EPA 747-S-97-001
                                                    December, 1997
       SUMMARY AND ASSESSMENT OF PUBLISHED INFORMATION
  ON DETERMINING LEAD EXPOSURES AND MITIGATING LEAD HAZARDS
ASSOCIATED WITH DUST AND SOIL IN RESIDENTIAL CARPETS, FURNITURE,
                     AND FORCED AIR DUCTS
                           Prepared by
                             Battelle
                         505 King Avenue
                       Columbus, OH 43201
                               for
                 National Program Chemicals Division
               Office of Pollution Prevention and Toxics
         Office of Prevention, Pesticides, and Toxic Substances
                 U.S. Environmental Protection Agency
                       Washington, DC 20460

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                       DISCLAIMER
The material in this document has been subject to Agency technical
and policy review and approved for publication as an EPA report.
Views expressed by the individual authors, however, are their own
and do  not  necessarily reflect those of the  U.S.  Environmental
Protection Agency. Mention of trade names,  products, or services
does not convey, and should not be interpreted as conveying, official
EPA approval, endorsement, or recommendation.

             This report is copied on recycled paper.

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                         CONTRIBUTING ORGANIZATIONS

       This report presents the results of studies which have measured the extent of lead
exposure associated with carpets, furniture, and forced air ducts, and/or which have investigated
methods of mitigating such lead exposures.  Efforts to produce this report were funded and
managed by the U.S. Environmental Protection Agency. The report was prepared by Battelle
under contract to the U.S. Environmental Protection Agency. Each organization's responsibilities
are listed below.
                         Battelle Memorial Institute (Battelle)

Battelle was responsible for conducting literature searches on this subject, procuring relevant
articles and reports, reviewing these publications, and preparing the report.
                       U.S. Environmental Protection Agency

The U.S. Environmental Protection Agency was responsible for providing report objectives, for
contributing relevant information for the report, for reviewing the report, and for arranging the
peer review of the report. The EPA Work Assignment Manager was Dr. Benjamin S. Lim.  The
EPA Project Officer was Sineta Wooten.
                                           in

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                             TABLE OF CONTENTS
EXECUTIVE SUMMARY	  vii

1.0    INTRODUCTION	  1
      1.1    Report Organization	  2
      1.2    Peer Review Comments  	2

2.0    FINDINGS AND CONCLUSIONS  	  4
      2.1    Carpets  	4
      2.2    Furniture  	6
      2.3    Air Ducts  	7

3.0    APPROACH TO CONDUCTING THE LITERATURE REVIEW	10
      3.1    Key Field Studies	13

4.0    GENERAL INFORMATION ON LEAD CONTAMINATION
      IN CARPETS, FURNITURE, AND AIR DUCTS	  16
      4.1    Carpets  	16
      4.2    Furniture  	20
      4.3    Air Ducts  	23

5.0    SUMMARY OF THE LITERATURE REVIEW	  26
      5.1    Carpets  	26
            5.1.1  Carpet-Dust Collection and Lead Measurement  	  26
                  5.1.1.1   Dust Sampling/Characterization Methods  	  26
                  5.1.1.2   Comparing Dust Collection Methods Based
                          on Performance	  33
                  5.1.1.3   Factors Influencing Dust and Lead Levels in Carpet	  36
                  5.1.1.4   Factors Influencing Carpet-Dust Collection Efficiency	  37
            5.1.2  Association Between Lead in Carpet-Dust and
                  Blood-Lead Concentration in Children	  39
            5.1.3  Carpet Lead-Dust Mitigation Issues and Approaches  	  47
                  5.1.3.1   Mitigating Existing Lead Contamination	  47
                  5.1.3.2   Preventing Further Contamination	  53
      5.2    Furniture  	55
      5.3    Air Ducts  	61

6.0    REFERENCES  	71
                                       IV

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                               TABLE OF CONTENTS
                                     (Continued)

                                 LIST OF TABLES
Table 3-1.    Scientific Index Databases Considered in the Literature Search	10

Table 3-2.    Criteria Used in the Literature Search for Articles on Lead
             Measurement, Hazard Identification, and Mitigation Techniques	12

Table 4-1.    Percentages of Surveyed Housing Units in Two Studies With
             Area-Weighted Geometric Mean Dust-Lead Loadings Exceeding
             Various Thresholds, for Four Types of Surfaces, Including Carpeted
             Floors (Wipe Collection Techniques Assumed)	18

Table 4-2.    Predicted Percentage of Children With Blood-Lead Concentration
             At or Above 10 ug/dL, as a Function of Surface Type and Dust-Lead
             Loading, Based on Data from the Rochester Study 	19

Table 4-3.    Summary of Methods Used in Five Studies to Sample Dust from
             Furniture, Upholstery, and Window Treatments; Numbers of Samples
             Collected; and Measured Lead Levels	22

Table 4-4.    Summary of the Issues and Approaches Discussed in the Published
             Literature on Mitigating  Lead Exposures from Furniture, Upholstery,
             and Wndow Treatments	23

Table 4-5.    Summary of Air Duct Dust Sampling Methods Used, Numbers of
             Samples Collected, and Measured Lead Levels for Six Studies	25

Table 5-1.    Geometric Mean Carpet Dust-Lead Measurements (±2 SD) Under
             Each Dust Collection Method, As Measured in the Rochester
             Lead-in-Dust Study  	35

Table 5-2.    Descriptive Statistics of Blood-Lead and Carpet Dust-Lead Data
             from Clark et al., 1996	41

Table 5-3.    Average Dust Lead Loadings (ug/ft2) in Carpeted Surfaces at Pre-
             Cleaning and Post-Cleaning in the Study Documented by
             Steuteville, 1990  	53

Table 5-4.    Research Areas Addressed  in Studies Containing Information on
             Lead Exposures Associated with Dust in Furniture, Upholstery, and
             Window Treatments	55

                               TABLE OF CONTENTS
                                     (Continued)

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Table 5-5.
Table 5-6.
Table 5-7.
Table 5-8.
Table 5-9.
Number of Dust Samples from Upholstered Furniture Taken
Prior to Intervention in the R&M Study, Along With
Geometric Mean Dust-Lead Levels and 95% Confidence Intervals,
by Unit Classification	
Average Dust-Lead Loadings (ug/ft2) for Upholstered Furniture at
Pre-Cleaning and Post-Cleaning in the Study Documented by
Steuteville, 1990 	
Research Areas Addressed in Studies Containing Information on
Lead Exposures Associated with Air Ducts	
Number of Dust Samples from Air Ducts Taken Prior to Intervention
in the R&M Study, Along With Geometric Mean Dust-Lead Levels and
95% Confidence Intervals, by Unit Classification	
Descriptive Statistics on Dust-Lead Loadings for Samples Taken from
HVAC Ductwork in the R&R Study, Calculated Across and Within
Housing Units  	
                                                                                 58
                                                                                 60
                                                                                 62
                                                                                 67
                                                                                 69
Figure 5-1.
                     LIST OF FIGURES

Lead Loadings (ug/ft2) Wthin Wipe Dust Samples Collected from
Inside HVAC Ductwork in the R&R Study 	
                                                                                 70
                                         VI

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EXECUTIVE SUMMARY

       This report presents the findings of a literature review on information concerning lead in
dust within residential carpets, furniture (including upholstery and window treatments), and
forced air ducts. Research areas include:  1) determining amounts of lead in dust within these
surfaces (including dust collection techniques), 2) characterizing the association between lead
contamination of dust within these surfaces and children's blood-lead concentration, and 3)
mitigating lead-contaminated dust within these surfaces that pose a potential  lead exposure to
residents,  especially children.  This review is in support of research by the U.S. Environmental
Protection Agency (EPA) in their efforts to address Congressional mandates within Title X
(specifically, Section 1051).

       While 59 documents provided information on dust and lead exposure associated with
residential carpet, only 11 documents provided information  relative to residential furniture,
upholstery, and window treatments, and only eight documents provided information relative to
residential air ducts.  This information was typically a small part of the total information presented
in these documents and was often insufficient to answer the questions addressed in this report. In
addition, the studies referenced in these documents did not necessarily address the specific
objectives of this report.  Therefore, considerable  research is necessary to adequately characterize
lead exposures associated with these lead sources, as well as to mitigate such exposures.
       Among the main findings of the literature review are the following (according to lead
source):
Carpets
              Over time, carpets can become a reservoir of dust and exterior soil introduced to a
              residence.

              Different methods used to collect dust from carpets (and other surfaces) may
              collect different types of dust, thereby affecting how dust-lead is characterized.

              As carpets can hold large amounts of dust and soil and provide less particle
              movement relative to hard surfaces, carpet dust-lead loading can be high, while
              dust-lead concentration tends to be low except in high-traffic areas.

              Carpets that are easily able to trap dust within their fibers, such as clean carpets,
              may act as a short-term mitigator of lead exposure associated with floor dust.

              Behavioral techniques that limit the amount of exterior contamination, such as
              removing shoes prior to entry and use of walk-off mats, have been found to
              significantly reduce the likelihood of lead contamination of carpets.
                                            VII

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       !      When sampling dust from carpets, factors significantly associated with reduced
              collection efficiency from vacuum methods include shag carpets, low relative
              humidity, low vacuum particle lifting velocity, fine dust particles, and no agitator
              bar present on the vacuum.

       !      Lead levels in carpet dust tend to have a significant positive association with
              children's blood-lead concentration, with dust-lead loading having a higher
              correlation than dust-lead concentration.

       !      Repeated vacuuming of old, contaminated carpets may increase lead-loading in
              surface dust if deeply-embedded dust cannot be removed in its entirety. For such
              carpets, it may be better to remove them than to decontaminate them.  Carpet
              removal may be preferable if the carpet is a shag carpet, or if it has been highly
              contaminated by remodeling, peeling paint, paint removal, or being near a lead
              source, such as a lead or copper smelter, secondary smelter, etc.

       !      Use of wet methods to decontaminate carpets was generally found to be
              ineffective. However, use of detergent-based solutions that reduce the
              electrostatic interaction between carpet and lead-dust (such as sodium hexa-
              metaphosphate solutions, whose phosphate or polyphosphate groups coat the dust
              particles) has been effective, reducing dust-lead concentrations on average from
              30% to 50% and dust-lead loadings by 60%.

       !      Effective cleaning of carpets, furniture, bare floors, and bare surfaces has been
              documented to reduce lead exposure in the home. A plush carpet is more popular
              than level loop or flat carpets, yet they are more difficult to clean.  Old shag rugs
              are the hardest type of carpet to clean effectively.
Furniture
       !      While the same dust collection methods tend to be used to sample dust from
              carpets and furniture, one method (the High Volume Furniture Sampler, a
              modification of the HVS3) was developed specifically for sampling dust from
              upholstered surfaces. However, no field study has been encountered which used
              this dust sampler.

       !      Average dust-lead loadings on furniture, upholstery, and window treatments are
              generally lower than for other surfaces, such as floors, windows, and air ducts.

       !      A significantly positive correlation coefficient between blood-lead concentration
              and (pre-intervention) dust-lead levels in upholstery was observed within the
              Baltimore R&M study.  However, positive correlation coefficients imply only
              statistical association, and not a causal relationship.
                                            VIII

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        !      Foreign-made, vinyl mini-blinds can be a direct source of dust-lead, as documented
              by the Consumer Product Safety Commission (CPSC).

        !      While several procedures were used to mitigate dust-lead in furniture, upholstery,
              and window treatments, available data were limited and inconclusive.
Air Ducts
        !      Lead loadings in air ducts are generally very high, especially when the ducts
              contain large amounts of dust, or when ductwork is old.

        !      It is not certain how lead in air ducts may be bioavailable to humans, especially in
              the absence of renovation or cleaning.

        !      One study reported that, on average, lead in dust within air ducts represented
              nearly one-third of lead in household dust (only floor-dust represented more).

        !      In the Baltimore R&M study, the correlation coefficient between blood-lead
              concentration and (pre-intervention) dust-lead levels in air ducts was not
              significant at the 0.05 level.  However, this analysis was based on a small sample
              size and did not adjust for the effects of other exposure variables such as lead in
              floor dust and soil. Lead levels in air ducts were found to be significantly
              correlated with lead levels on certain surfaces, such  as floors.

        !      While one study detailed a protocol used to mitigate dust in air ducts, available
              data to evaluate mitigation procedures were virtually non-existent.
                                             IX

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1.0    INTRODUCTION

       Lead poisoning is recognized as a pervasive, yet preventable, environmental health
problem in this country.  While some humans become exposed to lead by coming into direct
contact with a lead source (e.g., ingesting lead-based paint chips), many others become exposed
to lead by contact with environmental media that indirectly become lead-contaminated.  In
particular, if dust on surfaces which are accessible to children has become lead-contaminated by
sources such as lead-based paint and lead-contaminated soil, then children can become exposed to
lead by encountering this dust.

       On October 29, 1992, the President of the United States signed into law the Residential
Lead-Based Paint Hazard Reduction Act (Title X of HR 5334).  Section 1051 of Title X gives the
following charge to the U.S. Department of Housing and Urban Development (HUD):

       The Secretary, in cooperation with other Federal agencies, shall conduct research on
       strategies  to reduce the risk of lead exposure from other sources, including exterior soil
       and interior lead dust in carpets, furniture, and forced air ducts.

The research mandated by Section 1051 also impacts the research being conducted by the U.S.
Environmental Protection Agency (EPA) in response to Title X.  EPA's research focuses on
defining lead-based paint hazards under Section 403  of the amended Toxic Substances Control
Act (Title IV:  Lead Exposure Reduction).  As a result, EPA is assisting HUD in their effort  to
conduct research under Section 1051.

       Residential carpets are included as an indirect lead  source in Section 1051 as they become
reservoirs for dust from  interior sources, for exterior soil tracked into the house, and for dust and
soil introduced to the house from outside sources such as work environments. Foot traffic lodges
dust and soil deep into the carpet, making it difficult for typical cleaning efforts to remove all dust
and soil.  In houses containing lead-based paint or surrounded by lead-contaminated soil, the dust
and soil within carpets can be highly contaminated with lead. Young children are especially prone
to exposure to carpet dust and soil, as their activities bring them into frequent contact with
available carpeted surfaces, and their mouthing tendencies  result in  dust and soil ingestion.

       Residential furniture, upholstery, and window treatments (e.g., draperies), as well as
forced air ducts, are indirect lead sources when they become reservoirs for interior dust generated
by renovation, abatement, or peeling paint residue, exterior dust which enters the housing unit
through doors and windows, and exterior soil tracked into the home on shoes and clothes.
Children can come into direct contact with lead-dust on furniture, upholstery, and window
treatments, while lead-dust in air ducts can be circulated throughout the house or can be directly
encountered as a result of renovation activities.

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       This report presents the results of studies which have measured the extent of potential lead
exposure associated with carpets, furniture1, and forced air ducts, and/or which have investigated
methods of mitigating such lead exposures. Determining the extent to which these sources pose a
health hazard to children as a result of exposure to lead, and any necessary action to be taken as a
result, requires an investigation into three research issues. First, an appropriate procedure for
measuring the amount of lead in dust and soil within these surfaces must be identified. Second,
the relationship between the measured lead dust in these surfaces and blood-lead concentrations in
children exposed to such surfaces must be characterized. Third, procedures must be developed to
mitigate any lead hazard in these surfaces, either through appropriate cleaning procedures or
removal. This report focuses on available information on each of these three issues.

       The findings in this literature review report will assist EPA in determining areas in which
further research is warranted to address issues within Title X. For example, it may be necessary
to develop standards for lead levels within dust and soil from the sources identified in Section
1051, where the standards have a basis in human health effects.

1.1    REPORT ORGANIZATION

       The findings presented in this report, summarized in Chapter 2, have been previously
documented in published governmental and private-sector literature, as well as in significant
unpublished reports, such as government documents. The approach taken to performing the
literature reviews is presented in Chapter 3. General information encountered on lead
contamination of residential carpets, furniture, and air ducts is presented in Chapter 4. Chapter 5
contains detailed summaries of the published literature, and a complete reference list is provided
in Chapter 6. Chapters 2, 4, and  5 contain subsections for each of the three lead sources.

1.2    PEER REVIEW COMMENTS

       This study was reviewed independently by members of a peer review panel. Comments
which are important for interpreting the study results or which had an important impact on the
report are discussed below.

       One peer reviewer requested that the report emphasize the limited number of articles that
specifically address lead measurement, its association with blood-lead concentration, and
mitigation in regard to dust and soil from carpets, furniture, and air ducts.  Furthermore, most
articles often contained only a limited amount of information in these areas. These points were
more highly emphasized in the executive summary and Chapter 2.

       Another peer reviewer addressed the report's use of the term "lead exposure" when a more
specific term should be used,  such as when referring to a certain type of lead measurement (e.g.,
         Further references to the term "furniture" in this document are to furniture, upholstery, and window treatments
(e.g., draperies).

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lead loading, lead concentration). As a result, all occurrences of the term "exposure" were
reviewed for proper usage. The term "exposure" is now used to refer to general human contact
with lead in environmental media.  Similarly, references to "health effect" were replaced with
phrases like "association with blood-lead concentration," as data in the encountered studies only
considered the association between lead levels in various media and blood-lead concentration, but
did not consider specific health effects associated with lead exposure.

       A third peer reviewer provided additional, recent references for consideration, most of
which were included in the report due to their relevant information on carpets.  Some of these
references characterize carpet-dust and how its presence contributes to overall exposure to
pollutants such as lead.  The reviewer wished to emphasize that an integrated approach to
reducing exposures to a series  of pollutants would be more efficient than a strategy that focused
on a single pollutant.  Some relevant information on an integrated strategy was added to this
report, such as the role of carpets and upholstery in promoting "sick building syndrome," or the
tendency of some buildings to  promote unhealthy symptoms in its residents.  However, it was
necessary to keep the report focused on its primary objective of addressing lead exposure
associated with carpets, furniture, and forced air ducts.  The reviewer also emphasized that the
report's initial claim that carpets may act as a mitigator of lead exposure by its ability to trap
certain types of dust within its fibers, thereby reducing its bioavailability to children, is primarily
relevant only to clean carpets.  Furthermore, if dust is not removed completely from a carpet, the
carpet must frequently be tested for surface lead levels as the deeply-embedded dust can be
returned to the surface via continued cleaning and disturbance. The report has modified text in
Chapters 2 and 4 to emphasize these issues raised by the reviewer.

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2.0    FINDINGS AND CONCLUSIONS

       Carpets, furniture, and air ducts are considered both a source and a sink for pollutants in
the home, including lead, with a greater potential for exposure associated with increased age of
the source (Roberts et al., 1996). However, few documents were identified that contained
relevant information to characterize lead exposures associated with these three sources.
Typically, the available information was limited, and the encountered studies did not necessarily
address the specific objectives of this report. Therefore, to adequately characterize lead
exposures associated with carpets, furniture, and air ducts, and to determine appropriate
mitigation methods for these exposures, it is necessary to conduct a  considerable amount of
additional research.

       Sections 2.1 through 2.3 present relevant findings and conclusions of the documents
encountered in the literature search, according to the lead source. See Chapters 4 and 5 for
details, including the references where these key findings and conclusions were cited.

2.1    CARPETS

       For most children, floor dust lead is  considered a prominent  source of lead exposure.
Carpets can hold large amounts of dust and  soil (one study indicating 15 to 140 times more, while
another reference cites up to 400 times more per square meter, compared to uncarpeted floors),
thereby increasing the likelihood of carpets being lead-contaminated relative to other surface
types.  This is partially due to less particle movement for carpeted surfaces relative to hard
surfaces as a result of dust being trapped within carpet fibers.  Thus, carpets can have high dust-
lead loadings (i.e., amount of lead per unit area of carpet) relative to other surfaces, but due to
equally high dust loadings, they may have only moderate dust-lead concentrations (i.e., amount of
lead per unit mass of dust).  For example, one study (the CLEAR study) reported that geometric
mean lead loadings for carpet dust can be approximately  18 times higher than that for uncarpeted
floors and 6 times higher than that for window sills, while reporting  lower lead concentrations in
carpet-dust relative to these other surfaces.

       Even if a carpet contains a high amount of lead-contaminated dust and soil, the dust
collection method employed in a particular study also determines the magnitude of the reported
dust-lead loadings. For example, DVM and wipe collection methods tend to collect only surface
dust on carpets, and not the more deeply-embedded dust.  Users of these methods indicate that
only carpet dust which is directly bioavailable to children (i.e., surface dust) should be of interest
to characterize for lead. In fact, certain carpet data associated with these dust collection methods
have suggested that clean carpets may act as a short-term mitigator  of floor dust, as it can trap
and hold a certain portion of the available floor dust, reducing its bioavailability to children.
However, additional data are necessary to verify this hypothesis.

       Other dust collection methods attempt to collect all dust within a sampling area.
However, while they may report higher dust-lead loadings on carpets compared to methods that

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sample only surface dust, even their reported loadings may be underestimated due to lower dust
collection efficiencies on carpets relative to other surfaces (e.g., Blue Nozzle vacuum). This is
especially apparent with fine dust, which tends to get trapped among the carpet fibers and is more
difficult to collect as a result. The following factors are among those most significantly associated
with vacuum dust collection efficiency on carpets:  carpet type, relative humidity, vacuum particle
lifting velocity, dust particle size, magnitude of static pressure in the vacuum nozzle, and presence
of agitator bars on the vacuum.  Dust collection efficiencies can also decline with increasing dust
loadings.  As dust collection efficiency is a function of the method being used, and as different
methods may target different subsets of dust, a proper carpet dust-lead characterization specifies
the dust collection method and protocol that was used.

       The following variables were found to be statistically significant predictors of dust-lead
loadings in carpets: soil-lead concentrations, exterior dust-lead loadings, the practice of removing
shoes prior to entry, use of walk-off mats at entrances, and use of vacuums with agitators.  The
first four predictors imply that a major source of lead dust in carpets is track-in from exterior
sources.

       The extent that lead within carpet dust is made available to children tends to be heightened
when any of the following is present:  having shag rugs, using either a canister vacuum (with no
agitator) or no vacuum cleaner, using a vacuum cleaner with loose belts or a full dust collection
bag; vacuuming less  than once per week, location of unit near heavy traffic, and exposure to
remodeling activities, deteriorated paint, or paint removal activities. When attempts are made to
clean the carpet through normal vacuuming, one may remove less than 10% of total lead in the
carpet, especially in high-traffic areas where dust (and lead) is deeply embedded.  While most of
the dust that is removed is from the surface, the vacuuming may also bring some of the deeply-
embedded dust to the surface. However, the extent to which lead remaining deeply embedded in
the carpet is bioavailable to children may be limited.

       Carpet dust-lead concentration was found to be significantly associated with such factors
as presence of lead-based paint, entryway dust-lead concentration, soil-lead concentration, traffic
density, and house age.  As lead collects within a carpet, lead concentrations in the carpet-dust
can exceed that in exterior dust and soil, despite normal cleaning efforts (Roberts et al., 1996).
However, some studies disagree on the relationship between carpet dust-lead concentration and
dust particle size. Several studies report that lead concentrations appear higher in fine dust than
in coarse dust, which can partially explain higher concentrations in high-traffic areas and  in older
carpeting. However, more recent studies (e.g., Wang et al., 1996) have noted that interior carpet
dust-lead concentration often increases as dust particle size increases. The different conclusions
are likely the result of lead-based paint replacing leaded gasoline emission residue as the primary
source of contamination.  Most studies  observe high positive correlation between lead
concentrations and lead loadings in carpet dust.

       Most studies that investigate links between lead in carpet dust and blood-lead
concentrations in children observe a significant positive correlation between the two measures.  In
general, dust-lead loading has a higher correlation with blood-lead concentration than dust-lead

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concentration. However, the direct effect of lead in carpet dust on blood-lead concentration is
reduced when taking into account other factors such as mouthing behavior, socioeconomic status,
and lead levels in other media.

       Successful lead level reduction within carpet was achieved through carpet cleaning by
using cleaning solutions that contain phosphate or polyphosphate groups, which bind to dust
particles and reduce the electrostatic interaction between the carpet and lead-dust. Then,
detergents within the solution can remove the dust and the accompanying lead. An accompanying
reduction in blood-lead concentration may occur if repeated cleaning is done.

       One study (Ewers et al., 1994) concluded that vacuum cleaning efforts of "chronically
contaminated" carpets may actually increase surface dust-lead loadings to children if not
sufficiently repeated over time.  This is due to bringing more deeply-embedded dust to the surface
with each cleaning iteration. While surface dust-lead loadings within old, contaminated carpets
decreased, on average, after ten iterations of cleaning the carpets with  a HEPA vacuum, no
significant change in dust-lead  concentrations was observed across the cleaning iterations. Thus,
in cases where deeply-embedded dust cannot be removed in its entirety as a result of cleaning, or
when the carpet is highly contaminated due to lead-based paint, remodeling efforts, or proximity
to major lead sources such as a smelter, it may be more practical to replace, rather than clean,  a
chronically-contaminated carpet.

