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                    UNITED STATES ENVIRONMENTAL PROTECTION AGENCY
                                  WASHINGTON D.C. 20460
                                  February 18,2004
EPA-SAB-CASAC-04-004
                                                              OFFICE OF THE ADMINISTRATOR
                                                                SCIENCE ADVISORY BOARD

The Honorable Michael O. Leavitt
Administrator
U.S. Environmental Protection Agency
1200 Pennsylvania Avenue, NW
Washington, DC 20460

       Subject: Clean Air Scientific Advisory Committee (CASAC) Particulate Matter (PM)
               Review Panel's Ongoing Peer Review of the Agency's Fourth External Review
               Draft of Air Quality Criteria for Paniculate Matter (June 2003); and Peer
               Review of the Review of the National Ambient Air Quality Standards for
               Paniculate Matter: Policy Assessment of Scientific and Technical Information
               (OAQPS Staff Paper - First Draft) (August 2003) and a Related Draft
               Technical Report, Paniculate Matter Health Risk Assessment for Selected
               Urban Areas (Draft Report) (August 2003)

Dear Administrator Leavitt:

       EPA's Clean Air Scientific Advisory Committee (CASAC), supplemented by expert
consultants — collectively referred to as the CASAC Particulate Matter (PM) Review Panel
("Panel") — met in a public meeting held in Research Triangle Park (RTF), NC, on November
12-13, 2003 to: (1) discuss follow-on matters related to its ongoing peer review of the two-
volume, June 2003 draft document, Fourth External Review Draft EPA Air Quality Criteria for
Paniculate Matter (EPA/600/P-99/002, aD, bD); and (2) conduct a peer review of the Review of
the National Ambient Air Quality Standards for Particulate Matter: Policy Assessment of
Scientific and Technical Information (OAQPS Staff Paper - First Draft) (EPA-452/D-01 -001,
August 2003) and a related draft technical report, Particulate Matter Health Risk Assessment for
Selected Urban Areas (Draft Report) (August 2003).

       This meeting was, in part, a continuation of the CASAC PM Review Panel's  review of
the Fourth External Review Draft of the Air Quality Criteria Document (AQCD) for PM in the
current cycle for reviewing the National Ambient Air Quality Standards (NAAQS) for PM. As
noted below, the Panel held extended discussions with EPA staff members on the plans for the
completion of the AQCD for PM.  The revised draft Chapters 7 and 8 of the Fourth External
Review Draft of the PM AQCD were provided to the Panel and the public on December 30,
2003. A CASAC PM Review Panel teleconference to discuss these two revised draft chapters
was held on February  3, 2004.  The draft version of the integrative synthesis chapter (Chapter 9)

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is expected to be available shortly. A subsequent meeting of the Panel is planned when the
remaining issues related to Chapters 7 to 9 will be reviewed.

       In addition, the Panel reviewed the first draft of the Staff Paper (SP) for PM.  This
version of the staff paper was a preliminary version since the Panel has not yet closed on its
review of the PM AQCD. In addition, further risk analyses and analyses of alternative forms of
the PM standards are planned and will be included in the next version of the staff paper that will
be presented to the CAS AC  PM Review Panel following the completion of the review of the
AQCD for PM. However, the Panel felt it was very useful to be able to review the SP in it
current form and to raise issues that are seen to need addressing while the air quality criteria
document is being finalized.

1. Background

       The CAS AC was established under section 109(d)(2) of the Clean Air Act (CAA or
"Act") (42 U.S.C. 7409) as an independent scientific advisory committee, in part to provide
advice, information and recommendations on the scientific and technical aspects of issues related
to air quality criteria and national ambient air quality standards (NAAQS) under sections 108 and
109 of the Act.  Section 109(d)(l) of the CAA requires that EPA carry out a periodic review and
revision, where appropriate, of the air quality criteria and the NAAQS for "criteria" air pollutants
such as PM. EPA is in the process of updating, and revising where appropriate, the AQCD for
PM as issued in 1996.  The roster of the CAS AC PM Review Panel is found in Appendix A.

       The CAS AC PM Review Panel reviewed the October 1999 First External Review Draft
of the AQCD for PM in December 1999, focusing primarily on the organization, structure, and
presentation of material in the  draft document.  This was an early,  incomplete draft of the PM
AQCD, and it was understood that additional information would be incorporated in subsequent
drafts.  Accordingly, there was no expectation that the Panel would close on the draft document
at this stage of its development. Nevertheless, the Panel was generally complimentary about the
content and quality of this draft AQCD, while noting the need for considerable development both
in structure and content.

       The Agency revised the document in response to CASAC PM Review Panel and public
comments, as well  as to reflect additional new studies on PM effects that were not available in
time to be referenced in the First External Review Draft.  In July 2001, the Panel met again in a
public meeting to review the March 2001  draft document, Air Quality Criteria for P articulate
Matter - Second External Review Draft. Despite the fact that this  version of the document was
substantially revised and expanded, the Panel could not come to closure on that  draft document
and requested that the Agency further revise the draft PM AQCD.

       EPA again revised the document in response to comments from the Panel and the public,
and to reflect more new PM studies that had become available. The CASAC PM Review Panel
met again in a public meeting in July 2002 to review the two-volume, April 2002 Third External
Review Draft of the AQCD for PM. Following that third CASAC meeting, EPA again revised
the document in response to CASAC PM Review Panel and public comments, and also to take

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into account peer-reviewed reanalyses of a number of epidemiological studies conducted to
address statistical modeling issues that were identified after release of the latest draft PM AQCD.

       On June 30, 2003, the Agency made available for public review and comment a Fourth
External Review Draft of the revised AQCD for PM. The CAS AC PM Review Panel met again
in a public meeting on August 25-26, 2003. In summary, the Panel felt that this version of the
draft document, while substantially improved over the Third External Review Draft, still
required additional revisions — to include a completely rewritten integrative synthesis (Chapter
9) — before it could be deemed to represent an acceptable assessment of the current science on
particulate matter. Dr. Les Grant, Director of EPA's National Center for Environmental
Assessment (NCEA)/RTP, committed to draft a set of "framework questions" to be used to guide
the restructuring of Chapter 9 ("Integrative Synthesis") of the PM AQCD. A teleconference was
held on October 3, 2003 for the Panel to discuss follow-on matters related to its review of the
Fourth External Review Draft  of the AQCD for PM,  and specifically, the discussion of the
'framework questions" leading to the restructuring of Chapter 9.

       Furthermore, on August 29, 2003, the Office  of Air Quality Planning and Standards
(OAQPS), within EPA's Office of Air and Radiation, made available for CASAC and public
review and comment the Review of the National Ambient Air Quality Standards for Paniculate
Matter: Policy Assessment of Scientific and Technical Information (OAQPS Staff Paper - First
Draft) (first draft PM Staff Paper) and a related technical report, Paniculate Matter Health Risk
Assessment for Selected Urban Areas (Draft Report) (draft PM Risk  Assessment). The purpose
of the Staff Paper is to evaluate the policy implications of the key scientific and technical
information contained in the EPA's AQCD for PM, and to identify critical elements that EPA
believes should be considered  in the review of the PM NAAQS. In essence, the Staff Paper is
intended to "bridge the gap" between the scientific review contained in the AQCD for PM and
the public health and welfare policy judgments required of the EPA Administrator in reviewing
the PM NAAQS. The draft Risk Assessment describes and presents  the preliminary results from
a PM health risk assessment for fine particles (PM2.5), coarse fraction particles (PMio-2.s), and
PMio.  The risk assessment methodology and preliminary results also are summarized in the first
draft Staff Paper. The general methodology used in the risk assessment had been previously
discussed in an advisory teleconference in May 2002 and two consultations (February 2002, May
2003).  In these discussions, the Panel discussed the selection of cities to be examined as well as
the need to provide PMio risk assessments as a basis  of comparison with PM2.5 and PMio-2.s.

2. CASAC PM Review Panel's Ongoing Review of the EPA Air Quality Criteria for
Particulate Matter (Fourth External Review Draft)

       The CASAC Particulate Matter Review Panel held extended discussions with staff
members from NCEA on the plans for the completion of the Air Quality Criteria Document for
PM. There was an opportunity for the staff to obtain clarification on the comments provided in
the August 25-26, 2003 Panel  meeting and the October 3, 2003 teleconference. The revised draft
Chapters 7 and 8 of the Fourth External Review Draft of the PM AQCD were provided to the
Panel and the public on December 30, 2003. A CASAC PM Review Panel teleconference to
discuss these two revised draft chapters was held on February 3, 2004. The draft version of the
integrative synthesis chapter (Chapter 9) is expected to be available shortly.  A subsequent

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meeting of the Panel is planned when the remaining issues related to Chapters 7 to 9 will be
reviewed.

3. CASAC PM Review Panel's Initial Review of the EPA's Review of the National Ambient
Air Quality Standards for Particulate Matter: Policy Assessment of Scientific and Technical
Information (OAQPS Staff Paper - First Draft)

       Subsequently, the Panel reviewed the first draft of the Staff Paper for PM.  This version
of the staff paper was a preliminary version since the Panel has not yet closed on its review of
the PM AQCD.  In addition, further risk analyses and analyses of alternative forms of the PM
standards are planned and will be included in the next version of the staff paper that will be
presented to the CASAC PM Review Panel following the completion of the review of the AQCD
for PM. However, the Panel felt it was very useful to be able to review the SP in it current form
and to raise issues that are seen to need addressing while the air quality criteria document is
being finalized.

       The remainder of this report summarizes the Panel's collective comment of the current
version of the SP document.  At this  time, we are primarily focusing on the methodologies and
approaches being taken since the Panel recognizes that a revised draft of the PM Staff Paper will
be forthcoming that will  reflect the changes in the AQCD as well as providing the results of the
additional risk analyses including those on alternative forms of the standard.  The comments of
the individual Panel members are provided in Appendix B to this report.

       In general, there is particular concern with respect to the lack of adequate consideration
for ecosystems and welfare effects such as urban visibility. We will return to this problem when
Chapter 5 (Characterization ofPM-Related Welfare Effects) is evaluated later in this report. The
overall structure of the document and the approaches taken in the SP, with the exception of the
welfare effects, are appropriate,  although there are a number of problems and issues that are
described in this report.

       Chapter 2 (Air Quality Characterization) reviews the basic atmospheric behavior of PM,
the current understanding of concentrations and measurements and the relationship of ambient
concentrations to human exposure. In general, this chapter is well written and represents a
comprehensive summary of information contained in Chapters 2, 3, and 5 of the Fourth External
Review Draft of the AQCD for PM.  Nevertheless, there are some issues that the Panel would
like to bring to the attention of OAQPS.

       The scientific information concerning coarse thoracic (PMio-2.s) particles is rather limited.
However, some specific properties of these particles that are important for establishing a
standard  should be emphasized.  These include: a shorter atmospheric lifetime; significant
differences in chemical and/or biological compositions of particles in this size range depending
on a geographical location; and, most importantly, a limited penetration into  indoor
environments that can explain low correlation between personal exposure and outdoor
concentrations (as measured by central monitors). There need to be clearer distinctions made in
describing composition and aerodynamic properties among the various size fractions (ultrafine,

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fine, and coarse) and additional discussion of how those differences then affect the patterns of
human exposure, dose to the lung, and variability of potential effects.

       Section 2.8 discusses PM exposure assessment issues. This is a well-written section and
addresses some key findings. This section relies only upon older studies (PTEAM, for example)
and does not report findings from the more recent exposure assessment studies.  The more recent
work provides important new information and should not be neglected. There should have been
more emphasis on the differences in behavior between fine and coarse particles. There is also
relatively low penetration of coarse particles in outdoor air (inversely related to particle size) into
indoor environments. Results from the very limited existing exposure studies of coarse particles
suggest no relationship between personal exposure and outdoor coarse particle concentrations.
The implications of these findings with respect to coarse particles need to be evaluated as an
important basis for the coarse particle standard.

       Section 2.9 is not well-balanced between visibility and climate effects and does not
provide the background for the welfare assessments to be subsequently made in Chapter 5.

       Chapter 2 should provide a sufficient base of information for the assessments.  There is a
good amount of background material for the health effects assessment in Chapter 4
(Characterization of Health Risks), but there is not the parallel basis for the welfare effects
assessments in Chapter 5.  There may not be adequate information, but if that is the case, the
document needs to reflect the lack of information.  There needs to be a discussion of visibility
effects in both Class 1 areas and in urban areas. An important welfare effect for the standard-
setting process occurs when visibility in urban areas is reduced to low levels.

       Chapter 3 (Characterization of PM-Related Health Effects) is a summary of the
information in the AQCD.  It may benefit from the final version of the air quality criteria
document when the integrative synthesis provides a basis for a more cohesive presentation of the
understanding of the adverse health effects arising from exposure to airborne PM.  However,
clearer distinctions need to be drawn between the strength of information that is available on
PMio, PM2.5, and PMio-2.5. Chapter 3 should only be a review of the state of knowledge
regarding human health effects of PM within the broader context of exposure to air pollution.
The current version was felt to present an objective view of the science without regards to its
specific policy implications. The Panel felt that the current version tended to take too much of
an advocacy view of the human health effects studies.

       The PM Staff Paper, like the PM AQCD, lacks a clear set of criteria for the selection of
studies that are to be included in the discussion. Without the introduction of a well-defined set of
criteria, the question will continue to arise as to why some studies are included and others are
excluded. This leads to uncertainty as to the nature of the evidence reviewed and to the potential
for bias in the selection process, or at the least the perception that there may be bias.

       The Staff Paper is characterized by the same fuzziness around critical concepts as the Air
Quality Criteria Document, particularly in relation to confounding effect modification and
causality. There is laxness in the language around these concepts that leads to ambiguity of
interpretation.  In particular, the document does not carefully separate the quality and extent of

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the evidence available from the conclusions that might be reached. Examples are highlighted in
specific Panelists' comments provided in the appendix to this report.  These issues have been
raised in the review of the PM AQCD and the clarifications to that document can help to focus
the discussion in the Staff Paper.

       There is a considerable emphasis in the SP on "consistency and coherence." The
demonstration of consistency  of positive effects  across time-series studies is in some sense the
result of a process that may involve selection of  positive effect estimates in any given study from
the sometimes large number of estimates generated by data analysis; some of these estimates
may have been consistent with "no effect."  "Consistency," if defined as positive effects in
multiple studies, is therefore a likely outcome of a selection and modeling process that may bias
towards including positive effect estimates.  Further, the Agency's discussion  of the use of
findings from studies involving multiple cities (p. 3-89), in particular the National  Morbidity,
Mortality and Air Pollution Study (NMMAPS), to argue for consistency of effects should
acknowledge the limitations of this modeling approach with respect to heterogeneity of results.

       There is a significant difference between heterogeneity and variability  in assessing results
across study sites as well as by study  design. The fact that results do not appear to be uniformly
consistent is probably a strength in the data rather than a weakness. (For a thorough discussion
of this issue, see David A. Savitz. Interpreting Epidemiologic Evidence. Strategies for Study
Design and Analysis.  Oxford University Press Inc., NY,  2003.) Because these studies are done
with variable degrees of like data sources, one would expect variable results. It is also
inappropriate to selectively assess studies involving multiple cities to select only those specific
cities having positive or negative estimates,  as these  studies were not intended to be analyzed or
interpreted in this fashion

       The arguments put forward against considering the gaseous pollutants as confounding
factors have already been questioned  in our  comments on chapter 8 of the PM AQCD.  The SP
incorrectly states that neither ozone nor SCh can be considered to cause cardiac effects (p.  3-73),
whereas both have been shown to have cardiac effects in  experimental studies (e.g., Tunnicliffe
WS, Hilton MF, Harrison RM, Ayres JG, The effect  of sulphur dioxide exposure on indices of
heart rate variability in normal and asthmatic adults,  European Respiratory Journal 17 (4): 604-
608 APR 2001; Gong H, Wong R, Sarma RJ, Linn WS, Sullivan ED, Shamoo DA, Anderson
KR, Prasad SB, Cardiovascular effects of ozone  exposure in human volunteers, American
Journal Of Respiratory And Critical Care Medicine  158 (2): 538-546 AUG 1998). The
suspicion that air pollutants can cause cardiac effects is relatively new, so that there are very few
data on cardiac effects of pollutants other than PM.

       The Staff Paper repeats the argument in the PM AQCD in  support of the notion that the
gaseous pollutants  are merely surrogate measures of ambient PM, and, interestingly, that CO and
NO2 are markers of vehicle-generated PM, and that SO2 and ozone are markers of sulfate (p. 3-
74). The Panel has raised questions regarding this material in Chapter 8 of the AQCD and thus,
the same concerns prevail here. The ozone-sulfate correlations are often weak, so that ozone
does not appear to be an appropriate indicator of sulfate.  On the other hand, we are developing a
better understanding that some pollutants are useful source indicators and of the complicated
relationships among the  concentrations of some key pollutants as they co-exist and interact in the

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air pollution mixture.  We need to acknowledge the possibility that PM itself is simply a
surrogate as well for the air pollution mixture and that the effects attributed to PM largely reflect
exposure to the urban air pollution mixture more  generally.  The main disagreement is whether
PM itself is immune from  such considerations, that is, whether (1) gaseous pollutants are
surrogate measures of PM; or (2) all of the pollutants, including PM, are surrogate measures of
aspects of the atmospheric pollutant-meteorology mix.

       The figure on p 3-96 and the corresponding discussion in the text (p. 3-94) attempt to
address the plausibility of confounding by the gaseous pollutants by plotting effect estimate size,
i.e., relative risk (RR) against gaseous pollutant concentration for several studies.  The fact that
RR does not increase with increases in gaseous pollutant concentrations is taken as evidence that
confounding by gaseous pollutants is unlikely.  While this information is informative, this
conclusion does not follow.  Joel Schwartz introduced the approach of plotting effect size against
the temporal correlation between PM and the gaseous pollutants, and this approach should also
be cited.

       The Panel continues to have concerns regarding the reporting of the "best lag" approach
that was used in the AQCD and we again suggest that there is literature on this issue, particularly
the work of Lumley and Sheppard (Assessing seasonal confounding and model selection bias in
air pollution epidemiology using positive and negative control analyses. Environmetrics 11: 705-
717, 200) that provides clear guidance on this issue.

       The Panel agrees that the multi-city studies should be given the most weight. However,
not all multi-city studies should be given equal weight. Not only are multi-city studies
characterized by more precise estimates  of effect, but some also use an unselected sample of
cities and theoretically avoid publication bias.  Only the NMMAPS and the Canadian studies, of
the studies listed in Table 3-2 (p. 3-17), are unselected.  The NMMAPS estimates of effect are
the lowest, and the Canadian effects are  sensitive to model specification.  Thus, care needs to be
taken in the interpretation  of other multi-city studies.

       There is a suggestion that generalized additive models (GAM) are preferable over
generalized linear model (GLM) approaches and  it is not clear to the Panel that this choice is
appropriate.  There are advantages and disadvantages to each and the application also depends
on the actual model being  fitted as well as the fitting technique.

       An important issue that is not adequately addressed is the nature of the exposure-response
relationship, as characterized in the epidemiological studies.  The data from most studies,
including the various time-series studies and the cohort studies, have been analyzed using linear
models, mostly without a threshold.  These models  estimate the increment in relative risk per
unit exposure, generally without consideration of the actual levels of exposure. Such linear
models, while indicating an adverse effect do not explicitly consider the levels at which the
effects were estimated. Thus, these results provide little guidance as to where a standard could
be set to provide "an adequate margin of safety." This issue needs more thoughtful discussion in
the PM staff paper.

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       Chapter 4 (Characterization of Health Risks) reports the results of the risk assessments
for PM2.5, PMio, and PMio-2.5 based on the current forms of the PM NAAQS, using the
methodology that had been employed in the last round of the development of the NAAQS for
particulate matter. The exposition of the risk assessment would benefit from a clear discussion
of the near-linearity of the concentration-response function and its implications for time-
averaging. The "effective threshold" sensitivity analyses may be the only calculations in which
nonlinearity plays an essential role.

       To provide a perspective on the  risks being estimated in this analysis, the PM SP should
provide coverage of the baseline morbidity and mortality statistics for at least the cities for which
the risk assessments are being applied as well as more general regional and national values with
special reference to cardiovascular and respiratory morbidity and mortality statistics.  It is
important that the SP include such statistics in order to: (a) provide perspective on PM-associated
health responses;  and (b) emphasize their central role in interpreting relative risk models for PM-
associated health responses.  There also needs to be additional  sensitivity analyses for "effective
threshold", particularly since, on page 130 of the Abt document, the statement is made "Different
choices of slope adjustment methods can yield substantially different results."  The document
should provide a perspective on the range of these different results.

       The Panel was disappointed with the ecological portion of Chapter 5 (Characterization of
PM-Related Welfare Effects) which does not move toward a risk-based approach to evaluating
the ecosystem effects. This SP was an initial opportunity to begin to frame ecosystem risk,
although it is likely that there was insufficient data to permit a full risk assessment to be made.
The Ecological Processes and Effects Committee (EPEC) of the EPA Science Advisory Board
(SAB) prepared a document describing  a framework for performing a risk assessment. This
document appeared in the middle of the PM review process and thus, a full risk assessment
process beginning in the PM Air Quality Criteria Document was not practical. However, it
would have been useful in the SP to begin the move toward the risk assessment approach. This
same protocol underpins all of the human health section in the  Staff Paper, and it provides a
structure and framework for the analysis. It would have been useful to use the PM SP to begin to
develop the framework such that it could be more effectively employed in the future when other
criteria pollutants are being assessed.

       The Staff initial efforts in addressing PM-related effects on  vegetation and ecosystems is
based on the overriding assumption that, for the most part, one can  attribute the response or
responses of a receptor to a given air quality stressor within a given short time frame.  This
approach simply does not work in the case of PM. This is very unfortunate from the standpoint
of environmental  protection, especially  in light of the fact that there are some forested
ecosystems in the U.S. which are showing clear evidence of "nitrogen saturation," a portion of
which is due to particulate nitrate deposition. The problem here is that this "nitrogen saturation"
has been brought about by chronic long-term exposure to elevated nitrogen deposition. It is the
cumulative load of nitrogen over time that has resulted in some forested ecosystems being
nitrogen saturated.  Some would say that the fact that we do not know the exact contribution of
"particulate nitrate" deposition to the nitrogen saturation evidenced in some forest ecosystems
prevents us from doing anything. This is not true. What is needed  is a philosophical change in
the way one approaches ecosystem protection.  The European concept of "critical loads" is

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suggested as one possible scientific approach.  This approach would more readily lend itself to
risk assessment than the current information.

       EPA appears to (again) be avoiding or postponing any serious consideration of a short-
term secondary PM2.5 standard to address adverse visibility effects.  The Agency previously
reported to Congress in 1979 that "Recently initiated research efforts in monitoring of fine-
particles, transformation and transport studies, and progress in evaluating visibility values could
provide support for a decision on the desirability of such an air quality standard by 1982 or
1983."  "New" materials presented in the staff paper — including a preliminary comparison of
Automated Surface Observing System (ASOS) visibility data and nearby PM2 5 data and a
proposed photographic evaluation method to determine public judgments of "adverse" visibility
levels — are cited as approaches that could be employed in a future round of PM AQCD review
and standard setting.  These efforts indeed confirm and extend findings that have been well-
established for 20 years, and raise the question why there should not be serious consideration of
a secondary standard at the present time. EPA is moving rapidly to include continuous PM2.5
mass monitors in the compliance monitoring network which is critical to provide better
information for health studies, but at the same time, provides a near-term opportunity for
applying a secondary standard for urban visibility protection. As noted in the Agency's 1979
Report to Congress, "such a standard would accelerate progress toward improved visibility
throughout the Eastern United States and might also increase the efforts for visibility
improvements in major urban areas of the Western United States.  Thus, a secondary air quality
standard for fine particles could effectively complement visibility protection programs in class I
areas."  A sub-daily averaging time, for example 6 or 8 daylight hours, would be especially
relevant for addressing the most perceptible adverse visibility effects of PM2.5  in non-Class 1
(urban and suburban) areas, would tighten the (dry) PM2.5/(ambient) visibility  relationship by
reducing the influence of ambient aerosol water, and would substantially minimize the
differences between Eastern and Western conditions.

       The current short-term 24-hour primary standard of 65 • g/m3 (which is also the
secondary standard) offers no protection against adverse visibility effects.  At a minimum, EPA
should dispense with the pretense that this is a secondary standard which offers any protection at
its current level or  even if a primary standard were set toward the upper end (50 • g/m3)
suggested for a revised short-term primary standard. Severely impaired visibility can be seen on
days when PM2 5 does not exceed 50 • g/m3, illustrating that lowering the primary standard to the
upper end of the (30-50 • g/m3) range suggested would also offer no protection against adverse
visibility effects. EPA's recent practice of setting secondary standards equal to the level of
primary standards has no logical justification, and presumes that human health is always more
sensitive to pollution effects than any other component of the environment or public welfare.
This is simply not true for visibility effects.  The human eye may be more sensitive to short-term
PM2.s variations than is the human cardiopulmonary system, and as concentrations approach
zero, perceptible visibility  effects can be detected at concentrations less than a few • g/m3.

       The majority of the Panel concluded it is premature to provide  a detailed review of
Chapter 6 (Staff Conclusions and Recommendations onPMNAAQS) since significant changes
are still needed in the earlier chapters providing the review of the science.  We have debated
whether or not to provide any comments and the Panel has decided that we want to wait until the

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PM AQCD is complete and the revised version of the PM Staff Paper based on the completed
AQCD is provided to us. However, there are members of the Panel who have provided their
individual comments on the draft version of this chapter. There is clearly a diversity of views on
the Staff Paper in its current form. Careful attention to the revisions will be needed to resolve the
issues that have been raised. We hope the comments in this report and the attached individual
comments help to improve the next version of the Staff Paper. As always, the Panel wishes the
Agency well in this important endeavor.

