chloro-
              biphenyl  biphenyl   biphenyl   biphenyl  biphenyl  biphenyl   biphenyl   biphenyl

                                        Compound


Figure 2-14.   Percentage of FY82 composite samples in which PCB homolog groups were
              detected
                                       67

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     Beta-BHC    p,p'-DDE    p,p'-DDT      Mirex
  trans-     Heptachlor
Nonachlor    Epoxide
Oieldrin
                                      Compound
Figure 2-15.  Percentage of FY82 composite samples in which organochlorine pesticides
             were detected
                                    69

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     100


      90 ~


      80


      70


      60
Percent

      so
      40 -
Aromatics


Chlorinated Benzenes
          Naphthalene    phe"-
                       anthrene
               Pyrene     1,2-Dichloro-     1,2,4-
                          benzene     Trkhloro-
                                      benzene

                         Compound
Pentachloro-  Hexachloro-
  benzene     benzene
     Figure 2-16.    Percentage of FY82 composite samples in which aromatics and chlorinated
                    benzenes were detected
                                             71

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100-
 90-
 80-
 70-
 60-
Phthalates

Phosphates
        Diethyl
       Phthalate
        Di-n-       Diethyl
        butyl       Hexyl
      Phthalate    Phthalate
  Butyl      Triphenyl
 Benzyl      Phosphate
Phthalate

Compound
 Tributyl        Tris-
Phosphate  (-2-Chloroethyl)-
             Phosphate
 Figure 2-17.   Percentage of FY82 composite samples in which phthalates and phosphates
               were detected
                                         73

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     100-


      90 -


      80 -


      70 -


      60 -


      50 -
Percent
      40 -


      30 -


      20 -


      10 -


       0
                              98      98
                                             100
        93
74
                                                                       Dioxins
                                                                       Furans
            2,3,7,8- 1,2,3,7,8- HXCDD   1,2,3,4,   OCDD  2,3,7,8-  2,3,4,7,8- HXCDF    1,2,3,4,   QCDF
            TCDD    PECDD            7,8,9-            TCDF    PECDF            6.7.8-
                       7,8,9-
                       HPCDD
                                                                             HPCDF
                                              Compound
         Figure 2-18.   Percentage of FY82 composite samples in which dioxins and furans were
                      detected
                                             75

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3.0  QUALITY ASSURANCE
        An  extensive quality  assurance/quality  control  (QA/QC)
effort accompanied the analysis  of  the Broad Scan Analysis Study
composite  samples.    The  results  of  this effort  were  used  to
assess the performance of  the  HRGC/MS  method.   Percent recovery,
precision  and  estimated  limit of detection   (LOD)  data  were
reported.
         Information  on method  percent recovery  was  obtained  by
spiking  QA/QC  samples  with  a  known  amount  of  analyte  and
determining  what percentage of  that  amount  was  estimated  as
present in the  sample.   Percent recovery  (PR)  was  calculated by
the formula:
    PR = Amount of Analyte Found in QA/QC Sample  x 100%
                 Known Spike Amount
                                                   (Equation 3-1)


Average percentage recoveries (PR) were also calculated.
         Method  precision  information  was  obtained using  the
percent recovery  data.   It was expressed  in terms  of standard
deviation and percent  relative  standard deviation.   The standard
deviation (S) was calculated by the formula:

                  9                 N           —
                 S* -  (1/(N-1))    _Z   (PR± - PR)«

                                                   (Equation 3-2)
where

    PR^ is the percent recovery for the ith QA/QC sample;

    PR  is the average percent recovery of the QA/QC samples;
        and
    N   is the number of QA/QC samples.

                                77

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The relative standard deviation (RSD) was calculated as:

             RSD » 100 S/PR
                                                   (Equation 3-3)
It is expressed as a percentage.

        Estimated  limits  of detection  (LODs) were  reported only
for  those  composite  samples  whose observed  concentration level
was  below  the  level of quantification; that  is,  those composite
samples whose  concentration levels were determined  to be either
not  detected or  trace.   The LODs were  reported as  total mass of
target  analyte detectable  and as  the equivalent  concentration
level.   LOD concentrations were  calculated based on  wet weight
for  the volatiles  analyses and extractable lipid weight for the
semi-volatiles, dioxins and furans analyses.  In this report, the
maximum and minimum of the reported LOO  amounts and equivalent
concentrations  are presented.   For  some  chemicals,  there were
composite  samples  whose  reported concentrations  were  above the
limit  of  quantification but were  also below the maximum LOD as
presented  in  this section.   This occurred because  of variation
between samples  with respect  to  sample weight,  minimum analyte
mass detectable, or both.
        This report presents  a summary of  some of the QA results
obtained in the  Broad Scan Analysis  Study.  Data for those QA/QC
samples whose results are most comparable to the results obtained
from the  Broad Scan  Analysis  Study composite samples,  that is,
spiked  human  adipose  tissue  QC samples,   are  provided  here.
Percent  recoveries calculated  for the  human adipose  tissue QC
samples  include any  possible  background  contribution  from the
adipose tissue itself.   Additional  information  from  results of
other QA/QC samples is provided in USEPA a-e  (1986).
                                78

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3.1 Volatile Organic Compounds
         Several  types  of  QA/QC  procedures  were  performed with
the volatiles analyses of the Broad Scan Analysis Study composite
samples.    They  included  daily  instrument  performance  checks
through  analyses of  internal  QC and  external QC  (performance
audit) samples,  analyses of  spiked  human adipose tissue samples,
and analyses of internal standard responses.  Concentrations were
calculated based on wet weight.
         Data  from the analyses of  five human  adipose  tissue QC
samples, run with the  first  sample  batches,  were obtained for 14
of the  17 target analytes.   Each  QC sample was  made up  of 20
grams of  spiked  human adipose tissue.   Spike  levels ranged from
0.20 ftg to 1.4 jig per  20 grams.   These  levels  were equivalent to
concentrations ranging from 0.010 /tg/g to 0.070 /ig/g.  Results of
these analyses found that the HRGC/MS method performed quite well
with respect to bias.  Average percent recoveries ranged from 85%
for chloroform to  141% for  styrene.    The  high  recoveries  for
chemicals such as  styrene  may be due to background contribution
from  the adipose tissue itself.   Precision data,  however, were
quite  variable  for  the  different  compounds.    The  relative
standard  deviations  ranged  from  4%  for  benzene  to  54%  for
bromodichloromethane.    Styrene,  tetrachloroethene,  and  1,1,1-
trichloroethane  had  both  high  recoveries  and  high  relative
standard  deviations.    In  general,  precision was  better  for
compounds   that  were  quantitated  versus   their  associated
deuterated analog than for compounds that were quantitated versus
bromochloropropane, the internal standard for analyses in which a
deuterated  analog   was  not  available.    These  results  are
summarized in Table 3-1.
         Ranges   of  reported  limits  of  detection  for  the  17
volatile compounds  are provided  in  Table 3-2.   In  general,  the
LOD target of .05 to .10 /ig/g was met.
                                79

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Table 3-1.  Summary  of QC  Results  for  Selected  Volatile Organic Analytes
                 in  Spiked  20 Gram  Aliquots of  Human Adipose Tissue"
Precision
Number of
Chemical QC Samples"
Benzene
Benzene
Substituted Benzenes
Styrene
Alkyl Benzenes
Toluene
Ethylbenzened
Chlorinated Benzenes
Chlorobenzene
I f 2-Dichlorobenzened
Trihalomethanes
Chloroform
Bromodichloromethane
Dibromochloromethane
Bromoform
Halocarbons
1,1, 1-Trichloroethane
1,1, 2-Trichloroethane
1,1,2, 2-Tetrachloroethaned
*
Tetrachloroethene
4
5
5
5
5
3
2
5
5
5
5
5
5
5
Average
Percent
Recovery
100
141
97
105
104
103
85
111
111
99
131
94
103
122
Standard
Deviation
(Units -
Percent)
4
71
27
10
21
8
14
60
20
25
59
9
8
55
Relative
Standard
Deviation6
4
50
27
10
21
7
17
54
18
25
45
10
8
45
  Thes* samples were analyzed with the first sample batchaa of the Broad Scan Analysis Study composite siaplas.  Spika levels
  •era equivalent to concentration levels ranging froe 0.01 jig/g to 1.07V /JQ/g.

  For half of the cheaicals  listed in Table 3-1,  there are five QC samples.  For the other chemicals, the nuaber of QC saaples
  is less than five for one of tvo reasons:  percent recovery for the QC saiple was not determined or percent recovery for the
  QC sasple was determined by a sethod not comparable to other recoveries for that chemical.

c Relative standard deviation is the standard deviation expressed as a percentage of the Average Percent Recovery.

  Quint Station for these analytes was performed versus the deuterated analog of the specific compound.  All other calculations
  were performed versus the  internal standard, bromchloropropane.
                                                      80

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Table 3-2.   Ranges of  Reported Limits of  Detection of Volatile Organic
             Compounds  for Composite Samples Whose Concentration Levels
             Were Declared Not Detected  or Trace
Reported Limit of
Detection
(UQ)
Chemical
Benzene
Benzene
Substituted Benzenes
Styrene3
Ethylphenol
Alkyl Benzenes
Toluene
Ethylbenzene
Xylene*
Chlorinated Benzenes
Chlorobenzene
1 , 2-Dichlorobenzene
I , 4-Dichlorobenzenea
Trihalomethanes
Chloroform
Bromodichlororaethane
Dibroraochlororaethane
Bromoforra
Halocarbons
1,1, 1-Trichloroethane
1,1 , 2-Trichloroethane
1,1,2, 2-Tetrachloro-
ethane
Tetrachloroethene
Minimum
0.080
c
0.005
0.003
0.010
—
0.004
0.001
—
0.020
0.53
0.030
0.008
0.04
0.021
0.001
0.020
Maximum

0.095
0.005
0.005
0.050
—
0.040
0.020
—
0.74
5.4
0.50
0.67
2.7
0.50
0.090
0.80
Equivalent Concentration
Wet Weight Basis
(na/cr)
Mininum
0.0044
0.0002
0.0002
0.0009
—
0.0003
0.0001
—
0.0008
0.021
0.0013
0.0004
0.0022
0.0010
0.0001
0.0009
M •y'miim

0.013
0.0002
0.0004
0.0027
—
0.0026
0.0015
—
0.10
0.50
0.033
0.050
0.24
0.050
0.0052
0.033
 This compound ms detected in all composite s»plea.
                                      81

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3.2 Semi-Volatile Organic Compounds
        Quality  assurance/quality  control  procedures  for  the
semi-volatiles  analyses . included  analyses  of  method  blanks,
spiked  blanks,  porcine  fat  samples  prepared  by  EPA/EMSL-LV,
spiked  human  adipose tissue  samples,  and replicate  analyses of
homogenized human adipose tissue samples.  Analyses for surrogate
compounds  and anthracene-d10, the  internal standard,  were also
performed for each composite sample.   Results for adipose tissue
samples were  adjusted for  extractable  lipid weight.   The results
of the  analyses  of the  spiked human adipose tissue  samples are
described in this section.
        Fifty-two  target  analytes  were  analyzed in  five  human
adipose  tissue  QC  samples  at  spiking  levels  equivalent  to
concentrations  of  0.10  /ig/g.    Each  QC sample  was  a 20  gram
aliquot  of  adipose tissue.    Results  for these samples  were
considerably  more  variable than the results for  the  volatile QC
samples cited in Section  3.1.   Average  percent  recoveries were
lower for semi-volatiles than for volatiles.  Seventeen of the 52
semi-volatiles listed in Table 3-3 had average percent recoveries
of  less than  50%.   Thirty-three semi-volatiles  had recoveries
between  51 and  100%,  while  only two  had  recoveries exceeding
100%.   For the fourteen volatiles listed in Table 3-1, five had
recoveries  between  85  and  100%,  while nine had  recoveries over
100%.   The average recovery for  1,2-dichlorobenzene  was 48% for
the  semi-volatiles  protocol compared  to 103% for the volatiles
protocol.
        The  semi-volatile,   p_* p_' -DDE,   had  an  unusually  high
recovery of 204%.   This recovery is believed  to be  due  to the
background contribution  from the bulk adipose tissue itself.
         Relative   standard  deviations   (RSDs)   for  the  semi-
volatiles  were higher in  general than those for the volatiles.
The  relative  standard deviations for  semi-volatiles  ranged from
12%  to  74%.   About three-fourths  (38/52)  of  the semi-volatile
                                82

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RSDs were 20% or greater.  For volatiles, the range was 4% to 50%
and half of the volatiles had RSDs of 20% or more.
        There  appeared to  be  differences in  method performance
between the compound classes.  Highest average percent recoveries
were observed for the organochlorine pesticides, ranging from 56%
for  o-p/-DDE  to  93%  for  p_,p/-DDD,  as  well  as  the 204%  for
p_,p_'-DDE.   The phosphates,  with  average recoveries  from  22% to
29%,  had  the  lowest  recoveries.   The  results are  presented in
Table 3-3.
        Ranges  of reported  limits  of detection  are provided in
Table 3-4.   The reported limits of detection  (LODs) for diethyl
phthalate,  di-n-butyl phthalate,  and  di-n-octyl phthalate  are
relatively high.  These compounds were detected in the associated
method blanks.   This is  not an unusual  situation.    (McLafferty
1980).   In  general,  the target LOD concentrations  of .05  to .10
pg/q were achieved.

