PLEASE DO NOT CITE OR QUOTE

xvEPA

NA	TIO

ENVIRONMENTAL
AD VISOR

FISH CONSUMPTION R
Pre-Meeting Discussion Draft

November 2001

Developed in preparation for NEJAC Meeting of December 3-6, 2001

in Seattle, Washington

PLEASE DO NOT CITE OR QUOTE

A Federal Advisory Committee to the U.S. Environmental Protection Agency

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NOTICE

Please accept this Pre-Meeting Discussion Draft as a basis for discussion
during the December 3-6, 2001 meeting of the National Environmental Justice
Advisory Council (NEJAC) and for comment before, during, and after the
meeting. This Draft represents the efforts of the NEJAC Fish Consumption Work
Group to begin to identify and discuss the myriad aspects of the issues related to
the relationship between fish consumption, water quality, and environmental
justice. While the NEJAC Fish Consumption Work Group has begun the work of
gathering the numerous and diverse perspectives that need to be brought to bear
on deliberation about these issues, it recognizes that there are more perspectives
to be noted and explored, and looks forward to a rich and open discussion. The
NEJAC Fish Consumption Work Group would like to acknowledge the many
individuals and groups that have already shared their experience and expertise.
The Work Group hopes that this Draft captures accurately the information
shared, and, of course, invites comments to this end. Please note that while the
individuals, groups, and sources quoted throughout this Draft are quoted either
from published sources or with permission, this permission in several cases was
provisionally given, contingent on the contributor seeing the quote in final form.
Therefore, the NEJAC Fish Consumption Work Group asks that the wishes of
these contributors be honored and the integrity of the process be respected.

PLEASE DO NOT CITE OR QUOTE ANY OF
THE MATERIAL IN THIS DRAFT.

This report was prepared by the NEJAC Fish Consumption Work Group with assistance from
Catherine O'Neill, Associate Professor, Smmfe Unfrrrri&Łt*0Ol<|f Lew.

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TABLE OF CONTENTS

SUMMARY (iii)

BACKGROUND (1)

A.	Diverse Impacts; Multiple Dimensions: The Accounts of Environmental Injustice (2)

B.	The Components of Environmental Injustice (2)

1.	Communities of Color, Low-Income Communities and Tribes, Depend oil Fish,
Aquatic Plants, and Wildlife(2)

2.	Contamination of Aquatic Ecosystems and the Fish, Plants, Wildlife, and People
They Support (10)

3.	Different Exposure Circumstances and Contexts Characterize Communities of
Color, Low-Income Communities, and Tribes (13)

4.	Environmental Agenjcie$,Hav$ Made Considerable Progress; However, Many
Aspirations and Obligations Remain Unfulfilled (18)

C.	What are the Policy Implications of the Above? (19)

CHAPTER I: RESEARCH METHODS AND

RISK ASSESSMENT APPROACHES (21;)

A.	Defining Adverse Impacts to Human Health (22)

B.	Exposure: Fish Consumption Rate&(24)*

1.	Evidence of Different Qmgumpti0n^liae^u (25) <

2.	EPA's Revised Fish Consumption Rates (29)

3.	Fish Consumption Rates Reflected in CuiTenl Water Quality Criteria and
Standards (33)

C.	Exposure: Assumptions About Species, Parts, Preparation (34)

D.	Exposure; Consumption

E.	Multiple Exposures and Cumulative'Riska (40)

F.	Susceptibility and Co-Risk Factors (42)

G.	Suppression Effects and Their Implications (43)

1.	Contamination (44)

2.	Depletion (45)

3.	Evidence of Suppression Effects (46)

4.	Implications (48)

H.	Research Methods and Issues (49)

CHAPTER H: UTILIZATION OF EXISTING LEGAL AUTHORITIES (55)

Risk Reduction Strategies and Problem Pollutants (55)

Mercury (62)

PCBs (65)

Dioxins (67)

Chlordane (69)

DDT (71)

Other Persistent Organic PoUutaota^exsigtept Bioaccumutetive toxins (71)
A. Prevention and Reduction (73)

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1.	Clean Water Act (73)

2.	Other Authorities (76)

B. Cleanup and Restoration (78)

1.	Clean Water Act (81)

2.	Other Authorities (81)

CHAPTER III: FISH CONSUMPTION ADVISORIES (83)

A.	Fish Consumption Advisories' Role (84)

B.	Effectiveness: Background and Definition (94)

1.	Advisories' Components and Functions (94)

2.	Defining "Effectiveness" (95)

C.	Effectiveness: Available Evidence (97)

D.	Effectiveness: Risk Communication and Consumption Advisories (99)

1.	Risk Communication-Overarching Issues (100)

2.	Different Communities and Tribes, Differing Concerns and Needs (105)

3.	Message Content (107)

4.	Medium (109)

5.	Implementation (110)

6.	Evaluation (112)

7.	Funding and Capacity-Building (113)

CHAPTER IV: AMERICAN INDIAN TRIBES AND
ALASKAN NATIVE VILLAGES (117)

A.	Legal Status (118)

B.	Treaty Rights (120)

C.	Tribes' Unique Susceptibilities and Co-Risk Factors (121)

APPENDIX A: NEJAC FISH CONSUMPTION WORK GROUP MEMBERS (125)

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NATIONAL ENVIRONMENTAL JUSTICE ADVISORY COUNCIL (NEJAC)

FISH CONSUMPTION REPORT
Pre-Meeting Discussion Draft
Developed in preparation for NEJAC Meeting of
December 3-6, 2001 in Seattle, Washington

Summary

This Pre-Meeting Discussion Draft has been compiled in preparation for the December, 2001 meeting of
the National Environmental Justice Advisory Council (NEJAC). It is intended to serve as a basis for
discussing the following overarching policy question:

How should EPA improve the quality, quantity, and integrity of
our Nation's aquatic ecosystems in order to protect the health and
safety of people consuming or using fish, aquatic plants, and
wildlife?

This Draft works to identify and discuss the particular issues that this question raises when - as is often
the case - those affected by contaminated and depleted aquatic ecosystems are low-income
communities, communities of color, and American Indian tribes/Alaskan Native villages and their
members.

The Draft is organized into five chapters. An initial chapter provides background. The four
succeeding chapters each address a more focused policy question and the issues it raises. These
chapters are outlined below:

Background

This chapter explores the importance of having healthy aquatic ecosystems to address issues of
environmental justice. It provides background on the perspectives of the various individuals,
communities, and tribes affected by those aquatic ecosystems which are contaminated and depleted.

This chapter begins with the observation that low-income communities, communities of color, and tribes
depend on healthy aquatic ecosystems and the fish, aquatic plants, and wildlife that these ecosystems
support. While there are important differences among these various affected groups, their members
generally depend on the fish, aquatic plants, and wildlife to a greater extent and in different ways than
does the general population. These resources are consumed and used to meet nutritional and economic
needs. For some groups, they are also consumed or used for cultural, traditional, or religious purposes.
For members of these groups, the conventional understandings of the "health benefits" or "economic
benefits" of catching, harvesting, preparing, and eating fish, aquatic plants, and wildlife do not
adequately capture the significant value these practices have in their lives and die life of their culture. The
harms caused by degradation of aquatic habitats and depletion of fisheries, moreover, do not only affect
the present generation. They take their toll on future generations and on the transfer of knowledge from
one generation to the next (e.g., ecological knowledge, customs and traditions surrounding harvest,
preparation and consumption of aquatic resources).

Many of the rivers, streams, bayous, bays, lakes, wetlands, and estuaries that support these
resources on which communities and tribes depend have become contaminated and depleted.
Contamination is causing the communities' and tribes' everyday practices - their ways of living - to

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serve as a source of exposure to a host of substances toxic to humans and other living things. The
depletion of aquatic environments and resources also threatens these groups' subsistence, economic,
cultural, traditional, and religious practices. Aquatic ecosystems are contaminated with mercury, PCBs,
dioxins, DDT and other pesticides, lead and other metals, sediments, fecal coliform and other bacterial
and viral contaminants — in short, a host of toxins, most of which are particularly troubling because they
persist in the environment for great lengths of time and because they bioaccumulate in the tissues of fish,
aquatic plants, and wildlife, existing in greater quantities higher up the food chain.

For many low-income communities, communities of color, and tribes there are no real
alternatives to eating and using fish, aquatic plants, and wildlife. For many members of these groups it is
entirely impractical to "switch" to "substitutes" when the fish and other resources on which they rely
have become contaminated. There are numerous and often insurmountable obstacles to seeking
alternatives (e.g., fishing "elsewhere," throwing back "undesirable" species of fish, adopting different
preparation methods, or substituting beef, chicken or tofu). For some, not fishing and not eating fish are
unimaginable for cultural, traditional, or religious reasons. For the fishing peoples of the Pacific
Northwest, for example, fish and fishing are necessary for survival as a people - they are vital as a matter
of cultural flourishing and self-determination.

When health and environmental agencies respond to contamination and its impacts, they typically
employ one of both of two general strategies: risk avoidance, whereby risk-bearers are encouraged or
required to change the practices that expose them to contamination (e.g., through fish consumption
advisories, directed to those who eat fish) or risk reduction, whereby risk-producers are required to
cleanup, reduce, or prevent contamination (e.g., through water quality standards, applied to industrial
sources that discharge contaminants into surrounding waters). In either event, agencies rely on
assumptions about fish consumption rates, practices, and needs that reflect the circumstances of the
general population, but often are not reflective enough of the circumstances of affected communities and
tribes. Agencies' approaches to risk assessment, risk management, and risk communication similarly fall
short of taking into account that affected groups consume and use fish, aquatic plants, and wildlife in
different cultural, traditional, religious, historical, economic, and legal contexts than the "average
American." These observations have policy implications that are taken up in the remaining chapters.

Chapter One: Research Methods and Risk Assessment Approaches

Chapter One focuses on the tools that agencies use to define, evaluate, and respond to the
adverse health impacts from contaminated aquatic environments. It examines the research methods that
agencies use to obtain information about the lives, practices, and circumstances of affected communities
and tribes. It also examines the risk assessment approaches that agencies employ to evaluate and
address these health impacts.

This chapter begins by noting that agencies typically focus on "adverse impacts to human
health" that tend to focus narrowly on individuals and physiological harms. Some affected groups, by
contrast, may view the harms from contamination more broadly: they are not only physiological, but
psychological, social, and cultural; which may not only impact an individual, but a group overall.

This chapter then devotes considerable discussion to differences in various groups'
circumstances of exposure. It documents the marked differences in how much fish is eaten (measured
by fish consumption rates) between the general population and higher-consuming "subpopulations" such
as ldw-income communities, communities of color, and tribes. It canvases agencies' standard
assumptions about the fish, plant, and wildlife species that people consume and use; the parts of these

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species they use; and the preparation methods they employ. It points out that these assumptions often
do not reflect the practices among the various affected groups. It observes the different cultural,
traditional, religious, historical, economic, and legal contexts in which many affected groups consume
and use aquatic resources. It takes up the issues of aggregate or multiple exposures and cumulative
risks, noting that whereas agencies' current methods proceed as if humans were exposed to a single
contaminant at a time, humans are actually often exposed to multiple contaminants at a time or in
succession, and often by more than one route and pathway of exposure. This is especially likely to be
the case for many members of low-income communities, communities of color, and tribes. Each of the
considerations raised here contributes to the observation that agencies currently underestimate the extent
to which members of these groups are exposed to environmental contaminants. The result is that
standards set or advisories issued based on these estimates will not be sufficiently protective of these
affected groups.

This chapter next considers the different susceptibilities and "co-risk" factors that may
characterize affected groups and their members, noting again that these differences are unlikely to be
accounted for by current agency approaches.

This chapter then explores suppression effects and their implications. A suppression effect
occurs when a fish consumption rate for a given subpopulation reflects a current level of consumption
that is artificially diminished from an appropriate baseline level of consumption for that subpopulation.
The more robust baseline level of consumption is "suppressed," inasmuch as is does not get captured
by the fish consumption rate. Suppression effects may arise as a result of contaminated aquatic
ecosystems, depleted aquatic ecosystems and fisheries, or both. When agencies set environmental
standards using a fish consumption rate based upon an artificially diminished consumption level, they
may set in motion a downward spiral whereby the resulting standards permit further contamination
and/or depletion of the fish and aquatic resources. This chapter discusses the policy implications of
suppression effects.

Finally, this chapter addresses research methods relevant to risk assessment, risk management,
and risk communication. Much of the preceding discussion is brought to bear, as it underscores the fact
that it will often be crucial to the relevance, accuracy, and acceptability of research in these areas that the
affected community or tribe be central to the process throughout. This is not only a matter of
community access or tribal consultation, but, importantly, a matter of scientific defensibility. There are
currently sizeable gaps in the data and methods that EPA and other agencies use to assess, manage, and
communicate risk, and it is often the case that these gaps can only be filled by community- and tribally-
based reseairch. As the large literature on "participatory research" documents, affected communities and
tribes have expertise that is simply not going to be able to be replicated by non-member researchers.
Finally, it will be important to ensure that this community participation and tribal consultation is
adequately funded and supported technically.

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Chapter Two: Utilization of Existing Legal Authorities

Chapter Two discusses agencies' risk reduction efforts, that is, strategies that look to risk-
producers to prevent or reduce contamination in the first place, and to cleanup and restore those
environments that are already contaminated. It examines die legal authorities that might be invoked more
effectively to sustain healthy aquatic ecosystems and to protect the health and safety of people
consuming or using fish, aquatic plants, and wildlife.

This chapter begins by providing background on the contaminants of greatest concern, not only
from the perspectives of health and environmental agencies, but also from the perspective of affected
communities, tribes, and their members. Chief among the contaminants of concern are mercury, PCBs,
dioxins, DDT, and chlordane. In addition to these five contaminants, at least eight others are a source of
concern, given that they are highly toxic,; they are persistent once released into the environment; and they
bioaccumulate in the tissues of fish and wildlife. These eight are: aldrin, dieldrin, endrin, heptachlor,
hexachlorobenzene, mirex, toxaphene, and fiirans. Finally, a host of other contaminants are troubling
here, including: lead and other metals; numerous other pesticides; fecal choliform, marine biotoxins and
various other bacterial and viral contaminants; sediment and silt loadings; and numerous others. This
chapter outlines briefly the health effects of each of the major contaminants of concern, as well as its
sources in the environment.

This chapter discusses how EPA might better prevent and reduce contamination in the first
place, focusing primarily on efforts under the Clean Water Act (CWA) and secondarily on efforts under
other legal authorities, such as the Clean Air Act (CAA). It then turns its discussion to how EPA might
better clean up and restore those aquatic ecosystems that are already contaminated. Again, it looks first
to the authority provided by the Clean Water Act, and then discusses other legal authorities, such as
"Superfund," the Comprehensive Environmental Response, Compensation, and Liability Act
(CERCLA).

Chapter Three: Fish Consumption Advisories

Chapter Three discusses agencies' risk avoidance strategies, focusing on fish and wildlife
consumption advisories in particular and risk communication in general. It asks what role fish
consumption advisories should play in efforts to protect more effectively the health and safety of people
consuming or using tfiese resources. It considers how agencies can identify, acknowledge, and meet the
real needs of those who are affected - how they can woik to make affected groups whole once the fish,
aquatic plants, and wildlife on which they depend have already become contaminated.

The chapter first takes up the question of the advisories' proper role. Drawing on the
observations presented above about the impracticality and/or unimaginability of reducing fish
consumption or of altering practices connected with catching, harvesting, preparing and eating fish, this
chapter notes that the answer to the question of fish consumption advisories' role will likely be different
for different communities or tribes. Importantly, it should be for the affected group to determine what
will be appropriate from its perspective. Tribes' particular political and legal status as sovereign nations
must also be taken into account here, as tribes will be in the position, in their governmental capacities, of
deciding for themselves what role fish consumption advisories should play in their environmental
orotection efforts.

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This chapter next explores fish consumption advisories' "effectiveness." It discusses briefly the
potential differences in how "effective" might be defined by various agencies and by various affected
communities and tribes. It reviews the current state of research regarding how those to whom advisories
are directed respond to this information, observing that the available evidence suggests that low-income,
people of color, those with limited English proficiency, and those with relatively little formal education
are less likely to be aware of advisories.

In light of this evidence, and in view of current EPA efforts to this end, this chapter then devotes
considerable attention to the matter of improving the effectiveness of risk communication and fish
consumption advisories. As a general matter, it observes that if risk communication is truly to be a
"two-way street" - if communication is actually to occur, - affected groups must be involved as partners
or co-managers at every point in the risk communication process. All of the elements of effective
advisories - including "audience identification," "needs assessment," message content, media choice,
implementation, and evaluation - will fall into place if agencies and affected communities or tribes
consider together the questions and answers. In general, EPA and other agencies should work to
reconceptualize risk communication approaches from large-scale, abstract, one-time efforts to develop
and disseminate various communication "products" (e.g., developing and posting fish advisory signs) to
local, contextually-supported, ongoing efforts to establish and maintain relationships with a particular
affected community or tribe.

More specifically, it will be important for EPA and other agencies to recognize the diverse
contexts, interests, and needs that characterize the various affected groups - including, but not limited to
groups with limited English proficiency; groups with limited or no literacy; low-income communities;
immigrant and refugee communities; African American communities; various Asian and Pacific Islander
communities and subcommunities (e.g., Mien, Lao, Khmu, and Thadium communities within the larger
Laotian community in West Contra County, CA); various Hispanic communities and subcommunities
(e.g., Carribean-American communities in the Greenpoint/Williamsburg are of Brooklyn, NY); various
Native Americans, Native Hawai'ians, and Alaska Natives (including members of tribes and villages,
members of non-federally recognized tribes, and urban Native people).

"Affected groups" also refers to subgroups within these larger groups, including but not limited
to nursing infants; children; pregnant women and women of childbearing age; elders; traditionalists
versus modernists in terms of practices surrounding fish consumption, and subgroups defined by
geographical region. Affected group involvement in aiding identification and understanding of the
diverse contexts, interests, and needs of these various groups will, perhaps unsurprisingly, be essential.
The content of the message and the media selected need to be effective and appropriate from the
perspective of the affected group, and this chapter examines several specific considerations to this end.
Implementation efforts, too, must be effective and appropriate from the perspective of those affected,
who will be particularly well-positioned to take the lead in implementing an advisory and outreach
strategy that has been developed by and for their group. Evaluation will also be most usefully conducted
together with members of the affected group, whose ability to help define and measure "success" will
again often be unparalleled.

Additionally, this chapter observes that capacity-building is in and of itself and environmental
justice issue, for both communities and tribes. Involvement by those affected at each point in the risk
communication process would go far toward enabling them to shape the process so that it is not only
relevant and appropriate, but also useful and empowering from the perspective of the community or
tribe.

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Finally, this chapter notes that here again, as in the context of research in general, financial and
technical support will be crucial to enabling communities and tribes fully to be involved.

Chapter Four: American Indian Tribes and Alaskan Native Villages

Chapter Four addresses issues unique to American Indian tribes, Alaskan Native villages, and
their members. Although tribes and their members share many of the concerns discussed in the
preceding chapters, tribes' political and legal status is unique among affected groups and so warrants
separate treatment. Tribes are governmental entities, recognized as possessing broad inherent authority
over their members, territories, and resources. As sovereigns, federally recognized tribes have a
government-to-government relationship with the federal government and its agencies, including the EPA.
Tribes' unique legal status includes a trust responsibility on the part of the federal government. For
many tribes, it also includes treaty rights. Other laws and executive commitments, too, shape the legal
obligations owed to American Indian tribes and Alaska Native tribes and their members.

This chapter describes the EPA's Indian Policy for the Administration of Environmental
Programs on Indian Reservations; tribes' efforts to assume responsibilities for administering
environmental programs on their reservations under various federal environmental laws - notably, the
Safe Drinking Water Act, the Clean Water Act, the Clean Air Act, and CERCLA; and tribes' work as
co-managers of cleanup and restoration efforts and/or as Natural Resource Damage Trustees. In these
and other roles, tribes will have environmental justice concerns of a different and complex nature.

Finally, this chapter outlines the particular circumstances of tribes and their members with
respect to susceptibilities and co-risk factors; these have implications, as discussed more generally in
Chapter One, for agencies' risk assessment, risk management, and risk communication approaches.

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1	BACKGROUND

2

3	The National Environmental Justice Advisory Council (NEJAC) is a federal advisory

4	committee of the U.S. Environmental Protection Agency (EPA). Under its charter, the NEJAC's

5	mission is to provide advice and recommendations to the EPA Administrator on matters related to

6	environmental justice. In July, 2000, EPA requested that NEJAC address issues related to the

7	relationship between fish consumption, water quality, and environmental justice. This issue is to

8	be the focus of the NEJAC's December 3-6,2001 meeting in Seattle, Washington.

9	EPA constituted a NEJAC Fish Consumption Work Group to assist the NEJAC in

10	developing a report and recommendations on this issue. The following is the Pre-Meeting

11	Discussion Draft of the Fish Consumption Work Group. The Report focuses on the question:

12	How should EPA improve the quality, quantity, and integrity of our Nation's

13	aquatic ecosystems in order to protect the health and safety of people

14	consuming or using fish, aquatic plants, and wildlife?

15	This chapter provides background necessary to address adequately the above policy

16	question. This chapter seeks to explain why contaminated and depleted aquatic ecosystems are an

17	environmental justice issue. In addition, this chapter seeks to present the dimensions of the

18	problem from the perspectives of the various individuals, communities, groups, and tribes

19	affected.

20	This chapter begins in Part A by gathering the accounts of a number of different people

21	who suffer the ill effects of contaminated and depleted aquatic ecosystems. Although these stories

22	do not catalogue exhaustively the harms felt by all of those who are affected, it is hoped that, taken

23	together, they will provide a sense of the breadth and enormity of the impacts on communities of

24	color, low-income communities, and tribes. And it is hoped that, in their diversity, they will

25	provide a sense of the differing dimensions of the ill effects for different communities, groups, and

26	tribes. This chapter begins with these accounts because they are properly the starting point for any

27	discussion of environmental justice policy: they present the real stories - the stories told from the

28	perspectives of those on the ground, and not as they need to be told to fit into the bins and

29	categories created by environmental laws and regulations. These accounts should frame the

30	discussion - rather than be merely "inputs" into a discussion already framed in someone else's

31	terms.

32	In order to speak to government agencies that work within the boundaries of environmental

33	laws and regulations, however, it seems useful to work to "translate" these stories so that their

34	relevance to agencies' efforts can be appreciated. NEJAC's attempt at translation will often mean

35	breaking things down and naming their component parts in ways that are more likely to be

36	understood by agencies, given agencies' current categories, programs, and approaches. So, for

37	example, in seeking to convey the importance of salmon in his life, a member of the Fourteen

38	Confederated Bands of the Yakama Nation may invoke terms and concepts familiar to agencies

PRE-MEETING DISCUSSION DRAFT

NEJAC Fish Consumption Work Group
November, 2001

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1	such as "nutrition," "health," "economy," "resource," "subsistence," "culture," and "treaty-

2	protected;" he may refer to laws and programs that separately address the "air," "water quality,"

3	"water quantity," and "sediments" that together are home to the salmon.

4	This attempt at translation may entail loss, however: it may fail fully to capture the

5	multiple and interrelated dimensions of what is at stake; or it may risk misunderstanding or

6	mistranslation Yet an attempt at translation may be necessary for those affected to convey their

7	recommendations to agency decision makers. Nonetheless, it is crucial that agencies also work to

8	hear the stories in their original, whole form and to consider what these stories have to teach them

9	- how they might serve to reframe agencies' approaches altogether. It is important that agencies

10	strive to reduce the gulf that must be bridged by translation and so to minimize the loss that

11	accompanies translation. With these considerations in mind, the remainder of this Report looks to

12	discuss the issues in the terms used by environmental agencies and in environmental laws and

13	regulations, while at the same time referring often to the words of those affected as touchstones for

14	deliberation. Part B of this chapter presents an overview of these issues.

15	A. DIVERSE IMPACTS; MULTIPLE DIMENSIONS: THE ACCOUNTS OF

16	ENVIRONMENTAL INJUSTICE

17	[Accounts will be added after NEJAC meeting. These accounts will be

18	presented to the NEJAC during the Public Comment Periods and other

19	sessions.]

20	B. THE COMPONENTS OF ENVIRONMENTAL INJUSTICE

21	1. Communities of Color, Low-Income Communities, and Tribes Depend on Fish,1

22	Aquatic Plants, and Wildlife

23	Put simply, communities of color, low-income communities, and tribes depend on healthy

24	aquatic ecosystems and the fish, aquatic plants, and wildlife that these ecosystems support. While

25	there are important differences among the various communities of color, low-income communities

26	and tribes, members of these groups depend on fish, aquatic plants, and wildlife to a greater extent

27	and in different ways than does the general population.

'The term "fish," here and throughout this Report, is meant to include shellfish and marine
invertebrates, unless the particular context suggests otherwise.

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November, 2001

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1	Fish are a healthful source of dietary protein and other nutrients for humans.2 Fish are

2	relatively low in fat, and are a good source of selenium. Fish, aquatic plants, and wildlife are

3	major dietary staples for some individuals, and those who subsist chiefly or solely on fish, aquatic

4	plants, and wildlife are more likely to be members of communities of color, low-income

5	communities, or tribes. Thus, for example, a recent survey revealed that whereas 60% of "non-

6	white" (primarily African-American) fishers on the Detroit River fished there to meet their needs

7	for food or for a combination of food and recreation, only 21.7% of white fishers indicated that

8	they fished for reasons combining food and recreation, and none indicated that they fished only to

9	meet their needs for food.3 In Alaska, "[a]mong Yupiks of Gambell, over one-half of their

10	protein, iron, vitamin B-12, and omega-3 fatty acids come from subsistence foods."4

11	Fish, aquatic plants, and wildlife are important food sources for economic reasons: it

12	generally costs less to purchase many kinds of fish than it costs to purchase other sources of animal

13	protein,5 and if someone can fish, gather, harvest, or hunt nearby, he or she can bypass altogether

14	the need to get to a store and to purchase food. For some of these fishers, fishing provides not

15	only food for their own consumption and consumption by relatives and neighbors, but also an

16	important source of income and livelihood. As Delbert Frank, Sr., Warm Springs, explains:

17	I used to fish at Celilo falls before The Dalles Dam was built. We used to be able to fish

18	all year long. We caught lots of different kinds offish - spring chinook, summer

19	chinook, bluebacks, fall chinook, steelhead, and coho. When the fish were coming in

20	good, I could catch one ton of salmon a day. And, it didn't take a lot offancy gear or

21	expensive boats to fish. For the cost of one or two balls of twine, about 6 to 12 dollars,

22	I could make the fishing gear necessary for me to catch enough fish to supply my family

23	and many others for a whole year.6

24 A low-income African-American fisher on the Detroit River observes:

2See, e.g., Yvonne Smith and Laura Berg, Ancient Tradition, Modern Reality: Is There a
Future for a Salmon-Based Culture?, 1 Wana Chinook Tymoo 14 (1998); Renate D. Kimbrough,
Consumption of Fish: Benefits and Perceived Risk, 33 J. Toxicology & Envtl. Health 82-83
(1991).

3Patrick C. West, Invitation to Poison? Detroit Minorities and Toxic Fish Consumption
from the Detroit River, in Race and the Incidence of Environmental Hazards: A Time for
Discourse 96, 98 (Bunyan Bryant and Paul Mohai, eds. 1992).

4Elizabeth D. Nobmann, Nutritional Benefits of Subsistence Foods (1997) available at
www.nati veknowledge .org/db/fi les/aboutnt2 .htm.

5See, e.g., Kimbrough, supra at 83.

6Columbia River Inter-Tribal Fish Commission, Celilo Falls, available at
www.critfc.org/text/CELILO.HTM.

PRE-MEETING DISCUSSION DRAFT

NEJAC Fish Consumption Work Group
November, 2001

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1	I catch to eat fish. I catch a lot offish and bring a lot home to eat. Bring home Perch

2	and Bass. I eat more because I like fish and it is easier to feed a family because of

3	money.1

4	For some groups, fish, aquatic plants, and wildlife are consumed or used for cultural,

5	traditional, or religious purposes as well. For members of these groups, conventional dominant

6	society understandings of the "health benefits" or "economic benefits" of catching, harvesting,

7	preparing, and eating fish, aquatic plants and wildlife do not adequately capture the place of these

8	practices in their lives and the life of their culture. Cultural, traditional, and religious

9	understandings will, of course, differ among various groups; the following excerpts provide but a
10	few accounts. Winona LaDuke, Mississippi Band of Anishinaabeg, explains:

11	There are many wild rice lakes on the White Earth reservation in northern Minnesota;

12	my community, the Anishinaabeg, calls the rice Manoomin, or a gift from the Creator.

13	Every year, half our people harvest the wild rice, the fortunate ones generating a large

14	chunk of their income from it. But wild rice is not just about money and food. It's about

15	feeding the soul.8

16	Similarly, Horace Axtell, Nez Perce, explains:

17	According to our religion, everything is based on nature. Anything that grows or lives,

18	like plants and animals, is part of our religion. The most important element we have in

19	our religion is water. At all of the Nez Perce ceremonial feasts the people drink water

20	before and after they eat. The water is a purification of our bodies before we accept the

21	gifts from the Creator. After the feast we drink water to purify all the food we have

22	consumed. The next most important element in our religion is the fish because fish

23	comes from water. It doesn 't matter what kind offish. If we have suckers or eels or

24	steelhead or salmon, we honor it next after we drink the water. Then we name whatever

25	fish we have, and then everyone takes a small bit before we eat the rest of the food. The

26	next element is the game meat like deer, elk, and moose. That's how we honor the food

27	we eat, especially the fish, because it is the next element after the water. The chinook

28	salmon is more favored because it is the strongest fish and the most tasty. Chinook

29	Salmon is the fish we try to bring to the long house.9

7Pat West and Brumlda Vargus, A Subsistence-Culture Model for High Toxic Fish
Consumption by Low Income Afro-Americans from the Detroit River 16 (forthcoming 2002)
(listing fisher's income as $5,000 - $9,999).

8 Winona LaDuke, All Our Relations: Native Struggles for Land and Life 115 (1999).

9Dan Landeen and Allen Pinkham, Salmon and His People: Fish and Fishing in Nez Perce
Culture 55 (1999).

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1	The harms occasioned by the degradation of aquatic habitats and the depletion of fisheries,

2	moreover, are not only visited on the present generation. Part of the affront to the culture and

3	social fabric of some communities and tribes for whom fish and fishing are vital comes from the

4	diminished opportunities for inter-generational transfer of knowledge - especially ecological

5	knowledge about places and natural systems - and for other aspects of inter-generational

6	socialization. The acts of inter-generational transfer of customs and traditions surrounding

7	catching, preparing, and consuming fish are themselves important to the maintenance of social and

8	cultural health.10 As an African-American fisher on the Detroit River explains:

9	My stepdad taught me how to fish. He is from a little town in Mississippi. Most people

10	around here who fish were from the South and our parents were from the South and they

11	were used to fishing and then they taught their kids. When I was little we used to eat

12	fish a lot but that was when the water was clean.... I do eat the fish that I catch."

13	The Columbia River Inter-Tribal Fish Commission, for example, describes the extensive tribal

14	ecological knowledge that was "transmitted to succeeding generations as part of their inheritance,"

15	and notes that "[p]lants, animals, and especially places were ... repositories for historical, social,

16	and spiritual lessons.'"2 The concept of "risk" then, should include "cultural risk:"

17	Cultural risk [includes] ecological impacts that reduce or impair the inter-generational

18	transfer of ecological knowledge used for implementing traditional holistic

19	environmental management practices.13

20	Indeed, for many members of communities of color, low-income communities and tribes,

21	there are no real alternatives to depending on fish, aquatic plants, and wildlife. In some cases, for

22	example, it is utterly impractical to suggest that people "switch" to "substitute sources of protein"

23	when the fish on which they rely to put food on die table have become contaminated. Such

24	suggestions are often unrealistic, given the many obstacles to the imagined alternatives: there may

10See, e.g., Pat West and Brunilda Vargus, A Subsistence-Culture Model for High Toxic
Fish Consumption by Low Income Afro-Americans from the Detroit River 9-10, 18-21
(forthcoming 2002) (discussing importance of inter-generational socialization for African-
American community members in Detroit, many of whom brought practices surrounding fish and
fishing with them as they and their families moved from the rural south to the industrial north).

"Pat West and Brunilda Vargus, A Subsistence-Culture Model for High Toxic Fish
Consumption by Low Income Afro-Americans from the Detroit River 20 (forthcoming 2002).

l2Columbia River Inter-Tribal Fish Commission, Cultural Context available at
http'.//www.critfic.org/text/TRP_cul.htm.

13Columbia River Inter-Tribal Fish Commission, Comments to EPA Administrator Carol
Browner on the Draft Revisions to the Methodology for Deriving Ambient Water Quality Criteria
for the Protection of Human Health, January 14, 1999 at 10.

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November, 2001

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1	be no uncontaminated bays, lakes, or rivers for miles around; even if another fishing spot can be

2	found just a little farther away, it may be difficult or impossible to reach without a car or other

3	transportation - and it may cost too much for the gas or the bus or train ticket to get there; or

4	another fishing spot may traditionally be someone else's fishing spot, such that it wouldn't be

5	appropriate simply to go there; and there may be no adequate substitutes from other food sources at

6	the grocery store - not being able to eat fish may mean having to look to foods that are poorer

7	quality from a nutritional and health perspective. As Mark Davis, Coalition to Restore Coastal

8	Louisiana, Baton Rouge, explains:

9	The advisories that are issued are just not relevant to the people here ... it's as if no

10	one believes that there really are subsistence fishers. Suddenly it is my responsibility as

11	a risk-bearer to figure out what the advisories mean, what my level of risk is ... as if

12	there were a choice. People here walk or bike to a drainage ditch, to a bayou, to the

13	Mississippi River — how can these people be expected to go fish somewhere else?'4

14	An African-American fisher on the Detroit River explains:

15	I think that mostly black people fish on the river (due to lack of money); if they have the

16	money they can go anywhere and fish - wherever they want. A lot of us don't have the

17	boats or the cars to get to the good fish. We settle for the fish here but it's all good. I

18	still get the fish. Some people fish because they have to fish. Fish is good food and it is

19	cheap but river fish is the cheapest and I don't blame people for eating it.15

20	According to Angela Wilson, Founder, Environmental Justice Action Group, Portland, Oregon:

21	It is unrealistic to think that the community members who fish in the Columbia Slough

22	can simply "eat peanuts and tofu," as the agencies suggest.16

23	Yin Ling Leung, Executive Director of Asians and Pacific Islanders for Reproductive Health,

24	California, summarizes:

"Telephone Interview with Mark Davis, Coalition to Restore Coastal Louisiana (August
22, 2001).

15Pat West and Brunilda Vargus, A Subsistence-Culture Model for High Toxic Fish
Consumption by Low Income Afro-Americans from the Detroit River 16 (forthcoming 2002).

l6Angela Wilson, Environmental Justice Action Group, Presentation at Public Interest
Environmental Law Conference, University of Oregon (March, 2001).

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1	To our communities, being able to fish means being able to either put food on the table,

2	or basically eat a much less nutritious meal. I think that's a non-choice.17

3	In some cases, too, not fishing and not eating fish are unimaginable for cultural, traditional,

4	or religious reasons. For the fishing peoples of the Pacific Northwest, for example, fish and

5	fishing are necessary for survival as a people - to fish is to be Nez Perce.18 Fish and fishing are

6	vital as a matter of cultural flourishing and self-determination. The importance of fish, especially

7	salmon, to these peoples is reflected in language, in treaties, in past and present tribal fisheries

8	management and environmental restoration efforts, and in the ongoing political and legal struggles

9	for the survival of the salmon and the way of life that is bound up with the salmon. Don Samson,
10	Umatilla, Executive Director, Columbia River Inter-Tribal Fish Commission, explains:

11	The reason I've been fishing is more for my own subsistence, to bring fish home. But

12	maybe more importantly now these days is to maintain the tradition of fishing - of going

13	up to the mountains where my father, my elders fished before me. So it's something that

14	we've got to carry on - that's really why I fish. We've got to pass it on to our children.

15	We have to have that for them in order to be Indians — in order to survive and carry on

16	the things that were placed here for us, and carry on what our elders tell us and teach

17	us.19

17Audrey Chiang, Asian Pacific Environmental Network, A Seafood Consumption Survey
of the Laotian Community in West Contra Costa County, California 1 (1998).

18See, e.g., Dan Landeen and Allen Pinkham, Salmon and His People: Fish and Fishing in
Nez Perce Culture 156 (1999) (quoting Del White, Nez Perce: "People need to understand that the
salmon is part of who the Nez Perce people are. It is just like a hand is a part of your body. The
salmon have always been part of our religion. You can't separate the two.").

1'Videotape: My Strength is From the Fish (Columbia River Inter-Tribal Fish
Commission, 1994).

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November, 2001

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1 Billy Frank, Jr., Nisqually, Chairman, Northwest Indian Fisheries Commission, explains:

2	Fishing defines the tribes as a people. It was the one thing above all else that the tribes

3	wished to retain during treaty negotiations with the federal government 150 years ago.

4	Nothing was more vital to the tribal way of life then, and nothing is more important

5	now. .. . The tribes have fought too hard for too long to let the salmon and their treaty

6	rights to harvest salmon go extinct. This summer and fall you will see tribal fishermen

7	doing what they have always done — fish.20

8	Of course, for many communities of color, low-income communities, and tribes, the

9	nutritional, economic, and traditional or cultural aspects of fishing, preparing and eating fish are

10	interrelated. Members of these communities and tribes thus in many cases depend on fish for a

11	combination of the above reasons. For example, a recent survey of first- and second-generation

12	Asian and Pacific Islanders in King County, Washington - including members of Cambodian,

13	Chinese, Filipino, Hmong, Japanese, Korean, Laotian, Mien, Samoan, and Vietnamese ethnic

14	groups - observes:

15	[Asian and Pacific Islanders] consider seafood collection and consumption as healthy

16	activities that reflect a homelike lifestyle and may fish for economic necessity,21

17	Similarly, in Green Bay, Wisconsin:

18	Eating fish forms a regular part of the diet and culture for the Asians (Hmong and

19	Laotians) living in the Green Bay area.22

20	And, in the Greenpoint/Williamsburg ("G/W") community in the Borough of Brooklyn in New

21	York City:

22	In G/W, some anglers consume as many as two meals per day of fish caught in the East

23	River, which forms the western boundary of G/W. Approximately 38 percent of the G/W

24	population lives below the poverty line, suggesting that many of the anglers fishing in

25	this community may be urban subsistence anglers who rely on fish caught in the East

26	River as a free source of nutrition. In addition, fishing is a way of life rooted in the

20Billy Frank, Jr., A Statement from Billy Frank, Jr. available at
www.nwifc.wa.gov/esa/start.htm.

2lRuth Sechena, et al., Asian and Pacific Islander Seafood Consumption Study (1999).

22Dyan M. Steenport, et al., Fish Consumption Habits and Advisory Awareness Among
Fox River Anglers, Wisconsin Medical Journal (November, 2000) available at
www.wismed.org/wmi/nov200Q/fish.html.

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1	cultural heritage for many of the black and Hispanic anglers observed fishing on the

2	piers in G/W, many of whom come from Carribean fishing culturesP

3	Finally, the health of humans and the health of aquatic ecosystems are intimately related,

4	such that compromised aquatic ecosystems are of concern in and of themselves, with the

5	contamination of fish, aquatic plants, and wildlife but some of the devastating effects. Water of

6	sufficient quality and quantity is vital to sustain all life. To allow waters to be degraded and

7	depleted is to undermine health, traditions, cultures, and economies. To allow waters to be

8	degraded and depleted is to neglect obligations, including the obligation to sustain tribal

9	homelands as contemplated by federal Indian treaties and other laws. As Frank Tenorio,
10	Governor, San Felipe Pueblo, explained:

11	There has been a lot said about the sacredness of our land which is our body; and the

12	values of our culture which is our soul; but water is the blood of our tribes; and if its

13	life-giving flow is stopped, or it is polluted, all else will die and the many thousands of

14	years of our communal existence will come to an end.24

15	Consider in this vein, too, Langston Hughes's famous poem, "The Negro Speaks of Rivers:"

16	I've known rivers ancient as the

17	world and older than the flow of

18	blood in human veins.

19	My soul has grown deep like the rivers.

20	I bathed in the Euphrates when

21	dawns were young,

22	I built my hut near the Congo and

23	it lulled me to sleep,

24	I looked upon the Nile and raised

25	the pyramids above it,

26	I heard the singing of the Mississippi

27	when Abe Lincoln went down to

28	New Orleans,

29	And I've seen its muddy bosom turn

30	all golden in the sunset,

31	I've known rivers;

32	Ancient, dusky rivers;

23Industrial Economics, Inc., Community-Specific Cumulative Exposure Assessment for
Greenpoint/Williamsburg New York 3-1 (1999).

24Elizabeth Cheechio and Bonnie G. Colby, Indian Water Rights: Negotiating the Future
at 1 (June 1993) (quoting Frank Tenorio, Governor, San Felipe Pueblo, Indian Water Policy in a
Changing Environment at 2 (1982)).

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1	My soul has grown deep like

2	the rivers.25

3	2. Contamination of Aquatic Ecosystems and the Fish, Plants, Wildlife, and People

4	They Support

5	The rivers, streams, bayous, bays, lakes, wetlands, and estuaries that support the fish,

6	aquatic plants, and wildlife on which communities and tribes depend have been allowed to

7	become contaminated and depleted. The waters to which communities and Tribes look to meet

8	their nutritional, economic, traditional, cultural, religious and other needs also have become

9	vectors of toxins. Contamination now renders communities' and tribes' everyday practices - their

10	ways of living - a source of exposure to a host of substances toxic to humans and other living

11	things. Depletion, too, threatens communities' and tribes' subsistence, traditional, cultural, and

12	religious practices.