                                              Sincerely,
                                              Dr. Philip K. Hopke, Chair
                                              Clean Air Scientific Advisory Committee
Appendix A - Roster of the CAS AC Parti culate Matter Review Panel
Appendix B - Review Comments from Individual CASAC Particulate Matter Review Panelists
                                          10

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     Appendix A - Roster of the CASAC Particulate Matter Review Panel
                     U.S. Environmental Protection Agency
                   Science Advisory Board (SAB) Staff Office
                    Clean Air Scientific Advisory Committee
                   CASAC Particulate Matter Review Panel*
CHAIR
Dr. Philip Hopke, Bayard D. Clarkson Distinguished Professor, Department of Chemical
Engineering, Clarkson University, Potsdam, NY
      Also Member: SAB Board
CASAC MEMBERS
Dr. Frederick J. Miller, Vice President for Research, CUT Centers for Health Research,
Research Triangle Park, NC

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

Dr. Frank Speizer, Edward  Kass Professor of Medicine, Channing Laboratory, Harvard
Medical School, Boston, MA

Dr. George E. Taylor, Jr., Professor and Assistant Dean, School of Computational Sciences,
George Mason University, Fairfax, VA

Dr. Sverre Vedal, Professor of Medicine, National Jewish Medical and Research Center,
Denver, CO

Dr. Barbara Zielinska, Research Professor, Division of Atmospheric Science, Desert Research
Institute, Reno, NV
CONSULTANTS
Dr. Jane Q. Koenig, Professor, Department of Environmental Health, School of Public Health
and Community Medicine, University of Washington, Seattle, WA

Dr. Petros Koutrakis, Professor of Environmental Science, Environmental Health, School of
Public Health, Harvard University (HSPH), Boston, MA

Dr. Allan Legge, President, Biosphere Solutions, Calgary, Alberta
                                       A-l

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Dr. Paul J. Lioy, Associate Director and Professor, Environmental and Occupational Health
Sciences Institute, UMDNJ - Robert Wood Johnson Medical School, NJ

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

Dr. Joe Mauderly, Vice President, Senior Scientist, and Director, National Environmental
Respiratory Center, Lovelace Respiratory Research Institute, Albuquerque, NM

Dr. Roger O. McClellan, Consultant, Albuquerque, NM

Dr. Giinter Oberdorster, Professor of Toxicology, Department of Environmental Medicine,
School of Medicine and Dentistry, University of Rochester, Rochester, NY

Dr. Robert D. Rowe, President, Stratus Consulting, Inc., Boulder, CO

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

Mr. Ronald H. White, Research Scientist, Epidemiology, Bloomberg School of Public Health,
Johns Hopkins University, Baltimore, MD

Dr. Warren H. White, Visiting Professor, Crocker Nuclear Laboratory, University of California
- Davis, Davis, CA

Dr. George T. Wolff, Principal Scientist, General Motors Corporation, Detroit, MI
SCIENCE ADVISORY BOARD STAFF
Mr. Fred Butterfield, CAS AC Designated Federal Officer, 1200 Pennsylvania Avenue, NW,
Washington, DC, 20460, Phone: 202-564-4561, Fax: 202-501-0582, (butterfield.fred@epa.gov)
(FedEx: Fred A. Butterfield, III, EPA Science Advisory Board (1400A), Ariel Rios Federal
Building North, Suite 6450, 1200 Pennsylvania Ave., NW, Washington, DC, 20004, Tel: 202-
564-4561)
* Members of this CASAC Panel consist of:
   a. CASAC Members: Experts appointed to the statutory Clean Air Scientific Advisory Committee by
the EPA Administrator; and

   b. CASAC Consultants: Experts appointed by the SAB Staff Director to serve on one of the
CASAC's National Ambient Air Quality Standards (NAAQS) Panels for a particular criteria air pollutant.
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                     Appendix B - Review Comments from
            Individual CASAC Particulate Matter Review Panelists


   This appendix contains the preliminary and final written comments of individual members of
the Clean Air Scientific Advisory Committee (CASAC) Particulate Matter (PM) Review Panel
who submitted such comments electronically.  The comments are included here to provide the all
suggested edits, a full perspective, and range of individual views expressed by Subcommittee
members during the review 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. The
consensus views of the CASAC PM Review Panel and the CASAC are contained in the text of
the report to which this appendix is attached. Panelists providing comments are listed on the
next page, and their individual comments follow.
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Panelist                                                                       Page#




Dr. Frederick J. Miller	B-3




Mr. Richard L. Poirot	B-10




Dr. Frank Speizer	B-27




Dr. George E. Taylor, Jr	B-30




Dr. Sverre Vedal	B-38




Dr. Barbara Zielinska	B-43




Dr. Jane Q. Koenig	B-45




Dr. Petros Koutrakis	B-47




Dr. Allan Legge	B-53




Dr. Paul J. Lioy	B-55




Dr. Morton Lippmann	B-57




Dr. Joe Mauderly	B-60




Dr. Roger O. McClellan	B-62




Dr. Giinter Oberdorster	B-71




Dr. Robert D. Rowe	 B-73




Dr. Jonathan M. Samet	B-78




Mr. Ronald H. White	B-81




Dr. Warren H. White	 B-84




Dr. George T. Wolff	B-88
                                         B-2

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                              Dr. Frederick J. Miller
Review Comments: OAQPS Staff Paper-First Draft                            11_20_2003
Fred J. Miller, Ph.D.


2.  Air Quality Characterization
General Comments

Overall, this chapter does a good job of providing the background information to understand
how PM is characterized, what the emission sources are, the measurement methods used to
determine PM levels, and the nature of the trends and spatial patterns of PM in the United
States.
Specific Comments

p. 2-20       What is magical about requiring 11 observations per quarter to use the data from
             a monitoring site, particularly as the various standards have now resulted in
             sampling schedules in monitoring programs that are different from what led to
             Appendix N of the July 18, 1987  Federal Register notice specifying at least 11
             observations are required for a site. Staff should examine if there would be an
             impact on the risk modeling that is undertaken in subsequent sections of the staff
             paper should a different specification of number of samples be used?

p. 2-25,1. 1   Using the monitor with the highest concentration in each monitored county to
             represent the value for that county is  a biased accounting of the PM
             concentrations present in any given geographical area. The CD shows that some
             cities have extensive variability among monitors, and the variability for PM 10-2.5
             should be substantial in large metropolitan areas. Some weighting of the site
             monitoring values by the size of the surrounding population could easily be done
             and would result in a much more representative and far less biased
             concentration for use in the risk analyses. The tremendous influence on risk of
             which way the monitors are used in an area is borne out in Table 4-12.

p. 2-28       The % Diff reported in Table 2-4  is based upon using the maximum site value in
             the denominator. It seems like the %  Diff should be  based  on the minimum site
             value. This would show that there is even more variability among sites that what
             staff have chosen to represent as the amount of variability.
3.   Characterization of PM-Related Health Effects
General Comments

Throughout this chapter, the staff paper fails to acknowledge the difficulty of ascribing effects
only to PM as opposed to PM as a reflection of the ambient mix of pollutants. Multi-pollutant
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models presented in the CD typically show substantial decreases in the magnitude of effect
estimates for PM and have other pollutants also statistically significant and yet the CD typically
portrays gaseous pollutants as only representing surrogate measures of ambient PM. This
makes one wonder - when the Ozone CD comes around, will PM be presented as merely a
surrogate for ozone? Staff appear to fixate on PM, to not fully describe deficiencies in current
studies in treating weather, and to not acknowledge the sensitivity of effect estimates to model
specification and fitting procedures.

Here, I repeat the comments I made using data in Chapter 9 of the CD (The Integrative
Synthesis chapter)  relative to presenting an analysis using all of the studies in Chapter 8 of the
CD that would identify where the strongest case can be made for the need for PM standards in
light of the various studies that have been conducted. The staff paper authors have been quite
selective in their use of studies to identify the appropriate indicator variable be that PM  10, PM
2.5, or PM 10-2.5. However, if all the studies in Chapter 8 were used, one would quickly see
that PM 10 provides the most consistent indicator of various types of effects ranging  from
mortality  to respiratory morbidity despite what has obviously been an a priori science policy and
political decision that the Agency will move forward with promulgation of separate PM 2.5 and
PM 10-2.5 standards.

Using only the data in Chapter 9 of the CD, one sees that PM 2.5 also does a reasonably good
job for mortality and respiratory morbidity but is much poorer as an indicator variable for
cardiovascular morbidity as is PM 10. In fact, for cardiovascular morbidity, PM 10-2.5 does
almost as good a job as does PM 10. While the table below is a relatively simple one and does
not account for various investigators analyzing the same city by different methods or over a
different period of time, the point is that the data in Chapter 8 of the CD provide a wealth of
information for attempting to identify the appropriate  PM indicator variable and the level of that
variable against which public health should be protected. The current development of the PM
story in Chapter 3 of the Staff Paper reflects a more selective rather than a weight of the
evidence analysis.

Endpoint
Mortality
Cardiovascular Morbidity
Respiratory Morbidity
Total No.
Analyses
39
18
24
PM 10
No.
26
18
23
% Positive
62
56
78
PM2.5
No.
29
8
13
% Positive
59
38
62
Pm 10-2.5
No.
19
6
7
% Positive
12
50
29
Specific Comments

p. 3-7, I. 18   The statement of some of the toxicology studies using relatively low doses that
             are close to ambient concentrations needs to be documented with references.  In
             my opinion, none of these studies are at low enough doses.

p. 3-10,1. 13  The staff paper asserts papers supporting new indices of morbidity such as low
             birth weights. The specific studies are limited, dO not show anything other than
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             an association, and are far from being in the category of supporting that PM is
             causative. Some of the caveats associated with these studies should be provided
             at a minimum. Moreover, later on (p. 3-41,1. 10) the staff paper quotes the draft
             CD as the results of these studies being suggestive of a causal relationship
             between PM exposure and infant mortality. This statement is too strong given the
             evidence and should be modified in both the CD and the  staff paper.

p. 3-15,1. 4   Mortality results are cited from the multi-city and single-city studies as being, with
             only a few exceptions, generally positive with many being statistically significant.
             The NMMAPS analyses show only 2 out of 90 cities as being statistically
             significant for PM effects. Realizing that the NMMAPS was not designed to infer
             city specific effects, the staff paper still seems to be accepting values positive but
             not statistically different from zero as being supportive of PM effects. This is, in
             my opinion, out of line with the statistical rigor one would  expect for setting of
             standards of such national importance.

p. 3-18,1. 6   The heterogeneity of PM effect estimates is commented on and then dismissed
             as attributing to the way the cities were selected and not  necessarily individually
             having the  power to compare with single-cities. That being said, I have to agree
             with Dr. Suresh Moolgavkar when he notes in his written  comments that the
             individual city effects for the 15 northeast cities lie between 0.223 and O.271 and
             yet the regional effect estimate is 0.409 as a situation that flies in the face of
             common sense. The empirical Bayes estimation procedure with the hierarchial
             method appears suspect.

p. 3-29,1. 3   The statement that effect estimates between PM  10-2.5 and total mortality are
             generally positive though less likely to reach statistical significance compared to
             PM 2.5 and total mortality represents a stretch beyond reasonable  interpretation.
             Only 3 out of 19 studies have PM 10-2.5 being statistically significant.

p. 3-31,1.5   A range of 2-20% for cardiovascular or cardiorespiratory  mortality represents a
             significant level of uncertainty about the potential effects  of PM on these
             endpoints. Yet the general thrust throughout the staff paper is that the results are
             quite coherent for PM effects. Staff need to acknowledge that there is  more
             uncertainty in effect estimates that what is frequently currently stated.

p. 3-41,1. 9   The discussion about PM exposure and infant mortality is overstated in the
             conclusion of the paragraph where the CD is cited as  concluding the results of
             these studies are "suggestive of a causal relationship between PM  exposure and
             infant mortality". Discussions  at the November 12-13 CASAC meeting reinforced
             my belief that this is too strong a statement in the CD  and is  not warranted in the
             Staff paper. These 4 studies show association at best and clearly do not warrant
             a statement implying causality.

p. 3-42,1. 25  The life shortening study of Brunekreef is puzzling. If the  population life
             expectancy was truly reduced by 1.31 years with an exposure difference of 10 ug
             per cubic meter, epidemiology studies conducted in underdeveloped countries
             should clearly detect this. To my knowledge they do not.  This makes the CD
             comment that the potential loss of population life expectancy might be even
             greater than Brunekreef s estimate even harder to believe to be plausible.
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p. 3-50,1. 20  This sentence and the next one are gross overstatements of the strength of the
             associations between PM 10-2.5 and admissions for both respiratory and
             cardiovascular diseases. Only 1 of 7 respiratory and 2 of 10 cardiovascular
             disease admission studies shown in Figure 3-9 are statistically significant and
             about 7 of these studies have a positive value of less than about 2%. Staff's
             presentation of the strength of these results is not warranted.

p. 3-60,1. 1   The statement "The results of U.S. and Canadian studies, presented in Table 3-
             4, generally show increased symptoms and decreased lung function with
             increases in PM exposure" is an incorrect representation of the data by staff. For
             the PM indicators present in the table, only 3 of the 14 are statistically significant.
             Moreover, of the 3 that are statistically significant, 2 relate to PM 15/10 indicators
             and one to sulfates. How staff could conclude these findings support the need for
             PM 2.5 or PM 10-2.5 standards is beyond  me. The data contained in Figure 3-
             11a and Figure 3-11b are far more useful for any arguments relative to these
             endpoints for PM 2.5 and  PM 10-2.5, respectively.

p. 3-78,      The section on lag periods should make a  clearer statement that the potential
             additivity of effects and the usefulness of distributed  lags is more likely to be a
             possibility for alveolar level effects. Given the rapid clearance of particles from
             the head and conducting airways, effects from day to day are less likely to  be
             cumulative.
4.  Characterization of Health Risks
General Comments
Overall, the types of analyses and assumptions used are adequately described in this chapter.
As a first draft, the chapter gives one a flavor or what the final chapter will need to contain. In
this regard, there will be a need to be much more comprehensive in examining the validity of the
assumptions, in presenting various sensitivity analyses, and illustrating the important findings
without overwhelming the reader in minutia. As noted in specific comments below, more
attention to thresholds and selection method for monitors to use in the risk analyses are
needed.


Specific Comments
p. 4-11       There are two figures labeled as Figure 4.1. They appear on pages 4-11 and 4-
             18.

p. 4-30,1. 22  "Once it had been determined that a health endpoint was to be included in the
             assessment, inclusion of a study on that health endpoint was not based on the
             existence of a statistically significant result." This approach appears to impart a
             selection bias for the risk calculations because Staff did not adequately explain
             how the calculations were done, so the text should be clarified. However,  it would
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              still be very informative to compare the risk estimates from this approach with
              those generated only from statistically significant studies on the given endpoint.

p. 4-31        The section on hypothetical thresholds is a good start but falls short of rigorously
              examining what is potentially the most critical factor for the overall risk estimates
              and the implication of appropriate levels for PM standards to protect adequately
              the public health. The current approach evaluates specific "effective biological
              thresholds" and determines the risk for exposures that exceed the threshold.
              However, that is not the same as fitting alternative models that have a threshold
              and see how well these models fit the data. The fact that most investigators have
              used only log-linear models further amplifies the inadequacy of the current
              analyses to be definitive on the subject of thresholds.

p. 4-35,1. 22   The statement is  made that a sensitivity analysis was conducted to examine the
              potential impact of using a distributed lag approach for short-term mortality
              associated with PM 2.5. However, no results of that sensitivity analysis are
              presented. And the reader should not have to go to the document entitled
              "Particulate Matter Health Risk Assessment for Selected Urban Areas: Draft
              Report" to dig out the results of this analysis.

p. 4-36,1.17   The point is made that the draft CD concludes that the "lack of consistent findings
              in the AHSMOG study and negative results of the VA study, do not negate the
              findings of the Six Cities and ACS studies". Factually this  is a correct statement
              but the reasons given for excluding the AHSMOG and VA studies are superficial.
              The important point that is missed is that the failure to include all of these studies
              potentially overestimates the true PM risk.

p. 4-40,1.10   I strongly object to the rationale provided for why the confidence intervals were
              truncated at zero. Not allowing the confidence interval to be negative misleads
              readers into thinking there is always an effect. This truncation violates one of the
              basic tenants of accurate statistical presentation of data. Moreover, uncertainty
              analysis methods applied to truncated intervals would lead to under reflecting the
              amount of uncertainty present in the effect estimates.

p. 4-44        Figures 4-4 through 4-8 would be much easier to understand if a line was
              inserted to create panels and the specific biological response was identified at
              the top of the panel.  Having to go to the complicated figure legend is a serious
              detraction.

p. 4-47        Figure 4-7 is the most compelling figure in the entire staff paper as to the need
              for an annual standard for PM 2.5. (Provided the truncation at zero is corrected.)

p. 4-61,1. 3    Why not refit the C-R with the same original model but subtracting the
              "hypothetical threshold"? As pointed out in the supporting documentation (Abt,
              2003b) the weighted average of the two hockey stick slopes is only one  of many
              ways the slope adjustment could be made and that substantially different results
              would  be  possible. Later on in this paragraph, staff note that these sensitivity
              analyses are intend only to be illustrative of the possible impact on the risk
              estimates of alternative  hypothetical thresholds (I prefer "effective biological
              thresholds") and that a more thorough evaluation would require re-analysis of the
              original health and air quality data. Given the billions of dollars that will be
                                          B-7

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             required to meet current or tighter PM standards, I think OAQPS is obligated to
             pursue these re-analyses. The need for a better examination of thresholds is
             reinforced on page 4-66 of the Staff Paper where the statement is made "Based
             on the results from the sensitivity analyses, the single most important factor
             influencing the risk estimates is whether or not a hypothetical threshold exists
             below which PM-related health effects do not occur". From a teleological and
             practical scientific perspective, I  am of the opinion that "effective biological
             thresholds" exist for PM effects and that the thresholds are themselves different
             depending upon the biological endpoint under consideration. Most
             epidemiologists have used log-linear models in their analyses.  This model
             specification basically ascribes Habers Law relative to the relationship between
             PM exposure levels and time and does not allow the model to identify a
             threshold. Habers Law is merely a special case of the more general power law
             family and has been shown not to apply to most biological data sets (Miller et al.,
             Toxicology 149: 21-34, 2000). Given all of this, at a minimum, the Staff paper
             should explore additional sensitivity analyses for the "effective threshold",
             particularly since on page 130 of the Abt document the statement is made
             "Different choices of slope adjustment methods can yield substantially different
             results".

p. 4-68       Clarify the figure legends. Are the estimates over the course of a year or what?

p. 4-70       The sensitivity of the percent rollback needed to just meet the annual PM  2.5
             standard to whether the maximum of monitor-specific annual averages is  use or
             the average of monitor-specific annual  averages is clearly demonstrated in Table
             4-12.  The use of the maximum represents a force fit that produce maximum risk
             estimates and clearly is not an unbiased representation of the likely exposure
             values and therefore likely  risk for most of the population living within any of the
             major urban areas. Discussion at the November 12-13 meeting brought out that
             states and localities can pick either the maximum or the average across the area
             for use in their compliance  and implementation programs - a situation that I
             believe needs to be changed. There is  no reason that census data and
             population weighting methods should not be used in conjunction with specific
             monitor values to determine the  extent of rollback needed to meet PM standards.
6.   Staff Conclusions and Recommendations on PM NAAQS


General Comments
Staff are quick to hone in on a narrow range for consideration of the potential range of
concentrations that could be considered for 24 hour and annual standards. The text comes
across currently as a proscribed directive to hold the line at the current annual average for PM
2.5 at a minimum and to fill in where the Court said the Agency had to go to cover coarse-
fraction particles. There is not much acknowledgement that the data base in support of and the
case for a PM 10-2.5 standard is not a particularly strong one. In addition, the uncertainties in
risk estimates due to the sensitivity analyses developed in  Chapter 4 receive little attention here.
The aspect of an "effective biological threshold" for some PM effects does not appear to be
reflected in any of the ranges of values  for the annual and  short-term standards that are
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discussed. I would expect the next draft of the Staff Paper to include more analyses of the
implications of various options and concentration ranges taking into account the uncertainties
explored via sensitivity analyses.


Specific Comments
p. 6-5, I. 22   The life shortening new studies, infant mortality and other effects that are quoted
             from the CD, if further substantiated, as implying a significantly larger life
             shortening that previously estimated is a statement that comes across as
             "grasping  at straws". Given the uncertainties already in the data base, this is a
             weak argument in favor of tightening the current PM 2.5 standards.


p. 6-8, I. 9    EPA staff now conclude the Court was correct in arguing that PM  10 is not an
             appropriate indicator for coarse-fraction particles. Some of the Court's basis for
             this decision was the double counting contained in PM 2.5 and PM 10 standards.
             I submit that double counting still exists, although at a diminished  level, given the
             overlap that occurs if the PM 2.5 sampler has a 50% cut point at 2.5 urn and the
             PM 10-2.5 sample is obtained by differencing values from PM 2.5 and PM 10
             samplers. This issue will need to be resolved because even a couple of
             micrograms of mass will have a tremendous impact on compliance monitoring.


p. 6-8, 1.14   The argument is presented that we now have a lot more information about PM
             10-2.5 and there is no need to rely on PM  10 as a coarse  fraction  indicator. The
             footnote provides a big caveat in that almost all of the PM 10-2.5 values are
             estimated from collocated PM 2.5 and PM 10 monitors. Moreover, the argument
             put forth is strictly an aerosol science and  not a biological  one because < 2.5 urn
             compared to 2.5 urn < X < 10 urn has extensive overlap in regional deposition in
             the respiratory tract.


p. 6-18,1.13  The authors of the Canadian studies that were reanalyzed noted the sensitivity of
             their analyses to temporal smoothing methods. The text should be clarified to
             note that the Phoenix and Santa Clara County studies were also reanalyzed and
             examined for temporal smoothing effects given that EPA Staff are placing great
             weight on these studies as lending support for considering an annual standard
             lower than the current one for PM 2.5.

p. 6-21,1. 6   The topic of monitoring values and the way that they are averaged is raised as a
             concern about sufficient uniformity in public health protection across the country,
             and staff indicate they are going to explore this issue further in the next draft.
             This is most appropriate, especially for any proposed PM  10-2.5 standards
             because monitoring values for coarse-fraction particles vary considerably across
             an area.
                                          B-9

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                                Mr. Richard L. Poirot
          OAQPS PM Staff Paper, First Draft, EPA-452/D-03-001 (August 2003)
                   CASAC Review Comments, R. Poirot, November 2003

General
Overall, this is an excellent 1st draft, which provides a good deal of the kind of "integrative
synthesis" which seemed to be lacking in the CD. The general recommendations in chapter 6 for
retaining and tightening the primary PM2.5 standards, especially the 24-hr standard, is well
justified. The justification for specific annual or 24-hour levels of a PMio-25 is not as strong,
although EPA staff (Karen Martin) made a good argument that taking no action on coarse
particles was equivalent to retaining the existing PMi0 standards.  Mort Lippmann's suggestion
that a relatively lenient PMio-25 standard might be an appropriate near-term "compromise"
(which would also inspire the collection of better quality measurement data at more locations) is
worth considering.

Considering that a substantial fraction of the "new information" presented in the CD clarifies and
emphasizes the health effects of short-term PM2.5 exposures, the "logic" of a "controlling"
annual standard with a substantially weaker 24-hour "backup" standard has been weakened. If
there are different effects from exposures over different averaging times, there can and should be
different standards to protect against those effects, without need or consideration of which
averaging time  should be a more stringent "controlling standard" and which should be a more
lenient "backup". As a practical consideration there are few imaginable control strategies that
would reduce episodic exposures by merely "shaving peaks" that don't tend to shift the entire
distribution downward. Conversely, intermittent or episodic controls (no-burn days, carpool
incentives, tele-commuting, etc.) have proven effective at reducing ozone concentrations and (in
the case of the Denver visibility standards - at reducing PM emissions) and have added benefits
in terms of improved forecasting, more accurate health advisories and increased public
awareness.  Benefits from short-term emissions controls in specific urban areas would also have
benefits over large downwind areas where reduced concentrations would be experienced over
various averaging times.

As with previous comments on the CD, I was disappointed that EPA appears to be (again)
avoiding or postponing any serious consideration of a short-term  secondary PM2 5 standard to
address adverse visibility effects.  "New" material presented in the staff paper - including a
preliminary comparison of ASOS visibility and nearby PM2 5 data and a proposed photographic
evaluation method to determine public judgments of "adverse" visibility levels - are cited as
approaches that could be employed in a future round of PM CD review and standard setting. I
agree that these methods could indeed be helpful in future refinements of a secondary PM2.5
standard, but strongly disagree that consideration of a secondary standard would be premature at
the present time.

The 1969 CD for PM and sulfur oxides (predating EPA) includes 3 different graphic depictions
of the strong, quantitative relationship between PM and light extinction.  In the (outstanding)
1979 "Protecting Visibility: an EPA Report to Congress", (predating both regional haze
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protection for class I areas and primary standards for PMio), EPA indicated that "a secondary air
quality standard for fine particles could effectively complement visibility programs in class I
areas" which would "accelerate progress toward improved visibility throughout the eastern
United States.. .and also increase the efforts for visibility improvements in major urban areas of
the Western United States."  This report also indicated that "[RJecently initiated research efforts
in monitoring fine particles, transformation and transport studies, and progress in evaluating
visibility values could provide support for a decision on the desirability of such an air quality
standard by 1982  or 1983." Twenty-five years later, EPA is still not quite ready to consider such
a standard, but with a few more years of research and analysis...

Visibility impairment is an instantaneous effect, and therefore best addressed by standards
applied to short averaging times.  The current short-term 24-hour primary standard of 65 ug/m3
(which is also the secondary standard) offers no protection against adverse visibility  effects. At a
minimum, EPA should dispense with the pretense that this is a secondary standard at its current
level or if a primary standard were set toward the upper end (50 ug/m3) suggested for a revised
short-term primary standard. Note from my previous "supplemental visibility" comments on the
3rd Draft of the PM CD (attached here for reference), the severely impaired visibility photo for
Burlington, VT on 7/7/02 at 62 ug/m3 PM2 5 was not even an exceedance day, and 21 worse days
per 3 years are permitted under the current "secondary"  standard.  The severely impaired
visibility illustrated in the Boston photo for 7/16/99 was on a day when PM2 5 did not exceed 50
ug/m3, illustrating that lowering the primary standard to the upper end of the (30-50 ug/m3) range
suggested would also offer no protection against adverse visibility effects.  EPA's recent practice
of setting secondary standards equal to the level of primary standards has no logical justification,
and presumes that human health is always more sensitive to pollution effects than any other
component of the environment or public welfare. This is simply not true for visibility effects.
The human eye is more sensitive to PM^effects than the human lung is, and as concentrations
approach zero, perceptible effects can be detected at concentrations less than a few ug/m3.

Visibility impairment is caused by fine particles. The PM2.5 mass / visibility relationship can be
described, nationally, in terms of an empirically (or theoretically) derived extinction  efficiency of
about 6 + 3 m2/g.  The  spatial and temporal variability in this strong, causal relationship is due
almost entirely to the effects of aerosol water present in the ambient aerosol and removed by
drying in the FRM definition of (dry) PM2 5  mass (from filters weighed at about 40% RH).
Regardless of chemical composition, if visibility effects are considered under relatively dry
conditions, typical of western areas but also often present at eastern areas at mid-day, the
extinction efficiency will strongly converge on a value of 4 m2/g.

The examples of local judgments of adverse visibility effects presented in the staff paper include
short-term (4 to 8-hour, mid-day) visual range limits of 40 km (Phoenix), 50 km (Denver) and 40
to 60 km in the Fraser Valley.  Vermont also established a state visibility standard in 1985
expressed in terms of a summer seasonal sulfate concentration  of 2 ug/m3.  This compared to a
current level at that time of 4 ug/m3, and was intended to reflect the "reasonable progress
required under Section 169a of the 1977 CAA. Had it been attained (we're about halfway there)
the average visual range would have increased from 40 to 50 km. Under relatively dry mid-day
conditions, where an extinction efficiency of 4 to 5 m2/g would be appropriate, a visual range of
50 km would correspond to a PM2 5 concentration of about 15 + 2 ug/m3. While such low
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concentrations may be economically unfeasible to attain on a short-term basis, a standard set at
more lenient levels - in the range of 25 to 35 ug/m3, reflecting a visual range of about 25 to 35
km under dry mid-day conditions, might be a reasonable compromise.  It would be twice as
stringent as the current secondary standard and twice as lenient as the local standards cited in the
staff paper. Additional flexibility, if needed, is provided by the less urgent nature of a secondary
standard, or could be achieved in the usual manner of fiddling with the compliance metrics or
compliance dates.

I would also strongly encourage EPA to carefully consider a sub-daily  averaging time for this
secondary standard, and will provide additional thoughts on this and associated supporting
analyses in subsequent more detailed comments.

Chapter 2 is a good summary, clearly written.  No major comments -  but one significant issue is
raised by p. 2-53, lines 18,19 mention of EPA "natural events" policy (which is not entirely clear
to me for PM2.5 and), which may (especially as methods are rapidly improving to identify natural
events) start to complicate determination of the 98th percentile, which already allows exclusion
of worst 7 days/year. Some additional discussion of this might be warranted here.

P. 2-9, L. 15-19:  Suggest revising to "Potassium in coarse particles comes primarily from soil,
with additional contributions from sea salt in coastal areas. Potassium in fine particles comes
mainly from emissions of burning wood, with large but infrequent contributions from fireworks,
and significant contributions from the fine tail of coarse mode soil particles in areas with high
soil concentrations." (July 5th is often the highest fine K day of the year, and at some sites there's
more PM2 5 K from soil than from smoke).

P. 2-9, L 23-25:  Suggest revising to "The amount of particle-bound water will vary with the
particle composition and the ambient relative humidity.  Sulfates, nitrates ad some secondary
organic compounds are much more  hygroscopic than.

P. 2-10, L. 16: Suggest revising to ".. .ranging from minutes to days ..." (the fine tail of coarse
mode African &  Asian dust can last a week or more, else we would never see it here).

P. 2-12, L. 16: Could add "Episodic emissions from dust storms and forest fires are difficult to
quantify and to allocate accurately in space and time, and discerning between natural and
anthropogenic "causality" for these source categories is especially challenging."

P. 2-16, L. 21: Suggest revising to "Smoke particles composed primarily of carbon, including
black carbon (BC),..."

P. 2-18, L. 25: Suggest adding "ambient" before "PM".

P. 2-27, L. 7: Change "meteorological" to "meteorology".

P. 2-32, L. 2,3: Change to ".. .consistency of these PMio-2.5 is relatively uncertain, and they
are..."
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P. 2-37, L. 24: Change "was" to "were".

