Integrated Review Plan for the
National Ambient Air Quality
Standards for Lead

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                                     EPA-452/R-11-008
                                       November 2011
Integrated Review Plan for the
 National Ambient Air Quality
        Standards for Lead
        U. S. Environmental Protection Agency

        National Center for Environmental Assessment
           Office of Research and Development
                    and
         Office of Air Quality Planning and Standards
              Office of Air and Radiation

          Research Triangle Park, North Carolina

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                                   DISCLAIMER

      This integrated review plan for the national ambient air quality standards for lead serves
as a public information document and a management tool for the U. S. Environmental Protection
Agency's National Center for Environmental Assessment and Office of Air Quality Planning and
Standards.  The approach described in this plan may be modified to reflect information
developed during this review and in consideration of advice and comments received from the
Clean Air Scientific Advisory Committee and the public during the course of the review.
Mention of trade names or commercial products does not constitute endorsement or
recommendation for use.

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                         TABLE OF CONTENTS

1.   INTRODUCTION	1-1
    1.1    LEGISLATIVE REQUIREMENTS	1-1
    1.2    OVERVIEW OF THE NAAQS REVIEW PROCESS	1-3
    1.3    REVIEW OF AIR QUALITY CRITERIA AND STANDARDS FOR LEAD	1-8
    1.4    SCOPE OF THE CURRENT REVIEW	1-10
2.   STATUS AND SCHEDULE	2-1
3.   KEY POLICY-RELEVANT IS SUES	3-1
    3.1    ISSUES RELATED TO THE PRIMARY NAAQS	3-1
    3.2    ISSUES RELATED TO THE SECONDARY NAAQS	3-3
4.   SCIENCE ASSESSMENT	4-1
    4.1    SCOPE AND ORGANIZATION	4-1
    4.2    ASSESSMENT APPROACH	4-2
          4.2.1    Introduction	4-2
          4.2.2    Literature Search and Identification of Relevant Studies	4-4
          4.2.3    Criteria for Study Selection	4-4
          4.2.4    Quality Assurance	4-6
    4.3    CONTENT AND ORGANIZATION OF THE ISA	4-7
    4.4    CAUSAL DETERMINATIONS	4-15
    4.5    SUPPLEMENTARY MATERIALS	4-15
    4.6    SCIENTIFIC AND PUBLIC REVIEW	4-16
5.   QUANTITATIVE RISK AND EXPOSURE ASSESSMENTS	5-1
    5.1    OVERVIEW OF ASSESSMENTS IN  LAST REVIEW	5-2
          5.1.1    Human Exposure and Health  Risk Assessments	5-2
          5.1.2    Ecological Risk Assessment	5-5
    5.2   CONSIDERATION OF QUANTITATIVE ASSESSMENTS FOR
          THIS REVIEW	5-6
          5.2.1    Human Exposure and Health  Risk Assessments	5-7
          5.2.2    Ecological Risk Assessment	5-10
6.   AMBIENT AIR MONITORING	6-1
    6.1  Consideration of Sampling and Analysis  Methods	6-1
    6.2  Consideration of Air Monitoring Network Requirements	6-2
7.   POLICY ASSESSMENT AND RULEMAKING	7-1
    7.1  Policy Assessment  	7-1
    7.2  Rulemaking	7-3
8.   REFERENCES	8-1


APPENDIX.  INTEGRATED SCIENCE ASSESSMENT FOR LEAD - OUTLINE	A-1

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                                1  INTRODUCTION

       The U.S. Environmental Protection Agency (EPA) is conducting a review of the air
quality criteria and the national ambient air quality standards (NAAQS) for lead (Pb).  This
Integrated Review Plan (IRP) contains the plans for this review.  The review will provide an
integrative assessment of relevant scientific information for Pb and will focus on the basic
elements of the NAAQS for Pb: the indicator,1 averaging time, form,2 and level. These
elements, which together serve to define each ambient air quality standard, must be considered
collectively in evaluating the protection to public health and public welfare afforded by the
standards.
       This document is organized into eight chapters. Chapter 1 presents background
information on the review process, the legislative requirements for the review of the NAAQS,
past reviews of the NAAQS for Pb, and the scope of the current review. Chapter 2 presents the
status and schedule for the current review.  Chapter 3 presents a set of policy-relevant questions
that will serve to focus this review on the critical scientific and policy issues.  Chapters 4 through
7 discuss the planned scope and organization of key assessment documents, the planned
approaches for preparing the documents, specific monitoring considerations and plans for
scientific and public review of the documents. Complete reference citations are provided in
chapter 8.
1.1    LEGISLATIVE REQUIREMENTS
       Two sections of the Clean Air Act (CAA) govern the establishment and revision of the
NAAQS.  Section 108 (42 U.S.C. section 7408) directs the Administrator to identify and list
certain air pollutants and then to issue air quality criteria for those pollutants.  The Administrator
is to list those air pollutants that in her "judgment, cause or contribute to air pollution which may
reasonably be anticipated to endanger public health or welfare;" "the presence of which in the
ambient air results from numerous or diverse mobile or stationary sources;" and "for which . . .
[the Administrator] plans to issue air quality criteria..."  Air quality criteria are intended to
"accurately reflect the latest scientific knowledge useful in indicating the kind and extent of all
identifiable effects on public health or welfare which may be expected from the presence of [a]
pollutant in the ambient air . . ." 42  U.S.C. § 7408(b).  Section 109 (42 U.S.C. 7409) directs the
       1 The "indicator" of a standard defines the chemical species or mixture that is to be measured in
determining whether an area attains the standard.
       2 The "form" of a standard defines the air quality statistic that is to be compared to the level of the standard
in determining whether an area attains the standard. For example, the form of the annual PM25 NAAQS is the three-
year average of the weighted annual mean PM2 5 concentrations, while the form of the current three-month Pb
NAAQS is a three-month average concentration not to be exceeded during a three-year period.
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Administrator to propose and promulgate "primary" and "secondary" NAAQS for pollutants for
which air quality criteria are issued. Section 109(b)(l) defines a primary standard as one "the
attainment and maintenance of which in the judgment of the Administrator, based on such
criteria and allowing an adequate margin of safety, are requisite to protect the public health."3  A
secondary standard, as defined in section 109(b)(2), must "specify a level of air quality the
attainment and maintenance of which, in the judgment of the Administrator, based on such
criteria, is requisite to protect the public welfare from any known or anticipated adverse effects
associated with the presence of [the] pollutant in the ambient air."4
        The requirement that primary standards provide an adequate margin of safety was
intended to address uncertainties associated with inconclusive scientific and technical
information available at the time of standard setting.  It was also intended to provide a reasonable
degree of protection against hazards that research has not yet identified.  See Lead Industries
Association v. EPA, 647 F.2d 1130, 1154 (D.C. Cir 1980), cert, denied, 449 U.S.  1042 (1980);
American Petroleum Institute v. Costle, 665 F.2d 1176, 1186 (D.C. Cir. 1981), cert, denied, 455
U.S. 1034 (1982); American Farm Bureau Federation v. EPA, 559 F. 3d 512, 533 (D.C. Cir.
2009); Association of Battery Recyclers v. EPA, 604 F. 3d 613, 617-18 (D.C. Cir. 2010). Both
kinds of uncertainties are components of the risk associated with pollution at levels below those
at which human health effects can be said to occur with reasonable scientific certainty. Thus, in
selecting primary standards that provide an adequate margin of safety, the Administrator is
seeking not only to prevent pollution levels that have been demonstrated to be harmful but also
to prevent lower pollutant levels that may pose an unacceptable risk of harm, even if the risk is
not precisely identified as to nature or degree. The CAA does not require the Administrator to
establish a primary NAAQS at a zero-risk level or  at background concentration levels, see Lead
Industries v. EPA, 647 F.2d at 1156 n.51, but rather at a level that reduces risk sufficiently so as
to protect public health with an adequate margin of safety.
        In addressing the requirement for an adequate margin of safety, the EPA considers such
factors as the nature and severity of the health effects involved, the size of sensitive population(s)
at risk, and the kind and degree of the uncertainties that must be addressed. The selection of any
particular approach to providing an adequate margin of safety is a policy choice left specifically
       3 The legislative history of section 109 indicates that a primary standard is to be set at "the maximum
permissible ambient air level. . . which will protect the health of any [sensitive] group of the population," and that
for this purpose "reference should be made to a representative sample of persons comprising the sensitive group
rather than to a single person in such a group" S. Rep. No. 91-1196, 91st Cong., 2d Sess. 10 (1970).
       4 Welfare effects as defined in section 302(h) (42 U.S.C. § 7602(h)) include, but are not limited to, "effects
on soils, water, crops, vegetation, man-made materials, animals, wildlife, weather, visibility and climate, damage to
and deterioration of property, and hazards to transportation, as well as effects on economic values and on personal
comfort and well-being."
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to the Administrator's judgment.  See Lead Industries Association v. EPA., 647 F.2d at 1161-62;
Whitman v. American Trucking Associations, 531 U.S. 457, 495 (2001).
       In setting primary and secondary standards that are "requisite" to protect public health
and welfare, respectively, as provided in section 109(b), EPA's task is to establish standards that
are neither more nor less stringent than necessary for these purposes. In so doing, EPA may not
consider the costs of implementing the standards.  See generally, Whitman v. American Trucking
Associations, 531 U.S. 457, 465-472, 475-76 (2001). Likewise, "[attainability and
technological feasibility are not relevant considerations in the promulgation of national ambient
air quality standards." American Petroleum Institute v. Costle, 665 F. 2d at 1185.
       Section 109(d)(l) requires that "not later than December 31, 1980,  and at 5-year
intervals thereafter, the Administrator shall complete a thorough review of the criteria
published under section 108 and the national ambient air quality standards . . . and shall make
such revisions in such criteria and standards and promulgate such new standards as may be
appropriate . .  . ." Section 109(d)(2) requires that an independent scientific review committee
"shall complete a review of the criteria . . . and the national primary and secondary ambient air
quality standards . . .  and  shall recommend to the Administrator any new .  . . standards and
revisions of existing criteria and standards as may be appropriate . . . ."  Since the early 1980's,
this independent review function has been performed by the Clean Air Scientific Advisory
Committee (CASAC).5
1.2    OVERVIEW OF THE NAAQS REVIEW PROCESS
       Since completion of the last Pb NAAQS review, the Agency has made a number of
changes to the process for reviewing the NAAQS.  The current process, which is being applied to
this review of the NAAQS for Pb, has four major phases:  (1) planning, (2) science assessment,
(3) risk/exposure assessment, and (4) policy assessment and rulemaking. An overview of the
process is illustrated in Figure 1-1 below and each of these phases is described in this section.6
The Agency maintains a web site on which key documents developed for NAAQS reviews are
made available (http://www.epa.gov/ttn/naaqs/).
       The planning  phase of the NAAQS review process begins with a science policy
workshop, which is intended to identify issues  and questions to frame the review. Drawing from
the workshop discussions, a draft IRP is prepared jointly by EPA's National Center for
Environmental Assessment (NCEA), within the Office of Research and Development (ORD),
       5 Lists of CAS AC members and of members of the CAS AC Pb Review Panel are available at:
http://vosemite.epa.gov/sab/sabproduct.nsfAVebCASAC/CommitteesandMembership7OpenDocument.
       6 Information on changes to the NAAQS review process since the last Pb NAAQS review is available at:
http://www.epa.gov/ttn/naaqs/review.html.
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and EPA's Office of Air Quality Planning and Standards (OAQPS), within the Office of Air and
Radiation (OAR). The draft IRP is made available for consultation with CASAC and for public
comment. The final IRP is prepared in consideration of CASAC and public comments. This
document presents the current plan and specifies the schedule for the entire review, the process
for conducting the review, and the key policy-relevant science issues that will guide the review.
       The second phase of the review, science assessment, involves the preparation of an
Integrated Science Assessment (ISA) and supplementary materials. The ISA, prepared by
NCEA, provides a concise review, synthesis, and evaluation of the most policy-relevant science,
including key science judgments that are important to the design and scope of exposure and risk
assessments, as well as other aspects of the NAAQS review. The ISA and its supplementary
materials provide a comprehensive assessment of the current scientific literature pertaining to
known and anticipated effects on public health and welfare associated with the presence of the
pollutant in the ambient air, emphasizing information that has become available since the last air
quality criteria review in order to reflect the current state of knowledge. As such, the ISA forms
the scientific foundation for each NAAQS review and is intended to provide information useful
in forming judgments about air quality indicator(s), form(s), averaging time(s) and level(s) for
the NAAQS.  Hence, the ISA and its associated materials function in the current NAAQS review
process as the Air Quality Criteria Document (AQCD) did in the previous review process.  The
current review process generally includes production of a first and second draft ISA, both of
which undergo CASAC and public review prior to completion of the final ISA. Section 4 below
provides  a more detailed description of the planned scope, organization and assessment approach
for the ISA and its supporting materials.
       In the third phase, the risk/exposure assessment phase, OAQPS staff considers
information and conclusions presented in the ISA, with regard to support provided for the
development of quantitative assessments of the risks and/or exposures for health and/or welfare
effects. As an initial step, staff prepares one or more planning documents that consider the
extent to  which newly available scientific evidence and tools/methodologies warrant the conduct
of quantitative risk and exposure assessments. To the extent warranted, this document(s)
outlines a general plan, including scope and methods, for conducting the assessments. This
planning  document(s) is generally prepared in conjunction with the first draft ISA and presented
for consultation with CASAC  and for public comment. As discussed in chapter 5 below, this
planning  document for the current Pb NAAQS review (REA Planning Document; USEPA,
201 Ib) focused on consideration of the newly available data, methods and tools in light of areas
of uncertainty in  the assessments conducted for the last review and of the potential for new or
updated assessments to provide notably different exposure and risk estimates with lower
associated uncertainty.  Comments received on the planning document(s) have been considered
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in the Agency's decision as to whether to conduct such assessments for this review.  When an
assessment is performed, one or more drafts of each risk and exposure assessment document
(REA) undergoes CASAC and public review, with the initial draft REA(s) generally being
reviewed in conjunction with review of the second draft ISA, prior to completion of final
REA(s).  The REA provides concise presentations of methods, key results, observations, and
related uncertainties. Chapter 5 discusses consideration human health- and welfare-related
assessments for this review.
       The review process ends with a policy assessment and rulemaking phase. Under the
current NAAQS review process (Jackson, 2009), the EPA Administrator has reinstated the use of
a Policy Assessment (PA).  The PA, like the previous OAQPS Staff Paper, is a document that
provides a transparent OAQPS staff analysis and staff conclusions regarding the adequacy of the
current standards and potential alternatives that are appropriate to consider prior to the issuance
of proposed and final rules.  The PA integrates and interprets the information from the ISA and
REA(s) to frame policy options for consideration by the Administrator. Such an evaluation of
policy implications is intended to help "bridge the gap" between the Agency's scientific
assessments, presented in the ISA and REA(s), and the judgments required of the EPA
Administrator in determining whether it is appropriate to retain or revise the NAAQS. In so
doing, the PA is also intended to facilitate CASAC's advice to the Agency and recommendations
to the Administrator on the adequacy of the existing standards  or revisions that may be
appropriate to consider, as provided for in the CAA.  In evaluating the adequacy of the current
standards and, as appropriate, a range of alternative standards,  the PA considers the available
scientific evidence and, as available, quantitative risk-based analyses, together with related
limitations and uncertainties. The PA focuses on the information that is most pertinent to
evaluating the basic elements of national ambient air quality standards: indicator, averaging
time, form, and level.  One or more drafts of a PA are released for CASAC review and public
comment prior to  completion of the final PA.
       Following issuance of the final PA and consideration of conclusions presented therein,
the Agency develops and publishes a notice of proposed rulemaking that communicates the
Administrator's proposed decisions regarding the standards review. A draft notice undergoes
interagency review involving other federal agencies prior to publication.7 Materials upon which
this decision is based, including the documents described above,  are made available to the public
in the regulatory docket for the review.  A public comment period, during which public  hearings
       7 Where implementation of the proposed decision would have an annual effect on the economy of $100
million or more, e.g., by necessitating the implementation of emissions controls, EPA develops and releases a draft
regulatory impact analysis (RIA) concurrent with the notice of proposed rulemaking.  This activity is conducted
under Executive Order 12866. The RIA is conducted completely independent of and, by statute, is not considered in
decisions regarding the review of the NAAQS.
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are generally held, follows publication of the notice of proposed rulemaking. Taking into
account comments received on the proposed rule,8 the Agency develops a final rule which
undergoes interagency review prior to publication to complete the rulemaking process.  Chapter
7 discusses the development of the PA and the rulemaking steps for this review.
        When issuing the final rulemaking, the Agency responds to all significant comments on the proposed rule.
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    Peer-reviewed
   scientific studies
                   Integrated Review
                   Plan: timeline and
                   key policy-relevant
                   issues and scientific
                       questions
   Integrated Science Assessment:
concise evaluation and synthesis of most
        policy-relevant studies
                          1
                                                            t
     CASAC review and public
             comment
                  CASAC consultation
                  and public comment
    Risk/Exposure Assessment:
    concise quantitative assessment
       focused on key results,
    observations, and uncertainties
              EPA
           proposed
          decision on
           standards


