&EPA
United State
Environmental Protection
Agency
Policy Assessment for the Review of the
Ozone National Ambient Air Quality
Standards


Second External Review Draft

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                                    DISCLAIMER
This draft document has been reviewed by the Office of Air Quality Planning and Standards
(OAQPS), U.S. Environmental Protection Agency (EPA), and approved for publication. This
OAQPS Policy Assessment contains preliminary conclusions of the staff of the OAQPS and does
not necessarily reflect the views of the Agency. This draft document is being circulated to
facilitate discussion with the Clean Air Scientific Advisory Committee to inform the EPA's
consideration of the ozone National Ambient Air Quality Standards.
This information is distributed for the purposes of pre-dissemination peer review under
applicable information quality guidelines. It has not been formally disseminated by EPA. It
does not represent and should not be construed to represent any Agency determination or policy.
Mention of trade names or commercial products is not intended to constitute endorsement or
recommendation for use.

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                                                          EPA-452/P-14-002
                                                               January 2014
Policy Assessment for the Review of the Ozone National Ambient Air
                          Quality Standards
                    Second External Review Draft
                    U.S. Environmental Protection Agency
                         Office of Air and Radiation
                  Office of Air Quality Planning and Standards
                  Health and Environmental Impacts Division
                         Ambient Standards Group
                  Research Triangle Park, North Carolina 27711

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 1   TABLE OF CONTENTS

 2          LISTS OF FIGURES	vi

 3          LIST OF TABLES	x

 4          EXECUTIVE SUMMARY	ES-1

 5          1   INTRODUCTION	1-1
 6             1.1    PURPOSE	1-1
 7             1.2    BACKGROUND	1-3
 8                1.2.1  Legislative Requirements	1-3
 9                1.2.2  History of O3 NAAQS Reviews	1-5
10                1.2.3  Current O3 NAAQS Review	1-10
11             1.3    GENERAL APPROACH FOR REVIEW OF THE STANDARDS	1-12
12                1.3.1  Approach for the Primary Standard	1-13
13                    1.3.1.1  Approach Used in the Last Review	1-14
14                    1.3.1.2  Approach for the Current Review	1-17
15                   1.3.1.2.1   Consideration of the Scientific Evidence	1-20
16                   1.3.1.2.2   Consideration of Exposure and Risk Estimates	1-24
17                   1.3.1.2.3   Considerations Regarding Ambient Os Concentration Estimates
18                            Attributable to Background Sources	1-25
19                1.3.2  Approach for the Secondary Standard	1-26
20                    1.3.2.1  Approach Used in the Last Review	1-27
21                    1.3.2.2  Approach forthe Current Review	1-32
22                   1.3.2.2.1   Consideration of the Scientific Evidence	1-35
23                   1.3.2.2.2   Consideration of Exposure and Risk Estimates and Air Quality
24                            Analyses	1-38
25                   1.3.2.2.3   Considerations Regarding Ambient Os Concentration Estimates
26                            Attributable to Background Sources	1-40
27                1.3.3  Organization of this Document	1-40
28             1.4    REFERENCES	1-41

29          2  O3 MONITORING AND AIR QUALITY	2-1
30             2.1    O3 MONITORING	2-1
31                2.1.1 O3 Monitoring Network	2-1

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 1                2.1.2 Recent O3 Monitoring Data and Trends	2-2
 2             2.2   EMISSIONS AND ATMOSPHERIC CHEMISTRY	2-7
 3             2.3   AIR QUALITY CONCENTRATIONS	2-9
 4             2.4   BACKGROUND O3	2-11
 5                2.4.1 Seasonal Mean Background O3 intheU.S	2-13
 6                2.4.2 Seasonal Mean Background O3 in the U.S. as a Proportion of Total O3.2-15
 7                2.4.3 Daily Distributions of Background O3 within the Seasonal Mean	2-16
 8                2.4.4 Proportion of Background O3 in 12 Urban Case Study Areas	2-20
 9                2.4.5 Influence of Background O3 on W126 levels	2-22
10                2.4.6 Estimated Magnitude of Individual Components of Background O3	2-24
11                2.4.7 Summary	2-26
12             2.5   REFERENCES	2-27

13          3     ADEQUACY OF THE CURRENT PRIMARY STANDARD	3-1
14             3.1   EVIDENCE-BASED CONSIDERATIONS	3-1
15                3.1.1 Modes of Action	3-2
16                3.1.2 Nature of Effects	3-5
17                    3.1.2.1  Respiratory Effects - Short-term Exposures	3-6
18                    3.1.2.3  Total Mortality - Short-term Exposures	3-46
19                    3.1.2.4  Cardiovascular effects - Short-term Exposure	3-51
20                3.1.3 Adversity of Effects	3-54
21                3.1.4 Ozone Concentrations Associated With Health Effects	3-58
22                    3.1.4.1  Concentrations in Controlled Human Exposure Studies and in
23                    Epidemiologic Panel Studies	3-58
24                    3.1.4.2  Concentrations in Epidemiologic Studies - Short-term Metrics .... 3-61
25                    3.1.4.3  Concentrations in Epidemiologic Studies-"Long-term" Metrics. 3-75
26                3.1.5 Public Health Implications	3-78
27                    3.1.5.1  At-Risk Populations	3-78
28                    3.1.5.2  Size of At-Risk Populations and Lifestages in the United States ...3-81
29                    3.1.5.3  Averting Behavior	3-83
30             3.2   AIR QUALITY-, EXPOSURE-, AND RISK-BASED CONSIDERATIONS	
31                   	3-84
32                3.2.1 Consideration of the Adjusted Air Quality Used in Exposure and Risk
33                      Assessments	3-84
34                3.2.2 Exposure-Based Considerations	3-87
                                               ii

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 1               3.2.3  Risk-Based Considerations	3-97
 2                  3.2.3.1 Risk of Lung Function Decrements	3-97
 3                  3.2.3.2 Estimated Health Risks Associated with Short-or Long-Term Os
 4                        Exposures, Based on Epidemiologic Studies	3-106
 5            3.3   CASAC ADVICE	3-115
 6            3.4   PRELIMINARY STAFF CONCLUSIONS ON ADEQUACY OF PRIMARY
 7                 STANDARD	3-117
 8            3.5   REFERENCES	3-124

 9      4     CONSIDERATION OF ALTERNATIVE PRIMARY STANDARDS	4-1
10            4.1   INDICATOR	4-1
11            4.2   AVERAGING TIME	4-2
12            4.3   FORM	4-5
13            4.4   LEVEL	4-8
14               4.4.1  Evidence-based Considerations	4-8
15               4.4.2  Air Quality-, Exposure-, and Risk-Based Considerations	4-19
16                  4.4.2.1  Exposure-Based Considerations	4-19
17                  4.4.2.2  Risk-Based Considerations: Lung Function	4-27
18                  4.4.2.3  Risk-Based Considerations: Epidemiology-Based Mortality and
19                         Morbidity	4-34
20            4.5   CASAC ADVICE	4-42
21            4.6   PRELIMINARY STAFF CONCLUSIONS ON ALTERNATIVE PRIMARY
22                 STANDARDS FOR CONSIDERATION	4-43
23            4.7   KEY UNCERTAINTIES AND AREAS FOR FUTURE RESEARCH AND
24                 DATA COLLECTION	4-57
25            4.8   SUMMARY OF PRELIMINARY STAFF CONCLUSIONS ON PRIMARY
26                 STANDARD	4-60
27            4.9   REFERENCES	4-64

28      5     ADEQUACY OF THE CURRENT SECONDARY STANDARD	5-1
29            5.1   NATURE OF EFFECTS AND BIOLOGICALLY-RELEVANT
30                 EXPOSURE METRIC	5-1
31            5.2   FOREST TREE GROWTH, PRODUCTIVITY AND CARBON
32                 STORAGE	5-7
33               5.2.1  Evidence-based Considerations	5-7
34               5.2.2  Exposure/Risk-based Considerations	5-20
35            5.3   CROP YIELD LOSS	5-29
                                          iii

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 1               5.3.1  Evidence-based Considerations	5-29
 2               5.3.2  Exposure/Risk-based Considerations	5-32
 3            5.4   VISIBLE FOLIAR INJURY	5-35
 4               5.4.1  Evidence-based Considerations	5-37
 5               5.4.2  Exposure-/Risk-based Considerations	5-44
 6            5.5   OTHER WELFARE EFFECTS	5-54
 7               5.5.1  Forest Susceptibility to Insect Infestation	5-54
 8               5.5.2  Fire Regulation	5-55
 9               5.5.3  Ozone Effects on Climate	5-56
10               5.5.4  Additional Effects	5-57
11            5.6   CASAC ADVICE	5-57
12            5.7   PRELIMINARY STAFF CONCLUSIONS ON ADEQUACY OF
13                 SECONDARY STANDARD	5-59
14            5.8   REFERENCES	5-65

15      6     CONSIDERATION OF ALTERNATIVE SECONDARY STANDARDS	6-1
16            6.1   INDICATOR	6-1
17            6.2   FORM AND AVERAGING TIME	6-2
18            6.3   LEVEL	6-16
19            6.4   CASAC ADVICE	6-34
20            6.5   PRELIMINARY STAFF CONCLUSIONS ON ALTERNATIVE
21                 STANDARD	6-36
22            6.6   SUMMARY OF PRELIMINARY CONCLUSIONS ON THE
23                 SECONDARY STANDARD	6-45
24            6.7   KEY UNCERTAINTIES AND AREAS FOR FUTURE RESEARCH
25                 AND DATA COLLECTION	6-47
26            6.8   REFERENCES	6-49

27      APPENDICES
28      Appendix 2A.  Supplemental Air Quality Modeling Analyses of Background Os	2A-1
29      Appendix 2B. Monitoring Data Analysis of Relationships Between Current Standard and
30               W126 Metric	2B-1
31      Appendix 2C. Inter-annual Variability in W126 Index Values: Annual and 3-Year Average
32               Metrics (2008-2010)	2C-1
33      Appendix 3 A. Modes of Action Summary	3A-1
                                           IV

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1       Appendix 3B. Recent Studies of Respiratory-related Emergency Department Visits and
2                Hospital Admissions	3B-1
3       Appendix 3C. At-risk Populations	3C-1
4       Appendix 3D. Air Quality Data for Locations of Key Epidemiological Studies  	3D-1
5       Appendix 5 A. Additional Detail on 2006 Ecological Screening Assessment	5 A-1
6       Appendix 6A. Additional Detail on 2006 Ecological Screening Assessment	6A-1

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 1    LIST OF FIGURES
 2    Figure 1-1.  Overview of approach to reviewing the primary standard	1-19
 3    Figure 1 -2.  Overview of approach to reviewing the secondary standard	1-34
 4    Figure 2-1.  Map of U.S. ambient Os monitoring sites reporting data to EPA during the 2006-
 5               2010 period	2-2
 6    Figure 2-2.  Trend in U.S. annual 4th highest daily maximum 8-hour Os concentrations in ppb,
 7               2000 to 2012	2-4
 8    Figure 2-3.  Map of 8-hour Os design values in ppb for the 2009-2011 period	2-4
 9    Figure 2-4.  Map of 8-hour Os design values in ppb for the 2010-2012 period	2-5
10    Figure 2-5.  Trend in U.S. annual W126 concentrations in ppm-hrs, 2000 to 2012	2-6
11    Figure 2-6.  Map of 2009-2011 average annual W126 values in ppm-hrs	2-6
12    Figure 2-7.  Map of 2010-2012 average annual W126 values in ppm-hrs	2-7
13    Figure 2-8.  Map of 2007 CMAQ-estimated seasonal mean natural background Os levels from
14               zero-out modeling	2-14
15    Figure 2-9.  Map of 2007 CMAQ-estimated seasonal mean North American background Os
16               levels from zero-out modeling	2-15
17    Figure 2-10. Map of 2007 CMAQ-estimated seasonal mean United States background Os levels
18               from zero-out modeling	2-15
19    Figure 2-11. Map of U.S. background percent contribution to seasonal mean Os based on 2007
20               CMAQ zero-out modeling	2-18
21    Figure 2-12. Map of apportionment-based U.S. background percent contribution to seasonal
22               mean Os based on 2007 CAMx source apportionment modeling	2-18
23    Figure 2-13. Distributions of absolute estimates of apportionment-based U.S. Background (all
24               site-days), binned by modeled MDA8 from the 2007 source apportionment
25               simulation	2-19
26    Figure 2-14. Distributions of the relative proportion of apportionment-based U.S. Background to
27               total Os (all site-days), binned by modeled MDA8 from the 2007 source
28               apportionment
29               simulation	2-19
30    Figure 2-15. Fractional influence of background sources to W126  levels in four sample
31               locations. Model estimates based on 2007 CMAQ zero-out modeling	2-23
32    Figure 2-16. Differences in seasonal mean  Os between the NAB andNB scenarios	2-25
33    Figure 2-17. Percent contribution of U.S. anthropogenic emissions to total seasonal mean MDA8
34               Os levels, based on 2007 source apportionment modeling	2-26
35    Figure 3-1.  Modes of action/possible pathways underlying the health effects resulting from
36               inhalation exposure to Os. (Adapted from U.S. EPA, 2013, Figure 5-8)	3-4
37    Figure 3-2.  Percent increase in  respiratory-related hospital admission and emergency
38               department visits in studies that presented all-year and/or seasonal results	3-35
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 1    Figure 3-3.   Summary of mortality risk estimates for short-term Os and all-cause (nonaccidental)
 2                mortality	3-49
 3    Figure 3-4.   Concentration-response function for asthma hospital admissions over the
 4                distribution of area-wide averaged Os
 5                concentrations	3-67
 6    Figure 3-5.   Concentration-response function for pediatric asthma emergency department visits
 7                over the distribution of averaged, population-weighted 8-hour 63
 8                concentrations	3-69
 9    Figure 3-6.   Exposure-Response relationship between risk of death from respiratory causes and
10                ambient 63 concentration study metric	3-77
11    Figure 3-7.   Percent of children estimated to experience one or more exposures of concern at or
12                above 60, 70, 80 ppb with air quality adjusted to just meet the current standard
13                (averaged over 2006 to 2010)	3-90
14    Figure 3-8.   Percent of children estimated to experience one or more exposures of concern at or
15                above 60, 70, 80 ppb with air quality adjusted to just meet the current standard
16                (worst-case year, 2006 to 2010)	3-91
17    Figure 3-9.   Percent of children estimated to experience two or more exposures of concern at or
18                above 60, 70, 80 ppb with air quality adjusted to just meet the current standard
19                (Averaged over 2006 to 2010)	3-92
20    Figure 3-10.  Percent of children estimated to experience two or more exposures of concern at or
21                above 60, 70, 80 ppb with air quality adjusted to just meet the current standard
22                (Worst-Case Year, 2006 to 2010)	3-93
23    Figure 3-11.  Percent of school-aged children (5-18 yrs) estimated to experience one or more
24                days with FEVi decrements > 10, 15, or 20% with air quality adjusted to just meet
25                the current standard (Averaged over 2006 to 2010)	3-100
26    Figure 3-12.  Percent of school-aged children (5-18 yrs) estimated to experience one or more
27                days with FEVi decrements > 10, 15, or 20% with air quality adjusted to just meet
28                the current standard (Worst-Case Year from 2006 to 2010)	3-101
29    Figure 3-13.  Percent of school-aged children (5-18 yrs) estimated to experience two or more
30                days with FEVi decrements > 10, 15, or 20% with air quality adjusted to just meet
31                the current standard (Averaged over 2006 to 2010)	3-102
32    Figure 3-14.  Percent of school-aged children (aged 5-18 yrs) estimated to experience two or
33                more days with FEVi decrements > 10, 15, or 20% with air quality adjusted to just
34                meet the current standard (Worst-Case Year from 2006 to 2010)	3-103
35    Figure 3-15.  Percent of all-cause mortality associated with 63 for air quality adjusted to just
36                meet the current standard	3-109
37    Figure 3-16.  Estimated (^-associated mortality attributable to days above various area-wide
38                average 63 concentrations, with air quality adjusted to just meet current standard
39                (2007 Model Adjustment Year)	3-110
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 1    Figure 3-17. Percent of baseline respiratory mortality estimated to be associated with long-term
 2                O3	3-111
 3    Figure 4-1.   Percent of children estimated to experience one or more exposures of concern at or
 4                above 60, 70, or 80 ppb for air quality adjusted to just meet the current and potential
 5                alternative standards (averaged over 2006 to 2010)	4-21
 6    Figure 4-2.   Percent of children estimated to experience one or more exposures of concern at or
 7                above 60, 70, or 80 ppb for air quality adjusted to just meet the current and potential
 8                alternative standards (worst-case year from 2006 to 2010)	4-22
 9    Figure 4-3.   Percent of children estimated to experience two or more exposures of concern at or
10                above 60, 70, or 80 ppb for air quality adjusted to just meet the current and potential
11                alternative standards (averaged over 2006 to 2010)	4-23
12    Figure 4-4.   Percent of children estimated to experience two or more exposures of concern at or
13                above 60, 70, or 80 ppb for air quality adjusted to just meet the current and potential
14                alternative standards (worst-case year from 2006 to 2010)	4-24
15    Figure 4-5.   Percent of children estimated to experience one or more Os-induced lung function
16                decrements greater than 10, 15, or 20% for air quality adjusted to just meet the
17                current and potential alternative standards  (averaged over 2006 to 2010)	4-28
18    Figure 4-6.   Percent of children estimated to experience one or more Cb-induced lung function
19                decrements greater than 10, 15, or 20% for air quality adjusted to just meet the
20                current and potential alternative standards  (worst-case year from 2006 to 2010) 4-29
21    Figure 4-7.   Percent of children estimated to experience two or more Os-induced lung function
22                decrements greater than 10, 15, or 20% for air quality adjusted to just meet the
23                current and potential alternative standards  (averaged over 2006 to 2010)	4-30
24    Figure 4-8.   Percent of children estimated to experience two or more Cb-induced lung function
25                decrements greater than 10, 15, or 20% for air quality adjusted to just meet the
26                current and potential alternative standards  (worst-case year from 2006 to 2010) 4-31
27    Figure 4-9.   Estimates of Total Mortality Associated with Short-Term O?, Concentrations in
28                Urban Case Study Areas (Air Quality Adjusted to Current and Potential  alternative
29                standard levels) - Total Risk	4-36
30    Figure 4-10. Estimates of Total Mortality Attributable to Days with 8-Hour Area-Wide 63
31                Concentrations at or above 20, 40, or 60 ppb, Summed Across Urban Case Study
32                Areas (Air Quality Adjusted to Current and Potential alternative standard levels)
33                  	4-37
34    Figure 4-11. Estimates of Respiratory Hospital Admissions Associated with Short-Term Oj,
35                Concentrations in Urban Case Study Areas (Air Quality Adjusted to Current and
36                Potential alternative  standard levels) - Total Risk	4-38
37    Figure 4-12. Estimates of Respiratory Mortality Associated with long-term O?, Concentrations in
38                Urban Case Study Areas (Air Quality Adjusted to Current and Potential  alternative
39                standard levels) - Total Risk	4-39
                                                Vlll

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 1   Figure 4-13. Estimates of Total Mortality Attributable to Days with 8-Hour Area-Wide Os
 2               Concentrations at or above 20, 40, or 60 ppb - Risks Summed Across Urban Case
 3               Study Areas and Expressed Relative to 75 ppb	4-47
 4   Figure 5-1.  Relative biomass loss in seedlings for 12 studied species in response to seasonal
 5               ozone concentrations in terms of seasonal W126 index values	5-14
 6   Figure 5-2.   Relationship of tree seedling percent biomass loss with seasonal W126 index.. 5-15
 7   Figure 5-3.  Association of Os with cottonwood biomass in gradient downwind of New York
 8               City	5-17
 9   Figure 5-4.  Relative biomass loss of Ponderosa Pine for air quality model-adjusted to just meet
10               the current standard	5-24
11   Figure 5-5.  Cumulative proportion of sites with a) any foliar injury or b) elevated injury
12               present, by moisture category	5-48
                                                IX

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LIST OF TABLES
Table 2-1.   Seasonal mean MDA8 Os (ppb), seasonal mean apportionment-based USB
            contribution (ppb), and fractional apportionment-based USB contribution to total 63
            (all site-days) in the 12 REA urban case study areas (%) ..................................... 2-21
Seasonal mean MDA8 63 (ppb), seasonal mean apportionment-based USB
contribution (ppb), and fractional apportionment-based USB contribution to total 63
(site-days > 60 ppb) in the 12 REA urban study areas (%) .................................. 2-21
Table 2-2.
Table 2-3.   Fractional contribution of apportionment-based USB in the 12 REA urban study
            areas (%), using the means and medians of daily MDA8 fractions (instead of
            fractions of seasonal means)	2-21
Table 2-4.   Seasonal mean MDA8 03 (ppb), seasonal mean USB contribution (ppb), and
            fractional USB contribution to total Os (all site-days) in the 12 REA urban case
            study areas
            (%)	2-22
Table 3-1.   Group mean results of controlled human exposure studies that have evaluated
            exposures to ozone concentrations below 75 ppb in young, healthy adults	3-59
Table 3-2.   Panel studies of lung function decrements with analyses restricted to 63
            concentrations below 75 ppb	3-61
Table 3-3.   U.S. and Canadian epidemiologic studies reporting 63 health effect associations in
            locations that would have met the current standard during study periods	3-64
Table 3-4.   Distributions of daily 8-hour maximum ozone concentrations from highest monitors
            over range of 2-day moving averages from composite monitors (for study area
            evaluated by Silverman and Ito, 2010)	3-68
Table 3-5.   Distribution of daily 8-hour maximum ozone concentrations from highest monitors
            over range of 3-day moving averages of population-weighted concentrations (for
            study area evaluated by Strickland et al., 2010)	3-70
Table 3-6.   Number of study cities with 4  highest 8-hour daily maximum concentrations
            greater than 75 ppb, for various cut-point analyses presented in Bell et al. (2006)....
            	3-75
Table 3-7.   Prevalence of asthma by age in the U.S	3-82
Table 4-1.   Numbers  of epidemiologic study locations likely to have met potential alternative
            standards with levels of 70, 65, and 60 ppb	4-13
Table 4-2.   Number of study cities with 3-year averages of 4*  highest 8-hour daily max
            concentrations greater than 70, 65, or 60 ppb, for various cut-point analyses
            presented in Bell etal. (2006)	4-15
Table 4-3.   Seasonal averages of 1-hour daily max Os concentrations in U.S. urban case study
            areas for recent air quality and air quality adjusted to just meet the current and
            potential alternative standards	4-18
Table 4-4.   Summary of Estimated Exposures of Concern for Potential alternative standard
            levels of 70, 65, and 60 ppb in Urban Case Study Areas	4-45

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Table 4-5.


Table 5-1.

Table 5-2.


Table 5-3.

Table 5-4.

Table 5-5.
Table 5-6.
Table 5-7.
Table 5-8.

Table 6-1.

Table 6-2.

Table 6-3.

Table 6-4.

Table 6-5.


Summary of Estimated Lung Function Decrements for Potential alternative
standard levels of 70, 65, and 60 ppb in Urban Case Study
Areas	4-46
Ozone concentrations associated with effects on tulip poplar in southern
Appalachian Mountains  (2001-2003)	5-16
Examples of counties containing Class I areas where recent air quality might be
expected to meet the current standard  and where 3-yr W126 index values are above
15 ppm-hrs	5-19
Exposure, risk and ecosystem services analyses related to tree growth, productivity
and carbon storage	5-20
Summary of methodology by which national surface of average W126 index values
was derived for each air  quality scenario	5-21
Exposure, risk and ecosystem services analyses related to crop yield	5-33
Visible foliar injury incidence in four  National Wildlife Refuges	5-41
Exposure, risk and ecosystem services analyses related to visible foliar injury... 5-45
Benchmark criteria for Os exposure and relative soil moisture used in screening-
level assessment of parks	5-50
Seedling and  crop growth or yield reductions estimated for Os exposure over a
season	6-19
Percent of assessed geographic area exceeding 2% weighted relative biomass loss
in WREA air quality scenarios	6-24
Number of Class I areas  (of 145 assessed) with weighted relative biomass loss
greater than 2%	6-25
Estimated mean yield loss (and range  across states) due to Os exposure for two
important crops	6-26
Estimated effect of Os-sensitive tree growth-related impacts on the ecosystem
services of air pollutant removal and carbon sequestration in five urban case study
areas	6-28
                               XI

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 1                                   EXECUTIVE SUMMARY
 2
 3          This second draft Policy Assessment (PA) has been prepared by staff in the
 4    Environmental Protection Agency's (EPA) Office of Air Quality Planning and Standards
 5    (OAQPS) as part of the Agency's ongoing review of the primary (health-based) and secondary
 6    (welfare-based) national ambient air quality standards (NAAQS) for ozone (63). It presents
 7    analyses and preliminary staff conclusions regarding the policy implications of the key scientific
 8    and technical information that informs this review.  Preliminary staff conclusions are presented
 9    regarding the adequacy of the current standards and, as appropriate, potential alternative
10    standards appropriate for consideration in this review. Staff analyses in this  second draft PA are
11    based on the scientific and technical information, as well as uncertainties and limitations related
12    to this information, assessed in other EPA documents, including the scientific assessment
13    presented in the Integrated Science Assessment for Ozone, the second draft Health Risk and
14    Exposure Assessment for Ozone and the second draft Welfare Risk and Exposure Assessment for
15    Ozone. The final PA is intended to "bridge the gap" between the relevant scientific evidence and
16    technical information and the judgments required of the EPA Administrator in determining
17    whether to retain or revise the current standards. Development of the PA is also intended to
18    facilitate advice and recommendations on the standards to the Administrator from an
19    independent scientific review committee, the Clean Air Scientific Advisory Committee
20    (CASAC), as provided for in the Clean Air Act (CAA).
21          The overarching questions in this review, as in all  NAAQS reviews, regard the support
22    provided by the currently available scientific  evidence and exposure/risk-based information for
23    the adequacy of the current standards and the extent to which the scientific evidence and
24    technical information provides support for concluding that consideration of alternative standards
25    may be appropriate.  Comments and recommendations from CASAC and public comments based
26    on review of this draft PA will inform final staff conclusions and the presentation  of information
27    in the final PA.

28    Health Effects and Review of the Primary Standard
29          The longstanding and comprehensive evidence base, stronger today than in the last
30    review, documents the effects of Os in ambient air on health. In particular, Os affects the
31    respiratory system, posing greatest hazard to those with respiratory disease and those with
32    highest exposures, including children with asthma. The evidence indicates that higher exposures
33    and repeated occurrence of exposures lead to more severe effects, including increased
34    susceptibility to other respiratory stressors, and that higher exposures lead to greater prevalence
35    of effects among the exposed population.  Based on the staff evaluation presented in this draft
                                               ES-1

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 1    document, staff preliminarily concludes that the currently available evidence and exposure and
 2    risk information call into question the adequacy of the current primary standard and that
 3    consideration should be given to revising the standard to provide increased public health
 4    protection. With regard to potential alternative standards, staff concludes it is appropriate to
 5    consider standards with the same indicator, averaging time and form as the current standard with
 6    alternative levels within the range from 70 ppb to 60 ppb.
 7          In drawing these preliminary conclusions, staff additionally notes that the final decision
 8    on the adequacy of the current standard and consideration of potential alternative standards is
 9    largely a public health policy judgment to be made by the Administrator, drawing upon the
10    scientific information as well as judgments about how to consider the range and magnitude of
11    uncertainties that are inherent in the scientific evidence and technical analyses.

12    Welfare Effects and Review of the Secondary Standard
13          The longstanding evidence base, strengthened since the last review, documents the
14    welfare-related effects of O^ in ambient air. In particular, O^ affects vegetation and poses risk of
15    related effects on terrestrial ecosystems. Based on the staff evaluation presented in this draft
16    document, staff preliminarily concludes that the currently available evidence and exposure and
17    risk information call into question the adequacy of the current secondary standard and that
18    consideration should be given to revising the standard to provide increased public welfare
19    protection.  In considering the level of protection achieved by potential alternative standards,
20    staff preliminarily concludes  it  is appropriate for the Administrator to judge 63 welfare impacts
21    using the W126-based cumulative seasonal index, defined as an index of the sum of weighted
22    hourly concentrations, cumulated over 12 hours per day (8 am to 8 pm) during the consecutive
23    three-month period within the Os season with the maximum index value. With regard to
24    potential alternative  standards,  staff preliminarily concludes it is appropriate to consider
25    standards in terms of the W126-based cumulative seasonal metric with a form averaged across
26    three consecutive years and levels extending somewhat above 15 ppm-hrs (e.g., to 17 ppm-hrs)
27    down to 7 ppm-hrs.
28          In drawing these preliminary conclusions, staff additionally notes that the final decision
29    on the adequacy of the current standard and consideration of potential alternative standards is
30    largely a public welfare policy judgment to be made by the Administrator, drawing upon the
31    scientific information as well as judgments about how to consider the range and magnitude of
32    uncertainties that are inherent in the scientific evidence and technical analyses.
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 1                                       1   INTRODUCTION

 2         1.1 PURPOSE
 3           The U.S. Environmental Protection Agency (EPA) is presently conducting a review of
 4    the primary (health-based) and secondary (welfare-based) national ambient air quality standards
 5    (NAAQS) for ozone (Os). The overall plan for this review was presented in the Integrated
 6    Review Plan for the O3 National Ambient Air Quality Standards (IRP, U. S.  EPA, 2011 a). The
 7    IRP also identified key policy-relevant issues to be addressed in this review and discussed the
 8    key documents that generally inform NAAQS reviews, including an Integrated Science
 9    Assessment (ISA), Risk and Exposure Assessments (REAs), and a Policy Assessment (PA). The
10    PA is prepared by the staff in EPA's Office of Air Quality Planning and Standards (OAQPS). It
11    presents a staff evaluation of the policy implications of the key  scientific and technical
12    information in the ISA and REAs for EPA's consideration.l  The PA provides  a transparent
13    evaluation, and  staff conclusions, regarding policy considerations related to reaching judgments
14    about the adequacy of the current standards, and if revision is considered, what revisions may be
15    appropriate to consider.
16           When final, the PA is intended to help "bridge the gap"  between the Agency's scientific
17    assessments presented in the ISA and REAs, and the judgments required of the EPA
18    Administrator in determining whether it is appropriate to retain or revise the NAAQS.2 In
19    evaluating the adequacy of the current standard and whether it is appropriate to consider
20    potential alternative standards, the PA focuses on information that is most pertinent to evaluating
21    the basic elements  of the NAAQS:  indicator,3 averaging time, form,4 and  level. These
22    elements, which together serve to define each standard, must be considered collectively in
23    evaluating the health  and welfare protection afforded by the Os  standards. The PA integrates and
24    interprets the information from the ISA and REAs to frame policy  options for consideration by
25    the Administrator.  In so doing, the PA recognizes that the selection of a  specific approach to
26    reaching final decisions on the primary and secondary Oj standards will reflect the judgments of
27    the Administrator.
      1 The terms "staff" and "we" through this document refer to personnel in the EPA's Office of Air Quality Planning
      and Standards (OAQPS).
      2 American Farm Bureau Federation v. EPA. 559 F. 3d 512, 521 (D.C. Cir. 2009); Natural Resources Defense
      Council v. EPA. 902 F. 2d 962, 967-68, 970 (D.C. Cir. 1990).
      3 The "indicator" of a standard defines the chemical species or mixture that is to be measured in determining
      whether an area attains the standard. The indicator for photochemical oxidants is ozone.
      4 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 current 8-hour O3 NAAQS is the 3-
      year average of the annual fourth-highest daily maximum 8-hour average.
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 1          The development of the PA is also intended to facilitate advice to the Agency and
 2    recommendations to the Administrator from an independent scientific review committee, the
 3    Clean Air Scientific Advisory Committee (CASAC), as provided for in the Clean Air Act. As
 4    discussed below in section 1.2.1, the CASAC is to advise not only on the Agency's assessment
 5    of the relevant scientific information, but also on the adequacy of the existing standards, and to
 6    make recommendations as to any revisions of the standards that may be appropriate. The EPA
 7    facilitates CASAC advice and recommendations,  as well as public input and comment, by
 8    requesting CASAC review and public comment on one or more drafts of the PA.
 9          The decision whether to prepare one or more drafts of the PA is influenced by
10    preliminary staff conclusions and associated CASAC advice and public comment, among other
11    factors. Typically, as in this review, staff prepares a second draft PA where the available
12    information calls into question the  adequacy of the current standard and analyses of potential
13    alternative standards are developed taking into consideration CASAC advice and public
14    comment. In such cases, a second draft PA includes preliminary staff conclusions regarding
15    potential alternative standards and undergoes CASAC review and public comment prior to
16    preparation of the final PA.5
17          In this second draft of the PA for the review of the Os NAAQS, we consider the scientific
18    and technical information available in this review as assessed in the Integrated Science
19    Assessment for 0$ and Related Photochemical Oxidants (ISA, U.S. EPA, 2013), prepared by
20    EPA's National Center for Environmental Assessment (NCEA), and the second drafts of the
21    quantitative human exposure and health risk assessment and welfare risk assessment documents
22    (HREA, U.S. EPA, 2014a; WREA, U.S. EPA, 2014b). The evaluation and preliminary staff
23    conclusions presented in this second draft PA have been informed by comments and advice
24    received from CASAC in their review of the first draft PA and of the other draft Agency
25    documents prepared for this NAAQS review. Review and comments on this second draft PA
26    from CASAC and the public will inform the final evaluation and  staff conclusions in the final
27    PA.
28          Beyond informing the EPA Administrator and facilitating the advice and
29    recommendations of CASAC and the public, the PA is also intended to be a useful reference to
30    all parties interested in the NAAQS review. In these roles, it is intended to serve as a single
31    source of the most policy-relevant information that informs the Agency's review of the NAAQS,
32    and it is written to be understandable to a broad audience.
      5 When such analyses are not undertaken, a second draft PA may not be warranted.
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 1     1.2  BACKGROUND
 2          1.2.1    Legislative Requirements
 3           Two sections of the Clean Air Act (CAA) govern the establishment and revision of the
 4    NAAQS. Section 108 (42 U.S.C. section 7408) directs the Administrator to identify and list
 5    certain air pollutants and then to issue air quality criteria for those pollutants. The Administrator
 6    is to list those air pollutants that in her "judgment, cause or contribute to air pollution which may
 7    reasonably be anticipated to endanger public health or welfare;" "the presence  of which in the
 8    ambient air results from numerous or diverse mobile or stationary sources;" and "for which . . .
 9    [the Administrator] plans to issue air quality criteria...." Air quality criteria are intended to
10    "accurately reflect the latest scientific knowledge useful in indicating the kind  and extent of all
11    identifiable effects on public health or welfare which may be expected from the presence of [a]
12    pollutant in the ambient air .  . ." 42 U.S.C. § 7408(b). Section 109 (42 U.S.C.  7409) directs the
13    Administrator to propose and promulgate "primary" and "secondary" NAAQS for pollutants for
14    which air quality criteria are issued.  Section 109(b)(l) defines a primary standard as one "the
15    attainment and maintenance of which in the judgment of the Administrator, based on such
16    criteria and allowing an adequate margin of safety, are requisite to protect the public health."6
17    A secondary standard, as defined in  section 109(b)(2), must "specify a level of air quality the
18    attainment and maintenance of which, in the judgment of the Administrator, based on such
19    criteria, is requisite to protect the public welfare from any known or anticipated adverse effects
20    associated with the presence  of [the] pollutant in the ambient air." 7
21           The requirement that primary standards provide an adequate margin of safety was
22    intended to address uncertainties associated with inconclusive scientific and technical
23    information available at the time of standard setting. It was also intended to provide a reasonable
24    degree of protection against hazards that research has not yet identified. See Lead Industries
25    Association v. EPA. 647 F.2d 1130, 1154(D.C. Cir 1980): American Petroleum Institute v.
26    Costle. 665F.2d 1176, 1186(D.C. Cir.  1981): American Farm Bureau Federation v. EPA. 559 F.
27    3d 512, 533 (D.C. Cir. 2009); Association of Battery Recvclers v. EPA. 604 F. 3d 613, 617-18
28    (D.C. Cir. 2010). Both kinds of uncertainties are components  of the risk associated with pollution
29    at levels below those at which human health effects can be said to occur with reasonable
      6 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).
      7 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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 1    scientific certainty. Thus, in selecting primary standards that provide an adequate margin of
 2    safety, the Administrator is seeking not only to prevent pollution levels that have been
 3    demonstrated to be harmful but also to prevent lower pollutant levels that may pose an
 4    unacceptable risk of harm, even if the risk is not precisely identified as to nature or degree. The
 5    CAA does not require the Administrator to establish a primary NAAQS at a zero-risk level or at
 6    background concentration levels, see Lead Industries v. EPA,  647 F.2d at 1156 n.51; State of
 7    Mississippi v. EPA. 723 F. 3d 246, 255, 262-63 (D.C.  Cir. 2013), but rather at a level that
 8    reduces risk sufficiently so as to protect public health with an  adequate margin of safety.
 9           In addressing the requirement for an adequate margin of safety, the EPA considers such
10    factors as the nature and severity of the health effects,  the size of sensitive population(s)8 at risk,
11    and the kind and degree of the uncertainties that must be addressed. The selection of any
12    particular approach for providing an adequate margin of safety is a policy choice left specifically
13    to the Administrator's judgment. See Lead Industries Association v. EPA, 647 F.2d at 1161-62;
14    State of Mississippi, 723 F. 3d at 265.
15           In setting primary and secondary standards that are "requisite" to protect public health
16    and welfare, respectively, as provided in section 109(b), EPA's task is to establish standards that
17    are neither more nor less stringent than necessary for these purposes. In so doing, the EPA may
18    not consider the costs of implementing the standards. See generally, Whitman v. American
19    Trucking Associations, 531 U.S. 457, 465-472, 475-76 (2001). Likewise, "[attainability and
20    technological feasibility are not relevant considerations in the promulgation of national ambient
21    air quality standards." American Petroleum Institute v. Costle, 665 F. 2d at 1185.
22           Section 109(d)(l) requires that "not later than December 31, 1980, and at 5-year intervals
23    thereafter, the Administrator shall complete a thorough review of the criteria published under
24    section 108 and the national ambient air quality standards . . .  and shall make such revisions in
25    such criteria and standards and promulgate such new standards as may be appropriate
26    Section 109(d)(2) requires that an independent scientific review committee "shall complete a
27    review of the criteria . . . and the national primary and secondary ambient air quality standards . .
28    . and shall recommend to the Administrator any new .  . . standards and revisions of existing
29    criteria and standards as may be appropriate . . . ." Since the early 1980's, the Clean Air
30    Scientific Advisory Committee (CASAC) has performed this independent review function. 9
      8 As used here and similarly throughout this document, the term population refers to persons having a quality or
      characteristic in common, including a specific pre-existing illness or a specific age or life stage.
      9 Lists of CASAC members and of members of the CASAC Ozone Review Panel are available at:
      http://yosemite.epa.gov/sab/sabpeople.nsf/WebCommitteesSubCommittees/Ozone%20Review%20Panel.

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 1         1.2.2   History of O3 NAAQS Reviews
 2          Table 1-1 summarizes the O3 NAAQS that the EPA has promulgated to date. In each
 3   review, the EPA set the secondary standard at a level identical to the primary standard. These
 4   reviews are briefly described below.

 5   Table 1-1.  Summary of primary and secondary Os NAAQS promulgated during the
 6               period from 1971 to 2008.
Final Rule
1971 (36 FR 81 86)
1979 (44 FR 8202)
1 993 (58 FR 13008)
1997 (62 FR 38856)
2008 (73 FR 16483)
Indicator
Total photochemical
oxidants
03
Averaging Time
1 hour
1 hour
Level (ppm)
0.08
0.12
Form
Not to be exceeded more than
one hour per year
Attainment is defined when the
expected number of days per
calendar year, with maximum
hourly average concentration
greater than 0.1 2 ppm, is
equal to or less than 1
The EPA decided that revisions to the standards were not warranted at the time.
03
03
8 hours
8 hours
0.08
0.075
Annual fourth-highest daily
maximum 8-hour
concentration, averaged over 3
years
Form of the standards
remained unchanged relative
to the 1997 standard
 9
10
11
12
13
14
15
16
17
18
       The EPA first established primary and secondary NAAQS for photochemical oxidants in
1971 (36 FR 8186, April 30, 1971). The EPA set both primary and secondary standards at a level
of 0.08 parts per million (ppm), 1-hr average, total photochemical oxidants, not to be exceeded
more than one hour per year. The EPA based the standards on scientific information contained in
the 1970 Air Quality Criteria for Photochemical Oxidants (U.S. DHEW, 1970). We initiated the
first periodic review of the NAAQS for photochemical oxidants in 1977. Based on the 1978 Air
Quality Criteria for Ozone and Other Photochemical Oxidants (U.S. EPA, 1978), the EPA
published proposed revisions to the original NAAQS in 1978 (43 FR 16962) and final revisions
in 1979 (44 FR 8202). At that time, the EPA revised the level  of the primary and secondary
standards from 0.08 to 0.12 ppm and changed the indicator from photochemical oxidants to Os,
and the form of the standards from a deterministic to a statistical form.  This statistical form
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 1    defined attainment of the standards as occurring when the expected number of days per calendar
 2    year with maximum hourly average concentration greater than 0.12 ppm equaled one or less.
 3          Following the final decision in the 1979 review, the City of Houston challenged the
 4    Administrator's decision arguing that the standard was arbitrary and capricious because natural
 5    Os concentrations and other physical phenomena in the Houston area made the standard
 6    unattainable in that area. The U.S.  Court of Appeals for the District of Columbia circuit (D.C.
 7    Circuit) rejected this argument, stating (as noted above) that attainability and technological
 8    feasibility are not relevant considerations in the promulgation of the NAAQS. The court also
 9    noted that the EPA need not tailor  the NAAQS to fit each region or locale, pointing out that
10    Congress was aware of the difficulty in meeting standards in some locations and had addressed
11    this difficulty through various compliance related provisions in the Act. See API v. Costle, 665
12    F.2d 1176, 1184-6 (D.C. Cir. 1981). In 1982, we announced plans to revise the 1978 Air Quality
13    Criteria document (47 FR  11561),  and in 1983, we initiated the second periodic review of the O3
14    NAAQS (48 FR 38009). We subsequently published the  1986 Air Quality Criteria for Ozone
15    and Other Photochemical Oxidants (U. S. EPA, 1986) and the 1989 Staff Paper (U. S. EPA,
16    1989). Following publication of the 1986 Air Quality Criteria Document (AQCD), a number of
17    scientific abstracts and articles were published that appeared to be of sufficient importance
18    concerning potential health and welfare effects of O3 to warrant preparation of a Supplement
19    (U.S. EPA, 1992). On August 10,  1992, under the terms of a court order, the EPA published a
20    proposed decision to retain the existing primary and secondary standards. (57 FR 35542). The
21    notice explained that the proposed decision would complete EPA's review of information on
22    health and welfare effects of O3 assembled over a 7-year period and contained in the 1986
23    AQCD and its 1992 Supplement. The proposal also announced EPA's intention to proceed as
24    rapidly as possible with the next review of the air quality criteria and standards for O3 in light of
25    emerging evidence of health effects related to 6- to 8-hour O3 exposures. On March 9, 1993, the
26    EPA concluded the review by affirming its proposed decision to retain the existing primary  and
27    secondary standards. (58 FR 13008).
28          In August 1992, we announced plans to initiate the third periodic review of the air quality
29    criteria and O3 NAAQS (57 FR 35542). In December 1996, the EPA proposed to replace the then
30    existing  1-hour primary and secondary standards with 8-hour average O3 standards set at a level
31    of 0.08 ppm (equivalent to 0.084 ppm using standard rounding conventions) (61 FR 65716). The
32    EPA also proposed to establish a new distinct secondary  standard using a biologically-based
33    cumulative, seasonal form. The EPA completed this review on July 18, 1997 (62 FR 38856) by
34    setting the primary standard at a level of 0.08 ppm, based on the annual fourth-highest daily
35    maximum 8-hr average concentration, averaged over three years, and setting the secondary
36    standard identical to the revised primary standard. In reaching this decision, the EPA identified
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 1    several reasons supporting its decision to reject a potential alternate standard set at  0.07 ppm.
 2    Most importantly, the EPA pointed out the scientific uncertainty at lower concentrations and
 3    placed significant weight on the fact that no CAS AC panel member supported a standard level
 4    set lower than 0.08 ppm (62 FR 38868). In addition to noting the uncertainties in the health
 5    evidence for exposure concentrations below 0.08 ppm and the advice of CASAC, the EPA noted
 6    that a standard set at a level of 0.07 ppm would be closer to peak background concentrations that
 7    infrequently occur in some areas due to  nonanthropogenic sources of 63 precursors (62 FR
 8    38856, 38868; July  18, 1997).
 9          On May 14,  1999, in response to challenges by industry and others to EPA's 1997
10    decision, the U.S. Court of Appeals for the District of Columbia Circuit remanded the 63
11    NAAQS to the EPA, finding that section 109 of the Act, as interpreted by the EPA, effected an
12    unconstitutional delegation of legislative authority. American Trucking Assoc. vs. EPA, 175
13    F.3d 1027, 1034-1040(D.C. Cir. 1999) ("ATA I"). In addition, the court directed that, in
14    responding to the remand, the EPA should consider the potential beneficial health effects of 03
15    pollution in shielding the public from the effects of solar ultraviolet (UV) radiation, as well as
16    adverse health effects. Id. At 1051-53. In 1999, the EPA petitioned for rehearing en bane on
17    several issues related to that decision. The court granted the request for rehearing in part and
18    denied it in part, but declined to review its ruling with regard to the potential beneficial effects of
19    O3 pollution. 195 F3d 4, 10 (D.C Cir., 1999) ("ATA II").  On January 27, 2000, the EPA
20    petitioned the U.S. Supreme Court for certiorari on the constitutional issue (and two other
21    issues), but did not request review of the ruling regarding  the potential beneficial health effects
22    of 03. On February  27, 2001, the U.S. Supreme Court unanimously reversed the judgment of the
23    D.C. Circuit on the  constitutional issue.  Whitman v. American Trucking Assoc., 531 U. S. 457,
24    472-74 (2001) (holding that section 109 of the CAA does  not delegate legislative power to the
25    EPA in contravention of the Constitution). The Court remanded the case to the D.C. Circuit to
26    consider challenges to the 03 NAAQS that had not been addressed by that court's earlier
27    decisions. On March 26, 2002, the D.C.  Circuit issued its  final decision on remand, finding the
28    1997 Os NAAQS to be "neither arbitrary nor capricious,"  and so denying the remaining petitions
29    for review. American Trucking Associations, Inc. v EPA,  283 F.3d 355, 379 (D.C Cir.,
30    2002)("ATA III").
31          Specifically, in ATA III, the D.C. Circuit upheld EPA's decision on the 1997 Oj standard
32    as the product of reasoned decision-making. The Court made clear that the most important
33    support for EPA's decision was the health evidence and the concerns it raised about setting a
34    standard level below 0.08 ppm. ("the record is replete with references to studies demonstrating
35    the inadequacies of the old one-hour standard", as well as extensive information supporting the
36    change to an 8-hour averaging time). 283 F 3d at 378. The Court also  pointed to the significant
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 1    weight that the EPA properly placed on the advice it received from CASAC. Id. at 379. The
 2    court further noted that "although relative proximity to peak background ozone concentrations
 3    did not, in itself, necessitate a level of 0.08, EPA could consider that factor when choosing
 4    among the three alternative levels." Id.
 5          Independently of the litigation,  the EPA also responded to the Court's remand to
 6    consider the potential beneficial health effects of O^ pollution in shielding the public from effects
 7    of solar (ultraviolet or UV-B) radiation. The EPA provisionally determined that that the
 8    information linking changes in patterns of ground-level Os concentrations to changes in relevant
 9    patterns of exposures to ultraviolet (UV-B) radiation of concern to public health was too
10    uncertain, at that time, to warrant any relaxation in  1997 63 NAAQS. The EPA also expressed
11    the view that any plausible changes in UV-B radiation exposures from changes in patterns of
12    ground-level Os concentrations would likely be very small from a public health perspective.  In
13    view of these findings, the EPA proposed to leave the 1997 8-hour NAAQS unchanged (66 FR
14    57268, Nov. 14, 2001). After considering public comment on the proposed decision, the EPA
15    published its final response to this remand on January 6, 2003, re-affirming the 8-hour 63
16    NAAQS set in 1997 (68 FR 614).
17          The EPA initiated the fourth periodic review of the air quality criteria and 63 standards in
18    September 2000 with a call for information (65 FR 57810). The schedule for completion of that
19    review was ultimately governed by a consent decree resolving a lawsuit filed in March 2003 by
20    plaintiffs representing national environmental and public health organizations, who maintained
21    that EPA was in breach of a mandatory legal duty to complete review of the Os NAAQS within a
22    statutorily-mandated deadline. On July 11, 2007, the EPA proposed to revise the level of the
23    primary standard within a range of 0.075  to 0.070 ppm. (72 FR 37818). Documents  supporting
24    this proposed decision included the Air Quality Criteria for Ozone and Other Photochemical
25    Oxidants (U.S. EPA, 2006) and the Staff Paper (U.S EPA, 2007a) and related technical support
26    documents. The EPA also proposed two options for revising the secondary standard: (1) replace
27    the current standard with a cumulative, seasonal standard, expressed as an index of the annual
28    sum of weighted hourly concentrations cumulated over 12 daylight hours during the consecutive
29    3-month period within the Os season with the maximum index value, set at a level within the
30    range of 7 to 21 ppm-hrs, and (2) set the secondary standard identical to the proposed primary
31    standard. The EPA completed the review with publication of a final decision on March 27, 2008
32    (73 FR 16436). In that final rule, the EPA revised the NAAQS by lowering the level of the 8-
33    hour primary Os standard from 0.08 ppm to 0.075 ppm, not otherwise revising the primary
34    standard, and adopting a secondary standard identical to the revised primary standard. In May
35    2008, state, public health, environmental, and industry petitioners filed suit challenging EPA's
36    final decision on the 2008 Os standards. On September 16, 2009, the EPA announced its
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 1    intention to reconsider the 2008 O^ standards, and initiated a rulemaking to do so. At EPA's
 2    request, the Court held the consolidated cases in abeyance pending EPA's reconsideration of the
 3    2008 decision.
 4          On January 19, 2010 (75 FR 2938), the EPA issued a notice of proposed rulemaking to
 5    reconsider the 2008 final decision. In that notice, the EPA proposed that further revisions of the
 6    primary and secondary standards were necessary to provide a requisite level of protection to
 7    public health and welfare. The EPA proposed to decrease the level of the 2008  8-hour primary
 8    standard from 0.075 ppm to a level within the range of 0.060 to 0.070 ppm, and to change the
 9    secondary standard to a new cumulative,  seasonal standard expressed as an annual index of the
10    sum of weighted hourly  concentrations, cumulated over 12 hours per day (8 am to 8 pm), during
11    the consecutive 3-month period within the O?, season, with a maximum  index value set at a level
12    within the range of 7 to 15 ppm-hours. The Agency also solicited CASAC review of the
13    proposed  rule on January 25, 2010 and solicited additional CASAC advice on January 26, 2011.
14    After considering comments from CASAC and the public, the EPA prepared a draft final rule,
15    which was submitted for interagency review pursuant to Executive Order 12866. On September
16    2, 2011, consistent with  the direction of the President, the Administrator of the  Office of
17    Information and Regulatory Affairs ("OIRA"), Office of Management and Budget ("OMB"),
18    returned the draft final rule to the EPA for further consideration. In view of this return and the
19    timing of the Agency's ongoing periodic  review of the O?, NAAQS required under Clean Air Act
20    section 109 (as announced on September 29, 2008), the EPA decided to coordinate further
21    proceedings on its voluntary rulemaking on reconsideration with that ongoing periodic review,
22    by deferring the completion of its voluntary rulemaking on reconsideration until it completes its
23    statutorily-required periodic review.
24          In light of EPA's decision to consolidate the reconsideration with the current review, the
25    Court proceeded with the litigation on the 2008 final decision. On July 23, 2013, the D.C. Circuit
26    Court of Appeals upheld EPA's 2008 primary Oj standard, but remanded the 2008 secondary
27    standard to the EPA. State of Mississippi v. EPA. 723 F. 3d 246. With respect to the primary
28    standard, the court first held that the EPA reasonably determined that the existing standard was
29    not requisite to protect public health with an  adequate margin of safety, and  consequently
30    required revision. Specifically, the court noted that there were "numerous epidemiological
31    studies linking health effects to exposure to ozone levels below 0.08 ppm and clinical human
32    exposure  studies finding a causal relationship between health effects and exposure to ozone
33    levels at and below 0.08 ppm". Id. at 257. The court also specifically endorsed the weight of
34    evidence approach utilized by EPA in its  deliberations. Id. at 256.
35          The court went on to reject arguments that EPA should have adopted a more stringent
36    primary standard. Dismissing arguments that a single clinical study (properly interpreted by
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 1    EPA) to show effects at 0.06 ppm necessitated a standard level lower than that selected, the court
 2    noted that this was a single, limited study. Id. at 262. With respect to the epidemiologic evidence,
 3    the court accepted EPA's argument that there could be legitimate uncertainty that a causal
 4    relationship between Oj, and 8-hour exposures less than 0.075 ppm exists, so that associations at
 5    lower levels reported in epidemiologic studies did not necessitate a more  stringent standard. Id.
 6    at 264-65.10
 7           The court also rejected arguments that an 8-hour primary standard of 0.075 ppm failed to
 8    provide an adequate margin of safety, noting that margin of safety considerations involved policy
 9    judgments by the agency, and that by setting a standard "appreciably below" the level of the
10    current standard (0.08 ppm), the agency had made a reasonable policy choice .  Id. Finally, the
11    court rejected arguments that EPA's decision was inconsistent with CAS AC's scientific
12    recommendations because CASAC had been insufficiently  clear in its recommendations whether
13    it was providing scientific or policy recommendations, and  EPA had reasonably addressed
14    CASAC's policy recommendations. Id. at 269-70.
15           With respect to  the secondary standard, the court held that because EPA had failed to
16    identify a level of air quality requisite to  protect public welfare, EPA's comparison between the
17    primary and secondary  standards for determining if requisite protection for public welfare was
18    afforded by the  primary standard was inherently arbitrary. The court thus rejected EPA's
19    determination that the revised 8-hour primary standard afforded requisite  protection of public
20    welfare, and remanded  the standard to EPA. Id. at 272-73.

21         1.2.3   Current O3 NAAQS Review
22           On September 29, 2008, the EPA announced the initiation of a new periodic review of
23    the air quality criteria for O^ and related photochemical oxidants and issued a call for
24    information in the Federal Register (73 FR 56581, Sept. 29, 2008). A wide range of external
25    experts, as well  as EPA staff, representing a variety of areas of expertise (e.g., epidemiology,
26    human and animal toxicology, statistics,  risk/exposure analysis, atmospheric science, ecology,
27    biology, plant science, ecosystem services) participated in a workshop. This workshop was held
28    on October 28-29, 2008 in Research Triangle Park, NC. The workshop provided an opportunity
29    for a public discussion of the key policy-relevant issues around which the EPA would structure
30    this Os NAAQS review and the most meaningful new science that would  be available to inform
31    our understanding of these issues.
      10 The court cautioned, however, that "perhaps more [clinical] studies like the Adams studies will yet reveal that the
      0.060 ppm level produces significant adverse decrements that simply cannot be attributed to normal variation in lung
      function", and further cautioned that "agencies may not merely recite the terms 'substantial uncertainty' as a
      justification for their actions'". Id. at 262, 269 (internal citations omitted).

                                                 1-10

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 1          Based in part on the workshop discussions, the EPA developed a draft IRP outlining the
 2    schedule, process, and key policy-relevant questions that would guide the evaluation of the air
 3    quality criteria for O?, and the review of the primary and secondary O^ NAAQS. A draft of the
 4    integrated review plan was released for public review and comment in September 2009. This  IRP
 5    was the subject of a consultation with the CASAC on November 13, 2009 (74 FR 54562;
 6    October 22, 2009).u We considered comments received from that consultation and from the
 7    public in finalizing the plan and in beginning the review of the air quality criteria. The EPA's
 8    overall plan and schedule for this review is presented in the Integrated Review Plan for the
 9    Ozone National Ambient Air Quality Standards.12
10          As part of the process of preparing the 63 ISA, NCEA hosted a peer review workshop in
11    October 29-30,  2008 (73 FR 56581, September 29, 2008) on preliminary drafts of key ISA
12    chapters. The CASAC and the public reviewed the first external review draft ISA (U.S. EPA,
13    201 Ib; 76 FR 10893, February 28, 2011) at a meeting held in May 19-20, 2011  (76 FR 23809;
14    April 28, 2011). Based on CASAC and public comments, NCEA prepared a second draft ISA
15    (U.S. EPA, 201 Ic; 76 FR 60820,  September 30, 2011). CASAC and the public reviewed this
16    draft at a January 9-10, 2012 (76 FR 236, December 8, 2011) meeting. Based on CASAC and
17    public comments, NCEA prepared a third draft ISA (U.S. EPA 2012a; 77 FR 36534; June 19,
18    2012), which was reviewed at a CASAC meeting in September 2012. The final ISA was released
19    in February 2013.
20          The EPA presented its plans for conducting the Risk and Exposure Assessments (REAs)
21    that build on the scientific evidence presented in the ISA, in two planning documents titled
22    Ozone National Ambient Air Quality Standards: Scope and Methods Plan for Health Risk and
23    Exposure Assessment and Ozone National Ambient Air Quality Standards:  Scope and Methods
24    Plan for Welfare Risk and Exposure Assessment (henceforth, Scope and Methods Plans).13
25    These planning documents outlined the scope and approaches that staff planned to use in
26    conducting quantitative assessments, as well as, key issues that would be addressed as part of the
27    assessments. We released these documents for public comment in April 2011, and consulted with
28    CASAC on May 19-20, 2011 (76 FR 23809; April 28, 2011). In designing and conducting the
29    initial health risk and welfare risk assessments, we considered CASAC comments (Samet 2011)
30    on the Scope and Methods Plans and also considered public comments. In May 2012, we issued
      11 See http ://vo Semite, epa. gov/sab/sabproduct. nsfAVebProj ectsbvTopicC AS AC! OpenView for more information on
      CASAC activities related to the current O3 NAAQS review.
      12 EPA 452/R-11-006; April 2011; Available:
      http://www.epa.gov/ttn/naaqs/standards/ozone/data/2011  04 OzoneIRP.pdf
      13 EPA-452/P-11-001 and -002; April 2011; Available:
      http://www.epa.gOv/ttn/naaqs/standards/ozone/s o3 2008_pd.html

                                               1-11

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 1    a memo titled, Updates to Information Presented in the Scope and Methods Plans for the Ozone
 2    NAAQS Health and Welfare Risk and Exposure Assessments., that described changes to elements
 3    of the scope and methods plans and provided a brief explanation of each change and the reason
 4    for it.
 5          In July 2012, EPA made the first drafts of the Health and Welfare REAs available for
 6    CASAC review and public comment (77 FR 42495, July 19, 3023). The first draft PA was made
 7    available for CASAC review and public comment in August 2012. These documents were
 8    reviewed by CASAC Os  Panel at a public meeting in September 2012. The second draft REAs
 9    and PA have been prepared in consideration of CASAC (Frey and Samet, 2012a, 2012b) and
10    public comment and will be reviewed by the CASAC 63 Panel at a public meeting in March
11    2014.

