I         UNITED STATES ENVIRONMENTAL PROTECTION AGENCY
          I                       WASHINGTON D.C. 20460
 XPROX

                                   January 3, 2008

EPA-CASAC-08-004
                                                              OFFICE OF THE ADMINISTRATOR
                                                                SCIENCE ADVISORY BOARD
Honorable Stephen L. Johnson
Administrator
U.S. Environmental Protection Agency
1200 Pennsylvania Avenue, NW
Washington, DC  20460

       Subject: Clean Air Scientific Advisory Committee (CASAC) Particulate Matter Review
               Panel's Consultation on EPA's Draft Integrated Re view Plan for the National
               Ambient Air Quality Standards for Particulate Matter

Dear Administrator Johnson:

       EPA's Clean Air Scientific Advisory Committee (CASAC), supplemented by subject-
matter-expert Panelists — collectively referred to as the CASAC Particulate Matter Review
Panel ("PM Panel") — held a public advisory teleconference meeting on November 30, 2007, to
conduct a consultation with staff from the Agency's National Center for Environmental Assess-
ment in Research Triangle Park, NC (NCEA-RTP), within the Office of Research and Develop-
ment , and EPA's Office of Air Quality Planning and Standards (OAQPS), within the Office of
Air and Radiation, on the Agency's Integrated Re view Plan for the National Ambient Air Quality
Standards for Particulate Matter (Draft, October 16, 2007).

       The SAB Staff Office has developed the consultation as a mechanism to advise EPA on
technical issues that should be considered in the development of regulations, guidelines, or
technical guidance before the Agency has taken a position. A consultation is conducted under
the normal requirements of the Federal Advisory Committee Act (FACA), as amended (5 U.S.C.,
App.), which include advance notice of the public meeting in the Federal Register.

       As is our customary practice, there will be no consensus report from the CASAC as a
result of this consultation, nor does the Committee expect any formal response from the Agency.
The current CASAC roster is attached as Appendix A of this letter, and the CASAC PM Review

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Panel roster is found in Appendix B. Finally, PM Panel members' individual written comments
are provided in Appendix C.


                                 Sincerely,


                                       /Signed/

                                 Dr. Rogene Henderson, Chair
                                 Clean Air Scientific Advisory Committee


Appendices (A-C)

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     Appendix A - Roster of the Clean Air Scientific Advisory Committee
                     U.S. Environmental Protection Agency
                   Science Advisory Board (SAB) Staff Office
              Clean Air Scientific Advisory Committee (CASAC)
CHAIR
Dr. Rogene Henderson, Scientist Emeritus, Lovelace Respiratory Research Institute,
Albuquerque, NM


MEMBERS
Dr. Ellis Cowling, University Distinguished Professor At-Large, Emeritus, Colleges of Natural
Resources and Agriculture and Life Sciences, North Carolina State University, Raleigh, NC

Dr. James D. Crapo [M.D.], Professor, Department of Medicine,  National Jewish Medical and
Research Center, Denver, CO

Dr. Douglas Crawford-Brown, Director, Carolina Environmental Program; Professor,
Environmental Sciences and Engineering; and Professor, Public Policy, Department of
Environmental Sciences and Engineering, University of North Carolina at Chapel Hill, Chapel
Hill, NC

Dr. Donna Kenski, Director of Data Analysis, Lake Michigan Air Directors Consortium
(LADCO), Rosemont, IL

Dr. Armistead (Ted) Russell, Georgia Power Distinguished Professor of Environmental
Engineering, Environmental Engineering Group, School of Civil and Environmental
Engineering, Georgia Institute of Technology, Atlanta, GA

Dr. Jonathan Samet [M.D.], Professor and Chairman, Department of Epidemiology,
Bloomberg School of Public Health, Johns Hopkins University, Baltimore, MD
SCIENCE ADVISORY BOARD STAFF
Mr. Fred Butterfield, CASAC Designated Federal Officer, 1200 Pennsylvania Avenue, N.W.,
Washington, DC, 20460, Phone: 202-343-9994, Fax: 202-233-0643                   gov)
(Physical/Courier/FedEx Address: Fred A. Butterfield, III, EPA Science Advisory Board Staff
Office (Mail Code 1400F), Woodies Building, 1025 F Street, N.W., Room 3604, Washington,
DC 20004, Telephone: 202-343-9994)
                                       A-l

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     Appendix B - Roster of the CASAC Participate Matter Review Panel
                      U.S. Environmental Protection Agency
                    Science Advisory Board (SAB) Staff Office
               Clean Air Scientific Advisory Committee (CASAC)

                     CASAC Particulate Matter Review Panel


CASAC MEMBERS
Dr. Rogene Henderson, Chair, Scientist Emeritus, Lovelace Respiratory Research Institute,
Albuquerque, NM

Dr. Ellis Cowling, University Distinguished Professor At-Large, Emeritus, Colleges of Natural
Resources and Agriculture and Life Sciences, North Carolina State University, Raleigh, NC

Dr. James D. Crapo [M.D.], Professor, Department of Medicine, National Jewish Medical and Research
Center, Denver, CO

Dr. Douglas Crawford-Brown, Director, Carolina Environmental Program; Professor, Environmental
Sciences and Engineering; and Professor, Public Policy, Department of Environmental Sciences and
Engineering, University of North Carolina at Chapel Hill, Chapel Hill, NC

Dr. Donna Kenski, Director of Data Analysis, Lake Michigan Air Directors Consortium (LADCO),
Rosemont, IL

Dr. Armistead (Ted) Russell, Georgia Power Distinguished Professor of Environmental Engineering,
Environmental Engineering Group, School of Civil and Environmental Engineering, Georgia Institute of
Technology, Atlanta, GA

Dr. Jonathan Samet [M.D.], Professor and Chairman, Department of Epidemiology, Bloomberg School
of Public Health, Johns Hopkins University, Baltimore, MD


PANEL MEMBERS
Dr. Lowell Ashbaugh, Associate Research Ecologist, Crocker Nuclear Lab, University of California,
Davis, Davis, CA

Mr. Ed Avol, Professor, Preventive Medicine, Keck School of Medicine, University of Southern
California, Los Angeles, CA

Dr. Wayne Cascio [M.D.], Professor, Medicine, Cardiology, Brody School of Medicine, East Carolina
University, Greenville, NC

Dr. H.  Christopher Frey, Professor, Civil, Construction and Environmental Engineering, College of
Engineering, North Carolina State University, Raleigh, NC

Dr. David Grantz, Director, Botany and Plant Sciences and Air Pollution Research Center, Riverside
Campus and Kearney Agricultural Center, University of California, Parlier, CA
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Dr. Joseph Helble, Dean and Professor, Thayer School of Engineering, Dartmouth College, Hanover,
NH

Dr. Philip Hopke, Bayard D. Clarkson Distinguished Professor, Department of Chemical Engineering,
Clarkson University, Potsdam, NY

Dr. Morton Lippmann, Professor, Nelson Institute of Environmental Medicine, New York University
School of Medicine, Tuxedo, NY

Dr. William Malm, Research Physicist, National Park Service Air Resources Division, Cooperative
Institute for Research in the Atmosphere, Colorado State University, Fort Collins, CO

Mr. Charles T. (Tom) Moore, Jr., Air Quality Program Manager, Western Governors' Association,
Cooperative Institute for Research in the Atmosphere, Colorado State University, Fort Collins, CO

Dr. Robert F. Phalen, Professor, Department of Community & Environmental Medicine; Director, Air
Pollution Health Effects Laboratory; Professor of Occupational & Environmental Health, Center for
Occupation & Environment Health, College of Medicine, University of California, Irvine, Irvine, CA

Dr. Kent Pinkerton, Professor, Regents of the University of California, Center for Health and the
Environment, University of California, Davis, CA

Mr. Richard L. Poirot, Environmental Analyst, Air Pollution Control Division, Department of
Environmental Conservation, Vermont Agency of Natural Resources, Waterbury, VT

Dr. Frank Speizer [M.D.], Edward Kass Professor of Medicine, Charming Laboratory, Harvard Medical
School, Boston, MA

Dr. Helen Suh, Associate Professor, Environmental Health, School of Public Health, Harvard University,
Boston, MA

Dr. Sverre Vedal [M.D.], Professor, Department of Environmental and Occupational Health Sciences,
School of Public Health and Community Medicine, University of Washington, Seattle, WA


SCIENCE ADVISORY BOARD STAFF
Mr. Fred Butterfield, CASAC Designated Federal Officer, 1200 Pennsylvania Avenue, N.W.,
Washington, DC, 20460, Phone: 202-343-9994, Fax: 202-233-0643 (butterfield.fred@epa.gov)
                                             B-2

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           Appendix C - Comments from Individual CASAC
               Particulate Matter Review Panel Members
       This appendix contains the preliminary and/or final written comments of the
individual members of the Clean Air Scientific Advisory Committee Particulate Matter
Review Panel. The comments are included here to provide both a full perspective and a
range of individual views expressed by Panel members during the consultation process.
These comments do not represent the views of the CASAC PM Review Panel, the
CASAC, the EPA Science Advisory Board, or the EPA itself. Panelists providing
written comments are listed on the next page, and their individual comments follow.
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Panelist                                                                     Page#



Dr. Lowell Ashbaugh	C-3




Mr. Ed Avol	C-6




Dr. Wayne Cascio	C-8




Dr. Ellis Cowling	C-10




Dr. James Crapo	C-18




Dr. Douglas Crawford-Brown	C-19




Dr. Christopher Frey	C-22




Dr. David Grantz	C-29




Dr. Joseph Helble	C-32




Dr. Rogene Henderson	C-34




Dr. Philip Hopke	C-35




Dr. Donna Kenski	C-36




Dr. Morton Lippmann	C-38




Dr. William Malm	C-41




Mr. Tom Moore	C-43




Dr. Robert Phalen	C-45




Dr. Kent Pinkerton	C-47




Mr. Rich Poirot	C-50




Dr. Armistead (Ted) Russell	C-55




Dr. Jonathan M. Samet	C-57




Dr. Frank Speizer	C-59




Dr. Helen Suh	C-63




Dr. Sverre Vedal	C-65
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                                Dr. Lowell Ashbaugh

  Final Comments on Draft Integrated Review Plan for the National Ambient Air Quality
                             Standards for Particulate Matter

                               Lowell Ashbaugh (12-09-07)

The Draft IRP is generally well written and comprehensive. I particularly appreciate the history
that has brought us to this point and the path it lays out to follow for this review of the NAAQS. I
commend the staff for providing a plan that is, for the most part, very well written. I have some
general comments on the draft and a few specific ones.

Although the comment on pp. 8-9 regarding the exclusion of agricultural dust from the PM
NAAQS is made in the context of historical action, I would raise a cautionary flag against such
an exclusion (for agricultural or any other dust sources) without clear scientific evidence that it is
justified. Lacking evidence, the EPA should conduct the studies necessary to investigate the
health effects of these particles.

The literature search described on page 21 focuses on health effects. This is appropriate for the
primary NAAQS, but should be expanded to visibility, ecosystem and climate effects for the
secondary NAAQS. I don't agree that only studies of the health and welfare effects of particles
from the U.S. should be considered in this review. If relevant information is available from a
well-conducted and informed study outside the U.S. it should be considered. If there are caveats
associated with these studies, just make them clear.

The causes of visibility reduction discussed on page 32 are not accurate. In the eastern U.S.
sulfate dominates the poorest visibility days. Nitrates are important in the Midwest and in parts
of the west (primarily southern California), and mostly in the winter. Organics and soil dust
dominate throughout most of the west, with nitrate being important in some locations. Wildfires
are an important source of organic and elemental carbon, and influence visibility episodically.
These species all show seasonal dependence, as well.

Much of the IRP contains fairly specific details about how the NAAQS review will be carried
out, but Section 6 on visibility and other welfare-related issues is rather general overall. Perhaps
this is because the Scope and Methods Plan is being developed now.

The most significant shortcoming  of the draft IRP is that it gives little consideration to ecosystem
or climate effects. Climate effects, in particular, should be given much more emphasis as the
latest IPCC assessment indicates the sign of the radiative forcing for particles is negative. It's
extremely important to know the implications on climate effects of reducing airborne particles,
and how it would affect control efforts on greenhouse gases.

On page 39, line 29, what is meant by "potential source concentrations"?

I'm concerned about the use of "expert elicitation," described on pp. 46-47, in particular that the
process appears to be conducted out of public  scrutiny. Will the PM Review Panel have full
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review of the "expert" comments? Will it know who the experts are? What (presumably) public
process is used to solicit experts for the elicitation? This entire process seems to be a bit "soft"
and appears to allow bypassing the process of public review. I'd like to see some assurances that
this is not the case and that the elicitation, if used, will be conducted openly with full public and
panel review. If expert elicitation is a public process the plan should describe it in better detail. If
not, the plan should describe how it will be conducted to allow for public scrutiny and comment.

On page 49, visibility is better defined the ability to see a target at long distances clearly. Light
can be scattered out of the sight path or absorbed on its way to the viewer to remove the visual
information from the target, or light can be scattered into the path of the viewer to obscure the
visual information from the target with extraneous light. The definition and discussion here do
not consider this important characteristic of visibility reduction.

On page 52, lines 1-3 are just a restatement that the temperature is higher during the day.
Relative humidity is a function of the amount of water vapor in the  air and the air temperature.
As the temperature increases, the relative humidity decreases even if the  specific humidity is
constant. This highlights, though, a mismatch between the measurement  of PM mass and
visibility. The gravimetric measurement of PM mass attempts to reduce the influence of RH by
equilibrating filters prior to weighing them. On the other hand, RH  varies considerably during a
24-hour period and affects visibility as it does so. Comparing PM mass and visibility for shorter
time periods controls the variation in RH to some degree, so the correlations improve. I don't
believe this discussion belongs in the plan, though. I recommend retaining the points that will
inform the plan removing the rest.

The survey recommended in the last review and  discussed on pp. 53-54 was not performed -
does the EPA plan to perform this work? Even if it is not completed in time for this review it
could inform future reviews. Will this be addressed  in the current review? Please include another
sentence or two to describe EPA's intention on this point.

The section on Network Design (pp 59-61) should include a discussion of the potential need for
monitors in rural areas. This is especially important for the assessment of PMio-2.5 effects on
health for rural residents in agricultural areas. Although the population density in these areas is
not as high as in urban areas, the overall population is high - environmental justice demands
their health needs are considered. This may be the intention of the issue on page 60, lines 12-15,
but it's not clear from the wording used.

The section on Sampling Methods (pp 61-62) includes a number  of important issues. It should
also include a discussion of sampling artifacts. This is especially  important in considering
analysis of the components of PM. There should also be discussion of the method for
determining OC/EC. The current IMPROVE and CSN programs  are wrestling with both these
issues now - it's important to address them early.
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Other reviewers have found most of the minor technical editing errors. I'll include a few more
editorial comments here:

Page   Line   Comment
4      20     Delete "for these purposes"
39     28     Change "which" to "that"
49     10     What "benefits" are there of materials damage from soiling?
50     7      Change "wavelength" to "wavelengths"
50     8      Remove "can"
57     10     Remove the comma after "in part"
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                                      Mr. Ed Avol

         Comments on Draft Integrated Review Plan for NAAQS for Particulate Matter
                           Submitted by Ed Avol (Due 28Nov07)

Section 1:
Pg 10, line 23 ".. .EPA plans to continue to review the scientific evidence available based on
particle size, considering fine and coarse-fraction particles separately." - What about emerging
information on ultra-fine or nanoparticles, and on using particle number as a metric for smaller
particles?

Pg 11, lines 14 to 16 "In this review, EPA will integrate the previous understanding of sensitive
subpopulations with new evidence on these and possibly additional sensitive subpopulations
(e.g., fetuses, neonates)." What about genetic susceptibility?

Section 2:  (no comments)

Section 3:
Pg 15, linelO - consider adding the following to the end of this sentence: ".. .and/or whether
sufficient evidence exists to warrant consideration of other indicators of PM to protect public
health (e.g., ultra-fine particles or nanoparticles)."

(The paragraph that follows in the text (Pg 15, lines 11 to 18) seems to imply and allow for this
consideration, but it is not explicitly stated.)

Pg 16, lines 1 to 3 - Presumably this discussion will include a review of ultra-fines and
nanoparticles?

Pg 16, lines 10 and 11 - Hopefully, number concentration, and  not just particle mass, will be
considered?

Pgl6, line  12 - "At what levels of PM exposure..." presumably defined by particle mass, or will
number concentration (for ultra-fines) be considered?

Pg 16, Iine23 - Will genetic susceptibility be objectively considered here?

Pg 16, lines 22 to 26 - Will this discussion include consideration of susceptibility (as defined by
cardiovascular, respiratory, genetic, etc) vs. vulnerability (as defined by geographical, spatial,
SES, and environmental justice considerations)?