3.3  Dioxinsand Furans
        The  QA/QC procedures for  the dioxins and furans analyses
included the following:

         •    Analysis  of  method blanks;
        •    A  check on the response  factor each day;
        •    A  check  on  the column  resolution for  2,3,7,8-TCDD
             each  day;
        •    Estimation of recovery of internal standards;  and
        •    Qualitative  verification of  2,3,7,8-TCDD in  certain
             extracts.

Unlike the volatiles and semi-volatiles analyses,  measurements on
spiked human adipose tissue samples were not reported for  the
dioxins and  furans  analyses.   Therefore, equivalent information
on the bias and precision of the dioxins and furans method is not
                                83

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available.  The  Limits of Detection for dioxins  and furans were
reported as lipid adjusted concentrations in picograms per gram.
The minimum and  maximum of  these concentrations are presented in
Table 3-5.  The LOD goals for the analyses were 0.1 to 1 nanogram
per gram.  This  is  equivalent  to 100 to 1000 picograms per gram.
An inspection  of Table  3-5  indicates  that the LOD  goals  of the
analysis appear to have been met.
                                84

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Table 3-3.  Summary of QC Results for Selected Semi-Volatile Organic
            Analytes in Spiked 20 Gram Aliquots of Human Adipose Tissue*
Precision
Chemical
organochlorine Pesticides
a-BHC
B-BHC
A-BHC
0-D/-DDE
E-P/-DDE
o-o '-DDD
£-p/-DDD
O-p/-DDT
B-E'-DDT
Mirex
trans -Nonachlor
Heptachlor
Heptachlor Epoxide
Dieldrin
Aldrin
uromatics
Naphthalene
dg -Naphthalene
Phenanthrene
Pyrene
Dimethyl phthalate
Number of,
QC Samples
5
4
5
5
5
5
5
5
5
5
4
5
5
4
5
3
5
5
5
5
Average
Percent
Recovery
83
66
62
56
204C
61
93
90
84
58
76
73
91
74
74
120
39
70
78
56
Standard
Deviation
19
21
8
10
20
13
31
35
39
28
12
13
18
45
9
22
17
11
16
19
Relative
Standard
Deviation
23
32
13
18
10
21
33
39
46
48
16
18
20
61
12
18
44
16
21
34
                                   85

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Table 3-3.  (continued)


Precision

Average Standard Relative
Number of. Percent Deviation Standard
Chemical QC Samples0 Recovery Deviation
Phthalates
Diet by 1 phthalate
Di-n-butyl phthalate
Butyl benzyl phthalate
Di-n-octyl phthalate
Phosphates
Tris ( 1 , dichloropropyl ) phos-
phate
Triphenyl phosphate
Tri-m-tolyl phosphate
Chlorinated Benzenes
1 , 2-Dichlorobenzene
1,2, 4-Trichlorobenzene
Cg-1 ,2,4, 5-Tetrachloro-
benzene
Pentachlorobenzene
Hexachlorobenzene
Cg-Hexachlorobenzene
Bromobiphenyls
4 -Br omobipheny 1
4,4' -Dibromobiphenyl
2,4, 6-Tribromobiphenyl
2 , 2 ' , 4 ' , 5-Tetrabroraobiphenyl
5
5
5
5
5
5
4
3
3
5
5
5
5
5
5
5
5
65
85
41
63
22
29
22
48
51
39
34
49
48
52
95
66
87
13
34
23
46
11
15
7
8
10
16
14
12
9
13
14
10
33
20
40
56
73
50
52
32
17
20
41
41
24
19
25
15
15
38
     86

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                                                 Table  3-3.    (continued)


Precision

Average Standard Relative
Number of. Percent Deviation Standard
Chemical QC Samples0 Recovery Deviation
Chlorodiphenyls
4-Chlorodiphenyl ether
2,2', 4 , 4 ' , 5-Pentachloro-
diphenyl ether
Chloroterphenyls
4-Chloro-p_-terphenyl
2 , 5-Dichloro-o-terphenyl
2,4' r 5-Trichloro-o-terphenyl
2,4,4', 6-Tetrachloro-o-
terphenyl
Chlorophenols
2 , 4-Dichlorophenol
2,4, 6-Trichlorophenol
Other Compounds
Acenaphthylene
Acenaphthene
Fluorene
Fluoranthene
r-Chlordane
Chrysene
d12-Chrysene
5
5
5
5
5
5
4
4
5
5
5
5
5
5
5
41
73
45
58
72
80
74
37
44
46
50
82
71
61
37
14
21
18
25
53
57
24
8
13
16
15
14
10
10
14
34
29
40
43
74
71
32
22
30
35
30
17
14
16
38
 Spile* lava I a war* equivalent to concentrations of 0.10

 In cases where tha nirabar of RC sasples analyzed is less thin 5,  the percent recovery value was not determined   for those
rniining saaplea.

°High recovery rate due to contribution  fros the adipose tissue eatrix.
                                                        87

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Table 3-4.  Ranges of Reported Limits of Detection of Semi-Volatile Organic
Were Declared
Chemical
Organochlorine Pesticides
8-BHC
£,2 '-DDE
p_,p_'-DDT
Mirex
trans -Nonachlor
Heptachlor Epoxide
Dieldrin
PCBs
PCBs
S
V "' '
Trichlorobiphenyl
Tetrachlorobiphenyl
Pentachlorobiphenyl
Hexachlorobiphenyl
Heptachlorobiphenyl
Octachlorobiphenyl
Nonachlorobiphenyl
Decachlorobiphenyl
Chlorinated Benzenes
1 , 2-Dichlorobenzene
1,2 , 4-Trichlorobenzene
Pentachlorobenzene
Hexachlorobenzene
Not Detected or Trace
Reported Linu
Detection
Ucrt
M\niwnm

0.20
0.20
0.20
0.20
0.40
0.20
1.0
0.20
0.20
0.20
0.40
0.40
0.40
0.40
* 0.40
1.0
0.20
0.20
0.20
0.20
Lt Of
Maximum
0.20
0.20
0.20
0.20
0.40
0.20
1.0
0.20
0.20
0.20
0.40
0.40
0.40
0.40
0.40
1.0
0.20
0.20
0.20
0.20
Equivalent Concentration
Lipid Weight Basis
(tfQ/Q)
' Mininum
0.012
0.011
0.0092
0.0088
0.018
0.0088
0.044
0.014
0.0088
0.0088
0.018
0.018
0.018
0.018
0.018
0.044
0.0088
0.0088
0.0088
0.0088
Maximum
0.036
0.016
0.036
0.036
0.071
0.036
0.18
0.036
0.036
0.036
0.071
0.071
0.071
0.071
0.071
0.18
0.036
0.036
0.036
0.036
                                     88

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                              Table 3-4.  (continued)
Reported Limit of
Detection
(ucrt
Chemical
Aromatics
Naphthalene
Phenanthrehe
Pyrene
Phthalates
Diethyl Phthalate
Di-n-butyl Phthalate
Diethyl Hexyl Phthalate
Butyl Benzyl Phthalate
Phosphates
Triphenyl Phosphate
Tributyl Phosphate
Minimum

0.20
0.20
0.20

0.20
0.20
0.20
0.20
0.40
1.0
Maximum

0.20
0.20
0.20

1.3
3.3
12.2
0.20
4.4
1.0
Equivalent Concentration
Lipid Weight Basis
(HQ/Q)
Mininum

0.0088
0.0088
0.0088

0.0089
0.0095
0.0089
0.0089
0.018
0.044
Maximum

0.036
0.036
0.036

0.077
0.18
0.69
0.019
0.59
0.13
Tris (2-Chloroethyl)
  Phosphate
0.80
0.80
0.035
0.14
                                  89

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   Table 3-5.
Ranges of Reported Limits of Detection of
Dioxins and Furans for Composite Samples
Whose Concentration Levels Were Declared
Not Detected or Trace
Chemical
        Number of
       Samples with
      Concentration
                                              Concentration
                                              Lipid Adjusted

Dioxins
2,3,7,8-TCDD
1,2,3,7,8-PECDD
HXCDD
1,2,3,4,7,8,9-HPCDD
OCDDa
Furans
2,3,7,8-TCDF
2,3,4,7,8-PECDF
HXCDF
1,2,3,4,6,7,8-HPCDF
OCDF
ND or TR
13
15
4
1
0
34
9
19
7
33
Minimum

1.3
1.3
13
26
—
1.3
1.3
3.0
3.5
1.2
Maximum

24
140
49
26
.... ••- 	
45
46
51
19
200
aThis compound was detected in all composite samples.
                                    90

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4.0 SAMPLING AND COMPOSITING DESIGNS
4.1 Sampling Design
        The human  adipose tissue specimens analyzed in the Broad
Scan Analysis  Study  were collected  from October,  1981  through
September, 1982, following the NHATS  sampling design.   The NHATS
program  uses  a  statistically   based survey design  to  obtain
adipose tissue specimens  from   autopsied  cadavers  and  surgical
patients.   Although  the NHATS target population  is the general,
non-institutionalized U.S. population, the sampling population is
limited to  cadavers  and  surgical patients  due  to  the  invasive
nature of the  process required to collect  the adipose specimens
from living persons.
        The  FY82  NHATS  sampling design  involved a  two-stage
selection process.    In the  first  stage,  Standard Metropolitan
Statistical Areas  (SMSAs) were  randomly selected  from the nine
Census  divisions   of  the   continental  United   States,   with
probabilities proportional to their  1970 census  population size.
The  number of SMSAs  selected  from  each  Census  division  was
proportional to the population of the Census division relative to
the  total U.S.  population.   In the  second stage,  individual
tissue specimens were collected  by cooperating medical examiners
and pathologists  within the  selected SMSAs  using  target quotas
for various age, race and sex categories.  The categories were:

        •   Age ("0-14 years," "15-44 years," "45+  years")
        •   Race  (white,  non-white)
        •   Sex (male,  female)

        The  SMSA  target  quotas  were proportional  to the  1970
U.S. Census population counts for the  Census Division in  which
the SMSA  is  located.   The tissue specimens were  selected  in a
nonprobalistic  manner  based on the judgment  of  the  medical
examiner  or  pathologist   involved   (Lucas   et  al.  1982).    An
                               91

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overview of  the FT82 sampling design  is  provided in Figure 4-1.
A map  of the  SMSAs selected  for the F782  NHATS collection is
provided in  Figure 4-2.   These  SMSAs are listed  in Appendix C,
Table C-l.
        Because the survey required  some  divergence from strict
probabilistic sampling, the validity of the statistical estimates
derived from the data depends on several assumptions.  First, the
concentration  of  toxic  substances  in  the  adipose  tissue  of
cadavers and surgical patients is  assumed to be the  same as in
the general population.   Second,  it is assumed that the level of
toxic substances in urban residents is approximately the same as
in  rural  residents,  and  therefore the  selection of  only urban
hospitals  (i.e.,   located  in  SMSAs)  does  not  introduce  any
significant  bias  into  the estimates  of  average concentrations
levels.    Finally,  it  is  assumed that  no  systematic bias  is
introduced by the  fact that  the  participating  pathologists and
medical examiners  were  self-selected, and the specimens were non-
probabilistically  sampled according to pre-specified quotas.
        The  FY82  sampling design  specified the  collection of 40
specimens  from  each of  35  SMSAs,  five  of  which were  double
collection  sites.    Double  collection  sites   are  SMSAs  whose
populations  are so large  that their proper representation in the
sample  requires   that  they  be  sampled  twice.    In  a  double
collection  center,  either  one  cooperator  provides  twice  the
number  of specimens (80)  or two  cooperators   each  provide the
standard quota  of  specimens (40).   Sixteen hundred specimens were
designated   for   collection.      However,   due   to  incomplete
fulfillment  of  target quotas  and no response  from several medical
examiners/ pathologists,  only 827 specimens were collected, from
26  SMSAs.
                                92

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             FY82 NHATS Sampling Design
   Stratify by
  Geographical
     Region
   Nine Census Divisions
Select Probability
Sample of SMSAs
   Within Each
 Census Division
  Select One or
      More
  Cooperators
 From Each SMSA
Select Specimens
  According to
 Age, Race, and
   Sex Quotas
Two to Seven SMSAs Within
   Each Census Division
     45 Cooperators in
       Total Survey
 1600 Specimens Requested
  827 Specimens Collected
Figure 4-1. Overview of the FY82 NHATS Sampling Design
                        93 /