Interagency
review


Agency decision-
making and draft
nrnnncal nntirp
                             Public hearings
                             and comments
                              on proposal
     Agency decision-
     making and draft
       final notice
                Policy Assessment:
                  staff analysis of
                policy options based
                 on integration and
                  interpretation of
                information in the ISA
                     and REA
Interagency
  review
  EPA final
decision on
 standards
Figure 1-1.   Overview of the NAAQS Review Process.
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1.3    REVIEW OF AIR QUALITY CRITERIA AND STANDARDS FOR
       LEAD
       On October 5, 1978, EPA initially promulgated primary and secondary NAAQS for Pb
under section 109 of the Act (43 FR 46246).  Both primary and secondary standards were set at a
level of 1.5 micrograms per cubic meter (ug/m3), measured as Pb in total suspended particles
(Pb-TSP), not to be exceeded by the maximum arithmetic mean concentration averaged over a
calendar quarter. These standards were based on the 1977 Air Quality Criteria for Lead (USEPA,
1977).
       The first review of the Pb standards was initiated in the mid-1980s. The scientific
assessment for that review is described in the 1986 Air Quality Criteria for Lead (USEPA,
1986a), the associated Addendum (USEPA, 1986b) and the 1990 Supplement (USEPA, 1990a).
As part of the review, the Agency designed and performed human exposure and health risk
analyses (USEPA, 1989), the results of which were presented in a 1990 Staff Paper (USEPA,
1990b). Based on the scientific assessment and the human exposure and health risk analyses, the
1990 Staff Paper presented recommendations for consideration by the Administrator (USEPA,
1990b). After consideration of the documents developed during the review and the significantly
changed circumstances since Pb was listed in 1976, the Agency did not propose any revisions to
the 1978 Pb NAAQS. In a parallel effort, the Agency developed the broad, multi-program,
multimedia, integrated U.S.  Strategy for Reducing Lead Exposure (USEPA, 1991).  As part of
implementing this strategy, the Agency focused efforts primarily on regulatory and remedial
clean-up actions aimed at reducing Pb exposures from a variety of nonair sources judged to pose
more extensive public health risks to U.S. populations, as well as on actions to reduce Pb
emissions to air, such as bringing more areas into compliance with the existing Pb NAAQS
(USEPA, 1991).
       The most recent review of the Pb air quality criteria and standards was initiated in
November, 2004 (69 FR 64926) and the Agency's plans  for preparation of the Air Quality
Criteria Document and conduct of the NAAQS review were contained in two documents: Project
Work Plan for Revised Air Quality Criteria for Lead (USEPA, 2005); and Plan for Review of the
National Ambient Air Quality Standards for Lead (USEPA 2006a).9 The schedule for
completion of this review was governed by a judicial order in Missouri Coalition for the
Environment v. EPA (No. 4:04CV00660 ERW, Sept. 14, 2005; and amended on April 29, 2008
and July 1, 2008), which specified a schedule for the review of duration substantially shorter
than five years.
       9 In the current review, these two documents have been combined into an integrated plan (this document).
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       The scientific assessment for the review is described in the 2006 Air Quality Criteria for
Lead(AQCD, USEPA, 2006b), multiple drafts of which received review by CAS AC and the
public. EPA also conducted human exposure and health risk assessments and a pilot ecological
risk assessment for the review, after consultation with CASAC and receiving public comment on
a draft analysis plan (USEPA, 2006c). Drafts of these quantitative assessments were reviewed
by CASAC and the public. The pilot ecological risk assessment was released in December 2006
(ICF, 2006) and the final health risk assessment report was released in November 2007 (USEPA,
2007a). The policy assessment based on both of these assessments, air quality analyses and key
evidence from the AQCD was presented in the Staff Paper (USEPA, 2007b), a draft of which
also received CASAC and public review. The final Staff Paper presented OAQPS staffs
evaluation of the public health and welfare policy implications of the key studies and scientific
information contained in the Criteria Document and presented and interpreted results from the
quantitative risk/exposure analyses conducted for this review. Based on this evaluation, the Staff
Paper presented OAQPS staff recommendations that the Administrator give consideration to
substantially revising the primary and secondary standards to a range of levels at or below 0.2
|ig/m3.
       Immediately subsequent to completion of the Staff Paper, EPA issued  an advance notice
of proposed rulemaking (ANPR) that was signed by the Administrator on December 5, 2007 (72
FR 71488).10 CASAC provided advice and recommendations to the Administrator with regard to
the Pb NAAQS based on its review of the ANPR and the previously released final Staff Paper
and risk assessment reports. The proposed decision on revisions to the Pb NAAQS was signed
on May 1, 2008 and published in the Federal Register on May 20, 2008 (73 FR 29184). In
addition to public comments on the proposal received during the public comment period, both
written and oral at two public hearings, the CASAC Pb Panel provided advice and
recommendations to the Administrator based on its review of the proposal notice.  The final
decision on revisions to the Pb NAAQS was signed on October 15, 2008  and published in the
Federal Register on November 12, 2008 (73 FR 66964).
       The November 2008 notice described EPA's revisions to the primary and secondary
NAAQS for Pb.  In consideration of the much-expanded health effects evidence on
neurocognitive effects of Pb in children, EPA substantially revised the primary standard from a
level of 1.5 jig/m3 to alevel of 0.15  |ig/m3. EPA's decision on the level for the standard was
based on the weight of the scientific evidence and guided by an evidence-based framework that
integrates evidence for relationships between Pb in air and Pb in children's blood and Pb in
       10 The ANPR was one of the features of the revised NAAQS review process that EPA instituted in 2006. In
2009 (Jackson, 2009), this component of the process was replaced by reinstatement of the OAQPS policy
assessment (previously termed the Staff Paper).
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children's blood and IQ loss.  The level of 0.15 ug/m3 was estimated to protect against air Pb-
related IQ loss in the most highly exposed children, those exposed at the level of the standard.
Results of the quantitative risk assessment were judged supportive of the evidence-based
framework estimates. The averaging time was revised to a rolling three-month period with a
maximum (not-to-be-exceeded) form, evaluated over a three-year period.  As compared to the
previous averaging time of calendar quarter, this revision was considered to be more
scientifically appropriate and more health protective.  The rolling average  gives equal weight to
all three-month periods, and the new calculation method gives equal weight to each month
within each three-month period.  Further, the rolling average yields 12 three-month averages
each year to be compared to the NAAQS versus four averages in each year for the block calendar
quarters pertaining to the previous standard.  The indicator of Pb-TSP was retained, reflecting
the evidence that Pb particles of all sizes pose health risks. The secondary standard was revised
to be identical in all respects to the revised primary standards.11
       Revisions to the NAAQS were accompanied by revisions to the data handling
procedures, the treatment of exceptional events and the ambient air monitoring and reporting
requirements, as well as emissions inventory reporting requirements.12 As described in chapter 6
below, one aspect of the new data handling requirements is the allowance  for the use of Pb-PMi0
monitoring for Pb NAAQS attainment purposes in certain limited circumstances at non-source-
oriented sites. Subsequent to the 2008 rulemaking, additional revisions were made to the
monitoring network requirements as described in chapter 6 below.
1.4   SCOPE OF THE  CURRENT REVIEW
       For the current review of the Pb standards, relevant scientific information will  be
assessed with regard to human exposures and health effects associated with exposure to ambient
air-related Pb. The review will also assess any relevant scientific information associated with
known or anticipated public welfare effects that may be identified. Unlike the other pollutants
for which NAAQS are established, Pb is a multimedia pollutant. Lead emitted into ambient air
may subsequently occur in multiple environmental media, contributing to  multiple pathways of
exposure for humans and ecological receptors. This multimedia distribution of and
multipathway exposure to air-related Pb has a key role in the Agency's consideration of the Pb
NAAQS.  Some associated considerations include the following (73 FR 66971):
       11 The current NAAQS for Pb are specified at 40 CFR 50.16.
       12 The current federal regulatory measurement methods for Pb are specified in 40 CFR 50, Appendix G and
40 CFR part 53. Consideration of ambient air measurements with regard to judging attainment of the standards is
specified in 40 CFR 50, Appendix R.  The Pb monitoring network requirements are specified in 40  CFR 58,
Appendix D, section 4.5. Guidance on the approach for implementation of the new standards was described in the
Federal Register notices for the proposed and final rules (73 FR 29184; 73 FR 66964).
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   •   Lead emitted into the air is predominantly in particulate form, which can be transported
       long or short distances depending on particle size.

   •   Once deposited out of the air, Pb can subsequently be resuspended in the ambient air and,
       because of the persistence of Pb, Pb emissions contribute to media concentrations for
       some years into the future.

   •   Exposure to Pb emitted into the ambient air (air-related Pb) can occur directly by
       inhalation, or indirectly by ingestion of Pb-contaminated food, water or other materials
       including dust and soil.13  These exposures occur as Pb emitted into the ambient air is
       distributed to other environmental media and can contribute to human exposures via
       indoor and outdoor dusts, outdoor soil, food and drinking water, as well as inhalation of
       air.

   •   Air-related exposure pathways are affected by changes to air quality, including changes
       in concentrations of Pb in air and changes in atmospheric deposition of Pb.  Further,
       because of its persistence in the environment, Pb deposited from the air may contribute to
       human and ecological exposures for years into the future.  Thus, the roles of both air
       concentration and air deposition in human exposure pathways, and the persistence of Pb
       once deposited, influence the dynamics of the response of the various Pb exposure
       pathways to changes in air quality.


       The current review of the Pb standards builds on the substantial body of work done
during the course of the last review.  In addition to a comprehensive Air Quality Criteria
Document, EPA staff designed and conducted a complex multimedia, multipathway health risk
assessment involving case studies represented different ambient air Pb exposure circumstances,
and an assessment of the available information on ecological impacts of Pb, including the
consideration of potentially vulnerable ecosystems. These different types of information were
evaluated in a Staff Paper and provided the basis for the notice of proposed rulemaking and for
the substantial revisions made to the Pb NAAQS. In light of the  extensive and detailed
quantitative analysis of health risks in the last review,  as well as the substantial revisions made to
the standard and the period  of time elapsed since then in which new data may have been
collected, the information newly available in the current review has been considered with regard
to the extent to which an update or expansion to the last quantitative risk assessment is
warranted, as described in chapter 5 below.
       13 In general, air-related pathways include those pathways where Pb passes through ambient air on its path
from a source to human exposure or to an ecological receptor.
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                        2   STATUS AND SCHEDULE

       In April 2010, EPA's National Center for Environmental Assessment in Research
Triangle Park, NC (NCEA-RTP) announced the initiation of the current periodic review of the
air quality criteria for Pb and the Pb NAAQS and issued a call for information in the Federal
Register (75 FR 20843). Also, as an initial step in the NAAQS  review process described in
Section 1.1 above, EPA invited a wide range of external and internal EPA experts, representing a
variety of areas of expertise (e.g., epidemiology, human and animal toxicology, statistics,
risk/exposure analysis,  atmospheric science) to participate in a workshop to discuss the policy-
relevant science to inform development of this plan. This workshop was held May 10-11,  2010
in Research Triangle Park, NC (75 FR 20843). This workshop provided an opportunity for the
participants to broadly discuss the key policy-relevant issues around which EPA would structure
the Pb NAAQS review and to  discuss  the most meaningful new science that would be available
to inform our understanding of these issues.
       Based in part on the workshop discussions, EPA developed the draft integrated review
plan outlining the schedule, the process, and the policy-relevant science issues identified as key
to guiding the evaluation of the air quality criteria for Pb and the review of the primary and
secondary Pb NAAQS (USEPA, 201 la). The draft IRP was made available for consultation with
the CASAC Pb Review Panel  and for public comment (76 FR 20347). The CASAC Pb Review
Panel provided consultative advice on a public teleconference held May 5, 2011 (76 FR 21346;
Frey, 201 la). Subsequently, EPA released the first external review draft of the ISA for Pb
(USEPA, 201 Ib) for public and CASAC review (76 FR 26284). The CASAC Pb Review Panel
discussed their review of this document at a public meeting on July 20-21, 2011 (76 FR 36120).
EPA released the  REA planning document (REA Planning Document; USEPA, 201 Ic) in June,
2011 for public and CASAC review (76 FR 58509). The CASAC Pb Panel provided
consultative advice on this document at a public meeting on July 21, 2011 (76 FR 36120).
Consultative advice received from the CASAC Pb Review Panel on the draft IRP and the REA
Planning Document (Frey, 201 la,b), as well as public comment on these documents has been
considered in developing this final IRP.
       Table 2-1  outlines the full schedule under which the Agency is currently conducting this
review.  The scope of the review and of the key documents to be prepared during the review are
discussed throughout the rest of this document.
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Table 2-1. Schedule for Review of Ambient Air Quality Criteria and NAAQS for Pb.
Stage of Review
Major Milestone
Target Dates
Integrated Plan         Literature Search
                      Federal Register Call for Information
                      Workshop on science/policy issues
                      Draft Integrated Review Plan (IRP)
                      CASAC consultation on IRP
                      Final IRP
                                                   Ongoing
                                                   February 26, 2010
                                                   May 10-11,2010
                                                   March  31,2011
                                                   May 5, 2011
                                                   November 2011
Science Assessment
First draft of ISA
CASAC public meeting for review of first draft ISA
Second draft of IS A
CASAC/public review of second draft ISA
Final ISA
May 6, 2011
July 20-21,2011
January 2012
March/April 2012
August 2012
Risk/Exposure
Assessment
Policy Assessment/
Rulemaking
Planning document
CASAC public meeting for consultation on planning
document
First draft of policy assessment (PA)
CAS AC/public review of first draft PA
Second draft of PA
CAS AC/public review of second draft PA
Final PA
Notice of proposed rulemaking
Notice of final rulemaking
June 28, 2011
July 21, 2011
September 20 12
October 2012
March 20 13
April 20 13
July 20 13
January 20 14
November 20 14
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                   3  KEY POLICY-RELEVANT ISSUES

       The overarching question in each NAAQS review is: Does the currently available
scientific evidence and exposure/risk-based information support or call into question the
adequacy of the protection afforded by the current standard(s) ? As appropriate, a review also
addresses a second overarching question:  What alternative standards, if any, are supported by
the currently available scientific evidence and exposure/risk-based information and are
appropriate for consideration^ In considering these overarching questions, we have identified
key policy-relevant issues to be addressed in this review.  They are presented below as a series of
policy-relevant questions that will frame our approach to considering whether the current
primary and secondary NAAQS for Pb should be retained or revised. The ISA and PA
developed in this new review14 will provide the basis for addressing  these questions and will
inform the Agency's judgment as to the adequacy of the current primary and secondary standards
for Pb, and decisions as to whether to retain or revise these standards.  An overarching policy-
relevant aspect of the Pb NAAQS is the multimedia nature of Pb  and associated occurrence of
exposure to air-related Pb by way of multiple  pathways.
3.1   ISSUES RELATED TO THE PRIMARY NAAQS
       In reviewing the adequacy of the current primary Pb NAAQS, we consider whether the
available body of scientific evidence, assessed in the ISA, and used as a basis for developing or
interpreting risk/exposure analyses, supports or calls into question the scientific conclusions
reached in the last review regarding health effects related to exposure to ambient air-related Pb.
In considering this issue, as in all NAAQS reviews, we give particular attention to exposures and
health risks to at-risk populations.15 In this review, this includes a focus on young children and
on early childhood exposures. The evaluation of the available scientific evidence and
risk/exposure information with regard to adequacy will focus on key policy-relevant issues by
addressing a  series of questions including the  following:
       14 As discussed in chapter 5 below and based on considerations described in the REA Planning Document,
new REAs will not be developed for this review. Rather, the PA will draw on the assessment completed in the last
review, taking into account the newly available evidence presented in the ISA and other documents prepared for the
review.
       15 As used here and similarly throughout this document, the term population refers to persons having a
quality or characteristic in common, such as a specific pre-existing illness or a specific age or life stage. Identifying
at-risk populations involves consideration of susceptibility and vulnerability. Susceptibility refers to innate (e.g.,
genetic or developmental aspects) or acquired (e.g., disease or smoking status) sensitivity that increases the risk of
health effects occurring with exposure to Pb. Vulnerability refers to an increased risk of lead-related health effects
due to factors such as those related to socioeconomic status, reduced access to health care or exposure.
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    •   To what extent has new information altered the scientific support for the occurrence of
       health effects as a result of multimedia exposure associated with levels of Pb occurring in
       the ambient air?