P. 2-48: Figure 2-21 has "=" instead of dashes in x-axis labels.
P. 2-54: "Background" is a difficult concept. You might consider something like the
"IMPROVE minus sulfates" metric that Warren White suggested.

P. 2-61, L. 20-21: "Soil dust" is not "fine mode".  Could rephrase to ".. .black carbon, and the
fine tail of coarse mode soil dust."

P. 2-62, L. 1-3: Not really correct as stated. Could rephrase to ".. .of a given mass, dry particle
size distribution, and composition..." (the relative humidity has already influenced the size
distribution of the ambient aerosols).

Chapter 3 is primarily beyond my  expertise, but appears to be logically presented and clearly
written. I note the page 3-37, line 4 indication that visibility data were used as PM2.5 surrogate in
ASHMOG cohort study.  Ironic that the PM2.5 /visibility relationship is plenty clear enough to
use as a quantitative indicator in health studies upon which the primary standards are based, but
later (Chapter 5) the PM/vis relationship becomes hopelessly unclear when EPA considers (and
rejects) a secondary standard...

Chapter 4 risk assessment methodology is clearly stated but very complex (requires 40 pages to
describe methods). I assume this complex approach is necessary, but wish there were a simpler,
more straightforward alternative.

P. 4-49, L. 13: Add "as" between "well" and "the".

P. 4-49, L. 23-25: Rephrase ".. .Phoenix, it was only possible to develop cardiovascular mortality
risk estimates, and for Seattle, only risk estimates for asthma hospital admissions were possible."

P. 4-58, L. 6-11:  In discussing the  (sometimes inconsistent) results from multi-pollutant models,
it might be important to emphasize that effects of confounding pollutants are not necessary
causal. Certain gaseous pollutants are likely strong surrogates for certain source-related fractions
of PM mass - for example CO or NOx for automotive PM, O3 for secondary PM, SO2 for SO4,
etc. If data are available, it might be informative to show a few correlation matrices - perhaps
with seasonal stratification - which include PM2.5, PMio, PMio-2.5 and gaseous pollutants. I
suspect that at some sites & seasons, some of the gasses might correlate with PM2.5 as well as or
better than PMio does. I'm not quite sure what would cause the PM coefficient to increase when
a second pollutant is added to the mix. Is there some logical explanation for why this might
occur?

P. 4-60, L. 7-11:  I don't have a suggested alternate approach but also don't think it's really
"likely" that background correlates (perfectly) with "as is" levels at any sites.  Emissions
modulations, locations and transport patterns are quite different between most natural,
transcontinental and continental anthropogenic sources. On the other hand, I don't think its
likely that this (matching of percentiles) would interject a specific directional bias to the results,
as it would tend to both understate and overstate background (or human) influences, and by equal
                                          B-13

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proportions. This might logically have an effect of increasing the uncertainty bounds, but should
not shift the means or signs of the results. Maybe you could just state this differently:
"Background levels were assumed to correlate with as is concentrations.  We assigned... .in its
distribution. While this procedure would unavoidably result in mismatched combinations of
estimated background and non-background influences on a daily basis, these mismatches would
not tend to introduce an overall directional bias to the results."

P. 4-64, L. 5: change "are" to "is".

Chapter 5 is clearly written and generally follows the material presented in the CD. The
discussion of visibility includes several kinds of new material not presented in the CD, including:
EPA staff analysis of ASOS visibility vs. continuous PM2.5 (provides some additional indication
of quantitative PM visibility relationships), summarization of various economic studies and local
visibility standards (provides information on perceived adversity of visibility effects), and a
series of photographs showing urban visibility at a range of PM2.5 concentrations  (which
illustrate effects and might subsequently be employed in some sort of future "public"
determination of "unacceptable" visibility levels - and might therefore be employed to justify a
future visibility or PM secondary standard).  Some of the older cited references for the valuation
studies are not referenced in the CD, and perhaps a brief summary section could be added to the
CD for consistency.

As indicated in previous comments on the 3rd and 4th drafts of the CD (attached here for clarity),
I disagree with EPA staff position that pending new data and analyses provide a logical rationale
for postponing consideration of a secondary PM2.s standard (or "pretending" that  the current
secondary standard of 65 ug/m3 is a reasonable threshold for adverse visibility effects).

P. 5-5, L. 4-6: While this is likely a true statement, it is not really demonstrated anywhere in the
staff paper or CD.  Many previous analyses of airport visibility data have demonstrated excellent
correlations with fine particle mass or species data, especially when constrained to daylight hours
and when adjusted for RH effects.  A good example is provided in Figure 4-37 of the 4th draft
CD, based on human observer visibility, constrained to daylight hours, showing extinction
efficiency of 4 m2/g and published 25 years ago.  The ASOS data are likely of better quality and
more consistent across all hours of day and from site to site, but do not provide a logical reason
for indefinite future delay.

P. 5-11, L. 3: add "rural" before "West". Mane-made contributions are much higher than  1/3 of
total in western urban areas.

P. 5-12, L. 2: Direct optical measurements are not in fact used in "implementing air quality
management programs to improve visibility" under the regional haze regulations and guidance -
and for good reason. I wonder if EPA is trying to set up a whole new program of required
transmissometer measurements (the last thing the states want or need to hear) as an excuse to
avoid considering a fine particle standard? We already have nephelometers deployed as
continuous PM2.5 monitors and don't need new optical standards.  Fine mass is an excellent
indicator; we just need secondary standards.
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P. 5-13, L. 1-18: The discussion of East vs. West differences in the IMPROVE results is
accurate and useful. However, since these large longitudinal differences in reconstructed
extinction derived for Eastern and Western IMPROVE sites are subsequently repeated in Chapter
6 (P. 6-43, lines 20-27) as partial justification for avoiding or postponing consideration of a
secondary PM2.5 standard (with a statement in the following paragraph (line 29) that "urban
visibility remains poorly characterized at this time", I 'd like to offer several comments and
observations. Use of IMPROVE data to draw inference about differences in Eastern and
Western urban areas can be misleading, for the following reasons:
Class 1 areas are inherently remote and IMPROVE
sites are intentionally located at high elevations
within these remote areas.  The elevational
distribution of Western IMPROVE sites (west of 100
degrees long.) is substantially higher than at Eastern
sites as shown in Figure 1 (based on IMPROVE sites
and data for 2000 through 2002 extracted from
VIEWS). Two thirds of Eastern sites are below 500
meters, while a similar fraction of Western sites are
above 1000 meters.  Thus, at least some of the
East/West differences  in reconstructed extinction at
these sites may be a function of elevation rather than
longitude.
    Figure 1. Cumulative distributions of Eastern
    and Western IMPROVE sites by Elevation
       80
    S S
    E w
    GL LU

    II

    H
s
s
Figure 2. Winter PM 2.5 Mass at Eastern
and Western IMPROVE sites by Elevation
          100 250  500  1000 1500 2000 2500 3000 3500
                IMPROVE Sits Elevations (meters)
                                       Higher elevation sites are more frequently above the
                                       boundary layer, especially during the winter months,
                                       and so will tend to experience lower aerosol
                                       concentrations, as indicated for both Eastern and
                                       Western sites in Figure 2. There is also a general
                                       decrease in relative humidity with elevation, as
                                       indicated in Figure 3, especially during the summer
                                       when both mixing depths aerosol sulfate concentrations
                                       are highest.

                                                 Figure 3.  Monthly Mean RH at IMPROVE
                                                 sites, as function of Season and Elevation.
                                                    100
          IMPROVE Site Elevation (meters)

Thus, Western IMPROVE "reconstructed
extinction" estimates will tend to be lower than
Eastern estimates purely as a function of
increasing elevation and the associated decreases
in aerosol concentration and RH.
                                            B-15
I
                                                     80 -
   60
«
^ 40
   20 -
   July
y = -0.02X + 72
  R2 = 0.63
                                                       0       500     1000     1500     2000
                                                  "Representative" Elevations for Monthly RH at IMPROVE Sites (meters)

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Figure 4. East/West Rural/Urban differences in PM2.5 Mass and
Composition based on IMPROVE and EPA STN Data 2000-2003
      Rural West
                 Rural East
                           Urban West
                                      Urban East
Descending from IMPROVE
mountaintops to the lower
elevation valleys where
human populations (and cars,
trucks, woodstoves and
industries) are concentrated,
the East/West differences are
substantially diminished.
Figure 4 is based on averages
of all available IMPROVE
and (urban) EPA STN data
extracted from VIEWS for
the 3-year period 2000
through 2002.  These data
were screened to include only
days when PM2.s mass and all
major species were present,
and further limited (as a QA screen) to samples where the reconstructed mass was within + 50%
of the measured mass. While the remote IMPROVE data indicate Eastern concentrations more
than double those in the West, the urban STN data suggest much more similar concentrations.
Urban concentrations of sulfates (assumed (NH4)2SO4) and "other" (unspeciated mass - most
likely particle bound water) are higher in the East, but organic matter, EC, soil and nitrates are
higher, on average, at the western urban sites.  Thus, the effects of fine particles on urban
visibility are likely to exhibit much less variation from East to West than that indicated by the
remote IMPROVE data.

Additional exaggeration of East/West differences are related to the way in which the hygroscopic
f(RH) growth functions are applied according to the EPA regional haze regulations and
associated guidance.  A key feature of the haze regulations is that visibility protection is
considered important at all times of day in these otherwise pristine parks and wilderness areas.
Thus the hygroscopic growth functions that enhance reconstructed extinction attributed to sulfate
and nitrate compounds are based on (climatologically  derived) distributions of all RH conditions
(below 95%) that are  encountered at these sites. Because of the strongly non-linear nature of the
hygroscopic growth curve, the monthly mean f(RH) growth curves, based on a linear average of
the skewed individual combinations of RH and f(RH)  ends up heavily weighted by the most
humid hours, which tend to occur predominately ay night.  This effect is illustrated in Figure 5,
where the plotted data points compare the monthly mean RH at each IMPROVE site for the
months of January and July with the monthly mean f(RH) functions for these sites. The solid
curve is the hygroscopic growth function upon which these monthly estimates are based. The
higher f(RH) values for the monthly mean reflect the effect of this non-linear averaging. At the
Lye Brook, VT IMPROVE site, for example, the average summer (JAS) f(RH) is 3.24  and the
average RH is 74%. However,  from the f(RH)  growth curve, an f(RH) of 3.24 implies an actual
RH of 84%.  Figure 6 shows the long-term summer diurnal mean  patterns in RH and (human
observer) visual range from the Burlington,  VT airport for summer (JAS, also limited to <95%
RH). Average summer RH in VT (during periods for which precipitation and fog are eliminated
by the <95% RH screen, as they are in the haze regulations) reaches a maximum of about 80% at
           B-16

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night, but decreases to less than 60% during mid-day daylight hours, and the visual range
approximately doubles accordingly.  The f(RH) for IMPROVE reconstructed extinction, based
on 24-hour protection is thus about twice as high as that which might be employed if visibility
protection (such as from a secondary PM2.5 standard) were limited to daylight hours only (as is
the case for the Denver, Phoenix, Fraser Valley and California standards/guidelines).
    5 -
    3 -
        . Regional Haze Regs Hygroscopic Growth Functions
Solid Line is EPA RRH) curve for (NH4J2S04 &nd NH4N03.
Pasted points compart monthly m&an RH vs. ?ncin1tilyf(RH;|
fof ail l^FROVE sites Tor Jtouaiyand Ju2y, and
Circled paint is f(RH) of 324 •» average summer f(RHJ
fof LYER W wtwe average summer RH is 74% but
*i*&re Implied RH Is 84% (affect #T hon4in*ar averaging).
                                            Figure 6. Burlington, VT Summer RH and Visual Range
                                                  100 T
                                                  80 --
                                                B 60 -
                                                  40 -
                                                  20 --
                                                                                 T 50
                                                                                        -- 40
                                                                                        -- 30
                                                                                        -- 20
                                                                                        -- 10
                                                        (Note: Data screened to remove RH > 95%, and
                                                        Airport VR probably underestated by about 50%)
      0   10   20  30  40  50  *
                      RH{%)
                               70  80   90  100
                                                      Hour of Day (Summer 1985-91)
If a secondary fine particle standard for visibility protection were limited to (6 or 8) daylight
hours only, the net effect is to basically dry out the aerosol - or rather consider it only during the
driest period of the day.  This would tend to substantially reduce the East/West differences, and
would also substantially tighten the PM2.5 / visibility relationship.  The difference between PM^
mass and light extinction lies almost entirely in the water present in ambient aerosols which is
deliberately removed when we dry our FRM filters to 40% RH.  This effect can be illustrated by
comparing the fine mass/ extinction relationships in Figures 6 and 7.  Figure 6 is based on all
IMPROVE data, 2000-2003, screened to include samples where reconstructed mass was within +
50% of measured mass, and using the EPA monthly mean f(RH) functions. Figure 7 is based on
the same aerosol data but includes f(RH) for assumed daylight-only conditions.
   Figure 6. IMPROVE Reconstructed
   extinction vs. mass using 24-hr f(RH)
   500 T
   400 -
   300 -
   200 -
   100
                                                Figure 7. Reconstructed extinction vs. mass
                                                using "Daytime" RH (45% west, 60% East)
                                                   500 T
                                                          400 -
                                                         E
                                                         I
                                                          200 -
                               y = 6.4x
                               R2 = 0.85
                                                                                 y = 4.3x
                                                                                 R2 = 0.92
            20     40     60    80
             Measured PM2 5 Mass (ug/m3)
                                    100
                                                            20      40     60      80
                                                              Measured PM2 5 Mass (ug/m3)
                                                                                             100
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Even with the EPA monthly mean (and heavily nighttime influenced) f(RH) growth functions, a
strong, fundamental extinction/mass relationship is clearly evident, and could be expressed as
bext = 6.4 + 3 x PM 2.5 mass, where 6.4 is the implied extinction efficiency of dry fine particles to
wet ambient fine (and coarse) particle extinction in units of m2/g, and would be decreased to 6.0
if the effect of coarse particles were removed). The higher extinction efficiencies (>8 m2/g) are
predominately from humid, high sulfate Eastern sites, and the lowest efficiencies (< 4 m2/g) are
predominately from arid Southwestern sites. Using "daytime-only" f(RH), based on assumed
mid-day RH of 45%  in the West and 60% in the East, the extinction/mass ratio decreases and
                                           0           0
tightens to a more constant value of about 4 m /g and the R increases from 0.85 to 0.92.
A similar fine mass extinction efficiency of
about 4 m2/g is obtained when IMPROVE
reconstructed extinction formulae are
applied to the urban EPA STN data, and
when f(RH) functions are based on assumed
mid-day humidity levels of 45% in the West
and 60% in the East. With this daytime-only
constraint, the differences between Eastern
and Western urban sites are substantially
reduced and the bext/PM2.5 relationship
tightens. It might also be noted that this
relationship of 4 m2/g was also indicated in
Figure 4-37 of the 4th draft CD, based on
daytime-only data, published 30 years ago.
Another 5 to 10 years to further study the
new ASOS data is not likely to change or
improve this relationship.
Figure 8. Reconstructed extinction vs. mass at STN sites
using assumed daytime RH of 45% West and 60% East
  800 -,
  700 -
  600 -
  500 -
  400 -
  300 -
8 200 -
  100 -
East at 60% RH
  y = 4.2x
  R2 = 0.91
                  West at 45% RH
                    y = 3.9x
                    R2 = 0.95
                       Overall  y = 4.1x, R2 = 0.92
              50
                       100
                                150
                                         200
                                                           Measured Pft/h 5 Mass (ug/mj;
As indicated earlier, the 3 local visibility standards summarized in the CD are all based on
daytime-only observations. In addition to minimizing effects of fog, mist (heavily hydrated
hygroscopic aerosol) and other natural influences that may cause or interact with pollutants to
impair visibility, there are other logical reasons to consider a daytime-only averaging time for a
secondary visibility standard. Nighttime visibility is less important in urban areas. Unlike
wilderness areas, there are fewer campers sleeping out under the stars and urban light pollution
substantially diminishes urban views of distant objects. Its dark, there's not much to see except
lights, and most of us are indoors with our eyes closed and asleep. A sub-daily secondary
standard would also focus more attention on the quality of continuous hourly data, which are
currently adjusted to be FRM-like only on the basis of their aggregated 24-hour totals, while the
quality of the hourly data remains unclear. If "boiling off of volatile organics  and nitrates
results in a substantial FRM adjustment during the cooler seasons, it is probable that a seasonal
adjustment would tend to under-adjust the hourly data at night and during the AM rush hour
(maximum volatiles) and over-adjust the mid-day  data when  volatile losses are  least (and/or
when non-volatile sulfate concentrations are highest).  Such errors could have direct implications
for mischaracterizing short-term health effects from specific  source categories.  Thus a sub-daily
secondary standard would both focus on the time periods when hourly data are  most accurate and
also cause needed scrutiny of the continuous data during other parts of the 24-hour day.
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                                                        WILMINGTON DE NEW CASTLE COUNTY APRT
P. 5-14, L. 5: "diesel" could be changed to "motor vehicle" (as urban gasoline vehicles also
contribute to all of the above).

P. 5-14, L. 16: could change to ".. .these truncated data are not ideal..." (they are still quite
useful during severe events when VR < 10 miles.
                                                   Figure 9. RH screening and RH adjustments
P 5-15, L. 20-22: I would think comparisons         of ASOS Visibility data from Husar (2002)
between ASOS and continuous PM2.5 would be a
much more useful future exercise than proposed
comparison with (daily) STN (assuming EPA
actually had an interest in a secondary PM2.5
standard). Such comparisons might also employ
some of the ASOS QA, RH screening and RH
adjustment methods used by Husar in the NOAA
report I cited in last CD comments (Husar, R.B.
(2002) Evaluation of the ASOS Light Scattering
Network, Final Report to J. F. Meagher, NOAA
Aeronomy Laboratory R/AL, Boulder Colorado.).
Also (as evidenced in attached figure from that
report) the need for RH screening  and adjustment
would be substantially minimized if the
comparison were limited to the hourly data from
daylight hours only (not that this future analysis is
a necessary precondition to considering a
secondary standard).
                                                     0.9
                                                     0.8
                                                     0.7
                                                     0.6
                                                     0.5
                                                     0.4
                                                     0.3
                                                     0.2
                                                     0.1
                                                     0.0
                                                                    Dry Bext
                                                      Jun   3hr   6hr  9hr  12hr  15hr  18hr  21 hr
                                                   — Bext
                                                            — Bext <90
                                                                        Bext RH
                                                                               — RH
Figure 10. Comparative Hygroscopic Growth
Functions for sulfate compounds & fine mass
   4.00
   3.00 -
   2.00 -
   1.00 -
        — NH4HSO4, Malm (1997))
        — EPA, sulfates, nitrates (2000)
        — Husar, ASOS (2002)	
                                         The "RH correction factor" employed in the Husar
                                         (2002) evaluation of ASOS data, empirically
                                         derived for the specific purpose of relating ASOS
                                       bext to PM2 5 mass is reproduced in Figure 10, along
                                       with the EPA f(RH) curve recommended (for
                                       ammonium sulfate and ammonium nitrate) in the
                                       regional haze guidance, as well as a similar curve from
                                       Malm (1997) for more acidic ammonium bisulfate.
                                       Compared to the EPA curve, the water uptake is
                                       slightly more rapid for the more acidic species and
                                       slightly less for Husar's generic ASOS curve. But
                                       Husar's  curve was developed for the specific purpose
                                       of "drying" the ASOS visibility data for comparison
                                       with nearby continuous fine mass data (also  artificially
                                       dried), without regard to chemical aerosol
composition. This provided the "best fit", and in light of the excellent adjusted bext vs fine mass
relationships at sites throughout the country (submitted in my comments on the 4th draft CD)
provides additional evidence of the strength of the PM bext/PM2.5 relationship. When (or if)
future EPA ASOS analyses are conducted, some of the things we will learn are that many of the
ASOS sensors are poorly calibrated and maintained, that there  are numerous errors in the data
   0.00
         10  20
               30  40  50  60
               Relative Humidity (%)
                             70  80  90
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archival process, and that the ASOS "Belfort model 6220 forward scatter visibility meter" does
not respond to effects from back-scattered light - and so differs, sometimes strongly from what
the human eye might perceive. Hence, NOAA warns pilots that "If conditions are bright enough
for a pilot or a controller to use sunglasses, you can expect the automated systems to report
visibility approximately twice what the human eye perceives. If an ASOS observation reports a 4
mile visibility, you can expect a report of around 2 miles by a human observer."
(http://www.nws.noaa.gov/asos/vsby.htm). What we will not learn is that there is some new,
previously unknown relationship between fine particles and visibility.  That relationship was
well established > 30 years ago.

P. 5-16, Fig. 5-2:  Note that the relative absence of any relationship with longitude provides
additional support to my argument that east/west differences in urban VR/PM relationships are
not as large as for remote sites.

P. 5-17, Fig. 5-4:1 suspect that the "Diagonal line indicates (the 1:1 line, not) the regression
line".

P. 5-21, L. 13-19: In addition to these summarized visibility standards, you could also add a
Vermont State visibility standard, which was adopted in 1985 and expressed as a summer
seasonal sulfate standard of 2 ug/m3.  This standard was established to  represent "reasonable
progress toward attaining the congressional visibility goal for the class 1 Lye Brook National
Wilderness Area, and applied there and also to all other areas of the state with elevations > 2500
ft. At that time, average VT summer sulfate levels were about 4 ug/m3, and attaining that
standard (assuming other pollutants remained the same) would have increased visual range from
40 to 50 km.  You might also mention here that the Lake Tahoe standard is an 8-hour standard,
constrained to RH < 70%,  and equal to 30 miles (48 km). Thus there are 2 additional areas (in
addition to Denver,  Phoenix and Fraser Valley) where visual range < about 50 km has been
locally judged to be unacceptably adverse.  At a (daytime) fine particle extinction efficiency of
4m2/g, this visual range translates to a PM2.5 concentration of 17 ug/m3 (or a bit lower if small
effects from coarse particles and NO2 absorption were also considered). Thus there is very
strong convergence about a judged level  of adverse visibility at about the level of the current
annual PM2.5 standard, but applied to  much shorter 8-hour (6-hour in Phoenix) daylight
averaging times.

P. 5-29, Figs. 5-26 and 5-28: I note that there is no Fig 5-27 and suggest that you include one
with (much) lower PM concentration. Else you tend to give the impression that (EPA's arbitrary
judgment  of) a potential secondary standard might lie somewhere between 30 and 65 ug/m3 (2 to
4 times higher than the equivalent levels already determined in Denver, Phoenix, Fraser Valley,
Lake Tahoe and VT).

P. 5-29, L. 15-16: ".. .EPA hopes to pursue [a more extensive photographic visibility valuation
survey] in the future [although it has committed no resources] to help inform  the next periodic
review of the PM secondary standards".  This (and the future ASOS research excuse) sounds
mighty similar to EPA's optimistic claim of 25 years ago that "recently initiated research
efforts.. .and progress in evaluating visibility values could provide support for a decision on the
desirability of [a secondary fine particle] standard by 1982 or 1983" (EPA 1979 Report to
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Congress on Visibility). If or when EPA commits the resources to such future studies, I think
they could be informative - and might lead to refinements to a secondary standard, but the nature
of scientific enquiry (even for "the dismal science" of economics) is such that there will always
be ideas for future research. There is no air pollution/effect relationship that is currently
understood nearly so well as the relationship between fine particles and visibility, and there is no
standard nearly as inadequate as the current secondary short-term PM2 5 standard to protect
against effects which are clearly adverse at the level of that standard.

Rather than another 25 years of (unfunded) research, I strongly recommend EPA consider
proposing a short-term, daylight-only, secondary PM2 5 standard. Evoking (from 1st page of my
general comments) Karen Martin's logic for the PM coarse standard (that no action is equivalent
to endorsing the PMi0 status quo) and Mort Lippmann's suggestion that in  consideration  of the
(PM-coarse/health effect) uncertainties a standard might be set at a somewhat lenient level, I
suggest considering a secondary PM2 5 standard in the range of 25 to 35 ug/m3.  This would
equate to a visual range of about 25 to 35 km and would be about twice as stringent as the
current 24-hour standard (and/or the 50 ug/m3 upper range of proposed lowered primary short-
term standard) and twice as lenient as the implied level of PM2.5 at the many cited locations
where a visual range  of less than 50 km has been judged to be adverse (and 10 or more times
more lenient than the implied level required over time for protected class 1 areas).  It would also
be consistent with EPA's observation on P. 6-45, lines 1-3 that "appreciable improvement in the
visual clarity of the scenic views.. .occurs at concentrations toward the lower end [30 ug/m3, 24-
hour] of the staff-recommended range of consideration for the 24-hour PM25 standards" and
(lines 7-10) that "revisions to the primary  standards... would afford greater visibility protection,
especially toward the lower end of the staff-recommended changes for the primary standards."
In other words, staff accepts that a standard toward the upper end (45-50 ug/m3) of the proposed
short-term primary standard would not afford much in the way of visibility protection.

Uncertainties may (and will likely always) persist regarding a precise level of visibility
impairment considered adverse by different observers under different lighting conditions for
different scenes, at different locations, but those uncertainties are of a much different nature than
those which relate to  primary health effects, in that a direct causal mechanism is clearly
understood and, for all practical purposes, there is (almost) no lower bound PM2.5 concentration
at which a PM change will not result  in a perceptible change in visual air quality. But this true
"no threshold" is not  a logical reason for no standard.  Substantially greater uncertainties (or
flexibilities) are introduced by (EPA discretionary) variables like the compliance metrics,
compliance dates, and implementation schedules associated with any secondary  (or primary)
standards.

One final point (whew) and associated recommendation that I want to raise in regard to a
suggested focus on daylight-only (6 or 8 hours), is that it may well be a more stable metric, and
not necessarily a more stringent metric than a 24-hour average (see Figure  11 for example), as it
would tend to avoid the extreme and variably high concentrations that tend most frequently to
occur over night and  in the early morning hours. I think it would be a relatively simple data
processing exercise for EPA (especially since it currently has relatively unique access to AQS
data) to develop some comparative evaluations based on available continuous PM2.5  data. A few
different definitions of daylight-only  could be selected, and calculations could be made at
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multiple sites for the frequency at which various thresholds (say 15, 20, 25,.. .65ug/m3) would be
exceeded. I'm not sure whether these should be based on "FRM-adjusted" or "non-adjusted" data
(maybe both). An example of this kind of analysis (from an older batch of continuous data I
extracted a few years ago, quality or adjustment status unclear to me) is displayed as Figure 12.  I
think this kind of data exercise could be helpful to EPA (and others) in considering an
appropriate level of a secondary standard (and for other reasons), and that it could also be done
fairly quickly.
  Figure 11. Example Average Diurnal PM2.s
  concentrations at selected urban sites
  1333  2hr  4hr  6hr  8hr 10hr  12hr 14hr  16hr  18hr 20hr  22hr

 =88101 868731089 SAN DIEGO — =88101 378518009 FAYETTEVI

 =88101 390618040 CINCINNAT - - =88101 130338004 PENSACOL

 =88101 470370023 NASHVILLE — =88101 202090021 KANSAS Cl

 =88101 420958080 EASTON \- -'- =88101 250258042 BOSTON I
Figure 12. Example suggested EPA Analysis
of Alternate 8-hour daylight PM2.5
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-^- Seattle, WA
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Brownsville, TX
Palm Beach, FL
























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                                                      65  60  55  50  45  40  35  30  25  20  15
                                                        8-Hr Daylight (unadjusted) PM2 5 Threshold (ug/m3)
Note that there appears to be a fairly distinct "inflection point" or shift in the curves in Figure 12
in the range of 25 to 35 ug/m3 where a change in threshold represents a large change in the
frequency of exceedance. A more detailed evaluation of the currently available continuous PM2.5
data would put EPA in a good position to carefully consider options for both the level and
compliance metrics for a secondary standard.

Chapter 6 is generally clearly written and the recommended ranges for revised standards seem
well justified. A few exceptions include:

P. 6-4, L. 27-29: ".. .newly available short-term exposure studies that provide evidence of...
associations with PM2.5 in areas with air quality below the annual standard..." Yet despite
indications of short-term effects, EPA continues to advocate the annual standard as a "controlling
standard".  There is bound to be conflict between annual and short-term standards if it is also
required that the annual standard always be more stringent, and this "logic" would appear to
preclude the possibility of a short-term standard set toward the lower end of the recommended
                                            B-22

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30-50 ug/m3 range (and therefore also preclude revisions to the primary short-term standard that
would offer any protection against adverse visibility effects).