12     1.3  GENERAL APPROACH FOR REVIEW OF THE STANDARDS
13          As described in section 1.1 above,  the final PA will present a transparent evaluation and
14    staff conclusions regarding policy considerations related to reaching judgments about the
15    adequacy of the current standards and what, if any, revisions may be appropriate to consider.
16    Preliminary staff considerations and conclusions in this document are based on the available
17    body of scientific  evidence assessed in the ISA (U.S. EPA, 2013), exposure and risk analyses
18    presented in the 2nd draft REAs (U.S. EPA, 2014a, b), advice and recommendations from
19    CASAC on the first draft PA and other draft EPA documents in this review, as well as on public
20    comments. When  final, this evaluation and associated conclusions on the range of policy options
21    that, in staffs view, could be supported by the available scientific evidence and exposure/risk
22    information will inform the Administrator's decisions as to whether the existing primary and/or
23    secondary 63 standards should be revised  and, if so, what revised standard or standards is/are
24    appropriate.
25          Staffs considerations and conclusions related to the current and alternative primary and
26    secondary 63 standards are framed by a series of key policy-relevant questions, expanding upon
27    those presented in the IRP at the outset of this review (U.S. EPA, 201 la). Answers to these
28    questions in the final PA will inform the Administrator's decisions as to whether, and if so how,
29    to revise the current 63 standards. The first overarching question is as follows.

30         •   Do the currently available scientific evidence and exposure/risk information, as
31             reflected in the ISA and REAs, support or call into question the adequacy of the
32             protection afforded by the current Os standards?
33    If the answer to this question, which is informed by staffs consideration of more specific
34    questions related to the primary and secondary standards, suggests that revision of the current

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 1    standards may be appropriate, then staff further considers the currently available evidence and
 2    information with regard to the following question.
 3         •   What range of potential alternative standards  is appropriate to consider based on
 4             the scientific evidence, air quality analyses, and exposure/risk-based
 5             information?
 6    The general approaches for consideration of these overarching questions in review of the primary
 7    and secondary standards are described separately in sections 1.3.1 and 1.3.2 below.

 8         1.3.1    Approach for the Primary Standard
 9           Staffs approach in this review of the current primary Os standard takes into
10    consideration the approaches used in previous 63 NAAQS  reviews. The past and current
11    approaches described below are both based, fundamentally, on using EPA's assessment of the
12    current scientific evidence and associated quantitative analyses to inform the Administrator's
13    judgment regarding a primary standard for 63 that is "requisite" (i.e., neither more nor less
14    stringent than necessary) to protect public health with an adequate margin of safety.
15           In reaching conclusions on options for the Administrator's consideration, we note that the
16    final decision to retain or revise the current primary 63 standard is a public health policy
17    judgment to be made by the Administrator. This final decision by the Administrator will draw
18    upon the available scientific evidence for Os-attributable health effects, and on analyses of
19    population exposures and health risks, including judgments about the appropriate weight to
20    assign the range of uncertainties inherent in the evidence and analyses. Our general approach to
21    informing these judgments, discussed more fully below, recognizes that the available health
22    effects evidence reflects a continuum from relatively higher Oi concentrations, at which
23    scientists generally agree that health effects are likely to occur, through lower concentrations, at
24    which the likelihood and magnitude of a response become increasingly uncertain.  Therefore, in
25    developing conclusions in this second draft PA, we are mindful that the Administrator's ultimate
26    judgments on the primary standard will most appropriately reflect an interpretation of the
27    available scientific evidence and exposure/risk information that neither overstates nor understates
28    the strengths and limitations of that evidence and information. This  approach is consistent with
29    the requirements of sections 108 and 109 of the Act, as well as with how the EPA and the courts
30    have historically interpreted the Act.
31           Section 1.3.1.1 below provides an overview of the general approach taken in the last
32    review of the primary Os NAAQS (i.e., the 2008 review), and a summary of the rationale for the
33    decision on the level of the standard in that review (73 FR 16436). Section 1.3.1.2 presents our
34    approach in the current review, including our approach to considering the health evidence and
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 1    exposure/risk information, and considerations regarding ambient Os concentrations attributable
 2    to background sources.

 3          1.3.1.1  Approach Used in the Last Review
 4           In the 2008 review of the O^ NAAQS, the Administrator relied upon consideration of the
 5    available scientific evidence and exposure/risk information, the advice and recommendations of
 6    CASAC, and comments from the public. Based on this, he revised the level of the 8-hour
 7    primary Oj, standard from 0.08 ppm14 to 0.075 ppm (75 ppb15). In reaching a decision to revise
 8    the  1997 8-hour primary 63 standard, the Administrator noted that much new evidence had
 9    become available since the 1997 review. He noted that this body of scientific evidence was very
10    robust and provided consistent and coherent evidence of an array of Ch-related respiratory
11    morbidity effects, and possibly cardiovascular-related morbidity, as well as total nonaccidental
12    and cardiorespiratory mortality. The Administrator  specifically observed that (1) the evidence of
13    a range of respiratory-related morbidity effects had  been considerably strengthened; (2) newly
14    available evidence from controlled human exposure and epidemiologic studies identified people
15    with asthma as an important susceptible population for which estimates of respiratory effects in
16    the general population likely underestimate the magnitude or importance of these effects; (3)
17    newly available evidence about mechanisms of toxicity more completely explained the
18    biological plausibility of Cb-induced respiratory effects and was beginning to suggest
19    mechanisms that may link 63 exposure to cardiovascular effects; and  (4) there was relatively
20    strong evidence for associations between short-term 03 concentrations and total nonaccidental
21    and cardiopulmonary mortality. The Administrator  believed that this very robust body of
22    evidence enhanced our understanding of Os- related effects and provided increased confidence
23    that various respiratory morbidity effects and other  effects marked by indicators of respiratory
24    morbidity are causally related to 63 exposures, and  that the evidence was highly suggestive that
25    Os exposures during the warm Os season contribute to premature mortality.16
26           The Administrator also noted important new health evidence reporting a broad array of
27    adverse effects following short-term exposures to 03 concentrations below the level of the 1997
28    standard, and concerns for such or related effects in at-risk populations,17 including people with
      14 Due to rounding convention, the 1997 standard level of 0.08 ppm corresponded to 0.084 ppm (84 ppb).
      15 The level of the O3 standard is specified as 0.075 ppm rather than 75 ppb. However, in this draft PA we refer to
      ppb, which is most often used in the scientific literature and in the ISA, in order to avoid the confusion that could
      result from switching units when discussing the evidence in relation to the standard level.
      16 73 FR 16470-16471 (March 27, 2008)
      17 Here, as in the ISA, the term "at-risk population" is used to encompass populations or lifestages that have a
      greater likelihood of experiencing health effects related to exposure to an air pollutant due to a variety of factors;
      other terms used in the literature include susceptible, vulnerable, and sensitive. These factors may be intrinsic, such
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 1    asthma or other lung diseases, older adults with increased susceptibility, and those who are likely
 2    to be vulnerable as a result of spending a lot of time outdoors engaged in physical activity (e.g.,
 3    especially active children and outdoor workers).
 4           He specifically noted new scientific evidence, which built upon existing evidence,
 5    demonstrating Os-induced lung function effects and respiratory symptoms in some healthy
 6    individuals following exposures down to 80 ppb.  He also noted very limited new evidence
 7    demonstrating such effects at exposure concentrations well below 80 ppb. In addition, the
 8    Administrator noted (1) epidemiologic evidence of statistically significant associations with Os-
 9    related health effects in areas that likely would have met the then-current standard; (2)
10    epidemiologic studies conducted in areas that likely would have violated the existing standard
11    but which nonetheless reported statistically significant associations that generally extended down
12    to ambient 63 concentrations below the level of that standard; (3) the few studies that had
13    reported statistically significant associations with respiratory morbidity outcomes and mortality
14    in subsets of data that included only days with ambient Os concentrations below the  level of the
15    existing standard; and (4) controlled human exposure studies, together with animal toxicological
16    studies, that provided considerable support for the biological plausibility of the respiratory
17    morbidity associations observed in the epidemiologic studies. Based on the available evidence,
18    the Administrator agreed with the CAS AC and the maj ority of public commenters that the
19    existing standard was not requisite to  protect public health with an adequate margin of safety (FR
20    73 16471).
21           Beyond this focus on the available health  evidence, the Administrator also considered
22    estimates of Os exposures and health risks based on analyses where air quality was adjusted to
23    simulate just meeting the existing and potential alternative standards. For the various air quality
24    simulations, he specifically considered the pattern of estimated reductions in Os exposures across
25    health benchmark concentrations of 80, 70, and 60 ppb. The 80 ppb benchmark reflected an
26    exposure concentration for which there was strong evidence for respiratory effects in healthy
27    people, including airway inflammation, respiratory symptoms, airway  hyperresponsiveness, and
28    impaired lung host defense (U.S. EPA, 2007, section 4.7). The 60 ppb  benchmark reflected an
      as genetic factors, lifestage, or the presence of preexisting diseases, or they may be extrinsic, such as socioeconomic
      status (SES), activity pattern and exercise level, or increased pollutant exposures (U.S. EPA 2013, p. Ixx, 8-1, 8-2).
      The courts and the Act's legislative history refer to these at-risk subpopulations as "susceptible" or "sensitive"
      populations. See, e.g., American Lung Ass'n v. EPA. 134 F. 3d 388, 389 (D.C. Cir. 1998) ("NAAQS must protect
      not only average health individuals, but also 'sensitive citizens' - children, for example, or people with asthma,
      emphysema, or other conditions rendering them particularly vulnerable to air pollution" (quoting S.  Rep. No. 91 -
      1196 at 10).

                                                  1-15

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 1    exposure concentration for which the Administrator judged the evidence of such effects to be
 2    very limited (73 FR 16471).
 3           The Administrator took note of the magnitudes of estimated health risks for a range of
 4    health effects, including moderate and large lung function decrements, respiratory symptoms,
 5    respiratory-related hospital admissions, and nonaccidental and cardiorespiratory mortality. He
 6    recognized that these quantitative risk estimates for a limited number of specific health effects
 7    were indicative of a much broader array of (Vrelated effects, including various indicators of
 8    morbidity in at-risk populations that we could not analyze in the risk assessment (e.g., school
 9    absences, increased medication use, emergency department visits). The Administrator concluded
10    that quantitative exposure and risk estimates, as well as the broader array of Os-related health
11    endpoints that could not be quantified, provided additional support for the evidence-based
12    conclusion that the existing standard needed to be revised  (73 FR 16472).
13           Based on the above considerations, and  consistent with CASAC's unanimous conclusion
14    that there was no scientific justification for retaining the existing standard, the Administrator
15    concluded that the primary 63 standard set in 1997 was not sufficient and thus not requisite to
16    protect public health with an adequate margin of safety. He further concluded that revision of
17    this standard was needed to provide increased public health protection (73 FR 16472).
18           Throughout the 2008 review, CAS AC supported a standard level in the range of 60 to 70
19    ppb (without change to the form, indicator, or averaging time). In a letter to the Administrator on
20    the second draft Staff Paper,  CAS AC unanimously recommended "that the current primary
21    ozone standard be revised and that the level that should be considered for the revised standard be
22    from 0.060 to 0.070 ppm" (60 to 70 ppb) (Henderson, 2006, p. 5). This recommendation, based
23    in part on the placement of more weight on the  evidence for effects following exposures to 60
24    ppb Os, followed from the CASAC's more general recommendation that the 1997 standard
25    needed to be made substantially more protective of human health, particularly for at-risk
26    populations. In a subsequent letter sent specifically to offer advice to aid the Administrator and
27    Agency staff in developing the 2007 O^ proposal, CAS AC reiterated that Panel members  "were
28    unanimous in recommending that the level of the current primary ozone standard should be
29    lowered from 0.08 ppm to no greater than 0.070 ppm" (Henderson, 2007, p. 2).18
30           After considering CASACs comments, the Administrator judged that the appropriate
31    balance to draw, based on the entire body of evidence and information available in the 2008
      18 The D.C. Circuit, in its review of the 2008 primary standard, stated that it was unclear whether CASAC's advice
      reflected issues of pure science or issues of science and policy. That is, the court was unable to determine whether
      CASAC's conclusion in its 2007 letter that the standard be set no higher than 70 ppb "was based on its scientific
      judgment that adverse effects would occur at that level or instead based on its more qualitative judgment that the
      range it proposed would be more appropriately protective of human health with an adequate margin of safety."
      Mississippi. 723 F. 3d at 269.

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 1    review, was a standard set at a level of 75 ppb (and leaving all other elements of the NAAQS
 2    unchanged). In making this decision, the Administrator placed primary emphasis on the body of
 3    available scientific evidence, while viewing the results of exposure and risk assessments as
 4    providing supporting information. Specifically, the Administrator judged that a standard set at
 5    75 ppb would be appreciably below 80 ppb, the level in controlled human exposure studies at
 6    which adverse effects had been demonstrated at the time, and would provide a significant
 7    increase in protection compared to the then-current standard. Based on results of the exposure
 8    assessment, he  also noted that exposures to Os concentrations at and above a benchmark level of
 9    80 ppb would be essentially eliminated with a standard level of 75 ppb, and that exposures at and
10    above a 70 ppb benchmark level would be substantially reduced or eliminated for the vast
11    majority of people in at-risk groups. In addition, the Administrator concluded that the body of
12    evidence did not support setting a lower standard level, specifically judging that the available
13    evidence for effects following exposures to Os concentrations of 60 ppb was "too limited to
14    support a primary focus at this level" (75 FR 2938).  With respect to the epidemiologic evidence,
15    the Administrator stated that a standard set at a level lower than 75 ppb "would only result in
16    significant further public health protection if, in fact, there is a continuum of health risks in areas
17    with 8-hour average 63 concentrations that are well below the concentrations observed in the key
18    controlled human exposure studies and if the reported associations observed in the
19    epidemiological studies are, in fact, causally related  to O?, at those lower levels" (73 FR 16483).
20          In making his final decision about the level of the primary 63 standard, the Administrator
21    noted that the level of 75 ppb was above the range recommended  by CASAC (i.e., 70 to 60 ppb).
22    He concluded that "CASAC's recommendation appeared to be a mixture of scientific and policy
23    considerations" (75 FR 2992). The Administrator reached a different policy judgment than the
24    CASAC Panel, placing less weight than CASAC on the available controlled human exposure
25    studies reporting effects following exposures to 60 ppb 63 and less weight on the results from
26    exposure and risk assessments, particularly on estimates of exposures to 63  concentrations at or
27    above 60 ppb (73 FR 16482-3).

28         1.3.1.2  Approach for the Current Review
29          To identify the range of options appropriate for the Administrator to consider in the
30    current review, we apply an approach that builds upon the general approach used in the last
31    review (and in the 2010 reconsideration proposal) and that reflects the broader body of scientific
32    evidence, updated exposure/risk information, and advances in 63  air quality modeling now
33    available. As summarized above, the Administrator's decisions in the prior review were based on
34    an integration of information on health effects associated with exposure to 63, judgments on the
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 1    adversity and public health significance of key health effects, and expert and policy judgments as
 2    to when the standard is requisite to protect public health with an adequate margin of safety.
 3           Staffs preliminary conclusions on the primary Os standard reflect our consideration of
 4    the available scientific evidence, exposure/risk information, and air quality modeling
 5    information, within the context of the overarching questions related to: (1) the adequacy of the
 6    current primary Os standard to protect against effects associated with both short- and long-term
 7    exposures and (2) potential alternative standards, if any, that are appropriate to consider in this
 8    review. In addressing these broad questions, we organize the discussions in  chapters 3 and 4 of
 9    this document around a series of more specific questions reflecting different aspects of each
10    overarching question. When evaluating the health protection afforded by the current or potential
11    alternative standards, we take into account the four basic elements of the NAAQS:  the indicator,
12    averaging time, form, and level.
13           Figure 1-1 below provides an overview of our approach in this review. We believe that
14    the general approach summarized  in this section,  and outlined in Figure 1-1, provides a
15    comprehensive basis to help inform the judgments required of the Administrator in reaching
16    decisions about the current and potential alternative primary Os standards. In the subsections
17    below, we describe our general approaches to considering the scientific evidence (evidence-
18    based considerations) and to considering the human exposure- and health risk information
19    (exposure- and risk-based considerations). We also recognize considerations related to ambient
20    Oj, attributable to background sources.
                                                 1-18

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                                Adequacy of Current 8-Hour Primary 03 Standard
1

2
                        Evidence-Based Considerations
        /•ISA weight-of-evidence conclusions for health effects and at-risk
        populations
        /'Controlled human exposure and animal toxicology studies:
        Nature, magnitude, likely adversity of effects; consistency across
        studies?
        /•Epidemiologic studies: Statistical precision; confounding; link
        effects to 03 air quality in specific locations?
           /-Health effect associations reported in locations meeting
           current standard?
           .'•Confidence in concentration-response relationships over
           distributions of ambient concentrations, including
           concentrations below level of current standard?
        ^-Uncertainties in evidence for 03-attriubutable effects across
        distributions of exposure concentrations and ambient
        concentrations
g
>cts across
nt
i

                                                                             Exposure-/Risk-Based
                                                                                Considerations
                                                                       /'Nature, magnitude, and
                                                                       importance of estimated exposures
                                                                       and risks associated with current
                                                                       03 standard
                                                                          r Focus on at-risk populations
                                                                       /-Uncertainties in the exposure
                                                                       and risk estimates
                                             Does information call
                                                into question
                                             adequacy of current
                                              8-hour Primary 03
                                                  standard?
                                                                                  Consider retaining
                                                                                  currentS-hour 03
                                                                                      standard
                                                      lYES
                                   Consider Potential Alternative Standards
                                                     J
               Indicator
         ^Support for retaining
         03?	
                                   Averaging Time
                              /•Support for 8-hour
                              only?
                              /-Support for longer-term
                              averaging time?	
            Form
/•Support for retaining annual
4th highest?
                                                     Level
              /'Evidence-based considerations: Consider controlled human exposure studies and
              epidemiologic studies, including uncertainties
              /•Exposure- and risk-based considerations: Consider exposure and risk reductions for
              alternative 03 standards, exposures and risks estimated to remain upon meeting
              alternatives, and uncertainties and limitations in exposure/risk estimates
                                                       I
                                 Identify range of potential alternative standards for
                                                  consideration
Figure 1-1.   Overview of approach to reviewing the primary standard.
                                                             1-19

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 1         1.3.1.2.1     Consideration of the Scientific Evidence
 2           Our approach in this review draws upon an integrative synthesis of the entire body of
 3    available scientific evidence for Os-related health effects, including the evidence newly available
 4    in the current review and the evidence from previous reviews, as presented in the ISA (U.S.
 5    EPA, 2013). Our approach to considering the scientific evidence is based fundamentally on using
 6    information from controlled human exposure and epidemiologic studies, supplemented by
 7    information from animal toxicology studies. Such evidence informs our consideration of the
 8    health endpoints and at-risk populations on which to focus the current review, and our
 9    consideration of the Os concentrations at which various health effects can occur.
10           Since the 2008 review of the O^ NAAQS, the Agency has developed formal frameworks
11    for characterizing the strength of the scientific evidence with regard to health effects associated
12    with exposures to Os in ambient air and factors that may increase risk in  some populations or
13    lifestages (U.S. EPA, 2013, Preamble; Chapter 8). These frameworks provide the basis for
14    robust, consistent, and transparent processes for evaluating the scientific evidence, including
15    uncertainties in the evidence, and for drawing weight-of-evidence conclusions on air pollution-
16    related health effects and at-risk populations.
17           With regard to characterization of health effects, the ISA uses a five-level hierarchy to
18    classify the overall weight-of-evidence into one of the following categories: causal relationship,
19    likely to be a causal relationship, suggestive of a causal relationship, inadequate to infer a causal
20    relationship, and not likely to be a causal relationship (U.S. EPA, 2013, Preamble Table II). In
21    this PA, we place the greatest weight on the evidence for health effects that have been judged in
22    the ISA to be caused by, or likely to be caused by, Os exposures. Our consideration of the
23    available evidence for such effects is presented below in Chapter 3 (consideration of the
24    adequacy of the current standard) and in Chapter 4 (consideration of potential alternative
25    standards).
26           As discussed below, we further consider the evidence  base assessed in the ISA with
27    regard to the types and levels of exposure at which health effects are indicated. This further
28    consideration of the evidence, which directly informs EPA's conclusions regarding the adequacy
29    of current or potential  alternative standards in providing requisite public  health protection, differs
30    from consideration of the evidence in the ISA with regard to overarching determinations of
31    causality. Therefore, studies that inform determinations of causality may or may not be
32    concluded to be informative with regard to the adequacy of the current or potential alternative
33    standards.
34           As with health endpoints, the ISA's characterization of the weight-of-evidence for
35    potential at-risk populations is based on the evaluation and synthesis of evidence from across
36    scientific disciplines. The ISA characterizes the evidence for a number of "factors" that have the
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 1    potential to place populations at increased risk for Os-related effects. The categories considered
 2    in evaluating the evidence for these potential at-risk factors are "adequate evidence," "suggestive
 3    evidence," "inadequate evidence," and "evidence of no effect."  These categories are discussed
 4    in more detail in the ISA (U.S. EPA, 2013, chapter 8, Table 8-1). In this draft PA, we focus our
 5    consideration of potential at-risk populations on those factors for which the ISA judges there is
 6    "adequate" evidence (U.S. EPA, 2013, Table 8-5). At-risk populations are discussed in more
 7    detail in section 3.2.1, below.
 8           Using the available scientific evidence to inform conclusions on the adequacy of the
 9    current primary Oj, standard, and on potential alternative standards appropriate for consideration,
10    is complicated by the recognition that a population-level threshold in exposure or ambient 63
11    concentrations has not been identified, below which it can be concluded with confidence that O^-
12    attributable effects do not occur in exposed populations (U.S. EPA, 2013, section 2.5.4.4). In the
13    absence of a discernible threshold, our general approach to considering the available Os health
14    evidence involves characterizing our confidence in the extent to which Os-attributable effects
15    occur, and the extent to which such effects are adverse, over the ranges of 63 exposure
16    concentrations evaluated in controlled human exposure studies and over the distributions of
17    ambient 63 concentrations in locations where epidemiologic studies have been conducted. As
18    noted above, we recognize that the available health effects evidence reflects a continuum from
19    relatively high O^ concentrations, at which scientists generally agree that adverse health effects
20    are likely to occur, through lower concentrations, at which the likelihood and magnitude of a
21    response become increasingly uncertain. Aspects of our approach particular to evidence from
22    controlled human exposure and epidemiologic studies, respectively, are discussed below.
23           Controlled Human Exposure Studies
24           Controlled human exposure studies provide direct evidence of relationships between
25    pollutant exposures and human health effects (U.S. EPA, 2013, p.lx). Such studies are
26    particularly useful in defining the specific conditions under which pollutant exposures can result
27    in health impacts, including the exposure concentrations, durations, and ventilation rates under
28    which effects can occur. As discussed in the ISA, controlled human exposure studies provide
29    clear and compelling evidence for an array of human health effects that are directly attributable
30    to acute exposures to O^per se (i.e., as opposed to 03 and other photochemical oxidants, for
31    which 63 is an indicator, or other co-occurring pollutants) (U.S. EPA, 2013, Chapter 6).
32    Together with animal toxicological studies, which can provide information about more serious
33    health outcomes as well as the effects of long-term exposures and mode of action, controlled
34    human exposure studies also help to provide biological plausibility for health effects observed in
35    epidemiologic studies.
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 1           In this draft PA, we consider the evidence from controlled human exposure studies in two
 2    ways. First, we consider the extent to which controlled human exposure studies provide evidence
 3    for health effects following exposures to different O^ concentrations, down to the lowest-
 4    observed-effects levels in those studies. Second, we use such studies to inform our evaluation of
 5    the extent to which we have confidence in health effect associations reported in epidemiologic
 6    studies down through lower ambient O^ concentrations, where the likelihood and magnitude of
 7    Os-attributable effects become increasingly uncertain.
 8           We consider the range of Os exposure concentrations evaluated in controlled human
 9    exposure studies, including concentrations near or below the level of the current standard. We
10    consider both group mean responses, which provide insight into the extent to which observed
11    changes are due to Os exposures rather than to chance alone, and inter-individual variability in
12    responses, which provides insight into the fraction of the population that might be affected by
13    such Os exposures (U.S. EPA, 2013, section 6.2.1.1). When considering the relative weight to
14    place on various controlled human exposure studies, we consider the exposure conditions
15    evaluated (e.g., exercising versus resting, exposure duration); the nature, magnitude, and likely
16    adversity of effects over the range of reported Os exposure concentrations; the statistical
17    precision of reported effects; and the consistency of results across studies for a given health
18    endpoint and exposure concentration.  In addition, because controlled human exposure studies
19    typically involve healthy individuals and do not evaluate the most sensitive individuals in the
20    population (U.S. EPA, 2013, Preamble p. Ix), when considering the implications of these studies
21    for our evaluation of the current and potential alternative standards, we also consider the extent
22    to which reported effects are likely to  reflect the magnitude and/or severity of effects in at-risk
23    groups.
24           Epidemiologic Studies
25           We also consider epidemiologic studies of short- and long-term 63 concentrations in
26    ambient air. Epidemiologic studies provide information on associations  between variability in
27    ambient O?, concentrations and variability in various health outcomes, including lung function
28    decrements, respiratory symptoms, school absences, hospital admissions, emergency department
29    visits, and premature mortality (U.S. EPA, 2013, Chapters 6 and 7). Epidemiologic studies can
30    inform  our understanding of the effects in the study population (which may include at-risk
31    groups) of real-world exposures to the range of 63 concentrations in  ambient air.
32           Available studies have generally not indicated a discernible population threshold, below
33    which Os is no longer associated with health effects (U.S. EPA, section  2.5.4.4). However, the
34    currently available epidemiologic evidence indicates decreased confidence in reported
35    concentration-response relationships for O^ concentrations at the lower ends of ambient
36    distributions (U.S. EPA, section 2.5.4.4). Therefore, our general approach to considering the
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 1    results of epidemiologic studies within the context of the current and potential alternative
 2    standards focuses on characterizing the range of ambient 63 concentrations over which we have
 3    the most confidence in (^-associated health effects, and the concentrations below which our
 4    confidence in such health effect associations becomes appreciably lower. In doing so, we
 5    consider the statistical precision of Os health effect associations reported in study locations with
 6    various ambient Os concentrations; confidence intervals around concentration-response functions
 7    reported over distributions of ambient 63 (where available); and the extent to which the
 8    biological plausibility of associations at various ambient Os concentrations is supported by
 9    evidence from controlled human exposure and/or animal toxicological studies.
10           We consider both multi-city and single-city studies assessed in the ISA, each of which
11    have strengths and limitations. Multi-city studies evaluate large populations and provide greater
12    statistical power than single-city studies. Multi-city studies also reflect Os-associated health
13    impacts across a range of diverse locations, providing spatial coverage for different regions
14    across the country and reflecting differences in exposure-related factors that could impact O^
15    risks. In addition, compared to single-city studies, multi-city studies are not prone to publication
16    bias and they afford the possibility of generalizing to the broader national population (U.S. EPA,
17    2004, p. 8-30). In contrast, while single-city studies are more limited than multicity studies in
18    terms of statistical power and geographic coverage, conclusions regarding the extent to which air
19    quality met the current or potential alternative standards in the cities for which associations have
20    been reported can be made with greater certainty for single-city studies (compared to multicity
21    studies reporting only multicity effect estimates) because the associations are reported for city-
22    specific analyses (U.S. EPA, 201 Id, section 2.3.4.1).19 In some cases, single-city studies can
23    also provide evidence for locations or population-specific characteristics not reflected in
24    multicity studies (U.S. EPA, 2013, section 6.2.7.1). Therefore, when considering available
25    epidemiologic studies we evaluate both multi-city and  single-city studies, recognizing the
26    strengths and limitations of each.
27           In placing emphasis  on specific epidemiologic studies, we focus on studies conducted in
28    the U.S. and Canada.  Such studies reflect air quality and exposure patterns that are likely more
29    typical of the U.S. population than the  air quality and exposure patterns reflected in studies
                                           90
30    conducted outside the U.S. and Canada.   We also focus on studies reporting associations with
31    effects judged in the ISA to  be robust to confounding by other factors, including co-occurring air
32    pollutants.
      19 Though in some cases multicity studies present single-city effect estimates in addition to multi-city estimates.
      20 All studies, including other international studies inform the causal determinations in the ISA.

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 1         1.3.1.2.2    Consideration of Exposure and Risk Estimates
 2          To put judgments about (Vrelated health effects into a broader public health context, we
 3    consider exposure and risk estimates from the second draft HREA, which develops and applies
 4    models to estimate human exposures to 63 and (Vrelated health risks in urban case study areas
 5    across the United States (U.S. EPA, 2014). The second draft HREA estimates exposures of
 6    concern, based on interpreting quantitative exposure estimates within the context of controlled
 7    human exposure study results; lung function risks, based on applying exposure-response
 8    relationships from controlled human exposure studies to quantitative estimates  of exposures; and
 9    epidemiologic-based risk estimates, based on applying concentration-response relationships
10    drawn from epidemiologic studies to adjusted air quality. Each of these types of assessments is
11    discussed briefly below.
12          As in the 2008 review, the second draft HREA estimates exposures at or above
13    benchmark concentrations of 60, 70, and 80 ppb, reflecting exposure concentrations of concern
                                         91
14    based on the available health evidence.   Estimates of exposures at or above discrete benchmark
15    concentrations provide perspective on the public health risks of Cb-related health effects that
16    have been  demonstrated in controlled human exposure and toxicological studies but that, because
17    of a lack of exposure-response information from those studies, cannot be assessed using a
18    quantitative risk assessment. Though this analysis is conducted using discrete benchmark
19    concentrations, health-relevant exposures are more appropriately viewed as a continuum with
20    greater confidence and less uncertainty about the existence of health effects at higher 63
21    exposure concentrations and less confidence and greater uncertainty at lower exposure
22    concentrations. We recognize that there is no sharp breakpoint within the exposure-response
23    relationship for exposure concentrations at and above 80 ppb down to 60 ppb.
24          The second draft HREA also generates quantitative estimates of Os health risks for air
25    quality adjusted from recent conditions to those just meeting the current and potential alternative
26    standards.  As noted above, one approach to estimating 63 health risks is to combine modeled
27    exposure estimates with exposure-response relationships derived from controlled human
28    exposure studies of Cb-induced health effects. The second draft HREA uses this approach to
29    estimate the occurrence of (Vinduced lung function decrements in simulated at-risk populations.
30    The available exposure-response information does not support this approach  for other endpoints
31    evaluated in controlled human exposure studies (U.S. EPA, 2014a, section 2.3).
32          Another approach to estimating Os-associated health risks is to apply concentration-
33    response relationships derived from short- and/or long-term epidemiologic studies to air quality
      21 For example, see 75 FR 2945-2946 (January 19, 2010) and 73 FR 16441-16442 (March 27, 2008) discussing
      "exposures of concern".

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 1    adjusted to just meet current and potential alternative standards. The concentration-response
 2    relationships drawn from epidemiologic studies are based on population exposure surrogates,
 3    such as 8-hour concentrations averaged across monitors and over more than one day
 4    (incorporation of lag) (U.S. EPA, 2013, Chapter 6). The second draft HREA presents
 5    epidemiologic-based risk estimates for Os-associated mortality, hospital admissions, emergency
 6    department visits, and respiratory symptoms (U.S. EPA, 2014a, section 2.3). These estimates are
 7    derived from the full distribution of ambient 63 concentrations estimated for the study
               99                            	
 8    locations.  In addition, the second draft HREA estimates mortality risks attributable to various
 9    portions of those distributions (U.S. EPA, 2014a). In this second draft PA we consider risk
10    estimates based on the full distributions of ambient 63 concentrations, and estimates of the risk
11    associated with various portions of those ambient distributions. In doing so, we take note of the
12    ISA conclusions regarding confidence in linear concentration-response relationships over
13    distributions of ambient concentrations, and of the extent to which health effect associations at
14    various ambient O^ concentrations are supported by the evidence from experimental studies for
15    effects following specific 63 exposures.
16          1.3.1.2.3     Considerations Regarding Ambient Os Concentration Estimates
17                      Attributable to Background Sources
18          As noted above, our approach in this review utilizes recent advances in modeling
19    techniques to estimate the contributions of U.S.  anthropogenic, international anthropogenic, and
20    natural sources to ambient 03 (discussed in detail in Chapter  2 of this draft PA). Such model
21    estimates can provide insights into the extent to which different types of background emissions
22    sources contribute to total ambient Os  concentrations. Consideration of this issue in the current
23    review is informed by the approaches taken in previous reviews, as well as by court decisions.
24          In 1979, the EPA set a 1-hour Oi standard with a level of 0.12 ppm. Following the final
25    decision in that review, the City of Houston argued that the standard was arbitrary and capricious
26    because natural 63 concentrations and other physical phenomena in the Houston area made the
27    standard unattainable in that area. The D.C. Circuit rejected this argument, stating that
28    attainability and technological feasibility are not relevant considerations in the promulgation of
29    the NAAQS. The Court also noted that the EPA need not tailor the NAAQS to fit each region or
30    locale, pointing out that Congress was aware of the difficulty in meeting standards in some
        In previous reviews, including the 2008 review and reconsideration, such risks were separately estimated for O3
      concentrations characterized as above policy-relevant background concentrations. Policy-relevant background
      concentrations were defined as the distribution of ozone concentrations attributable to sources other than
      anthropogenic emissions of ozone precursor emissions (e.g., VOC, CO, NOx) in the U.S., Canada, and Mexico. The
      decision to estimate total risk across the full range of O3 concentrations reflects current OAQPS views and
      consideration of advice from CASAC (Frey and Samet, 2012b).

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 1    locations and had addressed this difficulty through various compliance related provisions in the
 2    Act. See API v. Costle. 665 F.2d 1176. 1184-6 (D.C. Cir. 1981).
 3          More recently, in the 1997 review of the O^ NAAQS, the Administrator set an 8-hour
 4    standard with a level of 0.08 ppm (84 ppb). In reaching this decision, the EPA identified several
 5    reasons supporting its decision to reject a more stringent standard of 0.07 ppm. Most
 6    importantly, the EPA pointed out the scientific uncertainty at lower concentrations and placed
 7    significant weight on the fact that no CASAC panel member supported a standard level  set lower
 8    than 0.08 ppm (62 FR 38868). In addition to noting the uncertainties in the health evidence for
 9    exposure concentrations below 0.08 ppm and the advice of CASAC, the EPA noted that a
10    standard set at a level of 0.07 ppm would be closer to peak background concentrations that
11    infrequently occur in some areas due to nonanthropogenic sources of Os precursors (62  FR
12    38856, 38868; July  18, 1997).
13          In subsequent litigation, the D.C.  Circuit upheld the EPA's decision as the product of
14    reasoned decision-making. The Court made clear that the most important support for the EPA's
15    decision was the health evidence and the concerns it raised about setting a standard level below
16    0.08 ppm. The Court also pointed to the significant weight that the EPA properly placed on the
17    advice it received from CASAC. Finally  (as noted in section 1.2.2  above), the Court noted that
18    the EPA could also  consider relative proximity to peak natural background 63 when evaluating
19    alternative standards. See ATA III. 283 F.3d at 379 (D.C. Cir. 2002).
20          These cases  provide a framework for considering the contributions of U.S.
21    anthropogenic, international anthropogenic, and natural sources, within the context of
22    considering the health evidence and CASAC advice, when evaluating various potential
23    alternative standards.

24         1.3.2    Approach for the Secondary Standard
25          Staffs approach in this review of the current secondary standard takes into consideration
26    aspects of the approaches used in past 63 NAAQS reviews. The past and current approaches,
27    generally described below, are both based fundamentally on using EPA's assessment of the
28    current scientific evidence and associated quantitative analyses to inform the Administrator's
29    judgment regarding a secondary standard for 63 that is requisite (i.e., neither more nor less
30    stringent than necessary) to protect public welfare.
31          In reaching conclusions on options for the Administrator's  consideration, we note that the
32    final decision to retain or revise the current secondary 63 standard is a public welfare policy
33    judgment to be made by the Administrator. This final decision will draw upon the available
34    scientific evidence for Os-attributable welfare effects and on analyses  of vegetation and
35    ecosystem exposures and public welfare risks based on impacts to  vegetation, ecosystems and

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 1    their associated services, including judgments about the appropriate weight to place on the range
 2    of uncertainties inherent in the evidence and analyses. In determining the requisite level of
 3    protection for crops and trees, the Administrator will need to weigh the importance of the
 4    predicted risks of these effects in the overall context of public welfare protection, along with a
 5    determination as to the appropriate weight to place on the associated uncertainties and limitations
 6    of this information. Our general approach to informing these judgments, discussed more fully
 7    below, recognizes that the available  welfare effects evidence reflects a continuum from relatively
 8    high OT,  concentrations at which scientists generally  agree that welfare effects are likely to occur,
 9    through  lower concentrations at which the likelihood and magnitude of a response become
10    increasingly uncertain. Therefore, in developing conclusions in this second draft PA, we are
11    mindful that the Administrator's ultimate judgments on the secondary standard will most
12    appropriately reflect an interpretation of the available scientific evidence and exposure/risk
13    information that neither overstates nor understates the strengths and limitations of that evidence
14    and information.
15          Section  1.3.2.1 below provides an overview of the general approach taken in the last
16    review of the secondary standard for Os (i.e., the 2008 review), and a summary of the rationale
17    for the decision on the standard in that review (73 FR 16436). Section 1.3.2.2 presents our
18    approach in the current review, including our approach to considering the vegetation effects
19    evidence and exposure/risk information, and considerations regarding ambient O^ concentrations
20    attributable to background sources.

21          1.3.2.1 Approach Used in the Last Review
22          In the 2008 review of the secondary NAAQS for Os, the Administrator relied upon
23    consideration of the available scientific evidence and exposure/risk information, information
24    regarding biologically-relevant exposure indices, air quality information regarding the degree of
25    overlap between different exposure index forms, the advice and recommendations of CAS AC,
26    considerations regarding adversity, and comments from the public. Based on all of this, he
27    revised the level of the secondary 63 standard from 0.08 ppm23 to 0.075 ppm (75 ppb24).
28          In reaching a decision to revise the 1997 8-hour secondary standard, the Administrator
29    found, after carefully considering the public comments, that the fundamental scientific
30    conclusions on the effects of Os on vegetation and sensitive ecosystems reached in the 2006
31    Criteria Document and 2007 Staff Paper, as discussed in section IV. A of the final rule remained
      23 Due to rounding convention, the 1997 standard level of 0.08 ppm corresponded to 0.084 ppm (84 ppb).
      24 The level of the O3 standard is specified as 0.075 ppm rather than 75 ppb. However, in this draft PA we refer to
      ppb, which is most often used in the scientific literature and in the ISA, n order to avoid the confusion that could
      result from switching units when discussing the evidence in relation to the standard level.

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 1    valid (73 FR 16496). He further recognized that several additional lines of evidence had
 2    progressed sufficiently since the  1997 review to provide a more complete and coherent picture of
 3    the scope of Os-related vegetation risks (i.e., visible foliar injury, tree biomass loss, crop yield
 4    loss, and others), especially those faced by sensitive seedling, sapling and mature growth stage
 5    tree species growing in field settings, and their associated forested ecosystems. This new
 6    research reflected an increased emphasis on field-based exposure methods (e.g., free-air, ambient
 7    gradient and biomonitoring surveys) (73 FR 16490) in addition to the more traditional controlled
 8    open-top chamber (OTC) studies (73 FR 16485), and began to address one of the key data gaps
 9    cited by the Administrator in the 1997 review (73 FR  16486). Specifically, by providing
10    additional evidence that (Vinduced crop yield loss and tree seedling biomass loss effects
11    observed in chambers also occurs in the field, this new research qualitatively increased support
12    for, and confidence in, the continued use of OTC-derived crop and tree seedling concentration-
13    response (C-R) functions developed in the National Crop Loss Assessment Network (NCLAN)
14    and National Health and Environmental Effects Research Laboratory - Western Ecology
15    Division (NHEERL-WED) studies, respectively, to predict (Vinduced impacts on crops and tree
16    seedlings in the field (72 FR 37886). All of these areas were considered together, along with
17    associated uncertainties, in an integrated weight-of-evidence approach (73 FR 16490).
18           Beyond the available vegetation effects evidence, the Administrator also considered
19    estimates of Os exposures and risks when air quality was adjusted to simulate just meeting the
20    existing and potential alternative standards. On the basis of these assessments, the Administrator
21    concluded that Os exposures that would be expected to remain after meeting the existing
22    standard would be sufficient to cause visible foliar injury and seedling and mature tree biomass
23    loss in (Vsensitive vegetation (73 FR 16496) and would still allow (Vrelated yield loss to occur
24    in some commodity crop species and fruit and vegetable species grown in the U.S. (73 FR
25    16489). Other Os-induced effects described in the literature, including an impaired ability of
26    many sensitive species and genotypes within species to adapt to or withstand other
27    environmental stresses,  such as freezing temperatures, pest infestations and/or disease, and to
28    compete for available resources, would also be anticipated to occur. In the long run, the result of
29    these impairments (e.g., loss in vigor) could lead to premature plant death in Os  sensitive species.
30    Though effects on other ecosystem components had only been examined in isolated cases, the
31    Administrator noted effects such as those described above could have significant implications for
32    plant community and associated species biodiversity and the structure and function of whole
33    ecosystems (73 FR 16496).
34           Although the Administrator concluded that the then-current standard was not sufficient to
35    protect against the known and anticipated effects described above, he also recognized that the
36    secondary standard is not meant to protect against all known observed or anticipated Os-related
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 1    effects, but only those that can reasonably be judged to be adverse to the public welfare. The
 2    Administrator recognized that the degree to which such effects should be considered to be
 3    adverse depended on the intended use of the vegetation and its significance to the public welfare
 4    (73 FR 16496). In this regard, he took note of a number of actions taken by Congress to establish
 5    public lands that are set aside for specific uses that are intended to provide benefits to the public
 6    welfare, including lands that are to be protected so as to conserve the scenic value and the natural
 7    vegetation and wildlife within such areas, and to leave them unimpaired for the enjoyment of
 8    future generations. Based on these considerations, and taking into consideration the advice and
 9    recommendations of CASAC, the Administrator concluded that the protection afforded by the
10    existing standard was not sufficient, and that the standard needed to be revised to provide
11    additional protection from known and anticipated adverse effects on sensitive natural vegetation
12    and ecosystems (73 FR 16497).
13           Given his judgment on the need to revise, the Administrator then considered what
14    revisions to the standard were requisite to protect public welfare.  Regarding the form of the
15    standard, the Administrator took note that at the conclusion of the 1997 review, the biological
                                                          9S
16    basis for a cumulative, seasonal  form was not in dispute   and that the 2006 Criteria Document
17    also concluded that 63 exposure indices that cumulate differentially-weighted hourly
18    concentrations are the best candidates for relating exposure to plant growth responses (EPA,
19    2006) (61 FR 65716; 73 FR 16486). The CASAC, in its letter to the Administrator following its
20    review of the second draft Staff Paper, stated that "there is a clear need for a secondary standard
21    which is distinctly different from the primary standard in averaging time, level and form" and
22    that "the CASAC unanimously agrees that it is not appropriate to try to protect vegetation from
23    the substantial, known or anticipated, direct and/or indirect, adverse effects of ambient ozone by
24    continuing to promulgate identical primary and secondary standards for ozone" (Henderson,
25    October 24, 2006, pp. 5-7). Although many possible cumulative,  seasonal concentration-
26    weighted exposure metrics exist, the Staff Paper and the CASAC Panel concluded that the
            r\r
27    W126  form is the most biologically-relevant cumulative, seasonal form appropriate to consider
28    in the context of the secondary standard review (73 FR 16486-87).2?
      25 In the 1997 review, a different cumulative metric (SUM06) was proposed. Metric selection in both 1997 and 2008
      was based on both science and policy considerations.
      26 W126 is a cumulative exposure index that is biologically based. The W126 index focuses on the higher hourly
      average concentrations, while retaining the mid-and lower-level values. It is defined as the sum of sigmoidally
      weighted hourly O3 concentrations over a specified period, where the daily sigmoidal weighting function is defined
      as: l-exp[-(W126/ti)p]
      27 In a subsequent letter offering unsolicited advice to the Administrator and Agency staff on development of the
      proposed rulemaking, the CASAC reiterated that Panel members ' 'were unanimous in supporting the
      recommendation in the Final Ozone Staff Paper that protection of managed agricultural crops and natural terrestrial
      ecosystems requires a secondary Ozone NAAQS that is substantially different from the primary ozone standard in
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 1           Although agreeing with the Criteria Document, Staff Paper and CAS AC conclusions that
 2    a cumulative exposure index that differentially weights 63 concentrations could represent a
 3    reasonable policy choice for a seasonal secondary standard to protect against the effects of O^ on
 4    vegetation and that the most appropriate cumulative, concentration-weighted form to consider
 5    was the sigmoidally weighted W126 form (73 FR 16498), the Administrator also took note of the
 6    1997 decision to make the revised secondary standard identical to a revised primary standard
 7    after similar considerations  (73 FR 16498). In considering the rationale for the 1997 decision, the
 8    Administrator observed that it was based in part on an analysis that compared the degree of
 9    overlap in county-level air quality measured in terms of alternative standard forms (62 FR
10    38876). Recognizing that significant uncertainty remained in 1997 regarding conclusions drawn
11    from such analyses, the Administrator also considered the results of a similar analysis of recent
12    monitoring data undertaken in the 2007 Staff Paper to assess the degree of overlap expected
13    between the existing standard (4* high, daily maximum 8-hour concentration averaged over
14    three years) and potential alternative standards based on W126 cumulative seasonal forms.
15           The Administrator noted that this analysis showed significant overlap between the 8-hour
16    secondary standard and selected levels of W126 standard forms, with the degree of overlap
17    between these potential alternative standards depending greatly on the W126 level selected and
18    the distribution of hourly 63 concentrations within the annual and/or 3-year average period.
19    From this analysis, the Administrator recognized that a secondary standard set identical to a
20    revised primary standard would provide a significant degree of additional protection for
21    vegetation as compared to that provided by the existing secondary standard. In further
22    considering the significant uncertainties in the available body of evidence and in the exposure
23    and risk analyses, and the difficulty in determining at what point various types of vegetation
24    effects become adverse for sensitive vegetation and ecosystems, the Administrator focused his
25    consideration on a level for  an alternative W126 standard (with an annual form) at the upper end
26    of the proposed range (i.e., 21 ppm-hours). The Staff Paper analysis showed that at a W126 level
27    of 21 ppm-hours, there would be essentially no  counties with air quality expected both to exceed
28    such an alternative W126 standard and to meet the revised 8-hour primary standard—that is,
29    based on this analysis of counties with ambient Os monitors, a W126-based level of 21 ppm-
30    hours would be unlikely to provide additional protection in any areas beyond that likely to be
31    provided by the revised 2008 primary standard (73 FR 16499/500).
      averaging time, level and form"...and "[t]he recommended metric for the secondary ozone standard is the
      (sigmoidally-weighted) W126 index, accumulated over at least the 12 'daylight' hours and over at least the three
      maximum ozone months of the summer 'growing season" (Henderson, March 26, 2007, p.3).

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 1           The Administrator also considered the Staff Paper finding that the degree of overlap
 2    between counties (with areas of concern for vegetation) expected to meet an 8-hour level for the
 3    form of the existing standard and potential alternative levels of a W126-based standard was
 4    inconsistent across years analyzed. This variation depended greatly on levels selected for a
 5    W126-based standard and a 3-year average 4 high daily maximum 8-hour standard,
 6    respectively, and the distribution of hourly Os concentrations within the annual and/or 3-year
 7    average period. From this, the Staff Paper recognized the need for caution in evaluating the
 8    likely vegetation impacts associated with a given level of air quality expressed in terms of the
 9    existing 8-hour average standard in the absence of parallel W126 information. In considering
10    these findings, the Administrator "recognize[d]  that the general lack of rural monitoring data
11    made uncertain the degree to which the revised  8-hour standard or an alternative W126 standard
12    would be protective, and that there was the potential for not providing the appropriate degree of
13    protection for vegetation in areas with air quality distributions that resulted in a high cumulative,
14    seasonal exposure but did not result in high 8-hour average exposures" (73 FR 16500).  With
15    regard to the 8-hour standard, he also noted that "[w]hile this potential for under-protection was
16    clear, the number and size of areas [then] at issue and the degree of risk [was] hard to determine.
17    However,  such a standard would also tend to avoid the potential for providing more protection
18    than is necessary, a risk that would have arisen from moving to a new form for the secondary
19    standard despite the significant uncertainty in determining the degree of risk for any exposure
20    level and the appropriate level of protection, as well as uncertainty in predicting exposure and
21    risk patterns" (73 FR 16500).
22           Thus, although the Administrator agreed with the views and recommendations of
23    CASAC that a cumulative, seasonal standard was the most biologically relevant way to relate
24    exposure to plant growth response, he also recognized that there remained significant
25    uncertainties in determining or quantifying the degree of risk attributable to varying levels of 63
26    exposure, the degree of protection that any specific cumulative, seasonal standard would
27    produce, and the associated potential for error in determining the secondary standard that would
28    provide a requisite degree of protection—i.e., sufficient but not more than what is necessary.
29    Given these significant uncertainties, the Administrator concluded that establishing a new
30    secondary standard with a cumulative, seasonal form, at that time, would have resulted in
31    uncertain benefits beyond those afforded by the revised primary standard, and therefore, might
32    have been more than necessary to provide the requisite degree of protection (73 FR 16500).
33    Based on his consideration of these issues (73 FR 16497), the Administrator judged that the
34    appropriate balance to be drawn was to set a secondary standard identical in every way to the
35    revised 8-hour primary standard of 0.075 ppm. The Administrator believed that such a standard
36    would be sufficient to protect public welfare from known or anticipated adverse effects, and did
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 1    not believe that an alternative cumulative, seasonal standard was needed to provide this degree of
 2    protection (73 FR 16500).
 3          As noted above, on July 23, 2013 the D.C. Circuit found this approach to be contrary to
 4    law because EPA had failed to identify a level of air quality requisite to protect public welfare
 5    and, therefore, EPA's comparison between the primary and secondary standards for determining
 6    if requisite protection for public welfare was afforded by the primary standard was inherently
 7    arbitrary. The court remanded the secondary standard to EPA for further consideration.  723 F. 3d
 8    at 270-74.

 9         1.3.2.2   Approach for the Current Review
10          To identify the range of options appropriate for the Administrator to consider in the
11    current review, we apply an approach that builds upon the general approach used in the 2008
12    review(and in the 2010 reconsideration proposal), and that reflects the broader body of scientific
13    evidence, updated exposure/risk information, and advances in Oj, air quality modeling now
14    available. As summarized above, the Administrator's decisions in the prior review were based on
15    an integration of information on welfare effects associated with exposure to Os, judgments on the
16    adversity and public welfare significance of key effects, and, expert and policy judgments as to
17    when the standard is requisite to protect public welfare. These considerations were informed by
18    air quality and related analyses, quantitative exposure and risk assessments, and qualitative
19    assessment of impacts that could not be quantified. In performing the  evaluation in this
20    document, we are additionally mindful of the recent remand of the secondary standard by the
21    D.C. Circuit.
22          Our approach in this review of the secondary Os standard reflects our consideration of the
23    available scientific evidence, information on biologically-relevant exposure indices,
24    exposure/risk information, and air quality modeling information, within the context of
25    overarching questions related to: (1) the adequacy of the  current secondary Os standard to protect
26    against effects associated with cumulative, seasonal exposures and (2) potential alternative
27    standards, if any, that are appropriate to consider in this review. In addressing these broad
28    questions, we have organized the discussions in chapters 5 and 6 of this document around a
29    series of more  specific questions reflecting different aspects of each overarching question. When
30    evaluating the welfare protection afforded by the current or potential alternative standards, we
31    take into account the four basic elements of the NAAQS:  the indicator, averaging time, form,
32    and level.
33          Figure  1-2 below provides an overview of our approach in this review. We believe that
34    the general approach summarized in this section, and outlined in Figure 1-2, provides a
35    comprehensive basis to help inform the judgments required of the Administrator in reaching

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1    decisions about the current and potential alternative secondary O^ standards. In the subsections
2    below, we summarize our general approaches to considering the scientific evidence (evidence-
3    based considerations) and to considering the exposure and risk information (exposure- and risk-
4    based considerations). We also recognize considerations related to ambient 63 attributable to
5    background sources.
                                               1-33

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                                   Adequacy of Current 8-Hour Secondary 0, Standard
                Evidence-Based Considerations
        HSA weight-of-evidence conclusions
        /-Evidence for vegetation effects from cumulative
        exposures allowed by the current standard (OTC)?
        /- Evidence for  vegetation effects in locations that
        would likely have met the current standard (field-
        based)?
                                                          Exposure-/Risk-Based Considerations
                                                        /-Nature, magnitude, and importance of
                                                        estimated exposures and risks associated with
                                                        current 03 standard
                                                        /'Risks attributable to U.S. anthropogenic,
                                                        international, and natural sources
                                                        /-Uncertainties in the exposure and risk
                                                        estimates?
                                                         Does
                                                      information
                                                  call into question the
                                                     adequacy and
                                                   appropriateness of
                                                     current 8-hour
                                                     secondary 03
                                                      ^standard?

                                                           IYES
                                                                             NO
                                                                                        Consider retaining
                                                                                        current 8-hour 03
                                                                                            standard
                                       Consider Potential Alternative Standards
                         \
                 Indicator
         /-Support for retaining
         03?
                                                 Form
                                 /-Support for cumulative, seasonal form?
                                 /- Support for concentration-weighted
                                 form?
                                 /'Support for single vs. 3-year period?
      Averaging Time
/'Support for 12 hour diurnal
period?
/-Support for 3-month seasonal
period?
                                                          Level
                  Evidence-based considerations
                        •03 exposure concentrations from OTC and field-based studies
                        •Uncertainties in the evidence
                 -Exposure and risk considerations
                        •What is the nature, magnitude, and importance of estimated exposures and risks associated
                        with potential alternative 03 standards?
                        •Uncertainties in the exposure/ risk assessment?
                                                            I
1

2
                                 Identify range of potential alternative standards for consideration
Figure 1-2.   Overview of approach to reviewing the secondary standard.