Pg 17, lines 8 to 11 - In my mind, this is a (if not THE) critical  issue in this review!

Section 4:
Pg 20, lines 19 to 22- This directive should be remembered as  the effort proceeds, because the
NOx and SOx ISAs have not taken this to heart.
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Pg 22, lines 16 to 19 - This statement is of questionable validity and the implications of it should
be carefully weighed before proceeding along this course. Quality research is informative on its
own merit, regardless of its nationality.  Many insightful and technically enviable studies are
performed and reported on other continents, and poorly performed studies are reported in the US
and Canada, too!

Pg27, lines 1 to 13 - These questions are certainly important ones, but most all of them are
framed in a manner to consider primarily the current form of the standard (mass of PM2.5 or
PM10).  This ISA should strive to assemble and review the available data with "an open mind"
to the possibility that PM mass, PM2.5, and PM10 may not be the only or best PM indicators to
understand, characterize, or protect public health.

Pg 27, line 17 "Other health effects that maybe evaluated..." - How is this even a question?
Surely emerging published information on reproductive,  neurological, and developmental
outcomes will be evaluated as part of the available data resources?

Pg 28, lines 1 to 6 - The wording and concepts here are awkward and confusing: "lower than
previously observed" ambient effects is an awkward way to describe this; what are "exposure
time windows" - is this duration? Time of day? Season?  Age of the exposed population?

Pg 29, lines 14 to 16 - There are two very different questions in this bullet: one addressing
cancer and mutagenicity, and one addressing birth defects.

Pg 32, line 6 (no question mark needed)

Section 5: (no comments)

Section 6:
Pg 52, lines 1 to 15 - Why is data being presented here?  Isn't this supposed to be "the plan" for
what is to be done, not the  doing?

Section 7:
Pg 59/60 - A network design issue to be considered is the utility of monitoring operations and
reporting of data from stations in compliance. The loss of these reporting areas data is a loss to
epidemiological  supporting databases and damages the ability to address current and future
assessments at or near current or revised standards.

Pg 62, lines 4 to 5 - Finally, on Page 62 of a 64-page report, the word "ultra-fine" appears!
Hopefully, it will be considered more prominently in the ISA.

Section 8: (no comments)

Section 9: (no comments)
                                          C-7

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                               Dr. Wayne Cascio
 Comments on Draft Integrated Review Plan for the National Ambient Air Quality
                         Standards for Particulate Matter

                            Wayne Cascio -11/23/2007

Section 4 Science Assessment

4.2 ASSESSMENT APPROACH

1. On Pg. 23, L. 8-11. The statement, "Additionally, animal researchers must limit the
number of animals used in experimental protocols, and thus must use higher concentrations
to observe effects." is somewhat misleading.  Investigators who utilize animals in their
research are not obligated to use a limited number of animals, but instead they are
constrained by cost and resource issues that limit the testing of hypotheses that require large
number of animals exposed to ambient levels of particulate pollution over a prolonged time.
Consequently, animal studies are typically used to acquire data related to mechanisms and
the exposures are purposely high to assure a response. This statement might be written as,
"Additionally, animal researchers typically utilize higher concentrations to  assure biological
effects for the purpose of addressing mechanisms, while forgoing the possibility of assessing
the long-term effects of ambient levels of particle pollution because of the associated high
cost of animal and technical resources needed for such studies." There are  notable and
important exceptions to this generalization, but in overall the statement is true.

2. On Pg. 23, L. 21-25.  The statement, "For research evaluating controlled human exposures
to PM, emphasis will be placed on studies that: (1) investigate effects both  on healthy
populations and on potentially susceptible populations such as asthmatics or diabetics,
particularly studies where subjects serve as their own control to compare responses following
PM exposure and sham exposure and where responses in susceptible individuals are
compared with those in age-matched healthy controls;..." refers only to asthmatics and
diabetics as potentially representing susceptible populations. It is assumed that these groups
are only being used as examples of possible susceptible populations; as such the statement is
appropriate. If the intension is to be more inclusive, then there is significant data to support
other possible  susceptible groups that could be listed, e.g. those with ischemic heart disease,
an ICD, or heart failure.

3. On Pg. 28, L. 18. The paragraph  starts with the question, "What new evidence is available
on PM-related effects on the cardiovascular system?....", and lists a number of important
questions related to the short-term effects of particle pollution. Particle pollution is associated
with acute coronary syndrome, myocardial infarction and stroke.  All of these conditions are
typically associated with a vulnerable plaque with subsequent rupture and thrombosis.
Consequently, the key questions remain:  1) what is the effect of particle pollution on
homeostasis and thrombosis, and what effect does particulate pollution have on rupture-prone
plaques? Does oxidant stress and/or acute inflammation  or autonomic effects caused by

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particle pollution contribute to these adverse events?

4. On Pg. 29, L. 4. Long-term effects. Other important questions specifically related to the
cardiovascular system include: What have we learned about the effect of particle pollution on
blood pressure since the last review? What is the effect on particle pollution on serum lipids,
and what is the mechanism explaining these changes? What is known about the effect of
particle pollution of insulin-sensitivity? What is the effect of particle pollution on vascular
oxidant stress?
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                                   Dr. Ellis Cowling
                                                                        Dr. Ellis Cowling
                                                           North Carolina State University
                                                                      November 27, 2007
    Individual Comments on the October 16, 2007 Draft Integrated Review Plan for the
              National Ambient Air Quality Standards for Particulate Matter

               Very General Comments on these NAAQS Review Processes

Before dealing with the details of my specific assignment during the November 30, 2007
CASAC Consultation on the Draft Integrated Review Plan for Particulate Matter, I would
like to offer a few general comments about these periodic NAQQS Review processes and the
changes that are being made in both  the organization and focus of these reviews.

As described on page 3 of the "Draft Integrated Review Plan," the Clean Air Act of 1970 (CAA)
established two general goals for management of air quality in the United States — protection of
human health and protection of public welfare.  Section 108 of the CAA directs the
Administrator of EPA to identify and list "air pollutants" that "in his judgment may reasonably
be anticipated to endanger public health and welfare" and to issue air quality criteria for those
that are listed - hence the term "Criteria Pollutants."

Section 109 of the CAA further directs the Administrator of EPA to propose and promulgate
"Primary" National Ambient Air Quality Standards to protect public health and "Secondary"
National Ambient Air Quality Standards to protect public welfare.

A secondary standard, as defined in  Section 109, must "specify a level  of air quality the
attainment and maintenance of which, in the judgment of the Administrator,  based on such
criteria, is required to protect the public welfare from any known or anticipated adverse effects
associated with the presence of [the] pollutant in the ambient air ..." The welfare effects of
concern include, but are not limited to "effects on soils, water, crops, vegetation, man-made
materials, animals, wildlife, weather, visibility and climate,  damage to  and deterioration of
property, and hazards to transportation, as well as effects on economic  values and on personal
comfort and well-being."

So far, the several Administrators of EPA since 1970 have:
1)  Identified six specific "Criteria Pollutants" - carbon monoxide, ozone and other
photochemical oxidants, sulfur dioxide, nitrogen dioxide, particulate matter,  and lead - which
have thus been designated officially  as requiring development and implementation of National
Ambient Air Quality Standards;
2)  Emphasized protection of public health as the principal (and overwhelmingly important) de
facto focus of concern within the Agency, and public welfare as a (rarely openly acknowledged)
but distinctly less important de facto focus of concern;
3)  Established Secondary (public-welfare-based) NAAQS standards for all  six criteria
pollutants that almost always were identical in form (including level, indicator, statistical form,
                                          C-10

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and averaging time) to the Primary (public- health based) NAAQS standards for each of these
six criteria pollutants;
4) Developed a long-standing tradition of dealing with these six specific air pollutants mainly
on a "one-at-a-time" basis rather than collectively - i.e., without strong attention to the frequent
interactions and simultaneous occurrence of some of these pollutants as mixtures within the air
in various parts of our country;
5) Maintained a reluctant attitude about the concepts of ecologically based "Critical Loads and
Critical Levels" developed in Europe as possible alternative or additional approaches to air-
quality management in the US; and
6) Maintained a long-standing general focus on the related concepts of:
a) "attainment counties and non-attainment counties,"
b) "attainment demonstrations" based on mathematical modeling of a limited number of
exceedance events under extreme weather conditions, and
c) "local anthropogenic sources" as opposed to "both local and regional biogenic and
anthropogenic sources of emissions."

In recent years, in contrast to several of the six ideas listed above, EPA has shown increased
willingness to think more holistically - and in more fully integrated ways - about both the
policy-relevant science and the practical arts of air quality management aimed at protection of
both public welfare  and public health. These shifts in both emphasis and approach have
included:
1) Participation with other federal agencies and international bodies in discussions about the
"One Atmosphere," "Critical Loads-Critical Levels," and "Multiple-Pollutant-Multiple Effects"
concepts;
2) Adoption of the "NOx SIP Call" in 1999 and both the "Clean Air Interstate Rule" (CAIR)
and the "Clean Air Mercury Rule" (CAMR) in 2005 with their more balanced perspectives about
both regional (interstate) and local sources of emissions and interactions among NOx, SOx,
VOCs, "air toxics,"  and mercury in the formation, accumulation, and biological effects of
"ozone and other photochemical oxidants," and fine, coarse, thoracic, and secondary aerosol
particles;
3) Recognition of both  fine and coarse PM as complex and geographically variable mixtures of
sulfate-dominated, nitrate-dominated, and ammonium ion-dominated aerosols; natural biogenic
and anthropogenic organic substances; heavy metals including cadmium, copper, zinc, lead, and
mercury; and some other miscellaneous substances;
4) More frequent discussion about of the occurrence and both ecologically-important and
public-health impacts of mixtures of air pollutants;  and, most recently
5) The unprecedented decisions to:
A) Prepare and publish in September 2007 a "Draft Plan for [simultaneous] Review of the
Secondary National Ambient Air Quality Standards for Nitrogen Dioxide and Sulfur Dioxide;"
and
B) Separate the preparation and review of documentation, the required CASAC and public
reviews, and (possibly also) the final decision-making processes for a Secondary (public-
welfare-based) NAAQS  from the (previously always dominating) Primary (public-health-based)
NAAQS review processes.
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     Need for Policy Relevancy as the Dominant Concern in NAAQS Review Processes

In a May 12, 2006 summary letter to Administrator Johnson, CAS AC Chair, Dr. Rogene
Henderson, provided the following statement of purpose for these periodic NAAQS review
processes.

"CASAC understands the goal of the NAAQS review process is to answer a critical scientific
question:  "What evidence has been developed since the last review to indicate if the current
primary and/or secondary NAAQS need to be revised or if an alternative level or form of these
standards is needed to protect public health and/or public welfare? "

During the past 18 months, CASAC has participated in reviews of three of the existing six
criteria pollutants - particulate matter, ozone, and lead. CASAC has also joined with senior EPA
administrators in a "top-to-bottom review" and the resulting recently-completed revision of the
four-step NAAQS review processes that are neatly summarized on pages 2 and  3 of the present
"Draft Integrated Review Plan" for PM. These two experiences have led to a seemingly slight
but important need for rephrasing and refocusing of this very important "critical scientific
question:"

"What scientific evidence and/or scientific insights have been developed since the last review
to indicate if the current public-health based and/or the current public-welfare based NAAQS
need to be revised or if alternative levels, indicators, statistical forms, or averaging times of
these standards are needed to protect public health with an adequate margin of safety and to
protect public welfare?"

With regard to the important distinction in purpose of the primary (public health) and secondary
(public welfare) NAAQS standards, it is noteworthy that in all  five cases in which a secondary
NAAQS standard has been established, the secondary standard has been set "Same as Primary."

Thus, a second very critical scientific question that needs to be answered — especially with
regard to the present "Draft Integrated Review Plan" for PM as well as the other four criteria air
pollutants is:

"What scientific evidence and/or scientific insights have been developed since the last review
to indicate whether, and if so, what particular ecosystem components or other air-quality-
related public welfare values, are more or less sensitive than the populations of humans for
which primary standards are established and for this reason may require a different level,
indicator, statistical form, or averaging time of a secondary standard in order to protect public
welfare."

I hope these two "critical scientific questions" will be borne in mind carefully as CASAC joins
with the various relevant parts of the Environmental Protection Agency in completing the
upcoming reviews of the primary and secondary National Ambient Air Quality  Standards for
Particulate Matter.

We now have the considerable advantage that a much more complete focus can be achieved in
the Integrated  Science Assessment than has historically been achieved in the encyclopedic
Criteria Documents that have been prepared during the years since 1970.
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Thus, I recommend that every chapter of the soon to be completed PM Integrated Science
Assessment, the Risk/Exposure Assessment, and the Policy Assessment/Rule Making
documents contain a summary section composed almost entirely of a series of very
carefully crafted statements of Conclusions and Scientific Findings that:
1)     Contain the distilled essence of the most important topics covered in each chapter,
and
2)     Are as directly relevant as possible to the two Critically Important Scientific
Questions written in bold italic type above

In this connection, I call attention once again to the attached "Guideline for Formulation of
Statements of Scientific Findings to be Used for Policy Purposes." These guidelines were
developed and published in 1991 by the Oversight Review Board for the National Acid
Precipitation Assessment Program. These Guidelines were written in the form of checklist
questions by members of the Oversight Review Board (ORB) for the National Acid Precipitation
Assessment Program. The members of the ORB who prepared these guidelines included: Drs.
Milton Russell, former Assistant Administrator for EPA, Chauncey Starr, former Director of
Research for the Electric Power Research Institute (EPRI), Tom Malone, former Foreign
Secretary for the National Academy of Sciences, John Tukey, Distinguished Professor of
Statistics at Princeton University, and Kenneth Starr, Nobel Prize Winner in Economics.

The intent of these distinguished authors was to assist scientists, engineers, and policy analysts
dealing with other environmental research and assessment programs in formulating statements of
scientific findings to be used in policy-decision processes. These guidelines are the best guides I
know of for formulation of statements of scientific findings to be used for policy purposes.
           GUIDELINES FOR FORMULATION OF SCIENTIFIC FINDINGS

TO BE USED FOR POLICY PURPOSES

    The following guidelines in the form of checklist questions were developed by the NAPAP Oversight
Review Board to assist scientists in formulating presentations of research results to be used in policy
decision processes.
1) IS THE STATEMENT SOUND?  Have the central issues been clearly identified? Does each
statement contain the distilled essence of present scientific and technical understanding of the
phenomenon or process to which it applies? Is the statement consistent with all relevant evidence -
evidence developed either through NAPAP research or through analysis of research conducted outside of
NAPAP?  Is the statement contradicted by any important evidence developed through research inside or
outside of NAPAP? Have apparent contradictions or interpretations of available evidence been
considered in formulating the statement of principal findings?

2) IS THE STATEMENT DIRECTIONAL AND, WHERE APPROPRIATE, QUANTITATIVE?
Does the statement correctly quantify both the direction and magnitude of trends and relationships in the
phenomenon or process to which the statement is relevant? When possible, is a range of uncertainty
given for each quantitative result? Have various sources of uncertainty been identified and quantified, for
example, does the statement include or acknowledge errors in actual measurements, standard errors of
estimate, possible biases in the availability of data, extrapolation of results beyond the mathematical,
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geographical, or temporal relevancy of available information, etc.  In short, are there numbers in the
statement? Are the numbers correct?  Are the numbers relevant to the general meaning of the statement?

3) IS THE DEGREE OF CERTAINTY OR UNCERTAINTY OF THE STATEMENT
INDICATED CLEARLY? Have appropriate statistical tests been applied to the data used in drawing
the conclusion set forth in the statement? If the statement is based on a mathematical or novel conceptual
model, has the model or concept been validated? Does the statement describe the model or concept on
which it is based and the degree of validity of that model or concept?


4) IS THE STATEMENT CORRECT WITHOUT QUALIFICATION? Are there limitations of
time, space, or other special circumstances in which the statement is true? If the statement is true only in
some circumstances, are these limitations described adequately and briefly?


5) IS THE STATEMENT CLEAR AND UNAMBIGUOUS? Are the words and phrases used in the
statement understandable by the decision makers of our society?  Is the statement free of specialized
jargon?  Will too many people misunderstand its meaning?

6) IS THE STATEMENT AS CONCISE AS IT CAN BE MADE WITHOUT RISK OF
MISUNDERSTANDING? Are there any excess words, phrases, or ideas in the statement which are not
necessary to communicate the meaning of the statement? Are there so many caveats in the statement that
the statement itself is trivial, confusing, or ambiguous?