P. 6-21, L. 6-14: Although there may be some benefits to spatial averaging, providing the
(currently available) option of using it or not for compliance determination is equivalent to
offering a choice among alternative standards. Possibly EPA could conduct some analyses that
would allow spatial averaging but with a somewhat stricter compliance metric (say 99th
percentile for 24-hr, or 15+1 for annual) that would make a spatially averaged compliance metric
more "equivalent" to the highest monitor alternative.

P. 6-40, L. 15-16: This recommended range of 30 to 13 (and  subsequent range of 75-30 short-
term) for PMio-2.5 is so broad that it may fail to provide useful information to the Administrator.
Possibly in future drafts this range could be described as one for which some justification could
be provided within these extremes.  But for a staff "recommendation", a smaller range would
seem appropriate. I have no opinion on what that range should be, but don't think the
justification for the low end(s) is especially strong.

PP 6-41-44: As previously suggested (a few times) I disagree with the avoidance of considering
a secondary PM2.5 standard, and hope EPA will reconsider. Two statements that seem illogical
or contradictory (or I don't understand them) are:

P. 6-41, L. 26-28: (In  1977), "EPA determined that an approach that combined national
secondary standards with a regional haze program was the most appropriate way to address
visibility impairment". Good idea; we now (finally as of 1999) have a regional haze program but
not the secondary standards. In fact, the promulgation of the regional haze regulations removes
an important previous obstacle in establishing a secondary standard, as it "covers" the class I
area requirements and therefore "frees" the secondary standard to be applicable (or
"controlling") only in non-class I areas.

P. 6-43, L. 11-14: "staff continues to conclude that PM,  especially in the fine fraction, produces
adverse visibility effects in various locations across the country, and that addressing visibility
impairment solely through setting more stringent national secondary standards would not be
appropriate." Is staff suggesting that a new secondary standard to address some of these
"adverse visibility effects in various locations across the country" would somehow require a
repeal  of the regional haze regulations? If not, then where does the "solely" come from?  I don't
get this logic, and have also offered previous comments on what I think are flaws in the
"justification for no action" bullets that follow on lines 20-27 and 28-34 and P. 6-45, L. 1-3.  I
also question the P-6-45, L. 13-14 position (excuse) that "local programs continue(s) to be an
effective and appropriate approach..." Such local programs are always an option for additional
levels of visibility improvement, but only in locations like Denver, Phoenix, Fraser Valley and
Lake Tahoe where local emissions cause a substantial fraction of the local impairment.
                                          B-23

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Attachments: Figures and Associated Text from Comments on 3rd and 4th Draft PM CD
                                                                    .rd
1. Illustrations of Impaired Visibility from Supplemental Comments on 3   Draft PM CD:
Since visibility impairment is an instantaneous effect of PM (and gases and weather) and since
the anthropogenic effects are dominated by effects on light scattering and absorption by fine
particles, short-term relationships between PM2 5 and visibility would appear to provide the most
logical basis for considering a secondary PM standard. A 24-hour averaging time might be
appropriate (especially since few comparative PM and extinction data are currently available to
consider shorter averaging times).  Since the current primary 24-hour PM 2.5 standard of 65
ug/m3,  98th percentile is both rarely exceeded and extremely hazy, it can be argued that virtually
the entire distribution of adverse PM 2.5 effects on visibility lies beneath the level of "protection"
provided by the current standard. An example of this is shown below in the 3 PM CAMNET
photo from Burlington, VT during the recent 7/7/02  Quebec forest fire transport event. Peak
hourly  PM2 5 exceeded 100 ug/m3 and minimum airport ASOS visibility was in the range of 2 to
3 miles, but 24-hour PM2.5 concentrations were less than 65 ug/m3.
                      This is not a PM75 Exceedance Day!
                                           Burlington VT PMj4 717FQ2
                                           FRIYI:61,4ug/m3
                                           Duplicate FRM; 62.6 ug/m*
                                           CAMM 24-hr mean: 61.9 ug/m3
A second illustration below shows a similar effect on visual air quality in Boston, MA during a
regional fine particle sulfate episode centered on July 16-17, 1999. The CAMNET photo is from
5 PM on 7/16/99 when hourly PM2.5 concentrations from nearby Roxbury, MA and HSPS were
averaging about 50 ug/m3, with daily mean concentrations of about 40 ug/m3, increasing to about
50 ug/m3 on the following day. No exceedances of the 24-hour PM 2.5 were recorded in New
England during this event, yet peak hourly extinction data from sites like the Great Gulf, NH
IMPROVE nephelometer, and Burlington, VT and Martha's Vineyard, MA Airport ASOS were
in the range of 400 to 800 Mm"1 - an implied visual range of about 3 to 6 miles.
                                         B-24

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                     July 16-17/1999 Sulfate Episode was
                     not a PM-2.5 Exceedance in Boston
Beyond the aesthetic effects of such haze episodes, there are also potential impacts on airport
operations and aviation safety. NWS ASOS currently report visual range of 10 miles (roughly
equivalent to 30 deciviews and quite hazy) or greater as a single "unlimited visibility" category,
but provide higher resolution information when visibility is "limited" to  less than 10 miles.
"Haze" is reported at 7 miles or less. "Visual flight rules" (VFR) apply at 5 miles or greater,
"marginal visual flight rules" (MVFR) at 3 to 5 miles, and "instrument meteorological
conditions" apply at less than 3 miles. In an analysis of 1990-1997 general aviation accidents in
the NTSB database, Goh and Wiegmann (1991) noted that while only 2.5% of reported accidents
(about 50 per year) involved transition from VFR to IFC conditions, 72% of those VFR to IFC
accidents were fatal, compared to a 17% fatality rate for aviation accidents overall. The 7/16/99
fatal crash which took the lives of JFK Jr and passengers occurred 4 hours after the above Boston
CAMNET photo was taken. Other pilots in the area reported extremely poor visibilities in the
range of 2 to 4 miles, although ASOS reports all along the flight path indicated "visual flight
rule" conditions (> 5 miles), and the weather observer at nearby Martha's Vineyard estimated >
10 mile visibility a few hours earlier. Hence impaired visibility (identified as a key contributing
factor in the NTSB review of this accident), can have adverse consequences even when "visual
flight rules" apply.
                                         B-25

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2. Illustrations of RH-Adjusted bext vs. PM2.5 Mass from Comments on 4th Draft PM CD
The following figure, taken from a recent evaluation of (raw, uncensored) ASOS visibility data
by R. B.Husar compares "humidity-adjusted" light extinction with continuous PM2.5 mass
measurements for 6 sites in different regions (which presumably have different aerosol
compositions).   The RH adjustment involved screening out periods of humidity > 90% and then
applying a generic (inverse) f(RH) function - based on an assumption of consistent
hygroscopicity in the aerosol mix at all sites. The PM2.5 data are not collocated, merely in the
same urban areas, yet the correspondence is remarkably strong at all sites.
            Comparisons of (Humidity Adjusted) ASOS Visibility data and "nearby" Continuous PM-2.5 Mass

                from: Evaluation of the ASOS Light Scattering Network, Progress Report, May 2002,
               Submitted by R. B. Husar, CAPITA to James F. Meagher, NOAA Aeronomy Laboratory
 11
                                                                                         Islip, NY
     Jul 2  3 4 5 S 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31

             PM25 42Q9580DO EASTON Odd =Bext1 ALLEItfrGWTJ PA LEHK
                                             Jul 2 3  4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 2S 30 31

                                                     PM25 361030009 HOLTSV1LLE — =Be«1 ISLiP NY LONG ISLANI
                                                              1 8 9 10 11 12 13 14 15 16 17 18 19 20 21 11 23 24 25 26 11 28 2S 30 31

                                                              PM25 261610008 YPSILAWTI 0 — =Be*t1 TOLEDO OH TOLEDO
3 J 5 6 7 8 9 50 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 3

     PM25 191532520 DES MOINEf	 =Bext1 DES MOINES IA INTER
                                                           5 6 7 8 9 10 11 (2 13 14 15 16 17 18 19 20 21 22 23 24 25 28 27 28 29 30 31

                                                              PM25 260810020 GRAND RAP — =Bexl? GRAND RAPIDS Ml GE
                                               B-26

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                                  Dr. Frank Speizer




                            MEMORANDUM

To: Fred Butterfield

From:  Frank Speizer

Subject:  Comments on First Draft of Staff Paper dated August 2003

Date: November 21, 2003

       Although I was one of the first to comment that putting out a first draft before the CD
was finished was a mistake, I must say that I was pleasantly pleased as to how well the
discussion of this draft went at our meeting in RTF 10 days or so ago. In general I thought the
discussion was helpful and I certainly came away with the thought that the next revision will be
all the better for it.
       I have several specific comments, many of which were handled at the meeting, which are
presented below, but I wanted to make some general comments first that Staff will need to take
into account as they proceed to respond to both the comment made by committee members as
well as from the public commentary.
       First there is a  significant difference between heterogeneity and variability in assessing
results across study sites as well as by study design.  The fact that results do not appear to be
uniformly consistent is probably a strength in the data rather than a weakness. (For a thorough
discussion of this see Savitz's new book Interpreting Epidemiological Data, 2003). Because
these studies are done  with variable degrees of like data sources one expects variable results. It
is also inappropriate to selectively assess studies of multiple cities to pull out communities that
are positive or negative to make specific points when these studies were  not designed to be
analyzed in this fashion.
       I also think it is important not to simple forget all that came before the last 5 years, but
also not to be suggesting that we have learned nothing new in this last cycle of 5 years and
forcibly be wedded to  explaining where we were 5 years ago. There may be a bit of revisionist
history to say that we had effectively summarized the committee position 5 years ago with the
George Wolff chart, when in fact that chart was imposed on the committee by the chairman's
leadership, and as I recall there was considerable uncertainly in first completing the chart and
certainly there was not a uniform agreement as to how it would be used.  Finally, significant
progress in both methods and analyses have been completed in the last 5 years, which overall
have leant further credence to the previously findings that were criticized and thus have move the
bar, albeit not all the way, along the continuum toward less uncertainty, particularly for PM 2.5.
As  discussed there were acceptable data for PM 10 five years ago,  and therefore in moving to a
PM 10-2.5 we must keep in mind that it must take into account the previous data and not be
judged solely on the basis of what all would agree is a limited measured  10-2.5 data base.
                                          B-27

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Specific Comments

Chapter 2
       Additional discussion might also be included in table 2.2 with regard to course fraction in
that by sizing the course fraction as >1.0 um may lead to confusion when discussion turns to PM
10-2.5.
       I think additional discussion of ultrafme particles is needed. This needs to be described
where measurements have been made, particularly in association with ambient PM
measurements.  This is particularly important as background to the discussion on pp 2.59-61
where discussion of relative penetration indoors of PM of ambient origin takes place.  The lack
of data, if this is the case, should be specified.
       A good example of where this is necessary is on page 2.61, line 24 where it is stated light
absorption from black carbon is relatively small component of PM ....  This might be true by
mass but may not be true by number and I suspect we just do not have sufficient data to be sure.

Chapter 3
       Table 3.1==Consider expanding to include column which identifies cellular, animal, and
human data with indication of multiple sources.  Alternatively, consider columns that expand to
include sources of data as basic science, toxicological (animal and human), and epidemiological.
       Although on page 3.14 the authors indicate that some 80 time-series studies are reported
the numbers alone are not important.  Enough have been done. However, looking at table 3.2 it
is clear that none of the PM10-2.5 are significantly different from null and this will become a
problem. Argument on page 3.29 and Figure 3.6 is weak for PM 10-2.5. Conclusion from data
not justified.  Will need to see revisions in CD.
(Mort Lippmann' s suggestion of dealing with this lack of data by making regional specific
adjustments to PM 10 is a good one, and certainly if carried out will make me more comfortable
that there will be sufficient data to come up with a range of effects for course particles).   Section
3.31 essentially discusses total  mortality, covers particle size and concludes on life shortening.
Seems weak mostly because introduces role of infant mortality, the data of which are weak at
best.
A RANDOM THOUGHT:   Discussion points out the lack of consistency in the PM10-2.5 data
but really it are  a lack of data mostly. Facts are that we see consistency and coherent data for
PM10 and PM2.5 and only consistent data for respiratory effects for PM10-2.5.  What does it
mean? Lack of studies or all really effects of fine, since PM10 contains fine.  PM2.5 contains
fine and PM10-2.5 does not. Not prepared to conclude on PM10-2.5 at this point in time.
However, by  following thorough on Mort's suggestion may actually have sufficient data.  Need
for a better meta analysis on page 3.52 rather than vague statement "less frequently statistically
significant ...."

Chapter 4
       Page 4.13, lines 8-15:  In Chapter 4 discussion of important parameters of outcomes not
clear where asthma exacerbations are counted.  ER visits may b e more important (and more
easily counted)  than respiratory symptoms. Not clear that should leave out AHSMOG and
Veterans' Study. May need to specify limitations.
       Concern that presentation of sensitivity analysis uses too high levels of PM2.5  for
background.  Given the range of measured as is. Where as the presentation of up to 30ug/m3
                                          B-28

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results in substantial reductions in risk estimates and narrower (and more realistic range of
backgrounds) would suggest not much savings over getting to background and would negate the
argument as to whether there is a threshold level.

Will be interesting as to how next draft of SP deals with this for PM10-2.5, given little real data.

Chapter 5
      Very little discussion of size distribution of particles.  This needs to be explored by those
in the know as I can imagine that source of particles may make some more corrosive than others.

Chapter 6
      Page 6.17 Need to consider adding the changing demography of the population.  With
increasing numbers of older people more people with health problems and therefore greater
numbers of "susceptible groups" that will mean greater numbers of ER visits, admission  and
eventually greater morbidity and mortality attributable to pollutants at existing levels.

      Page 6.27 I do not understand why "staff now concludes that PM10 is not an appropriate
indicator for such a standard" This seems to have been a court decision rather than a scientific or
risk assessment decision.
      Need to have some data on proportion of PM10 is really PM10-2.5 and just how regional
this proportion is. Would like to have figure that follows table 6.2 that gives proportion of PM10
thatisPM10-2.5.
      Need to raise discussion on page 6.51 on what happens to soiling from PM10 if we drop
toPM10-2.5.
       Summary table in appendix impressive in the lack of significant effects in the PM10-2.5.
However. This does not mean that we do not need a course particle standard.
      I suspect  the actual number range will become clearer in next draft.
                                          B-29

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                              Dr. George E. Taylor, Jr.
                                  Review Comments
                          OAQPS Staff Paper - First Draft

                                     George Taylor
                              Professor and Associate Dean
                            School of Computational  Sciences
                                George Mason University
                                    Fairfax, Virginia

                                   16 November 2003
This review is limited to major issues of concern. There are numerous issues that will be self
correcting with editorial attention in the future, and none of these are outlined.

                                Introduction (Chapter 1)

1.3 Approach. This section is not adequate from my perspective.  The discussion is really on
objectives rather than a lucid and articulate statement of the risk assessment approach. This
should be a major part of the game plan to lay out the approach to risk assessment for human
health and ecology (common ground of a general risk assessment) and then to allow the separate
sections to discuss the specifics of the approach for each (human health and ecology/natural
resources). This omission is  a major concern.

There is no mention of the parallel section to that of human health risk assessment to that for
ecology and natural resources; I trust this was an oversight. I would recommend that a separate
statement be added to emphasize this approach.

                         Air Quality Characterization (Chapter 2)

This chapter presents information on air quality with respect to human health, climate and
visibility.

It seems odd that there is no effort to link the air quality herein with ecology and natural
resources. Is it that there is no interest in doing so within the Agency or is it that the ecological
community at the  Agency does not converse with the air chemistry group. As above, this is a
serious omission.

In section 2.5, there is discussion of the utility of using "regions" for analysis of trends and these
are shown in Figure 2.3. There is a statement made about the value of using these regions. What
data do you have that argues that the selection of boundaries is any better or worse than another?
Many of the boundaries are strictly geometrical and do not appear to have a consistent
                                         B-30

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biogeographical or climatological underpinning. For example, is the Northwest really inclusive
of the broad geographical and climatologically dissimilar landscapes? Certainly the onshore
flow on the Washington coast produces a far different background PM than that in Montana.

                       Characterization of Health Risks (Chapter 4)

This section provides a nice "game plan" for how the risk to human health is to be approached
from a methodological  standpoint. The chapter has generality and specificity, and the
combination of the two is very helpful in helping the reader appreciate how the analysis is to
proceed. I commend the Agency on using this approach and clearly articulating the protocol.

This chapter stands in marked contrast to the effort devoted to ecology/natural  resources. The
same approached used two decades ago for ecology/natural resources is used in this draft. This
fails to capture the quality of ecological risk assessment that is state-of-the-art in ecology and the
Staff Paper suffers from this omission.

                Characterization of PM Related Welfare Effects (Chapter 5)

This chapter has many shortcomings that follow from the deficiencies of the CD that underpins
this chapter. Some of the shortcomings can not be rectified, but it would be best not to
perpetuate some of the  shortcomings that are liabilities. Most of these have been discussed
previously, but most have been rejected by the Agency  without comment.

Lack of Focus. The majority of the CD focused on issues that were not relevant to the issue of
PM, and the document failed to clearly articulate this shortcoming.  To the casual reader or
someone without knowledge of the PM in ecology/natural resources, one might arrive at the
conclusion that PM is a serious concern in the community of ecologists/natural resource
managers. If the CD had been focused on truly PM, the effort would have been abbreviated, less
sensational and absent of an environmental, philosophical basis for the argument.

Many of these issues continue to sacrifice the staff paper and again the uninformed is left without
a sense of what the science is and what the uncertainties are.

Risk Model/Protocol. The new generation of ecology has adopted a risk based  approach to
assessing how stressors affect ecosystems (natural and human dominated).  This same protocol
underpins all of the human health section in the Staff Paper, and it provides a structure and
framework for the analysis. There is no parallel structure in the  CD for ecology/natural
resources and that same shortcoming is perpetuated in the Staff Paper.

It is time for the Agency to step into the new science of ecology. Any further delay perpetuates
the idea that ecology remains a staid science, unable to  adopt new methodologies.

What is more frustrating is the commitment from the Agency to rectify this problem and to date
the Agency has superficially addressed the issue or has  done so in a patronizing manner (see
later concern)
                                          B-31

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References.  This is a serious problem with the CD and now with the staff paper. It is
recommended that the authors adopt the norms for the professional scientist.  There are no other
acceptable norms that should be considered. This issue has been raised before in the CD but is
not recurrent in the Staff Paper.

There is a new concern that comes solely from the Staff paper. There is a common method to
simply reference the CD on conclusions. These conclusions are appropriate but oftentimes the
conclusions  are from the open literature.  The indirect citation approach fails to recognize the
contribution of scientists whose idea was original and published in the open literature..  I would
encourage recognition of key conclusions that are the unique contributions of scientists outside
of the Agency.  For those that are solely from the CD, it is fine to show the CD as the source of
the conclusion.

In a parallel  vein, there are some conclusions that are ascribed to the CD and then others are
ascribed to the open literature.  Is there a distinction to this dissimilar  system  of referencing?

Philosophy.  As an outgrowth of the CD, this chapter perpetuates the idea that there is a concern
for PM effects on ecology/natural resources. If you were to counsel the community of
ecologists/natural resource managers, it is doubtful if many would even have  any concern for
PM. I do  not follow that argument and the  staff paper is ill equipped to address the issue of risk.
Is it possible that the CD and Staff Paper are both developed from a philosophical position rather
than a position of science? This might explain why the CD and Staff Paper seem to misrepresent
the science.  I would encourage the Agency to adopt an open science basis for its assessment;
and if philosophy is the underpinning, that philosophy needs to be expunged.

Opportunity Missed. It has been argued several times that the current effort on PM was an
opportunity missed. As the science of risk has marched forward in the discipline of
ecology/natural resources, the Agency has remained stuck with its ad hoc approach for the CD
and Staff Paper as it used three decades before.  This round of the CD and Staff Paper were an
opportunity missed to develop and apply and test the risk approach to air quality and
ecology/natural resources.

Ingredients of a Risk Assessment.  These are the essential ingredients of a risk based approach:

    >  Problem Formulation/Objective (clear articulation)
    >  Exposure Analysis
    >  Exposure-Response Analysis.

None of these aspects are addressed in the CD or the Staff Paper as it relates to ecology/natural
resources. It is striking that the human health staff effort adopts this risk assessment approach
and does a laudable job in developing the data, analysis and conclusions. The process and
methodology is open to all.

Secondary Standard. The secondary standard is proposed to mirror that of the primary standard.
There are  no data to support that position. The Agency can not proceed with  that
                                          B-32

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recommendation without conducting a risk assessment.  This conclusion is more based on the
philosophy than the tenets of environmental science.

PM, Ecosystems and Vegetation. This is the basic focus of the Chapter. I am not quite sure that
the exclusive focus on ecosystems and vegetation is appropriate as there are many other missing
"components" in ecosystems.  For example, where do microbes come into play? These are
discussed but are not subsumed under this titling.  Equally notable is the disparity in human
health and the section on ecology. I would argue that if human health is having that much of an
effect on human health that wildlife must also be affected, simply by first principles.  A simple
analogue approach would place exposure as being greater and the diversity of organisms would
likely include some that are very sensitive. Ecosystems are composed of components other than
producers.

Risk Assessment Science and Patronization.  There has been a repeated effort to encourage and
cajole the Agency to adopt a risk assessment approach to the CD and Staff Paper as it relates to
ecology/natural resources. The current documents are based on an undefined ad hoc  approach
that dates to the 1970's.

Promises have been made to adopt that approach, at a minimum in the Staff Paper. The
commitment to that approach in the CD was summarily reject by the Agency.  On page 5-36, the
Agency offers a statement on a risk-based approach, and the statement is one paragraph.
Thereafter, there is no effort to adopt the methodology of risk assessment. I regard this effort on
behalf of the Agency to be one of patronization. I question the spirit and intent of this position
and view the position as being a misrepresentation of the commitment from the Agency.

Environmental Sciences Versus Environmentalism. The aversion to a risk based approach with a
quantitative framework that is formalized allows for the Staff Paper to evolve as an expression of
the philosophy of environmentalism rather than one of environmental sciences. This is an
unfortunate conclusion to offer but the phraseology and aversion to the  risk assessment model
allows for such a tangent to underpin the effort.

One of the principal reasons for the failure of scientists in the environmental sciences to obtain
traction and respect in the larger community of natural sciences is the tendency for the
environmental sciences to be "affected" by one's personal philosophical positions. This problem
was one of the reasons that a formal risk assessment framework was initially develop, to allow
all parties to follow the objective, methodology, data, argument and conclusion.  This approach
was summarily dismissed by the Agency and the consequence is that a philosophy drives many
of the sections on ecology/natural resources.

                                  Section 5.2. Visibility

Figure 5-3 and 5-4. Is the legend correct in this figure?  Is the diagonal line the regression line
(as indicated) or is it the 1:1 line? In these same figures, it is difficult to read the legends  and
units. If the diagonal line is the 1:1 line (and not the regression line), how does that affect your
analysis (page 5-15)?
                                         B-33

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Visibility on the National Mall, (pp 5-28+).  I am not convinced that this section should be
included. Whereas the pictures have some value in some audiences, I am not convinced that the
Staff Paper is the right place.  Keep the focus on sciences as much as possible.

                     Section 5.4 Effects on Vegetation and Ecosystems

Perhaps this section should follow that of the human health and focus on the risk rather than
solely effects.  Is the title appropriately vegetation and ecosystems or are other components
included as indicated in the first sentence?

Is there an objective and organization to this section or is it ad hoc in its approach?  I would
recommend that the outline used in human health be adopted here, that being a risk based
approach.

It is important in any risk assessment that the following be articulated:

   >  Problem statement
   >  Exposure
   >  Exposure-response functions.

Are these to be addressed in this section or is the approach ad hoc?

Page 5-37, line 14. This is an untrue statement as PM also affects light attenuation and climate.

Page 5-37, line 28. This is a place for science. It is important to be clear that most of the
discussion in the CD is irrelevant as it addresses deposition unrelated to PM. The role  of PM in
most of the constituents is a minority function and in many cases trivial.

Page 5-39, lines 8-9. This contrasts with others sections. Is the focus solely plants and
ecosystems or are wildlife and microbes included?

Page 5-40, lines 9-10. The statement that exposure-response functions not being available places
this chapter in the category of "why bother".  If a risk model were adopted early on, this
shortcoming would have surfaced early and precluded a tremendous amount of work. Herein
lies the value of adopting a risk approach.

Page 5-41, lines 9+. Why discuss acidic precipitation in a PM document? Again, the adoption
of a risk based approach would have excluded this discussion. In the absence of the risk based
approach

Page 5-41, line 17. Is it true that acid rain destroys plant cuticles? This again is more
sensationalism. A risk based approach would be of value in reigning in this position, forcing one
to be science based.

Page 5-42, Iine7.  What constitutes an "impressive burden of particulates"?  This is not a
scientific statement.
                                          B-34

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Page 5-42, lines 27+. Again, this opening sentence and the next ones are unsupported by the
science. I would encourage more of a science-based approach rather than a philosophical
position. A risk based approach is advised.

Page 5-43, line 21. I would recommends a section on wildlife even if it is first principles.

Page 5-44, lines 23+. This is an example of inaccurate statements that tend to reflect a
philosophical position in lieu of a science-based position. To link acid deposition and nitrate
deposition to PM without any caveats is not scientifically sound.

Page 5-45, lines 3+.  This section has some serious referencing problems and I encourage the
Agency to adopt the reference model used by the remainder of the scientific community.

Figure 5-35. If this figure originates from the CD (as in an  original contribution) the citation is
appropriate. If the citation is otherwise, perhaps the Agency should give the author his/her due
credit.

Page 5-48, linesl 1+.  The paragraph begins with a statement that some forests in the US are
"showing  severe symptoms of nitrogen saturation...". I would argue that this statement is ill-
advised in this document (which is a PM Staff paper). The  uninformed will link this statement to
PM, and perhaps that is the purpose. But, that is sensationalism, not science.  If the CD had been
focused on PM per se, this philosophy would not have emerged.  Is this paragraph a unique
statement  herein, or is it a citation of someone else's conclusions?

Page 5-49, lines 8+.  Unless I am misinformed, the cited study has no bearing on the discussion
here and again suggests that the intent is more philosophically based. The  study in Minnesota
was not designed to mimic nitrogen deposition as it was a long-term fertilization study. The
analogy to N deposition is poor at best.  The implied analogy to PM is not appropriate science.
Again, perhaps a good dose of science is in order.

Page 5-50. This entire page relates to how nitrogen inputs may change biodiversity and
ecosystem structure and function.  To the uninformed, the linkage to PM is not evident.  The fact
is there is  a very loose or even tenuous linkage. This is more sensationalism than science.
Perhaps a  good dose  of a risk assessment approach is in order.  All of this section focuses on
nitrogen but what is missing is the critique that clearly states that PM and nitrogen are not
synonymous.

Page 5-52, lines 16+. This section is not relevant to a PM Staff paper and it needs to be either
heavily caveated or deleted.  The associated discussion of base cations is unwarranted as well.
To the uninformed, this section links PM to all  of these effects.

Page 5-56, lines 16+. The discussion of critical loads is ill advised.  The basis has not be set for
this analysis. It is interesting to note that there  is more discussion of using critical loads than a
discussion of risk assessment methodology in ecology.
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Page 5-58, lines 19+. Here is a discussion of invertebrate in the section on vegetation. Not sure
the logic of that is clear.

Page 5-59, lines 6+. Biodegradation is an active field called "phytoremediation". I would argue
that this section does not reflect the literature.
Section 5.4.6. Rural PM Air Quality Network (page 5-62)

I would recommend that this section be expanded.  If a risk based approach were adopted as the
framework, this would have been a highly developed section and it would have been up front in
the document. In the Staff Paper, a discussion about a monitoring site without any discussion
about the data is nonsensical.

Lines 23-25.  This reveals a significant lack of commitment to the risk based approach

Section 5.4.7. Summary

Since there is no objective, other than an ad hoc one, a conclusion is difficult to contemplate.
What was the objective?

Page 5-63, lines 12-13. Where are beneficial effects discussed in the staff paper?

Page 5-63, lines 13-15. This is a conclusion that can only be reached through a risk assessment
so it is inappropriate to raise that herein.