                                                     1-34

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 1         1.3.2.2.1     Consideration of the Scientific Evidence
 2           Our approach in this review draws upon an integrative synthesis of the entire body of
 3    available scientific evidence for Os-related welfare effects, including the evidence newly
 4    available in the current review and the evidence from previous review, as presented in the ISA
 5    (U.S. EPA, 2013). Our approach to considering the scientific evidence for effects on vegetation
 6    is based fundamentally on using information from controlled chamber studies and field-based
 7    studies. Such evidence informs our consideration of welfare endpoints and at-risk species and
 8    ecosystems on which to focus the current review, and our consideration of the ambient Os
 9    conditions under which various welfare effects can occur.
10           As in each NAAQS review, we consider the entire body of evidence for the subject
11    criteria pollutant. With regard to identification of the welfare effects that could be caused by a
12    pollutant, we look to controlled exposure studies using chamber or free air methodologies and
13    field-based observational, survey and gradient studies. Evaluating all of the evidence together,
14    the ISA makes a determination with regard to the strength of the evidence for a causal
15    relationship between the air pollutant and specific welfare effects. These determinations inform
16    our identification of welfare effects for which the NAAQS may provide protection.
17           Since the 2008 review of the O^ NAAQS, the Agency has developed a formal framework
18    for characterizing the strength of the scientific evidence with regard to a causal relationship
19    between ambient Os and welfare effects (U.S. EPA, 2013, Preamble; Chapter 9).  This framework
20    provides the basis for a robust, consistent, and transparent process for evaluating the scientific
21    evidence, including uncertainties in the  evidence, and for drawing weight-of-evidence
22    conclusions regarding air pollution-related welfare effects. In so doing, the ISA uses a five-level
23    hierarchy, classifying the overall weight of evidence into one of the following categories: causal
24    relationship, likely to be a causal relationship,  suggestive of a causal relationship, inadequate to
25    infer a causal relationship, and not likely to be a causal relationship (U.S. EPA, 2013, Preamble
26    Table II). In our approach here, we place the greatest weight on the evidence for welfare effects
27    that have been judged in the ISA to be caused by, or likely caused by, Os exposures. Our
28    consideration of the available evidence for such effects is presented below in Chapter 5
29    (consideration  of the adequacy of the  current standard) and in Chapter 6 (consideration of
30    potential alternative standards).
31           We further consider the evidence base, as assessed in the ISA, with regard to the types
32    and levels of exposure at which welfare effects are indicated.  This further consideration of the
33    evidence base, which directly informs EPA's conclusions regarding the adequacy of current or
34    potential alternative standards in providing requisite public welfare protection, differs from
35    consideration of the evidenc in the ISA with regard to overarching determinations of causality.
                                                 1-35

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 1    Studies that have informed determinations of causality may or may not be concluded to be
 2    informative with regard to the adequacy of the current or potential alternative standards.
 3          Our approach in this review, as in past reviews, included recognition that the available
 4    evidence has not provided identification of a threshold in exposure or ambient 63 concentrations
 5    below which it can be concluded with confidence that Cb-attributable vegetation effects do not
 6    occur across the broad range of Os-sensitive plant species growing within the U.S. This is due in
 7    part to the fact that research shows that there is variability in sensitivity between and within
 8    species and that numerous factors, i.e. chemical, physical, biological, and genetic, can influence
 9    the direction and magnitude of the studied effect (U.S. EPA, 2013, section 9.4.8). In the absence
10    of a discernible threshold, our general approach to considering the available 63 welfare evidence
11    involves characterizing our confidence in conclusions regarding Os-attributable vegetation
12    effects over the ranges of cumulative seasonal 63 exposure values evaluated in chamber studies
13    and in field studies in areas where Cb-sensitive vegetation are known to occur, as well as
14    characterizing the extent to which these effects can be considered adverse. In addition, because
15    63 can indirectly affect other ecosystem components (such as soils, water, and wildlife, and their
16    associated goods and services, through its effects on vegetation) our approach also considers
17    those indirect effects for which the ISA concludes, based on multiple lines of evidence, including
18    mechanistic and physiological processes, to  have a causal or likely to be a causal relationship.
19    With respect to ecosystem services for which we may have only limited or qualitative
20    information regarding an association with 63 exposures, our approach is to consider their policy-
21    relevance in the context of section 109(b)(2) of the CAA which specifies that secondary
22    standards provide requisite protection of "public welfare from any ... known or anticipated
23    adverse effects associated with the presence of [the] pollutant in the ambient air". As noted
24    above, our approach recognizes that the effects evidence reflects a general continuum from
25    higher 63 concentrations, at which scientists generally agree that adverse vegetation and
26    ecosystem effects are likely to occur, through lower concentrations, at which the likelihood and
27    magnitude of a response becomes increasingly more uncertain.
28          In this review, the evidence base includes quantitative information across a broad array of
29    vegetation effects (e.g., growth impairment during seedlings, saplings and mature tree growth
30    stages, visible foliar injury, and yield loss in annual crops) and across a diverse set of exposure
31    methods from laboratory and field studies. These methods include the more traditional OTC
32    studies, as well as field-based exposure studies. While we consider the full breadth of
33    information available, we place greater weight on U.S. studies due to the often species-, site-,
34    and climate-specific nature of (Vrelated vegetation responses. We especially weight those
35    studies that include Os exposures that fall within the range of those likely to occur in the ambient
36    air. Further, our approach in the context of the quantitative exposure and risk assessments
                                                 1-36

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 1    (discussed below), places greatest emphasis on studies that have evaluated plant response over
 2    multiple exposure levels and developed exposure-response relationships that allow the prediction
 3    (estimation) of plant responses over the range of potential alternative standards being assessed.
 4           In considering the evidence, we recognize differences across different study types in what
 5    information they provide. For example, because conditions can be controlled in laboratory
 6    studies, responses in such studies may be less variable and smaller differences may be easier to
 7    detect. However, the control conditions may limit the range of responses or incompletely reflect
 8    pollutant bioavailability, so they may not reflect responses that would occur in the natural
 9    environment.  Alternatively, field data can provide important information for assessments of
10    multiple stressors or where site-specific factors significantly influence exposure. They are also
11    often useful for analyses of larger geographic scales and higher levels of biological organization.
12    However, because most field study conditions can not be controlled, variability is expected to be
13    higher and differences harder to detect. The presence of confounding factors can also make it
14    difficult to attribute observed effects to specific stressors.
15           In considering information from across multiple lines of evidence, our approach is to first
16    integrate the evidence from both controlled and field-based studies and assess the coherence and
17    consistency across the available evidence for each effect. We then consider the extent to which
18    these identified effects should be considered adverse to the public welfare, relying largely on the
19    paradigm used in the 2008 review and 2010 proposed reconsideration (e.g., 75 FR 3006). This
20    paradigm recognizes that the significance to the public welfare of Cb-induced effects on sensitive
21    vegetation growing within the U.S. can vary depending on the nature of the effect, the intended
22    use of the sensitive plants or ecosystems, and the types of environments in which the sensitive
23    vegetation and ecosystems are located. Accordingly, any given (Vrelated effect on vegetation
24    and ecosystems (e.g., biomass loss, crop yield loss, foliar injury) may be judged to have a
25    different degree of impact on the public welfare depending, for example, on whether that effect
26    occurs in a  Class I area, a city park, or commercial cropland. Our approach takes this variation in
27    the significance of Os-related vegetation effects into account in evaluating the currently available
28    evidence with regard to the extent to which it calls into question the adequacy of the current
29    standard and,  as appropriate, indicates potential alternative standards that would be appropriate
30    for the Administrator to consider. In the 2010 proposed reconsideration, the Administrator
31    proposed to place the highest priority and significance on vegetation and ecosystem effects to
32    sensitive species that are known to or are likely to occur in federally protected areas  such as
33    national parks and other Class I areas, or on lands set aside by States, Tribes and public interest
34    groups to provide similar benefits to the public welfare (75 FR 3023/24). Our approach in this
35    review considers whether newly available information would suggest any evolution to this
36    paradigm, in particular in the context of considering associated ecosystem  services.
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 1          Finally, our approach continues to give great weight to the scientific evidence available in
 2    this and previous reviews indicating the relevance of cumulative, seasonal, concentration-
 3    weighted exposures in inducing vegetation effects. Therefore, we continue to express exposures
 4    in terms of the W126 index, and continue to consider the important policy implications regarding
 5    selection of an appropriate exposure index for vegetation. Our approach also places primary
 6    emphasis on studies that evaluated plant response to exposures that were or can be described
 7    using such an index. The policy-relevant discussions in chapters 5 and 6 focus on vegetation
 8    effects evidence and exposure/risk information that can be associated with cumulative,  seasonal
 9    peak-weighted exposures, where possible. Discussions pertaining to the adequacy of the current
10    secondary standard will consider what cumulative seasonal exposures would be allowed under
11    air quality that would just meet the current standard.
12         1.3.2.2.2     Consideration of Exposure and Risk Estimates and Air Quality Analyses
13          To put judgments about Os-related vegetation and ecosystem effects and services into a
14    broader public welfare context, we consider national scale exposure and risk assessments
15    described in the second draft WREA (U.S. EPA, 2014b). We particularly focused on the WREA
16    quantitative risks related to three types of vegetation effects: foliar injury,  biomass loss, and crop
17    yield loss. These risks were assessed in a range of WREA analyses variously involving recent Oi
18    monitoring data and/or national-scale model-adjusted air quality scenarios for the current
19    secondary standard and, in some analyses, for a cumulative, seasonal W126 form at one or more
20    levels (15, 11 and 7 ppm-hours). Our consideration of these WREA results provide insight into
21    the extent to which the current or potential alternative standards would be  expected to maintain
22    distributions of cumulative, seasonal O3 exposures below those associated with adverse
23    vegetation effects.
24            With regard to quantitative Os risks related to welfare effects and ecosystem services for
25    foliar injury, we consider two main analyses in the WREA:  a screening-level assessment of 214
26    National Parks and a case study focused on three National Parks. In the screening-level
27    assessment, Os concentrations in national parks are assessed using criteria developed from a U.S.
28    Forest Service nationwide dataset on foliar injury, ambient Os concentrations (in terms of W126
29    index)  and soil moisture (which can influence susceptibility of vegetation to foliar injury).
30    Additionally, we consider a case study for Class I areas (Great Smoky Mountain National Park,
31    Rocky Mountain National Park, and Sequoia/Kings Canyon National Park). We consider results
32    from this case study for three metrics: 1) percent of vegetation cover affected by foliar injury; 2)
33    percent of trails  affected by foliar injury;  3) estimates of species specific biomass loss within the
34    case study area.  We also consider qualitative analyses on ecosystem services effects for this
35    endpoint. For example, the second draft WREA uses GIS  mapping to illustrate where effects

                                                1-38

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 1    may be occurring and relates those areas to national scale statistics for recreational use and data
 2    on hiking trails, campgrounds and other park amenities that intersect with potentially affected
 3    areas. These are used to identify impacts on ecosystem services associated with recreation in
 4    national parks. We additionally consider analyses relating elevated 63 concentrations to
 5    increased vulnerability to fire risk regimes, insect attacks and impacts on hydrological cycles.
 6          With regard to risks related to biomass and crop yield loss, we consider WREA results
 7    based on exposure-response functions for tree and crop species that predict the growth or yield
 8    response of each species, based on the exposure patterns estimated within its growing region. To
 9    compare exposure-response across species, genotypes or experiments for which absolute
10    response values may vary greatly, the second draft WREA instead uses estimates of relative
11    biomass loss for trees or yield loss for crops. The WREA develops such estimates nationally and
12    separately for more than 100 federally designated Class I areas. Additionally, we consider
13    WREA-developed estimates of associated impacts on the agriculture and forestry sectors
14    quantifying how O?, exposure to vegetation is estimated to affect the provision of timber and
15    crops and carbon sequestration. We consider estimates for impacts related to tree biomass loss on
16    ecosystem services such as pollution removal, carbon storage and sequestration in five urban
17    case study areas. We consider biomass and crop yield loss estimates in light of advice from
18    CASAC, as discussed in sections  5.3 and 5.4 below.
19          In considering the amount of weight to place on the estimates of exposures and risks at or
20    above specific W126 values described in the second draft WREA, our approach:  1) evaluates the
21    weight of the scientific evidence concerning vegetation effects associated with those Os
22    exposures; 2) considers the importance, from a public welfare perspective, of the Os-induced
23    effects on sensitive vegetation and associated ecosystem services that are known or anticipated to
24    occur as a result of exposures at selected W126 values; and, 3) recognizes that predictions of
25    effects associated with any given  Oj, exposure may be mitigated or exacerbated by actual
26    conditions in the field (i.e., co-occurring modifying environmental and genetic factors). When
27    considering analyses in the second draft WREA that involve discrete exposure levels or varying
28    levels of severity of effects, our approach recognizes  that welfare-relevant exposures are more
29    appropriately viewed as a continuum with greater confidence and less uncertainty about the
30    existence of welfare effects at higher O?, exposure concentrations and less confidence and greater
31    uncertainty as one considers lower exposure concentrations. We recognize that there is no sharp
32    breakpoint within the continuum ranging from concentrations at and above the level of the
33    current secondary standard down  to the lowest cumulative, seasonal W126 value assessed. In
34    considering these results in this second draft PA, we consider both concerns about the potential
35    for welfare effects and their severity with the increasing uncertainty associated and our
36    understanding of the likelihood of such effects following exposures to lower Os concentrations.
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 1         1.3.2.2.3    Considerations Regarding Ambient Os Concentration Estimates
 2                     Attributable to Background Sources
 3          As noted above, our approach in this review utilizes recent advances in modeling
 4    techniques to estimate the contributions of U.S. anthropogenic, international anthropogenic, and
 5    natural sources to ambient O3 (discussed in detail in Chapter 2 of this document). Such model
 6    estimates can provide insights into the extent to which different types of emissions sources
 7    contribute to total ambient O3 concentrations. Our consideration of this issue in the current
 8    review is informed by the approaches taken in previous reviews,  and by court decisions on
 9    subsequent litigation, as discussed in section 1.3.1.2.3 above.
10          Further, in the 1996 proposal, O3 background concentrations were one of the factors the
11    Administrator considered in selecting the SUM06 index as a form for an alternative secondary
12    standard. This and other cumulative exposure indices under  consideration were judged to be
13    equally capable at estimating exposures relevant to vegetation, given the lack of evidence for a
14    discernible threshold for vegetation effects in general (U.S. EPA 1996, p.  225), which might
15    have provided a scientific basis for selecting among different cumulative exposure indices. At
16    that time, the SUM06 metric was  selected over the W126 metric  because it focused on the
17    policy-relevant (above background) portion of the total cumulative seasonal exposures reaching
18    plants (62 FR 38856). At the conclusion of that review, the Administrator ultimately chose to set
19    the secondary standard identical to the primary standard, including using the  8-hour average
20    instead of a cumulative seasonal form (62 FR 38868). In the 2008 review, staff analyses
21    concluded that the W126 index was more biologically-relevant based on the available science;
22    staff additionally noted, based on  then-available estimates of background, that this form was also
23    not likely to be significantly impacted by background concentrations given the very low weight
24    assigned to lower O3 concentrations by the W126 index (2007 SP, 7-22; 72 FR 37893).

25         1.3.3    Organization of this Document
26          Chapter 2 of this second draft PA provides an overview of the O3 ambient monitoring
27    network and O3 air quality, including estimates of O3 concentrations attributable to background
28    sources.  The remaining chapters are organized into two main parts. Chapters 3 and 4 focus on the
29    review of the primary O3 NAAQS while chapters 5 and 6 focus on the review of the secondary
30    O3 NAAQS. Staffs considerations and conclusions related to the current primary and secondary
31    standards are discussed in chapters 3 and 5, respectively. Staffs considerations and conclusions
32    related to potential alternative primary and secondary standards are discussed in chapters 4 and
33    6, respectively. Key uncertainties  in the review and areas for future research and data collection
34    are additionally identified in chapters 4 and 6 for the two types of standards.
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  1      1.4 REFERENCES

 2    Frey, H.C. and Samet, J.M. (2012a) CASAC Review of the EPA's Policy Assessment for the Review of the Ozone
 3            National Ambient Air Quality Standards (First External Review Draft - August 2012). EP A-C AS AC-13 -
 4            003. November 26, 2012.

 5    Frey, H.C. and Samet, J.M. (2012b) CASAC Review of the EPA's Health Risk and Exposure Assessment for Ozone
 6            (First External Review Draft - Updated August 2012) and Welfare Risk and Exposure Assessment for
 7            Ozone (First External Review Draft - Updated August 2012). EPA-CASAC-13-002. November 19, 2012

 8    Henderson, R. (2006) Letter from CASAC Chairman Rogene Henderson to EPA Administrator Stephen Johnson.
 9            October 24, 2006, EPA-CASAC-07-001.

10    Henderson, R. (2007) Letter from CASAC Chairman Rogene Henderson to EPA Administrator Stephen Johnson.
11            March 26, 2007, EPA-CASAC-07-002.

12    Henderson, R. (2008) Letter from CASAC Chairman Rogene Henderson to EPA Administrator Stephen Johnson.
13            April 7, 2008, EPA-CASAC-08-001.

14    Samet, J.M. (2011) Clean Air Scientific Advisory Committee (CASAC) Response to Charge Questions on the
15            Reconsideration of the 2008 Ozone National Ambient Air Quality Standards. EPA-CASAC-11-004.
16            March 30, 2011. Available online at:
17            http://yosemite.epa.gOv/sab/sabproduct.nsf/0/F08BEB48Cl 139E2A8525785E006909AC/$File/EP A-
18            CASAC-ll-004-unsigned+.pdf

19    U.S. Department of Health, Education, and Welfare (1970). Air Quality Criteria for Photochemical Oxidants.
20            Washington, D.C.: National Air Pollution Control Administration; publication no. AP-63. Available from:
21            NTIS, Springfield, VA; PB-190262/BA.

22    U.S. EPA (U.S. Environmental Protection Agency). (1978). Air quality criteria for ozone and other photochemical
23            oxidants [EPA Report]. (EPA/600/8-78/004). Washington, D.C..

24    U.S. EPA (U.S. Environmental Protection Agency). (1982). Air quality criteria document for ozone and other
25            photochemical oxidants. Fed Reg 47: 11561.

26    U.S. EPA (U.S. Environmental Protection Agency). (1986). Air quality criteria for ozone and other photochemical
27            oxidants [EPA Report]. (EPA-600/8-84-020aF - EPA-600/8-84-020eF). Research Triangle Park, NC.
28            http://www.ntis.gov/search/product.aspx? ABBR=PB87142949

29    U.S. Environmental Protection Agency. (1989) Review of the National Ambient Air Quality Standards for Ozone:
30            Policy Assessment of Scientific and Technical Information. OAQPS Staff Paper. Office of Air Quality
31            Planning and Standards, Research Triangle Park, NC.

32    U.S. EPA. (1996) Air Quality Criteria for Ozone and Related Photochemical Oxidants Volume I of III (Final, 1996).
33            U.S. Environmental Protection Agency, Washington, D.C., EPA/600/AP-93/004aF (NTIS PB94173127).

34    U.S. EPA. (2004) Air Quality Criteria for Paniculate Matter (Final Report). U.S. Environmental Protection Agency,
35            Washington, D.C., EPA 600/P-99/002aF-bF, 2004.

36    U.S. Environmental Protection Agency. (2006). Air quality criteria for ozone and related photochemical oxidants
37            [EPA Report]. (EPA/600/R-05/004AF). Research Triangle Park, NC.
3 8            http://cfpub.epa.gov/ncea/cfm/recordisplay.cfm?deid=149923
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  1    U.S. Environmental Protection Agency. (2007) Review of the National Ambient Air Quality Standards for Ozone:
  2            Policy Assessment of Scientific and Technical Information. OAQPS Staff Paper. Office of Air Quality
  3            Planning and Standards, Research Triangle Park, NC. EPA-452/R-07-007.

  4    U.S. Environmental Protection Agency. (201 la). Integrated Review Plan for the O3 National Ambient Air Quality
  5            Standards (IRP) U. S. Environmental Protection Agency, National Center for Environmental Assessment
  6            Office of Research and Development and Office of Air Quality Planning and Standards Office of Air and
  7            Radiation, Research Triangle Park, North Carolina EPA. 452/R-l 1-006.

  8    U.S. Environmental Protection Agency. (201 Ib) Integrated Science Assessment for Ozone and Related
  9            Photochemical Oxidants: First External Review Draft, U.S. Environmental Protection Agency,
10            Washington, D.C., EPA/600/R-10/076A.

11    U.S. Environmental Protection Agency. (20 lie) Integrated Science Assessment of Ozone and Related
12            Photochemical Oxidants (Second External Review Draft). U.S. Environmental Protection Agency,
13            Washington, D.C., EPA/600/R-10/076B.

14    U.S. Environmental Protection Agency. (201 Id) Policy Assessment for the Review of the Paniculate Matter
15            National Ambient Air Quality Standards. Office of Air Quality Planning and Standards, Research Triangle
16            Park, NC. EPA 452/R-l 1-003.

17    U.S. Environmental Protection Agency. (2012a). Integrated Science Assessment for Ozone and Related
18            Photochemical Oxidants: Third External Review Draft, U.S. Environmental Protection Agency, Research
19            Triangle Park, NC. EPA/600/R-10/076C

20    U.S. Environmental Protection Agency. (2012b). Health Risk and Exposure Assessment for Ozone, First External
21            Review Draft, U.S. Environmental Protection Agency, Research Triangle Park, NC. EPA 452/P-12-001.

22    U.S. Environmental Protection Agency. (2013). Integrated Science Assessment for Ozone and Related
23            Photochemical Oxidants (Final Report). U.S. Environmental Protection Agency, Washington, D.C.,
24            EPA/600/R-10/076F, 2013

25    U.S. Environmental Protection Agency. (2014a). Health Risk and Exposure Assessment for Ozone, Second External
26            Review Draft. Office of Air Quality Planning and Standards, Research Triangle Park, NC. EPA-452/P-14-
27            004a.

28    U.S. Environmental Protection Agency. (2014b). Welfare Risk and Exposure Assessment for Ozone, Second
29            External Review Draft. Office of Air Quality Planning and Standards, Research Triangle Park, NC. EPA-
30            452/P-14-003a.
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 1                         2   O3 MONITORING AND AIR QUALITY

 2          This section provides overviews of ambient Os monitoring in the U.S. (section 2.1); Os
 3    precursor emissions and atmospheric chemistry (section 2.2); ambient Os concentrations (section
 4    2.3); and available evidence and information related to  background Os (section  2.4).   These
 5    issues are also discussed in detail in chapter 3 of the ISA (US EPA, 2013).

 6       2.1 O3 MONITORING
 7          2.1.1   Os Monitoring Network
 8          To monitor compliance with the NAAQS, state and local environmental agencies operate
 9    Os monitoring sites at various locations, depending on the population of the area and typical peak
10    Os concentrations1. In 2010, there were over  1,300 state, local, and tribal Os monitors reporting
11    concentrations to EPA. In areas for which Os monitors are required, at least one site must be
12    designed to record the maximum concentration for that particular metropolitan area.  Since Os
13    concentrations are usually significantly lower in the colder months of the year, 63 is required to
                                                                        r\
14    be monitored only during the Os monitoring season, which varies by state.
15          Figure 2-1  shows the locations of the U.S. ambient Os  monitoring sites reporting data to
16    EPA at any time during the 2006-2010 period. The gray dots which make up over 80% of the Os
17    monitoring network are "State and  Local Monitoring Stations" (SLAMS)  monitors, which  are
18    operated by state and  local governments to meet regulatory requirements and provide air quality
19    information to public health agencies. Thus, the SLAMS monitoring sites are largely focused on
20    urban areas.   The blue  dots  highlight  two important subsets  of monitoring sites within  the
21    SLAMS network: the "National  Core"  (NCore) multi-pollutant monitoring network and  the
22    "Photochemical Assessment Monitoring Stations" (PAMS) network.
23          While  the existing U.S. Os  monitoring network has a largely urban focus, to address
24    ecosystem impacts of Os such as biomass loss and foliar injury, it is equally important to focus
25    on Os monitoring in rural areas. The green dots in Figure 2-1 represent the Clean Air Status and
26    Trends Network (CASTNET) monitors  which are located in rural areas.  There were about 80
27    CASTNET sites operating in  2010, with sites in the eastern U.S. being operated  by EPA and
28    sites in the western U.S. being operated by the National Park Service (NPS).  Finally, the black
29    dots  represent "Special Purpose Monitoring  Stations" (SPMS), which  include  about 20 rural
30    monitors as part of the "Portable Os  Monitoring System" (POMS) network operated by the NPS.
      1 The minimum O3 monitoring network requirements for urban areas are listed in Table D-2 of Appendix D to 40
      CFR Part 58.
      2 The required O3 monitoring seasons for each state are listed in Table D-3 of Appendix D to 40 CFR Part 58.
                                                2-1

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 1
 2
 3
Between the CASTNET, NCore, and POMS networks, there were about 120 rural
sites operating in the U.S. in 2010.
                                                                             monitoring
 4

 5
 6
 7
 8
 9
10
11
12
13
14
15
16
17
18
                                                                          SLAMS
                                                                          CASTNET
                                                                          NCORE/PAMS
                                                                          SPMS/OTHER
Figure 2-1.   Map of U.S. ambient O3 monitoring sites reporting data to EPA during the
             2006-2010 period.
       2.1.2   Recent Os Monitoring Data and Trends
       To determine whether or not the Os NAAQS has been met at an ambient monitoring site,
a statistic commonly referred to as a "design value" must be calculated based on 3 consecutive
years of data collected from that site. The form of the existing O^ NAAQS design value statistic
is the 3-year average of the annual 4th  highest  daily maximum 8-hour 63 concentration in parts
per billion (ppb), with decimal digits truncated. The existing primary and secondary Os NAAQS
are met at an ambient monitoring site when the design value is less than or equal to 75 ppb.3  In
counties or other geographic areas with multiple monitors, the area-wide design value is defined
as the design value at the highest  individual monitoring site, and the area is  said to have met the
NAAQS if all monitors  in the area are meeting the NAAQS.
       Figure  2-2 shows  the trend  in  the annual 4th  highest daily maximum  8-hour Oj
concentrations in ppb based on 933 "trends" sites with complete data records  over the 2000 to
     3For more details on the data handling procedures used to calculate design values for the existing O3 NAAQS, see
     40 CFR Part 50, Appendix P.
                                               2-2

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 1    2012 period.  The center line in this figure represents the median value across the trends sites,
 2    while the dashed  lines  represent  the 25th and 75th  percentiles,  and the bottom and top lines
 3    represent the 10*  and 90*  percentiles.  Figures 2-3 and 2-4 show maps of the Oj, design values
 4    (ppb) at all  U.S. monitoring sites  for the 2009-2011  and 2010-2012 periods, respectively.  The
 5    trend shows that the annual 4*  highest daily maximum values decreased for the vast majority of
 6    monitoring  sites in the U.S. between 2000 and 2009.  The decreasing trend is especially sharp
 7    from 2002 to 2004, when EPA implemented the "NOx SIP Call", a program designed to reduce
 8    summertime emissions of NOx in the eastern U.S.
 9          The  trends also show a modest increase in the 4th highest daily maximum values from
10    2009 to 2012. This is reflected in the design value maps, which show an increase in the number
11    of monitors violating the existing O?, standard in 2010-2012 relative to 2009-2011.  Meteorology
12    played an important role in these  trends.  63 concentrations tend to be  higher on days with hot
13    and stagnant conditions and lower on days with cool or wet  conditions.  According to the
14    National Oceanic  and Atmospheric Administration's National Climactic Data Center (NOAA-
15    NCDC), the summer of 2009 was cooler and wetter than average over most of the eastern U.S.,
16    while conversely, the summers, of 2010, 2011, and 2012 were all  much warmer than average. In
17    particular, the central and eastern U.S.  experienced a 2-week period of record-breaking heat in
18    late June and early July of 2012, which contributed to hundreds of violations of the existing 63
19    standard. In contrast, the most recent climatological information available from NOAA-NCDC
20    (http://www.ncdc.noaa.gov/sotc/)  shows that the summer of 2013  was  cooler and wetter than
21    average for much  of the U.S.  Thus, EPA does not expect the recent increasing trend in the 4*
22    highest daily maximum 03 concentrations to continue in 2013.
                                               2-3

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2
3
         o
         CD -
         CD
         CD
       Q-
       Q.
       .0 CO
       —

       0)
       or-
       O
                  Trend in Annual 4th Highest Daily Maximum 8-hour O3 Concentrations
                National Trend Based on 933 Monitoring Sites
                 — i —   — r~         — i —  ~~i —   ~~i —   — i —  ~~r~   — i —         — T—
          2000   2001   2002  2003   2004  2005   2006   2007  2008   2009  2010   2011   2012
                                                 Year
Figure 2-2.
                                         th
                  Trend in U.S. annual 4  highest daily maximum 8-hour Os concentrations in
                  ppb, 2000 to 2012.
                                                                    8-hour Ozone Design Values
                                                                           • 41-60 ppb (92 sites)
                                                                           • 61 - 65 ppb (179 sites)
                                                                           O 66-70 ppb (324 sites)
                                                                            71 - 75 ppb (302 sites)
                                                                           • 76- 107 ppb (205 sites)
5   Figure 2-3.  Map of 8-hour Os design values in ppb for the 2009-2011 period.

                                                2-4

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                                                                     8-hour Ozone Design Values
                                                                            • 43-60 ppb (87 sites)
                                                                            ©61-65 ppb (130 sites)
                                                                            O 66- 70 ppb (237 sites)
                                                                              71 - 75 ppb (309 sites)
                                                                              76- 106 ppb (363 sites)
 2    Figure 2-4.   Map of 8-hour Os design values in ppb for the 2010-2012 period.
 3           In addition, EPA focused our analyses of welfare and ecosystem effects on a W126 63
 4    exposure metric in this review.  The W126 metric4 is a seasonal aggregate of daytime (8:00 AM
 5    to  8:00 PM) hourly 63 concentrations,  designed to measure the cumulative  effects of 63
 6    exposure on vulnerable plant and tree species, with units in  parts per million-hours (ppm-hrs).
 7    The W126 metric uses a logistic weighting function to place less emphasis  on exposure to low
 8    hourly  63 concentrations  and more emphasis on exposure  to high hourly 63 concentrations
 9    (Lefohnetal, 1988).
10           Figure 2-5 shows the trend in  annual W126  concentrations in ppm-hrs  based on 933
11    "trends" sites with complete  data records over the 2000 to 2012 period.  Figures 2-6  and 2-7
12    show maps of the 3-year average annual W126 concentrations in ppm-hrs at all U.S.  monitoring
13    sites for the 2009-2011 and 2010-2012 periods, respectively.  The general patterns seen in these
14    figures are similar to those seen in the design value metric for the existing standard.
15
      4 Details on the procedure used to calculate the W126 metric are provided in Chapter 4 of the welfare Risk and
      Exposure Assessment.
                                                 2-5

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                                Trend in Annual W126 Concentrations
               National Trend Based on 933 Monitoring Sites
         2000  2001   2002  2003   2004  2005  2006   2007  2008   2009  2010   2011   2012
I                                               Year


2   Figure 2-5.  Trend in U.S. annual W126 concentrations in ppm-hrs, 2000 to 2012.


                                                                   Average Annual W126 Values
                                                                          • 0-3 pprn-hr (79 sites)
                                                                          ©4-7 ppm-hr (328 sites)
                                                                          O 8- 11 ppm-hr (367 sites)
                                                                           12- 15 ppm-hr (194 sites)
                                                                          • 16-58 ppm-hr (128 sites)


                                                                                   .•cs»
4   Figure 2-6.  Map of 2009-2011 average annual W126 values in ppm-hrs.

                                               2-6

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                                                                    Average Annual W126 Values
                                                                           • 0-3 ppm-hr (68 sites)
                                                                           • 4-7 ppm-hr (217 sites)
                                                                           O 8 - 11 ppm-hr (314 sites)
                                                                           • 12- 15 ppm-hr (260 sites)
                                                                           • 16-59 pprn-hr (257 sites)
 3    Figure 2-7.   Map of 2010-2012 average annual W126 values in ppm-hrs.
 4       2.2 EMISSIONS AND ATMOSPHERIC CHEMISTRY
 5           63 is formed by photochemical reactions of precursor gases and is not directly emitted
 6    from specific sources. In the stratosphere, 63 occurs naturally and provides protection against
 7    harmful solar ultraviolet radiation. In the troposphere, near ground level, O^ forms through
 8    atmospheric reactions involving two main classes of precursor pollutants: non-methane volatile
 9    organic compounds (NMVOCs) and nitrogen oxides (NOx).  Carbon monoxide (CO) and
10    methane (CH/i) are also important for O^ formation over longer time periods (US EPA, 2013,
11    section 3.2.2).
12           Emissions of Os precursor compounds can be divided into anthropogenic and natural
13    source categories, with natural sources further divided into biogenic emissions  (from vegetation,
14    microbes, and animals) and abiotic emissions (from biomass burning, lightning, and geogenic
15    sources).  Anthropogenic sources, including mobile sources and power plants, account for the
16    majority of NOx and CO emissions. Anthropogenic sources are also important for NMVOC
17    emissions, though in some locations and at certain times of the year (e.g., southern states during
18    summer) the majority of NMVOC emissions come from vegetation (US EPA, 2013, section
19    3.2.1). In practice, the distinction between natural and anthropogenic sources is often unclear, as
20    human activities directly or indirectly  affect emissions from what would have been considered
                                                2-7

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 1    natural sources during the preindustrial era.  Thus, emissions from plants, animals, and wildfires
 2    could be considered either natural or anthropogenic, depending on whether emissions result from
 3    agricultural practices, forest management practices, lightning strikes, or other types of events
 4    (US EPA, 2013, sections 3.2 and 3.7.1).
 5           Rather than varying directly with emissions of its precursors, Os changes in a nonlinear
 6    fashion with the concentrations of its precursors. NOX emissions lead to both the formation and
 7    destruction of 63, depending on the local quantities of NOX, NMVOC, radicals, and sunlight. In
 8    areas dominated by fresh emissions of NOX, these radicals are removed, which lowers the Os
 9    formation rate. In addition, the scavenging of 63 by reaction with NO is called "titration" and is
10    often found in downtown metropolitan areas, especially near busy streets and roads, and in
11    power plant plumes. This short-lived titration results in localized areas in which O?,
12    concentrations are suppressed compared to surrounding areas, but which contain NC>2 that
13    contributes to Os formation later and further downwind. Consequently, Os response to
14    reductions in NOX emissions is complex and may include O^ decreases at some times and
15    locations and increases of 63 at other times and locations. In areas with low NOX to VOC ratios,
16    such as those found in remote continental areas and rural and suburban areas downwind of urban
17    centers, 63 production typically varies directly with NOX concentrations (e.g. increases with
18    increasing NOX emissions).
19           At some times  and in some locations, reductions in 03 precursors may also yield
20    reductions in ambient air pollutants other than 63. For example, given that NOX emissions
21    contribute to ambient NC>2 (i.e., both because NO2 is a component of NOX emissions and because
22    NO can convert rapidly to NC^), reductions in directly emitted NOX will  also result in reductions
23    in ambient NC>2. In addition, NOX and VOCs can contribute to secondary formation of PM2.5
24    constituents. NOX can act as both a direct precursor to NFLJSTCb, and can affect the formation of
25    other PlV^.s constituents because it adds to the oxidative capacity of the atmosphere5. The effects
26    of reducing NOX emissions on ambient PM2.5 concentrations can vary in time and space, with the
27    largest reductions in ambient PM2.5 likely occurring at times when and in locations where
28    concentrations of NFLjNCb are highest. This is usually during the cooler times of the year (e.g.
29    April-November) and in some areas of California, Salt Lake City, The Great Lakes States, and
30    the Northeast corridor  between Baltimore and New York City (Carlton et al, 2010)6.
31           The formation of 63 from precursor emissions is also affected by the intensity and
32    spectral distribution of sunlight and atmospheric mixing.  Major episodes of high ground-level
33    63 concentrations in the eastern United States are associated with slow-moving high pressure
      5 Across North America, approximately 7% of summertime PM2 5 mass is estimated to result from anthropogenic
      NOX emissions and up to 0.5 ug/m3 of secondary organic aerosol is estimated to form from NOx emissions (Carlton
      etal,2010).
      6 In these locations, NH4NO3 contributes more than 30% to average PM2 5 concentrations.
                                                 2-8

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 1    systems. High pressure systems during the warmer seasons are associated with the sinking of
 2    air, resulting in warm, generally cloudless skies, with light winds. The sinking of air results in
 3    the development of stable conditions near the surface which inhibit or reduce the vertical mixing
 4    of Os precursors. The combination of inhibited vertical mixing and light winds minimizes the
 5    dispersal of pollutants emitted in urban areas, allowing their concentrations to build up. In
 6    addition, in some parts of the United States (e.g., in Los Angeles), mountain barriers limit mixing
 7    and result in a higher frequency and duration of days with high Os concentrations.
 8    Photochemical activity involving precursors is  enhanced during warmer seasons because of the
 9    availability of sunlight and higher temperatures (US EPA, 2013, section 3.2).
10          Os  concentrations in a region are affected both by local formation and by transport of 63
11    and its precursors from upwind areas. Os transport occurs on many spatial scales including local
12    transport between cities, regional transport over large regions of the U.S. and internal! onal/long-
13    range transport. In addition, Os can be transferred into the troposphere from the stratosphere,
14    which is rich in 03, through stratosphere-troposphere exchange (STE).  These  inversions or
15    "folds" usually occur behind cold fronts, bringing stratospheric air with them and typically affect
16    Os concentrations in high elevation areas (e.g. > 1500 m) more than areas at low elevations (U.S.
17    EPA, 2012, section 3.4.1.1).  The role of long-range transport of ozone and other elements of
18    ozone background is discussed in more detail in Section 2.4,

19       2.3 AIR QUALITY CONCENTRATIONS
20          Because 63 is a secondary pollutant formed in the atmosphere from precursor emissions,
21    concentrations are generally more regionally homogeneous than concentrations of primary
22    pollutants emitted directly from stationary and  mobile sources (US EPA, 2013, section 3.6.2.1).
23    However, variation in local emissions characteristics, meteorological conditions,  and topography
24    can result in daily and seasonal temporal variability in ambient Os concentrations, as well as
25    local and national-scale spatial variability.
26          Temporal variation in ambient Os concentrations results largely from daily and seasonal
27    patterns in sunlight, precursor emissions, atmospheric stability, wind direction, and temperature
28    (US EPA, 2013, section 3.7.5). On average,  ambient Os concentrations follow well-recognized
29    daily and seasonal patterns, particularly in urban areas.  Specifically,  daily maximum Os
30    concentrations in urban areas tend to occur in mid-afternoon, with more pronounced peaks in the
31    warm months of the Os  season than in the colder months (US EPA, 2013, Figures 3-54, 3-156 to
32    3-157). Rural sites also followed this general pattern, though it is less pronounced in colder
33    months (US EPA, 2013, Figure 3-55). With  regard to day-to-day variability, median maximum
34    daily average 8-hour (MDA8) Os concentrations in U.S. cities in 2007-2009 were approximately
                                                2-9

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 1    47 ppb, with typical ranges between 35 to 60 ppb and the highest MDA8 concentrations above
 2    100 ppb in several U.S. cities (as noted further below).
 3          In addition to temporal variability, there is considerable spatial variability in ambient O^
 4    concentrations within cities and across different cities in the United States. With regard to
 5    spatial variability within a city, local emissions characteristics, geography, and topography can
 6    have important impacts. For example, as noted above, fresh NO emissions from motor vehicles
 7    titrate 63 present in the urban background air, resulting in an 63 gradient around roadways with
 8    Os concentrations increasing as distance from the road increases (US EPA, 2013, section
 9    3.6.2.1). In comparing urban areas, the ISA notes that measured 63 concentrations are relatively
10    uniform and well-correlated across some cities (e.g., Atlanta) while they are more variable in
11    others (e.g., Los Angeles) (US EPA, 2013, section 3.6.2.1 and Figures 3-28 to 3-36).
12          With regard to spatial variability across cities, when the ISA evaluated the distributions
13    of 8-hour Os concentrations for the years 2007 to 2009 in 20 cities, the highest concentrations
14    were reported in Los Angeles, with  high concentrations also reported in several eastern and
15    southern cities. The maximum recorded MDA8 was  137 ppb in Los Angeles, and was near or
16    above 120 ppb in Atlanta, Baltimore, Dallas, New York City, Philadelphia, and St. Louis (US
17    EPA, 2013, Table 3-10). The pattern was similar for the 98th percentile of the distribution of
18    MDA8 concentrations7, with Los Angeles recording the highest 98th percentile concentration (91
19    ppb) and many eastern and southern cities reporting 98*  percentile concentrations near or above
20    75 ppb.  In contrast, somewhat lower 98th percentile 63 concentrations were recorded in cities in
21    the western United  States outside of California (US EPA, 2013, Table 3-10).
22          Although rural monitoring sites tend to be less directly affected by anthropogenic
23    pollution sources than urban sites, rural sites can be affected by transport of 63 or 63 precursors
24    from upwind urban areas and by local anthropogenic sources such as motor vehicles, power
25    generation, biomass combustion, or oil and gas operations (US EPA, 2013, section 3.6.2.2).  In
26    addition, 63 tends to persist longer in rural than in urban areas due to lower rates of chemical
27    scavenging in non-urban environments.  At higher elevations, increased O^ concentrations can
28    also result from stratospheric intrusions (US EPA, 2013, sections 3.4, 3.6.2.2). As a result, 63
29    concentrations measured in some rural sites  can be higher than those measured in nearby urban
30    areas (US EPA, 2013, section 3.6.2.2), and the ISA concludes that cumulative exposures for
31    humans and vegetation in rural areas can be substantial,  often higher than cumulative exposures
32    in urban areas (US  EPA, 2013, section 3.7.5).
      7 Table 3-10 in the ISA analyzes the warm season. Therefore, the 98th percentile values would be an approximation
      of the 4th highest value.
                                                2-10

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 1       2.4 BACKGROUND O3
 2          Generically, background Os can originate from natural sources of 63 and 63 precursors,
 3    as well as from manmade international emissions of Os precursors.  Natural sources of Os
 4    precursor emissions such as wildfires, lightning, and vegetation can lead to 63 formation by
 5    chemical reactions with other natural sources. Another important natural component of
 6    background is Os that is naturally formed in the stratosphere through interactions of ultraviolet
 7    light with molecular oxygen.  Stratospheric 63 can mix down to the surface at high
 8    concentrations in discrete events  called intrusions, especially at higher-altitude locations.  The
 9    manmade portion of the background includes any 03 formed due to anthropogenic sources of Os
10    precursors emitted far away from the local area (e.g., international emissions). Finally, both
11    biogenic and international anthropogenic emissions of methane, which can be chemically
12    converted to 63 over relatively long time scales, can also contribute to global background 63
13    levels.
14          As indicated in the first draft policy assessment (US EPA, 2012, sections 1.3.4 and 3),
15    EPA has updated several aspects of our methodology for estimating the change in health risk and
16    exposure that would result from a revision to the Os NAAQS. First, risk estimates are now based
17    on total Os concentrations, as opposed to previous reviews which only considered risk above
18    background levels.  Second, EPA is now using air quality models to estimate the spatial patterns
19    of Os that would result from attaining various levels of the NAAQS, as opposed to a quadratic
20    rollback approach that required the estimation of a background "floor" beyond which the
21    rollback would not take place. Both of these revisions have had the indirect effect of reducing
22    the need for estimates of background 03  levels as part of the Os risk and exposure assessment
23    (REA). Regardless, EPA expects that a well-founded understanding of the fractional
24    contribution of background sources and processes to surface Os levels will be valuable towards
25    informing policy decisions about the Os NAAQS. Accordingly, in this section, we briefly
26    summarize existing results on background Os from the ISA (US EPA, 2013,  section 3.4) as
27    supplemented by additional EPA modeling recently conducted for a 2007 base year. The
28    summary will focus on national estimates of: 1) seasonal mean background Os concentrations for
29    three specific definitions of background Os, 2) the relative proportion of background Os to total
30    Os for the same three definitions  from a seasonal mean perspective, 3) the distributions of
31    background Os within a seasonal mean, 4) the fractional background Os in the 12 REA urban
32    case study areas, 5) the relative proportion of background Os concentrations to total ozone from a
33    W126 perspective, and 6) the relative roles of different components of background Os.
34          The definition of background Os  can vary depending upon context, but it generally refers
35    to Os that is formed by sources or processes that cannot be influenced by actions within the
36    jurisdiction of concern.  In the first draft policy assessment document (US EPA, 2012), EPA
                                               2-11

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 1    presented three specific definitions of background 03: natural background, North American
 2    background, and United States background.  Natural background (NB) was the narrowest
 3    definition of background, and it was defined as the O?, that would exist in the absence of any
 4    manmade Os precursor emissions. The other two previously established definitions of
 5    background presume that the U.S. has little influence over anthropogenic emissions outside our
 6    continental or domestic borders. North American background (NAB) is defined as that O^ that
 7    would exist in the absence of any manmade Oi precursor emissions from North America. U.S.
 8    background (USB) is defined as that Os that would exist in the absence of any manmade
 9    emissions inside the United States. Each of these three definitions of background 63 requires
10    photochemical modeling simulations to estimate what the residual 63 concentrations would be
11    were the various anthropogenic emissions to be removed.  Previous modeling studies have
12    estimated what background levels would be in the absence of certain sets of emissions by simply
13    assessing the remaining Os in a simulation in which certain emissions were removed (Zhang et
14    al. (2011), Emery et al. (2012)). This basic approach is often referred to as "zero-out" modeling
15    or "emissions perturbation" modeling.
16          While the zero-out approach has traditionally been used to estimate background Os
17    levels, the methodology has some acknowledged limitations.  First, from a policy perspective,
18    the hypothetical and unrealizable zero manmade emissions scenarios have limited application.
19    Secondly, the assumption that background Os is what is left after specific emissions have been
20    removed within the model simulation can be misleading in locations where Os chemistry is
21    highly non-linear.  Depending upon the local composition of Os precursors, NOx emissions
22    reductions can either increase or decrease O?, levels in the immediate vicinity of those reductions.
23    For those specific urban areas in which NOx titration of 63 can be  significant, zero-out modeling
24    can result in inflated estimates of background Os when these NOx emissions are completely and
25    unrealistically removed.  Paradoxically, in certain times and locations in a zero-out scenario
26    there can be more background 63 than actual 63 within the model.  A separate modeling
27    technique circumvents these limitations by apportioning the total Os within the model to its
28    contributing source terms. This basic approach, referred to as "source apportionment" modeling,
29    has been described and evaluated in the peer-reviewed literature (Dunker et al., 2002; Kemball-
30    Cook et al., 2009). While source apportionment modeling has not been previously used in the
31    context of estimating background ozone levels as part of an ozone NAAQS review, it has
32    frequently been used in other regulatory settings to estimate the "contribution" to ozone of
33    certain sets of emissions (EPA 2005, EPA 2011).  The source apportionment technique provides
34    a means of estimating the contributions of user-identified  source categories to ozone formation in
35    a single model simulation. This is achieved by using multiple tracer species to track the fate of
36    ozone precursor emissions (VOC and NOx) and the ozone formation caused by these emissions.

                                               2-12

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 1    The methodology is designed so that all ozone and precursor concentrations are attributed to the
 2    selected source categories at all times without perturbing the inherent chemistry. EPA recently
 3    completed updated zero-out and source apportionment modeling for a 2007 base year to
 4    supplement our characterization of background 63 over the U.S. Prior to using model
 5    simulations to estimate background Os levels over the U.S., EPA confirmed that the modeling
 6    was able to reproduce historical O?, levels and that there was limited correlation between model
 7    errors and the background estimates. The key findings from the updated modeling are described
 8    below; a more detailed description of the modeling is provided in Appendix A.

 9          2.4.1  Seasonal Mean Background O3 in the U.S.
10          The ISA (US EPA 2013, section 3.4) previously established that background
11    concentrations vary spatially and temporally and that simulated mean background concentrations
12    are highest at high-elevation sites within the western U.S.  Background levels typically are
13    greatest over the U.S. in the spring and early summer. Figure 2-8 displays the spatial patterns of
                  o                                                            	
14    seasonal mean  natural background Os as  estimated by a 2007 zero-out scenario. This figure
15    shows the average daily maximum 8-hour O^ concentration (MDA8) that would exist in the
16    absence of any anthropogenic 63 precursor emissions at monitor locations.  Seasonal mean NB
17    levels range from approximately 15-35 ppb with the highest values at higher-elevation sites in
18    the western U.S. The median value  over these locations is 24.2 ppb, and more than 50 percent of
19    the locations have  natural background levels of 20-25 ppb. The highest modeled estimate of
20    seasonal average, natural background, MDA8 03 is 34.3 ppb at the high-elevation CASTNET
21    site (Gothic) in Gunnison County, CO. Natural background levels are higher at these high-
22    elevation locations primarily because natural stratospheric OT, impacts and international transport
23    impacts increase with altitude (where 03 lifetimes are longer).
      8 The recent EPA modeling focused on the period from April through October.  Seasonal means are computed over
      those seven months.
                                               2-13

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                                                                                 Ozone(ppb)
                                                                                    < 20 (104)
                                                                                    20-25 (740]
                                                                                    25-30(331!
                                                                                    30-35(119)
                                                                                    35 - 40 (0)
                                                                                 O 40-45 (0)
                                                                                 O "5-50 (0)
                                                                                 O 50-55 (0)
                                                                                    55-60 (0)
                                                                                    >60(0)
                                                                   UG'iC ESRI.'TftWWND. £
 2   Figure 2-8.  Map of 2007 CMAQ-estimated seasonal mean natural background Os levels
 3                from zero-out modeling.
 4          Figures 2-9 and 2-10 show the same information for the NAB and USB scenarios. In
 5   these model runs, all anthropogenic Os precursor emissions were removed from the U.S.,
 6   Canada, and Mexico portions of the modeling domain (NAB scenario) and then only from the
 7   U.S. (USB scenario). The figures show that there is not a large difference between the NAB and
 8   USB scenarios. Seasonal mean NAB and USB Os levels range from 25-50 ppb, with the most
 9   frequent values estimated in the 30-35 ppb bin. The median seasonal mean background levels
10   are 31.5 and 32.7 ppb (NAB and USB, respectively). Again, the highest levels of seasonal mean
11   background are predicted over the intermountain western U.S. Locations with NAB and USB
12   concentrations greater than 40 ppb are confined to Colorado, Nevada, Utah, Wyoming, northern
13   Arizona, eastern  California, and parts of New Mexico.  The 2007 EPA modeling suggests that
14   seasonal mean USB concentrations are on average 1-3 ppb higher than NAB background. These
15   results were similar to those reported by Wang et al. (2009).  From a seasonal mean perspective,
16   background levels are typically well-below the NAAQS thresholds.
                                               2-14

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                                                                                    Ozone (ppb)
                                                                                    • < 20 (0)
                                                                                      20-25 (0)
                                                                                      25-30 (396)
                                                                                      30-35 (628)
                                                                                      35-40 (147)
                                                                                    O 40-45(121)
                                                                                    O 45 - 5° (2)
                                                                                      50-55 (0)
                                                                                      55-60 (0)
                                                                                      > 60 (0)
     Figure 2-9.  Map of 2007 CMAQ-estimated seasonal mean North American background
                  Os levels from zero-out modeling.
                                                                                    Ozone(ppb)
                                                                                      < 20 (0)
                                                                                      20 - 25 (0)
                                                                                      25-30 (127)
                                                                                      30 - 35 (842)
                                                                                      35-40 (188)
                                                                                    O 40-45(132)
                                                                                    O 45-50(5)
                                                                                      50 - 55 (0)
                                                                                      55 - 60 (0)
                                                                                      > 60 (0)
 5   Figure 2-10. Map of 2007 CMAQ-estimated seasonal mean United States background Os
 6                levels from zero-out modeling.
 7          2.4.2   Seasonal Mean Background O3 in the U.S. as a Proportion of Total O3
 8          Another informative way to assess the importance of background as part of seasonal
 9   mean O^ levels across the U.S. is to consider the fractional contribution of NB, NAB, and USB
10   to total modeled 63 at each monitoring location. Considering the proportional role of
                                                2-15

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 1    background allows for an initial assessment of the relative importance of background and non-
 2    background sources. Figures 2-11 and 2-12 show the percent contribution of U.S. anthropogenic
 3    sources to total O^ using the metric of the seasonal mean MDA8 O?, concentrations as estimated
 4    by both the zero-out and source apportionment modeling methodologies. Recall that the terms
 5    NB, NAB, and USB are explicitly linked to the zero-out modeling approach. For comparison
 6    sake, in Figure 2-12 we are extending the definition of USB to also include the source
 7    apportionment model estimates of the Oi that is attributable to sources other than U.S.
 8    anthropogenic emissions.  To preserve the original definition of USB, this second term will be
 9    hereafter referred to as "apportionment-based USB".  As noted  earlier, the advantage of the
10    source apportionment modeling is that all of the modeled 63 is attributed to various source terms
11    and thus this approach is not affected by the confounding occurrences of background Os values
12    exceeding the base 63 values as can happen in the zero-out modeling (i.e., background
13    proportions >  100%).  Consequently, one would expect the fractional background levels to be
14    lower in the source  apportionment methodology as a result of removing this artifact.
15          When averaged over all sites, 63 from sources other than U.S. anthropogenic emissions
16    is estimated to comprise 66 (zero-out) and 59 (source apportionment) percent of the total
17    seasonal 63 mean.  The spatial  patterns of apportionment-based USB are similar across the two
18    modeling exercises. Background 63 is a relatively larger percentage (e.g., 70-80%) of the total
19    seasonal mean 03 in locations within the intermountain western U.S. and along the U.S. border.
20    In locations where 63 levels are generally higher, like California and the eastern U.S. the
21    seasonal mean background fractions are relatively smaller (e.g., 40-60%).  The additional 2007
22    modeling confirms that background ozone, while generally not approaching levels of the ozone
23    standard, can comprise a considerable fraction of total seasonal mean ozone across the U.S.

24          2.4.3  Daily Distributions of Background Os within the Seasonal Mean
25          As  a first-order understanding, it is valuable to be able to characterize seasonal mean
26    levels of background 63.  However, it is well  established that background levels can vary
27    substantially from day-to-day.  From an implementation perspective, the values of background
28    03 on possible exceedance days are a more meaningful consideration.  The first draft policy
29    assessment (US EPA, 2012) considered this issue in detail, via summaries of the existing 2006
30    zero-out modeling (Henderson  et al., 2012), and concluded that "results suggest that background
31    concentrations on the days with the highest total O?, concentrations are not dramatically higher
32    than typical seasonal average background concentrations."  Based on this finding, EPA
33    determined that "anthropogenic sources within the U.S. are largely responsible for 4th highest 8-
34    hour daily maximum O^ concentrations." The recent EPA modeling using a 2007 base year and
35    the two distinct modeling methodologies supports this finding from the previous 2006-based

                                               2-16

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 1    modeling analyses. That is, the highest modeled O?, site-days tend to have background Os levels
 2    similar to mid-range Os days.  Figure 2-13 and 2-14 show the distribution of daily MDA8
 3    apportionment-based USB levels (absolute magnitudes and relative fractions, respectively) from
 4    the CAMx source apportionment simulation9. Again, the 2007 modeling shows that the days
 5    with highest Os levels have similar distributions (i.e., means, inter-quartile ranges) of
 6    background levels as days with lower values down to approximately 40 ppb.  As a result, the
 7    proportion of total 63 that has background origins is smaller on high 63 days  (e.g., days > 70
 8    ppb) than the more common lower OT, days that drive seasonal means.  This helps put the results
 9    from section 2.4.2 into better context. For example, for site-days in which base 63 is between
10    70-75 ppb, the source apportionment modeling estimates that approximately 37 percent of those
11    Os levels originate from sources other than U.S. anthropogenic emissions (i.e., apportionment-
12    based USB). Figure 2-14 also indicates that there are cases in which the model predicts much
13    larger background proportions, as shown by the upper  outliers in the figure.  These infrequent
14    episodes usually occur in relation to a specific event, and occur more often in specific
15    geographical locations, such as at high elevations or wildfire prone areas during the local dry
16    season.
17           It should be noted here that EPA has policies for treatment of air quality monitoring data
18    affected by these types of events. EPA's exceptional events policy allows exclusion of certain
19    air quality monitoring data from regulatory determinations if a State adequately demonstrates
20    that an exceptional event has caused the exceedance or violation of a NAAQS.  In addition,
21    Section 179B of the CAA also provides for treatment of air quality data from international
22    transport when an exceedance or violation of a NAAQS would not have occurred but for
23    emissions emanating from outside of the United States. From an overarching perspective, the
24    Clean Air Act requires the NAAQS to be set at a level  requisite to protect public health and
25    welfare. Case law makes it clear that attainability and  technical feasibility are not relevant
26    considerations in the setting of a NAAQS. In previous reviews, EPA has assessed the proximity
27    of ozone concentrations to peak background levels only as a secondary consideration between
28    potential threshold levels where health and welfare was determined to have been protected.
29
      9 Similar plots from the zero-out modeling for natural background, North American background, and U.S.
      background are provided in Appendix A.
                                                2-17

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2   Figure 2-11.  Map of U.S. background percent contribution to seasonal mean Os based on
3                2007 CMAQ zero-out modeling.
                                                                                < 40% (0)
                                                                                40 - 50% (343)
                                                                                50 - 60% (483)
                                                                                60 - 70% (237)
                                                                                70-80% (178)
                                                                                > 80% (52)
6   Figure 2-12.  Map of apportionment-based U.S. background percent contribution to
7                seasonal mean Os based on 2007 CAMx source apportionment modeling.
                                             2-18

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            <25  25-30 30-35  35-40  40-45 45-50  50-55 55-60 SD-8E-  SE-70 70-75 7E-SO  BO-B5 85-90 90-95 95-100 > 100
                                 Bins of Base Model MDA8 Ozone (ppb)
2    Figure 2-13. Distributions of absolute estimates of apportionment-based U.S. Background
3                 (all site-days), binned by modeled MDA8 from the 2007 source
4                 apportionment simulation.
       •o
       re
             <25  25-30 30-35 35-40  40-45 45-50 50-55  55-60  60-65 65-70  70-75  75-80 80-85 85-90  90-95 95-100 >100
                                  Bins of Base Model MDA8 Ozone  (ppb)
7    Figure 2-14. Distributions of the relative proportion of apportionment-based U.S.
8                 Background to total Os (all site-days), binned by modeled MDA8 from the
9                 2007 source apportionment simulation.
                                                 2-19

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 1

 2          2.4.4  Proportion of Background Os in 12 Urban Case Study Areas
 3          As noted in the introduction, the current approach to estimating changes in risk across
 4    various possible levels of the 03 NAAQS no longer requires a quantitative estimate of
 5    background 63 levels.  However, EPA expects to be asked the question: "how much of the total
 6    risk is due to background sources." This section of the policy assessment presents estimates of
 7    the overall fraction of 03 that is estimated to result from background sources or processes in each
 8    of the 12 urban case study areas considered in the epidemiological-based risk assessment of the
 9    REA (US EPA 2014, Chapter 7). The results are based on the recent EPA 2007 source
10    apportionment modeling. Table 2-1 summarizes the estimated fractional contributions of sources
11    other than U.S. anthropogenic emissions (i.e., apportionment-based USB) to total seasonal mean
12    MDA8 03 in each of the 12 urban case study areas. The table shows that the fractional
13    contributions from sources other than anthropogenic emissions within the U.S. can range from
14    43 to 66 percent across these 12 urban areas.  These fractions are consistent with the national
15    ratios summarized in section 2.4.2,  although the fractions of background are generally smaller at
16    urban sites than at rural sites.
17          As shown in section 2.4.3, the fractional contributions from background are smaller on
18    days with high modeled 63 (i.e., days that may exceed the level of the NAAQS). Table 2-2
19    provides the fractional contributions from these apportionment-based USB sources, only
20    considering days in which base model MDA8 03 was greater than 60 ppb. As expected, the
21    fractional background contributions are smaller, ranging from 31 to 55 percent.
22          Rather than taking the fractions of the seasonal means (as in Table 2-1),  Table 2-3
23    displays the mean and median daily MDA8 background fractions. These metrics may be more
24    appropriate  for application to health studies. The fractional contributions to backgrounds
25    calculated via this approach are very similar to the Table 2-1  calculations.  Although EPA
26    expects the  source apportionment results to provide a more realistic estimate of fractional
27    background values, for completeness, we also provide USB fractions based on the zero-out
28    modeling for the 12 cities (see Table 2-4). The results are similar to the source apportionment
29    findings (Table 2-1), though the zero-out technique provides slightly higher background
30    proportions, as expected. It should be noted that all fractional contributions are based on recent
31    conditions from 2007.  These fractional contributions would be expected to change as
32    anthropogenic emissions and 63 levels are lowered. Based on the source apportionment
33    modeling for these 12 areas, there is evidence that background levels comprise a non-negligible
34    fraction of the total ozone observed within these locations. However, for site-days in which
35    model MDA8 ozone exceeds 60 ppb, ozone formed from U.S. anthropogenic  emissions comprise

                                               2-20

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1
2
3
4

5
6
7
     an even larger fraction of the total ozone in 11 of the 12 areas. The major metropolitan areas in
     the eastern U.S. (e.g., Atlanta, New York City, Philadelphia) are less influenced by background
     sources than a higher-elevation, western U.S., location like Denver. Even in Denver, though,
     U.S. anthropogenic emissions have a large influence on total ozone (45 percent).

     Table 2-1.  Seasonal mean MDA8 O3 (ppb), seasonal mean apportionment-based USB
                contribution (ppb), and fractional apportionment-based USB contribution to
                total O3 (all site-days) in the 12 REA urban case study areas (%).
All days, CAMx
Model MDA8 seasonal mean
Model MDA8 seasonal mean
from emissions other than
U.S. anthropogenic sources
Fractional contribution from
background
ATL
59.3
25.3
0.43
BAL
54.4
25.9
0.48
BOS
43.0
26.2
0.61
CLE
48.9
25.7
0.52
DEN
47.3
31.3
0.66
DET
39.1
23.3
0.60
HOU
48.5
27.0
0.56
LA
51.1
29.1
0.57
NYC
45.4
24.5
0.54
PHI
48.7
24.2
0.50
SAC
46.4
29.7
0.64
STL
49.8
24.3
0.49
 9
10
11
    Table 2-2.  Seasonal mean MDA8 Os (ppb), seasonal mean apportionment-based USB
               contribution (ppb), and fractional apportionment-based USB contribution to
               total Os (site-days > 60 ppb) in the 12 REA urban study areas (%).
Only days w/ base
MDA8 > 60 ppb
Model MDA8 seasonal mean
Model MDA8 seasonal mean
from emissions other than
U.S. anthropogenic sources
Fractional contribution from
background
ATL
74.0
25.4
0.34
BAL
75.3
23.7
0.31
BOS
70.7
24.4
0.35
CLE
72.0
25.4
0.35
DEN
67.5
37.3
0.55
DET
68.9
24.4
0.35
HOU
70.3
28.0
0.40
LA
74.4
31.9
0.43
NYC
74.1
23.5
0.32
PHI
74.0
22.9
0.31
SAC
68.3
32.1
0.47
STL
70.0
25.4
0.36
12

13
14
15
    Table 2-3.  Fractional contribution of apportionment-based USB in the 12 REA urban
               study areas (%), using the means and medians of daily MDA8 fractions
               (instead of fractions of seasonal means).