7) IS THE STATEMENT FREE OF SCIENTIFIC OR OTHER BIASES OR IMPLICATIONS OF
SOCIETAL VALUE JUDGMENTS? Is the statement free of influence by specific schools of scientific
thought? Is the statement also free of words, phrases, or concepts that have political, economic,
ideological, religious, moral, or other personal-, agency-, or organization-specific values, overtones, or
implications? Does the choice of how the statement is expressed  rather than its specific words suggest
underlying biases or value judgments? Is the tone impartial and free of special pleading? If societal
value judgments have been discussed, have these judgments been identified as such and described both
clearly and objectively?

8) HAVE SOCIETAL IMPLICATIONS BEEN DESCRIBED OBJECTIVELY? Consideration of
alternative courses of action and their consequences inherently involves judgments of their feasibility and
the importance of effects. For this reason, it is important to ask if a reasonable range of alternative
policies  or courses of action have been evaluated? Have societal implications of alternative courses of
action been stated in the following general form?:
       "If this [particular option] were adopted then that [particular outcome] would be expected."

9) HAVE THE PROFESSIONAL BIASES OF AUTHORS AND REVIEWERS BEEN
DESCRIBED OPENLY? Acknowledgment of potential sources of bias is important so that readers can
judge for themselves the  credibility of reports and assessments.
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    General Comments on the Organization of the Draft Integrated Review Plan for the
             National Ambient Air Quality Standards for Particulate Matter

1) Key Policy-Relevant Issues. In the context of the comments on pages 1-3 (above), it was a
great delight to read Chapter 3 - Key Policy-Relevant Issues and to find there:
A)        The explicit listing of 9 well-defined policy-relevant "Issues to be Considered in the
Current Review of the Primary [public-health-based] PMNAAQS" on pages 15-16; and
B)        The similarly well-defined and explicit listing of 5 policy-relevant "Issues to be
Considered in the Current Review of the Secondary [public-welfare-based] PMNAAQS" on
page 18!

It was even more delightful to find:
C) On page 17, the separate listing of 4 additional policy-relevant questions dealing separately
with each of the four requisite parts of the current public health based NAAQS Primary
Standards for PM - level, indicator, statistical form, and averaging time; and
D) On pages 18 and 19, the separate listing of 3 additional policy-relevant questions dealing with
each of these same four requisite parts of the current public-welfare based NAAQS Secondary
Standards for PM - level, indicator, statistical form, and averaging time.

2) History of Past Reviews.  It was very helpful to find a discrete section (Section 1.3 on pages
5-10) of "Chapter 1 - Introduction" dealing with the "History of Reviews of the NAAQS for
PM."  This history is very complicated - especially in recent years — and needs to be presented
much more clearly.  The present prose-only description of the events leading up to the final
promulgation of Primary and Secondary Standards for PM in 1971, 1987, 1997, and 2006 is very
inadequate. Even more inadequate is the description of the rational behind the proposals EPA
made in each successive review cycle.

My best suggestion for improvement of this very important section (Section  1.3) is to use a
combination of prose description of events and rational together with a tabular presentation of
the actual primary and secondary standards promulgated in each review cycle. The information
presented in footnote 5 on page 9 for the current NAAQS standards for PM provides a valuable
template, which could be used to construct a similarly clear presentation for each of the NAAQS
Primary Standards and each of the Secondary Standards established in  1971, 1987, 1997, and
2006.

3)  Mass and Size-Distribution vs Composition of Particles. EPA's decisions to start with the
mass of particles (TSP) and later to differentiate between larger particles  (PMio) and finer
particles (PM2.s), and still later to differentiate between thoracic coarse (PMio-2.s) and fine
particulate matter (PM2.s), and, finally, to give at least some thought to ultrafine particles (PMi.o)
is understandable because the scientific evidence about how deep into human lungs different
sizes of particles can penetrate makes both mechanistic and epidemiological  sense..

In Section 1.4 "Scope of the Current Review" in the present Draft Integrated Review Plan
indicates that only limited attention will be given to the chemical composition of either fine
particles (PM2.s) or thoracic coarse particles (PMio-2.5) from the standpoint of public health
effects, or to the composition of fine particles (PM2.5) that are assumed to be the principal cause
of visibility impairment in wilderness, rural, and urban areas of the US.
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    It appears from Section 1.4, that EPA intends to draw very careful distinctions between the
    attention that will be given to the role of nitrogen and sulfur compounds in the now-ongoing
    (concurrent) reviews of the:
•   "Integrated Science Assessment for Sulfur Dioxide" with its major focus on the effects of
    various oxides of sulfur on human health,
    "Integrated Science Assessment for Nitrogen Dioxide" with its major focus on the effects of
    various oxides of nitrogen on human health,
    "Integrated Science Assessment for Secondary NAAQS for Nitrogen Dioxide and Sulfur
    Dioxide" with its major focus on the effects of various oxides of both sulfur and nitrogen on
    human welfare including "soils, water, crops, vegetation, man-made materials, animals,
    wildlife, weather, visibility and climate, damage to and deterioration of property, and hazards
    to transportation, as well as effects on economic values and on personal comfort and well-
    being," and the soon to be developed
•   "Integrated Science Assessment for Particulate Matter" with its major focus on effects of
    PM2.5 particles on both visibility and human health and the effects of thoracic coarse
    particles (PMio-2.s) on human health.

As presently planned, all four of these different Integrated Science Assessment documents will
be based on an unstated (and I believe unproven) assumption that it is the chemically oxidized
forms of nitrogen and sulfur (NOx and SOx) that are dominant in importance in each of these
four distinct NAAQS reviews, and that the similarly abundant but chemically reduced forms of
these same elements (NHx and SHx) are not very important (or worthy of planned discussion) in
the  context of these four distinct NAAQS reviews.

As an ecologist, who is aware  of the many different and important sometime beneficial and
sometimes also very adverse public-welfare effects of both chemically oxidized and chemically
reduced forms of reactive nitrogen, I was pleased to find that section 1.4.3 of the "Draft Plan for
Review of the Secondary National Ambient Air Quality Standards for Nitrogen dioxide and
Sulfur Dioxide" is titled "Ammonia." This Section also went on to say:

    "The atmospheric lifetime of gas-phase NHa is on the order of a day; however, in the
presence of sulfuric or nitric acids [or gaseous 862, NO,  or NO2] ammonia can form aerosols,
predominantly ammonium sulfate and ammonium nitrate, with lifetimes on the order of 7-10
days.  This longer lifetime gives the potential  for long-range transport of nitrogen and sulfur, and
contributes to fine particulate matter and regional haze.  Ammonium sulfates can also participate
in climate modification effects, directly through radiative cooling by light scattering, and
indirectly through modification of precipitation by acting as cloud condensation nuclei.  A
detailed discussion of these processes is included in the PM review."

At first, I thought this special section on "ammonia" in the "Joint NOx and SOx Secondary
Standards" document and all but the last sentence among the further statements quoted above
would mean that EPA might be willing and interested to  broaden the agency's perspectives about
the  many,  diverse, and very significant adverse welfare effects of reactive nitrogen pollution by
adding ammonia, ammonium ion, and other reduced forms of reactive nitrogen to the  "Indicators
of Concern" in the nitrogen and sulfur NOx and SOx joint NAAQS review — or at least in the
PM review. But my hopes were quickly dashed by EPA's apparent continuing preference to
consider chemically reduced forms of nitrogen only in the context of the PM review.
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Ever hopeful, I did a word "search" for the words "ammonia" and "ammonium aerosol" in the
present "Draft Integrated Review Plan for Paniculate Matter" and found only one "hit" -
"ammonia is mentioned only on line 2 on page 62, and "ammonium aerosol" was not found
anywhere within this "Draft Integrated Review Plan for PM!"
               My Specific Assignment in this CASAC Consultation on the
                  Draft Integrated Review Plan for Particulate Matter

My specific assignment in preparation for the November 30 , 2007 CASAC Consultation on the
"Draft Integrated Review Plan for Particulate Matter" as outlined in Chairman Rogene
Henderson's memo of October 19, 2007 is - Section 6 (Visibility and Other Welfare-Related
Assessments).

Chairman Henderson also gave this same assignment to two other CASAC panel colleagues -
Lowell Asbaugh and David Grantz.  Thus, I am very much looking forward to comparing notes
with both Lowell and David during our CASAC Consultation on November 30 — and to learning
more from Bill Malm who knows more about visibility effects of PM than any person I know!

I see from Bill Malm's comments that the definitions of visibility and transparency of the
atmosphere on pages 49 lines 27 and 28 are incorrect and that he raises some of the same
questions I have raised earlier in these Preliminary Comments  about the importance of
understanding the chemical composition of fine particles in relation to their impact on visibility
impairment in various parts of our country (see pages 32 line 25 through page 33 line 4.) I agree
wholeheartedly  with Bill Malm's question:
"Can a secondary  standard be express in terms of something like an integrated variable  such as
total reactive nitrogen (all forms) or extinction, which includes other characteristics of PM than
just mass?"

On page 52 lines 24 and 25, what is meant by the expression: "and/or preservation of the
resource for its own sake?" I don't understanding what "resource" is to be preserved.

It was a pleasure to read the discussion about "public perceptions" and "public judgments"  about
visibility degradation in scenic vistas - very well thought out!
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                                    Dr. James Crapo
  Review of Draft Integrated Review Plan for the National Ambient Air Quality Standards for
                                    Particulate Matter

James D. Crapo MD
Professor of Medicine, National Jewish Medical and Research Center
and Director, Clinical Science Ph.D. Program, University of Colorado Health Sciences Center
November 3 0,2007
The Draft Plan for NAAQS on Particulates appropriately considers the key policy-relevant issues
for both primary and secondary standards.  The review should focus on new information that
addresses issues relevant to the magnitude of adverse health effects occurring at exposure levels
that are at or near the current NAAQS. Issues addressing cardiovascular and respiratory
endpoints, as well as possibly new endpoints, will be addressed, and sensitive subpopulations at
risk will be considered.  In each case, correlations need to be made to particle size/mass,
composition and sources/environments.

A primary challenge that should begin to be more formally considered in this review cycle is the
complex interactions between particulates (both coarse and fine) with other oxidant air pollutants
such as ozone, NOx and SOx. Similar adverse health effects are being identified with low levels
of each of these air pollutants, and it is highly likely that these health effects are interdependent.
The optimum control strategy is also likely to be interdependent. Instead of considering these
interactions as confounding factors in interpreting the possible adverse health effects attributable
to each pollutant independently, models involving simultaneous evaluation of the key regulated
air pollutants need to be developed. I would recommend that these complex interactions be
strongly recognized in the current review of the particulate NAAQS and that in the future the
review of these regulated pollutants be combined into a single review that could focus on the
interactions of pollutant composition in determining the activity of the pollutant mix. This could
have a profound impact on determining how future regulatory policy could best protect human
health.

The review of issues involved in evaluating the secondary NAAQS standard for particulates
should focus on answering the question of whether or not there are adverse environmental and
welfare effects of particulates at levels below the primary standard.  A clear answer is needed to
the question of whether or not a lower air quality standard is needed to appropriately protect
environmental and welfare effects.  The proposed plan to address these issues is appropriate.
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                            Dr. Douglas Crawford-Brown

     Comments on Draft Integrated Review Plan for the national Ambient Air Quality
                            Standards for Particulate Matter

                            Doug Crawford-Brown (11-20-07)

As with the other Draft Plans, the key comment here is that the devil will be in the details; i.e. in
the way these rather abstract notions in the Plan are executed. Still, the overall plan laid out in
the document is sound and in keeping with other NAAQS analyses, and represents an expansion
of the methodology and considerations in the previous NAAQS review of PM risks. My
comments below relate to some specific issues within the Plan, with my attention focused mostly
on the human health risk assessment components of the plan.

1. On Page 10, the authors make clear that past PM reviews focused on size-fractionated particle
mass rather than particle composition. They then state that this  same approach will used in the
new assessment. In later sections of the document (e.g. on Page 26), there are at least hints that
composition will be examined. This was confusing and  should be clarified.

2. At no point in the document do the authors mention the issue of negative radiative forcing by
particles in the atmosphere. This negative forcing would tend to decrease, not increase, climate
change. Of course, there will be both positive and negative forcing (positive due to absorptive
particles and negative due to reflective particles). This issue of climate change impacts should at
least be mentioned, and I would even push for considering it in the setting of NAAQS.

3. The criteria for study selection on Page  22 are generally good. An issue that continues to
worry me is the potential for double counting of effects when epidemiological studies contain
mixtures of PM, ozone, NOx, etc, and these same studies are used for all of these NAAQS
calculations. So, a good criterion to add would be the ability of a study to somewhat clearly
separate out the individual effects of these pollutants (if there even is such a thing as the
"individual" effect). I just want to be sure the SUM of the predicted effects from the various
pollutants doesn't come out larger than the overall measured effect in the studies.

4.1 fully support the idea of using  representative geographic regions in the analysis. This will of
course raise the question as to what it to be meant by "representative" for purposes  of scenario
analysis. There will need to be consideration of both the exposure levels and routes, and the
demographic mix of a population.  I would urge consideration of variability analyses that directly
address equity issues in different socioeconomic and ethnic groups.

5. There is a large issue that wends its way throughout the issues raised in the document, but
which is not addressed  directly anywhere.  It concerns the relationship between the detailed
exposure assessment being proposed, which will be based essentially on constructing exposures
for individuals as they move through the temporal-spatial field  of concentration, and the match to
the epidemiological studies. The epidemiological studies, which produce slope factors, in a sense
"integrate" the movement of each individual in a study location. So the variation in these
movement patterns is hidden within the slope factors. It isn't strictly legitimate mathematically to
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use a slope factor developed from such a complex mixture of exposure patterns in a population
and then apply a "correction factor" for inter-subject variability of exposure to these slope factors
(which is what the proposed study will do). The one case where it IS at least a good
approximation is when the exposure-response is a linear function. I am not pushing for any
specific way of addressing this issue, but it needs to be at least recognized as a potential source
of double counting exposure variability.

6.1 don't fully understand why the toxicologic and  human clinical studies (on Page 27) are to be
used only for biological plausibility and mechanistic evidence. There at least needs to be
reflection on whether the dose-response relationships seen in these studies and in the
epidemiological studies are coherent. I agree that the epidemiological studies include interactive
effects that might not be present in the other two kinds of studies, but the epidemiological studies
also contain much more noise.

7. On Page 28, the authors use the phrase "evidence for uncertainties". I have no idea what this
means.

8. On Page 30, the authors ask: What are the shapes of the concentration-response models.. .and
how do they "influence public health impacts"? I have no idea what the part I have placed in
quotation marks means.

9. On Page 31, in the bullets, I believe the second bullet needs to also ask: What are the
implications of these inter-species differences for extrapolation of results to humans?

10.  On Page 31, the authors ask about reaction products that can be used as biomarkers. I agree
this is a good area of research, but I don't think it will help in setting the current NAAQS.

11.  On Page 32, the authors are raising the issue of  sensitive subpopulations. At some point in
the  study, they will need to determine the implications of sensitive subpopulations for
interpretation of the epidemiological results. Especially at low concentrations, the exposure-
response characteristics of a population would be expected to be driven more by the sensitive
subpopulation (which is why the  slope factor can be higher at lower concentrations).

12.  On Page 34, the authors mention examining effects of PM  on climate and effects of climate
on PM. This is a contentious and highly uncertain area of climate change modeling, and I would
not  want to set up too high of an expectation about producing usable results.

13.1 fully support the idea of at least examining the results of the Expert Elicitation performed
by the EPA on PM concentration-response. But it is not clear how this will be integrated with the
results of the  epidemiological studies if they are treated as two separate ways to get at a slope
factor and threshold. In fact, the Expert Elicitation was based on these epidemiological studies,
and so they are not independent ways of producing  an estimate. The authors also appear to
suggest that the Expert Elicitation contributes primarily information on the uncertainty in
concentration-response functions, in contrast to (I can only assume)  information on a central
tendency estimate. I believe the Expert Elicitation provides both kinds of information.
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14. On Page 39, the authors state that the "EPA will consider factors which may influence the
concentration distributions such as potential source concentrations, as well as the influence of
local and regional pollution". I have no idea what this sentence means, or how they intend to do
this. I also don't know what a "source concentration" is. Is it a source-specific contribution to
concentration?

15. On Page 40, the authors confront the classic problem in these kinds of assessments: how well
the estimates of exposure can be made in the face of complex spatio-temporal fields of
concentration and the movement of individuals through those fields. I think the best approach
here is to use available data on the measured ratios of ambient exposures over exposures
integrated through personal samplers as a way to characterize variability, rather than relying too
heavily on highly speculative calculations of exposure from first principle.

16. On Page 41, the authors mention taking into account "frequency of repeated peak
exposures", but don't explain how this will be done or what it evens means to take these into
account.