Page 5-63, lines 16-19. Where do PM-related effects clearly exist in ecology/natural resources?
Is this is a philosophical conclusion/tenet rather than a scientific one.

This section is not a summary as there is no objective.

Section 5.5. Climate Change and Solar Radiation

Page 5-67, lines 12-16. Are you certain that you want to end a paragraph on a tenuous PAH
statement?

Page 5-68, lines 5-8. This sentence is nonsensical.
                               Chapter 6. Staff Conclusions

It is recommended that the Agency make sure that conclusions flow from your objectives, that
you have articulated your methods, and that you have data to follow through on your objectives.
In the case of ecology/natural resources, there are:

   >  no objectives,
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    >  no methods and
    >  no conclusion from the above.

Section 6.6 Secondary Standard Options

These notes related to discussion on pages 6-46 and the pages that follows.

Page 6-46, lines 14-17. I disagree with the conclusion. There are no data linking PM and
effects.  There are data relating air quality but certainly not PM. The Staff simply ignored
addressing the issue of exposure and this precludes any assessment of risk.

Page 6-47, lines 17-20. This conclusion is not consistent with the data analysis (exposure and
exposure-response), and I would argue that the phraseology is more a philosophical position than
a scientific one.

Page 6-48, lines 10-12. Again, in the absence of a risk analysis, this statement is not supported.

Page 6-48, Lines 22+. This discussion addresses acidic deposition. The CD and Staff paper are
for PM only.

Page 6-50., Lines 22+.  In the absence of a risk assessment, there is no support for setting the
secondary standard equal to the primary standard. There are no data to support that position.

Page 6-55, Lines 22+. I am not convinced this conclusion is warranted.


     Particulate Matter Health Risk Assessment for Selected Urban Areas: Draft Report

This section is highly valued in the meaningful effort to be open in the procedure and
methodology.  On pages 3+ (general) and pages 7+ (specific), there is a clear statement on the
ingredients for risk assessment for human health, with considerable specificity of the goals, end
points and protocols. The discussion includes a rationale approach to assessing risk given
several different scenarios.

The staff conducting the assessment of risk to ecology/natural resources might find some value
in adopting a similar approach.
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                                   Dr. Sverre Vedal
November 2003
Critique of PM Staff Paper draft
Sverre Vedal
Chapter 3 (Health effects)

1.  Consistency and coherence.
       Both consistency of effects, and therefore coherence (which to some extent assumes
consistency), are a matter of degree and hence subject to interpretation.  The demonstration of
consistency of positive effects across time series studies is in some sense the result of a process
that involves selection of positive effect estimates in any given study from a large number of
arguably equally viable possible estimates from which to choose.  "Consistency", if defined as
positive effects in multiple studies, is therefore nearly unavoidable, or a foregone conclusion.
Further, the use of multiple city studies (p.3.89), in particular NMMAPS, to argue for
consistency of effects, is ingenuous. The formal tests of heterogeneity in NMMAPS likely lack
statistical power.  Also, consistency was only deemed to be present in NMMAPS after
application of Bayesian hierarchical modeling.
       It is unclear to me why a stepwise increase in the size of effect estimates from the most
adverse outcomes to the least adverse is support for coherence (p.3.98 and 3.100).  It is clear that
the population impact of a given size of effect estimate increases as the proportion of the
population affected increases: that is, as the adversity of the outcome decreases. This does not
require that the size of the effect estimate needs to increase. Is population impact being confused
here with size of effect estimate?
       One alternative approach to addressing coherence is to demonstrate similar effects on
mortality and morbidity within a given city. This arguably preferable approach is not
considered.

2.  Confounding and other biases.
       Although I believe that the arguments put forward against considering the gaseous
pollutants as legitimate confounders is misguided (see my  comments on chapter 8 of the CD), I
will address  one factual point of the argument. It is incorrectly stated that neither ozone nor SO2
can be considered to cause cardiac effects (p.3.73), whereas both have been shown to have
cardiac effects in experimental studies (Tunnicliffe). The suspicion that air pollutants can cause
cardiac effects is relatively new, so that there are very few data on cardiac effects of pollutants
other than PM.
       The Staff Paper repeats the argument in the CD in support of the notion that the gaseous
pollutants are merely surrogate measures of ambient PM, and, interestingly, that CO and NO2
are markers of vehicle-generated PM, and that SO2 and ozone are markers of sulfate (p.3.74).
The ozone-sulfate correlations are often weak, so this seems an unlikely role for ozone.  I believe
there is now that there is beginning to be some consensus that ambient concentrations of
pollutants are in fact surrogate measures. The main disagreement is whether PM itself is
immune from such considerations:  that is, whether gaseous pollutants are surrogate measures of
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PM, versus whether all of the pollutants, including PM, are surrogate measures of aspects of the
atmospheric pollutant-meteorology mix.
       The figure on p.3.96 (no figure number is supplied for this figure) and the corresponding
discussion in the text (p.3.94) attempt to address the plausibility of confounding by the gaseous
pollutants by plotting effect estimate size (RR) against gaseous pollutant concentration for
several studies. The fact that RR does not increase with increases in gaseous pollutant
concentrations is taken as evidence that confounding by gaseous pollutants is unlikely.  This
does not follow. Joel Schwartz introduced the approach of plotting effect size against the
temporal correlation between PM and the gaseous pollutants, which at least makes some sense.
The approach presented here, however, is entirely unconvincing.
       The reporting of "best lag" (p.3.78) is again defended as in the CD, whereas I find this
practice difficult to defend. The practice of reporting different lags for different cities (since best
lags differ from city to city) is defended (p.3.79).

3.  Multicity studies.
       I agree that the multi-city studies should be given the most weight. However, not all
multi-city studies should be given equal weight.  Not only are multi-city studies characterized by
more precise estimates of effect, but some also use an unselected sample of cities and
theoretically avoid publication bias. Only the NMMAPS and the Canadian studies, of the studies
listed in Table 3-2 (p.3.17), are unselected. The NMMAPS estimates of effect are the lowest,
and the Canadian effects are sensitive to model specification.

4.  Statistical modeling.
       It is not clear to me why GAM is preferred over GLM at this time for more valid effect
estimation (p.3.24, line 10).

5.  Chronic exposure studies.
       It is unclear to me what is intended by the phrase, "... do not negate the findings of the 6
Cities and ACS studies" when referring to the findings of the AHSMOG and Veteran's cohort
studies (p.3.39). It seems to me that one needs to decide either that the findings of these other
studies should be ignored (providing a sound rationale), or that the findings indicate that there is
some uncertainty and inconsistency in the cohort study findings.

Relatively minor comments.
1.  p.3.22, line 7. While this is true in APHEA when using a stricter GAM, the GLM estimates
were substantially lower than either GAM estimate.
2.  p.3.23, line 8. This should be "... statistically significant..."
3.  p.3.64, lines 11-64.  Most human experimental and toxicologic studies have not found any
changes in peripheral white cell count, hemoglobin concentration, or platelet count.  To point out
that some did is misleading.
4.  p.3.7 (Table 3.1) Autonomic effects are not strictly "direct effects on the heart", but are
pulmonary reflexes, as is indicated  on p. 3.9 (line 2).
5.  p.3.82(line!4).  This should be "15.3.1".
6.  p. 3.94, line 27).  As I indicated in my comments on chapter 8 of the CD, of all potential
outcomes in the Utah Valley, the steel  mill closure design only used respiratory hospitalizations;
school absences were examined only in a time series design.  The correct references should be to
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Pope, 1989 (hospitalizations) and Pope, 1992 (school absenteeism) and should be in the
reference list.
Chapter 4 (Risk assessment)

1.  Study areas.
       As noted in my comments on chapter 8 of the CD, although the cities in NMMAPS with
more power have more precise estimates of effect, these effects are not necessarily more
"homogeneously positive" (p.4.15, line 3).
       It is not clear to me why Provo, UT findings are presented (p.5.21,23,25), given that
Provo is unlikely to meet any of the statistical power criteria.

2.  Concentration-response models.
       The contention that corrected GAM estimates provide more valid effect estimates than do
GLM estimates,  and are therefore preferred, is not justified (p.4.31, line  19).
       Regarding thresholds, it is not clear that any single study has examined whether
thresholds are present "in a statistically significant manner" (p.4.32, line 8). These have largely
been descriptive presentations, as have the observations of linearity.
       Again, an argument against confounding by gaseous pollutants based on lack of
association between effect estimates and gaseous pollutant concentrations (p.4.34, line 7), as
pointed out in my comments on chapter 3, is not sound.
       The sensitivity analyses outlined in Table 4-9 (p.4.41) are a beginning, but are in no way
comprehensive.

3.  Results.
       I do not understand why there is so much variability in the width of the 95% confidence
intervals in Figure 4-7 (p.4.47).
       What is the justification, and merit, to  doubling effect estimates to simulate distributed
lag estimates (p.4.62, line 3)?

Minor points.
1.  What are the units for mortality (y-axis) for figures 4-15b (p.4.68) and 16b (p.4.69)?
2.  Legend to Figure 4-5 (p.4.45), item 15. Should this be NO2?
Chapter 6 (Conclusions/recommendations)

1.  Arbitrariness.
       There is a sense of arbitrariness in the process of narrowing attention to a given range of
annual and 24-hour concentrations.

2.  Uncertainties/limitations.
       Although uncertainties and limitations in the PM health effects findings are
acknowledged, it is not clear how these are incorporated into the recommendations. Formal
incorporation of uncertainty is limited to that reflecting sampling variability in estimates of effect
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(indicated by their 95% confidence intervals). There are many other sources of uncertainty in the
time series studies, including:  1) adequacy of control for temporal effects and meteorology, 2)
selection of "best" lags, 3) model selection, and 4) selection of studies. There are formal
methods for incorporating other sources of uncertainty.

3. "Controlling" and "backup" standards
       I agree with the approach of using an annual concentration as the "controlling" standard,
and the 24-hour average concentration as a "backup" standard. This is partly motivated by the
inability to identify any justifiable 24-hour average threshold concentration below which effects
are not detectable (although one could theoretically take a stance [probably difficult to defend]
that effects below a given concentration are so trivial that ignoring them still allows one to
protect public health with "an adequate margin of safety").
       Once having determined that the annual  standard will have primacy, support for a certain
range of annual concentrations rests almost entirely on the short-term (time series) concentration
studies (pp.6.14-15). I find this approach to be forced.  The mean 24-hour concentration in a
given study (or city) is used to determine whether effects are present at a given annual
concentration. Yet, effects in these studies could be determined by concentrations above or
below this concentration, or both.  The mean 24-hour concentration provides little, or no, insight
into this. It therefore seems difficult, if not impossible, to use these data in focusing on an
annual concentration range.  Without determining the concentrations below which effects are not
detectable in these studies, I cannot see that they provide usable information. I therefore favor
using the long-term exposure (cohort) studies for the purpose of identifying a range of annual
average concentrations.

4. The "backup" standards
       The two approaches used for focusing attention on the range of 24-hour average PM
concentrations (pp.6.22-24 and 6.34-35) essentially rely on measured distributions of PM
concentrations and estimates of the percentage of US counties that would be out of compliance at
selected concentrations. This determination should instead be based on health effects at given
concentrations.

5. The coarse PM standard
       It is my opinion that proposing a coarse PM standard is premature  at this time.
Observational findings are based on time series  studies about which, to my mind,  there is
sufficient uncertainty to preclude setting a  standard. The PM2.5 observational findings, which
include the time series studies and their attendant uncertainties, also include cohort study data,
which while not entirely consistent and not immune to concerns regarding confounding, are now
a main pillar. The extensive toxicological  and human experimental data are also enhancing the
plausibility of the observational findings on PM2.5.  In contrast, the coarse PM data do not
include positive findings from cohort studies, and the toxicologic data are slim. Further, there is
good evidence that PM of crustal origin, as a subset of particles included in the coarse fraction,
are not particularly toxic, as opposed to some other components in the coarse fraction.  In many
settings, the coarse fraction is dominated by crustal PM.
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Minor and/or editorial comments
1.  The evidence for specific toxicity of PM due to sulfate or acid aerosol (p.6.10, line?) is
meager.
2.  The concept of "weight of evidence" (p.6.17, linel) is not readily applicable to a single study;
rather, it finds its utility in looking at the combined evidence from multiple studies.  In fact, the
"weight of evidence" from a single time series study is relatively low, given the multiple
potential comparisons that can be made (multiple lags, outcomes, models, etc.).
3.  I would make clear that this (p.6.17, Iinel6) is referring to short-term concentration studies.
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                                Dr. Barbara Zielinska
Comments on the 1st Draft of PM Staff Paper
November 2003
Comments on th
Barbara Zielinska

       Chapter 2
       In general, this section is well written and represents comprehensive summary of
       information contained in Chapter 2, 3, and 5 of the 4th Draft CD. I have a few minor
       comments listed below:

          1.   It is true that the scientific information concerning coarse (PM10-2.5) particles is
              rather limited. However, some specific properties of these particles that are
              important for establishing a standard should be emphasized. This include a shorter
              atmospheric lifetime, significant differences in chemical compositions depending
              on a geographical location, and most importantly a limited penetration into indoor
              environments that explain low correlation between personal exposure and outdoor
              concentrations (as measured by central monitors)
          2.   Page 2-25, line 10.  It is surprising that 98th percentile 24-hr average PM2.5
              concentrations above 65 ug/m3 appear in Montana. What is the reason for these
              high concentrations?
          3.   Figure 2-14, page 2-39 is very difficult to read.

       Chapter 3

          1.   Section 3.5.3.2 (PM Components and Source Related Particles) has several
              inaccurate statements. Page 3-84, line 17-22 lists elemental and organic carbon
              (OC/EC) as indicators of motor vehicle emissions and similarly page 3-85, line
              21-25 lists COH, fine PM, NO2 and CO in addition to OC/EC, as mobile sources
              related pollutants.  These statements are  not accurate, since OC/EC, fine PM,
              NO2 and COH are related to many combustion sources, not necessarily motor
              vehicle emissions.
          2.   The same Section 3.5.3.2, p. 3-87 discusses bioaerosols, including endotoxin.
              The treatment of this subject is rather weak. There are evidences of bioaerosol
              present in PM2.5 fraction, not only in the coarse fraction. As the recent CAS AC
              review pointed out, the discussion concerning bioaerosols in the 4th draft of CD
              needs to be improved as well.
          3.   Chapter 3 discusses in several places the so-called "intervention" experiment in
              the Utah Valley (p.  3-56-57, 3-94). To me, this experiment doesn't indicate the
              toxic effect of ambient particles, it only indicate the toxic effect of emissions from
              the very specific source, i.e. the steel mill.  The fact that the oxidant activity,
              inflammatory responses, etc., of the ambient PM were greatly reduced after the
              steel mill closure, indicates that not all ambient PM is created equal and that the
              PM health effect depends greatly on its sources and chemical composition. In
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       fact, the transition metal content of the Utah Valley PM during the still mill
       operation was more closely linked to health effects than mass of the particles.
       This "intervention"  experiment would rather support the concept of the source
       control, but not necessarily a general NAAQ PM standard.
   4.  Section 3.5.1, page 3-74, line 1-8. The statement that gaseous pollutants can serve
       as surrogates for ambient PM exposure, and that CO and NO2 are markers for
       vehicle-generated PM, and SO2 and ozone are markers of sulfate is not correct.
       What ozone has to do with sulfates? For example sulfate concentrations are low in
       the  South Coast Air Basin, CA, but ozone is often high. Also, the correlations
       between CO, NO2 and PM emissions from motor vehicles are not
       straightforward.

Chapter 6.

I have some general concerns regarding this chapter:

   1.  The proposed more  stringent standard levels (especially 24-hr PM2.5) seem to be
       rather arbitrarily established.  Although Staff Paper lists many uncertainties and
       limitations of PM- health relationship, there is no explanation how these
       uncertainties are incorporated into the new proposed levels.
   2.  Coarse particle  standards do not seem to be adequately justified. The draft Staff
       Paper acknowledges that the crustal material, often important fraction of coarse
       particles, is not toxic.  Coarse particles that originate from traffic, i.e. road dusts
       with tire and break debris,  deposited motor vehicle exhaust, etc. may show health
       effects, but geological material is rather insignificant.  Furthermore, coarse
       particles have shorter atmospheric lifetime, are not uniformly distributed, and
       their penetration into indoor environments is low.  Thus, the correlation between
       ambient concentrations as  measured by central monitors and personal exposures is
       rather limited. I'm concerned that the method for establishing the coarse particle
       standard, proposed during  the Nov. 12-13 meeting, which takes into account an
       average ratio of PM2.5/PM10, is not justified. This ratio would be very different
       for  different settings (i.e. rural versus urban, midwest  versus northeast,  etc.), as
       pointed out in Section 2.5.6 of the draft Staff Paper.
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                                 Dr. Jane Q. Koenig
September 28, 2003

Comments on the OAQPS Staff Paper for the PM criteria document
Jane Q Koenig

In response to the issues raised by Les Grant, here are my responses.

       In my opinion, both ch 2 and 3 contain adequate air quality information to be judged
complete.

       Regarding ch 4,1 get a feeling of deja vu. I thought we had approved a method of
approach and were  awaiting results.

       Regarding Ch 6.
       I agree with the authors that selecting a range of primary standards is largely a public
health policy judgment. I also agree with their decision to continue to use undifferentiated
particle mass as the basis for the indicator for fine PM standards.
Probably things would be cleaner if PM1.0 had been chosen as the indicator as PM1.0 more
certainly has different sources than PM10.

       Regarding the averaging time I would like to see a suggestion of what concentration
would be considered for a one-hour standard and some recognition of the problems communities
have that are impacted by episodic smoke (agricultural burning and forest fires).
       I do not believe the data exist to allow a conclusion that peak 24 hr PM2.5 concentrations
contribute a relatively small amount to the total health risk, (page 6-14).

       I disagree with the Staff recommendation that the 98th percentile be retained (page 6-23).
As I understand it, this allows a community 7 days above the standard before action is taken. I
think seven PM episodes are too many to protect the public health.

       Regarding the CF standard;
       This is a much more difficult decision due to the paucity of data. I do judge that 75
ug/m3 is too high.  Seventy five would be more than double the concentration at which effects
are  seen.

       Recommendations;
       In my judgment the recommended range for the 24 hr PM2.5 standard should  not be as
high as 50 ug/m3. In 1997, when Carol Browner sent a recommended 2.5 standard to the White
House, she selected 50 ug/m3. I believe we now have evidence that this concentration would not
be protective of public health.  Including 50 ug/m3 in the recommended range would  allow
selection of a standard that actually does not reflect the wealth of new data published  since 1997.
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       I also do not support a range for the annual standard that includes 15 ug/m3 for much the
same reasons as stated above. If we believe, as I do, that research since 1997 has shown a wider
range of health effects associated with fine particles and at lower  concentrations, then we should
support a stricter standard not the current one.  If in fact, individuals are still dying and being
made ill from PM exposure in the US, public health demands a stricter standard for protection of
sensitive populations.

       I commend the authors of the staff paper on a well written document.

Jane Koenig
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                                Dr. Petros Koutrakis
Staff paper review by Petros Koutrakis,
Harvard University, School of Public Health,
Boston, MA
November 10, 2003
PARTICLE PROPERTIES

Section 2.3, page 2-12; lines 11-12:1 think the +10 uncertainty is too optimistic.

Same page, line 26; Considering that atmospheric lifetimes of coarse particles are much shorter
than those of fine  particles,  comparing fine and coarse emissions  may  be misleading. For
instance, for the same emission rates the resulting ambient concentrations will be higher for fine
particles.

Page 2-40, Figure 2-15; I wonder what happened after 1995. Did they change the sampling or
analysis method? Something must have happened around this period.

Page 2-41, line 21; Of course, PMio will be a suitable indicator for fine or coarse particles since it
encompasses both fractions!

Page 2-42, linel; I suggest using "diurnal" instead "temporal".

Page 2-51, line 13: do you want to say "Is North America supposed to include Mexico and
Canada?"

Section 2.8  discusses  PM exposure assessment issues. This is a  well-written section and
addresses some key findings.  The section focuses only  on  the  relationship between personal
exposures and outdoor concentrations. However, the scope of this section could be expanded to
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address additional important PM exposure  assessment issues  such as:  exposure to specific
sources; differences between acute and chronic exposures; exposure characterization at greater
time resolution, and; the implications of varying indoor/outdoor PM ratios for epidemiological
studies. In addition, this section relies only upon  older studies  (PTEAM) and does not report
findings from the recent exposure assessment studies.  Finally, there should have been more
emphasis on the relatively low penetration of coarse particles (inversely related to particle size)
into indoor environments.  Results from the very  limited existing exposure studies of  coarse
particles suggest  no relationship between personal and outdoor coarse  particle concentrations.
The implications  of  these  findings for  the proposed coarse particle standard needs  to be
evaluated.

Page 2-60, lines 1-4; This sentence needs editing because it is not very clear.

Section 2.9; I fear that this section will not have any impact on setting up a new standard. This
information is of academic importance, but is not particularly  suitable for influencing decision-
making. I know we need to write something about everything, but I am  not sure whether this is
correct. It would  be more appropriate to just report that particles may impact visibility and the
radiative balance  of the atmosphere and that we have no idea about the quantitative relationships
between concentrations and  these effects. Tutoring the administrator  on Physics 101  is not
necessary.
HEALTH EFFECTS

The Health effects section is very well-written. The integration of epidemiology and toxicology
is commendable.  The implications of the recent exposure assessment findings to epidemiology
are commendable as well. I do not remember  seeing anything about threshold and the shape of
the dose-response relationship. Maybe these issues are discussed in the risk section. Finally, the
information presented for coarse particle health effects is very sparse. Although I believe that it
is a good idea to replace the PM10 standard by a standard for coarse particles, I am not sure that
there is strong scientific evidence for this decision.
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Page 3-12, lines 9-11; I am not sure that I completely agree with this statement. Animal studies
have  been  quite  valuable  in our  efforts  to  investigate  particle  health effects.  Many
epidemiological findings have  been reproduced by animal studies. These studies  have used
animal models  of cardiopulmonary and vascular decease exposed  at relatively low doses and
observed  outcomes  similar  to  those  previously  reported by epidemiological  studies.
Subsequently, these findings were used to design the new generation of epidemiological studies.
This synergy between human and animal studies is one of the  major advancements made since
1997.

Section 3.4.1;  Individuals  exposed to high PM  concentrations are also at  high risk.  Often
individuals with low income live near busy  streets and industrial facilities (this is a feature of
environmental inequity). Also genetic factors can induce susceptibility. These two factors should
be included in this section.

Page 3-76, lines 12-14; This is a quote from the HEI report which is not clear to me.

Section 3.5.2.3; One of the  most important findings of the recent exposure assessment studies is
the varying impact of outdoor sources on indoor environments and thus exposure. Homes with
high air exchange rates are  less protected from outdoor sources. The opposite is true for homes
with low rates.  Homes located at areas with  harsh winters or very hot summers exhibit low air
exchange  rates, such as Boston in the winter and Atlanta in the summer.  In contrast, homes in
California are well-ventilated and present high indoor/outdoor PM ratios. Therefore,  one would
expect that for  the same  outdoor PM levels  individuals living in areas with moderate weather
receive higher relative exposure. This may explain the results of the APHEA study which found
higher risk factors for South Europe as compared to Northern European countries participating in
the study. This varying impact of outdoor sources was only briefly discussed in  the exposure
section. Also, the results by Janssen et al showed that use of air conditioning (a  surrogate for low
home ventilation) explained some of the heterogeneity in risk factors among cities in the NMAP
study.
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Section 3.5.3.1; Only a small fraction of outdoor ultrafine particles are found indoors. Also, since
concentrations of ultrafine particles present considerable spatial variability, one would expect to
find only a weak or negligible relationship between personal and  outdoor exposures.  Sometimes
we need to be reminded that exposure is necessary in order to produce an effect.

An alternate way for humans to be affected by ultrafine particles is the following: First, ultrafine
particles coagulate (stick) onto fine particles,  so the fine particles can act as vectors for the
ultrafmes.  Subsequently,  once fine particles are deposited inside the pulmonary system, these
ultrafmes  can be  released  by  de-coagulation,  perhaps by  way  of  interactions with  lung
surfactants.

Page 3-84, lines 23-30; There is too much emphasis on aerosol acidity, that in my opinion is not
justified. If there is any clear evidence for toxicity of specific types of particles, it is for particles
associated  with traffic, but this not at  all stressed in this chapter.  Results  from the California
children's study and the Harvard  Six City study certainly suggest that traffic particles are quite
toxic.  Some European studies  support this as  well.  Furthermore, the  Harvard animal CAPs
studies have found strong associations  between several cardiac outcomes and fine  road-dust in
more than one experiment (Batalha et al, 2003).

Page 3-90,  lines 4-6;  This is a very strong statement. The  evidence for coarse particle health
effects is not sufficient to derive  such  a conclusion. The Staff Paper should also report studies
that have not found health effects  associated with coarse particles. It is interesting that in page 3-
99,  lines 20-23, the  Staff Paper reports  "...results are not as consistent as those for fine
particles".   In the 1997 CD, the Philadelphia study and the Six Cities study were used to show
that there are no coarse particle effects, in order to strengthen the case for setting up  the fine
particle standard. I personally, think that not all  coarse particles are toxic  and that only road-dust
and coarse particles from industrial activities can be toxic. Road-dust encompasses many toxic
components, deposited vehicular exhaust emissions, brake materials, tire debris (which includes
latex and many  metals), biological  materials  (such as  pollen, endotoxin  and spores, among
others), and nutrients  for microorganisms such as  sulfates and nitrates.  A fraction  of road-dust
can be found in the fine size range (below 2.5 |j,m), but its majority is present in the coarse mode.
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Regulating alumino-silicates, calcium carbonates and other benign crustal materials may not be
the best and most cost-effective approach.

Page 3-94, line 29; The Dublin study should also be included among these studies. Also the
California children's study and the recent Harvard Six Cities study re-analysis have reported
some very intriguing findings on this issue.
RISK ASSESSMENT

Page 4-16, paragraph starting on line 9-; When assessing risks, it is important to keep in mind
that the penetration of both coarse and ultrafme particles from  outdoors to indoors  is less
efficient than for fine particles.

Table 4-7 on page 4-25; It is important to take into account the different relationships between
personal exposures and outdoor concentrations, when comparing cities with different climatic
conditions.

Table 4-8 on page 4-26; It is surprising that coarse particle background concentrations in the
West  are similar to those in the East. One would expect these concentrations to be higher in the
drier West.

Page 4-32, line 25; Typo.

Figure 4-3, page 4-43; The short term fine particle related mortality "as is" is  higher in Boston
than Los Angeles.  As we know LA is more polluted. Am I missing something here? In Figure 4-
7 one can see that for long-term mortality LA is higher than Boston. Do we believe that acute
effects produce sub-acute effects, which ultimately become  chronic? If the answer is yes, how
one can explain these results?
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Figure 4-10, page 4-52. How one could explain that the percent confidence intervals for PM10
are smaller than for PM25? Similarly for figure 4-13.


Tabl3 4-13, page 4-72; What is the connection between the short and long-term particle exposure

related mortality? For instance, are the 550 deaths in LA included in the group of 2730 deaths?



References:

Batalha, J. R. F., Saldiva, P.  H. N., Clarke, R. W., Coull, B. A.,  Stearns, R. C., Lawrence, I,
Krishna Murthy, G. G., Koutrakis, P., Godleski, J. Concentrated Ambient Air Particles Induce
Vasoconstriction of Small Pulmonary  Arteries  in Rats, Environmental Health Perspectives,
110(12): 1191-1197, (2003).
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                                Dr. Allan Legge
December 10,2003 (revised January 24,2004)
TO: Dr. Phil Hopke/Mr. Fred Butterfield
FROM: Dr. Allan H. Legge

Review Comments: First Draft OAQPS PM Staff Paper entitled
      "Review of the National Ambient Air Quality Standards for Particulate Matter:
      Policy Assessment of Scientific and Technical Information"

Overall Comments: The following comments are directed at the 'PM-related effects' on
      vegetation and ecosystems (Chapter 5) and to a lesser extent 'Staff Conclusions
      and Recommendation' (Chapter 6) relating to vegetation and ecosystems as
      presented in the 'Staff Paper'.