Mean of daily MDA8
background fractions
Median of daily MDA8
background fractions
ATL
0.46
0.43
BAL
0.53
0.51
BOS
0.68
0.73
CLE
0.58
0.54
DEN
0.69
0.69
DET
0.64
0.66
HOU
0.59
0.59
LA
0.61
0.60
NYC
0.61
0.63
PHI
0.56
0.54
SAC
0.67
0.66
STL
0.52
0.49
16
                                             2-21

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1
2
      Table 2-4.  Seasonal mean MDA8 Os (ppb), seasonal mean USB contribution (ppb), and
                 fractional USB contribution to total Os (all site-days) in the 12 REA urban case
                 study areas (%).
All days, CMAQ
Model MDA8 seasonal mean
Model MDA8 seasonal mean
from USB emissions
Fractional contribution from
background
ATL
58.6
30.0
0.51
BAL
55.6
29.9
0.54
BOS
45.2
28.5
0.63
CLE
51.8
31.6
0.61
DEN
57.1
42.2
0.74
DET
43.5
31.7
0.73
HOU
49.4
33.0
0.67
LA
54.8
33.3
0.61
NYC
47.7
29.1
0.61
PHI
50.5
29 .4
0.58
SAC
51.9
34.4
0.66
STL
52.6
32.0
0.61
 4
 5
 6
 7
 8
 9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
           2.4.5   Influence of Background Os on W126 levels
           EPA also conducted a limited assessment of the impacts of background 63 sources on the
    W126 metric.  The W126 metric (LeFohn et al., 1988) is a cumulative peak-weighted index
    designed to estimate longer-term effects of daytime ozone levels on sensitive vegetation and
    ecosystems.  EPA used the 2007 zero-out modeling to assess NB, NAB, and USB influences at
    four sample locations: Atlanta GA, Denver CO, Farmington NM, and Riverside CA. As shown
    in Figure 2-7, each of the four analyses locations had relatively high observed values of W126 in
    2010-2012.
           As discussed above, in previous EPA reviews of the Os NAAQS, the influence of
    background ozone was estimated according to a counterfactual assumption.  Background 63 was
    defined as the ozone that would exist in the absence of a particular set of emissions (e.g., NAB is
    the ozone that would exist if there were no anthropogenic emissions in North America). In the
    current review, EPA is supplementing the counterfactual assessment with analyses that estimate
    the fraction of the existing ozone that is due to background sources. This has important
    ramifications for assessing the influence of background on W126 concentrations, because of the
    non-linear weighting function used in the metric, which emphasizes high ozone hours (e.g.,
    periods in which ozone is greater than -60 ppb). As an example, consider a sample site in the
    intermountain western U.S. region with very high modeled estimates of U.S background (e.g.,
    seasonal mean of 45 ppb with some days as high as 65 ppb). Even at  this high background
    location, when the W126 calculation is made for the USB simulation, the resultant annual W126
    (USB) values are quite low, on the order  of 3 ppm-hrs. Sites in the domain with lower U.S.
    background levels have even smaller USB W126 values, on the order of the 1 ppm-hrs, which is
    consistent with values mentioned in past  reviews (USEPA, 2007). Using the counterfactual
    scenarios, background ozone has a relatively small impact on W126 levels across the U.S.
           However, because of the non-linear weighting function used in the W126 calculation,  the
    sum of the W126 from the USB scenario and the W126 resulting from US anthropogenic sources
    will not equal the total W126. In most cases, the sum of those two components will be
    substantially less than total W126.  As a result, EPA believes it is more informative to estimate
                                             2-22

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 1
 2
 3
 4
 5
 6
 7
 8
 9
10
11
12
13
14
15
16
17
18
19

20
21
      the fractional influence of background ozone to W126 levels. Using a methodology that is
      described in more detail in Appendix A, EPA considered the fractional influence of background
      ozone on annual W126 levels in four locations. The fractional influence methodology utilizes
      the 2007 zero-out modeling but places higher weights on background fractions on days that are
      going to contribute most substantially to the yearly W126 value. Figure 2-15 shows the results.
      Based on the fractional influence methodology, natural background sources are estimated to
      contribute 29-50% of the total modeled W126 with the highest relative influence in the
      intermountain western U.S. (e.g., Farmington NM) and the lowest relative influence in the
      eastern U.S. (e.g., Atlanta). U.S. background is estimated to contribute 37-65% of the total
      modeled W126. The proportional impacts of background are slightly less for the W126 metric
      than for seasonal mean MDA8 (discussed in section 2.4.2), because of the sigmoidal weighting
      function that places more emphasis on higher ozone days when background fractions are
      generally lower.
            The key conclusion from this cursory analysis is that background ozone may comprise a
      non-negligible portion of current W126 levels across  the U.S.  These fractional influences are
      greatest in the intermountain western U.S. and are slightly smaller than the seasonal mean
      MDA8 metric. In the counterfactual cases, when non-background sources are completely
      removed, the remaining W126 levels are low (< 3 ppm-hrs).
                                                                   INB
                                                                   I NAB
                                                                    USB
                Farmington
                              Denver
Riverside
Atlanta
     Figure 2-15. Fractional influence of background sources to W126 levels in four sample
                  locations. Model estimates based on 2007 CMAQ zero-out modeling.
                                               2-23

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 1          2.4.6   Estimated Magnitude of Individual Components of Background Os
 2          While local and regional controls of manmade 63 precursor emissions are still expected
 3   to be the most effective mechanism for reducing local Os levels, an understanding of the relative
 4   contributions of various background elements can be instructive in determining ways to mitigate
 5   the impact of background. This section will utilize the supplemental 2007 air quality modeling
 6   estimates to consider the relative importance of specific elements of background 03. Several
 7   background elements were isolated in either the zero-out or source apportionment modeling.
 8   Appendix A provides more detail on these analyses.  In conjunction with the previous analyses
 9   summarized in the ISA, some broad characterizations of the individual components of
10   background 63 can be developed.
11          The recent 2007 EPA modeling confirms the importance of methane emissions in
12   contributing to background 63. Methane has an atmospheric lifetime of about a decade and can
13   be an important contributor to ozone on longer time scales.  Anthropogenic methane emission
14   sources include agriculture, coal mines, landfills,  and natural gas and oil systems.  The difference
15   between the NAB and NB zero-out scenarios provides an estimate of contributions from
16   international anthropogenic emissions and anthropogenic methane, which is modeled by
17   reducing model concentrations from present-day values to pre-industrial levels. The ISA (US
18   EPA, 2013, section 3.4) estimated that roughly half of the difference between the NB and NAB
19   scenarios resulted from the removal of anthropogenic methane emissions and  that the other half
20   resulted from international anthropogenic emissions of shorter-lived 63 precursors (e.g., NOx
21   and nmVOC). Figure 2-16 shows the difference in seasonal mean MDA8 O^  levels between the
22   NB and NAB scenarios. North American seasonal mean background is 6-15 ppb higher than
23   comparable natural background levels.  The most frequent increment is an 8-10 ppb increase
24   when the methane is increased and the non-North American emissions are re-added. It is not
25   possible via the EPA 2007 modeling to parse out what fraction of this change  is due to emissions
26   outside of North America, as opposed to the fraction due to anthropogenic methane emissions,
27   but the modeling suggests that both of these terms have the  potential to contribute in an
28   important way to average background levels in the U.S.
29          The difference between the NAB and USB scenarios is easier to interpret  as it only
30   involves one change, the inclusion of anthropogenic emissions from the in-domain portion of
31   Canada and Mexico.  These emissions (not shown here, but depicted in Appendix A) contribute
32   less than 2 ppb to the seasonal mean MDA8 Os levels over most of the U.S. There are 70 sites,
33   near an international border, where the modeling estimates Canadian/Mexican seasonal average
34   impacts of 2-4 ppb.  Peak single-day MDA8 impacts from these specific international emissions
35   sources can approach 25 ppb (e.g., San Diego, Buffalo NY).
36
                                               2-24

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 2    Figure 2-16. Differences in seasonal mean Os between the NAB and NB scenarios.
 3          Eleven separate source categories were tracked in the source apportionment modeling,
 4    including five boundary condition terms (East, South, West, North, and top) and six emissions
 5    sectors within the domain. The contributions of each of these terms is provided in the Appendix
 6    and summarized below. At most locations, the five model boundary terms contributed an
 7    aggregate 40-60 percent of the total seasonal mean MDA8 O^ across the U.S.  The highest
 8    proportional impacts from the boundary conditions are along the coastlines and the
 9    intermountain West. The Os entering the model domain via the boundary conditions can have a
10    variety of origins including: a) natural sources  of 63 and precursors emanating from outside the
11    domain, b) anthropogenic sources of 63 precursors emanating from outside the domain, and c)
12    some fraction of U.S. emissions (natural and anthropogenic) which exit the model domain but
13    get re-imported into the domain via synoptic-scale recirculation. Accordingly, it is not possible
14    to relate the boundary condition contribution to any specific background element.  The single
15    largest sector that was tracked in the source apportionment modeling was U.S. anthropogenic
16    emissions. Figure 2-17 shows the contributions from this sector to seasonal mean MDA8 Oi
17    levels. Over most of the U.S. this term contributes 40-60 percent to the total seasonal mean 03.
18    As discussed in section 2.4.3, these contributions are even higher when only high 63 days are
19    considered. International shipping emissions, as well as fires and other biogenic emissions also
20    contribute in a non-negligible way to background  O^ over the U.S.  The key finding from this
21    analysis is that air quality planning efforts to reduce anthropogenic methane emissions and
22    international NOx/nmVOC emissions (e.g., migrating from Asia, Canada, and Mexico; and from
                                               2-25

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 1    commercial shipping) have the potential to lower background levels and ease eventual attainment
 2    oftheNAAQS.
 5
 6
 7

 8
 9
10
11
12
13
14
15
16
17
18
19
20
21
                                                                              O 10-20% (591
                                                                                 20-40% (441)
                                                                                 40-60% (791)
                                                                                 > 60% 101
Figure 2-17.  Percent contribution of U.S. anthropogenic emissions to total seasonal mean
             MDA8 Os levels, based on 2007 source apportionment modeling.
       2.4.7  Summary
       For a variety of reasons, it is challenging to present a comprehensive summary of all the
components and implications of background 63. In many forums the term "background" is used
generically and the lack of specificity can lead to confusion as to what sources are being
considered. Additionally, it is well established that the impacts of background sources can vary
greatly over space and time which makes it difficult to present a simple summary of background
Os levels.  Further, background Os can be generated by a variety of processes, each of which can
lead to differential patterns in space  and time, and which often have different regulatory
ramifications. Finally, background 63 is difficult to measure and thus, typically requires air
quality modeling which has  inherent uncertainties and potential errors and biases.
       That said, EPA believes the following concise and four-stage summary of the
implications of background 63 on the NAAQS review is appropriate, as based on previous
modeling exercises and the more recent EPA analyses summarized herein.  First, background O^
exists and can comprise a considerable fraction of total seasonal mean 63 and W126 across the
                                               2-26

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 1    U.S.  Air quality models can estimate the fractional contribution of backgroud sources to total O?,
 2    in an individual area. The largest absolute values of background (NB, NAB, USB, or
 3    apportionment-based USB) are modeled to occur at locations in the intermountain western U.S.
 4    and are maximized in the spring and early summer seasons.  Second, the modeling indicates that
 5    U.S. anthropogenic emission sources are the dominant contributor to the majority of modeled Os
 6    exceedances of the NAAQS.  Higher O^ days generally have smaller fractional contributions
 7    from background. This finding indicates that the relative importance of background 63 would
 8    increase were Os concentrations to decrease with a lower level of the Os NAAQS. Third, while
 9    the majority of modeled 63 exceedances have local and regional emissions as their primary
10    cause, there can be events where 63 levels approach or exceed 60-75 ppb due to background
11    sources. These events are relatively  infrequent and EPA has policies that could allow for the
12    exclusion of air quality monitoring data affected by these types of events from design value
13    calculations. Fourth and finally, the  Clean Air Act requires the NAAQS to be set at a level
14    requisite to protect public health and welfare. Proximity to background levels could be an
15    additional consideration, but only where it would support a decision based on the health evidence
16    and analyses.

17       2.5 REFERENCES
18    Carlton, A.G.; Finder, R.W.; Bhave, P.V.; Pouliot, G.A. (2010). To What Extent Can biogenic SOA be Controlled?
19           Environmental Science & Technology, 44, 3376-3380.
20    Dunker, A.M.; Yarwood, G; Ortmann, J.P.;  Wilson, G.M. (2002). Comparison of source apportionment and source
21           sensitivity of ozone in a three-dimensional air quality model. Environmental Science & Technology 36:
22           2953-2964.
23    Emery, C; Jung, J; Downey, N; Johnson, J; Jimenez, M; Yarwood, G; Morris, R. (2012). Regional and global
24           modeling estimates of policy relevant background ozone over the United States. Atmos Environ 47: 206-
25           217. http://dx.doi.0rg/10.1016/j.atmosenv.2011.ll.012.
26    Lefohn, A. S.; Laurence, J. A.; Kohut, R. J.  (1988). A comparison of indices that describe the relationship between
27           exposure to ozone and reduction in the yield of agricultural crops. Atmos. Environ. 22: 1229-1240.
28    Henderson, B.H., Possiel, N., Akhtar, F., Simon, H.A. (2012). Regional and Seasonal Analysis of North American
29           Background Ozone Estimates from Two Studies. Available on the Internet at:
3 0           http://www.epa. gov/ttn/naaqs/standards/ozone/s_o3_td.html
31    Kemball-Cook, S.; Parrish, D.; Ryerson, T; Nopmongcol, U.; Johnson, J.; Tai, E.; Yarwood, G. (2009).
32           Contributions of regional transport and local sources to ozone exceedances in Houston and Dallas:
3 3           Comparison of results from a photochemical grid model to aircraft and surface measurements. Journal of
34           Geophysical Research-Atmospheres, 114: DOOF02. DOI: 10.1029/2008JD010248.
35    U.S. Environmental Protection Agency (2005). Technical Support Document for the Final Clean Air Interstate Rule
3 6           Air Quality Modeling. Office of Air Quality Planning and Standards, Research Triangle Park, NC, 285pp.
3 7           http://www.epa.gov/cair/technical.html.
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  1    U.S. Environmental Protection Agency. (2007). Review of the National Ambient Air Quality Standards for Ozone:
  2            Policy Assessment of Scientific and Technical Information - OAQPS Staff Paper, U.S. Environmental
  3            Protection Agency, Research Triangle Park, NC. EPA 452/R-07-007.

  4    U.S. Environmental Protection Agency (2011). Air Quality Modeling Final Rule Technical Support Document.
  5            Office of Air Quality Planning and Standards, Research Triangle Park, NC, 363pp.
  6            http://www.epa.gov/airtransport/CSAPR/techinfo.html.

  7    U.S. Environmental Protection Agency. (2012). Policy Assessment for the Review of the Ozone National Ambient
  8            Air Quality Standards, First External Review Draft, U.S. Environmental Protection Agency, Research
  9            Triangle Park, NC. EPA 452/P-12-002.

10    U.S. Environmental Protection Agency. (2013). Integrated Science Assessment for Ozone and Related
11            Photochemical Oxidants, U.S. Environmental Protection Agency, Research Triangle Park, NC.
12            EPA/600/R-10/076.

13    U.S. Environmental Protection Agency. (2014). Health Risk and Exposure Assessment for Ozone, Second External
14            Review Draft, U.S. Environmental Protection Agency, Research Triangle Park, NC. EPA-452/P-14-004a.

15    Wang, HQ; Jacob, DJ; Le Sager, P; Streets, DG; Park, RJ; Gilliland, AB; van Donkelaar, A. (2009). Surface ozone
16            background in the United States: Canadian and Mexican pollution influences. Atmos Environ 43: 1310-
17            1319. http://dx.doi.0rg/10.1016/j.atmosenv.2008.ll.036.

18    Zhang, L; Jacob, DJ; Downey, NV; Wood, DA; Blewitt, D; Carouge,  CC; Van donkelaar, A; Jones, DBA; Murray,
19            LT; Wang, Y. (2011). Improved estimate of the policy-relevant background ozone in the United States
20            using the GEOS-Chem global model with 1/2° x 2/3° horizontal resolution over North America. Atmos
21            Environ45: 6769-6776. http://dx.doi.0rg/10.1016/j.atmosenv.2011.07.054.
                                                       2-28

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 1         3   Adequacy of the Current Primary Standard

 2          This chapter presents staffs considerations and conclusions regarding the adequacy of
 3    the current primary 63 NAAQS. In doing so, we pose the following overarching question:
           Does the currently available scientific evidence and exposure/risk information, as
 5         reflected in the ISA and HREA, support or call into question the adequacy of the
           current Os standard?
 6       I	
 7    In addressing this overarching question, we pose a series of more specific questions, as discussed
 8    in sections 3.1 through 3.4 below. Section 3.1 presents our consideration of the available
 9    scientific evidence (i.e., evidence-based considerations) about the health effects associated with
10    short- and long-term 63 exposures. Section 3.2 presents our consideration of available estimates
11    of 63 exposures and health risks (exposure- and risk-based considerations). Section 3.3 discusses
12    the advice and recommendations that we have received from the CAS AC on the first draft 03
13    PA, and on documents from previous reviews of the OT, NAAQS. Section 3.4 revisits the
14    overarching question of this section, and presents staffs conclusions regarding the adequacy of
15    the current primary 63 NAAQS.

16         3.1  EVIDENCE-BASED CONSIDERATIONS
17          This section presents our consideration of the available scientific evidence with regard to
18    the adequacy of the current 63 standard. Our approach, as summarized in section 1.3.1 above, is
19    based on the full body of evidence in this review. We use information from the full evidence
20    base to characterize our confidence in the extent to which Os-attributable effects occur, and the
21    extent to which such effects are adverse,  over the ranges of 03 exposure concentrations evaluated
22    in controlled human exposure studies and over the distributions of ambient O^ concentrations in
23    locations where epidemiologic studies have been conducted. In doing so, we recognize that the
24    available health effects evidence reflects a continuum from relatively high Oj, concentrations, at
25    which scientists generally agree that adverse health effects are likely to occur, through lower
26    concentrations, at which the likelihood and magnitude of a response become increasingly
27    uncertain.
                                                3-1

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 1           Section 3.1.1 summarizes a mode of action framework for understanding the effects of
 2    both short- and long-term 63 exposures, based on Chapter 5 of the ISA (U.S. EPA, 2013).
 3    Section 3.1.2 presents our consideration of the evidence for health effects attributable to short-
 4    term and long-term 63 exposures. Section 3.1.3 discusses the adversity of the effects. Section
 5    3.1.4 presents our consideration of evidence with regard to concentrations associated with health
 6    effects and section 3.1.5 presents our consideration of the public health implications of exposures
 7    to 03, including the adversity of effects and evidence for at-risk populations and lifestages.1
 8         3.1.1   Modes of Action
 9           Our consideration of the evidence of effects attributable to short-and long-term  exposures
10    and the factors that increase risk in populations and lifestages builds upon evidence about the
11    modes of action by which 63 exerts effects (U.S. EPA, 2013; section 5.3). Mode of action refers
12    to a sequence of key events and processes that result in a given toxic effect; elucidation of
13    mechanisms provides a more detailed understanding of these key events and processes. The
14    purpose of this section is to describe the key events and pathways that contribute to health effects
15    resulting from both short-term and long-term exposures to 03. The extensive research carried out
16    over several decades in humans and animals has yielded numerous studies on mechanisms by
17    which 63 exerts its effects. It is well-understood that secondary oxidation products, which form
18    as a result of 63 exposure, initiate numerous responses at the cellular, tissue and whole organ
19    level of the respiratory system. These responses include the activation of neural reflexes,
20    initiation of inflammation, alteration of barrier epithelial function, sensitization of bronchial
21    smooth muscle, modification of lung host defenses, and airways remodeling,  as discussed below.
22    These key events have the potential to affect other organ systems such as the  cardiovascular
23    system. It has been proposed that secondary oxidation products, which are bioactive and
24    cytotoxic in the respiratory  system, are also responsible for systemic effects. Recent studies in
25    animal models show that inhalation of 63 results in systematic oxidative  stress.
26           Figure 3.1 below, adapted from Figure 5-8 of the ISA (ISA, Section 5.3.10, U.S. EPA,
27    2013), shows key events in the toxicity pathway of O^ that are described  in more detail in
28    Appendix 3-A. The initial key event in the toxicity pathway of Os is the formation of secondary
      lrThe term "at-risk populations" includes the factor lifestages, specifically childhood and older adulthood, that are
      experienced by most people over the course of a lifetime, unlike other factors associated with at-risk populations.

                                                  3-2

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 1
 2
 3
 4
 5
 6
 7
10
oxidation products in the respiratory tract (ISA, section 5-3, U.S. EPA, 2013). This mainly
involves direct reactions with components of the extracellular lining fluid (ELF). Although the
ELF has inherent capacity to quench (based on individual antioxidant capacity), this attenuative
capacity can be overwhelmed, especially with exposure to elevated concentrations of Oj2.
The resulting secondary oxidation products transmit signals to the epithelium, pain receptive
nerve fibers and, if present, immune cells (i.e., eosinophils, dendritic cells and mast cells)
involved in allergic responses. Thus, the effects of Os are mediated by components of ELF and
by the multiple cell types found in the respiratory tract. Further, oxidative stress3 is an implicit
part of this initial key event.

                            Mode of Action/Possible Pathways
                                    Ozone + Respiratory Tract

                                                  i
                                      Formation of secondary oxidation products
                                                         I
               Activation
               of neural
               reflexes
                      Initiation of
                      inflammation
Sensitization
of bronchial
smooth muscle
                      Systemic inflammation and
                     oxidative/nitrosative stress
                         Extrapulmonary Effects
                                                           Decrements in pulmonary function
                                                           Pulmonary inflammation/oxidative stress
                                                           Increases in airways permeability
                                                           Airways hyperresponsiveness
                                                           Exacerbation/induction of asthma
                                                           Decreased host defenses
                                                           Epithelial metaplasia andfibrotic changes
                                                           Altered lung development
       The ELF is a complex mixture of lipids (fats), proteins, and antioxidants that serve as the first barrier and target for
      inhaled O3. The quenching ability of antioxidant substances present in the ELF appear in most cases to limit
      interaction of O3 with underlying tissues and to prevent penetration of O3 deeper into the lung. However, as the ELF
      thickness decreases and becomes ultra thin in the alveolar region, it may be possible for direct interaction of O3 with
      the underlying epithelial cells to occur. The formation of secondary oxidation products is likely related to the
      concentration of antioxidants present and the quenching ability of the lining fluid.

       Oxidative stress reflects an imbalance between the systemic manifestation of reactive oxygen species, such as
      superoxides, and a biological system's ability to readily detoxify the reactive intermediates or to repair the resulting
      damage.
                                                     3-3

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 1    Figure 3-1.  Modes of action/possible pathways underlying the health effects resulting from
 2                inhalation exposure to Os. (Adapted from U.S. EPA, 2013, Figure 5-8)
 3           Figure 3-1 illustrates pathways identified in the ISA by which the array of key events
 4    identified may lead to health effects associated with inhalation exposure to 03. For example, the
 5    activation of neural reflexes, which may be triggered by secondary oxidative products, lead to
 6    lung function decrements and may play a role in extrapulmonary effects such as slow resting
 7    heart rate or bradycardia. Secondary  oxidation products have also been implicated in the
 8    initiation of inflammation and inflammation further contributes to (Vmediated oxidative stress.
 9    Alteration of epithelial barrier function may play a role in allergic sensitization and in enhanced
10    sensitization of bronchial smooth muscle, resulting in airways hyperresponsiveness; genetic
11    susceptibility has been associated with this pathway. In addition to genetic factors, pre-existing
12    conditions and diseases, nutritional status, lifestage and co-exposures may affect multiple key
13    events in Figure 3-1 and contribute to altered risk of Os-induced effects (U.S. EPA, 2013, section
14    5.4). Evidence also indicates that exposure to Os modifies innate and adaptive immunity; such
15    effects  can result in both short- and longer-term consequences related to the  exacerbation and/or
16    induction of asthma and to alterations in host defense.  Another event, airways remodeling, has
17    been demonstrated following chronic and/or intermittent exposure to O^ in animal models.
18    Additionally, there is evidence that 63 exposure results in systemic inflammation and vascular
19    oxidative/nitrosative stress, which may lead to downstream systemic responses (U.S. EPA, 2013,
20    section 2.4).
21           Experimental evidence for such Os-induced changes contributes to our understanding of
22    the biological plausibility of adverse Ch-related health effects, including a range of respiratory
23    effects  as well as effects outside the respiratory  system (e.g., cardiovascular  effects) (U.S. EPA,
24    2013, Chapters 6 and 7). The range of respiratory effects that could be mediated by the
25    secondary oxidation products formed following reactions with 63 include decrements in
26    pulmonary function; pulmonary inflammation and injury; increased airway permeability; airway
27    hyperresponsiveness; decreased lung host defense, exacerbation and/or induction of asthma; and
28    alterations in pulmonary structure and/or development (Figure 3-1, above). These effects are
29    logically linked to the types of adverse Os-attributable effects evaluated and observed in
30    epidemiologic studies, including respiratory symptoms, respiratory hospital  admissions and
31    emergency department visits, and premature mortality (U.S. EPA, 2013, Chapters 6 and 7).
32    Moreover, it has been proposed that  some of these key events, including Os-mediated systemic
33    oxidative stress and activation of neural reflexes, are linked to the extrapulmonary effects of 63
34    that have been noted for decades (U.S. EPA, 2013, section 5.3.2 and 5.3.8). Further,
35    interindividual variability in the various key events (e.g., due to genetic variants or diet affecting
                                                 3-4

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 1    antioxidant defenses) illustrated in Figure 3-1 may contribute to differences in susceptibility to
 2    O3 health effects (ISA, section 5.4).
 3          3.1.2   Nature of Effects
 4          •   To what extent does the currently available scientific evidence alter or strengthen
 5              our conclusions from the last review regarding health effects attributable to Os
 6              exposure in ambient air?  Are previously identified uncertainties reduced or do
 7              important uncertainties remain?
 8           The health effects of ozone are described in detail in the assessment of the evidence
 9    available in this review which is largely consistent with conclusions of past CDs. In some
10    categories of health effects, there is newly available evidence regarding some aspects of the
11    effects described in the last review or that strengthens our conclusions regarding aspects of 63
12    toxicity on a particular physiological system (U.S. EPA, 2013,  Table 1-1). A sizeable number of
13    studies on Os health effects are newly available in this review and are critically assessed in the
14    ISA as part of the full body of evidence. Based on this assessment, the ISA determined that a
15    causal relationship4 exists between short-term exposure to Oj, in ambient air5 and effects on the
16    respiratory system and that a likely to be causal relationship6 exists between long-term exposure
17    to O3 in ambient air and respiratory effects (U.S. EPA 2013, pp. 1-6 to 1-7). As stated in the
18    ISA, "[c]ollectively, a very large amount of evidence spanning several decades supports a
19    relationship between exposure to 63 and a broad range of respiratory effects" (ISA, p. 1-6).
20    Additionally, the ISA determined likely to be causal  relationships  exist between short-term
21    exposures to 63 in ambient air and both total mortality and cardiovascular effects, based on
22    expanded evidence bases in the current review (U.S.  EPA, 2013, pp. 1-7 to  1-8). In the ISA, EPA
23    additionally determined that the currently available evidence for additional endpoints is
24    suggestive of causal relationships between short-term (central nervous system effects) and long-
25    term exposure (cardiovascular effects, central nervous system effects and total mortality) to
      4 Since the last O3 NAAQS review, the IS As which have replaced CDs in documenting each review of the scientific
      evidence (or air quality criteria) employ a systematic framework for weighing the evidence and describing
      associated conclusions with regard to causality, using established descriptors, as summarized in section 1.3.1 above
      (U.S. EPA, 2013, Preamble).
      5 In determining that a causal relationship exists for O3 with specific health effects, EPA has concluded that
      "[e]vidence is sufficient to conclude that there is a causal relationship with relevant pollutant exposures" (ISA, p.
      Ixiv).
      6 In determining a likely to be a causal relationship exists for O3 with specific health effects, EPA has concluded that
      "[e]vidence is sufficient to conclude that a causal relationship is likely to exist with relevant pollutant exposures, but
      important uncertainties remain" (ISA, p. Ixiv).
                                                   3-5

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 1    ambient Os. Consistent with emphasis in past reviews on O?, health effects for which the evidence
 2    is strongest, we place the greatest emphasis on studies of health effects that have been judged in
 3    the ISA to be caused by, or likely to be caused by, 63 exposures (U.S. EPA, 2013, section 2.5.2).
 4           This section presents our consideration of the evidence for health effects attributable to
 5    63 exposures, including respiratory morbidity and mortality effects attributable to short- and
 6    long-term exposures,  and cardiovascular system effects (including mortality) and total mortality
 7    attributable to short-term exposures. We focus particularly on considering the extent to which the
 8    scientific evidence available in the current review has been strengthened since the last review,
 9    and the extent to which important uncertainties and limitations in the evidence from the last
10    review have been addressed. In section 3.1.2.2, we then consider the extent to which the
11    available evidence indicates health effects may be attributable to ambient 03 concentrations
12    likely to be allowed by the current 03 NAAQS. In this section, we address the following specific
13    question for each category of health effects considering the evidence available in the 2008
14    review of the standard as well as evidence that has become available since then. The ISA
15    summarizes the longstanding body of evidence for 63 respiratory effects as follows (U.S. EPA,
16    2013, p. 1-5).
17           The clearest evidence for health effects associated with exposure to 0$ is provided
18           by studies of respiratory effects.  Collectively, a very large amount of evidence
19           spanning several decades supports a relationship between exposure  to O3 and a
20           broad range of respiratory effects (see Section 6.2.9 and Section 7.2.8). The
21           majority of this evidence is derived from studies investigating short-term
22           exposures (i.e., hours to weeks) to Os, although animal toxicologicalstudies and
23           recent epidemiologic evidence demonstrate that long-term exposure  (i.e., months
24           to years) may also harm the respiratory system.
25           The extensive body of evidence  supporting a causal relationship between short-term Os
26    exposures and respiratory effects is discussed in detail in Chapter 6 of the ISA (U.S. EPA, 2013),
27    while evidence for respiratory effects associated with long-term or repeated  03 exposures are
28    discussed in chapter 7 of that document (U.S., EPA, 2013).
29         3.1.2.1   Respiratory Effects - Short-term Exposures
30    •  To what extent does the currently available scientific evidence,  including related
31       uncertainties, strengthen or alter our understanding from the last review of respiratory
32       effects attributable to short-term Os exposures?
                                                 3-6

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 1          The 2006 Os AQCD concluded that there was clear, consistent evidence of a causal
 2    relationship between short-term Oj, exposure and respiratory effects (U.S. EPA, 2006b). This
 3    conclusion was substantiated by evidence from controlled human exposure and toxicological
 4    studies indicating a range of respiratory effects in response to short-term 63 exposures, including
 5    pulmonary function decrements and increases in respiratory symptoms,  lung inflammation, lung
 6    permeability, and airway hyperresponsiveness. Toxicological studies provided additional
 7    evidence for Os-induced impairment of host defenses. Combined, these  findings from
 8    experimental studies provided support for epidemiologic evidence, in which short-term increases
 9    in ambient 63 concentration were consistently associated with decreases in lung function in
10    populations with increased outdoor exposures, especially children with asthma and healthy
11    children; increases in respiratory symptoms and asthma medication use  in children with asthma;
12    and increases in respiratory-related hospital admissions and asthma-related ED visits (U.S. EPA,
13    2013, pp. 6-1 to 6-2).
14          As discussed in detail  in the ISA (U.S. EPA, 2013, section 6.2.9), studies evaluated since
15    the completion of the 2006 63 AQCD support and expand upon the strong body of evidence that,
16    in the last review, indicated a causal relationship between short-term 63 exposures and
17    respiratory health effects. Recent controlled human exposure studies conducted in young, healthy
18    adults with moderate exertion have reported FEVi decrements and pulmonary inflammation
19    following prolonged exposures to O^ concentrations as low as 60 ppb, and respiratory symptoms
20    following exposures to concentrations as low as 70 ppb. Epidemiologic  studies provide evidence
21    that increases in ambient 63 exposures can result in lung function decrements, increases in
22    respiratory symptoms, and pulmonary inflammation in children with asthma; increases in
23    respiratory-related hospital admissions and emergency department visits; and increases in
24    respiratory mortality. Some of these studies report such associations even for 63 concentrations
25    at the low end of the distribution of daily concentrations. Recent epidemiologic studies report
26    that associations with respiratory morbidity and mortality are stronger during the warm/summer
27    months and remain robust after adjustment for copollutants. Recent toxicological studies
28    reporting Os-induced inflammation, airway hyperresponsiveness, and impaired lung host defense
29    continue to support the biological plausibility and modes of action for the (Vinduced respiratory
30    effects observed in the controlled human exposure and epidemiologic studies. Further support is
31    provided by recent studies that found (^-associated increases in indicators of airway
                                                3-7

-------
 1    inflammation and oxidative stress in children with asthma (U.S. EPA, 2013, section 6.2.9).
 2    Together, epidemiologic and experimental studies support a continuum of respiratory effects
 3    associated with 63 exposure that can result in respiratory-related emergency department visits,
 4    hospital admissions, and/or mortality (U.S. EPA, 2013, section 6.2.9).
 5           Across respiratory endpoints, evidence indicates antioxidant capacity may modify the
 6    risk of respiratory morbidity associated with 63 exposure (U.S. EPA, 2013, section 6.2.9, p. 6-
 7    161). The potentially elevated risk of populations with diminished antioxidant capacity and the
 8    reduced risk of populations with sufficient antioxidant capacity identified in epidemiologic
 9    studies are strongly supported by similar findings from controlled human exposure studies and
10    by evidence that characterizes Os-induced decreases in intracellular antioxidant levels as a mode
11    of action for downstream effects.
12           We describe key aspects of this evidence below with regard to lung function decrements;
13    pulmonary inflammation, injury, and oxidative stress; airway hyperresponsiveness; respiratory
14    symptoms and medication use; lung host defense; allergic and asthma-related responses;  hospital
15    admissions and emergency department visits; and respiratory mortality.
16                                    Lung Function Decrements
17           In the 2008 review, a large number of controlled human exposure studies7 reported Os-
18    induced lung function decrements in young, healthy adults engaged in intermittent, moderate
19    exertion following 6.6 hour exposures to O^ concentrations at or above 80 ppb. Although two
20    studies also reported effects following exposures to lower concentrations, an important
21    uncertainty in the last review was the extent to which exposures to Os concentrations below 80
22    ppb result in lung function decrements. In addition, in the last review epidemiologic panel
23    studies had reported (Vassociated lung function decrements in a variety of different populations
24    (e.g., children, outdoor workers) likely to experience increased exposures. In the current review,
25    additional controlled human exposure studies are available that have evaluated exposures to Os
26    concentrations of 60 or 70 ppb. The available evidence from controlled human exposure  and
27    panel studies is assessed in detail in the ISA (U.S. EPA, section 6.2.1) and is summarized below.
      7 The controlled human exposure studies discussed in this PA utilize only healthy adult subjects. In the absence of
      controlled human exposure data for children, HREA estimates of lung function decrements are based on the
      assumption that children exhibit the same lung function responses following O3 exposures as healthy 18 year olds
      (U.S. EPA, 2014, section 6.2.4 and 6.5). Thus, the conclusions about the occurrence of lung function decrements
      that follow generally apply to children as well as adults.

                                                 3-8

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 1          Controlled exposures to O^ concentrations that can be found in the ambient air can result
 2    in a number of lung function effects, including decreased inspiratory capacity; mild
 3    bronchoconstriction; and rapid, shallow breathing patterns during exercise. Reflex inhibition of
 4    inspiration results in a decrease in forced vital capacity (FVC) and total lung capacity (TLC) and,
 5    in combination with mild bronchoconstriction, contributes to a decrease in the forced expiratory
 6    volume in 1 second (FEVi) (U.S. EPA, 2013, section 6.2.1.1). Accumulating evidence indicates
 7    that such effects are mediated by activation of sensory nerves, resulting in the involuntary
 8    truncation of inspiration and a mild increase in airway obstruction due to bronchoconstriction
 9    (U.S. EPA, 2013, section 5.3.10).
10          Data from controlled human exposure studies indicate that increasing the duration of Os
11    exposures and increasing ventilation rates decreases the O?, exposure concentrations required to
12    impair lung function. Ozone exposure concentrations well above those typically found in
13    ambient air are required to impair lung function in healthy resting adults, while exposure to 63
14    concentrations at or below those in the ambient air have been reported to impair lung function in
15    healthy adults exposed for longer durations while undergoing intermittent, moderate exertion
16    (U.S. EPA, 2012a, section 6.2.1.1). With repeated 63 exposures over several days, FEVi
17    responses become attenuated in both healthy adults and adults with mild asthma, though this
18    attenuation of response is lost after about a week without exposure (U.S. EPA, 2013, section
19    6.2.1.1; page 6-27).
20          When considering controlled human exposures studies of (^-induced lung function
21    decrements we evaluate both group mean changes in lung function and the interindividual
22    variability in the magnitude of responses. To the extent studies report statistically significant
23    decrements in mean lung function following O^ exposures after controlling for other factors, we
24    have more confidence that measured decrements are due to the 03 exposure itself, rather than
25    chance alone. As discussed below, group mean changes in lung function are  often small,
26    especially following exposures to relatively low 63 concentrations (e.g., 60 ppb). However, even
27    when group mean decrements in lung function are small, some individuals could experience
28    decrements that are "clinically meaningful" (Pellegrino et al., 2005;  ATS, 1991; EPA, 2010)
29    with respect to criteria for spirometric testing, and/or that could be considered "adverse" with
30    respect to public health policy decisions. See section 3.1.3 below.
                                                3-9

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 1           At the time of the last review, a number of controlled human exposure studies had
 2    reported lung function decrements in young, healthy adults following prolonged (6.6-hour)
 3    exposures while at moderate exertion to O^ concentrations at and above 80 ppb. In addition,
 4    there were two controlled human exposure studies by Adams (2002, 2006) that examined lung
 5    function effects following exposures to Os concentrations of 60 ppb. The EPA's analysis of the
 6    data from the Adams (2006) study reported a small but statistically significant Os-induced
 7    decrement in group mean FEVi following exposures of young, healthy adults, while at moderate
                                                                                o
 8    exertion,  to 60 ppb Os, when compared with filtered air controls (Brown, 2007).   Further
 9    examination of the post-exposure FEVi data, and mean data for other time points and other
10    concentrations, indicated that the temporal pattern of the response to 60 ppb 63 was generally
11    consistent with the temporal patterns of responses to higher O^ concentrations in this and other
12    studies. (75 FR 2950, January 19, 2010). This suggested  a pattern of response following
13    exposures to 60 ppb Os that was consistent with a dose-response relationship, rather than random
14    variability. See also State of Mississippi v. EPAJ21 F. 3d at 259 (upholding EPA's
15    interpretation of the Adams studies).
16           Figure 6-1 in the ISA summarizes the currently available evidence from multiple
17    controlled human exposure studies evaluating group mean changes in FEVi following prolonged
18    63 exposures (i.e., 6.6 hours) in young, healthy adults engaged in moderate levels of physical
19    activity (U.S. EPA, 2012, section 6.2.1.1). With regard to the  group mean changes reported in
20    these studies, the ISA specifically notes the following (U.S. EPA, 2012a, section 6.2.1.1, Figure
21    6-1):

22        1.   Prolonged exposure to 40 ppb 63 results in a small decrease in group mean FEVi that is
23           not statistically different from responses following exposure to filtered air (Adams, 2002;
24           Adams, 2006).
25       2.   Prolonged exposure to an average Os concentration of  60 ppb results in group mean FEVi
26           decrements ranging from 1.8% to  3.6% (Adams 2002;  Adams, 2006;9 Schelegle et al.,
27           2009; Kim et al., 2011). Based on data from multiple studies, the weighted average group
28           mean decrement was 2.7%. In some analyses, these group mean decrements in lung
       Adams (2006a) did not find effects on FEVI at 60 ppb to be statistically significant. In an analysis of the Adams
      (2006a) data, even after removal of potential outliers, Brown et al. (2008) found the average effect on FEVI at
      60 ppb to be small, but highly statistically significant (p < 0.002) using several common statistical tests.
      9 Adams (2006); (2002) both provide data for an additional group of 30 healthy subjects that were exposed via
      facemask to 60 ppb (square-wave) O3 for 6.6 hours with moderate exercise (   ) = 23 L/min per m2 BSA). These
      subj ects are described on page 13 3 of Adams (2006) and pages 747 and 761 of Adams (2002). The FEVi decrement
      may be somewhat increased due to a target (  ) of 23 L/min per m2 BSA relative to other studies with which it is
      listed having the target ( ) of 20 L/min per m2 BSA. The facemask exposure is not expected to affect the
      responses relative to a chamber exposure.
                                                 3-10

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 1           function were statistically significant (Brown et al., 2008; Kim et al., 2011), while in
 2           other analyses they were not (Adams, 2006; Schelegle et al., 2009).10
 3       3.  Prolonged exposure to an average O^ concentration of 70 ppb results in a statistically
 4           significant group mean decrement in FEVi of about 6% (Schelegle et al., 2009).
 5       4.  Prolonged square-wave exposure to average O?, concentrations of 80 ppb, 100 ppb, or 120
 6           ppb Os results in statistically significant group mean decrements in FEVi ranging from 6
 7           to 8%, 8 to 14%, and 13 to 16%, respectively (Folinsbee et al., 1988; Horstman et al.,
 8           1990; McDonnell et al., 1991; Adams, 2002; Adams, 2003; Adams, 2006).
 9           As illustrated in Figure 6-1 of the ISA, there is  a smooth dose-response curve without
10    evidence of a threshold for exposures between 40 and 120 ppb 63 (U.S. EPA, 2012a, Figure 6-
11    1). When these data are taken together, the ISA concludes that "mean FEVi is clearly decreased
12    by 6.6-h exposures to 60 ppb 63 and higher concentrations in [healthy, young adult] subjects
13    performing moderate exercise" (U.S. EPA, 2012a, p. 6-9).
14           With respect to interindividual variability in lung function, in an individual with
15    relatively "normal" lung function, with recognition of the technical and biological variability in
16    measurements, within-day changes in FEVi of > 5% are clinically meaningful (Pellegrino et al.,
17    2005; ATS, 1991). The ISA (U.S. EPA, 2013, section 6.1.) focuses on individuals with >10%
18    decrements in FEVi for two reasons. A 10% FEVi decrement is accepted by the American
19    Thoracic Society (ATS) as an abnormal response and a reasonable criterion for assessing
20    exercise-induced bronchoconstriction (Dryden et al., 2010; ATS, 2000a). (U.S. EPA, 2013,
21    section 6.2.1.1). Also, some individuals in the Schelegle et al. (2009) study experienced  5-10%
22    FEVi decrements following exposure to filtered air.
23           In previous NAAQS reviews, the EPA has made judgments regarding the potential
24    implications for individuals experiencing FEVi decrements of varying degrees of severity.11 For
25    people with lung disease, the EPA judged that moderate functional decrements (e.g.,  FEVi
26    decrements > 10 percent but < 20 percent, lasting up to 24 hours) would likely interfere with
       Adams (2006) did not find effects on FEVi at 60 ppb to be statistically significant. In an analysis of the Adams
      (2006) data, Brown et al. (2008) addressed the more fundamental question of whether there were statistically
      significant differences in responses before and after the 6.6 hour exposure period and found the average effect on
      FEVi at 60 ppb to be small, but highly statistically significant using several common statistical tests, even after
      removal of potential outliers.
       Such judgments have been made for decrements in FEVi as well as for increased airway responsiveness and
      symptomatic responses (e.g., cough, chest pain, wheeze). Ranges of pulmonary responses and their associated
      potential impacts are presented in Tables 3-2 and 3-3 of the 2007 Staff Paper (U.S. EPA, 2007).
                                                 3-11

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 1    normal activity for many individuals, and would likely result in more frequent use of medication
 2    (75 FR 2973, January 19, 2010). In previous reviews CASAC has endorsed these conclusions. In
 3    the context of standard setting, in the last review 63 review CASAC indicated that it is
 4    appropriate to focus on the lower end of the range of moderate functional responses (e.g., FEVi
 5    decrements > 10 percent) when estimating potentially adverse lung function decrements in
 6    people with lung disease, especially children with asthma (Henderson, 2006c; transcript of
 7    CASAC meeting,  day 8/24/06, page 149). More specifically, CASAC stated that "[a] 10%
 8    decrement in FEVi can lead to respiratory symptoms, especially in individuals with pre-existing
 9    pulmonary or cardiac disease. For example, people with chronic obstructive pulmonary disease
10    have decreased ventilatory reserve (i.e., decreased baseline FEVi) such that a > 10% decrement
11    could lead to moderate to severe respiratory symptoms" (Samet, 2011). Therefore, in considering
12    interindividual variability in Os-induced lung function decrements in the current review, we also
13    focus on the  extent to which individuals were reported to experience FEVi decrements of 10% or
14    greater.
15          New  studies  (Schelegle et al., 2009; Kim et al., 2011) add to the previously available
16    evidence for interindividual variability in the responses of healthy adults following exposures to
17    63. Following prolonged exposures to 80 ppb 63 while at moderate exertion, the proportion of
18    healthy adults experiencing FEVi decrements greater than 10% was 17% by Adams (2006a),
19    26% by McDonnell  (1996), and 29% by Schelegle et al. (2009). Following exposures to 60 ppb
20    O3, that proportion was 20% by Adams (2002), 3% by Adams (2006a), 16% by Schelegle et al.
21    (2009), and 5% by Kim et al. (2011). Based on these studies, the weighted average proportion of
22    young, healthy adults with >10% FEVi decrements is 25% following exposure to 80 ppb O^ and
23    10% following exposure to 60 ppb O3 (U.S. EPA, 2013, page 6-19).12 The ISA notes that
24    responses within an  individual tend to be reproducible over a period of several months,
25    indicating  that interindividual differences reflect differences in intrinsic responsiveness.  Given
26    this, the ISA concludes that "a considerable fraction" of healthy individuals experience clinically
      12
       The ISA also notes that by considering responses uncorrected for filtered air exposures, during which lung
      function typically improves (which would increase the size of the change, pre-and post-exposure), 10% is an
      underestimate of the proportion of healthy individuals that are likely to experience clinically meaningful changes in
      lung function following exposure for 6.6 hours to 60 ppb O3 during intermittent moderate exertion (U.S. EPA, 2012,
      section 6.2.1.1).
                                                3-12

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 1    meaningful decrements in lung function when exposed for 6.6 hours to 60 ppb O^ during quasi
 2    continuous, moderate exertion (U.S. EPA, 2013, section 6.2.1.1, p. 6-20).

 3          As discussed above (Figure 3-1) and in the ISA (U.S EPA, 2013, Section 5.3.2),
 4    secondary oxidation products formed following Oj, exposures can activate neural reflexes leading
 5    to decreased lung function. Two new quantitative models, discussed in section 6.2.1.1 of the ISA
 6    (U.S. EPA, 2013, p. 6-15), make use of the concept of oxidant stress to estimate the occurrence
 7    of lung function decrements following exposures to relatively low Oi concentrations (McDonnell
 8    et al., 2012; Schelegle et al., 2012). These models reflect the protective effect of antioxidants in
 9    the ELF at lower ambient 63 concentrations, and include a threshold related to an integrated dose
10    rate.
11          McDonnell et al. (2012) and Schelegle et al. (2012) developed models using data on 03
12    exposure concentrations, ventilation rates, duration of exposures, and lung function responses
13    from a number of controlled human exposure studies. The McDonnell et al.  (2012) and Schelegle
14    et al. (2012) studies analyzed large datasets to fit compartmental models that included the
15    concept of a dose of onset in lung function response or a response threshold based upon the
16    inhaled Os dose. The first compartment in the McDonnell et al.  (2012) model considers the level
17    of oxidant stress in response to 63 exposure to increase over time as a function of dose rate
18    (Cx  ) and decrease by clearance  or metabolism over time. In the second compartment of the
19    McDonnell model, once oxidant stress reaches a threshold level the decrement in FEVi increases
20    as a sigmoid-shaped function. In the Schelegle et al. (2012) model, a first compartment acts as a
21    reservoir in which oxidant stress builds up until the dose of onset, at which time it spills  over into
22    a second compartment. The second compartment is identical to the first compartment in
23    McDonnell et al. (2012) model. The oxidant levels in the second compartment were multiplied
24    by a responsiveness coefficient to predict FEVi responses for the Schelegle  et al. (2012) model.
25          The McDonnell et al. (2012) model was fit to  a large dataset consisting of the FEVi
26    responses of 741 young, healthy adults (18-35 years of age) from 23 individual controlled
27    exposure studies. Concentrations across individual studies ranged from 40 ppb to 400 ppb,
28    activity level ranged from rest to heavy exercise, duration of exposure was from 2 to 7.6 hours.
29    The extension of the McDonnell et al. (2012) model to children and older adults is discussed in
30    section 6.2.4 of U.S. EPA (2014).  Schelegle et al. (2012) also analyzed a large dataset with
31    substantial overlap to that used by McDonnell et al. (2012). The Schelegle et al. (2012) model
32    was fit to the FEVi responses of 220 young healthy adults (taken from a dataset of 704
33    individuals) from 21 individual controlled exposure studies. The resulting empirical models can
34    estimate the frequency distribution of individual responses for any exposure scenario as well as
                                               3-13

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 1    summary measures of the distribution such as the mean or median response and the proportions
 2    of individuals with FEVi decrements > 10%, 15%, and 20%.
 3          The predictions of the McDonnell and Schelegle models are consistent with the observed
 4    results from the individual studies of Cb-induced FEVi decrements. Specifically, the model
 5    developed by McDonnell et al. (2012) predicts that 9% of healthy exercising adults would
 6    experience FEVi decrements greater than 10% following 6.6 hour exposure to 60 ppb Os, and
 7    that 22% would experience such decrements following exposure to 80 ppb 63  (U.S. EPA, 2013,
 8    p. 6-18 and Figure 6-3). The model developed by Schelegle et al. (2012) predicts that, for a
 9    prolonged (6.6 hours) 63 exposure with moderate, quasi continuous exercise, the average dose of
10    onset for FEVi decrement would be reached following 4 to 5 hours of exposure to 60 ppb, and
11    following 3 to 4 hours of exposure to 80 ppb. However, 14% of the individuals had a dose of
12    onset that was less than 40% of the average. Those individuals would reach their dose of onset
13    following 1 to 2 hours of exposure to 50 to 80 ppb O3 (U.S. EPA, 2013, p. 6-16), which is
14    consistent with the threshold FEVi responses reported by McDonnell et al. (2012).
                                ,13
15          Epidemiologic studies   have consistently linked short-term increases in ambient 63
3
16    concentrations with lung function decrements in diverse populations and lifestages, including
17    children attending summer camps, adults exercising or working outdoors, and groups with pre-
18    existing respiratory diseases such as asthmatic children (U.S. EPA, 2013, section 6.2.1.2). Some
19    of these studies reported ozone-associated lung function decrements accompanied by respiratory
20    symptoms14 in asthmatic children (Just et al., 2002; Mortimer et al., 2002; Ross et al., 2002;
21    Gielen et al., 1997; Romieu et al., 1997;  Thurston et al., 1997; Romieu et al., 1996). In contrast,
22    studies of children in the general population have reported similar (^-associated lung function
23    decrements but without accompanying respiratory  symptoms (Ward et al., 2002; Gold et al.,
24    1999; Linn et al., 1996) (U.S. EPA, 2013, section 6.2.1.2).
25           Several panel studies reported that associations with lung function decrements persisted
26    at relatively low ambient 63 concentrations. For outdoor recreation or exercise, associations were
27    reported in analyses restricted to 1-hour average 03 concentrations less than 80 ppb (Spektor et
28    al., 1988a; Spektor et al., 1988b), 60 ppb (Brunekreef et al., 1994; Spektor et al., 1988a), and
29    50 ppb (Brunekreef et al.,  1994). Among outdoor workers, Brauer et al. (1996) found a robust
30    association using daily 1-hour max O^ concentrations less than 40 ppb. Ulmer et al. (1997) found
31    a robust association in schoolchildren using 30-minute maximum 63 concentrations less than
32    60 ppb. For 8-hour average Os concentrations, associations with lung function decrements in
      13
       Unless otherwise specified, the epidemiologic studies discussed in this PA evaluate only adults.
       Reversible loss of lung function in combination with the presence of symptoms meets the ATS definition of
      adversity (ATS, 2000).
                                                3-14

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 1    children with asthma were found to persist at concentrations less than 80 ppb in a U.S. multicity
 2    study (Mortimer et al., 2002) and less than 51  ppb in a study conducted in the Netherlands
 3    (Gielenetal., 1997).
 4           Studies investigating the effects of short-term exposure to 63 provided information on
 5    potential confounding by copollutants such as PM2.5, PMio, NC>2, or SC>2. These studies varied in
 6    how they evaluated confounding. Some studies of subjects exercising outdoors indicated that
 7    ambient concentrations of copollutants such as NC>2, 862, or acid aerosol were low, and thus not
 8    likely to confound associations observed for Os (Hoppe et al., 2003; Brunekreef et al., 1994;
 9    Hoek et al., 1993). In other studies of children with increased outdoor exposures, 63 was
10    consistently associated with decreases in lung function, whereas other pollutants such as PM2.s,
11    sulfate, and acid aerosol individually showed variable associations across studies (Thurston et
12    al., 1997; Castillejos et al.,  1995; Berry et al.,  1991; Avol et al., 1990; Spektor et al., 1988a).
13    Studies that conducted copollutant modeling generally found Cb-associated lung function
14    decrements to be robust (i.e.,  most copollutant-adjusted effect estimates fell within the 95% CI of
15    the single-pollutant effect estimates) (U.S. EPA, 2013, Figure 6-10 and Table 6-14). Most O3
16    effect estimates for lung function were robust to adjustment for temperature, humidity, and
17    copollutants such as PM2.5, PMio, NO2, or 862. Although examined in only a few epidemiologic
18    studies, 63 also remained associated with decreases in lung function with adjustment for pollen
19    or acid aerosols (U.S. EPA, 2013, section 6.2.1.2).
20           Several epidemiologic studies demonstrated the protective effects of vitamin E and
21    vitamin C supplementation, and increased dietary antioxidant intake, on Os-induced lung
22    function decrements (Romieu et al., 2002) (U.S. EPA, 2013, Figure 6-7 and Table 6-8).  These
23    results provide support for the new, quantitative models (McDonnell et al., 2012;  Schelegle et
24    al., 2012), discussed above, which make use of the concept of oxidant stress to  estimate the
25    occurrence of lung function decrements following exposures to relatively low 63 concentrations.
26           In conclusion, new information from controlled human exposure studies considerably
27    strengthens the evidence and  reduces the uncertainties, relative to the evidence that was  available
28    at the time of the 2008 review, regarding the presence and magnitude of lung function
29    decrements in healthy adults following prolonged exposures to Os concentrations below 80 ppb.
30    As discussed in Section 6.2.1.1 in the ISA (EPA, 2013, p. 6-12), there is information available
31    from four separate studies that evaluated exposures to 60 ppb 63 (Kim et al., 2011;  Schelegle et
32    al., 2009; Adams 2002; 2006). Although not consistently statistically significant, group mean
33    FEVi decrements following exposures to 60 ppb 63 are consistent among studies. Moreover, as
34    is illustrated in Figure 6-1 of the ISA (U.S. EPA, 2013), the group mean FEVi responses at
35    60 ppb fall on a smooth intake dose-response curve for exposures between 40 and 120 ppb 03.
36    These studies also indicate that, on average, 10% of young, healthy adults experience clinically
                                                3-15

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 1    meaningful decrements in lung function when exposed for 6.6 hours to 60 ppb O^ during
 2    intermittent, moderate exertion. One recent study has also reported statistically significant
 3    decrements following exposures to 70 ppb Os (Schelegle et al., 2009). Predictions from newly
 4    developed quantitative models, based on the concept that Cb-induced oxidation results in lung
 5    function decrements, are consistent with these experimental results. Additionally, as discussed in
 6    more detail in section 3.1.4 below, epidemiologic studies continue to provide evidence of lung
 7    function decrements in people who are active outdoors, including people engaged in outdoor
 8    recreation or exercise, children, and outdoor workers, at low ambient Os concentrations. While
 9    few new epidemiologic studies of Cb-associated lung function decrements are available in this
10    review, previously available studies have reported associations with decrements, including at
11    relatively low ambient Os concentrations.
12                     Pulmonary Inflammation, Injury, and Oxidative Stress
13          Ozone exposures result in increased respiratory tract inflammation and epithelial
14    permeability. Inflammation is a host response to injury, and the induction of inflammation is
15    evidence that injury has occurred. Oxidative stress has  been shown to play a key role in initiating
16    and sustaining Os-induced inflammation. Secondary oxidation products formed as a result of
17    reactions between O3  and components of the ELF can increase the expression of molecules (i.e.,
18    cytokines, chemokines, and adhesion molecules) that can enhance airway epithelium
19    permeability (U.S. EPA,  2013, Sections 5.3.3 and 5.3.4). As discussed in detail in the ISA (U.S.
20    EPA, 2013, section 6.2.3), Os exposures can initiate an acute inflammatory response throughout
21    the respiratory tract that has been  reported to persist for at least 18-24 hours after exposure.
22          Inflammation induced by exposure of humans to Os can have several potential outcomes:
23    (1) inflammation induced by  a single exposure (or several exposures over the course of a
24    summer) can resolve entirely; (2)  continued acute inflammation can evolve into a chronic
25    inflammatory state; (3) continued inflammation can alter the structure and function  of other
26    pulmonary tissue, leading to diseases such as asthma; (4) inflammation can alter the body's host
27    defense response to inhaled microorganisms, particularly in potentially at-risk populations or
28    lifestages such as the very young and old; and (5) inflammation can alter the lung's response to
29    other agents such as allergens or toxins (U.S. EPA, 2013, Section 6.2.3). Thus, lung injury and
30    the resulting inflammation provide a mechanism by which O?, may cause other more serious
31    morbidity  effects (e.g., asthma exacerbations).
                                                3-16

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 1           In the last review, controlled human exposure studies reported Os-induced airway
 2    inflammation following exposures at or above 80 ppb. In the current review, the link between Os
 3    exposures and airway inflammation and injury has been evaluated in additional controlled human
 4    exposure studies, as well as in recent epidemiologic studies. Controlled human exposure studies
 5    have generally been conducted in young, healthy adults or in adults with asthma using lavage
 6    (proximal airway and bronchoalveolar), bronchial biopsy, and more recently, induced sputum.
 7    These studies have evaluated one or more indicators of inflammation, including neutrophil15
 8    (PMN) influx, markers of eosinophilic inflammation, increased permeability of the respiratory
 9    epithelium, and/or prevalence of proinflammatory molecules (U.S. EPA, 2013, section 6.2.3.1).
10    Epidemiologic studies have generally evaluated associations between ambient 63 and markers of
11    inflammation and/or oxidative stress, which plays a key role in initiating and sustaining
12    inflammation (U.S. EPA, 2013, section 6.2.3.2).
13           There is an extensive body of evidence from controlled human exposure studies
14    indicating that short-term exposures to Os can cause pulmonary inflammation. Previously
15    available evidence indicated that Os causes an inflammatory response in the lungs (U.S. EPA,
16    1996a). A single acute exposure (1-4 hours) of humans to moderate concentrations of Os (200-
17    600 ppb) while exercising at moderate to heavy intensities resulted in a number of cellular and
18    biochemical changes in the lung, including inflammation characterized by increased numbers of
19    PMNs, increased permeability of the epithelial lining of the respiratory tract, cell damage,  and
20    production of proinflammatory molecules (i.e., cytokines and prostaglandins, U.S. EPA, 2006b).
21    A meta-analysis  of 21 controlled human exposure studies (Mudway and Kelly, 2004) using
22    varied experimental protocols (80-600 ppb Os exposures;  1-6.6 hours exposure duration; light to
23    heavy exercise; bronchoscopy at 0-24 hours post-Os exposure) reported that PMN influx in
24    healthy subjects  is linearly associated with total O^  dose. Animal toxicological studies also
25    provided evidence for increases in inflammation and permeability in rabbits at levels as low as
26    100 ppb O3 (Section 2.5.3.1, ISA, U.S. EPA, 2013).
      15 Referred to as either neutrophils or polymorphonuclear neutrophils (or PMNs), these are the most abundant type
      of white blood cells in mammals. PMNs are recruited to the site of injury following trauma and are the hallmark of
      acute inflammation. The presence of PMNs in the lung has long been accepted as a hallmark of inflammation and is
      an important indicator that O3 causes inflammation in the lungs. Neutrophilic inflammation of tissues indicates
      activation of the innate immune system and requires a complex series of events, that then are normally followed by
      processes that clear the evidence of acute inflammation.
                                                 3-17

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 1          Several studies, including one published since the last review (Alexis et al., 2010), have
 2    reported (Vinduced increases in PMN influx and permeability following exposures at or above
 3    80 ppb (Alexis et al., 2010; Peden et al., 1997; Devlin et al., 1991), and eosinophilic
 4    inflammation following exposures at or above 160 ppb (Scannell et al., 1996; Peden et al.,  1997;
 5    Hiltermann et al., 1999; Vagaggini et al., 2002). In addition, one recent controlled human
 6    exposure study has reported Cb-induced PMN influx following exposures of healthy adults to Os
 7    concentrations of 60 ppb (Kim et al., 2011), the lowest concentration at which inflammatory
 8    responses have been evaluated in human studies.
 9          As with FEVi  responses to 63, inflammatory responses to 63 are generally reproducible
10    within individuals, with some individuals experiencing more severe Cb-induced airway
11    inflammation than indicated by group averages (Holz et al., 2005; Holz et al., 1999). Unlike 63-
12    induced  decrements in lung function, which are attenuated following repeated exposures over
13    several days (U.S. EPA, 2013, section 6.2.1.1), some markers of Cb-induced inflammation and
14    tissue damage remain elevated during repeated exposures, indicating ongoing damage to the
15    respiratory system (U.S. EPA, 2013, section 6.2.3.1).
16          Most controlled human exposure studies have reported that asthmatics experience larger
17    Os-induced inflammatory responses than non-asthmatics. Specifically, asthmatics exposed to
18    200 ppb  Os for 4-6 hours with exercise show significantly more neutrophils  in bronchoalveolar
19    lavage fluid (BALF) than similarly exposed healthy individuals (Scannell et al., 1996; Basha et
20    al., 1994). Bosson et al. (2003) reported significantly greater expression of a variety of pro-
21    inflammatory cytokines in asthmatics, compared to healthy subjects, following exposure to
22    200 ppb  63 for 2 hours. In addition, research available in the last review, combined with a recent
23    study newly available in this review, indicates that pretreatment of asthmatics with
24    corticosteroids can prevent the (Vinduced inflammatory response in induced sputum, though
25    pretreatment did not prevent FEVi decrements (Vagaggini et al., 2001; 2007). In contrast,
26    Stenfors et al. (2002) did not detect a difference in the Cb-induced increases  in neutrophil
27    numbers between 15 subjects with mild asthma and 15 healthy subjects by bronchial wash  at the
28    6 hours postexposure time point, although the  neutrophil increase in the asthmatic group was on
29    top of an elevated baseline.
30          In people with allergic airway disease,  including people with rhinitis and asthma,
31    evidence available in the last review indicated that proinflammatory mediators also cause

                                                3-18

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 1    accumulation of eosinophils in the airways (Bascom et al., 1990; Torres et al., 1996; Peden et
 2    al.,1995 and 1997; Frampton et al., 1997; Michelson et al., 1999; Hiltermann et al.,  1999; Holz et
 3    al., 2002; Vagaggini et al., 2002). The eosinophil, which increases inflammation and allergic
 4    responses, is the cell most frequently associated with exacerbations of asthma (75 CFR 2969,
 5    January 19, 2010).
 6           Studies reporting inflammatory responses and markers of lung injury have clearly
 7    demonstrated that there is important variation in the responses of exposed subjects (75 FR 2953,
 8    January 19, 2010). Some individuals also appear to be intrinsically more susceptible to increased
 9    inflammatory responses (Holz et al., 2005). In healthy adults exposed to each 80 and 100 ppb  Os,
10    Devlin et al. (1991) observed group average increases in neutrophilic inflammation  of 2.1- and
11    3.8-fold, respectively. However, there was a 20-fold range in inflammatory responses between
12    individuals  at both concentrations. Relative to an earlier, similar study conducted at 400 ppb
13    (Koren et al., 1989), Devlin et al. (1991) noted that although some of the study population
14    showed little or no increase in inflammatory and cellular injury indicators analyzed  after
15    exposures to lower levels of 63  (i.e.,  80 and 100 ppb), others had changes that were as large as
16    those seen when subjects were exposed to 400 ppb 63. The data suggest that as a whole the
17    healthy population, on average,  may have small inflammatory responses to near-ambient levels
18    of Os, though there may be a significant subpopulation that is very sensitive to low levels of Os.
19    Devlin et al. (1991) expressed the view that "susceptible subpopulations such as the very young,
20    elderly, and people with pulmonary impairment or disease may be even more affected."
21           A number of studies report that OT, exposures increase epithelial cell permeability.
22    Increased BALF protein, suggesting Os-induced changes in epithelial permeability,  has been
23    reported at 1 hour and 18 hours  postexposure (Devlin et al., 1997; Balmes et al.,  1996). A meta-
24    analysis of results from 21 publications (Mudway and Kelly, 2004a) for varied experimental
25    protocols (80-600 ppb 63; 1-6.6 hours duration; light to heavy exercise; bronchoscopy at 0-24
26    hours post-Cb exposure; healthy subjects),  showed that increased BALF protein is associated
27    with total inhaled 63 dose (i.e., the product of 63 concentration, exposure duration,  and   ). As
28    noted in the 2009 PM ISA (U.S. EPA, 2009), it has been postulated that changes in  permeability
29    associated with acute inflammation may provide increased access of inhaled antigens, particles,
30    and other inhaled substances deposited on lung surfaces to the smooth muscle, interstitial cells,
31    immune cells underlying the epithelium, and the blood (U.S. EPA, 2013, sections 5.3.4, 5.3.5).

