904/R-93-004 THE CHATTANOOGA, TN/GA METROPOLITAN STATISTICAL AREA (MSA) TOXIC RELEASE INVENTORY - GEOGRAPHIC INFORMATION SYSTEM (TRI-GIS) COMPARATIVE RISK SCREENING ANALYSIS J.R.Stockwell, M.D., M.P.H., J.W.Sorensen, B.S, Address for correspondence: John R. Stockwell, M.D., M.P.H. Regional Human Health Effects Officer U.S. Environmental Protection Agency 345 Courtland Street, N.E. Atlanta, Georgia 30365-2401 (404) 347-1033 FAX (404) 347-1681 DECEMBER 1993 ------- Presentation Outline Part One Highlights and Introduction Part Two Concepts and Method I. Toxic Release Inventory Background Information II. Toxicity Index Profiling and Calculation of Risk Screening Vector Products (RSVPs) III. Determination of Potential Exposure Zones (PEZs) IV. SHE(E) Analysis V. Summary of Geographical Information System (GIS) Methodology ------- Part Three Results and GIS Findings Part Four Discussion and Conclusions ------- Part One Highlights and Introduction ------- Highlights In the Chattanooga, TIM/GA Metropolitan Statistical Area (MSA) geographic areas have been located which have a high percentage of low income, less educated, minority populations which may be exposed to disproportional amounts of toxic chemicals IF plausible routes of exposure actually exist in these locations within the Chattanooga, TN/GA area, the population with the disproportionately higher exposure may exhibit an increased likelihood of developing environmental diseases ------- Highlights (continued) Data reflecting these Sentinel Health Events (Environmental) have now been compiled for the Chattanooga, TN/GA MSA Given the POTENTIAL exposure above, further study is recommended to determine whether this population is experiencing any increased environmental health risk Further studies should focus on whether exposure pathways are actually present ------- Introduction This study characterizes the environmental releases of toxic chemicals of the Toxic Chemical Release Inventory (TRI) in the Chattanooga, TN/GA Metropolitan Statistical Area by using the U.S. Environmental Protection Agency (U.S. EPA) Geographic Information System (GIS) to map them This GIS mapping approach takes the first steps in defining those localities in a larger area which may be potential exposure zones and which could be strategic targets for future risk screening efforts in this geographic area ------- TRI-GIS comparative risk screening analysis uses information specific to the Chattanooga TN/GA Metropolitan Statistical Area obtained from the 1990 U.S. Bureau of the Census Summary Tape File 3 A (STF3A), the Topologically Integrated Geographic Encoding and Referencing (TIGER) digital map files Additionally, the Toxic Release Inventory System (TRI System) data for the Chattanooga TN/GA Metropolitan Statistical Area were utilized The Public Data Branch (Information Management Division, EPA Office of Pollution Prevention and Toxics) administers and maintains the TR) System ------- These U.S. EPA CIS maps convey the broad range of adverse human health effects which these toxic chemicals may produce and their geographic relationship to nearby populations These generated maps provide visual focus to the relative magnitude of these releases in relation to the human populations in individual localities of the Chattanooga, TN/GA Metropolitan Statistical Area (MSA) Taken together, the maps generated by this study can provide the risk manager with information to consider when determining the type and extent of risk management activities that may be required near a TRI facility or locality within the Chattanooga, TN/GA MSA ------- The TRI-GIS comparative risk screening analysis of the Chattanooga TN/GA Metropolitan Statistical Area uses a computer-assisted system of environmental disease and injury surveillance based on an analysis of the Toxic Release Inventory (TRI) chemical releases Local risk managers can use this analysis to view a broad picture of the relative public health importance of the TRI releases in the area This method can provide, in turn, a substantive risk management targeting strategy and relative ranking of TRI facilities within selected locations of the Chattanooga TN/GA Metropolitan Statistical Area ------- This TRI-GIS Comparative Risk Screening approach can assist in taking the first steps in defining the geographic distribution of environmental releases of the TRI toxic chemicals in the Chattanooga TN/GA Metropolitan Statistical Area and helps to lay the foundation for risk screening efforts in this area by identifying potential exposure zones from TRI releases TRI-GIS analysis can allow the local risk manager to focus on the relative magnitude of these releases and their