2.2    FURNITURE

       This literature search identified only a limited amount of information on lead exposures
associated with dust within residential furniture, upholstery, and window treatments.  While some
useful information was encountered concerning the extent to which such surfaces may be lead-
contaminated, many open questions exist that only further research can answer.

       In units with a potential for lead contamination, average dust-lead loadings on furniture,
upholstery, and window treatments are generally lower than for other surfaces, such as floors,
window components, walls, and air ducts. Most of the averages reported in these studies (using
various dust collection methods) are less than 100 |ig/ft2, with higher results associated with units
with a higher potential for dust contamination.  The extent to which these surfaces act as a sink
for lead and dust is uncertain and may be dependent on the type of fabric.

       Among the reviewed studies, the following methods were used or developed for sampling
dust and/or measuring lead in dust from furniture, upholstery, and window treatments:  the High
Volume Furniture Sampler (HVFS), BRM, DVM, wipes (hard surfaces only), and nitric acid
leaching (net curtains). The HVFS is a modified version of the HVS3  and has been developed to
sample dust from lightweight fabric found on upholstered surfaces; however, no field study using
the HVFS was encountered.

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       One study evaluated a cleaning protocol that involved both dry and wet cleaning iterations
on a series of surfaces, including upholstery. When the average percentage of the total amount of
lead in a housing unit collected by this method was determined for each surface, the percentage
associated with upholstered surfaces was low.

       In the Baltimore R&M study, the correlation between upholstery dust-lead loadings and
blood-lead concentrations was significantly positive. However, as upholstery dust-lead is often
correlated with other lead exposure variables, such as floor dust-lead and soil-lead, this positive
correlation coefficient should not be interpreted as the degree to which upholstery dust causes a
change in blood-lead concentration. In order to characterize the pathway of lead from upholstery
to children's blood (and perhaps hands), additional data collection and analyses are needed.

       Foreign-made, vinyl mini-blinds that contain added lead may present a lead hazard as
documented by the CPSC when exposed to direct sunlight for prolonged periods and when
children come into contact with the resulting lead-contaminated dust.  Therefore, such mini-blinds
would be a direct source of lead,  rather than a way by which lead from an indirect source, such as
lead-based paint, would  be made available to children.

       Few, if any, studies were  encountered which investigated procedures for mitigating lead
exposures in furniture, upholstery, or window treatments.  Available data were limited and
inconclusive. While one study provided evidence that some vacuum cleaning procedures may not
reduce lead levels substantially on furniture, this was not investigated on heavily-contaminated
surfaces.  Some evidence exists that a greater percentage of lead can be  removed from furniture
versus carpets when using a procedure of both dry vacuum and wet cleaning.  In addition, there is
evidence that hand-held vacuums with a power head can remove more dust, including deep dust,
from furniture, upholstery, and carpeted steps, compared to other vacuums. However, additional
research is necessary to justify these claims.

2.3    AIR DUCTS

       While only limited information was encountered in this literature search on lead exposures
associated with dust within air ducts, a consensus across studies was that air ducts can contain
high amounts of dust and lead. This was due partially to the general lack of cleaning of air ducts
over time and the ability of lead particles to enter air ducts from outside of the unit via ventilation
filters. Most of the encountered articles provided only preliminary information on lead exposures
associated with air ducts; additional research will be necessary to  address the many open
questions and to provide a more scientific characterization.

       In units with a potential for containing lead hazards, dust-lead loadings in air ducts
typically exceeded 100 |ig/ft2, with individual samples often exceeding 1,000 |ig/ft2. Lead levels
can vary considerably among dust samples within the same unit and in different units.  Older
ductwork and HVAC  systems, as well as vacant units in which no cleaning is performed and
HVAC systems may not be used, tend to have high dust loadings, and therefore, higher dust-lead

-------
loadings when a lead source is present. Several methods were used across studies to collect dust
in air ducts. As air ducts often have metal surfaces, issues concerning static electricity must be
considered when sampling dust from air ducts.

       In a typical housing unit in the Comprehensive Abatement Performance (CAP) study,
average dust-lead loadings from air ducts exceeded all other sampled surfaces except for window
wells and entryways. The high dust-lead loadings associated with window wells and entryways
are likely  the result of a high rate  of exposure to outdoor lead  sources.  This exposure may also
explain, to a lesser degree, high dust-lead loadings in air ducts, as one study (Cram et al., 1994)
hypothesizes that small particle sizes found in outdoor dust can penetrate ventilation filters and
deposit into air ducts.  Therefore,  this finding in the CAP study supports the hypothesis that
interior surfaces increase their potential for containing lead-contaminated dust as their exposure to
exterior sources increases.

       It is unclear to what extent dust lead in air ducts is accessible to children. Children would
not typically be expected to encounter the dust lodged in air ducts directly. One case study found
that dust-lead levels in living areas outside of contaminated air ducts can be orders of magnitude
lower than what is found in the air ducts.  However, if dust in  air ducts is disturbed, it is more
likely to be introduced to the air and to nearby surfaces with which children can come into direct
contact. In particular, HVAC ductwork removal can yield extensive contamination  of surfaces in
the general area of the ductwork.

       Using the cleaning methods in the Toronto pilot demonstration study, lead in dust within
air ducts has been found to represent a large percentage of the total lead in recoverable dust
within a housing unit.  In this study, an average of 30% of the  total lead removed by a specific
household cleaning procedure was removed from ductwork. Only floors had a higher average
percentage (42%). In nearly half  of the housing units in this study, the percentage for air ducts
exceeded  50%.

       Only one study (the Baltimore R&M Study) estimated (in a quantitative manner) the
association between blood-lead concentrations in children and dust-lead levels found in air ducts.
This relationship was expressed as a simple correlation coefficient. Unlike correlations between
blood-lead concentrations and dust-lead levels on other surfaces, the correlation coefficient
involving dust-lead levels from air ducts was not significant at the 0.05 level. However,  this
analysis was based on a small sample size and did not adjust for the effects of other exposure
variables such as lead in floor dust and soil. Moreover, as evidence of a significant correlation
was observed between air duct dust-lead levels and lead levels on other surfaces, such as floors,
even significant correlation coefficients should not be interpreted as the degree to which air duct
dust causes a change in blood-lead concentration. In order to  characterize the pathway of lead
from air ducts to children's blood, additional data collection and analyses are needed.

       To investigate the environmental source  of lead exposure in children, one study (the
Omaha study) considered the relationship between the isotopic ratio  of 206Pb to 207Pb on hand dust
and on dust from other surfaces. A significantly positive linear relationship was observed between

                                             8

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the annual mean isotopic ratio for hand wipes and the annual mean isotopic ratio for air ducts.
However, as adjustments for the effects of other environmental sources were not made in this
analysis, it is uncertain as to the extent that this relationship is the result of high correlation with
other exposures.

       Only one study (the Toronto study) evaluated an approach for cleaning lead-contaminated
dust from air ducts, as part of an overall house cleaning protocol. A procedure using a portable-
unit-powered suction head or nozzle was applied to the air duct surfaces.  The protocol  specified
that no additional cleaning was to proceed until 24 hours after completing the ductwork cleaning,
and that the air distribution fan was to be run following cleaning with duct outlets covered. The
evaluation noted that air duct cleaning failed to produce more airborne dust relative to other
segments of the cleaning operation. As a result, the evaluation indicated that it may not be
necessary to conduct air duct cleaning prior to any other cleaning in the unit when attempting to
minimize lead levels in the air. However, when considering air-lead levels that result from
cleaning other surfaces following air duct cleaning, the percentage of lead in air that remains from
air duct cleaning is uncertain.

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3.0    APPROACH TO CONDUCTING THE LITERATURE REVIEW
       This chapter provides information on how the search and procurement of relevant articles
on lead exposure and mitigation in carpets, furniture, and air ducts was conducted. While articles
were obtained through 1997, the electronic literature search was conducted from February to
July, 1996. It focused on evaluating lead exposures associated with dust and soil existing within
residential carpets, the extent to which these lead exposures are associated with blood-lead
concentrations in young children, and procedures for mitigating these exposures. The electronic
literature search identified titles and abstracts within a number of on-line index databases. Those
index databases included in the search procedure are presented in Table 3-1 and were selected
based on past experience of lead-related searches and on a preliminary search for articles
pertaining to carpet-lead.

    Table 3-1. Scientific Index Databases Considered in the Literature Search
Database
NTIS
MEDLINE®
Toxline®
Occ. Saf. &
Hth.
EMBASE
BIOSIS
PREVIEWS®
SciSearch®
IACK
CA
SEARCH®
Description
Provides access to government-sponsored research; analyses prepared by federal
agencies, contractors, and grantees; and unclassified, publicly-available reports
(The National Technical Information Service, U.S. Department of Commerce)
Covers biomedicine-related articles from journals published throughout the world
(Knight-Ridder Info.)
Covers articles pertaining to the adverse effects of chemicals, drugs, and physical
agents on living systems (Knight-Ridder Info.)
Covers all aspects of occupational safety and health found in over 2,000 journals
and 70,000 monographs and technical papers (Knight-Ridder Info.)
Covers biomedicine-related articles found in over 3,500 biomedical and
pharmacological journals published throughout the world (Elsevier Science B.V.)
Covers research in the biological and biomedical sciences, including primary journal
and monograph titles, and citations from meeting abstracts, reviews, books, notes,
letters, selected institutional and government reports, and research communications
(BIOSIS)
Covers published literature pertaining to science and industry (Inst. for Sci. Info.)
Covers published health and wellness information in a wide variety of publications,
even non-scientific magazines (Inform Access Co.)
Covers literature pertaining to chemistry and its applications (American Chemical
Society)
Year(s)
Searched
1964-1996
1966-1996
1965-1995
1973-1995
1974-1996
1969-1996
1974-1996
1976-1996
1967-1996
       The search strategy focused on the areas of interest in this report: measurement,
association with blood-lead concentration, and mitigation.  The on-line literature searches for
information on all three exposure sources cited in Section 1051 (carpets, furniture, air ducts) were
performed together, to facilitate the overall effort and to reduce duplication.
                                           10

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       The search strategy for each of the three exposure sources is presented in Table 3-2.  For
each source, the search strategy consisted of three search criteria (i.e., rows in Table 3-2).  Each
criterion consisted of a series of keywords connected by Boolean operators ("and", "or").  For
each criterion, titles and abstracts (if available) for articles satisfying the criterion (through search
of titles, descriptors, and identifier fields within the on-line database records) were provided for
review.

       As seen in Table 3-2, the first criterion in the carpet search strategy attempted to identify
articles that jointly addressed carpet and lead, where lead was identified through the word "lead",
through CAS registry numbers, or by the abbreviation "Pb." The second criterion focused on
lead-dust collection, lead-dust mitigation, and lead-dust with mention of children, while not
restricting component or substrate types (e.g., carpets). Therefore, information from this second
criterion could be relevant for all three Section 1051 sources. Finally, the third criterion
considered articles on dust collection from carpets, focusing on sampling efficiency and
comparability issues, without limiting the search to only articles that explicitly address lead (as the
previous two criteria did).

       Other procedures were also used to identify relevant articles.  For example, reference
citations within reviewed articles provided additional articles. EPA and HUD identified relevant
governmental studies and previous literature review efforts.  Articles cited  in these previous
review efforts were obtained for further  review for this report.  Articles were also identified
through efforts on other EPA tasks in the lead exposure area and from the  external peer reviewers
to this report.  These articles were identified and reviewed throughout the preparation of this
report. Results from selected unpublished data analyses performed for EPA using data from
published studies were also included when the results were relevant for this report.  Unpublished
findings are cited as such in this report.  Relevant studies  and articles continued to be identified
throughout the preparation of this report.

       After reviewing titles, abstracts,  and text for reports and articles identified through the
literature search, the following numbers  of documents were identified as containing the most
relevant information concerning lead-dust measurement, association with blood-lead
concentration, and mitigation:

        !      59 documents relative to residential carpet.
        !      11 documents relative to residential furniture, upholstery, and window treatments
        !      8 documents (from 7 studies) relative to residential air ducts.
Table 3-2.   Criteria Used in the Literature Search for Articles on Lead
              Measurement,  Hazard Identification, and Mitigation Techniques
                                        Search Criteria
                      (= First Condition AND Second Condition AND Third Condition)
                                             11

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Criterion
#
First Condition
Second Condition
Third Condition
Lead Exposures in Carpets
#1
#2
#3
Lead1 OR Pb OR a particular registry
number in Chemical Abstracts
((7439-92-1 (Pb) OR
1 5752-86-0 (Pb-202) OR
1 39-66-26-2 (Pb-204) OR
1 3966-27-3 (Pb-206) OR
141 19-29-0 (Pb-207) OR
1 3966-28-4 (Pb-208) OR
1 4255-04-4 (Pb-210))
Carpet* OR Rug?
Carpet* OR Rug?
Dust?
Dust?

Vacuum* OR Wipe? OR Wiping OR Sample?
OR Sampling OR Clean* OR Abate* OR
Abating OR Mitigat* OR Remove? OR
Removing OR Removal OR Child? OR
Children OR Kid? OR Infant? OR Toddler?
Efficien* OR Compare? OR Comparison? OR
Comparing OR Effective*
Lead Exposures in Furniture, Upholstery, and Window Treatments
#1
#2
#3
Lead1 OR Pb OR a particular registry
number in Chemical Abstracts
((7439-92-1 (Pb) OR
15752-86-0 (Pb-202) OR
139-66-26-2 (Pb-204) OR
13966-27-3 (Pb-206) OR
141 19-29-0 (Pb-207) OR
13966-28-4 (Pb-208) OR
14255-04-4 (Pb-210))
Drape? OR Curtain? OR Blinds OR
Furniture OR Upholster? OR Textile? OR
Miniblind? OR (MiniQBIind?)
Drape? OR Curtain? OR
Blinds OR Furniture OR
Upholster? OR Textile? OR
Miniblind? OR
(MiniQBIind?)
Dust?
Dust?

Vacuum* OR Wipe? OR Wiping OR Sample?
OR Sampling OR Clean* OR Abate* OR
Abating OR Mitigat* OR Remove? OR
Removing OR Removal OR Child? OR
Children OR Kid? OR Infant? OR Toddler?
OR Blood
Lead Exposure in Forced Air Ducts
#1
#2
#3
Lead1 OR Pb OR a particular registry
number in Chemical Abstracts
((7439-92-1 (Pb) OR
15752-86-0 (Pb-202) OR
139-66-26-2 (Pb-204) OR
13966-27-3 (Pb-206) OR
141 19-29-0 (Pb-207) OR
13966-28-4 (Pb-208) OR
14255-04-4 (Pb-210))
Airduct* OR (AirQDuct*) OR Register?
OR Ventilation OR HVAC
Airduct* OR (AirQDuct*)
OR Register? OR
Ventilation OR HVAC
Dust?
Dust? OR Clean* OR
Abate* OR Abating OR
Mitigat* OR Remove?
House? or Home? or Resident* or Dwelling?
Vacuum* OR Wipe? OR Wiping OR Sample?
OR Sampling OR Clean* OR Abate* OR
Abating OR Mitigat* OR Remove? OR
Removing OR Removal OR Child? OR
Children OR Kid? OR Infant? OR Toddler?
OR Blood
(Child? OR Children OR Kid? OR Infant? OR
Toddler?) AND Blood
* Any extension to this word was allowed (e.g., carpet, carpets, carpeting).
? Only single-character extensions to this word were allowed (e.g., rugs, samples, sampled).
1 Lead as a noun, pronounced "led", appearing in the title, descriptor, or identifier fields of the on-line database records.
Some of these documents addressed issues concerning dust in carpets, furniture, and air ducts, but
not specifically investigated lead levels in the dust.  Such dust issues were considered relevant to
this report when presented in the context of how dust promotes exposure to pollutants in general,
of which lead would be included. The titles and authors of these documents are provided in the
reference list within Chapter 6, according to lead source. While other documents not included in
                                               12

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the reference list may also provide some relevant information, the information in these documents
provides the basis for the presentation in this report.

3.1    KEY FIELD STUDIES

       While the literature search identified published articles and reports for a variety of field
and laboratory studies, there were a few studies that were key in providing useful information on
multiple research areas within a lead source, or on multiple lead sources. These  studies are the
Baltimore R&M study, the Rochester Lead-in-Dust study, the Toronto pilot demonstration
project for cleaning protocols, and the CLEAR study.  This section provides background
information on these key studies; additional details, including references on these studies, are
provided in the specific areas of Chapters 4 and 5 where results of these studies are discussed.

Lead-Based Paint Abatement and Repair & Maintenance (R&M) study

       Between January 1993 and November  1994, EPA performed the pre-intervention
(baseline)  phase  of the Lead-Based Paint Abatement and Repair & Maintenance (R&M) study.
This longitudinal study, performed in Baltimore, Maryland,  investigated the short-term and long-
term efficacy of a variety of R&M intervention strategies to reduce residential exposure of
children to lead in paint and in settled dust. One-hundred and seven housing units containing a
total of 140 children were included in the study.  Of these units,  75 were low-income units (some
vacant, some occupied) built prior to 1941 and scheduled to receive R&M interventions in this
study at up to three levels (low, mid, high), 16 were low-income dwellings built prior to 1941 and
having lead-based paint abatement performed between 1988 and 1992, and 16 were modern urban
dwellings  built after 1979 and considered free  of lead-based paint (serving as control units).
Environmental data cited in this literature review report were collected following enrollment of
the unit in the study, prior to conducting any R&M intervention, and thus represent baseline
conditions for the units.  For occupied units, children's blood-lead concentration data were
collected (using venipuncture) at enrollment, while for vacant units, these data were collected
following  R&M intervention, when families moved into the units.

       Among the surfaces sampled for dust were floors (composite samples from carpeted
and/or uncarpeted surfaces), upholstered surfaces, and air ducts, thereby addressing the three
surfaces of interest to this report. However, as the amount of carpeted surface represented in the
floor-dust  composite samples was generally low for all but the modern urban control units, this
study was not used to provide information on lead hazards associated with carpet dust. Window
sills and window wells were also sampled for dust.  All dust samples were collected using the
BRM cyclone sampler (Section 5.1.1.1).

Rochester Lead-in-Dust Study

       Performed in 1993, the Rochester Lead-in-Dust study was a cross-sectional
epidemiological study of 205 children aged 12-31 months who lived  in the city of Rochester, NY,
                                            13

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and had no known history of elevated blood-lead concentrations. These children tended to reside
in older housing (84% of the units were built prior to 1940) and to belong to lower-income
families. The objective of this study was to evaluate the effect of dust-lead contamination on the
blood-lead concentrations of these children. The study also considered various dust sampling
methods (the BRM vacuum sampler, the DVM vacuum sampler, and the wipe method) to
investigate which result in dust samples whose lead levels are most highly correlated with
children's blood-lead concentration.

       Within each housing unit, up to 36 interior dust samples were collected from surfaces
most accessible to the child or known to contain dust with high lead levels (carpeted floors,
uncarpeted floors, window sills, and window wells).  The surface type was recorded (e.g., low
carpet, high carpet, or uncarpeted). Venous blood samples were collected from each participating
child and analyzed for lead. Therefore, this study provides useful information on dust-lead levels
on carpeted surfaces, how these levels are related to blood-lead concentration, and how methods
used to collect dust samples from carpets (among the other surfaces) rate in terms of how lead
levels in dust correlate with blood-lead concentration.

       The Rochester study also had a laboratory evaluation phase where the recovery rates of
lead in dust were  evaluated for the three dust collection methods. This experiment was done on
carpet, linoleum, and wood. Therefore, this phase of the study provides additional information on
the efficiencies of different carpet dust collection methods.

Toronto Pilot Demonstration Project

       In the spring of 1988, the City  of Toronto, Department of Public Health, conducted  a pilot
demonstration project in eight housing units within the South Riverdale community of Toronto.
The objective of this study was to evaluate the effectiveness of two cleaning procedures aimed to
reduce lead in  interior dust. Interior dust was assumed to be lead-contaminated as a result of
contaminated exterior soil, as the community was in an industrial, high-traffic area in the vicinity
of a secondary lead smelter. This demonstration study preceded a wide-reaching soil abatement
(removal and replacement) and housedust cleaning program performed within the South Riverdale
Lead Reduction Program in over 1,000 housing units in two Toronto neighborhoods.

       The cleaning procedure directed that dry HEPA vacuums be used to clean dust from
floors, air ducts, and other surfaces (walls, shelving, upholstery, draperies, etc.). In addition, wet
cleaning using tri-sodium phosphate-based cleaners, was performed on floors,  carpets, upholstery,
and walls.  In this process, the study measured total lead removed from each surface type.
Therefore, the  study provided information on the efficacy of the different cleaning procedures and
the contribution of dust on various surfaces to total lead amounts in household dust.

The Children's Lead Exposure and Reduction (CLEAR) Study

       Conducted in Jersey City, NJ, the CLEAR study investigated how household cleaning
contributed to  reducing blood-lead concentration in children.  Households recruited for this study

                                            14

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had a child aged two years or less.  Either this child had a blood-lead concentration in the range of
8-20 |ig/dL, the household had lead-contaminated house dust or paint, or the child had an older
sibling with a blood-lead concentration exceeding 10 |ig/dL.

       In initial visits to 216 housing units from 1992-1994,  dust samples were collected from the
younger child's primary activity area in the house.  Included in these samples were 376 samples
collected from carpets using a vacuum method developed specifically for this study (Section
5.1.1.4).  Thus, this study provided useful information on baseline lead levels in residential
carpets. In addition, results of laboratory studies to characterize the efficiency of the CLEAR
Study vacuum on carpets were available and are cited in this report.
                                            15

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4.0    GENERAL INFORMATION ON LEAD CONTAMINATION
       IN CARPETS, FURNITURE, AND AIR DUCTS

       This chapter provides an overview of information published on lead contamination of dust
and soil within residential carpets, furniture,  and forced air ducts.  This information is presented to
provide the reader with a general summary of published information on lead exposures associated
with these sources.  More detailed presentation is provided in Chapter 5, within the targeted
research areas of measurement, association with blood-lead concentration, and mitigation.
Reference citations are referred to Chapter 6.

       It is difficult to reach a consensus across studies on the extent of lead contamination of
dust within carpets, furniture, and air ducts, and how such lead exposures may affect children's
blood-lead concentration. This is due, in part, to study-to-study differences in the methods used
to collect dust from these surfaces and in the underlying conditions in  which the studies took
place.  Different dust sampling methods have different collection efficiencies and other unique
properties which affect the amount and type of dust collected from various surfaces (see Chapter
5).  As a result,  comparing results across studies must be performed with  caution, and any
conclusions made from these studies must be accompanied by statements  indicating the method of
dust collection and analysis and any circumstances unique to each study.

4.1    CARPETS

       Many researchers have acknowledged the role of carpets as a vast reservoir for household
dust and exterior soil introduced to the housing unit, providing a large potential for dust-lead
exposure to children. For example, Dybendal et al.,  1991, indicates that carpeted floors can
accumulate from 4 to 5 times more dust, proteins,  and allergens per unit area than smooth floors.
Roberts et al., 1995b, report that old carpets can have up to 400 times more dust per square
meter compared to uncarpeted floors.  To investigate dust collection from carpets, a study in
three housing units found that dust collected from carpeted floors was from 15 to 140 times
greater in quantity than dust from uncarpeted floors (Roberts et al., 1988). This finding occurs
despite findings in other studies that the efficiencies of dust collection  methods are generally low
for carpets relative to other types of surfaces (USEPA, 1995a,b).  Carpet dust contains more
silicaceous material, while greater amounts of dry, organic matter is present in airborne dust and
dust on uncarpeted surfaces (Roberts et al., 1988).

       The role of carpets in promoting indoor surface pollution has been recognized in articles
on "sick building syndrome" (e.g., Raw et al., 1993).  Occurrences of "sick building syndrome"
(i.e., the effect that certain buildings have on human health symptoms), as well as high levels of
airborne dust, have been associated with amount of carpet and other fabric-covered surfaces
relative to the amount of living area (i.e., the "fleece factor"). The level of association is
heightened in houses with small volume, low air exchange rates, and high levels of dirtiness
(Ozkaynak et al., 1996). "Sick building syndrome" can occasionally be a precursor to exposure to
harmful pollutants, including lead.
                                           16

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       Analysis of baseline dust samples from carpeted surfaces within 216 housing units
participating in the CLEAR Study (Section 3.1) corroborate evidence that carpets can hold large
amounts of dust and soil, thereby increasing the likelihood of carpets being lead-contaminated
relative to other surface types (Adgate et al., 1995). In these units, both the geometric mean dust
loading and the geometric mean lead loading were approximately 18 times higher in carpets than
in uncarpeted floors and six to eight times higher than that for window sills. As the CLEAR
Study vacuum was used to sample dust from carpets while wipe techniques were used to sample
dust from the other surfaces, caution must be taken when comparing results between carpets and
other surfaces.