    •   To what extent is key scientific evidence becoming available to improve our
       understanding of the health effects associated with various time periods of Pb exposures
       at various stages of life?

    •   At what levels of Pb exposure do health effects of concern occur? Is there evidence of
       effects at exposure levels lower than previously observed and what are important
       uncertainties in that evidence?

    •   To what extent does the evidence suggest that dose indicators other than blood Pb levels
       should be evaluated to characterize the biological effect?

    •   To what extent has new information altered scientific conclusions regarding the
       relationships between Pb  in ambient air and Pb in children's blood and between Pb  in
       children's blood and reduced IQ?

    •   Has new information altered our understanding of human populations that are particularly
       sensitive to Pb exposures? Is there new or emerging evidence on health effects beyond
       neurocognitive endpoints in children that suggest additional sensitive populations should
       be given increased focus in this review?

    •   To what extent does risk or exposure information suggest that exposures of concern for
       Pb-related health effects are likely to occur with current ambient levels of Pb or with
       levels that just meet the Pb standard? Are the estimated risks/exposures considered in
       this review of sufficient magnitude such that the health effects might reasonably be
       judged to be important  from a public health perspective? What are the important
       uncertainties associated with any risk/exposure estimates?

    •   To what extent have important uncertainties identified in the last review been reduced
       and/or have new uncertainties emerged?

    •   To what extent does newly available information reinforce or call into question any of the
       basic elements of the current Pb standard?
       If the evidence suggests that revision of the current standards might be appropriate,  EPA
will evaluate how the standards might be revised. Specifically, we will evaluate how the
scientific information and assessments inform decisions regarding the basic elements of the Pb
NAAQS: indicator, averaging time, level,  and form. These elements will be considered
collectively  in evaluating the health protection afforded by the current or any alternative
standards considered. With regard to consideration of alternative standards, specific policy-
relevant questions that will be addressed include:
    •   To what extent is there  any new information that would support consideration of a
       different indicator for Pb?
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   •   To what extent does the health effects evidence evaluated in the ISA, air quality analyses
       and, if available, the REA, provide support for considering different exposure indices or
       averaging times?

   •   To what extent do air quality analyses and other information provide support for
       consideration of alternative standard forms?

   •   What range of alternative standard levels should be considered based on the scientific
       evidence evaluated in the ISA, air quality analyses and, if available, REA?

   •   What are the important uncertainties and limitations in that evidence and assessments and
       how might those uncertainties and limitations be taken into consideration in identifying
       alternative standards for consideration?

3.2    ISSUES RELATED TO THE SECONDARY NAAQS
       As with the review of the primary NAAQS, the first step in reviewing the adequacy of
the current secondary NAAQS is to consider whether the available body of scientific evidence,
assessed in the ISA, and considered as a basis for developing or interpreting risk/exposure
analyses, supports or calls into question the scientific conclusions reached in the last review
regarding welfare effects related to exposure to ambient air-related Pb.  This evaluation of the
available scientific evidence and risk/exposure information will focus on key policy-relevant
issues by addressing a series of questions including the following:
   •   To what extent does the available information demonstrate or suggest that Pb-related
       effects are occurring as a result of multimedia pathways associated with current ambient
       air conditions or at levels that would meet the current standard?

   •   To what extent does the newly available information inform judgments  as to whether any
       observed or anticipated effects are adverse to public welfare?

   •   To what extent does the newly available information (including empirical data and
       modeling results) further inform our understanding of mechanisms of exposure and the
       bioavailability of air-related Pb,  or the fate  of air-deposited lead in ecosystems over time?
       What new information is available to inform or facilitate assessment of the movement
       and accumulation of air-deposited Pb through ecosystems over time?

   •   Does the newly available evidence alter the scientific support for lead effects on
       terrestrial or aquatic ecosystems associated with the levels of Pb found in ambient air?
       Does the newly available evidence indicate different exposure levels at which ecological
       systems or receptors are expected to experience effects?

   •   To what extent has the newly available evidence altered our understanding of ecosystems
       or receptors that are particularly sensitive to Pb exposures?  Does the evidence newly
       identify ecosystems or receptors likely to be adversely affected by exposures resulting
       from current ambient conditions?
       What new evidence is there regarding ecosystem critical loads?
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    •   To what extent does risk or exposure information considered in this review suggest that
       ecosystem exposures of concern for Pb-related welfare effects are likely to occur with
       current ambient air levels of Pb or with levels that just meet the Pb standard? What are
       the important uncertainties associated with any such analyses?

    •   To what extent have important uncertainties identified in the last review been reduced
       and/or have new uncertainties emerged?

    •   To what extent does newly available information reinforce or call into question any of the
       basic elements of the current Pb standard?
       To the extent that the evidence suggests that revision of the current secondary Pb
NAAQS would be appropriate to consider, the staff then identifies ranges of standards (in terms
of exposure indices, averaging times, levels, and forms) that would reflect a range of alternative
policy judgments as to the degree of protection that is requisite to protect public welfare from
known or anticipated adverse effects. In so doing, the staff addresses the following questions
taking into  account multimedia, multipathway exposures:
    •   Does the  available information provide support for considering different Pb  exposure
       indices?

    •   Does the  available information provide support for considering different averaging times?

    •   What range of levels and forms of alternative standards is supported by the information,
       and what are the uncertainties and limitations in that information?

    •   To what extent do specific levels and forms of alternative standards reduce adverse
       impacts attributable to Pb, and what are the uncertainties in the estimated reductions?
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                          4   SCIENCE ASSESSMENT

4.1    SCOPE AND ORGANIZATION
       The science assessment for Pb will consist of the ISA as well as supplementary materials
(see Section 4.5) if additional documentation is required to support information contained within
the ISA.  The ISA will critically  evaluate and integrate the scientific information on the health
and welfare effects associated with exposure to Pb.  The ISA is not intended to provide a detailed
literature review; but rather, will draw from the existing body of evidence to synthesize the
current state of knowledge on the most relevant issues pertinent to the review of the NAAQS for
Pb. The ISA provides an updated comprehensive assessment of the current scientific literature
pertaining to known and anticipated effects on public health  and welfare associated with the
presence  of Pb in the ambient air, thus revising the assessment available at the time of the last
review.
       Discussions in the ISA will primarily focus on scientific evaluations that can inform the
key policy questions described in Chapter 3 of this document. Although emphasis is placed on
discussion of health and welfare  effects information, other scientific information is also
presented and evaluated in order to provide a better understanding of the sources of Pb to
ambient air, measurement and concentrations of Pb in ambient air, its subsequent fate and
transport in the environment, pathways of human and ecological exposure, and toxicokinetic
characteristics of Pb in the human body,  as well as the characterization of population exposures
toPb.
       The ISA will build on the conclusions of the last review of the air quality criteria for Pb,
presented in the 2006 AQCD, and focus  on peer reviewed literature published thereafter and on
any new interpretations of previous literature.  The 2006 AQCD evaluated literature published
through December 2005.  The ISA will begin with a discussion of major legal and historical
aspects of prior review documents as well as key milestones  and procedures for document
preparation.  In subsequent chapters, the results of recent scientific studies will be integrated with
previous  findings. Important older studies may be discussed in detail to reinforce key  concepts
and conclusions and/or if they are open to reinterpretation in light of newer data. Older studies
also may  be the primary focus in some areas of the document where research efforts have
subsided, and these older studies remain the definitive works available in the literature.
Emphasis will be placed on  studies that examine effects associated with Pb concentrations
relevant to current population and ecosystem exposures, and particularly those pertaining to Pb
concentrations currently found in ambient air. Other studies may be included if they contain
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unique data, such as a previously unreported effect or mechanism for an observed effect, or
examine multiple concentrations to elucidate exposure-response relationships.
4.2    ASSESSMENT APPROACH
4.2.1  Introduction
       The EPA's National Center for Environmental Assessment in Research Triangle Park
(NCEA-RTP) is responsible for preparing the ISA for Pb.  In each NAAQS review, development
of the science assessment begins with a "Call for Information" published in the Federal Register.
This notice announces EPA's initiation of activities in the preparation of the ISA for the specific
NAAQS review and invites the public to assist through the submission of research studies in the
identified subject areas. This and subsequent key components of the process currently followed
for the development of an ISA (i.e., the standard protocol) are presented in Figure 4.1. How the
ISA fits into the larger NAAQS review process is briefly described in section 1.2, the Overview
of the NAAQS Review Process.  Important aspects of the development of the ISA are described
in the sections below, including the approach for searching the literature and identifying relevant
publications and  specific policy-relevant questions intended to guide the assessment. These
responsibilities are undertaken by expert authors of the ISA chapters that include EPA staff with
extensive knowledge in their respective fields and extramural scientists solicited by EPA for
their expertise in specific fields. The process for scientific and public review of drafts of the ISA
is described in Section 4.6.
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                     Standard Protocol for ISA Development
                 Database
   Outside experts:
       Atmospheric science
       Exposure
       Dosimetry
       Animal Toxicology
       Clinical Studies
       Epidemiology
       Ecology
       Environmental Effects
    Peer Review
    Draft/Author Workshop
                                     NCEA staff review
                                    of literature (ongoing)
Draft  Integrated
  Review Plan
CAS AC consultation
 and public review
                                            I
                                      Final Integrated
                                        Review Plan
                                       First External
                                     Review Draft ISA
                                            i
                                   CASAC and public review
                                      Se
                                      Re
                                            I
 Second External
 Review Draft ISA
                                            1
                                   CASAC and public re view
                                        Final ISA
                          Federal Register
                          Call for Information
Workshop on
science/policy issues
Science and policy
issues from previous
NAAQSreview
Figure 4-1. Standard steps in the development of Integrated Science Assessments (ISAs).
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4.2.2  Literature Search and Identification of Relevant Studies
      The NCEA-RTP will use a systematic approach to identify relevant studies for inclusion
in the Pb assessment.  The EPA has already published a Federal Register notice (75 FR 8934,
February 26, 2010) to announce the initiation of this review and request information from the
public. In addition to the call for information, publications will be identified by EPA through an
ongoing literature search process that includes extensive computer database mining on specific
topics in a variety of disciplines.  Additional publications will be identified by EPA scientists by
reviewing previous EPA reports and reviewing reference lists from key publications; studies also
will be identified in the course of CASAC and public review.
      From the lists of publications broadly compiled from the search methods described above,
EPA will identify relevant studies to be reviewed as part of the assessment.  Epidemiologic
studies, animal toxicological studies, and studies of ecological or welfare effects of Pb, including
those related to exposure-response relationships, mode(s) of action (MOA),  and susceptible
populations and lifestages will be identified.  Additionally, air quality and emissions data, studies
on atmospheric chemistry, environmental fate and transport, as well as issues related to Pb
toxicokinetics and exposure will also be identified.  The assessment will include research
published or accepted for publication since the 2006 air quality review and through
approximately one month prior to the release of the second external review draft of the ISA (see
Table 2-1). Studies published after that date may also be assessed if they provide new
information that impacts one or more key scientific issues. Once identified, studies are reviewed
with regard to quality assurance criteria described in section 4.2.3 below before including them
in the assessment document.
       The combination of the approaches described here is expected produce the
comprehensive collection of studies to be included in the assessment and from which the most
informative and policy relevant studies will be selected for particular focus.

4.2.3  Criteria for Study Selection
      In general, in assessing the scientific quality and relevance of health and environmental
effects studies, the following quality assurance criteria are considered when selecting studies for
inclusion in the ISA.
   1.  Are the study populations, subjects, or animal models adequately selected and are they
       sufficiently well  defined to allow for meaningful comparisons between study or exposure
       groups?
   2.  Are the statistical analyses appropriate, properly performed, and properly interpreted?
       Are likely covariates  adequately controlled or taken into account in the study design and
       statistical analysis?
   3.  Are the air quality data, exposure, or dose metrics of adequate quality?
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    4.  Are the health or welfare effect measurements meaningful, valid, and reliable?
    5.  Do the analytical methods provide adequate sensitivity and precision to support
       conclusions?
       Studies published since the last air quality criteria review will be emphasized in the ISA;
however, evidence from studies described in last assessment that are needed to characterize the
current state of the science as well as new interpretations of older evidence will also will be
included in the assessment.
       Among the studies included in the ISA, EPA will give particular focus to those
containing information in the following areas:
    1.  new studies of children with lower blood Pb levels than those examined in previous
       studies and that are closer to those blood Pb levels  common in U.S. children today;
    2.  new studies that provide quantitative effect estimates for populations or lifestages and
       concentrations of interest;
    3.  new studies that identify populations and lifestages at increased risk for Pb exposures
       and effects;
    4.  issues related to the potential for confounding of study effects/responses by non-Pb
       exposure-related factors or variables, and to the modification of Pb-related effects;
    5.  the timing (e.g.,  across/within specific lifestages) and duration of exposure associated
       with specific responses;
    6.  concentration-response relationships for specific Pb-related effects;
    7.  the interpretation of Pb biomarkers in epidemiological studies; and/or  air-to-blood Pb or
       air-to-bone Pb relationships;
    8.  studies that evaluate Pb as a component of a complex mixtures of pollutants.
       In selecting epidemiologic studies for inclusion in the present assessment, EPA will
consider studies containing information on (1) recent or cumulative exposures relevant to current
population exposure levels of Pb; (2) health endpoints that repeat or extend findings from earlier
assessments as well as those not previously extensively researched; (3)  populations and lifestages
that are at increased risk for Pb exposures and health effects; (4) issues  related to potential
confounding, and modification of effects; and/or (5) important methodological issues (e.g.,
timing and duration of exposure, concentration-response relationships, interpretation of
biomarkers in epidemiological studies, and air-to-blood/bone relationships) related to Pb
exposure effects. In selecting the most informative and policy relevant  epidemiologic studies on
which to give particular focus in the Pb ISA, emphasis will be placed on those most relevant to
standard setting  in the United States. Informative studies conducted in  other countries will be
discussed, as appropriate (e.g. studies for which the blood  Pb level in the population studied is
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within one order of magnitude of the current mean or upper percentile blood Pb level in the
corresponding U.S. population).
       In reviewing new studies in the ISA that have evaluated the response of laboratory
animals to Pb exposure, we will review studies that reveal the effects of Pb exposure within the
previously identified target biological  systems (e.g. nervous, cardiovascular, renal, immune).
Particular focus will be given to those  studies that involve exposures (including studies relying
on dose metrics such as blood and/or bone) that are relevant to current U.S. populations.  Studies
at higher exposure or doses that result  in body burdens above what is found in the current U.S.
population will be discussed when the  study can provide information relevant to potential
mechanisms of action, information on  exposure-response relationships, or otherwise improve our
understanding of at-risk populations and lifestages.
       In reviewing informative studies of welfare effects, emphasis will be placed on recent
studies that: (1) evaluate the occurrence of effects associated with Pb exposure at current ambient
levels, with a particular focus on ambient levels resulting from ambient air Pb,  and/or (2)
investigate the effects of Pb on ecosystems at any scale. Studies conducted in geographical areas
outside the U.S. will  be included in the assessment if they contribute to the general knowledge of
the effects of Pb irrespective of species or locality.  As in the selection of health-related scientific
studies, welfare-related studies will be selected that advance our understanding of mechanisms
by which Pb directly affects terrestrial and aquatic biota. These mechanisms, as they pertain to
Pb exposures of short or longer duration, will inform our understanding of indirect effects that Pb
may exert more broadly on ecosystem  structure, function and services.  Key studies identified for
welfare effects will be integrated into the discussion to inform our interpretation of the ecological
literature and our characterization of uncertainties.
       The criteria described here provide generalized benchmarks to guide the inclusion in the
ISA  of the highest quality and most policy-relevant studies. Detailed critical analysis of all
studies of the effects of Pb on health and welfare, especially in relation to the above criteria, is
beyond the scope of this document.  Since the last scientific review was completed within the
past  five years, it is expected that a considerable portion of the current ISA may be devoted to
summarizing previously available evidence that contributed to the basis for the last rulemaking.