13	Yet toxic chemicals and other contaminants have been and continue to be permitted to be

14	emitted, discharged, dumped, or leaked into the air, water, soils, and sediments that together make

15	up home to all life. Once in the environment, these contaminants behave in various ways: some

16	move - traveling over distances or cycling between air and water; some linger - persisting for

17	months or years; some biodegrade - becoming more or less toxic chemical successors; some

18	bioaccumulate in the tissues of aquatic organisms, fish and wildlife - existing in increasing

19	quantities higher up the "food chain." Eventually, humans that consume and use fish, aquatic

20	plants, and wildlife may be exposed to the toxins concentrated in their tissues.

21	Toxic chemicals and other contaminants also contribute to the depletion of aquatic

22	resources. These other threats (e.g., from logging, mining, grazing, and agricultural operations;

23	from hydropower; from development) compromise water quality and quantity, destroy habitat for

24	fish, aquatic plants and wildlife, and otherwise contribute to the depletion of the resources on

25	which communities and tribes depend.

26	As a result, aquatic ecosystems are damaged from the Penobscot River to the San

27	Francisco Bay, from Bayou d'Inde to the Great Lakes, from the Columbia Slough to the St. James

28	River. These aquatic ecosystems are contaminated when mercury is emitted to the air from coal-

29	fired power plants and other sources of fossil fuel combustion or from medical waste incinerators

30	- this mercury is then deposited to surface waters and to soils. They are contaminated when PCBs

31	are allowed to remain in sediments without being cleaned up - these PCBs persist for long periods

32	of time and are released to waters, air and soils. They are contaminated when dioxins are

33	discharged to the water from pulp and paper mills - these dioxins are often contained for long

34	periods in sediments and may, in turn, be resuspended to surface waters. These and multiple other

"[originally published in 1921; get source]

PRE-MEETING DISCUSSION DRAFT

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November, 2001

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1

2

sources and contaminants have wreaked incalculable harms to aquatic ecosystems and the fish,
aquatic plants and wildlife they support.

3	James Ransom, Director, Haudenosuanee Environmental Task Force, recounts the destruction of

4	the portion of the St. Lawrence River that is Akwesasne, home to the St. Regis Mohawk:

5	Akwesasne or St. Regis is like most Native communities. We were a fishing, farming,

6	hunting, trapping, and gathering community. These lifestyles helped to support an

7	earth-based value system. ... We were sustainable societies. Everything we needed was

8	provided by the natural world. We followed the natural laws. It required that we only

9	take from the natural world what we need and that we use all that we take. . . This all

10	changedfor the Mohawks of Akwesasne in the 1950s... .In 1958, the St. Lawrence-FDR

11	Power Project was constructed on the St. Lawrence River just upriver from Akwesasne.

12	Low-cost hydroelectric power allowed two new industries to open, Reynolds Metal

13	company, an aluminum smelter, and General Motors Powertrain, an automobile parts

14	manufacturer. It allowed a third industry, ALCOA, an aluminum smelter, to expand

15	operations.

16	By the early 1960s, cattle within the territories of the Mohawks began feeling the effects

17	offlouride poisoning from the aluminum smelters. By 1981, PCB contamination of the

18	General Motors site came to light. In 1983, it became a federal superfund site. B 1987,

19	PCB problems at ALCOA and Reynolds became known as well. By 1989, a six-mile

20	stretch of the Grasse River and a two-mile stretch of the St. Lawrence River became a

21	federal superfund site because of PCB contamination. .. .

22	In 1986, a 67-inch length, 200 pound lake sturgeon was caught by Mohawk fishermen in

23	the St. Lawrence river. Parts of it were sent for PCB analysis. The results were

24	alarming as 3.41 parts per million (ppm) of PCBs were found in the meat, 7.95 ppm in

25	the eggs, and 10.20 ppm in the liver. The New York State PCB fish standard for human

26	consumption is 2.0 ppm. ...

27	Contamination of the St. Lawrence River resulted in a destruction of a subsistence

28	lifestyle for the Mohawk people. It destroyed hunting, fishing, farming, trapping, and

29	gathering activities. . . ,26

30	At a meeting of Alaskan Natives from the northwest arctic region, Herman Toolie, Savoonga,

31	expresses his concerns and the concerns of others in his village:

32	They have those - what do you call it? - PCBs? A lot of those were in the village. They

33	found gallons in the village around Northeast Cape. There were transformers that were

26James Ransom, Director, Haudenosuanee Environmental Task Force, in Proceedings of
the American Fisheries Society: Forum on Contaminants in Fish 25 (1999).

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1	leaking. We don't know if they took them out of the ground or not. I guess they took

2	them out. There used to be a lot of fish right there. We had our camp there not more

3	than a mile away from the site. There used to be lots of fish there but no more. There is

4	a whole bunch of concerns that these elders have. I wish I had a tape recorder and

5	could tape them.11

6	In introducing its tribally-conducted fish consumption study, the Suquamish Tribe recounts the

7	importance offish and shellfish, even in the face of the degraded water quality and habitat of the

8	Puget Sound:

9	The Suquamish culture finds its fullest expression in the acknowledged relationship of

10	the people with the land, air, water and all forms of life found within the natural system.

11	River systems, lakes and numerous small creeks historically supported abundant coho,

12	chinook, sockeye and chum runs, with other salmonids and marine fish available as

13	well. The same forests which sustained life in the riparian zones also harbored deer,

14	bear, and other wildlife. Vast expanses of intertidal habitat supported shellfish. By

15	virtue of the Treaty of Point Elliott, Suquamish rights to fish and interests in their

16	habitat were recognized to include the marine waters of Puget Sound from the northern

17	tip of Vashon Island to the Fraser River in Canada, including Haro and Rosario Straits

18	and streams draining into the western side of central Puget Sound.

19	Increased levels of development as well as pollutants from residential, industrial, and

20	commercial uses have resulted in degraded habitats and harvesting restrictions. There

21	were eleven Superfund sites within the immediate area of the Port Madison Indian

22	Reservation at the time the fish consumption survey was conducted.

23	Despite degraded water quality and habitat, tribal members continue to rely on fish and

24	shellfish as a significant part of their diet. All species of seafood are an integral

25	component of the cultural fabric that weaves the people, the water, and the land

26	together in an interdependent linkage which has been experienced and passed on for

27	countless generations.28

28	And in recounting the harms of intense industrialization along the lower Mississippi River and in

29	St. James Parish, Louisiana, the United Church of Christ Commission for Racial Justice reports:

30	Also presented as a negative economic impact of polluting industries by local residents

31	was the significant loss of wildlife and vegetation, which contribute to the subsistence

21 Alaska Traditional Knowledge and Native Foods Database, Native Concerns available
at www .nativeknowledee. org/db/concerns.asn.

28The Suquamish Tribe, Fish Consumption Survey of the Suquamish Indian Tribe of the
Port Madison Indian Reservation, Puget Sound Region 4 (2000).

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1	living of many St. James Parish residents. Fruiting tress such as pecan, jig, peach, and

2	others have died off. Fish, crayfish and oyster beds have been poisoned. And wildlife

3	important for subsistence hunting, such as rabbit and deer, have disappeared. Not only

4	have important food sources disappeared, but the ability of residents to gather and sell

5	these for cash has also gone. With the decline in the prosperity of local residents, many

6	local businesses have also left the area. A number of residents complained that they

7	must now commute great distances simply to buy groceries and other necessities.29

8	3. Different Exposure Circumstances and Contexts Characterize Communities of

9	Color, Low-Income Communities and Tribes

10	Consumption and use of contaminated fish, aquatic plants, and wildlife is the primary route

11	by which humans are exposed to many toxic contaminants. For example, consumption of

12	contaminated fish is considered to be the single greatest route of exposure to PCBs and a major

13	route of exposure to mercury. Consumption of contaminated fish is similarly a significant route of

14	exposure to chlordane, dioxins, DDT, toxaphene, and a litany of over 40 other contaminants.

15	Indeed, any contaminant that persists in aquatic environments and bioaccumulates in the fish and

16	wildlife that are supported by aquatic environments may find its way to humans when they

17	consume or use these fish and wildlife. EPA has recognized that fish and wildlife consumption, in

18	particular, is the chief route by which all humans are exposed to many of these "persistent and

19	bioaccumulative toxins" or PBTs.

20	Consumption and use of contaminated fish, aquatic plants, and wildlife is an especially

21	pressing concern for many communities of color, low-income communities and tribes, whose

22	members may (1) consume fish, aquatic plants, and wildlife in greater quantities than does the

23	general population; (2) consume and use different fish, aquatic plants, and wildlife than does the

24	general population; (3) employ different practices in consuming and using fish, aquatic plants, and

25	wildlife than does the general population; (4) consume and use fish, aquatic plants, and wildlife in

26	cultural, traditional, religious, historical, economic, and legal contexts that differ from those of the

27	general population.

28	When health and environmental agencies respond to the human health impacts from

29	contaminated aquatic environments, they typically frame the issue as one of harm to individuals'

30	physical health: the contaminants are carcinogens, or reproductive toxins, or endocrine disrupters,

31	or have multiple human health "endpoints." Health and environmental agencies then manage these

32	"health risks" by employing one or both of two general strategies: risk avoidance (whereby risk-

33	bearers are encouraged or required to change the practices that expose them to environmental

34	contamination, e.g. through fish consumption advisories, directed to those people who eat fish) or

35	risk reduction (whereby risk-producers are required to cleanup, reduce, or prevent environmental

29Charles Lee, ed., United Church of Christ Commission for Racial Justice, From
Plantations to Plants: Report of the Emergency National Commission on Environmental and
Economic Justice in St. James Parish, Louisiana (1998).

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1	contamination, e.g., through water quality standards, applied to industrial sources that discharge

2	contaminants into surrounding waters). In both cases, agencies' decisions for the most part reflect

3	the exposure circumstances and the cultural, traditional, religious, historical, economic, and legal

4	contexts that describe members of the general population - the "average American" or "the typical

5	U.S. consumer." Importantly, these decisions often do not reflect the exposure circumstances or

6	the traditional, religious, historical, economic, and legal contexts that describe members of

7	communities of color, low-income communities, or tribes.

8	To illustrate briefly a few of these considerations:

9	The EPA until quite recently based its environmental decisions on the assumption that

10	humans eat just 6.5 grams of fish per day - roughly one 8-ounce fish meal per month. Yet there is

11	abundant evidence that members of communities of color, low-income communities and tribes eat

12	far greater quantities of fish. For example, a recent study by the Columbia River Inter-Tribal Fish

13	Commission of members of four Columbia River tribes registered a mean fish consumption rate of

14	58.7 grams/day and a maximum fish consumption rate of 972.0 grams/day - well over one hundred

15	times the EPA value.30 A recent study of ten Asian and Pacific Islander groups in King County

16	Washington showed a mean fish consumption rate of 117.2 grams/day and a maximum values of

17	733.46 grams/day.31 Similarly, studies of anglers in both Alabama and Michigan registered

18	markedly higher fish consumption rates for low-income African-Americans - in Alabama low-

19	income African-Americans ate a mean of 63 grams/day;32 in Michigan, low-income African-

20	Americans (together with other "minority fishers and off-reservation Native Americans")

21	consumed a mean of 43.1 grams/day;33 a recent study of members of various Great Lakes tribes

22	and bands registered a mean fish consumption rate of 351 grams/day and a maximum fish

23	consumption rate of 1,426 grams/day.34 Although methodological differences in the various

24	studies mean that these numbers cannot provide a precise basis for comparison they nonetheless

25	afford a sense of the large differences in the quantities of fish consumed by different groups EPA

26	has just revised its standard assumptions and now uses default values of 17 5 grams/dav for the

27	general population and 142.4 grams/day for subsistence populations. While these revised numbers

28	are a marked improvement, they are still a source of concern for those groups whose members

"Columbia River Inter-Tribal Fish Commission, Technical Report 94-3 A Fi
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1	consume at the highest levels. The result is that when the fish are contaminated, those consuming at

2	higher rates will be exposed to greater quantities of the contaminants that are present in the fish

3	tissue.

4	EPA also typically makes assumptions about the species and parts consumed and about the

5	methods of preparation that reflect that practices of the general population but often do not depict

6	fully or accurately the practices of communities of color, low-income communities, or tribes. For

7	example, according to a recent survey of first- and second-generation Asian and Pacific Islanders

8	in King County, Washington - including members of Cambodian, Chinese, Filipino, Hmong,

9	Japanese, Korean, Laotian, Mien, Samoan, and Vietnamese ethnic groups:

10	[Asian and Pacific Islanders] consume a wide variety of seafod species, the most

11	frequently consumed being shellfish. These seafood, depending on their feeding and

12	habitat characteristics, and the tissue parts consumed pose varying chemical

13	contaminant risks to APIs. For example, certain fat soluble chemicals, e.g., PCBs, are

14	concentrated in the fat layer between the meat and the skin, potentially exposing such

15	consumers to higher contaminant levels than those who simply eat the fillet. Eating the

16	fillet with skin is clearly a common practice in the API community.. . . Overall, skin was

17	consumed with the fillet 55% of the time. .. .

18	API community members appear to eat shellfish parts that are thought to contain higher

19	concentrations of chemical contamination, e.g., clam stomachs or the hepatopancreas of

20	crabs. Bivalve shellfish were consumed whole by 24% (geoduck) to 89% (mussels) of

21	respondents depending on the species. The "butter " as well as the meat of crabs were

22	consumed 43% of the time. . .Finally, cooking water, both for finfish and shellfish are

23	commonly use in coooking or directly consumed?5

24	According to a study of the GreenpointAVilliamsburg ("G/W") community in the Borough of

25	Brooklyn in New York City:

26	[Hispanics and Caribbean Americans] consume considerable quantities of fresh
21	shellfish, including parts of the fish not typically consumed (e.g., the highly

28	contaminated hepatopancreas of blue crabs)?6

29	According to an account of subsistence fishing on the Upper Kobuk River in Alaska:

30	Each summer, families from Shungnak and Kobuk move to camps to harvest salmon,

31	whitefish, and sheefish. . . . upper Kobuk residents preferred to camp in the sheefish

35Ruth Sechena, et al., Asian and Pacific Islander Seafood Consumption Study (1999)

"Industrial Economics, Inc., Community-Specific Cumulative Exposure Assessment for
Greenpoint/WilliamsburgNew York2-2\ (1999).

PRE-MEETING DISCUSSION DRAFT

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1	spawning areas because sheefish caught there had eggs, a local delicacy. . . .Although

2	sheefish are caught throughout the summer, local residents prefer to catch them late in

3	the season because the sheefish are fat, the eggs are ripe, and the fish can be left to age

4	and freeze, a storage method preferable to drying.

5	Aged, frozen sheefish, an upper Kobuk delicacy, were eaten later in winter without

6	further processing or preparation. By spring, these fish were known as ui.laaq (thawed,

7	aged sheefish) a meal savored by upper Kobuk residents.

8	Fresh sheefish were baked, boiled, or fried. The large intestines, full of fat, were boiled.

9	Fish oil fqaluum uqsruq^ was separated from the boiled water with a large spoon and

10	served with cooked sheefish}1

11	Ron Oatman, Nez Perce, recalls:

12	We used to collect the eggs from the suckers and Mom would fry them up with the rest of

13	the fish. We always thought this quite good.is

14	Again, the result in many cases is that when the fish are contaminated, those consuming in

15	accordance with different practices will be exposed to greater quantities of the contaminants.

16	Moreover, the approach employed by EPA and other environmental agencies proceeds as

17	if humans were exposed to one contaminant at a time. However, members of communities of

18	color, low-income communities, and Tribes are often exposed to multiple contaminants (and by

19	multiple routes) at the same time; this is so to a greater extent than for the general population. For

20	example, according to Barbara Harper, Fourteen Confederated Tribes of the Yakama Nation, and

21	Stuart Harris, Confederated Tribes of the Umatilla Indian Reservation:

22	(I]t is the norm, at least in the Columbia River system, for over 100 contaminants to be

23	identified in fish tissues.19

24	Environmental agencies also proceed as if all humans similarly enjoyed relative health and

25	access to basic health care and nutrition. However, members of communities of color, low-

"Susan Georgette and Hannah Loon, Subsistence and Sport Fishing of Sheefish nn th?
Upper Kobuk River, Alaska (1990) available at www.native1mowleripP "T/j./flles/tn17
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1	income communities, and tribes often have relatively poorer background health and lesser access

2	to health care and nutrition than is enjoyed by the general population. Other "co-risk" factors, too,

3	affect how humans respond when they are exposed to environmental contaminants and often these

4	co-risk factors are different for members of environmental justice communities and tribes.

5	Health and environmental agencies generally assume that all humans are similarly able to

6	turn to substitutes when fish, aquatic plants, and wildlife have become contaminated. While this

7	substitution may pose few difficulties for members of the general population, it may be impractical

8	or impossible for economic, cultural, religious and/or other reasons for some members of

9	communities of color, low-income communities and tribes. For example, for some tribal peoples,

10	as Barbara Harper, Fourteen Confederated Tribes of the Yakama Nation, and Stuart Harris,

11	Confederated Tribes of the Umatilla Indian Reservation, explain:

12	[Tjhere are likely to be no acceptable 'tradeoffs.' Tribal peoples may not have an

13	option of avoiding fish consumption for cultural or religious reasons as well as

14	economic reasons. . . . The cultural use of fish is not a 'perceived benefit of fish

15	consumption.' It is a baseline situation that is not an option or a choice, but an absolute

16	requirement.40

17	These considerations and others place in question the appropriate role of fish consumption

18	advisories in protecting those who would consume fish, aquatic plants, and wildlife from the

19	serious harms of exposure - harms including the risk of cancer, neurological damage, endocrine

20	disruption, and a host of other ills. To the extent that fish consumption advisories form an

21	appropriate part of agencies' response to contaminated aquatic environments, however, there is

22	reason to be concerned that health and environmental agencies generally employ the language and

23	methods of communication that are likely to reach and be understood by the members of the general

24	population, but often fail to reach and cannot be understood by members of affected communities.

25	This is particularly likely when agencies distribute advisories in English to those who have

26	limited English proficiency, or when agencies post advisories on the Internet but those affected

27	cannot afford and do not otherwise have access to a computer. There has been recent progress

28	here, however, as EPA and other agencies in some cases have translated their advisories into the

29	language(s) of those affected and have sought to learn which methods of communication would be

30	most likely to reach communities likely to be among the most exposed.

40Barbara Harper and Stuart Harris, Tribal Technical Issues in Risk Reduction Through
Fish Advisories, in Proceedings of the American Fisheries Society. Contaminants in Fish 21
(1999).

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November, 2001

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1	4. Environmental Agencies Have Made Considerable Progress; However, Many

2	Aspirations and Obligations Remain Unfulfilled

3	EPA and other agencies have made considerable progress toward addressing degraded and

4	depleted aquatic ecosystems, and, more recently, toward attending to the needs and rights of

5	communities of color, low-income communities, and tribes. Aquatic ecosystems are significantly

6	less contaminated than they were three decades ago, when the Clean Water Act was passed.

7	According to EPA estimates, whereas in 1972 only 36% of the rivers, lakes, and estuaries within

8	the United States were clean enough to support "fishable-swimable" uses, today roughly 60% of

9	lakes, rivers, and estuaries are clean enough to support these uses.41 EPA and other agencies have

10	also made progress in attending to the different circumstances of exposure that often describe

11	members of communities of color, low-income communities and tribes; in evidencing awareness

12	of their different languages, traditions, and cultures; and in addressing their claims to participation

13	and consultation when EPA and other agencies make decisions affecting their lives and resources.

14	Yet, by EPA's own account, there is much yet to be done. EPA's Strategic Plan issued in

15	September 2000 (2000 EPA Strategic Plan) acknowledges that much more work is needed to

16	protect effectively American's rivers, lakes, wetlands, aquifers, and coastal and ocean waters so

17	that they will sustain fish, plants, and wildlife as well as recreational, subsistence, and economic

18	activities.42 There EPA notes that "[a]s of 1998, about 40 percent of the assessed waters in the

19	United States were degraded to the point that they did not support their designated use."43

20	Additionally, more than 50% of the Nation's wetlands-some 100 million acres-have been lost

21	since European settlement.44 And, "polluted water and degraded aquatic ecosystems threaten the

22	viability of all living things and vigor of the nation's economy."45 In 1999, the number of fish

23	consumption advisories rose by 145, representing a 6% increase over 1998, and the number of

24	lakes under advisories increased from 15.8% in 1998 to 20.4% in 1999, a total of 52,000 lakes.46

4lZygmunt J.B, Plater, et al„ Environmental Law and Policv¦ Nan,™ r
503 (2d ed. 1998).	y' tUre' Law> and Society

422000 EPA Strategic Plan at 19.

43 Id, Note that this figure does not include unassessed waters	r L • ,

meet these standards.	aters ~ Some of wh1Ch may not

Ml±

45Id

**EPA Fact Sheet Update: National Listing offish and WiUi-s , ,

823-F-00-016) (November 2000).	Wildlife. Advisories at 1 (EPA-

PRE-MEETING DISCUSSION DRAFT

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1

2

AH of the Great Lakes and their connecting waters and 58% of coastal waterways were under
advisory in 1999.47

3	Thus, EPA has yet to fulfill the aspirations set for it in the Clean Water Act and elsewhere.

4	The CWA, for example, aspires "to restore and maintain the chemical, physical, and biological

5	integrity of our Nation's waters;" it aspires to do this by, among other things, eliminating the

6	discharge of pollution into navigable waters "by 1985."

7	EPA also has yet to uphold fully its obligations to communities of color, low-income

8	communities and Tribes under various treaties, the federal trust responsibility, Title VI of the Civil

9	Rights Act of 1964, and Executive Order 12898.

10	C. WHAT ARE THE POLICY IMPLICATIONS OF THE ABOVE?

11	[This section will be completed after recommendations have taken shape at

12	the NEJAC meeting.]

13	Together, the chapters of this Draft Report respond to the policy charge to NEJAC:

14	How should EPA improve the quality, quantity, and integrity of our Nation's

15	aquatic ecosystems in order to protect the health and safety of people consuming or

16	using fish, aquatic plants, and wildlife?

17	Chapter One focuses on the tools that environmental agencies use to define, evaluate and

18	respond to the adverse health impacts from contaminated aquatic environments. It discuses the

19	research methods agencies use to obtain information about the lives, practices, and circumstances

20	of affected communities and tribes, as well as the risk assessment approaches agencies use to

21	evaluate these impacts.

22	The next two chapters examine agencies' responses - the "risk management" approaches

23	that they employ to address the health impacts of contaminated aquatic environments. Chapter

24	Two discusses agencies' risk reduction strategies, whereby risk-producers are required to

25	cleanup, reduce, or prevent environmental contamination. This chapter examines the legal

26	authorities that might be invoked more effectively to sustain healthy aquatic ecosystems and to

27	protect the health and safety of people consuming or using fish, aquatic plants, and wildlife.

28	Chapter Three then discusses agencies' risk avoidance strategies, whereby risk-bearers are

29	asked to change their lives and practices in order to avoid exposure to harmful contaminants This

30	chapter focuses on fish consumption advisories and asks what role they should play in efforts more

31	effectively to protect the health and safety of people consuming or using fish, aquatic plants, and

47Id

PRE-MEETING DISCUSSION DRAFT
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November, 2001
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1	wildlife. In so doing, it considers how agencies can identify, acknowledge and meet the real needs

2	of those who are affected in communities of color, low-income communities and tribes. This

3	chapter discusses means by which agencies can ensure community participation and tribal

4	consultation. It also discusses ways agencies can work to make communities whole once the fish,

5	aquatic plants, and wildlife on which they depend have already become contaminated. This

6	chapter, in particular, responds to questions posed to the NEJAC by the EPA Office of Water in

7	October, 2001, requesting advice on improving its risk communication efforts and on updating its

8	Guidance for Assessing Chemical Contaminant Data for Use in Fish Advisories, Volume IV:

9	Risk Communication.48 Various aspects of these questions are also addressed throughout the

10	Draft Report.

11	Chapter Four examines issues unique to American Indian tribes, Alaskan Native villages,

12	and their members. Although tribes and their members share many of the concerns discussed in the

13	first three chapters, their unique political and legal status warrants separate treatment.

48Memorandum from James Hanlon, Acting Deputy Assistant Administrator, Office of
Water, to Barry Hill, Director, Office of Environmental Justice (October 4, 2001).'

PRE-MEETING DISCUSSION DRAFT

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1

2

CHAPTER I: RESEARCH METHODS AND RISK
ASSESSMENT APPROACHES

3	How should EPA improve its research methods and risk assessment approaches to address

4	degradation of aquatic ecosystems and adverse impacts to human health from consuming or

5	using contaminated fish, aquatic plants, and wildlife for subsistence, cultural, traditional, and

6	religious activities and purposes?

7	When health and environmental agencies respond to the harms from contaminated aquatic

8	environments, they typically frame the issue as one of "human health risks" - specifically, harm to

9	individuals' physical health: the contaminants are carcinogens, or reproductive toxins, or

10	endocrine disrupters, or have multiple human health "endpoints."

11	Health and environmental agencies then manage these "health risks" by employing one or

12	both of two general strategies: risk avoidance (whereby risk-bearers are encouraged or required

13	to change the practices that expose them to environmental contamination, e.g. through fish

14	consumption advisories, directed to those people who eat fish) or risk reduction (whereby risk-

15	producers are required to cleanup, reduce, or prevent environmental contamination, e.g., through

16	water quality standards, applied to industrial sources that discharge contaminants into surrounding

17	waters).49 Risk reduction strategies will be the focus of discussion in Chapter 2; risk avoidance

18	strategies will be the focus of discussion in Chapter 3.

19	For both strategies, agencies need to get a sense of the practices that expose humans to

20	environmental contaminants (e.g., how much fish do they eat? what kinds of fish? how is it

21	prepared?) and the underlying health and other circumstances of those exposed (e.g., are they

22	young or old? do they have other preexisting health conditions? do they have access to adequate

23	health care?). In gathering this information and, more generally, in fashioning their responses to

24	contamination, agencies' efforts have until quite recently reflected the lives, practices, and

25	circumstances of the "average American"or "the typical U.S. consumer."50 Importantly, they often

26	have not reflected the lives and circumstances of communities of color, low-income communities,

27	and Tribes. That is, agencies' efforts overall have tended to reflect the cultural, traditional,

28	religious, historical, economic, and legal contexts that describe members of the general population.

29	Specifically, agencies' efforts have assumed (1) the exposure circumstances of members of the

30	general population; and (2) the susceptibilities and co-risk factors of members of the general

31	population.

"'Catherine A. O'Neill, Risk Avoidance and Environmental Justice (forthcoming).

50See, e.g., U.S. Environmental Protection Agency, Note to Correspondents: EPA Issues
1996 Fish Advisory Data (1997) ("The typical U.S. consumer eating fish in moderation from a
variety of sources and eating a variety of species is not believed to be at increased risk .. .").

PRE-MEETING DISCUSSION DRAFT

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November, 2001

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1	This Chapter will focus on the tools environmental agencies use to define, evaluate and

2	respond to the adverse health impacts from contaminated aquatic environments: the research

3	methods agencies use to obtain information about the lives, practices, and circumstances of

4	affected communities and Tribes, and the risk assessment approaches agencies employ to evaluate

5	and address these health impacts. Along the way, it will highlight issues that bear as well on

6	agencies' approaches to risk management and risk communication, although these questions will

7	be taken up at greater length later in the Report.

8	Part A of the chapter discusses briefly the prior question: what is meant by "adverse

9	impacts to human health?" The next four parts examine exposure. Part B looks at fish consumption

10	rates and how these differ as between the general population and higher-consuming

11	"subpopulations" such as communities of color, low-income communities, and tribes. Part C

12	examines standard assumptions about the fish, plant and wildlife species people consume and use;

13	the parts of these species they use; and the preparation methods they employ. It considers the

14	differences in these practices among various affected groups and how this affects estimates of

15	exposure. Part D raises the point that communities of color, low-income communities, and tribes

16	consumer and use fish, plants and wildlife in different cultural, traditional, religious, historical,

17	economic, and legal contexts than the "average American." Part E takes up the issues of aggregate

18	or multiple exposures and cumulative risks. Part F turns from exposure to issues of susceptibility

19	and co-risk factors. Part G explores suppression effects and their implications. Finally, Part H

20	addresses research methods relevant to risk assessment, management, and communication

21	involving contaminated fish and aquatic environments.

22	A. DEFINING ADVERSE IMPACTS TO HUMAN HEALTH

23	How can EPA in its various functions ensure that cultural, traditional, religious practices

24	are being considered in defining and evaluating health risks with respect to all people, including

25	minority and low-income communities, and tribes?

26	When health and environmental agencies evaluate and respond to the human health risks

27	from contaminated aquatic environments, they typically invoke a particular conception of "human

28	health."51 This conception tends to be that of the dominant society, for whom "human health" is

29	taken in the narrow, individual and physiological sense of the term. So defined, agencies look to

30	toxicological and epidemiological data that connect environmental contaminants such as mercury

31	or PCBs to human health "endpoints" such as neurological damage or cancer. Agencies cite

32	determinations (by legislatures, courts, or their own or other agencies) as to "acceptable"

33	increases in the risk of occurrence of such "endpoints," and from there work backward to decide

34	how much mercury to permit to be emitted into the air or what quantity of PCBs to allow to remain

5'Agencies also sometimes (although less often) respond to "ecological risks;" these are
typically considered separately from human health risks, and do not include attention to social,
cultural, or other related harms.

PRE-MEETING DISCUSSION DRAFT

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November, 2001

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1	in contaminated sediments after cleanup. These decisions then get incorporated into standards or

2	permits or cleanup requirements.

3	This definition of the adverse impacts, however, may not reflect the perspectives of those

4	affected. For some of those affected, the harms from contamination are not only physical, but

5	psychological, social, and cultural. For some of those affected, the affront is not only to an

6	individual but to a group - the threat is not only to the physical survival of a person, but to the

7	cultural flourishing of a people. Stuart Harris, Confederated Tribes of the Umatilla Indian

8	Reservation, and Barbara Harper, International Institute for Indigenous Resource Management,

9	explain:

10	For example. Native American communities are inseparable from their lands and

11	resources, so evaluation of their risks from contamination must integrate human

12	physiological and mental health, ecological health, socio-economic health, and cultural

13	and spiritual health within a single framework. This does not mean simply adding a

14	quality of life component and calling it cultural risk, or using an exposure scenario that

15	reflects additional routes of exposures. Rather, it means beginning the assessment by

16	understanding the entire eco-cultural system (people and biota interlocked in a co-

17	adapted system of behaviors and ecologies that is sustainable over time but which is

18	now severely strained even without the addition of contamination). . . .

19	The individual and collective well-being of tribal members is often derived from

20	membership in a healthy community that has access to ancestral lands and traditional

21	resources and from having the ability to satisfy personal responsibility to participate in

22	traditional community activities and to help maintain the spiritual quality of our

23	resources.52

24	Environmental justice means noticing and acknowledging not only the harms that are

25	perceived by the dominant society, but also the harms that are felt by communities of color low-

26	income communities and tribes. Often, these harms will have quite different dimensions than those

27	felt by the dominant society and reflected in agencies' definition and evaluation of the problem

28	EPA and other agencies need to reexamine methods and models employed in evaluating adverse

29	health impacts from environmental contamination.53

"Stuart G Harris and Barbara L. Harper, Using Eco-Cultural Dependency Webs in Risk
Assessment and Characterization of Risks to Tribal Health and Cultures, 2 Environ. Sci. 7
Pollut. Res. 91, 91-92 (Special Issue, 2000).

53Flizabeth D Nobmann, Nutritional Benefits of Native Foods, available at

=rr,, spiritual and cuitura, issues as we,l	^

Russia Native People's Health and Social Issues Conference m 1992).

PRE-MEETING DISCUSSION DRAFT

NEJAC Fish Consumption Work Group

November, 2001	23

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1 B. EXPOSURE: FISH CONSUMPTION RATES

2	Several factors determine (1) whether and how an individual comes in contact with

3	environmental contaminants and (2) to what extent that individual suffers adverse health effects as a

4	result of this contact. The first set of factors describes one's circumstances of exposure. The

5	second set of factors describes one's susceptibilities and co-risk factors. Although more

6	information needs to be gathered about the differences among various "subpopulations" with

7	respect to both exposure and susceptibilities, existing data show important differences between the

8	general population and communities of color, low-income communities and Tribes. Questions of

9	exposure will be addressed in Sections B, C, D and E; questions of susceptibility will be

10	addressed in Section F.

11	Humans are exposed to environmental contaminants through a variety of routes: they inhale

12	toxic air contaminants; they drink contaminated groundwater; they absorb pesticides through our

13	skin; they eat fish that swim in and bioaccumulate toxins from contaminated surface water and

14	sediments. As noted above, fish consumption is the primary route of exposure for many toxic

15	contaminants, including those that are now present in and permitted to be released to aquatic

16	environments. All else being equal, the higher the level of fish one consumes, the greater one's

17	exposure to any contaminants in the environment that the fish uptake, and the greater one's risk of

18	adverse health effects.

19	EPA and other agencies use exposure data to set environmental standards for aquatic

20	environments that support fish and other species consumed by humans: they set water quality

21	standards to determine how much contamination will be permitted to be released now and in the

22	future; they set cleanup standards to determine to what level surface waters and sediments must be

23	cleaned up once they are already contaminated. They also use exposure data to estimate risk in

24	order to determine whether to issue fish consumption advisories. When EPA and other agencies

25	use risk assessment to set environmental standards, they start from a level risk that has been deemed

26	"acceptable" or a threshold level of exposure that is believed not to result in adverse health effects.

27	They then consider the toxicity of the contaminant in question (e.g., dioxin) and the various elements

28	of humans' exposure to that contaminant (e.g., how much fish do people consume? for how many

29	years do people live and consume fish at these rates? to what extent does the contaminant in

30	question bioaccumulate in the fish tissue consumed?). Working from these inputs, agencies

31	determine how much of the contaminant to allow to be discharged to or to remain in aquatic

32	environments. Note that when agencies set standards in this way, they typically rely on values for

33	each of the inputs that reflect the characteristics and practices of the general population. These

34	values often do not reflect the characteristics and practices of affected communities and tribes

35	which often lead to greater exposures for these groups. This is problematic in that the resulting

36	standards will not protect these more highly-exposed groups.

PRE-MEETING DISCUSSION DRAFT

NEJAC Fish Consumption Work Group

November, 2001

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1	1. Evidence of Different Consumption Practices

2	While there is considerable evidence that different groups have different fish consumption

3	practices, these differences have until recently been demonstrated chiefly by "anecdote" rather than

4	by empirical study. Even today, there are many more instances in which practices that include high

5	rates of fish consumption and/or consumption from seriously contaminated waters are evidenced by

6	local knowledge, direct observation, or "anecdote" rather than by formal study. Thus, for example,

7	as Yalonda Sinde, Executive Director of the Community Coalition for Environmental Justice,

8	Seattle, reports:

9	"We know there are people out there fishing on the Duwarnish. People in the

10	neighborhood see them out there. "

11	The Duwarnish waterway is highly contaminated and under advisory for a host of industrial

12	chemicals; signs are posted warning against eating all bottom fish, all shellfish, and seaweed.

13	Similarly, as Bowden Quinn of the Grand Cal Task Force reports:

14	"Although we don't have any hard data, there is anecdotal evidence of people

15	subsistence fishing on the Calumet River. People do fish and they likely eat the fish they

16	catch . . . despite a 'Class 5' restriction on the River, which means 'Do Not Eat the

17	Fish'."55

18	The Calumet Region is home to steel manufacturing facilities, petroleum refineries, chemical

19	manufacturing facilities and a host of other heavy industries, and has been described as "one of the

20	nation's most polluted areas."56 And, Ora Rawls, Executive Director, Mississippi Rural

21	Development Council, reports:

22	Fish consumption (volume) has been underestimated. As I shared with a DEQ (EPA)

23	official, many individuals (African American) eat fish two to three times a week - in rural

24	areas, as often as five times a week. Where I lived on the Coast (Gulport/Biloxi), four to

"Personal Interview with Yalonda Sinde, Executive Director, Community Coalition for
Environmental Justice, Seattle, Washington (October 16,2001). [permission to cite pending]

"Telephone Interview with Bowden Quinn, Executive Director, Grand Cal Task Force
(October 10, 2001); accord, Telephone Interview with Alex DaSilva, Remedial Action
Coordinator,'Indiana Department of Environmental Management (October 10, 2001).

"Bill Eyring, Center for Neighborhood Technology, Industry's Polluted Legacy: The
Calumet Region, in The Neighborhood Works 10 (October/November 1993).

PRE-MEETING DISCUSSION DRAFT

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November, 2001

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1	five times a week. This volume is from personal fishing (streams, lakes, ponds), not from

2	retail sales data that is used to capture consumption patterns.51

3	Anecdotal evidence similarly describes people fishing on and consuming fish from Lake Erie and

4	the Cuyahoga River in Cleveland;58 from the Mississippi River in East St. Louis;3? from the

5	Columbia Slough in Portland, Oregon;60 and from the Mississippi River between New Orleans and

6	Baton Rouge.61

7

8	There are, however, several formal fish consumption studies that demonstrate that members

9	of various communities of color, low-income communities and tribes consume far greater quantities

10	of fish than do members of the general population. Further, these studies show that there are

11	differences as well among these various communities, groups, or peoples. They also support the

12	observation that the intersection of poverty and identity or group membership may be an important

13	factor in accounting for differences in fish consumption practices. Table 1 presents a sampling of

14	the fish consumption rates gathered by recent studies, selected to illustrate these characteristics of

15	the data in the context of various subpopulations (e.g., Native American, Alaskan Native,

16	Asian/Pacific Islander, African-American, southern, and urban subpopulations). Note that the

17	values presented here are not directly comparable because of design and other differences among

18	the studies. (For example, some studies include shellfish whereas others include only fmfish; some

19	studies provide per capita values - which include those who do not eat fish along with those who

20	do - whereas other studies provide values for fish-consumers only.) These values are provided

21	only to give some sense of the relatively higher consumption rates of communities of color, low-

22	income communities, and tribes compared to the general population (as well as some sense of the

23	differences among and within these groups).62

"National Risk Communication Conference, Proceedings Document H-17-19 (2001)

"Telephone Interview with Patrick C. West, Professor Emeritus of Natural
Resources/Environmental Sociology, University of Michigan School of Natural
(October 23, 2001).	resources

59Id.

Service^0*1*' ^ """ ^ 0Ur ^ POItland' ^ 0f

(October?S.,nKrVieW ^ ^ ^ L°UiSMa	1 A«ion Network

62Some of these values, moreover, were generated for this num
cited or used without consulting the studies and their authors. In som 6 ^ should not be
generated in reliance on assumptions that may or may not be shared th^'111686 numbers were
conversion methods for values originally given in g fish/kg bodyweight/^y^5' aUth°rS ^e'8''

PRE-MEETING DISCUSSION DRAFT

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November, 2001

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1

Table 1: Quantified Evidence of Fish Consumption

2| Study Authors
31 (Date)

Sample
Population

50th Percentile

(g/day)	

Mean
(g/day)

90th Percentile


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1	In addition to the studies presented here, several other studies provide further formal, quantified

2	evidence of differences in fish consumption practices among communities of color, low-income

3	communities, tribes, and the general population.63

4	Significantly, the fish consumption rates presented in Table 1 are markedly higher, at

5	virtually every point of comparison, than those relied upon by agencies to set water quality

6	standards, to set cleanup standards for surface water and sediments, and to gauge baseline

7	consumption to estimate health risks and the need for fish consumption advisories. As elaborated

8	below, EPA until quite recently employed a fish consumption rate of 6.5 grams/day for all

9	populations. EPA now employs a fish consumption rate of 17.5 grams/day for the general

10	population and recreational fishers, and 142.4 grams/day for subsistence fishers.64 These are 90th

11	and 99th percentile values, respectively, from a study of the general population (fish consumers and

12	non-consumers alike). That is to say, EPA targets protection at the 90th percentile of the general

13	population (a point discussed further below). Compare these values with the 90th percentile of

14	Asian and Pacific Islanders in King County, at 242 g/day or the 90th percentile of the Suquamish

15	Indian tribe, at 489 g/day, or the 90th percentile of fishers in the Los Angles Harbor, at 225 g/day.

16	Consider, too, that whereas those Asian and Pacific Islanders in King County consuming at the

17	average (mean) rate may be adequately protected were the relevant environmental standards to

18	reflect EPA's default for subsistence fishers (142.4 g/day), those consuming at the maximum rate -

19	733.46 g/day would be grossly underprotected. They would fare even worse were the relevant

20	environmental standards to reflect EPA's default for the general population (17.5 g/day). Those

21	consuming at the maximum rate for the Suquamish Tribe (1453.6 g/day), the Laotian communities

22	in West Contra Costa County (1B2.3 g/day), the Squaxm Island and Tulalip tribes (391.4 g/day),

23	and the four Columbia River tribes (972 g/day) would be similarly underprotected - and, as

24	discussed below, consumption at these rates may reflect the very practices that these affected

25	groups would want to see perpetuated and protected for cultural, traditional, religious, economic,

26	and other reasons.

27	However, as this survey of the available data reveals, there are many communities, groups,

28	or peoples for which empirical studies have not yet been conducted. In addition, there is still

29	relatively little data about the intersection of factors such as ethnicity or group membership and

30	income. And, for some groups, there is the matter of acute consumption rates - very high rates of

31	consumption for shorter periods, such as during ceremonies, religious and other holidays (e.g.,

63 Among these are studies of fish consumption in Santa Monica (CA); in the state of New
York; on the Hudson River (NY); in Detroit (MI); in Lake Coeur d'Alene (ID); on Commencement
Bay (WA); on the Savannah River (GA); in the state of Florida; on Lake Ontario; in American
Samoa; on the Fox River (WI); among Wisconsin Chippewa Indians; among the Miccousukee
Indian Tribes of South Florida; and among Native Americans living near Clear Lake, California.
EPA canvassed these and other studies in preparing its AWQC Methodology. See, U.S.
Environmental Protection Agency, Ambient Water Quality Criteria Derivation Methodology
Human Health, Technical Support Document 89-103 (July 1998).

64It is not clear precisely which groups EPA means to include when it refers to
"subsistence fishers."