      Staff is to be commended for their initial efforts in attempting to address the
matter of PM - related effects on vegetation and ecosystems. This is a difficult if not
impossible task for PM, however, given the current required approach to setting,
maintaining and/or revising an air quality standard. The overriding assumption that one
can attribute, for the most part, the response or responses of a receptor to a given air
quality stressor within a given short time frame simply does not work in the case of PM.
This is very unfortunate from the standpoint of environmental protection especially in
light of the fact that there are some forested ecosystems in the US which are showing
clear evidence of 'nitrogen saturation' a portion of which is due to particulate nitrate
deposition. The problem here is that this 'nitrogen saturation' has been brought about by
chronic long-term exposure to elevated nitrogen deposition. It is the cumulative load of
nitrogen over time which has resulted in some forested ecosystems being nitrogen
saturated. Some would say that the fact that we do not know the exact contribution of
'particulate nitrate' deposition to the nitrogen saturation evidenced in some forest
ecosystems prevents us from doing anything. This is not true. What is needed is a
philosophical change in the way one approaches environmental protection. The
European Concept of 'critical loads' was suggested as one possible scientific approach
when  reviewing the PMCD. This approach would more readily lend itself to risk
assessment than the current information.

Specific Comments:
1. Page 5-50, line 10.
      Spelling,  should read, "	; for example, in studies of the"
2. Page 5-52 line 25.
      Suggest this read "—, a period that coincides with the increased emissions of"
3. Page 5-57, lines 20-25.
      This paragraph needs to be rethought. First it is indicated that the critical loads
concept has significant potential for the long-term protection of ecosystems but then
goes onto say that the approach is too data intensive to be practical in the US to protect
sensitive US ecosystems from adverse effects related to PM deposition. This does not
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make sense and reflects a lack of understanding of the critical loads concept. PM would
no longer be the focus but rather total deposition along with cumulative deposition of the
parameters of concern.
                                     B-54

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                                   Dr. Paul J. Lioy


Comments of Dr. Paul J. Lioy on: OAQPS Staff Paper for PM — Submitted by E-mail 11-11-03

Overview:

       The Staff has provided an important set of analyses from which to assess the risks
associated with PM and its various size fractions, and should be commended for their efforts on a
difficult and ever evolving environmental health issue. Further, the presentation was very clear
and easy to follow. As stated in the text of the document, however, the results must be viewed
with some caution as the CASAC has not yet closed on the Criteria Document for PM.

Major General Concerns:

       The heart of the matter for the Staff Paper is Chapters 6 - the Staff Conclusions and
Recommendations on PM NAAQS, which is supported by the exposure and effects
characterizations and risk assessments in prior chapters.
       The case for the long term PM standard - Annual Standard is compelling, and has been
solidified by research (primarily epidemiological) that has been conducted and reported since
1996. The range identified by Staff for the Annual PM2 5 standard will be debated, but I see no
reason that precludes forward with an Annual NAAQS for PM2.5.
       Based upon current knowledge of exposure - response relationships, the case for a lower
short term (24h) standard, beyond the 65 ug/m3 standard that was promulgated in 1997 by EPA,
has not been adequately made in the current draft of the Staff paper.. There are few studies to
date that have focused clearly on this important issue. The suggested range is based upon the
notion that if you attack and reduce the peak or near peak levels of PM2 5 mass you will then
reduce the Annual Mean. This approach would have a high degree of credibility if all PM that
accumulated in the atmosphere was from primary emissions, and had the same or a consistent
suite of sources. However, PM2.5 levels are significantly affected by photochemical smog
processes that produce secondary fine particles, and these particle are transported long distances.
Thus, periodic smog events can contribute to levels above a 24 standard; but, would regional
strategies be the most effective way to bring down the mean? -A scientific question that still
requires an answer.
       Reducing the annual PM2 5 emissions from both stationary and mobile sources of primary
PM particles would be the most effective approach for reducing the annual mean. Please note, on
page 4.73 of the Draft  Staff Paper there is a caution about using a rollback of the peaks as a
method for achieving the annual mean. This caution would also be supported by the fact that a
local or regional increase in PM2 5 can be caused by unusual sources and or unusual events. For
example, in 2002 the States of NY and NJ were affected by forest fires in Canada. These led to
significant increases in PM2 5 that resulted in violations of the 65 ug/m3 standard at multiple sites
for two or three consecutive days. I am sure that similar experiences occurred in California, and
Texas and Florida over the past months and years, respectively. The question is: do these isolated
events have any bearing on the reasons for achieving an Annual PM2 5 standard? The evidence
that currently exists in the draft Criteria Document and the Staff Paper for PM, do not support a
"yes" answer at this time. Surely, improvements in forest management will help reduce the
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severity of these costly and deadly fires, but they are not the root cause of the long term
exposure-response relationships that have been identified in many epidemiological studies
completed over the past decade and a half. I recommend that the EPA revisit this issue in the
next draft of the Staff Paper.
       The suggested coarse particle standards for PMi0-2.5 are even more troubling than the
short term fine particle standard. Again, 1  did not find any well established exposure - response
relationship for this size fraction. An even more fundamental issue is based on the fact that the
coarse particles discussed in the Staff Paper are limited to the material that exists only within the
narrow size interval of 2.5 to 10 um in diameter. This definition of coarse particles totally
ignores atmospheric contributions of coarse particles above 10 um in diameter. Without a
substantive discussion and evaluation of the definition of coarse particles and the potential for
yielding short term or long term effects the proposed standards are arbitrary.  This point was
raised at previous CASAC meetings and on conference calls, and deserves some action. Maybe
the issue requires specific acknowledgment of this problem in the Staff Paper and a serious
recommendation for a National Conference on the Coarse Particle NAAQS issue. I point the
Staff and others to the tragic events of 9-11-01. At that time most of the dust and smoke released
during the first week were above 10 um in diameter. There were no measuring devices available
to quantify the levels of the mass above 10 um in diameter during the first week or subsequent
weeks, and no reasoned standards to refer to for assessing the potential short term risks. A
deficiency in our monitoring capability and standards. Clearly, the issue of coarse particles is
work in progress, but I am concerned about arbitrarily defining coarse particles as PMio-2.5 before
there is adequate data and information to support limiting concerns about coarse particle health
and welfare effects to this narrow range of particles.

       Major Specific issues:

1.        Pg 2.53, Pg. 4.26.1 am puzzled  about the range of background levels used for the risk
         assessment, especially for the coarse particle fraction. I find it somewhat difficult to
         understand how the background for coarse particles can be the same for east and west
         locations. However, this may be correct because of the definition of coarse particles
         used by the Staff is PMio-2.5. In this narrow size range, the average  background levels
         may be quite similar. I would expect much greater differences in average "background
         mass  contributions" for coarse particles above 10 um in diameter.
2.        Pg. 4.36 to 4.38. Discussion about uncertainties and sensitivity is qualitative. The
         presentation of quantitative values for the level of uncertainty would be useful for each
         size fraction considered in the risk assessment. This could help prioritize the variables
         of concern in the risk assessment.
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                                  Dr. Mort Lippmann



                                   REVIEW COMMENTS
                     OAQPS PM STAFF PAPER - AUGUST 2003 DRAFT
                                      by M. Lippmann


       General Comments


       This first draft of the PM Staff Paper has provided the CASAC PM Panel with a description of

the OAQPS interpretations of the scientific, peer-reviewed literature in the fourth draft (June 2003) of the

PM CD.  It presents a straightforward description of its selection of the studies it finds most relevant too

the setting of the next PM NAAQS, and how it has interpreted them.  It also presents the results of the

risk assessment performed by Abt Associates, and its preliminary recommendations on PM NAAQS. It

also acknowledges that it is prepared to make revisions based on its reviews of the CASAC and public

commentaries to the fourth draft of the PM CD,  which were not available to  OAQPS prior to the

completion of this first PM Staff Paper draft.


       I found this Staff Paper draft to provide a fair and balanced presentation of the relevant literature.

It thoroughly and appropriately addressed the use  of this literature in terms of defining its options on the

index pollutants, the most appropriate averaging times, the statistical form(s) for the PM NAAQS, and the

concentration ranges appropriate to the protection of the public health and welfare with an "adequate

margin of safety".


       While adjustments will need to be made to  reflect the further CASAC and public comments on

the final  chapters of the  PM CD and this draft of the  Staff Paper, I would not recommend any major

changes in format or approach to this document, and commend the OAQPS staff for the work they have

done in preparing this draft.
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Specific Comments

Page. Line                 Comments
2-3 (Table 2-1)             Under "Coarse Particles", line 3: change "usually" to "may" and
                          add text to end of line as follows: "when resuspended dust is a
                          major component of ambient air PM".

2-3 (Table 2-1), 2-7, line 2  Under "PMi0-2.5", line 3: change "inhalable" to "thoracic". By
                          convention (ACGIH, ISO, CEN), inhalable refers to PM aspirated
                          into the nose or mouth.

2-9, lines 1 & 2            change "droplets which react" to "vapor that reacts"

2-9, line 24                add "and humidity" after "particles"

2-10, line 12               change "as" to "in"

2-15, line 14 & elsewhere   change "COH" to "CoH"

2-16, lines 19, 23           change "impacting" to "collecting". Impaction is not the only
                          mechanism for particle collection in filters.

2-18, line 5                insert "PM" before "sampler"

2-18, line 23               insert "and conversion of PM components to gas-phase chemicals"
                          after "filter"

2-19, line 1                change "filters" to "impaction plates"

3-4, line 13                insert "portions of the" before "ultrafines"

3-59, lines 4-17            The Children's Health Study (CHS) findings are not properly
                          discussed.  The Peters et al (1999a) results were from a cross-
                          sectional analysis with limited statistical power.  The Gauderman et
                          al. (2000 and 2002) papers described the results for two separate
                          cohorts of 4th graders followed over four years, and did find
                          consistently statistically significant reductions in the growth of both
                          MMFF and PEFR, albeit not generally for FEVi and FVC.  The
                          consistency of the results of Gauderman et al. (2000,  2002) and of
                          Avol et al. (2001) on cohort children who moved is compelling
                          evidence of PM-related  decrements in lung development.

3-68, line 21               The words "older children: could easily be misconstrued. Change
                          to "children studied from fourth grade to eighth grade".
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3-85, lines 6 & 7            The words "very high" could be misunderstood.  Most CAPs
                           studies used concentrations ~ 10 x ambient and nowhere near as
                           high as most prior toxicological studies.

3-85, line 19                insert "mass" before "indicators"

4-5, lines 27,28             delete "with some studies suggesting associations between PMio-2.s
                           and mortality as well" and move "(CD, p. 8-57) to line 26 after
                           "mortality"

5-9, line  12                 change "PM" to "PM2.5"

5-42, lines 4,5              What about Pb and As?

5-43, line 10                delete "While these substances are not criteria pollutants". They
                           are clearly part of PM, which is a criteria pollutant.

6-4, line 28                 insert "between adverse health effects and" to replace "with"

6-20, line 6                 delete "in 1994"

6-20, line 7                 insert "In 1994, PM2.5" before "ranged"

6-20, line 9                 insert "over a four-year period" after "concentration"

6-28, line 27                insert "in children" after "growth"

6-31, lines 22, 23            This statement, while true, is misleading. It should be qualified by
                           noting that the gaseous co-pollutants in the Six-Cities study were
                           not significantly correlated with mortality.

6-32, lines 22-25            Once again (see my comments above on page 3-59, lines 4-17) the
                           findings of the CHS study are not adequately discussed.
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                                  Dr. Joe Mauderly


              Comments on OAQPS Draft Staff Paper on Particulate Matter

                                    Joe L. Mauderly
General Comments:

Overall (and excepting the relatively minor factual and editorial points raised below), I find this
first draft to contain a reasonable distillation of the current health data from the CD, and a
reasonable range of recommendations regarding the PM standards. The key points of uncertainty
regarding the current health data (epidemiology, clinical studies, and toxicology) seem to be
appropriately described. A major issue for discussion (and differences of opinion) will be how
strongly these uncertainties should restrict the proposal of more stringent standards.  Given
current information, however, the current range of recommend actions seams reasonable.
Pending issues raised by others having different technical expertise, I'd say that for a first draft,
the Staff Paper is well on the way.

Specific Comments:

Chapter 3

3-4, L  12:  The sentence is not incorrect, but actually, fine and coarse fraction PM deposit in all
       three regions, not just in the tracheobronchial and alveolar regions,  as the sentence might
       be  taken to suggest.

P 3-6, L 11:  It should read "—health outcomes—", not "health endpoints".

P 3-9, L 2: One could argue that PM-induced reflexes constitute an indirect, rather than a direct,
       mechanism.

P 3-9, L 15:  I don't think that it's conceptually correct to state that "particles also may carry
       other substances with them" (i.e., non-particulate substances).  Anything carried by a
       particle is the particle. Particles are complex with many "core" and "adsorbed" materials,
       but if it's on a particle, then the whole thing is a particle.

P 3-10, L 9:  I believe that reduced lung growth rate should also be on the list.

P 3-13, Footnote No. 3:  I believe it also excludes homicides.

P 3-44, L 2-4: This statement isn't clear. I suppose that you might mean that indications of
       mechanisms at work may support causality for development of a health outcome,
       although not a direct measure of the outcome itself, but that's just a guess.
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P 3-52, L 15: The name "Dominici" is misspelled here as "Domenici". You need to do a
       universal search on the name in the text and references and make sure it's correct.
       Dominici is the statistician/epidemiologist at Hopkins. Domenici is the Senator from
       New Mexico.

P 3-57, L 1-4: First, it is not clear that there has been "controlled exposure of humans to diesel
       exhaust particles".  There have been controlled exposures of humans to diesel exhaust,
       resulting in inflammation.  Therefore, the fundamental point being made is valid.
       However,  do not confuse exposures to exhaust with exposures to "particles". There have
       been some nasal instillations of diesel particles, but that's not what is suggested by the
       sentence.  Second, CD p. 7-20 is cited as the reference for this statement.  There is
       nothing at all on that page of the CD that refers to diesel particles.

P 3-57, L 22: Presumably, the "industrial PM source" referred to here is the Utah steel mill.
       That is referred to as a "steel mill" on the previous page. Being consistent would help
       avoid confusion.

P 3-65, L 9: The implication of the wording is that sometimes it is not difficult to separate
       effects of different pollutants. As far as I know, it is always difficult, and usually
       impossible to explicitly separate the effects of multiple pollutants given the present data
       with which epidemiologists have to work.

P 3-67, L 15-17: There is nothing about "genetic  susceptibility" on page 7-52 of the CD, as
       indicated here.  There is one citation on that page referring to hyperlipidemic rats as a
       susceptibility model, but no statements about genetic susceptibility per se. We know
       very little about genetic susceptibility among humans, although we all believe it is a
       factor. In the context used here, any transgenic or selected animal model of susceptibility
       could be called a study of "genetic susceptibility", but that's pretty circular evidence for
       genetic susceptibility among the human population.

P 3-73, L 20-21: I recall no evidence that environmental levels  of NC>2 cause "irreversible
       alterations in lung structure".  Certainly several studies of animals exposed  chronically
       have not demonstrated such changes at much higher levels. Give a reference if you have
       one - modify the sentence if you don't.

Chapter 6

P 6-13, L 5-6: It's not clear what is meant by the  statement that "a 24-hour averaging time is
       consistent with the majority of community epidemiologic studies".  Just what is the
       "consistency" to which you refer?  The epidemiology is  largely based on 24-hour
       monitoring data, so how could the results be "inconsistent" with a 24-hour averaging
       time? What's the point?
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                      Dr. Roger O. McClellan
   Comments on "Review of the National Ambient Air Quality
Standards for Particulate Matter:  Policy Assessment of Scientific
                   and Technical Information"
      (OAQPS Staff Paper - First Draft, EPA-452D-03-001,
                          August 2003)
                         Roger O. McClellan
                      Advisor:  Toxicology and Human
                        Health Risk Analysis
                      13701 Quaking Aspen Place NE
                      Albuquerque, NM 87111
                      E-mail: roger.o.mcclellan@att.net
                      Telephone: 505-296-7083
                      Fax: 505-296-9573
                          December 1, 2003
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A.     EXPECTATIONS OF STAFF PAPER
       The comments I offer on the draft Staff Paper (SP) are grounded in my view that the SP
should serve as  a  "bridge" between the Criteria Document  (CD), which is an  encyclopedic
exposition of all  that is known about Particulate Matter (PM), and the regulatory decisions that
must be made in setting the National Ambient Air Quality Standard (NAAQS) for PM.  In my
view the SP should be a critical science-based analysis of the evidence that bears on the setting
of the NAAQS, namely, choices for (a) indicator(s), (b) averaging time(s), (c) numerical levels,
and (d) statistical form(s) that will meet the statutory requirements of Section 109 of the Clean
Air Act by  proposing primary  and secondary NAAQS that  protect public health and public
welfare, respectively. The present document does not meet this expectation.
B.     OVER-ARCHING COMMENTS
       I offer the following over-arching comments before proceeding to offer some  specific
comments on the various chapters.
       1.     Premature Release of Staff Paper
             Several years ago I recommended that the Agency provide a draft outline for the
PM SP that would lay  out the decision-making process  the staff intends to  use in  making
recommendations on indicators, averaging times, ranges of numerical levels and statistical forms
of the  NAAQS for PM.  My reasoning was  that such a document would provide a basis for
discussion and, indeed, debate on the decision-making process without engaging in debates over
specific numerical  values. I was told that the schedule did not allow time for the approach I
recommended. In retrospect time was available to have followed the recommended approach.
             The  staff pushed ahead on the SP  and, indeed, released it prematurely  prior  to
CASAC closure on the PM CD.  In my opinion, the result is a "mess."  The ORD staff, CASAC
and the public are still engaged in vigorous discussion as to what should be included  in the CD
and its interpretation. The OAQPS staff has issued a draft SP that is based on guesses  as to what
will be in the final  CD and initiated a quantitative risk assessment for PM using concentration-
response coefficients and forms that have not yet been agreed upon by CASAC.  Perhaps the
most  serious flaw  in what has developed  is that OAQPS  in the  SP  has  provided draft
recommendations for ranges for both PM2.5 and PMio-2.5 standards. In my opinion, the  SP fails to
provide a clear road map for the decisions that yielded the  draft ranges.  Not surprising, the
appropriateness of  the ranges is already the  focus of much discussion and lobbying.   In my
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opinion, the Staff has moved the "regulatory policy train"  ahead of the "science train" on the
way to revising/setting the PM NAAQS.   The  Staff,  CASAC and the public should  still be
focusing on the science and an evidence-based decision-making process rather than arguing over
the appropriateness of the indicators and ranges.
       2.      Background of PM Levels
              The issue of what are the background levels  for the various PM indicators is not
adequately covered in the SP. This relates in part to the inadequate coverage of this topic in the
CD. This matter requires Staff and CASAC attention and resolution.
       3.      Baseline Health Statistics
              The SP is seriously deficient in not providing coverage of the baseline morbidity
and mortality  statistics for major  cities, regions and  the U.S.  with  special  reference to
cardiovascular  and respiratory morbidity and mortality statistics.   It is important that the SP
include such statistics to (a) provide perspective on PM-associated health  responses, and (b)
emphasize their central role in estimate using  relative risk models to PM-associated health
responses. A cynical view is that the Agency  does not want to  present the baseline health
statistics to avoid providing perspective on the  very weak and variable PM-associated health
response signal relative to the substantial burden of cardiovascular and respiratory morbidity and
mortality  from a multitude of risk factors.  The wide variation in cardiovascular and respiratory
morbidity and mortality across the U.S. emphasizes the need for caution in using concentration-
response functions for one region in combination with baseline  health statistics for a second
region to estimate PM-associated health impacts.
              In my opinion, it is becoming increasingly apparent that (a)  air quality, including
PM and its characteristics,  (b) weather,  (c)  baseline health statistics, and (d) concentration-
response functions must be treated as packages on a regional basis. Attempts to force the science
to conform to a single national  structure may be flawed -  one size may not fit all the diverse
regions of the United States.  (When I refer to regions I do not automatically accept the artificial
designation of regions used by EPA. It has some serious flaws, especially as regards the portion
of the U.S. west of the Mississippi River.)
       4.      Concentration-Response Functions
              The SP  does  not adequately address  the issue of how concentration-response
functions  are derived and used.  The use of log-linear functions is accepted by default without
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adequate discussion and considerations of limitations and advantages. Most importantly, the
linkage to the underlying health baseline data is not adequately discussed.  In my opinion,  EPA
has been negligent in not exploring in a more rigorous fashion alternative concentration-response
functions over the range of contemporary ambient PM concentrations observed in the U.S.
       5.    Reconciling Use of Log Linear Concentration-Response Functions and
             Provision of an Adequate Margin of Safety
             In failing to  provide a  clear science  evidence-based strategy  for setting the
NAAQS for PM, the SP does not  address how the Agency will reconcile the use of log linear
concentration-response functions and the setting of standards with an adequate margin of safety.
This is a glaring deficiency in the present document. In short, how low will be low enough?  Is
the use of log linear functions to set a standard that results in a calculated excess of 1, 10,  100,
1000,  10,000 deaths per year or  some other number consistent  with an adequate margin  of
safety?  Or does the Agency propose to use some level of statistical certainty (or uncertainty) as
an indicator of having achieved an adequate  margin of safety?  For  example, one could argue
that if a PMio standard (24 hour average) were being set the NMMAP's data for the 86 cities not
having a statistically significant PM effect could form the decision on the 24 hour PMio standard.
             At some point,  the  Agency has a responsibility to share with CASAC  and the
public how it intends to bridge from the available PM science to setting the NAAQS for PM.  In
my opinion, the current use of log linear concentration-response models that are highly uncertain
and a myriad of mathematical calculations in the absence of a decision structure is not adequate.
       6.    Staff Paper Organization Does Not Support Decision-Making on PM
             NAAQS
             The present SP is not organized in a manner that clearly presents the science that
under-girds the  setting of the PM NAAQS. Chapter 1 fails to provide a clear road map as to how
the science will inform decisions on setting the PM NAAQS with an adequate margin of safety
to protect public health. I have recommended inclusion of a separate chapter to provide this road
map.
             Chapter 2 is scientifically interesting but excessively long and fails to provide key
atmospheric science information  on  background  levels of PM  germane to setting the PM
NAAQS.
             Chapter 3 has two key deficiencies.  First, it fails to present key baseline health
data.  Second, it is not a balanced exposition of information on PM-associated health responses.
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Studies with statistically  significant  or  marginally  significant responses  are  emphasized and
studies that are not statistically significant  are  ignored.  The influence  of weather and co-
pollutants as confounders has been understated.
              Chapter 4 is a premature application, in view of unresolved issues concerning the
underlying data base of risk assessment techniques to estimate excess PM-associated effects.
              I will defer to others with regard to Chapter 5 on welfare effects.
              As I have noted earlier, Chapter 6 on Staff Conclusions and Recommendations on
PM NAAQS was released prematurely and is already serving to polarize several sectors of the
public with debate focusing on their opinion on the ranges presented rather than the science
under-girding the  indicators and ranges.  As noted earlier, the SP  does not provide a clear
exposition on the decision criteria to be used in  selecting ranges (and statistical forms) for the
several PM indicators.
C.     SPECIFIC COMMENTS
       1.      Chapter 1.  Introduction
              This chapter provides an adequate introduction to the document with one glaring
exception. It would be useful for the chapter to conclude  by noting that a subsequent chapter in
the document will provide  the strategy for evaluating  the  evidence relevant to  setting the
NAAQS for PM.  I will refer to this as the first missing chapter.
              This missing chapter on "science evidence-based decision-making for the setting
of the NAAQS for PM" is a  serious deficiency.  There is  a need for a clear road map as to how
the staff  intends  to  integrate,  summarize  and use  the available scientific evidence  for
recommending indicators, averaging times, ranges of numerical levels and statistical forms that
will protect public health with an adequate margin of safety.
              The   failure  to  include  such  a  chapter  has   already  led  to  substantial
misunderstandings over how the PM evidence is to be evaluated.  This includes serious charges
that the SP lacks clear ground rules for science-based decision-making and, instead, has engaged
in a "cherry picking" approach to selecting and using literature (and, indeed, parts of studies) to
support a  position that the PM2.s  standard should be "tightened"  and a new PMi0-2.5 standard
promulgated.
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              I urge the Agency to provide a new chapter in the revised  SP that provides a
strategy, with specific  ground rules, for evaluating  and  integrating the  scientific  evidence
relevant to the setting of the NAAQS for PM.
       2.      Chapter 2. Air Quality Characterization
              In general, this is a well-written and informative chapter. However, it needs to be
improved in two ways. First, the language that bridges from the scientific language (coarse, fine
and ultra-fine and accumulation modes) used to describe particles and the monitoring language
(PMio, PMio-2.5, and PM2.5) needs to be reviewed to make certain the terms are properly used.
Second, discussion of the critical issue of background levels of PMio, PMio-2.5, and PM2.5 needs
to be strengthened.   Indeed, the CD coverage  of background levels of PM should also  be
revisited and revised.
              pg 2-14:  It would be useful if some quantitative data could  be provided on the
contribution of precursor gaseous emissions to PM2.5 levels to  complement the  data in the
Primary Emissions, PM2.5 column of Table 2-3.
              pg 2-25, line 10:  An explanation should be given as to the factors influencing the
occurrence of the high 24-hour average PM2.5 concentrations in California  and Montana since
they are different.
              pg 2-41,  line 22:  It  would be appropriate to add a sentence such as  — "The
substantial regional variation in the ratio of annual mean PM2.5 to PMio from about 0.35 to 0.65
indicates that it is not appropriate to use PMio as  an indicator for PM2 5 by using national average
value.  By the same token, PMio levels cannot be used as indicators of PMio-2.s levels."
              The chapter could be improved by including a  discussion, perhaps  after the
present Section 2.4, on how measurement techniques have changed  over time.  The discussion
should emphasize the uncertainty in "translating" past PM measurements into  current FRM
measurement values.   These uncertainties need  to be considered  in interpreting and using
exposure-response coefficients from  different studies.
   3.  Chapter 3. Characterization of PM-Related Health Effects
       The chapter could be substantially improved if it were to summarize current knowledge
in a more direct fashion without confusing the issue by referring to the 1996 CD and then what
has been learned since 1996.  In my opinion, this approach was confusing and inappropriate in
the CD. The approach is even more inappropriate in the SP. The SP needs to make clear the
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scientific criteria that are relevant to setting the NAAQS for PM based on current knowledge,
without regard to  when it became available.  The chronology of when the  information was
developed is irrelevant to how the information is evaluated in toto today.
       pg 3-26, Figure 3-4: The figure should be modified to show separately (a) total mortality,
(b) cardiovascular or circulatory mortality, (c)  respiratory  mortality,  or (d)  cardiorespiratory
mortality. It is not appropriate to lump (d) with (b) as shown  in the current figure.
       pg 3-27, Figure 3-6: Same comment as above.
       pg 3-28, Figure 3-6: Same comment as above.
       All of the figures  should be carefully  reviewed to determine  if the units  used are
adequately identified in the  figure or legend, i.e., excess effect per  1, 10, or 25 jig of PM
indicators.  Indeed, one can  argue that the most scientific approach would be to always state
excess risk per jig of PM indicator.
       Whenever laboratory animal or controlled human studies are cited care should be taken to
clearly  indicate the route  of exposure,  duration  of exposure,  quantity  administered  or
concentration in the air and when health measurements were made.
       pg 3-65:  The discussion of sensitive  groups is seriously deficient in failing to note the
role of cigarette smoking as a major determinant of cardiovascular and respiratory morbidity and
mortality.  Smoking is  the major determinant  of "pre-existing respiratory and cardiovascular
disease" (pg 3-65, line  17).  It follows from this and the use  of relative risk models that the
majority of any excess PM-associated health responses will be in smokers.  Why  does the
Agency not want to make this point clear?
       pg 3-87:  If the Laden et al (2000) study is to be included, then it will be appropriate to
include Graham and Hidy  (2003) that  identifies some serious shortcomings in the Laden et al
(2000) analysis.
       The present organization of Chapter 3 does not present the information on PM-Related
Health Effects in an optimum fashion to understand how it will be used in setting the NAAQS
for PM.  I urge the Staff to revise the structure of the chapter so it is aligned with critical issues
in setting the NAAQS. Specifically, it would be useful to provide a brief introduction noting that
the evidence available allows consideration of three potential indicators (PMio, PM2.5 and PMio-
2.5) and for each indicator consideration of two potential averaging times (annual and 24 hours).
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This introduction would be followed by sections on each indicator.  A suggested outline for a
revised Chapter 3 is shown below.
       1.      Introduction
       2.      Nature of PM-Associated Health Effects
       3,      Baseline Health Effects Data
       4.      Exposure Concentration-Response Models
       5.      Epidemiological Evidence
              a.     PMio Indicator
                    (1)    Long-term Exposure (Annual Standard)
                    (2)    Short-term Exposure (24 hour Standard)
              b.     PM2.5 Indicator
                    (1)    Long-term Exposure (Annual Standard)
                    (2)    Short-term Exposure (24 hour Standard)
              c.     PMio-2.5 Indicator
                    (1)    Long-term Exposure (Annual Standard)
                    (2)    Short-term Exposure (24 hour Standard)
       6.      Supporting Evidence
              a.     Controlled human exposures
              b.     Laboratory Animal Studies
       7.      Coherence
       8.      Summary
       The present chapter is seriously deficient  in not providing background information on
various  indices of mortality and morbidity.  Hence, the recommendation for section 3  above.
The appropriate  presentation of such indices should include statistics for the U.S. and selected
cities and regions. The associated discussion should note the most important factors associated
with differences  in the regional statistics such as age and smoking.  Presentation of the baseline
data is important because of its role in using relative risk models.
       A brief discussion is needed on exposure concentration-health response models.  Hence,
the recommendation for section 4 above.  This section will follow naturally from the previously
requested material on baseline health statistics.
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       The  information  on epidemiological evidence should  be organized in a manner that
considers the  evidence relative to  specific  (a) indicators (PMio, PMio-2.5, and PM2.5)  and (b)
averaging times (24 hr and annual) as suggested for Section 5.
       Chapter 4
       A major challenge in reviewing Chapter 4 is the frequent need to refer to the technical
support document (Abt 2003). I urge the Staff to consider placing in the SP certain key data that
is presented in the technical support document.  Specifically, it would be useful to include in this
chapter the  baseline health  statistics,  population  sizes, and  concentration-response coefficients
used in any quantitative analyses.
       The approach to treatment of "thresholds" needs to be more clearly presented.
       In many of the figures in Chapter 4, the lower bound values have been truncated at zero.
The result is to seriously misrepresent the results to a casual reader.  The calculated values below
zero are as real as the  calculated values greater than zero.
       In the  captions for Figures 4-15 a and 4-16A, it  would be useful to include the annual
averages for the PM25 and  PMi0-2.5 measurements, respectively.  In Figure 4-15b, it would be
useful  to relate the under-lying non-accidental mortality to provide perspective  to the calculated
excess PM-related mortality.
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                              Dr. Giinter Oberdorster
[Sent via e-mail to Dr. Les Grant, Director of EPA 's National Center for Environmental
Assessment (NCEA)/RTP, on November 24, 2003]
Subject: Fw: Comments from Dr. Gunter Oberdorster

Dear Les,

       Sorry I am late with sending you some comments as we discussed at the CASAC
meeting, I was busy getting a major grant out last week.