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4.2 Compositing Design
        The  HRGC/MS  analytical  method  and associated  protocol
required  approximately  20  grams  of  tissue  for  each  analysis
sample.   The  amount of tissue available for each  NHATS specimen
ranged from two-tenths of a gram to  thirty grams.   Hence, it was
necessary  to  composite  individual  specimens  prior  to  chemical
analysis.   By  requiring more  tissue per analysis  sample,  the
protocol also reduced the level of detection.
        The variables Census  division, age  group,  sex,  and race
group  were selected  as  the design  variables  for  the composite
design.  These four variables  led to a structure of 108 cells (9
x  3  x 2 x 2  »  108).   However,  a design with 108  cells  was not
practical  because of  budgetary  constraints and because  of the
target of twenty grams per sample.  Census division and age group
were chosen as the  nesting variables.   These variables created a
structure  of  twenty-seven cells.  The individual  specimens were
classified into  these cells,  and composites  of  specimens were
created within this cell structure.  The percentages of specimens
in a  composite  from the  sex and race groups  were deliberately
designed  to  vary  over  the   set of  composite samples.    The
variation  in  the  sex  and  race percentages  was  designed  to
facilitate  the  estimation  of  the  effect  of  sex  and  race  on
concentration levels.
        The target  for the composition of the composite samples
was  one gram  apiece from twenty  individual  specimens.  However,
it  was not  possible  to achieve the  design  in   the preceding
paragraph, to use  all available FY82 specimens, and still meet
the  target  of  twenty  specimens of one  gram per  composite.
Moreover,  as  noted  above, some specimens  had weights as small as
two-tenths of a  gram.   Therefore, the actual number of specimens
in a composite,  the weight  of  the composite, and the equality of
individual specimen weights within  a composite were allowed to
vary over  the set of composites.
                                94

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        A  total  of  763  specimens  were  assigned  to  the  46
composites dedicated to the semi-volatiles and dioxins and furans
analyses.   A  total of  697  specimens  were assigned  to the  46
composites dedicated to  the  volatiles analysis.   The geographic
and demographic composition of the two specimen sets are shown in
Table 4-1.  The characteristics of  the  composite samples for the
volatiles, semi-volatiles,  and dioxins  and furans  analyses  are
listed in Appendix D.
                               95

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Figure 4-2.  NHATS FY82 collection map.
                 96

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Table 4-1.   Geographic and Demographic Counts for Specimens
    Category         Volatiles   Semi-volatiles,      Requested
                     Specimens   Dioxins and Furans   Specimens
                                   Specimens


 Census Region

  Northeast              161            166                 320
  North Central          188            206                 480
  South                  295            331                 520
  West                    53             60                 280
        Total            697            763              1,600

 Age Group

   0-14 years            134            178                 463
  15-44 years            301            312                 662
  45 +  years            262            273                 475
        Total            697            763              1,600

 Sex

  Male                   364            412                 788
  Female                 333            351                 812
        Total            697            763              1,600

 Race Group

  White                  590            632              1,420
  Non-White              107            131                 180
        Total            697           .763              1,600


Note:   The number of  individual specimens comprising  the composite
        samples  used  in  analysis  of  semi-volatiles,  dioxins, and
        furans   was   larger  than  the   number  of   specimens  in
        composites   samples  used  to   analyze  volatile  organic
        compounds.   Since the composite  samples used for analysis
        of  semi-volatiles   were   formed  first,  several  of  the
        volatile   organic   composite   samples   contained    fewer
        specimens.
                                 97

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5.0 SPECIMEN COLLECTION AND STORAGE
        The  827  individual  specimens  collected  for the  Broad
Scan  Analysis  Study  were obtained by  medical  examiners  and
pathologists   either   during   regularly   scheduled   surgical
procedures,  that  is,  from  tissue  excised  for  therapeutic  or
elective purposes, or as part of routine postmortem examinations.
If the specimen was collected postmortem,  the tissue was obtained
from  an  unembalmed  cadaver which had  been  dead  for  less  than
twenty-four  (24)  hours  and  had been  kept  under  refrigeration
during that  time.   The death should have been caused  by sudden
traumatic  injury, ,such  as  cardiac arrest,  car  accident,  or
gunshot wound.
        The following groups  were excluded from data collection:
             institutionalized individuals;
             persons  known to be occupationally exposed  to  toxic
             chemicals;
             persons  who died  of  pesticide poisoning; and
             persons  suffering from cachexia.
These  guidelines  were  stipulated  so  that  the  levels of  the
substances   detected  in   the  specimens  were   a  result   of
environmental exposure.
        All   NHATS  cooperators  in  the   selected   SMSAs   were
provided with target quotas for specimen collection from age, sex
and race groups.   The cooperators were asked to obtain at  least
five  grams  of adipose tissue  from  each donor.  The cooperators
were  asked  to guard  against  contamination through  contact  with
disinfectants, paraffins,  plastics,  preservatives,  and  solvents.
After  collection,  the  adipose tissue  specimens  were placed  in
glass jars frozen  to  -20*  centigrade.   These  jars  were  packed on
dry ice in insulated containers for transport and delivery to the
Toxicant Analysis Center  at  Bay St.  Louis, Mississippi.    In
September,  1983, the frozen specimens were transferred to Midwest
Research Institute (MRI)  in Kansas  City,  Missouri.  At  MRI,  the
specimens were placed in  freezers maintained  at a  temperature of
                                99

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-20* centigrade.   The adipose tissue  specimens  were kept frozen
during  the transfer  from the  Toxicant Analysis  Center  to  the
Midwest Research Institute (USEPA 1986b).
        All  tissue specimens  remaining after the  completion of
the  FT82  analytical  effort  are stored at the  Midwest Research
Institute  in  Kansas City, Missouri.   All  remaining NHATS tissue
specimens  from  1970  to the  present  are  stored  at  the  same
location.   The  specimens are  kept frozen  at a  temperature of
approximately -20 degrees centigrade.
        At the time  the FY82  Broad Scan  Analysis  was  conducted
and  since  that time,  there has not been a comprehensive study to
evaluate  the stability  of  volatile  organics in  fatty tissues.
Following  the completion of the  FY82 analytical  effort, there
have   been  studies   by  EPA  to   assess   the   stability   of
organochlorine pesticides and dioxins and furans in human  adipose
tissue.  The issue  of storage  and  stability for the NHATS is not
fully resolved at this time.
                               100

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6.0 CHEMICAL ANALYSIS PROCEDURES
        Midwest  Research Institute (MRI) conducted  the chemical
analysis of the FY82 composites.  For the volatiles analysis, MRI
developed a "dynamic headspace  purge  and trap system" to extract
the volatile  target compounds  from the composite samples.   The
target  compounds   were  directed  into  a   Finnigan  9610  gas
chromatograph and a Finnigan 4000 quadruple mass spectrometer for
analysis.   Target  volatile  compounds  were  identified by  the
response  time of   the  primary  characteristic  ion   relative  to
either  a deuterated  analog  of the  target  compound or to  the
internal standard, 'bromochloropropane.  The complete mass spectra
at the  appropriate  points in time were reviewed  to  confirm the
identification.  The  quantitation of the volatile compounds was
carried out by comparison  of  peak areas for the compounds to the
peak area for the associated  deuterated counterpart,  if one were
available,  or  to  the  peak  area for  bromochloropropane,  the
internal standard for this analysis.  (USEPA  1986b)
        The  deuterated compounds  and  bromochloropropane  were
added to  the  system by a  ten railliliter syringe.   This syringe
was first filled with three milliliters of water free of volatile
organics.  The  deuterated compounds  and bromochloropropane were
inserted into the  ten  milliliter syringe from a five micro liter
syringe.    An  additional  two  milliliters  of  water  and  one
milliliter of air were drawn into the ten milliliter syringe, and
the syringe was inverted several times to allow mixing.  Finally,
the contents  of  the ten milliliter syringe  were  transferred  to
the sample  vessel   in  the  "purge and trap"  system.    The sample
vessel  was  tightly  capped  and  allowed   to  remain  at  room
temperature for  thirty  minutes  before  initiating the analysis.
Refer to Table 6-1  for  the quantitation standard associated with
each of the target volatile compounds.
                               101

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   Table 6-1.
Pairing of Target Analytes Versus Internal
Quantitation Standards for Volatile Organic
Compounds Analysis
Target Analyte
                     internal Quantitation
                            Standard
Benzene
    Benzene
Substituted Benzenes
    Styrene
    Ethylphenol
Alkyl Benzenes
    Toluene
    Ethylbenzene
    Xylene
Chlorinated Benzenes
    Chlorobenzene
    1,2-Dichlorobenzene
    1,4-Dichlorobenzene
Trihalomethanes
    Chloroform
    Bromodichloromethane
    Dibromochloromethane
    Bromoform
Halocarbons
    1,1,1-Trichloroethane
    1,1,2-Trichloroethane
    1,1,2,2-Tetrachloroethane
    Tetrachloroethene
                     d^-Benzene
                     Bromochloropropane
                     d^-Ethylbenzene
                     dg-Toluene
                     du -Ethy Ibenz ene
                     ds-Chlorobenzene
                     d4-l , 4-Dichlorobenzene
                     d4-l , 4-Dichlorobenzene

                     d-Chloroform
                     Bromochloropropane
                     Bromochloropropane
                     Bromochloropropane
                     Bromochloropropane
                     Bromochloropropane
                     dj-1 , 1,2, 2-Tetra-
                         chloroethane
                     Bromochloropropane
                               102

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        For  the  semi-volatiles  analysis,  the  composites  went
through an initial extraction step (see Figure 6-1).  One percent
(1%) of this extract was set aside to determine the percentage of
extractable lipid  tissue in the  composite  sample.   The ninety-
nine percent (99%) of the extract left underwent a gel permeation
chromatographic step to separate the lipid tissue from the target
compounds.  After  the gel permeation step, ten  percent (10%) of
the  resulting  extract was  reserved for  the  dioxins  and furans
analysis.   The ninety percent  (90%)  aliquot  of the  extract was
partitioned through Florisil fractionation to create "fractions",
each with different sets of  target semi-volatile  compounds.   A
sample  from the fractions  was  injected  to  a Finnigan  MAT 31 LA
double  focusing magnetic sector mass spectrometer for analysis.
Target  semi-volatile  compounds were  identified by the response
time of the primary characteristic ion relative to the internal
standard,  anthracene-d1Q.   The ratios  of the peak areas  of two
secondary ions to the peak area for the primary ion were computed
to further verify  the  identification.   Review of mass spectra at
appropriate  points  in  time   was  carried  out   to  confirm
identification.     Quantitation  of  the  semi-volatile  target
compounds  was  carried out  by comparison of  peak areas  for the
compounds  to  the   peak  area  for  anthracene-d, Q,  the  internal
standard for this analysis.   (USEPA 1986c)
        For  the   dioxins  and  furans  analysis,  the  fractions
obtained  in the semi-volatiles  analysis  were  recombined.   These
fractions represented the ninety percent aliquot mentioned in the
preceding  paragraph.   The  recombined  fractions went  through  a
further "clean up"  step.  The ten percent aliquot  was subject to
separate  and   different  "clean  up"  step.    The ninety  percent
aliquot  was  earmarked  for  analysis  for  the  tetra-   and  penta-
chloro dioxins and furans.  The ten percent aliquot was earmarked
for analysis for the hexa-, hepta-, and octa- chloro  dioxins and
furans.   Although a  number  of  exceptions  were  necessary,  in
general the analysis was carried out according to the plan for
                               103

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                FLOW CHART OF CHEMICAL ANALYSIS STEPS
                FOR SEMI-VOLATILES, DIOXINS AND FURANS
                       CREATE COMPOSITE SAMPLE
                      ADD C«-» — LABELED TCDD
                           13
                      AND C13 - LABELED OCDD

                      AND SEMI-VOLATILES
                      SURROGATES
                                      99%
      DETERMINE PERCENTAGE OF
      UPID EXTRACTABLE
 GEL PERMEATION
CHROMATOGRAPHY
                         90X
       FLORISIL FRACTIONATION
               i
            RESERVE FOR DIOXINS
            AND FURANS ANALYSIS
       ADD ANTHRACENE -
               i
        SEMI-VOLATILES GC/MS
        ANALYSIS (SCANNING)
       RECOMBINE FRACTIONS
     CLEAN-UP FOR
     DIOXINS AND FURANS
     (AMOCO PX-21/GLASS FIBER)
                                                          i
              CLEAN-UP FOR
              DIOXINS AND FURANS
              (CARBOPAK C/CEUTE)
    TETRA- AND PENTA- DIOXINS
    AND FURANS GC/MS ANALYSIS
    (SELECTED ION MONITORING)
                                                          i
       HEXA-. HEPTA-. AND OCTA-DIOXINS
          AND FURANS GC/MS ANALYSIS
          (SELECTED ION MONITORING)
Figure 6—1. Chemical analysis steps for semi—volatiles, dioxins
            and furans.
                                    104

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the ninety and ten percent aliquots.  Analysis was performed by a
Kratos MS-50 double focusing mass spectrometer functioning in the
Selected  Ion  Monitoring  phase.    Analysis   of  ash  from  an
incinerator was  used to  determine the  time frame  during which
dioxin and furan  ions were likely to appear.   If characteristic
ions  for dioxins  and furans  appeared  in  this  time frame  and
theoretical ion  ratios were  achieved within  certain limits,  a
dioxin or furan was identified.   More  specific identification of
dioxin and furan chemicals was carried out  through comparison of
response times to  selected internal  standards.   The guantitation
of  the  tetra-   and   penta-  chloro  dioxins   and  furans  was
accomplished by comparison of peak areas  of the target compounds
to  the  peak   area for  carbon-13  labeled  2,3,7,8-TCDD.    The
guantitation  of  the   hexa-,  hepta-,  and  octa-  compounds  was
accomplished  through  comparison  of  peak  areas  of the  target
compounds to  the  peak area for  carbon-13 labeled  OCDD.   (USEPA
1986d)
                               105

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7.0 DATA PREPARATION AND MANAGEMENT
        Data  were  reported  on  46  composite  samples  for  the
analysis of volatile  organic compounds and  46  composite samples
for  the analysis  of  semi-volatile  organic,  dioxin,  and  furan
compounds.  Altogether, analyses  were  conducted on 57 compounds:
17 volatile organics,  30 semi-volatile organics,  5 dioxins  and 5
furans.
        Each   concentration  was  reported   in  one  of   three
categories:
        •   Not   Detected   (ND)  if   the  analytical  instrument
            response  was below the limit  of  detection;
        •   Trace (TR) if  the result  was  between the  limit of
            detection and the  limit  of quantitation; and
        •   Positive  Quantifiable (PQ) if results were above the
            limit of  quantitation.