potential human health significance for selected locations in the Chattanooga TN/GA Metropolitan Statistical Area This method can provide the risk manager with information to consider when determining the type and extent of risk management activities that may be required at a TRI facility or geographic area within a selected location of the area ------- Four new concepts have been developed for use in future risk screening efforts: Toxicity Index Profiling (TIP) Calculation of Risk Screening Vector Products (RSVPs) Sentinel Health Event (Environmental) [SHE(E)] Determination of Potential Exposure Zones (PEZs) These four new concepts are used in the Chattanooga, TN/GA Metropolitan Statistical Area (MSA) TRI-GIS Comparative Risk Screening Analysis ------- Part Two Concepts and Method I. Toxic Release Inventory Background Information . II. Toxicity Index Profiling and Calculation of Risk Screening Vector Products (RSVPs) III. Determination of Potential Exposure Zones (PEZs) IV. SHE(E) Analysis V. Summary of Geographical Information System (CIS) Methodology ------- I. Toxic Release Inventory Background Information ------- Background Chemical release data used in this comparative risk analysis has been provided through a new federal law, the Emergency Planning and Community Right-to-Know Act1 (EPCRA) of the Superfund Amendments and Reauthorization Act of 1986 (Public Law 99-499) Under Section 313 of EPCRA, certain industries must submit annual reports to EPA and the state in which they operate for specified toxic chemicals manufactured, processed, or used at the facility The act is also known as Title D3 of SARA (the Superfund Amendments and Reauthorization Act) ------- Facilities must account for total aggregate releases to the environment for each chemical listed under Section 313 for the preceding calendar year This includes releases to each environmental media air,land and water-annually Aggregate data are referred to as the Toxic Chemical Release Inventory (TRI). There are over 300 chemicals and 20 chemical categories on the Section 313 list ------- ; Types of Plants, Factories, or Other Fac«tiea Which Must Report Releases «# EPCRA Section 313 Chemicals Standard Industrial Classification (SIC) Codes 20 throuah 39 20 Food 21 Tobacco 22 Textiles 23 Apparel 24 Lumber and wood 25 Furniture 26 Paper 27 Printing and publishing 28 Chemicals 29 Petroleum and coal 30 Rubber and Plastics 31 Leather 32 Stone, clay, and glass 33 Primary metals 34 Fabricated metals 35 Machinery (excluding electrical) 36 Electrical and electronic equipment 37 Transportation equipment 38 Instruments 39 Miscellaneous manufacturing ------- Information in the TRI Database Name, location and type of business Chemical name and Chemical Abstracts Service (CAS) Registry Number Whether the chemical is manufactured (including importation), processed, or otherwise used and the general categories of use of the chemical Estimate (in ranges) of the maximum amounts of the toxic chemical present at the facility at any time during the preceding year Quantity of the chemical entering each medium (air, land and water) annually Off-site locations to which the facility transfers toxic chemicals in waste Waste treatment/disposal methods and efficiency of methods for each waste stream Optional information on waste minimization Certification by a senior facility official that the report is complete and accurate ------- II. Toxicity Index Profiling and Calculation of Risk Screening Vector Products (RSVPs) ------- The first key concept of this TRI-GIS Risk Screening (SEDIMIS) is that of Toxicity Index Profiling (TIP) This technique will assist in assigning priorities to limited risk assessment resources and can promote the establishment of health based compliance monitoring Basically, TIP has been used to develop relative weights for TRI releases according to the frequency of adverse human health and ecological effects which are potentially associated with those chemicals and the respective volumes of those releases ------- It is important to realize, however, that the TIP method sums toxic effects; it does not provide relative toxicity or potency of chemicals The TIP concept is based on an EPA toxicity data matrix which provides a summary presentation of information publicly available through a number of accessible databases: HSDB (Hazardous Substance Data Bank) RTECS (Registry of Toxic Effects of Chemicals) GENETOX (Genetic Toxicology) AQUIRE (EPA ERL-Duluth's Aquatic Information Retrieval database) ENVIROFATE (on-line database) LOG P and related Parameters Database (numeric database) ------- The specific constellation of possible human health and ecological effects of