       Very high lead levels in carpet-dust have been measured and documented in other studies
as well. For example, a study conducted in 38 Seattle units built prior to 1950 contained an
average carpet-lead loading of 12,000 |ig/m2 (1,115 |ig/ft2) and an average carpet lead
concentration of 1,130 |ig/g within fine dust (< 150 microns) (Roberts et al., 1991a).

       The presence of carpets does not always imply that dust samples taken from carpets will
have higher dust-lead loadings for a given sampling method relative to other surfaces. For
example, consider dust-lead loading data from  the National Survey of Lead-Based Paint in
Housing (USEPA, 1995c) and the Rochester Lead-in-Dust study (Section 3.1). For each study,
Table 4-1 presents a surface-by-surface breakdown of the number and percentage of housing units
whose area-weighted geometric mean dust-lead loadings exceeded certain threshold values.
These statistics were calculated from public use databases to  support EPA's Section 403
rulemaking efforts and were not previously published. Only dust samples collected by wipe
methods are represented for the Rochester study, while the dust-lead loadings in the HUD
National Survey were converted from Blue Nozzle vacuum loadings to equivalent wipe loadings
based on conversion methods developed for the Section 403 rulemaking activity.

       Note from Table 4-1 that in both studies, carpeted surfaces tended to have a slightly lower
incidence of high dust-lead loadings  compared to uncarpeted  surfaces, and a considerably lower
incidence compared to window sills and window wells.  One can hypothesize the following from
this finding:

        !      As other studies have shown that wipe methods typically have  lower dust
              collection efficiency on carpets  than on other surfaces, this finding may be the
              result of the dust collection method assumed.

        !      If dust samples collected from wipe  methods represent that dust which can easily
              come  into contact with children, then these results suggest that carpets may act as
              a short-term mitigator of lead exposure associated with floor dust. Carpets can
              retain contaminated dust within its fibers, thereby reducing the bioavailability of
              the lead.  However, if this dust is able to reach the surface over time, such as by
              repeated vacuuming or disturbance, it may eventually pose a lead  hazard to
              children.
                                           17

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Table 4-1.    Percentage of Surveyed Housing Units in Two Studies With Area-Weighted Geometric
              Mean Dust-Lead Loadings Exceeding Various Thresholds, for Four Types of
              Surfaces,  Including Carpeted Floors (Wipe Collection Techniques Assumed)
Surface Type
Sampled for
Dust
Carpeted Floors
Uncarpeted
Floors
Window Sills
Window Wells
# Surveyed Units
HUD
National
Survey
241
213
245
112
Rochester
Study
176
197
195
189
Dust -Lead
Loading
Threshold
25 pg/ft2
50 pg/ft2
100|jg/ft2
200 pg/ft2
25 pg/ft2
50 pg/ft2
100|jg/ft2
200 pg/ft2
25 pg/ft2
50 pg/ft2
100|jg/ft2
200 pg/ft2
25 pg/ft2
50 pg/ft2
100|jg/ft2
200 pg/ft2
% of Surveyed Units with Geometric Mean
Dust- Lead Loadings Exceeding the
Threshold
HUD National
Survey1
36.9%
18.3%
5.8%
2.1%
31 .9%
20.2%
10.3%
4.7%
53.1%
43.3%
33.1%
24.9%
88.4%
81 .3%
72.3%
54.5%
Rochester Study2
14.8%
4.5%
1.7%
1.1%
29.4%
9.6%
4.6%
2.5%
95.4%
90.3%
68.7%
47.7%
100%
97.9%
94.7%
89.4%
1 TheBI  ueNozz  Ievacuum Iead  Ioad i ngs  fordust samp Ies
col lected  intheNational Su rveywe reconverted towi pe
 lead  loadingspriortocalculatingthestatistics  in
thiscolumn.  Theconversionequation  is (Wipe  lead
 loading)=a*(BlueNozzlelead loading)b,wherea=11  .4
and b=O . 6SO for f I oors ,  a=5 .  79 and b=1 .  OS f or w i ndow
si  I ls,anda=7.37and b=O .  752 f o r w i ndow t roughs .
2 On Iydata  for samp I  escoI  Iectedus i ngwi petechn i ques
we recons idered .
                                            18

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More research may be necessary to address these hypotheses more accurately.

       Logistic regression analyses performed on Rochester study data (Emond et al., 1997)
predicted the percentage of children with blood-lead concentrations at or above 10 |ig/dL as a
function of dust-lead loading and surface type.  The results of these analyses are presented in
Table 4-2 for carpeted and uncarpeted floors, window sills, and window wells.  At low dust-lead
loadings, carpeted floors were observed to be associated with a slightly lower predicted
percentage compared to uncarpeted floors. However, the difference in percentages between the
two surfaces was not considered statistically significant and was virtually zero as the dust-lead
loading increased.
Table 4-2.    Predicted Percentage of Children With Blood-Lead Concentrations At or Above 10
              |jg/dL, as a Function of Surface Type and Dust-Lead Loading, Based on Data from
              the Rochester Study
Carpeted Floors
Dust -lead
Loading
(M9/ft2)
5
10
15
20
25
30
35
40
%>10
M9/dL
3.8
9.9
14.7
16.6
17.5
18.1
19.2
19.8
Uncarpeted Floors
Dust -lead
Loading
(M9/ft2)
5
10
15
20
25
30
35
40
%>10
M9/dL
4.3
10.2
13.5
14.9
17.0
18.0
18.9
19.7
Window Sills
Dust -lead
Loading
(M9/ft2)
50
100
200
300
400
500
600
700
%>10
M9/dL
10.1
14.8
15.6
16.2
18.0
18.9
19.5
20.1
Window Wells
Dust -lead
Loading
(M9/ft2)
200
500
750
1500
3000
5000
10000
20000
%>10
M9/dL
12.3
15.3
16.5
15.8
17.2
18.3
19.9
20.4
Source:  Emond et al., 1997
       When measuring dust-lead concentration, some studies reported differences between
carpeted and uncarpeted surfaces, but these differences were not necessarily of the nature
observed for dust-lead loadings. For example, in baseline measurements taken in the CLEAR
study, lead concentrations in carpet-dust tended to be lower than those on uncarpeted floors and
window sills, but the difference across surface types was not as great as that for dust-lead
loadings (Adgate et al., 1995). Solomon et al., 1976, and Kim et al., 1993, state that higher lead
concentrations tend to be found on hard surfaces, while carpeted surfaces tend to have higher lead
                                            19

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loadings. This is partially due to less particle movement on carpeted surfaces relative to hard
surfaces, as dust becomes trapped among the carpet fibers.  As a result, carpets invite increased
dust amounts, which generally correspond to lower dust-lead concentrations, while lower dust
amounts on hard surfaces are more likely to have higher dust- lead concentrations. On the other
hand, Kim et al., 1993, found a highly significant positive correlation (r=0.510) between lead
loadings and concentrations in carpet dust.

       Roberts et al.,  1988, report four major sources of variation in carpet dust accumulation:

        !      carpet type
        !      frequency and manner of cleaning
        !      dust sources (both interior and exterior)
        !      resident behavior (e.g., cleaning techniques).

In Roberts et al., 1991a,  factors selected by a stepwise regression analysis on data from 42
housing units to predict average carpet dust-lead loading in the unit were soil-lead concentration,
age of housing unit, and the following yes/no indicators: presence  of wood siding outdoors,
presence of indoor peeling paint, whether shoes  are removed at the door, whether interior
remodeling was done in  the last 12 years, whether a vacuum with agitator bar is used, whether a
walk-off mat is used, and whether the carpet is a flat rug on a bare  floor. Roberts et al., 1991a,
also claim that households in older units and having one or more of the following characteristics
can have carpet dust-lead loadings exceeding 10,000 |ig/m2 (929 |ig/ft2): shag rugs, a canister
vacuum (with no agitator) or no vacuum, a vacuum with a loose belt or a full dust collection bag,
and use of vacuum less than once per week.

       When attempts are made to remove dust  from carpets, any dust that is not removed from
the  carpet can eventually become more bioavailable to residents as  it is brought closer to the
surface. Normal vacuuming tends to remove less than 10% of total lead in an old,  contaminated
carpet, due to most lead  being embedded deep within the carpet (Roberts et al., 1995a; Adgate et
al.,  1995).

       Use of standard commercial vacuums without special filters or  bags can increase the
number of airborne dust  particles, especially those exceeding 0.5 jam in diameter (Dybendal et al.,
1991). This effect is heightened in older carpets.

4.2    FURNITURE

       As indicated in Chapter 3, the number of published studies investigating the role  of
furniture, upholstery, or  window treatments as indirect sources of lead exposure to children, and
efforts to mitigate such exposures, is limited compared to carpets.  While studies have reported
lead levels in dust on furniture, upholstery, or window treatments, the studies typically do not
consider such potential hazards exclusively, but instead may have been designed to evaluate
overall lead exposure on various surfaces throughout a house, or to develop an alternative lead
                                            20

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measurement procedure. Nevertheless, dust on furniture and curtains, among other items in the
home, are recognized as contributing to a resident's total exposure to lead hazards in the home
(Roberts, 1997). For example, as was indicated in Section 4.1, "sick building syndrome" has been
associated with large amounts of fabric-covered surfaces, including upholstery, relative to the
amount of living volume in a house (Raw et al., 1993). Section 5.2 provides detailed information
from the encountered studies.

       For studies that measured lead levels in furniture, upholstery, and/or window treatments,
Table 4-3  summarizes these levels according to study. Included in this table are dust collection
methods used, number of dust samples taken, number of housing units sampled, ranges of dust-
lead levels (if available), and mean dust-lead level (arithmetic mean for most studies).  In general,
dust-lead loadings for these surfaces averaged below 100 |ig/ft2.  One exception was observed in
Al Radady et al., 1994, where net curtains hung and not cleaned for at least one year had average
dust-lead loadings of 278 |ig/ft2. As the sample sizes in all  of these studies were small, and
sampling techniques, sampling locations, and study goals varied considerably from study to study,
more information would be necessary to fully characterize  potential lead hazards associated with
furniture and upholstery.

       In  some of the studies in Table 4-3, the same types of dust collection methods used to
sample dust from carpets were used to sample dust from furniture and upholstery.  One study
(Roberts et al., 1993) developed a modified HVS3 vacuum sampler to facilitate sampling dust
from the light fabric used on upholstery and used this method on used upholstery.  However, no
field study was encountered which used this method, called the High Volume Furniture Sampler
(HVFS).  To measure amounts of lead in dust within net curtains, Al Radady et al., 1994, placed
the curtains in a 10% nitric acid leaching solution and  analyzed the resulting leachate for lead.

       One  investigation reported certain types of mini-blinds as being a direct source of lead,
rather than an indirect source.  The Consumer Products Safety Commission (CPSC) found that
prolonged exposure to sunlight of foreign-made, vinyl mini-blinds can form lead dust on the
surface of the blind if the blind contained added lead as an ingredient (CPSC, 1996).  As a result,
such blinds should be immediately replaced.

       Two studies observed the correlation of dust-lead levels found on furniture with children's
blood-lead concentration, and both observed differing results.  In the Baltimore R&M study
(USEPA,  1996b), the correlation coefficient between blood-lead concentrations and upholstery
dust-lead concentrations in upholstery was 0.64, while the  correlation between blood-lead
concentration and upholstery dust-lead loadings was 0.50.  Both  of these positive correlations
were significant at the 0.05 level. In contrast, Romieu et al., 1995, found no significant
correlation at the 0.05 level between furniture dust-lead loading and blood-lead concentration. As
the Baltimore R&M study had  higher dust-lead and blood-lead levels than in Romieu et al., 1995,
used the BRM dust sampler versus the DVM dust sampler, and contained children whose greatest
lead exposure threat was via dust, soil, and paint, rather than use of lead-glazed ceramic,
conclusions  between the two studies can differ for these reasons.
                                            21

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Table 4-3.    Summary of Methods Used in Five Studies to Sample Dust from Furniture,
               Upholstery, and Window Treatments; Numbers of Samples Collected; and Measured
               Lead Levels
Study/Reference
Roberts et al., 1993
Baltimore R&M Study
(pre- intervention;
USEPA, 1996b)
Romieu et al., 1995
Al Radadyetal., 1994

Steuteville,
1990

Pre-
clean
Post-
clean
Dust
Sampling
Method
HVFS
BRM
DVM
Wipe
HN03
leaching
Vacuum3
Vacuum3
Surface
Type
Upholstery
Upholstery
Furniture
Hard
furniture
Net curtains
Upholstery
Upholstery
#
Samples
10
60
702
10
10
6
7
5
5
# Units
--
60
200
1 (new)
1 (old)
1 (new)
1 (old)
3
3
Arithmetic Mean (Range in parentheses)
Dust- Lead
Loading (pg/ft2)
27.8
(2.7-94.9)
37. 71
(0-657)
8.4
6.0
21.4
65.8
277.9
28.5
(19.9-34.3)
23.1
(13.7-35.3)
Dust- Lead Cone.
(H9/9)
229
(130-380)
4231
(67-7879)





1  Results reported as geometric means rather than arithmetic means.
2  Only samples with detectable dust-lead loadings.
3  15 L/min air pump
       In addition to the significant correlation between furniture dust-lead levels and blood-lead
concentration, the Baltimore R&M study also observed significant correlations between furniture
dust-lead and other lead exposure variables, such as floor dust-lead and soil-lead. Therefore, the
degree of association between upholstery dust-lead and blood-lead concentration, as represented
by a positive correlation coefficient, is not necessary the degree to which upholstery dust causes a
change in blood-lead concentration.  The contribution of furniture or upholstery  dust to overall
lead exposure relative to other media such as floor-dust and soil was not addressed in the
published analyses.  The Baltimore R&M study data may  have potential for additional analyses to
assess whether there is a significant association between furniture or upholstery dust-lead after
adjusting for the effects  of other household lead exposures, such  as floor-dust, sill-dust, soil,
paint, etc.
                                              22

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       While five articles either investigated methods on mitigating lead exposures associated
with furniture, upholstery, and window treatments, or made recommendations on mitigation
methods, additional information will be needed to address the mitigation issue to the degree
necessary to satisfy the Section 1051 directive.  Table 4-4 contains a summary of mitigation
approaches encountered in these articles. Typically, conclusions in studies involving new research
were based on very few samples collected in very few housing units. As a result, their findings
tended to be inconclusive or non-significant (as in Steuteville, 1990). Findings in CH2M Hill,
1991 (as relayed via Ewers  et al., 1994) indicate that, on average, a greater percentage of lead can
be removed from furniture (18%) versus from carpets (8%) when a procedure of both dry
vacuuming and wet cleaning procedures are used.
Table 4-4.    Summary of the Issues and Approaches Discussed in the Published Literature on
              Mitigating Lead Exposures from Furniture, Upholstery, and Window Treatments
Reference
Surface Type
Mitigation Method
Field studies that evaluated certain mitigation methods
Steuteville, 1990
Toronto pilot demonstration
study (CSC and G&S,
1989)
CH2M Hill (1991) (as
reported in Ewers et al, 1994)
Upholstered furniture
Upholstered furniture
Upholstered furniture
Three -step procedure: dry vacuum/ wet
clean/dry vacuum
Dry vacuuming with suction only, or wet
cleaning
Initial vacuuming, followed by three
shampooings
Mitigation recommendations (no tests of efficacy of the methods were performed)
Roberts, 1997
CPSC, 1996
Upholstered furniture
Curtains
Mini-blinds (direct exposure
source)
Vacuum or wet wash once a month
Install curtains and furniture that are easy to
clean
Replacement
4.3    AIR DUCTS

       As indicated in Chapter 3, only eight documents from seven studies were identified that
contained information on lead levels in dust within air ducts and on efforts to mitigate the
resulting lead exposure.  Furthermore, these studies tended to be either case studies (some of
which were conducted in office buildings rather than residences) or to include air duct sampling as
only a small portion of the total environmental sampling design. While this section provides an
                                            23

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overview of information on air ducts found within these studies, Section 5.3 provides detailed
information.

       Six of the seven studies provided information on dust-lead levels in air ducts. Table 4-5
presents summaries of these dust-lead levels by study, as well as the dust sampling methods used
and sample sizes. Generally, dust-lead loadings in air ducts were very high in these studies, with
some samples achieving loadings between 1,000 and 1,000,000 |ig/ft2 prior to any cleaning or
abatement efforts.  However, most samples had lead loadings between 100 and 100,000 |ig/ft2.
The EPA Comprehensive Abatement Performance (CAP) study (USEPA, 1995d; USEPA,
1996a), involving occupied homes assumed to be free of lead-based paint for at least two years,
provided the greatest amount of information on lead in dust within air ducts; levels were relatively
low in this study compared to the others. In general, air duct dust-lead levels in the Baltimore
R&M study (Section 3.1) and the R&R study (USEPA,  1997) were considerably higher than in
the CAP study, as these studies included older, vacant units in need of repair and maintenance.
Lead contamination in dust in air ducts is not necessary the result of interior sources; studies such
as Cram et al., 1986, hypothesize that contaminated outdoor dust can pass through ventilation
filters and settle within air ducts.  Due to differences in sampling collection methods and other
protocol differences, comparison of results across studies such as in Table 4-5 should be made
with caution.

       The two studies conducted in office buildings (Lovelace et al., 1994;  Cram et al., 1986)
were the only encountered studies that focused exclusively on air duct contamination. One of
these studies (Lovelace et al.,  1994) observed that some  lead levels in floor dust in living areas
adjacent to air ducts were orders of magnitude lower than inside the air ducts.

       Only one of these studies (Baltimore R&M Study) investigated the correlations between
lead  levels (loadings and concentrations) in air ducts and children's blood-lead concentration.
While the Pearson correlations calculated in this study were not statistically significant, sample
sizes were generally too small to provide sufficient statistical power.  Another study (Angle et al.,
1995) identified a significant positive correlation (at the  0.05 level) in lead isotope ratios between
dust  within air ducts  and dust on the hands of children.

       Two studies (CSC  and G&S, 1989; Lovelace et al.,  1994) addressed how cleaning of air
ducts affected lead levels in dust within them.  CSC and G&S, 1989, in its evaluation of
household cleaning protocols, found that the recovered dust from air ducts contributed highly to
the total lead in recovered  dust within a housing unit, but air duct cleaning under the given
cleaning protocol did not appear to produce more airborne dust relative to other segments of the
cleaning operation.  Portions of this cleaning procedure were detailed within the report. The
study in Lovelace et al.,  1994, indicated that lead levels within air ducts were reduced as a result
of cleaning (the cleaning protocols were not presented),  but remained high relative to areas
outside of the ductwork.
                                            24

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Table 4-5.    Summary of Air Duct Dust Sampling Methods Used, Numbers of Samples Collected,
              and Measured Lead Levels for Six Studies
Study/Reference
CAPS
pilot study
(USEPA, 1995d)
full study
(USEPA, 1996a)
Baltimore R&M Study
(pre- intervention;
USEPA, 1996b)
R&R Study
(USEPA, 1997)
Lovelace et
al., 1994
Cram
etal.,
1986
pre-cleaning
post-cleaning
December
April
Angle etal., 1995
Sampling
Method
Blue Nozzle
CAPS
cyclone
BRM
sampler
Wipe
Wipe

Brushing

Not specified
#
Samples
10
109
29
21
11
6
10
10
21
#
Bldgs.
5
52
29
5
1
1
21
Geometric Mean (Range in parentheses)
Dust -Lead Loading
(M9/ft2)
308
(27-3910)
120
(2-40900)
59900
(2829-942329)
2900
(205-30900)
(71-153000)
(145-18000)

Dust -Lead
Concentration (pg/g)
749
(363-1699)
427
(59-5640)
1510
(79-11248)

2667
(1428-6550)
1856
(1084-5344)
383 (arithmetic avg)
       The relative sparsity of published information indicates that many open questions exist on
the nature of lead contamination of dust within residential air ducts, how the lead in this dust may
come into contact with residents (especially children), how such contact affects blood-lead
concentration, and approaches to mitigating such a lead exposure.  Nevertheless, evidence exists
that air ducts can contain some of the highest levels of lead in dust within a housing unit.
                                            25

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5.0    SUMMARY OF THE LITERATURE REVIEW

       This chapter presents detailed information encountered in the literature review on lead
exposures associated with carpets, furniture, and forced air ducts. For carpets (Section 5.1), the
information is presented within the three research areas of interest:  dust collection and
measurement techniques,  association with blood-lead concentration, and mitigation. For furniture
and forced air ducts (Sections 5.2 and 5.3, respectively), the limited number of articles on lead
exposures associated with these sources prompted the findings from these articles to be presented
by article, rather than within the three research areas. References cited in this chapter are
provided in Chapter 6.

5.1    CARPETS

       The 59 articles identified in the literature search on dust and lead exposures associated
with residential carpet provided information on each of the three research areas of interest:
measurement techniques,  association with blood-lead concentration, and mitigation. Most of the
information addressed measurement  issues, including methods to sampling dust from carpets and
determining lead levels in carpet-dust.  While some information was available to address the
association between lead in carpet dust and blood-lead concentration in children, as well as
exposure mitigation issues regarding lead in carpets, additional research in these areas is necessary
to address remaining questions and data gaps.

       Section  5.1.1 provides a summary  of procedures used to measure lead levels in carpet dust
and information on the efficiency of  dust collection using vacuum methods. A discussion of the
link between carpet-dust levels and blood-lead concentrations  in children is presented in Section
5.1.2. Finally, Section 5.1.3 investigates methods to mitigating the lead hazard associated with
carpets and to preventing  lead contamination in uncontaminated or abated carpets.

5.1.1  Carpet-Dust Collection and Lead Measurement

       Considerable work has been performed to develop dust collection techniques for pesticide
and lead monitoring. EPA has recently conducted an extensive literature review on the basic
concepts, methods, and strategies for sampling house dust to characterize lead exposures
(USEPA,  1995a). This report will cite sources such as USEPA, 1995a, that are relevant to
carpet-dust sampling, but will only provide key findings and conclusions from these sources.

5.1.1.1 Dust Sampling/Characterization Methods

       Several methods have been developed for characterizing lead levels in dust. Most of these
methods involve collecting dust samples and analyzing the samples in the laboratory, while others
(e.g., the articles by Bero) attempt to measure dust-lead levels in situ. The methods also differ on
the extent to which lead is to be measured (e.g., within all dust or only dust that may be
bioavailable to humans).  Included below are brief discussions on some dust characterization
                                           26

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methods that either have been developed specifically to measure lead levels in carpet or have been
used to sample dust from carpets in previous studies.  Some of these methods may have also been
used to sample dust from furniture or air ducts, as cited in Sections 5.2 and 5.3. More detailed
discussions on dust sampling methods can be found in the cited references or in USEPA, 1995a.

HVS3/BRM Vacuum Methods

       Originally developed for studies to collect house dust for measuring pesticide levels (e.g.,
Chuang et al., 1995), the high-volume small surface sampler (HVS3; Roberts et al., 1991b) has
become an ASTM standard for collecting dust "from carpets or bare floors to be analyzed for
lead, pesticides, or other chemical compounds and elements." (ASTM, 1996a). When originally
published, the ASTM standard specifically targeted dust sampling from carpeted floors; it was
later generalized to apply to any floor surface. The HVS3 is a lighter, simpler version of the
HVS2, designed and tested for the EPA as part of the Non-Occupational Exposure Study
(NOPES) (Roberts et al., 1988; Roberts et al., 1992).  The sampling equipment includes a high-
powered upright vacuum cleaner with sampling nozzle, a cyclone that separates particles by size,
and a Teflon bottle for collecting the sample.  The ASTM standard indicates that for plush,
multilevel, or shag carpeting, the HVS3 should operate at 20 cubic feet per minute (9.5 liters per
second) through the cyclone, and at 16 cubic feet per minute (7.6 liters per second) on level loop
carpeting.  The pressure drop across the nozzle and the air flow are monitored and controlled to
assure uniform sampling conditions from sample  to sample.

       When spiking carpets with dust (<150|im) using techniques documented in ASTM, 1996b,
and when operating the HVS3 under the flow rates specified in ASTM, 1996a, dust collection
efficiency of the HVS3 was measured as 66.8% on level loop carpeting and 69.5% on plush
carpeting (Roberts et al.,  1991b; ASTM, 1996a). The HVS3 cyclone catch bottle retained more
than 99.8% of collected lead.