                                                3-19

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 1    Animal toxicology studies have provided some support for this hypothesis (Adamson and
 2    Prieditis, 1995; Chen et al 2006), though these studies did not specifically evaluate 63 exposures
 3    (U.S. EPA, 2009). Because of this potentially increased access, it has been postulated that
 4    increases in epithelial permeability following 63 exposure might lead to increases in airway
 5    responsiveness to specific and nonspecific agents. In a recent study, Que et al. (2011)
 6    investigated this hypothesis in healthy young adults (83M, 55 F) exposed to 220 ppb Os for 2.25
 7    hours (alternating 15 min periods of rest and brisk treadmill walking). As has been observed for
 8    FEVi responses, within-individual  changes in permeability were correlated between sequential
 9    63 exposures, indicating intrinsic differences among individuals in susceptibility to epithelial
10    damage following 63 exposures. However, increases in epithelial permeability at 1 day post-Cb
11    exposure were not correlated with with changes in airway responsiveness assessed 1 day post-Os
12    exposure. The authors concluded that changes in epithelial permeability is relatively constant
13    over time in young healthy adults, although changes in permeability and  AHR appear to be
14    mediated by different physiologic pathways.
15          The limited epidemiologic evidence reviewed in the 2006 O3 AQCD (U.S. EPA, 2006)
16    demonstrated an association between short-term increases in ambient 63  concentrations and
17    airways inflammation in children (1-hour max OT, of approximately 100 ppb). In the 2006 Os
18    AQCD (U.S. EPA, 2006), there was limited evidence for increases in nasal lavage levels of
19    inflammatory cell counts and molecules released by inflammatory cells (i.e., eosinophilic
20    cationic protein, and myeloperoxidases). Since 2006, as a result of the development of less
21    invasive methods, there has been a large increase in the number of studies assessing ambient 63-
22    associated changes in airway inflammation and oxidative stress, the types of biological samples
23    collected (e.g., lower airway), and the types of indicators. Most  of these recent studies have
24    evaluated biomarkers of inflammation or oxidative stress in exhaled breath, nasal lavage fluid, or
25    induced sputum (U.S. EPA, 2013, section 6.2.3.2). These recent studies form a larger database to
26    establish coherence with findings from controlled human exposure and animal studies that have
27    measured the same or related biological markers. Additionally, results from these studies provide
28    further biological plausibility for the associations observed between ambient 03 concentrations
29    and respiratory symptoms and asthma exacerbations.
30          A number of epidemiologic studies provide evidence that short-term increases  in ambient
31    03 exposure increase pulmonary inflammation and oxidative stress in children, including those

                                                3-20

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 1    with asthma (Sienra-Monge et al., 2004; Barraza-Villarreal et al., 2008;  Romieu et al., 2008;
 2    Berhane et al., 2011). Multiple studies examined and found increases in exhaled NO (eNO)16
 3    (Berhane et al., 2011; Khatri et al., 2009; Barraza-Villarreal et al., 2008). In some studies of
 4    subjects with asthma, increases in ambient 63 concentration at the same lag were associated with
 5    both increases in pulmonary inflammation and respiratory symptoms (Khatri et al.,  2009;
 6    Barraza-Villarreal et al., 2008). Although more limited in number, epidemiologic studies also
 7    found associations with cytokines such as IL-6 or IL-8 (Barraza-Villarreal et al., 2008; Sienra-
 8    Monge et al., 2004), eosinophils  (Khatri et al., 2009),  antioxidants (Sienra-Monge et al., 2004),
 9    and indicators of oxidative stress (Romieu et al., 2008) (ISA, Section 6.2.3.2, U.S. EPA, 2013).
10    Because associations with inflammation were attenuated with higher antioxidant intake the study
11    by Sienra-Monge et al. (2004) provides additional evidence that inhaled 63 is likely to be an
12    important source of reactive oxygen species in airways and/or may increase pulmonary
13    inflammation via oxidative stress-mediated mechanisms among all age groups. Limitations in
14    some recent studies have contributed to inconsistent results in adults (U.S. EPA, 2013, section
15    6.2.3.2).
16           Exposure to ambient 63 on multiple days can result in larger increases in pulmonary
17    inflammation and oxidative stress, as discussed in section 6.2.3.2 of the ISA (U.S. EPA, 2013).
18    In studies that examined multiple Os lags, multiday averages of 8-hour maximum or
19    8-hour average concentrations were associated with larger increases in pulmonary inflammation
20    and oxidative stress (Berhane et al., 2011; Delfino et al., 2010a; Sienra-Monge et al., 2004),
21    consistent with controlled human exposure (U.S. EPA, 2013, section 6.2.3.1) and animal studies
22    (U.S. EPA,  2013, section 6.2.3.3) reporting that  some markers of pulmonary inflammation
23    remain elevated with 63 exposures repeated over multiple days. Evidence from animal
24    toxicological studies also clearly indicates that 63  exposures result in damage and inflammation
25    in the lung (ISA, Section 5.3, U.S. EPA, 2013). In the few studies that evaluated the potential for
26    confounding, Os effect estimates were not confounded by temperature or humidity,  and were
27    robust to adjustment for PM2.5 or PMio (Barraza-Villarreal et al., 2008; Romieu et al., 2008;
28    Sienra-Monge et al., 2004).
      16 Exhaled NO has been shown to be a useful biomarker for airway inflammation in large population-based studies
      (Linnetal., 2009) (ISA, U.S. EPA, 2013, Section 7.2.4).
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 1          In conclusion, a relatively small number of controlled human exposure studies evaluating
 2    Os-induced airway inflammation have become available since the last review. For purposes of
 3    reviewing the current 63 NAAQS, the most important of these recent studies reported a
 4    statistically significant increase in airway inflammation in healthy adults at moderate exertion
 5    following exposures to 60 ppb Os, the lowest concentration that has been evaluated for
 6    inflammation. In addition, a number of recent epidemiologic studies report Os-associated
 7    increases in markers of pulmonary inflammation, particularly in children. Thus, recent studies
 8    continue to support the evidence for airway inflammation and injury that was available in
 9    previous reviews, with new evidence for such effects following exposures to lower
10    concentrations than had been evaluated previously.
11                                  Airway Hyperresponsiveness
12          Airway hyperresponsiveness (AHR) refers to a condition in which the conducting
13    airways undergo enhanced bronchoconstriction in response to a variety of stimuli. Airway
14    hyperresponsiveness is an important consequence of exposure to ambient 63 because its presence
15    reflects a change in airway smooth muscle reactivity, and indicates that the airways are
16    predisposed to narrowing upon inhalation of a variety of ambient stimuli including specific
17    triggers (i.e., allergens) and nonspecific triggers (e.g., SC>2, and cold air). People with asthma are
18    generally more sensitive to bronchoconstricting agents than those without asthma, and the use of
19    an airway challenge to inhaled bronchoconstricting agents is a diagnostic test in asthma.
20    Standards for airway responsiveness testing have been developed for the clinical laboratory
21    (ATS, 2000a), although variation in the methodology for administering the bronchoconstricting
22    agent may affect the results (Cockcroft et al., 2005). There is  a wide range of airway
23    responsiveness in people without asthma, and responsiveness is influenced by a number of
24    factors, including cigarette smoke, pollutant exposures, respiratory infections, occupational
25    exposures, and respiratory irritants. Dietary antioxidants have been reported to attenuate Os-
26    induced bronchial  hyperresponsiveness in people with  asthma (Trenga et al., 2001).
27          Evidence for airway hyperresponsiveness following Os exposures is derived primarily
28    from controlled human exposure and toxicological studies (U.S. EPA, 2013,  section 6.2.2).
29    Airway responsiveness is often quantified by measuring changes in pulmonary function
30    following the inhalation of an aerosolized allergen or a nonspecific bronchoconstricting agent
                                                3-22

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 1    (e.g., methacholine), or following exposure to a bronchoconstricting stimulus such as cold air. In
 2    the last review, controlled human exposure studies of mostly adults (> 18 years of age) had
 3    shown that exposures to 63 concentrations at or above 80 ppb increase airway responsiveness, as
 4    indicated by a reduction in the concentration of specific (e.g., ragweed) and non-specific (e.g.,
 5    methacholine) agents required to produce a given reduction in lung function (e.g., as measured
 6    by FEVi or specific airway resistance) (U.S. EPA, 2013, section 6.2.2.1). This Os-induced AHR
 7    has been reported to be dose-dependent (Horstman et al., 1990). Animal toxicology studies have
 8    reported Os-induced airway hyperresponsiveness in a number of species, with some rat strains
 9    exhibiting hyperresponsiveness following 4-hour exposures to Os concentrations as low as 50
10    ppb (Depuydt et al., 1999).  Since the last review, there have been relatively few new controlled
11    human exposure and animal toxicology studies of 63 and airway hyperresponsiveness, and no
12    new studies have evaluated exposures to 63 concentrations at or below 80 ppb (U.S. EPA, 2013,
13    section 6.2.2.1)
14          Airway hyperresponsiveness is linked with the accumulation and/or activation of
15    eosinophils in the airways of asthmatics, which is followed by production of mucus and a late-
16    phase asthmatic response (75 FR 2970, January 19, 2010).  In a study of 16 intermittent
17    asthmatics, Hiltermann et al. (1999) found that there was a significant inverse correlation
18    between the Os-induced change in the percentage of eosinophils in induced sputum and the
19    concentration of methacholine causing a 20% decrease in FEVi. Hiltermann et al. (1999)
20    concluded that the results point to the role of eosinophils in Os-induced airway
21    hyperresponsiveness. Increases in Os-induced nonspecific airway responsiveness incidence and
22    duration could have important clinical  implications for children and adults with asthma, such as
23    exacerbations of their disease.
24          Airway hyperresponsiveness after O^ exposure appears to resolve more slowly than
25    changes in FEVi or respiratory symptoms (Folinsbee and Hazucha, 2000). Studies suggest that
26    Os-induced AHR usually resolves 18 to 24 hours after exposure, but may persist in some
27    individuals for longer periods (Folinsbee and Hazucha, 1989). Furthermore, in studies of
28    repeated exposure to 63, changes in AHR tend to be somewhat less susceptible to attenuation
29    with consecutive exposures than changes in FEVi (Gong et al.,  1997a; Folinsbee et al., 1994;
30    Kulle et al., 1982; Dimeo et al., 1981) (U.S. EPA, 2013, section 6.2.2).  In animal studies a 3-day
31    continuous exposure resulted in attenuation of Os-induced airway hyperresponsiveness (Johnston

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 1    et al., 2005) while repeated exposures for 2 hours per day over 10 days did not (Chhabra et al.,
 2    2010), suggesting that attenuation could be lost when repeated exposures are interspersed with
 3    periods of rest (U.S. EPA, 2013, section 6.2.2.2).
 4          Increases in airway responsiveness do not appear to be strongly associated with
 5    decrements in lung function or increases in symptoms (Aris et al., 1995). Recently,  Que et al.
 6    (2011) assessed methacholine responsiveness in healthy young adults (83M, 55 F) one day after
 7    exposure to 220 ppb 63 and filtered air for 2.25 hours (alternating 15 minute periods of rest and
 8    brisk treadmill walking). Increases in airways responsiveness at 1 day post-Os exposure were not
 9    correlated with FEVi responses immediately following the Os exposure or with changes in
10    epithelial permeability  assessed 1-day post-Cb exposure. This indicates that airway  hyper-
11    responsiveness also appears to be mediated by a differing physiologic pathway.
12          As mentioned above, in addition to human subjects a number of species, including
13    nonhuman primates, dogs, cats, rabbits, and rodents, have been used to examine the effect of Os
14    exposure on airway hyperresponsiveness (see Table 6-14, (U.S. EPA, 1996n) of the 1996 Os
15    AQCD and Annex Table AX5-12 on page AX5-36 (U.S. EPA, 2006h) of the 2006 O3 AQCD). A
16    body of animal toxicology studies, including some recent studies conducted since the last review,
17    provides support for the (Vinduced AHR reported in humans (U.S. EPA, 2013, section 6.2.2.2).
18    Although most of these studies evaluated 63 concentrations  above those typically found in
19    ambient air in cities in the United  States (i.e., most studies evaluated 63 concentrations of 100
20    ppb or greater), one study reported that a very low exposure concentration (50 ppb for 4 hours)
21    induced AHR in some rat strains (Depuydt et al., 1999). Additional  recent rodent studies
22    reported Cb-induced AHR following exposures to Os concentrations from 100 to  500 ppb
23    (Johnston et al., 2005; Chhabra et al., 2010; Larsen et al., 2010). In characterizing the relevance
24    of these exposure concentrations, the ISA noted that a study using radiolabeled Os suggests that
25    even very high 63 exposure concentrations in rodents could be equivalent to much lower
26    exposure concentrations in humans.  Specifically, a 2000 ppb (2 ppm) 63 exposure  concentration
27    in resting rats was reported to be roughly equivalent to a 400 ppb exposure concentration in
28    exercising humans (Hatch et al., 1994).  Given this relationship, the ISA noted that  animal data
29    obtained in resting conditions could underestimate the risk of effects for humans (U.S. EPA,
30    2013, section 2.4, p. 2-14).
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 1           The 2006 AQCD (U.S. EPA, 2006, p. 6-34) concluded that spirometric responses to O3
 2    are independent of inflammatory responses and markers of epithelial injury (Balmes et al., 1996;
 3    Blomberg et al., 1999; Hazucha et al., 1996; Torres et al., 1997). Significant inflammatory
 4    responses to 63 exposures that did not elicit significant spirometric responses have been reported
 5    (Holz et al., 2005; McBride et al.,  1994). A recent study (Que et al., 2011) indicates that airway
 6    hyper-responsiveness also appears to be mediated by a differing physiologic pathway. These
 7    results from controlled human exposure studies indicate that sub-populations of healthy study
 8    subjects consistently experience larger than average lung function decrements, greater than
 9    average inflammatory responses and pulmonary injury as expressed by increased epithelial
10    permeability, and greater than average airway responsiveness, and that these effects are mediated
11    by apparently different physiologic pathways. Except for lung function decrements, we do not
12    have the concentration- or exposure-response function information about the other, potentially
13    more sensitive,17 clinical endpoints (i.e., inflammation, increased epithelial permeability, airway
14    hyperresponsiveness) that would allow us to quantitatively estimate the size of the population
15    affected and the magnitude of their responses. Moreover, some uncertainties about the  exact
16    physiological pathways underlying these endpoints prevents us from knowing whether the
17    exaggerated responses are distributed in sub-populations evenly across the population,  or may be
18    clustered with more than one type  of exaggerated response in particular sub-populations,  or both.
19           In summary, a strong body of controlled human exposure and animal toxicological
20    studies, most of which were available in the last review of the O^ NAAQS, report Os-induced
21    airway hyperresponsiveness after either acute or repeated exposures (U.S. EPA, 2013,  section
22    6.2.2.2). People with asthma often exhibit increased airway responsiveness at baseline  relative to
23    healthy controls, and they can experience further increases in responsiveness following
24    exposures to 63. Studies reporting increased airway responsiveness after 63 exposure contribute
25    to a plausible link between ambient Os exposures and increased respiratory symptoms in
26    asthmatics,  and increased hospital  admissions and emergency department visits for asthma (U.S.
27    EPA, 2013, section 6.2.2.2).
      17 CASAC noted that "...[W]hile measures of FEVi are quantitative and readily obtainable in humans, they are not
      the only measures — and perhaps not the most sensitive measures — of the adverse health effects induced by ozone
      exposure." (Henderson, 2006).
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 1                          Respiratory Symptoms and Medication Use
 2          Because respiratory symptoms are associated with adverse outcomes such as limitations
 3    in activity, and are the primary reason for people with asthma to use quick relief medication and
 4    seek medical care, studies evaluating the link between 63 exposures and such symptoms allow a
 5    more direct characterization of the clinical and public health significance of ambient 63 exposure
 6    than measures of lung function decrements and pulmonary inflammation. Controlled human
 7    exposure and toxicological studies have described modes of action through which short-term OT,
 8    exposures may increase respiratory symptoms by demonstrating Os-induced airway
 9    hyperresponsiveness (U.S. EPA, 2013, section 6.2.2) and pulmonary inflammation (U.S. EPA,
10    2013, section 6.2.3).
11          The link between subjective respiratory symptoms and Os exposures has been evaluated
12    in both controlled human exposure and epidemiologic studies, and the link with medication use
13    has been evaluated in epidemiologic studies. In the last review, several controlled human
14    exposure studies reported respiratory symptoms following exposures to O?, concentrations at or
15    above 80 ppb. In addition, one study reported such symptoms following exposures to 60 ppb 63,
16    though the increase was not statistically different from filtered air controls. Epidemiologic
17    studies reported associations between ambient  63 and respiratory symptoms and medication use
18    in a variety of locations and populations, including asthmatic children living in U.S. cities. In the
19    current review, additional controlled human exposure studies have  evaluated respiratory
20    symptoms following exposures to Os  concentrations below 80 ppb  and recent epidemiologic
21    studies have evaluated associations with respiratory symptoms and medication use (U.S. EPA,
22    2013, sections 6.2.1,6.2.4).
23          In controlled human exposure studies available in the  last review as well as newly
24    available studies, statistically significant increases in respiratory symptoms have been
25    consistently reported in healthy volunteers engaged in intermittent, moderate exertion following
26    6.6 hour exposures to average 03 concentrations at or above 80 ppb (Adams, 2003; Adams,
27    2006; Schelegle et al., 2009). Such symptoms have been reported to increase with increasing 63
28    exposure concentrations, duration of exposure, and activity level (McDonnell et al., 1999b). For
29    example, in a study available during the last review, Adams (2006) reported an increase in
30    respiratory symptoms in healthy adults during a 6.6 hour exposure protocol  with an average 63
                                               3-26

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 1    exposure concentration of 60 ppb. This increase was significantly different from initial
 2    respiratory symptoms, but not from filtered air controls. Two recent controlled human exposure
 3    studies that have become available since the last review did not report statistically significant
 4    increases in respiratory symptoms following exposures of healthy adults to 60 ppb 63 (Schelegle
 5    et al., 2009; Kim et al., 2011). A recent study by Schelegle et al. (2009) did report a statistically
 6    significant increase in respiratory symptoms in healthy adults following 6.6 hour exposures to an
 7    average O?, concentration of 70 ppb. The findings for Os-induced respiratory  symptoms in
 8    controlled human exposure studies, and the evidence integrated across disciplines describing
 9    underlying modes of action, provide biological plausibility for epidemiologic associations
10    observed between short-term increases in ambient 63 concentration and increases in respiratory
11    symptoms (U.S. EPA, 2013, section 6.2.4).
12          In epidemiologic studies, respiratory symptom data typically are collected by having
13    subjects (or their parents) record symptoms and  medication use in a diary without direct
14    supervision by study staff. Several  limitations of symptom reports are well recognized, as
15    described in the ISA (U.S. EPA, 2013, section 6.2.4). Nonetheless, symptom diaries remain  a
16    convenient tool to collect individual-level data from a large number of subjects and allow
17    modeling of associations between daily changes in Os concentration and daily changes in
18    respiratory morbidity over multiple weeks or months. Importantly, many of the limitations in
19    these studies are sources of random measurement error that can bias effect estimates to the null
20    or increase the uncertainty around effect estimates (U.S. EPA, 2013, Section  6.2.4). Because
21    respiratory symptoms are associated with limitations in activity and daily function and are the
22    primary reason for using medication and seeking medical care, the evidence is directly coherent
23    with the associations consistently observed between increases in ambient 63  concentration and
24    increases in asthma emergency department visits, discussed below (U.S. EPA, 2013, Section
25    6.2.4).
26          Most epidemiologic studies of 63 and respiratory symptoms and medication use have
27    been conducted in children and/or adults with asthma, with fewer studies, and less consistent
28    results, in non-asthmatic populations (U.S. EPA, 2013, section 6.2.4). The 2006 AQCD (U.S.
29    EPA, 2006b, U.S. EPA, 2013, section 6.2.4) concluded that the collective body of epidemiologic
30    evidence indicated that short-term increases in ambient Os concentrations are associated with
31    increases in respiratory symptoms in children with asthma. A large body of single-city and

                                                3-27

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 1    single-region studies of asthmatic children provides consistent evidence for associations between
 2    short-term increases in ambient Os concentrations and increased respiratory symptoms and
 3    asthma medication use in children with asthma (U.S. EPA, 2013, Figure 6-12, Table 6-20).

 4           Methodological differences among studies make comparisons across recent multicity
 5    studies of respiratory symptoms difficult. Because of fewer person-days of data (Schildcrout et
 6    al., 2006) or examination of 19-day averages of ambient Os concentrations (O'Connor et al.,
 7    2008), the ISA did not give greater weight to results from recent multicity studies than results
 8    from single-city studies (U.S. EPA, 2013, section 6.2.4.5). While evidence from the few
 9    available U.S. multicity studies is less consistent (O'Connor et al., 2008; Schildcrout et al., 2006;
10    Mortimer et al., 2002), the overall body of epidemiologic evidence with respect to the
11    association betweeen exposure to Os and respiratory symptoms in asthmatic children remains
12    compelling  (U.S. EPA, 2013, section 6.2.4.1).  Findings from a small body of studies indicate that
13    Os is also associated with increased respiratory symptoms in adults with asthma (Khatri et al.,
14    2009; Feo Brito et al., 2007; Ross et al., 2002) (U.S. EPA, 2013, section 6.2.4.2).
15           Available evidence indicates that Os-associated increases in respiratory symptoms are not
16    confounded by temperature, pollen, or copollutants (primarily PM) (U.S. EPA, 2013, section
17    6.2.4.5; Table 6-25; Romieu et al., 1996; Romieu et al., 1997; Thurston et al., 1997; Gent  et al.,
18    2003). However, identifying the independent effects of Os in some studies was complicated due
19    to the high correlations observed between Os and PM or different lags and averaging times
20    examined for copollutants. Nonetheless, the ISA noted that the robustness of associations  in
21    some studies of individuals with  asthma, combined with findings from controlled human
22    exposure studies for the direct effects of Os exposure, provide substantial evidence supporting
23    the independent effects of short-term ambient Os exposure on respiratory symptoms (U.S. EPA,
24    2013, section 6.2.4.5).
25           Epidemiologic  studies of medication use have reported associations with
26    1-hour maximum Os concentrations and with multiday average Os concentrations (Romieu et al.,
27    2006; Just et al., 2002). Some studies reported Os associations for both respiratory symptoms and
28    asthma medication use (Escamilla-Nufiez  et al., 2008; Romieu et al., 2006; Schildcrout et al.,
29    2006; Jalaludin et al., 2004; Romieu et al., 1997; Thurston et al., 1997) while others reported
30    associations for either respiratory symptoms or medication use (Romieu et al., 1996; Rabinovitch
31    et al., 2004; Just et al.,  2002; Ostro et al., 2001).
32           In summary, both controlled human exposure and epidemiologic studies have reported
33    respiratory symptoms attributable to short-term Os exposures. In the last review, the majority of
34    the evidence from controlled human exposure  studies in young, healthy adults was for symptoms
                                               3-28

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 1    following exposures to Os concentrations at or above 80 ppb. Although studies that have become
 2    available since the last review have not reported respiratory symptoms in young, healthy adults
 3    following exposures with moderate exertion to 60 ppb, one recent study has reported increased
 4    symptoms in young, healthy adults while at moderate exertion following exposures to 63
 5    concentrations as low as 70 ppb. As was concluded in the 2006 63 AQCD (U.S. EPA, 2006b,
 6    1996a), the collective body  of epidemiologic evidence indicates that short-term increases in
 7    ambient 63 concentration are associated with increases in respiratory symptoms in children with
 8    asthma (U.S. EPA, 2013, section 6.2.4). Recent studies of respiratory symptoms and medication
 9    use, primarily in asthmatic children, add to this evidence. In a smaller body  of studies, increases
10    in ambient 63 concentration were associated with increases in respiratory symptoms in adults
11    with asthma.
12                                       Lung Host Defense
13          The mammalian respiratory tract has a number of closely integrated  defense mechanisms
14    that, when functioning normally, provide protection from the potential health effects of
15    exposures to a wide variety  of inhaled particles and microbes. These defense mechanisms
16    include mucociliary clearance, alveolobronchiolar transport mechanism, alveolar macrophages18,
17    and adaptive immunity19 (U.S. EPA, 2013, section 6.2.5). The previous O3 AQCD (U.S. EPA,
18    2006) concluded that animal toxicological studies provided evidence that acute exposure to 63
19    concentrations as low as 100 to 500 ppb can increase susceptibility to infectious diseases due to
20    modulation of these lung host defenses. This conclusion was based in large part on animal
21    studies of alveolar macrophage functioning and mucociliary clearance (U.S. EPA, 2013, section
22    6.2.5).
23          With regard to alveolar macrophage functioning, the previous Os AQCD (U.S. EPA,
24    2006) concluded that short periods of Os exposure can cause a reduction in the number of free
25    alveolar macrophages available for pulmonary defense, and that these alveolar macrophages are
                                                                                          90
26    more fragile, less able to engulf particles (i.e., phagocytic), and exhibit decreased lysosomal
27    enzyme  activities (U.S. EPA, 2013, section 6.2.5). These conclusions were based largely on
      18 Phagocytic white blood cells within the alveoli of the lungs that ingest inhaled particles.
      19 The adaptive immune system, is also known as the acquired immune system. Acquired immunity creates
      immunological memory after an initial response to a specific pathogen, leading to an enhanced response to
      subsequent encounters with that same pathogen.
      20 Lysosomes are cellular organelles that contain acid hydrolase enzymes that break down waste materials and
      cellular debris.
                                                3-29

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 1    studies conducted in animals exposed for several hours up to several weeks to Os concentrations
 2    from 100 to 250 ppb (Hurst et al., 1970; Driscoll et al., 1987; Cohen et al., 2002). Consistent
 3    with the animal evidence, a controlled human exposure study available in the last review had
 4    reported decrements in the ability of alveolar macrophages to phagocytize yeast following
 5    exposures of healthy volunteers to Os concentrations of 80 and 100 ppb for 6.6-hour during
 6    moderate exercise (Devlin et al., 1991). Integrating the animal study results with human
 7    exposure evidence available in the 1996 Criteria Document, the 2006 Criteria Document
 8    concluded that available evidence indicates that short-term 03 exposures have the potential to
 9    impair host defenses in humans, primarily by interfering with alveolar macrophage function. Any
10    impairment in alveolar macrophage function may lead to decreased clearance of microorganisms
11    or nonviable particles. Compromised alveolar macrophage functions in asthmatics may increase
12    their susceptibility to other 63 effects,  the effects of particles, and respiratory infections (EPA,
13    2006a, p. 8-26).
14          With regard to mucociliary clearance, in the last review a number of studies  conducted in
15    different animal species had reported morphological damage to the cells of the tracheobronchial
16    tree from acute and sub-chronic exposure to 63 concentrations at or above 200 ppb.  The cilia
17    were either completely absent or had become noticeably shorter or blunt. In  general, functional
18    studies of mucociliary transport had observed a delay in particle clearance soon after acute
19    exposure, with decreased clearance more evident at higher doses (1 ppm) (U.S. EPA, 1986; U.S.
20    EPA, 2013, section 6.2.5.1).
21          Alveolobronchiolar transport mechanisms refers to the transport of particles  deposited in
22    the deep lung (alveoli) which may be removed either up through the respiratory tract (bronchi)
23    by alveolobronchiolar transport or through the lymphatic system. The pivotal mechanism of
24    alveolobronchiolar transport involves the movement of alveolar macrophages with ingested
25    particles to the bottom of the conducting airways.  These airways are lined with ciliated epithelial
26    cells and cells that produce mucous, which surrounds the macrophages.  The ciliated epithelial
27    cells move the mucous packets up the resiratory tract, hence the term "mucociliary escalator."
28    Although some studies show reduced tracheobronchial clearance after 63 exposure,  alveolar
29    clearance of deposited material is accelerated, presumably due to macrophage influx, which in
30    itself can be damaging.
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 1          With regard to adaptive immunity, a limited number of epidemiologic studies have
 2    examined associations between 63 exposure and hospital admissions or ED visits for respiratory
 3    infection, pneumonia, or influenza. Results have been mixed, and in some cases conflicting (U.S.
 4    EPA, 2013, Sections 6.2.7.2 and 6.2.7.3). With the exception of influenza, it is difficult to
 5    ascertain whether cases of respiratory infection or pneumonia are of viral or bacterial etiology.
 6    A recent study that examined the association between Os exposure and respiratory hospital
 7    admissions in response to an increase in influenza intensity did observe an increase in respiratory
 8    hospital  admissions (Wong et al., 2009), but information from toxicological studies of Os and
 9    viral infections is ambiguous.
10          In summary, relatively few studies conducted since the  last review have evaluated the
11    effects of Os exposures on lung host defense. When the available evidence is taken as a whole,
12    the ISA  concludes that acute Os exposures impair the host defense capability of animals,
13    primarily by depressing alveolar macrophage function and perhaps also by  decreasing
14    mucociliary clearance of inhaled particles and microorganisms. Coupled with limited evidence
15    from controlled human exposure studies, this suggests that humans exposed to 63 could be
16    predisposed to bacterial infections in the lower respiratory tract (EPA, 2013, section 6.2.5.5).
17    The seriousness of such infections may depend on how quickly bacteria develop virulence
18    factors and how rapidly PMNs are mobilized to compensate for the deficit in alveolar
19    macrophage function.
20                            Allergic and Asthma-Related Responses
21          Effects resulting from combined exposures to Os and allergens have been studied in a
22    variety of animal species, generally as models of experimental  asthma. Pulmonary function and
23    AHR in  animal models of asthma are discussed in detail in Section 6.2.1.3 and Section 6.2.2.2,
24    respectively, in the ISA (U.S. EPA, 2013). Studies of allergic and asthma-related responses are
25    discussed in detail in sections 5.3.6 and 6.2.6 of the ISA (U.S. EPA,  2013).
26          Evidence available in the last review indicates that Os exposure skews immune responses
27    toward an allergic phenotype. For example,  Gershwin et al. (1981) reported that Os (800 and 500
28    ppb for 4 days) exposure caused a 34-fold increase in the number of IgE (allergic  antibody)-
29    containing cells in the lungs of mice. In general, the number of IgE-containing cells correlated
30    positively with levels of anaphylactic sensitivity. In humans, allergic rhinoconjunctivitis
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 1    symptoms are associated with increases in ambient O^ concentrations (Riediker et al., 2001).
 2    Controlled human exposure studies have observed Cb-induced changes indicating allergic
 3    skewing. Airway eosinophils, which are white blood cells that participate in allergic disease and
 4    inflammation, were observed to increase in volunteers with atopy21 and mild asthma (Peden et
 5    al., 1997). In a more recent study, expression of IL-5, a cytokine involved in eosinophil
 6    recruitment and activation, was increased in subjects with atopy but not in healthy subjects
 7    (Hernandez et al., 2010). Epidemiologic studies describe associations between eosinophils in
 8    both short- (U.S. EPA, 2013, Section 6.2.3.2) and long-term (U.S. EPA, 2013, Section 7.2.5) O3
 9    exposure, as do chronic  exposure studies in non-human primates. Collectively, findings from
10    these studies suggest that 63 can induce or enhance certain components of allergic inflammation
11    in individuals with allergy or allergic asthma.
12           Evidence available in the last review indicates that ozone may also increase  AHR to
13    specific allergen triggers (75 FR 2970, January 19, 2010). Two studies (Torres et al., 1996; Holz
14    et al., 2002) observed increased airway responsiveness to 63 exposure with bronchial  allergen
15    challenge in subjects with preexisting allergic airway disease.  Ozone-induced exacerbation of
16    airway responsiveness persists longer and attenuates more slowly than (Vinduced lung function
17    decrements and respiratory symptom responses and can have important clinical implications for
18    asthmatics.
19           Animal toxicology studies indicate that 63 enhances inflammatory and allergic responses
20    to allergen challenge in sensitized animals. In addition to exacerbating existing allergic
21    responses, toxicology studies indicate that Os can also act as an adjuvant to produce sensitization
22    in the respiratory tract. Along with its pro-allergic effects (inducing or enhancing certain
23    components of allergic inflammation in individuals with allergy or allergic asthma), Os could
24    also make airborne allergens more allergenic. When combined with NC>2, Os has been shown to
25    enhance nitration  of common protein allergens, which may increase their allergenicity Franze et
26    al. (2005).
      21 Atopy is a predisposition toward developing certain allergic hypersensitivity reactions. A person with atopy
      typically presents with one or more of the following: eczema (atopic dermatitis), allergic rhinitis (hay fever), allergic
      conjunctivitis, or allergic asthma.
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 1                     Hospital Admissions and Emergency Department Visits
 2          The 2006 Os AQCD evaluated numerous studies of respiratory-related emergency
 3    department visits and hospital admissions. These were primarily time-series studies conducted in
 4    the U.S., Canada, Europe, South America, Australia, and Asia. Based on such studies, the 2006
 5    Oj, AQCD concluded that "the overall evidence supports a causal relationship between acute
 6    ambient 63 exposures and increased respiratory morbidity resulting in increased ED visits and
                                               99       _           	
 7    [hospital admissions] during the warm season  " (U.S. EPA, 2006). This conclusion was
 8    "strongly supported by the human clinical, animal toxicologic[al], and epidemiologic evidence
 9    for [Os-induced] lung function decrements, increased respiratory symptoms, airway
10    inflammation, and airway hyperreactivity" (U.S. EPA, 2006).
11          The results of recent studies largely support the conclusions of the 2006 OsAQCD (U.S.
12    EPA, 2013, section 6.2.7). Since the completion of the 2006 O3 AQCD, relatively fewer studies
13    conducted in the U.S., Canada, and Europe have evaluated associations between short-term Os
14    concentrations and respiratory hospital admissions and emergency department visits, with a
15    growing number of studies conducted in Asia. This epidemiologic evidence is summarized in
16    Appendix 3-B and discussed in detail in the ISA (U.S. EPA, 2013, section 6.2.7).
17          In considering this body of evidence, the ISA focused primarily on multicity studies
18    because they examine associations with respiratory-related hospital admissions and emergency
19    department visits over large geographic areas using consistent statistical methodologies (U.S.
20    EPA, 2013, section 6.2.7.1). The ISA also focused on single-city studies that encompassed a
21    large number of hospital admissions or emergency department visits, included long study-
22    durations, were  conducted in locations not represented by the larger studies, or examined
23    population-specific characteristics that were not evaluated in the larger studies (U.S. EPA, 2013,
24    section 6.2.7.1). When  examining the association between short-term Os exposure and
25    respiratory health effects that require medical attention, the ISA distinguishes between hospital
26    admissions and  emergency department visits because it is likely that a small percentage of
27    respiratory emergency department visits will be admitted to the hospital, therefore respiratory
28    emergency department visits may represent potentially less serious, but more common outcomes
29    (U.S. EPA, 2013, section 6.2.7.1).
30          The results of studies evaluated in this review largely support the conclusions of the 2006
31    AQCD. Several recent multicity studies (e.g., Cakmak et al., 2006; Dales et al., 2006) and a
32    multi-continent  study (Katsouyanni et al., 2009) report associations between short-term Os
      22Epidemiologic associations for O3 are more robust during the warm season than during cooler months (e.g.,
      smaller measurement error, less potential confounding by copollutants). Rationale for focusing on warm season
      epidemiologic studies for O3 can be found at 72 FR 37838-37840.

                                                3-33

-------
 1   concentrations and increased respiratory-related hospital admissions and emergency department
 2   visits. These multeity studies are supported by consistent results from single-city studies using
 3   different exposure assignment approaches (i.e., average of multiple monitors, single monitor,
 4   population-weighted average) and averaging times (i.e., 1-hour max and 8-hour max) (U.S. EPA,
 5   2013, sections 6.2.7.1 to 6.2.7.5). Recent studies also report associations with hospital
 6   admissions and emergency department visits for asthma (Strickland et al., 2010; Stieb et al.,
 7   2009) and COPD (Stieb et al., 2009; Medina-Ramon et al.,  2006), with more limited evidence for
 8   pneumonia (Medina-Ramon et al., 2006; Zanobetti and Schwartz, 2006). In seasonal analyses
 9   (Figure 3-2 below; U.S. EPA, 2013, Figure 6-19, Table 6-28), stronger associations were
10   reported in the warm season or summer months (red circles) compared to the cold season (blue
11   circles), particularly for asthma (Strickland et al., 2010; Ito et al., 2007b) and COPD (Medina-
12   Ramon et al., 2006). The available evidence indicates that children are at greatest risk for
13   Os-induced respiratory effects (Silverman and Ito, 2010; Strickland et al., 2010; Mar and Koenig,
14   2009; Villeneuve et al., 2007; Dales et al., 2006).
15          Although the collective evidence across studies indicates a mostly consistent positive
16   association between Oj, exposure and respiratory-related hospital admissions and ED visits, the
17   magnitude of these associations may be underestimated due to behavioral modification in
18   response to air quality forecasts (U.S. EPA, 2013, Section 4.6.6).
                                                3-34

-------
         Study

         Wongetal. (2009)
         Cakmaketal. (2006)
         Dales etal. (2006)
         Orazzoet al.(2009)a
         Katsouyanni et al. (2009)
         Darrowet al.(2009)
         Tolbertetal. (2007)
         Biggerietal. (2005)c
         Katsouyanni et al.(2009)
         Stiebetal. (2009)
         Villeneuveetal. (2007)
         Strickland etal. (2010)
         Silverman and Ito (2010)d
         Itp etal. (2007
         Villeneuveetal. (2007)
         Mar and Koenig  2009
         Strickland etal. (2010)
                                         Location
Visit Type
            Age
                     Lag
         Silverman and Ito (2010)d
         Mar and Koenig (2009)
         Itp etal. (2007),
        Villeneuveetal. (2007)
        Strickland etal. (2010)

        Wongetal. (2009)
        Stiebetal. (2009)
        Yang etal. (2006)
        Medina-Ramon etal. (2006)
        Stiebetal. (2009)e
        Medina-Ramon etal. (2006)


        Zanobettiand Schwartz (2006)
        Medina-Ramon etal. (2006)
Hong Kong
10 Canadian cities
11 Canadian cities
6 Italian cities
APHENA-Europe
APHENA-U.S.
APHENA-Canada
APHENA-Canada
Atlanta
Atlanta
8 Italian cities
APHENA-Europe
APHENA-U.S\
APHENA-Canada
APHENA-Canada
7 Canadian Cities
Alberta, CAN
Atlanta
New York
New York
Alberta, CAN
Seattle, WA
Atlanta
New York
Seattle, WA
New York
Alberta, CAN
Atlanta
Hong Kong
7 Canadian Cities
Vancouver
36 U.S. cities
7 Canadian Cities
36 U.S. cities
36 U.S. cities
Boston
36 U.S. cities
36 U.S. cities
36 U.S. cities
HA
HA
HA
ED
HA
HA
HA
HA
ED
ED
HA
HA
HA
HA
HA
ED
ED
ED
HA
ED
ED
ED
ED
HA
ED
ED
ED
ED
HA
ED
HA
HA
ED
HA
HA
HA
HA
HA
HA
All
All
0-27 days
0-2
65+
65+
65+
65+
All
All
All
65+
65+
65+
65+
All
>2
Children
All
All
>2
18+
Children
6-18

All
>2
Children
All
All
65+
65+
All
65+
65+
65+
65+
65+
65+
0-1
1.2
2
0-6
0-1
0-1
DLjO-2
DL 0-2
1
0-2
0-3
0-1
0-1
DLjO-2
DL(0-2
2
0-2
0-2
0-1
0-1
0-2
2
0-2
0-1
0
0-1
0-2
0-2
0-1
2
0-3
DL(0-1
NR
DL 0-1
DL 0-1
0-1
DL 0-1
DL 0-1
DL 0-1
                                Respiratory
                                                                                     Asthma
                                COPD
                                Pneumonia
                                                           •*----•-
                                                            v
                                                                                     I	1	1	1	1	      	1	1	1	T	T	1	1	1

                                                                                    -25   -20   -15   -10    -5     0    5    10     15    20    25    30    35   40
                                                                                                                    % Increase


      Note: Effect estimates are for a 20 ppb increase in 24-h; 30 ppb increase in 8-h max; and 40 ppb increase in 1-h max O3 concentrations. HA=hospital admission; ED=emergency
        department. Black=AII-year analysis; Red=Summer only analysis; Blue=Winter only analysis.

      a Wheeze used as indicator of lower respiratory disease.

      b APHENA-Canada results standardized to approximate IQR of 5.1 ppb for 1-h max O3 concentrations.

      0 Study included 8 cities; but of those 8, only 4 had O3 data.

      d non-ICU effect estimates.

      e The study did not specify the lag day of the summer season estimate.
2     Figure 3-2.   Percent increase in respiratory-related hospital admission and emergency department visits in studies that
3                      presented all-year and/or seasonal results.
                                                                                      3-35

-------
 1           Studies examining the potential confounding effects of copollutants have reported that O?,
 2    effect estimates remained relatively robust upon the inclusion of PM and gaseous pollutants in
 3    two-pollutant models (U.S. 2013, Figure 6-20, Table 6-29). Additional studies that conducted
 4    copollutant analyses, but did not present quantitative results, also support these conclusions
 5    (Strickland et al., 2010; Tolbert et al., 2007; Medina-Ramon et al., 2006) (U.S. 2013, section
 6    6.2.7.5).
 7           In the last review, studies had not evaluated the concentration-response relationship
 8    between short-term Oj, exposure and respiratory-related hospital admissions and emergency
 9    department visits. A preliminary examination of this relationship in studies that have become
10    available since the last review found no evidence of a deviation from linearity when examining
11    the association between short-term 63 exposure and asthma hospital admissions (U.S. EPA,
12    2013, page 6-157, and Silverman and Ito, 2010). In addition, an examination of the
13    concentration-response relationship for 63 exposure and pediatric asthma emergency department
14    visits found no evidence of a threshold at 63 concentrations as low as 30 ppb  (for 8-hour daily
15    maximum concentrations) (Strickland et al., 2010). However, in both  studies there is uncertainty
16    in the shape of the concentration-response curve at the lower end of the distribution of 63
17    concentrations due to the low density of data in this range (U.S. 2013, page 6-157).

18                                      Respiratory Mortality
19           The controlled human exposure, epidemiologic, and toxicological studies discussed in
20    section 6.2 of the ISA (U.S.  EPA, 1013a, section 6.2) provide strong evidence for respiratory
21    morbidity  effects, including ED visits and hospital admissions, in response to short-term 63
22    exposures. Moreover, evidence from experimental studies indicates multiple potential pathways
23    of respiratory effects from short-term 63 exposures, which support the continuum of respiratory
24    effects that could potentially result in respiratory-related mortality in adults (U.S. EPA, 1013a,
25    section 6.2.8). The 2006 O^  AQCD found inconsistent evidence for associations between short-
26    term 63 concentrations and respiratory mortality (U.S. EPA, 2006). Although some studies
27    reported a strong positive association between Os  and respiratory mortality, additional studies
28    reported small associations or no associations. New epidemiologic evidence for respiratory
29    mortality is discussed in detail in section 6.2.8 of the ISA (U.S. EPA,  2013). The majority of
30    recent multicity studies have reported positive associations between short-term Os exposures and
31    respiratory mortality, particularly during the summer months (U.S. EPA, 2013, Figure 6-36).
32           Specifically, recent multicity studies from  the U.S. (Zanobetti  and Schwartz, 2008b),
33    Europe (Samoli et al., 2009), Italy (Stafoggia et al., 2010),  and Asia (Wong et al., 2010), as well
34    as a multi-continent study (Katsouyanni et al., 2009), reported associations between short-term
                                                3-36

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 1    Os concentrations and respiratory mortality (U.S. EPA, 2013, Figure 6-37, page 6-259). With
 2    respect to respiratory mortality, summer-only analyses were consistently positive and most were
 3    statistically significant. All-year analyses had more mixed results, but most were positive.
 4           Of the studies evaluated, only the studies by Katsouyanni et al. (2009) and by Stafoggia
 5    et al. (2010) analyzed the potential for copollutant confounding of the Os-respiratory mortality
 6    relationship. Based on the results of these analyses, the ISA concluded that 63 respiratory
 7    mortality risk estimates appear to be moderately to substantially sensitive (e.g., increased or
 8    attenuated)  to inclusion of PMio. However, in the APHENA study, the mostly every-6th-day
 9    sampling schedule for PMio in the Canadian and U.S. datasets greatly reduced their sample size
10    and limits the interpretation of these results (U.S. EPA, 2013, section 6.2.8).
11           In summary, recent epidemiologic studies support and reinforce the epidemiologic
12    evidence for (Vassociated respiratory hospital admissions and emergency department visits
13    from the last review. In addition, the evidence for associations with respiratory mortality has
14    been strengthened considerably since the last review, with the addition of several large multicity
15    studies. The plausibility of the associations reported in these studies is supported by the
16    experimental evidence for respiratory effects.
17         3.1.2.2  Respiratory Effects - Long-term Exposures
18         •  To what extent does the currently available scientific evidence, including related
19            uncertainties,  strengthen or alter our understanding from the last review of
20            respiratory effects attributable to long-term Os exposures?
21           As recognized in section 3.1.2.1, "the clearest evidence for health effects associated with
22    exposure to 63 is provided by studies of respiratory effects" (U.S. EPA, 2013, section 1, p. 1-6).
23    Collectively, there is a vast amount of evidence spanning several decades that supports a causal
24    association  between exposure to 63 and a continuum of respiratory effects (U.S.  EPA, 2013,
25    section 2.5). While the majority of this evidence is derived from studies investigating short-term
26    exposures, evidence from animal toxicological studies and recent epidemiologic  evidence
27    indicate that long-term exposures (i.e., months to years) may also be detrimental  to the
28    respiratory  system. Across this evidence, particularly the epidemiologic evidence, the exposures
29    of focus vary, often involving repeated short concentrations extending over a long period, rather
30    than a continuous long-term exposure period.
31           In the 2006 Os AQCD, evidence was examined for relationships between long-term Os
32    exposure and effects on respiratory health outcomes including declines in lung function,
33    increases in inflammation, and development of asthma in children and adults. Animal toxicology
34    data provided a clearer picture indicating that long-term O3 exposure may have lasting effects.
                                                3-37

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             9^
 1    Chronic  exposure studies in animals have reported biochemical and morphological changes
 2    suggestive of irreversible long-term 63 impacts on the lung. In contrast to supportive evidence
 3    from chronic animal studies, the epidemiologic studies on longer-term (annual) lung function
 4    declines, inflammation, and new asthma development remained inconclusive.
 5           Several epidemiologic studies collectively indicated that Os exposure averaged over
 6    several summer months was associated with smaller increases in lung function growth in
 7    children. For longer averaging periods (annual), the analysis in the Children's Health Study
 8    (CHS) reported by Gauderman et al. (2004) provided little evidence that such long-term
 9    exposure to ambient Os was associated with significant deficits in the growth rate of lung
10    function in children. Limited epidemiologic research examined the relationship between long-
11    term 63 exposures and inflammation. Cross-sectional studies detected no associations between
12    long-term Os exposures and asthma prevalence, asthma-related symptoms or allergy to common
13    aeroallergens in children. However, longitudinal studies provided evidence that long-term 63
14    exposure influences the risk of asthma development in children and adults.

15           The currently available body of evidence supporting a relationship between long-term 03
16    exposures and adverse respiratory health effects that is likely to be causal is discussed in detail in
17    the ISA (EPA 2013, section 7.2). New evidence reports interactions between genetic variants and
18    long-term Os exposure affect the occurrence of new-onset asthma in multi-community, U.S.
19    cohort studies where protection by specific oxidant gene variants was restricted to children living
20    in low Os communities. A new line of evidence reports a positive concentration-response
21    relationship between first asthma hospitalization and long-term 63 exposure. Related studies
22    report coherent relationships between asthma severity and control, and respiratory symptoms
23    among asthmatics and long-term Os exposure.  There is also limited evidence for an association
24    between long-term exposure to ambient 63 concentrations and respiratory mortality. These
25    studies are summarized briefly below for new-onset asthma and asthma prevalence, asthma
26    hospital admissions and other morbidity effects, pulmonary structure and function, and
27    respiratory mortality.
28           Currently available scientific evidence of the adverse health effects attributable to long-
29    term Os exposures, even considering related uncertainties, is much stronger than the body of
30    evidence available at the time of the 2008 review of the O3 standard. The 2006 O3 AQCD (U.S.
31    EPA 2006) concluded that epidemiologic studies provided no evidence of associations between
32    long-term (annual) Os exposures and asthma-related symptoms, asthma prevalence, or allergy to
      23 Unless otherwise specified, the term "chronic" generally refers to an annual exposure duration for epidemiologic
      studies and a duration of greater than 10% of the lifespan of the animal in lexicological studies.
                                                3-38

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 1    common allergens after controlling for covariates. It found limited evidence for a relationship
 2    between long-term exposures to ambient 63 and deficits in the growth rate of lung-function in
 3    children, pulmonary inflammation and other endpoints. Episodic exposures were also known to
 4    cause more severe pulmonary morphological changes than continuous exposure.
 5           The evidence base available in this review includes additional epidemiologic studies
 6    using a variety of designs and analysis methods evaluating the relationship between long-term 63
 7    exposures and measures of respiratory morbidity and mortality effects conducted by different
 8    research groups in different locations. The ISA (U.S. EPA, 2013, p. 7-33), in Table 7-2 presents
 9    selected key new longitudinal and cross-sectional studies of respiratory health effects and
10    associated 03 concentrations. The positive results from various designs and locations support a
11    relationship between long-term exposure to ambient 63 and respiratory health effects and
12    mortality.
13           In this review, the evidence of effects associated with long-term exposures strengthens
14    the relationship between 03 exposure and health effects defined as adverse by the American
15    Thoracic Society (ATS), a definition that has been used in previous reviews of the 63 standard.
16    As discussed in more detail in section 3.1.3 below, the ATS (1985) defined adverse as
17    "medically significant physiologic or pathologic changes generally evidenced by one or more of
18    the following: (1) interference with the normal activity of the affected person or persons, (2)
19    episodic respiratory illness, (3) incapacitating illness, (4) permanent respiratory injury, and/or (5)
20    progressive respiratory dysfunction." As discussed below, in this review there is now credible
21    evidence of respiratory health effects associated with long-term  OT, exposures that would fall in
22    to each of these five categories that define adversity.
23           From a policy perspective, the recent epidemiologic studies from the CHS of long-term
24    63 exposures that shed light on the interaction between genetic variability, 63 exposures, and
25    health effects in children are important, not only because they help clarify previous findings, but
26    also because the effects evaluated, such as new-onset asthma,  are clearly adverse. The ISA (U.S.
27    EPA, 2013, p. 7-12) notes that the collective evidence from CHS provides an important
28    demonstration of gene-environment interactions. It further notes that in the complex
29    gene-environment setting a modifying effect might not be reflected in an exposure main effect
30    and that the simultaneous occurrence of main effect and interaction effect  can occur. Moreover,
31    the study of gene-environment interactions elucidates disease mechanisms in humans by using
32    information on susceptibility genes to focus on the biological pathways that are most relevant to
33    that disease (Hunter, 2005).
34           In the CHS cohort of children in 12 Southern California communities, long-term
35    exposure to 03 concentrations was not associated with increased risk of developing asthma

                                                3-39

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 1    (McConnell et al., 2010); however, greater outdoor exercise was associated with development of
 2    asthma in children living in communities with higher ambient Oi concentrations (McConnell et
 3    al., 2002). Recent CHS studies examined interactions among genetic variants, long-term O^
 4    exposure, and new onset asthma in children. These prospective cohort studies are
 5    methodologically rigorous epidemiologic studies, and evidence indicates gene-Cb interactions.
 6    These studies have provided data supporting decreased risk of certain genetic variants on new
 7    onset asthma (e.g., HMOX-1, ARG) that is limited to children either in low (Islam et al., 2008)
 8    or high (Salam et al., 2009) Os communities. Gene-environment interaction also was
 9    demonstrated with findings that greater outdoor exercise increased risk of asthma in GSTP1
10    lie/lie children living in high Oi communities  (Islam et al., 2009). Biological plausibility for
11    these gene-Os environment interactions is provided by evidence that these enzymes have
12    antioxidant and/or anti-inflammatory activity and participate in well recognized modes of action
13    in asthma pathogenesis. As Os is a source of oxidants in the airways, oxidative stress serves as
14    the link among O^ exposure, enzyme activity,  and asthma. Cross-sectional studies by Akinbami
15    et al. (2010) and Hwang et al. (2005) provide further evidence relating 63 exposures with asthma
16    prevalence.
17           Studies using a cross-sectional design provide  support for a relationship between long-
18    term O^ exposure and adverse health effects in asthmatics, including: bronchitic symptoms
19    (related to TNF-308 genotype in asthmatic children) (Lee et al.,  2009b); asthma severity (Rage et
20    al., 2009b) and asthma control (Jacquemin et al., 2012) in an adult cohort; respiratory-related
21    school absences (related to CAT and MPO variant genes) (Wenten et al., 2009); asthma ED
22    visits in adults (Meng et al., 2010); and, asthma hospital admissions in adults and children (Lin et
23    al., 2008; Meng  et al., 2010; Moore et al.,  2008). Several studies, shown in Table 7-3 (ISA, U.S.
24    EPA, 2013, p. 7-35), provide results adjusted for potential confounders presenting results for
25    both Os and PM (in single and multipollutant models) as well as other pollutants where PM
26    effects were not provided. As shown in this table, 03 associations were generally robust to
27    adjustment by potential confounding by PM.
28           Information from toxicological studies in nonhuman primates indicates that long term
29    exposure to OT, during gestation or development can result in irreversible morphological  changes
30    in the lung, which in turn can influence the function of the respiratory tract. This nonhuman
31    primate evidence of an Os-induced change in airway responsiveness supports the biologic
32    plausibility of long term exposure to Os contributing to effects of asthma in children. However,
33    results from epidemiologic studies examining  long-term 63 exposure and pulmonary function
34    effects are inconclusive with some new studies relating effects at higher exposure levels.
                                                3-40

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 1          The ISA (U.S. EPA, 2013, p. 7-31) concludes that there is limited evidence for an
 2    association between long-term exposure to ambient Os concentrations and respiratory mortality
 3    in adults (Jerrett et al., 2009). This effect was robust to the inclusion of PM2.5 and insensitive to a
 4    number of different model specifications. Moreover, there is evidence that long-term exposure to
 5    Os is associated with mortality among individuals that had previously experienced an emergency
 6    hospital admission due to COPD (Zanobetti and Schwartz, 2011).