each chemical within the toxicity data matrix is referred to as its Toxicity Index Profile (TIP). There are seven adverse human health and three ecological effects of concern defined as follows: Human Health CARCINOGENICITY (C): can cause cancer in humans and/or laboratory animals, e.g. benzene which can cause leukemia ------- Human Health (continued) HERITABLE GENETIC AND CHROMOSOMAL MUTATION (HGCM): can cause mutations in genes and chromosomes which will be passed to the next generation, e.g. hydrogen fluoride DEVELOPMENTAL TOXICITY (DT): can cause birth defects or miscarriage, e.g. 1,3-butadiene REPRODUCTIVE TOXICITY (RT): can damage the ability of men or women to reproduce, e.g. lead ------- Human Health (continued) ACUTE TOXICITY (RT): can cause damage to living tissue, impairment of the central nervous system, severe illness or, in extreme cases, death from even short term exposures, either through the lungs, the mouth, or the skin, e.g. phosgene or mustard gas CHRONIC TOXICITY (CT): can cause long-term damage other than cancer, such as liver, kidney, or lung damage, e.g. carbon tetrachloride NEUROTOXICITY (N): can harm the nervous system by affecting the brain, spinal cord, or nerves, e.g. cadmium or aluminum ------- Adverse Human Health Effects Defined for EPCRA Section 313 Chemicals CARCINOGENICITY (C): can cause cancer in humans and/or laboratory animals, e.g. benzene which can cause leukemia. HERITABLE GENETIC AND CHROMOSOMAL MUTATION (HGCM): can cause mutations in genes and chromosomes which will be passed to the next generation, e.g. hydrogen fluoride. DEVELOPMENTAL TOXICITY (DTJ: can cause birth defects or miscarriage, e.g. 1,3-butadiene. REPRODUCTIVE TOXICITY (RT): can damage the ability of men and women to reproduce, e.g. lead. ACUTE TOXICITY (AT): can cause damage to living tissue, impairment of the central nervous system, severe illness or, in extreme cases, death from even short exposures, either through the lungs, the mouth, or the skin, e.g. phosgene or mustard gas. CHRONIC TOXICITY (CT): can cause long-term damage other than cancer, such as liver, kidney, or lung damage, e.g. carbon tetrachloride. NEUROTOXICITY (N): can harm the nervous system by affecting the brain, spinal cord, or nerves, e.g. cadmium or aluminum. ------- Ecological ENVIRONMENTAL TOXICITY 2 (ET): can harm wildlife and vegetation when released to water, soil, or air, e.g. cadmium or aluminum PERSISTENCE (P): does not break down easily, thus persisting and accumulating in portions of the environment, such as soil, sediment, and groundwater, e.g. 1,1,1- trichloroethane BIOACCUMULATION (B): can enter the bodies of plants and/or animals and is not easily expelled, thus accumulating over time through repeated exposure, e.g. the pesticide chlordane Based on the criterion of the LCjo of the chemical being less than or equal to 100 ppxn ------- Adverse Ecological Effects Defined for EPCRA Section 313 Chemicals ENVIRONMENTAL TOXICITY (ET)*: can harm wildlife and vegetation when released to water, soil, or air, e.g. cadmium or aluminum . PERSISTENCE (P): does not break down easily, thus persisting and accumulating in portions of the environment, such as soil, sediment, and groundwater, e.g. 1,1,1-trichloroethane. BIOACCUMULATION (B): can enter the bodies of plants and animals and is not easily expelled, thus accumulating over time through repeated exposure, e.g. the pesticide chlordane. Based on the criterion of the LCM of the chemical being less than or equal to 100 ppm ------- For certain chemical agents, publicly available data suggests sufficient evidence that exposure to the chemical agent potentially results in one or more human health or ecological effects The information about these adverse human health and ecological effects were tabulated in the appropriate fields on a toxicological matrix This matrix was then compiled in a computer accessible format ------- Within the TIP score there are seven adverse human health and three ecological effects of concern. Based on the matrix tabulation of these seven categories of adverse human health and three categories of ecological effects of concern, each TRI chemical was assigned a score of 1-10 Score is known as the chemical's Toxicity Index Profile or "TIP" score. This TIP score represents the number of POTENTIAL adverse human health and ecological effect categories into which a chemical agent falls ------- Those TRI chemicals which may have adverse human health effects may also be persistent or bioaccumulate in the environment This point may be important to the risk assessor because it is these particular ecological features which may allow these toxic chemicals to be reintroduced