       A modified, portable version of the HVS3 was developed for the Baltimore R&M study
(USEPA, 1996b; Farfel et al., 1994).  This version replaces the upright vacuum with a portable,
hand-held vacuum (the same vacuum model used in the CAPS cyclone as described below;
USEPA, 1995b). This version is known as the BRM vacuum sampler (named after this study)
and was used in this  study to collect dust samples from carpeted surfaces, among others.  The
BRM sampler was compared with the DVM and  wipe sampling methods in the Rochester Lead-
in-Dust study (Lanphear et al., 1995; The Rochester School of Medicine and NCLSH, 1995) and
with the Blue Nozzle vacuum and CAPS cyclone (relative to dust and lead recoveries) in a
laboratory study. See Section 5.1.1.2 for details  on these evaluations.
                                          27

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Microvacuum Method (MVM. or DVM)

       The microvacuum method for dust collection was developed by researchers at the
University of Cincinnati for studies that characterize pathways of lead from environmental media
to blood (Que Hee et al., 1985).  In EPA studies, this method is more prominently known as the
Cincinnati DVM ("dust vacuum method"), and so will be denoted as such in this report (USEPA,
1995a). This method has been used frequently in studies measuring dust-lead in carpets and
blood-lead concentration (e.g., Ewers et al., 1994; Romieu et al., 1995).

       In addressing the hand-to-mouth route of lead ingestion that is common among young
children,  the developers of the DVM were interested in collecting only dust that is most available
to come in contact with the hands of children. The DVM sampler consists of a portable personal
air sampling pump operated at 2.5 to 3 liters per minute (USEPA, 1995a) that collects dust into a
three-piece air sampling cassette. It has been used in several epidemiological studies as it "has
been shown to produce results that correlate with exposure as measured by blood lead" (Ewers et
al.,  1994). Other advantages include its  consistent lead recoveries across a variety of surfaces
(including carpets), its portability and lightweight property, its ease of use, and its ability to
operate without household electricity (Clark et al., 1995).  One disadvantage is the need to ensure
that dust  or other material does not clog the nozzle (USEPA, 1995a).

       In sampling carpet dust, the DVM tends to collect only the surface dust that is more
readily available to children (generally particles less than 250 jim in diameter), and not the more
deeply-embedded dust in the carpet.  On average, the DVM removes only about 1% of the lead
dust in carpets that would typically be removed if an industrial quality HEPA vacuum was used at
a rate of 10 min/m2 (Ewers et al., 1994; Clark et al., 1996).

       At a sampling velocity of 2 1/min on loose dust less than 149 |im (i.e., dust most likely to
adhere to a child's hand), sampling efficiencies of the DVM after one iteration of the sampling
process were 64% for indoor-outdoor carpeting and 42% for shag plush pile carpeting, compared
to an average of 63% across all surfaces tested (wood, linoleum, carpeting) (Que Hee et al.,
1985). These efficiencies increased to 79% for indoor-outdoor carpeting and 66% for shag plush
pile carpeting (and 80% across all surfaces tested) after two iterations.  More discussion of the
DVM's sampling  efficiency on carpets is presented in Section 5.1.1.4.

       The DVM sampler was among three dust sampling  methods evaluated in the Rochester
Lead-in-Dust study (Lanphear et al., 1995; The Rochester School of Medicine and NCLSH,
1995); see Section 5.1.1.2 for  details.

CLEAR Study Vacuum

       A vacuum method was developed to collect dust samples from carpets in the CLEAR
Study (Section 3.1; Wang et al.,  1995; USEPA,  1995a). This vacuum is a modified Data Vac II
(canister) vacuum cleaner with in-line, cone-shaped filter.  The vacuum's nozzle inlet is jagged,
rather than flat, to increase air flow for lifting dust from carpets more easily, and to allow the inlet

                                           28

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to move carpet fibers so that particles buried within the fibers can be captured.  The size of the
nozzle inlet "teeth" can be varied to accommodate different carpet fiber lengths. The vacuum's
flow rate is approximately 28 liters per second.

       Wang et al., 1995, conducted a laboratory study to investigate factors influencing the
collection efficiency of the CLEAR Study vacuum sampler on carpets. When varying relative
humidity, carpet type, vacuum velocity, and total dust-lead loading in the carpet, the collection
efficiency ranged from 38% to 89%. Further results of this investigation are presented in Section
5.1.1.4.

Blue Nozzle Vacuum Method (and modifications)

       The Blue Nozzle vacuum consists of a Gast rotary vane pump connected via Tygon tubing
to the same filter and cassette used in the DVM (USEPA, 1995a) The vacuum is named for the
blue color of its pick-up nozzle.  Its sampling flow rate is 16 liters per minute (USEPA, 1995a).
It was used in 1989-1990 to collect dust samples from various surfaces, including carpets, within
the HUD National Survey of Lead-Based Paint in Housing (USEPA, 1995c; Table 4-1 of Chapter
4).  However, when it was used in 1991 within the pilot phase of EPA's  Comprehensive
Abatement Performance Study (USEPA,  1995d), its limitations in dust collection efficiency and
nozzle versatility were recognized, prompting research into modifications to the vacuum. In a
methods development study (MRI, 1992; Lim et al., 1995), the dust collection efficiency of the
Blue Nozzle vacuum was characterized for a number of surfaces, including carpets. Dust
collection efficiency was defined as the difference in the cassette weight  after use versus before
use, divided by the weight of the composite dust applied to the surface.  For samples of differing
particle sizes, the Blue Nozzle dust collection efficiency on carpets ranged from 7.8% to 12.3%.
When the particle size was less than 250  jim,  the efficiency percentage for carpet was much
lower than that for other surfaces (concrete, wood, linoleum), primarily due to the dust particles
embedding themselves within the carpet fibers. However, efficiency percentages for the other
surfaces did not exceed 60% at such low  particle sizes. For larger particle sizes, the efficiency
percentages for all surfaces were in the 10-20% range.

       In the methods development study (MRI, 1992; Lim et al., 1995), one modification of the
Blue Nozzle vacuum consisted of an in-line dust collector using a 37-mm cassette with a
preloaded 0.8 jim, cellulose-ester membrane.  It operated with twice the  airflow as the Blue
Nozzle vacuum. Across all particle sizes, the dust collection efficiency with this modified vacuum
exceeded 85% for wood, linoleum, and concrete, while the efficiency ranged from 50% to 65%
for carpets, which was considered significantly lower than the others. While its lifting velocity
was higher than that of the Blue  Nozzle vacuum, it was not sufficient to  collect particles
embedded in carpet fibers (MRI, 1992). In addition, the inlet opening of the 0.5" nozzle was
considered too small to collect a dust sample from a 1 ft2 in two minutes or less.

       The above methods development  study also developed and evaluated the CAPS cyclone
(below).  Additional details are found in MRI, 1992, and Lim et al.,  1995.
                                           29

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       In a laboratory study, the Blue Nozzle vacuum was compared with the BRM sampler and
the CAPS cyclone relative to their dust and lead recoveries. See Section 5.1.1.2 for details on
this evaluation.

CAPS Cyclone Method

       As discussed above, the CAPS cyclone was developed in a laboratory study to identify a
dust collection method for the Comprehensive Abatement Performance Study (CAPS) which
improves the dust collection efficiency and nozzle limitations associated with the Blue Nozzle
vacuum (MRI, 1992; Lim et al., 1995). The CAPS cyclone consists of a cyclone collector on
which the filter cassette holder plug is screwed.  The cyclone is connected to a commercially-
available hand-held vacuum (Dirt Devil® Model #103) and uses a  1" nozzle inlet.  In this
laboratory study, dust collection efficiencies for the CAPS cyclone exceeded 90% for all tested
surfaces (concrete, linoleum, wood, carpets) when the dust particle size exceeded 250 jim.  While
dust collection efficiencies continued to exceed 90% for concrete, linoleum, and wood when
particle sizes were below 250 jim, the efficiency percentage associated with carpets ranged only
from 74% to 78% (MRI, 1992;  Lim et al.,  1995). As carpets were not sampled in the CAPS, no
field data on lead in carpet-dust samples collected using the CAPS  cyclone have been
encountered.

       In a laboratory study, the CAPS cyclone  was compared with the BRM sampler and the
Blue Nozzle vacuum relative to their dust and lead recoveries.  See Section 5.1.1.2 for details on
this evaluation.

Solomon and Hartford Vacuum Method

       This vacuum method is  documented in Solomon et al., 1976.  A portable vacuum pump
with a nylon filter holder was used to collect  and trap dust.  The used filter and dust was then
placed  in tared glassene envelopes for shipment to the laboratory.  When the vacuum was used to
collect two  samples of dust from the same area (to investigate sampling efficiency), approximately
90% of the  total lead collected was obtained in the first sweep.

Dislodgeable Dust Methods

       Various types of non-vacuum, dislodgeable surface dust collection  methods have been
developed,  primarily to support studies investigating pesticide contamination in carpets.  These
methods are relevant for sampling surface dust which can come into direct contact with children
playing on the carpet. One such method involves pressing a bare hand on a carpet in a prescribed
manner at a given pressure, then rinsing the hand to remove and collect the dust (USEPA, 1995a).
A second method involves placing a moistened polyurethane foam (PUF) cover on a weighted
roller, and rolling the roller across a specified area of carpet (Lewis et al., 1994; USEPA, 1995a).
The PUF roller simulates a 9 kg child crawling on the carpet.  Both methods were used in the
EPA House Dust/Infant Pesticides Exposure  Study (HIPES) (Fortmann et al., 1991b).  Roberts et
al., 1989, have developed a cotton glove press test as a surrogate to requiring direct hand contact

                                          30

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to dust.  The cotton gloves can be digested in the laboratory, similar to dust wipes.  The cotton
glove press test was used in the Non-Occupational Exposure Study.

       The only indication that the dislodgeable dust methods in the previous paragraph have
been applied in a field study to evaluate lead exposure was in an EPA nine-home lead study
conducted in 1991 (USEPA, 1995a). No information on this study was available.

Wipe collection methods

       Wipe dust collection methods, which collect dust from  a surface by wiping the surface
with a premoistened digestible wipe, are primarily meant to be used on smooth surfaces. As it can
be difficult to use wipe methods to obtain dust embedded within the carpet fibers and deep in the
carpet, and because dust-lead concentrations cannot be determined from wipe dust samples, many
researchers prefer to use vacuum methods to collect dust from carpets. However, some studies
which used exclusively wipe techniques for sampling dust occasionally needed to take dust
samples from carpeted surfaces. In other studies, such as the Rochester Lead-in-Dust study
(Lanphear et al.,  1995; The Rochester School of Medicine and NCLSH, 1995), the wipe method
was used in a comparison with the BRM  and DVM vacuum methods; results are found in Section
5.1.1.2.

       HUD interim clearance standards on lead in dust are expressed in terms of dust-lead
loadings assuming a wipe dust collection technique.  Health-based standards on lead in dust to be
set in response to Section 403  will also be expressed in this manner. Therefore, wipe techniques
remain an important dust collection procedure for clearance purposes. However, it is currently
unclear how to obtain  such standards for  carpeted surfaces, partially due to the problems
associated with taking wipe dust samples from carpet.

Commercial vacuum collection methods

       Smaller studies, studies conducted in Europe, and studies in smelter areas have used
commercial vacuum cleaners to collect house dust, rather than laboratory-developed vacuum dust
collection methods.  Typically, grab samples of dust  from the vacuum cleaner bag are obtained for
laboratory analysis  when using commercial vacuum cleaners.  Studies such as Davies et al., 1987,
have utilized this approach (among possibly  other approaches) for collecting dust samples.
Methods development and  characterization studies, such as Que Hee et al., 1985, and Wang et al.,
1995, have used grab sampling from residential commercial vacuums to obtain household dust for
laboratory studies.

       When the dust sample  collection procedure utilizes commercial vacuums owned by the
household, the study cannot control the efficiency of the sampling process attributed to the
sampling device (Roberts et al., 1988).  In addition, while dust in residential vacuum bags
represents an average dust  characterization across the housing unit, it is not guaranteed to
represent only carpet or only areas which children frequent, and a dust-lead loading cannot be
estimated from a grab  sample. As a result, grab sampling from household vacuums not pre-

                                           31

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characterized in the laboratory is often not the sole means of collecting dust for household dust-
lead characterization analysis.

       In a laboratory study, dust and lead recoveries associated with carpets were investigated
for certain commercial vacuums.  See Section 5.1.1.2 for details on this evaluation.

X-Ray Fluorescence (XRF) methods

       Unlike the dust collection methods cited above,  Bero et al., 1993, and Bero et al., 1995b,
have developed a procedure for measuring total lead loadings in carpet that do not require
collecting and analyzing dust samples. This procedure uses an XRF testing approach, which is a
standard technique for measuring lead levels in paint and has been used to measure lead levels in
other media such as soil.  The XRF method provides immediate measurements without the need
and corresponding expense for sample preparation, extraction, and analysis. As this method does
not involve a dust sampling stage, thereby eliminating the problem of low sampling efficiencies, it
is able to estimate total lead loading in the carpet.  Once total loadings can be measured, standards
and cleanup criteria for lead loadings in carpets can be developed as for uncarpeted floors.

       The XRF testing methods were developed in two laboratory studies.  These studies
considered four types of carpeting: high-quality nylon plush, medium-quality berber, lower-
quality nylon plush, and  lower-quality nylon sculptured. In each  study, lead-contaminated soil at
one of a variety of loading levels was added to the carpet and embedded into the fibers (ASTM,
1996b). Each study used a different approach to testing on 5  cm2 carpet swatches:

       Study #1: Five measurements of two minutes each in different spots on the swatch
       Study #2: Twenty measurements of 45 seconds each in different spots on the swatch.

The first approach was also able to detect soil-lead concentrations in carpet within range of the
current soil-lead action levels of 500 to 1000 |ig/g.  The second approach was established to
reduce within-swatch variation and reduce detection limits associated with the first approach.

       Bero's research has focused solely on determining lead levels in soil within carpeting and
has not considered lead-contaminated housedust.  No approved field protocol has been
established for this approach, nor has analysis been performed on worn carpets. While the XRF
method allows lead loading measurements to be obtained while in the field, it is uncertain how
recommended test durations would limit the number of tests that could be performed.

Freeze fracture carpet grinding method

       This technique was used at the Bunker Hill Superfund Site in Kellogg, Idaho, to evaluate
techniques for remediating lead exposures in carpet and furniture. Its goal is to determine the
total lead loading within a carpet or other soft surface (Bero et al., 1996).  In this procedure, a
carpet sample is frozen within a beaker (using liquid nitrogen), ground in a Wiley mill, then
chemically  digested and  analyzed. Therefore, the entire carpet sample is analyzed, rather than the

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dust which could be removed from the carpet, removing any dust recovery bias. However, a
procedure for determining locations for taking carpet samples is still necessary, and the result is
destructive to the carpet.

       Laboratory evaluation of this procedure (Bero et al., 1996) involved spiking samples of
three types of carpets with differing amounts of lead and conducting the procedure to measure the
amounts of lead in the samples. Results  showed that approximately 67% of the total lead spiked
within the samples was recovered by this method. Material losses could occur during sample
handling, and portions of the sample may be retained on the beaker and mill during the grinding
process. Therefore, Bero et al., 1996, indicate that additional efforts are needed to develop
proper sampling protocols and quality control procedures for conducting this technique.

5.1.1.2 Comparing Dust Collection Methods Based on Performance

       Two studies have been identified which used different approaches and criteria for
comparing the performance of competing dust collection methods.  Their conclusions in regard to
sampling from carpeted surfaces are presented here.  The first study is an EPA-sponsored study
which compared methods according to their dust recoveries and lead recoveries in a laboratory
setting (USEPA, 1995b). The second study is the Rochester Lead-in-Dust study, which used
three approaches to evaluate performance:  measuring correlation with children's blood-lead
concentration in a field setting, measuring lead recovery in a laboratory setting, and measuring the
extent of measurement error associated with dust-lead levels.

USEPA. 1995b

       As competing dust collection methods can differ in their overall performance and in the
amount and type of dust collected, proper interpretation of the analytical results of dust samples
must take these methodological differences into account. EPA has recently conducted a
laboratory evaluation of specific dust sampling methods (USEPA, 1995b). In this evaluation, the
dust and lead recoveries of three laboratory-developed vacuum sampling methods (the Blue
Nozzle vacuum, the CAPS cyclone, and the BRM sampler), one wipe sampling method, and four
household vacuum  cleaners with beater bar attachments, were measured for a number of dust
particle sizes. Carpet, both unspiked and spiked with dust, were among the substrates for which
dust recoveries were obtained in this laboratory study.  Other substrates included upholstery,
wood, and vinyl. The wipe sampling method was not used on carpets.

       No significant difference in dust recovery (weight of collected dust divided by weight of
dust deposited on the substrate) was observed among the substrates for the three laboratory-
developed vacuum  sampling methods. Across substrates (including carpet),  average dust
recovery was 30% for the Blue Nozzle vacuum, 84% for the CAPS cyclone, and 89% for the
BRM sampler. Particle size played a significant role in dust recovery, with large particle  size
associated with lower recoveries for the Blue Nozzle and with higher recoveries for the CAPS
cyclone and the BRM sampler.
                                           33

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       Similar conclusions between these three vacuum methods were observed when evaluating
lead recoveries (weight of collected lead divided by weight of lead deposited on the substrate).
Sampler type, dust particle size, and dust loading were significant factors on lead recovery, while
substrate was not a significant factor.  Across substrates (including carpet), average lead recovery
was 26% for the Blue Nozzle vacuum, 72% for the CAPS cyclone, and 81% for the BRM
sampler.

       For the commercial vacuum cleaners,  dust recovery percentages were lowest among
carpeted surfaces; only 76% of dust was recovered from carpets spiked with dust and 79% for
other carpets, compared to a maximum observed recovery of 93% for wood surfaces.  The study
concluded that, on average and across all surface types, approximately 75% of carpet dust can be
collected when using a vacuum with beater bar attachment, with lead recovery similar to dust
recovery  on a relative basis. Variation from this average is expected across different vacuum
designs and the extent to which the dust is ground into the surface.

       Lead recovery for commercial vacuum cleaners, defined as the product of lead
concentration in dust shaken from the vacuum bag and the weight of recovered dust, divided by
the weight of lead applied to the substrate, exceeded 100% for carpets in all but one of the four
tested vacuums.  One reason for observing recoveries that exceed 100% is that higher lead
concentrations are expected to exist in dust removed from the bag compared to dust remaining
within the bag.  This would imply that lead particles are less likely to adhere to the bag than dust
particles, on a weight basis. Across all substrates tested in this  study, lead concentrations in dust
obtained from commercial vacuum cleaner bags were approximately 12% higher than lead
concentrations within the dust placed  on the substrate.

       Further discussion of factors found to  influence dust collection recovery are presented in
Section 5.1.1.4.

The Rochester Lead-in-Dust  Study

       One objective of the Rochester Lead-in-Dust study (Section 3.1) was to evaluate three
alternative dust collection methods in  terms of the correlation between dust-lead measurement
and the blood-lead concentrations of resident  children. The BRM sampler, the DVM sampler,
and wipe methods were used to collect side-by-side dust samples from carpeted floors,
uncarpeted floors, window sills, and window wells in various rooms within the 205 study units.
Geometric mean dust-lead loadings and dust-lead concentrations (when applicable), along with
estimated variability in these geometric means, are presented in Table 5-1.
Table5-1.         GeometricMeanCarpetDust
                             LeadMeasurements(±2SD)
                             Unde r EachDust Co I  lection
                             Method,  AsMeasured  inthe
                                           34

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                              Roches ter Lead-  i n-Dust
                              Studyi
Measu rement
Type
Du s t - Lead
Load i ng s
(ug/f t2)
Du s t - Lead
Concen t r a t i
ons ( uq/q )
BRM
1 87
(10,
3395 )
242
(31 ,
1916)
DVM
3
(0, 62)
226
( 24 ,
2135)
Wi pe
1 1
(2 , 75)
—
Sou r ce: Lanphea r et a  I .  ,  1995
iThe intervals inthistablearetheexponentiationof
themean±2standarddeviat  ionsof log-transformed
dust-  Ieadmeasurements , ca Icu I atedacrosshous i  ng
units.
       The children in this study (12-31 months of age) had a geometric blood-lead concentration
of 7.7 |ig/dL. While the correlation with blood-lead concentration was statistically significant for
all dust collection methods, with dust-lead loading having higher correlations than dust-lead
concentration, dust-lead measurements associated with BRM and wipe collection methods had
higher correlations than those associated with the DVM sampler (Lanphear et al., 1995). More
detail on these results is presented in Section 5.1.2.

       In 20 of the 205 housing units, additional side-by-side dust samples were collected to
assess measurement error associated with the dust collection methods (Emond et al., 1997).
Among the surfaces sampled (hard floors, carpeted floors, window sills and wells), measurement
error tended to be lowest for carpeted floors; this finding was consistent for each dust collection
method and for both loadings and concentrations.  However, when assessing the extent of
repeatability in measurements among side-by-side carpet dust samples, the correlation of repeated
DVM dust-lead concentrations was not significantly different from zero.  The magnitude of
measurement error relative to the measurement range was also characterized by calculating
reliability ratios (Emond et al., 1997); ratios close to one implied small measurement error.  While
carpeted floors generally had among the highest reliability ratios across surface types for a given
collection method, the reliability ratios associated with carpeted surfaces were generally higher
under the wipe and BRM methods compared to the DVM, and for dust-lead loadings compared
to dust-lead concentrations for a given vacuum method.

       A second phase of the Rochester study involved a laboratory analysis to characterize the
error in dust-lead measurements (Emond et al., 1997).  Dust with known lead levels were spiked
onto one of three surfaces  (carpet, linoleum, wood) and collected using one of the three methods
used in the field study (BRM, DVM, wipe). Based on three tests per method performed on
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carpets, the BRM had a much higher mean recovery percentage of lead (95.2%) compared to the
wipe (24.4%) and the DVM (31.4%).  The variability associated with the lead recovery
percentage on carpet was lowest for the BRM, indicating that the BRM collected consistently
high percentages of total lead from carpets, while the DVM had the highest variability. For all
methods, variability in lead recovery percentage was highest for carpets compared to linoleum and
wood.

5.1.1.3  Factors Influencing Dust and Lead Levels in Carpet

       A study of 120 housing units in eight suburbs around Christchurch, New Zealand (Kim et
al., 1993), indicated that carpet wear (coded as 0, 1, 2, or 3, with 0=new and 3=threadbare) was
the most significant factor associated with "dustiness" (or dust loading) associated with the carpet
in the main living area of the unit.  In  turn, the study found that carpet "dustiness" had a highly
significant positive association with lead loading, but not lead concentration. This study used the
vacuum dust collection method documented in Solomon et al., 1976. The average amount of dust
in carpets increased ten-fold from new to threadbare carpets (69.5-728 mg/m2, or 6,500-68,000
jig/ft2), while lead concentration showed only a modest increase. Presence of lead-based paint
and traffic density were significant factors on carpet dust-lead  concentration, which had a
geometric mean of 573 |ig/g across units in this study. Other potentially important factors
included the existence of a fireplace, a galvanized roof, and house age.  In noting that higher lead
concentrations are found in lead-contaminated dust with smaller particle sizes, the authors
hypothesize that increased carpet wear is associated with an increase in the proportion of carpet
dust represented by fine particle sizes.

       In an EPA-sponsored study of nine housing units in North Carolina (Fortmann et al.,
1991a; Roberts et al., 1992), correlations were reported between lead levels in carpets and lead in
other media.  Carpet dust-lead concentrations ranged from 77  |ig/g to 1,900 |ig/g across housing
units,  while carpet dust loadings ranged from 12 - 4,800 |ig/m2 (1.1 - 446 |ig/ft2).  Lead
concentrations and lead loadings in carpet dust were significantly correlated (r=0.82).  Significant
correlations (at the 0.05 level) were observed between carpet dust-lead concentrations and the
following:  house age (r=0.83), entryway dust-lead concentration (r=0.83), soil-lead
concentrations at the dripline (r=0.82)  and in the yard (r=0.82), and lead levels in interior  paint
(r=0.76).  Significant correlations  (at the 0.05 level)  were observed between carpet dust-lead
loadings and the following: soil-lead concentrations at the dripline (r=0.72) and in the yard
(r=0.73), and lead levels in interior paint (r=0.71).

       Roberts, 1997, indicates that remodeling and paint removal efforts in units containing
lead-based paint can increase lead loadings in carpet dust by a factor of two to four.  In addition,
these factors contribute to an estimated three percent increase in loadings with the age of the
housing unit.

       Al-Radady et al., 1994, performed a  small study investigating how time plays a factor in
determining dust and lead loadings in carpets within  a housing unit. Within each of four houses,
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dust samples were collected within six consecutive sampling iterations from each of three sections
of carpet using an adapted Philips P60 vacuum cleaner (the same adaptation used by Davies et al.,
1987). While  dust loadings generally declined with each sampling iteration, lead loadings were
relatively constant or increased slightly over the iterations within each house. In one house,
additional carpet-dust samples were collected once per month from July to December.  Higher
lead-loadings were associated with samples collected in the cooler, wetter months.  This finding,
along with the finding that carpet dust-lead loadings  decline as distance from the entryway
increases in this house, allowed the authors to conclude that lead contamination of carpets was
primarily the result of easier tracking of soils into the house in wet months. However, the authors
did not consider the possibility of lower dust-sampling efficiencies in months with low relative
humidity, as was  observed in studies documented in Section 5.1.1.4.