        The limit of detection (LOD)  is  a  threshold value  below
which the presence or absence of a compound cannot be determined.
For this study the LOD was  calculated  as  2.5 times the estimated
average background signal.   The limit  of  quantitation (LOQ) is a
threshold value  below a detected compound cannot  be  accurately
quantified.   The LOQ was calculated as four (4)  times  the LOD.
For positive  quantifiable measurements, the actual concentration
was  reported.    For   readings  that  were  either  trace or  not
detected, the LOD was reported.
        The   reported  concentrations  were  converted  to  the
following concentrations:

            actual concentration, if positive quantifiable;

            LOD  ^ L°Q , if  trace; and

            —=—  ,  if  not detected.
                               107

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         The  data  were  stored  in  three  Statistical  Analysis
System (SAS) data bases,  one  each for volatiles, semi-volatiles,
and  dioxins  and furans  on  the  National  Computer  Center  IBM
computer system in Research Triangle Park, North Carolina.  Model
fitting was performed using the  Biomedical  Statistical Software
System,  BMDP  (Dixon  1981).   The program  BMDP3V,  Mixed  Model
Analysis  of Variance,  was  used  to  fit the model  parameters.
Output from BMDP was then entered into  SAS  to generate variance
estimates.
                               108

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8.0  STATISTICAL ANALYSIS APPROACH
8.1  Selection and Development of the Statistical Model
         Since one of the  objectives of the  Broad Scan Analysis
Study was  to estimate average  levels  of toxic  chemicals  in the
general, non-institutionalized U.S.  population,  it was necessary
to derive information about population averages from the chemical
analyses of  the  composite samples.  This  required an assumption
relating the chemical level of a composite sample to the chemical
levels of the individual  specimens which comprised the composite
sample.    Average   concentration   levels   for  the  demographic
subpopulations,  as,  well  as  for  the  nation,  could  then  be
estimated.
         In   developing  the  compositing design,  it  was  first
necessary to  assume  that the  amount of  a chemical in a composite
sample was equal to  the sum of the amounts contributed by each of
the  individual  specimens  that  comprise  the composite  sample.
This assumption is quite sound provided the compositing procedure
does not result  in  any  synergistic effect that chemically alters
the  specimens.   Second,   a  review  of  the composites  indicated
that,  in general,  specimens  in the same  composite contributed
approximately  the  same  weight of tissue   to  that  composite.
Hence, it  was assumed  that the concentration of the  composite
sample  equaled   the  average  of  the  concentrations   of  the
individual  specimens  that  comprised   it.     Accordingly,  the
concentration level of the composite sample, calculated by simply
dividing the total amount present by the total tissue mass of the
composite  sample,  was  assumed to equal  the  average  of  the
concentrations of the individual specimens.
        A  statistical model  was  developed to permit data from
the chemical analyses of composite  samples to be used to estimate
average chemical  levels  in the U.S.  population and  its  various
geographic and demographic subpopulations.  The  model postulates
how the chemical level of a composite sample varies as a function
of  the  geographic   and   demographic  characteristics  of  the
                               109

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individual  specimens that  comprise  it.    It  assumes that  the
chemical  level  of any individual  specimen is a  function  of the
characteristics  (i.e., Census  region, age group,  sex,  and race)
of the specimen donor.  This implies that the chemical level of a
composite  sample  is  also  a   function  of  the  geographic  and
demographic characteristics of the specimens that comprise it.
         The  model is a multiplicative one.   It assumes that the
effect  of each  geographic or  demographic factor  (e.g.,  Census
region)  is  to proportionally  increase or decrease  the expected
average  concentration  level  of  the  composite  sample.    For
example,  if  specimens from the North  East Census region have an
average  concentration level that is ten percent  higher than the
overall  average  level,  composite  samples from  the  North  East
Census region will  tend  to have average concentration levels ten
percent  higher  than composite samples from other regions of the
country.   The model  further assumes  that  the standard deviation
of the  measured concentrations increases  with the mean (Snedecor
and Cochran  1967).   This type  of model is common for models used
in  the  analysis  of  data   on   toxic   pollutants,  where  the
distribution  of concentration levels  is  typically asymmetric or
skewed  (Gilbert  1987).
         Since geography  and  age were  the  primary  factors  of
interest to  EPA, the composite design stipulated that individual
specimens  be composited within  Census  division and  age group
combinations.   However,  the effects  of  race and sex on average
concentration  levels  were  still a  concern.    The compositing
design   needed   to   provide  information   on  these  factors  by
purposefully mixing individual specimens  of  both race groups and
sexes  within a  composite  sample  and varying  the  race  and sex
proportions  across  the  composite  samples.    The  race  and sex
makeups  of the  composite samples were either homogenous or mixed
depending on the availability  of individual specimens.
                               110

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         These concepts lead to the statistical model:

         E(CiJk) - M   CR,   A,
                                                    (Equation  8-1)
where

         .    E(C;jk)  is the  expected average  concentration level
             for the distribution of all composite  samples  formed
             from specimens collected from the ith  Census region,
             jth age group,  and having race  and sex proportions
             given by R-,jk  and S;jk, respectively, with:
               Rjjk « proportion   of   white  specimens  minus   the
                   , proportion of non-whites; and
               S-,jk = proportion   of   male   specimens  minus   the
                    proportion of females;
          .    M is the overall  average effect of all demographic
               factors ;
                   is the effect of the ith Census region;
          ,    A; is the effect of the jth age group; and
          .    3}  and  B2  are  parameters  which  describe   the
               relationship  between the  chemical  level  and  the
               race and sex makeup of the composite sample.

          The Census  region,  age group, sex, and race parameters
of the model indicate how the average concentration levels differ
across  the various  demographic  subpopulations .    The parameter
estimates  are  interpreted  as follows:   if CRj  is greater  than
one, composite  samples  formed from  specimens  collected from  the
ith  Census  region   will  tend  to  have  higher  than  average
concentration levels.  If CRj is less than one, the concentration
levels will tend to  be  lower than average.  The  age parameter Aj
is  interpreted  similarly.    For the  race  parameter, if  Ql  is
positive,  the  expected  concentration  level   of  the composite
sample  will  increase  as  the  proportion  of  white  specimens
increases.   If  Ql is negative,  the  expected concentration level
decreases as the proportion of  whites  decreases.   The parameter
                               111

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B2  is interpreted  similarly for  sex.    A positive  value for  Q2
indicates   that  higher   expected  concentration  levels   are
associated with males.   .A negative value for  32  indicates  that
lower  concentration   levels  are  associated  with  males   or,
conversely, that higher levels are associated with females.
          It  should be  noted that  variation in  the  number  of
specimens comprising the composites was not taken into account in
estimating the  model  parameters;  each composite was given equal
weight in the computation.   This  does  not create  any bias in the
estimated parameters or average concentrations, but may entail a
loss of efficiency  in the  estimators.   As a  practical matter the
increase  in  estimator  variance  due  to  not taking  this  into
account is minimal, since the measurement error of a composite is
independent of  the  number  of its  constituent specimens, and this
is the dominant component of variance across composites.
          Census region, rather than Census division, was used in
the statistical  estimation analysis  procedures.   Although Census
division  was used to  specify  the collection  and compositing
procedures,  the nine Census divisions  were collapsed  into the
four U.S. Census regions for statistical analysis purposes.  This
reduced  the number of subpopulations  and  hence  the  number  of
model parameters that needed  to be  estimated.    Originally 108
subpopulations  (corresponding  to the  9 Census divisions,  3 age
groups,  2 sexes  and 2  race groups)  were defined.   Collapsing
resulted  in a  total of  48 target  subpopulations.   Only eight
model   parameters  were   then   needed  to   estimate   the  48
subpopulations,  since the  model  estimated subpopulation  averages
without  interaction effects.   This was  a  reasonable  number  of
model parameters given that 46 composite samples  were available
for each analysis set.
                               112

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8.2  Application of the Statistical Model
          The expected value of the concentration level expressed
as a function of the effects of Census region, age, race, and sex
is given  by Equation 8-1.   The assumed error  structure of this
model is  given  in  Equation F-l of Appendix F, incorporating into
the model terms that explicitly  reflect the variance components
attributable  to the complex  NHATS  sample  design  as  well  as
measurement error.
          The statistical  model given in  Equations  8-1 and F-l
is called a mixed  model since  it includes  several factors whose
effects on  the  composite concentration levels  are considered to
be random in addition to  factors whose effects are considered to
be systematic  rather than random.   The BMDP program P3V (Dixon,
1981) can perform mixed model regression analysis and was used to
fit the Broad  Scan analysis data.   P3V uses maximum likelihood
estimation  (MLE)  techniques  to  fit linear models  under  the
assumption that the random factors are normally distributed.  MLE
techniques were used in the  Broad Scan analysis because they are
more flexible for fitting mixed models with unbalanced data.
          Because  the  model  in  Equation  F-l  assumed  that  the
composite concentration levels have a lognormal distribution, the
parameters of the model were estimated by taking logarithms (base
e) on both  sides of  Equation F-l and then  fitting the logarithms
of the  measured concentration  levels to the  transformed  model.
The  log-concentration  model  met the assumptions  of  the  P3V
analysis  because the model was linear in the unknown parameters
and  the  assumptions  of   Equation  F-l  implied  that  the  log-
concentrations are normally distributed.
          Goodness-of-fit tests on the residuals  from the fitted
model confirmed that  the assumption  of normality  on  the log-
concentrations was reasonable  in  19  of 22 compounds  analyzed.   A
Chi-square  goodness-of-fit  test rejected   the   hypothesis  of
lognormality  at the  .10  level  for three  compounds,  xylene,
2,3,4,7,8-PECDF and  OCDD.   In  tests of 22  compounds,  by  chance
                               113

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alone, it is expected that two compounds would have been rejected
at a  .10  level.   The distribution  of  values for 2,3,4,7,8-PECDF
had  a   significantly  lighter  right  tail  than  a  lognormal
distribution.   The distributions of  values for  xylene and OCDD
had   significantly  heavier   right   tails  than   a  lognormal
distribution.   Since the  mean estimates generated  by the model
are  fairly  robust in the  face of  variability in distributional
form, the model was used with these compounds as well.
          Results   from   the   P3V  analysis   included  maximum
likelihood   estimates  of  all   the  parameters  of  the  log-
concentration model  including estimates of the variances for the
random  factors  log  SMSA  and  log E.   The  output  also included
standard  errors  for all  estimated  parameters  and  statistical
tests of significance.
          Because the composite concentration  levels  were assumed
to be  lognormally distributed, a maximum likelihood estimate of
the  expected concentration level of any  composite sample can be
calculated by
             log M+log CR.+log Aj+V^jk'V^jk**  (
  E(Cijk> * e                                               (8-2)
where each " denotes an MLE for the corresponding parameter.
          Equation  8-2  was  used to  calculate  an  MLE  of  the
average  concentration  level  for  each  of  the  48  demographic
subpopulations  defined  by the 4  Census  regions,  3  age groups, 2
race groups, and  2  sexes.  Each MLE was obtained by  substituting
into Equation  8-2 estimates  for  the  corresponding Census region
and  age group  effects  and  setting  the race  proportion, Rj^fc/
equal to either +1  (to indicate an all white  subpopulation) or  -1
(all  non-white subpopulation), and setting  the  sex proportion,
sijk'  e
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individual specimens.   This  is because the expected value of the
average  of  random variables with identical  means (in this case,
the  concentration  level  of  a  composite  formed  entirely  from
specimens from a single demographic subpopulation)  is the same as
the  expected value of  the individual random  variables  (in this
case, the concentration levels of specimens  from  that demographic
subpopulation) .