4.2.4  Quality Assurance
       NCEA participates in the Agency-wide Quality Management System, which requires the
development of a Quality Management Plan (QMP). Implementation of the NCEA QMP
ensures that all data generated or used  by NCEA  scientists are "of the type and quality needed
and expected for their intended use" and that all information disseminated by NCEA adheres to a
high standard for quality including objectivity, utility and  integrity.  Quality  assurance (QA)
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measures detailed in the QMP will be implemented beginning with the start of the current Pb
review, including the development of the Pb ISA.
       The NCEA QA staff is responsible for the review and approval of quality-related
documentation. NCEA scientists are responsible for the evaluation of all inputs to the ISA,
including primary (new) and secondary (existing) data, to ensure their quality is appropriate for
their intended purpose. NCEA adheres to Data Quality Objectives, which identify the most
appropriate inputs to the science assessment, and provides QA instruction for researchers citing
secondary information. The approaches utilized to search the literature and criteria for study
selection were detailed in the two preceding subsections.  Generally, NCEA scientists rely on
scientific information found in peer-reviewed journal articles, books, and government reports.
Where information is integrated or reduced from multiple sources to create new figures, tables,
or summation, the data generated are considered to be new and subject to rigorous quality
assurance measures to ensure their accuracy.
4.3    CONTENT AND ORGANIZATION OF THE ISA
       Generally, the organization of the Pb ISA will be similar to the organization of the
integrative synthesis chapter of the 2006 Pb AQCD and recent assessments for other criteria
pollutants (e.g. the ISA for carbon monoxide, USEPA, 2010).
       The ISA for Pb will contain information relevant to considering whether it is appropriate
to retain or revise the current ambient air Pb standards.  Decisions on the specific content of the
ISA will be guided by the series of policy-relevant questions outlined in Chapter 3 in addition to
a set of policy-relevant questions more specifically related to scientific evidence that may
become newly available in the current review process. These policy-relevant questions for the
ISA are related to two overarching issues. The first issue is the extent to which new  scientific
evidence has become available that alters or substantiates the scientific evidence presented and
evaluated in the last Pb NAAQS review.  The second issue is whether uncertainties from the last
air quality criteria review have been addressed and/or whether new uncertainties have emerged.
The specific questions related to the review of the scientific literature for Pb that stem from these
two issues were derived from the last Pb NAAQS review, as well as from discussions of the
scientific evidence that occurred at the May 2010 Science Policy Workshop for the current
review (75 FR 20843). These specific questions, which will guide decisions on content for the
Pb ISA, are listed below by topic area.

                                   Source to Exposure
Ambient Air Sources and Multimedia Environmental Distribution: The  ISA will  present and
evaluate current information related to sources of Pb to ambient air, ambient air concentrations
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and size distributions of Pb measured as a component of particulate matter.16 As available, data
from air monitoring stations established since the last review, as well as longer-running stations,
will be considered in the ISA. The available information will be presented concerning sources of
freshly and previously emitted Pb including resuspension of previously deposited Pb.  The ISA
will evaluate relevant information concerning the transport and fate of Pb released into the air
directly and via other environmental media (e.g., soil, surface and ground water).  The ISA will
discuss Pb fluxes into and distribution among different media. Where available, the ISA will
draw from information in the literature about the bioavailability of Pb in different media to
organisms.
       The assessment will also describe the distribution of air monitors in the federal regulatory
Pb monitoring network and consider new studies that address the precision and accuracy of the
Federal Reference and Federal Equivalent Methods (FRM and FEM, respectively) for Pb.  The
assessment will also consider information on the design of other air monitoring networks in
which Pb measurements are taken, such as the Chemical Speciation Network (CSN), Interagency
Monitoring of Protected Visual Environments  (IMPROVE), and National Air Toxics Trends
Stations (NATTS).  Additionally, new information regarding Pb techniques for the analysis of
particulate matter samples will be discussed. In reviewing the currently available evidence, we
will consider the following specific questions:
   1.  What new evidence is available on emission sources of Pb?
   2.  What new information is available regarding the fate and transport of Pb in the
       environment? What new data exist to characterize atmospheric deposition and
       resuspension of Pb?
   3.  What new information is available regarding monitoring Pb in the environment and
       analyzing Pb species within particulate matter samples?
   4.  What data are available to characterize airborne Pb concentrations, spatial and temporal
       variability of concentrations, size distributions of Pb in the environment as a function of
       different sources of Pb, and covariation of air Pb  concentrations with other ambient air
       pollutant concentrations?
Exposure: The ISA will compile and evaluate evidence developed since the last assessment that
helps characterize the variability  and uncertainty in the relationships between ambient air Pb
concentrations and exposures to Pb of humans and ecosystems relevant to the primary and
secondary standards. A conceptual model of Pb exposure through various pathways, including
exposure to airborne Pb and Pb deposited onto soil, as well  as that which contributes to indoor
dust and dietary exposures, will be discussed.  EPA will also assess studies relevant to the
assessment of errors in measurement or estimation of human exposure to Pb as well as the
       16 Gas-phase Pb data are not available in EPA's Air Quality System.
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possibly differential exposures of some populations and lifestages. The following questions will
be considered during review of the available evidence:
    1.  What new evidence is available on exposure to Pb through air-related pathways? Can air-
       related pathways be disentangled from water- and soil-related pathways using available
       data?
    2.  What new evidence is available regarding observational studies of Pb exposure? How do
       these studies inform the assessment of exposure to air-related pathways?
    3.  What new studies address susceptibility to elevated Pb exposure?
        Toxicokinetics, Biological Markers, and Models of Lead Burden in Humans
       The ISA will evaluate the literature relating to the toxicokinetics17 of Pb, including the
application of available models to evaluate the storage of Pb in the body, biological markers of
Pb that indicate exposure and body burden, and the quantification of Pb exposure or dose from
air-related exposure pathways (e.g. air Pb-to-blood Pb ratios). During the last review,
uncertainties were identified including the air Pb-blood Pb relationship in empirical models, and
the interpretation of blood Pb and bone Pb concentrations reported in epidemiologic studies. The
ISA will consider these key uncertainties and evaluate the extent to which new scientific
evidence may inform our ability  to characterize and/or reduce those uncertainties during the
current review. In reviewing the currently available evidence, we will consider the following
specific questions:
    1.  What new evidence is available on biological and other factors that could affect the
       distribution and accumulation of Pb into blood and bone (e.g., age, nutrition, gender,
       race)?
    2.  What new evidence is available on population and lifestage variability in Pb biokinetics?
    3.  What new developments  are available in biokinetic models that can be used for
       estimating impacts of multimedia human Pb exposures on internal body burden, generally
       indicated by blood or bone Pb levels? Is there new evidence to inform our understanding
       of the response of blood Pb to changes in ambient air Pb and associated exposure
       pathways?
    4.  What new evidence is available to characterize biomarkers of concurrent and cumulative
       exposures? What are the related uncertainties with interpreting biomarker data for
       exposure assessment?
    5.  How and to what extent does previous or concurrent Pb exposure, including duration
       (e.g., acute, subchronic, chronic) and pattern (e.g., continuous low, extreme peak) impact
       blood Pb and bone Pb?
       17 The phrase toxicokinetics refers generally to the quantitative aspects and timing of absorption,
distribution, biotransformation and excretion of xenobiotic chemicals in the body.
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    6.  What new evidence is available on the relationship between air Pb and blood Pb
       concentrations and uncertainties in that relationship? What new knowledge exists
       regarding the characterization of changes in the air Pb-blood Pb relationship when
       accounting for the multiple pathways of Pb exposure and body burden associated with Pb
       exposure?  How does the slope describing the air Pb-blood Pb relationship change in
       magnitude based on air Pb concentration?
    7.  To what extent does new scientific evidence increase our understanding of the
       contributions of Pb from different sources and exposure pathways to blood Pb levels or to
       other indicators of Pb body burden (e.g., contributions from various air-related pathways,
       including diet and indoor dust pathways)?
                                  Human Health Effects
       The ISA will evaluate the scientific literature related to nervous system, cardiovascular,
renal, immune, hematological and other health effects associated with exposures to Pb. Building
upon the last review, EPA will continue to review the available epidemiologic and toxicological
evidence related to these health effects and, to the extent data are available, additional endpoints
(e.g., mortality, developmental, carcinogenic/mutagenic, and cellular outcomes). The results of
new studies will be integrated with the previous findings and with  any new interpretations of
previous findings.  The ISA will also integrate previous information on at-risk populations and
lifestages or factors that increase risk of Pb exposure or related health effects with any newly
available evidence.
        For a given type of health outcome, the ISA will fully integrate findings across the
different disciplines to evaluate the strength, robustness and consistency of evidence, which
contribute to EPA's assessment of causal  relationships. Integration will also entail using the
toxicological findings to assess biological plausibility for the epidemiologic findings, including
the coherence  of epidemiologic observations with known mechanisms of toxicity. Efforts will be
directed at identifying the lower blood Pb levels at which health effects are observed and at
describing concentration-response relationships with a focus on Pb exposures at the lower end of
the distribution.  Concentration-response relationships also will be evaluated for comparability
across the studies.  Another area of focus  includes assessment of the durations of exposure and
specific lifestages (e.g. lifestages during which the nervous system is undergoing development)
that are most strongly associated with particular health effects.  The ISA will also assess the
evidence for uncertainties related to these associations and evaluate information on the public
health implications related to ambient air  Pb exposure.  Grouped by topic area, some of the
specific scientific questions that EPA will seek to address in the ISA are as follows:

Health Endpoints:  The ISA will evaluate health effects evidence for a multitude of outcomes
assessed in epidemiologic and toxicological studies guided by the following questions:
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1.  How do results of recent studies and current or new interpretations of previous
   findings expand our understanding of the relationship between exposures to Pb and
   nervous system effects in young children, adolescents, and adults, including deficits
   in a range of cognitive indices, behavior, learning, and motor skills, as well as risk of
   neurodegenerative diseases? What new evidence is available on the potential clinical
   relevance of these effects?  Do recent studies expand the current understanding of
   concentration-response relationships pertinent to the range of Pb exposures currently
   experienced by the U.S. population?
2.  How do different indicators of Pb body burdens (e.g., Pb in blood or bone) compare
   in terms of their associations with adverse health outcomes? What do these findings
   contribute to the understanding of how effects may differ for more recent and
   cumulative lifetime exposure? How do these findings differ with age of the study
   population (e.g., children vs adults)?
3.  What new epidemiological evidence is available on health outcomes in older adults
   associated with measures of Pb exposure (e.g., total mortality and cardiovascular
   mortality)?  What does such evidence indicate regarding the potential for different
   impacts of early-life, current, and cumulative lifetime Pb exposures?
4.  Within the epidemiologic literature, is there consistency between associations
   observed in children and adults and between related health outcomes (e.g.,
   cardiovascular and renal)?
5.  Does new evidence from the literature on effects observed in adult animals in
   response to  experimental exposures to Pb during development inform the
   understanding of populations and life stages that are at increased risk of Pb exposure
   or related health effects?
6.  Within the sensitive in utero period of development, is there evidence of Pb causing
   epigenetic changes or evidence of Pb effects differing between the sexes or genetic
   variants?
7.  For what Pb-induced health effects is there sufficient evidence in multiple species to
   support a quantitative comparison of exposures that induce the effects?
8.  To what extent does exposure to Pb contribute to health effects in organ  systems other
   than the nervous system, cardiovascular,  and renal systems (e.g., hepatic,
   gastrointestinal, skeletal)?  Is there epidemiological evidence that Pb exposure is
   associated with new biological markers of effect (e.g. cortisol, brain imaging
   endpoints, glomerular filtration) that combined with mechanistic evidence may
   support conclusions regarding biological plausibility? Is there new evidence on the
   association of prenatal and postnatal Pb exposures with growth, stature and other
   endpoints related to the endocrine system?
9.  What new evidence has become available to help discern how the effects of Pb
   exposure on a health outcome are modified when it co-occurs with exposures to other
   toxic metals, ambient pollutants, or other environmental stressors versus Pb alone
   (e.g., additive, synergistic,  or antagonistic effects)?
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Uncertainties: The ISA will evaluate uncertainty in the scientific data, particularly in relation to
observed epidemiologic findings and their consistency with toxicological studies in terms of
observed effects and biological pathways. In this vein, the following questions will be
considered:
       1.  To what extent are the health effects observed in epidemiological studies attributable
          to exposure to Pb rather than co-exposures to other toxic metals or environmental
          contaminants?
       2.  In epidemiologic studies, what are the uncertainties in Pb effect estimates due to
          potential confounding (e.g., demographic and lifestyle attributes, SES, and access to
          medical care) and/or effect modification (e.g. genetic susceptibility factors)?
       3.  Based on the new body of evidence, what uncertainties remain regarding the nature
          and shape of concentration-response relationships (e.g., threshold, linear, nonlinear)?
          What evidence is newly available on the uncertainties related to other aspects of
          statistical model specification and how can it be used to assess the influence of these
          uncertainties on the results of epidemiologic studies? What evidence is available
          from toxicological studies of dose-response relationships?
       4.  What uncertainties surround the evidence for long-term effects such as those that
          shorten life duration and/or affect the development or progression of disease?

Biological Mechanism(s) or Modes of Action:  In evaluating the current information from
studies that investigate mechanisms for the health outcomes that have been associated with
exposure to Pb, EPA will address the following questions in the ISA:
       1.  To what extent is evidence now available regarding mechanisms (e.g. oxidative
          stress) by which Pb elicits nervous system effects in young children at the lower end
          of the range of blood Pb levels that have been associated with health effects in
          epidemiological studies?
       2.  What toxicological evidence is available on mechanisms and dose-response
          relationships for health outcomes other than nervous system effects (e.g.,
          cardiovascular, renal, or immunological effects) and in what populations and
          lifestages? Is there coherence between toxicological and epidemiologic findings for
          these endpoints?
       3.  To what extent is key evidence now available regarding mechanisms of action and
          concentration-response relationships at various ages and developmental stages,
          including critical windows of exposure that result in different effects and/or effects at
          lower exposures? Are new animal models available to better characterize
          mechanisms of action at various lifestages?
       4.  What mechanistic evidence is available on common modes of action that would help
          our understanding of health effects of exposure to Pb when it occurs within mixtures
          versus alone (e.g., evidence for additive, synergistic, or antagonistic effects)?