       Leese et al., 1997, investigated the relationship between dust present on carpeted surfaces
and airborne dust in an office building.  The HVS3 was used to sample dust from carpets, while a
fine particle sampler was used to sample airborne dust.  A negative correlation, which was
significant at the 0.05 level, was observed between dust levels in carpets and airborne dust levels.
Levels of carpet-dust increase  as airborne dust leaves the air and settles on the carpet. In turn, as
carpet-dust is disturbed, dust leaves the carpet and becomes airborne.  No consideration was
made in this study as to lead levels in this dust.

       Studies have also been performed to identify significant factors associated with the amount
of dust and lead that is introduced to otherwise clean or decontaminated carpets within a housing
unit.  Results of these studies are presented in Section 5.1.3.2.

5.1.1.4  Factors Influencing Carpet-Dust Collection Efficiency

       A number of studies have investigated carpet dust collection efficiency in order to properly
interpret results of lead characterization studies involving dust collection techniques. Several of
these studies specifically address collection efficiency from carpeted surfaces. Studies have
identified the following factors as among those significantly associated with dust collection
efficiency for particular collection devices:

        !      carpet type
        !      relative humidity
        !      vacuum particle lifting velocity
        !      dust particle size
        !      magnitude of static pressure in the vacuum nozzle
        !      presence of agitator bars on the vacuum

More details on the conclusions of these studies are presented in this subsection.

       In the laboratory study in which the CAPS cyclone was developed and evaluated (MRI,
1992; Lim et al.,  1995), low dust sampling efficiencies were observed for carpets when spiked
                                            37

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with dust having small particle sizes, due to the small particles embedding within the carpet fibers.
Vacuums having higher particle lifting velocity settings had improved dust collection efficiencies.

       A laboratory study was conducted to investigate the effect of four factors on the efficiency
of the CLEAR Study vacuum in sampling dust from new carpets (Wang et al., 1995). These four
factors were type of carpet (level loop vs. shag), vacuum sampling velocity (10.5,  13.5,  and 27
m/sec), relative humidity (20%, 60%, 85%), and dust loading spiked into the carpet (8.0, 16.0,
24.0 g/m2). Efficiency was reduced by as much as 30% for shag carpeting compared to level loop
carpeting, as shag carpeting's longer fibers more easily retain dust particles.  Vacuum velocity had
a significant effect on collection efficiency for shag carpeting, but not on level loop carpeting.
Effects due to amount of dust spiked into the carpet supported the statements from other studies
that collection efficiency declines when very high dust loadings exist within the carpet.

       The vacuum efficiency study in Wang et al., 1995, concluded that lower values of relative
humidity were also associated with lower efficiencies in the CLEAR Study vacuum, as the
electrostatic field between the carpet and dust particles is more intense with lower  humidity. The
effect of low relative humidity was more pronounced in the presence of shag carpeting, where the
average efficiency dropped from 68% to 52% when relative humidity dropped from 60% to 20%,
compared to a drop from 74.7% to 72.9% in average efficiency on level-loop carpet.  The effect
of relative humidity decreased as the values of relative humidity reached 40%, indicating that the
efficiency of carpet dust collection has seasonal effects (i.e., low indoor relative humidities occur
in colder months). If this result also holds for other collection methods, this may partially explain
why some studies have observed higher dust-lead loadings in summer months. Evidence exists
that when conditions exist where low vacuum efficiencies are expected, increasing the vacuum
velocity will improve the efficiency reduction.   Finally, as also seen in other studies, collection
efficiencies reduce as the dust loading within the carpet increases.

       For the DVM, Que Hee et al., 1985, observed that statistically significant differences in
sampling efficiencies occurred between two sampling velocities (2 vs. 20 L/min) after one
iteration of the dust sampling process on shag rugs. The efficiencies equaled 42% and 54% for
the low and high velocities, respectively, and were lowest among seven different types of surfaces
sampled (e.g., wood board, linoleum).  Cumulative efficiencies across sampling iterations on a
shag rug surface did not exceed 90% for either velocity until four iterations were completed.

       In tests to develop the HVS2 vacuum method (Roberts et al., 1988), sampling efficiencies
of dust particles less than  150 jim reached 30% for carpets, compared to 93% for uncarpeted
surfaces. This efficiency was 24% ±4% on level loop carpeting and 10.2%±0.5% on plush
carpeting. Increasing the volumetric flow and the magnitude of static pressure in the vacuum
nozzle were found to considerably increase the  collection efficiency  of fine dust particles on level
loop carpets, but not on plush carpets. In contrast, the loading of dust on the carpet did not
significantly affect the sampling efficiencies for either carpet type.
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       Wang et al., 1995, also point out that if vacuum collection efficiency is overestimated, the
surface dust-lead loading will be underestimated.  In addition, the same amount of dust collected
under different conditions that can affect vacuum efficiency can lead to different dust loadings.

       Bero et al., 1995a, are among the authors that report vacuum dust sampling efficiencies
being a function of carpet type. In laboratory studies conducted by the authors, it was more
difficult to spike soil deeply into thick, plush carpeting than in lower-grade carpeting. This can
contribute to higher sampling efficiencies for thicker carpeting.

       Roberts et al., 1991a, have reported how vacuum efficiencies can vary between vacuums
with power-driven agitator bars and canister vacuums (with no agitator). Vacuums with agitator
bars can collect from two to six times as much dust than a canister vacuum, with higher
efficiencies associated with plush and level loop rugs.  On average, vacuums with agitator bars are
reported to collect from 10% to 12% of dust from shag rugs, from 35% to 55% of dust from
plush rugs, and from 70% to 80% of dust from flat rugs, compared to canister vacuums which
collect an average of only 4% of dust from shag rugs, 10% of dust from plush rugs, and from
40% to 50% of dust from flat rugs (Roberts et al., 1988).

       While conventional and canister vacuums  have been used to collect dust samples, Roberts
et al., 1988, indicate that recoveries of fine materials can be quite low for these vacuums.  Fine
materials, which can contain the highest lead concentrations, can adhere to the bags, canisters,
and collection nozzles.

       Hilts et al., 1995, cites that HEPA vacuums retain all but 0.03% of dust particulates
greater than 0.3 |im. In contrast, household vacuums with filter bags consistently fail to retain
dust particulates of less than  5 jim. As indicated in Johnson et al., 1982, particulates in the lowest
size fraction typically have high lead concentration if household dust is lead-contaminated.

5.1.2  Association  Between  Lead in Carpet-Dust and
       Blood-Lead Concentration in Children

       A study by Dolcourt et al., 1978, was one  of the first to highlight a potential link between
carpet dust-lead levels and elevated blood-lead concentrations (although the study did not use
statistical methods to substantiate such a link). This study indicated that carpet dust samples
(collected via "suction on preweighed glass filters") from units with children having elevated
blood-lead concentrations had very high lead concentrations. Six units containing ten children
with blood-lead concentrations exceeding 40 |ig/dL had average  carpet dust-lead concentrations
ranging from 1,701 |ig/g to 17,567 |ig/g. Five of these six units were in rural areas, while no unit
contained contaminated water or paint, and at least one parent worked in lead-related industries.
As carpet-lead concentrations were highest in clothes closets, dustfall from parents' work clothing
was considered a major factor in carpet contamination.
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       Later studies used such statistical techniques as correlation analysis and regression
methods to quantify the nature of the association between blood-lead concentration and a number
of possible predictors, including dust-lead levels. The following studies encountered in the
literature search provided information on the association between carpet-dust lead and children's
blood-lead:

       Daviesetal., 1990
       Clark et al.,  1996
       Clark et al.,  1995
       Hilts etal., 1995
       Rochester Lead-in-Dust study (Lanphear et al., 1995; Emond et al., 1997; The Rochester
              School of Medicine and NCLSH, 1995; Hartford et al.,  1996)
       Cambraetal., 1995
       Romieuetal., 1995

Only the two studies by Clark et al., and the Rochester study, were conducted in the United
States.

       The overall conclusion from these studies is that lead levels in carpet dust (under a variety
of dust collection techniques) tend to have a significant positive correlation with children's blood-
lead concentration, with dust-lead loading having a higher correlation than dust-lead
concentration.  However, the direct effect of lead in carpet dust on blood-lead concentration is
reduced when taking into account other factors such as mouthing behavior, socioeconomic status,
and lead levels in other media. There is also evidence that a health-based standard for dust-lead
loadings in carpets may need to be  lower than that for uncarpeted floors, although such a
conclusion remains preliminary.  The findings presented within these articles are now presented.

Daviesetal.. 1990

       Roberts et al., 1991b, cites this study conducted in the United Kingdom (U.K.) when
stating, "the mass loading of Pb found in a carpet appears to be the best single predictor of the
blood Pb of a toddler." According to Roberts et al., 1992, this study found that dust-lead loading
in the carpet within a child's play area has a higher correlation with blood-lead concentration in
two-year olds (r=0.46) than does dust-lead concentration (r=0.21) or hand-lead loading (r=0.34).
In turn, hand-lead loading was more highly correlated with dust-lead loading (r=0.44) than dust-
lead concentration (r=0.24), implying that dust-lead loading  in this study was a better predictor of
lead exposure to children with frequent mouthing tendencies than concentration.  Both dust-lead
loadings and blood-lead concentrations in this study averaged near the estimated  national averages
for the U.K. The dust sampling method in the Davies study  is an adapted Electrolux 350 vacuum
cleaner (Davies et al., 1987).  However, a review of Davies et al., 1990, could not verify that only
carpeted surfaces were sampled in their study.

Clark et al.. 1996
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       This study was a first attempt at determining whether the HUD interim standard of 100
jig/ft2 for uncarpeted floors was relevant for carpeted floors from a health perspective. Data from
the Cincinnati portion of the EPA Urban Soil Lead Abatement Demonstration Project were used
in this data analysis.  In this study, venous blood samples were collected from participating
children (aged 6 to 72 months), and a composite floor dust sample was collected using DVM
techniques from one  square foot subareas in the following three rooms in their residences:  the
child's bedroom, the room most often used by the child (other than the bedroom), and the interior
entryway.  The analysis involved data for 23 housing units built in the 19th century, which had
been rehabilitated nearly 20 years earlier to remove most lead-based paint hazards, and where all
floor dust samples in the study were collected from carpeted surfaces. Only data for blood and
dust samples collected in 1990 prior to any dust or soil lead abatement conducted in the study
were used in this analysis. Descriptive statistics of blood-lead and dust-lead levels are provided in
Table 5-2.
Table 5-2.    Descriptive Statistics of Blood-Lead and Carpet Dust-Lead Data from Clark et al.,
              1996
(n=23)
Blood -lead cone. (pg/dL)
Carpet dust -lead loading (pg/ft2)
Carpet dust- lead cone, (pg/g)
Geometric
Mean
7.1
6.2
244.
Geometric
S.D.
1.9
0.43
2.6
Minimum
1.8
0.61
15.
Maximum
20.8
161.
1030.
       The authors define a criterion for setting a post-abatement clearance level for lead as that
level for which no more than five percent of the children exposed at that level would be expected
to have a blood-lead concentration at or above 10 |ig/dL.  As a result, they performed a linear
regression on data for the above 23 housing units to predict blood-lead concentration as a
function of dust-lead loading. Under this regression, the dust-lead loading at which 10 |ig/dL was
the 95th percentile of the predicted blood-lead concentration was 11.5 |ig/ft2.  This is considerably
below the HUD interim standard of 100 |ig/ft2 for uncarpeted floors, thereby suggesting that the
clearance level for carpeted floors should be lower than this interim standard, implying a lower
clearance level for carpeted floors versus uncarpeted floors.

       After taking logarithms of the data, blood-lead concentration was found to correlate
significantly with carpet dust-lead loading (correlation of 0.52, p=0.01). In contrast, the
correlation between blood-lead concentration  and dust-lead concentration was not significant at
the 0.05 level.

       In interpreting  the findings of this data analysis, the following caveats should be
considered:
                                            41

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       !      Results are based on a small amount of data from a single locale.  Additional data
              from other areas of the country would be needed to more accurately estimate an
              appropriate clearance level.

       !      If the criterion defined by the authors were to be applied to data from uncarpeted
              floors, it is possible that the resulting clearance level would also be below the HUD
              interim standard of 100 |ig/ft2, implying that carpeted and uncarpeted surfaces
              would not differ as greatly in their associated clearance levels.  (Some evidence of
              this possibility is found in Clark et al., 1995.)

       !      The HUD interim  standard is based on wipe collection methods, while the dust-
              lead loadings in this analysis were based on DVM methods. Thus, the clearance
              level of 11.5 |ig/ft2 is not directly comparable with the interim standard of 100
              jig/ft2 without some conversion factor to take into account the different methods.

       !      No sources of lead exposure other than carpet dust were considered when
              predicting blood-lead concentration.

Clark et al..  1995

       This study investigated the correlation  of dust-lead loadings between dust samples of
various collection methods and from various surface types, as well as the correlation between
dust-lead levels and children's blood-lead concentration.  Sampling took place in 53 housing units
containing children aged 6-72 months who were exposed to lead-based paint hazards and residues
from lead mining  smelters which  ceased operations 30 years earlier. Within each housing unit, the
following types and numbers of dust samples were collected:
       !      three side-by-side wipe dust samples, each on a 0.67 ft2 uncarpeted floor area

       !      a single DVM dust sample on a 2.0 ft2 uncarpeted floor area adjacent to the wipe
              samples (denoted "DVM-1 sample")

       !      a single DVM dust sample taken from three floor locations: the child's bedroom,
              the room most utilized by the child, and the interior entryway (denoted "DVM-2
              sample").  This composite sample was generally obtained from a mixture of
              carpeted and uncarpeted floors.

The geometric mean dust-lead loading in the DVM-2 samples was higher (26 |ig/ft2) than for dust
samples from exclusively uncarpeted floors (6 |ig/ft2 for the DVM-1  dust samples and 12 |ig/ft2
for the wipe dust samples).

       A venous blood sample was also collected from the youngest resident child in each unit.
The geometric mean blood-lead concentration across units was 5.3 |ig/dL.

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       After taking logarithms of the collected data, the authors report a significant correlation of
0.28 (p=0.04) between blood-lead concentration and dust-lead loading in the DVM-2 samples (a
mixture of carpeted and uncarpeted floors), and a significant correlation of 0.36 (p=0.007)
between blood-lead concentration and wipe dust-lead loading. In contrast, the correlation
between blood-lead concentration and dust-lead loading in the DVM-1 samples (exclusively
uncarpeted floors) was not significant at the 0.05 level. The authors explain these findings by
stating that the dust content in carpets is typically less variable from day-to-day than the dust
content from uncarpeted floors, and therefore is more representative of a child's long-term
exposure to lead in floor dust.  In addition, children may spend more time on carpeted surfaces
than uncarpeted surfaces. However, when adjusting for length of time that the child lived in the
residence, age of child, socioeconomic status, and mouthing behavior within a regression analysis,
the correlation between blood-lead concentration and dust-lead loading in the DVM-2 samples
was no longer significant at the 0.05 level.

       The authors note that the geometric mean dust-lead loadings in this study (6 |ig/ft2 to 26
jig/ft2) were considerably lower than the interim HUD clearance standard of 100 |ig/ft2 for wipe
dust samples, while more than five percent of the children in the study had blood-lead
concentrations exceeding 10 |ig/dL.  If an objective is to have no more than five percent of
children with blood-lead concentrations exceeding 10 |ig/dL,  this study suggests that  lower dust-
lead clearance levels are necessary (as was also concluded in Clark et al., 1996).

Hilts etal.. 1995

       In this study, performing repeated carpet vacuuming using a HEP A vacuum as a sole
means of dust control was investigated relative to its effect on children's blood-lead
concentration. The study took place in a lead/zinc smelting community in British Columbia.
Fifty-five housing units received seven vacuumings over a ten-month period from 1992-1993,
while 54 control units did not receive this cleaning.  A HEPA vacuum with power agitator nozzle
was used at a rate of 22-32  sec/m2 to vacuum carpets, while non-carpeted areas were  vacuumed
at approximately 4 sec/m2.  Children in the treatment housing units ranged from 6 to 70 months of
age and had initial blood-lead concentrations ranging from 4 to 26 |ig/dL; children in  control units
had similar characteristics.

       Prior to HEPA vacuuming, the DVM was used to collect composite dust samples from
carpets in three areas of the unit where the child frequented. The Pearson correlation between
blood-lead concentration  and dust-lead loading was 0.50, which was significant at the 0.01 level;
the correlation between blood-lead concentration and dust-lead concentration was 0.24, which
was significant at the 0.05 level but not the 0.01 level.

       In the group of 55 housing units where the repeated vacuuming took place,  geometric
mean blood-lead concentration declined from  11.9 |ig/dL in the pre-vacuuming period to  11.0
|ig/dL in the post-vacuuming period; testing this difference for statistical significance yielded a p-
value of 0.06.  However,  the corresponding decline observed  in the control units was  0.6 |ig/dL,
implying that the net decline in the treatment group  was only 0.3 |ig/dL, which was neither

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statistically nor clinically significant. Even when considering only specific groups of children
(e.g., young children, children with high pre-intervention levels, etc.), net differences in blood-lead
concentration were not statistically significant. Analyses indicated that a minimum decline in
mean floor lead loading of 0.30 mg/m2 (27.9 |ig/ft2) would be necessary to achieve a reduction in
mean blood-lead concentration of 1.5 |ig/dL.  In this study, the mean difference in dust-lead
loading between control and treatment units was only 0.16 mg/m2 (14.9 |ig/ft2).

       The authors point out that although the repeated HEPA vacuuming failed to result in
significant declines in blood-lead concentration, no other lead-exposure reduction measures were
taken in the units.  The authors cite Mielke et al.,  1992, as an example of how HEPA vacuuming
and mopping with high phosphate detergent, in conjunction with other interventions such as soil
cover, disseminating dust control information to residents, and cleaning painted surfaces,
contributed to reducing blood-lead concentrations over a period where  a seasonal increase in
blood-lead concentrations was expected.

The Rochester Lead-in-Dust Study

       Dust-lead loadings measured in the Rochester Lead-in-Dust study (Section 3.1) tended to
be low.  Pearson correlations between (log-transformed) dust-lead loading from carpeted floors
and (log-transformed) blood-lead concentrations equaled 0.26 when wipe techniques were used,
0.27 when the DVM was used, and 0.36 when the BRM sampler (having a high flow rate) was
used.  These correlations were all significant at the 0.01 level. The correlations were lower when
dust-lead concentrations were considered instead  of loadings (0.18 for DVM method, significant
at the 0.05 level, and 0.25 for BRM sampler, significant at the 0.01 level). These correlations
increased  from 10-40% (except for dust-lead concentrations under the DVM method) when
adjusting for measurement error (Emond et al., 1997).

       The correlations between blood-lead concentration and either dust-lead loadings or dust-
lead concentrations tended to be lower for uncarpeted floors than for carpeted floors, especially
with the DVM method.  Lower correlations associated with the DVM sampler disagree with the
statement  made by Ewers et al., 1994, that high correlations exist between lead in surface dust
collected by the DVM sampler and children's blood-lead concentrations.

       The Rochester study concluded that lead-contaminated dust affects childrens' blood-lead
levels, even when those levels are in the low to moderate range (< 25 jig/dL). This relationship
differs according to the dust sampling method and the type of surface sampled. This study also
concluded that dust-lead loadings were a better predictor of blood-lead concentration than dust-
lead concentration, possibly the result of low dust-lead levels encountered in the study.

       In  the unpublished report by Hartford et al., 1996, pathways models were fit to data from
the Rochester study to examine the routes by which lead infiltrates the residential environment
and affects childhood blood-lead concentrations.  The variables used in the pathways analysis of
data from  the Rochester study were as follows:
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        !      Score representing a child's mouthing behavior (increasing value indicates
              increasing tendency to mouth window sill or put thumb, paint chips, or dirt in
              mouth)

        !      Average dust-lead loadings and dust-lead concentrations for each of the following:
              exterior dust (driveway and porch), interior non-entryway floors, interior entryway
              floor, window sills, window wells (BRM sample results only)

        !      Product of XRF paint measurements and paint quality ratings (l=poor, 2=average,
              3=good), then averaged across window sills, wells, and sashes

        !      Product of XRF paint measurements and paint quality ratings (l=poor, 2=average,
              3=good), then averaged across interior doors and jambs

        !      Indicator that the lead measurement in tap water exceeds 0.0005 mg/L

        !      Indicator of the presence of carpet in the interior entryway

        !      Proportion of the sampled areas which were carpeted


Note that the latter two variables indicate the extent of carpeting on sampled floors.

       When considering either dust-lead loadings or dust-lead concentrations, the pathways
models indicate that the presence of carpeting on the interior entryway had a significant direct
association with blood-lead concentration (Hartford et al., 1996). The presence of carpeting on
the interior entryway was associated with a significant decrease of approximately 30% in blood-
lead concentration.  This finding, along with floor dust-lead loadings being, on average, higher on
carpeted surfaces than on uncarpeted surfaces and vice versa for concentrations, corroborated the
usefulness of interior entryway mats for reducing soil tracked into the house.  Increases in blood-
lead concentration were associated with a decrease in the proportion of carpeted interior surfaces
sampled. In addition, the direct pathway  of the proportion of carpeted surfaces to blood-lead was
not statistically significant.  Results of these pathways analyses prompt the need for deeper
investigations on the effect of carpeting on blood-lead concentration and on other environmental-
lead measurements in housing with children.

Gambia et al.. 1995

       This study, conducted in the  Greater Bilbao area of northern Spain, found no significant
correlation between blood-lead concentration of 42 children aged 2 to 3 years and lead levels in
house dust, when factors such as dust, water, and soil levels in areas where children frequent
outside of the house are considered.  The authors hypothesize that this result is due to high
variability in  lead levels within house dust and differences in the availability of house dust for
ingestion by children, which were both a function of type of surface. The authors observed a high

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positive association between blood-lead concentration and lead levels in house dust from smooth
floors, where dust was at higher lead concentration and was considered more readily available to
children. However, they did not make the same conclusion between blood-lead concentration and
lead in carpet dust. Lead concentrations in carpet dust had lower geometric means than from
smooth floors.

       While conclusions made in this study seem to be opposite those made in the study by
Clark et al.,  1995, this study focused on dust-lead concentrations, which other studies have
concluded as having lower correlation with blood-lead concentrations than dust-lead loadings.
This study also illustrates how adjusting for other factors can reduce the apparent effect of lead in
carpet dust on blood-lead concentration, especially if lead levels in the carpet are lower than in
other media.

Romieu et al.. 1995

       This study involved 200 households in two neighborhoods in Mexico City from 1992-
1993. Each household contained a child under age five years, from which a blood sample was
obtained via venipuncture (geometric mean = 9.9 |ig/dL).  Within the housing unit, dust samples
were collected from carpets and furniture in the living room and bedrooms using the DVM, while
uncarpeted floors and window sills were sampled using wipe methods. Generally, the housing
units had low levels of lead in dust, soil, and paint. Average lead loading in 53 carpet dust
samples was 5.6 |ig/ft2, which was lower than that observed for uncarpeted floors and window sill
dust (sampled via wipe techniques), but similar to the 8.4  |ig/ft2 measured in 70 furniture dust
samples (sampled via DVM).

       Spearman correlation coefficients were calculated  between lead measurements in the
various environmental media (including carpet dust) and blood-lead concentration.  These
correlations were not significant at the 0.05 level. The correlation between carpet dust and
amount of lead on hands was likewise not significant.  However, in a separate regression analysis,
the most significant predictors of blood-lead concentration were the use of lead-glazed  ceramic to
store or serve food, airborne lead (primarily from vehicular traffic), and lead in dust on children's
hands. Therefore, it is likely that the unconventional lead sources observed in this study (lead-
glazed ceramic, leaded gasoline emissions) dominated the effects that any other environmental
factor may have had on blood-lead concentration. In fact, contrary to many studies that observe
blood-lead concentrations peaking at approximately two years of age, this study observed a
consistent increase in blood-lead concentration through age 50 months, partially due to the
increased use of lead-glazed ceramics with age of child.

5.1.3  Carpet Lead-Dust Mitigation Issues and Approaches

       Charney, 1982, was one of the first researchers to provide evidence that a regimented dust
cleaning and control program in lead-contaminated houses can significantly reduce blood-lead
concentrations in resident children.  In his study involving 13 children 2-6 years of age with
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blood-lead concentrations exceeding 30 |ig/dL, an average reduction of 6.1 |ig/dL was observed
when wet-mopping techniques were used on surfaces containing lead-contaminated dust on a
biweekly basis for 20-27 weeks.