8.3  Statistical  Estimation  of Average  Concentration Levels for
     the Entire Nation and Various Subpopulatxons

          The estimated average concentration  levels  for the 48
target subpopulations were used to construct estimates of average
levels  for  other  subpopulations  of  interest.    Of  particular
interest were the  estimates  for  each Census  region,  age group,
race group,  and  sex,  as well as estimates for the entire nation.
These  estimates  were  calculated  as  weighted  averages of  the
individual  48 subpopulation estimates,  where the  weights  were
proportional to the population of each target  subpopulation.  For
example, the estimated average concentration  level for the ith
Census region was calculated as:
where                                              (Equation 8-3)

               WJJ|B  is the population proportion  for  the jth age
               group, 1th race  group,  and mth sex group relative
               to the total ith Census Region, and
                A
               ft JJ|B  is  the  estimated average concentration level
               from Section 8.2 for the respective subpopulation.

This   procedure   involves   summing    the   weighted   average
concentration   level   estimates   for   each  of   the   twelve
subpopulations within the Census Region.   The national estimate
was obtained by summing the weighted estimates over all 48 target
subpopulations .

                               115

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8.4  Significance Testing of Differences Between Subpopulations
          Significance testing was conducted to determine whether
any significant  differences existed among  the levels of  any of
the geographic or demographic factors  (i.e.,  Census  region, age
group, race group, or sex) .  The results of the model fitting and
parameter estimation  were used to test  the following hypotheses
concerning the parameters estimated in Equation 8-1:
     Ho:  CRi=l for all i=l,2,3,4  versus Ha:  CRi^l,  for some i
     Ho:  Aj-1, for all j=l,2,3    versus Ha:   Aj#l,  for some j
     Ho:  8^0                     versus Ha:   6^0
     Ho:  82=0                     versus Ha:   82*0

Each  of these  tests was  conducted on  the model  parameters to
determine  whether  the corresponding  factor  had  a significant
effect  on concentration levels.   The results of the significance
tests were presented in Table 2-4.

8.5  Detection and Exclusion of Outliers Among PECDD Measurements
          The two largest  measured values of PECDD in the sample
of  composites were  determined  to be outliers  and excluded  from
the  data   used  to  estimate  average  concentration  and   test
hypotheses.   The decision  to declare them outliers was based  both
on  evidence  of  internal   inconsistency  with  the  rest of  the
distribution,  and  the implausibility  of  their  magnitude   when
compared to external sources of PECDD concentration data.
          First, the two largest  PECDD concentration measurements
of  5300 and  5200  pg/g were  each more than six  times  the   next
highest value.   For no other chemical detected in the study was
there  an  interval as  great between the  maximum  values  and the
rest of the distribution.    The existence  of  such an extremely
large  gap  in  a measurement distribution  is  an  indication of the
probable presence of outliers.
                               116

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          Second, for the other chemicals the arithmetic averages
of  the composite measurements  by  age  group were  close  to the
model-based, maximum-likelihood  estimates,  a result  which would
be  expected for large samples if  the measurements were  in fact
identically, lognormally distributed  within  age group.   However,
approximate  equality between  the  arithmetic  averages  and the
model estimates of concentration was  not  observed for PECDD when
the  two  largest values  were included,  but  was  when they were
excluded.   This is  further indication that these large  values
were generated  from  a contaminant distribution,  rather  than the
distribution associated with the other PECDD data.
          Finally,  other  data  sources  have  reported  average
concentrations  of PECDD  in  the  20 pg/g  range,  with  maximum
concentrations that are almost two  orders of magnitude less than
the  two  suspect  outliers.   Since  the Broad  Scan  composite
measurements  are themselves  averages of the  concentrations  of
their  constituent  specimens they  should  tend  to  cluster  around
population means, and it  is therefore extremely implausible that
they would have values as high as 5000 pg/g.
          The  effect on  concentration  estimates  and hypothesis
tests due to excluding the two outliers is shown in Table 8.1.

8.6  Concentration  Estimates  and  Hypothesis  Tests  for  Total
     Equivalent DDT
          Levels of Total Equivalent DDT  (TEDDT) can be estimated
from the concentrations of the congeners  in the DDE, DDT, and DDD
families, through the following formula:

     TEDDT » p,p'-DDT + o,p'-DDT
               + 1.114  (0,p'-DDE + p,p'-DDE + o,p'-DDD + p,p'-
DDD)

Of the six  chemicals appearing  in the formula  only p,p'-DDT and
p,p'-DDE were found to have detectable levels in the analyzed
                               117

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Table 8-1.        Comparison of Average Concentration  Estimates
                   and Significance Test Results  for 1,2,3,7,8-
                   PECDD Including, and Excluding outliers
Estimate wita TWO outliers*

Nation

Census Region
NE

NC

S

W

Age Group
0-14 yrs
15-44

45+

Race Group
White

Non-White

Sex
Male

Female

Included
Averaoe Concentration and Relative
190
(43)
420
(61)
170
(54)
100
(50)
130
(70)
200
(53)
290
(48)
44
(56)
210
(44)
91
(78)

140
(55)
240
(62)
Excluded
Standard Error2
75
(23)
120
(39)
62
(34)
60
(30)
73
(42)
54
(30)
130
(27)
11
(31)
83
(24)
39
(46)

100
(34)
49
(39)
Siqnif icance Test p-Value
Census region
Age
Race
Sex
.214
.001
.261
.505
.464
.000
.102
.230
1 Outl iers are composite IDs 82168 ind 82IS1

2
  Concentration is in units of pg/g. Relative standard errors are shorn in parenth



                                    118

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composites.    If   zero   is   substituted  for  the  non-detected
congeners the following approximate formula results:

     TEDDT = p,p'-DDT + 1.114(p/p'-DDE).

          There are two possible ways  to apply this  formula to
the  Broad Scan  data to  estimate the  average concentration of
Total  Equivalent   DDT   for  the  nation   and  for  demographic
subgroups:   (1)  TEDDT is  first estimated for  each composite by
substituting  the  values  of  p,p'-DDE  and  p,p'-DDT  into  the
formula, and the resulting composite-level data are then analyzed
by  the  multiplicative  model  to  yield  average  concentration
estimates for subgroups;  (2)  the  average concentrations of p,pf-
DDE  and  p,p'-DDT are first estimated for  each subgroup  by the
multiplicative  model/  and  these subgroup  estimates  are  then
substituted  into  the  formula to  yield  average  concentration
estimates of TEDDT.
          Although   the   defining  equation   implies   that  the
population concentration  of  TEDDT must be greater  than or equal
to  the  concentrations  of p,p'-DDT and  p,p'-DDE,   the  estimated
values produced by  approach (1) may not  satisfy this constraint
because the multiplicative model  is a nonlinear function  of the
composite measurements.   Approach (2)  has the desirable property
of  producing  estimates  that  always  satisfy the constraint, and
for  this  reason was  used to generate the  average concentration
estimates of TEDDT shown in this report.  The associated standard
error (SE)  for  the estimated average concentration of  TEDDT was
estimated as:
     SE(TEDDT) - SE(p,p'-DDT) + 1.114 SE(p,p'-DDE).
     To test  hypotheses  on  the  significance  of  effects  due to
census region, age  group,  sex,  or race  group on TEDDT levels, an
analysis  of composite-level  data was  necessary,   and for  this
purpose individual  composite  estimates of TEDDT were computed by
substituting the concentrations of p,p'-DDT and p,p'-DDE into the
                               119

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formula for TEDDT.   Hypothesis testing was then  carried out for
the derived values  of TEDDT in  the same manner  as  was  done for
the chemicals that were measured directly.
          When  TEDDT is  estimated  for  composites,  the problem
arises of  what values to  substitute in the formula when one or
both of the components p,p'-DDE and p,p'-DDT are not detected.  A
comparison was made of the  results obtained  from the following
two alternative approaches:  (a)  if  for  a given composite either
compound is not detected, a value of zero is substituted into the
formula, and if the derived  concentration of  TEDDT is zero after
this substitution,  it is  replaced  with an LOD/2  value  of .005;
(b) if one or  both  of the components are not  detected in a given
composite,  the  LOD/2 values  associated  with the  non-detected
compounds  are  substituted into  the formula.    Since very little
difference was  observed between  these two approaches, method (b)
was adopted  for this  study because  it was consistent  with the
statistical treatment of the directly measured compounds.
          Table  8.2  compares  estimation  and  hypothesis  test
results for the alternative ways of computing TEDDT.
                               120

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Table 8-2.    Comparison of Average Concentration Estimates  and
                Significance Teat Results for Alternative Way? of
                Computing  Total Equivalent  DDT  (TEDDT)

""•'^•••"•••••"••^^"•••••"••"••••••"•"••••••^   TEDDT FormuTa""5ppTTecT>l^""""""
                                     Composite Level        Subgroup
                                     Using Method1:          Level
                                     (a)             (b)
Nation

Census Region
NE

NC

S

w

Age Group
0-14 yrs
15-44

45+

Race Group
White

Non-White

Sex
Male

Female

Census
Age
Race
Sex
Averaae Concentration and
1.4
(19)
1.2
(29)
0.74
(29)
1.9
(27)
1.4
(38)
0.7
(27)
1.2
(27)
2.0
(25)
1.5
(21)
0.85
(39)

1Q 1 •
. y • " , I v -:-
(30)
0.87
(36)
Siqnificance
0.159
0.010
0.256
0.152
Relative Standard Error
1.4
(19)
1.2
(29)
0.75
(29)
1.9
(27)
1.4
(38)
0.7
(27)
1.2
(27)
2.0
(25)
1.5
(21)
0.85
(39)

1.9
(30)
0.86
(36)
Test
0.166
0.010
0.254
0.141
1.6
(26)
1.4
(37)
0.87
(33)
2.4
(33)
1.7
(47)
0.98
(36)
1.7
(32)
2.1
(30)
1.7
(27)
1.1
(52)

2.4
(33)
0.93
(46)
p-Value
„.
—
—
 Method (a) rap lieu non-detected p,p'-DDE or p.p'-DDT with zaro in tin foraula for TEDDT; if the resulting value
 of TEDDT is zero it is replaced with the value .MS.  Uethod (b) replaces non-detected p,p'-DOE and p.p'-DDT
 with their LOD/2 values.

2 Lipjd-idjusted weight in parts per si 11 ion (pg/g). Relative standard errors are shown in parenthesis.


                                       121

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8.7  Considerations in "the Use of the Broad Scan Analysis
     Study Statistical Analysis Approach

          There are two  general  classes  of assumptions that have
been made in  the statistical  estimation approach  used  in  the
Broad Scan Study:  assumptions about the  form  of the statistical
model   used   in   the  analysis,   and  assumptions   about  the
characteristics of the sample of specimens and composites.
          The first  set  of assumptions  is  embodied  in Equations
8-1  and  F-l,  which describe   the  relationship  between  the
concentration  level  of  a composite  sample and  the demographic
characteristics of the  individual  specimens which  comprise  it.
The  model assumes the  effect  of  each  demographic  factor  was
multiplicative,  rather  than additive,  that  the factors acted
independently  without   interactions,   and  that  the  composite
concentration  levels  have a  lognormal distribution.   Orders of
magnitude differences between some of the composite concentration
levels  suggested  the  use of such a  model and normal probability
plots  and goodness-of-fit  tests on the  log-concentration data
confirmed the  reasonableness of this assumption.  A model which
assumes  that the  composite concentration  levels have  a  normal
distribution might have seemed  appropriate  since each composite
concentration  level  was  essentially an  average of concentration
levels  of individual  specimens.   However, the measurement  error,
which was  likely  a substantial  component  of the distribution of
measured  concentration  levels,  was  not  averaged  since each
composite   was   analyzed   only   once.     Measurement   error
distributions  often  tend to  be  skewed and  could have accounted
for  the   fact  that  a  lognormal  model  fit  the  composite
concentration  level data better than a  normal  model.   Note that
the  standard  procedure  of  replacing non-detects  by  LOD/2  and
trace   observations   by  (LOD+LOQ)/2   (LOD   is  the  analytical
procedure's  limit  of   detection  and  LOQ   is  the  limit  of
quantisation), may create artificial non-lognormal distributions
of   concentrations,   if  for   example,  all   the   LCDs  were

                               122

-------
approximately equal.   However,  this seems not  to have occurred,
and  the  statistical  tests  that  were  performed  on  the  model
residuals did not reject the hypothesis of lognormality for 19 of
the 22 chemicals.
          The model  used  in this report is a main effects model
with  eight  parameters.   The model  did not include interaction
effects because  of  budget  limitations, because  of the  need to
make inferences for  a  large  number of  chemicals,  and because the
number  of model  parameters would  have exceeded the number of
observations.     The  discussion   in   Section   2.1.4  suggests
consideration  be  >given  to a model  which   includes  two-way
interactions.  Including  all two-way interactions would increase
the number  of model parameters  to twenty-five.   The  problem of
interactions  is  one that would require funding  for development
and testing.
          Several important  assumptions  have been made about the
sample  of tissue  specimens  constituting the NHATS data.   First,
because practical considerations  dictated that  tissue  sampling
had to  be limited to  surgical  patients and autopsied cadavers,
it  was  assumed  that  the  average  concentration  levels  in  this
sampling  population  would be approximately equal to the average
concentration  levels  in  the U.S.  population.    Second,  it  was
assumed that nonresponse due to incomplete fulfillment of planned
quotas by participating medical examiners  and  pathologists would
not significantly bias the results.  Finally, it was assumed that
the concentration of a compound in a composite  would be equal to
the average  of  the concentrations  of  the  constituent  specimens;
that  is,  the compounds retain their identities,  and synergistic
effects  do   not   occur between  chemicals  as   a   result  of  the
compositing.  This  assumption was  necessary to justify equating
the  estimated  average  concentration  level  of  a  homogeneous
composite population to  the  average concentration  level  of  the
individual specimen population.
                               123