into the environment and thereby afford their 'receptors' additional opportunities for increased exposure For instance, if these chemicals possess these important environmental fate characteristics they can possibly be either concentrated in the food chain (if they bioaccumulate) or present themselves more often to the receptors (if they are persistent) Many of these toxic chemicals, in fact, have both of these 'ecological' characteristics as well ------- EPCRA Section 313 Toxicity Index Profile (TIP) Potential Adverse Effects* Chemical Chemical Abstract Service (CAS) Registry Number 50-00-0 FORMALDEHYDE 51-28-5 2,4-DINITRO- PHENOL 51-75-2 NITROGEN MUSTARD 51-79-6 URETHANE (ETHYL CARBAMATE) 52-68-6 TRICHLORFON 53-96-3 2-ACETYL- AMINO- FLUORENE 55-18-5 N-NITROSODI- ETHYLAMINE 55-21-0 BENZAMIDE Human Health C X X X X X HG C M X X X X DT X X X X RT X X X X X AT X X X X X CT X X X N X Matrix Ecological ET X X X B P X Toxicity Index Profile (TIP) Score 7 5 5 1 6 1 5 1 Abbreviations for these effects are the same as those previously defined. ------- Toxicrty Index Prof Be (TIP) Scores of the Highest Ranking EPCRA Section 313 Chemicals in the Southeast Chemical Abstract Service (CAS) Registry Number 8001-35-2 75-56-9 118-74-1 7439-97-6 7439-92-1 77.47-4 87-68-3 76-44-8 106-89-8 117-81-7 106-93-4 57-74-9 63-25-2 133-06-2 309-00-2 75-01-4 127-18-4 50-00-0 151-56-4 77-78-1 96-12-8 67-66-3 56-23-5 7440-43-9 Chemical Toxaphene Propylene oxide Hexachlorobenzene Mercury Lead Hexachlorocyclopentadiene Hexachloro-1 ,3-butadiene Heptachlor Epichlorohydrin Di-(2-ethylhexyl) phthalate (DEHP) 1 ,2-Dibromoethane Chlordane Carbaryl Captan Aldrin Vinyl chloride Tetrachloroethylene Formaldehyde Ethyleneimine (Aziridine) Dimethyl sulfate 1 ,2-Dibromo-3- chloropropane Chloroform Carbon tetrachloride Cadmium Toxicrty Index Profile (TIP) Score 9 9 9 8 8 8 8 8 8 8 8 8 8 8 8 7 7 7 7 7 7 7 7 7 ------- The TIP value is further used to weight the Toxic Release Inventory (TRI) releases according to the adverse human health and environmental effects associated with those chemicals and the volume of the TRI releases This technique is referred to as the development of Risk Screening Vector Products (RSVPs) ------- The second key concept used in SEDIMIS is the calculation of Risk Screening Vector Products (RSVPs) The TIP concept described above has been used to develop, in turn, an additional technique which can provide risk screening targets by allowing relative risk ranking of TRI facilities within the Chattanooga TN/GA Metropolitan Statistical Area according to greatest potential concern from a public health or environmental standpoint This technique has adapted basic concepts of the EPA Office of Management Systems and Evaluation for the relative ranking of major environmental problems The risk screening targets provided by the calculation of RSVPs may help produce the greatest environmental results ------- A Risk Screening Vector Product (RSVP) is a relative quantity indicating the POTENTIAL for environmental and human damage caused by the release of Toxic Release Inventory (TRI) or other Sentinel Health Event (Environmental) [SHE(E)] causing chemicals. Broadly speaking, an RSVP is the arithmetic product of the quantity of a chemical released times the Toxicity index Profile (TIP) score of that chemical times the density of the potentially affected population: RSVP = Released Quantity (in pounds) * TIP * Population Density Order ------- III. Determination of Potential Exposure Zones (PEZs) ------- This methodology can assist in the identification of those areas which are potential exposure zones which could be suitable for subsequent risk screening initiatives The determination of Potential Exposure Zones (PEZs) in the U.S. EPA CIS mapping process consisted of three major steps: 1. We used the TIP methodology to identify those adverse human and ecological health effects that have been reported to be associated with sufficient exposure to these TRI chemicals The number of different human and ecological health effects were then used to assign respective "TIP" scores to these toxic chemicals ------- 2. We then used the 1990 TRI database to find the number of pounds of those TRI chemicals which were released or transferred into all media (air, land, and water) in each small subset of each census tract of the Chattanooga, TN/GA Metropolitan Statistical Area These numbers of pounds of releases were multiplied by the respective TIP scores of those toxic chemicals and these resulting arithmetic products were then sequentially ranked and mapped ------- 3. Next, we identified those "high ranking" TRI releases which are also near more densely populated areas