       Section 5.1.3.1 presents the findings of studies that investigate procedures to mitigate
lead-dust hazards in contaminated carpets.  Results of investigations into factors which contribute
to lead contamination of residential carpets, which are also considered when developing
recommendations for preventing future contamination, are presented in Section 5.1.3.2

5.1.3.1 Mitigating Existing  Lead Contamination

       Most published investigations into lead-dust mitigation in residential carpets have only
occurred in the past 15 years.  An early recommendation for mitigating lead-dust in carpet was to
perform wet vacuuming techniques (CDC,  1977). Recent studies to investigate the efficacy of
various mitigation techniques  have taken both laboratory and field testing approaches.  The
following published articles encountered in the literature search provide the most information on
carpet lead-dust mitigation:

       Milar et al., 1982
       Ewers etal., 1994
       Figley et al., 1992
       Hilts etal., 1995
       CSC and G&S, 1989
       Steuteville, 1990

Most of these studies indicate that cleaning procedures performed improperly or with equipment
incapable  of proper cleaning can lead to no significant change, or even modest increases, in dust-
lead loading or dust-lead concentration on carpet surfaces with which children can come in
contact. This finding is especially apparent for carpets contaminated over time. Lead reduction
over time  is more likely when carpets are regularly cleaned with vacuums having agitator bars and
when procedures are followed to prevent recontamination. Other studies have evaluated specific
vacuum cleaning approaches.  The findings presented within these articles are now presented.

Milar etal..  1982

       The authors state that their work was prompted by a lack of any recognized published
information on appropriate methods for removing lead-contaminated dust from carpets.
Therefore, one objective of this  study was to develop methods for mitigating housedust
contaminated with lead.  In this study, house dust in four housing units containing children with
elevated blood-lead concentrations (at least 20 |ig/dL) was sampled (using "vacuum assisted dry
sampling") and analyzed for lead content. These units, which were among those considered in
Dolcourt et al., 1978, contained  no lead-based paint; rather, it was assumed that contamination
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resulted from lead being brought from the parents' workplaces.  Average dust-lead concentrations
in samples taken from carpeted and tiled floors ranged from 970 to 7171 |ig/g in these units.

       An initial attempt to mitigate dust-lead concentrations in carpets through conventional use
of commercial carpet cleaning equipment (Steamex®) followed by wet-mopping with a sodium
hexa-metaphosphate (Calgon®) solution (1 lb/5 gal water) failed to reduce the concentration.
Therefore, an alternative carpet decontamination procedure was evaluated. In this procedure, the
Calgon® solution was applied directly by the Steamex® carpet cleaner, then the carpet was
recleaned  24 hours later with commercial cleaning solvents.  If the carpet was not wall-to-wall,
the underside of the carpet and the floor underneath the carpet were also cleaned. This alternative
procedure resulted  in a decrease in lead-concentration ranging from 30% to 50% and an average
decrease in lead-loading of 60%. In one particular room, this procedure resulted in a decrease of
61% in lead-concentration and 91% in lead-loading, compared to 12% and 38% reductions,
respectively, under a similar procedure which used exclusively commercial detergents throughout
the procedure. The authors claim that the Calgon® solution reduces the electrostatic interaction
between the carpet and lead-dust, allowing the detergents to  remove the dust and the
accompanying lead.

       The authors indicate that repeated applications of the cleaning procedure was associated
with declines in blood-lead levels in children within these units.  However, this conclusion appears
to be based on few children in a small number of units where lead in dust is the primary source of
lead exposure. The authors also conclude that increased lead absorption in these secondarily-
exposed children tends to occur when dust-lead concentrations from floors (including carpeted
floors) exceed 1000 |ig/g or 50 |ig/m2 (4.65 |ig/ft2).

Ewers etal.. 1994

       Dust-lead mitigation procedures used in the Cincinnati Soil-Lead Abatement
Demonstration Project followed the approach investigated in Milar et al., 1982, with  an additional
step of dry-vacuuming with a HEPA vacuum.  Through this experience and experiences in using
repetitive dry-vacuuming procedures on carpets previously contaminated from abrasive paint
removal procedures, led the authors to conclude that dust-lead loadings on the surface of carpets
contaminated only once by lead-dust or soil may be successfully reduced by these cleaning
methods.  However, cleaning carpets that had received lead-dust over an extended period of time
could actually increase lead-loadings within dust at the surface of the carpet and therefore most
available to children. Therefore, the authors conducted a laboratory study to evaluate methods to
mitigating lead-dust at the surface of heavily-contaminated carpets.

       In  the first phase of this study, nine samples of contaminated carpets obtained from inner-
city units containing children with elevated blood-lead concentrations were brought to a
laboratory. These carpets were cleaned with a HEPA vacuum with beater bar nozzle (at a long-
pile setting) in ten cleaning efforts,  each at a rate of one minute per square meter. The average
percentage of total  dust-lead loading removed in the iterative procedure increased from 42% to
74% from the first to the fourth effort.  While lead concentration in the HEPA collection bags

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differed significantly across the carpets (at a 0.05 level), no significant differences across cleaning
efforts were observed for a particular carpet. Thus, while the cleaning procedure performed
equally well across all carpets regardless of their initial dust-lead concentration, no significant
reduction in these concentrations was observed with the iterative cleaning procedure.

       After specified cleanings of the contaminated carpets, the DVM was used to obtain dust
samples for lead analysis.  After the early cleaning efforts, surface dust-lead loadings actually
increased in some carpets. However, average surface dust-lead loadings across the carpets
decreased with the number of cleaning efforts (from 55% of the initial loading after the first effort,
to 20% after the final effort), and all carpets had lower loadings after the tenth effort. Thus, some
vacuum cleaning efforts may increase surface lead if not sufficiently repeated over time.

       To evaluate variation in vacuum cleaning effectiveness, the second phase of the study
considered new carpets (sculptured and short pile) contaminated with artificially-embedded dust
within the laboratory. Three commercially-available HEPA vacuum cleaners (with beater bar
nozzle at the long-pile setting) were used to clean the carpets.  After one cleaning effort, the
average lead loading for each vacuum was less than 25% of the embedded dust. While more dust
was removed in early cleaning efforts from short pile carpets than from sculptured carpets, the
overall cleaning efficiency from both types of carpets was relatively equivalent. The effects of
vacuum cleaner type and the amounts and weights of dust added by the laboratory were
significantly associated with the amount of dust recovered from the cleaning. The most efficient
of the vacuums required six cleaning iterations before 70% of the embedded dust was collected.

       The two phases of their laboratory study implied that repeated vacuuming was not
sufficient in eliminating lead-dust from carpets, and occasional differences in cleaning efficacy
between vacuum cleaners were observed. As a result, the authors concluded that it may be more
practical to replace, rather than clean, a chronically-contaminated carpet.

Figlev et al.. 1992

       The authors conducted a laboratory study in a controlled environment to evaluate various
cleanup techniques for household dust contaminated by lead-based paint as  a result of renovation
activities. This study considered eight carpet cleanup techniques available to homeowners and
general contractors. Using methods in ASTM, 1996b, new, medium-height nylon carpets were
spiked with dust at either 1.0 or 40 g/m2 (0.3% Pb); this dust was formulated to represent dust
generated as a result of construction activities, rather than typical household dust.  Carpets were
cleaned using three vacuum types (new portable vacuum, new HEPA portable vacuum, used
central vacuum) in conjunction with either plain cleaning tools or agitators,  or by professional
shampooing.  The portable vacuums were tested with varying amounts of dust in the collection
bag.  The endpoint of interest was dust mass removal effectiveness (MRE):

               _    (sample mass after loading) - (sample mass after cleaning)   ir.no/
               —   	* 1UU /o
                   (sample mass after loading) - (sample mass before loading)
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       On carpeted surfaces, the MRE under the various techniques ranged from 18.5% to over
90%, a lower range than that observed in the study for vinyl flooring. Professional dry/wet
cleaning failed to produce MRE values above those associated with residential vacuums with
agitator tools.  While HEPA vacuums produced moderate MREs regardless of whether plain
cleaning tools or agitators were also used, MREs were low for portable residential vacuums with
plain tools only. The study also found that the largest amount of dust removal occurred with the
initial cleaning, with reduced amounts in subsequent cleanings. While the cumulative MRE
approached 100% in vacuum techniques using agitator heads, the MRE could not reach 70% after
at least 10 repetitions when only plain  cleaning tools were used.  The authors point out the need
to retain precise control of humidity and laboratory procedures when conducting dust sampling
tests on carpet.

       This study also measured airborne lead levels within the laboratory chamber during
cleaning techniques.  Techniques using agitator bars were associated with lower airborne dust
concentrations compared to those using plain cleaning tools. The highest airborne dust
concentrations were observed when using a portable vacuum with an empty bag.

Hilts etal.. 1995

       This study, introduced in  Section 5.1.2, investigated the efficiency of repeated HEPA
vacuuming on floors as a dust control measure in 55 housing units.  These units were cleaned with
a HEPA vacuum (with power agitator nozzle) once every six weeks for ten months.  Section
5.1.2 discussed how this dust control measure was associated with changes in blood-lead
concentration of the resident children.

       By taking DVM dust samples from carpeted floors prior to and after each vacuuming, this
study observed an average 40% decline in carpet-dust loading and carpet dust-lead loading after
each HEPA vacuuming, while carpet dust-lead concentration did not change significantly.  The
decline in carpet-dust loading was greater in units whose household vacuum did not include a
power nozzle than in units whose vacuum did have a power nozzle, while the decline in carpet
dust-lead loading was higher for units with vacuums having a low frequency of use compared to
units that use the vacuum more often.  Across the entire ten-month period, the geometric mean
carpet-lead loading in treatment units decreased from 0.56 mg/m2 at pre-intervention (52.0  |ig/ft2)
to 0.36 mg/m2 at post-intervention (33.4 |ig/ft2),  which was significant at the 0.01 level.
Significantly larger declines were observed for units not  having a vacuum with a power nozzle,
and for units in which residents vacuum less frequently.  In contrast, no significant change in
geometric mean carpet-lead loading was observed in 56  control units during this period.

       Despite the significant decline in carpet-lead loadings over the ten-month period, the
authors concluded that the cleaning intervention had no significant effect on children's blood-lead
concentrations (as discussed in Section 5.1.2) and,  in fact, was associated with a slight increase in
hand-lead levels. The authors hypothesized that  this result could have been partially due to
residents'  relaxing their own efforts in dust control as a result of the intervention.  In fact, a small
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investigation in 18 of the 55 treatment units found that it took an average of 2-3 weeks following
a HEPA vacuum cleaning before the unit would become recontaminated.

       The study also included information from a 19-part self-reported survey which provided
information on factors which can affect dust control in units.  Resident use of a vacuum equipped
with a power nozzle had significantly lower baseline carpet-lead and carpet-dust loadings. Units
with dogs or cats had higher baseline carpet-lead loadings and blood-lead concentrations,
implying more frequent dust tracking by pets. Also, units whose residents removed shoes at the
door had significantly lower blood-lead and carpet-lead levels.

CSC and G&S. 1989

       To evaluate the efficacy of the cleaning protocols involved in the Toronto pilot
demonstration study (Section 3.1), samples of surface dust on floors were collected before,
during, and after cleaning in each house, and were analyzed for lead content. These dust samples
were collected from four high-traffic floor areas (primary entrance, rear/alternative entrance, in
areas where children under six years frequent, and in some other obvious area of high traffic, with
carpets having higher preference for sampling) using the DVM sampler and were analyzed using
GFAA techniques. The  sampling protocol called for the area to be beaten with a rubber mallet
prior to sampling, to loosen the dirt and lead present.

       Post-cleaning dust-lead loadings averaged 4 mg/m2 (372 |ig/ft2) compared to 9 mg/m2
(836 |ig/ft2) measured prior to cleaning. Despite this decrease,  average dust-lead loadings in four
of the eight houses were unchanged or marginally increased within one week after cleaning.
Furthermore, at four months after cleaning, average dust-lead loadings in the eight houses
increased to  5 mg/m2 (465 |ig/ft2; although the dust sampling method was modified to involve  a
high vacuum pump).

       Average dust-lead concentrations across the eight units  increased from  1786 |ig/g prior to
cleaning, to 2016 |ig/g immediately after  cleaning, then declined to 1630 |ig/g at four months after
cleaning. The increase immediately after  cleaning is likely the result of subsurface dust, with
higher lead concentration, being brought to the surface as a result of cleaning but not removed by
the cleaning.  Significant declines in dust-lead concentration were observed in three of the eight
houses after four months.

       To measure the amount of lead that was removed by the cleaning process, dust and
washwater collected by the cleaning equipment was sampled. The liquid samples were analyzed
using USEPA Method 239.1  and 239.2. It was estimated that an  average of 2 to 29 grams of lead
were removed from each housing unit by the cleaning, which was  considered a  significant
reduction of lead in the units. The majority of this lead was collected from dry  vacuuming
techniques. Approximately 42% of the total lead removed in dry  dust came from floors (carpeted
and uncarpeted), while 30% came from air ducts. Of all the wet cleaning techniques used on
various surfaces, carpet shampooing removed the most lead.
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       The cleaning procedure did not appear to create a lead hazard to the cleaning workers.
Results of 24 area air samples and personal air samples collected within the workers' breathing
zones did not exceed 25.7 |ig/m3 over a day's shift.

       The authors recommended from this demonstration that a special cleaning protocol be
devised for carpets. Suggested protocols included cleaning both sides of carpeting using dry
vacuums with agitator bars, completing the cleaning procedure with steam-cleaning methods, or
removing the carpet and cleaning off-site when feasible. The authors also suggest that the lack of
statistically significant differences in lead content between pre- and post-cleaning periods in this
demonstration is partially due to the small numbers of units considered in the demonstration and
the high variability in the sample results.

Steuteville. 1990

       A pilot lead abatement/cleaning project took place in four housing units located in Throop,
PA.  The area was  earlier contaminated by lead from the Marjol Battery Recycling Plant, resulting
in extensive soil removal intervention activities. As part of a single thorough house cleaning
conducted in November and December of 1989, the cleaning protocol (not detailed in the article)
included vacuuming carpets. Dust samples were collected from carpets prior to and following the
cleaning procedure using a "15 L/min air pump with a small orifice (and) filter attachment." As
seen in Table 5-3, decreases in carpet-dust lead loadings were apparent immediately after
cleaning.  This decrease continued after two months of the cleaning for two of the four houses.
However, one house saw an average increase after two months,  and one house saw an average
increase after 48 hours of cleaning. While measurement error must be considered when
interpreting these findings, they  also indicate that cleaning procedures must be performed
properly, and lead in carpet-dust can return to high levels if some lead sources remain.

Table 5-3.    Average  Dust-Lead Loadings (pg/ft2) in Carpeted Surfaces at Pre-Cleaning  and
              Post-Cleaning in the Study Documented by Steuteville,  1990
Housing Unit
ID
1
2
3

Dust- Lead Loading for Carpeted Surfaces (jjg/ft2)
Pre-Cleaning
92.2
32.3
51.3
88.8
19.5
36.2
4.6
48 hours Post-
Cleaning
21.6
7.4
29.9
5.6
150.5
8.7
2.0
Difference
70.6
24.9
21.4
83.2
-131
27.5
2.6
% Change
76.6
77.1
41.7
93.7
-671.8
76.0
56.5
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Housing Unit
ID

Dust- Lead Loading for Carpeted Surfaces (jjg/ft2)
Pre-Cleaning
32.0
48 hours Post-
Cleaning
6.7
Difference
25.3
% Change
79.1
5.1.3.2  Preventing Further Contamination

       Studies have been published which investigated factors having a statistically significant
effect on levels of lead in residential carpets. These studies conclude that preventive factors found
to be significant, such as removing shoes prior to entry and placing walk-off mats at the
entryways, should be taken into account when educating residents on ways to reduce the potential
for contaminating carpets in the future.

Roberts et al.. 1991a

       These authors found the following variables as statistically significant predictors of dust-
lead loadings in carpets: soil-lead concentrations, the practice of removing shoes prior to entry,
use of walk-off mats at entrances, and use  of vacuums with agitators.

       In a study of environmental-lead levels conducted in 42 units in average or good
condition, a regression analysis was performed to investigate those factors that were most
statistically significantly associated with lead loadings in dust samples taken from carpets. The
dust and soil samples were screened to include only particles smaller than 150 microns, as these
particles were considered more likely to appear on a child's hand.  An unrestricted stepwise
regression analysis indicated that the optimal regression model  on the log-transformed carpet
dust-lead loading included the following effects:

        !      Log-transformed soil-lead concentration

        !      Indicator of whether shoes  are removed at the door prior to entry (associated with
              an 8.9-fold reduction in carpet dust-lead loading)
        i
Indicator of whether a walk-off mat is present at the entry (6.4-fold reduction)
        !      Indicator of whether an agitator bar is found on the household vacuum cleaner
              (3.1-fold reduction).

The walk-off mat indicator variable was confounded with an indicator of whether wood-siding
was present on the exterior.  If the walk-off mat indicator variable is not considered in the
stepwise regression, the optimal model includes the following effects:
                                            53

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       I
Log-transformed soil-lead concentration
       !      Indicator of whether shoes are removed at the door prior to entry (associated with
              a 12.8-fold reduction in carpet dust-lead loading)

       !      Wood-siding indicator variable (5.3-fold increase)

       !      Indicator of whether the carpet is wall-to-wall (4.3-fold reduction)

       !      Indicator of whether remodeling was performed in the last twelve months (3.3-fold
              increase)

       !      Housing unit age (1.03-fold increase per year)

       !      Indicator of whether indoor peeling paint was present (2.3-fold increase).

Variables not found to be statistically significant in either model include number of days since the
carpet was last vacuumed, number of household members, presence of outdoor peeling paint, and
an indicator of nearby automobile traffic density.

       Note that both models include soil-lead concentration and whether or not shoes are
removed at the entry.  As a result, in three of these units, the authors did a small investigation of
the benefits associated with removing shoes upon entry.  In these units,  geometric mean dust-lead
loadings  dropped from 17,100 to 250 |ig/m2 (1,589 to 23.2 |ig/ft2) after at least five months of
removing shoes at the entryway.  In one house that placed a walk-off mat at the entrances, it took
more than one year to remove dust-lead in the carpet when using conventional vacuuming
methods  and approaches. Benefits of shoe removal were also observed in Hilts et al., 1995,
where the difference in geometric mean blood-lead concentration between children in units where
everyone removes shoes at the door (10.6 |ig/dL) was significantly lower at the 0.05 level than
other children (12.8 |ig/dL).  Throughout the Hilts study, households whose residents left shoes at
the door  prior to entry had lower floor dust-lead loadings and blood-lead concentrations than
households whose residents wore shoes in the house. These findings conclude that a major
source of lead dust in carpets is track-in from exterior sources.

5.2    FURNITURE

       Section 4.2 provided an overall summary of the findings of the literature search and review
on lead exposures associated with furniture, upholstery, and window treatments, and how to
mitigate  such exposures.  As the number of articles and the extent to which information was
presented in these articles were limited, this section presents further details on the relevant
findings and conclusions within these articles on a study-by-study basis  rather by research area.
A brief indication of the research area(s) addressed by each encountered study is provided in
                                            54

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Table 5-4.  The studies in this table, and in the presentations that follow, are sorted according to
the primary research area addressed:  lead measurement, association with blood-lead
concentration, and mitigation.

Table 5-4.    Research Areas Addressed  in Studies Containing Information on Lead Exposures
              Associated with Dust in Furniture, Upholstery, and Window  Treatments
Study/Reference
Roberts etal., 1993
Al Radadyetal., 1994
Baltimore R&M study (USE PA, 1996b)
Romieuetal., 1995
CPSC, 1996 (pressrelease)
Toronto pilot demonstration study
(CSCandG&S, 1989)
Steuteville, 1990
CH2M Hill, 1991 (via Ewers etal., 1994)
Roberts, 1997
Research Areas Addressed1
Method
Develop-
ment
/








Characterizing
Dust -Lead
Levels
/
/
/
/


/


Association
with Blood -
Lead Cone.


/
/
/




Dust
Cleaning/
Mitigation





/
/
/
/
Roberts etal. 1993

       Section 5.1.1.1 summarized features of the HVS3 and a modification, the BRM sampler,
as they pertained to sampling dust from carpets. Because of its design, the HVS3 may prove
difficult to use when collecting dust from upholstered furniture and draperies.  Because the fabric
used for upholstery cushions or drapery is lighter than carpet, the HVS3 nozzle may seal when
dust samples are taken from this fabric. In addition, the size distribution and composition of dust
particles may be different on upholstered surfaces than on carpets and floors.  Therefore, a
laboratory study documented in Roberts et al., 1993, was conducted to evaluate a modification of
the HVS3 for collecting dust from upholstered surfaces: the High Volume Furniture Sampler
(HVFS). This study compared the performance of the HVFS with the BRM sampler, which was
used to sample upholstered surfaces (among other surfaces) in the Baltimore R&M study (Section
5.1.1.1).

       The HVFS has essentially the same features as the HVS3 and BRM sampler except the
nozzle is notched, and a Royal Can  Vac™ (similar to the BRM) is used to move air. The notched
nozzle allows a  continuous air flow, thereby preventing the nozzle from sealing when used on the
                                           55

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lighter fabric found on upholstered furniture.  The Can Vac™ also comes with a shoulder strap
allowing easy access to furniture and upholstered items.

       This study evaluated the dust collection efficiencies of the HVFS and the BRM sampler on
two types of fabric frequently used as coverings for the foam cushions of a couch.  The HVFS
was evaluated under light and heavy dust loading conditions. The HVFS collection efficiencies on
four velvet surfaces, under both loading conditions, ranged from 82.2% to 93.6%, while the
efficiencies ranged from 87.4% to 92.0% for the four flat poly-cotton covered cushions. For the
BRM sampler, the collection efficiencies on three velvet surfaces ranged from 70.8% to 75.6%
and from 84.2% to 91.1% for three flat poly-cotton cushions.  Thus, the HVFS had slightly higher
dust collection efficiencies on these surfaces than the BRM sampler.

       As part of the validation of the HVFS on upholstered furniture, ten used couches were
obtained from a Salvation Army collection center in Seattle.  One dust sample was collected from
each couch using the HVFS.  Lead concentrations in these samples ranged from 130 to 380 |ig/g,
with an average of 229 jig/g.  Lead loadings in these samples ranged from 2.7 to 94.9 |ig/ft2, with
an average of 27.8 |ig/ft2.

Al-Radadv et al. 1994

       This study, conducted in the north of England in the spring and summer of 1990 and
introduced in Section 5.1.1.3, investigated how lead-contaminated dust deposits on surfaces in
residential homes. Among the surfaces sampled for dust in certain units  were hard-surfaced
furniture (i.e., not fabric-covered)  and net curtains.

       A wiping technique was used to obtain dust samples from furniture and other "hard,
immobile"  surfaces (e.g., walls, ceilings, window sills). When taking ten dust samples taken from
hard-backed furniture, the average dust-lead loading in a newer home was 6.0 |ig/ft2, with a
standard error of the mean equal to 0.8 |ig/ft2, while results in an older home averaged 21.4
jig/ft2, with a standard error of the mean equal to 4.2 |ig/ft2.  These averages were higher than for
dust samples taken from walls and ceilings, but lower than for window sills. In a third housing
unit, the deposition of lead over time was investigated by taking ten dust samples from solid
furniture surfaces  (among other surfaces) monthly from April to July.  Average dust-lead loadings
on these surfaces were slightly higher in June and July than in April and  May.

       The lead content in dust on net curtains was studied in two housing units.  Net curtains are
typically present in a house to protect privacy and are generally always drawn. Prior to washing,
three sets of net curtains were identified that had been in normal use and unwashed for a period of
one year. Each set of curtains was placed into a large plastic bottle, in which a 10% (v/v) nitric
acid solution was  added and the bottle shaken and rotated  for one hour.  The leachate was then
analyzed for lead content.  When three iterations of this leaching procedure were performed, the
total amount of lead removed on each set of curtains was 516,  535, and 797 jig, respectively.  For
each set more than 90% of the recovered lead was removed after two iterations.
                                            56

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       When measuring dust-lead loadings on net curtains, six sets of curtains were tested in a
newer unit and seven sets in an older unit. The average dust-lead loading was 65.8 |ig/ft2, with a
standard error of the mean equal to 13.6 |ig/ft2, in the newer unit, and 277.9 |ig/ft2, with a
standard error of the mean equal to 16.5 |ig/ft2, in the older unit. When investigating the
deposition of lead over time, average dust-lead loadings on curtains hung for a 28-day period in
June or July tended to be higher (approximately 0.42 |ig/ft2) than for curtains hung for the same
period in April or May (approximately 0.23 |ig/ft2).