-------
          It should  be noted that  if  it were  feasible  to carry
out a  probability sample  survey  to collect adipose  tissue from
the general population EPA would prefer that approach.  The NHATS
approach  is a  practical  solution  to the  problem of  obtaining
tissue  samples.   Its potential  biases  are mitigated  by:   1)
selection of areas of the country by a probability mechanism;  2)
use of quotas based on population statistics for donor selection;
3)  program preference for specimens  from donors whose death was
sudden  and unexpected;    4)    use of  population  statistics  to
weight average  concentrations;   and 5)   emphasis on comparisons
across years, which of course is not possible in this report.
          Several projects  are  currently underway to  improve the
chemical  and   statistical approaches   employed  in   the  NHATS
program.   An  alternative statistical model has  been  developed
that represents a composite concentration as a linear function of
the  demographic and  geographic descriptors of  the  constituent
specimens.  This  additive model has been evaluated in comparison
to  the multiplicative model and  found  to perform  well.   The
ultimate  objective  is to  replace the  multiplicative  with the
additive   model   so   that   prevalence   as  well   as   average
concentration  levels  can be estimated from the composited NHATS
data.   The results and  status  of this  project are described in
the  draft EPA  report,  "Statistical Methods for Analyzing NHATS
Composite  Sample  Data—Evaluation  of Multiplicative and Additive
Model Methodologies."
           Significant  changes continue to be made  in the chemical
analysis  approach,  especially  in  the  methods  of calibration,
quantitative  procedures,   qualitative   identification,  internal
standards,  and use  of  spiked  and  unspiked  samples.    These
modifications have been  implemented in the  FT87  and FT86 surveys,
and  are expected  to  provide demonstrated  improvements  in data
quality.
                               124

-------
          Work  is also  underway  to  determine  what effect  the
change in chemical analysis methods had on the NHATS estimates of
average concentration  levels.    Composite  samples from  the F784
NHATS  survey were  analyzed by  both the  old chemical  analysis
method—packed   column   gas   chromatography/electron   capture
detector  (PGC/ECD)—and  the  new  method—high  resolution  gas
chromatography/mass  spectrometry  (HRGC/MS)—to  determine  their
comparability.  A report  on this project is expected by the  end
of the year.
                               125

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9.0  REFERENCES
Dixon WJ.    1981.   Mixed model  analysis  of variance  programs.
Biomedical  Statistical  Software.    California:   University  of
California Press.

Gilbert  RO.    1987.    Statistical  methods  for  environmental
pollution monitoring.  New  York:   Van Nostrand Reinhold Company,
Inc.

Leczynski BA,  Stockrahm J.   1985.   Battelle  Columbus  Division.
An  evaluation of  hexachlorobenzene  body  burden  levels  in  the
general US population-.  Draft report.  Washington, DC:  Office of
Toxic Substances, U.S. Environmental Protection Agency.   Contract
68-01-6721.
                   *
Lucas RM,  Melroy  DK,  Immerman FW.   1983.    Research  Triangle
Institute.   National adipose tissue  survey  statistical analysis
file.  Draft final report.  Washington, DC:  Office of Pesticides
and  Toxic  Substances,  U.S.  Environmental  Protection  Agency.
Contract No. 68-01-5848.

McLafferty  FW.  1980.    Interpretation of  Mass  Spectra,  (Third
Edition), Mill Valley, California:  University Science Books.

Mack  GA, Leczynski  B,  Chu  A,  Mohadjer  L.    1984.    Battelle
Columbus Division.  Survey  design for the  national human adipose
tissue survey.   Draft final report.  Washington,  DC:   Office of
Pesticides  and Toxic  Substances, U.S. Environmental  Protection
Agency.   Contract No. 68-01-6721.

Mack  GA, Panebianco  DL.    1986.    Battelle Columbus  Division.
Statistical analysis of  the FY82  NHATS broad scan analysis data.
Draft final  report.   Washington,  DC:   Office  of  Pesticides  and
Toxic Substances, U.S. Environmental Protection Agency.   Contract
NO. 68-02-4243.

Mack GA, Stanley J.   1984.   Battelle Columbus  Division, Midwest
Research  Institute.    Program  strategy  for  the  national  human
adipose tissue survey.  Final report.  Washington, DC:  Office of
Pesticides  and Toxic  Substances,  U.S. Environmental  Protection
Agency.   Contract Nos. 68-01-6721  (BCD) and 68-02-3938 (MRI).

Orban J, Leczynski   BA,  Lordo  R.    1987.    Battelle  Columbus
Division.   Estimation  of  prevalence  using composited  samples.
Draft final  report.   Washington,  DC:   Office  of  Pesticides  and
Toxic Substances, U.S. Environmental Protection Agency.   Contract
No. 68-02-4243.

Patterson, D.G.  et al.  1986.   Human Adipose Data for  2,3,7,8,-
tetrachlordodibenzo-p-dioxin    in    certain    U.S.    samples.
Chemosphere, 15:  2055-2060.


                               127

-------
Public Law  94-469,  Toxic Substances Control Act,  Enacted by the
Senate and House of Representatives, October 11, 1976.

SAS  Institute,  Inc.    1985.    SAS  user's  guide:   basics  and
statistics, version 5.  North Carolina:  SAS Institute, Inc.

Snedecor  GW,  Cochran  WG.    1967.    Statistical methods.   Ames,
Iowa:  The Iowa State University Press.

USEPA.    1980.    U.S.  Environmental Protection  Agency.    Mirex
residue   levels   in   human   adipose  tissue:     a  statistical
evaluation.   Washington, DC:   Office of  Toxic Substances, U.S.
Environmental Protection Agency.  EPA 560/13-80-024.

USEPA.   1985.   U.S.  Environmental  Protection  Agency.   Baseline
estimates   and  time   trends  for   beta-benzene  hexachloride,
hexachlorobenzene, and polychlorinated biphenyls in human adipose
tissue  1970-1983.   Washington, DC:   Office of Toxic Substances,
U.S. Environmental Protection Agency.  EPA 560/5-85-025.

USEPA.  1986a.  U.S. Environmental Protection Agency.  Broad scan
analysis  of human  adipose  tissue:   volume I:   executive summary.
Washington, DC:   Office of  Toxic  Substances,  USEPA.   EPA  560/5-
86-035.

USEPA.  1986b.  U.S. Environmental Protection Agency.  Broad scan
analysis  of human adipose tissue:   volume II:   volatile organic
compounds.   Washington, DC:   Office of  Toxic  Substances,  USEPA.
EPA  560/5-86-036.

USEPA.  1986c.  U.S. Environmental Protection Agency.  Broad scan
analysis  of  human adipose  tissue:    volume III:    semivolatile
organic compounds.   Washington, DC:   Office of Toxic Substances,
USEPA.  EPA 560/5-86-037.

USEPA.  1986d.  U.S. Environmental Protection Agency.  Broad scan
analysis  of human adipose  tissue:   volume IV:   Polychlorinated
dibenzo-ja-dioxins   (PCDDs)  and   polychlorinated  dibenzofurans
(PCDFs).   Washington,  DC:    Office  of  Toxic  Substances,  USEPA.
EPA  560/5-86-038.

USEPA.  1986e.  U.S. Environmental Protection Agency.  Broad scan
analysis  of human  adipose tissue:   volume V:   trace elements.
Washington, DC:   Office of  Toxic  Substances,  USEPA.   EPA  560/5-
86-039.

USEPA.   1986f.  U.S.  Environmental  Protection Agency.   Exposure
Assessment  for  Hexachlorobenzene,   Washington, DC:   Office  of
Toxic Substances,  USEFA.  EPA  560/5-86-019.
                                128

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     APPENDIX A






STATISTICAL ESTIMATES

-------
                                       Table A-l.
•eighted Eatiaatea (and Their Associated Stwidard Errors)
of tha Average Concontratioa Level* for the Entire Nation
and for Each Canada Region, A0a Group, Raca Croup, and Sei
Coa pound
Population Percentages
VOLATILE ORGANICS2
Benzene
Benzene
Substituted Benzene*
Styrene
Ethylphenol
Alkyl Benzene*
Toluene
Ethyl benzene
Xylene
Chlorinated Benzene*
Chlorobenzene
1,4-Dichlorobenzene
1NE • North East
NC - North Central
Entire
Nation


0.014 ,
(0.00 IB)1
0.096
(0.019)
0.086
(0.022)
0.046
(0.017)
0.077
(0.032)
0.30
(0.12)
0.0044
(0.0007)
0.12
(0.021)
S <> South
1 = lest
Census Region1
HE
22

0.018
(0.0038)
0.096
(0.036)
0.13
(0.061)
0.023
(0.012)
0.072
(0.062)
0.20
(0.14)
0.0033
(0.0010)
0.076
(0.024)

NC
26

0.010
(0.0020)
0.069
(0.022)
0.029
(0.013)
0.062
(0.029)
0.076
(0.064)
0.26
(0.18)
0.0026
(0.0006)
0.11
(0.032)

S
33

0.010
(0.0017)
0.10
(0.032)
0.090
(0.034)
0.046
(0.022)
0.10
(0.061)
0.49
(0.29)
0.0072
(0.0017)
0.20
(0.047)


19

0.019
(0.0060)
0.18
(0.064)
0.10
(0.063)
0.061
(0.030)
0.039
(0.029)
0.12
(0.084)
0.0030
(0.0010)
0.062
(0.020)

0-14 yra
23

0.016
(0.0029)
0.12
(8.028)
0.17
(0.068)
0.036
(0.017)
0.063
(0.029)
0.27
(0.12)
0.0038
(0.0009)
0.12
(0.033)

Age Groups
16-44 yrs
48

8.014
(0.0024)
0.10
(0.028)
0.066
(0.020)
0.066
(0.024)
0.090
(0.040)
0.33
(0.14)
0.0061
(0.0010)
0.13
(0.031)


46* yrs
31

0.012
(0.0020)
0.076
(0.017)
0.060
(0.016)
0.036
(0.017)
0.068
(0.030)
0.26
(0.11)
0.0037
(0.0008)
0.11
(0.027)

Race
Ihite
83

V
0.015
(0.0018)
0.096
(0.020)
0.079
(0.021)
0.063
(0.020)
0.078
(0.033)
0.31
(0.13)
0.0048
(0.0008)
0.11
(0.021)

Groups
Non-Ihite
17

0.0096
(0.0028)
0.10
(0.033)
0.12
(0.066)
0.013
(0.083)
0.070
(0.040)
0.23
(0.12)
0.0018
(0.0005)
0.19
(0.072)

Sex
Male
49

0.017
(0.0035)
0.14
(0.036)
0.096
(0.033)
0.080
(0.036)
0.11
(0.061)
0.43
(0.19)
0.0057
(0.0013)
0.13
(0.039)

Feaale
61

0.010
(0.0022)
0.060
(0.013)
0.076
(0.028)
0.014
(0.0066)
0.048
(0.023)
0.17
(0.077)
0.0032
(0.0008)
0.11
(0.035)

^Volatile average concentrations are expressed in mt wight  in parts per ail I ion (pg/g).

^Standard error expressed in the saee units as the average concentration.