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1	Lent, during which Roman Catholics may consume 2 or more fish meals per week), or harvest

2	seasons (e.g. salmon runs, during which some Alaskan Natives consume 80-100 pounds of fish per

3	month) - about which less may be known and for which, in any event, current risk assessment

4	methods may fail to account. In many cases, communities, groups, or tribes would be interested in

5	conducting such studies, but lack the financial and/or technical resources to do so. Although

6	anecdotal data may be plentiful, non-quantified data are difficult to incorporate into risk

7	assessment as currently practiced; moreover, environmental agencies are unlikely to accept data

8	that have not been quantified according to accepted norms (e.g., for statistical analysis, peer

9	review, etc.). These are research needs that should be addressed.

10	2. EPA's Revised Fish Consumption Rates

11	Until recently, EPA used a standard or "default" assumption for the fish consumption rate

12	(FCR) that would be factored into estimates of health risk: 6.5 grams/day.65 This is about one 8-

13	ounce fish serving per month - an amount that is outdated and inaccurate even for the general

14	population. And, this amount grossly underestimates the consumption rates for many communities

15	of color, low-income communities, and Native Americans.

16	Recognizing this, EPA revised its default assumption in the fall of 2000, as part of an

17	updated Methodology for Deriving Ambient Water Quality Criteria for the Protect™ of Human

18	Health ("AWOC Methodology").66 Although in many cases federal and state water quality criteria

19	currently in effect reflect the old 6.5 grams/day default, EPA now recommends the following

20	default FCRs:

21

22

23

General population	17.5 grams/day

Recreational fishers	17.5 grams/day

Subsistence fishers	142.4 grams/day

"Guidelines and Methodology Used in the Preparation of Health Effect Assessment
Chapters of the Consent Decree Water Criteria Documents, 45 Fed. Reg. 79,347, App. C (1980).
"Methodology for Deriving Ambient Water Quality Criteria for the Protection of Human

Health (October, 2000).

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1	EPA will use the 17.5 grams/day value when it derives or revises national criteria

2	pursuant to CWA 304(a).67 EPA will also consider these values when it reviews water quality

3	standards set by states and authorized tribes,68 as part of a four-part preference hierarchy:

4	(1) Use local data;

5	(2) Use data reflecting similar geography/population groups;

6	(3) Use data from national surveys; and

7	(4) Use EPA's default intake rates.

8	EPA "strongly emphasizes that States and authorized Tribes should consider developing criteria to

9	protect highly exposed population groups and use local or regional data over the default values as

10	more representative of their target population group(s)."69

11	EPA's default value of 17.5 grams/day for the general population and for recreational

12	fishers reflects the 90th percentile value of 17.53 grams/day for freshwater and estuarine ingestion

13	by adults, taken from the USDA's CSFII Survey for the years 1994 to 1996. EPA's default value

14	of 142.4 grams/day for subsistence fishers reflects the 99th percentile value of 142.41 grams/day

15	for freshwater and estuarine ingestion by adults, taken from the USDA's CSFII Survey for the

16	years 1994 to 1996. EPA states that it "believes that the assumption of 142.4 grams/day is within

17	the range of average consumption estimates by subsistence fishers based on the studies

18	reviewed."70

19	For States or Tribes exercising any of the first three preferences, EPA remarks: "States and

20	authorized Tribes may use either high-end values (such as the 90th or 95th percentile values) or

21	average values for an identified population they plan to protect (e.g., subsistence fishers, sport

22	fishers of the general population). EPA generally recommends that arithmetic mean values should

23	be the lowest value considered by States or Tribes when choosing intake rates for use in criteria

24	derivation. When considering geometric mean (median) values from fish consumption studies,

67Under CWA 304(a), the EPA is to develop "criteria" - scientific information and
guidance for use by the states and authorized tribes and the EPA itself in establishing water quality
standards pursuant to CWA 303(c). Under CWA 303(c), states and authorized tribes have primary
responsibility for establishing water quality standards. EPA is charged with reviewing these
standards. EPA may promulgate superceding federal standards if a state's or tribe's standards are
not consistent with the CWA and its implementing regulations, or if the EPA determines that
national standards are necessary. In either event, EPA relies on the criteria it developed under
CWA 304(a) as it undertakes review or promulgates standards itself.

68See id.

69AWQC Methodology at 4-25.

70AWQC Methodology at 4-27; but compare Catherine A. O'Neill, Variable Justice:
Environmental Standards, Contaminated Fish, and "Acceptable' Risk to Native Peoples, 19
Stanford Envtl. L. J. 3, 59 (2000) (noting that EPA appears to offer conflicting accounts of what it
means to be a "subsistence" fisher and that "EPA nowhere makes clear precisely who it views to
be included in this grouping or to which studies it refers for the 'range of averages."')

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1	States and authorized Tribes need to ensure that the distribution is based on survey respondents

2	who reported consuming fish because surveys based on both consumers and nonconsumers can

3	often result in median values of zero. If a State or Tribe chooses values (whether central tendency

4	or high-end values) from studies that particularly target high-end consumers, these values should

5	be compared to high-end fish intake rates for the general population to make sure that the high-end

6	consumers within the general population would be protected by the chosen intake rates."71

7	Several aspects of the CSFII data and EPA's AWQC Methodology are worth discussing.

8	First, while EPA's new default values represent a vast improvement over the old 6.5 g/day

9	default, the new default values are problematic in that they aim to protect the general population at

10	the 90th percentile, but to protect subsistence fishers only at a level somewhere "in the range of

11	average estimates." This choice provides disparate levels of protection to the general population,

12	on the one hand, and subsistence subpopulations, on the other. Taking this view, it is unclear why

13	EPA's default values do not set protection for subsistence subpopulations at the 90th percentile -

14	as they do for the general population - rather than at the average. Moreover, from the perspective

15	of some groups or tribes, it is the very highest consumers that warrant particular attention and

16	protection, because it is these individuals who are consuming at levels and in accordance with

17	practices that are most consonant with the group's or tribe's traditional, cultural, religious or

18	spiritual beliefs. Taking this view, it may be appropriate in some cases for states, tribes, and the

19	EPA to use values that target protection at the 95th or 99th percentile, or even at the maximum

20	value, for particular subsistence subpopulations.

21	Second, to EPA's credit, the AWQC Methodology's four-part hierarchy recommends using

22	local data as a first choice, data reflecting similar geography/population groups as a second

23	choice, and relying on EPA's default values only as a fourth and last choice. That having been

24	said, the reality is that many states still rely on EPA's default values because they (and the affected

25	communities and tribes within their borders) simply don't have any local data on which to rely -

26	often due to a lack of resources.72 If using local data is to be a meaningful first choice, more

27	resources need to be devoted to gathering this data, a point taken up at greater length below.

28	Third, EPA notes that the default values and the four-part preference hierarchy assume data

29	reflecting consumption of freshwater and estuarine species only. For states or tribes exercising

30	any of the first three preferences, EPA recommends that consumption of marine species be treated

31	as an "other source of exposure." The effect of choosing to exclude marine species is to decrease

32	the resulting default fish consumption rates (and, ultimately, to render any standard based on these

33	defaults or recommendations less protective). Of note, too, EPA deemed salmon to be marine,

34	although they are anadromous, spending a portion of their lifecycles in freshwater and/or estuarine

35	environments. EPA estimates that the effect of this exclusion is to decrease the resulting default

36	FCRs by approximately 13%.73

71AWQC Methodology at 4-26.

72Telephone Interview with Denis Borum, Environmental Scientist, Office of Science and
Technology, Office of Water, U.S. Environmental Protection Agency (November 23, 1999).

73Draft AWQC Methodology at 43,804.

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1	Fourth, the EPA's default values are based on per capita consumption rates from the

2	general population - that is, "fish consumption" rates that include fish consumers and fish

3	nonconsumers alike. The CSFII study on which the EPA's defaults are based surveyed 11,912

4	individuals annually for 3-day periods.74 Of the 11,912 participants, only 3,972 actually ate fish

5	during the three days surveyed.75 These were the fish consumers; their fish consumption rates were

6	recorded. The 7,940 participants who didn't eat fish during the three-day period were the fish

7	nonconsumers; their fish consumption rates were entered as "0." The CSFII study then generated

8	two sets of figures: a set considering only the fish consumers and a set considering both the fish

9	consumers and the fish nonconsumers. EPA chose to base its default values on the latter, per

10	capita figures. Importantly, the effect of this choice is again to decrease the resulting default FCRs

11	- with so many "zero" values factored in, the point estimates are decreased at every point of

12	comparison. So, for example, whereas the mean value for fish consumers is 106.39 g/day, the

13	mean value once fish nonconsumers are also included sinks to 18.01 g/day; similarly, whereas the

14	99th percentile value for fish consumers is 399.26 g/day, the 99th percentile value drops to 142.96

15	g/day.76 It is unclear why EPA, in setting out to fashion water quality criteria that are protective of

16	the health of humans who are exposed to contaminants through the fish ingestion route, chooses to

17	consider the fish consumption practices of those who do not eat fish at all. People who don't eat

18	fish aren't in any danger of being exposed via this route. And people who do eat a lot of fish will

19	be underprotected by diluted FCRs influenced by so many "zero" values. This choice is akin to

20	including non-smokers in a study of the direct (not indirect) exposure to nicotine, or setting

21	occupational safety standards to protect non-workers from on-the-job hazards.

22	Finally, the CSFII participants were selected from the forty-eight contiguous states only.

23	The authors of the CSFII study note that the exclusion of Alaska and Hawai'i may result in

24	depressed fish consumption values given that Alaska and Hawai'i "could potentially contain" a

25	larger percentage of subsistence and other higher-consuming groups than the forty-eight contiguous

26	states. Given the available data regarding fish consumption practices in Alaska and Hawai'i, this

27	is almost certainly the case.

741 & 2 U.S. Department of Agriculture, Continuing Survey of Food Intake by Individuals
(1998) [hereinafter 1 CSFII Study and 2 CSFII Study]. ***Caveat: The Draft AWQC Methodology
references the CSFII study data for 3-day periods for the years 1989, 1990, and 1991, whereas the
Final AWQC Methodology references the CSFII data for the years 1994,1995, and 1996. The
Fish Consumption Workgroup is investigating this apparent discrepancy. The numbers in the
paragraph are taken from the 1989-1991 data. While it is possible that the numbers in the Final
Report will need to be changed to reflect the 1994-1996 data, the phenomenon described here
applies generally to the choice between per capita rates versus rates that include fish consumers
only and will likely be borne out by the 1994-1996 data as well.

751 CSFII Study at IV-8 and IV-16.

762 CSFII Study at IV- 9 (table A-4) and IV-17 (table B-4). Note that these values are for
"all fish;" recall that EPA's default values are based not on all fish, but only on freshwater and
estuarine fish.

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1	Taken together, these choices mean that EPA's default values are less protective of higher-

2	consuming and subsistence subpopulations. Given that these subpopulations are in the main

3	comprised of particular communities of color, low-income communities, or tribes, these choices

4	are deeply troubling. Even in those cases where a state or a tribe undertakes any of the first three

5	options in the four-part hierarchy, they must demonstrate "consistency with the principles" of the

6	guidance provided by EPA in order to satisfy EPA review under CWA 303(c). Thus, all of the

7	choices EPA has made in setting its own default values in effect become recommendations for the

8	states or tribes to do the same (or face having to justify departures).

9	3. Fish Consumption Rates Reflected in Current Water Quality Criteria and

10	Standards77

11	As noted above, EPA has recently revised its default assumption for the fish consumption

12	rate to capture more accurately current national consumption patterns. States and authorized tribes,

13	moreover, have always been free, subject to EPA approval, to depart upward from EPA's default

14	numbers to reflect their higher-consuming populations. And under EPA's revised AWQC

15	Methodology, states and tribes are now expressly encouraged to do so. Nonetheless, the question

16	remains to what extent do the water quality standards currently in effect (whether developed by

17	EPA, various states or tribes) reflect fish consumption rates higher than the old 6.5 grams/day

18	default?78

19	Although a handful of states have developed their own default fish consumption rates for

20	use in developing water quality criteria and standards (e.g., WA, NY, MN, others), by and large,

21	states have relied on EPA's default of 6.5 grams/day. Note that EPA, for its part, has never

22	disapproved state water quality criteria or standards developed using the 6.5 grams/day value on

23	the basis that this FCR did not adequately reflect higher-consuming or subsistence fishers affected

24	by that state's standards.79 As a result, a significant number of the state-issued water quality

25	criteria and standards currently in effect may rely on the 6.5 grams/day value.

26	When EPA develops national water quality criteria or when it steps in to develop water

27	quality criteria for states or tribes,80 it looks to its own default values. Because EPA's revisions

77See discussion of water quality criteria under CWA 304(a) and 303(c), at note	. Note

that the term "water quality criteria," as used in CWA 303(c), is part of the definition of .a "water
quality standard," which is comprised of (1) designated uses of a water quality segment, together
with (2) water quality criteria necessary to support those uses. The term "water quality criteria"
or "criteria" is also used to refer to the scientific information and guidance to states and tribes
provided by the EPA pursuant to CWA 304(a). It is to the former usage that this section of this
Draft Report refers.

78Note that the Fish Consumption Workgroup is in the process of investigating this question.
This discussion is, therefore, tentative.

79Rick Healy, U.S. Environmental Protection Agency, Office of Water (Fish Consumption
Workgroup Conference Call, June 26,2001).

80The only example here is the case of the Confederated Tries of the Colville Reservation.

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1	have only been in place since fall of 2000, it is perhaps not surprising that many of the criteria

2	currently in effect may still reflect EPA's old default value of 6.5 grams/day.

3	Taken together, a significant portion of water quality criteria and standards currently in

4	effect may rely on the 6.5 grams/day value. As has been noted, this value grossly underestimates

5	consumption by many communities of color, low-income communities and tribes.

6	C. EXPOSURE: ASSUMPTIONS ABOUT SPECIES, PARTS, PREPARATION

7	As noted above, the fish, aquatic plant, and wildlife consumption and use practices of

8	communities of color, low-income communities, and tribes differ from those of the general

9	population. These differences in practices refer not only to the quantities of fish, plants and

10	wildlife consumed, but also to the species consumed; the fish, animal or plant parts used; and the

11	preparation methods employed. The studies upon which EPA and other agencies base their risk

12	assessment and risk management decisions, however, typically make assumptions about species

13	consumed, parts used, and preparation methods employed that reflect the practices of the general

14	population but do not depict fully or accurately the practices of affected communities and tribes.

15	For example, agencies typically assume that people eat or prefer certain species, and that they

16	refrain from eating a host of others, including "unusual" species such as sea urchin, sea cucumbers

17	or bottom-feeding fish. Agencies typically assume that people eat only the fillet of finfish, and that

18	they do not eat the fat, head, skin, bones, eggs, or internal organs. Agencies typically assume that

19	people dispose of the drippings or cooking fluid. One result is that agencies set water quality

20	standards and issue consumption advisories that are founded on an inaccurate picture of affected

21	communities' and tribes' exposure. In most cases, the resulting standards will therefore not be

22	sufficiently protective of members of these groups, whose different practices often expose them to

23	additional sources of contaminants beyond those considered by the agencies. For example, lead

24	accumulates in the bones, and most PCBs and most other persistent and bioaccumulative toxins

25	accumulate in tissue with high lipid content, such as fat or eggs. Also, consumption advisories

26	may include irrelevant or inappropriate information or recommendations, a point taken up in

27	Chapter 3.

28	There is considerable evidence that different groups have different practices with respect

29	to species consumed, parts used, and preparation methods employed. Much of this evidence is

30	contained in local knowledge, direct observation, or "anecdote," rather than in formal studies,

31	although there is a growing body of empirical work that confirms what affected communities and

32	tribes know to be the case. For example, an African-American fisher on the Detroit River

33	explains:

34	"I keep sheephead and carp [which are bottom-feeding fish] because I have a large

35	family to feed. "81

8lPatrick C. West and Brunilda Vargus, A Subsistence-Culture Model for High Toxic Fish
Consumption by Low Income Afro-Americans from the Detroit River 5 (forthcoming).

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1

According to a study by the Squamish Tribe:

2	"Children still teethe on dried clams ..." 82

3	According to a study recounting subsistence consumption practices in the Chignik Lake area,

4	Alaska:

5	"In exchange for the 'red' salmon, Chignik Lake [people] received shellfish such as

6	chitons (bidarkies), sea urchins (uduks), and butter clams from Perryville and Ivanof By

7	people, resources Chignik Lake people have to travel far to get. "83

8	According to a study of fishers on the Lower Fox River in the Green Bay, Wisconsin area:

9	"Of those who reported eating the fish, Caucasian anglers reported that they like to eat

10	the walleye . . . Most Asian [Hmong and Laotian] anglers reported that they prefer to

11	eat the White Bass. White Bass is on the list of 'Do Not Eat 'fish in the fish advisory. " 84

12	According to a study of the subsistence hooligan fishery on the Chilkat and Chilkoot Rivers in

13	Alaska:

14	"Historically, hooligan oil was used primarily for eating with other foods, but also for

15	preserving certain berries, roots, herbs, and salmon eggs. It was commonly mixed with

16	fresh berries. It was also consumed at feasts.

17	In 1990 and 1991, processors dipped crackers, raw vegetables, dry fish, or meat into the

18	fresh oil while it was still cooking in the vats. Pieces of hooligan meat were scooped up

19	and eaten from cooking vats. One processing group served fresh hooligan oil

20	accompanied by an array of other wild or fresh foods including smoked seal, smoked

21	salmon, and raw fruits and vegetables. Throughout the year, the oil generally was eaten

22	as a condiment with foods. It was added to boiled fish and meat, and spread or dipped

23	with a variety offoods. Herring eggs, other fish eggs, boiled fish, and black seaweed

24	were often eaten with hooligan oil. It was used for frying red sea ribbons in early

25	summer. Year-old oil was whipped and mixed with cranberries, or cranberries and coho

82The Suquamish Tribe, Fish Consumption Survey of the Suquamish Indian Tribe of the
Port Madison Indian Reservation, Puget Sound 9 (2001).

83Lisa Hitchinson-Scarbrough and James A, Fall, An Overview of Subsistence Salmon and
Other Subsistence Fisheries of the Chignik Management Area, Alaska Peninsula, Southwest
Alaska (1996) available at www.nativeknowledge.org/db/files/tp230.htm.

84Dyan M. Steenport, et al., Fish Consumption Habits and Advisory Awareness Among
Fox River Anglers, Wisconsin Medical Journal (November, 2000) available at
www.wismed.org/wmi/nov2000/fish.html.

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1	or sockeye salmon eggs. The aged oil was preferred, as it tended to whip more easily

2	than freshly rendered oil. "85

3	Velma Veloria, Washington State Representative, observes:

4	"Culturally, in the Filipino community, we eat the fin that many cut off, along with the

5	belly fat. We love the fat. We fry it up to make soup. "*6

6	According to a study of the Greenpoint/Williamsburg ("G/W") community in the Borough of

7	Brooklyn in New York City:

8	[Hispanics and Caribbean Americans] consume considerable quantities of fresh

9	shellfish, including parts of the fish not typically consumed (e.g., the highly

10	contaminated hepatopancreas of blue crabs)}1

11	According to a study of lead contamination in the Spokane River from the Idaho state line to the

12	Seven Mile Bridge:

13	"Russians and other immigrants said they use the whole fish, including bones and

14	internal organs, in fish stews. The lead concentrates in bone and brains, the fish study

15	showed. "88

16	According to a study recounting consumption practices in Bristol Bay, Alaska:

17	"A variety ofparts of the salmon were used for human consumption by Naknek River

18	residents during the study period. Some parts, such as fillets, are used from every fish.

19	Other parts, such as milt, were used on an occasional basis. . . .

20	[Fillets] were frozen, salted, canned, smoked, dried, or eaten fresh. Heads, particular

21	for those kings or large sockeyes, were used by many households. Fish head chowder

22	was the most common method ofpreparation. Among those persons who used fish

23	heads, it was ranked a favorite part of the fish, particularly of the king salmon.

24	Eggs were frequently used, either as bait or eaten. If eaten, eggs were boiled or

25	prepared as caviar. Fried milt was also used as food. . .. Milt can be frozen, but most

85Martha F. Betts, The Subsistence Hooligan Fishery of the Chilkat and Chilkoot Rivers
(1994) available at www.nativeknow1edge.org/db/files/tp213.htm.

86Velma Veloria, FCW Conference Call (October 23, 2001).

87Industrial Economics, Inc., Community-Specific Cumulative Exposure Assessment for
Greenpoint/Williamsburg New York2-2\ (1999).

88Karen Dorn Steele, Agencies Warn of Lead in River's Fish Advisory; Targets Fish
Consumption of Contaminated Fish Caught in Stretch of Spokane River, The Spokesman Review
A1 (June 21, 2000).

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I

1	reported using it fresh. The backbone was used two ways, either when a whole fish was

2	canned or as 'gumchuk.' Gumchuk is the local term for a backbone that is hung until the

3	outside layer of meat is dry, while the inside portion remains moist. It is then stored in

4	a freezer. The dried backbone piece is boiled for eating. The backbone itself is not

5	eaten, but sucked to extract the marrow and juices. The second method ofpreserving

6	the backbone was canning. This method of processing disintegrates the backbone which

7	is then eaten along with the meat.

8	Other salmon parts were used on a less frequent basis by local Naknek River residents.

9	Some households fixed salmon tails. These were either dried or smoked, or more

10	frequently, salted, soaked out, and boiled. Tips were mainly salted and then boiled. The

11	stomachs were cleaned and boiled by a few households. Livers and hearts were fried. "89

12	According to a study by the Suquamish Tribe:

13	"Nectar resulting from shellfish preparation methods was commonly used. Sixty-four

14	percent of respondents reported drinking the nectar and 24% reported using it in

15	cooking, in contrast to 19% who reported that they "threw it out. "90

16	Finally, as noted above, according to a recent survey of first- and second-generation Asian and

17	Pacific Islanders in King County, Washington - including members of Cambodian, Chinese,

18	Filipino, Hmong, Japanese, Korean, Laotian, Mien, Samoan, and Vietnamese ethnic groups:

19	[Asian and Pacific Islanders] consume a wide variety of seafod species, the most

20	frequently consumed being shellfish. These seafood, depending on their feeding and

21	habitat characteristics, and the tissue parts consumed pose varying chemical

22	contaminant risks to APIs. For example, certain fat soluble chemicals, e.g., PCBs, are

23	concentrated in the fat layer between the meat and the skin, potentially exposing such

24	consumer to higher contaminant levels than whose who simply eat the fillet. Eating the

25	fillet with skin is clearly a common practice in the API community. . .. Overall, skin was

26	consumed with the fillet 55% of the time. . ..

27	API community members appear to eat shellfish parts that are thought to contain higher

28	concentrations of chemical contamination, e.g., clam stomachs or the hepatopancreas of

29	crabs. Bivalve shellfish were consumed whole by 24% (geoduck) to 89% (mussels) of

30	respondents depending on the species. The "butter " as well as the meat of crabs were

31	consumed 43% of the time . . .Finally, cooking water, both for finfish and shellfish are

32	commonly use in cooking or directly consumed. "9I

89Judith M. Morris, The Use of Fish and Wildlife Resources by Residents of the Bristol
Bay Borough, Alaska (1985) available at www.nativeknowledge.org/db/files/tpl23.htm.

90The Suquamish Tribe, Fish Consumption Survey of the Suquamish Indian Tribe of the
Port Madison Indian Reservation, Puget Sound 51 (2001).

91Ruth Sechena, et al., Asian and Pacific Islander Seafood Consumption Study (1999)

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1	Yet, the studies upon which EPA and other agencies base their risk assessment and risk

2	management decisions often make assumptions about species consumed, parts used, and

3	preparation methods employed that do not reflect these practices. Consider the following

4	description of a study of Los Angeles Harbor fishers by Puffer, et al.:

5	From January to December of 1980, 1059 interviews with sportfishers were conducted in

6	several fishing areas of the Los Angeles Harbor area. No fisher was sampled more than

7	once. Data was collected on the following: amount of fish caught on the day of the

8	interview, the primary use of the fish (whether it was eaten by the fisher's family, given

9	away, thrown back, etc.), frequency of fishing, and other variables. Based on this data and

10	assuming that only an edible portion (1/4 to 'A) of the caught fish would be eaten,

11	median and 90th percentile consumption rates of 37 grams per day and 225 grams per day

12	were determined.92

13	If the fishers studied were members of a group that viewed the "edible portion" of the fish to

14	include more parts or a greater portion of the fish than assumed by the study authors, this

15	consumption would not have been registered and the resulting consumption rates would be lower

16	than the actual consumption rates of those studied. Although there is no way to know for exactly

17	how many of the fishers studied this would be the case; however, given that a significant number of

18	the fishers studied were what the authors characterized as "Orientals/Samoans," it would at least

19	be true for some. Importantly, as noted above, it is also often the case that the different parts

20	consumed by communities of color, low-income communities, and tribes are the very parts that

21	accumulate the toxins. For both of these reasons, these groups' exposure is often underestimated

22	by agencies relying on conventional studies and methods.93

23	Of note is that the CSFII study on which the EPA bases its default fish consumption rates

24	similarly relies on a variety of assumptions that tend to reflect the consumption practices of the

25	general population. The CSFII study asks participants to categorize and quantify their food intake

26	according to a list of approximately 6,600 different food codes, of which 460 relate to fish and

27	shellfish.94 The participants' responses are then matched with standard recipes contained in the

28	U.S. Department of Agriculture recipe file, in order to adjust the responses to reflect the quantity

29	of fish contained in the particular dish, assuming standard quantities and preparation methods.

30	The differences noted here have implications for EPA's risk assessment and risk

31	communication decisions. When agencies set water quality standards that are founded on an

92U.S. Environmental Protection Agency, Office of Water, Ambient Water Quality Criteria
Derivation Methodology Human Health: Technical Support Document 96 (1998) (emphasis
added).

93Note that the extent to which exposure is likely to be underestimated depends in part on
whether bioconcentration or bioaccumulation factors are determine using whole fish or merely
"edible portions" of fish.

941 U.S. Department of Agriculture, Continuing Survey of Food Intake by Individuals at
11-1-4(1998).

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1	inaccurate picture of affected communities' and tribes' exposure, the standards will not be

2	sufficiently protective of members of these groups. Although the examples above provide a sense

3	of the growing body of evidence of differences in consumption practices as between the general

4	population and communities of color, low-income communities, and tribes, there is still a need for

5	systematic study for many of these groups. Further, there is no place in EPA's current risk

6	assessment methods to account for these different practices and the higher level of exposure they

7	entail. The fact that often extraordinary levels of exposure - e.g., exposure to the large amounts of

8	contaminants accumulated in the hepatopancreas of crab - are simply unaccounted for by EPA and

9	other agencies when they set environmental standards is extremely troubling to affected

10	communities whose health is thereby relatively underprotected.

11	Finally, when agencies issue consumption advisories founded on a misunderstanding of

12	affected communities' baseline practices, they may include irrelevant or inappropriate information

13	or recommendations. This issue will be discussed at greater length in Chapter 3.

14	D. EXPOSURE: CONSUMPTION PRACTICES IN CONTEXT

15	The contamination of fish, aquatic plants, and wildlife is especially troubling to many

16	communities of color, low-income communities, and tribes because these groups consume and use

17	these resources in different cultural, traditional, religious, historical, economic, and legal contexts

18	than the "average American." Thus, it is not only that there are differences in the quantities of fish

19	consumed or in the species, parts, and preparation methods used, but also that there differences -

20	sometimes profound differences - in the place that these practices occupy in the lives of these

21	people and groups. This is abundantly demonstrated by both testimonial and social scientific

22	evidence. These practices are, in an important sense, indispensable to many of these communities

23	and tribes. These differences need to be understood (as best as is possible, given that there may

24	be difficult issues of cross-cultural translation) and accommodated in risk assessment, risk

25	management, and risk communication approaches.

26	In order to gain a full sense of the circumstances of exposure for many communities of

27	color, low-income communities, and tribes, it is necessary to understand the cultural context in

28	which exposure occurs. A handful of recent community- or tribally-conducted studies have

29	demonstrated the importance of context for understanding exposure. (The necessity of community

30	and tribal involvement in these and other studies is taken up below, in Section H.) For example,

31	the recent consumption study conducted by the Suquamish Tribe commences with an account of

32	"Cultural Patterns and Practices Affecting Suquamish Seafood Consumption," and notes the

33	importance of "[t]he stories that are woven into the statistics presented in this report. "95

34	It is not only a matter of reconsidering approaches to research, but also a matter of

35	reevaluating approaches to risk assessment and risk management. Tradeoffs or cost-benefit

95The Suquamish Tribe, Fish Consumption Survey of the Suquamish Indian Tribe of the
Port Madison Indian Reservation, Puget Sound Region 5-9 (2000).

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1	analyses that may be appropriate in other contexts may thus be inappropriate where those affected

2	engage in fishing and fish consumption for the interrelated cultural, traditional, religious,

3	historical, and economic reasons that characterize many affected groups' practices. Additionally,

4	such tradeoffs may run afoul of legal obligations to particular groups, e.g., civil rights-based

5	protections or trust- and treaty- based protections.

6	Importantly, this discussion has implications for agencies' choices among various risk

7	management tools. In some cases, for some affected groups, it will simply not be appropriate to

8	ask members to avoid risks by reducing their consumption, by switching to alternative species or

9	fishing locations, by avoiding certain fish parts, or by adopting different preparation methods.

10	Some or all of these practices may be prescribed for cultural, traditional, religious, historical,

11	and/or economic reasons. This issue will be discussed again in Chapter 3, but it should be

12	recognized that its implications are broader.

13	E. MULTIPLE EXPOSURES AND CUMULATIVE RISKS

14	Agencies currently employ risk assessment methods that evaluate the risks of

15	environmental contamination as if humans were exposed to only a single contaminant at a time, by

16	a single route of exposure. Humans, however, are often exposed to multiple contaminants at a time

17	or in succession, and often via more than one route of exposure. These contaminants may have

18	synergistic (or antagonistic) effects in combination, yet very little is known about these effects and

19	agencies do not take them into account.

20	It is the case, moreover, that members of communities of color, low-income communities,

21	and tribes are more likely to be exposed to multiple contaminants via multiple routes and pathways

22	than are members of the general population. As Stuart Harris, Confederated Tribes of the Umatilla

23	Indian Reservation, and Barbara Harper, Fourteen Confederated Tribes of the Yakama Nation,

24	observe:

25	The issue of multiple contaminants is significant, and it is the norm, at least in the

26	Columbia River system, for over 100 contaminants to be identified in fish tissues. While

27	only a few might be at concentrations that trigger an action in any given fish, the

28	combined risk for one fish or for the many species which comprise the native diet can be

29	quite high. If these chemicals are in the fish, they are also in the water and/or sediment,

30	so other routes of exposure are important. The toxicity of a mixture of dozens of

31	carcinogens plus dozens of noncarcinogens . . . needs to be examined.96

32	Similarly, communities along the Mississippi River Corridor between New Orleans and Baton

33	Rouge, whose members are largely African American and/or low-income, are exposed to an

96Barbara Harper and Stuart Harris, Tribal Technical Issues in Risk Reduction Through
Fish Advisories, Proceedings of the American Fisheries Society, Forum on Contaminants in Fish
17, 19 (1999).

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1	unconscionable level and mix of contaminants, via several routes and pathways.97 These multiple

2	affronts include exposure to a host of toxic air pollutants (emitted at levels several times the levels

3	elsewhere in the United States);98 to mercury and numerous other contaminants in the fish, oysters

4	and crayfish that are often staple foods;99 and to vinyl chloride and other contaminants in drinking

5	water.100 And northern Ojibwa tribes are exposed to mercury via multiple resource pathways,

6	given its uptake by fish and its presence in and on wild rice.

7	EPA and other agencies have begun to look at how to address multiple exposures and

8	cumulative risk. For example, and to its credit, EPA's Office of Policy has recently conducted a

9	cumulative exposure project to begin to assess the total exposure of more than 100 contaminants

10	across multiple pathways; one component of this project is a community-specific study in the

11	Greenpoint/Williamsburg community in Brooklyn, NY, designed to assess exposures to a variety

12	of contaminants via fish consumption, water ingestion, air inhalation, and lead exposure.101 This

13	urban community is one of the poorest in New York City; it is comprised of substantial African

14	American, Hispanic (including Caribbean American), Polish, Italian, and Hasidic

15	subpopulations.102 It is well recognized, however, that many of the issues of multiple exposures

16	and cumulative risks remain unaddressed for the bulk of risk assessments currently being

17	conducted.

97Charles Lee, ed., United Church of Christ Commission for Racial Justice, From
Plantations to Plants: Report of the Emergency National Commission on Environmental and
Economic Justice in St. James Parish, Louisiana (1998).

98Id.

"Telephone Interview, Barry Kohl, Department of Geology, Tulane University (October
17,2001); Louisiana Department of Environmental Quality and Louisiana Department of Health
and Hospitals, Human Health Protection Through Fish Consumption and Swimming Advisories
in Louisiana, available at www.deQ.state.la.us/surveillance/mercurv/fishadvi.htm (listing
advisories statewide, many of wide apply to the waters of the Mississippi River Corridor).

100See, e.g., Chris Frink, State Knew Well was Contaminated, The Advocate Online,
available at www.theadvocate.com/news/storv.asp?storvid=20619: Telephone Interview, Mary
Lee Orr, Louisiana Environmental Action Network (October 17, 2001).

I01lndustrial Economics, Inc., Community-Specific Cumulative Exposure Assessment for
Greenpoint/Williamsburg New York 1-1- 1-5 (1999).

102Id. at 1-2.

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1	F. SUSCEPTIBILITY AND CO-RISK FACTORS

2	Even if it were the case that all individuals' exposure circumstances were the same - that

3	they came in contact with the same environmental contaminants, by the same routes, at the same

4	frequency, for the same duration - they might not suffer the same adverse health effects as a result

5	of this contact due to differences in their susceptibilities and differences in the extent to which

6	their life circumstances allowed them to be prepared for and recover from the insult of an

7	environmental contaminant, i.e. in their "co-risk" factors.

8	One might be more or less susceptible to a given level or "dose" of an environmental

9	contaminant depending on one's life stage (e.g., children or the elderly may be more susceptible);

10	one's prior exposure to the same or other contaminants (e.g. those who have become sensitized

11	through prior exposures and now have more severe responses); one's genetic makeup (e.g., genetic

12	susceptibilities that occur in a small but significant percentage of the population); or one's existing

13	conditions or diseases (e.g., asthmatics).103 Although very little is known about the coincidence of

14	some of these factors - genetics, for example - and whether one is a person of color, a low-

15	income person, or a Native American, it is fair to say that there is a significant correlation for

16	others - prior exposures, or access to adequate health care, for example.104

17	One may also be more or less able to prepare for and recover from exposure to given level

18	or "dose" of an environmental contaminant depending on the various resources an individual,

19	community, group, or tribe can call upon and depending on other aspects of one's life

20	circumstances. Thus, one may be more or less able to withstand and recover from a toxic insult

21	depending on one's income, the quality of one's baseline diet, whether one is employed, whether

22	one has access to adequate health care, whether one has adequate insurance, and whether one's

23	community or tribe can assist to provide coping systems.105

24	Current risk assessment, risk management and risk communication methods do not account

25	adequately for susceptibilities and co-risk factors that affect individuals' responses to the

26	environmental contaminants with which they come in contact. This is especially troubling to the

27	extent that current risk estimates are made assuming the life circumstances of the general

28	population or the affluent and fail thereby to account for the particular susceptibilities and co-risk

29	factors that tend to be clustered in or characterize various communities of color, low-income

30	communities, and tribes. To take but a single co-risk factor by way of example, consider that of

31	the respondents surveyed in a recent study of Asian and Pacific Islander communities in King

32	County, Washington, 90% of Samoans, 62% of Vietnamese, 60% of Mien, 50% of Cambodians

33	and 45% of Laotians live under the federal poverty line.106 Among American Indians and Alaskan

1U3Marty Halper, OEJ Science Advisor Note: permission to cite not yet granted.

104See e.g., Robert R. Kuehn, The Environmental Justice Implications of Quantitative
Risk Assessment, 1996 U. 111. L. Rev. 103.

I05Marty Halper, OEJ Science Advisor Note: permission to cite not yet granted.
l06Ruth Sechena, et al., Asian and Pacific Islander Seafood Consumption Study (1999).

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1	Natives, one in three lives below the federal poverty line.107 Here again, more data need to be

2	gathered about the particular susceptibilities and co-risk factors relevant to communities of color,

3	low-income communities, and tribes. And here, too, EPA's and other agencies' risk assessment,

4	management and communication methods need to be able to incorporate and address differences in

5	susceptibilities and co-risk factors.

6	G. SUPPRESSION EFFECTS AND THEIR IMPLICATIONS

7	A "suppression effect" occurs when a fish consumption rate (FCR) for a given population,

8	group, or tribe reflects a current level of consumption that is artificially diminished from an

9	appropriate baseline level of consumption for that population, group, or tribe. The more robust

10	baseline level of consumption is suppressed, inasmuch as it does not get captured by the FCR.108

11	There are two circumstances in which suppression effects have implications for an

12	environmental justice policy that seeks to sustain healthy aquatic ecosystems and to protect the

13	health and safety of people consuming fish, shellfish, aquatic plants, and wildlife for subsistence,

14	traditional, cultural, or religious purposes. In the first, a suppression effect may arise when an

15	aquatic environment and the fish it supports have become contaminated to the point that humans

16	refrain from consuming fish caught from particular waters. Were the fish not contaminated, these

17	people would consume fish at more robust baseline levels. In the second, a suppression effect may

18	arise when fish upon which humans rely are no longer available in historical quantities (and

19	kinds), such that humans are unable to catch and consume as much fish as they had or would. Such

20	depleted fisheries may result from a variety of affronts, including an aquatic environment that is

21	contaminated, altered (due, among other things, to the presence of dams), overdrawn, and/or

22	overfished. Were the fish not depleted, these people would consume fish at more robust baseline

23	levels.

24	The implications for environmental justice policy will depend in part upon which of these

25	two scenarios accounts for the suppression effect observed. They will also depend upon how the

26	more robust "baseline" level is defined - an exercise that itself raises important environmental

27	justice issues. This question of an appropriate "baseline" will in turn be related to the particular

28	group affected. In many cases, for example, a tribe will be able to cite a historical "point of

29	reference" that would describe an appropriate baseline in terms of environmental quality,

l07See Chapter 4 for a more complete discussion of the susceptibilities and co-risk factors
of American Indians and Alaskan Natives.

l08This effect was recognized and named in an early survey of Michigan sport anglers, and
cited by the study's authors as a basis for adjusting the observed FCR upward. Patrick West, et
al., Michigan Sports Anglers Fish Consumption Survey: Supplement I, Non-Response Bias and
Consumption Suppression Effect Adjustments (School of Natural Resources, University of
Michigan, Ann Arbor; Natural Resource Sociology Research Lab, Technical Report No. 2 (1989).

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1	geographic delineation, and treaty rights.109 In each case, there would be important questions of

2	history, culture, and aspiration that would need to be considered in determining an appropriate

3	baseline; that is to say, an appropriate baseline might mean examination into what people had

4	consumed as well as aspiration for what people would consume were there "fair access for all to a

5	full range of resources,"'10 or were the conditions fulfilled for full exercise of treaty- and trust-

6	protected rights and purposes.

7	When environmental agencies employ a FCR that does not capture fully the consumption

8	that is suppressed - under either scenario in which suppression effects occur - they set in motion a

9	sort of downward spiral whereby the resulting environmental standards permit further and further

10	contamination or depletion of the fish and so diminished health and safety of people consuming

11	fish, shellfish, aquatic plants, and wildlife for subsistence, traditional, cultural, or religious

12	purposes. These effects play out somewhat differently in each of the two scenarios, as elaborated

13	below.

14	1. Contamination

15	Health and environmental agencies have increasingly responded to contaminated aquatic

16	environments by issuing fish consumption advisories warning humans to limit or stop their

17	consumption of fish from polluted waters.111 In many cases, individuals have responded to these

18	advisories and/or to a greater general awareness of the dangers of consuming contaminated fish by

19	eating less fish.112 The extent to which individuals respond to fish consumption advisories by

20	reducing their consumption varies.113 In some cases, this is due to the fact that advisories are more

21	effectively communicated to some affected populations than others. Among other things,

22	advisories may not be communicated in culturally or language-appropriate ways. In other cases,

23	this is due to the fact that, for cultural, traditional, spiritual, economic, and/or other reasons, the

24	individuals to whom the advisories are addressed do not respond by reducing their consumption.

109Moses Squeochs, Director, Environmental Program, Fourteen Confederated Bands of
Yakama Nation (C3G Conference Call, August 3,2001). For the Bands of the Yakama Nation, for
example, this point of reference would be 1855. Id.

""Principles of Environmental Justice, Proceedings of the First National People of Color
Environmental Leadership Summit (1991).

11'U.S. EPA, Office of Water, Update: National Listing of Fish and Wildlife Advisories 2
(April 2001), available at www.epa.gov/ost/fish.

112 See, e.g., Telephone interview with Shawn Martin, Clean Water Manager, St. Regis
Mohawk Tribe Environment Division (July 12, 2001).

"3Studies suggest varying degrees of both (1) awareness of fish consumption advisories
by members of the public and (2) "compliance" with fish consumption advisories through changed
fish consumption practices even when members of the public are aware of fish consumption
advisories. See e.g., John Tilden et. al, Health Advisories for Consumers of Great Lakes Sport-
Fish: Is the Message Being Received?, 105 Environmental Health Perspective 1360 (Dec. 1997);
Hugh F. MacDonald and Kevin J. Boyle, Effect of a Statewide Sport Fish Consumption Advisory
on Open-Water Fishing in Maine, 17 Journal of Fisheries Management 687 (1997).

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1	When environmental agencies set or approve water quality standards that are meant to be

2	protective of human health, agencies look to gauge humans' exposure by how much fish they are

3	consuming, i.e. their fish consumption rate. Agencies estimate or measure this FCR, and on this

4	basis determine how much pollution can remain in or be discharged to the relevant waters and

5	sediments and still result in what have been deemed "acceptable" levels of contamination and risk

6	to human health. Notably, the FCRs on which agencies rely are meant to represent current rates of

7	fish consumption, rates that may reflect a suppression effect as outline above.

