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

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                      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

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Part Three       Results and GIS Findings



Part Four        Discussion and Conclusions

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        Part One
Highlights and Introduction

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                         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

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                  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

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                           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

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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

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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

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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

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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

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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

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                    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

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I. Toxic Release Inventory Background Information

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                             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)

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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

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; 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

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                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

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II. Toxicity Index Profiling and Calculation of Risk
       Screening Vector Products (RSVPs)

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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

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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)

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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

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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

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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

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                        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.

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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

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                           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

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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

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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

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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

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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.

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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

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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)

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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

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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

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III. Determination of Potential Exposure
   Zones (PEZs)

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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

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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

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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

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IV.    SHE(E) Analysis

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                   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

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        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.

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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

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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

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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

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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

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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

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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)

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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)

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Overall SEDIMIS Structure

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                         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

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V. Summary of Geographical Information System (GIS)
                   Methodology

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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

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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

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       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

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                               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

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       Part Three
Results and GIS Findings

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•   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

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         Part Four
Discussion and Conclusions

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                            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

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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

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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

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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

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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

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                           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

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                   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

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             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

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 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

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            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)

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RBVP  (Risk Screening Vector Product) =
 TIP SCORE  X

 Release Quantity
 (In Pounds)
                     POPULATION
                     DENSITY

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                                                            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

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                       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

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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

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           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

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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

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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

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     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

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                                                     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%

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        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

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    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

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               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

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