At-Risk Populations and Lifestages: The ISA will examine the evidence for different health
effects or outcomes to identify specific populations with increased Pb exposures (or body
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burden), or at increased risk of experiencing health effects related to Pb exposure.  In identifying
these at-risk populations, the ISA will consider a variety of defining factors including, but not
limited to lifestage (e.g., infancy, adolescence, older adults), lifestyle (e.g., smoking status,
nutrition), genetic or developmental factors, race, sex, preexisting disease, SES, and other factors
affecting exposure to Pb such as neighborhood characteristics.  In the ISA, the evaluation of
factors increasing risk will consider the following issues:
    1.  To what extent is key new evidence available that could inform the understanding of
       populations that are at greater risk from Pb-related health effects? What is known about
       genetic traits, pre-existing conditions, or other factors that affect risk?
          a.  Is there evidence from new animal models of susceptibility factors that improves
              our characterization of at-risk populations and is there coherence between
              findings for these models and epidemiologic findings?
    2.  To what extent is key evidence now available to inform our understanding of
       developmental lifestages that are at greater risk of adverse effects from Pb exposures?
       What is known about critical windows of exposure for Pb with regard to their impact on
       concentration-response relationships and/or effects elicited?
          a.  Are there new animal models that investigate these developmental windows of
              susceptibility?
          b.  Are new animal models available that may help  us to characterize the critical
              developmental windows of exposure to Pb and, is there coherence between
              findings from these models and epidemiologic findings?  Do any of these models
              show differential responses by  sex of the animal?
    3.  What do the currently available studies indicate regarding the relationship between
       exposures to Pb and health effects in those with preexisting diseases compared to healthy
       individuals?  What medical conditions are identified as  increasing the risk of Pb-related
       health effects? What is the nature and time-course of the development of effects in
       previously healthy persons and in persons with pre-existing disease (e.g., cardiovascular
       disease)? What are the pathways and mechanisms through which Pb may be acting for
       these groups?

Public Health Implications: The ISA will present concepts that integrate evidence on Pb-related
health effects and consequent public health significance to assist in the assessment of the public
health implications of exposure to Pb in  ambient air.  Development of these concepts may
include consideration of estimates of the sizes of identified at-risk populations and lifestages and
discussion of the public health significance of the magnitudes of change in health outcomes
concluded to result from air-related Pb exposures.

                          Ecological and Other Welfare Effects

       The ISA will evaluate the current literature related to effects of Pb exposures in aquatic
and terrestrial ecosystems at all scales, as available.  Evidence related to any other welfare
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effects (e.g. visibility, climate, materials) will be considered, if available. Publications will be
evaluated for causal relationships between Pb at ambient levels and ecological effects. Studies at
higher than ambient Pb exposures will be evaluated to the extent they can inform the
interpretation of the effects of exposures that are currently widespread in the environment. In the
last review, EPA recognized the persistence of Pb in the environment, and concluded that the
combination of Pb accumulated from past deposition, and much smaller ongoing deposition
continue to cause ecological effects in terrestrial and aquatic ecosystems (USEPA, 2006).  If
available, new studies pertaining to the recycling of Pb in aquatic and terrestrial ecosystems, and
to the role of previously sequestered Pb in current ecosystem processes, including its
contribution to total loading, will be discussed. This discussion will include evaluation of the
effect of Pb on ecosystem productivity and of the potential effects of Pb on ecosystem services.
Some scientific questions that EPA will seek to address in the ISA follow, grouped by topic area.

Terrestrial  Ecosystem Effects:

       1.  What new information is available about the nature of the effects of Pb on terrestrial
           ecosystems, especially Pb that is relevant to air-related pathways? Is there new
           evidence of effects at current ecosystem loads?  Is there new evidence that, in
           combination with the previously existing evidence, supports the development of
           critical loads for terrestrial ecosystems?
       2.  Is there new information available for establishing specific exposure levels, especially
           related to airborne Pb, at which terrestrial biota are expected to experience effects?
       3.  Are there new empirical data or modeling results that would improve our
           understanding of the movement of Pb in or through terrestrial systems, or would
           improve our understanding of Pb bioavailability and pathways of exposure for
           terrestrial organisms?
       4.  Is there new evidence that contributes to a better understanding of the nature  and
           magnitude of the potential effects of Pb on terrestrial ecosystem services?

Aquatic Ecosystem Effects:

       1.  What new information is available about the nature of the effects of Pb on aquatic
           ecosystems, especially Pb that is relevant to air-related pathways? Is there new
           evidence of effects at current ecosystem loads?  Is there new evidence that, in
           combination with the previously existing evidence, supports the definition of critical
           loads for aquatic ecosystems?
       2.  Is there new information available for establishing specific exposure levels, at which
           aquatic biota are expected to experience effects? Information specific to air-related
           pathways of exposure is of particular relevance.
       3.  Are there new empirical data or modeling results that would improve our
           understanding of the movement of Pb in or through aquatic systems or would
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          improve our understanding of Pb bioavailability and pathways of exposure for aquatic
          organisms?
       4.  Is there new evidence that contributes to a better understanding of the nature and
          magnitude of the potential effects of Pb on aquatic ecosystem services?

4.4    CAUSAL DETERMINATIONS
       In evaluating and integrating the different types of evidence from recent studies with that
available during the previous reviews, The ISA will draw conclusions regarding the strength of
the evidence in describing causal relationships between relevant blood Pb, bone Pb or other
exposure metrics and health effects and relevant Pb concentrations and environmental effects.
Since the last Pb NAAQS review, EPA has developed a framework that is intended to provide a
consistent and transparent basis for drawing such conclusions.18  Briefly, the framework
includes the following considerations for drawing conclusions of causality for specific endpoints:
consistency of findings for an endpoint across  studies in which it was examined, coherence of the
results related  to a specific endpoint among different study types or disciplines, the coherence of
results with characterized mechanisms of action (biological plausibility), and evidence of a
concentration- or dose-response relationship for an endpoint. In the ISA, in considering the
strength of the evidence with regard to demonstrating that exposure to ambient air-related Pb, in
particular, causes  specific health effects, EPA will give particular attention to studies that
examine Pb exposures relevant to those currently occurring in the U.S. population or ecosystems.
4.5    SUPPLEMENTARY MATERIALS
       Previous science assessments conducted to support NAAQS reviews included
supplementary materials, which were designed to provide detailed supporting information and
more comprehensive coverage of the research  areas summarized in the ISA. NCEA intends to
change the form, while maintaining the relevant content, of the materials that were formerly
contained within the Annexes to the ISA.
       As discussed previously, studies included in the text of the ISA will be those deemed
informative to the NAAQS review process (e.g. policy-relevant) and of adequate quality. The
ISA text, tables and figures will highlight and summarize key study details that are needed to
understand and interpret the results of a study.  This information, which was  described in the text
as well as reiterated in the annex tables of previous documents, includes Air Quality System
data19; studies  of fate and transport in air, water, and soil; human exposure and dosimetry
       18 Use of this framework in the recent science assessment for paniculate matter is described in chapter 1 of
that ISA (EPA, 2009a).
       19 The Air Quality System (AQS) is EPA's repository of ambient air quality data. AQS stores data from
over 10,000 monitors, 5000 of which are currently active (http://www.epa.gov/ttn/airs/airsaqs/).
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studies; blood Pb, bone Pb or other exposure metrics corresponding to adverse health effects and
dose and duration of exposure in toxicological studies; and, effect estimates, study location and
time period, population, exposure metric and time window (e.g., life stage), as well as the
characteristics of the exposure/dose distribution for epidemiologic studies. In addition,
supplementary materials will be provided in the form of output from the Health and
Environmental Research Online (HERO) database. A key function of the HERO output will be
to document the base of evidence containing publications evaluated for the Pb review, including
any publications considered but not included in the ISA. This information will be presented as
links to lists of references in the HERO database, which include bibliographic information and
abstracts. In addition, certain study characteristics of epidemiologic studies, including location,
ages investigated, outcomes, and health endpoints, will be summarized in tables.
4.6    SCIENTIFIC AND PUBLIC REVIEW
       Drafts of the ISA will be reviewed by the CAS AC Pb Review Panel and made available
for public comment, as indicated in Figure 4-1 above. The CAS AC Pb Review Panel will review
the first draft ISA and discuss their comments in a public meeting announced in the Federal
Register. Based on CAS AC's past practice, EPA anticipates that key CASAC advice and
recommendations for revision of the first draft ISA will be summarized by the CASAC Review
Panel in a letter to the EPA Administrator. In revising the first draft ISA, EPA will take into
account any such recommendations. EPA will also consider comments received from CASAC
or from the public at the meeting itself and any written public comments. Additionally, EPA has
established a public docket for development of the ISA.20 EPA will prepare a second draft ISA
for CASAC review and public comment.  The CASAC Pb Review Panel will review the second
draft ISA and discuss their comments in a public meeting announced in the Federal Register.
Again, based on CASAC's past practice, EPA anticipates that key CASAC advice and
recommendations for revision of the second draft ISA will be summarized by the CASAC Pb
Review Panel in a letter to the EPA Administrator. In finalizing the ISA, EPA will take into
account any such recommendations. EPA will also consider comments received from CASAC or
from the public at the meeting itself and any written public comments. After appropriate
revision, the final document will be made publicly available  on an EPA website and in hard
copy. A notice announcing the availability of the final ISA will be published in the Federal
Register.
       20 The ISA docket for the current Pb review is identified as EPA-HQ-ORD-2011 -0051. The draft and final
ISAs and CASAC letters will be placed into this docket by EPA and the public may submit materials to it for EPA
consideration in development of the ISA. This docket and the rulemaking docket described in chapter 7 below are
publicly accessible at www.regulations.gov.
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             5  QUANTITATIVE RISK AND EXPOSURE
                                    ASSESSMENTS

       Quantitative risk and exposure assessments are generally designed to estimate human
exposure and health risk, as well as environmental exposures and risks, when appropriate.
Development of the risk/exposure assessments (REAs) draws upon the information presented in
the ISA and its supplemental materials.  This includes information on atmospheric chemistry, air
quality, human and environmental exposures, including biokinetic information, and health and
welfare effects of concern. In particular, the availability of concentration-response and dose-
response  data from the health and welfare effects literature influences the types of exposure
assessment and risk characterization that are performed. The health and welfare assessments
focus on exposures and dose metrics that are consistent with effects of concern, with available
measurement and modeled data, where appropriate, used to generate estimates of exposure.
Characterization of risks may include conducting air quality  analyses to support quantitative
exposure and risk assessments in specific locations to the extent warranted by new information,
taking into consideration available resources.  The results of such assessments are generally put
into a broader public health and public welfare perspective, for example, with a particular
emphasis on exposures and health risks in at-risk populations, such as children.
       This phase generally begins with the preparation of a planning document. This document
considers the extent to which newly available scientific evidence and tools or methodologies
provide support for conducting quantitative risk and exposure assessments. To the extent
warranted, the scope and methods for components of exposure and risk assessments are
described. This document is the subject of a consultation with the CAS AC Panel and is made
available to the public for review and comment. If warranted, one or more drafts of an REA are
then prepared and released for CAS AC review and public comment prior to completion of a final
REA subsequent to completion of the final ISA.
       In this review, the Pb REA Planning Document (USEPA, 201 Ic) was released in late
June 2011 and was the subject of a  consultation with the CAS AC Pb Panel at a public meeting
on July 21, 2011 (76 FR 36120). In that document, the information newly available in this
review was considered in light of the comprehensive, complex and resource-intensive
quantitative assessments of human exposure and health risks performed for the last review.  The
newly available information was considered particularly with regard to the extent to which it
indicated the potential for development of an REA from which substantially  different
conclusions might be drawn with regard to the health or environmental risks associated with air-
related Pb under conditions associated with the current standards, and associated uncertainties.
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Development of the Pb REA Planning Document was also informed by the May 2011
consultation with the CASAC Pb Panel and comments from the public on the draft IRP. Based
on these considerations, including available resources, staff concluded that the information
newly available in this review did not warrant the development of new REAs for health and
ecological risk. Members of the Pb CASAC Panel generally concurred with these conclusions
(Frey, 201 Ib). Thus, in this review of the Pb NAAQS, the risk-based policy considerations
described in the Policy Assessment will draw on the assessments completed in the last review,
taking into account information newly available in this review.
       The quantitative risk assessments performed in the last review are briefly summarized in
section 5.1 below. Key uncertainties and limitations of these assessments regarding which the
newly available information was considered in the REA Planning Document are then briefly
summarized in section 5.2, as are the key observations from that document.
5.1    OVERVIEW OF ASSESSMENTS IN LAST REVIEW
       In the last review, EPA designed and developed a full-scale human exposure and health
risk assessment as well as a screening-level ecological risk assessment. These assessments are
summarized below.
5.1.1  Human Exposure and Health Risk Assessments
       In the last review, EPA developed and applied models to estimate human exposures to
air-related Pb and associated health risk. These quantitative analyses are described in detail in
Lead: Human Exposure and Health Risk Assessments for Selected Case Studies (Risk
Assessment Report; USEPA, 2007a). Estimates were developed  for various air quality scenarios
and alternative standards to provide additional information and insights that could help to put
judgments about risk associated with exposure to air-related Pb in a broader public health context
and inform decisions on the standards. The exposure and risk analyses to estimate blood Pb and
associated IQ loss in children exposed to air-related Pb were conducted in the context of five
case studies  that generally represent two types of population exposures: (1) more highly air-
pathway exposed children (as described below) residing in small  neighborhoods or localized
residential areas with air concentrations somewhat near the standard being evaluated, and (2)
location-specific urban populations with a broader range of air-related exposures.  The case
studies representing the more highly air-pathway exposed children included a general urban case
study and a primary Pb smelter case study.  The three  location-specific urban case studies
focused on specific residential areas within three U.S. cities to provide representations of urban
populations with a broader range of air-related exposures due to spatial gradients in both ambient
air Pb levels and population density.  The air quality scenarios assessed included (a) the current
NAAQS (for all five case studies); (b) current conditions (for the location-specific and general
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urban case studies, which are below the current NAAQS); and (c) a range of alternate standards
(for all case studies).
       Exposure and associated blood Pb levels were simulated using the Integrated Exposure
and Uptake Biokinetic (IEUBK) model, as more fully described and presented in the Risk
Assessment Report. The assessment incorporated a number of innovative design elements
intended to support a probabilistic characterization of risk with consideration for the multi-
pathway nature of lead exposure. In generating risk estimates, empirical data were combined
with mechanistic modeling to increase the representativeness of the risk estimates generated.
Some of the more important design elements included in the risk model were: (a) use of monitor
data as the basis for characterizing Pb levels in ambient air for the case studies and in outdoor
soil, (b) use of a combination of empirically-derived ratios and more complex empirical-
mechanistic hybrid modeling to predict indoor dust Pb levels associated with ambient (outdoor)
air Pb levels and Pb levels in other related media such outdoor soil, (c) use of empirical data
characterizing Pb  exposure for some pathways such as dietary intake, (d) use of IEUBK to
predict central tendency blood Pb (PbB) levels for  study populations given pathway-specific
intake rates (e) use of empirical PbB variability data combined with the lEUBK-based estimates
of central-tendency PbB levels to generate population distributions of PbB levels and (f) use of
epidemiological study-based concentration-response functions for IQ loss in children (given
specified PbB levels) to  generate risk distributions.  The risk model that was developed allowed
us to estimate IQ loss estimates for various percentiles of each study population and furthermore,
to partition that risk between various pathways of interest (although with varying degrees of
overall confidence, as noted below).
       Although the assessment utilized a number of innovative modeling elements in order to
generate representative estimates of risk for our study populations, like all risk models there was
uncertainty associated with the model and its output. For example, because of the evidence for a
nonlinear response of blood Pb to exposure and also the nonlinearity reflected in the C-R
functions for  estimation  of IQ loss, the assessment first estimated total blood Pb levels and
associated risk (i.e., for air- and nonair-related exposure pathways), and then separated out those
estimates of blood Pb and associated risk associated with the pathways of interest in this review.
We separated out  the estimates of total (all-pathway) blood Pb and IQ loss into a background
category and  two  air-related categories.  However, significant limitations in our modeling tools
and data resulted in an inability to parse specific risk estimates into specific pathways, such that
we approximated  estimates for the air-related and background categories. We believe these
limitations led to slight overestimation of the risks in one  of the  air-related categories and under
representation of air-related pathways in the second category.  Thus, we characterized the risk
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attributable to air-related exposure pathways to be bounded by the estimates developed for the
two air-related categories.
       Additional limitations, assumptions and uncertainties, which were recognized in various
ways in the assessment and presentation of results, are listed below, beginning with those related
to design of the assessment or case studies, followed by those related to estimation of Pb
concentrations in ambient air, indoor dust, outdoor soil/dust, and blood, and estimation of Pb-
related IQ loss.
   •   Temporal Aspects:  During the 7-year exposure period, media concentrations remain
       fixed and the simulated child remains at the same residence (while exposure factors and
       physiological parameters are adjusted to match the age of the child).