8	When environmental agencies set or approve water quality standards that rely on a picture

9	of exposure that takes people to be eating smaller quantities of fish, agencies will permit relatively

10	greater quantities of pollutants to remain in or be discharged to the waters and sediments. That is

11	to say, agencies will set less protective standards. The downward spiral thus begins, as these

12	aquatic environments and the fish they support will be permitted to become increasingly

13	contaminated, and some individuals in turn might be expected to respond by reducing their fish

14	consumption even further. The downward spiral would continue, as agencies would then register

15	this even lower rate of consumption, set new standards assuming that little or no human exposure

16	to contaminants occurs via fish consumption, and permit even greater quantities of pollutants in

17	aquatic ecosystems.

18	2. Depletion

19	Many species of fish upon which people have traditionally relied are no longer readily

20	available, due to habitat degradation and diminishment, ecosystem alteration, overfishing, and

21	other causes. In the Pacific Northwest, for example, compromised aquatic ecosystems mean that

22	fish are no longer available for tribal members to take, as they are entitled to do in exercise of

23	their treaty rights. These numerous affronts have resulted in 24 salmon and steelhead runs being

24	listed as endangered or threatened under the Endangered Species Act, and other fisheries being

25	depleted. With fewer fish available to be taken, many tribal members have been prevented from

26	consuming fish at the level that they would have were they able to exercise their treaty rights to the

27	fullest extent.114

28	Again, when environmental agencies set or approve water quality standards that rely on a

29	picture of exposure that takes people to be eating smaller quantities of fish, agencies will permit

30	relatively greater quantities of pollutants to remain in or be discharged to the waters and

31	sediments. Thus, tribal members are not only left with fewer fish to take and consume, but those

32	that remain will be permitted to become increasingly contaminated. If fish stocks continue to

33	decline, a variation on the downward spiral described above can be expected, with lower FCRs

34	resulting from the fact that there are simply fewer fish to be consumed. Again, agencies would

35	then register this even lower rate of consumption, set new standards assuming that little or no

36	human exposure to contaminants occurs via fish consumption, and permit even greater quantities of

37	pollutants in aquatic ecosystems.

ll4Telephone Interview with Kelly Toy, Shellfish Biologist, Tulalip Tribes (November 9,
1999) [as cited in . . . or re-confirm permission to cite here].

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1	It should be noted, too, that contamination is related to depletion. To take but one example,

2	among the contaminants that have contributed to the decline and listing of salmon populations in the

3	Pacific Northwest are numerous pesticides. Recent studies have shown that pesticides disrupt the

4	ability of salmon to develop properly and to home to their natal streams; these harmful effects are

5	in addition to their toxic effects on humans and other animals that consume fish.115

6	3. Evidence of Suppression Effects

7	There is limited evidence regarding the existence and extent of suppression effects. This is

8	likely due in part to the fact that this term for the phenomenon hasn't been widely used - indeed,

9	although diminished fish consumption due to contamination and/or depletion has been observed in

10	numerous contexts, it is believed that this Report is the first document to bring these observations

11	together under a single umbrella term. Nonetheless, there is a growing body of evidence of

12	suppression effects due to contamination and/or to depletion. Among other sources of data are

13	recent studies conducted to evaluate the effectiveness of fish consumption advisories for

14	contaminated waters. To the extent that such studies find that people have "complied" with

15	advisories by eliminating or lowering their consumption of fish, they provide evidence of a

16	suppression effect - an artificially diminished level of consumption relative to a more robust

17	baseline level. Too, community-based or tribally-conducted fish consumption studies often

18	document broadly the subject group's fish consumption practices. Often, these studies include

19	information about historic consumption and explore reasons for altered and diminished

20	consumption practices.

21	Some of the available evidence documents suppression effects due to contamination. For

22	example, as noted above, West, et al. recognized and named this effect in an early survey of

23	Michigan sport anglers."6 In a recent study of Lake Ontario anglers, Connelly, et al. cite recently

24	altered health advisories that resulted in less Lake Ontario fishing as the reason that only 43% of

25	anglers indicated that they had fished Lake Ontario in 1992.117 A recent study of the Laotian

26	communities in the San Francisco Bay area reports that 19.7% of survey respondents indicated that

27	they had changed their fish consumption habits over the past five years, with 68.9% of these

28	indicating that they eat less fish now.118 Among the reasons cited for eating less fish: bay fish are

U5Note recent coalition suit against EPA; see Oregon Pesticide Action Network,
Diminishing Returns: Salmon Decline and Pesticides (1999).

ll6Patrick West, et al., Michigan Sports Anglers Fish Consumption Survey: Supplement I,
Non-Response Bias and Consumption Suppression Effect Adjustments (School of Natural
Resources, University of Michigan, Ann Arbor; Natural Resource Sociology Research Lab,
Technical Report No. 2 (1989).

I17U.S. Environmental Protection Agency, Office of Water, Ambient Water Quality
Criteria Derivation Methodology Human Health: Technical Support Document 97 (1998).

"8Audrey Chiang, Asian Pacific Environmental Network, A Seafood Consumption Survey
of the Laotian Community in West Contra County, California 18 (1998). Note that 31% of those
who indicated that their consumption practices had changed indicated that they eat more fish now.

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1	"unsafe to eat."119 Ken Jock, Director, Akwesasne Environment Program, provides an account of

2	the effects of PCB contamination in the St. Lawrence River on the Mohawks at Akwesasne:

3	"This all used to be a fishing village. That's all gone now. There's only one family that

4	still fishes. . . . Our traditional lifestyle has been completely disrupted, and we have

5	been forced to make choices to protect our future generations. . . . Many of the families

6	used to eat 20-25 fish meals a month. It's now said that the traditional Mohawk diet is
1	spaghetti. "'20

8	Other available evidence documents suppression effects due to depletion or due to

9	depletion and contamination. For example, as noted above, in the Pacific Northwest compromised

10	aquatic ecosystems and depleted salmon and other fisheries mean that fish are no longer available

11	for tribal members to take, as they are entitled to do in exercise of their treaty rights. According to

12	Kelly Toy, Shellfish Biologist, Tulalip Tribes, with fewer fish available to be taken, many tribal

13	members have been prevented from consuming fish at the level that they would have were they

14	able to exercise their treaty rights to the fullest extent.121 Moses Squeochs, Director,

15	Environmental Program, Fourteen Confederated Bands of Yakama Nation, confirms similarly

16	depleted fisheries, diminished opportunities for catching and consuming fish, and compromised

17	treaty rights.122 A recent study of the Suquamish Tribe reports that approximately 2/3 of

18	respondents (67%) indicated that their consumption patterns had changed over time, with 68% of

19	these indicating that they ate less seafood (57%) or ate a different mix of species (11%) than

20	twenty years ago.123 "Most explanations for changes in consumption related to changes in family

21	composition which affected harvesting patterns, accessibility/availability of finfish and shellfish,

22	and restricted harvesting opportunities due to 'red tides' and increased pollution.'"24 As one

23	respondent elaborated:

24	"We used to eat lingcod, sole, rockfish, flounder, and I caught Grunters for my

25	grandfather. All of my brothers used to fish; now, only one of us can because the fish

26	are diminishing in number. . . The water is not clean. Septics are malfunctioning. . .

27	There's pollution from the Navy, and the filling at Keyport had a big effect.. . Beaches

28	are dug out... We need to reseed and enhance our beaches in order to have the number

119Id.

120 Winona LaDuke, All Our Relations: Native Struggles for Land and Life 17 (1999)
(quoting Ken Jock, Director, Akwesasne Environment Program).

l21Telephone Interview with Kelly Toy, Shellfish Biologist, Tulalip Tribes (November 9,
1999) [as cited in ... or re-confirm permission to cite here].

122Moses Squeochs, Director, Environmental Program, Fourteen Confederated Bands of
Yakama Nation (C3G Conference Call, August 3, 2001).

l23The Suquamish Tribe, Fish Consumption Survey of the Suquamish Indian Tribe of the
Port Madison Indian Reservation, Puget Sound 2 (2001). Note that 31% of those who indicated
that their consumption practices had changed indicated that they eat more fish now.

124Id.

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1	of clams we need and are used to . . . We eat more geoduck now, because more are

2	available to us, but we used to dry oysters and clams; they 're good for teething. . .

3	There is, however, a need to understand more fully the extent and causes of suppression

4	effects. Among other things, the evidence presented here shows that people's responses to

5	contamination and depletion are complex and varied. Further exploration of these effects would

6	be useful. In particular, where consumption by communities of color, low-income communities,

7	and tribes seems relatively low, research is needed to ascertain whether a suppression effect is at

8	work.

9	4. Implications

10	To the extent that people are prevented from consuming fish as they had or would due to

11	contamination or depletion of the fish and aquatic ecosystems that support the fish, there are

12	important implications for EPA's and other agencies' risk assessment, risk management, and risk

13	communication approaches. As noted above, when environmental agencies set or approve water

14	quality standards that rely on a picture of exposure that takes people to be eating smaller quantities

15	of fish, agencies will permit relatively greater quantities of pollutants to remain in or be

16	discharged to the waters and sediments. That is to say, agencies will set less protective standards.

17	The downward spiral thus begins, as these aquatic environments and the fish they support will be

18	permitted to become increasingly contaminated, and some individuals in turn might be expected to

19	respond by reducing their fish consumption even further. Or some individuals in turn might find

20	that there are fewer fish to be caught (and those that remain to be increasingly contaminated) or

21	there are fewer places open for shellfish harvesting. In either case, studies would reflect even

22	lower FCRs, and agencies would then set new standards assuming that little or no human exposure

23	to contaminants occurs via fish consumption, and permit even greater quantities of pollutants in

24	aquatic ecosystems.

25	In order to avoid this downward spiral, EPA should identify appropriate "baselines" that

26	reflect the more robust levels of consumption and employ these baselines in setting and approving

27	water quality criteria. There is, of course, the difficult question of what the appropriate baseline

28	should be, and the answer will likely differ according to the circumstances surrounding and the

29	group affected by the observed suppression effect. For example, as noted above, a tribe will often

30	be able to cite a historical "point of reference" that would describe an appropriate baseline in

31	terms of environmental quality, geographic delineation, and treaty rights.126 In each case, there

32	would be important questions of history, culture, and aspiration that would need to be considered

33	in determining an appropriate baseline. An appropriate baseline might mean examination into

34	what people had consumed as well as aspiration for what people would consume were there "fair

l25Id. at 68 (ellipses in original).

l26Moses Squeochs, Director, Environmental Program, Fourteen Confederated Bands of
Yakama Nation (C3G Conference Call, August 3, 2001). For the Bands of the Yakama Nation, for
example, this point of reference would be 1855. Id.

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1	access for all to a full range of resources,'"27 or were the conditions fulfilled for full exercise of

2	treaty- and trust-protected rights and purposes. It is recognized that the resulting baseline would

3	surely require EPA to depart from the then-current estimates of actual fish consumption by the

4	relevant group. In so doing, EPA would need to shift its emphasis from a descriptive assessment

5	to a normative assessment. This shift is not without precedent,128 however, and, importantly,

6	would seem to be necessary in some cases to avoid the downward spiral noted here.

7	H. RESEARCH METHODS AND ISSUES

8	It will often be crucial to the relevance, accuracy and acceptability of research in these

9	areas that the affected community, group or tribe be central to the process throughout. In the case

10	of consumption studies, for example, affected groups need to be involved from the earliest stages

11	(e.g., project conception, group/subgroup identification, survey design) through implementation

12	(e.g., survey administration, data interpretation) to utilization (e.g., community outreach regarding

13	results, risk assessment, management and communication incorporating results). This is not only a

14	matter of community access or tribal consultation, but importantly, a matter of scientific

15	defensibility. There are currently sizeable gaps in the data and methods that are being used by

16	EPA and other agencies to assess, manage, and communicate risk, and it is often the case that these

17	gaps can only be filled by community- and tribally-based research. Communities and tribes have

18	expertise that is simply not going to be able to be replicated by non-member researchers. This

19	point is well supported by the large literature on "participatory research." Consider the following

20	two examples of the importance of affected group involvement:

21	Asian and Pacific Islanders in King County. Washington.129 A study of the Asian and

22	Pacific Islander communities (including members of Cambodian, Chinese, Filipino,

23	Hmong, Japanese, Korean, Laotian, Mien, Samoan, and Vietnamese communities) in

24	Seattle and King County, Washington was conducted by the Refugee Federation Service

25	Center (the largest social aid organization for recent immigrants and refugees in King

26	County) and the University of Washington. The study was funded by an Environmental

27	Justice Community/University Partnership Grant through EPA Region 10. The community

28	played a pivotal role in the study, from its initiation through the final report. A Community

29	Steering Committee, comprised of members representing each of the ten affected ethnic

30	groups, conducted the planning, design and development of the survey. They worked ,

31	together with and received input from a Technical Committee (comprised of statisticians,

32	toxicologists, epidemiologists, and other technical advisors) and an Advisory Committee

33	(comprised of representatives from agencies, industry, and the medical profession). As the

34	study authors note: "During the study period, the researchers had frequent interactions with

35	the community because the researchers viewed the study as 'by the API community,'

'"Principles of Environmental Justice, Proceedings of the First National People of Color
Environmental Leadership Summit (1991).

l28Cite to work on Columbia River restoration.

l29Ruth Sechena, et al., Asian and Pacific Islander Seafood Consumption Study (1999).

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1	instead of 'for the API community.' This interaction and cooperation helped the study team

2	in its understanding of community concerns and therefore gained the support of the

3	community, which was vital for the completion of this study involving ten ethnic groups

4	with diverse cultural backgrounds.'"30 Among other things, the Community Steering

5	Committee was instrumental to several aspects of the study design. It explained that the use

6	of creel, mail, or telephone surveys would be culturally inappropriate, indicating that API

7	community members would be unlikely to participate at all in a survey conducted by these

8	methods; instead, a face-to-face questionnaire method was selected. It identified the

9	seafood species and parts most often consumed by community members, and explained the

10	usual preparation methods - elements crucial to questionnaire design. It also suggested

11	interviewers that would have the requisite cultural knowledge and fluency in both English

12	and the various native languages of the study participants. Thus, for these and other

13	reasons, this study likely produced more accurate data by (1) avoiding the non-response

14	bias that likely plagues other studies attempting to gauge API consumption practices; (2)

15	including quantities consumed where the species or part consumed might have been

16	excluded altogether from other, more generalized studies (e.g., clam stomachs or the

17	hepatopancreas of crabs); (3) identifying consumption and preparation practices that differ

18	from the general population and so bear on risk assessment, risk management and risk

19	communication decisions (e.g., consuming the "butter" as well as the meat of crabs). There

20	are also other important advantages of a community-based study, including community

21	education and empowerment. These issues will be taken up in Chapter 3.

22	The Suauamish Tribe.131 A study of Suquamish Tribal members (adults and children)

23	living on and near the Port Madison Indian Reservation was conducted upon approval by

24	the Suquamish Tribal Council. The study was conducted by the Suquamish Tribe and

25	funded by the Agency for Toxic Substances and Disease Registry through a grant to the

26	Washington State Department of Health. The stated purpose of the study was to determine

27	seafood consumption rates, patterns, and habits of members of the Tribe and, secondarily,

28	to identify "cultural practices and attributes which affect consumption rates, patterns, and

29	habits of members of the Suquamish Tribe.'"32 A Project Support Team was established,

30	comprised of two members of the Suquamish Tribal Council, the Director of Human

31	Services, and the Self Governance Director, all of whom are enrolled Suquamish Tribal

32	members. The study manager from the Suquamish Tribe Fisheries Department worked

33	together with individuals from the Washington Department of Health. Suquamish Elders

34	were consulted concerning fish and shellfish important to tribal members for commercial,

35	subsistence, and ceremonial purposes.133 Additionally, transcripts of the Suquamish Tribe

36	Oral History Project of 1982, anthropological and archeological literature were consulted

l30Id.

13'The Suquamish Tribe, Fish Consumption Survey of the Suquamish Indian Tribe of the
Port Madison Indian Reservation, Puget Sound Region (2000).

132Id. at 1.

133Id.

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1	to document cultural practices.134 Tribal members were integral to the study design, survey

2	administration, and data interpretation. The study was designed to determine consumption

3	rates by individual type of finfish and shellfish - information of interest to the tribe and

4	unavailable through other relevant fish consumption studies. Consumption data were

5	gathered using a survey questionnaire and face-to-face interviews; these interviews were

6	conducted by tribal members. These interviewers set up and conducted meetings with

7	survey participants "in accordance with cultural norms.'"35 The personal knowledge of

8	those conducting the study enabled them to interpret the resulting data in a manner that

9	ensured accuracy. For example, the data revealed some large fish consumption rates,

10	which might be designated as "outliers" according to strictly numerical criteria. Because

11	this designation often carries with it an assumption of error, reported consumption rates for

12	outliers are often adjusted downward. In this case, however, "the study staff were familiar

13	with a number of the individuals with large consumption rates and maintained that the

14	reported rates were likely to reflect real consumption. Thus, no adjustment for potential

15	outliers has been carried out.'"36 Thus, for these and other reasons, this study likely

16	produced more relevant, contextualized, and accurate information. Tribally-managed

17	studies are also a manifestation of tribal self-governance and, in the case of the Washington

18	treaty tribes, of their status as co-managers of the fish, shellfish and aquatic resources.

19	Issues unique to tribes will be taken up at greater length in Chapter 4.

20	Other community-based or tribally-conducted studies have demonstrated similar

21	advantages in terms of relevancy, accuracy, acceptability and appropriateness to the affected

22	group. The community-based study team for the consumption survey of Laotian communities in

23	West Contra County, for example, was able to identify and take advantage of important community

24	festivals as a means of reaching survey participants;137 to appreciate the existence and relevance of

25	subgroups within the larger Laotian community;138 and to interpret data in light of cultural,

26	historical, social, economic and other relevant factors.139 In the case of tribes, members have often

134Id. at 3.

135Id. at 18-19.

136Id. at 23. The study authors note that, in the end, this inclusion had little influence on the
reported percentiles, with all but one (the 95th percentile for "all finfish") being unaffected. Id. at
70-71.

'"Audrey Chiang, Asian Pacific Environmental Network, A Seafood Consumption Survey
of the Laotian Community in West Contra Costa County, California 6 (1998) (describing
outreach conducted at the Laotian New Year's Festival, "one of the most well-attended community
events in Richmond").

138Id. at 7-10 and 35-36 (discussing representation of the various ethnic groups within the
Laotian community, including Mien (Christian), Mien (non-Christian), Lao, Khmu, Thaidum, Lue,
Hmong, Lahu, and a Mien group from a different village in Laos than the Mien who are members of
the first two groups).

I39ld. at 36 (discussing likelihood that many respondents who fish in San Francisco Bay
indicated that they did not, for fear that the survey was linked to law enforcement about fishing
from the Bay, fear of losing disability benefits if they said they went fishing, or concern about

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1	lived their entire lives - and their families and ancestors have lived for generations - in the same

2	place, about which they therefore have vast amounts of knowledge. In addition, many tribes today

3	have developed extensive environment and resources management departments. Tribes and their

4	members will thus be uniquely positioned to identify ecological changes,140 suggests subjects for

5	inquiry, and design and implement useful experiments, surveys and studies.

6	To the extent that research is conducted by and for communities and tribes, it can serve the

7	additional important function of capacity building. This goal is important and an issue of

8	environmental justice in and of itself, for both communities and tribes. And, to the extent that

9	communities and tribes see that their concerns are shaping the research to be conducted, that the

10	information gathered will be relevant from their perspective, and that their members stand to

11	enhance their skills, knowledge and capacity in the process - as opposed to merely providing

12	information that enables others to enhance their skills, knowledge and capacity - participation and

13	trust are likely to be increased, and accuracy thereby enhanced.141

14	Indeed, those affected are likely to have a unique and heightened interest in gathering

15	relevant and accurate data. Given that they depend on the resource in question, they have an

16	interest in determining precisely the nature and extent of the contamination, in producing a full and

17	accurate picture of their exposure, and in addressing any resulting problems through risk

18	management and risk communication.142 It may be the case as well that affected communities and

19	tribes are less likely than other governmental entities to be subject to the competing claims of

20	multiple stakeholders - enabling them, among other things, to devote their full time and attention to

21	the particular problem.

'"losing the power to feed their family traditionally cooked meals'" and noting that the survey
results therefore likely understated the extent of fishing in the Bay by community members).

140See, e.g., Gerald Nicholia, Tanana, Interior Regional Meeting, Alaska Traditional
Knowledge and Native Foods Database, available at www.nativeknowledge.org/db/concerns.asp
("But one thing I see is changes in the animals we live off of. The mining has affected us; mercury
levels in our fish. I don't know what is in our moose. Few muskrats in our area. I don't know
what happened to the whitefish in our area. It's hard to pinpoint.. .. But I know that there are a lot
of changes in the Tanana area.").

141See, e.g., id. at 37 (noting that the survey planning team made connections with the
Laotian Organizing Project's ongoing capacity building efforts regarding community health and
safety, which motivated many community members to participate in the survey and explaining:
"The planning team was originally hesitate about the perception commonly held by community
members of outsiders taking information from the community without community people seeing the
benefits of research. Linking the survey to a community based organization helped counter this
perception.").

142Consider, e.g., the work of the Shoalwater Tribe to monitor shellfish in the Willapa Bay,
described at greater length in Chapter 4. Electronic-mail Interview, Gary Burns, Environmental
Programs Director, Shoalwater Bay Indian Tribe (October 3, 2001).

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1	Funding is crucial to the ability of affected communities and tribes to be involved in

2	research. Although community and tribal members have considerable expertise to offer, they often

3	have minimal or no funding to support their work. To a person, community members, tribal

4	members, inter-tribal organization staff, and state and local agency representatives who work with

5	affected groups stressed the importance of adequate funding. Diana Lee, a research scientist with

6	the California Department of Health Services who has worked extensively with communities as

7	part of the Palos Verdes Fish Contamination Outreach and Education Project and other studies in

8	the San Francisco Bay area, is emphatic:

9	"I cannot underscore enough the need to provide funding to affected communities so

10	that they can participate fully in every aspect of the research process, from needs

11	assessment to dissemination of the results. Funding, moreover, needs to be provided on

12	an on-going, rather than one-time, basis. "143

13	EPA, in particular, has to date helped fund several studies and projects that have contributed

14	enormously to the advancement of research relevant to affected communities and tribes. The EPA

15	has helped fund such important work as the fish consumption study of and by Asian and Pacific

16	Islanders in King County, Washington; the fish consumption study of and by the four tribes who are

17	members of the Columbia River Inter-Tribal Fish Commission; and the community-specific

18	cumulative risk assessment for the Greenpoint/Williamsburg community in Brooklyn, New York.

19	Affected communities and tribes have commended EPA's efforts to this end. However, they noted

20	that the need for funding to enable communities and tribes fully to be involved in research and

21	decisions affecting risk assessment, management, and communication far outstrips the funding that

22	has been so far made available.

l43Telephone Interview, Diana Lee, Research Scientist, California Department of Health
Services (October 26, 2001).

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1	CHAPTER II: UTILIZATION OF EXISTING LEGAL

2	AUTHORITIES

3	How might EPA's authority under federal environmental and other laws be implemented

4	more effectively to sustain healthy aquatic ecosystems and to protect the health and safety

5	of people consuming or using fish, aquatic plants, and wildlife?

6	RISK REDUCTION STRATEGIES AND PROBLEM POLLUTANTS

7	This chapter focuses on risk reduction strategies - that is, strategies by which agencies

8	look t6 risk-producers to cleanup, limit, and prevent environmental contamination. In the case of

9	contamination in aquatic ecosystems, these strategies have been developed under a variety of legal

10	authorities, the Clean Water Act prominent among them. In addition to the authority provided by

11	the Clean Water Act, this chapter considers how the authority of other relevant sources of law

12	might be invoked more effectively to sustain health ecosystems and to protect the health and safety

13	of people consuming or using fish, aquatic plants, and wildlife. This chapter begins by providing

14	background on the contaminants of greatest concern to affected communities of color, low-income

15	communities, and Tribes. Part A considers how EPA might better prevent and reduce

16	contamination in the first place, focusing primarily on efforts under the Clean Water Act and

17	secondarily on efforts under other legal authorities. Part B discusses how EPA might better

18	cleanup and restore those aquatic ecosystems that are already contaminated, again focusing

19	primarily on efforts under the Clean Water Act and secondarily on efforts under other legal

20	authorities.

21	Access to water of sufficient quality and quantity is vital to tribal, state, and local

22	governments, as well as to environmentalists, developers, industry, and the public including

23	minority and low-income communities. Unquestionably, degradation of water quality threatens not

24	only the viability of aquatic ecosystems, but also human health; subsistence, traditional, cultural,

25	and spiritual practices; economies; sustainability of tribal homelands as contemplated by federal

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1	Indian treaties and other laws;144 and ultimately all life itself. As Rachel Carson noted in her

2	landmark book Silent Spring:

3	Water must also be thought of in terms of the chains of life it supports—from the

4	small-as-dust green cells of the drifting plant plankton, though the minute water

5	fleas to the fishes that strain plankton from the water and are in turn eaten by

6	other fishes or by birds, mink, racoons—in an endless cyclic transfer of materials

7	from life to life. We know that the necessary minerals in the water are so passed

8	from link to link of the food chains. Can we suppose that poisons we introduce

9	into water will not also enter into these cycles of nature?'45

10	Quite simply, poisoning the aquatic food chain ultimately poisons the Earth's entire food web.

11	The pollutants enumerated below are believed to result in harm to aquatic ecosystems and

12	to pose the greatest risks to the health of people consuming or using fish, aquatic plants and

13	wildlife for traditional, cultural and religious purposes. These pollutants have been identified by

14	federal, tribal, state, and territorial governments as well as by affected groups and independent

144Often, pursuant to explicit treaties, tribes bargained with the with federal government for
the terms of vast land cessions and the retention of certain other lands for Indian use and
occupation. Through express treaty terms or by virtue of retained aboriginal title, tribes reserved
every incident of ownership not expressly relinquished to the federal government or abrogated by
Congress. United States v. Winans. 198 U.S. 371, 381 (1905). These reserved rights include a
recognized right to water sufficient to fulfill the purposes of the reservation. Winters v. United
States. 207 U.S. 564, 577 (1908). Among other things, reserved rights have been understood to
include water to maintain a permanent homeland, to preserve, produce, or sustain food and other
reservation resources, and to maintain the tribe's way of life. See, e.g. Winters v. United States.
143 F. 740, 742 (1906); Colville Confederated Tribes v. Walton. 647 F.2d 42, 49 (1981 9th Cir.),
cert, denied. 454 U.S. 1092 (1981); Felix S. Cohen, Handbook of Federal Indian Law, 588-89
(1982 ed.). Frequently, treaties expressly retained a tribe's right to hunt, fish, and gather both on a
reservation and off-reservation in all usual and accustomed places. United States v. Winans. 198
U.S. 371,381 (1905); United States v. Adair. 723 F.2d 1394, 1410, 1417-18 (9th Cir. 1983), cert
denied. Oregon v. United States. 467 U.S. 1252 (1984).

145Rachel Carson, Silent Spring at 46 (1962).

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1	researchers. While numerous contaminants are potentially a basis for concern,146 available data

2	indicate that the following contaminants are currently the source of greatest concern.

3	Five contaminants - mercury, PCBs, dioxins, DDT, and chlordane - are responsible for the

4	majority of fish and wildlife consumption advisories issued by federal, tribal, state, or territorial

5	governments.147 These five contaminants are often also among the contaminants of greatest

6	concern according to those affected. For example, David Ludder, of the Legal Environmental

7	Assistance Foundation in Tallahassee reports that affected communities in Florida, Alabama, and

8	Georgia are concerned in the main with these five contaminants and toxaphene.148 Similarly, the

9	Asian Pacific Environmental Network cites evidence of the presence of these five chemicals and

10	dieldrin at levels of concern for those consuming fish from San Francisco Bay, particularly

11	members of the Laotian community in West Contra Costa County.149 In addition to these five

12	contaminants, there are approximately 40 different chemicals or chemical groups that give rise to

13	at least one fish and wildlife consumption advisory.150

146There are more than 70,000 chemicals currently in use; yet for the vast majority of these,
comprehensive data about human and environmental health effects is sorely lacking. Of these
chemicals, those that are highly toxic, that persist in the environment for relatively long periods,
and that bioaccumulate are likely to be of particular concern here. The Washington State
Department of Ecology, for example, has identified 64 highly toxic, persistent and bioaccumulative
contaminants to be screened and prioritized (of these, nine have been slated for immediate action)
as part of its initiative to address persistent, bioaccumlative toxins. See Washington State
Department of Ecology, Proposed Strategy to Continually Reduce Persistent, Bioaccumulative
Toxins (PBTs) in Washington State (Dec. 2000).

147According to the EPA Office of Water, most advisories are triggered by one or more of five
primary contaminants: mercury, PCBs, dioxins, DDT, and chlordane. See U.S. EPA, Office of
Water, Update: National Listing of Fish and Wildlife Advisories 5 (April 2001), available at
www.epa.gov/ost/fish (visited June 26, 2001).

l48Telephone Interview with David Ludder, Legal Environmental Assistance Foundation,
Tallahassee, Florida (August 22, 2001). Ludder noted, however, that this concern was premised
primarily on the existence of fish consumption advisories and so indicated that this was a
preliminary list.

149Audrey Chiang, Asian Pacific Environmental Network, A Seafood Consumption Survey
of the Laotian Community of West Contra Costa County, California App. 1 (1998) (citing San
Francisco Bay Regional Water Quality Control Board, Office of Health Hazard Assessment,
Chemical Contamination in Fish from San Francisco Bay: Study Results (1995)).

150 These include Arsenic, Cadmium, Chlorinated Benzene, Chlorinated Pesticides,
Chromium, Copper, Creosote, Dichloroethane, Gasoline, Hexachlorobutadiene, Industrial &
Municipal Discharge, Kepone, Lead, Lindane, Metals, Organo-metallics, PAHs, PBBs,
Pentachlorobenzene, Pentachloroethylene, Photomirex, Phthalate Esters, Selenium,
Tetrachlorobenzene, Tetrachloroethane, Tetrachloroethylene, Tributyltin, Trichloroethane,
Trichloromethane, Vinyl Chloride, VOCs, Zinc.

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1	While the existence of a consumption advisory provides one useful gauge as to which

2	contaminants are the basis for concern, there are limitations to this measure. Importantly, the

3	absence of a consumption advisory does not necessarily mean the absence of contamination. In

4	some cases, the necessary assessments of fish and wildlife tissues have not yet been undertaken,

5	often for lack of resources.'51 In other cases, states or tribes might decline to issue fish

6	consumption advisories for a variety of reasons, including economic, health and cultural

7	reasons.152 The Fond du Lac Environmental Program, for example, is in the process of issuing

8	"tribal consumption guidelines.'"53 Contrary to "advisories," these guidelines do not warn against

9	consumption of fish or wildlife; rather, they provide guidelines for healthy consumption, consistent
10	with tribal traditions and practices.154 In addition, fish and wildlife advisories generally arise

15'The trend to date has been for advisories to increase as assessments are completed.
Thus, EPA notes that the number of advisories in 2000 represents a 7% increase over the number
reported in 1999 and a 124% increase over the number reported in 1993 and observes that "[t]he
increase in advisories issued by the states [territories and tribes] generally reflects an increase in
the number of assessments of chemical contaminants in fish and wildlife tissues." U.S. EPA,
Office of Water, Update: National Listing of Fish and Wildlife Advisories 2 (April 2001)
available at www .epa. gov/ost/fish. The need for additional funding to address a shortfall in
resources for tissue and environmental assessments is particularly acute for many tribes.

152See, generally, Stuart Harris, Impacts of Fish Contamination on Native American
Culture (talk delivered to the Annual National Forum on Contaminants in Fish, May 9, 2001)
Neither Wyoming nor Alaska have issued fish or wildlife consumption advisories. Briefing by
Rick Healy, U.S. EPA Office of Water to Fish Consumption Workgroup (June 26, 2001). But see
the recently issued Statement from the Alaska Division of Public Health, expressly denouncing the
applicability of the general mercury advisories in Alaska and recommending "unrestricted
consumption of fish from Alaskan waters" for all, given their independent review of mercury
levels in Alaska fish, the known health benefits of fish consumption, and the fact that "the
subsistence lifestyle and diet are of great importance to the self-determination, cultural, spiritual,
social, and overall health and well being of Alaska Natives." Mercury and National Fish
Advisories Statement from Alaska Division of Public Health: Recommendations for Fish
Consumption in Alaska (Bulletin no. 6, June 15, 2001) (endorsed by the Alaska Department of
Environmental Conservation, Alaska Department of Health and Social Services, Alaska Native
Health Board; Alaska Native Science Commission; Alaska Native Tribal Health Consortium;
Aleutian/Pribilof Islands Association, Inc.; Institute for Circumpolar Health Studies; University of
Alaska Anchorage; North Slope Borough; University of Alaska Fairbanks; and Yukpm Kuskokwim
Health Corporation) available at www.eDi.hss.state.ak.us/bulletin<;/H(K^2001 06.htm

'"Telephone Interview with Nancy Costa, Fond du Lac Environmental Program (July 31,

2001).

'"Telephone Interview with Nancy Costa, Fond du Lac Environmental Program (July 31,
2001). Costa explains that the Fond du Lac Environmental Program is careful not to use the word
"advisory," because "the last thing we want to do is discourage tribal and band members from
eating their native diet, given the serious health effects that we've seen of getting away from a
native diet." Id.; see also, Great Lakes Indian Fish & Wildlife Commission, Masinaigan

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1	from one exposure scenario (consuming contaminated fish or wildlife), and so do not account for

2	other routes or sources of exposure to those consuming or using fish, aquatic plants and wildlife

3	for traditional, cultural and religious purposes, (e.g., consuming contaminated aquatic plants;

4	consuming or otherwise being exposed to contaminated waters, etc.). And, fish and wildlife

5	advisories focus on the problem of the contamination of fish and wildlife, and leave unaddressed

6	the problem of the availability of fish, aquatic plants, and wildlife for consumption and use.

7	Thus, in addition to the five contaminants that have given rise to the bulk of fish and

8	wildlife consumption advisories, there are other contaminants of concern. Chief among these are

9	contaminants that are highly toxic, bioaccumulative, and persistent. The Convention on Persistent

10	Organic Pollutants (POPs) initially targets twelve POPs of concern: in addition to PCBs, dioxins,

11	DDT and chlordane, the Convention identifies aldrin, dieldrin, endrin, helptachlor,

12	hexachlorobenzene, mirex, toxaphene, and furans as being of primary concern.155 The EPA has

13	also identified these same twelve contaminants as part of its Persistent Bioaccumulative Toxin

14	(PBT) Initiative. Each of these POPs or PBTs is also the source of at least one fish or wildlife

15	consumption advisory.156

16	A variety of pesticides157 have emerged as particular sources of concern for various

17	affected communities, groups and tribes. The Shoalwater Bay Indian Reservation is concerned

18	with the health of tribal members and the flourishing of the shellfish resource in Willapa Bay, on

19	which members of the tribe depend for commercial, subsistence, and ceremonial uses. Although

20	tribal studies are only recently underway (such that there is no evidence at this time that these

21	pesticides are in fact harming shellfisheries), potential sources of contamination include pesticides

22	such as diazinon, lorsban, and guthion, all of which are used by nearby commercial cranberry bog

23	farmers; carbaryl and glyphosate, applied to the oyster beds and tideflats; and various

24	organochlorine herbicides, sprayed in surrounding and upland areas by the U.S. Forest Service as

25	it seeks to kill "nuisance" species, typically after clear-cut logging.158 The Louisiana

26	Environmental Action Network is concerned with the high levels of pesticides (among other

27	contaminants), particularly atrazine and cyanazine, that a recent study revealed to be present in the

28	Mississippi River between New Orleans and Baton Rouge: "As would be expected, the

Supplement: How to Enjoy Fish Safely (Fall 2000).

'"Convention on Persistent Organic Pollutants (POPs). The United States is a signatory to this
Convention, although it awaits the advice and consent of the Senate, [get citation]
l56See www.eDa.gov/ost/fish.

'"The term "pesticides" as used throughout this report is meant to encompass all
pesticides, including rodenticides, insecticides, herbicides, and fungicides, unless the context
indicates a different usage.

l58E-mail Correspondence with Gary Burns, Environmental Programs Director, Shoalwater
Bay Indian Tribe (October 3,2001); E-mail Correspondence with Chetana Acharya, Community
Outreach and Education Program Manager, NIEHS Center for Ecogenetics and Environmental
Health, University of Washington (October 2, 2001); Paul Shukovsky, Tribe Sounds Alarm Over
Fetal Deaths: 13 Pregnancies in 2 years; 1 Baby Survives, Seattle Post-Intelligencer (February
22, 1999).

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1	pesticides appeared in early spring and persisted throughout the summer, coinciding with the

2	southern and midwestern growing seasons."159 The study focused on the Mississippi River as a

3	source of drinking water, noting that "[p]esticides presented the largest health hazard, where

4	maximum levels were found to be 60 to 360 times the EPA's Maximum Contamination Level

5	(MCL) for drinking water."160 Various community and fishing groups have identified 48 pesticides

6	commonly used in the Pacific Northwest that have been determined by either EPA or the United

7	States Geological Survey (USGS) to threaten salmon and salmon habitat.161

8	Lead is a source of concern for those consuming fish from the Spokane River from the

9	Idaho state line to the Seven Mile Bridge in Washington, given recent studies revealing elevated

10	lead levels (along with elevated levels of other metals), particularly for children (given that lead

11	causes adverse developmental effects) and for those, such as Russian immigrants, who consume

12	the whole fish (given that lead concentrates in the bones and brains of fish).162 Lead is also a

13	source of concern for the Coeur d'Alene Tribe, given its presence (along with cadmium) in and on

14	water potatoes, a staple of the Coeur d'Alene diet.163

15	Fecal coliform, marine biotoxins (e.g., saxitoxin and domoic acid released by algal

16	blooms), and various other bacterial and viral contaminants are sources of concern for those

17	communities, groups and tribes that rely on shellfish for commercial, subsistence, and/or

18	ceremonial purposes. Thus, these contaminants are a source of concern for tribal resource

19	managers in the Puget Sound and coastal regions of Washington,164 among them the Shoalwater

159Louisiana Environmental Action Network, Final Report on the Riverkeeper Project
(1998), available at www.leanweb.org/rivkeep.html.

160Id.

161"Groups Uncover Government Documents Showing Pesticides Can Harm Salmon," (May
7, 2001) available at www.pesticide.org/MSJnewsrelease.html (joint press release by Washington
Toxics Coalition; Northwest Coalition for Alternatives to Pesticides; Pacific Coast Federation of
Fishermen's Associations; Institute for Fisheries Resources; and Earthjustice Legal Defense Fund
in course of litigation against EPA for Endangered Species Act violations).

l62Karen Dorn Steele, Agencies Warn of Lead in River's Fish; Advisory Targets
Consumption of Contaminated Fish Caught in Stretch of Spokane River A1 The Spokesman
Review (June 21, 2000).

1 "Telephone Interview with Marc Stifelman, Environmental Protection Agency (Region
X)(October 30, 2001).

l64See, generally, Northwest Indian Fisheries Commission, Tribal Shellfish Management,
available at www.nwifc.wa.gov/ctnrm/2001 shellfish.htm.

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1	Tribe,165 the Suquamish Tribe,166 the Lower Elwha Klallam Tribe,167 and the Tulalip Tribes.168

2	These contaminants are a source of concern for various communities of color and low-income

3	communities in Southern California.169 And they are a source of concern for Alaskan Natives. For

4	example, at a southeast regional meeting called to discuss Alaskan Natives' concerns with

5	contaminants in native foods, Dangel Helen, Douglas, observes:

6	There is in North Douglas a development not served by a sewer line. A lot of the mud

7	flats are contaminated. The shellfish aren't good to eat.170

8	Finally, these and several additional pollutants are of particular concern to one or more

9	affected groups or tribes. For example, the Fond du Lac Environmental Program is concerned with

10	contamination from metals, given the negative effects of several metals (aluminum, cadmium,

11	copper, lead, and zinc, in addition to mercury) on the growth of wild rice.171 The Tulalip Tribes

12	are concerned with sediment and silt loadings, given their contribution to degradation of salmon

13	habitat and, ultimately, to the depletion of the salmon fishery.172 The various communities that fish

14	the Devil's Swamp, Devil's Swamp Lake, Bayou Baton Rouge, and Capitol Lake in East Baton

15	Rouge Parish face contamination from lead and arsenic, in addition to hexachlorobenzene,

16	hexachloro-1,3-butadiene, PCBs and mercury.173 The Fourteen Confederated Tribes of the

17	Yakama Indian Nation and the Confederated Tribes of the Umatilla Indian Reservation are

18	concerned with a host of contaminants in the Columbia River, which is "heavily laden with heavy

19	metals from mining, agricultural chemicals from intensive orchards and vineyards, radionuclides

20	from Hanford, runoff from dairy farms, and PCBs from a variety of sources."174 In addition, there

21	is concern that the health of aquatic ecosystems is being compromised by temperature changes;

165E-mail Correspondence with Gary Burns, Environmental Programs Director, Shoal water
Bay Indian Tribe (October 3, 2001); E-mail Correspondence with Chetana Acharya, Community
Outreach and Education Program Manager, NIEHS Center for Ecogenetics and Environmental
Health, University of Washington (October 2, 2001).

166Telephone Interview with Jay Zischke, Marine Fish Program Manager, Suquamish Tribe
Fisheries Department (October 17, 2001).

'"Telephone Interview with Russ Busch, Attorney, [title] (October 4, 2001).

168Teny Williams, Commissioner, Tulalip Tribes, Fisheries and Natural Resources (C3G
Conference Call, July 20, 2001).

169Marianne Yamaguchi, Santa Monica Bay Restoration Project [date].

170Alaska Traditional Knowledge and Native Foods Database, Native Concerns, available
at www.nativeknowledge.org/db/concems/asp.

171 [getting citation from Fond du Lac Environmental Program]; Telephone Interview with
Larry Schwarzkopf, Fond du Lac Resources Program (July 12, 2001).

172Terry Williams, Commissioner, Tulalip Tribes, Fisheries and Natural Resources (C3G
Conference Call, July 20, 2001).