-------
                                                                              Table K-l.   (continu^)
Compound
Population Percentages
VOLATILE OMANICS1
Tribe loMthanoa
Chlorofora
HalocufcoM
Tetrach loroethene
SBO-VOUTILE OMANICS4
PCBe
Total PCBe
Organochlorine Pesticides
Beta-BHC
MM.
To til DDT
Phthalatee
Butyl benzyl
phthalato
Entire
Nation


0.047
(0.020)
0.027
(0.0070)

0.33
(0.078)
0.10
(0.020)
1.3
(0.30)
1.8
(0.41)
0.30
(0.10)
Census Region
NE
22

0.021
(0.014)
0.041
(0.010)

0.31
(0.18)
0.18
(0.047)
1.1
(0.38)
1.4
(0.62)
0.11
(0.083)
NC
26

0.041
(0.028)
0.044
(0.010)

0.28
(0.086)
0.11
(0.023)
0.73
(0.23)
0.87
(0.29)
0.46
(0.31)
S
33

0.040
(0.027)
0.018
(0.0068)

0.61
(0.17)
0.31
(0.068)
1.0
(0.80)
2.4
(0.79)
0.82
(0.41)
I
10

0.081
(0.068)
0.0086
(0.0046)

0.20
(0.11)
0.007
(0.032)
1.3
(0.80)
1.7
(0.80)
0.21
(0.18)
0-14 yrs
23

0.063
(0.027)
0.017
(0.0084)

0.071
(0.024)
0.071
(0.016)
0.76 .
(0.24)
0.98
(0.36)
0.48
(0.81)
Age Groups
16-44 yre
48

0.063
(0.026)
0.030
(0.011)

0 30
(0.003)
0.17
(0.033)
1.3
(0.30)
1.7
(0.64)
6.81
(0-18)
Race Groups
4t» yre
81

8.038
(0.010)
8.031
(0.011)
•
0.67
(0.17)
0.31
(8.066)
1.8
(0.62)
2.1
(0.64)
0.46
(0.28)
Ihite
83

0.048
(0.020)
0.020
(0.0087)

0.82
(0.084)
0.21
(0.086)
1.4
(0.36)
1.7
(0.46)
0.46
(0.23)
Non-lhite
17

0.082
(0.036)
0.010
(0.0008)

0.41
(0.10)
0.088
(0.026)
0.73
(0.32)
1.1
(0.67)
0.086
(0.080)
Sex
Hale
40

0.081
(0.030)
0.044
(0.016)

0.36
(0.12)
0.10
(0.044)
2.0
(0.86)
2.4
(0.70)
0.64
(0.38)
Feaale
61

0.014
(0.0076)
0.011
(0.0044)

0.32
(0.13)
0.10
(0.066)
0.64
(0.26)
0.03
(0.43)
0.24
(0.17)
'Volatile average concentratione ire expressed in vet night inparte per ail I ion (pg/g).
Seai-volatilo average concent rations are lipid id jus ted Mights expressed in parte per ail I ion (pg/0)-

-------
                                                                             TabUA-1.   (continued)
Coepound
Population Percentages
NOONS*
2,3,7,8-TCOO

1,2,8,7,8-PQCDD

HXCDD

51,2,3,4,7,8,9-
HPCDO
OCOO

FURN6*
2,3,4,7,6-PBCDF '

HXCOF

1,2,3,4,6,7,8-
HPCOF
Entire
Nation


6.1
(0.78)
76
(17)
120
(24)
140
(27)
820
(100)

40
(6.7)
24
(».7)
21
(2.6)
Census Region
HE
22

6.6
(1.6)
120
(46)
160
(60)
160
(62)
760
(180)

49
(16)
20
(6.0)
18
(4.3)
NC
26

7.1
(1.6)
62
(21)
110
(30)
180
(61)
920
(190)

38
(9.8)
29
(6.3)
26
(6.4)
S
33

6.1
(1.2)
60
(18)
100
(26)
110
(27)
780
(140)

30
(7.1)
24
(4.7)
22
(3.8)
1
19

4.1
(1.2)
73
(30)
120
(47)
100
(41)
860
(260)

62
(18)
23
(6.6)
15
(4.3)
0-14 yrs
23

4.1
(0.80)
64
(16)
92
(27)
89
(26)
410
(86)

36
(8.9)
16
(4.1)
19
(4.0)
Age Qroups
16-44 yrs
46

7.8
(1.8)
130
(»4)
120
(32)
160
(38)
920
(170)

63
(12)
27
(6.1)
22
(4.0)
Race Qroups
46* yrs
31

6.0
(0.98)
11
(3.4)
130
(33)
160
(39)
990
(180)

26
(6.0)
26
(6.0)
20
(3.6)
In its
83

6.4
(0.90)
83
(20)
120
(26)
140
(28)
810
(110)

44
(7.8)
26
(4.1)
20
(2.8)
Hon-lhite
17

4.8
(1.3)
39
(18)
110
(47)
140
(60)
880
(280)

22
(8.6)
18
(6.6)
26
(7.6)
Hale
49

8.7
(1.4)
100
(36)
70
(19)
89
(24)
760
(160)

61
(14)
13
(2.7)
16
(3.3)
Sex
Feaale
61

6.6
(1.3)
49
(19)
160
(60)
180
(68)
880
(210)

30
(9.3)
36
(7.9)
26
(6.8)
*Dioiin and furan avenge concentration* are lipid adjusted weights expressed in parta per trillion (pg/g).

-------
       APPENDIX B






PERCENTAGE DETECTED DATA

-------
       Table B-l.   Volatile  Organic  Chemicals  Identified  in the
                         Broad  Scan  Analysis  Study

Class Cheaical
Nuabar of
Coaposite
Sup I*
CAS Nuaber Mesaureaents*

Percentage
Detected
Benzene
BMZMM
  71-43-2
                                                                      48
 96
Substituted Benzenes     Styrene
                      Ethylphenol
                                                     1M-42-5
                                                    26429-37-2
                                                46
                                                46
                                       1M
                                       101
A Iky I Benzenes
Toluene
Ethylbenzene
Xylene
 188-88-3
 10f-41-4
1330-20-7
                                                                      46
                                                                      46
                                                                      46
 93
 96
1M
Chlorinated Benzenes
Chlorobenzene
1,2-Dichlorobenzene
1,4-DichIorobenzeno
 ll8-9f-7
  95-61-1
 106-48-7
                                                                      46
                                                                      4ft
                                                                      46
 96
 83
100
Trihaloaethines



Halocarbons



Chlorofora
Brosod i ch 1 oroaothane
Dibroaochloroaathana
Broaofora
1, 1, 1-Tr ichloroathana
1,1,2-Trichloroethane
1, 1.2, 2-Tatrsch loroethana
Tatrsch loroathene
67-86-3
76-27-4
124-48-1
75-26-2
71-66-6
79-00-6
79-34-6
127-18-4
46
46
46
46
48
46
46
48
78
0
0
0
46
0
9
61
• The nuabar of eoapoaita aaaples aassuraaants (out of a possible 46) asy vary par coapound due to
  ehaaieal probleas in retrieving or suaaarizing the data.
                                               137

-------
      Table  B-2.
Semi-Volatile  Organic  Chemicals Identified  in
the Broad  Scan Analysis Study
Class

PCBs








Organochlorine
Pesticides






Arosatics


Chlorinated Benzenes



Phthalatos



Phosphates


Chesicsl

PCBs
Trichlorobiphenyl
Tetrach lorobi pheny 1
Pentach lorobi pheny 1
Hexach 1 orob i pheny 1
Heptach lorobi pheny 1
Detach lorobi pheny 1
Nonsch lorobi pheny 1
Decachlorobiphenyl

Beta-BHC
E,E'-ME
g,g'-OOT
Him
trana-Honachlor
Heptach lor Epoxide
Dieldrin
Naphthalene
Phenanthrene
Pyrene
1,2-Oichlorobenzene
1,2,4-Trichlorobenzene
Pentach lorobeozens
Kexach 1 orobenzene
Diethyl Phthalate
Di-n-butyl Phthalate
Diethyl Hexyl Phthalate
Butyl Benzyl Phthalate
Tri pheny 1 Phosphate
Tributyl Phosphate
Tris (2-Chloroethyl) Phosphate
CAS Huaber

1336-36-3
25323-68-6

26914-33-f
25429-29-2
26M1-64-9
28655-71-2
31472-83-1
53742-17-7
2151-24-3

319-86-7
72-65-9
51-29-3
2386-86-5
39766-81-5
1124-57-3
61-57-1
91-21-3
as-fi-a
129-M-l
96-61-1
121-82-1
618-93-6
118-74-1
84-66-2
84-74-2
117-81-7
85-68-7
116-86-6
128-73-8
116-96-8
Umber of
Coaposite
Saiple
Utaaureaanta*

44
44
44
44
44
44
44
44
44

43
45
37
43
42
43
43
43
43
43
43
46
44
43
42
42
42
42
42
43
48
Percentage
Detected

86
23
65
73
75
52
41
14
7

93
IN
68
14
57
71
33
42
14
§
12
4
I
79
48
51
33
74
38
2
2
* The nuaber of coaposite seeplee eeasuresenta (out of a possible 46} say vary per coapound due to
 cheaical problem in retrieving or sussarizing the data.  Several composite saaples were not
 analyzed due to the unavailability of sufficient tissue
                                            138

-------
     Table  B-3.
Dioxins and Furans  Identified  in  the
Broad Scan  Analysis Study
Class
Chwieil
CAS Nuibar
Nuiber of
Composite
SupU
Measurements*
Percentage
Detected
Oiexirw




Furaiw




2,3,7,6-TCDD
1,2,3,7,8-PBCDO
HXCOD
1,2,3,4,7,8,9-HPCOD
ocoo
2,3,7,8-TCOF
2,3,4,7,8-PBCOF
HXCOF
1,2,3,4,8.7,8-HPCDF
OCOF
1746-11-6
41321-76-4
34465-46-8
36022-46-0
3268-67-9
51207-31-9
67117-31-4
55664-94-1
67662-39-4
39Ml-fl2-fl
43
43
46
45
45
43
43
45
46
46
74
93
98
96
1M
26
88
71
93
41
       The nueber of cooposite seep lee eeasurosonts (out of a poeeible 46) say vary psr eospeund due to cheeical
       probleu in retrieving or susnrizing the data.  Several composite aasples were not analyzed due to the
       unavailability of sufficient tissue sass. Additionally, a sessurosent for several  coeposite ssaples could not
       be calculated for soee dioxins and furans due to low response observed for the internal standard used in the
       analysis procedures.
                                                 139

-------
           APPENDIX C






FY82 NHATS SAMPLING DESIGN SMSAs

-------
 Table C-l.  SMSAs Selected for the FY82 NHATS Sample
Census Division
    SMSA
New England
Middle Atlantic
South Atlantic
East South Central
East North Central
West North Central
West South Central
Mountain
Springfield, MA
Boston, MA

Albany, NY
New York, NY (2)
Binghamton, NY
Philadelphia, PA
Pittsburgh, PA

Washington, DC
Norfolk, VA
Orlando,PL
Ft. Lauderdale, FL
Greenville, SC
Miami, FL

Memphis, TN
Lexington, KY
Birmingham, AL

Detroit, MI (2)
Cleveland, OH
Dayton, OH
Akron, OH
Chicago, IL (2)
Madison, Wl
Moline, IL

Rochester, MN
Omaha, NE (2)

Lubbock, TX
El Paso, TX
San Antonio, TX
Dallas, TX

Salt Lake City, UT
Denver, CO
                           143

-------
                Table C-l.   (Continued)
    Census Division                  SMSA
    Pacific                      Sacramento, CA
                                 Los Angeles, CA (2)
                                 Portland, OR
                                 Spokane, WA
(2)  Indicates a double collection site.  A double collection
    site is an SMSA whose population relative to its Census
    Division population is so large that its proper
    representation in the sample required it to be selected
    twice.
                               144

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                 APPENDIX O





BROAD SCAN ANALYSIS STUDY COMPOSITING DESIGN

-------
Table D-l.
Demographic Characteristics for  Each Broad Scan
Analysis Study Composite  Sample  - Volatile Analysis
Census
Region*
NC
NC
NC
NC
NC
NC
NC
NC
NC
NC
NC
NE
NE
NE
NE
NE
NE
NE
NE
NE
S
s
S
s
s
s
s
s
s
s
s
s
s
s
s
s
s
s
s






* NC
NE
S
i





Census
Division**
BK
ENC
BK
BK
BK
BK
BK
INC
INC
•NC
•NC
UA
UA
HA
UA
UA
UA
NE
NE
NE
ESC
ESC
esc
esc
esc
SA
SA
SA
SA
SA
SA
SA
SA
SA
SA
vsc
ISC
ISC
ISC
in
in
in
PA
PA
PA
« North Central
» North East
• South
• Vest






Age Group***
1
1
2
2
3
3
3
1
2
.,3
3
1
1
2
2
3
3
1
2
3
1
2
2
3
3
1
1
2
2
2
2
3
3
3
3
1
2
2
3
1
2
3
1
2
3
*• ENC
INC
UA
NE
esc
SA
ffSC
in
PA
Coeposit* N
Ninber S
1
2
1
2
1
2
3
1
1
1
2
1
2
1
2
1
2
1
1
1
1
1
2
1
2
1
2
1
2
3
4
1
2
3
4
1
1
2







North Central
West North Central
Uiddle Atlsntic
New 019 land
Esst South Central
South Atlmtie
Vest South Central
Uountain
Pacific
iwber of
MCIMIUI
12
16
19
19
18
16
13
10
17
IS
15
7
12
24
22
20
20
16
21
19
25
16
17
17
9
12
11
24
22
13
12
21
21
7
3
6
19
IB
23
2
12
10
6
8
16









Percent
•hit*
83.3
75.1
94.7
89.6
94.4
93.8
100.0
90.0
100.0
93.3
93.3
100.0
83.3
83.3
86.4
96.0
86.0
87.5
95.2
100.0
88.0
87.5
94.1
100.0
0.0
100.0
0.0
100.0
100.0
0.0
0.0
100.0
100.0
0.0
0.0
100.0
78.9
83.3
87.0
100.0
100.0
100.0
83.3
100.0
80.0
*•• 1 * 0-14
2 a 15-44
3 = 46- y