17.1 am generally supportive of the use of the APEX modeling approach, subject to the caveats I
noted previously.  An even better approximation to exposure could be obtained by linking APEX
to GIS-based transit routes, since on-or-near-road exposures probably are significant.

18. On Page 43, the issue of variability and uncertainty is raised. I don't think it will be feasible
to place the entire analysis inside a nested variability-uncertainty analysis framework, but it
should be possible to do this for a few representative scenarios, and to use these results in post-
processing fashion for the other scenarios simulated in the overall study.

19. On Page 46, the authors confront the issue of uncertainty in concentration-response
functions. Much of the uncertainty here comes from uncertainty in the exposure estimates for the
epidemiological studies. It will be important not to double count uncertainty here (once in the
uncertainty of exposures for the simulations and again for uncertainty in the concentration-
response functions that are based on epidemiological studies).

20. On Page 46, expert elicitation is raised as a way of getting at some of the uncertainties.  I
support this idea, but the elicitation must be structured properly  so respondents properly fold in
all of the sources of uncertainty. They then comment on page 47 that whether to use such results
will depend on a decision from the Administrator as to whether the approach has value.  It is not
clear what will be the criterion for making such a judgment. I presume it must be based to  some
extent on a judgment of the degree to which such  elicitations can be defended.
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                                Dr. Christopher Frey

Comments on "Draft Integrated Review Plan for the National Ambient Air Quality
Standards for Particulate Matter"

H. Christopher Frey, Ph.D.
Professor of Environmental Engineering
North Carolina State University
Raleigh, NC 27695-7908
frey@ncsu.edu
December 26, 2007

I have grouped my comments by major topic area.  Since others have made detailed comments
on specific pages and so on, I have chosen here to focus on more general types of comments.
Exposure Assessment
The scope of the current review should be more clear and more clearly carried through the entire
document. For example, in some places there seems to be at least an implication if not an
outright statement that the question of whether the standard should be based on total mass or
composition is up for consideration, but in other places the document seems to presume only a
mass-based standard. As other commenters have noted, the question of whether there needs to
be standards related to ultrafmes and nanoparticles should be considered.  Furthermore, such
standards might be mass-based or based on particle counts. Whether there is enough data and
evidence to develop such standards in this revision ought to be considered. If not, then
identifying some priorities for data collection and research to inform the next revision could be
part of the scientific agenda.

More clarity is needed regarding the overall framework for conducting risk assessments based on
the source-to-outcome continuum.  There seem to be two or three possible approaches mentioned
or implied in this document. They are compared in Figure 1.
 Approach A: Concentration-Response
Emissions


Ambient
Concentration


Response
 Approach B: Exposure-Response
Emissions


Ambient
Concentration


Exposure


Response
 Approach C: Dose-Response
Emissions


Ambient
Concentration


Exposure


Dose


Response
Figure 1. Alternative Conceptual Approaches to Estimating Health Impacts of Exposures to
Particulate Matter
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The key arguments for each approach should be laid out systematically.  For example, Approach
A is useful to the extent that concentration-response data are available from epidemiological
studies. A disadvantage of concentration response is that it does not account for additional inter-
individual variability in human exposures that result from time spent in a variety of
microenvironments. For example, an indoor microenvironment can include particulate matter
that has penetrated from outdoors. The exposure/concentration ratio can vary by an order of
magnitude. Thus, the use of concentration alone as a surrogate for exposure may have limited
explanatory capability.

Approach B involves quantification of inter-individual variability in human exposures. This
approach will lead to more realism and more accuracy regarding the variability of exposures as a
result of activity patterns, such as time spent at home, work, commuting in a vehicle, etc., for
which exposure to PM varies but for which there is a contribution from outdoor PM.
Furthermore, the ultimate method for managing adverse effects is to reduce exposures. Thus, an
understanding of the relationship between emissions, ambient concentration, and exposure will
inform formulation and choices among regulatory alternatives. A possible disadvantage is that
there is less exposure-response information compared to C-R information.  This situation could
change over time.  As properly pointed out in the IP, quantification of exposures will be
important to interpreting differences in C-R relationships observed in multi-city studies.
Furthermore, exposure assessment will require developing data, measurements, and models to set
the stage for a more complete application of the risk paradigm in future reviews.

Approach C should be considered to be the goal for an assessment of adverse effects,  in which
there is explicit information regarding how exposure (potential dose) translates into a
biologically effective dose, and regarding the response for a particular biologically effective
dose.  To the extent that the state of knowledge is increasing to support this type of assessment, it
should be considered as a possible approach. If the state  of knowledge is not adequate to support
such an assessment, then guidance should be given as to what additional data and research are
needed to prepare for this in a future revision of the standard, or to extend to other forms  of PM
not yet assessable at this time.

Furthermore, the interactions associated with multi-pollutant exposures and health effects should
be identified and, where possible, quantified.

Hazard Identification
The report should be more clearly organized along the lines of a hazard identification  step prior
to proceeding with other aspects of the risk assessment.  The hazard identification should include
all of the various forms of PM mentioned in various places in the report. Having  a
comprehensive list up front of all of these forms of PM will lend clarity to the document.  For
example, the comprehensive categorization of forms of PM and their identified hazards,
including nanoparticles, ultrafines, PM2.5, PMio, course PM (PMio-2.s), etc. should be given, as
well as other aspects of form such as particle mass, particle number, composition (and which
species would be evaluated), and so on, that will be evaluated.
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Agricultural PM
At one point in the report here is mention that agriculture PM might be considered for exclusion.
A scientifically-based rationale will be critical if this is further considered.

Ambient Monitoring
There are various needs and priorities for ambient monitoring, including hotspots, spatially-
representative areas, and population representative areas.  The monitoring needs should be
considered not only with respect to decisions on attainment of a particular NAAQS, but relative
to the needs to better quantify source apportionment and population exposures to whatever
form(s) of PM are regulated as well as of future regulatory interest.

Monitoring data are also needed  to support assessments of multi-pollutant exposures and health
effects, as well as to support accountability assessments. For purposes of accountability, in
addition to considering population-representative areas, consideration should be given to
emission-representative areas.  To support source-apportionment studies, there needs to be
adequate collection of composition data for various forms of PM.

Consideration should be given to area-wide characterizations of source apportionment versus
near-source characterizations, or characterization of spatial gradients in proximity to sources
(e.g., location of multiple monitors at various locations in the predominant downwind direction
of a highway or other source).

The role of monitoring in accountability should be discussed, as well as its implications for
strategies for siting monitors that may differ from the current regulatory focus.

There seems to be an indication from air quality modeling results that plumes of PM2 5  tend to be
area wide.  Information regarding the spatial variability in PM2.5 concentrations should be used
to inform the choice of new monitoring sites. The spatial properties of other types of PM should
likewise be explored (e.g., coarse, ultrafmes) to determine whether there may be different needs
for  location of monitors. For example, as particle size increases (e.g., comparing PMio to PM2.s),
the  characteristic transport time tends to decrease because of gravitational settling and deposition
of particles. Thus, the spatial extent of the PM plume is a function of PM size.

Wherever possible, there should  be simultaneous sampling of PM precursors as well as PM at
these monitoring stations.  Furthermore, there should be simultaneous sampling  of all criteria
pollutants to provide data to support future multipollutant approaches to the  NAAQS. To the
extent that multipollutant interactions with PM would include other key pollutants not otherwise
sampled, priorities should be identified for adding monitoring capability for such pollutants.

A methodology for identifying possible monitoring sites should include the use of portable or
inexpensive monitoring methods to  screen whether a location would be a good candidate for a
monitoring site.

A hybrid approach of federal reference methods, federal equivalent methods, and new methods
should be considered, taking into account that some data are for regulatory purposes and  other
data are for research or assessment/accountability purposes.  For example, the use of real-time
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methods for measuring or inferring highly resolved temporal variability in PM mass for a given
size range should be considered as a supplement to FRMs for purposes of supporting exposure
studies.

Accountability
The notion of accountability is not adequately mentioned in the document but will be critical to
understanding whether changes made in the PM standards are achieving real-world benefits.
Thus, there needs to consideration of data collection efforts regarding emissions, concentrations,
exposures, health effects, ecological effects, and so on that enables evaluation of the
effectiveness of the current PM standard and how changes in the standard lead to changes in the
environment and key receptors (humans, ecosystems, etc.).  The National Research Council, in a
2004 report, recommended application of an accountability  approach to evaluating air quality
regulations. NARSTO is in the process of evaluating how to implement accountability as part of
a multi-pollutant framework.

Accountability has implications for what metrics should be used for emissions, air quality,
exposure,  dose, health effects, and ecosystem effects.  The metrics need to be ones that should be
possible to measure and monitor over time.  For example, measurements of ambient PM levels
should be  conducted in a manner so that they can be linked to measurements of emissions and
measurements of exposure.

Multi-pollutant Air Quality Management
Some mention is given of coordinated review of NAAQS for some pollutants. Even if a truly
multipollutant approach is not the focus of the current PM review, EPA should be developing
plans and recommendation for how the review of the PM NAAQS will be coordinated with that
of other NAAQS in future reviews, and keeping this issue in mind during the course of the
current review.  For example, since secondary PM includes  NOX,  SC>2, and some VOCs as
precursors, some coordination of the NC>2, 862, and PM NAAQS will be beneficial.
Furthermore, because the 63 NAAQS has implications for control of precursor VOC emissions,
coordination between the PM and Os standard also should be considered.

International Studies
There does not seem to be adequate justification given for ignoring or putting less emphasis on
studies conducted outside of the U.S.  Studies should be evaluated on their merits regardless of
country of origin, including U.S. or Canadian based studies as well as those from other countries.

Exposure Assessment Modeling
The IP mentions that APEX might be used for modeling of human exposures. APEX has been
used for assessing human exposure to criteria pollutants such as CO and O3. However, it does
not appear to be the case that APEX has been used or is configured for application to PM, in the
various forms that would be of relevance here.  On the other hand, EPA already has a
probabilistic exposure model, SHEDS-PM, that is configured for  application to evaluate human
exposure to PM.

EPA should introduce and compare APEX (CO, O3) and SHEDS-PM and explain/justify the
choice to modify or adapt APEX for PM rather than use the existing SHEDS-PM model. It
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would seem that the main focus here should be application of exposure models, rather than
development of exposure models if one already exists. If EPA can justify as to why APEX
should be adapted for application to PM exposures, there there needs to be more detail on how
APEX will be adapted or modified for application to PM.  This is not a trivial task. The
development of input data for PM involves different data sources than those for CO and 63,
particularly for factors such as microenvironmental concentrations, penetration of ambient PM to
indoor and in-vehicle environments, and transport characteristics of PM.  Furthermore, the
development of a new model will require appropriate model evaluation and validation activities.
This will require significant time and effort and will need to be a clear part of the scientific
agenda.

The IP mentions the Stochastic Human Exposure and Dose Simulation (SHEDS) model but does
not state that SHEDS  is an EPA model.  It is not clear from the document that SHEDS is a
product of work at EPA over approximately a 10 year period. In addition to the cited application
of SHEDS to assessment of PM exposures in Philadelphia, SHEDS has also been used in recent
years for assessment of PM exposures in the state of North Carolina, for all 100 counties and for
each of approximately 1,500 census tracts.  SHEDS has the capabilities that are stated as
desirable for APEX, such as a probabilistic simulation capability for inter-individual variability.
SHEDS has been evaluated using panel studies.

As I understand, APEX is coded in FORTRAN. FORTRAN is not a programming language that
is the first choice for development of models that are intended for long-term use.

There should be some discussion as to the comparison between SHEDS and APEX with respect
to  estimation of PM exposures.  SHEDS-PM is coded in SAS and in MATLAB. Receding of a
model can be an effective way to review and improve algorithms and to increase computational
efficiency. The use of an object oriented language such as C+  should be  considered. Another
version of SHEDS (for pesticides) was receded from SAS into C++ with improvement in
computational speed.  Thus, receding of SHEDS-PM for use in assessment of human exposures
to  PM is one option for a modeling tool.

If APEX is to be adapted or modified for application to PM exposure estimation, then it should
be benchmarked versus SHEDS-PM as part of model evaluation.

Exposure assessment  is important to the assessment of health effects from ambient PM because
PM penetrates into  indoor and vehicle microenvironments. Thus, the exposure models must be
updated to include new data and algorithms for improved characterization of such exposures.
For example, in-vehicle exposure to PM is likely to be an ongoing research topic during the
course of preparation  of the ISA, and it is likely that the algorithms for quantifying such
exposures will need to be updated as new information becomes available.

Variability, Uncertainty, and Sensitivity
Regarding the general topic of variability and uncertainty, this  is mentioned in a few places in
the document but it should be treated more systematically throughout all  stages of the scientific
assessment. EPA should posit an overall framework for dealing with variability and uncertainty,
and then explain how the framework will be applied for specific components of the assessments,
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such as modeling of concentrations using air quality models, interpretation of monitoring data,
estimation of spatial and temporal ambient concentration fields, quantification of exposure,
quantification of concentration-response, quantification of exposure-response, quantification of
exposure-dose and dose-response, etc. The specific methods used for dealing with uncertainty
may differ in each of these areas, but need to be consistent to enable linkages from one part of an
assessment to another.

There are some related activities at EPA that will be useful resources for the PM risk
assessments. For example, the Risk Assessment Forum has a Probabilistic Risk Assessment
(PRA) working group and technical  panel, that is pulling together information regarding
methodology (in the form of a white paper,  currently in draft form) and case studies on PRA,
with plans to disseminate such information via seminars and an intra-agency web-based tool.
There is work within the National Exposure Research Laboratory to look at the issue of how to
couple air quality, exposure, and dose models, particularly with regard to propagation of
variability and uncertainty from one model to another. There is an Institute of Medicine (IOM)
expert panel that will be studying issues of uncertainty related to public health decision making.
There are several draft reports to EPA/OAQPS on the general  topic of a "Hierarchy of Methods"
for dealing with uncertainty.  And so on (these are just examples). Thus, there are many
resources within EPA for developing a coherent framework for uncertainty analysis that can
serve as a model not only for this PM review but for other NAAQS reviews in the future. In
addition, there are external documents, such as the recent World Health Organization (WHO)
guidance on uncertainty in exposure assessment, that can inform the development of an
integrated methodology for dealing with issues of variability and uncertainty, ranging from
qualitative to quantitative methods.

The conceptualization of uncertainty should take into account  uncertainty in scenarios, model
structure, and inputs to models. There should be a characterization (qualitative, quantitative) of
each of these categories of uncertainty.  If scenarios are mis-specified are models are improperly
formulated, this can lead to larger errors in an estimate than uncertainty in model inputs.
Uncertainties in scenarios and models typically lead to bias, which may be difficult to quantify.

Expert elicitation is part of the toolkit for quantifying uncertainty (or variability, depending on
the assessment question) in situations for which representative data may not be available but for
which there is an information or theoretical foundation upon which to make estimates that could
correct for possible biases in the limited data set. EPA did a good job in conducting the expert
elicitation for the PM C-R ratio as cited in the IP.  This type of rigorous approach to expert
elicitation is a good model for the elicitation method that should be used in the current PM
review, if expert elicitation is needed. To help prioritize situations for which expert elicitation is
needed, it may be useful to conduct sensitivity analysis with models used in the risk framework
to identify those inputs for which information is lacking and that significantly influence
estimates of endpoints critical to the evaluation of regulatory alternatives.  Thus, sensitivity
analysis methods should also be part of the toolkit. Sensitivity analysis can be used in
combination with PRA to identify which uncertain or variability inputs most influence the
endpoints of interest, which can be useful to informing the development of risk management
strategies and/or identification of priorities for collecting additional data.
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While there are some critics of expert elicitation, it is important to recognize and clearly state
that ANY assessment involved HUMAN JUDGMENT.  For example, in purely frequentist
statistical analysis based on empirical data, judgments are made regarding which data to use for
an analysis, that the data are a random and representative sample, regarding what statistical
criteria to use to reject hypotheses, regarding what statistics and statistical methods to apply to
the data, and so on.  On the other hand, quantification and acknowledgment of uncertainty is
good scientific practice.

Human Health and Ecosystems
I agree with other commenters that there needs to be more focus on ecosystems than is currently
evident in the draft IP

Climate Change
The effect of climate change on ambient PM and on PM exposures and effects needs to be
considered, but to what extent it needs to be considered is not clear in the document.
Conceptually, it seems appropriate to consider the effect of changes in ambient PM  levels on
climate change, either in terms of a secondary  (welfare) effect or perhaps even in terms of a
primary (human health) effect. While it may be possible to approach the effect of climate
change on ambient PM quantitatively (with uncertainty), the effect of PM on climate change
might end up being more qualitative.  If so, then it will be useful to identify data and research
needs that could improve the degree of confidence of an assessment in the future (i.e. for the next
review of the PM standard).  From a technical  perspective, there would be substantial challenges
to quantifying the health and welfare effects of changes in climate with respect to changes in
ambient PM form and levels.  The draft IP is not clear on the scope of this issue or how it will be
approached.
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                                   Dr. David Grantz
Amended Comments on the Integrated Review Plan—NAAQS PM
David A. Grantz
University of California
11/30/2007

First, let me say that the Review Plan is pretty good and very well written. Whoever produced
this out of the ferment of the July meetings deserves a meritorious service award. However, there
are a few issues. As usual, I guess, I will focus on the negative. I have five overall areas of
concern with the plan.