173[get community source; current source is fish consumption advisory]
l74Barbara Harper and Stuart Harris, Tribal Technical Issues in Risk Reduction Through
Fish Advisories in Proceedings of the American Fisheries Society: Forum on Contaminants in Fish
17(1999).

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1

2

changes in pH and dissolved oxygen content; introduction of exotic species; dams, diversions, and
other alterations; and numerous other affronts.

3	The discussion below elaborates the health effects and sources of mercury, PCBs, dioxins,

4	DDT, chlordane, and, to a lesser extent, the remaining POPs/PBTs, and other contaminants of

5	concern.

6	Mercury

7	Background

8	Mercury is responsible, at least in part, for nearly 79% of all fish and shellfish advisories

9	issued in the United States; as of December, 2000, it was the basis for 2,242 advisories issued by

10	41 states, territories or tribes.175 Thirteen states have issued statewide advisories for mercury in

11	the freshwater lakes and/or rivers within their boundaries; another nine states have issued

12	statewide mercury advisories for their coastal marine waters.176 Mercury is also responsible for

13	the first ever issuance of a national fish consumption advisory: in January, 2001, the EPA

14	(together with ATSDR) and the FDA each independently issued advisories cautioning various

15	populations against consuming fish due to mercury contamination.177

16	Mercury has also been identified as a major pollutant of concern by the Great Lakes Indian

17	Fish and Wildlife Commission (GLIFWC) and the Fond du Lac Environmental Program, given its

18	deleterious effects on both fish and wild rice.178 Mercury has been identified as a pollutant of

19	concern by the St. Regis Mohawk Tribe Environment Division (although of less significance than

20	PCBs).179 Mercury has been identified as a major concern by the Grand Cal Task Force, given its

21	significant contribution to the contamination of the Grand Calumet River and the Indian Harbor

22	Ship Canal, where "virtually all fish tested in Indiana show levels of mercury and all streams are

23	considered impaired.'"80 Mercury has been identified as a source of significant concern in

24	Louisiana, particularly in the heavily contaminated parishes along the Mississippi River between

175See U.S. Environmental Protection Agency, Office of Water, Mercury Update: Impact on Fish
Advisories 4 (June 2001) (available at www.epa.gov/ost/fish/chemfacts.html ) (visited June 21,
2001). [hereinafter "EPA. Mercury Fact Sheet"]

176IcL

177[get citation to advisories]; Briefing by Rich Healy, U.S. EPA Office of Water to Fish
Consumption Workgroup (June 26, 2001).

178Great Lakes Indian Fish & Wildlife Commission, Masinaigan Supplement: How to Enjoy
Fish Safely (Fall 2000), available at www.glifwc.org: Telephone Interview with Larry
Schwarzkopf, Fond du Lac Resources Program (July 12, 2001).

,79Telephone Interview with Shawn Martin, Clean Water Manager, St. Regis Mohawk
Tribe Environment Division (July 12, 2001).

l80Telephone Interview with Bowden Quinn, Executive Director, Grand Cal Task Force
(October 10, 2001); Grand Calumet Task Force, Mercury and the Grand Calumet River,
available at www.igc.apc.org/gctf/newsletter002.htm.

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1	New Orleans and Baton Rouge by the Louisiana Environmental Action Network and by Dr. Barry

2	Kohl, Department of Geology, Tulane University.181 Mercury is a source of concern for the

3	Passamaquoddy tribe, who rely on both saltwater and freshwater fish, given that all lakes in the

4	state of Maine are under a state-issued fish advisory for mercury.182 At an interior regional

5	meeting called to discuss Alaskan Natives' concerns with contaminants in native foods, Orville

6	Huntington, Huslia, observes:

7	Around home, I think it's an accumulation. All those poisons dumped in the river are in

8	the fish and they accumulate in your body. . .. The pike around Hog River I won't eat

9	anymore because there's too much mercury in there.183

10	Health Effects'84

11	Methymercury is rapidly and nearly completely absorbed by humans from the

12	gastrointestinal tract. It readily crosses the placental and blood/brain barriers. The National

13	Research Council (NRC) of the National Academy of Sciences observes: "[Methylmercury

14	(MeHg)] is highly toxic. Exposure to MeHg can result in adverse effects in several organ systems

15	throughout the life span of humans and animals. There are extensive data on the effects of MeHg

16	on the development of the brain (neurodevelopmental effects) in humans and animals.... Effects

17	[at high doses] included mental retardation, cerebral palsy, deafness, blindness, and dysarthria in

18	individuals exposed in utero and sensory and motor impairment in exposed adults. Chronic, low-

19	dose prenatal MeHg exposure from maternal consumption of fish has been associated with more

20	subtle end points of neurotoxicity in children. Those end points include poor performance on

21	neurobehavioral tests, particularly on tests of attention, fine-motor function, language, visual-

22	spatial abilities (e.g., drawing), and verbal memory."185 There is also evidence of adverse effects

23	on developing and adult cardiovascular systems in both humans and animals.186 Some studies have

24	demonstrated an association between methylmercury and cancer, but, according to the NRC, these

25	studies are inconclusive.187 EPA concurs and does not regulate methylmercury as a carcinogen.

26	Sources of Mercury in the Environment188

18'Telephone Interview with Marylee Orr, Louisiana Environmental Action Network
(October 17,2001); Telephone Interview with Dr. Barry Kohl, Department of Geology, Tulane
University (October 17, 2001).

182[e-mail from Danny Gogal - get original/better source].

183Alaska Traditional Knowledge and Native Foods Database, Native Concerns, available
at www.nativeknowledge.org/db/concerns.asp.

l84Unless otherwise noted, health effects information is taken from EPA Mercury Fact

Sheet.

'"National Research Council, National Academy of Sciences, Toxicological Effects of
Methymercury 4 (2000).

186Id.

187Id.

l88Unless otherwise noted, sources information is taken from EPA Mercury Fact Sheet.

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1	Overview: Nearly 80% of the mercury contamination in surface waters comes from

2	mercury emissions to the air. Mercury contamination also comes from direct discharges to the

3	water, from releases to soils, and from naturally occurring mercury in the environment.

4	Mercury exists in the environment as elemental mercury (metallic mercury), and in

5	inorganic and organic mercury compounds (primarily methylmercury).

6	Air: Mercury is released to the air by solid waste incineration and fossil fuel combustion,

7	especially coal-fired power plants (in combination, these sources account for approximately 87%

8	of mercury emissions in the United States); mining and smelting operations; industrial operations

9	involving the use of mercury such as chlor-alkali production facilities; cement production; medical

10	waste incineration (accounts for approximately 10% of mercury emissions in the United States),189

11	and non-industrial combustion (e.g., wildfires and open burning).

12	Water/Sediments: Mercury is released to surface waters from naturally occurring mercury

13	in rocks and from industrial processes, including pulp and paper mills, leather tanning,

14	electroplating, and chemical manufacturing, and from some wastewater treatment facilities.

15	Mercury emissions to the air are an important indirect source of mercury in surface waters:

16	mercury is deposited from rain and other processes to water surfaces and to soils. Sediments

17	contaminated with mercury also contribute mercury to surface waters upon being disturbed (e.g.,

18	by flooding or dredging).

19	Soils: Mercury is released to soils through the direct application of fertilizers, fungicides,

20	and sludge or "recycled" industrial waste containing mercury to soils and crops. Mercury is also

21	released to soils when solid waste, including batteries and thermometers, and municipal

22	incinerator ash is disposed in landfills.

23	Notes

24	Unlike many other contaminants that are the source of fish consumption advisories, mercury

25	does not accumulate primarily in the fatty tissue of fish but in the muscle (i.e., the portion of fish

26	that comprises a fillet). Thus, skinning and trimming the fish do not reduce the amount of mercury

27	in a fillet, nor is mercury removed by cooking processes.190

28	PCBsm

l89U.S. EPA, Mercury Study Report to Congress, Vol. 1: Executive Summary (1997).

[check]

l90EPA Mercury Fact Sheet; Great Lakes Indian Fish & Wildlife Commission, Masinaigan
Supplement: How to Enjoy Fish Safely (Fall 2000), available at www.glifwc.org.

i9!"pcBs" is a shorthand for a group of 209 individual cogeners - members of a group of
structurally similar chemicals with different configurations. PCBs generally occur as a complex
mixture of some assortment of these cogeners.

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1	Background

2	PCBs are responsible, at least in part, for nearly 27% of all fish and shellfish advisories

3	issued in the United States; as of December, 1998, PCBs were the basis for 679 advisories issued

4	by 37 states, territories or tribes.192 Three states have issued statewide advisories for PCBs in the

5	freshwater lakes and/or rivers within their boundaries; another six states have issued statewide

6	PCBs advisories for their coastal marine waters.193

7	PCBs have been identified as a major pollutant of concern by the St. Regis Mohawk Tribe

8	Environment Division.194 PCBs have been identified by the Arbor Hill Environmental Justice

9	Corporation as impacting the health of inner city communities, many of whose members

10	subsistence fish along the Hudson River in upstate New York.195 PCBs have been cited as a

11	source of significant "community concern" given the number of anglers fishing along the

12	contaminated Lower Fox River in the Green Bay area of Wisconsin (including Caucasians,

13	Hmong, Laotian, Native American, and African-American anglers).196 PCBs have been identified

14	as among the issues of concern in Alabama by Project AWAKE, given that recent fish tissue

15	monitoring by the Alabama Department of Environmental Management has revealed levels of

16	PCBS exceeding FDA guidelines in striped bass from upper Lay Reservoir and channel catfish

17	from upper Neely Henry Reservoir.197

18	Health Effects™

19	PCBs have been classified by EPA as "probable human carcinogens." Studies have

20	suggested that PCBs may play a role in inducing breast cancer. Studies have linked PCBs to

l92U.S. Environmental Protection Agency, Office of Water, Polychlorinated Biphenyls (PCBs)
Update: Impact on Fish Advisories 3-4 (September 1999) (available at
www.epa.gov/ost/fish/chemfacts.htmn (visited June 26, 2001). [hereinafter EPA PCBs Fact
Sheet]

193Id

l94Telephone Interview with Shawn Martin, Clean Water Manager, St. Regis Mohawk
Tribe Environment Division (July 12, 2001).

195 "Fishing for Justice — May 13, 2000 Island Creek Park on the Hudson River"
available at www.eicr.cau.edu/fishingforiust.htm (citing Arbor Hill Environmental Justice
Corporation President Aaron Mair's call for increased awareness of the issue and for "GE to do
the right thing and clean up the PCB's they dumped into the River").

196Dyan M. Steenport, et al., Fish Consumption Habits and Advisory Awareness Among
Fox River Anglers, Wisconsin Medical Journal (November 2000), available at
www.wismed.org/wmi/nov200Q/fish.html.

""Facsimile Communication, Daisy Carter, Project AWAKE (October 25, 2001); Alabama
Department of Environmental Management, ADEM Announces Results of Fiscal Year 2001 Fish
Tissue Monitoring Effort (April 25, 2001) available at
www.adem.state.al.us/EduInfo/PressRe1eases/4fish01.htm.

198Unless otherwise noted, health effects information is taken from EPA PCBs Fact Sheet.

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1	increased risk of several other cancers as well, including: liver, biliary tract, gall bladder,

2	gastrointestinal tract, pancreas, melanoma, and non-Hodgkin's lymphoma. PCBs may also cause

3	non-carcinogenic effects, including reproductive effects and developmental effects (primarily to

4	the nervous system). PCBs tend to accumulate in the human body in the liver, adipose tissue (fat),

5	skin, and breast milk; PCBs have also been found in plasma, follicular fluid, and sperm fluid.

6	Fetuses may be exposed to PCBs in utero, and babies may be exposed to PCBs during

7	breastfeeding. According to EPA, "[s]ome human studies have suggested that PCB exposure may

8	cause adverse effects in children and developing fetuses while other studies have not shown

9	effects. Reported effects include lower IQ scores, low birth weight, and lower behavior

10	assessment scores."199

11	Sources of PCBs in the Environment200

12	Overview: The manufacture of PCBs was banned in the United States in 1979. However,

13	items containing PCBs that were still in service at the time of the ban were "grandfathered" in and

14	not required to be removed from use; some remain in use today. For example, electrical

15	transformers containing PCBs are still in use and have a life expectancy of 30 years. The major

16	source of PCBs in the environment is from past releases that have not been cleaned up; most PCBs

17	are contained in sediments and are released from sediments over long periods of time to the

18	waters, air, and soil.

19	There are no naturally occurring sources of PCBs; all PCBs in the environment are

20	therefore of human origin.

21	Air: PCBs from past releases to soils and surface waters evaporate or volatilize to the air

22	over long periods of time. From the air, they are redeposited back to the land and to surface

23	waters.

24	Water/Sediments: Most PCBs from past releases are contained in sediments. PCBs are

25	extremely persistent in the environment: they have half-lives in sediments ranging from months to

26	years; they have very low solubility in water and low volatility. Because of these characteristics,

27	PCBs continue to be released from sediments to surface waters over long periods of time. PCBs

28	may also be mobilized to surface waters if they are disturbed (e.g. flooding, dredging). In addition

29	to evaporation or revolatization, PCBs may be transferred from surface waters by adsorption to

30	sediments.

31	Soils: PCBs from past releases may also be contained in soils. PCBs have long half-lives

32	in soils and are released over long periods by evaporation or volatilization to air, and are in turn

33	redeposited to soils and surface waters.

'"EPA PCBs Fact Sheet at 5.

200Unless noted, sources information is taken from EPA PCBs Fact Sheet.

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1 Dioxins201

2	Background

3	Dioxins/furans are responsible, at least in part, for approximately 2% of all fish and

4	shellfish advisories issued in the United States; as of December, 1998, dioxins/furans were the

5	basis for 59 advisories issued by 19 states, territories or tribes.202 Three states, Maine, New

6	Jersey, and New York, have issued statewide dioxins/furans advisories for their coastal marine

7	waters.203 Dioxins are the source of advisories on all of the Great Lakes.204 Dioxins are also the

8	source of advisories for the Potomac River and numerous National Estuary Program and National

9	Estuarine Research Reserve System sites, including Casco Bay (ME), Wells (ME), Long Island

10	Sound, Peconic Bay (NY), the Hudson River, New York/New Jersey Harbor, Bamegat Bay (NJ),

11	Jacques Cousteau-Great Bay and Mullica River (NJ), Delware Estuary, Albemarle-Pamlico

12	Sounds (NC), Galveston Bay (TX), Puget Sound (WA), and the Columbia River.205

13	Dioxins are a major source of concern for the Penobscot Indian Nation.206 Although recent

14	changes in rules affecting pulp and paper mills in Maine that use chlorine in their bleaching

15	process (requiring a switch from the use of elemental chlorine to chlorine dioxide) may be

16	reducing dioxin levels in the Penobscot River, the use of chlorine dioxide still leads to discharges

17	that result in small amounts of dioxins in the water.207 Given dioxins' persistence in the

201"Dioxins" is a shorthand for a group of synthetic organic chemicals, comprised of 210
structurally related chlorinated dibenzo-p-dioxins (CDDs) and chlorinated dibenzofurans (CDFs).
This group of compounds ranges in toxicity, with 2,3,7,8-TCDD being the most toxic.
202U.S. Environmental Protection Agency, Office of Water, Polychlorinated Dibenzo-p-dioxins and
Related Compounds Update; Impact of Fish Advisories 3 (Sept. 1999) (available at
www.epa.gov/ost/fish/chemfacts.htmn (visited June 26, 2001). [hereinafter EPA Dioxins Fact
Sheet]

203Id.: U.S. Environmental Protection Agency, Update: National Listing of Fish and Wildlife
Advisories 3-5 (2001) available at www.epa.gov/ost.

204U.S. Environmental Protection Agency, Update: National Listing of Fish and Wildlife
Advisories 3-5 (2001) available at www.epa.gov/ost.

205Id.

206Dawn Gagnon, Spiritual Keepers of the Penobscot, Bangor Daily News (October 6,
1995); Andrew Kekacs, Penobscots Oppose Mill Permit; Any Discharge of Dioxin in River
Detrimental, Tribal Member Says, Bangor Daily News (March 4, 1997); Mary Anne Lagasse,
Indians, People's Alliance Take Fish Advisories to Task; King Critics Say Dioxin Problem
Downplayed, Bangor Daily News (April 2, 1997); Dieter Bradbury, Contamination in Fish
Weakens Cultural Link for Maine Tribe: Catching and Eating Fish is a Tradition No Longer
Passed on to Many Penobscot Children, Portland Press Herald (September 30, 1997).

207Andrew Kekacs, Penobscots Oppose Mill Permit; Any Discharge of Dioxin in River
Detrimental, Tribal Member Says, Bangor Daily News (March 4, 1997); Mary Anne Lagasse,
Indians, People's Alliance Take Fish Advisories to Task; King Critics Say Dioxin Problem
Downplayed, Bangor Daily News (April 2, 1997)..

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1	environment, its propensity to bioaccumulate (concentrations of dioxins in aquatic organisms may

2	be hundreds to thousands of times higher than the concentrations found in surrounding waters or

3	sediments), and, according to the Penobscot Nation Department of Natural Resources, its extreme

4	toxicity,208 even small amounts of discharge are reason for it to be concerned.

5	Health Effects™

6	Studies suggest a wide variety of adverse effects from dioxin, although there is still debate

7	about the extent of these effects in humans. Among these are adverse effects on hepatic,

8	gastrointestinal, hematological, dermal, endocrine, immunological, neurological, reproductive, and

9	developmental effects. A recent report concluded more than a decade of study on dioxin's cancer-

10	causing potential, identifying it as a human carcinogen.210 Even very small amounts of dioxins may

11	be toxic to humans.

12	Sources of Dioxins in the Environment

13	Overview: Dioxins in the environment are primarily the unintended by-products of

14	industrial processes that use or burn chlorine. The major source of dioxins in the environment is

15	incineration. Other sources of dioxins include direct discharges to water from industrial

16	processes, and releases from soils.

17	Air: Most dioxins are introduced into the environment as emissions to the air. Incineration

18	is a major source of dioxins; small quantities of dioxins are also emitted during combustion of

19	fossil fuels, wood, municipal and industrial waste. Dioxins released into the air may be

20	suspended for a long time and travel great distances before being deposited to soils and surface

21	waters.

22	Water/Sediments: Dioxins are discharged directly to surface waters from pulp and paper

23	mills (pulp and paper mills that use chlorine compounds in bleaching processes are the largest

24	source of direct discharges of dioxin to water212). Dioxin is also discharged to waters from the

25	industrial production of chlorinated organic chemicals, such as chlorinated phenols. Most dioxins

26	are contained in sediments, where they persist for long periods because of half-lives ranging from

27	months to years. Particles resuspended from sediments to surface waters are an important source

28	of dioxin in surface waters.

208Dawn Gagnon, Spiritual Keepers of the Penobscot, Bangor Daily News (October 6,
1995) (quoting Director John Banks: "Dioxin is suspected of being the most toxic compound that
the EPA has ever evaluated.").

209Unless otherwise noted, health effects information is taken from EPA Dioxins Fact Sheet.
210John Heilprin, EPA Agrees Dioxin Poses Cancer Risk, Associated Press [get better cite]
(May 15,2001).

21'Unless otherwise noted, sources information is taken from EPA Dioxins Fact Sheet.
212U.S. EPA, Inventory of Sources of Dioxin in the United States (1998). [draft - check if
can cite]

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1	Soils: Dioxins enter the soils when industrial wastes and municipal sludge contaminated

2	with dioxins are applied as fertilizer to crops or grazing lands. Dioxins that have been emitted to

3	the air are also deposited to soils. Dioxins in the soils may in turn be released into surface waters

4	through run-off or leaching.

5	Chlordane213

6	Background

7	Chlordane is responsible for advisories on Lake Superior, Lake Michigan, and Lake

8	Huron.214 It is the source of advisories for several National Estuary Program and National

9	Estuarine Research Reserve System sites, including the Potomac, Black and Anacostia Rivers (all

10	of which connect to Chesapeake Bay).215 The Baltimore Harbor is under advisory for chlordane,

11	as is the New York/New Jersey Harbor, Barnegat Bay (NJ), Jacques Cousteau-Great Bay and

12	Mullica River (NJ), and Delaware Estuary.216 Chlordane is the source of a statewide advisory for

13	lakes and rivers in New York217

14	According to a recent study of the Greenpoint/Williamsburg community in the Borough of

15	Brooklyn in New York City, fish are a major source of chlordane exposure for African-Americans

16	and Hasidic Jews, and shellfish are a major source of chlordane exposure for

17	Hispanics/Caribbean Americans.218

18	Health Effects

19	Chlordane is associated with cancer in some but not all studies; it is classified by EPA as a

20	probable human carcinogen.219 Chlordane also has adverse effects on the central nervous system,

21	the digestive system, and the liver at higher doses. Chlordane metabolites may reside in human

22	breast milk, and may be passed on to infants through breastfeeding.

23	Sources of Chlordane in the Environment

213"Chlordane" is a manufactured mixture of more than 26 compounds. Chlordane is used
here to refer to chlordane and to the multiple breakdown products of chlordane, which themselves
are persistent and bioaccumulative.

214U.S. Environmental Protection Agency, Update: National Listing of Fish and Wildlife
Advisories 3-5 (2001) available at www.epa.eov/ost.

215Id.

216Id.

217Id.

21 industrial Economics, Inc., Community-Specific Cumulative Exposure Assessment for
Greenpoint/Williamsburg New York 2-19 (1999).

219Washington State Department of Ecology, Proposed Strategy to Continually Reduce
Persistent, Bioaccumulative Toxins (PBTs) in Washington State 44 (2000).

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1	Overview: The manufacture and use of chlordane has been banned in the United States

2	since 1988. It was once used as an agricultural pesticide (on crops including corn and citrus), and

3	on home lawns and gardens. One of chlordane's most common uses was for treatment of termites.

4	Once chlordane is released into the environment, it may evaporate or it may bind itself to soil

5	particles (particularly in the upper layers of soil) or to sediments in water. The breakdown of

6	chlordane once it is bound to soil particles or sediment is very slow. According to the National

7	Resources Defense Council, "[s]o persistent is the residue, that a recent study showed that

8	detectable levels of chlordane are still present in some food grown in the United States, even

9	though it has been decades since chlordane was used in agriculture."220

10	Air: Chlordane from past applications to agricultural soils, soils near houses treated for

11	termite control, or soils near waste sites and landfills may be present in the air in small amounts.

12	Water/Sediments: Chlordane from past releases is contained in surface waters and

13	especially in sediments. It is highly persistent, and may be present in sediments for years.

14	Soils: Chlordane from past releases is also contained in soils, where it is highly persistent.

15	Chlordane has been found in some cases to be present in soil up to 20 years after application.221

220Natural Resources Defense Council, Healthy Milk, Healthy Baby: Chemical Pollution
in Mother's Milk; Chemicals: Chlordane available at www.nrdc.org/breastmilk/chem 1 .asp.

22lId.

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1

DDT222

2	Background

3	DDT is the source of a statewide advisory for lakes and rivers in New York, as well as

4	advisories in California, Texas, and Maine.223 The total number of advisories for DDT increased

5	from 40 in 1999 to 44 in 2000.224

6	DDT is a contaminant of concern for the Fourteen Confederated Tribes of the Yakama

7	Nation, given that the Yakama River, which forms a reservation boundary and is a tributary to the

8	Columbia River, is contaminated with DDT and currently under a state-issued advisory.225

9

10	Health Effects

11

12	DDT, together with DDD and DDE, is classified by EPA as a probably human carcinogen.

13	DDT may cause damage to the central nervous system at high doses, leading to tremors and

14	seizures.226

15	Sources of DDT in the Environment

16	Overview: DDT was one of the most widely used pesticides in the United States from

17	1946 to 1972. Its use has been banned in the United States, except for "public health

18	emergencies."227

19	Other Persistent Organic Pollutants (POPs)/Persistent Bioaccumulative Toxins (PBTs)

20	Several other contaminants are sources of concern because they are bioaccumulative and

21	persistent. That is, these contaminants accumulate in aquatic organisms at concentrations many

22	times higher than the concentrations present in surrounding waters. They also persist for long

23	periods of time in the environment, particularly in the sediments where bottom-dwelling aquatic

24	species can accumulate them and pass them up the food chain to fish, other predatory species, and,

25	ultimately, humans. The contaminants are also highly toxic. In addition to the five contaminants

222"DDT' here refers not only to DDT, but also to its breakdown products, DDD and DDE.
223U.S. Environmental Protection Agency, Update: National Listing of Fish and Wildlife
Advisories 3-5 (2001) available at www.epa.gov/ost.

224Id.

225Barbara Harper and Stuart Harris, Tribal Technical Issues in Risk Reduction Through
Fish Advisories in Proceedings of the American Fisheries Society: Forum on Contaminants in Fish
17(1999).

226Washington State Department of Ecology, Proposed Strategy to Continually Reduce
Persistent, Bioaccumulative Toxins (PBTs) in Washington State 44-45 (2000).

227Id.

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1	canvassed above, the Convention on Persistent Organic Pollutants and the EPA's Persistent

2	Bioaccumulative Toxin Initiation each include among the POPs or PBTs of concern the following

3	seven pesticides: Aldrin, Dieldrin, Endrin, Heptachlor, Hexachlorobenzene, Mirex, and

4	Toxaphene;228 and the industrial chemical Hexachlorobenzene. Note that this list is likely not

5	exhaustive; these contaminants are merely those that have been identified as being of the very

6	highest priority. Some groups have argued, for example, the lead belongs on this list, given that it

7	is persistent, it builds up in bone tissue, it is toxic even in minute concentrations, and its effects on

8	exposed children are particularly troubling.229 In some cases, governments and agencies are in the

9	process of studying whether additions are appropriate. The Washington State Department of

10	Ecology, for example, has identified more than 60 additional candidates for screening and

11	prioritization, based on initial evaluations demonstrating their persistence, propensity to

12	bioaccumulate and toxicity.230

13	Exposure to these POPs or PBTs has been linked to a wide range of toxic effects in fish,

14	wildlife, and humans, including cancer, adverse developmental effects and adverse effects on the

15	nervous, reproductive, immune and endocrine systems.231 POPs or PBTs are contaminants of

16	concern for many affected communities, groups and tribes. The Indigenous Environmental

17	Network, for example, explains some of their concerns:

18	Indigenous Peoples have special cultural and spiritual relationships to traditional foods

19	that create increased consumption patterns compared to non-Indigenous populations.

20	Unfortunately, the main way POPs enter our bodies is through food. POPs have been

21	found in eagles, cormorants, ducks, geese, caribou, reindeer, raccoons, rabbits, quail,

22	deer, moose, bison, turtles, crocodiles, sheep, cows, polar bears, seals, whales, and fish.

23	... Advisories prohibiting or discouraging the consumption of traditional foods affect

24	Indigenous Peoples' right to practice our cultural and spiritual ways.221

228See U.S. EPA, Office of Water, Toxaphene Update: Impact on Fish Advisories (September
1999) (available at www.epa.gov/ost/fish/chemfacts.htmn (visited June 26, 2001).

229Washington Toxics Coalition, Comments on Ecology's Draft Strategy Addressing
Persistent Pollutants available at www.watoxics.org/uaPBTcomments.htm.

230Washington State Department of Ecology, Proposed Strategy to Continually Reduce
Persistent, Bioaccumulative Toxins (PBTs) in Washington State 60-61 (2000).

23'Washington State Department of Ecology, Proposed Strategy to Continually Reduce
Persistent, Bioaccumulative Toxins (PBTs) in Washington State 5 (2000)

232Indigenous Environmental Network, Drum Beat for Mother Earth: Persistent Organic
Pollutants (POPs) available at www.ienearth/org/pops_threat-p2.html

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1 A. PREVENTION AND REDUCTION

2	How might EPA better prevent contamination in the first place in order to protect the aquatic

3	ecosystems and the health of people consuming or using fish, aquatic plants, and wildlife for

4	subsistence, traditional, cultural, or religious purposes?

5	Efforts to prevent or reduce contamination in the first place are vital to protecting the

6	health of communities of color, low-income communities, and tribes. These efforts are especially

7	important given that members of these groups are among the most highly-exposed to environmental

8	contaminants (as discussed in Chapter 1) and given that for many of these groups, risk avoidance -

9	eating less fish, using a different preparation method, fishing m a different location - 1S simply not

10	a realistic or culturally appropriate option (as will be discussed in Chapter 3). Thus, these groups

11	will disproportionately bear the burden of sources of ongoing contamination that are not

12	adequately addressed. Prevention and reduction efforts will need to be directed at those

13	contaminants of concern that are still being used or produced, including mercury, dioxms, and

14	others.

15	1. Clean Water Act

16	Enacted in 1972 the Clean Water ActP (CWA) and its complex implementing regulations

17	and guidelines focus on'protecting public natural resources and welfare and improving water

8	Salto through the control of discharges of pollutants into national waters. The statutory objective

9	ofle CWA is "to restore and maintain the chemical physical, and b.ologi^ mKgmy of the
20 Nation's waters •'» As stated in the CWA, national goals prov.de that: (1) the discharge of

int0 navicable waters be eliminated by 1985; (2) an interim goal of water quality that

22	™Mes for the protection and propagation of fish, shellfish and wildlife and for reckon be

23	achfevS bv July 1,1983; (3) the discharge of toxic pollutants in toxic amounts be prohibited; (4)

24	federaffinancial assistance be provided to constnict publicly owned waste treatment works; (5)

25	areaw'c'e wa®te.^^^^^^^g^^aj^'^^^orresearch'ai^demonstration^effo^4^

26	control of pollu ion so	harce of pollutants into national waters, and (7) programs to

27	undertaken to elunma e	b developed expeditiously to meet the goals of the CWA.BS

28	control point and nonpomt	^	^ ^ ^

29	Water quality standards are key »3^™	„ where exWing controIs lilie

32	Generally, the	^ ^fo^^hoseT'^dardTt^ugh'^r^tt^^^stems,

33	standards for various sou ^ ] te primary enforcement authority to that state. As originally

35	laws'did MtmeM,on'ribes -

2333 3 U.S.C. §§ 1251-1387.
23433 U.S.C. § 1251(a).
B533 U.S.C. § 1251(a).

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1	Indian reservations or provide for direct participation by tribal governments. Because the

2	jurisdictional rules applicable to Indian country left EPA unable to pursue its usual practice of

3	delegating primary enforcement responsibility to states, EPA was forced to develop special rules

4	and practices concerning environmental regulation on Indian reservations and the role to be played

5	by tribal governments. In November 1984, EPA issued the EPA Policy for the Administration of

6	Environmental Programs on Indian Reservations (Indian Policy) to address tribal participation and

7	the unique circumstances presented by Indian country.236 Each EPA Administrator, including most

8	recently Administrator Christine Todd Whitman, has reaffirmed the principles enumerated in the

9	Indian Policy.237 In 1987, Congress amended the CWA to allow federally-recognized tribes to be

10	treated as states for certain purposes under the Act. As of December 2000, only eighteen tribes (of

11	the approximately 565 total federally recognized tribes) have received treatment as a state status

12	and adopted standards for purposes of the water quality standards effective under the CWA, and

13	EPA has promulgated standards for one additional tribe.238 As a result, a large gap exists in water

14	quality standards coverage in Indian country. For example, tribal lands lacking approved water

15	quality standards constitute an area approximating the size of all of New England plus New Jersey

16	and as many reservation residents as the populations of Wyoming, Alaska, and Vermont

17	combined.239 Where tribes have not yet received treatment as a state status and assumed

18	responsibility for CWA on their reservations and lands, EPA is responsible for implementing and

19	enforcing the CWA within Indian country pursuant to the CWA and the federal trust responsibility

20	owed to tribes.240 Toward that end, EPA recently has been considering a proposal to develop core

21	federal water quality standards for certain waters in Indian country that do not have water quality

22	standards under the CWA.241 The Core Standards currently call for a four-part hierarchy for

23	selecting a fish consumption rate for use in setting water quality standards in Indian country. This

236EPA Policy for the Administration of Environmental Programs on Indian Reservations,
Nov. 8, 1984.

2370n July 11, 2001, Administrator Whitman issued a Memorandum on EPA Indian Policy
to All EPA Employees recognizing the right of tribes as sovereign governments to self-
determination and acknowledging the federal government's trust responsibility owed to tribes.
The Administrator also reaffirmed EPA's commitment to the long-established Indian Policy and
"in building a stronger partnership with tribal governments to protect the human health and
environment of Indian communities."

mEPA Fact Sheet: Water Quality Standards for Indian Country (April 2001) (available
online at http://www.epa.gov/ost/standards/tribal/tribalfact.html). Note, we need the Office of
Water or the AIEO to verify this figure officially at the time of the report.

239EPA Fact Sheet: Water Quality Standards for Indian Country (April 2001) (available
online at http://www.epa.gov/ost/standards/tribal/tribalfact.html).

240The courts have long recognized that the United States has a trust relationship with Indian
tribes. See, e.g. Worcester v. Georgia. 31 U.S. 515 (1832); Cherokee Nation v. Georgia. 30 U.S.
1 (1831).

24'On January 19, 2001, EPA's Administrator signed the proposed Federal Water Quality
Standards for Indian Country and Other Provisions Regarding Federal Water Quality Standards,
which were withdrawn from the Office of the of the Federal Register on January 20, 2001 to allow
regulatory review by the Administrator. 66 Fed. Reg. 7701 (Jan. 24, 2001).

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1	hierarchy sets up a preference for using "the results of any existing fish consumption surveys of

2	ioca] Indian country watersheds to establish fish intake provisions that are representative of the

3	populations being addressed."242 While this preference for local data is appropriate, the reality, as

4	discussed in Chapter 1, is that many tribes have not gathered this data - often for lack of resources.

5	In the absence of such data, the proposed Core Standards would look to EPA's default fish

6	consumption rates, and perhaps to a rate as low as 17.5 grams/day.243 As noted in Chapter 1, this

7	number grossly underestimates consumption for many tribes.

8	As discussed in Chapter 1, EPA has recently updated its default values for fish

9	consumption rates, as part of its revisions to the Ambient Water Quality Criteria Methodology for

10	the Protection of Human Health, pursuant to CWA 304(a). The EPA has indicated that the revised

11	values will likely guide water quality standard-setting and policy for years to come (the former

12	values were in place for roughly 20 years). This may be problematic from the perspective of

13	affected groups whose members consume fish at the highest levels, and whose practices are

14	therefore not adequately accounted for or protected by even the revised AWQC Methodology.

15	Moreover, as noted in Chapter 1, to the extent that the revised AWQC Methodology recommends

16	that states and tribes prefer local data, EPA will need to provide funding to enable this preference

17	to exist as a meaningful option. And, to the extent that EPA's revised AWQC Methodology

18	proposes that "acceptable" risk for the general population be defined as an incremental cancer risk

19	of 1 in 100,000 to 1 in 1,000,000, but deems a greater level of risk "acceptable" for "more highly

20	exposed subgroups," including subsistence fishers, i.e., up to 1 in 10,000, this is a troubling

21	potential source of environmental injustice.244 EPA should decline to exercise this option to

22	provide lower levels of protection to communities of color, low-income communities and tribes as

23	it sets and approves water quality standards. Additionally, as a general matter, EPA needs to take

24	into account the differences in fish consumption rates, practices, and context, as outlined in

25	Chapter 1, as it undertakes triennial reviews of stat and tribal water quality standards under CWA

26	303(c)(1).

27	Additionally, the CWA provides some authority for addressing non-point sources of water

28	pollution (including through TMDLs). Given that non-point sources contribute numerous

29	contaminants of concern to aquatic ecosystems, this authority should be interpreted broadly to

30	enable EPA to prevent and reduce contamination from these sources.

31	Neither the CWA nor its regulations alone will accomplish the objective and goals of the

32	CWA. EPA, and authorized state and tribal governments, simply must ensure strict and

33	widespread compliance with the CWA. Without such enforcement, polluters have absolutely no

34	incentive to comply with the CWA as "noncompliance results in economic benefits (the free use of

242U.S. Environmental Protection Agency, Office of Water, Federal Water quality
Standards for Indian Country and Other Provisions Regarding Federal Water Quality
Standards (unofficial prepublication copy, January 19, 2001) available at
www.epa. gov/ost/standards/tribal/.

243Id. at 17.

244Draft AWQC Methodology at 43,762.

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1	public waterways for waste disposal), while compliance exacts a financial cost (the construction

2	and operation of expensive pollution removal facilities)."245

3	Water quantity is also of serious concern given, among other things, its recognized

4	connections to and implications for water quality and integrity. For example, congressional goals

5	and policies under the Clean Water Act direct federal agencies to "co-operate with State and local

6	agencies to develop comprehensive solutions to prevent, reduce and eliminate pollution in concert

7	with programs for managing water resources."246 And the U.S. Supreme Court has recognized the

8	connection between water quantity and quality, upholding a state's imposition of minimum

9	instream flows as part of a Section 401 determination.247 Wetlands, which provide essential

10	wildlife habitats, are also recognized as an integral and natural way of removing pollutants from

11	water bodies, and the Clean Water Act's Section 404 permitting program as well as EPA's "no net

12	loss" strategy for wetlands preserves both the quality and quantity of these waters. Additionally,

13	reduction in water quality affects surface flows and may increase the concentration of pollutants

14	and other chemicals.248

15	2. Other Authorities

16	The Clean Air Act (CAA) is an important source of authority for addressing contamination

17	of aquatic environments that results in part from the deposition of contaminants emitted into the air.

18	For example, it is estimated that air emissions account for some 80% of mercury contamination in

19	water. Most dioxins released into the environment also come from emissions to air; as noted

20	above, dioxins emitted into the air may be suspended for a long time and travel great distances

21	before being deposited to surface waters. Among other things, the CAA Section 112 addresses

22	certain "hazardous air pollutants;" the 1990 amendments to the CAA direct EPA to develop rules

23	for categories of sources that emit these hazardous air pollutants, and to do so over the next ten

24	years. EPA has promulgated many of these rules, although there are some source categories for

25	which EPA is still in the process of rule development. Because mercury compounds and dioxin

26	are among the hazardous air pollutants regulated under CAA Section 112, this provides an

27	important basis for preventing and reducing these contaminants. Moreover, EPA has several

28	upcoming opportunities under Section 112 (e.g., upcoming rule for coal-fired power plants, the

29	single largest source of mercury emissions nationwide; upcoming rule for chlor-alkali plants, a

30	significant source of mercury, particularly in some locales, such as Louisiana) to address these

31	concerns as it develops these rules.

245John Cronin and Robert F. Kennedy, Jr., The Riverkeepers at 178 (1997).

24633 U.S.C. § 1251(g).

247PUD No. 1 v. Washington Dep't of Ecology. 511 U.S. 700 (1994).

248See. e.g.. United States v. Gila Valley Irrigation Dist.. 920 F. Supp. 1444 (D. Ariz. 1996)
(finding that upstream water uses reduced surface flows and increased saline levels in water reaching an
Indian reservation to the extent that traditional agricultural activities were impaired and recognizing that
the tribe was entitled to surface water of adequate quantity as well as quality).

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1	The CAA also provides authority to address other air-related source of contaminated

2	waters. For example, the CAA regulates oxides of nitrogen (NOx) through a variety of provisions.

3	NOx causes acidification and euthrophication (a process in which an overabundance of nutrients

4	causes some algae to multiply exponentially causing oxygen depletion that limits the ability of

5	some species to thrive and survive), a potential problem for shellfisheries and other aquatic

6	resources. Among these, the New Source Review program, which decides controls for NOx on

7	new or modified facilities on a case-by-case basis, is under review pursuant to the National

8	Energy Policy. In addition, implementation of the new Ozone National Ambient Air Quality

9	Standard (NAAQS) may affect NOx emissions as NOx is an important ozone precursor.

10	Other statutory and regulatory authorities similarly provide authority useful for preventing

11	and reducing contamination of fish and aquatic environments. Several statutes and regulations

12	pertaining to hazardous waste may provide authority to address more thoroughly the use of

13	"recycled" wastes from various industrial processes as fertilizer - which is then applied to crops,

14	grazing lands, and gardens, and may contribute to run-off of dioxins, lead, mercury, cadmium, and

15	other contaminants of concern to surface waters and contamination of groundwater, including

16	drinking water. Although current regulations address this practice, they contain a loophole

17	exempting steel mill waste and may still permit unacceptable levels of these contaminants in

18	fertilizer.

19	The Federal Insecticide, Fungicide, and Rodenticide Control Act (FIFRA) may provide

20	authority to address the fact that "[w]ell over a billion pounds of pesticides are applied annually in

21	the United States, at least 50 million pounds in the Great Lakes Watershed alone."249 Also

22	authority under FIFRA is limited, there may well be opportunities for EPA to use the available

23	tools more aggressively, e.g., prominent advisories on pesticide labels, prohibitions on use within

24	a specified distances from wells (well set-backs), prohibitions on use in designated geographic

25	areas, and restricting pesticides' use to certified applicators.250

26	The Pollution Prevention Act (PPA), enacted in 1990, might similarly be mined for tools

27	that EPA might employ more aggressively to prevent pollution from entering aquatic environments

28	in the first place.

29	Finally, a variety of sources of authority and EPA offices have been gathered in EPA's

30	recent Contaminated Sediment Management Strategy. Given that in terms of volume, some 10% of

31	the sediments underlying the nation's waters are contaminated, that 96 of the watersheds tested

32	indicate contamination at levels of serious concern, and that the contaminants that most frequently

249U.S. General Accounting Office, Issues Concerning Pesticides Used in the Great Lakes
Watershed (1993).

250Zygmunt J. B. Plater, et al., Environmental Law and Policy: Nature, Law, and Society
728 (2d ed. 1998).

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1	contributed to this concern were mercury, PCBs, pesticides (especially DDT), and PAHs,

2	addressing sediment contamination should indeed be a priority.251

3	B. CLEANUP AND RESTORATION

4	How might EPA enhance restoration efforts in order to rehabilitate aquatic ecosystems and

5	thereby protect the health of people consuming or using fish, aquatic plants, and wildlife for

6	subsistence, traditional, cultural, or religious purposes?