 7          In conclusion, since the last review, the body of evidence about the effects of long-term
 8    Os exposure has been considerably strengthened. The scientific evidence available for this
 9    review, including related uncertainties, provides an overall strong body of evidence of adverse
10    health effects attributable to long-term 63 exposures. These include a coherent range of asthma
11    morbidity effects such as new-onset asthma, asthma prevalence, symptoms, school absences, ED
12    visits and hospital admissions. There is also new evidence of respiratory mortality associated
13    with long-term Os exposure. Further discussion of key studies is below.

14                          New-onset Asthma and Asthma Prevalence
15          Asthma is a heterogeneous disease with a high degree of temporal variability. The on-set,
16    progression, and symptoms can vary within an individual's lifetime, and the course of asthma
17    may vary markedly in young children, older children, adolescents, and adults. In the previous
18    review, longitudinal cohort studies that examined associations between long-term Os exposures
19    and the onset of asthma in adults and children indicated a direct effect of long-term Os exposures
20    on asthma risk in adults (McDonnell et al., 1999a,  15-year follow-up; Greer et al., 1993, 10-year
21    follow-up) and effect modification by Os in children (McConnell et al., 2002). Since that review,
22    important new evidence has become available about the association between long-term
23    exposures to Os and new-onset asthma that has increased our understanding of the gene-
24    environment interaction and the mechanisms and biological pathways most relevant to assessing
25    Os-related effects.
26          In children, the relationship between long-term Os exposure and new-onset asthma has
27    been extensively studied in the CHS; a long-term study that was initiated in the early!990's
28    which has  evaluated effects in several cohorts of children. The CHS was initially designed to
29    examine whether long-term exposure to ambient pollution was related to chronic respiratory
30    outcomes in children in 12 communities in southern California. In the CHS, new-onset asthma
31    was classified as having no prior history of asthma at study entry with subsequent report of
32    physician-diagnosed asthma at follow-up, with the date of onset assigned to be the midpoint of
33    the interval between the interview date when asthma diagnosis was first reported and the
34    previous interview date. The results of one study (McConnell et al., 2002) available in the
                                               3-41

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 1    previous review indicated that within high O?, communities, asthma risk was 3.3 times greater for
 2    children who played three or more outdoor sports as compared with children who played no
 3    sports.
 4          For this review, as discussed in section 7.2.1.1 of the ISA (U.S. EPA 2013), recent
 5    studies from the CHS provide evidence for gene-environment interactions in effects on new-
 6    onset asthma by indicating that the lower risks associated with specific genetic variants are found
 7    in children who live in lower O^ communities. These studies indicate that the risk for new-onset
 8    asthma is related in part to genetic susceptibility, as well as behavioral factors and environmental
 9    exposure. The onset of a chronic disease, such as asthma, is partially the result of a sequence of
10    biochemical reactions involving exposures to various environmental agents metabolized by
11    enzymes related to a number of different genes. Oxidative stress has been proposed to underlie
12    the mechanistic hypotheses related to Os exposure. Genetic variants may impact disease risk
13    directly, or modify disease risk by affecting internal dose of pollutants and other environmental
14    agents and/or their reaction products, or by altering cellular and molecular modes of action.
15    Understanding the relation between genetic polymorphisms and environmental exposure can
16    help identify high-risk subgroups in the population and provide better insight into pathway
17    mechanisms for these complex diseases.
18          The CHS analyses (Islam et al., 2008; Islam et al. 2009; Salam et al., 2009) have found
19    that asthma risk is related to interactions  between O^ and variants in genes for enzymes such as
20    heme-oxygenase (HO-1), arginases (ARG1 and 2), and glutathione S transferase PI  (GSTP1).
21    Biological plausibility for these findings  is provided by evidence that these enzymes have
22    antioxidant and/or anti-inflammatory activity and participate in well-recognized modes of action
23    in asthma pathogenesis.  Further, several  lines of evidence demonstrate that secondary oxidation
24    products of Os initiate the key modes of action that mediate downstream health effects (ISA,
25    Section 5.3, U.S. EPA, 2013). For example, HO-1 responds rapidly to oxidants, has anti-
26    inflammatory and anti-oxidant effects, relaxes airway  smooth muscle, and is induced in the
27    airways during asthma. Gene-environment interactions are discussed in  detail in Section 5.4.2.1
28    in the ISA (U.S. EPA, 2013).

29                                 Asthma Hospital Admissions
30          In the 2006 AQCD, studies on (Vrelated hospital discharges and emergency department
31    (ED) visits for asthma and respiratory disease mainly looked at short-term (daily) metrics. The
32    short-term Os studies  presented in section 6.2.7.5 of the ISA (U.S. EPA 2013) and discussed
33    above in section 3.1.2.1  continue to indicate that there is evidence for increases in both hospital
34    admissions and ED visits in children and adults related to all respiratory outcomes, including
                                               3-42

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 1    asthma, with stronger associations in the warm months. New studies, discussed in section 7.2.2
 2    of the ISA (U.S. EPA, 2013) also evaluated long-term 63 exposure metrics, providing a new line
 3    of evidence that suggests a positive exposure-response relationship between the first hospital
 4    admission for asthma and long-term 63 exposure, although the ISA cautions in attributing the
 5    associations in that study to long-term exposures since there is potential for short-term exposures
 6    to contribute to the observed associations.
 7          Evidence associating long-term 03 exposure to first asthma hospital admission in a
 8    positive concentration-response relationship is provided in a retrospective cohort study (Lin et
 9    al., 2008b). This study investigated the association between chronic exposure to Os and
10    childhood asthma admissions by following a birth cohort of more than 1.2 million babies born in
11    New York State (1995-1999) to first asthma admission or until 31 December 2000.  Three annual
12    indicators (all 8-hour maximum from 10:00 a.m. to 6:00 p.m.) were used to define chronic Os
13    exposure: (1) mean concentration during the follow-up period (41.06 ppb); (2) mean
14    concentration during the 63  season (50.62 ppb); and (3) proportion of follow-up days with 63
15    levels >70 ppb. The effects of co-pollutants were controlled, and interaction terms were used to
16    assess potential effect modifications. A positive association between chronic exposure to 63 and
17    childhood asthma hospital admissions was observed, indicating that children exposed to high Os
18    levels over time are more likely to develop asthma severe enough to be admitted to the hospital.
19    The various factors were examined and differences were found for younger children (1-2 years),
20    poor neighborhoods, Medicaid/self-paid births, geographic region and others. As shown in the
21    ISA, Figure 7-3 (EPA 2013, p. 7-16), positive concentration-response relationships were
22    observed.  Asthma admissions were significantly associated with increased 63 levels for all
23    chronic exposure indicators.
24          In considering the relationship between long-term pollutant exposures and chronic
25    disease heath endpoints, where chronic pathologies are found with acute expression of chronic
26    disease, Kiinzli (2012) hypothesizes that if the associations of pollution with events are much
27    larger in the long-term studies, it provides some indirect evidence that air pollution increases the
28    pool of subjects with chronic disease, and that more acute events are to be expected to be seen
29    for higher exposures.  The results of Lin et al (2008) for first asthma hospital admission,
30    presented in Figure 7-3  (EPA 2013,  p. 7-16), show effects estimates that are larger than those
31    reported in a study of childhood asthma hospital admission in New York state (Silverman and
32    Ito, 2010), discussed in  section 3.1.2.1 and 3.1.2.2 above. The ISA (U.S. EPA, 2013, p. 7-16)
33    notes that this provides  some support for the hypothesis that 63 exposure may not only have
34    triggered the events but also increased the pool of asthmatic children, but  cautions in attributing
                                                3-43

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 1    the associations in Lin et al. (2008) study to long-term exposures since there is potential for
 2    short-term exposures to contribute to the observed associations.

 3                               Pulmonary structure and function
 4          In the 2006 Os AQCD, few epidemiologic studies had investigated the effect of chronic
 5    Os exposure on pulmonary function. The strongest evidence was for medium-term effects of
 6    extended Os exposures over several summer months on lung function (FEVi) in children, i.e.,
 7    reduced lung function growth being associated with higher ambient Os levels. Short-term Os
 8    exposure studies presented in ISA (EPA, 2013, Section 6.2.1.2), and above in section 3.1.2.1,
 9    provide a cumulative body of epidemiologic evidence that strongly supports associations
10    between ambient Os exposure and decrements in lung function among children.  A recent study
11    (Rojas-Martinez et al., 2007) of long-term exposure to Os, described in section 7.2.3.1 of the ISA
12    (U.S. EPA,  2013, p. 7-19), observed a relationship with pulmonary function declines in school-
13    aged children where Os and other pollutant levels were higher (90 ppb at high end of the  range)
14    than those in the CHS. Two studies of adult cohorts provide mixed results where long-term
15    exposures were at the high end of the range.
16          Long-term studies  in animals allow for greater insight into the potential effects of
17    prolonged exposure to Os that may not be easily measured in humans, such as structural changes
18    in the respiratory tract. Despite uncertainties, epidemiologic studies observing associations of Os
19    exposure with functional changes in humans can attain biological plausibility in conjunction with
20    long-term toxicological studies, particularly Os-inhalation studies performed in non-human
21    primates whose respiratory systems most closely resembles that of the human. An important
22    series of studies, discussed in section 7.2.3.2 of the ISA (U.S. EPA, 2013), have used nonhuman
23    primates to  examine the effect of Os alone, or in combination with an inhaled allergen, house
24    dust mite antigen (HDMA), on morphology and lung function. These  animals exhibit the
25    hallmarks of allergic asthma defined for humans, including: a positive skin test for HDMA with
26    elevated levels of IgE in serum and IgE-positive cells within the tracheobronchial airway walls;
27    impaired airflow which is  reversible by treatment with aerosolized albuterol; increased
28    abundance of immune cells, especially eosinophils, in airway exudates and bronchial lavage; and
29    development of nonspecific airway responsiveness (NHLBI, 2007). These studies and others
30    have demonstrated changes in pulmonary function and airway morphology in adult and infant
31    nonhuman primates repeatedly exposed to environmentally relevant concentrations of Os (ISA,
32    section 7.2.3.2, 2013).
33          The  initial observations in adult nonhuman primates have been expanded in a series of
34    experiments using infant rhesus monkeys repeatedly exposed to 0.5 ppm Os starting at 1 month
                                               3-44

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 1    of age (Plopper et al., 2007). The purpose of these studies was to determine if a cyclic regimen of
 2    63 inhalation would amplify the allergic responses and structural remodeling associated with
 3    allergic sensitization and inhalation in the infant rhesus monkey. After several episodic
 4    exposures of infant monkeys to 63, they observed a significant increase in the baseline airway
 5    resistance, which was accompanied by a small increase in airway responsiveness to inhaled
 6    histamine (Schelegle et al., 2003), although neither measurement was statistically different from
 7    filtered air control values. Exposure of animals to inhaled house dust mite antigen alone also
 8    produced small but not statistically significant changes in baseline airway resistance and airway
 9    responsiveness, whereas the combined exposure to both (63 + antigen) produced statistically
10    significant and greater than additive changes in both functional measurements. This nonhuman
11    primate evidence of an Os-induced change in airway resistance and responsiveness provides
12    biological plausibility of long-term exposure, or repeated short-term exposures, to 63
13    contributing to the effects of asthma in children.
14          To understand which conducting airways and inflammatory mechanisms are involved in
15    Os-induced  airway hyperresponsiveness in the infant rhesus monkey, results of a follow-up study
16    (load et al.,  2006) suggest that effect of 63 on airway responsiveness occurs predominantly in
17    the smaller bronchioles, where dosimetric models indicate the dose would be higher.
18    The functional changes in the conducting airways were accompanied by a number of cellular and
19    morphological changes, including a significant 4-fold increase in eosinophils. Thus, these studies
20    demonstrate both functional and cellular changes in the lung of infant monkeys after cyclic
21    exposure to 0.5 ppm 63, providing relevant information to understanding the potentially
22    damaging effects of ambient 63 exposure on the respiratory tract of children.
23          In addition,  significant structural changes in the respiratory tract development, during
24    which conducting airways increase in diameter and length,  have been observed in infant rhesus
25    monkeys after cyclic exposure to 63 (Fanucchi et al., 2006). Observed changes included more
26    proximal first alveolar outpocketing, decreases in the diameter and length of the terminal and
27    respiratory bronchioles, increases in mucus-producing goblet cell mass, alterations in smooth
28    muscle orientation in the respiratory bronchioles, epithelial nerve fiber distribution, and
29    basement membrane zone morphometry. The latter effects are noteworthy because of their
30    potential  contribution to airway obstruction and airway hyperresponsiveness which are central
31    features of asthma. A number of studies in both non-human primates and rodents demonstrate
32    that Os exposure can increase collagen synthesis and deposition, including  fibrotic-like changes
33    in the lung (ISA, section 7.2.3.2, U.S. EPA, 2013).
34          Collectively, evidence from animal studies strongly suggests that chronic O?, exposure is
35    capable of damaging the distal airways and proximal alveoli, resulting in lung tissue remodeling
                                                3-45

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 1    and leading to apparent irreversible changes. Potentially, persistent inflammation and interstitial
 2    remodeling play an important role in the progression and development of chronic lung disease.
 3    Further discussion of the modes of action that lead to Os-induced morphological changes can be
 4    found in Section 5.3.7 of the ISA (U.S. EPA, 2013). Discussion of mechanisms involved in
 5    lifestage susceptibility and developmental effects can be found in Section 5.4.2.4 of the ISA
 6    (U.S. EPA, 2013). The findings reported in chronic animal studies offer insight into potential
 7    biological mechanisms for the suggested association between seasonal 63 exposure and reduced
 8    lung function development in children as observed in epidemiologic studies (see Section 7.2.3.1).

 9                                     Respiratory Mortality
10          A limited number of epidemiologic studies have assessed the relationship between long-
11    term exposure to 63 and mortality in adults. The 2006 63 AQCD concluded that an insufficient
12    amount of evidence existed "to suggest a causal relationship between chronic 63 exposure and
13    increased risk for mortality in humans" (U.S. EPA, 2006b). Though total and cardio-pulmonary
14    mortality were considered in these studies, respiratory mortality was not specifically considered.
15    In the most recent follow-up analysis of the  ACS cohort (Jerrett et al., 2009), cardiopulmonary
16    deaths were separately subdivided into respiratory and cardiovascular deaths, rather than
17    combined as in the Pope et al. (2002) work.  Increased 63 exposure was associated with the risk
18    of death from respiratory causes, and this effect was robust to the inclusion of PM2.5. The
19    association between increased 63 concentrations and increased risk of death from respiratory
20    causes was insensitive to the use of different models and to adjustment for several ecologic
21    variables considered individually. Additionally, a recent multi-city time series study  (Zanobetti
22    and Schwartz, 2011), which followed (from 1985 to 2006) four cohorts of Medicare  enrollees
23    with chronic conditions that might predispose to Cb-related effects, observed an association
24    between long-term (warm season) exposure to 03 and elevated risk of mortality in the cohort that
25    had previously experienced an emergency hospital admission due to COPD. A key limitation of
26    this study is the inability to control for PM2.5, because data were not available in these cities until
27    1999.
28         3.1.2.3  Total Mortality - Short-term Exposures
29         •  To what extent does the currently available scientific evidence, including related
30            uncertainties, strengthen or alter our understanding from the last review of
31            mortality attributable to short-term Os exposures?
32          The 2006 63 AQCD concluded that the overall body of evidence was highly suggestive
33    that short-term exposure to OT, directly or indirectly contributes to nonaccidental and
34    cardiopulmonary-related mortality in adults, but additional research was needed to more fully
                                                3-46

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 1    establish underlying mechanisms by which such effects occur (U.S. EPA, 2013, p. 2-18). In
 2    building on the 2006 evidence, the ISA states the following (U.S. EPA, 2013, p. 6-261).

 3           The evaluation of new multicity studies that examined the association between
 4           short-term Os exposures and mortality found evidence that supports the
 5           conclusions of the 2006 AQCD. These new studies reported consistent positive
 6           associations between short-term 0j exposure and all-cause (non-accidental)
 1           mortality, with associations persisting or increasing in magnitude during the
 8           warm season,  and provide additional support for associations between Oj
 9           exposure and cardiovascular and respiratory mortality
10           The 2006 Os AQCD reviewed a large number of time-series studies of associations
11    between short-term 63 exposures and total mortality including single- and multicity studies, and
12    meta-analyses. In the large U.S. multicity studies that examined all-year data, effect estimates
13    corresponding to single-day lags ranged from a 0.5-1% increase in all-cause (nonaccidental) total
14    mortality per a 20 ppb (24-hour), 30 ppb (8-hour maximum),  or 40 ppb (1-hour maximum)
15    increase in ambient Os (U.S. EPA, 2013, section 6.6.2). Available studies reported some
16    evidence for heterogeneity in 63 mortality risk estimates across cities and across studies. Studies
17    that conducted seasonal analyses reported larger Os mortality risk estimates during the warm
18    season. Overall, the 2006 63 AQCD identified robust associations between various measures of
19    daily ambient 63 concentrations and all-cause mortality, which could not be readily explained by
20    confounding due to time, weather,  or copollutants. With regard to cause-specific mortality,
21    consistent positive associations were reported between short-term 63 exposure and
22    cardiovascular mortality, with less consistent evidence for associations with respiratory
23    mortality. The majority of the evidence for associations between 03 and cause-specific mortality
24    were from single-city studies, which had small daily mortality counts and subsequently limited
25    statistical power to detect associations. The 2006 Os AQCD concluded that "the overall body of
26    evidence is highly suggestive that 63 directly or indirectly contributes to non-accidental and
27    cardiopulmonary-related mortality" (U.S. EPA, 2012a, section 6.6.1).
28           Recent studies have strengthened the body of evidence that supports the association
29    between short-term Os concentrations and mortality in adults. This evidence includes a number
30    of studies reporting associations with non-accidental as well as cause-specific mortality. Multi-
31    continent and  multicity studies have consistently reported positive and statistically significant
32    associations between  short-term 03 concentrations and all-cause mortality, with evidence for
33    larger mortality risk estimates during the warm or summer months (Figure 3-3 below, reprinted
34    from the ISA) (U.S. EPA, 2013, Figure 6-27; Table 6-42). Similarly,  evaluations of cause-
                                                3-47

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1    specific mortality have reported consistently positive associations with Os, particularly in
2    analyses restricted to the warm season (U.S. EPA, 2013, Figure 6-37; Table 6-53).24
      4Respiratory mortality is discussed in more detail above.

                                                  3-48

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1

2
      Study

      Gryparisetal.{2004;57276)
      Bell etal. (2007; 93256)
      Schwartz (2005; 57333)
      Bell and Dominici(2008; 193828)
      Bell etal. (2004; 94417)a
      Levy etal. (2005; 74 34 7)a
      Katsouyanni et al. (2009; 199899)
      Bell etal. (2005; 74345 )a
      ltd etal. (2005; 74346)a
      Wong etal. (2010; 732535)
      Katsouyanni et al. (2009; 199899)
      Cakmaketal. (2011, 699135)
      Katsouyanni et al. (2009; 199899)
      Katsouyanni et al. (2009; 199899)b

      Samoli etal. (2009;  195855)
      Bell etal. (2004; 94417)a
      Schwartz (2005; 57333)
      Zanobetti and Schwartz(2008; 195755)
      Zanobetti and Schwartz(2008; 101596)
      Franklin and Schwartz (2008; 156448)
      Gryparisetal.(2004;57276)
      Medina-Ramon and Schwartz (2008)
      Katsouyanni et al. (2009; 199899)
      Bell etal. (2005; 74345)a
      Katsouyanni et al. (2009; 199899)
      Katsouyanni et al. (2009; 199899Jb
      Levy etal. (2005; 74 34 7)a
      Ito etal. (2005; 74346)a
      Katsouyanni et al. (2009; 199899)
      Stafoggia et al. (2010; 625034)
                                         Location

                                     APHEA2 (23 cities)
                                    98 U.S. communities
                                       14 U.S. cities
                                    98 U.S. communities
                                    95 U.S. communities
                                     U.S. and Non-U.S.
                                      APHENA-Europe
                                     U.S. and Non-U.S.
                                     U.S. and Non-U.S.
                                       PAPA (4 cities
                                       APHENA-U.S.
                                      7 Chilean cities
                                      APHENA-Canada
                                      APHENA-Canada

                                     21 European cities
                                    95 U.S. communities
                                       14 U.S. cities
                                       48 U.S. cities
                                       48 U.S. cities
                                    18 U.S. communities
                                     APHEA2 (21 cities)
                                       48 U.S. cities
                                      APHENA-Europe
                                     U.S. and Non-U.S.
                                      APHENA-Canada
                                      APHENA-Canada
                                     U.S. and Non-U.S.
                                     U.S. and Non-U.S.
                                       APHENA-U.S.
                                      10 Italian cities
  Lag

  0-1
  0-1
   0
  0-6
  0-6

DL(0-2)
                                                                   All-Year
DL
DL
DL
DL
  0-1
0-2)
0-6
0-2
0-2
  0-1
  0-6
   0
   0
  0-3
   0
  0-1

DL(0-2)

DL(0-2
DLO-2
DL(0-2
DL 0-5
                                                                      Summer






1
	 -_ J-l 	
w ^
^^
^^ w
.::::*.:..


1 3 5 7 9 11
4



5
                                                                                                            % Increase
Figure 3-3.  Summary of mortality risk estimates for short-term Os and all-cause (nonaccidental) mortality.
                                                                                                                         25
     25Reprinted from the ISA (U.S. EPA, 2013, Figure 6-27).
                         December 2013
                                                                     3-49
                              Draft - Do Not Quote or Cite

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 1           In assessing the evidence for Os-related mortality, the 2006 AQCD also noted that
 2    multiple uncertainties remained regarding the relationship between short-term 63 concentrations
 3    and mortality, including the extent of residual confounding by co-pollutants; characterization of
 4    the factors that modify the (Vmortality association; the appropriate lag structure for identifying
 5    Os-mortality effects; and the shape of the Os-mortality concentration-response function and
 6    whether a threshold exists.  Many of the studies, published  since the last review, have attempted
 7    to address one or more of these uncertainties. The ISA (U.S. EPA, 2013;  Section 6.6.2) discusses
 8    the extent to which recent studies have evaluated these uncertainties in the relationship between
 9    Oj, and mortality.
10           In particular, recent studies have evaluated different statistical approaches to examine the
11    shape of the (Vmortality concentration-response relationship and to evaluate whether a
12    threshold exists for Os-related mortality. In an analysis of the NMMAPS  data, Bell et al. (2006)
13    evaluated the potential for a threshold in the (Vmortality relationship. The authors reported
14    positive and statistically significant associations with mortality in a variety of restricted analyses,
15    including analyses restricted to days with 24-hour area-wide average Os concentrations below
16    60, 55, 50, 45, 40,  35, and 30 ppb. In these restricted analyses 63 effect estimates were of similar
17    magnitude, were statistically significant, and had similar statistical precision.  In analyses
18    restricted to days with 24-hour average O?, concentrations below 25  ppb, the Os effect estimate
19    was similar in magnitude to the effect estimates resulting from analyses with the higher cutoffs,
20    but had somewhat lower statistical precision, with the estimate approaching statistical
21    significance (i.e., based on observation of Figure 2 in Bell et al., 2006). In analyses restricted to
22    days with lower 24-hour average 63 concentrations (i.e., below 20 and 15 ppb), effect estimates
23    were similar in magnitude to analyses with higher cutoffs, but with notably less statistical
24    precision, and were not statistically significant (i.e., confidence intervals included no 63-
25    associated mortality based on observation of Figure 2  in Bell et al., 2006). Ozone was no longer
26    positively associated with mortality when the analysis was restricted to days with 24-hour 03
27    concentrations below 10 ppb.  Given the relatively small number of days  included in these
                                                                   r\r
28    restricted analyses, especially for cut points of 20 ppb and below,  statistical uncertainty is
29    increased.
30           Bell  et al. (2006) also evaluated the shape of the concentration-response relationship
31    between 63  and mortality. Although the results of this analysis suggested the  lack of threshold in
32    the Os-mortality relationship, the ISA noted  that it is difficult to interpret such a curve because:
33    (1) there is uncertainty around the shape of the concentration-response curve at 24-hour average
      26For example, Bell et al. (2006) reported that for analyses restricted to 24-hour O3 concentrations at or below 20
      ppb, 73% of days were excluded on average across the 98 communities.

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 1    Os concentrations generally below 20 ppb and (2) the concentration-response curve does not take
 2    into consideration the heterogeneity in Os-mortality risk estimates across cities (U.S. EPA, 2013,
 3    section 6.6.2.3).
 4           Several additional studies have used the NMMAPS dataset to evaluate the concentration-
 5    response relationship between short-term Oj, concentrations and mortality. For example, using
 6    the same data as Bell et al. (2006), Smith et al. (2009) conducted a subset analysis, but instead of
 7    restricting the analysis to days with O?, concentrations below a cutoff the authors only included
 8    days above a defined cutoff.  The results of this analysis were consistent with those reported by
 9    Bell et al. (2006).  Specifically, the authors reported consistent positive associations for all cutoff
10    concentrations up to concentrations where the total number of days available were so limited that
11    the variability around the central estimate was increased (U.S. EPA, 2013, section 6.6.2.3). In
12    addition, using NMMAPS data for 1987-1994 for Chicago, Pittsburgh, and El Paso, Xia and
13    Tong (2006) reported evidence for a threshold around a 24-hour average 63 concentration of
14    25 ppb, though the threshold values estimated in the analysis were sometimes in the range of
15    where data density was low (U.S. EPA, 2013, section 6.6.2.3). Stylianou and Nicolich (2009)
16    examined the  existence of thresholds following an approach similar to Xia and Tong (2006)
17    using data from NMMAPS for nine major U.S. cities (i.e., Baltimore, Chicago, Dallas/Fort
18    Worth, Los Angeles, Miami, New York, Philadelphia, Pittsburgh, and Seattle) for the years
19    1987-2000. The authors reported that the estimated (Vmortality risks varied across the nine
20    cities, with the models exhibiting apparent thresholds in the 10-45 ppb range for Os (24-hour
21    average). However, given the city-to-city variation in risk estimates, combining the city-specific
22    estimates into an overall estimate complicated the interpretation of the results. Additional studies
23    in Europe, Canada, and Asia did not report the existence of a threshold (Katsouyanni et al.,
24    2009), with inconsistent and/or inconclusive results across cities, or a non-linear relationship in
25    the Os-mortality concentration-response curve (Wong et al., 2010).
26         3.1.2.4  Cardiovascular effects - Short-term Exposure
27         •  To what extent does the currently available scientific evidence, including related
28            uncertainties, strengthen or alter our understanding from the last review of
29            cardiovascular effects attributable to short-term Os exposures?
30           A relatively small  number of studies have examined the potential effect of short-term O^
31    exposure on the cardiovascular system. The 2006 63 AQCD (U.S. EPA, 2006, p.8-77) concluded
32    that "Os directly and/or indirectly contributes to cardiovascular-related morbidity" but added that
33    the body of evidence was  limited. This conclusion was based on a controlled human exposure
34    study that included hypertensive adult males; a few epidemiologic studies of physiologic effects,
                                                3-51

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 1    heart rate variability, arrhythmias, myocardial infarctions, and hospital admissions; and
 2    toxicological studies of heart rate, heart rhythm, and blood pressure.
 3          More recently, the body of scientific evidence available that has examined the effect of
 4    Oj, on the cardiovascular system has expanded. There is an emerging body of animal
 5    toxicological evidence demonstrating that short-term exposure to Os can lead to autonomic
 6    nervous system alterations (in heart rate and/or heart rate variability) and suggesting that
 7    proinflammatory signals may mediate cardiovascular effects. Interactions of 63 with respiratory
 8    tract components result in secondary oxidation product formation and subsequent production of
 9    inflammatory mediators, which have the potential to penetrate the epithelial barrier and to initiate
10    toxic effects systemically. In addition, animal toxicological studies of long-term exposure to 63
11    provide evidence of enhanced atherosclerosis and ischemia/reperfusion (I/R) injury,
12    corresponding with development of a systemic oxidative, proinflammatory environment. Recent
13    experimental and epidemiologic studies have investigated Cb-related cardiovascular events and
14    are summarized in Section 6.3 of the ISA (U.S. EPA, 2013, Section 6.3).  Overall, the ISA
15    summarized the evidence in this review as follows (U.S. EPA, 2013, p. 6-211).
16          In conclusion, animal toxicological studies demonstrate Os-induced
17          cardiovascular effects, and support the strong body of epidemiologic evidence
18          indicating O^-induced cardiovascular mortality. Animal toxicological and
19          controlled human exposure studies provide evidence for biologically plausible
20          mechanisms underlying these Os-induced cardiovascular effects. However, a lack
21          of coherence with epidemiologic studies of cardiovascular morbidity remains an
22          important uncertainty.
23          Animal toxicological studies support that short-term 63 exposure can lead to
24    cardiovascular morbidity. Animal studies provide evidence for both increased and decreased
25    heart rate (HR), however it is uncertain if (Vinduced reductions in HR are relevant to humans.
26    Animal studies also provide evidence for increased heart rate variability (HRV), arrhythmias,
27    vascular disease and injury following short-term Os  exposure. In addition, a series of studies
28    highlight the role of genetic variability and age in the induction of effects and attenuation of
29    responses to Os exposure.

30          Biologically plausible mechanisms have been described for the cardiovascular effects
31    observed in animal exposure studies (U.S. EPA, 2013, Section 5.3.8). Evidence that
32    parasympathetic pathways may underlie cardiac effects is described in more detail in Section
33    5.3.2 of the ISA (U.S. EPA, 2013). Recent studies suggest that Os exposure may disrupt the
34    endothelin system that constricts blood vessels and increase blood pressure, which can result in
35    an increase in HR, HRV; and disrupt the NO system and the production of atrial  natriuretic
36    factor (ANF), vasodilators that reduce blood pressure.  Additionally, 63 may increase oxidative
37    stress and vascular inflammation promoting the progression of atherosclerosis and leading to
                                                3-52

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 1    increased susceptibility to I/R injury. As O^ reacts quickly with the ELF and does not translocate
 2    to the heart and large vessels, studies suggest that the cardiovascular effects exhibited could be
 3    caused by secondary oxidation products resulting from Os exposure. However, direct evidence of
 4    translocation of 63 reaction products to the cardiovascular system has not been demonstrated in
 5    vivo. Alternatively, extrapulmonary release of diffusible mediators (such as cytokines or
 6    endothelins) may initiate or propagate inflammatory responses throughout the body leading to
 7    the cardiovascular effects reported in toxicology studies. Ozone reacts within the lung to induce
 8    pulmonary inflammation and the influx and activation of inflammatory  cells, resulting in a
 9    cascading proinflammatory state, and may lead to the extrapulmonary release of diffusible
10    mediators that could result in cardiovascular injury.
11          Controlled human exposures studies discussed in previous AQCDs have not
12    demonstrated any consistent extrapulmonary effects. In this review, evidence from controlled
13    human exposure studies suggests cardiovascular effects in response to short-term 63 exposure
14    (see ISA, U.S. EPA,  2013, Section 6.3.1) and provides some coherence with evidence from
15    animal toxicology studies. Controlled human exposure studies also support the animal
16    toxicological studies by demonstrating Os-induced effects on blood biomarkers of systemic
17    inflammation and oxidative stress, as well as changes in biomarkers that can indicate a
18    prothrombogenic response to O^. Increases and decreases in high frequency HRV have been
19    reported following relatively low (120 ppb during rest) and high (300 ppb with exercise) 63
20    exposures, respectively. These changes in cardiac function observed in animal and human studies
21    provide preliminary evidence for Os-induced modulation of the autonomic nervous system
22    through the activation of neural reflexes in the lung (see ISA,U.S. EPA  2013,  Section 5.3.2).

23          Overall, the ISA concludes that the available body of epidemiologic evidence examining
24    the relationship between short-term exposures to O^ concentrations and cardiovascular morbidity
25    is inconsistent (U.S. EPA, 2013, Section 6.3.2.9). Across studies, different definitions, (i.e., ICD-
26    9 diagnostic codes) were used for both all-cause and cause-specific cardiovascular morbidity
27    (ISA, U.S. EPA, 2013, see Tables 6-35 to 6-39), which may contribute to inconsistency in
28    results. However, within diagnostic categories, no consistent pattern of association was found
29    with 03. Generally, the epidemiologic studies used nearest air monitors to assess 03
30    concentrations, with  a few exceptions that used modeling or personal exposure monitors.
31    The inconsistencies in the associations observed between short-term Os and cardiovascular
32    disease (CVD) morbidities are unlikely to be explained by the different exposure assignment
33    methods used (see Section 4.6, ISA, U.S.  EPA 2013). The wide variety  of biomarkers considered
34    and the lack of consistency among definitions used for specific cardiovascular disease endpoints
35    (e.g., arrhythmias, HRV) make comparisons across studies difficult.

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 1          Despite the inconsistent evidence for an association between O?, concentration and CVD
 2    morbidity, mortality studies indicate a consistent positive association between short-term 63
 3    exposure and cardiovascular mortality in multicity studies and in a multicontinent study. When
 4    examining mortality due to cardiovascular disease, epidemiologic studies consistently observe
 5    positive associations with short-term exposure to O?,. Additionally, there is some evidence for an
 6    association between long-term exposure to O?, and mortality, although the association between
 7    long-term ambient 63 concentrations and cardiovascular mortality can be confounded by other
 8    pollutants as evident by a  study of cardiovascular mortality that reported no association after
 9    adjustment for PM2.5 concentrations. The ISA (U.S. EPA 2013, section 6.3.4) states that taken
10    together, the overall body of evidence across the animal and human studies is sufficient to
11    conclude that there is likely to be a causal reationship between relevant short-term exposures  to
12    O3 and cardiovascular system effects.

13         3.1.3  Adversity of Effects
14          In this section we address the following question:
15*     To what extent does the currently available scientific evidence expand our
16          understanding of the adversity of Os-related health effects?
17          In making judgments as to when various (Vrelated effects become regarded as adverse
18    to the health of individuals, in previous NAAQS reviews staff has relied upon the guidelines
19    published by the American Thoracic Society (ATS) and the advice of CAS AC. In 2000, the ATS
20    published an official statement on "What Constitutes an Adverse Health Effect of Air
21    Pollution?" (ATS, 2000), which updated and built upon its earlier guidance (ATS, 1985). The
22    earlier guidance defined adverse respiratory health effects as "medically significant physiologic
23    changes generally evidenced by one or more of the following: (1) interference with the normal
24    activity of the affected person or persons, (2) episodic respiratory illness, (3) incapacitating
25    illness, (4) permanent respiratory injury, and/or (5) progressive respiratory dysfunction", while
26    recognizing that perceptions of "medical significance" and "normal activity" may differ among
27    physicians, lung physiologists and experimental subjects (ATS, 1985). The 2000 ATS guidance
28    builds upon and expands the 1985 definition of adversity in several ways. The guidance
29    concludes that transient, reversible loss of lung function in combination with respiratory
30    symptoms should be considered adverse. There is also a more specific consideration of
31    population risk (ATS, 2000). Exposure to air pollution that increases the risk of an adverse effect
32    to the entire population is  adverse, even though it may not increase the risk of any individual  to
33    an unacceptable level. For example, a population of asthmatics could have a distribution of lung
34    function such that no individual has a level associated with significant impairment. Exposure to
35    air pollution could shift the distribution to lower levels that still do not bring any individual to a
                                                3-54

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 1    level that is associated with clinically relevant effects. However, this would be considered to be
 2    adverse because individuals within the population would have diminished reserve function, and
 3    therefore would be at increased risk to further environmental insult (U.S. EPA, 2013, p. Ixxi; and
 4    SO2 NAAQS review, 75 FR at 35526/2, June 22, 2010).
 5          The ATS also concluded that elevations of biomarkers such as cell types, cytokines and
 6    reactive oxygen species may signal risk for ongoing injury and more serious effects or may
 7    simply represent transient responses, illustrating the lack of clear boundaries that separate
 8    adverse from nonadverse events. More  subtle health outcomes also may be connected
 9    mechanistically to health effects that are clearly adverse, so that small changes in physiological
10    measures may not appear clearly adverse when considered alone, but may be part of a coherent
11    and biologically plausible chain of related health outcomes that include responses that are clearly
12    adverse, such as mortality (section 3.1.2.1, above).
13          In this review, the new evidence provides further support for relationships between Os
14    exposures and a spectrum of health effects, including effects that meet the ATS criteria for being
15    adverse (ATS,  1985  and 2000). The ISA judgment that there is a causal relationship between
16    short-term Os exposure and a full range of respiratory effects, including respiratory morbidity
17    (e.g., lung function decrements, respiratory symptoms, inflammation, hospital admissions, and
18    emergency department visits) and mortality, provides support for concluding that short-term 63
19    exposure is associated with adverse effects (U.S.  EPA 2013, section 2.5.2). Overall, including
20    new evidence of cardiovascular system effects, the evidence supporting an association between
21    short-term Os exposures and total (non-accidental, cardiopulmonary) respiratory mortality is
22    stronger in this review (U.S. EPA 2013, section 2.5.2). And the judgment of likely causal
23    associations between long-term measures of 63 exposure and respiratory effects such as new-
24    onset asthma, prevalence of asthma, asthma symptoms and control, and asthma hospital
25    admissions provides support for concluding that long-term 63 exposure is associated with
26    adverse effects ranging from episodic respiratory illness to permanent respiratory injury or
27    progressive respiratory decline (U.S. EPA 2013, section 7.2.8).
28          This review provides additional evidence of (Vattributable effects that are clearly
29    adverse, including premature  mortality. Application of the ATS guidelines to the least serious
30    category of effects related to ambient 03 exposures, which are also the most numerous and
31    therefore are also important from a public health perspective, involves judgments about which
32    medical experts on CASAC panels and public commenters have in the past expressed diverse
33    views. To help frame such judgments, EPA staff defined gradations of individual functional
34    responses (e.g., decrements in FEVi and airway responsiveness) and symptomatic responses
35    (e.g., cough, chest pain, wheeze), together with judgments as to the potential impact on
36    individuals experiencing varying degrees of severity of these responses.  These gradations were

                                                3-55

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 1   used in the 1997 O3 NAAQS review and slightly revised in the 2008 review (U.S. EPA, 1996, p.
 2   59; 2007, p.3-72; 72 FR 37849, July 11, 2007). These gradations and impacts are summarized in
 3   Tables 3-2 and 3-3 in the 2007 O3 Staff Paper (U.S. EPA, 2007, pp.3-74 to 3-75).
 4          For active healthy people, including children, moderate levels of functional responses
 5   (e.g., FEVi decrements of > 10% but < 20%, lasting 4 to 24 hours) and/or moderate symptomatic
 6   responses (e.g., frequent spontaneous cough, marked discomfort on exercise or deep breath,
 7   lasting 4 to 24 hours) would likely interfere with normal activity for relatively few sensitive
 8   individuals (U.S. EPA, 2007, p.3-72; 72 FR 37849, July 11, 2007); whereas large  functional
 9   responses (e.g., FEVi decrements > 20%, lasting longer than 24 hours) and/or severe
10   symptomatic responses (e.g., persistent uncontrollable cough, severe discomfort on exercise or
11   deep breath, lasting longer than 24 hours) would likely interfere with normal activities for many
12   sensitive individuals (U.S. EPA, 2007, p.3-72; 72 FR 37849, July 11, 2007) and therefore would
13   be considered adverse under ATS guidelines. For the purpose of estimating potentially adverse
14   lung function decrements in active healthy people in the 2008 O3 NAAQS review, the CASAC
15   panel for that review indicated that a focus on the mid to upper end of the range of moderate
16   levels of functional responses is most appropriate (e.g., FEVi decrements > 15% but < 20%)
17   (Henderson, 2006; 2007 Staff Paper, p. 3-76). However, for children and adults with lung
18   disease, even moderate functional (e.g., FEVi decrements > 10% but < 20%, lasting up to 24
19   hours) or symptomatic responses (e.g., frequent spontaneous cough,  marked discomfort on
20   exercise  or with deep breath, wheeze accompanied by shortness of breath, lasting up to 24 hours)
21   would likely interfere with normal activity for many individuals, and would likely result in
22   additional and more frequent use of medication (U.S. EPA, 2007, p.3-72; 72 FR 37849, July 11,
23   2007). For people with lung disease, large functional responses (e.g., FEVi decrements > 20%,
24   lasting longer than 24 hours) and/or severe symptomatic responses (e.g., persistent
25   uncontrollable cough,  severe discomfort on exercise or deep breath, persistent wheeze
26   accompanied by shortness of breath, lasting longer than 24  hours) would likely interfere with
27   normal activity for most individuals and would increase the likelihood that these individuals
28   would seek medical treatment (U.S. EPA, 2007, p.3-72; 72  FR 37849, July 11, 2007). In the last
29   O3 NAAQS review, for the purpose of estimating potentially adverse lung function decrements
30   in people with lung disease the CASAC panel indicated that a focus  on the lower end of the
31   range of moderate levels of functional responses is most appropriate (e.g., FEVi decrements
32   >10%) (Henderson, 2006; 2007 Staff Paper, p. 3-76). In addition,  in the reconsideration of the
33   2008 final decision, CASAC stated that "[a] 10% decrement in FEVI can lead to respiratory
34   symptoms, especially in individuals with pre-existing pulmonary or cardiac disease. For
35   example, people with chronic obstructive pulmonary disease have decreased ventilatory reserve
                                               3-56

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 1    (i.e., decreased baseline FEV1) such that a >10% decrement could lead to moderate to severe
 2    respiratory symptoms" (Samet, 2011) (section 3.1.2.1, above).
 3          In judging the extent to which these impacts represent effects that should be regarded as
 4    adverse to the health status of individuals, in previous NAAQS reviews we also considered
 5    whether effects were experienced repeatedly during the course of a year or only on a single
 6    occasion (Staff Paper, U.S. EPA, 2007). Although some experts would judge single occurrences
 7    of moderate responses to be a "nuisance," especially for healthy individuals, a more general
 8    consensus view of the adversity of such moderate responses emerges as the frequency of
 9    occurrence increases. Thus it has been judged that repeated occurrences of moderate responses,
10    even in otherwise healthy individuals, may be considered to be adverse since they could well set
11    the stage for more serious illness (61 FR 65723). The CAS AC panel in the 1997 NAAQS review
12    expressed a consensus view that these "criteria for the determination of an adverse physiological
13    response were reasonable" (Wolff, 1995). In the review completed in 2008, estimates of repeated
14    occurrences continued to be an important public health policy factor in judging the adversity of
15    moderate lung function decrements in healthy and asthmatic people (72 FR 37850, July 11,
16    2007).
17          Evidence  new to this review indicates that 6.6-hour exposures to 60 ppb 63 during
18    moderate exertion can result in pulmonary inflammation in healthy adults. As discussed in
19    section 3.1.2 above, the initiation of inflammation can be considered as evidence that injury has
20    occurred. Inflammation induced by a single 63 exposure can resolve entirely, but continued
21    acute inflammation can evolve into a chronic inflammatory state (ISA, U.S. EPA,  2013, p. 6-76),
22    which is clearly adverse.  Therefore, like moderate lung function decrements, whether
23    inflammation is experienced repeatedly during the course of a year or only on a single occasion
24    is judged by staff to be reasonable criteria for determining adverse inflammatory effects
25    attributable to 63 exposures at 60 ppb.
26          Responses measured in controlled human exposure studies indicate that the range of
27    effects elicited in humans exposed to ambient 63 concentrations include: decreased inspiratory
28    capacity; mild bronchoconstriction; rapid, shallow breathing pattern during exercise; and
29    symptoms of cough and pain on deep inspiration (EPA, 2013, section 6.2.1.1). Some young,
30    healthy adults exposed to 63 concentrations > 60 ppb, while engaged in 6.6 hours  of intermittent
31    moderate exertion, develop statistically significant reversible, transient decrements in lung
32    function, symptoms of breathing discomfort, and inflammation if minute ventilation or duration
33    of exposure is increased sufficiently (EPA, 2013, section 6.2.1.1). Among healthy subjects there
34    is considerable interindividual variability in the magnitude of the FEVi responses, but averaged
35    across studies at 60 ppb (EPA, 2013, pp. 6-17 to 6-18), 10% of healthy subjects had >10% FEVi
36    decrements.  The combination of lung function decrements  and respiratory symptoms, which has
                                               3-57

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 1    been considered adverse in previous reviews, has been demonstrated in healthy adults following
 2    prolonged (6.6 hour) exposures, while at intermittent moderate exertion, to 70 ppb. For these
 3    types of effects, information from controlled human exposure studies, which provides an
 4    indication of the magnitude and thus adversity of effects at different 63 concentrations,
 5    combined with estimates of occurrences in the population from the HREA, provide information
 6    about their importance from a policy perspective.
 7         3.1.4   Ozone Concentrations Associated With Health Effects
 8          In evaluating 63 exposure concentrations reported to result in health effects, within the
 9    context of the adequacy of the current standard, we first consider the following specific question:
10       •  To what extent does the currently available scientific evidence indicate morbidity
11          and/or mortality attributable to exposures to Os concentrations lower than
12          previously reported or that would meet the current standard?
13    In addressing this question, we characterize the  extent to which (Vattributable effects have been
14    reported over the ranges of 03 exposure concentrations evaluated in controlled human exposure
15    studies and over the distributions of ambient 63 concentrations in locations where epidemiologic
16    studies have been conducted.
17         3.1.4.1  Concentrations in Controlled Human Exposure Studies and in Epidemiologic
18                 Panel Studies
19          In considering what the currently available evidence indicates with regard to effects
20    associated with exposure concentrations lower than those identified in the last review, or that
21    could meet the current standard, we first consider the evidence from controlled human exposure
22    studies and epidemiologic panel studies. This evidence is assessed in section 6.2 of the ISA and
23    is summarized in section 3.1.2 above. Controlled human exposure studies have generally been
24    conducted with young, healthy adults, and have evaluated exposure durations less than 8 hours.
25    Epidemiologic panel studies have evaluated a wider range of study populations, including
26    children, and have generally evaluated associations with 63 concentrations averaged over several
27    hours (U.S.  EPA, 2013, section 6.2.1.2).27
28          As summarized above (section 3.1.2.1),  and as discussed in detail in the ISA (U.S. EPA,
29    2013, section 6.2), a large number of controlled human exposure studies have reported lung
30    function decrements, respiratory symptoms, airway inflammation, airway hyperresponsiveness,
31    and/or impaired lung host defense in young, healthy adults engaged in moderate, intermittent
      27
       In this section we focus on panel studies that used on-site monitoring, and that are highlighted in the ISA for the
      extent to which monitored ambient O3 concentrations reflect exposure concentrations in their study populations
      (U.S. EPA, 2013, section 6.2.1.2).

                                                3-58

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 1    exertion, following 6.6-hour 03 exposures. These studies have consistently reported such effects
 2    following exposures to Oj concentrations of 80 ppb or greater. Available studies have also
 3    evaluated some of these effects (i.e., lung function decrements, respiratory symptoms, airway
 4    inflammation) following exposures to Os concentrations below 75 ppb. Table 3-1 highlights the
 5    group mean results of individual controlled human exposure studies that have evaluated
 6    exposures of healthy adults to O^ concentrations below 75 ppb.
 7    Table 3-1.
 9
10
11
12
13
14
             Group mean results of controlled human exposure studies that have evaluated
             exposures to ozone concentrations below 75 ppb in young, healthy adults.
Endpoint
FEVi decrements
O3 Exposure
Concentration
70 ppb
60 ppb
40 ppb
Study
Schelegle et al., 2009
Kim etal., 2011
Schelegle et al., 2009
Adams, 2006
Adams, 2002
Adams, 2006
Adams, 2002
Statistically
Significant O3-
Induced
Effect28
yes
yes
no
29
yes
no
no
no

Respiratory
Symptoms
70 ppb
60 ppb
40 ppb
Schelegle et al., 2009
Kim etal., 2011
Schelegle et al., 2009
Adams, 2006
Adams, 2006
Adams, 2002
yes
no
no
no30
no
no

Airway
Inflammation
(neutrophil influx)
60 ppb
Kim etal., 2011
yes
      In further evaluating Os-induced FEVi decrements following exposures to 63
concentrations below 75 ppb, the ISA also combined the individual data from multiple studies of
healthy adults exposed for 6.6 hours to 60 ppb O^ (Kim et al., 2011; Brown et al., 2008; Adams,
2006a, 2002, 1998). Based on these data, the ISA reports that 10% of exposed subjects
experienced FEVi decrements of 10% or more (i.e., abnormal and large enough to be potentially
       Based on study population means.
      29 In an analysis of the Adams (2006) data for square-wave chamber exposures, even after removal of potential
      outliers, Brown et al. (2008) reported the average effect on FEVI at 60 ppb to be statistically significant (p < 0.002)
      using several common statistical tests (U.S. EPA, 2013, section 6.2.1.1) (section 3.1.2.1, above).
      30Adams (2006) reported increased respiratory symptoms during a 6.6 hour exposure protocol with an average O3
      exposure concentration of 60 ppb. The increase in symptoms was reported to be statistically different from initial
      respiratory symptoms, though not statistically different from filtered air controls.
                                                 3-59

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 1    adverse for people with pulmonary disease, based on past CASAC advice (section 3.1.3,
 2    above))31 (U.S. EPA, 2013, section 6.2.1.1). Consistent with these findings, recently developed
 3    empirical models predict that the onset of Os-induced FEVi decrements in healthy adults occurs
 4    following exposures to 60 ppb 63 for 4 to 5 hours while at moderate, intermittent exertion
 5    (Schelegle et al., 2012), and that 9% of healthy adults exposed to 60 ppb Os for 6.6 hours would
 6    experience FEVi decrements greater than or equal to 10% (McDonnell et al., 2012) (U.S. EPA,
 7    2013, section 6.2.1.1). When the evidence for Os-induced lung function decrements was taken
 8    together, the ISA concluded that (1) "mean FEVi is clearly decreased by 6.6-h exposures to 60
 9    ppb 63 and higher concentrations  in subjects performing moderate exercise" (U.S. EPA, 2013, p.
10    6-9) and (2) although group mean decrements following exposures to 60 ppb 63 are biologically
11    small, "a considerable fraction of exposed individuals experience clinically meaningful
12    decrements in lung function" (U.S. EPA, 2013, p. 6-20).
13           In considering the specific question above, we note that controlled human exposure
14    studies have reported decreased lung function, increased airway inflammation, and increased
15    respiratory symptoms in healthy adults following exposures to 63 concentrations below 75 ppb.
16    Such impairments in respiratory function have the potential to be adverse, based on ATS
17    guidelines for adversity and based on previous advice from CASAC (section 3.1.3, above). In
18    addition, if they become serious enough, these respiratory effects could lead to the types of
19    clearly adverse effects commonly reported in 03 epidemiologic studies (e.g.,  respiratory
20    emergency department visits, hospital admissions). Therefore, following exposures to 63
21    concentrations lower than 75 ppb, controlled human exposure studies have reported respiratory
22    effects that could be adverse in some individuals, particularly if experienced by members of at-
23    risk populations (e.g.,  asthmatics,  children).32
24           In further considering effects following exposures to Os concentrations below 75 ppb, we
25    also note that the ISA highlights some epidemiologic panel studies for the extent to which
26    monitored ambient 63 concentrations reflect exposure concentrations in their study populations
27    (U.S. EPA, 2013, section 6.2.1.2). Specifically, Table 3-2 below includes O3  panel studies that
28    have evaluated associations with lung function decrements for 63 concentrations at or below 75
29    ppb, and that measured Os concentrations with monitors located in the areas where study
30    subjects were active (e.g., on site at summer camps or in locations where exercise took place)
      31CASAC has previously stated that "[a] 10% decrement in FEVI can lead to respiratory symptoms, especially in
      individuals with pre-existing pulmonary or cardiac disease. For example, people with chronic obstructive pulmonary
      disease have decreased ventilatory reserve (i.e., decreased baseline FEVI) such that a >10% decrement could lead to
      moderate to severe respiratory symptoms" (Samet, 2011) (section 3.1.3, above).
      32These effects were reported in healthy individuals. It is thus a reasonable inference that the effects would be
      greater in magnitude and potential severity for at-risk groups. See National Environmental Development Ass 'n
      Clean Air Project v. EPA, 686 F. 3d 803, 811 (D.C. Cir. (2012) (making this point).

                                                 3-60

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 1   (U.S. EPA, 2013, section 6.2.1.2 and Table 6-6). Epidemiologic panel studies have evaluated a
 2   wider range of populations and lifestages than controlled human exposure studies of 63
 3   concentrations below 75 ppb (e.g., including children).
 4
 5
Table 3-2.  Panel studies of lung function decrements with analyses restricted to
            concentrations below 75 ppb.
Study
Spektor et al.
(1988)
Chan and
Wu (2005)
Korrick et al.
(1998)
Brauer et al.
(1996)
Brunekreef
etal. (1994)
Population
Children at
summer camp
Mail carriers
Adult hikers
Farm workers
Exercising
adults
O3 Concentrations
Restricted to 1 -hour concentrations
below 60 ppb
Maximum 8-hour average was 65
ppb
2- to 12-hour average from 40 to
74 ppb during hikes
Restricted to 1 -hour maximum
below 40 ppb
Restricted to 1 -hour maximum
below 30 ppb
Restricted to 10-minute to 2.4-hour
averages below 61 ppb
Restricted to 10-minute to 2.4-hour
averages below 5 1 ppb
Restricted to 10-minute to 2. 4 -hour
averages below 41 ppb
Statistically Significant Association
with Lung Function Decrements
Yes
Yes
Yes
Yes
No
No
No
No
 6
 7
 8
 9
10
11
12

13
14
15
16
17
18
19
Although these studies report health effect associations for different averaging times, and it is not
clear the extent to which specific O^ exposure conditions (i.e., concentrations, durations of
exposure, degrees of activity) were responsible for eliciting reported decrements, they are
consistent with the findings of the controlled human exposure studies discussed above.
Specifically, the epidemiologic panel studies in Table 3-2 indicate C^-associated lung function
decrements when on-site monitored concentrations (ranging from minutes to hours) were below
75 ppb, with the evidence becoming less consistent at lower Os concentrations.

     3.1.4.2   Concentrations in Epidemiologic Studies - Short-term Metrics
       We next consider distributions of ambient O^ concentrations in locations where
epidemiologic studies have evaluated (^-associated hospital admissions, emergency department
visits, and/or mortality. When considering epidemiologic studies within the context of the current
standard, we emphasize those studies conducted in the U.S. and Canada. Such studies reflect air
quality and exposure patterns that are likely more typical of the U.S. population than the air
quality and exposure patterns reflected in studies conducted outside the U.S. and Canada  (section
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 1    1.3.1.2, above).33 We also emphasize studies reporting associations with effects judged in the
 2    ISA to be robust to confounding by other factors, including co-occurring air pollutants. In
 3    addition to these factors, we consider the statistical precision of study results, the extent to which
 4    studies report associations in at-risk populations, and the extent to which the biological
 5    plausibility of associations at various ambient Os concentrations is supported by controlled
 6    human exposure and/or animal toxicological studies. These considerations help inform the range
 7    of ambient 63 concentrations over which we have the most confidence in (Vassociated health
 8    effects, and the range of concentrations over which our confidence in such associations is
 9    appreciably lower. We place particular emphasis on characterizing those portions of distributions
10    of ambient 63 concentrations likely to meet the current standard.
11           In our consideration of these issues, we first address the following question:
12          •   To what extent have U.S. and Canadian epidemiologic studies reported
13             associations with mortality or morbidity in locations that would have met the
14             current Os standard during the study period?
15    Addressing this question can provide important insights into the extent to which Os-health effect
16    associations are present for distributions of ambient Os concentrations that would be allowed by
17    the current standard. To the extent O^ health effect associations are reported in study areas that
18    would have met the current standard, we have greater confidence that the current standard  could
19    allow the clearly adverse  Cb-associated effects indicated by those studies (e.g., mortality,
20    hospital admissions, emergency department visits).34
21           We note that epidemiologic studies evaluate statistical associations between variation in
22    the incidence of health outcomes and variation in ambient Os concentrations.  In many of the O?,
23    epidemiologic studies assessed in the ISA,  ambient concentrations are averaged across multiple
24    monitors within study areas, and in some cases over multiple days. These averages are used as
25    surrogates for the  spatial and temporal patterns of O?, exposures in study populations. In this
26    second draft PA, we refer to these averaged concentrations as "area-wide" 63 concentrations.
27           We recognize that these epidemiologic studies  do not identify the Os exposures that
28    population members have experienced, and do not identify the exposures that may  be eliciting
29    the observed health outcomes. Thus, in considering epidemiologic studies of mortality and
30    morbidity, we are not drawing conclusions regarding single short-duration O?, concentrations in
31    ambient air that, alone, are eliciting the reported health outcomes. Rather, our focus in this
32    section is to consider what these studies convey regarding the extent  to which health effects may
      33Nonetheless, we recognize the importance of all studies, including international studies, in the ISA's assessment of
      the weight of the evidence that informs causality determinations.
      34
       See ATA III, 283 F.3d at 370 (EPA justified in revising NAAQS when health effect associations are observed at
      levels allowed by the NAAQS).

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 1    be occurring (i.e., as indicated by associations) under air quality conditions meeting the current
 2    standard.
 3           In order to facilitate consideration of the question above, we have identified U.S. and
 4    Canadian studies of respiratory hospital admissions, respiratory emergency department visits,35
 5    and mortality (total, respiratory, cardiovascular) from the ISA (studies identified from U.S. EPA,
 6    2013, Table 6-28, section 6.2.8, and Table 6-42) (Appendix 3-D). For each monitor in the areas
 7    evaluated by these studies, we have identified the 3-year averages of the annual 4th highest daily
 8    maximum 8-hour Os concentrations (Appendix 3-D).36 To provide perspective on whether study
 9    cities would have met or violated the current 63 NAAQS during the study period, these 63
10    concentrations were compared to the level of the current standard. Based on this approach, a
11    study city was judged to have met the current standard during the study period if all of the 3-year
12    averages of annual 4th highest 8-hour 63 concentrations in that area were below 75 ppb.
13           Based on these analyses, the large majority of epidemiologic study areas evaluated would
14    have violated the current standard during study periods (Appendix 3-D). Table 3-3 below
15    highlights the subset of U.S. and Canadian studies reporting 63 health effect associations in
16    locations that would have met the current standard during study periods. This includes a U.S.
17    single-city study that would have met the current standard over the entire study period (Mar and
18    Koenig,  2009) and four Canadian multicity studies for which the majority of study cities would
19    have met the current standard over the entire study periods (Cakmak et al., 2006; Dales et al.,
20    2006; Katsouyanni et al., 2009; Stieb et al., 2009).37
21
      35Given the inconsistency in results across cardiovascular morbidity studies (U.S. EPA, 2013, section 6.3.2.9), our
      consideration of the morbidity evidence in this section focuses on studies of respiratory hospital admissions and
      emergency department visits.
      36These concentrations are referred to as "design values." A design value is a statistic that is calculated at individual
      monitors and based on 3 consecutive years of data collected from that site. In the case of O3, the design value for a
      monitor is based on the 3-year average of the annual 4th highest daily maximum 8-hour O3 concentration in parts
      per billion (ppb). For U.S. study areas, we used EPA's Air Quality System (AQS)
      (http://www.epa.gov/ttn/airs/airsaqs/) to identify design values. For Canadian study areas, we used publically
      available air quality data from the Environment Canada National Air Pollution Surveillance Network
      (http://www.etc-cte.ec.gc.ca/napsdata/main.aspx). We followed the data handling protocols for calculating design
      values as detailed in 40 CFR Part 50, Appendix P.
      37In addition, a study by Vedal et al. (2003) was included in the 2006 CD (U.S. EPA, 2006). This study reported
      positive and statistically significant associations with mortality in Vancouver during a time period when the study
      area would have met the current standard (U.S. EPA, 2007). This study was not highlighted in the ISA in the current
      review (U.S. EPA, 2013).