   1.  First is the method of dealing with older information. I recognize that the new process of
       the science assessment is designed in part to be streamlined relative to the earlier Criteria
       Document-based process. Nevertheless, I have concerns that there may be unintended
       consequences for preservation of information that was obtained prior to the last review.
       This will become more serious  as further iterations of the new process occur.

       On page 2,  line 16-17 it is stated that the focus will be on new information (since the last
       CD). That is fine, but the second half of the sentence states that the ISA will reflect the
       most current state of knowledge. These statements may be contradictory. I believe that it
       is critical in the body of the report (rather than in a preliminary section of the entire ISA
       as suggested on page 20, line 20-22, or in an annex) to refer to older studies that remain
       definitive.  Some of these may even be the most recent work on a subject, as scientific
       fashions change and work on some subjects stops. I think the IRP should be revised
       throughout to state that the only criterion for inclusion of studies is that the  information
       be the most recent and relevant, not its publication date (page 20, line 19) and not that is
       has been subjected to reinterpretation since the last review (page 20, line 27-29). This
       will be particularly important for welfare effects, since many topics (effects of road dust
       or limestone quarry dust on vegetation comes to mind) have not been studied much in
       recent years but remain important.

   2.  Second, the concept of welfare  effects has been unduly narrowed. On page  20, line 11, it
       is stated that deposition of particulate metals will be considered. Again on page 33, line
       25-26, metals, and specifically mercury and copper, are singled out. And again on page
       55, line 26. This raises the question—why include metals at all? Why exclude semi-
       volatile organics or base cations, to think ecologically, or organic and elemental carbon
       or oily particles if we think of surface soiling? These other aspects of PM are mentioned
       briefly (page 33, line 21-27) but discussion immediately reverts to metals (line 25). It
       appears that this style is used as an example, but the effect on the reader is to single out
       metals to the exclusion of other important components of PM. Welfare effects are
       complex and should be considered in their complexity in the IRP, or they will not be in
       the ISA.

       It is stated on page 10, line 21 and again on page 15, line 11-18, that the previous Criteria
       Document concluded that "size matters" and that PM should be evaluated according to
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   size class. This may be true for primary standard consideration, but in Chapter 4 of the
   preceding CD size was specifically excluded as relevant to plants. It was stated there that
   chemical composition of PM is far more important to vegetation and ecosystems. On
   page 10 and 15 this statement should be removed or moved down in the text so that it lies
   clearly within discussion of the primary standard. In discussion of the secondary welfare
   standard, more attention should be paid to chemical speciation as a major determinant of
   effects.

   It seems to me that these decisions as to what classification is most appropriate and which
   compounds are of most interest should be decided after reviewing the literature, rather
   than before, as is done here.

   Similarly, I am concerned that fate and effects of PM that happens to contain N or S will
   be dealt with separately (page 33-34). For example, the important subject of trends in
   base cation deposition will seem out of place without discussion of the acidifying effects
   of these excluded N and S compounds. How will this be handled? It is unclear from the
   text, or the discussion on 11/30/07, whether the interactions of (e.g.) base cations with
   acidifying species should be considered in the PM document, in the combined NOx-SOx
   secondary document, or in both. Much discussion on 11/30/07 centered on the need for
   an integrated (multi-pollutant) assessment. This decision regarding NOx and SOx
   secondary effects seems to work against that trend. This issue needs to be thought
   through carefully and explained more coherently in the IRP.

   It is striking how very little attention effects on vegetation received in the IRP. Indeed,
   welfare effects are summarized as "Visibility and Other Welfare-Related Assessments"
   (both in the Chapter title, page 49; and in the text page 56, line 20). While visibility is
   important, has readily available data, and has political impact, it has little effect outside
   of itself. In contrast, potential long-term impacts on ecosystem function and resulting
   services have the potential to impact human welfare in many profound ways. Ecosystem
   effects, even though definitive data may still be lacking, should receive much greater
   attention to fulfill the CAA mandate to protect against uncertain effects.

3.  Third, there can be no scientific reason to exclude studies performed outside of the US
   and Canada (page 22, line 16-17; page 23, line 29-30). There may be a political reason,
   and if so, the IRP should state it. Otherwise, in many areas of recent literature on PM,
   studies from Europe and Asia represent the most recent information. This may even be
   more important for the  secondary standard than for the primary, as the differences in
   health care systems do not apply (page 22, line 18-19). Some flexibility is suggested in
   the current draft IRP (page 24, line 1-2) but it seems an afterthought and is broadly
   contradicted throughout the document.

4.  Fourth (a positive view!), effects of/on climate seem both absolutely appropriate in this
   PM ISA and remarkably convenient to incorporate at this time (page 34, line 1-9). The
   IPCC has just released  summary documents. There will be little need for independent
   modeling or other research to incorporate this absolutely current information.
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   5.  Fifth, I am concerned that material in the annexes will be considered less important than
       that in the main body of the text. Yet on page 34, line 15-16, it is stated that the goal of
       the annexes is to identify scientific literature that is relevant. I had thought that was the
       objective of the ISA itself. This troubles me because of the potential prejudging of the
       scientific literature mentioned above, and because the CASAC and the PM panel will not
       be invited to review the annexes (page 35, line 4-5). In addition, the Scope and Methods
       Plan (page 49, line 15-16) which will be developed in parallel with the ISA, will be
       influential in this regard, but will be considered by CASAC and the PM panel later in the
       process than the ISA itself (page 56, line 9-10; schedule page  13). It became clear during
       the discussion of 11/30/07 that the Scope and Methods Plan will inform the Exposure and
       Risk Assessment, rather than the ISA. This should be made more explicit in the IRP.
Thank you for the opportunity to review this important document.
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                                   Dr. Joseph Helble


Comments on Draft Integrated Review Plan for NAAQS for PM
J. Helble, Dartmouth College 11/27/07

1.    Clarification needed with regard to the extent to which the review will consider the PM-
     climate relationship as a secondary effect - Sections 4 and 6 of the draft IRP differ. The
     approach described in Section 4 seems more appropriate.

     Section 4
     p. 11 lines 25-27 "EPA will again consider.... climate-related effects...."

     p. 18 lines 1-3 "What new evidence is available on the relationship between PM... and
     climate-related and other welfare effects?"

     p. 34 lines 1-9 discuss in some detail climate effects to be considered in the ISA

     Section 6
     p. 49 lines 13-14 "... we do not anticipate there will be sufficient information to support
     quantitative analyses related to this public welfare effect in this review."

     There is no further mention of potential climate effects in Section 6.

2.    p. 20 line 29 - meaning of "Generally" needs to be clarified. If non peer-reviewed sources
     are to be considered, the parameters guiding acceptability of such sources need to be
     clearly defined.  Same statement applies to "usually" in line 13, page 24. Do books and
     reports need to be  peer-reviewed to be considered?

3.    p. 21 lines 17-19 add "fly ash," aerosols, smoke

4.    p. 23 lines 29-30: the argument in favor of placing  emphasis on U.S. studies when
     considering secondary effects - visibility, climate,  deposition of metals - seems tenuous
     and should be deleted.

5.    The term "characteristics" (of PM) means different things in different sections. There is
     overlap and the IRP should be clarified for consistent usage.

     p. 15 line 17: characteristics = size, composition, source, environment
     p. 26 lines 19 and  22: characteristics = size, composition, surface area, source
     p. 27 line 26: characteristics defined  separately from size and composition
     p. 28 line 17: characteristics defined  separately from size
     p. 29 line 27: characteristics defined  separately from size and composition
     p. 31 line 2: physico-chemical characteristics?
     p. 33 line 3: aerosol/optical characteristics - what are "aerosol characteristics"?
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6.    p. 37 lines 18-19: what is an "air quality distribution?" Similar comment applies to
     "distribution of air quality" on p. 39, line 16. Does this mean a geographic distribution of
     PM concentrations in a particular region? Clarification needed.
7.
p. 46, line 5 - it is likely the author meant principal, not principle
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                                Dr. Rogene Henderson
Comments on EPA's Draft Integrated Review Plan for the NAAQS for Particulate Matter
Rogene F. Henderson
November 3 0,2007

The document was generally clear and well organized. I compliment the Agency on a good job.
I have a few questions covered below.

Page 10, lines 22-25: Reading this, one would think the Agency was not going to consider
composition in reviewing the toxicity of PM. The rest of the document indicates this is not so.
The language here should be clarified.

Page 16, Issues to be considered:  The last bullet covers in a generic fashion all the important
uncertainties from the last review. However, a more specific listing of those uncertainties would
be helpful. Mr. Poirot has listed some of those in his comments.  The toxicity of coarse particles
in urban versus rural areas is an issue I would like to see noted.

Page 20, ISA: I have a concern that some time be given to how to develop an adequate ISA
(generic).  This is not an easy task that can readily be done "on the fly" as we push forward to
meet the goal of 5-year reviews.  It is such an important document, not only for PM but for all
criteria pollutants, that I think a standard protocol for how one goes about developing an ISA
should be  developed.

Page 29, line 1:  This sentence brings up an important  problem on the health effects of multiple
pollutants, which we all breathe. The sentence does not, however, suggest how we might get the
data to support this approach.  The EPA is considering a multiple pollutant approach for air
quality management, but this consideration is embryonic in concept. I think we need to move
toward a multiple pollutant air management policy, but perhaps that is not possible for this
document.

Page 37, lines 11-26: I found this paragraph to lack clarity.

Page 41, lines 22-24: I hope that the risk assessment will  include the PM 10-2.5 particles. We
did not have the data to do this in the last review and it is an area where we need information.

Page 46, Expert Elicitation
The use of expert elicitation, if done properly to address well-defined questions can be helpful.
But there are many ways in which expert elicitation can be misused. The experts must be
carefully selected, and the use of their opinions must be justified. Any plan to use expert
elicitation should be first reviewed by CASAC.
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                                  Dr. Philip Hopke


                           Comments from Philip K. Hopke on
                              Draft Integrated Review Plan

This is a generally very good document that has focused attention on most of the high value
issues that need to be assessed to inform any possible policy changes with respect to the PM
NAAQS. There are a few issues that need to be considered in the final plan.

Science Issues
In addition to composition (constituents) in PM, size may matter. There is a mention of fine and
coarse, but there should be an assessment of where we are with respect to ultrafine (<100 nm)
particles and the potential need  for a particle number standard.  EPA has expended considerable
resources on studying the role of ultrafine particles in inducing health effects. There has been
limited numbers of epidemiological studies so at this point, it is appropriate to assess where we
are and the need for (or lack thereof) a standard that would be particle number concentration
based.

Particle Monitoring
I continue to have considerable concerns with respect to using the difference method to obtain
estimates of PMio-2.5. It is particularly problematic to provide compositional data. Thus, there
needs to be care taken to assess all of the coarse particle monitoring techniques without making
any one of them into a "gold" standard. Similarly, the PM2sFRM is a precise method of
unknown accuracy, but  known bias toward low measurements. Thus, we need to look more
carefully at what we define particle mass and what is it that we want to measure. Is it not time to
measure the amount of material that people actually inhale? Should it not be our goal to make
accurate measurements  of mass concentrations rather than mimic the inaccurate measurements of
the past on which the epidemiology is based? There are ways to make appropriate adjustments in
the standard values to account for the higher values that will be measured if all of the airborne
particle mass is actually included. This issue is one that is central to setting of the level and the
monitoring method that goes with it and requires some attention.

With respect to composition, we have been looking under limited numbers of lampposts given
the nature of sample collection and laboratory analyses. We need to look at better time resolved
measurements and measurements of reactive species that may be more relevant for health effects.
Thus, there needs to be  a discussion of whether the right composition metrics are being measured
given what we have learned from other studies such as tox or epi studies and improved
understanding of the mechanisms of action.

Expert Elicitation
I do not like this process whatsoever. They can chose the people they want to ensure they get the
responses they want. There are fads in views that may cause bias in the outcomes. If they have
critical information, it should be published in appropriate journals with appropriate reviews. I
think they should not do these or use these in the process.
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                                  Dr. Donna Kenski

Comments on the Draft Integrated Review Plan for the NAAQS for Particulate Matter
Donna Kenski
Lake Michigan Air Directors Consortium
November 27, 2007

The draft plan presents a logical and consistent roadmap for reviewing the PM NAAQS.  I found
no major shortcomings.  Specific minor issues are addressed below.

p. 16, line 1 (1st bullet): What evidence is available from recent studies focused on specific
components, size fractions, or sources of PM...

p. 18, line 9 (bullet 3): This document should at least acknowledge the potential for positive
effects with respect to climate change.

p. 19:  Another policy issue that should be addressed here is how we assign value to the welfare
effects—what new evidence or techniques are available for quantifying the value we place on
visibility in wilderness areas as well as the urban areas we spend so much time in. This is
discussed in Sections 6.2 and 6.3 but it has important policy implications and deserves a bullet in
this section.

p. 20, line 11:  Deposition of metals is mentioned but not organic or elemental carbon. Is this
because OC and EC have no welfare effects?  Do we know?

p. 26, lines 9-11: A discussion of source apportionment models and their utility for determining
exposure surrogates is an excellent idea.

P. 30, bullets  1 and 2:  Good - a comprehensive discussion of confounding is critical.

p. 34, lines 1-9: Climate change effects seem to be downplayed in this document. I hesitate to
make that statement because the climate change discussion could easily overshadow  all the other
welfare effects. Still, this description leaves me wondering how far the ISA will take this climate
change discussion - will PM effects on climate be compared to those from other greenhouse
gases? How do we assess or evaluate changes in precipitation and temperature—what does it
mean for agriculture, recreation, ecosystem health, etc.? The plan should be more explicit in
how far-ranging the ISA intends to be.

p. 36, line 24: population or variable...

p. 49, line 10: benefits of materials damage??

p. 49, lines 10-14: I agree that a comprehensive and quantitative assessment of multiple climate
change scenarios is an unrealistic goal for the ISA, but there should be plenty of information
available for at least a qualitative discussion of the general direction of impacts from changing
PM concentrations.
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p. 52, lines 1-6:  The last sentence is a little confusing. The more important point is to note that
regional differences in humidity will cause different visibility impacts for the same PM
concentrations.

p. 57-60: It is appropriate that Sec. 7 starts out by stating the purposes of the ambient monitoring
network. Not all of these purposes are equally well served by the existing PM network.  The
current focus on more populated areas and the elimination of monitors in areas where no
violations have occurred hinders our ability to determine spatial patterns and variability of PM.
Consequently the monitoring network's ability to support exposure assessments, track trends,
look at transport patterns, etc.,  are hindered as well.  So, bravo to the authors of the plan for
recognizing this problem and addressing it specifically with the bullets on p. 60.

p. 62-63: EPA may need to go to the gray literature to answer some of the questions  posed in the
bullets on p. 63, or perform their own analyses, since some of this work is unlikely to be
published yet. I hope that's considered acceptable for the ISA.
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                              Dr. Morton Lippmann


Comments by: Morton Lippmann, Member, CASAC PM Panel
Re: Draft Integrated Review Plan [IP] for PM NAAQS

Background:
The IP provides a comprehensive outline of EPA's plan for the CASAC's participation in
reviews of key documents to be used, over the next several years, to determine whether existing
PM NAAQS should be retained or revised. These include:
    1) The Integrated Review Plan (IP);
    2) The Science Assessment;
    3) The Exposure/Risk Assessment;
    4) Advance Notice of Proposed Rulemaking;
    5) Proposed Rule

General Comments on the IP:
The IP, itself, is a concise, comprehensive, and well-written document that outlines a carefully
considered array of tasks to be accomplished over the next few years. It gives reasonably full
consideration to what was accomplished in the previous review cycle of the PM NAAQS, and
what was, to CASAC's frustration, not accomplished. The preparers of the document deserve
commendation for a job well done. However, it can be improved in some specific ways, as
outlined below.