Population data was obtained by accessing the computerized 1990 census information available in the U.S. EPA GIS system We accessed this U.S. EPA GIS census information and cross referenced it with the TRI chemical release data by finding a common link between the U.S. EPA GIS and the TRI database ------- IV. SHE(E) Analysis ------- Environmental Epidemiology The study of the causes and distribution patterns of diseases and injuries in human and animal populations due to their contact with chemical or physical agents ------- The Sentinel Health Event (Environmental) A Sentinel Health Event (Environmental) [SHE(E)] is defined as a preventable disease, disability, injury or untimely death which is environmentally related and which may: Provide the impetus for epidemiologic or environmental health studies; Serve as a warning signal that material substitution, engineering control, public health intervention or medical care may be required; Impact the general direction of risk management decision-making. ------- U.S. EPA Region IV is currently testing the Sentinel Environmental Disease and Injury Management Information System (SEDIMIS) Aim of this project is to provide a computer-assisted system of environmental disease and injury surveillance system based on relative ranking of the Toxic Chemical Release Inventory (TRI) chemical releases SEDIMIS can be used to provide a broad picture of the relative toxicity of the TRI releases into the environment ------- The Sentinel Environmental Disease and Injury Management Information System (SEDIMIS) extends EPA's continuing commitment to improved risk communication and risk management SEDIMIS can provide a substantive risk assessment targeting strategy and relative risk ranking of facilities within each geographical area of an EPA region ------- The Sentinel Environmental Disease and Injury Management Information System (SEDIMIS) provides rapid access to relevant environmental health information and associated toxic chemical release information that can be valuable in: Public health research Environmental decision making Priority setting Program evaluation Resource allocation ------- Specifically, the Sentinel Environmental Disease and Injury Management Information System (S EDI MIS) can be a centralized database of a region's population potentially at-risk from chemical releases. Can be useful in the preparation of risk management reports and trend analyses for populations and sensitive subgroups SEDIMIS can utilize the TRI data and serve as a link between EPA and other federal, state, and local agencies with public health concerns and can help strengthen a community's public health system ------- One of the essential components of Sentinel Environmental Disease and Injury Management Information System (SEDIMIS) is the Sentinel Health Event (Environmental) [SHE(E)] database SHE(E) database contains the list of all Sentinel Health Events (Environmental) [SHE(E)L as well as each SHE(E)'s Symptoms, Physical Findings, Laboratory and Radiologic manifestations SHE(E) database incorporates the contents of four Medical databases (described later in this presentation) SEDIMIS uses these Medical databases to describe unique, specific SHE(E)s ------- Sentinel Health Event (Environmental) [SHE(E)] Database contains the following information: Full name of each SHE(E) Type of exposure causing the SHE(E) (acute and/or chronic) Degree of exposure for the SHE(E) (severe and/or mild) Unique SHE(E) Current Medical Information and Technology [CMIT] code number The first two digits of which reference which of the body's eleven organ systems is primarily involved in the pathophysiology of a selected SHE(E) ------- SHE(E) Database contains the following information continued: Route of exposure causing the SHE(E) (contact/absorption, ingestion, and/or inhalation) International Classification of Disease: Volume 9 (ICD-9) code number for each SHE(E) Environmental Disease Category Classification of each SHE(E) Medical Findings (with Qualifiers) for each SHE(E) ------- Overall SEDIMIS Structure ------- Summary of Geographic Information System (GIS) Methodology The basic approach used to produce the GIS maps of this study was to use the demographic information stored in the U.S. EPA GIS for all the small subsets of each census tract in the Chattanooga, TN/GA Metropolitan Statistical Area and then import data from the 1990 TRI database The Toxic Release Inventory (TRI) and the 1990 U.S. census data for the Chattanooga, TN/GA Metropolitan Statistical Area (MSA) were used to calculate Risk Screening Vector Products (RSVPs) for the general area of study The calculated RSVPs were used to identify Potential