7	Many aquatic environments remain degraded such that they require restoration in order to

8	ensure the viability of the ecosystem; the health of people consuming or using fish, aquatic plants,

9	and wildlife for subsistence, traditional, cultural, or religious purposes; the ability to support

10	economies dependent on aquatic resources; and the sustainability of tribal homelands. Efforts to

11	cleanup and restore contaminated aquatic environments are vital to protecting the health of

12	communities of color, low-income communities, and tribes. These efforts are especially

13	important given that members of these groups are among the most highly-exposed to environmental

14	contaminants (as discussed in Chapter 1) and given that for many of these groups, risk avoidance -

15	eating less fish, using a different preparation method, fishing in a different location - is simply not

16	a realistic or culturally appropriate option (as will be discussed in Chapter 3). Thus, these groups

17	will disproportionately bear the burden of existing contamination that is not adequately addressed.

18	Moreover, because production (and, in many cases, use) in the United States has been banned for

19	several of the contaminants of greatest concern - for example, PCBs, DDT, chlordane, and

20	toxaphene - the presence of these contaminants in the environment can only be reduced through

21	cleanup and restoration efforts.

22	"Restoration" has been taken by different people to mean different things.252 Restoration

23	has sometimes been defined somewhat narrowly, to the exclusion of the historical, cultural, legal,

24	and social contexts within which restoration takes place. Thus, for example, the National

25	Research Council has defined restoration of aquatic ecosystems as "the reestablishment of

26	predisturbance aquatic functions and related physical, chemical and biological characteristics.253

27	Others define restoration more broadly and suggest that the ends and means of restoration can only

28	be contemplated in context, i.e. in light of the particular historical, cultural, legal, and social

29	circumstances of a place. The Society for Ecological Restoration, for example, observes that

30	restoration should attend to "regional and historical context," and must take into account the need

31	to sustain cultural activities, especially the cultural practices of indigenous peoples.254 Similarly,

251U.S. Environmental Protection Agency, Office of Science and Technology, The
Incidence and Severity of Sediment Contamination in Surface Waters of the United States,
Volume 1: National Contaminant Survey (1997).

252For several examples relevant to the restoration of aquatic environments, see U.S. EPA,
Office of Water, River Corridor and Wetland Restoration, "What is Restoration?" at
www.epa.gov/owow/wetlands/restore/defs.html (visited Aug. 6, 2001).

253National Research Council, Restoration of Aquatic Ecosystems 18 (1992).

254See www.ser.org [check citation]

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1	among the Principles of Environmental Justice articulated by the First National People of Color

2	Environmental Leadership Summit, is that "(environmental justice affirms the need for urban and

3	rural ecological policies to clean up and rebuild our cities and rural areas in balance with nature,

4	honoring the cultural integrity of our communities and providing fair access for all to a full range

5	of resources."255

6	In the case of restoration affecting tribal homelands (including tribal resources and

1 culturally-important resources whether located on- or off-reservation), tribes and commentators

8	have noted that the ends or "point of reference" for restorative efforts cannot be considered

9	separately from the obligations that the United States has undertaken in treaties and as part of its

10	trust responsibility.256 Restoration here must attend to the purposes for which tribal lands and

11	resources have been reserved under treaties and protected in furtherance of the federal trust

12	responsibility.257 As noted above, arguably the primary purpose of all reservations is the creation

13	of a permanent tribal homeland where the tribe can maintain its traditional subsistence activities

14	including the exercise of treaty rights to hunt, fish, and gather. Water of sufficient quality and

15	quantity for this purpose is essential.258 Thus, for example, in introducing their plan for restoring

16	salmon and other anadromous fish in the Columbia River Basin, Wy-Kan-Ush-Mi Wa-Kish-Wit,

17	the Columbia River treaty tribes explain that "[ujnlike other plans, this plan establishes a

18	foundation for the United States and its citizens to honor their treaty and trust obligations to the four

19	tribes. If implemented, it would at least begin to meet ceremonial, subsistence, and commercial

20	needs of tribal members and to return fish to many of the tribes' usual and accustomed fishing

21	places, as guaranteed in the 1855 treaties."259 Restoration affecting tribal lands and resources,

22	moreover, must attend to the related matters of cultural flourishing and tribal sovereignty.260 As

255Principles of Environmental Justice, Proceedings of the First National People of Color
Environmental Leadership Summit xiii (1991).

256Moses Squeochs, Director, Environmental Program, Fourteen Confederated Bands of the
Yakama Nation (August 3, 2001 conference call).

257Jana Walker, Attorney, Law Offices of Jana L. Walker (August 3, 2001 conference call);
Mary Christina Wood, Indian Land and the Promise of Native sovereignty: The Trust Doctrine
Revisited, 1994 Utah L. Rev. 1471; Mary Christina Wood, Fulfilling the Executive's Trust
Responsibility Toward Native Nations on Environmental Issues: A Partial Critique of the Clinton
administration's Promises and Performances, 25 Envtl. L. 733 (1995); Mary Christina Wood,
Protecting the Attributes of Native Sovereignty: A New Trust Paradigm for Federal Actions
Affecting Tribal Lands and Resources, 1995 Utah L. Rev. 109

258See. e.g. Winters v. I Inited States. 143 F. 740, 742 (1906); Colville Confederated
Tribes v. Walton, 647 F.2d 42, 49 (1981 9th Cir.), cert, denied, 454 U.S. 1092 (1981); Felix S.
Cohen, Handbook of Federal Indian Law, 588-89 (1982 ed.); [U.S. v. Washington Phase II]; see

also Maiy Christina Wood [trust trilogy];

259Columbia River Inter-Tribal Fish Commission, 1 Wy-Kan-Ush-Mi Wa-Kish-Wit: Spirit

of the Salmon, iv (1995).

260See, e.g., CRITFC, Wy-Kan-Ush-Mi Wa-Kish-Wit at v ( protect tribal sovereignty"

among goals of restoration); Chairman's Corner; The Exercise of Tribal Sovereignty Lies at the

Heart of Healthy Ecosystems. Fort Apache Scout, May 24, 1996 at 2; [Tsosie]; see, generally,

Winona LaDuke, AH Our Relations: Native Struggles for Land and Life (1999).

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1	John LaVelle observes in the context of restoration plans for Paha Sapa or the Black Hills, those

2	pursuing plans "must embrace the restoration of tribal sovereignty and cultural integrity as an

3	indispensable remedial norm to be realized through the proposal's development and

4	implementation."261

5	EPA's Watershed Ecology Team has set forth Principles for the Ecological Restoration of

6	Aquatic Resources.262 These "Guiding Principles" include (1) preserve and protect aquatic

7	resources; (2) restore ecological integrity; (3) restore natural structure; (4) restore natural function;

8	(5) work within the watershed and broader landscape context; (6) understand the natural potential

9	of the watershed; (7) address ongoing causes of degradation; (8) develop clear, achievable, and

10	measurable goals; (9) focus on feasibility; (10) use a reference site; (11) anticipate future changes;

11	(12) involve the skills and insights of a multi-disciplinary team; (13) design for self-sustainability;

12	(14) use passive restoration, when appropriate; (15) restore native species and avoid non-native

13	species; (16) use natural fixes and bioengineering techniques, where possible; and (17) monitor

14	and adopt where changes are necessary.

261John P. LaVelle, Rescuing Paha Sapa: Achieving Environmental Justice by Restoring
the Great Grasslands and Returning the Sacred Black Hills to the Great Sioux Nation, 5 Great
Plains Natural Resources J.-40, 78 (Spr./Sum. 2001) (italics omitted).

262U.S. EPA, Principles for the Ecological Restoration of Aquatic Resources (2000),
available at www.epa.gov/owow/wetlands/restore/principles.html (visited Aug. 6, 2001).

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1

1. Clean Water Act

2	As noted above, the statutory objective of the CWA is "to restore and maintain the

3	chemical, physical, and biological integrity of the Nation's waters."263 In addition to the efforts

4	discussed above in conjunction with prevention and reduction, EPA should read its authority under

5	the CWA consonant with this stated objective and look creatively and aggressively for restoration

6	opportunities.

7	2. Other Authorities

8	Clearly, the focus of CERCLA or "Superfund" is on cleanup and restoration of

9	contaminated environments, including aquatic environments. Under CERCLA and its

10	implementing regulations, once contaminated sites have been identified as potential priorities for

11	cleanup action, EPA investigates the nature and extent of the threat posed by the contamination (the

12	"remedial investigation" or "RI") and develops alternative approaches for responding to the

13	contamination at that site (the "feasibility study" or "FS"). EPA uses a screening process to

14	evaluate the alternatives identified during the RI/FS, which includes, among other criteria, whether

15	the alternatives comply with all "applicable, relevant, and appropriate requirements," whether

16	they achieve overall protection of human health and the environment, whether they reduce the

17	toxicity, mobility or volume of the contamination through treatment, whether they are effective in

18	the short-term as well as the long-term, whether they are implementable and how much they cost,

19	whether they are acceptable to the state and to the community. Note that these criteria provide

20	EPA with considerable latitude to choose a more or a less protective alternative as the "remedy"

21	for the contamination. EPA's work in this regard could be improved in several ways relevant to

22	communities of color, low-income communities, and tribes. First, EPA needs to set cleanup levels

23	and determine appropriate remedies in light of the considerations discussed in Chapter 1.

24	Specifically, when EPA sets cleanup levels for contaminated sediments and surfaces waters, it

25	needs to take into account the different fish consumption rates, practices and contexts of affected

26	groups and set levels sufficiently protective of these groups. EPA site managers need to consider

27	matters of aggregate or multiple exposures and cumulative risks, and delineate sites, goal, and

28	remedies accordingly. EPA needs to refrain from falling back on "institutional controls" (e.g., put

29	a fence around the site and post "No Fishing" signs) and undertake aggressive cleanups where the

30	sites are past or present locations for fishing and other activities that expose communities of color,

31	low-income communities, and tribes to contamination. Second, EPA needs to take seriously the

32	requirement of "community acceptance" as it chooses among alternatives. In order to do so, it

33	needs to ensure that participation by affected communities (and co-management by affected tribes)

34	takes place from the outset and at every point in the decision-making process. To accomplish this,

35	EPA should be ready to provide financial and technical support. These issues of affected group

36	involvement are also taken up in Chapter 1 and Chapter 3. Finally, to the extent that the Natural

37	Resource Damage provisions of CERCLA (or other statutes) are invoked, involved agencies

38	should work with the community to ensure that efforts are undertaken with an eye toward making

39	the community whole. Community involvement here, of course, will be critical; tribes may well

2633 3 U.S.C. § 1251(a).

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1	be involved in their roles as Natural Resource Damage trustees. The discussion above regarding

2	restoration is also relevant here.

3	Other statutory and regulatory authorities similarly provide authority useful for cleaning up

4	and restoring contaminated aquatic environments. Among these, as discussed above in the context

5	of prevention and reduction, a variety of sources of authority and EPA offices have been gathered

6	in EPA's recent Contaminated Sediment Management Strategy.

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l CHAPTER III: FISH CONSUMPTION ADVISORIES

2	What role should fish consumption advisories play in efforts to protect more effectively the

3	health and safety of people consuming or using fish, aquatic plants, and wildlife?

4	Whereas Chapter 2 focused on issues surrounding risk reduction strategies, this chapter

5	focuses on issues surrounding a risk avoidance strategy: fish and wildlife consumption advisories

6	Rather than looking, as risk reduction strategies do, to the risk-producers to cleanup, limit, and

7	prevent environmental contamination, risk avoidance strategies look to risk-bearers - those who

8	bear the risks of contamination - to change their lives and practices in order to avoid exposure to

9	harmful contaminants. They do this by encouraging or requiring individuals to change the way

10	they live, specifically, to alter or refrain from certain pursuits or practices that, once a place has

11	been allowed to become contaminated, expose them to risk.

12	It is important to note that with risk avoidance strategies such as fish consumption

13	advisories, the responsibility for addressing environmental contamination and its harmful human

14	health effects is allocated to those who are made to bear the risks of contamination rather than to

15	the sources of that contamination. Furthermore, because risk avoidance strategies place this

16	responsibility on those who are exposed to environmental contaminants, they will necessarily

17	impose a greater burden on communities of color, low-income communities and Tribes. As has

18	been amply demonstrated, it is members of these groups who are among the most exposed

19	In light of these and other considerations, and in view of the reality of the harmful health

20	effects of consuming fish from seriously contaminated environments, Part A of this chapter will

21	take up the question "what role should fish consumption advisories play in efforts to protect more

22	effectively the health and safety of people consuming or using fish, aquatic plants, and wildlife?"

23	It is important to note that the answer to this question is likely to be different for different

24	communities, groups, or tribes, and should be determined by or together with the affected

25	group.

26	Parts B, C and D will examine the related matter of fish consumption advisories'

27	"effectiveness." The concept of "effectiveness" itself raises a host of issues, the first of which is

28	definitional: what is meant by an "effective" advisory? Again, the answer to this question may be

29	different for different agencies and for different communities, groups, or tribes. This question will

30	be discussed in Part B. Part C will canvas the current state of research regarding how those to

31	whom advisories are directed respond to this information, focusing on what is known about

32	awareness and responses in communities of color, low-income communities, and tribes. Part D

33	will then explore ways in which to improve the effectiveness of risk communication and fish

34	consumption advisories. Throughout, this chapter will seek to address the question: how can EPA

35	better meet the needs of all people, including minority and low-income communities and Tribes as

36	it works to address degradation of aquatic ecosystems and to protect the health and safety of

37	people consuming or using fish, aquatic plants, and wildlife?

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1	A. FISH CONSUMPTION ADVISORIES' ROLE

2	Risk avoidance strategies such as fish consumption advisories shift the responsibility for

3	addressing environmental contamination's harmful health effects to risk-bearers, as opposed to

4	allocating this responsibility to risk-producers. In the case of fish consumption advisories, this

5	choice disproportionately burdens communities of color, low-income communities, and tribes,

6	given that these groups consume fish at higher rates and according to different practices than the

7	general population, as discussed in Chapter 1. When agencies employ fish consumption

8	advisories, moreover, they assume that there are adequate substitutes in the lives of those to whom

9	the advisories are directed for fishing and fish consumption. Although consumption advisories

10	issued by federal or state agencies typically do not state as much explicitly, they rely implicitly on

11	the assumption that there are ready substitutes for being able to fish at the same place, in the same

12	manner, and for the same fish as one had traditionally or would today were the fish not

13	contaminated. This assumption requires a judgment on the part of the agencies that such a

14	substitution (1) is possible, and (2) will not occasion great loss.264 This is a value judgment that

15	is likely to reflect the understandings of the dominant society that fishing and fish consumption are

16	expendable "habits," "activities," or "behaviors," for which, at the very least, substitutes can be

17	readily obtained; and, that various groups' particular fishing and fish consumption practices can be

18	altered without great anguish (or that this anguish and loss does not matter).265

19	However, this value judgment does not reflect the understandings of many of those who are

20	affected - those who are being asked to change their lives and practices. First, it is often

21	unrealistic as a practical matter to think that there are substitutes ready at hand for fishing,

22	preparing fish, and eating fish in the manner currently practiced by affected individuals. This may

23	be so for economic, geographic, historical, cultural, and/or other reasons. It is often difficult if not

24	impossible to fish at a different bay, river, lake, or bayou - how would one get there if it is too far

25	to walk, or if the bus doesn't go there, or if there isn't any money to put enough gas in the car?

26	how would one learn what it takes to catch fish at a new place, and how would one put food on the

27	table in the meantime? what if all of the waters nearby were also contaminated, as is likely to be

28	the case when the sources of the contaminants are air emissions (e.g., mercury) or the entire area is

29	heavily industrialized (e.g., the Mississippi River Corridor between New Orleans and Baton

30	Rouge) or the entire area is plagued by pesticide runoff from farms? It is often difficult if not

31	impossible to fish for different species or to fish for younger fish as some advisories suggest -

32	what does one do for dinner when the only fish that are biting that day are old and the "wrong"

33	species? It is often difficult if not impossible to stop eating fish altogether and to obtain nutrition

34	benefits similar to fish from other sources - what if one cannot afford to pay for substitute sources

35	of protein, such as beef, which is often more expensive? how does one account for the fact that

36	fish are unequaled in regard to some nutrition benefits: for example, fish are an especially efficient

37	source of protein inasmuch as fish are low in fat relative to other protein sources? Consider, for

38	example, the obstacles and concerns identified by the following.

264 [cite to my paper, forthcoming or to presentation at PIELC]
265Id.

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1 Raymond Moseley, a fisher along the Columbia Slough in Portland, Oregon, explains:

2	We have caught big fish down there, between them two posts. Plenty catfish in there.

3	A in 't too many other places to fish - except way out of town.266

4	A low-income, African American fisher along the Detroit River, explains:

5	Yes, income affects everything. A fishing license is expensive - or outrageous is more

6	like it. You need money for everything. To fish is expensive and what happens when you
1 are poor? . . . You even have to spend money on gas so that you can get to the water and

8	if you can't get there then you can V get food.261

9	According to an account of the response of Alaskan Natives on Nelson Island to an unusual year

10	marked by reduced numbers of herring and a prevalence of fatty herring:

11	Several families did not fish for herring at all, resulting in the lowest overall household

12	involvement in herring production in the years of survey. Instead, they diverted efforts

13	to increase halibut, Pacific cod, and salmon harvests, filling drying racks and freezers

14	with these welcome, but less preferred, alternatives. Local residents do not consider

15	halibut and Pacific cod adequate, or even improved, substitutes for herring, as non-

16	local people may, but these species certainly are preferred by Nelson Island families to

17	non-local, imported foods. Herring is the traditional winter food for Nelson Island

3 8	families. Changing subsistence fishing strategies often means purchasing new gear and

19	more gasoline, adjusting processing and drying facilities, investing more time fishing

20	for other species, and altering subsistence production roles in the family268

21	Yin Ling Leung, Executive Director of Asians and Pacific Islanders for Reproductive Health,

22	California, explains:

23	To our communities, being able to fish means being able to either put food on the table,

24	or basically eat a much less nutritious meal. I think that's a non-choice.269

25	As Daisy Carter, Project AWAKE, Coatopa, Alabama, summarizes,

26	When it comes to people, their health and survival, EPA must become real. It is not

27	about formality, but reality.270

266Videotape: The Water in Our Backyard.

267Patrick C. West and Brunilda Vargus, A Subsistence-Culture Model for High Toxic
Fish Consumption by Low-Income Afro-Americans from the Detroit River 15 (forthcoming).

268Maiy C. Pete, Subsistence Herring Fishing in the Nelson Island and Nunivak Island
Districts (1991) available at www.nativeknowledge.org/db/files/tpl96.htm.

269Audrey Chiang, Asian Pacific Environmental Network, A Seafood Consumption Survey
of the Laotian Community in West Contra Costa County, California 1 (1998).

270Daisy Carter, Project AWAKJE (date).

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1	Second, even if those affected in some senses could as a practical matter alter their fishing

2	and fish consumption practices, to be asked or required to do so might be unthinkable in the sense

3	of occasioning profound loss or anguish. This may be so for traditional, cultural, religious,

4	historical, and/or other reasons. For some communities or peoples, fish and fishing are a way of

5	life, a way to be who they are. For these groups it is necessary to fish in traditional places, and to

6	catch, prepare and eat fish in accordance with traditional ways. From their perspective, these are

7	not expendable "habits," "activities," or "behaviors;" they are crucial for survival - of the

8	individual, the community or people, and, in some cases, the entirety of the earth.

9	Barbara Harper, Fourteen Confederated Tribes of the Yakama Nation, and Stuart Harris,

10	Confederated Tribes of the Umatilla Indian Reservation, explain:

11	There are many issues relating to the evaluation of tribal health risk and, even more

12	importantly, the health of people as they exist within their eco-cultural communities. . . .

13	We need to think not only about human people as receptors, but about the culture itself

14	as a receptor. We should be very uncomfortable about having to write a fish advisory in

15	the first place. .. Really, there is just a single cultural community that is comprised of

16	human and fish peoples and their rules for behaving and mutually surviving. It has been

17	explained that the fish community existed first, and accepted people as community

18	members, but only if human people follow certain rules ofparticipating in the ecology,

19	including a nutritionally adequate level of respectful consumption (a sacrament), and

20	protecting the fish members from contamination and habitat degradation in return for

21	being protected from starvation. Writing a fish advisory to protect some community

22	members from other members is very disquieting, and causes many consequences on its

23	own.271

24	Thus, it is often impossible to conceive of fishing at a different bay, river, lake, or stream - what if

25	it belongs to someone else traditionally, historically and/or legally? This is an issue, in particular,

26	for many tribes, especially the fishing tribes (e.g., of the Pacific Northwest or of the Great Lakes),

27	whose rights to hunt, fish, and gather are tied to particular places and protected by treaties - these

28	place-based rights are not transferable. Nor can many tribal fishers imagine going "somewhere

29	else" to fish, even if they could. Margaret Palmer, a Yakama tribal fisher, elaborates:

30	I don't feel like it's within our rights, as the tribe that we are, to go to a different area

31	and live off of something that maybe God has blessed them with. This is our blessing.

32	This is the way we see it. This is where we should stay. I don't believe that I would

3 3	leave the area. I believe I would stay where I'm at- by the water. It's our lineage.272

"'Barbara Harper and Stuart Harris, Tribal Technical Issues in Risk Reduction Through
Fish Advisories in Proceedings of the American Fisheries Society: Contaminants in Fish 17
(1999).

272Videotape: My Strength is From the Fish (Columbia River Inter-Tribal Fish Commission

1994).

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1	Moreover, the particularized skills and knowledge that tribal peoples have developed over

2	centuries are place-specific and comprise a part of their intergenerational heritage, to be passed

3	from generation to generation. It is often impossible to fish for, hunt for, or gather different spec

4	or to fish for younger fish as some advisories suggest - what if a particular species is bound up

5	with one's cultural identity and with eveiy aspect of who one is, as in the case of salmon and the

6	Native peoples of the Pacific Northwest or in the case of wild rice and the Native peoples of

7	Northern Minnesota?

8	Winona LaDuke, Mississippi Band of Anishinaabeg, explains:

9	It's mid-September in northern Minnesota. Somewhere on one of the many lakes Lenni

10	Butcher and his wife Cleo are making wild rice. Mamoominikewag. That is what they 6

12	It's a misty morning on Big Chippewa Lake. The Anishinaabeg couple drag their canoe

13	toward the water's edge. The woman boards in the front and sits on her haunches The

14	man pushes the canoe offshore and jumps in the boat behind her. As they pole toward

15	the wild rice beds, they can feel the crisp dampness of September on their faces The

16	man rises to stand, his head visible just above the tall sticks of rice. The woman pulls

17	the rice over her lap with a stick and gently raps it with another one. This is a

18	thousand-year-old scene on Big Chippewa Lake. And there is a community that intends

19	to carry it on for another thousand years.

20	There are many wild rice lakes on the White Earth reservation in northern Minnesota •

21	my community, the Anishinaabeg, calls the rice Manoomin, or a gift from the Creator

22	Every year, half our people harvest the wild rice, the fortunate ones generating a large

23	chunk of their income from it. But wild rice is not just about money andfood It's about

24	'	feeding the soul.213

25	Or what if a particular preparation method is an important component of traditional, cultural or

26	ceremonial use?

27	A majority of respondents [to the Seafood Consumption Survey of the Laotian

28	Community in West Contra Costa County, CaliforniaJ (76.1%) said they always eat the

29	skin of the fish. Some respondents also report regularly consuming the head and organs

30	of the fish. Many chemicals are concentrated in the fat, which is just underneath the

31	skin, and in the organs of the fish. Consumption of these parts of the fish exposes a

32	person to higher amounts of chemical contaminants than consumption of only the fillet

33	Cooking methods often determine which parts of the fish are eaten. The California

34	Environmental Protection Agency (Cal EPA) health advisory recommends that people

35	eat only fillet portions offish, and bake, broil, steam or grill fish on a rack so that

36	juices from the fat drip off during cooking. This survey shows that frying, baking,

273 Winona LaDuke, All Our Relations: Native Struggles for Land and Life 115 (1999).

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1	steaming, grilling, and making "fishpudding" are the most common ways of preparing

2	fish in the Laotian community. According to the survey staff, the whole fish, including

3	the head, skin, and organs, is frequently cooked when frying, baking, steaming and

4	grilling fish. . . . "Fish pudding" or lap is also made out of the whole fish, and is

5	oftentimes made from raw fish. When making lap, the organs of the fish are commonly

6	removed, cooked separately, chopped up and then included in the mixture. According to

7	the survey staff, striped bass is a popular fish for lap. Sauces and pastes made from

8	whole and raw fish, shrimp or crab are also popular traditional Laotian condiments.

9	The health advisory's recommendations for methods of cooking fish to lower one's risk
10	of taking in harmful chemicals clearly are at odds with traditional ways ofpreparing
1'1	fish and other seafoods.21''

12	According to a recent study of African American fishers on the Detroit River, frying is "a firmly

13	rooted cultural tradition amongst African Americans" and is either the only method or the

14	preferred method of preparing fish; as one fisher summarized:

15	It's cultural. Blacks fry. It's simple.275

16

17	It is often simply impossible to stop eating fish altogether and to obtain nutrition benefits similar to

18	fish from other sources. For some communities and peoples, there are simply no replacements that

19	equal the nutritional and health benefits - in the broadest sense of these terms - of the fish, aquatic

20	plants, and wildlife that they have traditionally consumed. Yvonne Smith and Laura Berg explain

21	in Wana Chinook Tymoo, in a sidebar entitled "Declining Fish, Declining Health:"

22	The shortage of salmon and other fish has necessitated dramatic changed in the diet of

23	the Indian people of the Columbia River Basin. They have experienced a steady decline

24	in health as a result.

25	Researchers worldwide state what Indians have known all along, that there are health

26	benefits to consuming fish. .. .

27	Ted Strong reported that when his relatives, many now deceased, spoke of those that

28	came before them, they talked about people who lived long lives, into their 90's and

29	beyond. "Those ancestors ate the traditional foods, " he said. . . .

30	Whatever other factors have contributed to the shortened lives and high death rate

31	among the Indian people of the basin, there is little doubt dietary changes have had a

32	significant impact.

274Audrey Chiang, Asian Pacific Environmental Network, A Seafood Consumption Survey

of the Laotian Community in West Contra Costa County, California 35 (1998).

275Katharine J. Hornbarger, et al., Targeted Audience Analysis: Recommendations for
Effectively Communicating Toxic Fish Consumption Advisories to Anglers on the Detroit River
26 (1994)(noting that anglers described several ways of frying: "pan frying, deep fat frying, and
the most often cited method, coating the fish with commeal and then frying.").

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1	Joanna Meninick has watched the health of her people decline as the scarcity of salmon

2	has increased, "diabetes, cancer, heart disease. All of these are on the increase. "

3	Many traditional foods are gone, or have become inaccessible. C 'lay (pronounced chu-

4	lie) is an example. Made from dried salmon, berries, and other oils and foods, the

5	powdery preparation has multiple uses. "It is good medicine, said Bill Yal-lup, Sr.

6	"You can mix it with certain roots, certain foods. . . very good for the heart. "

7	But c'lay is in short supply. It takes many pounds of dried salmon to make. Whole

8	salmon, neededfor ceremonies and subsistence, comes first.

9	Pierson Mitchell noted that he had salmon for lunch at home sometimes, when it was

10	available, but he missed the c 'lay. Getting it occasionally in the Christmas basket was a

11	treat. "If our people had remained on the diet of the salmon, our health would be better

12	today," he said.216

13	Similarly, Silas Whitman, Nez Perce, explains:

14	One thing I have noticed over the years is that the Nez Perce people are highly

15	susceptible to minute changes in diet, especially those that revolve around fish. If we

16	supplant native foods with other foods, often times the nutritive values of that

17	supplanted product cannot be ingested or stay in the system to the degree that our

18	bodies as Nez ferce people can use them. From that come health problems that are

19	eroding our mortality. So as we help the salmon and other fish to recover we help

20	ourselves.111

21	And it is no less a source of profound loss and anguish for those whose have already been forced

22	to give up fish because of the gross contamination of their fishing places. It is no less necessary

23	for these communities or peoples to fish in traditional places, and to catch, prepare and eat fish in

24	accordance with traditional ways. They have been made to suspend or alter their practices, but

25	they cannot be viewed as having "chosen" to abandon these practices. The strength and resilience

26	of these affected communities and peoples cannot now be taken to justify a claim that fish are no

27	longer important to their survival as individuals and peoples, such that it would be permissible to

28	allow the contamination to continue and remain. Winona LaDuke recounts:

29	"This is a classic environmental justice site. " says Ken Jock, a director of the

30	Akwesasene Environment Program. A slight man, with soft eyes and a quiet manner, he

31	spends much of his time arguing with agencies about implementation of the law. His

32	huge office is full of reports and photos documenting the extent of the [PCB

33	contamination at Akwesasne, on the St, Lawrence River]. The reports, photos, and sheer

276Yvonne Smith and Laura Berg, Ancient Tradition, Modern Reality: Is There a F
for a Salmon-Based Culture? 1 Wana Chinook Tymoo 14 (1998).	" Ure

277Dan Landeen and Allen Pinkham, Salmon and His People ¦ Fish and Fishing • m

Perce Culture 21 (1999).	g Nez

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1	size of the Akwesasne Environment Program dwarf the infrastructure of most Indian

2	nations in the country. Yet it seems that even with reams of paper, the action taken by

3	federal agencies is minimal. "This all used to be a fishing village. That's all gone now.

4	There's only one family that still fishes, " Jock says. "We can't farm here because of all

5	of those air emissions. Industry has pretty much taken the entire traditional lifestyle

6	away from the community here. "

7	Today 65 percent of the Mohawks on Akwesasne reservation have diabetes, says Jock.

8	Henry Lickers, director of the environmental health branch of the Mohawk Council of

9	Akwesasne echoes Jock: "Our traditional lifestyle has been completely disrupted, and

10	we have been forced to make choices to protect our future generations, " says Lickers.

11	"Many of the families used to eat 20-25fish meals a month. It's now said that the

12	traditional Mohawk diet is spaghetti. "m

13	Thus, it may be impractical or impossible for those who are affected by contaminated

14	aquatic environments to give up or alter their fish consumption practices. This may be so for

15	economic, geographic, historical, traditional, cultural, religious, and/or legal reasons. Yet, the

16	reality of gross contamination means that these practices may expose members of affected

17	communities, groups and tribes to serious health risks - some of the contaminants contained in the

18	fish, aquatic plants, and wildlife cause cancer, some wreak neurological damage, some are linked

19	to reproductive and developmental damage, some disrupt endocrine functions, and some cause a

20	range of these and other harms to humans. This poses a sad and dire dilemma.

21	What role should fish consumption advisories play in agencies' response? Broadly

22	speaking, there are three possible policy options. These might be thought of as occupying a

23	continuum. On the one end, agencies might rely exclusively on fish consumption advisories to

24	address this dilemma. This option might reflect the view that it is cheaper and easier to address

25	affected communities' and tribes' exposure by getting them to stop eating fish than it is to require

26	risk-producers to prevent, reduce, and cleanup contamination. And, assuming the fish consumption

27	advisories were effective (a question taken up in the next part of this chapter), affected

28	communities would be protected from the harms of cancer and the like. There would, of course,

29	be some losses - any substitute food sources might not be of equal nutritional quality or might not
3 0	be what members of these communities would prefer to eat - but these losses would have to have

31	been judged to be worth the benefits of not being exposed to the host of contaminants contained in

32	the fish.

33	On the other end, agencies might abandon the use of fish consumption advisories altogether,

34	and instead push aggressively for pollution prevention and cleanup. With this option, agencies'

35	time and financial resources would be devoted entirely to preventing, reducing, and cleaning up

36	contamination, such that aquatic environments would be returned to health and would be able to

37	sustain fish, aquatic plants, and wildlife that were safe for humans to consume and use at the

38	earliest possible time. This option might reflect the view that the only real way to protect health

39	and safety of humans who consume or use these resources is to address the source of the health

278Winona LaDuke, All Our Relations: Native Struggles for Land and Life 17 (1999).

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1	risk, i.e., the contamination. This option might reflect the view that it would be a misdirection of

2	scarce agency time and money to continue to try to use and improve fish advisories - that this time

^	1 -	 — — i j 1 . 1- j-'- - 		 -	'	* *	-

	j					— Ulrtl LIUJ 111

and money would be better spent on prevention, reduction, and cleanup. Or it might reflect the

4	view that even advising affected communities, groups, or tribes to alter their fish consumption

5	practices is inappropriate, given the discrimination against and potential affront to those for whon

6	these practices have cultural, traditional, or religious dimensions.

7	In the middle are a range of policy options that recognize some temporary role for fish

8	consumption advisories but emphasize that they not become agencies' primary policy response to

9	the adverse health effects of contaminated aquatic environments. These middle options would

10	grow out of a sense that neither the first nor second options actually addressed the concerns of

11	communities of color, low-income communities and Tribes. The first option would shift the

12	burdens of contamination entirely from those who have produced the risks to those who bear them.

13	This is unjust and unacceptable. It would also give continued license to real and grave harms -

14	among them nutritional deficits, other health detriments, and cultural discrimination. It would

15	stand idly by as aquatic food sources were ultimately allowed to remain or become poisoned and

16	forever "off limits" to those communities, groups, and Tribes that formerly relied on these

17	resources. The second option would address some of these long-term concerns, but would fail to

18	inform affected communities in the short term. This, too, is unjust and unacceptable. The second

19	option would, as Daisy Carter puts it, withhold from those most affected precisely what they need

20	and are entitled to: "the information and knowledge to help themselves. "m It would turn its back

21	to the reality that fish are already contaminated - and will remain contaminated for some time,

22	even given the most ambitious cleanup schedules - and real people will suffer when they eat or

23	use this fish. Finally, the options that chart a middle course recognize that there may be ways to

24	address at least some of the concerns of those affected by fashioning appropriate advisories (e.g.,

25	appropriate in terms of language, cultural, and other group- and place-specific considerations).

26	Moreover, the range of options here might enable agencies to be attentive to and respectful

27	of the different concerns of different communities, groups, and tribes. That is to say, a particular

28	community or tribe could choose one of the other options as most appropriate for its needs. This

29	brings up the crucial point that it is for the affected group to determine what will be

30	appropriate from its perspective.

31	Note that tribes' particular circumstances need to be taken into account. Tribes are

32	sovereign nations, and in their governmental capacities are in the position of deciding for

33	themselves what role fish consumption advisories should play in their efforts to protect the health

34	and safety of tribal people consuming or using fish, aquatic plants, and wildlife. Some tribes have

35	decided to issue fish advisories to protect their members from contamination - often contamination

36	that was permitted not by the tribes themselves but by state and federal agencies.280 Some tribes or

37	groups of tribes have opted not to issue fish consumption advisories but instead to develop "tribal

279Daisy Carter, Project AWAKE (date).

280See, e.g., James Ransom, Director, Haudenosuanee Environmental Task Force,
Proceedings of the American Fisheries Society: Contaminants in Fish 25 (1999) (describing fish
advisory issued by St. Regis Mohawk Health Services).

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1	consumption guidelines." 281 These guidelines tend to focus on the first and third functions of the

2	typical advisory, i.e., providing information and suggesting alternative ways to continue consuming

3	fish, rather than on the second function, i.e., discouraging fish consumption altogether. Tribal

4	consumption guidelines may also offer information that the typical federal- or state-issued

5	advisory doesn't about the health benefits to tribal members of eating a "Native diet" and the

6	health risks of turning to a "western diet."282 Nancy Costa, of Fond du Lac Environment Program,

7	explains:

8	"77te last thing we want to do is to discourage tribal members from eating fish - given

9	(among other things) the serious health effects we have seen for those who have gotten

10	away from a Native diet.'128¦

11	Similarly, Elaine Abraham, a Tlingit elder from Yakutat, notes efforts to enhance appreciation of

12	the cultural and nutritional value of Native foods, and cautions against focusing only on the

13	potential health risks without acknowledging the important, multi-faceted benefits:

14	Why are you starting with talk about concerns? I have enough trouble getting my

15	granddaughter to eat Native foodsZ284

16	Tribal consumption guidelines may employ the indigenous language and artwork of those

17	affected.285 It is important to note that several tribes have indicated that they would like to be able

18	to examine the question what role advisories or guidelines should play in their efforts to protect

19	the health and safety of tribal people consuming or using fish, aquatic plants, and wildlife, and,

20	potentially to fashion appropriate advisories or guidelines, but that they do not have sufficient

21	technical and/or financial resources to do so. These tribes have stated that additional resources

22	would, therefore, be crucial.

23	But tribes and tribal members are also affected by the environmental management decisions

24	of federal and state agencies. In the Pacific Northwest, for example, federal and state agencies

25	make numerous decisions that have permitted the contamination and depletion of the salmon and

26	other culturally significant, treaty-protected tribal resources. Here, federal and state policy

27	choices regarding the role of fish consumption advisories will have an impact on tribal members

28	exercising their treaty-guaranteed rights to fish in all "usual and accustomed" areas, many of which

28'Telephone Interview with Nancy Costa, Fond du Lac Environmental Program (July 31,
2001); Great Lakes Indian Fish & Wildlife Commission, Masinaigan Supplement: How to Enjoy
Fish Safely (Fall 2000).

282Telephone Interview with Nancy Costa, Fond du Lac Environmental Program (July 31,

2001).

283Id.

284Alaska Traditional Knowledge and Native Foods Database, Resource Guide for Mini-
Grants, available at www.iser.uaa.alaska.edu/proiects/contam/ResourceGuide/index.htm

285Telephone Interview with Nancy Costa, Fond du Lac Environmental Program (July 31,
2001); see also, Great Lakes Indian Fish & Wildlife Commission, Masinaigan Supplement: How
to Enjoy Safely (Fall 2000).

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1	are managed in whole or in part by federal and state agencies. To the extent that these agencies

2	look to risk avoidance rather than risk reduction measures, they may risk running afoul of treaty

3	obligations. Further, when these agencies issue fish consumption advisories that affect tribal

4	members and resources, they have sometimes failed to communicate their actions to tribes as they

5	should in accordance with tribes' status as sovereign nations and, for federal agencies, in

6	compliance with the Executive Order on maintaining the appropriate "government-to-government"

7	relationship with tribes. Issues particular to American Indian tribes and Alaskan Native villages

8	are discussed further in Chapter 4.

9	Finally, even where agencies, together with affected groups, opt to continue to issue

10	advisories, they need to redouble their efforts to prevent and reduce new sources of contamination

11	and to cleanup and restore environments and fisheries that are already contaminated. This caveat

12	was strongly emphasized by affected groups everywhere. Agency representatives acknowledge

13	this need. For example, Elizabeth Southerland, Standards and Applied Science Division, Office of

14	Science and Technology, Office of Water, opened this year's National Forum on Contaminants in

15	Fish by describing "how water quality-based programs at both the federal and state levels seek not

16	only to advise people on ways to minimize public health risks, but also to implement.management

17	measures to reduce the pollution problems so that measures like fish consumption advisories can

18	be rescinded. No one wants consumption advisories in place any longer than necessary."286 Yet,

19	advisories have been in effect in some places since the 1970s and EPA has created a separate

20	advisory program, which has been in place for about a decade. Furthermore, EPA lists among its

21	goals the issuance of "more advisories." [add cite to GPRA) EPA's commitment to ensuring that

22	advisories remain a temporary, second-best response to contamination and its effects on human

23	health needs to be backed up by a reprioritization of goals - prevention, reduction and cleanup

24	first and foremost - and by a redoubling of resources allocated to returning aquatic environments

25	and fisheries to a state where it is safe for people to fish.

286Proceedings of the National Forum on Contaminants in Fish, May 6 and 9, 20011-10

(2001).

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1	B. EFFECTIVENESS: BACKGROUND AND DEFINITION

2	1. Advisories' Components and Functions

3	In order to facilitate deliberation about this middle course, it seems useful to examine more

4	closely the components and functions of a typical fish consumption advisory. A typical advisoiy

5	might be thought of as comprised of three functional parts: (1) provide information about the

6	nature and extent of the contamination and its adverse health effects (e.g., which waters are

7	affected? which species? what are the contaminants of concern? what are the adverse health

8	effects from these contaminants? which subgroups are affected?); (2) encourage avoidance by one

9	or more of several means (e.g., refraining from eating fish altogether; reducing amount of fish

10	consumed); and, sometimes, (3) suggest alternative means to continue eating fish (e.g., altering

11	frequency of fish meals; altering preparation methods; fishing at other sites; fishing for and eating

12	other species). These functions sometimes overlap. In addition, there are functions that advisories

13	could usefully serve but that the typical advisory does not attempt to serve, e.g., capacity-building

14	or empowerment in the affected group.

15	Consider this excerpt for the current advisory for organic contamination in Louisiana:

16	Water body	Causative pollutants	Recommendations	Approximate size affected

17	Devil's Swamp,	Hexachlorobenzene,	Avoid swimming, limit 7.0 square miles

18	Devil's Swamp Lake	Hexachloro- 1,3-butadiene,	fish consumption to

19	and Bayou Baton Rouge PCBs, Lead, Mercury, TWO MEALS PER MONTH.

20	(Parish: East Baton Rouge)	Arsenic

21	Capitol Lake	Priority organics (PCBs)No fish consumption.	0.12 mile

22	(Parish: East Baton Rouge)

23	This advisory provides information identifying the relevant contaminants, the affected

24	waterbodies, the approximate geographical extent of the contamination, and, given that the

25	recommendations apply to all "fish," the species covered. This information all serves the first

26	function. Do the recommendations "limit fish consumption to two meals per month" and "no fish

27	consumption" serve mainly to translate information about the nature and extent of the contamination

28	and its health effects into a form that is readily usable by those who would otherwise consume

29	these fish (an extension of the first function)? Or do they serve mainly to discourage fish

30	consumption (the second function) — with all of the pros and cons of doing so, as discussed above

31	in Part A.? This information may serve both the first and second functions (and may be perceived

32	to serve different functions by different communities, groups or tribes).

33	Note that this advisory's recommendations are not accompanied by suggestions of

34	alternative means that would allow the continued consumption of fish, albeit of different species or

35	according to different practices - the third function.