Specific Suggestions for Improvements:
p. 5, line 2: CASAC is a Committee mandated by the CAA, and is thereby independent, in terms
of its judgments and conclusions, of SAB.

p. 11, line 2: It should be noted here that efforts are underway (and if not, are needed) for other
PM components, i.e., EC, OC and specific transition metals.

p. 15, line 10: add: "and, as needed, to establish new NAAQS based on other PM components".

p. 16, line 6: replace "daily" with "short-term (daily or multi-day)".

p. 23, line 16: replace "instillation" with "lung instillation and other forms of dose
administration".

p. 25, line 17: Add: "How can sources such as resuspended  road dust be characterized?"

p. 27, line 17: Change: "may" to "will".

p. 29, line 22: Insert: "or exacerbating" after "initiating".

p. 30, line 5: Add:  ", or benefits accruing from such interventions" after "relationships".
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p. 30, line 9: Add: "VOCs" after "CO".

pp.  30, 31: The section on "Biological Mechanisms of Action" is too limited in scope. It should
be broadened, or followed, by including a section "Biological Plausibility". It has become
increasingly clear in recent years is that the literature on exposures to PM at relatively high
concentrations and statistically significant associations with human health effects has been
supplemented to now include many more showing statistically significant, if often subclinical,
effects in normal and vulnerable human populations at PM concentrations at and below current
PM NAAQS. These, and the recent CAPs studies in animal models of human disease that show
comparable effects in responses and biomarkers, are particularly important in our capacity to
convince the Administrator and the public that ambient PM pollution continues to be an
important public health challenge.

p. 38, line 5 and beyond: The issue of assuming a "threshold model" at an arbitrary level for
estimating an exposure-response relationship for PM needs to be reconsidered. While the issue
remains unresolved at this time, the scientific literature  on this issue has grown considerably in
recent years, and the justification that it is reasonable to assume that they exist for population-
based time-series and cohort studies has diminished. Thus, any plan to do analyses of exposure
and/or risk based on a threshold assumption will need a much stronger rationale than it had in the
last PM CD.

p. 41, lines 22-25:  EPA needs to more than consider "exposures associated with ambient PM10-
2.5  as well". Unless it does, the cop-out of a lack of sufficient ambient air quality data described
on p. 39, lines 5 - 10, will inevitably be available for use again.

p.44, lines 4 & 5: Will EPA really be able to "consider	risks associated with PM10-2.5 in
the  ambient air, as well as risks associated with specific PM components", or will the lack of
such data be an excuse to once more not address these critical issues.

p.44, line 18: The treatment of Policy Relevant Background (PRB) in the last PM CD left many
in the Past CAS AC PM Panel unhappy. The need for, and treatment of PRB in this ISA will need
a much better justification than it had in the last round.

p. 46, lines 11 -13:  While EPA has had a long interest in harnessing the emerging field of "expert
elicitation" into its  arsenal for risk assessment, it remains a controversial technique among air
pollution scientists, as evidenced by the CASAC PM Panel's discussion during the Nov. 30,
2007 Public Teleconference. Staff needs to prepare a package of briefing materials for the
CASAC PM Panel  at an early stage if expert elicitation is to be relied on in  the preparation of the
PM ISA.

pp.  59-63: What is the purpose of Section 7.3 on Monitoring Issues to be Considered in the
Current NAAQS Review? Is it to alert the CASAC Panel on the  legal requirements for this
NAAQS pollutant? If so, it is adequate. On the other hand, if it is to ask the CASAC Panel to
discuss its adequacy as a plan to collect sufficient data to understand exposures to PM10-2.5
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and/or the components of PM2,5 and PM10-2.5 on the population means and distributions of
exposure for either this, or the next round of NAAQS review, then it is clearly inadequate.
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                                  Dr. William Malm
Review of "Draft Integrated Review Plan for the National Ambient Air Quality Standards for
Particulate Matter"

In general the document is well written and easily understandable.

Some specific comments:

Page 5, line 7: "Particles may be emitted directly or formed in the..."—should include the
reduced forms of nitrogen as well.  Things like ammonia, amines, etc., have to be present to form
ammonium nitrate, sulfate,  or some carbonaceous particles.

Page 18, Iine4:  How will ecosystem response be addressed in that it is deposition of particles
(both coarse and fine), rain, snow, and gases that contribute? Can a secondary standard be
expressed in terms of something like an integrated variable such as total reactive nitrogen (all
forms) or extinction, which includes other characteristics of PM than just mass?

Page 21, line 16:  Do you mean publications data base? And do these searches  include visibility-
related topics?

Page 32, line 25:  The statement that nitrates and organics are the largest contributors to visibility
reduction in the West is not true.  Nitrates play a significant role primarily in parts of California
and during the winter at some sites. Soil in the spring is the largest contributor  to extinction at
some sites, and on the average sulfates play a bigger role in visibility reduction  than nitrates. In
general, one could say that sulfates, nitrates, organics, and soils all contribute at times to
significant visibility reduction and  on the average are about the same.

Page 33, line 19:  Shouldn't night sky issues be addressed? Light pollution is directly related to
haze levels and the ability to see celestial landscapes.

Page 34: May want to have a section explicitly discussing the role of smoke on visibility,
climate, etc.,  highlighting the need  for understanding the emissions from fire that are currently
not very well addressed, such as VOCs that contribute to SOA in a very significant way,
ammonia, NOx and others.

Page 49 line 27: The  statement that visibility is the degree to which the atmosphere is
transparent to visibility light is very inaccurate/wrong.  Depending on sun angle, the
transparency  of the atmosphere may be a small contributor to visibility impairment. It is the
combination of transparency (or more accurately, transmittance—transparency is usually used by
psychophysicists to describe human response to atmospheric haze) and scattered light added to
the sight path that causes visibility  impairment.  It is this airtight that in many cases dominates
the ability to  see color, textural detail, etc., of a landscape or urban feature.

Page 50, line 8:  Remove "can." It is the reduction of clarity, etc., that is the primary indicator of
visibility impairment. How far one can see is just a convenient and easily understandable way to
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express "visibility impairment". One will see visibility impairment (the degradation of clarity,
etc., of a landscape or urban feature) long before it is so hazy that the feature is at the limit of just
being able to see it at all.

Page 52, line 13: The correlations would be best for any time period where RH was relatively
constant, say, during selected night- or daytime hours. If RH was low, then PM and visibility
would always correlate well.

Page 59: Under network design, should some consideration be given to species specific effects,
such as PH (acidity)?

Page 60: If one is considering both fine and coarse mode (PM2.s and PMi0) standards, should the
sampling cutpoint be readdressed? The fine/coarse mode cutpoint for most species is between
0.8 and 1.0 um. 2.5 um tends to be about in the middle of the coarse mode. Any error in the
sampling cutpoint (due to flow rate change, etc.) can dramatically affect the relative mass
collected in the fine and coarse modes and thus compliance with the standard.

Page 61: Under sampling methods, I believe it is essential to discuss sampling artifacts.  They
can and usually are very significant.  Significant loss of both ammonium and nitrate species
occurs over sampling periods that include a diurnal cycle (large temperature changes). In the
Midwest and parts of California where nitrates tend to be the largest fraction of mass, these
artifacts could cause error of factors of two or more in gravimetric fine mass estimates.

Could an explicit measure of number-size distribution be used as a FEM?  Europeans are
considering this option.

Page 63: The equivalence of thermal OC/EC measurements (and associated artifacts) should be
addressed.
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                                  Mr. Tom Moore
                           EPA Draft Integrated Review Plan
   for the National Ambient Air Quality Standards for Particulate Matter, 10/16/07 draft

         CASAC PM Panel Review Comments, Tom Moore, WGA/WRAP 11/30/07

The draft IRP is well-written and provides a good summary of EPA thinking for this review
process. Other members of this CASAC and the PM Review Panel with previous experience on
EPA committees and panels have provided useful and thoughtful comments that reduce the
number that I need to make at this time. I have 3 general comments that would help me see
better where EPA's process is going, and follow/advise on the process and results over the next
few years.

1.   ISAs for PM vs. other CAA Criteria Pollutants

     With PM the broadest indicator of ambient air quality of the CAA criteria pollutants, it
     would be useful to have EPA specify in a summary fashion what ambient measurements
     and emissions sources are included in the analysis work behind each of the ISAs, carrying
     that organization into the review effort(s). Examples include oxidant chemistry affecting
     ozone/NOx/SOx and PM, ammonia a key player in multiple criteria pollutant indicators,
     chemical composition varying across PM size distributions, among others. This effort to
     define what EPA is including in one or more ISAs will be helpful in the air quality
     management outcomes that will ultimately result from this NAAQS review.  Dr. Samet
     commented that "cross-referencing and 'harmonization' is needed across the ISAs", which
     I support - maybe this summary would be a start at that. It appears that EPA is thinking in
     this direction already.

2.   Implementation of PM NAAQS

     The effort to implement the 1997 PM NAAQS revisions provided a good example of how
     complicated the more sophisticated PM indicators adopted by EPA are for regulators to
     monitor/track, analyze impacts, and determine controls. Funding and technical resources
     provided by EPA and implemented by state, tribal, and local air agencies were both quite
     substantial, and have added to scientific understanding of the nature and causes of PM.
     Sources and impacts of large magnitude within the U.S., as well as natural and international
     out of the control of EPA and state regulators have been identified and apportioned in the
     regional haze analysis work of the past several years. These regulatory data and analyses
     form part of the basis of this review of the PM NAAQS.  I think it is necessary for CASAC
     and the PM Panel to not only review the work products leading up to EPA decisions on the
     next PM NAAQS, but also to be able to clearly understand sufficient detail about the
     technical and scientific implementation plans of EPA that would assist in informing
     recommendations about the form, level, and averaging times of the next PM NAAQS.
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3.    Summary of CASAC and PM Panel comments on the Draft IRP

     It would be helpful to have an itemized summary of the comments prepared for the 11/30
     conference call, and where/how/when EPA will address those comments in their review
     work, given the number of comments and reviewers. This summary would likely be
     something EPA would already be preparing for their use.
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                                  Dr. Robert Phalen
Comments on Draft Integrated Review Plan for Particulate Matter
Robert Phalen (12/05/2007)

The Draft Plan demonstrates a clear advance in the sophistication of thinking related to the
NAAQS for Particulate Matter. The Plan is clearly described and it discloses some of the many
problems associated with identifying key issues that require in-depth analysis.  That said, I will
focus on problematic topics, some of which may mainly be useful for the EPA Administrator
who must take more into account for protecting public health than what can be detailed by
scientific experts. It is clear to me that continued tightening of our current air standards will
produce unwanted health-related tradeoffs.  The situation has changed from that faced years ago,
when air pollution was a serious threat to public health. In addition, the climate change issue is
too complex and unsettled for EPA to  consider it in setting NAAQS for PM.

p. 4, line 20: Although "costs of implementing the standards" may not be considered, health-
related tradeoffs should be. Such tradeoffs include the broad availability of affordable electrical
power, food, shelter, transportation, goods, and services that are essential to a healthy population.
Air quality standards have public health tradeoffs that must eventually be carefully considered.

p. 10, lines 24-25, and p. 15 lines 15-18: Although it is  a brave  move, evaluating "specific PM
components and sources" is necessary. It is generally known that metrics other than fine and
coarse mass are relevant to human health effects.

p. 16, lines 12-15: "Levels of PM exposure" are identified as the primary concern. Yet, in
epidemiology studies of acute health effects, small daily changes in levels (i.e. increments) are
consistently providing associations with  adverse health effects. Because "levels" and "changes
in levels" are not the same thing, EPA must be careful  in trying to set a NAAQS-PM "level" that
is based on studies of "changes in levels".

p. 16, line 28, and p.24, lines 24-26: Regarding the question of "have new uncertainties
emerged?," have non-PM-exposure factors that might influence the associations between PM
levels and health effects been adequately considered? In addition to meteorology-related
confounders, PM episodes are presumably associated with behavioral changes in use of
heating/air conditioning, driving patterns, and time-activity patterns. If the scientific database
permits, such additional confounders should be reviewed.

p. 29, lines 1-2; p.30, lines 8-10: Biological aerosols probably require inclusion in the list of co-
pollutants.

p. 32, lines 19-22: Although hard data might not be available, there is the possibility that public
exposure to ever cleaner air might lead to a diminishing of respiratory tract defenses.
Microbiologists are concerned over the effects (on resistance to infection) of reduced exposure to
potential pathogens.  Might the public be becoming more susceptible to air pollutants as  a
consequence of improvements in indoor  and outdoor PM levels?
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p. 37, lines 22: In addition to "reductions in risk", might local strategies to reduce PM levels also
increase some forms of risk? The availability of affordable electrical power, food, goods etc. also
affect public health. It is understood that this might be an issue for the Administrator, instead of
EPA staff.

pp. 41-42: The APEX model is an interesting, but ambitious approach. EPA staff should weigh
the effort involved against the usefulness of the data acquired.

p. 46, lines 12-13: It seems that "conducting an expert elicitation" is a good idea, given the
importance of establishing appropriate NAAQS. A diverse group of experts could provide
important helpful advice and new ideas to consider.

p. 47, lines 23-30: EPA is to be congratulated for considering the "broader context" of
"risk/exposure" assessments.  Although it is difficult to do, all of the significant consequences
(for public health) of air standards (and meeting them)  must be considered to the extent possible.
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                                 Dr. Kent Pinkerton
     Comments on Draft Integrated Review Plan for the National Ambient Air Quality
                            Standards for Particulate Matter

                               Kent E. Pinkerton (11-30-07)

The Draft Integrated Review Plan for the National Ambient Air Quality Standards for Particulate
Matter is a well organized and clearly written document. Congratulations to those involved in
the preparation of the document.  My comments for the  document are given numerically below.

   1)  The introduction with an overview of the NAAQS review process, legislative
       requirements and especially the history of reviews of the NAAQS for PM is helpful to
       have summarized in this document to provide the basis for the current review.

   2)  Pages 15-16: As stated, it will be important to insure the review of the literature is
       complete to address the questions posed. Key evidence to understand subpopulations and
       their sensitivity to PM exposure will be essential to  carefully consider. I would add we
       need to also understand the specific responses observed in these sensitive populations that
       make them different from the rest of the population.

   3)  Pages 17-18: It is not clear to me the meaning of the terms "indicator" and "form" in the
       context they are used in the following phrase: .. .the basic elements of the NAAQS:
       indicator, averaging time, level and form.

   4)  Page 18: For this next NAAQS review, I would emphasize it is extremely important to
       emphasize new evidence on the relationship between PM mass/size and specific PM
       components.

   5)  Page 18: For visibility impairment and ecosystem impacts of PM, it is anticipated that
       these will occur at a level lower than those concentrations for which health effects have
       been observed or will be of concern?

   6)  Page 18: When the term "form" is used in this document (line 24), does this refer to
       chemical composition of the PM or to primary or secondary PM?

   7)  Pages 20-21: The scope and organization of the science assessment for the integrated
       review plan are well laid out in this section of the document. My concern is in the  extent
       of how toxicological studies will be handled. Will considerations for the significance of
       species sensitivity, dosimetry (concentration and duration of exposure), particle size and
       particle composition be taken into account when considering the published literature? A
       number of these parameters will be essential for  addressing biologic plausibility which
       needs to be a critical part of the next review document.
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8) Pages 22-24: The criteria used for study selection is highly reasonable. I like the
   definition for "susceptibility" and "vulnerability".  It will be critical to carefully consider
   those animal studies which use inhalation vs. instillation exposure to PM. It is also
   important to consider site-specific effects of particle exposure within the respiratory tract
   to determine micro-domains of response and effect that may be able to better explain
   non-pulmonary sequelae of particle exposure. Again, this brings to light the importance
   of addressing biologic plausibility for PM-related health effects that need to be a
   highlighted component of the next review document.

9) Page 24: The approach for new evidence evaluation and whether uncertainties of the past
   have been addressed or if new uncertainties have emerged is important to acknowledge
   and is clearly stated here in the document.

10) Page 27: Health effects - For short-term exposure to PM, for this next review process, it
   will be critical to ask whether there is any new evidence to more strongly implicate a
   specific chemical composition and/or source to better explain health effects.

11) Pages 30-31: Biological mechanisms of action - the authors of this document have
   created an excellent list of questions to address.  I would simply add to this list a) the
   importance of dosimetry and b) a better understanding of specific-specific responses
   within the respiratory tract for PM-induced effects to better understand local and systemic
   impacts of particle exposure.

12) The chapter on human health assessment is well organized and extremely logical.  Thank
   you for making this easy to follow.

13) Page 38: It will be important for the risk assessment  of PM10-2.5 to be given serious and
   complete consideration along with PM2.5. As one reads further into this document, I am
   more reassured that this will be done.

14) Page 40:1 would argue that rural area assessment should also be considered. Agricultural
   practices, especially in the state of California are often in close proximity to urban areas
   as well.

15) Page 42: The APEX model sounds very logical in creating the population exposure
   model.

16) Page 47: To conduct an expert elicitation sounds like a novel idea, but will this process
   allow for any cost-saving approaches to be implemented in the preparation of the
   literature review for this document? This program of expert elicitation should be more
   fully explained.