Exposure Zones (PEZs) with one mile buffer zones in the general area of study ------- V. Summary of Geographical Information System (GIS) Methodology ------- Ninety-nine clinical profiles for Sentinel Health Events (Environmental) [SHE(E)s], which may be associated with sufficient exposure to certain Toxic Release Inventory (TRI) chemicals, have been identified Each of these clinical profiles has an International Classification of Disease (ICD) code number As an elemental surveillance tool this SHE(E) list can serve as a screening mechanism for disease which is potentially environmentally related and may have applications in the early detection of potential exposure zones in the Chattanooga Metropolitan Statistical Area (MSA) where studies can be focused in order to prevent actual environmental disease ------- This Toxic Release Inventory - Geographic Information System (TRI-GIS) application is termed: TOXICOLOGICAL PATHOGEOGRAPHY ... literally, the geographical distribution of POTENTIAL environmental diseases which may be caused by poisons TRI-GIS analyses of the TRI data may lead to improved environmental results by identifying potential exposure zones in the region where risk managers may choose to provide additional regulatory focus ------- Summary of Geographic Information System (GIS) Methodology (continued) The "Bubble" concept (the coalescence of one mile buffer zones) was used to identify and rank selected focused areas for further study Analytical overlays are applied to the highest ranked "Bubble" PEZs: Income Analysis Education Analysis Ethnicity Analysis Potential Sentinel Health Event (Environmental) [SHE(E)] Analysis ------- Results In summary, this U.S. EPA CIS mapping study shows that a large number of chemicals, many with POTENTIAL long-term human health effects, have been introduced into the environment of the Chattanooga, TN/GA Metropolitan Statistical Area and into localities with significant population density These maps show that the largest quantities of TRI releases in the Chattanooga, TN/GA Metropolitan Statistical Area are usually near densely populated areas These releases of toxic chemicals are predominantly in areas with a high percentage of low income, less educated, nonwhite people ------- Part Three Results and GIS Findings ------- If exposure to these specific toxic chemicals actually occurs in the Chattanooga, TN/GA Metropolitan Statistical Area (MSA) the numbers of different types of Sentinel Health Events (Environmental) [SHE(E)] which may be possible are as follows: Number of Different Types Category of SHEfE) of SHE(E)s 0 Dust Diseases of the Lung 47 Poisonings (Systemic Toxic Reactions 2 Respiratory Conditions due to Toxic Agents 9 Skin Diseases or Disorders 3 Environmental Cancers 0 Reproductive Disorders ------- Part Four Discussion and Conclusions ------- Discussion This U.S. EPA GIS mapping of the TRI data for the Chattanooga, TN/GA Metropolitan Statistical Area demonstrates some practical applications which may improve environmental decision making By utilizing the U.S. EPA GIS, the TRI database, and the Toxicity Index Profiling methodology, it may be possible to identify and manage previously undetected potential exposure zones before they materialize as areas with an excess of actual environmental diseases and injuries and ecological damage These GIS findings demonstrate the relative distribution of environmental releases of the TRI chemicals in the Chattanooga, TN/GA Metropolitan Statistical Area ------- Collateral analyses in Region IV confirm that, overall, a large number of chemicals, many with long-term potential effects, have been introduced into the Chattanooga TN/GA Metropolitan Statistical Area and into areas with significant population density within this area However, it is not yet possible to determine if exposure to these toxic chemicals actually exists The environmental monitoring data that are needed are not now available In short, there presently is insufficient information to describe these geographic patterns of toxic chemical releases as areas of actual chemical exposure ------- It is very important to realize, however, that the TRI database provides information about releases to the environment and not actual human exposures to these chemicals o " Many things can happen to a chemical once it is released into the environment, and these processes make it difficult and extremely complicated to calculate the extent to which people are being exposed to chemicals as a result of any particular release The TRI data can best serve as an index to POTENTIAL problems, rather than as a definitive indicator of public exposure to chemicals ------- This study is only