36	Finally, without more information about the process of fashioning and disseminating this

37	advisory, it is difficult to determine to what extent it serves the additional functions of capacity-

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1	building and empowerment from the perspective of the affected groups. To highlight but one

2	aspect of these additional functions: although this advisory identifies the "causative pollutants," it

3	does not go on to provide information about the sources of those pollutants (e.g., particular

4	industrial or other facilities) nor about upcoming risk assessment and risk management decisions

5	relevant to the pollutants and sources of concern.

6	2. Defining "Effectiveness"

7	There are likely to be differences in how one defines "effective"in this context -

8	differences among agencies and the various affected communities, groups and tribes. The first

9	function of advisories - to provide information - is the least controversial. There is likely

10	widespread agreement that an effective advisory is one that successfully communicates

11	information about the nature and extent of the contamination and about the relevant adverse health

12	effects. Advisories' first function is important to securing environmental justice. Although

13	questions remain about whether current advisories actually communicate this information in

14	understandable and appropriate ways (these will be taken up below, in Parts C and D), there

15	seems to be little question that advisories or something akin to advisories should serve this

16	function. As Ticiang Diangson, Supervising Planning and Development Specialist and

17	Environmental Justice Advocate, Seattle Public Utilities, explains:

18	Although prevention would be the ideal solution, the essential question after

19	contamination is, how can the harmed community be made "whole? " First and

20	foremost, the community needs to be truly informed about the range of harm/risk it has

21	been exposed to. . . .

n	^ nii-ntinn of course requires that information be conveyed in a language, via a medium, in

23	accordance with cultural considerations, and generally in a way that will enable it to reach and be

24	understood by those affected - these issues are the focus of Part D.

„	The second function of advisories - to discourage fish consumption - is more problematic.

nl	r- n tK.LvP losses alone myriad dimensions that are occasioned by not fishing and consuming
2 price. To the e^n. «ha, agency judge advisories-

28 effective" according >o whether they elicit a decrease in fish consumption, agencies may

28	effectiveness ac g	perspectives of at least some affected groups. A measure of

29	misfocus their ^	^ ^	^ figh consumption may fail to appreciate the

30	success that focu |	that make reducing consumption inappropriate, and m so

31	traditional, cultural, or re ig ous reasoi* ^ ^ ^	^ ^ ^ ^ ^

33 uSS^nd "beMeve" the relevant advisories, they may simply decline to "comply" with them.

34	The third function that advisories sometimes serve - to suggest alternative means (e.g.,

35	alternative fishing sites, alternative species, alternative preparation methods) to continue eating

36	fish - is also problematic. To the extent that agencies judge advisories' effectiveness according to

37	whether they convince people to switch to these alternative practices, agencies may again misfocus

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1	their efforts in a way that is an affront to the traditions, cultures, or religious beliefs of some of

2	those affected. Consider, for example, the observations of the Asian Pacific Environmental

3	Network:

4	The California Environmental Protection Agency (Cal EPA) health advisory

5	recommends that people eat only fillet portions offish, and bake, broil, steam or grill

6	fish on a rack so that juices from the fat drip off during cooking. . . . The health

7	advisory's recommendations for methods of cooking fish to lower one's risk of taking in

8	harmful chemicals clearly are at odds with traditional ways ofpreparing fish and other

9	seafoods.287

10	To the extent that agencies judge advisories' effectiveness according to whether they convince

11	people to switch to alternative practices that haven't been identified as appropriate by the affected

12	group, agencies may fail to appreciate the economic, geographic, social, and other practical

13	realities facing the affected group.

14	The fourth functions that advisories might serve - capacity-building and empowerment -

15	are important to securing environmental justice. It is crucial that those affected play central roles

16	in developing and disseminating the information that they deem appropriate to their needs. Such

17	efforts - led by those in the community, and supported by the EPA and other agencies - can

18	contribute to the larger goals of what the Laotian Organizing Project calls "participatory learning

19	and culturally-appropriate organizing."288 EPA and other agencies should view this as an

20	opportunity to work with communities on the ground as they work to empower themselves. As

21	Daisy Carter, Project AWAKE, observes:

22	The question is does the federal government (EPA) want to educate, inform, and

23	enlighten citizens to become active in making decisions for themselves? The answer is

24	no. Companies and the government would not be able to exploit these citizens who are

25	at risk if this was done. Citizens would ask questions and become involved in their own

26	destiny. However, without knowledge, communities who are at risk are prey. . ..

27	One of the major roles ofNEJAC is to find a way to empower local citizens who are in

28	impacted areas to set up lines of communication and data bases to acquire information

29	related to their needs.

30	And, as noted above, advisories enhance their effectiveness in this regard when they provide

31	information that enables affected communities and tribes to educated about and involved in risk

32	assessment and risk management decisions - that is, information that does not merely instruct "Do

33	Not Eat the Fish," bit that identifies the sources of contamination as well as relevant upcoming

34	decisions about preventing, reducing, and cleaning up contamination for these sources.

287[APEN at 35]

288Maria Kong and Pamela Chiang, Laotian Organizing Project & Asian Pacific
Environmental Network, Fighting Fire with Fire 5 (2001).

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1	Additionally, it seems that agencies' views of effectiveness are sometimes preoccupied by

2	concerns that may bear little on effectiveness for communities of color, low-income communities

3	and Tribes. For example, state and federal agencies have devoted considerable effort to achieving

4	"national consistency" in fish advisory programs. This effort was an "important objective" of the

5	1999 American Fisheries Society Forum on Contaminants in Fish (attended by 41 states, 7 federal

6	agencies, and others). Yet few dividends from such efforts accrue to communities of color, low-

7	income communities and Tribes: An affluent recreational fisher who lives in Ohio but vacations in

8	Michigan might be confused by the differing approaches to fish consumption advisories taken by

9	these two states, and so might benefit from consistency between them.289 Fishers from

10	environmental justice communities are less likely to be traveling about, fishing in multiple states -

11	this may be so for historic, geographical, cultural, economic, or legal reasons, or some

12	combination of these. These individuals are thus less likely to benefit from consistency among

13	states.

14	In sum, "effectiveness" from the perspective of communities of color, low-income

15	communities and tribes is likely to focus on the first and fourth functions, while for some affected

16	groups, it is likely to include the third function and second functions. However, definitions of

17	effectiveness and appropriateness will likely vary with varying local and cultural contexts. Thus,

18	it will be important to determine the perspective of the particular affected group on this question,

19	and to look to this perspective to guide every aspect of any advisory process, including evaluation

20	of its success.

21	C. EFFECTIVENESS: AVAILABLE EVIDENCE

22	Before discussing to what extent advisories are effective from the perspective of

23	communities of color, low-income communities, and Tribes, it is useful to canvass the available

24	evidence on responses to the fish consumption advisories that have been issued. As a general

25	matter, although advisories have been in effect in some places since the early 1970s, relatively

26	little is known about how they affect humans' behavior.290 Again, there is more evidence based on

27	anecdote or local knowledge than based on formal study. For example, the California Department

28	of Health Services notes that health advisories extending from Malibu to Newport Beach have

29	been in place for many years, but that:

30	[OJutreach and education about the advisories has been difficult to accomplish. Of

31	particular concern are the non-English speaking populations who may have difficulty

32	obtaining and understanding health information.m

	2Sf[clte Maine study, MacDonald]. Note, however, that consistency might be relevant to

environmental justice communities where jurisdiction over a single estuary, river or other
waterway fished by these groups is shared by neighboring states.

290rdte- relatively little empirical data MacDonald]

29,California Department of Health, Environmental Health Investigations Branch, Palos
Verdes Shelf Outreach and Education Project on Fish Contamination Issues (fact sheet
available from California Department of Health Services).

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1	To the extent that empirical data have been gathered, they tend to provide two kinds of information

2	(1) whether people are aware of an advisory; and/or (2) whether people have altered their

3	consumption practices as a result. "Awareness," in turn, includes (a) whether people are aware

4	that an advisory exists, and (b) whether people are aware of an advisory's content and

5	recommendations. Sometimes these data are gathered alongside studies of fish consumption rates

6	and practices. These data-gathering efforts vary in the extent to which they gather socioeconomic

7	and other data relevant to environmental justice communities.

8	According to one survey designed to gauge the effectiveness of Great Lakes sport fish

9	consumption advisories, for example, "half the sport fish consumers were unaware of the fish

10	advisory for PCBs in the Great Lakes. The lowest awareness was among women, minority groups,

11	and persons with no high school degree."292 Another survey of fish consumption patterns and

12	advisory awareness among anglers on the Fox River in Wisconsin found that 95% of anglers who

13	ate fish were unaware of Wisconsin's fish advisory pamphlet and 50% of anglers who ate fish had

14	neither heard nor read about the health risks of eating Fox River fish. Asians (primarily Hmong

15	and Laotians) represented 70% of the anglers who had not heard about the health risks (although

16	they represented only 19% of the total anglers surveyed).293 The survey found further that most of

17	the anglers surveyed did not eat the fish they caught in the Fox River (83%)and that of these, 75%

18	said they did not eat the fish because they were concerned about the contaminants. Of those

19	anglers who ate the fish they caught, Asians made up the largest group, comprising 59% of fish

20	eaters. The survey's authors observed:

21	Eating fish forms a regular part of the diet and culture for the Asians (Hmong and

22	Laotians) living in the Green Bay area. White Bass, listed in the advisory as "Do Not

23	Eat, " appears to be their fish of choice. Although the number ofAsian anglers fishing

24	along the Fox River decreased after being informed by an interpreter that White Bass is

25	not safe to eat, there is concern that some of these anglers still may be eating White

26	Bass caught from other nearby contaminated waters. Many Asian anglers may not

27	understand the fish advisory because of the language barrier or may not believe the fish

28	advisory because no immediate physical ill effects have been observed from eating

29	contaminated fish.29*

30	A third survey, of Maine open-water anglers, examined the effect of a 1994 statewide fish

31	consumption advisory.295 63% of all anglers knew about the issuance of a mercury advisory

32	regarding covering fish from all lakes and ponds in Maine. All socioeconomic characteristics

33	(here: gender, age, fishing "effort") except education and income were the same for the groups

34	who were aware of the advisory and those who were not. Of the anglers who were aware of the

35	advisory, 22% of Maine residents and 23% of non-residents altered their fishing behavior,

36	indicating that but for the advisory they would have consumed more fish, fished more days, or

292[AFS atES-1 = Tilden study?]

293[Fox River survey]

294[Fox River]

295[MacDonald]

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1	fished more or different waters.296 A fourth survey, of fish consumption patterns and advisory

2	awareness among the Laotian communities in West Contra Costa County, California, found that

3	48.5% of survey respondents had heard of a health advisory about eating fish and shellfish from

4	the San Francisco Bay. Only a fraction of these (59.5%), however, could recall what the advisory

5	said and none could recall an advisory more specific than "pregnant women should not eat large

6	amounts of Bay fish," or "Bay fish are not safe to eat."297 The survey found a statistically

7	significant difference in awareness of the health advisory among ethnic groups within the larger

B	Laotian community, with Khmu respondents being more likely to have heard of the advisory.298 Of

9	those who were aware of the health advisory, 60.3% said that it had influenced a change in their

10	fishing or fish consumption, habits. Of those whose habits were influenced, 62.7% said they no

11	longer eat fish from the Bay or eat less fish from the Bay and 29.9% said they no longer eat fish

12	from any source of eat less fish from all sources.299 An account of a fifth survey, by the

13	Environmental Health Investigations Branch of the California Department of Health, concludes:

14	Although the health advisory has been in place since 1994, outreach and education

15	about the advisory to different fishing populations has been difficult to accomplish. The

16	recently completed San Francisco Bay Seafood Consumption Study indicates that about
\ 7	two thirds ofpeople fishing have no awareness or limited understanding of the

18	advisory.m

19	With this and other available evidence to go on, it appears that people of color and people

20	with low incomes, limited English proficiency, or relatively little education are less likely to be

21	aware of fish consumption advisories; that some portion of the people of color who are aware of

22	advisories alters their consumption patterns as a result, but that a significant portion does not alter

23	their consumption patterns; that there are differences among various ethnic groups in these

24	respects; and that while contamination and advisories are not influencing all individuals to reduce

25	their fish consumption, they are influencing individuals at sufficient rates to contribute to

26	suppression effects (discussed in Chapter 1). Additionally, here as elsewhere, there is a need to

27	gather further information especially about those groups and subgroups about which less is known.

28	D. EFFECTIVENESS: RISK COMMUNICATION AND CONSUMPTION ADVISORIES

29	The discussion in this Part tracks the components of risk communication as identified in the

30	EPA's Guidance for Assessing Chemical Contaminant Data for Use in Fish Advisories, Volume

296[Id.]

297[APEN at 29]

298[APEN at 31J

299[APEN at 30] [add GLIFWC]

300Califomia Department of Health, Environmental Health Investigations Branch, San
Francisco Bay Fish Consumption Outreach and Education Project (fact sheet available from
California Department of Health Services).

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1	IV: Risk Communication,301 by the organizers of the 2001 National Risk Communication

2	Conference,302 and in the risk communication literature more generally. That is, after discussing

3	general risk communication issues in Section 1, issues of "audience identification" and "needs

4	assessment" are examined in Section 2; issues of message content are explored in Section 3; issues

5	of media choice are taken up in Section 4; issues of implementation are discussed in Section 5; and

6	issues of evaluation are addressed in Section 6. In addition, the matters of funding and capacity-

7	building are explored in Section 7.

8	1. Risk Communication - Overarching Issues

9	"Risk communication is a two-way street." This phrase is often repeated, but less often

10	honored in practice - with the result that communication may not actually occur. How can the risk

11	communication process be rehabilitated?

12	As a preliminary matter, EPA and other agencies should reexamination the terms

13	conventionally used to describe the various participants in the risk communication process.

14	Agencies often refer to the "public," the "community," or the "audience," on one hand, and agency

15	and other "experts" on the other.303 These terms set up a dichotomy that denies that members of

16	affected groups are themselves "experts," with knowledge crucial to successful risk

17	communication - including effective fish consumption advisories. A more appropriate

18	terminology would recognize affected groups' expertise, and not withhold from them the

19	appellation "expert." In a similar vein, agencies often refer to "target audiences," who are

20	affected groups that receive messages, and distinguish these from "risk communicators," who are

21	agencies that generate and disseminate messages.304 These terms indicate a one-way flow of

22	information (from agencies to affected groups) rather than a two-way process; and these terms may

23	also carry the connotation of agencies as being active in the process whereas affected groups are

24	passive. A more appropriate terminology might use words such as "partners" or (particularly in

25	the case of tribes) "co-managers." While these may seem small quibbles over a few words, these

26	words frame the relationship among the various participants in the risk communication process,

27	and may serve to undermine successful, two-way communication before the process even gets off

28	the ground.

29	Then, it is necessary to put into practice the concept of "partnership" or of "co-

30	management." Affected groups must be involved as partners or co-managers at every point in

301U.S. Environmental Protection Agency, Office of Water, Guidance for Assessing
Chemical Contaminant Data for Use in Fish Advisories, Volume IV: Risk Communication 3
(1995).

302National Risk Communication Conference, Proceedings Document 1-4 (2001).
303U.S. Environmental Protection Agency, Guidance for Assessing Chemical Contaminant
Data for Use in Fish Advisories, Volume IV: Risk Communication 3 and throughout (1995).

304Id; see also, National Risk Communication Conference, Proceedings Document, 1-5
(2001)(describing "Risk Communicator Presentation session, which described "getting to know
the audience from the risk communicator's point of view.")

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1	the risk communication process. This is the single most important lesson that EPA and other

2	agencies should take away from this discussion of effective fish consumption advisories. All of

3	the elements of effective fish consumption advisories will fall into place if agencies and affected

4	communities or tribes consider together the questions and answers. That is to say, communities

5	and tribes will articulate their needs; affected groups and agencies will each share their respective

6	concerns; affected groups will help ensure that the content and medium of advisories are

7	appropriate to their membership (e.g., in terms of language, literacy, culture, practice); affected

8	groups will be able to contribute creative implementation strategies appropriate to their

9	membership; and affected groups will have knowledge indispensable to the evaluation process.

10	As in the case of research in general (discussed in Chapter 1), communities and tribes have

11	expertise relevant to risk communication that is simply not going to be able to be replicated by

12	non-member researchers. This is supported by the large body of literature on "participatory

13	research." Members of these affected groups ought to be recognized as the experts they are, and

14	their work ought to be supported financially (whether though dispensing grants to community

15	groups, tribes, and partnerships formed by affected groups, through hiring affected group members

16	as expert consultants, or through other means). EPA and other agencies should recognize the

17	difficulty of achieving full involvement - and thus actual risk communication - in the absence of

18	financial support. This issue of funding is taken up at greater length below.

19	EPA and other agencies should work to reconceptualize risk communication approaches

20	from large-scale, abstracted, one-time efforts to develop and disseminate various communication

21	"products" (e.g, developing and posting fish consumption advisory signs) to local, contextualized,

22	ongoing efforts to establish and maintain relationships with a particular affected community or

23	tribe.305 While this reconceptualization may be necessitated to a greater degree for some groups

24	and contexts than others, the existence of an ongoing relationship will enhance communication

25	regardless. And, while building and maintaining a relationship will likely require more time and

26	resources than agencies have typically been able to devote to risk communication,306 the dividends

27	would seem to be worth it. For example, representatives of agencies and affected groups alike

28	have suggested that a lack of familiarity or trust has been a barrier to effective fish consumption

29	advisories in the past (resulting, e.g., in a reluctance by affected group members to participate in

30	baseline consumption rate studies or other information-gathering efforts; or in a scepticism on the

31	part of affected groups regarding the intent behind or the accuracy of agencies' messages).307 To

305See, e.g., Telephone Interview, Diana Lee, Research Scientist, California Department of
Health Services (October 26, 2001)

306See, e.g., Ed Horn, Bureau of Toxic Substance Assessment, New York State Department
of Health, National Risk Communication Conference 11-25 (2001)("The most effective ways of
communicating with hard-to-reach populations are extremely labor intensive. They are going to
require someone in the target community who has the respect of the community and an
understanding of the community. It requires constant work; it's not just a matter of sending a
brochure out. We can send 20,000 brochures out fairly easily and inexpensively, but if we have to
travel to meet with the target population in small groups, then this requires additional staff.").

307See, e.g., Ed Horn, Bureau of Toxic Substance Assessment, New York State Department
of Health, National Risk Communication Conference 11-23-25 (2001); Telephone Interview, Chee

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1	the extent this is the case, the existence of an ongoing, regular relationship would go far toward

2	dismantling this barrier.308 Again, this relationship cannot happen without the involvement of

3	communities and tribes; to facilitate this involvement, financial support will often by critical.

4	In order to realize actual communication - that is, a process of respectful information

5	exchange - agencies, in particular, need to work to enhance their skills as active, flexible, and

6	open listeners. Relevant information may come in unexpected or non-conventional forms - in

7	anecdote rather than empirical study, in a conversation rather than in an article in a peer-reviewed

8	journal, in a narrative (such as the narratives gathered in this Report) rather than in a table or chart.

9	In some cases, these may indeed be the sources of the most valuable information.309 Often, this

10	approach will not be easy. Not only will it take time - time to sit down and visit, time to ask

11	further questions in order to understand - but also real work.310 There may be language barriers to

12	hurdle, differences in communication styles to decipher and address, large cultural differences to

13	try and bridge. "Public comment periods" or "breakout sessions" may not provide useful venues

14	for conversation from everybody's perspective. Sometimes, where the participants in a

15	conversation come from radically different cultures or start with radically incompatible

16	worldviews, there may never be complete understanding. But even if there are glimpses of

17	understanding, the process itself is important (e.g., to building good relationships). Moreover, if

18	the conversations are ongoing, understanding is likely to increase over tiige. For example, Josee

19	Cung, Program Manager, Southeast Asian Program, Minnesota Department of Natural Resources,

20	describes a collaborative effort with the Minnesota Department of Health and community leaders

21	to design and implement culturally appropriate education regarding consumption of contaminated

22	fish, which includes "education delivery" methods such as:

23	• [Sessions in] anglers' homes, as a version of the storytelling tradition and often

24	involving elders

Choy, Portland Bureau of Environmental Services (October 26, 2001); Audrey Chiang, Asian
Pacific Environmental Network, A Seafood Consumption Survey of the Laotian Community in
West Contra Costa County, California 36 (1998).

308See, e.g., Telephone Interview, Chee Choy, Portland Bureau of Environmental Services
(October 26, 2001); Telephone Interview, Diana Lee, Research Scientist, California Department
of Health Services (October 26, 2001).

309See, e.g., Katharine J. Hornbarger, et al., Targeted Audience Analysis:
Recommendations for Effectively Communicating Toxic Fish Consumption Advisories to
Anglers on the Detroit River 14-18 (June, 1994)(discussing considerable benefits of
"conversational interviewing" techniques).

310See, e.g., Kerry Kirk Pflugh, Bureau Chief, Raritan Watershed, Division of Watershed
Management, New Jersey Department of Environmental Protection, Community Outreach to At-
Risk Urban Anglers: A Case Study in Risk Communication of Fish Consumption Advisories, II-
36 in National Risk Communication Conference, Proceedings Document (2001) (noting, among the
"lessons learned:" "Be flexible, take time to visit, listen, and learn.").

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1

2

• Day field trips that include bus travel to fishing sites, the education component
followed by a hands-on session of actual fishing andfish cutting and preparation

3	• Several sessions have ended with a communal meal of the caught fish prepared jointly

4	by instructors and students

5	•All activities are planned and take place under community sponsorship. Heads of

6	community organizations promote and publicize the educational sessions and work with

7	[the Department of Natural Resources] to recruit and enroll participants311

8	Agencies not only need to hear information that comes to them in unexpected forms, but

9	also need to be open to information that provides unexpected substance. Agencies should work to

10	accept information they don't (yet) know they need - e.g., the answer to the question that the

11	member of an affected group wishes the agency had asked (because this is what is most important

12	from her perspective), the community- or tribally- developed research agenda that frames the

13	issues differently than the agency would. Agencies should work to take in (and redirect if

14	necessary) information that appears to pertain to a related but different program or agency. Thus,

15	in the context of fish consumption advisories, those in environmental agencies' fish advisory

16	programs should work together with those in their water quality standards and clean up programs

17	to ensure that the comments they hear - e.g., "clean up existing contamination so that advisories

18	can be lifted" - get registered with those in relevant programs as well as with those setting

19	priorities among programs and efforts. Similarly, those in health agencies should work together

20	with those in environmental agencies to ensure that such comments get passed along and that there

21	is a connection between relevant staff working to address the issues.312 While it is never easy to

22	hear information that may require one to reevaluate current priorities, methods, or approaches, this

23	reevaluation may be the key to efforts that are defensible as a matter of science and social science,

24	acceptable from the perspective of communities and tribes, and, ultimately, effective as a mater of

25	risk communication.

26	Involvement by affected groups is necessary as well because they, ultimately, are the ones

27	who will bear the brunt of harms from contamination not addressed and communication not

28	achieved. They, among all "stakeholders," are the ones who face the most immediate and often

29	irreversible losses - it is not just a matter of being out a few dollars on the profit side of the ledger

''W Nrcung, ftogram Manager, Southeast Asian Program, Minnesota Department of

(2001) rC6S' NatIonal Risk Communication Conference, Proceedings Document, 1^52 53

3'^Richard Greene, Delaware Department of Natural Resources and Environmental
Control, for example, notes that Delaware is undertaking efforts to link fish	a

quality standards under the CWA's TMDLprogram, Jcom^nX SteJi™*"
standards] program participants need to acquaint themselves with their fish advisorv nr,,« L
counterparts and start a senous dtalogue. They also need to establish common goab- iZTL
water qu
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1	but a matter of their health and the health of their children, a matter of their culture, traditions, and

2	deeply-held beliefs. Given what is at stake for affected communities and tribes, they should be

3	among the first to learn about contamination and its possible effects for them, and they should be

4	among the first involved in determining how to respond. Richard Brown, Coordinator, Black

5	United Front explains, in the context of the low-income and largely African American community

6	in Northeast Portland, Oregon that fishes in, swims in, and is affected by the contaminated

7	Columbia Slough:

8	The things that happen to people are devastating. You know you don't recover from a

9	lot of these things because we don't find out about them until they've really taken its

10	toll. Those are concerns I've always had about the way people in low-income

11	communities have been treated as fare as environmental issues go. "3I3

12	Ticiang Diangson, Supervising Planning and Development Specialist and Environmental Justice

13	Advocate, Seattle Public Utilities, observes:

14	[I]t takes inordinate effort on the part of harmed communities to gain acknowledgment

15	of the impact of the contamination and to get real-life implementation to solutions to the

16	impact.

17	To the extent that research is conducted by and for communities and tribes, it can serve the

18	additional important function of capacity building. This goal is important and an issue of

19	environmental justice in and of itself, for both communities and tribes. And, to the extent that

20	communities and tribes see that their concerns are shaping the research to be conducted, that the

21	information gathered will be relevant from their perspective, and that their members stand to

22	enhance their skills, knowledge and capacity in the process - as opposed to merely providing

23	information that enables others to enhance their skills, knowledge and capacity - participation and

24	trust are likely to be increased, and accuracy thereby enhanced.314

25	As noted in Chapter 1 in the context of research in general, funding is crucial to the ability

26	of affected communities and tribes to be involved in research, including research about risk

27	communication. This point is elaborated below, in Section 7.

28	Finally, it is important to note that there are considerable resources on which EPA and

29	other agencies interested in improving risk communication with affected groups can draw -

313Videotape: The Water in Our Backyard.

3l4See, e.g., id. at 37 (noting that the survey planning team made connections with the
Laotian Organizing Project's ongoing capacity building efforts regarding community health and
safety, which motivated many community members to participate in the survey and explaining:
"The planning team was originally hesitate about the perception commonly held by community
members of outsiders taking information from the community without community people seeing the
benefits of research. Linking the survey to a community based organization helped counter this
perception.").

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1	resources that have been developed by or with the involvement of communities of color, low-

2	income communities, and tribes. Rather than attempt to repeat their work here, this Report refers

3	to several of these sources: the National Environmental Justice Advisory Council Public

4	Participation Plan; the National Environmental Justice Advisory Council Indigenous Peoples'

5	Subcommittee, Recommendation on Environmental Health and Research Needs Within Indian

6	Country and Alaska Native Villages; the Outreach Strategy developed as a part of EPA's Asian

7	American and Pacific Islander Initiative; and the (Draft) Strategy on Limited English Proficiency

8	These are included as Appendices to this Draft Report.

9	2. Different Communities and Tribes, Differing Concerns and Needs

10	The term "affected groups" here includes a large and diverse array of groups, each of

11	which consumes and uses fish, aquatic plants, and wildlife in differing cultural, traditional,

12	religious, historical, economic, and legal contexts. It will be crucial for any risk communication

13	effort to recognize, therefore, the diverse contexts, interests, and needs that characterize affected

14	groups, including but not limited to groups with limited English proficiency; groups with limited or

15	no literacy; low-income communities; immigrant and refugee communities; African-American

16	communities, various Asian and Pacific Islander communities and subcommunities (e.g., Mien

17	Lao, Khmu, and Thaidum communities within the Laotian community in West Contra Costa, CA);

18	various Hispanic communities and subcommunities (e.g., Caribbean-American communities in the

19	Greenpoint/Williamsburg area of Brooklyn, NY); various Native Americans, Native Hawai'ians

20	and Alaskan Natives (including members of tribes and villages, members of non-federally

21	recognized tribes, and urban Native people). "Affected groups" also refers to subgroups within

22	these larger groups, including but not limited to nursing infants; children; pregnant women and

23	women of childbearing age; elders; traditionalists versus modernists in terms of practices that

24	implicate fish consumption; and subgroups defined by geographical region.

25	EPA and other agencies have increasingly recognized this diversity and its relevance to

26	fish consumption advisories and other risk communication efforts. For example, EPA, in

27	particular, has recognized the diversity of Asian and Pacific Islander communities, and provides

28	an "Asian American and Pacific Islander Primer" on its Asian American and Pacific Islander

29	Initiative website.315 This primer identifies Asian Americans as those with origins in one or more

30	of 28 Asian nations, and Pacific Islanders as those with origins in one or more of 19 island

31	nations.316 EPA has undertaken a number of efforts as part of this initiative that attend to the

32	diversity of this group.317 Important among these efforts is an extensive Outreach Strategy.318

33	Nonetheless, EPA and other agencies need to do more to attend to the myriad groups and

3I5U.S. Environmental Protection Agency, Asian American and Pacific Islander Primer
available at www.epa.gov/aapi/primer.htm.

3l6Id.

317These efforts place EPA at the forefront of federal agencies in implementing Executive
Orderl3216 (and its predecessor) on Increasing Opportunity and Improving Quality of Life of
Asian Americans and Pacific Islanders.

3lgAvai1able at www.epa.gov/aapi/outreach.htm.

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1	subgroups affected by their work. Agencies' efforts, moreover, have been uneven, such that there

2	are some groups and subgroups about which EPA and its counterparts still know relatively little.

3	It should be noted, too, that the composition of the affected groups may be changing rapidly in

4	some areas, such as cities that are ports of entry for immigrant and refugee groups or rural and

5	other areas where particular groups have settled.319 Thus ongoing and constant efforts are

6	necessary to learn about and attend to the changing contours of affected groups and subgroups.

7	These efforts are most usefully undertaken together with the affected groups themselves, who will

8	often be able to alert non-members to nuances about which they would otherwise not have

9	knowledge. Even laudable agency efforts to identify and address the needs of a non-majority

10	group may be partial to the extent that they fail to appreciate the existence of other affected groups

11	or subgroups. The Laotian Organizing Project points, for example, to a state fish consumption

12	warning sign at a popular fishing site in Richmond, CA written in English, Spanish, and

13	Vietnamese and notes:

14	The Vietnamese language translation is useless to a predominantly Laotian

15	population?20

16	These different groups are likely to differ with respect to their concerns and needs relevant

17	to risk communication. This is a crucial point. The risk communication literature, including

18	Volume 4 of EPA's Guidance for Assessing Chemical Contaminant Data for Use in Fish

19	Advisories, describes "needs assessment" or determining "what the audiences want and need to

20	know" as an initial step in the risk communication process.321 The answer to this question is likely

21	to differ in important respects from group to group, and even from subgroup to subgroup. The best

22	— if not only - way to determine the concerns and needs of a particular group is to secure the

23	involvement of group members in the process. This involvement is crucial at every point in the

24	risk communication process. It is especially important at the point of needs identification, if the

25	resulting advisories and other communication efforts are to be relevant to the group - and if they

26	are to be perceived by the group as being relevant.

27	The importance of affected group involvement at the point of identifying needs and defining a

28	research agenda has been echoed by numerous communities and tribes. For example, consider the

29	account of recent efforts by the Alaska Native Science Commission to this end as part of the

30	Traditional Knowledge and Contaminants Project, by Pat Cochran, Executive Director:

31	The project objectives are, first of all, to use our own native ways of knowing, learning,

32	and teaching to gather information. We held our own talking circles in our own

3 "See, e.g., Kerry Kirk Pflugh, Bureau Chief, Raritan Watershed, Division of Watershed
Management, New Jersey Department of Environmental Protection, Community Outreach to At-
Risk Urban Anglers: A Case Study in Risk Communication of Fish Consumption Advisories, II-
32 in National Risk Communication Conference, Proceedings Document (2001).

320Laotian Organizing Project, Fighting Fire with Fire 5 (2001).

321See, e.g., National Risk Communication Conference, Proceedings Document 14 (2001);
U.S. Environmental Protection Agency, Guidance for Assessing Chemical Contaminant Data for
Use in Fish Advisories, Volume IV: Risk Communication 3 (1995).

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1	communities. We did not send out survey forms. We didn't have people that had focus

2	groups. We went and sat with our people for days at a time - laughing, singing,

3	dancing, and eating a lot of food - because this is a part of what we all do. So, we could

4	really gain the knowledge from our communities. Our communities, we understand, are

5	the first observers of what happens on our land, to the people, in the air, in the water,

6	and int the environment around us. Long before a researcher or scientist or anyone else

7	enters the community, our people are the ones who perceive what happens every day,

8	and also generationally over centuries and beyond from information that has come

9	down from their people. We [are] providing grant opportunities to our communities and

10	we are looking at developing a common research agenda that answers concerns and

11	questions about our communities and not just somebody's Ph.D. dissertation topic. And

12	we are also developing a database. We held regional meetings all across the state of

13	Alaska322

14	3. Message Content

15	What constitutes appropriate and relevant message content is likely to differ from group to

16	group. General, "one-size-fits-all" recommendations, therefore, are likely to be unuseful ~Rath

17	the important point is that content that is appropriate and relevant to a particular affected ercmn

18	cannot be determined apart from the involvement of members of that group In addition to lo 1

19	knowledge, group members will often have extensive expertise in message development and

20	community outreach for their particular community or tribe. Their involvement in every asnr.rt f

21	content development and advisoiy design is indispensable.	peer or

22	Several considerations are relevant. Advisory content should be culturally appropriate

23	from the perspective of the particular affected group or subgroup. As documented in Part A

24	above, in may be culturally inappropriate to include various recommendations - to eliminate or

25	reduce fish consumption, or to alter practices including procurement offish, species and parts

26	consumed, and preparation methods. Here, there are likely to be vast differences among affect w

27	groups as to what is and is not acceptable. Advisory content thus needs to be developed in a

28	manner that is respectful of these differences. Involvement by members of the particular affr h

29	group is, again, crucial.	c

30	Advisory content should address the needs identified by the particular affected communis

31	This should include the needs of any subgroups within the larger group, such as nursing infantT

32	children; pregnant women and women of childbearing age; elders; traditionalists versus

33	modernists in terms of practices that implicate fish consumption; and subgroups defined by

34	geographical region. Other needs, too, may emerge as important to a particular group For

35	example, according to the summary of the important themes that emerged from the breakout sroi

36	designated "Cultural Enclaves - Native American and Other Cultural and Traditional

37	Communities:"

'"Patricia Cochran, Executive Director, Alaska Native Science Foundation, National Rirtr
Communication Conference, Proceedings Document, 11-20 (2001).

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1	Fish advisories should contain information on the nature and sources of the

2	contamination so that the affected community is empowered to take action to reduce

3	pollution source and clean up existing contaminated sites or obtain financial

4	compensation for the loss of the natural resources.322

5	To address the needs of some affected groups, advisories should emphasize the health and cultural

6	benefits of eating fish or of participating in particular practices.

7	Advisories should be provided in the language(s) of the affected communities, groups, or

8	peoples. Many members of affected groups are limited-English proficient; some, especially recent

9	immigrants and refugees, may have no English. For example, EPA reports that "[a]n estimated 40-

10	50% of [Asian American and Pacific Islanders] are limited-English proficient."324 Many agencies

11	have recently worked to provide language-appropriate warnings (perhaps as a result of studies

12	showing a particular group's lack of awareness of advisories, as was the case on the Lower Fox

13	River, where Wisconsin recently posted signs in English and Hmong), and there has been

14	considerable progress in this regard. Even where agencies have made progress, however, they

15	may have yet to identify and address the needs of all the relevant communities for language-

16	appropriate advisories. Recall the Laotian Organizing Project's dismay when a state fish

17	consumption warning sign at a popular fishing site in Richmond, CA was written in English,

18	Spanish, and Vietnamese: "The Vietnamese language translation is useless to a predominantly

19	Laotian population."125

20	Advisories should be designed to account for limited literacy or illiteracy in the affected

21	group. Some groups come from a tradition of orality. They may not have a written language or

22	may not be literate in their language to the extent it has been written down. Or they may be

23	resistant to reducing communication to writing, preferring instead to give and receive information

24	orally. Some groups have had less formal education, such that some of their members may be

25	illiterate. In all of these cases, advisories should not rely on written words, but on devices such as

26	spoken words, demonstration, or graphics.

27	Advisories should be accessible. They should use words that are understandable to the

28	particular affected group; they should use short, manageable sentences. They should employ visual

29	aids such as charts, pictures, models, posters, and hands-on demonstrations. Although, in order to

30	be sufficiently informative, advisories will need to convey complex information (e.g., about risk,

31	contaminants' health effects, sources of contamination), there are more and less accessible ways to

32	do this. Daisy Carter, Project AWAKE, Coatopa, Alabama, explains:

33	We believe enough books, pamphlets, policies, and manuals have been written. We have

34	become a paper-filled society to the limit. But the question is, who is reading this

35	material? Most people and especially the impacted communities do not take the time to

323National Risk Communication Conference, Proceedings Document 1-11 (2001).
324U.S. Environmental Protection Agency, Asian American and Pacific Islander Primer

available at www.epa.gov/aapi/nrimer.htm.

325Laotian Organizing Project, Fighting Fire with Fire 5 (2001).

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1	read these large manuals; yet this is the method EPA and states use to get their

2	information out. This is not the best approach to reach these communities. When asked

3	what is being done, the reply is, "well, we have this book. " What is the problem?

4	Document upon document, volume upon volume is available, waiting to be read and

5	complied with. "

6	Finally, advisories should be designed to facilitate the two-way exchange that is the

7	hallmark of good risk communication. Thus, they might include contact information for the

8	appropriate agencies, tribal government bodies and/or community groups, so that there is a place

9	to lodge comments or ask questions. Posted signs, for example, often leave those affected with

10	unanswered questions326. Advisories might provide instructions for obtaining further information,

11	including information that would enable those affected to participate not only in risk

12	communication efforts but also in risk assessment and risk management decisions.

13	4. Medium

14	What constitutes an effective and appropriate medium for conveying the message will vary

15	from group to group. Sometimes, it will be most effective to try to reach people via multiple

16	media routes. Again, general "one-size-fits-all" recommendations are likely to be unuseful.

17	Again, members of the affected group will possess valuable knowledge about the best medium

18	from their perspective, and should therefore be involved in choices among media.

19	Several observations can be made. The medium chosen should take into account the habits

20	and customs of the affected groups; it should take into account the access enjoyed by the affected

21	groups. There has been some recent work identifying different media sources as more or less

22	likely to be used or preferred by various affected groups.327 For example, of those in the Laotian

23	communities in West Contra Costa County who had heard of the health warning in place for San

24	Francisco Bay fish, nearly 60% had heard of it through television news, 37.8% though word of

25	mouth from friends and family, 18.9% via signs at various piers, and 14.4% through the

26	newspaper; others had heard of the advisory though church, a local community-based organization,

27	school, the doctor's office, and the welfare office.328 Many of those in affected communities of

28	color, low-income communities, and tribes do not have access to the Internet as a means of

326See, e.g., John M. Cahill, Director, Bureau of Community Relations, New York State
Department of Health, National Risk Communication Conference, Proceedings Document 11-43-44
(2001).

327See, e.g., John M. Cahill, Director, Bureau of Community Relations, New York State
Department of Health, National Risk Communication Conference, Proceedings Document 11-45-49
(2001) (presenting an extensive assessment of the advantages and disadvantages of twelve
different categories of media/formats for various audiences, and cataloging available community
channels and potential partners).

328[APEN at 30]

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1	apprising themselves of current advisories posted on agencies' websites. According to John

2	Cahill, Director, Bureau of Community Relations, New York State Department of Health:

3	Last year, 56 percent of Americans used the Internet. However, only 23 percent of

4	African Americans had Internet access, compared to 46 percent of White households. A

5	majority, 82 percent, of Americans earning $75,000 or more had access, compared to

6	only 38 percent of those earning less than $30,000™

7	Some of those affected may not have a telephone, and so cannot readily call numbers listed on

8	signs or in pamphlets. To the extent information is distributed by agencies or others who give out

9	fishing licenses, Native Americans and others who are not required to obtain a license to fish will

10	not receive information distributed in this way; neither will those who for any number of reasons

11	simply haven't obtained a license. John Cahill points out, for example, that a recent survey of

12	anglers along New York's Hudson River revealed that only 57.5% of them had licenses; and a

13	series of focus groups among Latino anglers in Buffalo found that only about half of them were

14	licensed.330

15	The medium chosen should make advisory information easy to locate and access. Some

16	current advisories may require several steps to locate and access (e.g., the need to consult a

17	fishery regulations book, as in Maine; the need to write to the Department of Natural Resources or

18	to go to local offices or state parks (or on-line), as in Wisconsin; the need to sort through fairly

19	complex information, as in Michigan), which steps impose greater hurdles for those whose

20	educational background or financial resources do not afford them the tools to navigate

21	governmental bureaucracies.

22	Here again, agencies are making strides although there is work yet to do, and agencies need

23	to ask those affected what would work for them.

24	5. Implementation

25	Members of affected communities and tribes will often be particularly well-positioned to

26	take the lead in implementing the advisory and outreach strategy that has been developed by and

27	for their group. Members of affected groups will be active in or aware of community

28	organizations, churches and other religious organizations, clubs, schools, and other entities that

29	could play a role in getting the message out and facilitating risk communication. Members of

30	affected groups will likely know precisely which community festivals, ceremonies, or events are

31	likely to be well-attended and appropriate venues for outreach. For example, Detroiters Working

32	for Environmental Justice not only prepared a pamphlet, together with the Lake Erie Binational

33	Public Forum, directed at those eating fish from Lake Erie, the Detroit River, and the Rouge River,

329John M. Cahill, Director, Bureau of Community Relations, New York State Department
of Health, National Risk Communication Conference, Proceedings Document 11-43 (2001).

330John M. Cahill, Director, Bureau of Community Relations, New York State Department
of Health, National Risk Communication Conference, Proceedings Document 11-42-43 (2001).

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1	but they also work to distribute the pamphlet at local health fairs.331 Members of affected groups

2	will often be able to put together creative ideas for outreach - a product of their knowledge of

3	norms in the community or tribe; their on-the-ground connections; their shared experience -

4	especially, shared practices exposing them to environmental risks; and their involvement in prior

5	organizing efforts.