17)Page 48: To explore regional differences in PM risks is an excellent idea. This review
   might also emphasize the need to better understand what these differences (in PM
   composition, population makeup, etc) between regions of the country represent.
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18) Page 49: line 10 - the term "soiling" as used in the context of this sentence is unclear.
   Please clarify to the reader.

19) Page 51: line 15 - Visibility in urban areas is clearly important, but what about visibility
   in national parks such as Yosemite and the Grand Canyon?

20) Surveys of public perception could be extremely beneficial in this current review.  Since
   resource constraints prevented this work form being done in the last review, renewed
   efforts should be strongly encouraged to have this survey included in this review.
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                                   Mr. Rich Poirot
EPA Draft Integrated Review Plan for the National Ambient Air Quality Standards for
Particulate Matter, 10/16/07              CASAC Review Comments, R. Poirot, VT DEC

General comments:

2.  Science Policy Issues Raised in the Last PM Review
In a few - but not all - sections, the plan efficiently reflects back to specific decisions made or
issues raised in the last PM review. More emphasis in these areas might be a good way to
identify some key science-policy issues - and might become more useful in the future as the
review cycle is shortened - and as CASAC science review comments will come after the internal
EPA Policy assessment and ANPR.  Some specific contentious issues raised (and not really
closed) from the last review might include:
       •  Is there new evidence that suggests an annual PM2.5 standard of 15 ug/m3 (rather than
          12-14), provides a margin of safety for long-term exposures?
       •  Is there new evidence that coarse (or fine) particles in urban areas are more injurious
          than those in rural areas?
       •  Is there new evidence that indicates coarse PM emissions from all mining and
          agricultural activities are uniquely benign?
       •  Is there new evidence that there are no soiling, irritant or nuisance welfare effects
          from coarse particles in non-urban areas?
       •  Does the current 24-hour secondary PM2.5, 24 hr. average, 98th percentile, 3 year
          average protect against adverse visibility effects?

2. Planned Visibility Effects Review
The section summarizing planned presentation of visibility effects  in the ISA (on bottom of page
32 & top of page 33) will be a useful update to information provided in the last PM CD.
However, much of the proposed analysis appears to be specifically focused on regional results
from the rural IMPROVE speciated aerosol network - with sites in remote Class 1 federal areas
(for which a regional haze rule and "reconstructed extinction" equations which are species-
specific, RH-dependent and not based on fine mass) already exist.

I think there also needs to be a  separate emphasis on urban/suburban visibility  and its
relationship to a PM2.5 mass indicator, perhaps limited, as was done in the last review cycle, to a
4 to 8-hour daylight-only time period (or perhaps otherwise screened for lower RH conditions).
This might include analyses of the urban speciated CSN data, as well as comparisons of
continuous PM2 5 and Bext data (adjusted or screened for RH effects) from airport ASOS sensors
(hopefully the raw ASOS data before its been truncated and aggregated).  Some focused
discussion would be useful on the differences between urban & rural aerosol composition &
visibility, the pros and cons of using fine mass vs. detailed PM species indicators, etc. Since the
species-specific effects of sulfate and nitrate aerosols are being intentionally disregarded in the
current SO2  and NO2  secondary standards review (to be addressed in this PM  review), it might
be appropriate to include a separate section here on visibility effects of sulfates & nitrates.  An
interesting science/policy discussion might consider pros and cons of addressing urban visibility
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via S & N species & precursors of by fine mass indicators.  How will the situation change with
implementation of CAIR and other "on the books / on the way" control programs?

The plan also indicates inclusion of results of valuation studies that provide information on levels
of pollution-related visibility impairment considered to be "adverse". This is very important,
since the causal relationships between PM and visibility are so clear and extend to such low PM
levels - with a very  low perceptibility threshold. This is also an area where EPA could provide
some valuable near-term research and analysis support, since good photographic survey methods
are available but there hasn't been a lot of recent work in this area. Possibly there could also be
some specific focus on the kinds  and frequencies of (short-term, daytime) visibility impairment
levels which are possible under the current shortest-term PM2.5 standard (35 ug/m3, 24-hour
average,  98th percentile, 3-year average) which was  considered sufficient to protect against
adverse visibility effects in the last review. See also specific comments on P. 55.

3. Additional Analysis of the Effects of the NAAQS Form(s)
 Typically most attention in any NAAQS review gets focused on the level(s) of existing and
proposed standards, while the statistical form of the standard receives relatively little attention -
and this typically occurs toward the end of the process. Perhaps it will now be relegated to the
policy assessment - and not subject to advance CAS AC review? I think it would be useful to see
some additional focus and discussion of the form and effects of using various percentiles and
multi-year averaging times early  on in the ISI process - both from a health or welfare effects
perspective, and from an analysis of the existing measurement data.  We are also generally
getting much better  at identifying "exceptional events" than has been the case in the past, and
such events are typically removed from consideration. So that the 98th percentile (7th worst day in
a year) or annual average is could be calculated with a number of much higher concentration
days removed from  consideration.  Are there ways to account for this in conducting
risk/exposure assessments and how should the details of the form relate to or modify the level  of
a standard?

Specific Comments
P. 10, lines 3, 4:  Here might be a good place to add some specificity  on the details of the
CAS AC comments, which provided a number of specific objections to the final (& draft) EPA
decision(s). What better definition of "science-policy issues" can there be than those places
where the scientific  advice was clearly at odds with the EPA policy decision?

P. 10, lines 22-24: Is the intent in "considering fine and coarse-fraction particles separately" to
focus again on specific PM2.5 and PMi0-2.5 indicators, or might other size fractions or
compositional indicators be considered?

P. 11, lines 17-28: Here (as was  the case for the last PM review) there appears to be little or no
intent to consider the welfare effects - soiling, irritant, nuisance, materials damage, (& to a lesser
extent, visibility) of coarse particles.

P. 12, lines 3, 4:  "in the gas phase" isn't quite right here and could be deleted for clarity.
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P. 15, lines 30, 31: I suggest ending this bullet with more specificity: ".. .health effects
associated with exposures to PM2 5, PMi0 or PMio-2.s or other PM indicators?"

P. 16, line 1:  I suggest changing to "... specific size fractions, chemical components, or
sources..."

P. 16, lines 22-26: In considering "sensitive populations" (or in considering "sources" or
"exposures" or as a separate consideration), it might be informative to consider populations
living near urban roadways, steel mills, smelters, mining activities, agricultural workers, etc.

P. 17, line 11 (or elsewhere):  In considering PM components, sources or other indicators, it
might be useful to include a question or two focused on the kinds of locations where more
injurious (or more benign) kinds of coarse or fine particles tend to be found.

P. 18, lines 9-12 (or elsewhere in this section): It might be useful to include separate bullets that
focus on (a) What are the most appropriate averaging times (including times of day) over which
visibility effects are experienced?; and (b) What are appropriate frequencies at which adverse
visibility effects should be tolerated?

P 19, line 7 (or elsewhere): It might be useful to include some bullets that specifically focus on
secondary effects (soiling, irritant, nuisance, materials damage, visibility) of coarse particles
and/or PMi0,  and to consider any "urban/rural" or "mining/agricultural" differences.

P. 20, line 19: could add before "literature": "... on key science/policy issues raised during the
last review and on..."

P. 25, lines 6-11: This might be re-worded or broken into 2 bullets, as most of the paragraph is
not specifically related to the size-selection performance standards emphasized in the first
sentence. Line 9 seems to consider only positive sampling artifacts and does not consider how
sampling biases might effect the apparent mass composition or temporal pattern.  It might be
changed to something like "To what extent are these methods  subject to positive or negative
sampling artifacts? Do these sampling biases affect the magnitude or the seasonal or diurnal
patterns of specific aerosol species or apparent source contributions?"

P. 25, line 14: You could add after "PM":  ", and how do these relate to patterns of human
exposures?"

P. 25, lines 21-27: This is an excellent suggestion for considering use of satellite data!  It might
be worth (another bullet) also considering if there could be enhancements to existing PM
monitoring networks that would make the satellite data more useful. Perhaps satellite data could
be especially useful for evaluating larger-scale radiative forcing effects of North American
aerosols (over water, etc.).  Also, possibly other sources of routine data - such as airport ASOS
visibility - that could (as is or with modification) provide useful  supplemental information on PM
exposures or  effects.

P. 26, line 20: Could add "number" after "area," and before "and  source".
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P. 26, line 28:  Could add after "subpopulations": ", and how do these uncertainties vary for
particles of different size or composition?"

P. 28, lines 8-28:  Could add a bullet something like "What new evidence is available on effects
occurring from exposures at sub-daily averaging times?"

P. 33, line 7: You could add "and from unspeciated fine mass measurements." to the end of this
sentence.

P. 36, line 5: Putting location-specific risk/exposure assessments results "in a broader public
health perspective" is especially important with the new NAAQS review process.  Since CASAC
still has a statutory duty to recommend ranges of primary and secondary standards to the
Administrator - presumably before the Administrator proposes ranges in an ANPR - the risk /
exposure assessment should provide detailed information (maps, graphs, tables, etc.) clearly
showing areas  and populations which would be protected by various combinations of short and
long-term primary and secondary standards. I assume this is what's intended in the section 5.3
"current air quality characterization".

P. 46, line 13 and elsewhere: Its not really clear to me what would be the use - to the
Administrator - of the proposed expert elicitation to characterize and quantify the most
important sources of uncertainty. Some added detail might be helpful here. I'm not sure how
much this would really illuminate the NAAQS review process, but it would certainly seem like a
useful guide to future research needs.  This might also be timely given the new, shorter review
cycle in which current standards might be thought of somewhat more as "interim" and somewhat
less as "final", and goals might be approached in iterative steps as key uncertainties are reduced.
I'm not  sure this is a good idea...

P. 48, lines 1&2:  One kind  of location might be a small city/town in mountain/valley terrain
with a high incidence of woodstoves  and inversions.

P. 49, line 10:  I would change "benefits" to "effects".

P. 50, line 7: Add "s" to "wavelength".

P. 52, line 5: You could add "and aerosol composition" after "humidity".

P. 52, lines 11-15: Consideration of sub-daily averaging times helps minimize RH and species
composition differences in different regions - i.e. strengthens the case for a single, national
PM2.5 indicator.  However, there is also justification from an effects viewpoint.  Urban/suburban
visibility is more important  during the daytime when most people are awake, scenes are
illuminated, and urban light pollution is minimal.

P. 54, lines 25-27: .. .and considering that hygroscopic species concentrations  and east/west
differences will diminish under future CAIR SOx & NOx reductions.
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P. 55, lines 1-22:  This expanded pilot study is an excellent idea and should be given a high
priority. Hopefully, a failure to conduct it in a timely manner will not become the excuse for
postponing consideration of secondary standards in the current review cycle (the line 6 statement
that this could help "inform this or future reviews" is cause for worry). Conversely, we would
not like to see this study postponed with the excuse that it might not be completed in time to
illuminate the current review. I think this raises an interesting general dilemma associated with
the new, faster review cycle - its not hard to envision things that might get done in the next
cycle, and how to develop the technical support in the  current cycle. It seems like it would be
timely to consider a more formal linkage between the NNAAQS review and EPA's research
agenda than has been the case in the past, and maybe future NAAQS Integrated Review Plans
could/should  include a "current research needs" section.

P. 56, line 12:1 assume you mean "and" rather than "or".

P. 60, lines 12-15:  Other important reasons for non-urban monitoring include model
development/evaluation, characterization of regional background, etc.

P. 61, lines 17-22:  This is a good point, and light scattering - or RH-controlled PM2 5 light
scattering - might be an excellent choice to support a secondary visibility standard (and provide
PM2.5 mass-related info). However, there are also important issues with the use of (many
different) continuous PM sampler data to support short-term health  effects studies, as the
different samplers may  have  seasonal, diurnal, species-specific and  source-related biases.
Understanding and quantifying or reducing these biases is important for many reasons besides
visibility effects (and substantial progress would have  been likely by now if EPA had not
discarded staff & CAS AC recommendations in the last review cycle).

P. 62, lines 1-3: Another need for "true NO2" measurements would be to support improved
calibration of satellite NO2 observations, which could in turn provide invaluable information on
spatial patterns and temporal trends.  Possibly it would also be useful to add measurements of
ultrafme particles or size distributions at some sites.

P. 63, lines 15-19: This sounds like a good idea.  You  could add "or primary" after "secondary"
in line 16.
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                            Dr. Armistead (Ted) Russell


Review of EPA PM Integrated Review (Amended)

I am generally pleased with the integrated review plan for the PM NAAQS.  I think the plan still
should push for focusing on factors most relevant to reconsideration/revision of the standard, and
identifying and quantifying the key uncertainties. One of those that will likely take more effort
than appears to be indicated by the Draft Plan is on the impact of PM on climate, and the
resulting health impacts from there.  The importance of PM on climate deserves more explicit
consideration in the Key Policy Relevant Issues section, both in issues regarding the primary and
secondary NAAQS. It is important to identify early on how this issue will be addressed.
Further, I was hoping to  see more emphasis on how individual components will be treated
throughout the process, including exposure assessment and risk assessment.  One could see that
given the very different impacts sulfate has on visibility and climate versus other components,
there is an added impetus to consider the different impacts of individual species, with
consideration for species-specific standards for both the primary and secondary NAAQS.  My
concerns go to the outline for the ISA as well: there should be a sections in Chapters 2, 3
(potential mechanisms and mortality/morbidity associated  with climate change impacts from
PM: the literature in this domain is thin, but growing), 4, 6 and 7  dealing with climate.

The document might discuss more how they might use source apportioned PM impacts.

Given that I was asked to comment particularly on the Policy Assessment/Rulemaking section,
the first comment to be made is... my, how short! More seriously, key to the policy assessment
is quantitative information as to the number and type of affected individuals  at each level/form of
a possible standard, and quantitative uncertainties in those  estimates. Further, quantitative
assessment of the affected environments is needed (what level of visibility reduction in what
areas). This should be the focus of the ANPR.  The current description of the ANPR suggests
that it may not be as quantitative as needed for the task at hand. Further, the role of PM on
climate will likely be  a tremendous issue with which the policy makers will have to deal.  The
climate issue will likely have to be a significant consideration in the Policy Assessment aspects
of the proposed rule making.  The ANPR will also need to address how different sources will
impact different components of PM and hence have different health and welfare impacts.

Some specifics:

Page 32:  Remove the "?" on the first bullet.

Page 34:  The discussion on the impact of PM on climate is awkward and rather short. There is
much going on here that  will need to be accounted for.

Page 41, line 1:  If the most recent 3-year period is viewed as being uncharacteristically high or
low in PM, this may have to be changed.

Page 44, line 18 (and  prior references to PRB):  Given what happened with the PRB discussion
in the ozone review, how PRB is used needs to be well laid out.  As noted in the ozone review by
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CAS AC, the importance of PRB was questioned in that the level where an adverse effect is seen
was not viewed as being dependent on a background, and the PRB concept was viewed as a
distraction.  The PM ISA should take on how the PRB will be used much more clearly than is
done here or in the ozone review.

Page 52, line 20:  The two Chestnut papers are not in the reference list.

Page 64, line 3:  Add PMi0-2.5
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                               Dr. Jonathan M. Samet
                   Comments on the Draft Integrated Review Plan for PM

                               Jonathan M. Samet MD, MS

This note provides my final comments concerning the Draft Integrated Review Plan for PM
(dated October 16, 2007). In addition to the  Specific Comments provided below, I have the
following general concerns:

   •   In previous comments concerning the NOX and SOX ISAs, I have expressed concern with
       regard to the process used to carry out the reviews.  In particular, I have been concerned
       by an inadequately developed and documented protocol for the final synthesis and
       evaluation of the evidence. Criteria for doing so have not been well specified and
       discussions of overall findings have been limited as a result. Looking to implementation
       of the PM ISA, I call for the development of a more formal review protocol, drawing on
       lessons learned to  date.  In particular, the protocol should set out criteria for study
       selection, both for epidemiological and toxicological studies, for evaluation of individual
       studies, and for overall summary and synthesis of evidence.  There needs to be specific
       discussion of the criteria used for causal inference.

   •   As I commented on the NOX ISA, a framework for causation of adverse effects by PM
       that highlights the roles of other pollutants needs to be developed. Greater specificity
       needs to be brought to the concepts of confounding and effect modification, particularly
       given the complicated interrelationships among the criteria pollutants, including
       particularly the contributions of SOX and NOX to secondary particle formation.

   •   In general, policy relevant scientific topics have been selected for review and in Chapter
       4, the list of items to be considered is appropriate.