Percent
Uale
100.0
0.0
47.4
42.1
55.6
82.5
46.2
50.0
64.7
60.0
53.3
71.4
58.3
50.0
54.6
50.0
40.0
56.3
57.1
47.4
62.0
100.0
0.0
52.9
56.6
60.0
63.6
100.0
0.0
100.0
8.3
100.0
0.0
100.0
0.0
40.0
52.6
50.0
43.5
60.0
58.3
70.0
66.7
60.0
46.7
years
years
ears






Tissue
Mass (g)
12.7
17.3
20.8
21.1
18.6
22.6
21.4
18.9
21.8
21.6
18.3
20.3
18.1
25.0
25.3
16.3
17.8
20.0
23.8
25.6
26.6
19.0
24.3
20.6
19.3
12.6
16.7
22.8
18.7
10.1
17.8
16.4
23.2
13.8
11.8
6.0
22.4
21.9
22.0
5.1
18.8
22.4
15.0
17.4
20.7









1
 Census Division, Age Group and Composite Nuaber uniquely identify each coaposite.
                                   147

-------
Table D-2.
Demographic  Characteristics  for Each  Broad Scan
Analysis Study Composite Sample - Semi-Volatile and
Dioxin and Furan Analyses
Census
Region*
NC
NC
NC
NC
NC
NC
NC
NC
NC
NC
NC
NC
NE
NE
IE
NE
NE
NE
NE
NE
NE
S
s
S
s
s
s
s
s
s
s
s
s
s
s
s
s
s
s
s






* NC
NE
S
•





Census
Division**
BtC
BK
BtC
BK
ENC
BK
BK
BK
•NC
•NC
VNC
•NC
HA
HA
UA
UA
UA
HA
NE
NE
NE
esc
esc
ESC
ESC
esc
SA
SA
SA
SA
SA
SA
SA
SA
SA
SA
•sc
ISC
•sc
•sc
HO
in
HO
PA
PA
PA
• North Central
• North East
» South
« VMt





Coaposito Nusbor of
Ago Group***
1
1
2
2
2
3
3
3
1
2
3
3
1
1
2
2
3
3
1
2
3
1
2
2
3
3
1
1
2
2
2
2
3
3
3
3
1
2
2
3
1
2
3
1
2
3
«• BK
me
UA
NE
esc
SA
•sc
uo
PA
Nuabor Specimens
1
2
1
2
3
1
2
3
1
1
1
2
1
2
1
2
1
2
1
1
1
1
1
2
1
2
1
2
1
2
3
4
1
2
3
4
1
1
2
1
1
1
1
1
1
1
North Central
•eat North Central
Middle Atlantic
NOT DlQ 1 *lfM
East South Central
South Atlantic
Vert South Central
Uountain
Pacific
18
21
20
19
19
18
18
14
13
17
16
15
11
13
24
22
2f
20
16
21
19
28
16
17
17
9
21
14
28
22
19
12
25
21
9
6
13
19
18
23
7
12
11
7
9
16
Pcrcwifc
•hite
77.8
81.1
M.I
89.6
89.5
94.4
88.9
1H.I
92.3
101.0
93.3
93.3
90.9
76.9
83.3
86.4
96.0
86.0
87.5
96.2
100.1
88.5
87.5
94.1
100.0
0.1
100.0
0.0
100.0
100.1
0.0
0.0
100.0
1N.0
0.0
0.0
69.2
78.9
83.3
87.0
85.7
100.0
100.0
85.7
88.9
80.0
PsrcMv
Hale
100.0
0.0
50.0
42.61
62.6
65.6
66.6
50.0
53.8
64.7
60.0
53.3
81.8
61.5
50.0
54.6
50.0
40.0
58.3
67.1
47.4
53.8
100.9
0.0
62.9
66.6
46.0
64.3
100.0
0.0
100.0
0.0
1M.0
0.0
100.0
0.0
63.8
62.6
60.0
43.5
71.4
68.3
70.0
71.4
55.6
46.7
Tissue
Haas (g)
18.1
21.2
21.6
21.4
20.2
19.8
28.2
23.2
23.4
29.6
22.6
21.4
23.0
20.2
25.2
26.1
16.2
18.0
19.1
21.9
26.7
28.1
19.9
26.7
20.7
21.1
20.7
19.1
26.4
19.5
17.9
18.2
20.0
26.1
18.0
17.6
11.1
22.7
21.9
22.4
9.0
18.3
21.0
19.7
21.6
22.0
**• i * 0-14 years
2 • 16-44 years







3-46-






years













  Census Division, Ags Group and Coeposite Nuaber uniquely identify each coeposite.
                                   148

-------
   APPENDIX B






GLOSSARY OF TERMS

-------
BMDP                Biomedical Statistical Software System
ECO                 Electron Capture Detection
EED                 Exposure Evaluation Division
FT82                Fiscal Tear 1982
GPC                 Gel Permeation Chromatography
HPCDD               Heptachlorodibenzo-para-dioxin
HPCDF               Heptachlorodibenzofuran
HRCG                High Resolution Gas Chromatography
HXCDD               Hexachlorodibenzo-para-dioxin
HXCDF               Hexachlorodibenzofuran
LOD                > Limit of Detection
LOQ                 Limit of Quantification
MS                  Mass Spectrometry
NCC                 National Computer Center
NHATS               National Human Adipose Tissue Survey
NHMP                National Human Monitoring Program
OCDD ^               Octachlorodibenzo-para-dioxin
OCDF                Octachlorodibenzofuran
OTS                 Office of Toxic Substances
PCS                 Polychlorinated Biphenyls
PCDD                Polychlorinated dibenzo-para-dioxin
PCDF                Polychlorinated dibenzofuran
PECDD               Pentachlorodibenzo-para-dioxin
PECDF               Pentachlorodibenzofuran
PGC                 Packed Column Gas Chromatography
SAS                 Statistical Analysis System
SIM                 Selected Ion Monitoring
SMSA                Standard Metropolitan Statistical Area
TCDD                Tectrachlorodibenzo-para-dioxin
TCDF                Tetrachlorodibenzofuran
TSCA                Toxic Substances Control Act
                               151

-------
           APPENDIX F



STATISTICAL ANALYSIS METHODOLOGY

-------
Statistical Model


         The  statistical analysis assumed that the chemical
concentration level of  each composite can be expressed as
C..k - M • CR, '  Aj  *  exp(8lR,jk) • exp
         .    C|jk is the concentration level  for  the kth composite
             from the jth age group and ith census  region;

         ,    M is a constant;

         .    CR, is the effect of the ith Census  Region

         .    AJ  is  the  effect of the jth age group;

         .    R,,k equals the  proportion  of white specimens  in the
             composite minus the proportion of non-whites;

         .    S,jk equals the  proportion of  male  specimens  in the
             composite minus the proportion of females;

         .    BI  and   8t   are   parameters  which   describe   the
             relationship between the chemical level and the race
             and sex makeup of the composite sample;

         .    SMSA|:k is a  random variable representing  the  random
             effect due to the cluster  of  SMSAs  which contributed
             specimens to the  composite.   SMSA was assumed  to
             have a lognormal distribution where

                        In SMSA..k M N (0, 
-------
The  model  assumes  that  a composite's concentration  level  is
systematically affected by the demographic characteristics of the
donors which contributed  specimens  to the composite.   The model
further  assumes  that the  concentration level is  also randomly
affected  by  unknown exposure factors  unique to  the  SMSAs and
individuals  which contributed to the composite.

Estimation Approach
         Let  /tjjii be  the  population average  concentration  level
for  the  ith census region,  jth age group, 1th race and mth sex.
Our  goal was to  estimate the average concentration levels for the
entire nation and various subpopulations, respectively defined by
                432
                £   £   £
               i-1 j»l 1-1 m-1
-  £   £   £   £  W..|B .  /t|j|B           (entire nation)
                 322
                 £   £   £  Wm  . ,..,          
-------
where each W,j(l is a weight  proportional to the population  census
count for the  (i,j,i,«)  subpopulation .
         Estimates  of  the  national  and  means  estimates  were
obtained by  substituting estimated values of /*JJIB'S into each  of
the  equations.   The approach used  to  estimate  each /i^,  is  as
follows .
         The  statistical model in (F-l)  implies  that

    log C..r N(log M+log CR.+log Aj+V^VV^jk' ffZ^+ff\)      (F-2)
                  *
and therefore,
                                                            '  (F-3)
    E(Cijk)
When  a  composite  consists  only of   specimens  from  the  same
subpopulation  (i,j ,!,•)/  the  expected  concentration  level  of  the
composite is equivalent to the expected concentration  level of an
individual  specimen.   That is
This  follows from the  statistical result  that when Xlf  * ' *  ,  Xn
are random variables with identical means,

                                Xx  + •••  -»• X.
                          - E  ( - ).
A  maximum   likelihood  estimate  for  each   p    was  therefore
obtained from  (F-3)  by the equation
           log M+log CRj+log Aj+8li(±l)-«-82i(±l)+i (^2sysA+^2E> '
E(CiJk) = e                                                    (P-4)
where the   denotes  an MLE and the ± 1 indicates that R,jk and
                                157

-------
Sjjk were set equal to either +1 or -1 to correspond to a pure
race (all white or all non-white) and pure sex  (all male or all
female) composite.
         The BMDP  program P3V was used to obtain the MLEs  given
in  (F-4) by  fitting the  linear model in  Equation F-2 to log-
concentrations of the composites.  P3V also yielded the variance-
covariance matrix of the estimated parameters in Equation  F-4.
                       A
The standard error of  E(Cjjk) was obtained by substituting the
elements of  the variance-covariance matrix into a  Taylor Series
linearization of  (F-4),  as described below.
    Define  the random variables  X and 7 for  a fixed set of i,  j,
and k,  as follows
             X-  log M + log CRj_ + log Aj + 81(±1) + 82(±1)
                   A       o
             Y*  **a SMSA * ° E>

                    A
Then the estimator E(Cjjk)  in (F-4) can be written as

                           E(Cijk)-eXeY.                       (F-5)

        X       Y
Expand e   and e  in Taylor Series  about  the means Xo»EX and
Yo»EY, respectively, giving the linear approximations

                        ex-ex° + ex°(X-Xo)
                        eY-eYo + eYo(Y-Yo)

Substitute these formulas into equation  (F-5)  to give  the
following  approximation  to E(C|jk)


           E(Cjjk)-eX°eYo[l+(X-Xo)+(Y-Yo) + (X-Xo) (Y-Yo) ]


which can  be  written as
                                158

-------
        E (C, jh)-eXoeYo-eXoeYo[(X-Xo) + (Y-Yo) + (X-Xo)(Y-Yo)]     (F-6)

Square both aides of (F-6) and take expectations, noting that
because the MLEs of X and Y are independent, the expectation of
the cross-product terms on the right-hand side is zero.  This
yields the following approximation to the variance of E(Cijk)

        Var(E(Cjjk))=e2Xoe2Y°(Var(X)+Var(Y)+Var(X)Var(Y))     (F-7)

Finally, substitute estimates generated from the BMDP program P3V
for the unknown means, Xo and To, and variances, Var(X) and
Var(Y), to give a numerical approximation for the variance and
                                                      A
standard error of the estimated average concentration E(C;jk).
                               159

-------
       DOCUMENTATION
       MAC
                        EPA 560/5-90-001
                                                                    S. NM00M'* ^kCCOMion Mo.
o. rmoMM »uotnn
       NHATS Broad Scan Analysis:  Population  Estimates
       From Fiscal Year 1982 Specimens
                                                                    S. Booort MM
                                                                       October, 1989
7. AwttMrtti
       Alan anger, Gregory A. Hack
       Battelle
       Columbus Division
       SOS King Avenue
       Columbus, Ohio 43201
                                                                    10. PlU|OU/To>»/Wom Unit No.


                                                                    1L ContraeHO or QrwitfO) No.

                                                                    <0  68-02-4294
                                                                    (0)
u.
       U.S.  Environmental Protection Agency
       Office of Toxic Substances
       Exposure Evaluation Division (TS-798)
       401 M Street, SW, Washington, DC  20460
                                                                    13. Typo of ftonott 4 ••nod Covered

                                                                       peer-reviewed  report
is.
        (Urn* 200«Mf«tt
       Human adipose specimens were  collected for the fiscal year 1982 National  Human
       Adipose Tissue Survey  (NHATS).   The specimens were combined into composite
       samples, which were chemically  analyzed for the presence and level of a number
       of potentially toxic chemicals.   The chemical classes monitored were:
       volatile organic compounds, semi-volatile organic compounds, and dioxins  and
       furans.  Average concentrations of chemicals in the human adipose tissue  of
       the general U.S. population are estimated.  The estimation technique is
       maximum likelihood.  Comparisons are made between Census regions/ age groups,
       sex groups, and two race groups.
17.
       human adipose tissue*  composite samples, toxic chemical monitoring,  volatile
       organics, seal-volatile organics, dioxins and furans, PCBs, maximum  likelihood
       estimation, lognormal  distribution
       NHATS, National Human Adipose Tissue Survey
                                                        Unclassified
                                                                               a.
                                                                                  160
                                                                                        I Z7Z («—»''

-------