       1. With respect to the results of modeling human COPD lung deposition, I was mistaken
when I thought that the results had already been published by Werner Hofmann. He is still
writing the paper, only two abstracts have been presented this year at the ISAM Conference in
Baltimore in June. Attached are the two abstracts from his modeling efforts, and although you
may not be able to cite them - it gives you at least an idea that modeling of particle deposition in
human diseased lungs is being done.

       2. Table 3-1 of the staff paper summarizes mechanisms of particle effects.  The potential
mechanisms listed in that table are not really mechanisms but most of them are just effects.  For
example, in the first category "Direct Pulmonary Effects" you may want to change the so-called
"mechanisms" in the first line to something like "activation of alveolar macrophages, epithelial
cells"; in the second line, the effect is possibly related to "increased oxidative stress" as a
mechanism or decrease in antioxidant defenses"; and in the third line, a potential mechanism
may be "stimulation of irritant receptors or sensory nerves in the tracheobronchial region".

       In the second category,  "systemic effects secondary to lung injury", you could add in the
first line "due to pulmonary vasoconstriction, edema". All of these systemic effects listed in the
table probably involve acute phase responses with increased acute phase proteins such as IL-6
and others. (I don't see why arrhythmia in the second line of this category is defined as
hemodynamic effect?).

       In the third category, "direct effects on the heart", you could add as a mechanism for the
autonomic control of the heart "via sensory nerves in the tracheobronchial region, connected to
vagal ganglia".

       I hope this helps.

       With kind regards - Gunter

GO/jh
              Hofmann absts.tif
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 EFFECT OF INHOMOGENEOUS LUNG VENTILATION
  ON PARTICLE DEPOSITION IN HEALTHY SUBPCTS
                AND COPD PATIENTS

    Elzbieta Pawkk, Robert Sturm and Werner Hofmann
  In current particle deposition models, the inhaled air is dis-
tributed uniformly throughout the airway system. However, ex-
perimental studies have indicated that the human lung is not
ventilated homogeneously, but rather to an asymmetric and
asynchronous fashion. In this study, a mathematical ventilation
model is  presented, which describes trie asymmetry and asyn-
chrony of lung ventilation by specific time-dependent coeffi-
cients for the individual lobes. The effect of mhomogeneous hing
ventilation on particle deposition was studied for both healthy
subjects and patients suffering from COPD (mean reduction of
the airway caMbers; 50%) over a wide range of partick sizes. Un-
der standard breathing conditions, partick deposition in COPD
patients is significantly  increased compared to that in healthy
subjects. Depending on particle size, mis increase ranges from 2
to 20%. In both healthy and diseased lungs, asymmetric and
asynchronous ventilation causes a decrease of particle deposi-
tion due to changes of air volumes entering the single lung lobes
and a partly significant reduction of particle transport times in
the lobes. While asymmetry reduces partick deposition by 5 to
10%, asynchrony leads to a respective drop of up to 20%. Finally,
combination of both effects causes a maximum decrease of total
deposition by about one third.
   Funding: EU Contract FIGD-CT-200Q-0QQ53
     SIMULATION OF EMPHYSEMA IN THE HUMAN LUNG
         AND ITS EFFECT ON ALVEOLAR DEPOSITION

                Robert Sturm and Werner Hofmann
      Emphysema is defined as a slowly progressive, pulmonary dis-
     ease characterized by the continuous enlargement of air spaces
     distal to the terminal bronchioles. The abnormal  distension of
     alveolar structures is mainly generated by the permanent de-
     struction of alveokr walls due to a decomposition of their ma-
     jor structural proteins elastin and collagen. In the theoretical ap-
     proach presented here, different types of lung emphysema (i.e.,
     paraseptal, centriacinar, panacinar, and bullous emphysema) are
     modelled (a) by defining a distribution of  alveolar diameters
     based on histological sections of diseased rungs and (b) by de-
     terminmg the region within the lung, where a specific type of
     emphysema preferentially occurs (*.g. paraseptal emphysema in
     the outermost airway generations). Alveolar deposition of  in-
     hated particles was calculated for patients exclusively suffering
     from emphysema ('pink puffers') and subjects with a combina-
     tion of COPD (maximum airway reduction: 50%) and ernphy-
     sema. For both scenarios, total alveolar deposition is s^mficandy
     decreased  relative to healthy lungs, strongly depending on the
     considered type of emphysema^Most secant reductions of
     deposition, as high as 90%, can be observed  for bullous emphy-
     sema. An additional assumption olvol^ chang_es durmg
     progress of the disease (increase of FRC, decrease of TV) causes
     * further decline of f
       Funding: EU Contract
B-72

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                                Dr. Robert D. Rowe
Memorandum
To:          Fred Butterfield, Phil Hopke
From:       Bob Rowe, Stratus Consulting Inc.

Date:        11/4/2003

Subject:     First Draft PM Staff Paper
Modest revisions are provided to my draft comments.

This is a good first draft, and generally well written and presented.

A.  Selection of averaging times and levels. Sections 6.3.2, 6.3.3, 6.3.4 for PM2 5, and earlier
supporting text; and the same for PMio-2.5. There are important issues regarding the selection of
averaging times and levels. These issues are not sufficiently, or explicitly addressed.
    a.  Strength and use of evidence for effects at low ambient concentrations and clarity on
       items factoring into the margin of safety are not made clear.
   b.  Emphasis on the annual average over the 24 hour measure, for both a PM2.5 and a
       or PMio-2.5 is not clear or convincing. Certainly only a few high days will contribute only
       a small percent to the total risk, but many modest days will contribute a lot to risks.
       While current evidence suggests using a linear concentration-response function, and little
       evidence about thresholds, my sense of the panel is that there is much more comfort that
       a 5 ug/m3 reduction between 20 and 25 would benefit the public than would the same
       5ug/m3 reduction between 15 and 10, or between 10 and 5. Thus, we should want to
       emphasize reducing the modest and bad days, rather than further reducing the already
       good days - but an annual standard does  not distinguish between the two (although it
       perhaps likely that the reduction in the annual average is from reductions on the modest
       and bad days but it is not necessarily the  case). The annual standard deflects control
       emphasis from  episodic controls, which in some locations may provide the most desired
       reductions in health risks.

   c.  Basis for selecting a 24 hour standard (pages 6-22 to 6-24), the appropriateness of second
       statistical approach is unrelated to the health impacts that are being experienced or could
       be experienced if certain levels were allowed.

   d.  Future standard setting may benefit from research examining measures such as "dose-
       days over X ug/m3" in the epi studies, where X may evaluated for values like 20, 25, 30,
       35, 40 ug/m3, to evaluate critical dose, rather than annual average measures.

   e.  The interrelated discussions on thresholds, linearity, effects at low levels, and on
       selecting levels for annual average and 24 hour indicators are scattered in the report
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       (Section 3, Section 4.6.2.1, Section 6.3) and discuss some of the same, and some
       different, literature in each place. This should be cohesive in Chapter 3 and/or Chapter 6.
       The discussion in Section 4.6.2.1 is misplaced as Chapter 4 risk assessment procedures
       and not presenting the background for the issue.

B. Risk Assessment.

1.  Needs more clarity on the intent (goals) and weight to be placed on the risk assessment (see
   notes below) in the Staff Paper recommendations. This determines the importance to place on
   many of the detailed issues with the risk assessment (linearity, higher level cumulative
   uncertainty analysis, etc.).

2.  The visual presentation of results that truncates the statistical distributions is a concern and
   misrepresents the results, even though the argument that negative values (pollution is good)
   is reasonable. Alternatives were presented in the meeting and one  should be selected and
   implemented.

3.  Spatial averaging versus single monitors in standard setting. This issue received little
   attention in the document and in the meeting, and needs to be more explicitly addressed.
C. Chapter 4: Risk Analysis

1.  The use of the risk assessment in the overall process is not as clear as it might be (here or in
   the introduction). The individual health effect studies identify the potential health effects that
   clearly are adverse to the affected individuals. The risk assessment helps provide perspective
   on the level of adversity for the public as a whole. If there are no effect thresholds, not all
   adverse events may be able to be avoided. Thus, is the population impact potentially
   important?

2  Page 4-3 lists the goals, which seem to be in inverse order of importance, which is: (1)
   provide a rough sense of magnitude of risks under current conditions and alternative
   regulatory strategies (otherwise the other goals are academic). (2) understanding the nature
   of the risks (is it mortality, morbidity; to what populations, etc.) (3) understanding the
   importance of various uncertainties and factors in the assessment.

3.  The thresholds and linearity discussions found in section 4.2.6.1 (page 4-32 and thereafter)
   belong in section 3.5 page 3-75 rather than identified on page 3-75  with reference to Chapter
   4 and/or in chapter 6.

4.  A 1996 finding is used in Section 6.3.2 to discuss averaging times and motivate a focus on an
   annual average standard:  "the few peak 24-hour PM2.5 concentrations appeared to contribute
   a relatively small amount to the total health risks posed by the entire air quality distribution
   as compared to the aggregated risks associated with the low to mid-range PM2.5
   concentrations.. ."(page 4-4, with concept repeated on page 6-13).  This is obvious (e.g., a
   few days won't drive the assessment, especially with linear functions and most of the
   population not experiencing the  peak days. However, the unstated  point is that to avoid most
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    risks would be to set the 24 hour standard at low to mid-levels, reflecting the literature and
    risk assessment.

D.  Chapter 5: Welfare Effects (and related sections in Chapter 6)

Most comments address Section 5.2.5 on the significance of visibility to public welfare.

1.   The recent "attitude" studies regarding what is adverse are emphasized. On a scientific basis,
    the current studies are not strong, but are informative. They are subject to some the same,
    and some different, issues as in the valuation studies. Attitude and valuation studies should
    be seen as compliments, not substitutes. For example, some of the valuation studies
    addressed related issues - Carson et al. (APCA speciality conference proceedings, 1990) and
    McClelland and Schulze for urban settings, and Chestnut and Rowe (1990) for Class I areas
    find that visibility impacts on a few days has non-trivial value. One might be able to review
    these to evaluate the visibility impairment levels for these days to relate these prior economic
    studies to the more recent attitude studies, although that is not a priority here.

2.   Page 5-18 line 7, Page 5-19 line 26: add Chestnut and Rowe (1991), which covers more
    studies than Chestnut et al. 1994. Chestnut, L.G., and R.D. Rowe. (1991) Economic
    valuation of changes in visibility: A state of the science assessment. Sector B5 Report 27. In
    Acidic Depositions: State of Science and Technology Volume IV Control Technologies,
    Future Emissions and Effects Valuation. P.M. Irving (ed.). The U.S. National Acid
    Precipitation Assessment Program. GPO, Washington, DC.

3.   Pages 5-18 to 5-19 discussion of use and non-use values: (i) Use values include improved
    aesthetics during daily activities (driving or walking, looking out windows, daily recreation)
    and for special activities (visiting parks and scenic vistas,  hiking, etc.), and viewing scenic
    photography.  Merge in the option value concept. A significant component of value is tied to
    preserving improved visibility in the event of a visit, even though a visit is not certain. This
    key component of the measured values is considered by some in use values and by others in
    non-use values.

4.   Page 5-19 mid-line 6 to start of line 9. Remove sentence as it repeats earlier text.

5.   Page 5-19 lines 11-16. The lead sentence is distinct from the remainder of the paragraph
    (which only shows there is a lot of visitation expenditures). The lead is tied to the next
    paragraph. Perhaps the order of follow-up material should be reversed. I believe there are a
    few items in the literature for US sites linking visibility to visitation (it would take some time
    to find them).

6.   Page 5-20 Lines 5 - 14. Not all of the valuation studies are CV. Some use hedonic property
    values, with their own issues of separating visibility from other air pollution impacts
    (although complimented by surveys can provide indications of the partitioning of hedonic
    values, which consistently indicates that the visibility component is significant).

7.   Page 5-27. It is important to note that each of the studies is in a western environment, and
    implications regarding eastern (or other) locations cannot be made.
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8.   Section 5.2.6.2 and similar discussion on pages 6-44 and 6-45. Section 5.2.6.2 should be
    dropped. The Washington, D.C. work has not be developed sufficiently to warrant this level
    of discussion in the Staff Paper. The pilot can be cited with the earlier similar public
    preference attitude studies, but given the limited work on this study, probably no more than
    as a small note with proper caveat. The similar discussion on pages 6-44 and 6-45 does not
    appear to belong in the Staff Paper (or at least not at this length) and would be better reserved
    for a research agenda report.

9.   In EPA's cover letter, it requested input on the proposed public attitude studies. See also my
    comments  provided July 30, 2001.
       -  The approach has promise, but needs to be conducted in defensible manner (with an
          advisory panel and peer review), and any new work needs to begin to address a
          number of issues with the approach.  Generally, the approach need not be viewed as
          an alternative to valuation approaches, but as a complement to these approaches,
          including both types of questions.

       -  More important is that EPA (and/or others) should do more on public losses from
          visibility impairment, which could lead to setting a secondary standard to reflect
          welfare impacts, rather than setting the standard to simply match the primary
          standard.  Considerable research identifies that visibility impairment present a
          substantial public impact. A considerable literature and data base exists for visibility
          impairment and the public's reaction. A combination of prior research and new
          research on public  preferences would greatly aid to develop a secondary standard.
          Research along the lines of this project could go  a long way toward that objective.

       -  Finally, referring to the interviews as "focus groups"  may be correct for some past
          applications, but probably would not be correct for properly conducted future surveys
          (see edit below for page 6-44).

10. A key conclusion of the limited visibility attitude studies and some of the economic studies is
    that visibility impairment of modest amounts on a few days is perceived as adverse, which
    relates to a 24-hour secondary. Other economic studies support reduced annual averages, but
    the SP does not relate these to any underling annual average  concentration levels.

11. Regarding materials impacts (section 5.3.2), there are economic studies that identify values
    for impairment to cultural  resources (such as marble monuments  and historic buildings). For
    example see  Morey et al.  and the citations therein. [Morey, E.R., K.G. Rossmann, L.G.
    Chestnut and S. Ragland (2002). Valuing reduced acid deposition injuries to cultural
    resources:  marble monuments in Washington, D.C., in Valuing Cultural Resources, S.
    Navrud and R.C. Ready (eds.), Edward Elgar, Cheltenham, UK, ISBN 1-84064-079-0.
E.  Minor Text Edits
1.  Page 2-26, Figure 2-8 and Page 2-35 Figure 2-13. In the caption, correct "sties" to "sites".
2.  Page 2-51, Line 14. Add space in text "Chapter 4and".
3.  Page 2-66 Solomon reference. Move date to after authors.


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4.  Page 3-31 Line 28 "a only" -> "only a".
5.  Page 3-42 regarding life shortening. Need to be clear that the Staff Paper conclusions are by
   no means definitive and more research is needed.
6.  Page 3-76 Line 27. "wiggly" should be replaced with a better description of the concept
   being alluded to.
7.  Page 4-10 Line 3. Should "circle" be "diamond"?
8.  Page 4-10 lines 24/26, pg 4-13, line 18 (and related discussions). Should this be US and
   Canadian.  In some places the text refers to reliance on US studies, and in others on US and
   Canadian. Needs to be consistent.
9.  Page 4-13 line 13 - add developmental effects to list of potential but excluded effects.
10. Page 4-27 line 19. Is the yo here suppose to be XQ?
11. Page 4-33 footnote 13. More discussion is needed or cross reference to the extended
   discussion  of this matter (now in Chapter 6, but perhaps belongs in part in Chapter 3).
12. Page 4-36 line 25, "term pm exposure" -> "term exposure"
13. Page 5-69 Line 17. "Preservation of values..." -> "Preservation values..."
14. Page 5-71 line 41. "Ben-Davis" -> "Ben-David" and line 41  "Molenar Jr." -> Molenar J.".
15. Page 5-31 line 24 is "sorb" to "absorb"?
16. Page 5-64 line 18 "lass" -> "less".
17. Page 6-23 line 10  ".. .can provide an appropriate basis for"  ->"... can provide useful input
   to..." to be consistent with similar text elsewhere.
18. Page 6-44 line 6.  Remove "focus groups to elicit" (see forthcoming general comments
   regarding this point).
19. Page 6-49 line 20. Recommend cross reference to materials in SP or CD for the assertion.
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                               Dr. Jonathan M. Samet
                     Review Comments: OAQPS Paper—First Draft
                              Jonathan Samet, M.D., M.S.
                                   December 1, 2003
General Comments:

This first draft of the "Staff Paper" is clearly a "work in progress", and consequently these
comments are made in that context. As a first issue, in fact, I would urge the staff to consider
preparing a far more approachable and "reader friendly" document. At present, the document
reads as though segments of the Criteria Document had been juxtaposed with staff interpretation
of these critical segments. Of course, this is the intent of the Staff Paper, but the current form of
the document precludes gaining a full picture of the new findings and the implications for the
NAAQS.

In this regard, it would be useful if each chapter were to highlight, perhaps in a tabular or
bulleted form, the state of the evidence at the last Staff Paper and, the relevant incremental gains
in knowledge since then. With this summary in hand, any new recommendations with regard to
the NAAQS would have a transparent basis.

In my view, the Staff Paper remains bedeviled by the same fuzziness around critical concepts as
the Criteria Document, particularly in relation to confounding, effect modification, and causality.
There is a sloppiness in the language around these concepts that leads to ambiguity of
interpretation.  In particular, the document does not carefully separate the quality and extent of
the evidence available from the conclusions that might be reached.  Some examples will be
highlighted in my more specific comments and I have previously commented on this issue in
regard to the Criteria Document.

The process of information gathering and synthesis embodied in the Criteria Document and the
Staff Paper is very much akin to the conduct of an evidence-based review. As the formalism of
evidence-based reviews has evolved over the last decade, emphasis has been placed on
elaboration of a clear set of principles for developing the evidence-base, for evaluating the
quality of evidence, and for reaching conclusions. Typically, a review provides guidance  in its
earliest pages as to the approach that was followed.

In this regard, the Criteria Document and the Staff Paper are both deficient.  A reader would not
be able to judge how conclusions were reached in either document,  nor to find any explicit
statement as to what principles were followed.  In fact, there is substantial variation across the
staff paper in the apparent use of criteria for evidence information and the related language for
causality.  These should be stated explicitly at the start of each document and, in fact, readers and
users of these documents should be confident that the stated principles were followed as
evidenced by their specific application across the documents.
                                         B-78

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The proposal for a PMio-2.5 (coarse) NAAQS follows the Supreme Court decision and the need to
have a regulatory approach for controlling coarse particles. The PMio-2.s size fraction has thus
emerged, not primarily on a biological basis, but as a consequence of non-biological happenings.
The Staff Paper nonetheless finds support for a PMi0-2.5 standard, in part on epidemiological
evidence.

The agency faces a dilemma in that PMio-2.5 is an artificial construct, slicing one segment of the
coarse particle mode.  Particles in the size range above PMi0 however, do enter the upper
respiratory track and have the potential to cause injury locally as well as more distal/general
effects.  Epidemiologists commonly study PMio-2.5, because this is the only coarse size fraction
for which data are routinely available. There is inherent circularity in justifying a PMio-2.5
standard because that is what can be studied.

The Staff Paper reviews the relevant information that would inform  having a PMio-2.5 standard.
Some epidemiological data are presented and a relatively strong interpretation is given
emphasizing the "coherence" and finding increased "support for a causal link". The new
evidence is not substantial and I have concern about the laxity of evidence interpretation.

Chapter 1: No specific comments.

Chapter 2:    Page 2-1, Line 26: Is the distinction between fine particles and coarse particles
              overstated?

              Page 2-2, Line 12: Particle size does not really determine exposure, as stated here.
              Rather, it determines concentration in relationship to the source of the particles.

              Page 2-19, Line 18:1 am not certain that the NMMAPS researchers revised these
              regions, as stated.

              Page 2-37, Lines 1-5: Epidemiological implications should be addressed here.

              Page 2-41, Lines 11-12: What is the relevance of the  statement concerning
              epidemiological studies?

              Page 2-59, Lines 14-17: This statement is not correct as written, as exposure
              measurement errors do have implications for the magnitude of effect estimated
              and the precision of estimates.
              Pages 2-60, Lines 9-12: This statement should be specified as describing cross-
              sectional findings.

              Page 2-61, Lines 1-2: There are implications for more than "time-series
              epidemiology". I would also  suggest using terminology other than "time-series
              epidemiology" to describe time-series studies.  There should be consistency in
              reference to various research designs throughout the document.
                                          B-79

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Chapter 3:
             Page 3-2: Here, would be a useful point for setting out the methodologic frame of
             reference for addressing confound, effect modification, and causation.

             Page 3-3, Lines 18-23: These statements are far too sweeping. There are many
             potential mechanisms by which particles may cause adverse health effects and
             neither the information available in 1996 nor at present is so conclusively
             uninformative as stated.

             Page 3-5, Lines 24-26: Another similarly sweeping statement.

             Page 3-6, Lines 1-3: The same wrong thinking continues here with the proposition
             that one could "fully define" mechanisms. This is determinism taken to a non-
             useful  extreme. The remainder of the paragraph is similarly off the mark.

             Page 3-7, Table 3-1:  An arrhythmia is not a "systemic hemodynamic effect". I
             am also unclear as to what is meant by "PM/lung interactions potentially affecting
             haematopoiesis".

             Page 3-9, Lines 10-12: This sentence is too vague.

             Page 3-9, Line 15: Yes, particles are potentially quite rich in their chemical
             composition. This concept is not well covered in the material to this point.

             Page 3-9, Lines 21-25:  Again, a continuation of a never-ending search for
             mechanisms.

             Pages 3-10,  3-12: This material needs to be substantially sharpened. I have
             previously given comments around the Criteria Document that may be useful.
             Conceptually, the materials are simply too ambiguous.
                                         B-80

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                                Mr. Ronald H. White
                          Comments of Ronald H. White, M.S.T.
           EPA First Draft Particulate Matter Staff Paper and Risk Assessment
                                   November 17, 2004
                                    General Comments

Chapter 3

The First Draft PM Staff Paper (SP) provides a generally well written summary of the results of
key studies on the health effects of paniculate matter. The interpretation and relationship of the
key health effects studies to the policy issues regarding the adequacy of the current PM NAAQS
and the proposed revisions to the PM NAAQS are also generally appropriately described.  The
SP does a generally good job of integrating the information on exposure with the results from
key epidemiological studies, with appropriate reference to supporting information from
controlled human exposure and animal toxicology studies.

Revisions to the  discussion of the selected studies drawn from Chapters 7 and 8 of the Fourth
Draft PM Criteria Document (CD), as well as from the Integrated Synthesis (Chapter 9), will be
needed to reflect the revisions made to those chapters in response to CASAC and public
comments on the CD.

A set of criteria or rationale should be provided for the selection of key studies included in the
SP.

To provide the reader with a context for the discussion of sensitive  groups in Section 3.4, this
section should include information on the national magnitude of the sensitive group populations.
Chapter 4

EPA staff is to be commended for the transparent discussion of the selection of health endpoints,
locations, and dose-response functions selected for use in the risk assessment.

While noting that negative risk coefficients from epidemiologic studies do not logically represent
a beneficial effect from PM exposure, the presentation of negative value lower bound risk
estimates in the risk assessment results presented in Figures 4-5 through 4-14 should not be
truncated at zero to ensure an accurate presentation of the actual risk coefficient results.

The discussion of mortality and morbidity concentration-response functions and thresholds for
health effects should be included primarily in Section 3.3 of Chapter 3 and that information can
then be referenced as necessary for the risk assessment discussion in Chapter 4.
Recommendations for additional sensitivity analyses:
                                          B-81

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    1)  The use of only a single year of PM2.5 data raises a concern regarding the
       representativeness of the data year selected to typical levels. While relying on a single
       year of data may be unavoidable for PMio-2.5 data due to the limited amount of available
       monitoring data, EPA's AIRS data base contains a considerable amount of multi-year
       PM2.5 data for several of the cities used in the risk assessment. As a component of the
       sensitivity analysis, EPA staff should compare the impact of using three years of PM25
       data (e.g. 2000 - 2002) with the single year of data used in the base case risk assessment
       for a representative sample of cities where multi-year data is available.

    2)  Add threshold value for PM2 5 of 8.0ug/m3 for short-term mortality analysis.  Since the
       low end of the range of mean city values for the Burnett et al., 2000 study (reanalyzed in
       Burnett and Goldberg, 2003) is below 10ug/m3 (9.5 ug/m3, from Table 3-2),  an analysis
       should be conducted of the impact of a threshold value lower than the lowest city mean
       PM2.s value associated with an increase risk of mortality.

    3)  Analyze health outcome risks for alternative forms of the 24-hour PM2.5 standard range
       (e.g. one annual allowable exceedance, 99th percentile, fourth highest value over three
       years).

    4)  Compare city-specific health outcome risks associated with meeting the annual PM2.5
       standard using the maximum vs. average of monitor-specific averages (spatial averaging).
Chapter 6

The proposed emphasis on the annual PM2 5 standard as the "controlling standard" is appropriate
in the context of shifting the overall annual concentration distribution downward. However, an
effective and health protective 24- hour standard is needed to protect against repeated peaks such
as those that occur on a seasonal basis (e.g. wood burning, agricultural burning). These acute
exposures have been associated with significant morbidity, and repeated episodes may
exacerbate the disease condition of sensitive populations such that they are then vulnerable to
increased risk of mortality.