   •   General Urban Case Study: The design for this case study employs  assumptions
       regarding uniformity that are reasonable in the context of a small neighborhood
       population, but would contribute uncertainty to extrapolation  of these estimates to a
       specific urban location, particularly a relatively large one.

   •   Location-specific Urban Case Studies: Limitations in the ambient air monitoring
       network limit characterization of spatial gradients of ambient air Pb  in these case studies.

   •   Air Quality Simulation:  The proportional roll-up and roll-down procedures used in some
       case studies to simulate the then-current NAAQS and alternate NAAQS levels,
       respectively, assume proportional changes in air concentrations across the study area in
       those scenarios for those case studies.

   •   Outdoor Soil/Dust Pb Concentrations:  Uncertainty regarding soil/dust Pb levels and the
       inability to simulate the influence of changing air Pb levels related to lowering the
       NAAQS contributes uncertainty to air-related risk estimates.

   •   Indoor Dust Pb Concentrations: Limitations and uncertainty in modeling of indoor dust
       Pb levels, including the impact of reductions in ambient air Pb levels, contributes
       uncertainty to air-related risk estimates.

   •   Interindividual Variability in Blood Pb Levels: Uncertainty related to population
       variability in blood Pb levels, and limitations in our ability to model it, introduces
       uncertainty into blood Pb and IQ loss estimates for the 95th percentile of the population.

   •   Pathway Apportionment for Higher Percentile Blood Pb and IQ Loss:  Limitations in
       data, modeling tools and assessment design introduce uncertainty into estimates of air-
       related blood Pb and IQ loss for the upper ends of population distribution.

   •   IQ Loss Concentration-response Functions:  Specification of the quantitative relationship
       between blood Pb level and IQ loss is subject to significant uncertainty at lowest blood
       Pb levels (e.g., below 5 |ig/dL concurrent blood Pb).
       The assumptions, limitations and uncertainties noted above are areas for consideration as
to any advances in available data and or risk characterization methods with  regard to the extent
to which they might substantially address areas of largest uncertainty with regard to  estimation of
health risks associated with ambient air-related Pb.
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5.1.2  Ecological Risk Assessment
       A screening level risk assessment was performed by EPA for the last review to estimate
the potential for ecological risks associated with exposures to Pb emitted into ambient air.21 The
assessment is described in detail in Lead Human Exposure and Health Risk Assessments and
Ecological Risk Assessment for Selected Areas, Pilot Phase (ICF, 2006).  This assessment built
upon the environmental concentrations modeling performed for the human exposure and health
risk assessment described above. A case study approach was used which included areas
surrounding a primary Pb smelter and a secondary Pb smelter, as well as a location near a non-
urban roadway. An additional case study, focused on consideration of gasoline-derived Pb
effects on an ecologically vulnerable ecosystem (Hubbard Brook Experimental Forest), was
identified but activities on this case study were limited to description of the location and
consideration of literature findings regarding the role of atmospheric Pb and the movement of Pb
within this ecosystem; new quantitative analyses were not performed. Exposure concentrations
in soil, surface water, and/or sediment concentrations were estimated for each of the three initial
case studies from available monitoring data or modeling analysis, and then compared to
ecological screening benchmarks to assess the potential for ecological impacts from Pb that was
emitted into the air. A national-scale screening assessment was also used to evaluate surface
water and sediment monitoring locations across the United States for the potential for ecological
impacts associated with atmospheric deposition of Pb. All three case studies  and the national-
scale assessment considered current or recent environmental conditions. In all cases but the
primary Pb smelter case study, current air quality  conditions were below the then-current
NAAQS. The current air quality conditions for the primary Pb smelter case study exceeded the
NAAQS.
       Ecological  soil screening values (Eco-SSLs) developed by the EPA's  Superfund program
(USEPA, 2003, 2005), EPA's recommended ambient water quality criteria, and sediment
screening values developed by MacDonald and others (2000, 2003) were used to estimate the
potential for ecological risk.  A hazard quotient (HQ) was calculated for various receptors to
determine the potential for risk to that receptor. The HQ was calculated as the ratio of the media
concentration to the ecotoxicity screening value.  For each case study, HQ values were
calculated for each location where either modeled or measured media concentrations were
available.  Separate soil HQ values were calculated for each ecological receptor group for which
an ecotoxicity screening value has been developed (i.e., birds, mammals, soil  invertebrates, and
plants).  HQ values less than 1.0 were concluded to suggest that Pb concentrations in a specific
       21 Various limitations precluded performance of a full-scale ecological risk assessment.
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medium were unlikely to pose significant risks to ecological receptors, while HQ values greater
than 1.0 indicated a potential for adverse effects.
       While these screening-level analyses provided examples of the distribution of
atmospheric Pb into other media where it can contribute to ecological risks, there were
limitations and uncertainties with regard to conclusions that could be drawn regarding the role of
atmospheric deposition under conditions associated with the NAAQS.
    •  The ecological risk screen was limited to specific case study locations and other locations
       for which recent Pb data were available.
    •  Efforts were made to ensure that the Pb exposures assessed were attributable to airborne
       Pb and not dominated by nonair  sources, however, there was uncertainty regarding the
       extent to which nonair sources or other conditions might have contributed to the Pb
       exposure estimates.
    •  Limitations  associated with the selected ecotoxicity  screening values (e.g., AWQC, Eco-
       SSLs, sediment criteria) include the lack of adjustment for measures of bioavailability
       (e.g., use of pH as indicator of bioavailability in aquatic systems), as well as uncertainty
       regarding their ability to identify risks to some threatened or endangered species or
       unusually sensitive aquatic ecosystems (ICF, 2006,  Appendices L and M; 2006 AQCD,
       sections 7.2.1, AX7.2.1.2 -AX7.2.1.4 , p. AX7-110).
       The screening assessment results include several locations where concentrations of Pb in
soil, surface waters and sediments exceeded  screening values for these media indicating a
potential for adverse effects to terrestrial and aquatic organisms. While the assessment was
limited with regard to the extent to which contributions of air Pb emissions could be separated
from other sources, it is likely that, at least for the primary  smelter, the air contribution was
significant. For the other case studies, the contributions to  the Pb burden of air emissions,
particularly those associated with meeting the then-current standard, is unclear.  Thus, while the
assessment results were generally consistent with evidence based observations of the influence of
airborne Pb on ecological systems, they  were limited with regard to quantitative conclusions.
5.2    CONSIDERATION OF QUANTITATIVE ASSESSMENTS FOR THIS
       REVIEW
       Drawing on the evaluation of evidence in the first draft ISA, the REA Planning
Document systematically discussed the available scientific evidence, tools and methodologies
pertaining to each of the key  aspects  of an assessment, with particular attention to evidence and
tools newly available in this review.  This discussion focused particularly on areas of uncertainty
in the REA prepared for the last review and the potential for a new REA to provide notably
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different exposure and risk estimates, with lower associated uncertainty.  Some key areas
considered by staff, including types of data, methodology and tools, are summarized below.
5.2.1  Human Exposure and Health Risk Assessments
     5.2.1.1 Air Quality and Environmental Media Concentrations
       Generally speaking, and as addressed in the last review, Pb concentrations in air and
indoor dust, and to some extent outdoor dust and soil, are particularly key components in the
assessment of air-related Pb health risk. In the case studies included in the assessment for the
last review, a mixture of modeling and monitoring approaches were used to estimate these
concentrations.  For example, in the location-specific urban case studies,  air concentrations were
estimated based on the assignment of ambient monitor concentrations to U.S. Census units
according to proximity.  The limited number of monitors in relation to sources contributed
uncertainty to our characterization of spatial gradients in ambient air concentration.
       The REA Planning Document considered the availability of new information or methods
that might substantively address limitations or uncertainties with regard to the assessment of Pb
concentrations in environmental media. For example, it considered the availability of more
spatially detailed information on air Pb concentrations in the urban context that might allow us to
more accurately define spatial gradients around ambient monitors, potentially differentiating
gradients around source-oriented monitors from those associated with nonsource oriented
monitors.  The availability of more refined ambient air Pb data or other information providing
insights into the spatial pattern associated with reductions in ambient Pb levels (i.e., spatial
pattern of rollbacks in ambient air Pb levels) that might address another important source of
uncertainty with regard to estimation of air Pb concentrations in the previous risk assessment was
also considered. With regard to media related to indoor dust Pb modeling, we considered the
availability of urban residential datasets with matched measurements that might be useful in
evaluating the relationship between ambient outdoor air Pb and indoor dust Pb.  This included
specifically the availability of outdoor ambient air Pb data matched to outdoor soil Pb, indoor
ambient air Pb and indoor dust Pb data, for a set of residential locations, which might improve
our ability to evaluate and possibly further calibrate performance of the hybrid indoor dust Pb
model developed and used in the last review.  The availability of multiple matched media
concentrations over an extended period (e.g., allowing for characterization of daily, weekly or
monthly levels) would further improve their utility in this regard. The characterization of soil Pb
levels and their relationship to air Pb levels, particularly in urban areas is another area
contributing to the exposure characterization in which uncertainty might be reduced with new
information or methods.
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       An additional policy-relevant aspect of the environmental characterization component of
the last assessment concerned the identification of air-related and nonair-related (background)
environmental Pb concentrations. For example, as described in the documents prepared for the
last review, while, conceptually, indoor Pb paint contributions to indoor dust Pb represent a
nonair-related or background exposure pathway, technical limitations precluded us from parsing
out the indoor paint contributions from historic air-related Pb in indoor dust (73  FR 66980).22
Similarly we were unable to separate the air contribution to dietary or drinking water Pb from the
nonair contributions, such that Pb in these pathways was identified as "background" yet
recognized qualitatively to also include air-related Pb.  The availability of information and
methods that might improve our characterization of distinctions between these air and nonair-
related pathways was also an important consideration in the REA Planning Document.
      5.2.1.2  Human Exposure Assessment
       The exposure assessment completed as part of the risk assessment for the last review
focused on characterizing population-level distributions of blood Pb levels, including (a)
estimates of high-end percentile estimates of that distribution and (b) estimation of the
apportionment of total PbB levels associated with a given percentile among air-  and nonair-
related pathways of Pb.  As previously noted, there is considerable uncertainty associated with
apportioning total Pb exposure (and hence total risk) to the air- and nonair-related pathways.
The REA Planning Document considered information newly available in this review with regard
to these aspects of the exposure assessment step.
       One aspect of the uncertainty in apportioning exposure and risk among exposure
pathways concerns uncertainty regarding the specific contribution of different Pb exposure
pathways to total exposure for individuals with widely  differing total exposure.  In the last
assessment we applied the same relative contributions to all individuals in the population.
Uncertainty in this area reflects the fact that we do not  have comprehensive data on exposure
levels matched with PbB measurements for a larger set of individuals, which prevents us from
assessing how contributions of different Pb exposure pathways to total PbB may vary across
percentiles in the population distribution (of total PbB). The availability of, for example,
matched data on PbB levels and dietary exposure (for a set of study subjects), might provide for
a reduction in this potentially important source of uncertainty.  The REA Planning Document
considered this as well as the extent to which data are now available that characterize key areas
of variability in the inputs to modeling total PbB levels (e.g., soil Pb, outdoor and indoor dust Pb,
dietary food Pb) which might support a probabilistic simulation of the full range of exposure and
       22 Indoor dust Pb derived from lead recently emitted to the air was quantified separate from this combined
historic Pb of paint or air origin.
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risk for a given study population.  An important aspect of this consideration was the availability
of data characterizing the degree of correlation between these modeling inputs (e.g., degree to
which indoor dust Pb levels and outdoor soil Pb levels are correlated), and if available, the extent
to which these types of data might provide the basis for a Monte Carlo simulation-based
estimation of population variability in PbB levels associated with key exposure pathways.
Another area of consideration with regard to population variability was the availability of more
recent information on PbB variability in study populations (e.g., the availability of an updated
estimate of population PbB variation such as geometric standard deviation, potentially
differentiated by region and possibly by housing stock or by the SES attributes of the underlying
study population).
      5.2.1.3  Health Risk Assessment
       In analyzing newly available information pertaining to the health risk assessment step in
the REA Planning Document, we considered newly available studies with regard to the support
they might provide for assessment of health endpoints and risk metrics other than childhood IQ
and, as available, the extent to which they indicate the potential to lead to childhood IQ risk
estimates notably different from those of the last assessment. Focusing specifically on the step
of translating childhood exposure  estimates into IQ loss estimates,  as the risk metric, a key
source of uncertainty in the last assessment was the specification of the IQ loss function,
specifically, the portion of the function  predicting IQ loss at lower  exposure levels (e.g., below
PbB levels on the order of 3-5 jig/dL).  Thus,  the REA Planning Document assessed the
availability of new cohort studies, or pooled/meta analyses based on existing studies, which
describe the nature of the function at these lower exposure levels and might provide for a
reduction of uncertainty associated with this aspect of the risk assessment. With regard to the
currently available information, we considered the potential  for it to impact REA results and the
potential extent of such impact. Another area  considered in  reviewing the newly available
information was the type  of PbB metric that might be used in quantifying risk (concurrent,
lifetime averaged etc).
      5.2.1.4  Summary and Conclusions
       The REA Planning Document described EPA  staff assessment of the degree to which
research published since the last Pb NAAQS review (as summarized in the first draft ISA) might
appreciably address specific uncertainties associated with the risk assessment performed in the
last review and provide risk estimates for exposure to air-related Pb that are appreciably
different, or with which the uncertainty is appreciably lower, than the estimates generated for the
last review.  Based on that assessment, staff concluded that new information is available that
may be useful in further interpreting risk estimates generated for the previous review. Staff
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further concluded, however, that the newly information does not provide the means by which to
develop an updated or enhanced risk model that would substantially improve the utility of risk
estimates for informing the current Pb NAAQS review. In comments provided by the CASAC
Pb Review Panel as part of their consultation on the REA Planning Document (76 FR 36120),
members generally concurred with these staff conclusions (Frey, 201 Ib).
       Based on the analysis in the REA Planning Document, including consideration of
available resources, EPA will not be developing a new health REA. Rather, the information
newly available in this review (as characterized in the final ISA) will be considered in the Policy
Assessment with regard to any appropriate further interpretation of the risk assessment findings
from the last review.  As noted in section 7.1 below, the PA will identify risk/exposure-based
approaches and evidence-based approaches for reaching public health policy judgments. In so
doing, the PA for this review will draw on the assessments completed in the last review, in light
of consideration of the current evidence in the REA planning document, and taking into account
the evidence presented in the ISA and other documents prepared for the review. Review steps
for the PA are described in section 7.1 below.
5.2.2  Ecological Risk Assessment
       In considering the extent to which the currently available information warrants
development of an ecological risk assessment in this review, the REA Planning Document
considered both the availability of new air quality data and data or estimates for other media that
might inform consideration of the current Pb standards, as well as any newly  available scientific
evidence that indicates a more refined understanding of the direct and indirect effects of
deposited ambient Pb on ecosystems and organisms.  We focused most specifically on 1) the
ability of current data sets to characterize exposure of ecosystems to ambient Pb currently being
deposited and 2) any new evidence that would allow the current review to arrive at different
conclusions as to the causality or degree of effect than the last review.
       EPA considered the availability of monitoring data from the newly designed Pb
monitoring network and the adequacy of the available data for determining ambient
concentrations of Pb in potentially vulnerable ecosystems, as well as the availability of methods
or models to estimate the amount of deposition occurring in those areas. Additionally, the REA
Planning Document considered the usefulness of available information for apportioning sources
of deposited Pb between ambient air sources and nonair sources of Pb in ecosystems.  Key to this
consideration is the extent to which information is available to support a quantitative analysis of
Pb-related effects associated with current ambient air conditions or at conditions meeting the
current standard.
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       In the last review, the scientific evidence of direct effect from current ambient levels of
Pb to specific ecosystems or organisms was limited.  In considering the scientific evidence on
which a risk assessment might be based, staff evaluated the extent to which the currently
available scientific evidence causally links deposited atmospheric lead with adverse ecological
effects under the current standard. Recognizing that information relating to critical loads for Pb
in ecosystems was lacking in the last review,  the REA Planning document included consideration
of the adequacy of any new scientific evidence on critical loads that might be used in assessing
ecosystems potentially vulnerable to Pb on a national-scale.  Staff also considered the availability
of new scientific evidence that might inform the apportionment of specific ecological effects to
ambient air Pb as opposed to other sources of current and historic Pb in the environment,  as well
as to provide additional  insight into the responsiveness of ecosystems to changes in Pb
deposition.
       In summary, the REA Planning Document described EPA staff assessment of the  extent
to which the information available in this review addresses key limitations in developing
quantitative analyses that would substantively and quantitatively inform consideration of the
adequacy of the current  secondary NAAQS.  Based on that assessment, staff noted that while
there are a number of new studies that improve our understanding of some of the environmental
variability affecting the  disposition and toxicity of Pb in the environment, data gaps, limitations
and uncertainties remain in the information available regarding areas that are critical to
developing quantitative  estimates of ecosystem risk associated with Pb in ambient air. Thus,
staff concluded that the  currently available information does not provide the means for
developing a new quantitative risk and exposure assessment with substantially improved utility
for informing the Agency's consideration of welfare effects and evaluation of the adequacy of
the current secondary standard or alternatives. In comments provided by the CASAC Pb  Review
Panel as part of their consultation on the REA Planning Document (76 FR 36120), members
generally concurred with these staff conclusions (Frey, 201 Ib).
       Based on the analysis in the REA Planning Document, including consideration of
available resources, EPA will not be developing a new REA for welfare effects.  Rather, the
information newly available in this review (as characterized in the final ISA) will be considered
in the Policy Assessment with regard to any appropriate further interpretation of the risk
assessment findings from the last review.  As noted in section 7.1 below, the PA will identify
risk/exposure-based approaches and evidence-based approaches for reaching public health policy
judgments. In so doing, the PA for this review will draw on the assessments completed in the
last review, in light of consideration of the current evidence in the REA planning document, and
taking into account the evidence presented in the ISA and other documents prepared for the
review. Review steps for the PA are described in section 7.1 below.
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      6   AMBIENT AIR MONITORING CONSIDERATIONS