6	Implementation by members of affected groups may also facilitate environmental justice

7	along multiple dimensions. In addition to capacity-building, discussed below, looking to affected

8	groups for implementation may enable them to dovetail efforts regarding fish consumption with

9	other health and environmental outreach efforts (e.g., regarding possible contaminants in breast

10	milk, regarding the value of Native foods in countering diabetes, or regarding nutrition in general)

11	and/or other community-building efforts - efforts that may already be well-established, which

12	would in turn enhance the likelihood that data about fish consumption practices would be complete

13	and accurate, and that advisories regarding these practices would be received. For example, the

14	Asian Pacific Organizing Network explains, in the context of its survey of Laotian communities in

15	West Contra Country, California:

16

17

18

19

20

21

22

23	Organizationally, APEN is committed to working with youth, in order to foster new

24	leadership within the community. Therefore, 'survey teams' of youth and established

25	community leaders carried out the survey together

26	Agencies, together with affected groups, should consider shifting current approaches to

27	outreach so that it is primarily grassroots, community-based organizations and groups that do the

28	outreach in their respective communities. Where this is appropriate, these groups should be

29	funded to take on this responsibility. For example, they could be hired as contractors to the

30	relevant agency. Or, they could receive grants to conduct this work. As Marianne Yamaguchi,

31	Director, Santa Monica Bay Restoration Project, notes, some agencies and others in Southern

32	California are already taking this approach, with benefits not only in terms of effective and

Active participation by community leaders who are recognized and respected in the
community brings trust and credibility to a survey that could otherwise be seen as
intrusive. In this survey project, community leaders made the initial contact with people
in the community, explained the goals of the survey to participants, and answered any
questions and allayed any fears that people may have. Such collaborative work helped
establish important relationships between community leaders and APEN's Laotian
Organizing Project (LOP) as a young, emerging organization within the community.

"'Telephone Interview with Michelle Shewmaker, Detroiters for Environmental Justice
(October 26, 2001); Detroiters Working for Environmental Justice and Lake Erie Binational
Public Forum, A Family's Guide to Eating Fish from the Detroit Area (pamphlet).

332Audrey Chiang, Asian Pacific Environmental Network, A Seafood Consumption Survey
of the Laotian Community in West Contra Costa County, California 8 (1998).

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1	appropriate implementation but also in terms of capacity building.333 Funding and capacity-

2	building are discussed further below, in Section 7.

3	6. Evaluation

4	Affected group involvement is critical to evaluating the success of risk communication

5	efforts in general and consumption advisory programs in particular. This involvement is important

6	at every point of evaluation, but is particularly necessary to evaluation in the early stages of risk

7	communication (what Volume IV and the risk communication literature term "formative

8	evaluation") and at the point of assessing whether the objectives of risk communication efforts

9	have been met (what Volume IVand the risk communication literature term "summative

10	evaluation"). Given the potential for differences in the definitions of "effectiveness" adopted by

11	agencies and various affected groups - and the likelihood that differences in objectives would

12	flow therefrom - it will be important for those affected to be able to ensure that their perspectives

13	are being incorporated into any evaluations.

14	Affected groups will be able to work together with agencies to determine the extent to

15	which it is useful to focus evaluation on particular "products" (e.g., number of radio spots, number

16	of pamphlets distributed, numbers of health fairs visited), on outcomes indicating awareness (e.g.,

17	awareness of advisories' content and recommendations), on behavioral outcomes (e.g., extent to

18	which consumption levels are reduced so that they fall within recommendations, extent to which

19	species consumed changes from less safe to safer species, extent to which preparation methods

20	change so that exposure to contaminants is avoided), or on more broadly crafted outcomes (e.g.,

21	increased knowledge within effective group of contamination, its sources, and related regulatory

22	efforts, increased involvement by community members in decision making regarding risk from

23	contaminated aquatic ecosystems, improved trust and enhanced relationships among agencies and

24	affected communities and tribes, improved health in the affected group).

25	Agencies should ensure that "evaluation" includes assessment not only of the particular

26	advisory program or outreach effort, but of its risk communication efforts more generally.

27	Affected groups can usefully aid agencies in evaluating their risk communication efforts, and in

28	evaluating connections between risk communication and risk assessment and management. For

29	example, related to the issue of two-way communication, consider the question; How should

30	agencies register the responses of those affected?334 For example, if an affected group receives

31	and understands the information contained in an advisory but nonetheless rejects its advice that fish

32	consumption be reduced, how should this response be incorporated into agencies' policy choices

33	regarding the role of fish consumption advisories? How, in the first place, should agencies ensure

34	that they are correctly interpreting the responses of affected groups - have the practices remained

35	the same because those affected do not understand the advisories; because they understand but do

36	not believe or agree with the advisories' accounts of the contamination or its health effects;

333E-mail Communication, Marianne Yamaguchi, Director, Santa Monica Bay Restoration
Project (October 23, 2001).

334[Pam Subat discussion; my forthcoming paper]

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1	because they understand and in some sense agree with the advisories' accounts of the

2	contamination or its health effects, but nonetheless cannot for economic and/or for traditional

3	cultural, or religious reasons change their practices? The need for "interpreters" from within the

4	relevant community, group or tribe seems clear. And to the extent that those who decline to

5	"comply" with advisories should be taken to be lodging a kind of protest - that is, to the extent that

6	noncompliance itself should be taken as an expressive act, indicating resistence to agencies'

7	reliance on risk avoidance rather than risk reduction335 - how will this view be taken into account

8	when agencies decide how much to rely on advisories versus how much to focus on cleanup and

9	prevention?

10	Finally, agencies should ensure that "evaluation" includes vigilant and careful re-

11	assessment of the health of the resources that are the subject of advisory or closure, so that they are

12	opened again for fishing and advisories are lifted as soon as is appropriate. This may be a

13	particular issue in the case of shell fisheries closed due to the presence of acute contaminants

14	whose short-term life span means that re-certification may be appropriate in fairly short order336

15	This is especially important given communities' and tribes' reliance on these resources for

16	economic, subsistence, and other reasons. Of course, agencies will need to be sure that fish are

17	safe for consumption before doing so, and this implicates current limitations in agencies' ability to

18	measure the presence of contaminants. For example, current methods are unable to detect below

19	certain levels for some persistent and bioaccumulative contaminants (e.g., dioxins) - yet even very

20	small quantities may have an effect on human and environmental health. Thus, even if it can be

21	said that contaminant levels in a particular river stretch have been reduced to non-detectable

22	levels, this may not mean that they have been reduced to safe levels - only that current

23	measurement methods are at their limit. To remedy this gap in agencies' ability to determine the

24	safety of fish for human consumption, agencies need to conduct research to improve current

25	measurement abilities. In the meantime, agencies need to inform affected groups of the detection

26	limit issue (and other relevant issues) if an agency chooses to alter or lift advisories under such

27	circumstances.

28	7. Funding and Capacity-Building

29	As noted above, capacity-building is in and of itself an environmental justice issue, for

30	both communities and tribes. Involvement by those affected at each point in the risk

31	communication process would go far toward enabling those affected to shape the process so that it

32	is not only relevant and appropriate, but also useful and empowering from the perspective of the

33	community or tribe. In addition to the aspects of capacity-building discussed above, affected

34	groups will be able to identify other, current needs in this regard.

35	Among the issues that have been identified is the need to ensure that the fruits of its work

36	are returned to the affected group. The information gathered ~ e.g., as part of baseline assessment

37	of fish consumption rates and practices, as part of evaluation processes, or otherwise - needs to

335Catherine A. O'Neill, Risk Avoidance and Environmental Justice (forthcoming)
336Telephone Interview, Jay Zischke, Marine Fish Program Manager, Suquamish Tribe
(October 17, 2001).

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1	get back to the affected group for them to use for their own purposes. Hopefully, the involvement

2	of the affected group from the outset of the process means that its needs have been identified and

3	the results meet those needs. Nonetheless, the information may be valuable to the group in the

4	longer term, as a foundation for other projects, as historical documentation of practices at a

5	particular point in time, or for any number of reasons. In some cases, a community or tribe may

6	want to be custodian of the information about their group, to ensure that they have some amount of

7	control over the ends to which it may be put in the future. Whatever the reasons, it may be

8	important to capacity-building and empowerment that the information about a particular group be

9	returned to that group. Daisy Carter, Project AWAKE, Coatopa, Alabama, highlights

10	communities' lack of empowerment when information is gathered from them, but not necessarily

11	for and with them:

12	EPA knows all the problems that exist in every community, state and country. EPA is

13	aware of what is wrong. They know who is impacted by the various contaminants and to

14	what degree citizens are unfairly treated. They know what injustices are being done.

15	They also impose fines upon various companies. It is the policy of these companies and

16	EPA to keep citizens who are at risk seeking and searching for answers and assistance

17	to eliminate their problems and suffering. EPA wants to keep citizens, people of color,

18	and impacted communities talking and asking for help so that EPA can stay informed

19	and keep abreast of the status of the burdens and injustices in these communities.

20	In addition, as noted in Chapter 1 in the context of research in general, funding is crucial to

21	the ability of affected communities and tribes to be involved in research, including research about

22	risk communication. Although community and tribal members have considerable expertise to

23	offer, they often have minimal or no funding to support their work. To a person, community

24	members, tribal members, inter-tribal organization staff, and state and local agency representatives

25	who work with affected groups stressed the importance of adequate funding. Diane Lee, a

26	research scientist with the California Department of Health Services who has worked extensively

27	with communities as part of the Palos Verdes Fish Contamination Outreach and Education Project

28	and other studies in the San Francisco Bay area, is emphatic:

29	"I cannot underscore enough the need to provide funding to affected communities so

30	thai they can participate fully in every aspect of the research process, from needs

31	assessment to dissemination of the results. Funding, moreover, needs to be provided on

32	an on-going, rather than one-time, basis. "337

33	Again, EPA and other agencies have often provided much-needed support. For example, the

34	EPA's Office of Water, together with Minnesota's Department of Health, recently sponsored the

35	National Risk Communication Conference to bring together representatives of federal, tribal, state,

36	and local health and environmental agencies, affected communities, tribes and Alaskan Native

37	villages, and other interested in risk communication about contaminated fish. Importantly, EPA

38	secured funding for several community, tribal, and village representatives who otherwise likely

337Telephone Interview, Diana Lee, Research Scientist, California Department of Health
Services (October 26, 2001).

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1	would not have been able to attend. This was an impressive undertaking that produced a rich

2	exchange - and a source of information and experience that should continue to advance

3	deliberation in this area. EPA also recently gave a small grant to the California Department of

4	Health Services "to explore and develop methods of communicating with diverse communities

5	about fish contamination issues" in San Francisco Bay, which CDHS was able to turn around and

6	share with community organizations working on the issue.338 As California Department of Health

7	Services explains:

8	Our participatory approach aims to build local partnerships through collaboration with

9	community-based organizations (CBOs} and local agencies that serve fishing

10	populations. A limited number of stipends will be provided to selected groups to assist

11	them in developing and pilot testing educational materials or activities,339

12	Affected communities and tribes have commended EPA's efforts to this end.

13	However, they noted that the need for funding to enable communities and tribes folly to be

14	involved in research and decisions affecting risk assessment, management, and communication far

15	outstrips the funding that has been so far made available. Funding needs to be regularized and

16	allocated as a part of agencies' budgets, so that affected groups can be assured on-going support

17	for their efforts (rather than piecemeal or one-time funding). The participation of community

18	groups is vital to the success of agencies' risk communication efforts; agencies should not count on

19	community groups to donate their time and expertise when others important to risk communication

20	efforts (e.g., agency staff and contractors) are compensated and supported. Among other things

21	agencies should contract with grassroots community groups to undertake outreach - these groups

22	will be uniquely positioned to provide this service to agencies and they should be compensated for

23	doing so. Agencies should also combine financial support with technical and other in-kind

24	support. Here again, agencies and affected groups can be creative, as some have demonstrated

25	For example, as part of its Palos Verdes Fish Contamination Outreach and Education Project,

26	California Department of Health Services held a free "train the trainer" workshop for community-

27	based organizations, agencies, and others, during which participants were trained in conducting

28	their own educational programs for fishing populations.340 After the training, community-based

29	organizations received a stipend to develop and implement a pilot educational activity for the

30	community they serve. The type of activity was determined by the community-based organization

338California Department of Health, Environmental Investigations Branch, San Francisco
Bay Fish Consumption Outreach and Education Project (factsheet available from California
Department of Health Services).

339Id.

340Califomia Department of Health, Environmental Investigations Branch, Palos Verdes
Shelf Outreach and Education Project on Fish Contamination Issues (factsheet available from
California Department of Health Services).

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1

2

and included a wide range of activities (e.g., organizing a table at a health fair, conducting a
workshop, putting together a media kit).341

34lId.

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1	CHAPTER IV: AMERICAN INDIAN TRIBES AND ALASKAN

2	NATIVE VILLAGES

3	In determining how EPA should improve the quality, quantity, and integrity of aquatic

4	ecosystems what special considerations should EPA take into account when protecting the

5	health and safety of federally recognized tribal governments and their members?

6	American Indian tribes and Alaskan Native villages and their members ("AI/ANs") share

7	many of the concerns explored in the preceding chapters. However, the particular circumstances

8	of AI/ANs also warrant separate discussion. Tribes' political and legal status is unique among

9	affected groups. Tribes are governmental entities, recognized as possessing broad inherent

10	authority over their members, territories and resources. As sovereigns, federally recognized tribes

11	have a government-to-government relationship with the federal government and its agencies,

12	including the EPA. Tribes' unique legal status includes a trust responsibility on the part of the

13	federal government. For many tribes, it also includes treaty rights. Other laws and executive

14	commitments, too, shape the legal obligations owed to AI/AN tribes and villages and their

15	members.

16	There are some 556 federally recognized tribal governments in the United States, including

17	223 Alaska Native villages.342 At the time of the 1990 census, about 1.9 million AI/ANs lived in

18	the United States.343 In 1993, the Bureau of Indian Affairs estimated that 1.2 million AI/ANs lived

19	within Indian country on lands reserved for their tribes as permanent homelands.344 "Indian

20	country," which includes reservations, dependent Indian communities, and Indian allotments,

21	comprises approximately 53 million acres of land, much of which is found in remote areas of the

342"Federally recognized" means that these tribes and groups have a special legal
relationship with the United States. Additionally, a number of tribes and indigenous groups do not
have federally recognized status, although some of these tribes are state-recognized or are in the

process of seeking federal recognition.

343AI/ANs are among the fastest growing ethnic/minority populations in the nation. The

1990 census showed a 37.9% increase over the population of AI/ANs in the 1980 census. For

additional facts and general information, see the Bureau of Indian Affairs' homepage at

.

344For additional facts and general information, see the Bureau of Indian Affairs' homepage

at .

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1	nation.345 The remaining AI/ANs live in urban areas and comprise a growing segment of the

2	Native population.

3	Part A of this chapter outlines the legal status of AI/ANs. Part B of this chapter addresses

4	the particular issue of treaty rights. Part C examines tribes' susceptibilities and co-risk factors;

5	while some of these will also be applicable to other affected groups, the particular combination

6	discussed here is unique to AI/ANs.

7	A. LEGAL STATUS

8	Federally recognized Indian tribes possess a unique political and legal status that

9	distinguishes them from all other ethnic and minority groups in the United States. Although subject

10	to applicable federal law, tribes have long been recognized as separate sovereigns possessing

11	broad inherent authority over their members and territories. As governments, the relationship

12	between federally recognized tribes and the federal government is described as "govemment-to-

13	government" and, in 1994 and 2000, President Clinton explicitly directed each federal agency to

14	operate within this relationship346 and to maintain it through meaningful consultation and

15	coordination with tribes.347 Among other things, the government-to-government relationship means

16	that federal agencies may not treat Indian tribes as "interest groups" or simply as part of the

17	general public.

18	The cornerstone of the government-to-government relationship is the federal government's

19	trust responsibility to federally recognized Indian tribes to protect their status as self-governing

20	entities and their property rights. The trust responsibility is based on treaties, statutes, executive

21	orders, and the historical relations between the federal government and tribes. In practice, the

22	trust responsibility gives rise to distinctive fiduciary obligations on the part of federal agencies

345The term "Indian country" is defined by federal law as including "(a) all land within the
limits of any Indian reservation under the jurisdiction of the United States Government,
notwithstanding the issuance of any patent, and, including rights of way running through the
reservation, (b) all dependent Indian communities ... and (c) all Indian allotments, the Indian titles
to which have not been extinguished, including rights-of-way running through the same." See 18
U.S.C. § 1151.

346See Executive Memorandum on Government-to-Government Relations with Native
American Tribal Governments (April 29, 1994).

347See Executive Order No. 13084 (May 14, 1998). On November 6, 2000, President
Clinton issued a new order strengthening the policy on tribal consultation. See Executive Order
No. 13175 (Nov. 6, 2000).

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1	that must be "exercised according to the strictest fiduciary standards."348 The United States

2	Supreme Court has stated that federal officials are "bound by every moral and equitable

3	consideration to discharge the federal government's trust with good faith and fairness" when

4	dealing with tribes.349

5	Also related to the trust doctrine is Congress' plenary power over Indian affairs. Under

6	the plenary power doctrine, the federal government is vested by the Constitution with exclusive

7	authority over relations with Indian tribes.350 Because the power of Congress is exclusive, states

8	generally lack authority over Indian tribes and tribal members within Indian countiy, unless

9	Congress has expressly delegated that authority to states.

10	Due to the special legal status of tribes, and because the jurisdictional rules applicable to

11	Indian country left EPA unable to pursue its usual practice of delegating primary enforcement

12	responsibility to states that so request, EPA developed special regulations and policies concerning

13	environmental regulation on Indian reservations and the role to be played by tribal governments.

14	On November 8, 1984, EPA adopted a formal policy, the "EPA Indian Policy for the

15	Administration of Environmental Programs on Indian Reservations" ("Indian Policy"). The Indian

16	Policy sets forth nine principles by which the EPA will pursue its objectives including, but not

17	limited to EPA's commitment to work with tribes on a government-to-govemment basis, to

18	recognize tribes as the primary decision-makers for environmental matters on reservation lands, to

19	help tribes assume program responsibility for reservations, to remove existing legal and

20	procedural impediments to tribal environmental programs, and to encourage tribal, state, and local

21	government cooperation in areas of mutual concern. Following the adoption of the Indian Policy,

22	every EPA Administrator since has reaffirmed the principles set forth therein. Most recently, on

23	July 11, 2001, EPA Administrator Christine Todd Whitman again reaffirmed the Agency's

24	commitment to the Indian Policy.

25	A major goal of the Indian Policy is to eliminate statutory and regulatoiy barriers to the

26	assumption of federal environmental programs by Indian tribes. As originally enacted, most of the

27	federal environmental laws mentioned tribes or Indian reservations and none provided for direct

28	participation by tribal governments. To date, however, tribal amendments to four major federal

29	environmental laws-the Safe Drinking Water Act, Clean Water Act, Clean Air Act, and

30	Comprehensive Environmental Response, Compensation, and Liability Act—have been enacted.351

31	Despite these amendments and the Indian Policy, federal funding for tribal environmental programs

32	and environmental enforcement within Indian country has been inadequate and inequitable,

348Nance y Environmental Protection Agency, 645 F.2d 701, 710 (9th Cir. 1981).

349T Jnited States v. Pavne. 264 U.S. 446, 448 (1924).

350See Morton v. Mancari, 417 U.S. 535 (1974).

35'See, generally, Jane Marx, Jana L. Walker, and Susan M.. Williams, Tribal Jurisdiction
Over Reservation Water Quality and Quantity, 43 South Dakota Law Review 315 (1998).

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1	particularly in light of the billions of federal dollars spent on state environmental efforts over the

2	last three decades. While fonding for tribal programs has increased substantially in recent years,

3	inadequate funding for tribal programs is considered by many to be an environmental justice issue

4	and also is one of the key factors impeding effective consultation with tribes due to the limited

5	capacity of tribal environmental programs. As discussed further in Chapter 2, while some tribal

6	governments are moving forward in participating under federal environmental programs, few

7	tribes have actually been authorized by EPA to assume primary regulatory and enforcement

8	responsibilities for these program on their reservations. Where tribes have not yet assumed these

9	responsibilities, EPA remains responsible for implementing and enforcing the federal

10	environmental laws within Indian country pursuant to these laws and the federal trust

11	responsibility owed to tribes.

12	As noted in Chapter 2, tribes may be involved as co-managers of cleanup and restoration

13	efforts. For example, the Lower Elwha Klallam Tribe recently signed an agreement with federal

14	and state agencies recognizing its role in overseeing cleanup of a contaminated (with dioxins and

15	PCBs) area affecting important off-reservation resources.352 The Menominee Indian Tribe of

16	Wisconsin and the Oneida Tribe of Indians of Wisconsin are among the Natural Resource Trustees

17	addressing cleanup and restoration of the Fox River and Green Bay.353 In these roles, tribes will

18	have environmental justice concerns of a different and often complex nature

19	B. TREATY RIGHTS

20	Treaties preserve important tribal rights. "A treaty, including one between the United

21	States and an Indian tribe, is essentially a contract between two sovereign nations."354 The United

22	States entered into more than 400 treaties with Indian tribes under which tribes typically gave up

23	large parts of their aboriginal territories in exchange for explicit promises from the federal

24	government. Because the United States received rights to land from the tribes, the United States

25	Supreme Court has described a treaty as a grant of rights from the Indians with a reservation of all

26	those rights not granted.355 Thus, a treaty does not have to reserve expressly hunting and fishing

27	rights within an Indian reservation for such rights to exist; rather, such on-reservation rights exist

352L. Harris, Tribe Will Oversee Pulp Mill Cleanup, Northwest Indian Fisheries

Commission News 8 (Spring, 2000).

353U.S. Environmental Protection Agency, Intergovernmental Partners Negotiate Fox
River Interim Agreement (factsheet, 2001).

354See Washington v. Washington State Commercial Passenger Fishing Vessel Assoc . 443
U.S. 658, 675 (1979).

355See United States v, Winans. 198 U.S. 371 (1905) ("In other words, the treaty was not a
grant of rights to the Indians, but a grant of rights from them—a reservation of those not granted.")

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1	unless expressly given up by the tribe.356 In many treaties, tribes expressly reserved certain rights

2	in lands and waters outside their reservations. For example, today, many tribes possess treaty

3	rights to fish, hunt, and gather at all "usual and accustomed" places. In 1871, Congress ended the

4	practice of entering into treaties with Indian tribes, but subsequently engaged in the practice of

5	ratifying agreements with tribes negotiated by the Executive Branch. While the United States

6	Supreme Court has ruled that Congress has the power to break treaties with tribes, unless clear

7	congressional intent exists to abrogate a treaty, a treaty continues in effect.357

8	C. TRIBES' UNIQUE SUSCEPTIBILITIES AND CO-RISK FACTORS

9	Commonly cited statistics all seem to agree that AI/AN's economic wealth, public health,

10	and education are the worst of any group in the nation. Poverty and unemployment rates among

11	AI/ANs are the highest for any ethnic group in the country, and education, per capita income, and

12	home ownership are among the lowest.358 One out of every three AI/ANs lives below the poverty

13	line; approximately 90,000 AI/AN families are homeless or underhoused; and one out of every

14	five AI/AN households lacks adequate plumbing.359 The statistics are even more disheartening for

15	Alaska Native villages. Only 40% of Alaska Native families have basic sanitation services such

16	as piped drinking water and flush toilets, and more than half of these systems are rudimentary at

17	best.360 Climate poses a significant challenge to the use of conventional sanitation systems in these

18	communities, which are typically far removed from urban areas. And, the lack of economic

19	development in most Alaska Native villages makes it impossible for these subsistence-based

20	families to pay the cost of bringing in appropriate and sustainable sanitation services.361

21	Health care data on AI/ANs is scarce and unreliable. Significantly, the health status of

22	AI/ANs is far below the health status of the general population in this country, and unmet AI/AN

23	health needs are alarmingly high. This disparity in health status is reflected clearly in the death

24	rates for AI/ANs. For example, AI/ANs have the highest suicide rate (70% higher than the rate for

25	the general population) and the lowest life expectancy of any population in this hemisphere except

26	Haitians.362 Compared to death rates for all other races in the United States, AI/ANs have a death

356§ee Menominee Tribe of Indians v. United States, 391 U.S. 404 (1968).

357See I Jnited States v. Dion. 476 U.S. 734 (1986).

358See. e.g.. "National Gambling Impact Study Commission Report, Chapter 6, titled Native
American Tribal Gambling, at page 6-5 (June 18, 1999).

359Id.

360See. e.g.. The Forgotten America - Alaska's Rural Sanitation Problem a Video
Produced by The Media Support Center for the Alaska Department of Environmental
Conservation.

36!Id.

362See. e.g.. Wallwork Winik, Lyric, "There's A New Generation with a Different
Attitude," Parade Magazine at 6-7 (July 18,1999).

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1	rate for diabetes mellitus that is 249% higher; a death rate for pneumonia and influenza that is 71%

2	higher; a death rate for tuberculosis that is 533% higher; and a death rate from alcoholism that is

3	627% higher.363

4	AI/ANs also have a unique set of cancer problems ranging from inadequate screening to

5	under-diagnosis and -reporting of cancer to lack of access to quality health care and new cancer

6	treatments. For example, the leading cause of death for AIs is lung cancer, and AN women have

7	the highest cancer and lung cancer mortality rates of any major racial female group.364 Recently,

8	the Association of American Indian Physicians reported that cancer is the third leading cause of

9	death for all AI/ANs of all ages; the second leading cause of death for all AI/ANs over age 45; and

10	the leading cause of death for AN women. The Association also reported that, in most parts of the

11	country, AI/ANs have poorer survival rates from cancer than do whites, African Americans,

12	Hispanics, and Asians.365

13	AI/ANs are particularly susceptible to health impacts from pollution due to their traditional

14	and cultural uses of natural resources and, in fact, AI/ANs "have greater exposure risks than the

15	general population as a result of their dietary practices and unique cultures that embrace the

16	environment."366 Fishing, hunting, and gathering often are part of a spiritual, cultural, social, and

17	economic lifestyle, and the survival of many AI/ANs depends on subsistence hunting, fishing, and

18	gathering. In some instances, the right to engage in these activities is legally protected by treaty.

19	Additionally, many AI/ANs also use water, plants, and animals in their traditional and religious

20	practices and ceremonies. As a result, contamination of the water, soil, plants, and animals and

21	the subsequent accumulation of these contaminants in the people through ingestion, inhalation, and

22	contact not only endangers the health of AI/ANs, but also threatens the well-being of their future

23	generations367 and undermines the cultural survival of tribes and Alaska Native villages. For

363Proposed IHCA Amendments of 2000, Section 2(h), prepared by the National Steering
Committee for the Reauthorization of the Indian Health Care Improvement Act, P.L. 94-437
(October 6, 1999), and based on data used by the Indian Health Service for the FY 2001 budget
development.

364See National Cancer Institute, National Institute of Health, HHS, Office of Special
Populations Research Web Site, "The Cancer Burden," at .

365K. Marie Porterfield, "American Indian Cancer Statistics Under Reported," Indian
Country Today at C-l (July 26,2000).

366See "Focus on American Indian and Alaska Native Populations," published by the
Agency for Toxic Substances and Disease Registry, at pages 1-2.

367A number of studies have shown that children are uniquely susceptible to pollution and
contaminants. For example, since 1992, the Agency for Toxic Substances and Disease Registry
has funded research in the Great Lakes states focusing on the health effects of high risk
populations, including American Indians, from persistent toxic substances found in fish. One study
found that newborns born to mothers who consumed only 2.3 PCB-contaminated Great Lakes fish
meals per month scored lower on the Neonatal Behavioral Assessment Scale. See "Focus on

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1	example, tribes near the Hanford Nuclear Reservation have been working with the Agency for

2	Toxic Substances and Disease Registry to design health assessments focusing on exposure effects

3	from food consumption and other activities. These tribes want to learn if the Hanford releases

4	affect native food items and local materials used in tribal products like storage and cooking

5	baskets, mats, and clothing.368 Similarly, tribes located in coastal northern California are

6	concerned about the pesticide exposure of some 300 traditional basketmakers who gather their

7	own materials from the forests and roadsides. Basketweavers are exposed to pesticides as they

8	tend and gather basketry materials; as they weave (weavers often hold one end of the grasses or

9	other materials in their mouths as they weave); and as they wear, cook with, and use the finished

10	baskets. Because a disproportionate number of American Indian residents in Humboldt County,

11	California have been diagnosed with cancer, tribes believe studies are needed to determine the

12	exact cause of such cases.369

13	Significantly, where such traditional, cultural, and subsistence activities are involved,

14	federal and state environmental standards used to protect the general non-Indian/non-Native

15	population may not afford tribes and Alaska Native villages adequate protection from

16	environmental harm.370 Again, although several of the major federal environmental laws have been

17	amended to allow federally recognized tribes to assume primacy for certain programs,371 to date,

18	only a few tribes have EPA- approved or -promulgated environmental programs.372 Based on all

American Indian and Alaska Native Populations," published by the Agency for Toxic Substances
and Disease Registry, at pages 2-3. Additionally, in Oklahoma, Indian children also suffer harm
from their environment. The Tar Creek Superfund Site, a former lead and zinc mine, occupies 40
square miles within the boundaries of the former Quapaw Indian Reservation. Both the Quapaw
Tribe's powwow grounds and campgrounds are contaminated from mine tailings, and the EPA
Region 6 reports that approximately 25% of the Quapaw children have elevated blood lead levels
compared with a statewide average of 2%. See "U.S. Environmental Protection Agency Region 6
Environmental Justice Update," at page 7 (May 2000).

368	See "Focus on American Indian and Alaska Native Populations," published by the
Agency for Toxic Substances and Disease Registry, at page 5.

369	See Chuck Striplen, Mutzun Oholone Tribe, "Native Subsistence in a Toxic
Environment: A Tribal Viewpoint," at page 14, EPA's OPPTS Tribal News (Fall/Winter 1999-
2000).

370See. e.g., Citv of Albuquerque v. Browner. 97 F.3d 415 (10th Cir. 1996), cert, denied.
118 S. Ct. 410 (1997) (upholding the EPA's approval of the Pueblo of Isleta's water quality
standards that were more stringent than the state water quality standards, and which included a
ceremonial use standard).

371Since 1986, the Safe Drinking Water Act, Clean Water Act, and Clean Air Act have been
amended to afford tribes substantially the same opportunities as states to assume responsibility for
certain programs or purposes.

372For example, as of July 13, 2000, the EPA reported that only 15 tribes have EPA-
approved or -promulgated water quality standards and no tribes are authorized to administer the

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1

2

3

of the foregoing, federally recognized tribes and AI/ANs suffer a disproportionate burden of health
consequences due to their exposure to pollutants and hazardous substances in the environment.

This is particularly so for AI/AN infants and children.373

National Pollutant Discharge Elimination System or to establish Total Maximum Daily Loads. See
65 Fed. Reg. 43,585 (July 13, 2000).

373For example, a New York State Department of Health study of lactating women and their
infants linked breast feeding and infant exposure to hazardous substances. This study compared
PCB levels in the breast milk of Mohawk women who gave birth between 1986 and 1992 with a
control group. The study found that although the PCB concentrations in the breast milk of Mohawk
mothers decreased over time, their infants had urine PCB levels ten times higher than that of their
mothers. See "Focus on American Indian and Alaska Native Populations," published by the
Agency for Toxic Substances and Disease Registry, at pages 3-4. See also Winona Laduke, All
Our Relations. Native Struggles for Land and Life, at 11-23 (1999).

PRE-MEETING DISCUSSION DRAFT

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1	APPENDIX A: NEJAC FISH CONSUMPTION WORK GROUP

2	MEMBERS

3	Coleen Poler (Work Group Co-Chair)

4	NEJAC Indigenous Peoples Subcommittee

5	Sokaogon Defense Committee

6	2915 Ackley Circle Road

7	Crandon, W1 54520

8	Ph: 715-365-8995

9	Fax:715-365-8977

10	polersdc@newnorth.net

11	Leonard E. Robinson (Work Group Co-Chair)

12	NEJAC Air & Water Subcommittee

13	TAMCO Steel

14	12459 Arrow Highway

15	Rancho Cucamonga, CA 91739

16	Ph: 909-899-0631 x.203

17	Fax:909-899-1910

18	RobinsonL@tamcosteel .com

19	Daisy Carter

20	NEJAC Air & Water Subcommittee

21	PROJECT AWAKE

22	Route 2, Box 282

23	Coatopa. AL 35470

24	Ph: 205-652-6823

25	fax: 205-652-6823 or 205-652-9343

26	Dawake@sumternet.com

27	Patricia Cochran

28	Alaska Native Science Commission

29	University of Alaska Anchorage
3 0	3211 Provident Drive

31	Anchorage, Alaska 99508

32	Ph: 907-786-7704

33	Fax:907-786-7731

34	annac 1 @uaa.alaska.edu

35	Josee Cung

3 6	Minnesota Department of Natural Resources

3 7	Southeast Asian Program- Commissioner's Office

3 8	500 Lafayette Road, Box 10

39	St. Paul, MN 55155-4010

40	Ph: 651-297-4745

41	Fax:651-296-6047

42	iosee.cung@dnr.state.mn.us

Ticiang Diangson

Supervising Planning and Development Specialist

Seattle Public Utilities

710 Second Ave, fr505

Seattle, WA 98104

Ph: 206-684-7643

Fax: 206-684-8529

ticiane.diangson@ci.Seattle, wa.us

Pamela Kingfisher

NEJAC Health & Research Subcommittee

Indigenous Women's Network

13621 FM 2769

Austin, TX 78726

Ph: 512-401-0090

Fax: 512-258-1858

pikingfisher@vahoo.com

Brian Merkel

University of Wisconsin- Green Bay
College of Human Biology
Green Bay, WI 54311-7001
Ph: 920-465-2262
Fax: 920-465-2769
MerkeiB@uweb.edu

Bark Merrick

Earth Conservation Corps
1st and Potomac Ave.

Washington, D.C.

Ph: 202-554-1960

Lawrence Skinner

New York State Dept. of Environmental Conservation

Bureau of Habitat

50 Wolf Rd. R. 576

Albany, N.Y. 12233-4750

Ph: 518-457-0751

Fax: 518-485-8424

PRE-MEETING DISCUSSION DRAFT

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1	Moses D. Squeochs

2	NEJAC Indigenous Peoples Subcommittee

3	14 Confederation Bands of Yakama Nation

4	P.O. Box 151

5	Toppenish, WA 98948

6	Ph: 509-865-5121

7	Fax:509-865-6850

8	mose@vakama.com

9	Velma Veloria

10	1265 South Main Street, Suite 203

11	Seattle, WA 98144 or

12	P.O. Box 40600

13	Olympia, WA 98504-0600

14	Ph: 360-786-7862

15	Fax:360-786-7317

16	veloria ve@leg.wa.gov

17	Jana L. Walker

18	Attorney

19	NEJAC Indigenous Peoples Subcommittee

20	Law Office of Jana L. Walker

21	141 Placitas Trails Road

22	Placitas, New Mexico 87043

23	Ph: 505-867-0579

24	ndnlaw@sprintmai 1 .com

25	Patrick West

26	Professor Emeritus, University of Michigan

27	29377 Sunny Beach Additive Road

28	Grand Rapids, MN 55744

29	Ph: 218-326-2170

30	pswest@paulbunvan.net

31	Damon Whitehead

32	NEJAC Air & Water Subcommittee

33	Earth Conservation Corps

34	I5' Street and Potomac Avenue, SW

35	Washington, DC 20003

36	damon@anacostiariverkeeper.org

37	Terry Williams, Commissioner

38	Fisheries & Natural Resources

39	Tulalip Tribes

40	7615 Totem Beach Road

41	Marysville, WA 98271

42	Ph: 360-651-4471

43	Fax: 360-651-4490

PRE-MEETING DISCUSSION DRAFT

NEJAC Fish Consumption Work Group

November, 2001

Please Do Not Cite or Quote

twilliams@tulalip.nsn.us

Marianne Yamaguchi

NEJAC Air & Water Subcommittee
Santa Monica Bay Restoration Project
320 West 4th Street, Suite 200
Los Angeles, CA 90013
Ph: 213-576-6614
Fax: 213-576-6646
mvamaguc@rb4.swrcbxa.iiov

Alice Walker (Work Group DFO)

Co-Designated Federal Official
Office of Water

NEJAC, Air and Water Subcommittee
OW Environmental Justice Coordinator
Ph: 202-260-1919
Fax: 202-269-3597
Walker. A1 ice@epa. gov

Danny Gogal (Work Group DFO)

DFO, NEJAC Indigenous Peoples Subcommittee

USEPA Headquarters

Office of Environmental Justice- 2201A

1200 Pennsylvania Avenue, N.W.

Washington, DC 20460

Ph: 202-564-2576

Gogal.Dannv@eDa.gov

Charles Lee (NEJAC DFO)

Associate Director for Policy and Interagency Liaison

Office of Environmental Justice- 2201A

USEPA Headquarters

1200 Pennsylvania Avenue, N.W.

Washington, DC 20460

Ph: 202-564-2597

Lee.Charles@epa.gov

Catherine O'Neill (Meeting Report Consultant)

Associate Professor

Seattle University School of Law

900 Broadway

Seattle, Washington 98122

Ph: 206-398-4030

Fax: 206-398-4077

oneillc@seattleu.edu

126

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EPA Technical Resource Personnel

1	Chris Ball, Liaison (o Region 3\

2	Office of Communications and

3	Governmental Relations, USEPA

4	499 South Capitol Street-4501F

5	Washington, DC 20003

6	Ph.:202-260-1687

7	Fax; 202-401-5341

8	ball.chris@epa.gov

9	JeffBigler

10	National Fish and Wildlife Contamination

11	Program, USEPA- 4305

12	1200 Pennsylvania Avenue, NW

13	Washington, DC 20460

14	Ph: 202-260-1305

15	Fax:202-260-9830

16	BiBler.Jeff@ena.gov

17	Ellen Brown, Policy Analyst

18	USEPA Headquarters

19	Office of Air and Radiation-6103 A

20	1200 Pennsylvania Avenue, N. W.

21	Washington, DC 20460

22	Ph: 202-564-1669

23	Fax:202-564-1554

24	Brown.EHen@eDa.gov

25	Gary Carroll

26	USEPA Headquarters

27	Office of Environmental Justice

28	1200 Pennsylvania Avenue, N.W.

29	Washington, DC 20460

30	Ph: 202-564-2404

31	Carroll. Gar»'@ena. gov

32	Gail DuPuis

33	ECO Intern

34	USEPA

35	Office of Environmental Justice

36	Washington, DC 20460

Sue Gilbertson

USEPA Headquarters

Ariel Rios Building- 4305

1200 Pennsylvania Avenue, N. W.

Washington, DC 20460

Ph: 202-260-1188

G i 1 bertson.Sue@epa.eov

Richard Healy

USEPA Headquarters

Ariel Rios Building- 4305

1200 Pennsylvania Avenue, N. W.

Washington, DC 20460

Ph: 202-260-7812

Healv.Richard@epa.gov

Maria Hendriksson

USEPA Headquarters
Ariel Rios Building- 3610A
1200 Pennsylvania Avenue, N. W.
Washington, DC 20460
Ph: 202-564-1897
Hendriksson.Marla@.epa. gov

Theodore Johnson

Office of Water

USEPA Headquarters

Ariel Rios Building- 4301

1200 Pennsylvania Avenue, N. W.

Washington, DC 20460

Ph: 202-260-8142

Johnson.Theordore@epa. gov

Marva King

USEPA Senior Program Analyst

NEJAC Program Manager

Office of Environmental Justice- 2201A

1200 Pennsylvania Avenue, N.W.

Washington, DC 20460

Ph: 202-5664-2599

King.Marva@epa.gov

PRE-MEETING DISCUSSION DRAFT

NEJAC Fish Consumption Work Group

November, 2001

Please Do Not Cite or Quote

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1

Mike Letourneau

2

USEPA Region 10

3

Office of Civil Rights and Environmental Justice

4

1200 Sixth Avenue, M/S: CEJ163

5

Seattle, WA 98101

6

Ph: 206-553-1687

7

Fax: 206-553-7176

8

Letoumeau.Mike@epa. gov

9

Roseanne Lorenzana

10

USEPA REGION 10

11

1200 Sixth Avenue

12

Seattle, WA 98101

13

Ph: 206-553-8002

14

Lorenzana.Roseanne@eDa.eov

15

Suzanne McMaster

16

USEPA

17

Office of Research and Development

18

USEPA Mailroom-MD-58C

19

Research Triangle Park, NC 27711

20

Ph: 919-966-6385

21

McMaster.Suzanne@eoa.gov

22

Reggie Parrish

23

EPA Anacostia Liaison

24

EPA Chesapeake Bay Program Office

25

401 M St SW (4505F)

26

Washington DC 20460

27

Ph: 202 260-6095

28

Fax: 202 401-5341

29

Darrish.reginald@eDa.gov

30

Dan Petersen

31

USEPA Facilities- G75

32

26 West Martin Luther King Drive

33

Cincinnati, OH 45268

34

Ph: 513-569-7831

35

Petersen.Dan@eDa. eov

36	Michael Regan

37	USEP A Headquarters- 6103 A
3 8	Ariel Rios Building

39	1200 Pennsylvania Avenue, N. W.

40	Washington, DC 20460

41	Ph: 202-564-9213

42	Regan.Michael@epa.gov

Bob Smith

Alternate DFO, Indigenous Peoples Subcommittee

USEPA American Indian Environmental Office

401 M Street, SW- MC 4104

Washington, DC 20460

Ph: 202-260-8202

Fax: 202-260-7509

smith.bob-nmi@epa.gov

Jamie Song

ECO Intern
USEPA

Office of Environmental Justice-2201A
Washington, DC 20460
Ph: 202-564-2636
song.iamie@eoa.gov

Brenda Washington

Co-DFO

Health and Research Subcommittee
USEPA Headquarters- 8104R
1200 Pennsylvania Avenue, N. W.

Washington, DC 20460
Ph: 202-564-6781
Washington.Brencla@eDa.gov

Claudia Walters

USEPA Headquarters- 8104R

Ariel Rios Building

1200 Pennsylvania Avenue, N. W.

Washington, DC 20460

Ph: 202-564-6762

Walters.Claudia@epa.gov

Corinne Weilish

USEPA Headquarters- 4102

Ariel Rios Building

1200 Pennsylvania Avenue, N. W.

Washington, DC 20460

Ph: 202-260-0740

Wellish.Corinne@epa.gov

PRE-MEETING DISCUSSION DRAFT

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November, 2001

Please Do Not Cite or Quote	128

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[Back Cover]

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