a preliminary effort to identify those areas in the Chattanooga, TN/GA Metropolitan Statistical Area (MSA) which have the largest TRI toxic chemical releases and to map the POTENTIAL adverse human and ecological health effects which may be caused by sufficient exposure to these chemicals These U.S. EPA GIS maps more clearly define the overall geographic distribution of toxic sources in the Chattanooga,TN/G A MSA in relation to surrounding population density Clearly, a greater understanding is needed of the environmental fate of these releases and transfers and their pathophysiologic mechanisms following environmental exposure ------- This additional information would allow us to better evaluate any possible role that these toxic chemicals may actually play in the etiology of environmental disease and injury and ecological damage in the Chattanooga TN/GA Metropolitan Statistical Area The next necessary and appropriate step in the comparative risk screening process should be the selection of certain areas on these maps which have large TRI releases and transfers for actual quantitative risk assessments and follow-up health assessments This selection should include those areas which are densely populated, or which are located near identified sensitive ecosystems ------- Conclusions In the Chattanooga, TN/GA Metropolitan Statistical Area (MSA) geographic areas have been located which have a high percentage of low income, less educated, minority populations which may be exposed to disproportional amounts of toxic chemicals If plausible routes of exposure actually exist in these locations within the Chattanooga, TN/GA area, the population with the disproportionately higher exposure may exhibit an increased likelihood of developing environmental diseases ------- Conclusions (continued) Data reflecting these Sentinel Health Events (Environmental) have now been compiled for the Chattanooga, TN/GA MSA Given the POTENTIAL exposure above, further study is recommended to determine whether this population is experiencing any increased environmental health risk Further studies should focus on whether exposure pathways are actually present ------- The Chattanooga, TN/GA Metropolitan Statistical Area Toxic Release Inventory - Geographical Information System (TRI-GIS) Comparative Risk Screening Analysis John R. Stockweli, M.D., M.P.H. Jerome W. Sorensen, B.S. Regional Human Health Effects Officer Environmental Scientist U.S. Environmental Protection Agency 345 Courtland Street, NE Atlanta, GA 30365-2401 (404) 347-1033 FAX: (404)347-1681 ------- The Chattanooga, TM/GA MetropoiStam StaftisflScaB Area Toxoc Release GeographicaB Information Sysftem (TRI/GIS) Comparative RBsCc Screeooinig AsuaBysis John R. Sfockwell, M.D., Wl.P.H. Regional Human Health Effects Officer Jerome W. Sorensen, B.S. Environmental Scientist U.S. Environmental Protection Agency 345 Courtland Street, N.E. Atlanta, Georgia 30365-2401 (404)347-1033 FAX: (404)347-1681 ------- TOXICITY INDEX PROFILE (TIP) TIPSCORE = Carcinogenicity (C) + Heritable Genetic and Chromosomal Mutation (HGCM) + Developmental Toxicity (DT) + Reproductive Toxicity (RT) + Acute Toxicity (AT) + Chronic Toxicity (CT) + Neurotoxiclty (N) + Environmental Toxicity (ET) + Bioaccumulation (B) + Persistence (P) ------- RBVP (Risk Screening Vector Product) = TIP SCORE X Release Quantity (In Pounds) POPULATION DENSITY ------- PEZ 1 MILE RADII .. I SEQUATCHIE MARION. Chattanooga Study Showing PEZs (Potential Exposure Zones) and TRI Sites Toxic Release Inventory Sites) DAOE HAMILTON CATOGSA WALKER ------- Population Scores Score = 1 Density 1 to 10 Persons / Square Mile Score = 2 Density 11 to 100 Persons / Square Mile Score = 3 Density 101 to 1000 Persons / Square Mile Score = 4 Density 1001 to 10000 Persons / Square Mile Score = 5 Density Greater than 10000 Persons / Square Mile FEZ Score is a Populations Density Score for Each Individual PEZ (Potential Exposure Zone) 1 Mile Radius around TRI Site Determines PEZ Area PEZ Score = Sum of ( Area of Population Scores / Area of Individual PEZ ) * Population Score ------- The Calculation of A Risk Screening Vector Product RSVP = TIP score * FEZ Score ( Potential Exposure Zone Population Density Score 381566 145 253565 368 2250 . 