USEPA. 1996b

       Prior to any interventions being performed in the Baltimore R&M study (Section 3.1),
dust samples were  collected using the BRM sampler (Section 5.1.1.1) from upholstered
furnishings in  60 of the 107 study units.  Across the 60 pre-intervention upholstery dust samples,
lead loadings ranged from 0 |ig/ft2 to 657 |ig/ft2,  while lead concentrations ranged from 67 |ig/g
to 7879 |ig/g.  Table 5-5 contains the geometric mean dust-lead loadings and concentrations by
unit classification, along with model-based 95% confidence intervals on these geometric means.
The geometric means for modern urban units (assumed to be free of lead-based paint) were lower
than the other unit classifications and were similar to geometric means for floors and window sills
in these units.  Among the other housing units, the geometric means were similar across unit
classifications, but were considerably lower than the geometric means for the other surface types.
Thus, in units with a potential for containing lead contamination (either resulting from previous
abatement activities or the need for abatement), the geometric mean dust-lead loadings and
Table 5-5.    Number of Dust Samples from Upholstered Furniture Taken Prior to Intervention in
              the R&M Study, Along With  Geometric Mean Dust-Lead Levels and 95%
              Confidence I ntervals, by Unit Classification
Unit Classification
R&M units (low level)
R&M units (mid level)
R&M units (high level)
Previously- abated units
Modern urban units
#Dust
Samples
23
7
0
14
16
Dust- Lead Loading (|jg/ft2)
Geometric
Mean
67
65
--
51
10
95% Confidence
Interval on
Geometric Mean
(35, 127)
(11, 366)
--
(25, 104)
(5, 20)
Dust- Lead Concentration (|jg/g)
Geometric
Mean
699
700
--
503
142
95% Confidence
Interval on Geometric
Mean
(493, 992)
(180, 2722)
--
(353, 718)
(101, 200)
concentrations for upholstery dust were lower than for floor-dust and for dust on window sills,
window wells, and air ducts.
                                            57

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       Correlation coefficients were also calculated for dust-lead concentrations and dust-lead
loadings between the various surface types sampled.  For dust-lead concentrations, correlations
between upholstery and other surfaces ranged from 0.41 for floors in rooms without windows
(significant at the 0.05 level) to 0.68 for interior entryways (significant at the 0.01 level). The
correlation between dust-lead concentration on upholstery and soil-lead concentration at the
unit's dripline was 0.71, which was significant at the 0.01 level. For dust-lead loadings, the
correlations with upholstery ranged from 0.34 for exterior entryways to 0.52 for window sills,
with all correlations significant at the 0.01 level.  Thus, dust-lead levels in upholstery appeared to
be equally correlated with levels on other surfaces, and the correlation was significant.

       The Baltimore R&M study also took venous blood samples from children residing in study
units and investigated the correlation between blood-lead concentration and pre-intervention
environmental-lead levels.  Correlation coefficients calculated between the blood lead
concentration of the youngest child in each household (N=73) and the log-transformed dust-lead
loading and dust-lead concentrations for upholstered furnishings were 0.50 and 0.64, respectively.
Both of these relationships were  statistically significant at the 0.01 level and were the highest
correlations with blood-lead concentration across all surface types sampled. When blood-lead
concentrations for all children were considered (N=92), the correlations were 0.63 and 0.46,
respectively, and remained significant at the 0.01 level. However, these correlation coefficients
are not adjusted for effects of other lead exposure variables, such as floor dust-lead and soil-lead,
on blood-lead concentration. Thus, the significant positive correlations with blood-lead
concentration can only be interpreted as a significant association and not as a causal  relationship.
Further analysis of the R&M study data may determine whether a significant association exists
between furniture or upholstery dust-lead after adjusting for the effects of lead in other household
media.

RomieuetaL 1995

       As introduced in Section 5.1.2, this study obtained environmental dust samples (including
from furniture) and children's blood-lead concentration in 200 Mexico City households from
1992-1993. Furniture dust samples were obtained in the living room and bedrooms using the
DVM; a total of 70 such samples had detectable lead amounts. These samples had an average
dust-lead loading of 8.4 |ig/ft2, which was lower than that observed for uncarpeted floors and
window sill dust (sampled via wipe techniques), but similar to the 5.6 |ig/ft2 measured in 53 carpet
dust samples  (sampled via DVM). The 200 children under five years of age on which a
venipuncture blood sample was obtained had a geometric mean blood-lead concentration of 9.9
|ig/dL.  The Spearman correlation coefficient between lead loadings in furniture dust and blood-
lead concentration was not significant at the 0.05 level, likely due to the low lead levels in
furniture dust. When considering correlations among lead levels in different environmental media,
lead levels in furniture dust was significantly correlated only with lead levels in floor dust on
carpeted or uncarpeted floors.
                                            58

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CPSC. 1996

       The CPSC has determined that certain foreign-made, non-glossy, vinyl miniblinds may
present a lead hazard to young children. The miniblinds in question have lead as an ingredient to
stabilize the plastic in the blinds.  Tests run by CPSC determined that exposure to sunlight over
time breaks down the plastic, thereby forming lead-contaminated dust on the surface of the blind.
This dust can be a hazard to children if it becomes airborne or if children get the dust on their
hands and put their hands in their mouth. The tests determined that the lead content in dust can
vary from blind to blind.  In some of the tests, CPSC found that "levels of lead in the dust was so
high that a child ingesting dust from less than one square inch of a blind a day for 15 to 30 days
could result in blood lead levels at or above the 10  |ig/dL considered dangerous for young
children." U.S. manufacturers have removed lead as an ingredient in miniblinds,  and blinds
without added lead became widely available in late summer 1996.

CSC and G&S. 1989

       One objective of the Toronto pilot demonstration study of cleaning protocols (Section
3.1) was to investigate the percent of total lead removed from various surfaces using a cleaning
procedure involving both wet and dry techniques. The cleaning procedure directed that dry HEPA
vacuums without agitators be used to clean dust from three surface categories:  floors, air ducts,
and other surfaces (walls, shelving, upholstery, draperies, etc.). In addition, wet cleaning using
tri-sodium phosphate-based cleaners, was performed on four surface categories:  floors, carpets,
upholstery, and walls. The amount of lead removed by both dry and wet cleaning methods was
measured for each of the seven surface categories and expressed as a percentage of total lead
removed by both stages of cleaning. On average across all eight housing units, only 1% of the
total lead removed from this cleaning procedure was removed from upholstery using  wet
cleaning, while 16% was removed from the "other surfaces" category (which included upholstery
and draperies) using dry HEPA vacuum cleaning. The percent of total lead removed from
upholstery using wet techniques ranged from zero to three percent across the eight units, while
the percent removed from "other  surfaces" using dry techniques ranged from two to 37 percent.

Steuteville. 1990

       One objective of this lead abatement/cleaning project in Throop, PA (introduced in
Section 5.1.3.1), was to assess the effectiveness of removing lead from upholstered furniture. In
three housing units, upholstery was cleaned using a regimen of dry vacuuming, followed by wet
cleaning by some unspecified cleaning agent, followed by another dry vacuuming. Using a " 15
L/min air pump with a small orifice (and) filter attachment," five pairs of dust samples from
furniture were collected, where each pair consisted of a sample collected prior to the cleaning and
a sample collected 48 hours following the cleaning. Table 5-6 lists the reported pre- and post-
cleaning dust-lead loadings for each sample pair. The average change in dust-lead loading was a
5.5 |ig/ft2 decline with a standard error of 3.6 |ig/ft2, implying that the cleaning had no significant
effect on the lead loadings measured from the upholstered furniture.  However, four of the five
                                           59

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sample pairs saw a decline in dust-lead loading from pre- to post-cleaning, with over a 40%
decline observed in two of these pairs.
Table 5-6.    Average Dust-Lead Loadings (jjg/ft2) for Upholstered Furniture at Pre-Cleaning
              and Post-Cleaning in the Study Documented by Steuteville, 1990
Housing Unit
ID
1
2
3
Dust- Lead Loading for Upholstered Furniture (jjg/ft2)
Pre-Cleaning
34.3
32.5
26.6
29.4
19.9
Post- Cleaning
29.6
19.0
13.7
35.3
17.8
Difference
4.7
13.5
12.9
-5.9
2.1
% Change
-16%
-42%
-48%
+ 20%
-11%
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CH2MHJ11. 1991

       A conclusion made within this article was briefly cited in Ewers et al., 1994. This study
was a pilot study to evaluate the efficiency of HEP A vacuuming and shampooing of carpets and
upholstered furniture from housing units located near a lead smelter in Bunker Hill, Idaho. While
no specifics on the study design or methods were provided, the results indicated that an average
of 18% of the total lead in furniture was removed following a vacuuming and three shampooings.
This is in contrast to an average of 8% of lead removed from carpeting following an initial
vacuuming, five shampooings, and a final vacuuming.

Roberts. 1997

       This article presents a summary of published information on health risks associated with
house dust, including lead exposure, and how a homeowner can reduce such risks.  It includes the
general statement, "Dust on rugs, furniture, curtains, clothes, and shelves contributes to the total
exposure of everyone on the home, but especially to infants who crawl and mouth their hands." It
is also cited that of the roughly 10 grams of lead in interior dust within a typical housing unit,
approximately 20% comes from surfaces other than carpets and air ducts.

       This article also outlines two ways  to reduce the potential for lead hazard from dust on
furniture, upholstery, and window treatments in the home. At least once a month, surfaces that
can come into contact with residents should be vacuumed or washed. In addition, home owners
should choose curtains and furniture that are easy to clean, as fleecy surfaces tend to act as
reservoirs  for dust and lead.

5.3    AIR DUCTS

       Section 4.3 provided an overall summary of the findings of the literature search and review
on lead exposures associated with air ducts, and how to mitigate such exposures. This summary
was based on information from seven studies; the extent to which information was presented in
reports and articles on these studies was generally limited. Therefore, this section presents details
on the relevant findings and conclusions on dust contamination within air ducts on a study-by -
study  basis rather than by research area. A brief indication of the research area(s) addressed by
each encountered study is provided in Table 5-7.

USEPA. 1995d: USEPA. 1996a

       The Comprehensive Abatement Performance (CAP) Study, conducted in March,  1992, by
Battelle and Midwest Research Institute for the U.S. EPA, measured lead levels in dust and soil in
52 privately-owned,  single-family housing  units in Denver, Colorado. These units participated in
the HUD Abatement Demonstration Study approximately two years earlier (USEPA, 1996a).
Thirty-five of these units had lead-based paint abatements performed in the HUD study, while the
other  17 were found to contain no lead-based paint  in the HUD study and were therefore not
                                           61

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Table 5-7.    Research Areas Addressed in Studies Containing Information on Lead Exposures
              Associated with Dust in Air Ducts
Study/Reference
CAP study (pilot study: USEPA, 1995d)
(full study: USEPA, 1996a)
Toronto pilot demonstration (CSC and G&S, 1989)
Lovelace etal., 1994
Cram etal., 1986
Baltimore R&M study (USEPA, 1996b)
Angle etal., 1995
R&R study (USEPA, 1997)
Research Areas Addressed1
Characterizing
Air Duct Dust-
Lead Levels
/

/
/
/
/
/
Association with
Blood -Lead
Cone.




/
/

Air Duct
Dust
Cleaning

/
/




1 No study characterized methods for collecting dust from air ducts, evaluated alternative dust collection methods, or
investigated efforts to mitigate lead exposures associated with air ducts.
abated.  The purposes of this study were to characterize lead levels in dust and soil in the selected
units and to investigate how well the lead-based paint abatement methods succeeded in reducing
these levels over time.  Air ducts were among those surfaces from which dust samples were
collected in the CAP study, as such dust was assumed to represent conditions prior to post-
abatement cleaning in the units, and it was of interest to observe how lead levels in air ducts
correlated with interior dust lead levels.  As no blood samples were collected in the CAP study,
this study characterizes lead levels in dust and soil, but does not relate such levels to an associated
health effect in children.

       In a 1991 pilot to the CAP study (USEPA,  1995d), dust and  soil samples were collected
from six Denver housing units. Using the Blue Nozzle vacuum method (Section 5.1.1.1), ten dust
samples were collected from air ducts in five of these units, with from one to three dust samples
collected in rooms in which lead-based paint abatement was performed in the HUD study (one air
duct sampled per room). While the entire accessible surface of an air duct was to be sampled,
each dust sample was taken from an average of 0.54 square feet of air duct surface.  Dust-lead
loadings in these samples ranged from 27 to 3,910  |ig/ft2, with a geometric mean of 308 |ig/ft2.
Dust-lead concentrations ranged from 363 to 1,699 |ig/g, with a geometric mean of 749 |ig/g.
These two geometric means were higher than those for all other surfaces except window wells.
Using statistical modeling techniques, air ducts and window wells were the only surfaces for
                                            62

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which both dust-lead loadings and concentrations were expected to be reduced following
renovation and abatement activities.

       In the full CAP study (USEPA, 1996a), the vacuum method used to collect dust samples
from air ducts and other surfaces was changed to the CAPS cyclone to improve the sampling
efficiency rate.  Dust-lead loadings in 109 dust samples from air ducts ranged from 1.85 to 40,900
|ig/ft2, with a geometric mean of 120 |ig/ft2. Dust-lead concentrations ranged from 58.5 to 5,640
Hg/g, with a geometric mean of 427  |ig/g. These two geometric means were higher than those for
floors and window sills, but considerably lower than those for window wells.  The geometric
mean dust-lead concentration was slightly higher,  and the geometric mean dust-lead loading was
slightly lower, than the corresponding geometric means for entryways (both interior and exterior).
While dust loadings in air ducts could be extremely high, the geometric mean dust loading for air
ducts (282 mg/ft2) was from four to six times lower than that for window wells and entryways
(both interior and exterior). Statistical modeling procedures estimated that within the units
without lead-based paint (and therefore, no abatement), the geometric mean dust-lead loading in
air ducts is 76 |ig/ft2, and the geometric mean dust-lead concentration in air ducts is 332 |ig/g.

       The full CAP study estimated that dust-lead loadings in air ducts were approximately four
times higher, and dust-lead concentrations two times higher, in units predominantly abated using
encapsulation/enclosure methods versus units predominantly abated using removal methods.
These increases were significant at the 0.05 level.  For other surface types, the differences in lead
levels between these two groups of units were not significant at the 0.05 level. The increase
associated with encapsulation/enclosure units when considering air ducts may be partially
explained by the increased amount of abatement which these units tended to experience in the
HUD study.

       Also in the full CAP study, only in air ducts and soil were geometric mean lead loadings
and lead concentrations significantly higher (at the 0.05 level) in abated units than in unabated
units. For air ducts, geometric mean dust-lead loadings were approximately 4.7 times higher, and
geometric mean dust-lead concentrations approximately 1.6 times higher, in abated units than in
unabated units.

       For air ducts in the CAP pilot study, the correlation between dust-lead loadings and dust-
lead concentrations was 0.59, which was not significant at the 0.05 level. Dust-lead
concentrations in air ducts were found to correlate highly with concentrations from
bed/rug/upholstery, floors, window sills, and window wells as a group, after correcting for
renovation and abatement effects.  In the full CAP study, where tests for significant correlation
had more power due to the larger sample sizes, the correlation in dust-lead loadings between air
ducts and exterior entryways was significant (0.41).

       The CAP study results indicate that air ducts can have among the highest dust-lead levels
among interior surfaces, but they are generally lower than lead levels on window wells and,
occasionally, on entryway  floors. Dust-lead levels within air ducts tend to increase when
                                           63

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performing activities which can disturb lead-based painted surfaces, as air ducts are typically not
abated or cleaned upon conclusion of these activities.

CSC and G&S. 1989

       One ingredient of the cleaning protocol used in the pilot demonstration project conducted
by the City of Toronto, Department of Public Health (Section 3.1) was a cleaning of forced air
heating ducts.  In keeping with schedule limitations and to allow a quantitative measure of dust in
air ducts, the air duct cleaning procedure involved "active surface contact throughout the duct by
a portable-unit-powered suction head or nozzle, rather than the more commonly used technique
of high-volume air flow drawn by a truck-mounted unit, assisted by limited mechanical agitation
inside the duct." This process took from two to four hours per housing unit.  The cleaning
protocol required the following:

       !      No additional cleaning can proceed until 24 hours after completing the ductwork
              cleaning.
       !      Once the ductwork has been vacuumed, the air distribution fan was to be run for at
              least ten minutes, after covering each duct outlet by a cheese cloth or other
              filtration medium.

       One objective of this demonstration study was to investigate the percent of total lead
removed from various surface categories (e.g., floors,  air ducts, upholstery) under the specified
cleaning procedure. The amount of lead removed was measured for each surface category and
expressed as a percentage of total lead removed from all categories by all stages of cleaning. On
average across all eight housing units, 30% of the total lead removed by the cleaning procedure
was removed from ductwork. This average percentage was second only to floors (42%). The
individual housing unit percentages of the total lead removed that was collected from air ducts
ranged from 7% to 65%, with three of the eight houses having a percentage exceeding 50%.

       The study concluded that air duct cleaning did not appear to produce more airborne dust
relative to other segments of the cleaning operation. Average airborne dust-lead concentrations
were 0.285 |ig/m3 prior to cleaning, 0.764 |ig/m3 during ductwork cleaning, 0.612 |ig/m3 during
the remainder of house cleaning, and 0.14 |ig/m3 at five to nine days following cleaning.  The
average during ductwork cleaning  is only modestly higher than that during the remainder of house
cleaning. Thus, in terms of limiting airborne lead concentrations, it may not be necessary to
conduct air duct cleaning prior to any other cleaning in the unit. However, it is uncertain as to the
extent of airborne lead dust measured during house cleaning that remains in the air following air
duct cleaning.

       While it was recognized that large amounts of total lead in the dust within a housing unit
can exist in the air ducts, the study could not determine the extent to which this dust was
assessable to  residents of the unit.

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Lovelace et al.. 1994

       While this case study took place in office buildings rather than housing units with children
present, many  of its findings are not relevant to this report. However, it provides some useful
information on determining the magnitude of lead hazard associated with air ducts and the effect
of general cleaning procedures on lead levels in air ducts.

       An investigation of two North Carolina Department of Transportation office buildings by
the North  Carolina Department of Environment,  Health, and Natural Resources uncovered lead
dust present in these buildings. Air ducts in these buildings, shared by a common central steam
station, were never cleaned since these buildings  were built in 1953 and 1965, respectively.
Considerable dust fallout was reported from the ductwork. As the HVAC system in these
buildings were turned off at night, daily system start-up tended to dislodge dust.

       In  the summer of 1992, dust samples using wipe techniques (NIOSH Sampling and
Analytical Method 7082) were taken from floors immediately outside of ductwork, as well as
inside ductwork. Within ductwork, dust-lead loadings in 11 samples ranged from 71.0 to over
153,000 |ig/ft2. Outside of the ductwork, dust-lead loadings in 41  samples ranged from non-
detectable readings to 614  |ig/ft2. Sources of lead in the dust included renovation activities and
presence of exterior lead-based paint.  Such findings prompted immediate cleaning  of the
ductwork  and of surfaces throughout the building.  No information was provided on the methods
used to conduct this cleaning.

       Upon conclusion of the ductwork and building cleaning, additional wipe samples were
taken from inside and outside of the ductwork. Within ductwork, dust-lead loadings in six
samples ranged from 145 to 18,000 |ig/ft2.  Outside of the ductwork, dust-lead loadings in 13
samples ranged from non-detectable readings to  54 |ig/ft2.  Thus, while maximum dust-lead
loadings declined as a result of the ductwork cleaning, levels inside ductwork remained high,
while areas outside of the ductwork had low levels.

Cram et al.. 1986

       This study also was conducted in an office building rather than a residence.  Within each
of the five stories of the air-conditioned building, built in an inner-city area of Great Britain in
1978, one dust sample was collected in each of two air ducts.  The samples were collected by
brushing the dust within a  1000 cm2 area into a plastic sample bag.

       In  the first of two sampling  rounds (December, 1985), dust-lead concentrations ranged
from 1,428 |ig/g to 6,550 |ig/g, with a geometric mean of 2,667  |ig/g. In the second sampling
round (April, 1986), the range was from 1,084 |ig/g to 5,344 |ig/g, with a geometric mean of
1,856 |ig/g.  These concentrations were higher than that found on  surfaces outside  of the air ducts
(800-1000 |ig/g), but were similar to that found in outdoor street dust in the area.  The authors
hypothesize that low particle sizes associated with the outdoor dust allowed the dust to pass
through ventilation filters and to deposit within the air ducts. In support of this hypothesis, the

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authors' claim that the dust particle sizes were similar to that of diesel smoke, which was
attributed to causing a dark appearance to the dust collected in the air ducts. The study location
had a proliferation of diesel traffic.

USEPA. 1996b

       Prior to any interventions being performed in the Baltimore R&M study (Section 3.1), 29
dust samples were collected from horizontal portions of air ducts in primarily vacant units built
prior to 1941 and awaiting repair and maintenance intervention (one of these samples was
collected in a previously-abated unit).  Dust samples were also collected from floors, window sills,
window wells, and upholstered surfaces (upholstery was generally sampled when air ducts were
not available). All dust samples were collected using the BRM cyclone sampler (Section 5.1.1.1).

       Across the 29 pre-intervention dust samples from air ducts, lead loadings were extremely
high, ranging from 2,829 |ig/ft2  to 942,329 |ig/ft2, while lead concentrations ranged from 79 jig/g
to 11,248 |ig/g.  Table 5-8 contains the geometric mean dust-lead loadings and concentrations by
unit classification, along with model-based 95% confidence intervals on these geometric means.
In general,  sample sizes were too low to make clear conclusions on lead levels among the
different unit classifications. Among units not in the modern urban classification, geometric mean
dust-lead concentrations for air  ducts were higher than those for upholstery, similar to those for
floors, and  lower than those for  window sills and window wells (USEPA, 1996b). While dust-
lead loadings for air ducts were  extremely high, they were similar in magnitude to dust-lead
loadings in window wells.  The  high dust-lead loadings and moderate dust-lead concentrations
associated with air ducts can partially be explained by the very high dust loadings found among air
ducts relative to other surfaces in these units (older units awaiting interventions).

       Correlation coefficients were also calculated for dust-lead concentrations and dust-lead
loadings between the various surface types sampled. The correlation between dust-lead
concentration in air ducts and dust-lead concentration on interior entryways (0.38) was significant
at the 0.05  level, as was the correlation between dust-lead concentrations in air ducts and dust-
lead concentrations in floors in rooms with windows (0.39). However, correlations in dust-lead
concentration between air ducts and other surfaces (window sills, window wells, other floor
areas) were not significant at the 0.05 level. While the correlation between dust-lead loading in
air ducts and dust-lead loading on interior entryways (0.37) was also significant at the 0.05 level,
no other correlation involving dust-lead loading in air ducts was significant for any other surface
type.  One reason for the low correlation and lack of significance was the low
                                            66

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Table 5-8.    Number of Dust Samples from Air Ducts Taken Prior to Intervention in the R&M
              Study, Along With Geometric Mean Dust- Lead Levels and 95% Confidence
              Intervals,  by Unit Classification
Unit Classification
R&M units (low level)
R&M units (mid level)
R&M units (high level)
Previously-abated units
Modern urban units
#Dust
Samples
1
12
15
1
0
Dust- Lead Loading (|jg/ft2)
Geometric
Mean
942,329
74,296
44,805
22,045
--
95% Confidence Interval on
Geometric Mean
--
(31985, 172579)
(23799, 84353)
--
--
Dust- Lead Concentration (|jg/g)
Geometric
Mean
10,092
1,445
1,491
466
--
95% Confidence
Interval on Geometric
Mean
--
(617, 3388)
(945, 2354)
--
--
numbers of paired samples involving air ducts (N=39 in most cases) compared to the number
associated with other surfaces.

       The Baltimore R&M study also took venous blood samples from children residing in study
units and investigated the correlation between blood-lead concentration and pre-intervention
environmental-lead levels. Correlation coefficients calculated between the blood lead
concentration of the youngest child in each household (N=l 1) and the log-transformed dust-lead
loading and dust-lead  concentrations for air ducts were not significant at the 0.05 level. The
correlation was likewise not significant when blood-lead concentrations for all children were
considered (N=15).  However, these correlation coefficients were not adjusted for effects of other
lead exposure variables, such as floor dust-lead and soil-lead, on blood-lead concentration. While
further analysis of the R&M study data may determine whether a significant association exists
between dust-lead in air ducts and blood-lead concentration after adjusting for the effects of lead
in other household media, the low number of air duct samples would likely result in low power to
detect significant associations.