                                                   3-63

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 1
 2
Table 3-3.  U.S. and Canadian epidemiologic studies reporting Os health effect
            associations in locations that would have met the current standard during
            study periods.
Authors
Cakmak et al.
(2006)
Dales et al.
(2006)
Katsouyanni et
al. (2009)
Katsouyanni et
al. (2009)
Mar and
Koenig (2009)
Stieb et al.
(2009)
Study Results
Positive and statistically significant association
with respiratory hospital admissions
Positive and statistically significant association
with respiratory hospital admissions
Positive and statistically significant associations
with respiratory hospital admissions
Positive and statistically significant associations
with all -cause and cardiovascular mortality38
Positive and statistically significant associations
with asthma emergency department visits in
children (< 18 years) and adults (> 18 years)
Positive and statistically significant association
with asthma emergency department visits
Cities
10
Canadian
cities
11
Canadian
cities
12
Canadian
cities
12
Canadian
cities
Seattle
7 Canadian
cities
Number of cities meeting
the current standard over
entire study period
7
7
10
8
1
5
 4
 5
 6
 7
 8
 9
10
11
12
13
14
15
16
17
18
       As illustrated in Table 3-3, one U.S. single-city study highlighted in the ISA has reported
health effect associations with asthma emergency department visits in a location that would have
met the current standard over the entire study period. In addition, four Canadian multicity studies
reported associations with mortality or morbidity when the majority of study locations would
have met the current standard over the entire study periods. While there is uncertainty in
ascribing the multicity effect estimates reported in these Canadian studies entirely to ambient
concentrations that would have met the current standard (i.e., given that some study locations
would have violated the current standard over at least part of the study period),  the information
in Table 3-3 suggests that reported multicity effect estimates are largely influenced by locations
meeting the current standard. Together, these U.S. and Canadian epidemiologic studies suggest a
relatively high degree of confidence in the presence of associations with mortality and morbidity
for ambient 63 concentrations meeting the current standard.
       We next consider the extent to which additional epidemiologic studies of mortality or
morbidity (i.e., those conducted in locations that violated the current standard) can also inform
our consideration of adequacy of the current standard. In  doing so, we note that health effect
     38Katsouyanni et al. (2009) report a positive and statistically significant association with cardiovascular mortality for
     people aged 75 years or older.
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 1    associations reported in epidemiologic studies are influenced by the full distributions of ambient
 2    63 concentrations, including concentrations below the level of the current standard. We focus on
 3    studies that have explicitly characterized such O^ health effect associations, including confidence
 4    in those associations, for various portions of distributions of ambient 63 concentrations. In doing
 5    so, we consider the following question:

 6       •   To what extent do analyses from epidemiologic studies indicate confidence  in health
 7           effect associations over distributions of ambient Os concentrations, including at
 8           concentrations lower than previously identified or below the current standard?
 9          We first focus on those studies that have reported confidence intervals around
10    concentration-response functions over distributions of ambient 63 concentrations. Confidence
11    intervals around concentration-response functions can provide insights into the range of ambient
12    concentrations over which the study indicates the most confidence in the reported health effect
13    associations (i.e., where confidence intervals are narrowest), and into the range of ambient
14    concentrations below which the study indicates that uncertainty in the nature of such associations
15    becomes notably greater (i.e., where confidence intervals become markedly wider). The
16    concentrations below which confidence intervals become markedly wider in such analyses are
17    intrinsically related to data density, and do not necessarily indicate the absence of an association.
18          The ISA identifies several epidemiologic studies that have reported confidence intervals
19    around concentration-response functions in U.S. cities. The ISA concludes that studies  generally
20    indicate a linear concentration-response relationship "across the range of 8-h max and 24 h avg
21    O3 concentrations most commonly observed in the U.S. during the O3 season" and that "there is
22    less certainty in the shape of the C-R curve at the lower end of the distribution of 03
23    concentrations" (U.S. EPA, 2013, pp. 2-32 to 2-34). In characterizing the 63 concentrations
24    below which such certainty decreases, the ISA discusses area-wide Os  concentrations as low as
25    20 ppb and as high as 40 ppb (U.S. EPA, 2013, section 2.5.4.4).
26           Consistent with these conclusions, the range of ambient concentrations over which the
27    evidence indicates the most certainty in concentration-response relationships can vary across
28    studies. Such variation is likely due at least in part to differences in the 63 metrics evaluated and
29    differences in the distributions of ambient concentrations and  health events. Thus, although
30    consideration of confidence intervals around concentration-response functions can provide
31    valuable insights into the ranges of ambient concentrations over which studies indicate  the most
32    confidence in reported health effect associations, there are limitations in the extent to which
33    these analyses can be generalized across 03 metrics, study locations, study populations, and
34    health endpoints.
                                                3-65

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 1          The ISA emphasizes two U.S. single-city studies that have reported confidence intervals
 2    around concentration-response functions (Silverman and Ito, 2010; Strickland et al., 2010).
 3    These studies, and their associated O^ air quality, are discussed below.
 4          Silverman and Ito (2010) evaluated associations between 2-day rolling average 63
 5    concentrations39 and asthma hospital admissions in New York City from 1999 to 2006 (a time
 6    period when the study area would have violated the current standard, Appendix 3-D). As part of
 7    their analysis, the authors evaluated the  shape of the concentration-response relationship for 63
 8    using a co-pollutant model that included PM2.5 (reprinted in Figure 3-4, below). Based on their
 9    analyses, Silverman and Ito (2010) concluded a linear relationship between 63 and hospital
10    admissions is a reasonable  approximation of the concentration-response function throughout
11    much of the range of ambient Os concentrations. Based on visual inspection of Figure 3-4 below
12    (Figure 3 from published study), we note that confidence in the reported concentration-response
13    relationship is highest for area-wide average OT, concentrations around 40 ppb (i.e.,  near the
14    reported median of 41 ppb), and decreases notably for concentrations at and below about 20 ppb.
15
     39
        2-day rolling averages of 8-hour daily maximum O3 concentrations were calculated throughout the study period,
     averaged across study monitors.

                                                3-66

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                               Ozone: All Ages
 2
 3
 4
 5
 6
 7
 8
 9
10
11
12
13
14
15
16
17
18
              <\J
           °2
           be
             ^
           cu
           DC
              o>
              o
                  Hill
                     20      40       60      80
                         03 Concentration (ppb)
                                                     100
Figure 3-4. Concentration-response function for asthma hospital admissions over the
            distribution of area-wide averaged Os concentrations (adapted from Silverman
            and Ito, 2010).40
      In considering the concentration-response function presented by Silverman and Ito (2010)
within the context of the adequacy of the current standard, we evaluate the extent to which the O^
concentrations contributing to various portions of the function would likely have been allowed
by the current standard. In doing so, we recognize that true design values cannot be identified for
the subsets of air quality data contributing to various portions of the concentration-response
function.41 Therefore,  to use this analysis to inform our consideration of the adequacy of the
current standard we evaluate the extent to which the concentration-response function  indicates a
relatively high degree of confidence in the reported health effect association on days when all
monitored 8-hour 63 concentrations were below 75 ppb (Table 3-4, below). This approach can
provide insight into the extent to which the reported O^ health effect association is present when
all monitored 63 concentrations are below the level of the current standard.
      Based on the information in Table 3-4 below, when 2-day averaged O?, concentrations
ranged from 36 to 45 ppb (i.e., around the median, where confidence intervals are narrowest),
there was 1 day (out of 236) with at least one monitor recording an 8-hour daily maximum 63
     40This figure was also reprinted in the ISA (U.S. EPA, 2013; Figure 6-16).
     41
       As discussed above, O3 design values are calculated using all data available from a monitor.

                                                3-67

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 2
 O
 4
 5
 6
 7
 8
 9

10
11
12
13
14
15
16
17
18
19
20
21
22
concentration above the level of the current standard (approximately 0.4% of days). When 2-day
averaged 63 concentrations ranged from 26 to 45 ppb (i.e., extending to concentrations below the
median, but still above the concentrations where confidence intervals widen notably), there were
4 days (out of 816) with at least one monitor recording an 8-hour daily maximum Os
concentration above the level of the current standard (approximately 0.5% of days). Thus, on
over 99% of the days when area-wide "averaged" Os concentrations were between 26 and 45
ppb, the highest 8-hour daily maximum 63 concentrations were below 75 ppb. For comparison,
the annual 4* highest 8-hour daily maximum Os concentration generally corresponds to the 98*
or 99th percentile of the seasonal distribution, depending on the length of the 63 season.

Table 3-4.   Distributions of daily 8-hour maximum ozone concentrations from highest
            monitors over range of 2-day moving averages from composite monitors (for
            study area evaluated by Silverman and Ito, 2010)
                                     2-day moving average across monitors (ppb)
    8-hr max from
st monitor
those 2 days
Min
5th
25th
50th
75th
95th
98th
99th
Max
11 to 20
(62 days)
16
20
26
29
35
39
41
42
42
21 to 25
(92 days)
27
28
31
35
38
50
54
55
59
26 to 30
(178 days)
30
34
37
42
46
54
60
67
80
31 to 35
(206 days)
36
39
43
46
50
60
70
72
75
36 to 40
(236 days)
41
44
47
51
55
63
68
71
79
41 to 45
(196 days)
45
49
53
59
64
74
82
87
100
46 to 50
(153 days)
52
56
61
64
69
80
85
87
97
51 to 55
(111 days) (
58
61
67
71
78
85
93
94
96
56 to(
71 da^
62
67
72
76
85
96
99
103
108
    Days > 75 ppb
                                                                                  15
                                                                                          20
      In a separate study, Strickland et al. (2010) evaluated associations between 3-day rolling
                        j\r\
average Oj, concentrations  and asthma hospital admissions in Atlanta during the warm season
from 1994 to 2004 (a time period when the study area would have violated the current standard,
Appendix 3-D). As part of this analysis, Strickland et al. (2010) evaluated the concentration-
response relationship for Os and pediatric asthma emergency department visits. The authors
reported the  shape of the concentration-response function to be approximately linear with no
evidence of a threshold when 3-day averaged 8-hour daily maximum Os concentrations were
approximately 30 to 80 ppb (Figure 3-5 below and U.S. EPA, 2013, Figure 6-18). Figure 3-5
below illustrates that the confidence intervals around the concentration-response function are
      42
        Three-day rolling averages of population-weighted 8-hour daily maximum O3 concentrations were calculated
      throughout the study period (Strickland et al., 2010).
                                                3-68

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 1
 2
 4
 5
 6
 9
10
11
12
13
14
15
16
17
narrowest around the study mean (i.e., 55 ppb), and that these confidence intervals do not widen
notably for "averaged" 63 concentrations as low as about 30 ppb.
                       Ozone Warm Season
         LT>
         CM -
         in
      o ^J
      '•4-1
      CO

      0)
      4-1
      (0 LD
      a: q
         ID
         O) -
            30      40      50       60      70
                        Concentration (ppb)
                                               80
Figure 3-5. Concentration-response function for pediatric asthma emergency department
            visits over the distribution of averaged, population-weighted 8-hour Os
            concentrations (reprinted from Strickland et al., 2010). 3
       Similar to the study by Silverman and Ito (2010), we consider the extent to which the
reported concentration-response function indicates a relatively high degree of confidence in
health effect associations on days when all monitored 8-hour Os concentrations are below 75 ppb
(Tabe 3-5, below).44 In considering the information presented in Table 3-5, we first note that
when 3-day averaged 63 concentrations were in the range of the mean (i.e., 51 to 60 ppb), there
were 77 days (out of 516; 14.9%) with at least one monitor recording an 8-hour daily maximum
63 concentration above the level of the current standard.  In contrast,  during the 519 days when
averaged 63 concentrations were in the lower portion of the distribution where study authors
indicate relatively high confidence in the reported concentration-response relationship (i.e.,
between 31 and 45 ppb), there were 4 days with at least one monitor  in the study area measuring
an 8-hour daily maximum Os concentration greater than 75 ppb (approximately 0.8% of days).
     43 This figure was also reprinted in the ISA (U.S. EPA, 2013; Figure 6-18).
     44
        The study by Strickland et al. (2010) used five monitors. For our evaluation of highest 8-hour daily maximum
     concentrations (i.e., from the individual monitor recording the highest such concentration), we obtained information
     from the four of these study area monitors that report data to AQS (Appendix 3-D).
                                                3-69

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 1    Thus, on over 99% of the days when "averaged" O^ concentrations were between 31 and 45 ppb,
 2    all monitors measured 8-hour daily maximum 63 concentrations below 75 ppb.
3 Table 3-5. Distribution of daily 8-hour maximum ozone concentrations from highest
4 monitors over range of 3-day moving averages of population-weighted
5 concentrations (for study area evaluated by Strickland et al., 2010)
rmax 3-day moving average across monitors (ppb)
from
highest
monitor
during
Min
5th
25th
50th
75th
95th
98th
99th
Max
26-30
(75 days)
27
29
36
38
44
53
59
66
70
31-35
(144 days)
24
33
40
44
49
56
59
61
64
36-40
(165 days)
33
36
45
50
54
70
75
78
83
41-45
(210 days)
30
45
51
58
62
74
84
89
99
46-50
(235 days)
36
48
56
62
70
81
86
88
97
51-55
(244 days)
38
54
63
68
74
84
93
95
107
56-60
(272 days)
49
60
68
73
81
95
100
103
106
61-65
(234 days)
52
64
73
78
85
95
98
102
122
66-70
(169 days)
57
69
79
86
96
104
107
108
129
71 to 75
(124 days)
67
75
85
92
101
109
110
112
120
76 to 80
(106 days)
69
85
95
101
108
120
124
124
138
 g     Days > 75    00       2      2       10      24     53      80      89      87      87
 7          In summary, analyses of air quality data from the study locations evaluated by Silverman
 8    and Ito (2010) and Strickland et al. (2010) indicate a relatively high degree of confidence in
 9    reported statistical associations with respiratory health outcomes on days when all monitors
10    recorded 8-hour average Os concentrations of 75 ppb or below. Though these analyses do not
11    identify true design values, the presence of (^-associated respiratory effects on such days
12    provides insight into the types of health effects that could occur in locations that meet the current
13    standard.
14          There are several important uncertainties that are specifically related to our analyses of
15    distributions of Os air quality in the study locations evaluated by Silverman and Ito (2010) and
16    Strickland et al. (2010). Although these studies report health effect associations with two-day
17    (Silverman and Ito)  and three-day (Strickland) averages of daily 63 concentrations, it is possible
18    that the respiratory morbidity effects reported in these studies were also at least partly
19    attributable to the days immediately preceding these two- and three-day periods. In support of
20    this possibility, Strickland et al. reported positive and statistically significant associations with
21    emergency department visits for multiple lag periods, including lag periods exceeding three days.
22    Our analysis of highest monitored concentrations focuses on two- and three- day periods, as used
23    in the published study to generate concentration-response functions. This could have important
24    implications for our interpretation of the reported concentration-response functions if a 2-day
25    period with no monitors measuring 8-hour concentrations at or above 75 ppb is immediately
26    preceded by one or more days with monitors that do exceed 75 ppb. Although we do not know
27    the extent to which 63 concentrations on a larger number of days could have contributed to

                                                 3-70

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 1    reported health effect associations, we note this as a potentially important uncertainty in our
 2    consideration of concentration-response functions within the context of the current standard.
 3           In addition, an important uncertainty that applies to epidemiologic studies in general is
 4    the extent to which reported health effects are caused by exposures to 63 itself, as opposed to
 5    other factors such as co-occurring pollutants or other pollutant mixtures. Although both of the
 6    studies evaluated above reported health effect associations in co-pollutant models, this
 7    uncertainty becomes an increasingly important consideration as health effect associations are
 8    evaluated at lower ambient Os concentrations (i.e., resulting in lower exposure concentrations).
 9           One approach to considering the potential importance of this uncertainty in
10    epidemiologic studies is to evaluate the extent to which there is coherence with the results of
11    experimental studies (i.e., in which the study design dictates that exposures to O^ itself are
12    responsible for reported effects). Therefore, in further considering uncertainties associated with
13    the above air quality analyses for the study areas evaluated by Silverman and Ito (2010) and
14    Strickland et al. (2010), we evaluate the following question:

15         •  To what extent is there coherence between evidence from controlled human
16            exposure studies and epidemiologic studies supporting the occurrence of Os-
17            attributable respiratory  effects when 8-hour daily maximum ambient Os
18            concentrations are at or  below 75 ppb?
19           As summarized above and as discussed in the ISA (U.S. EPA, 2013, section 6.2),
20    controlled human exposure studies demonstrate the occurrence of respiratory effects in an
21    appreciable percentage of healthy adults following single short-term exposures to Os
22    concentrations as low as 60 ppb. In  addition, as 63 exposure concentrations exceed 60 ppb:  1)
23    effects in healthy adults become larger and more serious; 2) a broader range of effects are
24    observed in a greater percentage of exposed individuals; and 3) effects are reported more
25    consistently across studies. Thus, as the  potential increases for exposures to 63 concentrations
26    approaching or exceeding 60 ppb, our confidence increases that reported respiratory health
27    effects could be caused by exposures to the ambient 63 concentrations present in study locations.
28           In considering coherence with results of controlled human exposure studies in this way, it
29    is important to note the relative lack of experimental data for exposure concentrations below 60
30    ppb. It is possible that lower exposure concentrations can result in respiratory effects serious
31    enough to lead to hospital admissions or emergency department visits, particularly in at-risk
32    populations such as children and asthmatics. Thus, although we consider coherence between
33    epidemiologic and controlled human exposure study results, we also acknowledge that  an 63
34    exposure concentration of 60 ppb does not constitute a bright line below which we are confident
35    that effects no longer occur, particularly for at-risk groups.

                                                3-71

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 1          As discussed above, for the study by Silverman and Ito (2010), 26 to 45 ppb represents
 2    the lower end of the range of "averaged" daily maximum 8-hour concentrations over which the
 3    study indicates a relatively high degree of confidence in the statistical association with
 4    respiratory hospital admissions (and for which virtually all monitored concentrations were 75
 5    ppb or below). As averaged concentrations increase from 26 to 45 ppb, the number of days with
 6    maximum monitored concentrations exceeding 60 ppb increases dramatically (Table 3-4,
 7    above).45 For example, of the 178 days with area-wide average daily maximum 8-hour
 8    concentrations from 26 to 30 ppb, only about 2% had any monitors recording ambient
 9    concentrations of 60 ppb or greater. In contrast, of the 196 days with area-wide average
10    concentrations from 41 to 45 ppb, about half had at least one monitor recording an ambient
11    concentration near or above 60 ppb, with monitors on some days measuring concentrations
12    greater than 80 ppb. Thus, as averaged concentrations approach 45 ppb there is an increasing
13    likelihood that at least some portion of the study population could have been exposed to Os
14    concentrations approaching or exceeding those reported in controlled human exposure studies to
15    cause respiratory effects in healthy adults.
16          For the study by Strickland et al  (2010), "averaged" concentrations from 30 to 45 ppb
17    represent the lower end of the range of concentrations over which the study indicates a relatively
18    high degree of confidence in the statistical association with respiratory emergency department
19    visits (and for which virtually all monitored concentrations were 75 ppb or below).  Similar to the
20    study area evaluated by Silverman and Ito, as  8-hour area-wide average 63 concentrations
21    approach 45 ppb, maximum monitored concentrations exceed 60 ppb more frequently. On most
22    days contributing to averaged Os concentrations from 41 to 45 ppb, maximum monitor
23    concentrations were near or above 60 ppb. On a small number of these days, maximum
24    monitored concentrations were greater than 80 ppb. Therefore, similar to the study by Silverman
25    and Ito (2010), at least some portion of the study population on these days are likely to have been
26    exposed to Oj concentrations exceeding those reported in controlled human exposure studies to
27    cause respiratory effects in some healthy adults.
28          Thus, consideration of distributions  of individual monitored concentrations, in
29    conjunction with the results of Os controlled human exposure studies, supports the role of
30    ambient O?, concentrations in eliciting the reported respiratory hospital admissions and
31    emergency department visits. Specifically, these analyses support the occurrence of Oj-
32    attributable hospital admissions and emergency department visits on days when virtually all
33    monitors measure  8-hour ambient concentrations below 75 ppb.
      45
       Though, as noted above, the epidemiologic studies by Silverman and Ito (2010) and Strickland et al. (2010) do not
      provide information on the extent to which reported health effects result from exposures to any specific O3
      concentrations.

                                                3-72

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 1           In further evaluating Os concentration-response relationships within the context of the
 2    adequacy of the current standard, we note that some epidemiologic studies report health effect
 3    associations for air quality distributions restricted to ambient pollutant concentrations below one
 4    or more predetermined cut points. Such "cut point" analyses can provide information on the
 5    magnitude and statistical precision of effect estimates for defined distributions of ambient
 6    concentrations, which may in some cases include distributions that would meet the current
 7    standard. Therefore, we next consider the following question:
 8       •   To what extent do cut-point analyses from epidemiologic studies report health effect
 9           associations at ambient Os concentrations lower than previously identified or that
10           would likely meet the current standard?
11           By considering the magnitude and statistical significance of effect estimates for restricted
12    air quality distributions, cut-point analyses  can provide insight into the extent to which health
13    effect associations are driven by ambient concentrations above the cut point, versus
14    concentrations below the cut point. For studies that evaluate multiple cut points, these analyses
15    can provide insights into the magnitude and statistical precision of health effect associations for
16    different portions of the distribution of ambient concentrations, including insights into the
17    ambient concentrations below which uncertainty in reported associations becomes notably
18    greater. As with analyses of concentration-response functions, discussed above, the cut points
19    below which confidence intervals become notably wider depend in large part on data density.46
20           In the U.S. multicity study by Bell et al. (2006), study authors  used the NMMAPS data
21    set to evaluate associations between 2-day rolling average 63 concentrations47 and total (non-
22    accidental) mortality in 98 U.S. cities from  1987 to 2000. Based on the full distributions of
23    ambient 63 concentrations in study  cities, the large majority of the NMMAPS cities would have
24    violated the current standard during the study period (Appendix 3-D).  However, Bell et al.
25    (2006) also reported health effect associations in a series of cut-point analyses, with effect
26    estimates based only on the subsets of days contributing to "averaged" 63 concentrations below
27    cut points ranging from 5 to 60 ppb (see Figure 2 in Bell et al., 2006).  The lowest cut-point for
28    which the association between 63 and mortality was reported to be statistically significant was
29    30 ppb (based on visual inspection of Figure 2 in published study). As with the studies by
30    Silverman and Ito (2010) and Strickland et  al. (2010), we consider what these cut point analyses
      46As such, these analyses provide insight into the ambient concentrations below which the available air quality
      information becomes too sparse to support conclusions about the nature of concentration-response relationships,
      with a high degree of confidence.
      47Two-day rolling averages of 24-hour average O3 concentrations were calculated throughout the study period. This
      calculation was done across study monitors in study cities with multiple monitors.

                                                 3-73

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 1    indicate with regard to the potential for health effect associations to extend to ambient O^
 2    concentrations likely to be allowed by the current 63 NAAQS.
 3           We attempted to recreate the subsets of air quality data used in the cut point analyses
 4    presented by Bell et al.  (2006). In doing so, we applied the criteria described in the published
 5    study to generate air quality subsets corresponding to those defined by the cut points evaluated
                      ,10
 6    by study authors.  From the days with averaged Oj, concentrations below each cut point, we
 7    identified 3-year averages of annual 4th highest 8-hour daily maximum 63 concentrations in each
 8    study area. We then compared these 4* highest Os concentrations to the level of the current
 9    standard in order to provide insight into the extent to which the air quality distributions included
10    in various cut point analyses would likely have met the current standard.
11           We particularly focus on the lowest cut-point for which the association between O^ and
12    mortality was reported to  be statistically significant (i.e., 30 ppb, as noted above). Based on the
13    Os air quality concentrations that met the criteria for inclusion in the 30  ppb cut point analysis,
14    95% of study areas had 3-year averages of annual 4 highest 8-hour daily maximum Oj,
15    concentration at or below 75 ppb over the entire study period. For the 35 ppb cut point, which
16    also resulted in a statistically significant association with mortality, 68% of study areas had 3-
17    year averages of annual 4th highest 8-hour daily maximum 63 concentration at or below 75 ppb.
18    This suggests that the large maj ority of air quality distributions that provided the basis for
19    positive and statistically significant associations with mortality (i.e., for  the 30 and 35 ppb cut
20    points) would likely have met the current 63 standard. For higher cut points, all of which also
21    resulted in statistically significant associations with mortality, the majority of study cities had 3-
22    year averages of annual 4* highest 8-hour daily maximum concentrations greater than 75 ppb.
23
      48We were unable to obtain the air quality data used to generate the cut-point analyses in the study published by Bell
      et al. (2006). Therefore, we generated 2-day averages of 24-hour O3 concentrations in study locations using the air
      quality data available in AQS, combined with the published description of study area definitions. In doing so, we did
      not recreate the trimmed means used by Bell. As discussed below, this represents an important uncertainty in our
      analysis.

                                                  3-74

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 1    Table 3-6.
 2
            Number of study cities with 4  highest 8-hour daily maximum concentrations
            greater than 75 ppb, for various cut-point analyses presented in Bell et al.
            (2006)
 4
 5
 6
 7
 8
 9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30


Number (%) of
Cities with 4th
highest >75 (any
3 -yr period;
1987-2000)
Cut-point for 2-day moving average across monitors and cities (24-hour average)
25

0 (0%)

30

5 (5%)

35

31
(32%)

40

70
(71%)

45

86
(88%)

50

88
(90%)

55

92
(94%)

60

92
(94%)

All

92
(94%)

       In addition to the uncertainties noted above for our analysis of the single-city studies by
Silverman and Ito (2010) and Strickland et al. (2010) (e.g., attributing effects specifically to air
quality included in various subsets), an important uncertainty related to this analysis is that we
were unable to obtain the air quality data used to generate the cut-point analyses in the study
published by Bell et al. (2006). Therefore, as noted above, we generated 2-day averages of 24-
hour Oj, concentrations in study locations using the air quality data available in AQS,  combined
with the published description of study area definitions. In doing so, we did not recreate the
trimmed means used by Bell. An important uncertainty in this approach is the extent to which we
were able to appropriately recreate the cut-point analyses in the published study.
       The ISA also notes important uncertainties inherent in multicity studies that evaluate the
potential for thresholds to exist, as was done in the study by Bell et al. (2006). Specifically, the
ISA highlights the regional heterogeneity in 63 health effect associations as a factor that could
obscure the presence of thresholds, should they exist, in multicity studies (U.S. EPA,  2013,
sections 2.5.4.4 and 2.5.4.5). The ISA notes that community characteristics (e.g., activity
patterns, housing type, age distribution, prevalence of air conditioning) could be important
contributors to reported regional heterogeneity (U.S. EPA, 2013, section 2.5.4.5). Given this
heterogeneity, the ISA concludes that "a national or combined analysis may not be appropriate to
identify whether a threshold  exists in the Os-mortality C-R relationship" (U.S. EPA, 2013, p. 2-
33). This represents an important source of uncertainty when characterizing our confidence in
reported concentration-response relationships over distributions of ambient 63 concentrations,
based on multicity studies. This uncertainty becomes increasingly important when interpreting
concentration-response relationships at lower ambient 63 concentrations, particularly those
concentrations corresponding to portions of distributions where data density  decreases notably.
      3.1.4.3  Concentrations  in Epidemiologic Studies - "Long-term" Metrics
       We next consider the extent to which epidemiologic studies employing longer-term
ambient Os concentration metrics inform our understanding of the air quality conditions
                                                3-75

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 1    associated with Os-attributable health effects, and specifically inform consideration of the extent
 2    to which such effects could occur under air quality conditions meeting the current standard.
 3    Unlike for the studies of short-term O^  discussed above, the available U.S. and Canadian
 4    epidemiologic studies evaluating long-term ambient 63 concentration metrics have not been
 5    conducted in locations likely to have met the current 8-hour Os standard during the study period
 6    (Appendix 3-D). Therefore,  although these studies contribute to our understanding of health
 7    effects associated with long-term or repeated exposures to ambient 63 (as summarized in section
 8    3.1.2 above), consideration of study area design values does not inform our consideration of the
 9    extent to which those health effects may be occurring in locations that met the current standard.
10           In further considering epidemiologic studies of long-term 63 concentrations, we also
11    evaluate the extent to which concentration-response functions have been reported over
12    distributions of ambient concentrations, and what those functions  can tell us about health effect
13    associations with Os concentrations likely to be allowed by the current standard.  Specifically, we
14    consider the following question:
15         •   To what extent do confidence intervals around concentration-response functions
16             indicate Os-associated  health outcomes at ambient concentrations meeting the
17             current Os standard?
18           The ISA identifies a  single epidemiologic study reporting confidence intervals around a
19    concentration-response function for "long-term" 63 concentrations and respiratory mortality
20    (Jerrett et al., 2009; U.S. EPA, 2013, sections 7.2.7, 7.2.8 and 7.7). Jerrett et al. (2009) reported
21    that when seasonal averages of 1-hour daily maximum 03 concentrations49 ranged from 33 to
22    104 ppb, there was no statistical deviation from a linear concentration-response relationship
23    between Os  and respiratory mortality across 96 U.S. cities (U.S. EPA, 2013, section 7.7).
24    However, the authors reported "limited evidence" for an effect threshold at an 63 concentration
25    of 56 ppb (p=0.06). Visual inspection of this concentration-response function (Figure 3-6)
26    confirms the possibility  of an inflection point just below 60 ppb, which is close to the median
27    concentration across cities (i.e., 57 ppb).
      49
       Jerrett et al. (2009) evaluated the April to September averages of 1 -hour daily maximum O3 concentrations across
      96 U.S. metropolitan areas from 1977- 2000. In urban areas with multiple monitors, April to September 1-hour daily
      maximum concentrations from each individual monitor were averaged. This step was repeated for each year in the
      study period. Finally, each yearly averaged O3 concentrations was then averaged again to yield the single averaged
      1-hour daily maximum O3 concentration depicted on the x axis of Figure 3-6 below.

                                                 3-76

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                              0.2-
                              0.0-
                                               lii i ijanniiiiiiiii
                                       40           60           SO          100
                                          l!i£HJl^^
 2    Figure 3-6.  Exposure-Response relationship between risk of death from respiratory causes
 3                and ambient Os concentration study metric (Jerrett et al., 2009).
 4           We consider the extent to which this concentration-response function indicates
 5    confidence in the reported health effect association at various ambient Os concentrations. In
 6    doing so, we note the following: (1) most of the study cities had O?, concentrations above 53.1
 7    ppb (i.e., the upper bound of the first quartile), accounting for approximately 72% of the
 8    respiratory deaths in the cohort (Table 2 in Jerrett et al. 2009); (2) confidence intervals widen
 9    notably for 63 concentrations in the first quartile (based on visual inspection of Figure 3-6); and
10    (3) study authors noted limited evidence for a threshold at 56 ppb.50 In considering this
1 1    information, we  conclude that the analysis reported by Jerrett indicates the  greatest confidence in
12    the linear concentration-response function for "long-term" 63 concentrations in the upper three
13    quartiles (i.e., above about 53 ppb).
14           Based on information in the published study (Figure 1 in Jerrett et al., 2009), we
15    identified 72 of the 96 study cities as having ambient Oi concentrations in the highest three
16    quartiles (Appendix 3-D). As noted above, these 72 cities account for approximately 72% of the
17    respiratory deaths in the cohort (Table 2 in Jerrett et al. 2009). Of these 72  cities, 71 had 3 -year
18    averages of annual 4th highest 8-hour daily maximum 63 concentrations above 75 ppb (Appendix
19    3-D). Thus, the current 8-hour NAAQS would have been violated during the study period in
20    virtually all of the study cities that contribute to the range of long-term 63 concentrations over
21    which we have the greatest confidence in the reported relationship with respiratory mortality.
22    Thus, while the study by Jerrett et al. (2009) contributes to our understanding of health effects
23    associated with ambient 63 (as summarized in section 3.1.2 above), it is less informative
      50The ISA does not reach conclusions regarding the potential for a threshold in the association between "long-term"
      O3 concentrations and respiratory mortality.
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 1    regarding the extent to which those health effects may be occurring under air quality conditions
 2    allowed by the current standard.
 3         3.1.5  Public Health Implications
 4           In this section, we address the public health implications of Os exposures with respect to
 5    the factors that put populations at increased risk from exposures (section 3.1.5.1), the size of at-
 6    risk populations (section 3.1.5.2), and the potential effects of averting behavior on reducing 63
 7    exposures and associated health effects (section 3.1.5.3). Providing appropriate public health
 8    protection requires consideration of the factors that put populations at greater risk from 63
 9    exposure. In order to estimate potential overall for public health impacts, it is important to
10    consider not only the adversity of the health effects, but also the populations at greater risk and
11    potential behaviors that may reduce exposure.
12         3.1.5.1 At-Risk Populations
13           In this section we address the following question:
14         •   To what extent does the currently available scientific evidence expand our
15             understanding of at-risk populations?
16           The currently available  evidence expands our understanding of populations that were
17    identified to be  at greater risk of Os-related health effects at the time of the last review (i.e.,
18    people who are active outdoors, people with lung disease, children and older adults  and people
19    with increased responsiveness to 63) and supports the identification of additional factors that
20    may lead to increased risk (U.S. EPA 2006, section 3.6.2; U.S. EPA, 2013, chapter 8).
21    Populations and lifestages may be  at greater risk for Os-related health effects due to factors
22    contribute to their susceptibility and/or vulnerability  to ozone. The definitions  of susceptibility
23    and vulnerability have been found  to vary across studies, but in most instances "susceptibility"
24    refers to biological or intrinsic factors (e.g., lifestage, sex, preexisting disease/conditions) while
25    "vulnerability" refers to non-biological or extrinsic factors (e.g., socioeconomic status [SES])
26    (U.S. EPA, 2013, p. 8-1; U.S. EPA, 2010c, 2009d). In some cases, the terms "at-risk" and
27    "sensitive" have been used to encompass these concepts more generally. In the ISA and this PA,
28    "at-risk" is the all-encompassing term used for groups with specific factors that increase their
29    risk of Os-related health effects. Further discussion of at-risk populations can be found in
30    Appendix 3C below.
31           There are multiple avenues by which groups may experience increased risk for 63-
32    induced health effects. A population  or lifestage51 may exhibit greater effects than other
      51 Lifestages, which in this case includes childhood and older adulthood, are experienced by most people over the
      course of a lifetime, unlike other factors associated with at-risk populations.
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 1    populations or lifestages exposed to the same concentration or dose, or they may be at greater
 2    risk due to increased exposure to an air pollutant (e.g., time spent outdoors). A group with
 3    intrinsically increased risk would have some factor(s) that increases risk through a biological
 4    mechanism and, in general, would have a steeper concentration-risk relationship, compared to
 5    those not in the group. Factors that are often considered intrinsic include asthma, genetic
 6    background, and lifestage. A group of people could also have extrinsically increased risk, which
 7    would be through an external, non-biological factor, including, for example, socioeconomic
 8    status (SES) and diet. Some groups are at risk of increased internal dose at a given exposure
 9    concentration, for example, because of breathing patterns. This category would include people
10    who work or exercise outdoors. Finally, there are those who might be placed at increased risk for
11    experiencing greater exposures by being exposed at higher concentrations. This would include,
12    for example, groups of people with greater exposure to ambient 63 due to less availability or use
13    of home air conditioners such that they are more likely to be in locations with open windows on
14    high ozone days.  Some groups may be at increased risk of Os-related health effects through a
15    combination of factors. For example,  children tend to spend more time outdoors when 63 levels
16    are high, and at higher levels of activity than adults, which leads to increased exposure and dose,
17    and they also have biological, or intrinsic,  risk factors (e.g., their lungs are still developing)
18    (U.S. EPA, 2013, Chapter 8).  An at-risk population or lifestage is more likely to experience
19    adverse health effects related to O^ exposures and/or, develop more severe effects from exposure
20    than the general population.
21            Based on the currently available evidence, the at-risk populations for 63- related health
22    effects  are based on factors that include:  asthma, lifestages (children and older adults), genetic
23    variability, dietary factors, and working outdoors (U.S. EPA, 2013, section 8.5, Table 8-6). This
24    conclusion is supported by consistency in findings across studies and evidence of coherence in
25    results  from different scientific disciplines.  The current evidence is suggestive of a potential  for
26    three other factors to influence risk of Os-related health effects. The evidence suggests that
27    women may be at greater risk than men, groups with low SES  or living in neighborhoods with
28    low SES may be at greater risk than other socioeconomic groups, and obesity may be a potential
29    risk factor. Further studies are needed, however, on these factors.  Overall, the factors most
30    strongly supported as contributing to increased risk  of Os-related effects are related to asthma,
31    lifestage (children and older adults), genetic variability, dietary factors, and working outdoors
32    (U.S. EPA, 2013; chapter 8).
33           In summary, the evidence available in this review supports the identification of the
34    following populations and lifestages as having increased risk for Os-related health effects, based
35    on consistency in findings across studies and evidence of coherence in results from different

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 1    scientific disciplines (U.S. EPA, 2013, section 8.5): individuals with certain genotypes,
 2    individuals with asthma, younger and older age groups, individuals with reduced intake of
 3    certain nutrients, and outdoor workers. Multiple genetic variants have been observed in
 4    epidemiologic and controlled human exposure studies to affect the risk of Ch-related respiratory
 5    outcomes and support is provided by toxicological studies of genetic factors (U.S. EPA, 2013,
 6    section 8.1).  Asthma has been recognized in past reviews and continues to be well established in
 7    this review as a risk factor for (Vrelated health effects based on multiple lines of evidence,
 8    included controlled human exposure and toxicological studies in animal models, as well as some
 9    evidence from epidemiologic studies. This evidence supports our understanding of the
10    biological (intrinsic) factors that put individuals with asthma at greater risk than other groups
11    (U.S. EPA, 2013, section 8.2.2). As noted above, some extrinsic (exposure-related) and intrinsic
12    factors contribute to the identification of children as an at-risk lifestage. Children have higher
13    exposure and dose due to increased time spent outdoors and ventilation rate, their lungs are still
14    developing, and they are more likely than adults to have asthma (U.S. EPA, 2013, section
15    8.3.1.1). Older adults may also withstand greater 63 exposure and not seek relief as quickly as
16    younger adults. Multiple epidemiologic, controlled human exposure and toxicological studies
17    reported that diets deficient in vitamins E and C are associated with risk of Ch-related health
18    effects for all lifestages. Previous studies have shown that increased exposure to 63 due to
19    outdoor work leads to increased risk of Os-related health effects and it is clear that outdoor
20    workers have higher exposures, and possibly greater internal doses, of 63, which may lead to
21    increased risk of (Vrelated health effects (U.S. EPA, 2013, section 8.5).
22          In some cases, it is difficult to determine a factor that results in increased risk of effects.
23    For example, previous assessments have included controlled human exposure studies in which
24    some healthy individuals demonstrate greater Os-related health effects compared to other healthy
25    individuals. Intersubject variability has been observed for lung function decrements,
26    symptomatic responses, pulmonary inflammation, AHR, and altered epithelial permeability in
27    healthy adults exposed to 63 and these results tend to be reproducible within a given individual
28    over a period of several months indicating differences in the intrinsic responsiveness. In many
29    cases the reasons for the variability is not clear. This may be because one or some of the factors
30    described above have not been evaluated in studies, or it may be that additional, unidentified
31    factors influence individual responses to O^ (U.S. EPA, 2013, section 8.5).
32          As discussed in chapter 8 of the ISA, and further in Appendix 3C below, the challenges
33    and limitations in evaluating the factors that can increase risk for experiencing (Vrelated health
34    effects may contribute to a lack of information about the factors that may increase risk from 63
35    exposures. This lack of information may contribute to conclusions that evidence for some

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 1    factors, such as sex, SES, and obesity provided "suggestive" evidence of increased risk, or that
 2    for a number of factors the evidence was inadequate to draw conclusions about potential increase
 3    in risk of effects. Overall, the factors most strongly supported as contributing to increased risk of
 4    populations for experience (Vrelated effects were related to asthma, lifestage (children and older
 5    adults), genetic variability, dietary factors, and working outdoors.
 6         3.1.5.2   Size of At-Risk Populations and Lifestages in the United States
 7          One consideration in the assessment of potential public health impacts is the size of
 8    various population groups for which there is adequate evidence of increased risk for health
 9    effects associated with Os-related air pollution exposure. The factors for which the ISA judged
10    the evidence to be "adequate" with respect to contributing to increased risk of Os-related effects
11    among various populations and lifestages included: asthma; childhood  and older adulthood; diets
12    lower in vitamins C and E; certain genetic variants and, working outdoors (EPA, 2013, section
13    8.5).
14          With regard to asthma, Table 3-12 below summarizes information  on the prevalence of
15    current asthma by age in the U.S. adult population in 2010 (Schiller et al. 2012; children - Bloom
16    et al., 2011). Individuals with current asthma constitute a fairly large proportion of the
17    population, including more than 25 million people. Asthma prevalence tends to be higher in
18    children than adults.
19          Within the U.S., approximately 8.2% of adults have reported currently having asthma
20    (Schiller et al., 2012) and 9.5% of children have reported currently having asthma (Bloom et al.,
21    2011). Table 3-12 below provides more detailed information on prevalence of asthma by age in
22    the U.S.
23
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 1    Table 3-7.  Prevalence of asthma by age in the U.S.
Age (years)
0-4
5-11
12-17
18-44
45-64
65-74
75+
Asthma prevalence is reported for "still
Source: Statistics for adults: Schiller et
N (in thousands)
1,285
3,020
2,672
8,902
6,704
1,849
1,279
has asthma"
al. (2012); Statistics for children:
Percent
6.0
10.5
10.9
8.1
8.4
8.7
7.4

Bloom etal. (2011)
 3           With regard to lifestages, based on U.S. census data from 2010 (Howden and Meyer,
 4    2011), about 74 million people, or 24% of the U.S. population, are under 18 years of age and
 5    more than 40 million people, or about 13% of the U.S. population, are 65 years of age or older.
 6    Hence, a large proportion of the U.S. population, more than 33%, is included in age groups that
 7    are considered likely to be at increased risk for health effects from ambient O?, exposure.
 8           With regard to dietary factors, no statistics are available to estimate the size of an at-risk
 9    population based on nutritional status.
10           With regard to outdoor workers, in 2010 approximately 11.7% of the total number of
11    people (143 million people) employed, or about 16.8 million people, worked outdoors one or
                                                  CO
12    more day per week (based on worker surveys).   Of these approximately 7.4% of the workforce,
13    or about 7.8 million people, worked outdoors three or more days per week.
14           The health  statistics data illustrate what is known as the "pyramid" of effects. At the top
15    of the pyramid, there are  approximately 2.5 million deaths from all causes per year in the U.S.
16    population, with about 250 thousand respiratory-related deaths (CDC-WONDER, 2008). For
17    respiratory health diseases, there are nearly 3.3  million hospital discharges per year (HCUP,
18    2007), 8.7 million  respiratory ED visits (HCUP, 2007), 112 million ambulatory care visits
      52 The O*NET program is the nation's primary source of occupational information. Central to the project is the
      O*NET database, containing information on hundreds of standardized and occupation-specific descriptors. The
      database, which is available to the public at no cost, is continually updated by surveying a broad range of workers
      from each occupation, http://www.onetcenter.org/overview.html
      http://www.onetonline.org/find/descriptor/browse/Work_Context/4.C.2/
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 1    (Woodwell and Cherry, 2004), and an estimated 700 million restricted activity days per year due
 2    to respiratory conditions (Adams et al., 1999). Combining small risk estimates with relatively
 3    large baseline levels of health outcomes can result in quite large public health impacts. Thus,
 4    even a small percentage reduction in 63 health impacts on cardiopulmonary diseases would
 5    reflect a large number of avoided cases.
 6         3.1.5.3  Averting Behavior
 7          The activity pattern of individuals is an important determinant of their exposure (ISA,
 8    U.S. EPA, 2013, section 4.4.1). Variation in Os concentrations among various
 9    microenvironments means that the amount of time spent in each location, as well as the level of
10    activity, will influence an individual's exposure to ambient 63. Activity patterns vary both
11    among and within individuals, resulting in corresponding variations in exposure across a
12    population and over time. Individuals can reduce their exposure to 63 by altering their behaviors,
13    such as by staying indoors, being active outdoors when air quality is better, and by reducing their
14    activity levels or reducing the time being active outdoors on high-Os days (U.S. EPA, 2013,
15    section 4.4.2). The evidence in this topic area, while not addressed in the 2006 AQCD, is
16    evaluated in the ISA for this review.
17          The widely reported Air Quality Index (AQI) conveys advice to the public, and
18    particularly at-risk populations, on reducing exposure on days when ambient levels of common
19    air pollutants are elevated (www.airnow.gov). The AQI describes the potential for health effects
20    from Os (and other individual pollutants) in six color-coded categories of air-quality, ranging
21    from Good (green), Moderate (yellow), Unhealthy for Sensitive Groups (orange), Unhealthy
22    (red), and Very Unhealthy (purple), and Hazardous (maroon). Levels in the unhealthy ranges
23    (i.e., Unhealthy for Sensitive Groups and above) come with recommendations about reducing
24    exposure. Forecasted and actual AQI values for 63 are reported to the public during the 63
25    season.  The AQI advisories explicitly state that children, older adults, people with lung disease,
26    and people who are active outdoors, may be at greater risk from exposure to 03. People are
27    advised to reduce exposure depending on the predicted 63 levels and the likelihood of risk. This
28    advice includes being active outdoors when air quality is better, and reducing activity levels or
29    reducing the time being active outdoors on high-Os days. Staying indoors to reduce exposure is
30    not recommended until air quality reaches the Very Unhealthy or Hazardous categories.
31          Evidence of individual averting behaviors in response to AQI advisories has been found
32    in several studies,  including activity pattern and epidemiologic studies, especially for the at-risk
33    populations,  such as children, older adults, and people with asthma,  who are targeted by the
34    advisories. Such effects are less pronounced in the general population, possibly due to the
35    opportunity cost of behavior modification. Epidemiologic evidence from a study (Neidell and

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 1    Kinney, 2010) conducted in the 1990's in Los Angeles, CA reports increased asthma hospital
 2    admissions among children and older adults when O3 alert days (1-hour max O3 concentration
 3    >200 ppb)  were excluded from the analysis of daily hospital admissions and O3 concentrations
 4    (presumably thereby eliminating averting behavior based on high O3 forecasts). The lower rate
 5    of admissions observed when alert days were included in the analysis suggests that estimates of
 6    health effects based on concentration-response functions that do not account for averting
 7    behavior may be biased towards the null (U.S. EPA, 2013, section 4.4.2).

 8    3.2   AIR QUALITY-, EXPOSURE-, AND RISK-BASED CONSIDERATIONS

 9           In order to inform  judgments about the public health impacts of Os-related health
10    effects, the second draft HREA has developed and applied models to estimate human exposures
11    to Os and Os-associated health risks across the United States, with a specific focus on urban case
12    study areas (U.S. EPA, 2014).53 The second draft HREA uses photochemical modeling to adjust
13    air quality from the 2006-2010 Os seasons to just meet the current and alternative standards for
14    the 2006-2008 and 2008-2010 periods.54 In this section, staff considers estimates of short-term
15    Os exposures and estimates of health risks associated with short- and long-term  Os exposures, for
16    air quality adjusted to just meet the current Os standard. In section 3.2.1, we consider the
17    implications for exposure and risk estimates of the approach used in the second  draft HREA to
18    adjust air quality. Sections 3.2.2 and 3.2.3 discuss our exposure-based and risk-based
19    considerations, respectively. In these sections we specifically consider the following question:
20       •   What are the nature and magnitude of Os exposures and health  risks remaining
21           upon adjusting recent air quality to just meet the current Os standard, and what are
22           the important uncertainties associated with those exposure and risk  estimates?
23         3.2.1   Consideration of the Adjusted Air Quality Used in Exposure and Risk
24                Assessments
25           In the first draft HREA for this review, as in the last review, the EPA relied upon
26    quadratic rollback to adjust hourly  Os concentrations in urban case study areas to just meet the
27    current Os standard (U.S. EPA, 2012b). Although the quadratic rollback method reproduces
28    historical patterns of air quality changes better than some alternative methods, it relies on
        The 15 urban case study areas analyzed for exposures are Atlanta, Baltimore, Boston, Chicago, Cleveland, Dallas,
      Denver, Detroit, Houston, Los Angeles, New York, Philadelphia, Sacramento, St. Louis, and Washington, DC.
      Morbidity and mortality risk estimates are presented for these same areas, with the exception of Chicago, Dallas,
      and Washington, DC. The second draft HREA also presents a national scale mortality risk assessment for unadjusted
      (recent) air quality. This national-scale assessment, which focuses on existing air quality conditions and does not
      estimate the health risks associated with just meeting the current or alternative standards, can provide perspective on
      the relationship between national-scale O3 public health impacts and impacts estimated in specific urban areas.
      54 Three-year periods are used recognizing that the current standard is the average across three years of the annual
      fourth-highest daily maximum 8-hour average concentration.
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 1    statistical relationships without explicitly accounting for atmospheric chemistry and precursor
 2    emissions (U.S. EPA, 2014, Chapter 4). An important drawback of the quadratic rollback
 3    approach, recognized in the first draft HREA (U.S. EPA, 2012b), is that it forces all monitors in
 4    an assessment area to exhibit the same response when air quality is adjusted. It does not allow for
 5    the spatial or temporal heterogeneity in responses that result from the non-linear atmospheric
 6    chemistry that influences ambient Os concentrations (U.S. EPA, 2014,  Chapter 4). Because
 7    quadratic rollback does not account for physical and chemical atmospheric processes, or the
 8    sources of emissions precursors that lead to Os formation, a backstop or "floor" must be used
 9    when applying quadratic rollback to just meet current or alternative standards to ensure that
10    estimated 63 is not reduced in a manner inconsistent with 63 chemistry, such as to reduce
11    concentrations below that associated with background sources (U.S. EPA, 2014, Chapter 4).
12           Consistent with recommendations from the National Research Council of the National
13    Academies (NRC, 2008), the second draft HREA uses a photochemical model to estimate
14    sensitivities of Os to changes in precursor emissions, in order to estimate ambient O?,
15    concentrations that would just meet the current and alternative standards (U.S. EPA, 2014,
16    Chapter 4).55 For the urban case study areas evaluated in the second draft HREA, this model-
17    based adjustment approach was set up to estimate hourly 63 concentrations at each monitor
18    location when modeled U.S. anthropogenic precursor emissions (i.e., NOx, VOC)56 were reduced
19    to estimate air quality that just meets the current and alternative 03 standards.57
20           As discussed in Chapter 4 of the second draft HREA (U.S. EPA, 2014), this approach
21    models the physical and chemical atmospheric processes that influence ambient Os
22    concentrations. Compared to the quadratic rollback approach, it provides more realistic estimates
23    of the spatial and temporal responses of 63 to reductions in precursor emissions. These improved
24    estimates avoid many of the limitations inherent in the quadratic rollback method, including the
25    requirement that all monitors in an assessment area exhibit the same response upon model
       The second draft HREA uses the CMAQ photochemical model instrumented with the higher order direct
      decoupled method (HDDM) to estimate ozone concentrations that would occur with the achievement of the current
      and alternative O3 standards (U.S. EPA, 2014, Chapter 4).
       Exposure and risk analyses for most urban case study areas focus on reducing NOX emissions alone (NOX
      emissions were reduced by about 40 to 85% for the current standard, and up to 95% for alternatives). In most of the
      urban case study areas, the addition of modeled reductions in VOC emissions did not alter the reductions in NOX
      emissions required to simulate the current or alternative standards. However, in Chicago and Denver, the addition of
      reductions in VOC emissions allowed for smaller NOX emissions reductions to simulate the current and alternative
      standards. Therefore, exposure and risk analyses for Chicago and Denver focus on reductions in emissions of both
      NOX and VOC (U.S. EPA, 2014, section 4.3.3.1).
       Although this chapter focuses on the current standard, our overarching considerations regarding model-adjusted
      air quality also apply to alternative standards simulated in the second draft HREA. Alternative standards are
      discussed in chapter 4 of this second draft PA.

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 1    adjustment to the current and/or alternative standards. Because model-adjusted air quality
 2    scenarios are based on reducing only U.S. anthropogenic emissions, this approach also does not
 3    require the specification of background concentrations as a rollback "floor" (U.S. EPA, 2014,
 4    section 4.3.3).
 5           The use of this model-based air quality adjustment approach in the second draft HREA
 6    has important implications for the patterns of ambient Os concentrations estimated in urban case
 7    study areas. Specifically, in locations and time periods when NOx is predominantly contributing
 8    to Os formation (e.g., downwind of important NOx sources, where the highest Os concentrations
 9    often occur), model-based adjustment to the current and alternative standards decreases
10    estimated ambient Os concentrations compared to recent monitored concentrations (U.S. EPA,
11    2014, section 4.3.3.2). In contrast, in locations  and time periods when NOx is predominantly
12    contributing to Os titration (e.g., in urban centers with high concentrations of NOx emissions,
                                                                             CO
13    where ambient Os concentrations are often suppressed and thus relatively low ), model-based
14    adjustment increases ambient 03 concentrations compared to recent measured levels (U.S. EPA,
15    2014, section 4.3.3.2) (Chapter 2, above).
16           Within  urban case study areas, the overall impacts of model-based air quality  adjustment
17    are to reduce relatively high ambient Os concentrations (i.e., concentrations at the upper ends of
18    ambient distributions) and to increase relatively low Os concentrations (i.e., concentrations at the
19    lower ends of ambient distributions) (U.S. EPA, 2014, section 4.3.3.2, Figures 4-8 to  4-11).
20    Seasonal means of daily concentrations generally exhibit only modest changes upon model
21    adjustment, reflecting the seasonal balance between daily decreases and increases in ambient
22    concentrations  (U.S. EPA, 2014, Figures 4-10 and 4-11). The resulting compression in
23    distributions of ambient Os concentrations is evident in all of the urban case study areas
24    evaluated, though the degree of compression varies considerably across areas (U.S. EPA, 2014,
25    Figures 4-10 and 4-11).
26           Adjusted patterns of Os air quality have important implications for exposure and risk
27    estimates in urban case study areas. Estimates influenced largely by the upper ends of the
28    distribution of ambient concentrations (i.e., exposures of concern and  lung function risk
29    estimates, as discussed in sections 3.2.2 and 3.2.3.1 below) will decrease with model-adjustment
30    to the current and alternative standards. In contrast, seasonal risk estimates influenced by the full
31    distribution of ambient Os concentrations (i.e.,  epidemiology-based risk estimates, as discussed
32    in section 3.2.3.2 below) will either increase or decrease in response to model adjustment,
      58Titration is also prominent during time periods when photochemistry is limited, such as at night and on cool,
      cloudy days.
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 1    depending on the balance between the daily decreases in high O^ concentrations and increases in
 2    low 63 concentrations.59
 3           We further consider the implications of the spatial and temporal patterns of adjusted air
 4    quality within the context of exposure (section 3.2.2) and risk (section 3.2.3) estimates for 63
 5    concentrations adjusted to just meet the current standard. As discussed below (section 3.2.3.2),
 6    these altered patterns are particularly important to consider when interpreting epidemiology-
 7    based risk estimates.
 8         3.2.2  Exposure-Based Considerations
 9           The exposure assessment presented in the second draft HREA (U.S. EPA, 2014) provides
10    estimates of the number of people exposed to various concentrations of ambient 03, while at
11    specified exertion levels. The second draft HREA estimates exposures in 15 urban case study
12    areas for school-age children (ages 5 to 18), asthmatic school-age children, asthmatic adults, and
13    older adults, reflecting the strong evidence indicating that these populations are potentially at
14    increased risk for (Vattributable effects (EPA, 2013, Chapter 8; section 3.1.2, above). An
15    important purpose of these  exposure estimates is to provide perspective on the extent to which
16    air quality adjusted to just meet the current 63 NAAQS could be associated with exposures to 63
17    concentrations reported to result in respiratory effects.60 Estimates of such "exposures of
18    concern" provide perspective on the potential public health impacts of Os-related effects,
19    including for effects that cannot currently be evaluated in a quantitative risk assessment (e.g.,
20    airway inflammation).
21           In the absence of large scale exposure studies that encompass the general population, as
22    well as at-risk populations,  modeling is the preferred approach to estimating exposures to 63.
23    Additionally, the use of exposure modeling facilitates the estimation of exposures resulting from
24    ambient air concentrations  differing from those in exposure studies (e.g., concentrations just
25    meeting the current standard).  In the second draft HREA, population exposures to ambient 63
26    concentrations are estimated using the current version of the Air Pollutants Exposure (APEX)
27    model. The APEX model simulates the movement of individuals through time and space and
28    estimates their exposures to a given pollutant in indoor, outdoor, and in-vehicle
29    microenvironments (U.S. EPA, 2014, section 5.1.3). APEX takes into account the most
      59In addition, because epidemiology-based risk estimates use "area-wide" average O3 concentrations, calculated by
      averaging concentrations across multiple monitors in urban case study areas (section 3.2.3.2 below), risk estimates
      on a given day depend on the daily balance between increasing and decreasing O3 concentrations at individual
      monitors.
        In addition, the range of modeled personal exposures to ambient O3 provide an essential input to the portion of the
      health risk assessment based on exposure-response functions (for lung function decrements) from controlled human
      exposure studies. The health risk assessment based on exposure-response information is discussed in section 3.2.3,
      below.