500 87830 633406 69750 329820 FEZ Score = 3.2053 3250 1040630 TRI (Toxic Release Inventory) Sites wi a Potential Exposure Zone (PEZ) Total TIP Scores Shown near Site 1000 1500 1403459 TIP Scores are Summarized for Each PEZ and then Multiplied by the PEZ Score This Score is Assigned to Each PEZ and then Sorted and Ranked 15017 2900289 ------- Prioritization of Potential Exposure Zones (PEZs) Rank of Risk Screening Vector Products produce High Priority PEZs These High Priority PEZs are then further analyzed tor Demographic Characteristics and Environmental Disease Potential N ; '/SAY/), ₯ IT ------- N Prioritization of Potential Exposure Zones (PEZs) Rank of Risk Screening Vector Products produce High Priority PEZs These High Priority PEZs are then further analyzed lor Demographic Characteristics and Environmental Disease Potential '0 - '11 - '21 - '41 10% 20% 30% 40% 50% Greater than 5 ------- N Prioritization of Potential Exposure Zones (PEZs) Rank ol Risk Screening Vector Products produce High Priority PEZs These High Priority PEZs are then further analyzed for Demographic Characteristics and Environmental Disease Potential '0 - 11 - '21 - '31 - '41 - 10% 20% 30% 40% 50% Greater than 5 ------- Prioritization of Potential Exposure Zones (PEZs) ^=^o . 10% ""n - 20% A 0 Rank at Risk Screening Vector Products produce High Priority PEZs i^HHl 21 - 30% N ^S! - 40% 41 - 50% Greater than 5 These High Priority PEZs are then further analyzed tor Demographic Characteristics and Environmental Disease Potential ------- Percent Minority HAMILTON Area of Interest Chattanooga Study Showing PEZs (Potential Exposure Zones) and Percentage Minority 0 - 11 - 21 - 31 - 41 - 10% 20% 30% 40% 50% Greater than 50% ------- Sentinel Health Event (Environmental) [SHE(E)]. A SHE(E) is an unnecessary disease, disabil- ity, or untimely death which is environmen- tally related and whose occurrence may: Provide the impetus for epidemiological or environmental health studies; Serve as a warning signal that material substi- tution, engineering control, public health intervention, or medical care may be required; Impact the general direction of risk manage- ment decision making. Note: An "Identified" SHE(E) is probably just the "TIP" of the Icberg ------- Sentinel Health Events (Environmental) by Category of Environmental Disease Category of Disease* Overall # of SHEE(E) Profiles Identified per Category of Disease Total # of SHE(E) which can be caused by by TRI Chemical per Category of Disease Dust Disease of the Lung 6 Poisoning (Systemic Toxic Reactions) 53 Respiratory Conditions Due to Toxic 12 Agents Skin Diseases or Disorders 4 Environmental Cancers 22 Reproductive Disorders 1 Totals 2 51 8 4 13 1 98 79 Adapted from format for Categorization of Occupational Disease, U.S. Buereau of Labor Statistics ------- Poisoninig 07-1780 05-2863 Agranulocytosis 03-1491 00-3087 Alkali Poisoning 05-2391 00-5589 Ammonia Poisoninig 05-1922 05-3222 Anemia, Aplastic 05-3351 00-2662 Aniline Poisoning 05-2363 00-2946 Arsenic Poisoning 05-3042 00-5897 Arsine Poisoninig 03-1647 03-4198 Asbetosis 03-5963 06-1081 Ascites, Chylous 09-5963 09-3287 Ataxia, Cerebellar, Acute 00-5512 00-1941 Benzene Poisoning 00-5749 03-2612 Beryllium Disease - Chronic 05-3295 07-1469 Bladder, Carcinoma 00-1097 03-4622 Bronchal Asthma 00-5404 03-2389 Bronchitis - Acute 00-3427 00-5768 Cadmium Poisoning 09-2307 03-5768 Cadmium Poisoning 00-1255 00-1042 Carbon Disulfide Poisoning 00-1416 00-3192 Carbon Tetrachloride Poisoning 03-2650 00-3486 Chrorine Poisoning 09-4071 01 -1685 Contact Dermititis 08-4415 00-3541 Cyanide Poisoning 00-3105 01 -2124 Demititis, Atopic 00-2451 01-4298 Dermititis 00-2433 09-4982 Encephalitis, Hermorrahgic - Acute 05-4225 00-4521 Flourine Compounds Poisoning - Acute 03-3834 00-2119 Flourine Compounds Poisoning - Chronic 03-4190 06-2008 Hepatits, Chemically-Induced Toxicity 07-4761 06-3133 Hepatocarcinoma 00-2910 00-5607 Hydrofluoric Acid Poisoning 00-2770 00-4331 Hydrogen Sulfide Poisoninig 00-2098 07-1664 Kidey, Pelvis, Leukoplakia 00-1926 07-2229 Kidney Failure - Acute 07-2821 07-3028 Kidney Failure - Chronic 02-5437 07-3487 Kidney, Leiomyoma 06-5437 07-2506 Kidney, Leiomyosarcoma 00-3606 07-1084 Kidney, Pelvis, Carcinoma Transitional Cell , Pelvis, Leukoplakia Larynx, Carcinoma, Extrinsic Leukemia, Lymphoblastic - Acute Leukemia, Lymphoblastic - Acute Leukemia, Lymphoblastic - Chronic Leukemia, Myelocystic - Chronic Leukemia, Stem Cell Lung, Carcinoma, Broncogenic Manganese Poisoninig Manganese Poisoninig Mercury Poisoning Metal Fume Fever Methemoglobinemia Methyl Alchohol Poisoning Methyl Bromide Poisoning Methyl Ethyl Ketone Poisoninig Neuropathy Nitric Acid Poisoning Nitrobenzene Poisoning Nose Carcinoma Parkinsonian Syndrome Peritonitis Phosgene Poisoning Phosphate Ester Poisoning Phosphine Poisoning Physical Acquired Hemolytic Anemia - Chemical Agents Pleura, Mesothelioma, Primary Pulmonary, Edema Sterility, Male Thalium Poisoning Toluene Diisocyanate Poisoning Toluene Poisoning Toxaphene Poisoning Ureter, Carcinoma Vinyl Chloride Poisoning Vinyl Chloride Poisoning Zinc Poisoning ------- |