Specific Comments:
Page#
11
15
16
20
22
27
29
30
30
21
Line#
2
27
12
29
12
21-22
25
15
19
9
Comment
There needs to be a cross-referencing and "harmonization" across the ISAs.
"altered the (level of) scientific support.
What is the nature of the dose-response relationships of PM with the risk
the various adverse effects?
for
"Generally" Universally? This needs to be spelled out.
"effect modification" Synergism is a form of effect modification.
The material from lines 21 on is too superficial
"against a causal" Not really appropriate to anticipate evidence "against".
What does this mean?
How does effect modification lead to uncertainty? Explain.
Shape?
What is a PM reaction product? A biomarker of injury?
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Page#
21
32
Line #
17
19
Comment
"Susceptible and vulnerable" Remember that this is an issue of effect
modification.
"The ISA will present concepts. . ." Not clear as to what this means:
"defining adverse health effects?
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                                  Dr. Frank Speizer


Pre Conference Call Comments on EPA Draft Integrated Review Plan for NAAQS for
Particulate Matter-Draft dated October, 16, 2007

Submitted by Frank E. Speizer, MD

Date November 20, 2007

General Comments;
       The draft is generally well written and reasonably outlines the process proposed to be
followed.  There is a bit formality in how the information is presented that is redundant but
seems to contain the necessary components. There is a tendency for the general statements to be
lacking important components but these components are then usually contained in the detailed
text that follows each section. What is not clear is that if one was to rely only on the general
statements important components would be left out. For example in the discussion of Health
Effects on page 27-28, the general approach suggests that the effects to be  discussed would relate
to respiratory and cardiovascular end points and public health impacts of such. It is only later the
text describes the potential for assessing lung inflammation, host defense, potential oxidative
stress, biomarkers of effects, etc.  The concern is how the emphasis will be placed. I simply
would have thought it would have useful to indicate the full range of issues to be considered in
the initial paragraphs.

Specific Comments:
Page 10, top of page. In the discussion of the legislative history and what has come before, there
is a bit of rewriting of history that may or may not be accurate or may be open to different
interpretation. The implication is that CASAC by suggestion of a Henderson 2006b letter signed
off and was in agreement  with the Administrator on the final PM promulgated standard.  That
was certainly not the case and if the Henderson letter is to be mentioned its position should be
more accurately stated.

Page 11-12.  In listing that this review will consider the impacts on visibility impairment related
to mixtures of aerosol compounds... including nitrates and sulfates. (and)  In addition ... climate-
related effects.. .the specter of other combustion related products must also be considered and
this raises the issue of global warming from energy production. At least lip service needs to be
offered as to where the issue will be handled if not here.

Chapter 3, page 15, lines 7-10.  This statement say the policy relevant issues related to annual
primary and secondary standards for PM2.5 and PM10. Although discussed in subsequent
sections below, but as indicated above, is this presuming too much as to what the policy relevant
issues are? What about course fraction? What about speciation?  Who is deciding that PM10 is
or is not on the table as such? This seems to be stating the policy relevant  cart before the
scientific basis horse.

Page 16, bullet beginning line 22. Discussed later in text there are two components to
understanding subpopulations.  Mentioned here are potentially "sensitive"  groups but discussed
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later is potentially "vulnerable" groups and each are defined differently.  Shouldn't this be
considered here? It is also not clear that fetuses and neonates are the best examples for
additional groups.  What about asthmatics, children, diabetics, etc?

Chapter 4. Section on Literature Search and criteria for Study Selection.  Although one could
argue that focusing on US and Canada would give us more "relevant" literature it may not be the
case.  Certainly the western European experience is relevant.  Beyond that it is worth considering
other summarized data bases. For example, PAPA-SAN that has been put together by HEI is an
extremely well documented assessment of the Asian literature and may provide some additional
insights that would not be available for the US literature. It would be extremely important to
scan the world literature for additional information that can give insight into the potential for
health disparity role as another potential susceptible group.

Page 24. under Welfare; An avenue of data that is seemingly not considered is satellite imagery
which may provide insight into loss of forestation associated with pollution.

Page 25, Source of Dose.  Besides worrying about the commercial samplers, additional
consideration needs to be given where samples are located, frequency of sampling and chemistry
that is being performed on the samples (comes up later on page 26).

Page 27, line 18. There may be more important systems to look at than neurological. If we are
likely to "run out of time" in this assessment I suggest that other systems be considered at a
higher priority.  One might organized the thinking (beyond cardiovascular, respiratory, and
reproductive) to include inflammatory, autonomic, physiologic, and  cellular responses.

Page 28, bullet beginning on line 18.  Suggest consider separating the several concepts in this
bullet. There is a big difference between counting ER visits and evaluating reversibility of HRV
changes. Similarly vascular and endothelial function are very different from hospitalizations and
how they interplay in providing evidence for "coherence or plausibility for effects of different
PM sizes...." Again would downplay efforts directed toward ".. .renal, hepatic, nervous,  or other
systems?" What other systems?

Page 29, bullet beginning on line 14.  Suggest separate .. .cancer, .. .mutagenic .. genotoxic
effects from PM effect on fetus or infant. These two categories really are very different.

Page 32, line 21. Start now and make sure the estimates of people in specific at risk populations
WILL BE AVAILABLE  rather than the sentence that implies staff might be able to find the  data!

Page 34, lines 25-28.  Suggest these mentioned tables be separated into those with speciation
data being provided separately so that staff can assess what questions about speciated particles
have been asked and which will be needed to be asked in the next round.
Chapter 5

Discussion beginning bottom o page 38, line 23 on the PM10-2.5 and continuing on top of page
39 describes well the problem. What is not here is a strategy going forward.  What is staff going
to do to improve specifically on this question of additional data for a proper quantitative risk
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assessment for course fraction?  I assume they will look for more data but there may only be a
limited amount and at what point is there enough for a quantitative assessment?

Page 40 line 13 and footnote 14.  There are a fair amount of data derived from satellite and GIS
data that might provide sufficient information for exposure assessment.  It may not be in the
open peer literature but probably does exist in Government Publications. The following pages
clearly indicate that the staff are serious about attempting to do this assessment right.  They
hopefully will have sufficient time and resources to do it right.

Section 5.5, beginning on page 43:  This reads rather well and is encouraging that a reasonable
health risk assessment will be performed for PM 2.5 and PM 10-2.5 at alternative levels.  But
staff needs to keep an open mind to the possibility that there may be sufficient data to consider
some alternative indicators in terms of potential speciation of particles for which similar
calculations may be necessary.  These might include specific metal components, or specific
mixtures, and even consideration of smaller size fractions (doubtful that enough data will be
available but this should at least be identified as a problem).  Alternatively, consideration might
be given to a "source identifier (e.g. Stationary vs. Traffic for specific particle components).

Page 46-47. The document raises the issue of using a formal expert elicitation as part of this
review.  It would be good to  see the peer reviewed (and accepted) previous effort in this
direction. Quite  frankly I am not sure it should be the Administrator's "position" of whether
such a project would inform him or her (after all by the time this occurs there is likely to be a
new Administrator).  More important would be how the science of conducting such an effort
would stand up to peer review and if it did how the data were used and seen by CAS AC and
others in the ISA.

Chapter 6
Page 52, Surveys of Public Perception.  Not on this list is "soiling index", which had significant
economic impact in the past. This is an old measure, that may have gone away but it at least
should be mentioned and if there are data available that are relatively  new should be reported.

Page 54, line 9 A survey not done. We are now going on seven years later, and in spite of having
been reviewed and agreed to in concept the work apparently has not been done. Is EPA going to
include a public perception survey or not? It certainly would inform the Administrator of how
relevant these issues are. Perhaps the Administrator already knows what the public perceives,
and therefore cannot justify spending the trivial amount necessary to document or refute his
prejudices. But once again it is worth pointing out that the final decision in 2011 is likely to be
made by a different Administrator.

Chapter 7
Page 60, 3 questions on criteria for defining population-oriented sampling. There is a resource
limitation issue embedded in these questions. If one wants to have a better estimate of
population exposure than the first issue must be dealt with.  If there are hot spots this may
require a totally different resource allocation and may not relate to population exposure. (E.g.
the hot spot may be on the side of a mountain up wind from a source with no people around!).
Can EPA and state government afford both? It would be of interest for EPA to provide data on
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what is being done. What percent is adequately covered by existing monitoring?  Do we have a
handle on what proportion of known hot spots are being monitored? Is there a plan or are there
data that get us at least part way there? Will this review lead to some recommendations on future
monitoring schemes?
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                                    Dr. Helen Suh
   Pre Conference Call Comments on EPA Draft Integrated Review Plan for NAAQS for
                       Particulate Matter-Draft (October 16, 2007)

                                Prepared by Helen H. Suh
                                   November 20, 2007

General Comments

The draft clearly and concisely presents a plan to assess scientific evidence for PM.  The
organization of the ISA is somewhat confusing, however, as subsections overlap in terms of
relevant topics and questions. For example, the subsection on susceptibility and vulnerability
was placed near the end of Section 4.0 (Science Assessment), even though it was relevant to
many earlier subsections. As a result, questions would arise in earlier sections that were
subsequently addressed in later parts. While this confusion is difficult to avoid entirely, an initial
listing of topics to be covered in each section or some initial discussion in the earlier section with
cross-referencing may help.  In terms of subject matter, it may not be possible to separate the
discussion of scientific evidence by particle size (e.g., fine and  coarse particles) (as stated in
Section 1.4), since many PM components and sources are relevant to both PM size categories,
creating possible redundancies, and since it is unclear how ultra-fine particles and PM10 will be
considered in this framework.

Specific Comments

Page 11, Line 11: The word "peak" should be removed, as hourly non-peak exposures are also
of concern.
Page 16, Line 9:  The relationship between various health endpoints and different lag periods
should also consider lag periods shorter than one day.
Page 21,22: Literature search is appropriate and makes a lot of sense. However, epidemiologic
literature searches should specifically consider panel studies that examine PM-mediated
intermediate health outcomes, since these studies can complement findings from toxicological
studies and can help elucidate important PM-relevant biological pathways.  Similarly, cellular
toxicological studies  should be included in the toxicological literature search, although with less
emphasis, as they may help to elucidate important biological pathways.
Page 22, Lines 9-13:  Item 5  is not clearly stated, as "synergistic effects of PM with  other
pollutants" is a type of "effect modification (e.g., is the effect of PM on health endpoints
modified by the presence of copollutants)"
Page 22, Line 15: Will emphasis be given to all studies (e.g., not just epidemiologic studies)
conducted in the US?
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Page 24: It would be helpful to remind readers in the opening paragraph of the "Content and
Organization of the ISA" that as possible, the ISA will address questions about PM by size,
composition, other characteristic, averaging period, etc., since answers to questions will vary by
these factors.
Page 27, Line 15-16: The sentence "Short-term exposure studies (e.g., population-level studies
using time-series analyses, field/panel studies) rely on temporal variation in exposure while long-
term exposure studies (e.g., longitudinal cohort studies) rely on spatial variability of exposure."
is not completely accurate, as an increasing number of exposure studies consider spatio-temporal
variation. Perhaps the sentence should be revised by adding the word "primarily" or
"historically".
Page 27, Line 18-20: Although ultra-fine particles are captured in the phrase "particle
characteristics such as chemical composition, size, surface area,  and source", the ISA should
consider ultra-fine particles explicitly.
Page 27, Line 24-25: The question regarding relationships between PM exposure and exposure
to gaseous co-pollutants should be restated to also ask about the  relation between exposures to
specific PM size fractions and components and corresponding exposures to gaseous co-
pollutants.
Page 26-27: A question regarding identification of "vulnerable" individuals should be included.
Page 31, Health Effects Section: The health  effect section should also consider questions
regarding relevant short-term exposure time periods, specifically examining hourly and daily
exposure windows.
Page 30, Uncertainties  Subsection:  Uncertainty section should discuss consistency of findings
among and between epidemiological and toxicological studies regarding observed effects and
biological pathways.
Appendix B: The proposed outline should include a separate discussion of biological
plausibility, independent of the susceptibility discussion in section 4.
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                                   Dr. Sverre Vedal
Comments on EPA draft Integrated Review Plan for the PM NAAQS
November 3 0,2007
Sverre Vedal

Chapter 3.
1. My only suggestion for this chapter is to include among the policy relevant questions (pp. 15-
16) the issue of PM exposure of the susceptible subpopulations, especially the ill elderly.  This
point is included later in chapters 4 and 5.

Chapters.
1. There were no surprises in this draft plan, indicating to me that an incremental approach is
proposed that builds on previous efforts.  This is reasonable. Additions include:  (1) the proposal
to use the APEX model in the exposure assessment, as was done for the ozone review; and, (2)
the possible use of expert elicitation with a view to being able to carry out a more formal
quantitative risk assessment.

2. Regarding APEX, I unfortunately don't remember well how much of an impact that use of the
APEX model had on the deliberations in the case of ozone.  It's possible that it was central to the
various scenarios that made up the risk assessment. Although there have undoubtedly been
advances made in modeling personal PM exposures, I suspect the challenges in applying an
exposure model like APEX to PM are going to be even greater than they were in the case of
ozone. Nevertheless, I think it's worth pursuing here.  It would be valuable to compare
estimated risks when exposure is based on a personal exposure model vs. the city-wide  exposure
approach used for the last PM review.  An attempt at validating the model estimates would also
be valuable, but that may already be a given.

3. Regarding the possible use of expert elicitation, I applaud the attempt to move toward a more
formal quantitative risk assessment. It is clear that the parameters for several of the uncertainty
inputs to a formal quantitative risk assessment will be difficult to estimate.  The expert
elicitation, to my mind, is a way of integrating all of this otherwise unquantifiable uncertainty  in
order to allow it to be better incorporated into the risk assessment. Having said that, I have
reservations about expert elicitation, more relating to the actual implementation than the concept.
Most obvious is that results are critically  dependent on the makeup of the expert panel,  but there
are others as well. If the expert elicitation is badly done, it could be more harmful than
beneficial, and so will obviously need to be done with great care.

4. An issue that has interested me for some time is the translation of effect estimates (i.e.,
coefficients) from time series (short-term exposure) studies into impacts in specific cities, as is
planned here, and as has been done many times before.  My point may be trivial, or not. It is
often stated,  as it is in this draft (p.45, 1st para),  that effect estimates relate a change in PM
concentration to a change in the endpoint. In fact, they estimate the effect of a difference in PM
concentration relative to another concentration.  Coefficients from time series models are
generated by assessing the relationship of a concentration at one point in time (averaged in
various ways) to a corresponding count of events at a point in time. It is not relevant when the
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pairings of PM and endpoint occur relative to other pairings, i.e., the pairs are "exchangeable," in
statistical parlance. The concept of change does not rear its head. One could instead model
changes in both the concentrations and endpoint, but this is not done; this might be considered a
future research need. At issue here is whether cities that exhibit more day to day change in
concentrations would be expected to experience more PM-related effects than cities with very
little change. To put a finer point on it, the approach used by EPA (and everyone else) assumes
that a city with very high concentrations that change little from day to day will experience a
much larger health impact from short-term PM exposures than a city with substantially lower
concentrations, but that change markedly from day to day. Now, it may be that it doesn't matter,
because if change is important, adverse effects of increases from day to day might be offset by
beneficial effects of decreases. It is possible that data from multi-city studies such as NMMAPS,
or others that have more complete daily data, could be used to  shed light on the matter.
Regardless, because of its implications for estimating impacts, which is central to the planned
risk assessment, it would be nice if we could put this issue to rest. Specifically, is  it a non-issue
because time-series studies don't in fact estimate effects of change, and it's therefore just a
matter of being more precise in our terminology, or is it an issue?

5. Small point: I was unclear about the statement, "...if evidence indicates that such an analysis
would prove to be useful" in reference to performing exposure assessments in locations where
epidemiological studies have been performed (p.40).  What evidence would be used to determine
this? Related to this is whether it is intended to use effect estimates (concentration-response
functions) from individual studies in the specific cities, or whether effect estimates from multi-
city studies will be used instead?  Sensitivity analyses that allow both approaches to be compared
would be the most informative.
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                                   NOTICE

       This letter has been written as part of the activities of the U.S. Environmental
Protection Agency's (EPA) Clean Air Scientific Advisory Committee (CASAC), a
Federal advisory committee administratively located under the EPA Science Advisory
Board (SAB) Staff Office that is chartered to provide extramural scientific information
and advice to the Administrator and other officials of the EPA.  The CAS AC is
structured to provide balanced, expert assessment of scientific matters related to issue
and problems facing the Agency.  This letter has not been reviewed for approval by the
Agency and, hence, the contents of this report do not necessarily represent the views and
policies of the EPA, nor of other agencies in the Executive Branch of the Federal
government, nor does mention of trade names or commercial products constitute a
recommendation for use. CASAC letter and reports are posted on the SAB Web site at:

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