While the health evidence for setting a coarse PM standard is substantially less compelling than
the evidence for fine PM, the results from studies of noncrustal source coarse PM regarding
exacerbation of morbidity, and to a lesser extent increased risk of mortality, as discussed in the
CD and SP provide a reasonable basis for setting a coarse PM standard based on a precautionary
public health approach. An analysis of key PMio studies where data on the fine fraction (e.g.
sulfates) is available and can be removed from the analysis, as suggested by Dr. Lippmann at the
November 13, 2003 CAS AC meeting, would provide additional confidence in establishing a
coarse PM standard.
                                          B-82

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                                    Specific Comments

Chapter 3

Pg. 3-2, line 28:1 would suggest that the results of the intervention studies be described as
"avoided excess mortality and cardiopulmonary morbidity" rather than "improvements.. .in
health".

Pg. 3-24, lines 11-13: The statement that there is little difference in epidemiologic study results
when comparing GAM with stringent convergence criteria and GLM approaches is not
necessarily true for all studies. See Aphea-2 reanalysis adjusted GAM vs. natural spline results as
an example.

Pg. 3-94, line 29:  The Dublin intervention study by Clancy et al. should be referenced here as
well.
Chapter 4

Pg.4-30, lines 23-24: If the finding of a statistical significant result was not a criteria for the
selection of studies for inclusion in the risk assessment, a description of the study selection
criteria actually used should be included here.

Pg. 4-31, lines 17-19: Some additional explanation and justification for the statement that the
corrected GAM model provides a better effects estimate than the GLM model should be
provided here.

Pgs. 4-63, 4-65: Tables 4-10 and 4-11 presenting sensitivity analysis results for different from
base case threshold models and historical air quality data indicate that risk estimates less than
zero were truncated at zero. However, it is my understanding from the discussion of the risk
assessment protocol at the November 12-13 CASAC meeting that negative risk values were
truncated only for the purposes of presentation and not for risk calculation. If that information is
correct, the statement that negative risk values were truncated at zero should be removed from
these tables.
Chapter 6

Pg. 6-2, Iinesl6-20: Beyond establishing "natural background level" estimates for the East and
West, it is unclear what additional "risk management implications" that have been considered in
the SP. The legislative history of the Clean Air Act and legal precedent are clear that
implementation costs and technological feasibility of attainment are not to be considered by the
EPA Administrator in establishing the NAAQS level "requisite to protect the public
health... with an adequate margin of safety". The risk management considerations discussed here
should be explicitly stated.
                                          B-83

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                               Dr. Warren H. White
The roles of background levels and averaging times in the PM RA
                                                     Warren H. White,  11/17/03

Ozone provides one risk-assessment model for pollutants with substantial contributions -
backgrounds - from natural and extra-continental sources.  The ozone background varies slowly,
and within a limited range, and may thus be usefully approximated as a constant, at least within
seasons and geographic regions.  Scavenging by NOX emissions can drive ambient
concentrations below background levels, and the resulting ozone deficits must not be miscounted
as benefits.

These considerations motivate an analytic framework in which annual risk is appropriately
calculated as the sum of the daily risks associated with the excesses of 24h concentrations over a
fixed threshold representing the background. It is this framework that the PM  RA employs.

Risk assessment for PM requires a different analytic framework, because PM backgrounds
relate differently to ambient concentrations. Ambient PM concentrations are just the sum of the
background and controllable anthropogenic fractions, and thus are always at or above
background levels. It is therefore unnecessary to disaggregate annual risks into their daily
increments to avoid including spurious benefits.  It is fortunate that annual averages can be used,
because 24h PM backgrounds can vary greatly from day to day and are  not easily determined.

The excess risk attributable to a 24h concentration A; of controllable anthropogenic PM is
H[exp(pA) - 1] ~ HPA, where H is the baseline incidence of the health effect and P is the
coefficient of the C-R function.  (My 11/10/03 comments, attached below, address the validity of
this linearization.)  The annual attributable risk is accordingly HPZA; = H|3365MA =
HP365(MPM-MB), where MA, MB, and MPM are respectively the annual-average controllable,
background and total concentrations. (Actually, this conceals another approximation if seasonal
variations in H are acknowledged to correlate with those in A;.)

Given the C-R model underlying essentially all our epidemiological results, the risk
attributable to controllable PM is thus a function of only the average ambient and
background concentrations, not their day-to-day variations.  This holds, according to our
assumptions, regardless of whether the coefficients H and P refer to acute or chronic
effects.

The annual risk reduction achieved by passing from daily concentrations of PM; to PM;* is,
similarly, HP365(MPM-MB) - HP365(MPM*-MB) = Hp365(MpM-MpM*).  Again within the limits
of our epidemiological assumptions, risk reduction is thus a function  of only the decrement in
annual-average concentration,  independent of how improvements are distributed over
individual days.  The  significance of background is only that it limits the potential for
reduction: Hp365(MpM-MpM*)  <  HP365(MPM-MB).  In particular, the "moderate" sensitivity
to background of the risk reductions estimated in the draft RA are artifacts of an inappropriate
calculation framework.
                                         B-84

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The (non-)dependence of risk reduction estimates on assumed background.
                                                                   WHW, 11/10/03

C; = B; + A;:  ambient concentration on ith day, which is the sum of
B;:           policy-relevant background, and
A;:           controllable anthropogenic.

MX = mean(X; i = 1,. . .,365), where X; = A;, B;, or C;.
S = annual NAAQS.

Required linear roll-back fraction, p:
       S = MB + (l-p)MA,  so p = (MC-S)/MA.

Rolled-back concentrations, C ;:      C ; = B; + (l-p)A;
Concentration reduction:       Q -  C*; = pA;

Risk reduction:       H[exp(|3pAi) - 1], where H is the baseline incidence of the health effect.
Can we employ the linear approximation,  exp(PpA;) -1 ~ (3pA;?
    i.      Consider base-case PM2.5  short-term mortality in Detroit, for which |3 = 0.00074
          (DRA exhibit C.2), Mc =  15.8  (DRA exhibit A.2), and max C; = 86 (DRA exhibit
          A.2).  For the current standard  S = 15 and the base-case average background MB =
          3.5, the required roll-back is p  = (15.8-15.0)7(15.8-3.5) = 0.065. The greatest
          deviation from linearity will occur at the maximum controllable anthropogenic
          concentration A; = 86 - 3.5 = 82.5. At this extreme daily concentration, exp(PpA;) -
          1 = 0.003979, which is 0.2% higher than the linear approximation.
    ii.     Consider a bounding case, combining the lowest contemplated  standard, S = 12, the
          highest background estimate MB = 5, and the upper bound effect estimate, |3 =
          0.0022. Even under these conditions, exp(PpA;) -1 = 0.06516 is only 3.2% higher
          than the linear approximation.  That's a 3% error on the worst individual day! What
          else in the entire exercise is known to within 3%?
Conclusion: we can legitimately estimate the risk reduction as H|3pAi.
The annual reduction in risk is then just H|3pZAi = 365HppMA; substituting p =
yields 365H|3pMA= 365H|3(Mc-S), which is wholly independent of any assumptions about the
level of the background or its variability from day to day.

The only assumption made above about the background was that C; = B; + A;, so that C; > B; on
each individual day. If a constant value B; = B is used for background, and if observed
concentrations C; sometimes dip below this level, then the risk reduction will depend on the
value B assumed.  But C; < B; is no more physical than C; < 0, a situation that the assessment
explicitly rules out by an ad hoc computational intervention (RA pages 14 and 15).
                                         B-85

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The contribution of sulfate aerosol to IMPROVE PM2 5 levels in the BUS.
                                                                   WHW, 11/10/03

Public commenters note that PM2.5 annual averages and 98th percentiles at a number of eastern
IMPROVE monitors "encroach" on the ranges of annual and 24h standards recommended in the
Draft Staff Paper. These comments fail to recognize the large contribution of sulfates to the haze
in this region, very little of which can plausibly be attributed to natural or extra-continental
sources.

Table 1 summarizes annual average PM2.5 mass (|j,g/m3) at a number of the cited monitors
during 1988-2002, along with the portion nsPM2.5 = PM2.5 - (132/96)[SO4=] of that mass not
accounted for by ammonium sulfate, as described at http://vista.cira.colostate.edu/improve/.
(Because my PM2.5 averages exclude observations with invalid sulfate and sulfur data, some
differ from the commenters' values by a few tenths of |j,g/m3.)
Table 1 . (annual average)
Acadia, ME
Lye Brook, VT
Dolly Sods, WV
Shenandoah, VA
Great Smoky Mtns., TN
Sipsy, AL
PM25
6.5
6.8
11.7
11.3
12.5
13.7
nsPM9 ,
3.3
3.4
5.0
4.7
5.8
6.6
Table 2 provides analogous information for the 98th percentiles. Because the ratio of sulfate to
other material varies from observation to observation, the sulfate content of the individual
observation supplying the 98th-percentile mass concentration need not be representative. I
therefore calculated 98th-percentile nsPM2.5 by scaling the 98th-percentile PM2.5 by the ratio of
non-sulfate and total-mass averages for those observations yielding the top 2% of PM2 5.
Table 2. (98th oercentile)
Acadia, ME
Lye Brook, VT
Dolly Sods, WV
Shenandoah, VA
Great Smoky Mtns., TN
Sipsy, AL
PM9,
22.5
26.9
37.6
33.1
34.6
31.9
nsPM9 s
10.4
10.8
12.4
11.8
16.3
13.4
nsPM9 s/PM9 s
46%
40%
33%
36%
47%
42%
I submit that non-sulfate fine mass, nsPM2.5, is a much more informative upper bound on policy-
relevant background than total PM2.5 is.  As evidence that EUS sulfate is NOT properly
considered PRB, note that regional sulfate concentrations are in fact tracking trends in regional
SO2 emissions!  [W.C. Malm, B.A. Schichtel, R.B. Ames, and K.A. Gebhart (2002) A 10-year
spatial and temporal trend of sulfate across the United States. J. Geophys. Res. 107(D22), 4627.]
                                         B-86

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Risk Analysis Appendix B.  Linear Trends in Historical PM2 5 Data
                                                      Warren H. White, 11/17/03

Pages B-l - B-5 make the necessary point adequately. The statistical discussion on pages B-6
and B-7 adds nothing to the argument.  It serves only to impress the statistically credulous, and
should be dropped. The fact is that almost ANY two reasonably-shaped distributions containing
some small values will generate well-correlated decile averages. How, then, does any particular
large R2 with small intercept "support the hypothesis underlying the proportional rollback
method"?

As one example of my claim, regress 1995 Los Angeles deciles on 1992/93 Philadelphia deciles
in place of the same-city comparisons.  The between-city 'fit' is even better, R2 = 0.993, with a
similarly insignificant intercept of-0.15 |J,g/m3.

As another example, pull a data set off the web at random - let's consider the numbers of books
and serial volumes in each state's public libraries during fiscal 2000 (National Center for
Education Statistics, nces.ed.gov/pubs2003/digest02/tables). Calculating the averages in each 5-
state decile and regressing them against 1995 Los Angeles concentration deciles again yields R2
= 0.993.

Was that just a lucky shot?  Consider instead the numbers of deaths in each state during 1998
among sentenced male prisoners under State or Federal jurisdiction (U.S. Bureau of Justice
Statistics, www.ojp.usdoj.gov/bjs/corrections). The decile averages for those data yield R2 =
0.973 with the  1995 Los Angeles PM2.5 concentrations.  And they correlate at R2 = 0.989 with
the library books!
       Concluding comments

My core point has been that the effective linearity of the C-R function H[exp(|3Ai) - 1] ~ HP A;
renders moot much of the argumentation presented in the RA, SP, and public comments (along
with some of my own responses such as the above comment on RA Appendix B). I recognize
that there may be specific health outcomes and sensitive subpopulations for which the coefficient
P is so large that nonlinearity can no longer be neglected.  I further accept that it may be prudent
for EPA to allow for such a possibility even before the evidence is in. But I strongly encourage
the Agency to acknowledge as well, in the interests of lucidity and transparency, the implications
of linearity for risk assessment and standard setting.
                                          B-87

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                             Dr. George T. Wolff
                   Comments on the August, 2003 PM Staff Paper

                                 George T. Wolff
                                    11-19-2003
1.  Figures 2-6 and 2-7 and 2-9 to 2-12 are impossible to read.  You cannot distinguish
   between the two lowest concentration areas on the maps. I recommend that some sort of
   a hatched grid be used for the 2nd lowest instead of a shade of gray.

2.  p. 3-1, lines 21 - 22 - Change to "Of special importance from the last review were EPA's
   conclusions... I make this distinction because some of the last CAS AC PM Panel
   members  did not endorse the third conclusion.

3.  p. 3-9, lines 18 - 20 - This is  complete speculation and should be deleted.

4.  p. 3-15, lines 3 - 8 - This is an overstatement. There are many exceptions.  The results
   are very heterogeneous with respect to strength of an association, whether or not there is
   a PM2.5 association at all, the health endpoint and the pollutant associated the strongest.

5.  p. 3 - 17,  lines 6 - 10. The basis for this statement is Figure 3-10, which is Figure 5 in
   the NMMAPs reanalysis. There are two flaws in basing that statement on this figure.
   The first is that each curve in the figure is based on a different group of cities. They must
   be based on the same group of cities before any conclusions can be draw.  Second,
   similar graphs do not exist for the gases. An examination of Figures 12 and  14 - 16 in the
   NMMAPs reanalysis report suggests that for lag 1 (lag 0 for ozone), the graphs for all the
   gases would look similar to your Figure 3-10.  Furthermore, a close examination of these
   figures indicates that the % changes in mortality/concentration for the single pollutant
   models are all statistically significant and rival or exceed the PM effect.

6.  Figure 3-4 - To look at the impact of possible publication bias, the full 90 individual city
   results for NMMAPs for total mortality and for cardio and respiratory mortality should be
   plotted and compared to the individual city PM data in Figure 3-4.

7.  p. 3-33, lines 2-4 - This is an understatement.  Effects were only seen in persons without
   a high school education. Also, why does this have to be due to an unidentified
   socioeconomic effect modifier? It does not modify the effect - it eliminates it. Why can't
   it be due to an unidentified confounder?

8.  p. 3-33, lines 4 and 5 - Doesn't this implausible finding  regarding SO2 cast suspicion on
   the credibility of the entire study?
                                      B-88

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9.  p. 3-39, lines 6-21 - No matter how you stack them there are only 4 long-term cohort
   studies (ACS, 6cities, AHSMOG, and VA).  The first two give positive results and the
   second two give negative results. However, in both the ACS and 6cities when those with
   more than a high school education are considered, none of the results are statistically
   significant suggesting that the studies missed an important confounder. Taking the more
   than high school education cohorts from each study and the AHSMOG and VA results,
   the weight of evidence is that there is no long-term mortality effect. Consequently the
   statement on  lines 8 and 9, "lack of consistent findings in the AHSMOG study and the
   negative results of the VA study, do not negate the finding of the Six Cities and ACS
   studies," needs to be reconsidered.

10. p. 3-41, lines 2-6 - This mischaracterizes Lipfert's conclusions.  He refuted Woodruffs
   findings by showing that her study was confounded by geographical patterns in infant
   mortality. Also on line 6, two Chay and Greenstone references are cited, but only one  is
   listed in the back and it is not a peer-reviewed publication.

11. p. 3-62, line  1 to 3-65, line 3 - In comments submitted to EPA at the August 2003
   CAS AC meeting on the  PM CD, Dr. Venditti dismissed much of the material presented
   here. Since I assume his comments will be addressed in the next CD, this section will
   need to be revised to reflect Venditti's comments.

12. p. 3-66, lines 4-16- This is a flagrant example of cherry picking.  Two studies are cited
   showing a positive relationship but both used the flawed GAM analysis and were not
   reanalyzed. A third flawed GAM study reference was also used to support the first two
   even though when it was reanalyzed the effect became non-significant.

13. p. 3-69, lines 1 - 5 - This conclusion from the 1996 CD is no longer valid given the HEI
   GAM reanalysis commentary.

14. p. 3-70, lines 23  - 30 - See comment 5 above.

15. p. 3-70, general comment - There is a general problem with the GAM re-analysis.  They
   tended to re-analyze only the PM associations from the original papers and  did not
   address other important  aspects of the papers. For example, the original analysis of the 8
   Canadian cities by Burnett et al.2000  allocated the mortality risk among different
   pollutants. However, the reanalysis by Burnett and Goldberg 2003 did not re-analyze
   these aspects of the paper. The result is that we do not know whether the conclusions of
   the original paper regarding the role of gases vs. PM are still valid.  This is important
   because the SP includes the new PM results as a multi-city PM study. Without the
   further reanalysis, it is not clear what credence to give to the single pollutant PM results
   in the 8 Canadian cities.

16. p. 3-71, line 16 - It is amazing how biological plausibility of the gases can be dismissed
   but not for PM.
                                      B-89

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17. p. 3-74, lines 3 - 8 - This is complete speculation.  There is not a shred of evidence to
   support this statement.

18. p. 3 - 74, lines 12 - 13 - See comment 5 above.

19. p. 3 - 75, lines 1 - 4 - See comment 12 above.

20. p. 3 - 76, lines 22 - 24 - This is a serious development and until it is resolved it should
   be a showstopper for any consideration being given to lowering a PM2 5 NAAQS.

21. p. 3 - 77, lines 17 - 18 - I cannot find this on p. 8-84 in the CD.

22. p. 3 - 77, lines 21 - 23 - This is too strong a statement given the uncertainties associated
   with correcting for weather and model selection.

23. p. 3-77, lines 27 -29 - It is unfortunate that EPA did not use the CD to critically evaluate
   the methods employed, but just blindly accepts them.

24. p. 3 - 82, lines 21 - 23 - HEI reports 96 and 98 do not support this statement. And is
   contradicted by the statement on p. 3-83, lines 7-9.

25. p. 3 - 89, section 3.5.4.1 - How can such heterogeneous results be consistent?

26. p. 3 - 98, section 3.5.4.2 - The long-term studies show no significant response for
   respiratory disease. This is not coherent with the short-term studies.

27. p. 4-5, lines 15 - 18 - This will need to be revised based on the new CD.

28. p. 4-5, line 33 - Since causality is an assumption, the lower bound on all of the risk
   estimates has to be zero.

29. Figures 4 -3 to 4 -14 - These figures are misleading.  Truncating the lower bound at zero
                                    -th
   and using the upper bound at the 97.5  percentile creates an artificially high positive
   picture of effects and obscures the heteroge
   throughout and negatives should be shown.
picture of effects and obscures the heterogeneity of the data. The 95th should be used
30. Figures 4-4, 4-10 and 4-11 - There are numerous uses of the Klemm et al. 2000 results as
   re-analyzed by Klemm and Mason 2003 in the Figures in Chapter 4.  Since Klemm and
   Mason showed that the results were sensitive to the degree of smoothing and there is no a
   priori reason to favor GAM results over GLM results, the range of results from Klemm
   and Mason 2003 should be shown in the Figures for each PM metric and endpoint shown.

31. Figures 4-10 and 4-11 - When CASAC asked EPA to include the NMMAPS estimates in
   the risk assessment, we wanted the individual city estimates to be used not the estimated
                                      B-90

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   or pooled estimates. Using the estimated or pooled estimates totally distorts the picture
   and obscures the heterogeneity.

32. Same Figures - Since the Schwartz 10 city study and NMMAPS both have reported
   associations for the same cities it would be useful to plot the Schwartz results versus the
   NMMAPS results to look at the effect of model selection in this subset of NMMAPS
   cities.

33. Figure 4-11 - To the extent that the regional NMMAPS results are used for comparison in
   the RA, the variation in regional dose-response in Dominici et al. 2003 should also be
   discussed. The shapes of the dose-response curves are substantially different among the
   regions.  In addition, given the confidence limits, the shapes in several regions are
   consistent with a threshold model.

34. p. 4-58 - The SP  indicates that sensitivity analyses were carried out for each of the study
   areas but that the results for Detroit were included in the SP for illustrative purposes.  The
   text indicates that Detroit was selected because it provides an opportunity to examine
   both mortality and morbidity risk and includes both single and multi-pollutant C-R
   functions.   However, the PM2.5 mortality risk in Detroit as reported in Lippmann et al.
   2000 and Ito 2003 is suspect.  The strongest positive association for total mortality
   occurred on lag 3. In Lippmann et al. 2000, the relative risk for 5th to 95th percentile
   pollutant increment for total mortality was 1.0448 with a t statistic of 1.62, a positive but
   not statistically significant association. However, the coefficient for circulatory mortality
   on lag 3 was 1.0042 with a t = 0.1 and the coefficient for respiratory mortality was 1.0005
   with t = 0.01.  In contrast, the coefficient for the "other' category was 1.0924  with t =
   2.28, a relatively strong and statistically significant association. Thus, the positive
   association on lag 3  was caused by a positive association with "other" mortality and there
   was little or no association with circulatory or respiratory mortality.  When the overall
   pattern for all 4 days (lags 0, 1,2, and 3) is considered, the lag 3 association with other
   mortality was the only statistically significant association of the 12 associations
   evaluated. In addition, there was evidence of an association with other mortality on three
   of the four days, no apparent association with respiratory mortality (one positive
   association and one negative association) and little evidence of an association with
   circulatory mortality (one positive association). In the re-analysis, all the coefficients
   were re-calculated but only selected results were presented.  This makes it  difficult to
   fully  interpret the results. The lag 3 total mortality coefficient was reduced by 40 % with
   the stringent GAM convergence and 36 % in a GLM model, but it remained the largest
   daily coefficient although still not statistically significant.  Since the results for all the
   lag/effect category combinations were not presented in Ito 2003, the overall pattern in  the
   re-analysis is not known. However, since the scatter plots in Figures 1 and 2 of Ito 2003
   show a wide range of both positive and negative associations in the database, the most
   likely situation is that the lag 3 total mortality association is the result of random noise in
   the data and is not a true health effect.

35. Tables 4-10 and 4-11 - The Veterans study needs to be included in this table.
                                        B-91

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36. General Comment on Chapters 4 and 6 - 1 do not see the connection between chapters 4
   and 6. I thought that the risk assessment was going to be the basis for the selection of the
   NAAQS.  There does not appear to be a connection. What is the purpose of the risk
   assessment?

37. p. 6-5, lines 6 - 10 - What about the Veterans study?

38. p. 6-6, lines 21 - 26 - This is so important. EPA acknowledges the new awareness of the
   uncertainties that previously were thought to have been put to rest but have re-emerged,
   but does not think it through.  This is a showstopper and should preclude any efforts to
   lower the  standards.

39. p. 6-10, lines 16 -  17 - There are an equal number of studies (including lexicological)
   that indicate no effect from sulfates.

40. p. 6-10, line 24 - In the PM2.5 discussions, the point that crustal particles are safe is made
   many times.  However, this is in conflict with the discussions of PMio-2.s, which are
   mainly crustal material.  How can fine crustal material be ok, but coarse need to be
   regulated?

41. p. 6-11, lines 1 -2 - Here EPA says there is no basis to conclude that any individual fine
   particle component cannot be associated with adverse health effects but on the previous
   page said  that there is no association with crustal particles.

42. p. 6-19, line 4 - "precautionary" - The precautionary principle has no place in the
   standard setting process

43. p. 6-19 - lines 1 - 4 - In the 1996 Staff Paper, EPA proposed a range from  12.5 |J,g/m3 to
   20 |J,g/m3, and the Administrator eventually picked 15 |J,g/m3. However, in the final
   CASAC discussions, the focus of the Panel was in a range of 15 to 30 ng/m3,  and this
   debate was never resolved (see Table I).  Consequently, the present debate should begin
   where the last debate left off and consider a range of 12 to 30 ng/rn3. The overview of
   the debate is evident in the attached Table where only 2 of 21 Panel members selected a
   range that went down as low as 15
44. p. 6-23, line 18 to p. 6-25, line 10 - 1 think there is some merit to the methodology used
   to select the 24-hr range, but it needs to be expanded upward to accommodate my
   recommended annual range.

45. section 6.4.3 - There is no long-term study that demonstrates an effect at current PMi0-2.5
   so I support EPA's consideration of not having an annual PMio-2.5 NAAQS.

46. section 6.4.4 - While I think the method of selection of the 24-hr range for PM2.5 has
   some merit, it is not appropriate for the 24-hr PMi0-2.5 range particularly since there is
   inadequate basis for the  selection of an annual range.
                                      B-92

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47. General Comment - The presentation by Harvey Richmond on the Risk Assessment
   argued that the use of PM mass was appropriate "given the absence of sufficient
   information to address either differential toxicity of PM components or differential
   changes in PM components upon meeting standards."  As Harvey indicated, this is indeed
   a key assumption. However, I am sure that the vast majority of scientists in this field
   believe (and the Draft CD acknowledges) that there is differential toxicity among PM
   components.  In addition, it is extremely unlikely that any implementation program will
   control all man-made PM components alike. The implementation will target specific
   sources (national, regional, and local) and control each to varying degrees based on the
   availability of technology and cost. And background components will not be controlled.
   Thus, there are sure to be differential changes in PM components as standards are met.
   Although there is not sufficient information to fully address this issue, there is enough
   known to start to address it and do some sensitivity analyses. For example, the major fine
   and coarse components could be assigned  different weights based on available
   government reference toxicity levels. For implementation, several options could be
   considered, ranging from focusing on the components of greatest mass, to focusing on the
   components of greatest toxicity. The point of such an exercise is to demonstrate that
   differential toxicity  and control matter if we want to protect public health.
                                      B-93

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Summary of CASAC Panel Members Recommendations
                  (all units |ig/m )
NAME

EPA

Ayres
Hopke
Jacobson
Koutrakis
Lamtz
Legge
Lippmann
Mauderly
McClellan
Menzel
Middleton
Pierson
Price
Shy
Samet1
Seigneur
Speizer
Stolwijk
Utell
White
Wolff
Discipline



M.D.
Atmos. Sci.
Plant Biologist
Atmos. Sci.
Statistician
Plant Biologist
Health Expert
Toxicologist
Toxicologist
Toxicologist
Atmos. Sci.
Atmos. Sci.
Atmos. Sci./
State Official
Epidemiologist
Epidemiologist
Atmos. Sci.
Epidemiologist
Epidemiologist
M.D.
Atmos. Sci.
Atmos. Sci.
PM2.5
24-hr
18-65

yes2
20 - 503
yes2
yes2'5'"'12
no
>75
20 - 503
50
no8
no
yes2'3'12
yes '
yes3'10
20-30
yes2'11
3 5
yes '
20-50
15'
>65
no
>753'7
PM2.5
Annual
12.5-20

yes2
20-30
yes2
yes2'3'6
25-307
no
15-20
20
no8
no
yes2'5
2 9
yes '
yes10
15-20
no
no
no
25-307
no
20
no
PM10
24-hr
ISO13

150
no
150
no
no
150
no
150
150
150
ISO3'13
4
yes
no3'4
no
150
ISO13
no
150
150
150
ISO3
PM10
Annual
40-50

50
40 -504
50
yes4
yes2
40-50
40-50
50
50
50
50
4
yes
4
yes
50
yes
50
40-50
50
50
50
50
 not present at meeting; recommendations based on written comments
2 declined to select a value or range
3 recommends a more robust 24-hr, form
4 prefers a PM10_2 5 standard rather than a PM10 standard
5 concerned upper range is too low based on national PM2 5/PM10 ratio
6 leans towards high end of Staff recommended range
 desires equivalent stringency as present PM10 standards
8 if EPA decides a PM2 5 NAAQS is required, the 24-hr, and annual standards should be
         75 and 25 |ig/m3, respectively with a robust form
 yes, but decision not based on epidemiological studies
10 low end of EPA's proposed range is inappropriate; desires levels selected to include areas for which there is broad public and
technical agreement that they have PM2 5 pollution  problems
11 only if EPA has  confidence that reducing PM25 will indeed reduce the components of particles responsible for their adverse
effects
12 concerned lower end of range is too close to background
13 the annual standard may be sufficient; 24-hour level recommended if 24-hour NAAQS is retained
                                                      B-94

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                                      NOTICE

       This report has been written as part of the activities of EPA's Clean Air Scientific
Advisory Committee (CASAC), a Federal advisory committee administratively located under the
EPA Science Advisory Board Staff that is chartered to provide extramural scientific information
and advice to the Administrator and other officials of the Environmental Protection Agency.  The
CASAC is structured to provide balanced, expert assessment of scientific matters related to issue
and problems facing the Agency.  This report 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 reports are
posted on the SAB Web site at: http://www.epa.gov/sab.

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