       In the course of NAAQS reviews, aspects of the methods for sampling and analysis of the
NAAQS pollutant are reviewed, and the current network of monitoring locations with the
associated data is considered.  The methods for sampling and analysis of each NAAQS pollutant
are generally reviewed in conjunction with consideration of the indicator element for each
NAAQS.  Consideration of the ambient air monitoring network generally informs the
interpretation of current data on ambient air concentrations, and helps identify if the monitoring
network is adequate to determine compliance with the existing or, as appropriate, a potentially
revised NAAQS. This chapter describes plans for considering these aspects of the ambient air
monitoring program for Pb. 23
6.1    CONSIDERATION OF SAMPLING AND ANALYSIS METHODS
       In order to be  used in attainment designations, ambient Pb concentration data must be
obtained using either  the Federal Reference Method (FRM) or a Federal Equivalent Method
(FEM). As described in section  1.3 above, the indicator for the current Pb NAAQS is Pb-TSP.
However, in some situations (described below), ambient Pb-PMi0 concentrations may be used in
judging nonattainment.  Accordingly, FRMs have been established for Pb-TSP and for Pb-PMi0.
       The current FRM for the measurement of Pb-TSP is provided in 40 CFR part 50
Appendix G. This FRM includes sampling using a high-volume TSP sampler that meets the
design criteria identified in 40 CFR part 50 Appendix B, and sample analysis  for Pb content
using flame atomic absorption. There are 24 FEMs currently approved for Pb-TSP.24 All 24
FEMs are based on the use of high-volume TSP samplers and a variety of approved equivalent
analysis methods.
       During the review of the Pb NAAQS completed in 2008, CASAC noted the variability in
high-volume TSP sample measurements associated with the effects of wind speed and wind
direction on collection efficiency in their comments regarding the indicator.   However,  at the
time of the 2008 review, no alternative TSP sampler designs  were identified with adequate
characterization of their collection efficiency over a wide range of particle sizes. The existing
high volume sampler was retained as the sampling approach  for the Pb-TSP FRM and FEMs.
       23 The code of federal regulations (CFR) at parts 50, 53 and 58 specifies required aspects of the ambient
monitoring program for NAAQS pollutants. The federal reference methods (FRMs) for sample collection and
analysis are specified in 40 CFR part 50, the procedures for approval of FRMs and federal equivalent methods
(FEMs) are specified in 40 CFR part 53 and the rules specifying requirements for the planning and operations of the
ambient monitoring network are specified in 40 CFR part 58.
       24 A complete list of FEM can be found at the following webpage -
http://www.epa.gov/ttn/amtic/files/ambient/criteria/reference-equivalent-methods-list.pdf
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EPA is continuing to assess the feasibility of a revised TSP sampler design with improved
control on collection efficiency over a wider range of particle sizes, including ultra-coarse
particles (which are not captured with PMi0 samplers).
       Due to reduced availability of laboratories capable of performing flame atomic
absorption analyses and general advances in analysis methods, the EPA has initiated an effort to
replace atomic absorption with a more modern analysis method such as inductively coupled
plasma mass spectroscopy (ICP-MS).  EPA's approach for this activity was reviewed by the
CASAC Ambient Air Monitoring and Methods Subcommittee (CASAC-AAMMS) in a public
teleconference on September 15, 2010 (75 FR 51807; Russell and Samet, 2010).  With
consideration of the CASAC-AAMMS comments, EPA is developing a new FRM based on a
more modern analysis method.
       In addition to maintaining the existing FRM for Pb-TSP, a new FRM for Pb in PMio (Pb-
PMio) was promulgated as part of the 2008 review. This new FRM is based on the PMio sampler
defined in 40 CFR part 50 Appendix J coupled with x-ray fluorescence (XRF) analysis. The Pb-
PMio measurements may be used for NAAQS monitoring as an alternative to Pb-TSP
measurements in certain conditions defined in 40 CFR part 58 Appendix D paragraph 2.10.1.2.
These conditions include where Pb  concentrations are not expected to equal or exceed 0.10
micrograms per cubic meter as an arithmetic three-month mean and where the source of Pb
emissions is expected to emit a substantial majority of its Pb in the PMio size fraction.
       Sampling and analysis issues to be considered during this review include the following:
   •   Are new TSP samplers  available and adequately characterized for use in Pb-TSP
       sampling?
   •   If an alternative size fraction is identified that may adequately characterize total Pb
       concentrations (including ultra-coarse particles), are there samplers for that size fraction
       that have been adequately characterized that can be used as the basis for a new FRM
       sampling method?
   •   Are new data on Pb size distributions available, particularly near sources, that would
       better inform the need for Pb-TSP or the adequacy of Pb measurements in PMio or other
       size fractions (e.g., Pb-PMi5 or Pb-PM20) in characterizing total Pb concentrations?
   •   Is there information suggesting changes to other aspects of the FRMs may be appropriate
       to consider?

6.2    CONSIDERATION OF AIR MONITORING NETWORK
       REQUIREMENTS
       The majority of data used to determine compliance with the Pb NAAQS are obtained
from monitors operated by state, local, and tribal monitoring agencies ("monitoring agencies").
These monitors  are either required due to federal regulations (40 CFR part 58, Appendix D) and
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state regulations, or are operated voluntarily by the monitoring agency.  A review of the
available lead monitoring data and then-existing Pb monitoring network was performed as part
of the 2008 Pb NAAQS review (USEPA, 2007b). This Pb monitoring network review indicated
that the network existing at that time was inadequate to assess compliance and determine the
extent of all the areas that may violate the revised NAAQS.  Many states had no ambient air Pb
monitors in place, such that there were large portions of the country with no data being  collected
on Pb concentrations in ambient air.  In addition, although monitors were located by all known
Pb smelters, many other of the largest Pb emitting sources in the country did not have nearby
ambient Pb air monitors. Due to these findings, the EPA promulgated revised Pb monitoring
network design requirements along with the revised Pb NAAQS (73  FR 66964).  The Pb
monitoring network design requirements were revised again in December 2010 as a result of
EPA's decision to grant a petition to reconsider the prior network design requirements that was
filed by several environmental and public health organizations (75 FR 81126).
       The current Pb monitoring network design requirements (40 CFR part 58, Appendix D,
paragraph 4.5) include two types of monitoring sites - source-oriented monitoring sites, and non-
source-oriented monitoring sites.25  Source-oriented monitoring sites are required near sources of
air Pb emissions which are expected to or have been shown to contribute to ambient air Pb
concentrations in excess of the NAAQS.  At a minimum, there must be  one source-oriented site
located to measure the maximum Pb concentration in ambient air resulting from each non-airport
Pb source estimated to emit 0.50 or more tons of Pb per year and from each airport estimated to
emit 1.0 or more tons of Pb per year.26 Monitoring agencies are also required to conduct non-
source-oriented Pb monitoring at the multipollutant monitoring sites  (NCore  sites27 required
under 40 CFR part 58 Appendix D, paragraph 3) in Core Based Statistical Areas with a
population of 500,000 or more.28 While non-source-oriented monitoring data can be used for
       25 EPA Regional Administrators may require additional monitoring beyond the minimum requirements
where the likelihood of Pb air quality violations is significant. Such locations may include those near additional
industrial Pb sources, recently closed industrial sources, airports where piston-engine aircraft emit Pb and other
sources of re-entrained Pb dust (40 CFR, part 58, Appendix D, section 4.5(c)).
       26 The Regional Administrator may waive the requirement in paragraph 4.5(a) for monitoring near Pb
sources if the State or, where appropriate, local agency can demonstrate the Pb source will not contribute to a
maximum three-month average Pb concentration in ambient air in excess of 50 percent of the NAAQS level based
on historical monitoring data, modeling, or other means (40 CFR, part 58, Appendix D, section 4.5(a)(ii)).
       27 NCore is a new network of multipollutant monitoring stations intended to meet multiple monitoring
objectives. The NCore stations are a subset of the state and local air monitoring stations network and are intended to
support long-term trends analysis, model evaluation, health and ecosystem studies, as well as NAAQS compliance.
The complete NCore network consists of approximately 60 urban and 20 rural stations, including some existing
SLAMS sites that have been modified for additional measurements. Each state will contain at least one NCore
station, and 46 of the states plus Washington, DC, will have at least one urban station.
       28 Defined by the US Census Bureau - http://www.census.gov/population/www/metroareas/metroarea.html
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purposes of NAAQS attainment designations, the main objective for non-source-oriented
monitoring is to gather information on neighborhood-scale lead concentrations that are typical in
urban areas so to better understand ambient air-related Pb exposures for populations in these
areas.  Source-oriented monitors near sources estimated to emit 1.0 tpy Pb were required to be
operational by January 1, 2010,  and the remainder of the newly required monitors are required to
be operational by December 27, 2011 (75 FR 81126).  When the December 2010 Pb network
requirements are fully implemented, the Pb NAAQS monitoring network is expected to consist
of approximately 270 required monitors including approximately 210 source-oriented monitors
and 60 non-source-oriented monitors.  Figure 6-1 shows the estimated geographic distribution of
previously existing and newly required Pb NAAQS monitors in the current Pb NAAQS
monitoring network.
                                     •   Previously existing sites and any newly required 1 tpy source-oriented sites
                                     •   Potential new 0.50 tpy source-oriented sites 1
                                     A   NCore (non-source-oriented) sites
                                      Based on 2008 National Emission Inventory lead emission estimates
Figure 6-1. Map of Monitoring Sites in Current Pb NAAQS Monitoring Network.
                                                                                  29
         Estimates for source-oriented monitors are based on Pb emissions estimates in the 2008 National
Emissions Inventory.
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       With the regulatory action to revise Pb NAAQS monitoring network requirements
described above, EPA also required one year of Pb-TSP (FRM) monitoring near 15 specific
airports in order to gather additional information on the likelihood of NAAQS exceedances near
airports due to the combustion of leaded aviation gasoline (75 FR 81126).  These 15 sites (Figure
6-2) are required to be operational no later than December 27, 2011.
Figure 6-2. Map of Sites Near Airports For Which One Year of Monitoring is Required.
                                                                                          30
       30 The 15 Airports are: Merrill Field (Anchorage, AK), Pryor Field Regional (Limestone, AL), Palo Alto
Airport of Santa Clara County and Reid-Hillview (both in Santa Clara, CA), McClellan-Palomar and Gillespie Field
(both in San Diego, CA), San Carlos (San Mateo, CA), Nantucket Memorial (Nantucket, MA), Oakland County
International (Oakland, MI), Republic and Brookhaven (both in Suffolk, NY), Stinson Municipal (Bexar, TX),
Northwest Regional (Denton, TX), Harvey Field (Snohomish, WA), and Auburn Municipal (King, WA).
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    Sampling and analysis issues to be considered during this review include the following:
•   Is the current emission threshold of 0.50 tons per year for industrial sources and 1.0 tons
    per year for airports appropriate and adequate for determining compliance with the
    current or alternative NAAQS considered?