Angle etal.. 1995

       Data from the  Omaha Study of Childhood Lead were used, in part, to investigate the
correlation between lead isotope ratios in the environment and ratios in the blood and urine  of
children in urban environments. This investigation addressed the issue of identifying the
environmental source  of lead exposure to these children, and in particular, the contribution of lead
in food and in hand-dust to blood lead. Among the environmental samples collected in this  study
were air, soil, tap  water, and dust from air ducts, floors in play areas, window sills, and door mats.
                                            67

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       In this study, twenty-one children with mean age 2.2 years and balanced by gender, race,
and socioeconomic status were included in this study.  A total of 82 venous blood samples were
collected over a 12-month period from these children; blood-lead concentrations in these samples
averaged 6.4  |ig/dL. Hand dust samples from these children were collected monthly during this
period using wipe techniques.

       A total of 21 dust samples from air ducts (one sample per surveyed housing unit) were
collected using methods not reported in the paper.  These samples had an average dust-lead
concentration of 383 |ig/g, with a standard deviation of 735 |ig/g.  No dust-lead loadings were
reported for dust samples from air ducts.  Lead levels in  dust samples from other surfaces were
expressed as dust-lead loadings, precluding a direct comparison with results from air ducts.

       For all biologic and environmental samples, the isotopic ratio of 206Pb to 207Pb, labeled
"IR", was measured.  For air ducts, the mean value of IR across the 21 housing units was 1.1949,
compared to 1.2027 for handdust. Using regression techniques, the annual mean IR for hand
wipes (PbBHWjjJ was expressed as a linear function of the annual mean IR for air ducts
(PbDuctjp) in the following manner:

                           PbBHWn, = 0.8057 + 0.3275*PbDuctIR

This prediction was considered statistically significant at the 0.05 level. However, as adjustments
for the effects of other environmental sources were not made in this analysis, it is uncertain as to
the extent that this relationship is the result of high correlation with other exposure variables.

USEPA.  1997

       In response to Section 402 © of the Toxic Substances Control Act, as amended within
Title X, the USEPA conducted the Renovation and Remodeling (R&R) study. This study
investigated the extent to which persons engaged in R&R activities in housing units containing
lead-based paint are exposed to lead hazards during such activities or create a lead hazard as a
result of the activities.  The Environmental Field Sampling Study (EFSS) was a principal data
collection effort within the R&R study, in which environmental measurements were taken in
housing units containing lead-based paint, in order to assess the relative disturbance of and
exposure to lead associated with selected R&R activities undertaken in these units. One phase of
the EFSS, conducted in a controlled setting within a series of vacant, abandoned housing units,
investigated lead disturbance and potential lead exposures associated with several R&R activities
and generic activities that were difficult to isolate in an actual R&R job or were ingredients to
larger R&R activities.  One such activity was removal of HVAC ductwork.

       In the EFSS, lead levels in dust within HVAC ductwork were determined in five housing
units: two in Baltimore, Maryland, and three in Denver, Colorado. A total of 21 dust samples,
collected using wipe techniques, were taken from the inside of the ductwork across these units
(from three to five samples per unit). In units where ductwork removal was scheduled to occur as
part of the study, the dust samples were collected prior to disturbing the ductwork. Table  5-9

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presents descriptive summaries on lead loadings for dust samples from ductwork, across units and
within each unit. The geometric mean of 2,900 |ig/ft2 was an order of magnitude higher than that
observed in the CAP study (where occupied housing in previously-abated units or units free of
lead-based paint were considered and air duct dust samples were taken using the CAPS cyclone
vacuum method rather than wipe methods) but an order of magnitude lower than that observed in
the Baltimore R&M study (where air duct dust samples were taken from housing awaiting repair
and maintenance interventions using the BRM sampler).

Table 5-9.   Descriptive Statistics on Dust-Lead Loadings for Samples Taken
             from HVAC Ductwork in the R&R Study, Calculated Across and
             Within Housing Units
Unit ID
All
1
2
3
4
5
N
21
4(1)
3(D
5
5
4
Arithmetic
Mean
(ug/ft2)
5870
17900
6940
2060
1060
3850
Geometric Mean
(ug/ft2)
2900
14800
6880
2040
709
2700
Log
Std. Dev.
1.28
0.784
0.168
0.184
1.04
1.01
Minimum
Value
(ug/ft2)
205
4880
5800
1610
205
1000
Maximum
Value
(ug/ft2)
30900
30900
8120
2650
2140
8280
(1) Samples taken before HVAC removal activities (Baltimore dwelling units)
Source: USEPA, 1997.
       The loading data summarized in Table 5-9 are plotted in Figure 5-1.  This plot illustrates
the variability in these data within and between housing units.  It should be noted that the unit
with the lowest lead loadings contained an HVAC system attached to a furnace that was installed
approximately nine years prior to the dust sampling. These results indicate that settled dust found
within interior HVAC ductwork can contain high levels of lead, to which residents can come into
direct contact if the dust is disturbed. Indeed, lead disturbance resulting from HVAC removal (as
measured by the amount of dust that settles in a fixed area surrounding the activity) was second to
that resulting from demolition of structures containing lead-based paint, and was more substantial
relative to other activities such as drilling, sawing, and sanding of structures  containing lead-based
paint, when standardizing the amount of each activity performed.
                                          69

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            100000
             10000
              1000
         1
               100
                     Bait. Unit 1   Bait. Unit 2   Denv. Unit 1  Denv. Unit 2  Denv. Unit 3
                                    Unit IDs (for HVAC Removal)
Figure 5-1.   Lead Loadings (ug/ft2) Within Wipe Dust Samples Collected from Inside
             HVAC Ductwork in the R&R Study  (Source: USEPA, 1997)
                                          70

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6.0    REFERENCES

       This chapter lists the references cited in this report.  Preceding each reference are codes
indicating the topic area(s) that are addressed within the reference. These codes are as follows:

       C = Carpet information
       F = Furniture information
       A = Air duct information
 Topic
  Area
Reference
 C
Adgate, J.L., Weisel, C., Rhoads, G.G., and Lioy, P.J. (1995) "Lead in House Dust:
   Relationships Between Exposure Metrics and Sampling Techniques."
   Environmental Research.  70:134-147.
 C,F
Al-Radady, A.S., Davies, B.E., and French, MJ.  (1994)  "Distribution of Lead Inside
   the Home: Case Studies in the North of England."  The Science of the Total
   Environment. 145:143-156.
 A
Angle, C.R., Manton, W.I., and Stanek, K.L. (1995) "Stable isotope identification of
   lead sources in preschool children: the Omaha Study." Journal of Toxicology —
   Clinical Toxicology. 33(6):657-662.
 C
ASTM (1996a)  "Standard Practice for Collection of Floor Dust for Chemical
   Analysis."  1996 Annual Book of ASTM Standards, ASTM D543 8-94.
   11.03:521-527.
 C
ASTM (1996b) "Standard Laboratory Test Method for Evaluation of Carpet-
   Embedded Dirt Removal Effectiveness of Household Vacuum Cleaners." 1996
   Annual Book of ASTM Standards, ASTM F608-89. 15.07:297-307.
 C
Bero, B.N., and Von Braun, M.C.  (1996) "The Effectiveness of the Freeze Fracture
   Carpet Grinding Technique in the Determination of Total Lead."  American
   Industrial Hygiene Association Journal.  57:480-483.
 C


 C
Bero, B.N., and Von Braun, M.C.  (1995a)  "The Effect of Particle Size Reduction of
   Fibrous Materials on TCLP Results."  Environment International, 21(4):395-398.
Bero, B.N., Von Braun, M.C., Knowles, C.R., and Hammel, I.E.  (1995b). "Further
   Studies Using X-Ray Fluorescence to Sample Lead Contaminated Carpeted
   Surfaces." Environmental Monitoring and Assessment.  36:123-138.
 C
Bero, B.N., Von Braun, M.C., Knowles, C.R., and Hammel, I.E.  (1993). "The Use
   of X-Ray Fluorescence to Detect Lead Contamination of Carpeted Surfaces."
   Environmental Monitoring and Assessment.  27:17-33.
                                          71

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Topic
Area
Reference
C       Cambra, K., and Alonso, E. (1995) "Blood Lead Levels in 2- to 3-year-old Children
           in the Greater Bilbao Area (Basque Country, Spain): Relation to Dust and Water
           Lead Levels." Archives of Environmental Health.  50(5): 362-365.

C       CDC (1977).  "Increased Lead Absorption in Children of Lead Workers — Vermont."
           Morbidity & Mortality Weekly Report, 25 Feb 1977.

        CH2M Hill (1991) "Final House Dust Remediation Report for The Bunker Hill
           CERCLA Site Population Areas RI/FS."  BHPA-HDR-F-RO-052091. Prepared
           for the Idaho Department of Health and Welfare, Boise, ID, May 1991.

C       Charney, E.  (1982) "Childhood Lead Poisoning: Reduced Blood Lead Values By
           Home Cleaning Program." Final Report by the Sinai Hospital of Baltimore (MD)
           for the Office of Policy Development and Research, U.S. Department of Housing
           and Urban Development. NTIS PB83-185645.

C       Chuang, J.C., Callahan, P.J., Menton, R.G., Gordon, S.M., Lewis, R.G., and Wilson,
           N.K.  (1995)  "Monitoring Methods for Poly cyclic Aromatic Hydrocarbons and
           Their Distribution in House Dust and Track-in Soil." Environmental Science &
           Technology. 29(2):494-500.

C       Clark, S., Bornschein, R.L., Pan, W., Menrath, W., Roda, S., and Grote, J. (1996)
           "The Relationship Between Surface Dust Lead Loadings on Carpets and the
           Blood Lead of Young Children." Environmental Geochemistry and Health.
           18:143-146.

C       Clark, S., Bornschein, R.L., Pan,  W., Menrath, W., and Roda, S. (1995) "An
           Examination of the Relationships Between the U.S. Department of Housing and
           Urban Development Floor Lead Loading Clearance Level for Lead-Based Paint
           Abatement, Surface Dust Lead by a Vacuum Collection Method, and Pediatric
           Blood Lead." Applied Occupational Environmental Hygiene. 10(2): 107-110.

        CPSC (1996) "CPSC Finds Lead Poisoning Hazard for Young Children in Imported
           Vinyl Miniblinds." Office  of Information and Public Affairs, U.S. Consumer
           Product Safety Commission,  Release # 96-150, June 25, 1996.

A       Cram, A.G., and Whelan, V.P.H. (1986)  "Lead Dust Inside Air-Conditioned
           Buildings." Environmental Health. 94(ll):293-294.

C,F,A   CSC and G&S (1989) "South Riverdale Lead Reduction Program - Housedust
           Cleaning Demonstration."  Final Report by Concord Scientific Corporation and
           Gore &  Storrie Limited, in conjunction with the South Riverdale Community
           Health Centre, to the City of Toronto Department of Public Health, May 1989.
                                        72

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Topic
Area
Reference
C       Davies, D.J.A., Thornton, I, Watt, J.M., Culbard, E.B., Harvey, P.O., Delves, H.T.,
           Sherlock, J.C., Smart, G.A., Thomas, J.F.A., and Quinn, MJ. (1990) "Lead
           Intake and Blood Lead in Two-Year-Old U.K. Urban Children."  The Science of
           the Total Environment 90:13-29.

C       Davies, D.J.A., Watt, J.M., and Thornton, I. (1987)  "Lead Levels in Birmingham
           Dusts and Soils." The Science of the Total Environment 87:177-185.

C       Dolcourt, J.L., Hamrick, H.J., O'Tuama, L.A., Wooten, J., and Barker, E.L. (1978)
           "Increased Lead Burden in Children of Battery Workers:  Asymptomatic Exposure
           Resulting from Contaminated Work Clothing." Pediatrics 62(4):563-566.

C       Dybendal, T., Wedberg, W.C., and Elsayed, S. (1991) "Dust from Carpeted and
           Smooth Floors."  Allergy. 46:427-435.

C       Emond, M.J., Lanphear, B.P., Watts, A., Eberly,  S., and Members of the Rochester
           Lead-in-Dust Study Group. (1997)  "Measurement Error and Its Impact on the
           Estimated Relationship Between Dust Lead and Children's Blood Lead."
           Environmental Research 72:82-92

C,F     Ewers, L., Clark, S., Menrath, W., Succop, P., and Bornschein, R. (1994)  "Clean-up
           of Lead in Household Carpet  and Floor Dust." American Industrial Hygiene
           Association Journal.  55: 650-657.

C       Farfel, M., Lees, P.S.J., Bannon,  D., Lim, B.S., and Rohde, C.A. (1994)
           "Comparison of Two Cyclone-Based Collection Devices for the Evaluation of
           Lead-Containing Residential Dust."  Applied Occupational Environmental
           Hygiene. 9:212-217.

C       Figley, D., and Makohon, J.  (1992) "Effectiveness of Clean-Up Techniques for
           Leaded Paint Dust."  Final Report by the Saskatchewan Research Council  to the
           Canada Mortgage and Housing Corporation, December 1992.

C       Fortmann, R.C., Sheldon, L.S., Smith, D., and Martin-Goldberg, M. (1991a)
           "Evaluation of Methods for Assessing Exposure of Infants/Toddlers to Lead  in
           Homes." Final report prepared for the U.S. Environmental Protection Agency
           under Contract Number 68-02-4544. Research Triangle Institute, Research
           Triangle Park, NC.  RTI/4657-95/04-FR.
                                         73

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Topic
Area
Reference
C       Fortmann, R.C., Sheldon, L.S., Smith, D., Perritt, K., and Camann, D.E.  (1991b).
           "Final Report of the House Dust/Infant Pesticides Exposure Study (HIPES)."
           Final report prepared for the Atmospheric and Exposure Assessment Laboratory,
           Office of Research and Development, U.S. Environmental Protection Agency
           under Contract Number 68-02-4544.  Research Triangle Institute, Research
           Triangle Park, NC.  RTI/4657-75/00-FR.

C       Hartford, P.A., McMillan, N.J., Menton, R.G., and Nagaraja, J. (1996) "Analysis of
           Pathways of Residential Lead Exposure in Children." Draft Final Report by
           Battelle to the Office of Pollution Prevention and Toxics, U.S. Environmental
           Protection Agency, EPA Contract Number 68-D5-0008.  24 January 1996.

C       Hilts, S.R., Hertzman, C., and Marion, S.A.  (1995)  "A Controlled Trial of the Effect
           of HEP A Vacuuming on Childhood Lead Exposure." Canadian Journal of
           Public Health. 86(5):345-350.

C       Johnson, D.L., Fortmann, R., and Thornton, I. (1982)  "Individual Particle
           Characterization of Heavy Metal Rich Household Dusts."  Trace Substances in
           Environmental Health.  16:116-123.

C       Kim, N. and Fergusson, J. (1993) "Concentrations and Sources of Cadmium,
           Copper, Lead and Zinc in House Dust in Christchurch, New Zealand."  The
           Science of the Total Environment. 138:1-21.

C       Lanphear,  B.P., Emond, M., Jacobs, D.E., Weitzman, M., Tanner, M., Winter, N.L.,
           Yakir, B.,  and Eberly, S. (1995) "A Side-by-Side Comparison of Dust Collection
           Methods for Sampling Lead-Contaminated House Dust." Environmental
           Research  68:114-123.

C       Leese, K.E., Cole, E.C., Hall, R.M., and Berry, M.A (1997) "Measurement of
           Airborne and Floor Dusts in an Nonproblem Building." American Industrial
           Hygiene Association Journal.  58:432-438.

C       Lewis, R.G., Fortmann, R.C., and Camann, D.E.  (1994) "Evaluation of Methods for
           Monitoring the Potential Exposure of Small Children to Pesticides in the
           Residential Environment." Archives of Environmental Contamination and
           Toxicology. 26:37-46.

C       Lim, B.S., Schwemberger, J.G., Constant, P., and Bauer, K.  (1995) "Vacuum
           Sampling of Settled Dust for Lead Analysis."  In: Lead Poisoning: Exposure,
           Abatement, Regulation, J.J. Breen and C.R. Stroup, eds.  Boca Raton, FL:  CRC
           Press, Inc.
                                         74

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Topic
Area
Reference
A      Lovelace, C.F., Giguere, M.T., Curran, J.J., Morris, P.D., Williams, L.K., and
           Matson, P. A.  (1994)  "Survey of Lead Contamination in an Office Building." In
           Applied Occupational and Environmental Hygiene, D. Tharr, ed.  9(6):389-392.

C      Mielke, H.W., Adams, I.E., Huff, B., Pepersack, J., Reagan, P.L., Stoppel, D., and
           Mielke, P.W.  (1992)  "Dust Control as a Means of Reducing Inner-City
           Childhood Pb Exposure."  In: Trace Substances in Environmental Health - XXV,
           Supplement to Volume 14, Environmental Geochemistry and Health, B.D. Beck,
           Editor, 121-128.

C      Milar, C.R. and P. Mushak, P. (1982)  "Lead Contaminated Housedust: Hazard,
           Measurement and Decontamination." In: Lead Absorption in Children, J.
           Chilsom and D. O'Hara, editors. Baltimore:  Urban & Schwarzenberg, 143-152.

C      MRI (1992) "Engineering Study to Explore Improvements in Vacuum Dust
           Collection." Final Report by Midwest Research Institute to the Office of Toxic
           Substances, U.S. Environmental Protection Agency, EPA Contract Number 68-
           DO-0137, 24 January  1992.

C      Ozkaynak, H., Xue, J., Spengler, J., Wallace, L., Pellizzari, E., and Jenkins, P.  (1996)
           "Personal Exposure to Airborne Particles and Metals:  Results from Particle
           TEAM Study in Riverside, CA." Journal of Exposure Analysis and
           Environmental Epidemiology. 6:57-78.

C      Que Hee, S.S., Peace, B., Clark, C.S., Boyle, J.R., Bornschein, R.L., and Hammond,
           P.B. (1985) "Evolution of Efficient Methods to Sample Lead Sources, Such as
           House Dust and Hand Dust, in the Homes of Children." Environmental Research.
           38:77-95.

C,F     Raw, G.J., Roys,  M.S., and Whitehead, C. (1993) "Sick Building Syndrome:
           Cleanliness is Next to Healthiness." Indoor Air. 3:237-245.

C,F     Roberts, J.W. (1997) "Reducing Health Risks from Dust in the Home."  Engineering
           Plus, Inc. In:  Master Home Environmentalist Training Manual, Philip Dickey,
           editor. Seattle:  American Lung Association

C      Roberts, J.W., Crutcher, E.R. Ill, Crutcher, E.R. IV, Glass, G., and Spittler, T.M.
           (1996) "Quantitative Analysis of Road and Carpet Dust on Shoes." In:
           Measurement of Toxic and Related Pollutants. Pittsburgh: Air & Waste
           Management Association, 829-885.

C      Roberts, J.W., Glass, G.L.,  and Spittler, T.M. (1995a) "Measurement of Deep Dust
           and Lead in Old Carpets." In: Proceedings, Annual Meeting - Air and Waste
           Management Association.  San Antonio, TX, May 1995.
                                         75

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Topic
Area
Reference
C
Roberts, J.W., and Dickey, P.  (1995b) "Exposure of Children to Pollutants in House
   Dust and Indoor Air." Reviews of Environmental Contamination and Toxicology.
   143:59-78.
        Roberts, J.W., Han, W., and Ruby, M.G. (1993) "Evaluation of Dust Samplers for
           Bare Floors and Upholstery." Atmospheric Research and Exposure Assessment
           Laboratory, Office of Research and Development, U.S. Environmental Protection
           Agency, Draft Report to EPA, October 1993.
C
Roberts, J.W., Budd, W.T., Ruby, M.G., Camann, D.E., Fortman, R.C., Lewis, R.G.,
   Wallace, L.A., and Spittler, T.M.  (1992) "Human Exposure to Pollutants in
   Floor Dust in Homes and Offices." Journal of Exposure Analysis and
   Environmental Epidemiology. 1:127-146.
C
Roberts, J.W., Camann, D.E., and Spittler, T.M.  (199la) "Reducing Lead Exposure
   from Remodeling and Soil Track-In in Older Homes."  In: Proceedings, Annual
   Meeting - Air and Waste Management Association. Publication No. 91-134.2.
C
Roberts, J.W., Budd, W.T., Ruby, M.G., Stamper, V.R., Camann, D.E., Fortmann,
   R.C., Sheldon, L.S., and Lewis, R.G (1991b)  "A Small High Volume Surface
   Sampler (HVS3) for Pesticides, and Other Toxic Substances in House Dust." In:
   Proceedings, Annual Meeting - Air and Waste Management Association.
   Publication No. 91-150.2.
C
Roberts, J.W., and Camann, D.E.  (1989)  "Pilot Study of a Cotton Glove Press Test
   for Assessing Exposure to Pesticides in House Dust." Bulletin of Environmental
   Contamination and Toxicology.  43:717-724.
C
Roberts, J.W., and Ruby, M.G.  (1988)  "Development of a High Volume Surface
   Sampler for Pesticides in Floor Dust."  Final Report by Engineering Plus to the
   Environmental Monitoring Systems Laboratory, Office of Research and
   Development, U.S. Environmental Protection Agency, EPA/600/4-88/036,
   November, 1988.
C
The Rochester School of Medicine, and NCLSH. (1995) "The Relation of Lead-
   Contaminated House Dust and Blood Lead Levels Among Urban Children:
   Volumes I and II." Departments of Pediatrics, Biostatistics, and Environmental
   Medicine, The Rochester School of Medicine, Rochester, New York, and The
   National Center for Lead-Safe Housing, Columbia Maryland, June, 1995.
                                        76

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Topic
Area
Reference
C,F     Romieu, I., Carreon, T., Lopez, L., Palazuelos, E., Rios, C., Manuel, Y., and
           Hernandez-Avila, M.  (1995) "Environmental Urban Lead Exposure and Blood
           Lead Levels in Children of Mexico City." Environmental Health Perspectives
           103(11):1036-1040.

C       Solomon, R.L. and Hartford, J.W. (1976) "Lead and Cadmium in Dusts and Soils in
           a Small Urban Community." Environmental Science & Technology. 10(8):773-
           777.

C,F     Steuteville, W.D. (1990) "Interior Remediation of Residences: Lead Abatement (A
           Case History of a Superfund Project and Public Involvement)." In: Procedures of
           the National Conference of Hazardous Wastes and Hazardous Materials. Silver
           Springs, MD: Hazardous Materials Research Control Institute.

A       USEPA (1997)  "Lead Exposure Associated with Renovation and Remodeling
           Activities: Environmental Field Sampling Study. Volume I: Draft Technical
           Report." Office of Pollution Prevention and Toxics, U.S. Environmental
           Protection Agency, EPA 747-R-96-007,  February,  1997.

A       USEPA (1996a) "Comprehensive Abatement Performance Study. Volume I:
           Summary Report." Office of Prevention, Pesticides and Toxic Substances, U.S.
           Environmental Protection Agency, EPA 230-R-94-013a, April 1996.

C,F,A   USEPA (1996b) "Lead-Based Paint Abatement and Repair and Maintenance Study
           in Baltimore:  Pre-Intervention Findings." Office of Prevention, Pesticides and
           Tosic Substances, U.S. Environmental Protection Agency, EPA 747-R-95-012,
           August 1996.

C       USEPA (1995a) "Sampling House Dust for Lead:  Basic Concepts and Literature
           Review."  Office of Prevention, Pesticides and Toxic Substances, U.S.
           Environmental Protection Agency, EPA 747-R-95-007, September 1995.

C       USEPA (1995b) "Laboratory Evaluation of Dust and Dust Lead Recoveries for
           Samplers and Vacuum Cleaners." Office of Pollution Prevention and Toxics, U.S.
           Environmental Protection Agency, EPA 747-R-94-004A, 747-R-94-004B, March
           1995.

C       USEPA (1995c) "Report on the National Survey of Lead-Based Paint in Housing:
           Base Report." Office of Pollution Prevention and Toxics, U.S. Environmental
           Protection Agency, EPA 747-R-95-003, April 1995.

C,A     USEPA (1995d) "Comprehensive Abatement Performance Pilot Study." Office of
           Prevention, Pesticides and Toxic Substances, U.S. Environmental Protection
           Agency, EPA 747-R-93-007, February 1995.

                                        77

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Topic
Area
Reference
C       Wang, E.Y., Willis, R.D., Buckley, T.J., Rhoads, G.G., and Lioy, PJ. (1996) "The
           Relationship Between the Dust Lead Concentration and the Particle Sizes of
           Household Dusts Collected in Jersey City Residences." Applied Occupational
           Environmental Hygiene.  11(3):199-206.

C       Wang, E., Rhoads, G.G., Wainman, T., and Lioy, PJ. (1995) "Effects of
           Environmental and Carpet Variables on Vacuum Sampler Collection Efficiency."
           Applied Occupational Environmental Hygiene. 10(2): 111 -119.
                                         78

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