•   The current monitoring requirements specify  source emissions thresholds intended to
    identify situations where these emissions may result in exceedances of the current
    NAAQS (e.g., near stationary sources or airports) and also provide for the identification
    of areas of historic industrial activity from which emissions may also result in
    exceedances.  Is there recent, newly available information indicating other  situations
    where exceedances to the current NAAQS are likely to occur?  To the extent that
    revisions to the NAAQS are considered during this review, at what alternative levels
    and/or averaging times would other types of Pb sources be likely to cause exceedances to
    the alternative NAAQS considered?
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          7  POLICY ASSESSMENT AND RULEMAKING

7.1    POLICY ASSESSMENT
       The PA, like the previous OAQPS Staff Paper, is a document that provides a transparent
OAQPS staff analysis and staff conclusions regarding the adequacy of the current standards and
potential alternatives that are appropriate to consider prior to the issuance of proposed and final
rules. The PA integrates and interprets the information from the ISA and REA(s) to frame policy
options for consideration by the Administrator.  The PA is also intended to facilitate CASAC's
advice to the Agency and recommendations to the Administrator on the adequacy of the existing
standards or revisions that may be appropriate to consider, as provided for in the Clean Air Act.
Staff conclusions in the PA are based on the information contained in the ISA, and, as available,
the REA, and any additional staff evaluations and assessments discussed in the PA.  In so doing,
the discussion in the PA is framed by consideration of a series of the policy-relevant questions
drawn from those outlined in chapter 3,  including the fundamental questions associated with the
adequacy of the current standards and, as appropriate, consideration of alternative standards in
terms of the specific elements of the standards: indicator,  averaging time, level, and form.
       The PA for the current review will identify conceptual evidence-based and risk/exposure-
based31 approaches for reaching public health and welfare policy judgments.  It will discuss the
implications of the science and quantitative assessments for the adequacy of the current
standards, and for any alternative standards under consideration. The PA will also describe a
broad range of policy options for standard setting, identifying the broadest range for which the
staff identifies support within the available information.  In so doing, the PA will describe the
underlying interpretations of the scientific evidence and risk/exposure information that might
support such alternative policy options that could be considered by the Administrator in making
decisions for the Pb standards.  Additionally, the PA will  identify key uncertainties in our
assessment and areas for future research and data collection.
       In identifying a range of primary standard options for the Administrator to consider, it is
recognized that the final decision will be largely  a public health policy judgment. A final
decision must draw upon  scientific information and analyses about health effects and risks, as
well as judgments about how to deal with the range of uncertainties that are inherent in the
scientific evidence and analyses.  Staffs approach to informing these judgments is based on a
recognition that the available health effects evidence generally reflects a continuum consisting of
       31 As noted in section 5 above, new quantitative risk and exposure assessments are not being developed for
this review. Accordingly, the quantitative risk and exposure assessments from the last review will be considered in
light of information currently available in this review.
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ambient levels at which scientists generally agree that health effects are likely to occur through
lower levels at which the likelihood and magnitude of the response become increasingly
uncertain.  This approach is consistent with the requirements of the NAAQS provisions of the
Act and with how EPA and the courts have historically interpreted the Act. These provisions
require the Administrator to establish primary standards that are requisite to protect public health
and are neither more nor less stringent than necessary for this purpose.  The provisions do not
require that primary standards be set at a zero-risk level, but rather at a level that avoids
unacceptable risks to public health, including the health of sensitive groups.32
        In identifying a range of secondary standard options for the Administrator to consider,
staff recognizes that the final decision will be largely a public policy judgment.  A final decision
must draw upon scientific evidence and analyses about effects on public welfare, as well as
judgments about how to deal  with the range of uncertainties that are inherent in the relevant
information.  This approach is consistent with the requirements of the NAAQS provisions of the
Act and with how EPA and the courts have historically interpreted the Act. These provisions
require the Administrator to establish secondary standards that are requisite to protect public
welfare from any known or anticipated adverse effects associated with the presence of the
pollutant in the ambient air. In so doing, the Administrator seeks to establish standards that are
neither more nor less stringent than necessary for this purpose. The provisions do not require
that secondary standards be set to eliminate all welfare effects, but rather at a level that protects
public welfare from those effects that are judged to be adverse.
        Staff will prepare at least one draft of the PA document for CAS AC review and public
comment.  The draft PA document will be distributed to the CAS AC Pb Panel for their
consideration and provided to the public for review and comment. Review by the CASAC Pb
Panel will be discussed at public meetings that will be announced in the Federal Register. Based
on past practice by CASAC, EPA expects that key advice and recommendations for revision of
the document would be summarized by the CASAC in a letter to the EPA Administrator.  In
revising the draft PA document, OAQPS will take into account any such recommendations,  and
also consider comments received, from CASAC and from the public, at the meeting itself, and
any written comments  received. The final document will be made available on an EPA website,
with its public availability announced in the Federal Register.
       32 The sensitive population groups identified in a NAAQS review may be comprised of low income or
minority groups. Where low income/minority groups are among the sensitive groups, the rulemaking decision will
be based on providing protection for these and other sensitive population groups.  To the extent that low
income/minority groups are not among the sensitive groups, a decision based on providing protection of the
sensitive groups would be expected to provide protection for the low income/minority groups (as well as any other
less sensitive population groups).
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7.2    RULEMAKING
       Following issuance of the final PA and EPA management consideration of staff analyses
and conclusions presented therein, and taking into consideration CASAC advice and
recommendations, the Agency will develop a notice of proposed rulemaking. The proposed
rulemaking notice conveys the Administrator's proposed conclusions regarding the adequacy of
the current standards and any revision that may be appropriate. A draft notice of proposed
rulemaking will be submitted to the Office of Management and Budget (OMB) for interagency
review, in which OMB and other federal agencies are provided the opportunity for review and
comment. After the completion of interagency review, EPA will publish the notice of proposed
rulemaking in the Federal Register.  Monitoring rule changes associated with review of the Pb
standards, and drawing from considerations outlined in chapter 6 above, will be developed and
proposed, as appropriate, in conjunction with this NAAQS rulemaking.
       At the time of publication of the notice of proposed rulemaking, all materials on which
the proposal is based are made available in the public docket for the rulemaking.33 Publication
of the proposal notice is followed by a public comment period, generally lasting 60 to 90 days,
during which the public is invited to submit comments on the proposal to the rulemaking docket.
Taking into account comments received on the proposed rule, the Agency will then develop a
notice  of final rulemaking, which again undergoes OMB-coordinated interagency review prior to
issuance by EPA of the final rule. At the time of final rulemaking, the Agency responds to all
significant comments on the proposed rule.34 Publication of the final rule in the Federal Register
completes the rulemaking process.
       33 The rulemaking docket for the current Pb review is identified as EPA-HQ-OAR-2010-0108.  This docket
has incorporated the ISA docket (EPA-HQ-ORD-2011-0051) by reference. Both dockets are publicly accessible at
www.regulations.gov.
       34 For example, Agency responses to all substantive comments on the 2008 notice of proposed rulemaking
in the last review were provided in the preamble to the final rule and in a document titled "Response to Responses to
Significant Comments on the 2008 Proposed Rule on the National Ambient Air Quality Standards for Lead (May
20, 2008; 73 FR 29184)", which is available at:
http://www.epa.gov/ttn/naaqs/standards/pb/data/20081015_responsetocomments.pdf.
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                                 8   REFERENCES
Frey, H.C. (201 la) Letter from Dr. H. Christopher Frey, Chair, Clean Air Scientific Advisory
       Committee Lead Review Panel, to Administrator Lisa P. Jackson. Re:  Consultation on
       EPA''s Draft IntegratedReview Plan for the National Ambient Air Quality Standards for
       Lead. May 25, 2011.
Frey, H.C. (201 Ib) Letter from Dr. H. Christopher Frey, Chair, Clean Air Scientific Advisory
       Committee Lead Review Panel, to Administrator Lisa P. Jackson. Re:  Consultation on
       EPA's Review of the National Ambient Air Quality Standards for Lead: Risk and Exposure
       Assessment Planning Document. October 14, 2011.
ICF International. (2006) Lead Human Exposure and Health Risk Assessments and Ecological Risk
       Assessment for Selected Areas. Pilot Phase. Draft Technical Report. Prepared for the U.S.
       EPA's Office of Air Quality Planning and Standards, Research Triangle Park, NC.
       December.
Jackson, L. (2009) Memorandum from Administrator Lisa Jackson, Subject: Development of
       regulations and policies. September 11, 2009. Available at:
       http://www.epa.gov/ttn/naaqs/pdfs/NAAQSReviewProcessMemo52109.pdf
MacDonald, D.D., Ingersoll, C.G., and Berger, T.A. (2000) Development and evaluation of
       consensus-based sediment quality guidelines for freshwater ecosystems. Archives of
       Environmental Contamination and Toxicology. 39:20-31.
MacDonald, D.D., Ingersoll, C.G., Smorong, D.E., Lindskoog, R.A., Sloane, G., and Biernacki, T.
       (2003) Development and Evaluation of Numerical Sediment Quality Assessment Guidelines
       for Florida Inland Waters. British Columbia: MacDonald Environmental Sciences, Lt.
       Columbia, MO: U.S. Geological Survey. Prepared for: Florida Department of
       Environmental Protection, Tallahassee, FL. January.
Russell A. and Samet, J.M. (2010) Letter from Dr. A. Russell, Chair, Clean Air Scientific Advisory
       Committee, Ambient Air Monitoring Methods Subcommittee and J.M. Samet, Chair,  Clean
       Air Scientific Advisory Committee, to Administrator Lisa P. Jackson. Re: CASAC Review
       of EPA's White Paper Approach for the Development of a new Federal Reference Method
       (FROM) for Lead in Total Suspended Particulates (Pb-TSP). November 30, 2010.
U.S. Environmental Protection Agency. (1977) Air Quality Criteria for Lead. U.S. EPA, Office of
       Research and Development, Washington, DC. EPA-600/8-77-017. Available at:
       http: //www. epa. gov/ttn/naaqs/standards/pb/s_pb_pr. html.
U.S. Environmental Protection Agency. (1986a) Air Quality Criteria for Lead. Volumes 1-IV. U.S.
       EPA, Washington, DC. EPA-600/8-83/028aF-dF. Available at:
       http: //www. epa. gov/ttn/naaqs/standards/pb/s_pb_pr. html.
U.S. Environmental Protection Agency. (1986b) Lead Effects on Cardiovascular Function, Early
       Development, and Stature:  An Addendum to U.S. EPA Air Quality Criteria for Lead
       (1986). In: Air Quality Criteria for Lead, V. 1. pp. A1-A67. U.S. EPA, Washington, DC.
       EPA-600/8-83/028aF.  Available at:
       http: //www. epa. gov/ttn/naaqs/standards/pb/s_pb_pr. html.
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U.S. Environmental Protection Agency. (1989) Review of the National Ambient Air Quality
       Standards for Lead: Exposure Analysis Methodology and Validation: OAQPS Staff Report.
       Office of Air Quality Planning and Standards. Research Triangle Park, NC. EPA-450/2-
       89/011. Available at: http://www.epa.gov/ttn/naaqs/standards/pb/data/rnaaqsl_eamv.pdf
U.S. Environmental Protection Agency. (1990a) Air Quality Criteria for Lead: Supplement to the
       1986 Addendum. U.S. EPA, Washington, DC. EPA/600/8-89/049F.Available at:
       http ://www. epa. gov/ttn/naaqs/standards/pb/s_pb_pr .html.
U.S. Environmental Protection Agency. (1990b) Review of the National Ambient Air Quality
       Standards for Lead: Assessment of Scientific and Technical Information: OAQPS Staff
       Paper. Office of Air Quality Planning and Standards. Research Triangle Park, NC. EPA-
       450/2-89/022. Available at: http://www.epa.gov/ttn/naaqs/standards/pb/data/rnaaqsl_asti.pdf
U.S. Environmental Protection Agency. (1991) U.S. EPA Strategy for Reducing Lead Exposure.
       Available at: http://www.epa.gov/ttn/naaqs/standards/pb/s_pb_pr.html.
U.S. Environmental Protection Agency. (2005) Project Work Plan for Revised Air Quality Criteria
       for Lead. CASAC Review Draft. National Center for Environmental Assessment, Research
       Triangle Park, NC. NCEA-R-1465. Available at:
       http://www.epa.gov/ttn/naaqs/standards/pb/s_pb_cr_pd.html
U.S. Environmental Protection Agency. (2006a) Plan for Review of the National Ambient Air
       Quality Standards for Lead. Office of Air Quality Planning and Standards, Research
       Triangle Park, NC. Available at:
       http://www.epa.gov/ttn/naaqs/standards/pb/s_pb_cr_pd.html
U.S. Environmental Protection Agency. (2006b) Air Quality Criteria for Lead. U.S. EPA,
       Washington, DC. EPA/600/R-5/144aF-bF. Available at: www.epa.gov/ncea/
U.S. Environmental Protection Agency. (2006c) Analysis Plan for Human Health  and Ecological
       Risk Assessment for the Review of the Lead National Ambient Air Quality Standards.
       Office of Air Quality Planning and Standards, Research Triangle Park, NC. Available at:
       http://www.epa.gov/ttn/naaqs/standards/pb/s_pb_cr_pd.html
U.S. Environmental Protection Agency. (2007a) Lead: Human Exposure and Health Risk
       Assessments for Selected Case Studies, Volume I. Human Exposure and Health Risk
       Assessments - Full-Scale and Volume II. Appendices. Office of Air Quality Planning and
       Standards, Research Triangle Park, NC. EPA-452/R-07-014a and EPA-452/R-07-014b.
       Available at: http://www.epa.gov/ttn/naaqs/standards/pb/s_pb_cr_td.html
U.S. Environmental Protection Agency. (2007b) Review of the National Ambient Air Quality
       Standards for Lead: Policy Assessment of Scientific and Technical Information, OAQPS
       Staff Paper. Office of Air Quality Planning and Standards, Research Triangle  Park, NC.
       EPA-452/R-07-013. Available at:
       http: //www. epa. gov/ttn/naaqs/standards/pb/s_pb_cr_sp. html
U.S. Environmental Protection Agency. (2009a) Integrated Science Assessment for Particulate
       Matter (Final Report). U.S. EPA, Washington, DC. EPA/600/R-08/139F. Available at:
       http://www.epa.gov/ttn/naaqs/standards/pm/s_pm_2007_isa.html
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U.S. Environmental Protection Agency. (2010) Integrated Science Assessment for Carbon
       Monoxide (Final Report). U.S. Environmental Protection Agency, Washington, DC.
       EPA/600/R-09/019F. Available at:
       http: //www. epa. gov/ttn/naaqs/standards/co/s_co_cr_i sa. html
U.S. Environmental Protection Agency. (201 la) Integrated Review Plan for the National Ambient
       Air Quality Standards for Lead. External Review Draft. National Center for Environmental
       Assessment and Office of Air Quality Planning and Standards, Research Triangle Park, NC.
       EPA-452/D-11-001. Available at:
       http: //www. epa. gov/ttn/naaqs/standards/pb/s_pb_2010_pd. html
U.S. Environmental Protection Agency. (201 Ib) Integrated Science Assessment for Lead (First
       External Review Draft). U.S. EPA, Washington, DC. EPA/600/R-10/075A. Available at:
       http://www.epa.gov/ttn/naaqs/standards/pb/s_pb_2010_isa.html
U.S. Environmental Protection Agency. (201 Ic) Review of the National Ambient Air Quality
       Standards for Lead:  Risk and Exposure Assessment Planning Document. Office of Air
       Quality Planning and Standards, Research Triangle Park, NC. EPA/452/P-11-003. Available
       at: http://www.epa.gov/ttn/naaqs/standards/pb/s_pb_2010_pd.html
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                  Appendix
Integrated Science Assessment for Lead - Outline
                  A-l

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                     Integrated Science Assessment for Lead

Preamble    Process of IS A Development
             EPA Framework for Causal Determination
             Evaluating Evidence for Inferring Causation

Preface      Legislative Requirements for the NAAQS Review
             History of the NAAQS for Lead

Chapter 1    Executive Summary

Chapter 2    Integrative Summary
2.1           Policy Relevant Questions for Lead NAAQS Review
2.2           ISA Development and Scope
2.3           Ambient Pb: Source to Concentrations
2.4           Exposure to Ambient Lead
2.5           Toxicokinetics
2.6           Lead Biomarkers
2.7           Health Effects
2.8           Ecological Effects
2.9           Integration of Health and Ecosystem Effects
2.10         Policy Relevant Considerations
2.11         Summary

Chapter 3    Ambient Pb: Source to Concentration
3.1           Introduction
3.2           Sources  of Atmospheric Lead
3.3           Fate and Transport of Lead
3.4           Monitoring of Ambient Lead
3.5           Ambient Air Lead Concentrations
3.6           Ambient Lead Concentrations in Non-Air Media and Biota
3.7           Summary

Chapter 4    Exposure, Toxicokinetics and Biomarkers
4.1           Exposure Assessment
4.2           Kinetics
4.3           Lead Biomarkers
4.4           Observational Studies of Lead Exposure
             Empirical Models of Lead Exposure-Blood Lead Relationships
4.5           Biokinetic Models of Lead Exposure-Blood Lead Relationships

Chapter 5    Integrated Health Effects of Lead Exposure
5.1           Introduction
5.2           Mode s of Acti on
5.3           Nervous System Effects
5.4           Cardiovascular Effects
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5.4.5         Mortality Associated with Long-Term Lead Exposure
5.5          Renal Effects
5.6          Immune System Effects
5.7          Effect on Heme Synthesis and Red Blood Cell Function
5.8          Reproductive Effects and Birth Outcomes
5.9          Effects on Other Organ Systems
5.10         Cancer
5.11         Summary

Chapter 6    Potentially At-Risk Populations
6.1          Physiological Factors that Influence the Internal Distribution of Lead
6.2          Factors Potentially Related to Differential Lead Exposure
6.3          Factors Potentially Related to Increased Risk for Lead Induced Health Effects
6.4          Summary

Chapter 7    Ecological Effects of Pb
7.1          Introducti on to Ecol ogi cal C oncepts
7.2          Terrestrial Ecosystem Effects
7.3          Aquatic Ecosystem Effects
7.4          Summary
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