                                                 3-87

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 1    significant factors that contribute to total human exposure to ambient Os, including the temporal
 2    and spatial distributions of people and Os concentrations throughout an urban area, the variation
 3    of Os concentrations within various microenvironments, and the effects of exertion on breathing
 4    rate in exposed individuals (U.S. EPA, 2014, section 5.1.3). To the extent spatial and/or temporal
 5    patterns of ambient Os concentrations are altered upon model adjustment, as discussed above,
 6    exposure estimates reflect population exposures to those altered patterns.
 7           The second draft HREA estimates 8-hour exposures at or above benchmark
 8    concentrations of 60, 70, and 80 ppb for individuals engaged in moderate or greater exertion.
 9    Benchmarks reflect exposure concentrations at which Os-induced respiratory effects are known
10    to occur in some healthy adults engaged in moderate, intermittent exertion, based on evidence
11    from controlled human exposure studies (section 3.1.2.1 above and U.S. EPA, 2013, section 6.2).
12    The amount of weight to place on the estimates of exposures at or above specific benchmark
13    concentrations depends in part on the weight of the scientific evidence concerning health  effects
14    associated with 03 exposures at that concentration. It also depends on judgments about the
15    importance, from a public health perspective, of the health effects that are known or can
16    reasonably be inferred to occur as a result of exposures at benchmark concentrations (sections
17    3.1.3, 3.1.5  above).
18           As discussed in more detail above (section 3.1.2.1), the health evidence that supports
19    evaluating exposures of concern at or above benchmark concentrations of 60, 70, and 80 ppb
20    comes from a large body of controlled human exposure studies reporting a variety of respiratory
21    effects in healthy adults. The lowest Os exposure concentration for which controlled human
22    exposure studies have reported respiratory effects in healthy adults is 60 ppb, with more
23    evidence supporting this benchmark concentration in the current review than in the last review.
24    In healthy adults, exposures  to 60 ppb Os  have been reported to decrease lung function and to
25    increase airway inflammation. Exposures of healthy adults to 70 ppb  Os have been reported to
26    result in larger lung function decrements,  compared to 60 ppb, as well as in increased respiratory
27    symptoms. Exposures of healthy adults to 80 ppb Os have been reported to result in larger lung
28    function decrements than following exposures to 60 or 70 ppb, increased airway inflammation,
29    increased respiratory symptoms, increased airways responsiveness, and decreased lung host
30    defense (section 3.1.2.1,  above). As discussed above (section 3.1.3), respiratory effects reported
31    following exposures to Os concentrations of 60,  70, or 80 ppb meet ATS criteria for adverse
32    effects, result in effects judged important by CAS AC in past reviews, and/or could contribute to
33    the clearly adverse effects reported in epidemiologic studies evaluating broader populations.
34    Compared to the healthy individuals included in the studies that provided the basis for the
35    benchmarks, at-risk populations (e.g.,  asthmatics, children) are more likely to experience  larger
36    and/or more serious effects (e.g., U.S. EPA 2013, p. 6-21).

                                                3-88

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 1          In considering estimates of Os exposures of concern at or above benchmarks of 60, 70,
 2    and 80 ppb, within the context of the adequacy of the current standard, we first address the
 3    following specific question:

 4    •  What are the nature and magnitude of the short-term Os exposures of concern
 5       remaining upon adjustment of air quality to just meet the current Os standard?
 6          In addressing this question, we focus on modeled exposures for school-age children (ages
 7    5-18) and asthmatic school-age children, two of the at-risk populations identified in the ISA
 8    (section 3.1.5 above). The percentages of children estimated to experience exposures of concern
 9    are considerably larger than the percentages estimated for adult populations (i.e., approximately
10    3-fold larger across cities) (U.S. EPA, 2014, Figures 5-5, 5-6, 5-7). The larger exposure
11    estimates for children are due primarily to the larger percentage of children estimated to spend an
12    extended period of time being physically active outdoors (U.S. EPA, 2014, section  5.4.1, Figure
13    5-16).
14          Key results for children are summarized below for air quality adjusted to simulate just
15    meeting the current Oj, NAAQS (Figures 3-7 to 3-10),61 and we note that estimates  for all
16    children and asthmatic children are virtually indistinguishable (U.S. EPA, 2014, section 5.3.2).
17    The estimates presented in Figures 3-7 to 3-10 below reflect consistent reductions in estimated
18    exposures of concern across urban case study areas, relative to recent (i.e., unadjusted) air quality
19    (U.S. EPA, 2014, Appendix to Chapter 5). When averaged over the years evaluated in the
20    UREA, reductions of up  to about 70% were estimated, compared to recent air quality. These
21    reductions in estimated exposures of concern, relative to unadjusted air quality, reflect the
22    consistent reductions in the highest ambient 63 concentrations upon model adjustment to just
23    meet the current standard (section 3.2.1 above; U.S. EPA, 2014, Chapter 4).
24          Although exposure estimates differ between children and adults, the patterns of results
25    across the cities and years are similar among all of the populations evaluated (U.S. EPA, 2014,
26    Figures 5-12 to 5-15). Therefore, while we highlight estimates in children, we also note that the
27    patterns of exposures estimated for children represent the patterns estimated for adult asthmatics
28    and older adults.
      61Figures 3-7 and 3-8 present estimates of one or more exposures of concern. Figures 3-9 and 3-10 present estimates
      of two or more exposures of concern.
                                                3-89

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                                                                                          I 60 ppb
                                                                                          I 70 ppb
                                                                                          80 ppb
2   Figure 3-7.  Percent of children estimated to experience one or more exposures of concern at or above 60, 70, 80 ppb with air
3               quality adjusted to just meet the current standard (averaged over 2006 to 2010).
                                                           3-90

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                                                              I 60 | r| >l >



                                                              I 70 ppb



                                                               80 ppb
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                                                                                                  160 ppb

                                                                                                   70 ppb

                                                                                                   80 ppb
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2   Figure 3-9.  Percent of children estimated to experience two or more exposures of concern at or above 60, 70, 80 ppb with air
3               quality adjusted to just meet the current standard (Averaged over 2006 to 2010)
                                                           3-92

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                                                                                              • 60 ppb

                                                                                              • 70 ppb

                                                                                              - 80 ppb
Figure 3-10. Percent of children estimated to experience two or more exposures of concern at or above 60, 70, 80 ppb with air
           quality adjusted to just meet the current standard (Worst-Case Year, 2006 to 2010)
                                                           3-93

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 1          Based on Figures 3-7 to 3-10 and the associated details described in the second draft
 2   HREA (U.S. EPA 2014, Chapter 5), we take note of the following with regard to exposures that
 3   are estimated to be allowed by the current standard:

 4   1.  For exposures of concern at or above 60 ppb:
 5          a.   On average over the years 2006 to 2010, the current standard is estimated to allow
 6              approximately 10 to 18% of children in urban case study areas to experience one or
 7              more exposures of concern at or above 60 ppb. Summing across urban case study
 8              areas, these percentages correspond to almost 2.5 million children experiencing
 9              approximately 4 million exposures of concern at or above 60 ppb during a single 63
10              season.  Of these children, almost 250,000 are  asthmatics.
11
12          b.   On average over the years 2006 to 2010, the current standard is estimated to allow
13              approximately 3 to 8% of children in urban case study areas to experience two or
14              more exposures of concern to Os  concentrations at or above 60 ppb. Summing across
15              the urban case study areas, these percentages correspond to almost 900,000 children
16              (including  almost 90,000 asthmatic  children) estimated to experience at least two Oj
17              exposure concentrations at or above 60 ppb during a single Os season.
18
19          c.   In the worst-case years (i.e., those with the largest exposure estimates), the current
20              standard is estimated to allow approximately 10 to 25% of children to experience one
21              or more exposures of concern at or above 60 ppb, and approximately 4 to 14% to
22              experience two or more exposures of concern  at or above 60 ppb.
23
24   2.  For exposures of concern at or above 70 ppb:
25          a.   On average over the years 2006 to 2010, the current standard is estimated to allow up
26              to approximately 3% of children in urban case study areas to experience one or more
27              exposures of concern at or above  70 ppb. Summing across urban case study areas,
28              almost 400,000 children (including  almost 40,000 asthmatic children) are estimated to
29              experience Os  exposure concentrations at or above 70 ppb during a single Os season.
30
31          b.   On average over the years 2006 to 2010, the current standard is estimated to allow
32              less than 1% of children in urban  case study areas to experience two or more
33              exposures of concern to Os concentrations at or above 70 ppb.
34
35          c.   In the worst-case years, the current standard is estimated to allow approximately  1 to
36              8% of children to experience one or more exposures of concern at or above 70 ppb,
37              and up to approximately 2% to experience two or more exposures of concern, at or
38              above 70 ppb.
39
40   3.  For exposures of concern at or above 80 ppb: The current standard is estimated to allow
41       about  1% or fewer children in urban case study areas  to experience exposures of concern at
42       or above 80 ppb, even in years with the highest exposure estimates.
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 1          In further evaluating estimated exposures of concern from the 2n draft HREA, we next
 2    consider the following question:

 3    •  What are the important sources of uncertainty associated with exposure estimates?
 4          Due to variability in responsiveness, only a subset of individuals who experience
 5    exposures at or above a benchmark concentration can be expected to experience health effects.
 6    Given the lack of sufficient exposure-response information for most of the health effects that
 7    informed benchmark concentrations, estimates of the number of people likely to experience
 8    exposures at or above benchmark concentrations generally cannot be translated into quantitative
 9    estimates of the number of people likely to experience specific health effects.62 We view health-
10    relevant exposures as a continuum with greater confidence and less uncertainty about the
11    existence of health effects at higher Oj, exposure concentrations, and less confidence and greater
12    uncertainty as one considers lower exposure concentrations. This view draws from the overall
13    body of available health evidence, which indicates that as exposure concentrations increase the
14    incidence, magnitude, and severity of effects increases.
15          Though we have less confidence in the likelihood of adverse health effects as Os
16    exposure concentrations decrease, we also note that the controlled human exposure studies that
17    provided the basis for health benchmark concentrations have not evaluated at-risk populations.
18    Compared to the healthy individuals included in controlled human exposure studies, members of
19    at-risk populations (e.g., asthmatics, children) could be more likely to experience adverse effects,
20    could experience larger and/or more serious effects, and/or could experience effects following
21    exposures to lower Os concentrations. In considering estimated exposures  of concern within the
22    context of drawing conclusions on the adequacy of the current standard (section 3.4, below), we
23    balance concerns about the potential for adverse health effects, including effects in at-risk
24    populations, with our increasing uncertainty regarding the likelihood of such effects following
25    exposures to lower 63 concentrations.
26          Uncertainties associated with the APEX exposure modeling also have the potential to be
27    important in our consideration of the adequacy of the current standard. For example, the HREA
28    concludes that exposures of concern could be underestimated for some individuals who are
29    frequently and routinely active outdoors during the warm season (U.S. EPA, section 5.5.2). This
30    could include outdoor workers and children who are frequently active outdoors. The HREA
31    specifically notes that long-term diary profiles (i.e., monthly, annual) do not exist for  such
32    populations, limiting the extent to which APEX outputs reflect people who follow similar daily
33    routines resulting in  high exposures, over extended periods of time. Thus, exposure estimates
       The exception to this is lung function decrements, as discussed below (section 3.2.3.1).

                                                3-95

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 1    generated from the general pool of available diary profiles likely do not reflect the most highly
 2    exposed individuals in the population.
 3           In order to evaluate the potential implications of this uncertainty for exposure estimates,
 4    the second draft HREA reports the results of limited sensitivity analyses using subsets of diaries
 5    specifically selected to reflect groups spending a larger proportion of time being active outdoors
 6    during the Os season. When diaries were selected to mimic exposures that could be experienced
 7    by outdoor workers, the percent of modeled individuals estimated to experience exposures of
 8    concern increased compared to other adult populations evaluated. The percent of outdoor
 9    workers estimated to experience exposures  of concern were generally similar to the percentages
10    estimated for children (i.e., using the full database of diary profiles) in the worst-case cities and
11    years (i.e., cities and years with the highest exposure estimates) (U.S. EPA, 2014, Figure 5-11).
12    In addition, when diaries were restricted to  children who did not report any time spent inside a
13    school or performing paid work (i.e., to mimic children spending particularly large portions of
14    their time outdoors during the summer), the number experiencing exposures of concern increased
15    by approximately 30% (U.S. EPA, 2014, section 5.3.3). Though these sensitivity analyses are
16    limited to single urban case study areas, and though there is uncertainty associated with diary
17    selection approaches to mimic highly exposed populations, they suggest the possibility that some
18    portions of the population could experience more frequent exposures of concern than indicated
19    by estimates based on the full  database of activity diary profiles.
20           In further considering activity diaries, the HREA also notes that growing evidence
21    indicates that people can change their behavior in response to high Os concentrations, reducing
22    the time spent being active outdoors (U.S. EPA, 2014, section 5.4.3). Commonly termed
23    "averting behaviors," these altered activity patterns could reduce personal exposure
24    concentrations. Therefore, the second draft  HREA also performed limited sensitivity analyses to
25    evaluate the potential implications of averting behavior for estimated exposures of concern.
26    These analyses suggest that averting behavior could reduce the percentages of children estimated
27    to experience exposures of concern at or above the 60 or 70 ppb benchmark concentrations by
28    approximately 10 to 30%, with larger reductions possible for the 80 ppb benchmark (U.S. EPA,
29    2014,  Figure 5-12). As discussed above for other sensitivity analyses, these analyses are limited
30    to a single urban case study area and are subject to uncertainties associated with assumptions
31    about  the prevalence and duration of averting behaviors. However, the results suggest that
32    exposures of concern could be overestimated, particularly in children (Neidell et al., 2009; U.S.
33    EPA, 2013, Figures 4-7 and 4-8), if the possibility for averting behavior is not incorporated into
34    estimates.
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 1         3.2.3  Risk-Based Considerations
 2           For some health endpoints, there is sufficient scientific evidence and information
 3    available to support the development of quantitative estimates of Os-related health risks. In the
 4    last review of the Os NAAQS, the quantitative health risk assessment estimated Cb-related lung
 5    function decrements, respiratory symptoms, respiratory-related hospital admissions, and non-
 6    accidental and cardiorespiratory-related mortality (U.S. EPA, 2007). In those analyses, both
 7    controlled human exposure and epidemiologic studies were used for the quantitative assessment
 8    of Os-related human health risks.
 9           In the current review, for short-term 63 concentrations the second draft HREA estimates
10    lung function decrements; respiratory symptoms in asthmatics; hospital admissions and
11    emergency department visits for respiratory causes; and all-cause mortality (U.S. EPA, 2014).
12    For "long-term" Os concentrations, the second draft UREA estimates respiratory mortality (U.S.
13    EPA, 2014).63 Estimates of Os-induced lung function decrements are based on exposure
14    modeling, as noted above, combined with exposure-response relationships from  controlled
15    human exposure studies (U.S. EPA, 2014, Chapter 6). Estimates of Cb-associated respiratory
16    symptoms; hospital admissions and emergency department visits; and mortality are based on
17    concentration-response relationships from epidemiologic studies (U.S. EPA, 2014, Chapter 7).
18    As with the exposure assessment discussed above, Os-associated health risks are estimated for
19    recent air quality and for ambient concentrations model-adjusted to just meet the current 8-hour
20    Os NAAQS, based on  2006-2010 air quality and adjusted precursor emissions.
21           Section 3.2.3.1 below discusses risk results for Os-induced lung function decrements
22    following  short-term exposures, based on exposure modeling results and exposure-response
23    relationships from controlled human exposure studies. Section 3.2.3.2 discusses  epidemiology-
24    based risk estimates, with a focus on all-cause mortality (short-term Oj, concentrations);
25    respiratory-related morbidity outcomes (short-term 63 concentrations); and respiratory mortality
26    (long-term O^ concentrations).
27                 3.2.3.1  Risk of Lung Function Decrements
28           In the last review, EPA conducted a health risk assessment that produced risk estimates
29    for the  number and percent of school-aged children, asthmatic school-aged children, and the
30    general population experiencing lung function decrements associated with Os exposures for 12
31    urban areas. These estimates were based on exposure-response relationships developed from
        Risk estimates for "long-term" concentrations are based on the concentration-response relationship identified in
      the study by Jerrett et al. (2009). As discussed above, study authors used April to September averages of 1-hour
      daily maximum O3 concentrations as surrogates for "long-term" exposures.

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 1    analysis of data from several controlled human exposure studies, combined with exposure
 2    estimates developed for children and adults (U.S. EPA, 2007a).
 3           In the current review, the second draft HREA estimates risks of lung function decrements
 4    in school-aged children (ages 5 to 18), asthmatic school-aged children, and the general adult
 5    population for  15 urban case study areas.64 The results presented in the second draft HREA are
 6    based on an updated dose-threshold  model that estimates FEVi responses for individuals
 7    following short-term exposures to 63 (McDonnell, Stewart, and Smith, 2010), reflecting
 8    methodological improvements since the last review (U.S. EPA, 2014, section 6.2.4). The impact
 9    of the dose threshold is that Ch-induced FEVi decrements result primarily from exposures on
10    days with ambient 63 concentrations above about 40 ppb (U.S. EPA, 2013, Chapter 6).
11           As discussed above (section  3.1.3), for effects  such as lung function decrements, which
12    are transient and reversible, aspects such as the likelihood that these effects would occur
13    repeatedly and would interfere with  normal activities are important to consider in making
14    judgments about adversity to individuals.  As stated in the 2006 Criteria Document (Table 8-3,
15    p.8-68), for people with lung disease even moderate functional responses (e.g., FEVi decrements
16    > 10% but < 20%) would likely interfere with normal  activities for many individuals, and would
17    likely result in  more frequent medication use. Moreover, as noted above, in a recent letter to the
18    Administrator, the CASAC 63 Panel stated that '"[c]linically relevant effects are decrements >
19    10%, a decrease in lung function considered clinically relevant by the American Thoracic
20    Society" (Samet, 2011, p.2). The CASAC O3 Panel also stated that:
21           [A] 10% decrement in FEVi  can lead to respiratory symptoms, especially in
22           individuals with pre-existing pulmonary or cardiac disease.  For example, people
23           with chronic obstructive pulmonary disease have decreased ventilatory reserve
24           (i.e., decreased baseline FEVi) such that a > 10% decrement could lead to
25           moderate to severe respiratory symptoms (Samet, 2011, p.7).
26           In judging the extent to which moderate lung function decrements represent effects that
27    should be regarded as adverse to the health status of individuals,  in previous NAAQS reviews we
28    have also considered the extent to which decrements were experienced repeatedly during the
29    course of a year (Staff Paper, U.S. EPA, 2007). Although some experts would judge single
30    occurrences of moderate responses to be a "nuisance,"  especially for healthy individuals, a
31    more general consensus view of the  adversity of such  moderate responses emerges as the
32    frequency of occurrence increases. Thus in the past EPA has judged that repeated occurrences of
33    moderate responses, even in otherwise healthy individuals, may be considered to be adverse
      64
       As noted for the exposure assessment above, the 15 cities assessed are Atlanta, Baltimore, Boston, Chicago,
      Cleveland, Dallas, Denver, Detroit, Houston, Los Angeles, New York, Philadelphia, Sacramento, St. Louis, and
      Washington, DC.

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 1    since they could well set the stage for more serious illness (61 FR 65723). The CAS AC panel in
 2    the 1997 NAAQS review expressed a consensus view that these "criteria for the determination of
 3    an adverse physiological response were reasonable" (Wolff, 1995). In the review completed in
 4    2008, estimates of repeated occurrences continued to be an important public health policy factor
 5    in judging the adversity of moderate lung function decrements in healthy and asthmatic
 6    populations (72 FR 37850, July 11, 2007).
 7          The second draft HREA estimates risks of moderate to large lung function decrements,
 8    defined as FEVi decrements > 10%, > 15%, or > 20%. In evaluating these lung function risk
 9    estimates within the context of considering the adequacy of the current 63 standard, we first
10    consider the following specific question:
11    •  What are the nature and magnitude of lung function risks remaining upon just meeting
12       the current Os standard?
13    In considering risks of Cb-induced FEVi decrements, we focus on the percent of children
14    estimated to experience decrements > 10, 15, and 20%, noting that the percentage of asthmatic
15    children estimated to experience such decrements is virtually the same as the percentage
16    estimated for all children. Compared to children, only a very small percentage of adults were
17    estimated to experience Ch-induced FEVi decrements (U.S. EPA, 2014, Appendix 6B). As for
18    exposures of concern (see above), the patterns of results across urban case study areas and over
19    the years evaluated are similar in children and adults (U.S. EPA, 2014, Chapter 6). Therefore,
20    while we highlight estimates in children, we note that these results are also representative of the
21    patterns estimated for adult populations.
22          Key results for children are summarized below for air quality adjusted to just meet the
23    current 63 NAAQS (Figures 3-11 to 3-14).65 The estimates presented in Figures 3-11 to 3-14
24    below reflect consistent reductions across urban case study areas in the percent of children
25    estimated to experience Os-induced lung function decrements, relative to recent  (i.e., unadjusted)
26    air quality (U.S. EPA, 2014, Appendix to Chapter 6). When averaged over the years evaluated
27    in the UREA, reductions of up to about 40% were estimated compared to recent air quality.
28    These reductions reflect the consistent decreases in relatively high ambient 63 concentrations
29    upon adjustment to just meet the current standard (section 3.2.1  above; U.S. EPA, 2014, Chapter
30    4).66
      65Figures 3-11 and 3-12 present estimates of one or more decrements. Figures 3-13 and 3-14 present estimates of
      two or more decrements.
       As noted above, the impact of the dose threshold is that O3-induced FEVi decrements result primarily from days
      with ambient O3 concentrations above about 40 ppb (U.S. EPA, 2013, Chapter 6).

                                                3-99

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                                                                               I > 10%
                                                                               i > 20%
2
O



4
Figure 3-11. Percent of school-aged children (5-18 yrs) estimated to experience one or more days with FEVi decrements > 10,
           15, or 20% with air quality adjusted to just meet the current standard (Averaged over 2006 to 2010)
                                                           3-100

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                                                                           I > 10%
                                                                           i > 20%
4

5
Figure 3-12. Percent of school-aged children (5-18 yrs) estimated to experience one or more days with FEVi decrements > 10,
           15, or 20% with air quality adjusted to just meet the current standard (Worst-Case Year from 2006 to 2010)
                                                           3-101

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                                                                          I > 10%

                                                                          I > 1596

                                                                          , > 20%
2   Figure 3-13. Percent of school-aged children (5-18 yrs) estimated to experience two or more days with FEVi decrements > 10,
3               15, or 20% with air quality adjusted to just meet the current standard (Averaged over 2006 to 2010)
                                                           3-102

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                                                                       I • 10%
                                                                        •20%
2   Figure 3-14. Percent of school-aged children (aged 5-18 yrs) estimated to experience two or more days with FEVi decrements >
3               10,15, or 20% with air quality adjusted to just meet the current standard (Worst-Case Year from 2006 to 2010)
                                                          3-103

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 1          Based on Figures 3-11 to 3-14 and the associated details described in the second draft
 2   HREA (U.S. EPA 2014, Chapter 6), we take note of the following with regard to lung function
 3   decrements estimated to be allowed by the current standard:

 4       1.  For FEVi decrements > 10%:
 5          a.  On average over the years 2006 to 2010, the current standard is estimated to allow
 6             approximately 14 to 19% of children in urban case study areas to experience one or
 7             more lung function decrements >  10%. Summing across urban case study areas, this
 8             corresponds to approximately 3 million children experiencing 15 million Os-induced
 9             lung function decrements > 10% during a single Os season. Of these children, about
10             300,000 are asthmatics.
11
12          b.  On average over the years 2006 to 2010, the current standard is estimated to allow
13             approximately 7 to 12% of children in urban case study areas to experience two or
14             more Os-induced lung function decrements > 10%. Summing across the urban case
15             study areas, this corresponds to almost 2 million children (including almost 200,000
16             asthmatic children) estimated to experience two or more Os-induced lung function
17             decrements greater than 10% during a single Os season.
18
19          c.  In the worst-case years, the current standard is estimated to allow approximately 17 to
20             23% of children in urban case study  areas to experience one or more lung function
21             decrements > 10%, and approximately 10 to 14% to experience two or more Os-
22             induced lung function decrements >  10%.
23
24       2.  For FEVi decrements > 15%:
25          a.  On average over the years 2006 to 2010, the current standard is estimated to allow
26             approximately 3 to 5% of children in urban case study areas to experience one or
27             more lung function decrements >  15%. Summing across urban case study areas, this
28             corresponds to approximately 800,000 children (including approximately 80,000
29             asthmatic children) estimated to experience at least one Os-induced lung function
30             decrement > 15% during a single Oj season.
31
32          b.  On average over the years 2006 to 2010, the current standard is estimated to allow
33             approximately 2 to 3% of children in urban case study areas to experience two or
34             more Os-induced lung function decrements > 15%.
35
36          c.  In the worst-case years, the current standard is estimated to allow approximately 4 to
37             6% of children in urban case study areas to experience one or more lung function
38             decrements > 15%, and approximately 2 to 4% to experience two or more Os-induced
39             lung function decrements > 15%.
40
41       3.  For FEVi decrements > 20%:
42          a.  On average over the years 2006 to 2010, the current standard is estimated to allow
43             approximately 1 to 2% of children in urban case study areas to experience one or
44             more lung function decrements > 20%. Summing across urban case study areas, this
45             corresponds to approximately 300,000 children (including approximately 30,000

                                              3-104

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 1              asthmatic children) estimated to experience at least one Cb-induced lung function
 2              decrement > 20% during a single Os season.
 3
 4          b.  On average over the years 2006 to 2010, the current standard is estimated to allow
 5              less than 1% of children in urban case study areas to experience two or more O^-
 6              induced lung function decrements > 20%.
 7
 8          c.  In the worst-case years, the current standard is estimated to allow approximately 2 to
 9              3% of children to experience one or more lung function decrements > 20%, and less
10              than 2% to experience two or more Cb-induced lung function decrements > 20%.
11          In further considering estimated lung function risks from the 2n draft HREA, we next
12    consider the following question:

13    •   What are the important sources of uncertainty associated with lung function risk
14       estimates?
15          In addition to the uncertainties noted above for exposure estimates, the HREA identifies
16    several key uncertainties associated with estimates of Cb-induced lung function decrements. An
17    uncertainty with particular potential to impact our consideration of risk estimates in this Policy
18    Assessment stems  from the lack of exposure-response information in children. In the absence of
19    controlled human exposure data for children, risk estimates are based  on the assumption that
20    children exhibit the same lung function response following 63 exposures as healthy 18 year olds
21    (i.e., the youngest age for which controlled human  exposure data is available) (U.S. EPA, 2014,
22    section 6.2.4 and 6.5). This assumption was justified in part by the findings of McDonnell et al.
23    (1985), who reported that children 8-11 year old experienced FEVi responses similar to those
24    observed in adults  18-35 years old. In addition, as discussed in the ISA (U.S. EPA, 2013, section
25    6.2.1), summer camp studies of school-aged children reported Os-induced lung function
26    decrements similar in magnitude to those observed in controlled human exposure studies using
27    adults. In extending the risk model to children, the  second draft HREA fixes the age term in the
28    model at its highest value, the value for age 18. This approach could result in either over- or
29    underestimates of Os-induced lung function decrements in children, depending on how children
30    compare to the  adults used in controlled human exposure studies (U.S. EPA, 2014, section 6.5).
31          A related source of uncertainty is that the risk assessment estimates Os-induced
32    decrements in asthmatics using the exposure-response relationship developed from data collected
33    from healthy individuals. Although the evidence has been mixed (U.S. EPA, 2013, section
34    6.2.1.1), several studies have reported larger Os-induced lung function decrements in asthmatics
35    than in non-asthmatics (Kreit et al., 1989; Horstman et al., 1995; Torres et al., 1996; Alexis et al.,
36    2000). To the extent asthmatics experience larger Os-induced lung function decrements than the
37    healthy adults used to develop exposure-response relationships, the second draft HREA could
                                              3-105

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 1    underestimate the impacts of O^ exposures on lung function in asthmatics, including asthmatic
 2    children. The HREA notes that the magnitude this uncertainty might have on risk estimates
 3    remains unknown at this time (U.S. EPA, 2014, Chapter 6).

 4         3.2.3.2  Estimated Health Risks Associated with Short- or Long-Term Os Exposures,
 5                  Based on Epidemiologic Studies
 6           Risk estimates based on epidemiologic studies can provide perspective on the most
 7    serious (^-associated public health outcomes (e.g., mortality, hospital admissions, emergency
 8    department visits) in populations that include at-risk groups. The second draft HREA estimates
 9    Os-associated risks in 12 urban case study areas67 using concentration-response relationships
10    drawn from epidemiologic studies. These concentration-response relationships are based on
                                           /-Q	   	
11    "area-wide" average Os concentrations.  The HREA estimates risks for the years 2007 and 2009
12    in order to provide estimates of risk for a year with generally higher Os  concentrations (2007)
13    and a year with generally lower 63 concentrations (2009) (U.S. EPA, 2014, section 7.2).
14           In the last review, epidemiologic-based risks were estimated for Os concentrations above
15    mean "policy-relevant background concentrations." As discussed above (Chapter 2), policy-
16    relevant background (PRB) concentrations were defined as the distribution of ozone
17    concentrations that would be observed in the U.S. in the absence of anthropogenic (man-made)
18    emissions of ozone precursor emissions (e.g., VOC, CO, NOx) in the U.S., Canada, and Mexico.
19    This approach provided a focus on Os concentrations "that can be controlled by U.S. regulations
20    (or through international agreements with neighboring countries)"  (U.S. EPA, 2007, pp. 2-48 to
21    2-54).
22           As in the last review, we recognize that ambient Os concentrations, and therefore Os-
23    associated health risks, result from precursor emissions from various types of sources. Based on
24    the air quality modeling discussed above in chapter 2, approximately 30 to 60% of average
25    daytime O^ during the warm season (i.e., 8-hour daily maximum concentrations averaged from
26    April to October) is attributable to precursor emissions from U.S. anthropogenic sources  (section
27    2.4.4). This suggests that, for recent air quality (i.e., not adjusted to meet the current or
28    alternative standards), approximately 30 to 60% of total Os-associated health risk in the urban
        The 12 urban areas evaluated are Atlanta, Baltimore, Boston, Cleveland, Denver, Detroit, Houston, Los Angeles,
      New York, Philadelphia, Sacramento, and St. Louis.
      68In the epidemiologic studies that provide the health basis for HREA risk assessments, concentration-response
      relationships are based on daytime O3 concentrations, averaged across multiple monitors within study areas. These
      daily averages are used as surrogates for the spatial and temporal patterns of exposures in study populations.
      Consistent with this approach, the HREA epidemiologic-based risk estimates also utilize daytime O3 concentrations,
      averaged across monitors, as surrogates for population exposures. In this second draft PA, we refer to these averaged
      concentrations as "area-wide" O3 concentrations. Area-wide concentrations are discussed in more detail in section
      3.1.4, above.

                                                 3-106

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 1    case study areas is attributable to O^ from U.S. anthropogenic emissions. The remainder is
 2    attributable to precursor emissions from international anthropogenic sources and natural sources.
 3    Because the second draft HREA characterizes health risks from all 03, regardless of source, risk
 4    estimates reflect emissions from U.S. anthropogenic, international anthropogenic, and natural
 5    sources. Given that HREA risk estimates for adjusted air quality are based on decreasing U.S.
 6    anthropogenic precursor emissions, the contributions of U.S. anthropogenic emissions to the risk
 7    estimates for the current standard would generally be smaller than the 30 to 60% indicated for
 8    recent air quality.
 9           In evaluating epidemiology-based risk estimates within the context of the adequacy of the
10    current standard, we first consider  the following question:

11    •  What are the nature and magnitude of the Os-associated mortality and morbidity risks
12       remaining upon adjustment of air quality to just meet the current Os standard?
13           In addressing this question, as an initial matter we note that the area-wide average 63
14    concentrations associated with health effects in epidemiologic studies, and used to estimate
15    mortality and morbidity risks in the HREA, are  surrogates for the ambient O^ exposures expected
16    to have elicited the reported health outcomes (also discussed in section 3.1.4.2, above). The area-
17    wide average concentrations present in epidemiologic  study locations represent the spatial and
18    temporal patterns of Os exposures  (magnitudes, frequencies, durations of exposures) experienced
19    by study populations. Differences in the patterns of 63 exposures would be expected to result in
20    differences in the health outcome response. Thus, in considering the quantitative risk estimates
21    below we are mindful of uncertainties related to the differences between the spatial and temporal
22    patterns of 63 that existed in the epidemiologic study areas, which contributed to the health
23    outcomes reported in these studies, and the altered patterns associated with adjusted air quality
24    that just meets the current standard (section 3.2.1, above). Among the three main types of
25    exposure/risk analyses generated in the HREA, these altered spatial/temporal patterns have the
26    greatest potential to introduce uncertainty into risk estimates based on  epidemiology study
27    concentration-response relationships (see 2nd question below for further discussion).
28           We also note that the second draft HREA estimates mortality and morbidity risks
29    associated with just meeting the current standard by applying concentration-response
30    relationships from epidemiologic studies to the entire distributions of model-adjusted "area-
31    wide" average 03 concentrations present in urban case study areas (U.S.  EPA, 2014, Chapter 7).
32    Implicit in this approach to estimating risks is the assumption that concentration-response
33    relationships are linear over those distributions.  Therefore, as noted in section 3.2.1, when air
34    quality is adjusted to just meet the  current standard, risk estimates are influenced by the
35    decreases in area-wide 63 concentrations at the upper ends of warm  season distributions and the

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 1    increases in area-wide O^ concentrations at the lower ends of those distributions (U.S. EPA,
 2    2014, section 4.3.3.2, Figures 4-8 to 4-11).69 When the decreases and increases are of the same
 3    magnitude, they result in the same degree of change in estimated risks, though opposite in
 4    direction. Therefore, seasonal estimates of (Vassociated mortality and morbidity risks either
 5    increase or decrease in response to air quality adjustment, depending on the seasonal balance
 6    between the modeled daily decreases in high area-wide O?, concentrations and increases in low
 7    area-wide 63 concentrations. One consequence is that the estimated impacts on mortality and
 8    morbidity risks of adjusting air quality to just meet the current standard are more modest, and
 9    less directionally consistent across urban case  study areas, than on either exposures of concern or
10    Os-induced lung function decrements.
11           In the remainder of this section, we consider estimates of total (non-accidental) mortality
12    and respiratory morbidity associated with short-term 63 concentrations, and respiratory mortality
13    associated with "long-term" Os concentrations.

14                                 Total Mortality - Short-Term O3
15           Risk estimates for total mortality are based on concentration-response relationships
16    described by Smith et al. (2009). To generate risk estimates, the second draft HREA uses "area-
17    wide" averages of 8-hour daily maximum Oi concentrations over the full monitoring periods in
18    urban case  study areas. These monitoring periods vary across areas, in some cases including
19    more of the cooler months that are often characterized by relatively low daytime 63
20    concentrations.70 When air quality was adjusted to the current standard in the 2007 model year
21    (the year with generally "higher" (^-associated risks), 10 of 12 urban case study areas exhibited
22    either small decreases or virtually no change in estimates of (^-associated total mortality (U.S.
23    EPA, 2014, Appendix to Chapter 7).71 Small increases in mortality were estimated in two of the
24    urban case  study areas (Houston, Los Angeles) (U.S. EPA, 2014, Appendix to Chapter 7).
25           Figure 3-15 below presents estimates of (Vassociated all-cause mortality in urban case
26    study areas for 2007 and 2009, with air quality adjusted to just meet the current Os standard. The
27    second draft HREA estimates that upon just meeting the current standard, 63 could be associated
28    with from 0.8 to 4.1% of all-cause mortality across the urban case study areas. This corresponds
      69On a given day, area-wide O3 concentrations and estimated risks decrease when the sum of the changes at monitors
      with decreasing O3 are larger than the sum of the changes at monitors with increasing O3. Area-wide O3
      concentrations and estimated risks increase when the opposite occurs.
      70Decreases in relatively higher ambient O3 concentrations are more prominent during the warmest months, when
      daytime concentrations tend to be highest. In most urban case study areas, increases in relatively low daytime
      concentrations have greater influence on risk estimates during cooler months, when O3 concentrations tend to be
      lower overall (U.S. EPA, 2014, compare Figures 4-8 and 4-9).
      71Decreases were smaller in the 2009 model-adjusted year (i.e., the year with generally lower O3 concentrations).

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 1    to approximately 80 to 2,800 Os-associated deaths per season in individual urban case study
 2    areas, and approximately 8,000 to 9,000 Os-associated deaths per season summed over the 12
 3    urban case study areas (U.S. EPA, 2014, Tables 7-7 and 7-8).

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Figure 3-15. Percent of all-cause mortality associated with Os for air quality adjusted to
             just meet the current standard.
       In considering the risk estimates presented in Figure 3-15, which are based on applying
linear concentration-response relationships to the full distributions of daily 8-hour "area-wide"
Os concentrations, we note the ISA conclusion that there is less certainty in the shape of
concentration-response functions for area-wide 63 concentrations at the lower ends of warm
season distributions (i.e., below about 20 to 40 ppb depending on the Os metric, health endpoint,
and study population) (U.S. EPA, 2013, section 2.5.4.4). We also recognize that for the range of
health  endpoints evaluated, controlled human exposure and animal toxicological studies provide
greater certainty in the increased incidence, magnitude, and severity of effects at higher exposure
concentrations (discussed in sections 3.1.2.2 and 3.1.4.2, above).72 Thus, in addition to
considering estimates of total (Vassociated risks, we also consider the extent to which risks are
associated with days with higher, versus lower, area-wide O^ concentrations.
       Figure 3-16 presents risk estimates, summed across urban case study areas, for days with
area-wide concentrations at or above 20, 40, and 60 ppb. Daytime Os concentrations in the upper
      72As discussed in section 3.1.4.2, as ambient concentrations increase the potential for exposures to higher O3
      concentrations also increases. Thus with increasing ambient concentrations, controlled human exposure and animal
      toxicological studies provide greater certainty in the increased incidence, magnitude, and severity of O3-attributable
      effects.
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 1    portion of the distribution of area-wide concentrations (e.g., at or above 40 or 60 ppb) are
 2    estimated to be associated with hundreds to thousands of deaths per year in urban case study
      areas.
           73
            10000
       -^    9000
                                                                       I Total risk
                                                                       120+ ppb
                                                                       140+ ppb
                                                                        60- ppb
                             2007
2009
 5    Figure 3-16. Estimated Os-associated mortality attributable to days above various area-
 6                wide average Os concentrations, with air quality adjusted to just meet current
 7                standard (2007 Model Adjustment Year).
 8                            Respiratory Mortality - "Long-Term" Os
 9           The second draft HREA estimates the risk of respiratory mortality associated with long-
10    term O3 exposures, based on the study by Jerrett et al. (2009) (U.S. EPA, 2014, Chapter 7). To
11    generate risk estimates, the second draft HREA uses "area-wide" averages of 1-hour daily
12    maximum Os concentrations during the warm season (April to September). When air quality was
13    adjusted to just meet the current standard 11 of the 12 urban case study areas exhibited modest
14    decreases in estimated (^-associated respiratory mortality  (i.e., compared to recent, unadjusted
15    air quality). Risk estimates remained virtually unchanged in the remaining urban case study area
16    (i.e., Los Angeles). Risk estimates for air quality adjusted to just meet the current standard are
17    presented below in Figure 3-17.74
18
      73The relatively small proportion of O3-associated deaths attributable to days with area-wide concentrations of 60
      ppb or greater reflects the relatively small proportion of days with such elevated area-wide concentrations.
      74The second draft HREA does not characterize distributions of respiratory mortality risks over distributions of
      ambient O3 concentrations. Therefore, in considering respiratory mortality risks we evaluate only estimates of total
      risk.

                                                 3-110

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             25
               0
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                                            ^
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                                                                                          12007
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 2    Figure 3-17. Percent of baseline respiratory mortality estimated to be associated with long-
 3                term Os.
 4           Across urban case study areas, O^ is estimated to be associated with approximately 16 to
 5    20% of respiratory mortality during the warm season. This corresponds to approximately 500 to
 6    2,800 Os-associated deaths per season across areas, and a total of approximately 12,000 Os-
 7    associated deaths in all  12 urban case study areas.

 8         Hospital Admissions, Emergency Department Visits, and Asthma Exacerbations
 9           Risk estimates for respiratory-related hospital admissions, emergency department visits,
10    and asthma exacerbations associated with air quality adjusted to just meet the current standard
11    are based on several studies, as presented in Table 7-2 of the second draft HREA (U.S. EPA,
12    2014).75 Estimates indicate that (Vassociated respiratory-related hospital admissions account for
13    approximately 2 to 3%  of total respiratory-related admissions in urban case study locations.
14    Depending on the city,  this corresponds to 10's to 100's of (^-associated hospital admissions per
15    season. Estimates indicate that (^-associated respiratory-related emergency department visits
16    account for approximately 3  to 20% of total respiratory-related emergency department visits in
      75As with respiratory mortality above, the second draft HREA does not characterize distributions of respiratory
      morbidity risks over distributions of ambient O3 concentrations. Therefore, in considering respiratory morbidity
      risks we evaluate estimates of total risk.
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 1    Atlanta (approximately 4,000 to 8,000 visits per season), and that (^-associated asthma
 2    exacerbations account for approximately 15 to 30% of total exacerbations in Boston (45,000 to
 3    130,000 exacerbations per season). Full estimates are presented in Tables 7-9 to 7-11 in the
 4    second draft HREA (U.S. EPA, 2014).
 5          Based on Figures 3-15 to 3-17 above, and the more detailed information presented in
 6    Chapter 7 of the second draft HREA (U.S. EPA,  2014), we note the following key observations:

 7       1.  In focusing on total risk, the current standard is estimated to allow thousands of 63-
 8          associated deaths per year in the urban case study areas. These estimates are based on
 9          concentration-response functions from epidemiologic studies that used either 8-hour daily
10          63 concentrations (total mortality associated with short-term 63) or seasonal averages of
11          1-hour daily 63 concentrations (respiratory mortality associated with long-term 63).
12
13       2.  In focusing on the risks associated with the upper portions of distributions of ambient
14          concentrations, the current standard is estimated to allow hundreds to thousands of 63-
15          associated deaths per year in the urban case study areas. These estimates are based on
16          concentration-response functions from an epidemiologic study that evaluated associations
17          between 8-hour daily OT, concentrations and total mortality.
18
19       3.  In urban case study areas, the current standard is estimated to allow tens to thousands of
20          Os-associated morbidity events  per year. Distributions of O^-associated morbidity over
21          distributions of ambient OT, concentrations would likely be similar to mortality, though
22          the second draft HREA did not  analyze such distributions for morbidity endpoints.
23          In further considering estimated (^-associated mortality and morbidity risks from the 2nd
24    draft HREA, we next consider the following question:

25    •  What are the important sources of uncertainty associated with mortality and morbidity
26       risk estimates?
27          Upon adjusting air quality to the current standard, (^-associated mortality and morbidity
28    risks generally decrease in locations and time periods with relatively high ambient Os
29    concentrations and increase in locations and time periods with relatively low concentrations.
30    Therefore, an important consideration for epidemiology-based risk estimates is the extent to
31    which seasonal risk estimates in urban case study areas  represent the U.S. as a whole, in terms of
32    the 63 response to decreasing precursor emissions. To address this, the second draft HREA
33    conducted national air quality analyses evaluating the response of ambient Os concentrations to
34    reductions in NOx emissions. Those analyses indicate that the 12 urban case study areas may not
35    represent the response of 63 in other populated areas of the U.S., including suburban areas,
36    smaller urban areas, and  rural areas, and that the  majority of the U.S. population lives in
37    locations where reducing NOx emissions would be expected to result in decreases in warm

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 1    season averages of daily maximum 8-hour ambient Os concentrations. One implication of this is
 2    that HREA estimates for the urban case study areas are likely to understate the average reduction
 3    in Os-assocaiated mortality and morbidity risk that would be experienced across the population
 4    upon reducing NOx emissions (U.S. EPA, 2014, Chapter 8).
 5          Section 7.4 of the second draft HREA also highlights some additional uncertainties
 6    associated with epidemiologic-based risk estimates (U.S. EPA, 2014). This section of the HREA
 7    identifies and discusses sources of uncertainty and presents a qualitative evaluation of key
 8    parameters that can introduce uncertainty into risk estimates (U.S. EPA, 2014, Table 7-4). For
 9    several of these parameters the HREA also presents quantitative sensitivity analyses (U.S. EPA,
10    2014, sections 7.4.2 and 7.5.3). Of the uncertainties discussed  in Chapter 7 of the HREA, those
11    related to the application of concentration-response functions from epidemiologic studies can
12    have particularly important implications for our consideration  of epidemiology-based risk
13    estimates in this second draft PA.
14          As noted above, an important uncertainty is the shape of concentration-response
15    functions at low ambient Oj concentrations (U.S. EPA, 2014, Table 7-4). Consistent with the
16    ISA conclusion that there is no discernible population threshold in Os-associated health effects,
17    the second draft HREA estimates epidemiology-based mortality and morbidity risks for entire
18    distributions of ambient Oj concentrations, with the assumption that concentration-response
19    relationships remain linear over those distributions. In addition, in recognition of the ISA
20    conclusion that certainty in the shape of Os concentration-response functions decreases at low
21    ambient concentrations, the second draft HREA also estimates distributions of total mortality
22    incidence for various portions  of the distribution of ambient Os concentrations. In this second
23    draft PA, we consider both types of risk estimates while recognizing that we have greater
24    certainty in the increased incidence and severity of Os-attributable effects at higher ambient Os
25    concentrations (which drive higher exposure concentrations, section 3.2.2 above), as compared
26    to lower concentrations.
27          The second draft HREA also notes important uncertainties associated with using a
28    concentration-response  relationship developed for a particular population in a particular location
29    to estimate health risks in different populations and locations (U.S. EPA, 2014, Table 7-4). As
30    discussed above, concentration-response relationships derived from epidemiologic studies reflect
31    the spatial and temporal patterns of population exposures during the study.  The second draft
32    HREA applies concentration-response relationships from epidemiologic studies to adjusted air
33    quality in study areas that are different from, and often larger in spatial extent than, the areas
34    used to generate the relationships.  This approach ensures the inclusion of the actual non-
35    attainment monitors that often determine the magnitude of emissions reductions for the air
36    quality adjustments throughout the urban case study areas. This approach also allows the HREA

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 1    to estimate patterns of health risks more broadly across a larger area, including a broader range
 2    of air quality concentrations and a larger population. The second draft HREA notes that it is not
 3    possible to quantify the impacts of this uncertainty on risk estimates in most urban case study
 4    locations, though the HREA notes that mortality effect estimates for different portions of the
 5    New York City CBSA-based assessment area vary by a factor of almost 10 (U.S. EPA, 2014,
 6    section 7.5.3).
 7            An additional, related uncertainty is that associated with applying concentration-response
 8    functions from epidemiologic studies to adjusted air quality. Concentration-response functions
 9    from the 63 epidemiologic studies used in the HREA are based on associations between day to
10    day variation in "area-wide" 63 concentrations (i.e., averaged across multiple monitors) and
11    variation in health effects. Epidemiologic studies use these area-wide 03 concentrations, which
12    reflect the particular spatial and temporal patterns of ambient 63 present in study locations, as
13    surrogates for the pattern of Os exposures experienced by study populations. To the extent
14    adjusting O^ concentrations to just meet the current standard results in important alterations in
15    the spatial and/or temporal patterns of ambient 63, there is uncertainty in the appropriateness of
16    applying concentration-response functions from epidemiologic studies to estimate health risks
17    associated with adjusted 63 air quality.76 Although the impact of this uncertainty on risk
18    estimates cannot be quantified (U.S. EPA, 2014, Table 7-4), it has the potential to become more
19    important as model adjustment results in larger changes in spatial and temporal patterns of
20    ambient 63 concentrations across urban case study areas.
21            There is also uncertainty related specifically to the public health importance of the
22    increases in relatively low O?, concentrations following air quality  adjustment. This uncertainty
23    relates to the fact that risk estimates are equally influenced by decreasing high concentrations
24    and increasing low concentrations, when the increases and decreases are of equal magnitude.
25    Even on days with increases in relatively low area-wide average concentrations, resulting in
26    increases in estimated risks, some portions of the urban case study areas could experience
      76As discussed above (section 3.2.1), decreasing modeled NOX emissions to just meet the current standard can
      dramatically alter the spatial and temporal patterns of ambient O3 concentrations across urban case study areas.
      Specifically, the relatively high O3 concentrations that often occur downwind of important NOX sources (e.g.,
      outside urban centers) generally decrease, while the relatively low O3 concentrations near important NOX sources
      (e.g., in urban centers) generally increase (U.S. EPA, 2014, section 4.3.3.2). In addition, decreases or increases in
      ambient O3 could occur more broadly across areas in some instances, depending in part on meteorological
      conditions. Such decreases in high O3 concentrations and increases in low concentrations can result in compression
      of the spatial distributions of ambient O3 used to calculate area-wide average concentrations. Decreases and
      increases can also result in compression of the temporal distributions of the area-wide O3 concentrations used to
      estimate mortality and morbidity risks over a season, such that area-wide concentrations decrease on "high"-O3 days
      and increase on"low"-O3 days. As indicated in the second draft HREA (U.S. EPA, 2014, Figures 4-10 and 4-11),
      this compression of seasonal distributions of O3 concentrations is evident in all of the urban case study areas
      evaluated, though the degree of compression varies considerably across areas. The most dramatic compression
      occurs in Los Angeles (U.S. EPA, 2014, Figures 4-10 and 4-11).
                                                  3-114

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 1    decreases in high O^ concentrations. To the extent Os-attributable effects are more strongly
 2    supported for higher ambient concentrations, likely resulting in higher exposure concentrations
 3    for some portions of study areas, the impacts on risk estimates of increasing low O^
 4    concentrations reflect an important source of uncertainty.
 5          Finally, we note the second draft HREA does not quantify any reductions in risk that
 6    could be associated with reductions in the ambient concentrations of pollutants other than Os,
 7    resulting from control of NOx. For example as discussed in chapter 2 of this second draft PA,
 8    NOX emissions contribute to ambient NC>2, and NOX and VOCs can contribute to secondary
 9    formation of PIVb.s constituents, including ammonium sulfate (NFLjSC^), ammonium nitrate
10    (NFLjNOs), and organic carbon (OC). Therefore, at some times and in some locations, control
1 1    strategies that would reduce NOx emissions (i.e., to meet an O?, standard) could reduce ambient
12    concentrations of NO2 and PlV^.s, resulting in health benefits beyond those directly associated
13    with reducing ambient Os concentrations.77

14         3.3  CAS AC ADVICE
15          Following the 2008 decision to revise the primary Os standard by setting the level at
16    0.075 ppm (75 ppb), CASAC strongly questioned whether the standard met the requirements of
17    the CAA, further described below. In September 2009, EPA announced its intention to
18    reconsider the 2008 standards, issuing a notice of proposed rulemaking in January 2010 (FR 75
19    2938).  Soon after, EPA solicited CASAC review of that proposed rule and in January 201 1
20    solicited additional advice.  This proposal was based on the scientific and technical record from
21    the 2008 rulemaking, including public comments and CASAC advice and recommendations. As
22    further described in section 1.2.2 above, EPA in the fall of 201 1 did not revise the standard as
23    part of the reconsideration process but decided to coordinate further proceedings on the
24    reconsideration rulemaking with this ongoing periodic review.  Accordingly, in this section we
25    describe CASAC's advice related to the 2008 final decision and the subsequent reconsideration,
26    as well as its advice on the NAAQS review that was initiated in September 2008.
27          In April 2008, the members of the CASAC Ozone Review Panel sent a letter to EPA
28    stating "[I]n our most-recent letters to you on this subject — dated October 2006 and March
29    2007 — the CASAC unanimously recommended selection of an 8-hour average Ozone NAAQS
30    within the range of 0.060 to 0.070 parts per million [60 to 70 ppb] for the primary (human
3 1    health-based) Ozone NAAQS" (Henderson, 2008). The letter continued:
32           The CASAC now wishes to convey, by means of this letter, its additional,
3 3          unsolicited advice with regard to the primary and secondary Ozone NAA QS. In
      77We expect little focus by states on controlling NOX for purposes of controlling PM2 5 given the more efficient
      control of PM2 5 through reduction of SO2 and direct PM25 emissions in most locations.
                                               3-115

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 1          doing so, the participating members of the CASAC Ozone Review Panel are
 2          unanimous in strongly urging you or your successor as EPA Administrator to
 3          ensure that these recommendations be considered during the next review cycle for
 4          the Ozone NAAQS that will begin next year ... numerous medical organizations
 5          and public health groups have also expressed their support of these CASAC
 6          recommendations' ... [The CASAC did] not endorse the new primary ozone
 1          standard as being sufficiently protective of public health. The CASAC—as the
 8          Agency's statutorily-established science advisory committee for advising you on
 9          the national ambient air quality standards—unanimously recommended
10          decreasing the primary standard to within the range of 0.060  0.0 70 ppm [60 to
11          70 ppb]. It is the Committee's consensus scientific opinion that your decision to
12          set the primary ozone standard above this range fails to satisfy the explicit
13          stipulations of the Clean Air Act that you  ensure an adequate margin of safety for
14          all individuals, including sensitive populations.
15          In response to EPA's solicitation of their advice on the Agency's proposed rulemaking as
16    part of the reconsideration, CASAC conveyed support (Samet, 2010).
17           CASAC fully supports EPA 's proposed range of 0.060 -0.070 parts per million
18          (ppm) for the 8-hour primary ozone standard. CASAC considers this range to be
19          justified by the scientific evidence as presented in the Air Quality Criteria for
20          Ozone and Related Photochemical Oxidants (March 2006) and Review of the
21          National Ambient Air Quality Standards for Ozone: Policy Assessment of
22          Scientific and Technical Information, OAQPS Staff Paper (July 2007). As stated
23          in our letters of October 24,  2006, March 26, 2007 and April 7, 2008 to former
24          Administrator Stephen L. Johnson,  CASAC unanimously recommended selection
25          of an 8-hour average ozone NAAQS within the range proposed by EPA (0.060 to
26          0.070 ppm). In proposing this range, EPA has recognized the large body of data
27          and risk analyses demonstrating that retention of the current standard would
28          leave large numbers of individuals at risk for respiratory effects and/or other
29          significant health impacts including asthma exacerbations, emergency room
3 0          visits, hospital admissions and mortality.
31          In response to EPA's request for additional advice on the reconsideration in 2011,
32    CASAC reaffirmed their conclusion that "the evidence from controlled human and
33    epidemiological studies strongly supports the selection of a new primary ozone standard within
34    the 60 - 70 ppb range for an 8-hour averaging time" (Samet, 2011). As requested by EPA,
35    CASAC's advice and recommendations were based on the scientific and technical record from
36    the 2008 rulemaking. In considering the record for the 2008 rulemaking, CASAC stated the
37    following to summarize the basis for their  conclusions (Samet, 2011, pp. ii to iii).
38              •  The evidence available on dose-response for effects of ozone shows
39                 associations extending to levels within the range of concentrations
40                 currently experienced in the United States.
41              •  There is scientific certainty that 6.6-hour exposures with exercise of
42                 young, healthy, non-smoking adult volunteers to concentrations > 80 ppb
43                 cause clinically relevant decrements of lung function.

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 1              •  Some healthy individuals have been shown to have clinically relevant
 2                 responses, even at 60 ppb.
 3              •  Since the majority of clinical studies involve young, healthy adult
 4                 populations, less is known about health effects in such potentially ozone
 5                 sensitive populations as the elderly, children and those with
 6                 cardiopulmonary disease. For these susceptible groups, decrements in
 1                 lung function may be greater than in healthy volunteers and are likely to
 8                 have a greater clinical significance.
 9              •  Children and adults with asthma are at increased risk of acute
10                 exacerbations on or shortly after days when elevated ozone concentrations
11                 occur, even when exposures do not exceed the NAAQS concentration of 75
12                 ppb.
13              •  Large segments of the population fall into what EPA terms a "sensitive
14                 population group,'' i.e., those at increased risk because they are more
15                 intrinsically susceptible (children, the elderly, and individuals with
16                 chronic lung disease) and those who are more vulnerable due to increased
17                 exposure because they work outside or live in areas that are more polluted
18                 than the mean levels in their communities.
19    With respect to evidence from epidemiologic studies,  CAS AC stated "[W]hile epidemiological
20    studies are inherently more uncertain as exposures and risk estimates decrease (due to the greater
21    potential for biases to dominate small effect estimates), specific evidence in the literature does
22    not suggest that our confidence on the specific attribution of the estimated effects of ozone on
23    health outcomes differs over the proposed range of 60-70 ppb." (Samet, 2011,  p. 10).
24           In advice offered so far in the current review, which is considering an updated scientific
25    and technical record since the 2008 rulemaking, CASAC has not yet conveyed their view on the
26    adequacy of the current standard. In the first draft PA for the current review, staff reached the
27    preliminary conclusion that the currently available evidence  supports revising the standard to
28    afford greater public health protection and that it does not support retention of the current
29    standard (USEPA, 2012xx). Staff also concluded that the available evidence provides support
30    for conducting further exposure and risk analyses of alternative standard levels in the range of 60
31    to 70 ppb (USEPA, 2012xx). CASAC commented the draft PA provided "a strong scientific
32    rationale for consideration of ozone levels (8 hour averages of 60 ppb to 70 ppb)" (Frey and
33    Samet, 2012).

34         3.4  PRELIMINARY STAFF CONCLUSIONS ON ADEQUACY OF PRIMARY
35              STANDARD

36           This section presents staffs preliminary conclusions  for the Administrator to consider in
37    deciding whether it is appropriate to revise the existing primary Os standard. Our conclusions are
38    based on consideration of the assessment and integrative synthesis of the evidence presented in

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 1    the ISA, including consideration of air quality distributions in locations of selected
 2    epidemiologic studies; exposure and risk analyses in the second draft HREA; and the comments
 3    and advice of CAS AC and public comment on earlier drafts of this document, and on the ISA
 4    and HREA.
 5          As an initial matter, staff concludes that reducing precursor emissions to achieve Os
 6    concentrations that meet the current standard will provide important improvements in public
 7    health protection. This initial conclusion is based on (1) the strong body of scientific evidence
 8    indicating a wide range of adverse health outcomes attributable to exposures to Os
 9    concentrations found in the ambient air and (2) estimates indicating decreased 63 exposures and
10    health risks upon meeting the current standard, compared to recent air quality.
11          Strong support for this initial conclusion is provided by controlled human exposure
12    studies of respiratory effects, and by quantitative estimates of exposures of concern and lung
13    function decrements based on the information in these studies. Analyses in the second draft
14    HREA estimate that the percentages of at-risk populations experiencing exposures of concern or
15    abnormal and potentially adverse lung function decrements are substantially lower for air quality
16    that just meets the current Os standard than for recent air quality.
17          Some support for this initial conclusion is also provided by estimates of Os-associated
18    mortality and morbidity based on application of concentration-response relationships from
19    epidemiologic studies to adjusted air quality. These estimates are more variable than estimates of
20    Oj, exposures and (^-induced lung function risks, and are associated with uncertainties that
21    complicate their interpretation. However, epidemiology-based risk estimates for short- and long-
22    term O?, concentrations, in combination with the HREA's national analysis of Os responsiveness
23    to reductions in NOx emissions and the larger body of health effects evidence, lead us to
24    conclude that Cb-associated mortality and morbidity would be expected to decrease following
25    reductions in 63 precursor emissions to meet the current 63 standard.
26          We next revisit the overarching policy question for this chapter, taking into consideration
27    the responses to specific questions focused on the adequacy of the current primary 03 standard
28    discussed above.

29         •   Does the currently available scientific evidence and exposure/risk information, as
30             reflected in the ISA and HREA, support or call into question the adequacy of the
31             protection afforded by the current primary Os standard?
32          In considering the available evidence and information, staff concludes that the Os-
33    attributable health effects  estimated to be allowed by air quality that meets the current primary
34    standard for 63 can reasonably be judged important from a public health perspective. Thus, we
35    conclude that the available health evidence and exposure/risk information call into question the

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 1    adequacy of the public health protection provided by the current standard. We further conclude
 2    that it is appropriate in this review to consider alternative standards that would increase public
 3    health protection, compared to the current standard, and that it is not appropriate to consider
 4    alternative standards with levels higher than the current standard, which would decrease public
 5    health protection (see chapter 4). The basis for these conclusions is discussed below.
 6           Studies evaluated since the completion of the 2006 03 AQCD support and expand upon
 7    the strong body of evidence that, in the last review, indicated a causal relationship between short-
 8    term Os exposures and respiratory health effects. Together, experimental and epidemiologic
 9    studies support conclusions regarding a continuum of 63 respiratory effects ranging from  small
10    reversible changes in pulmonary function to more serious effects that can result in respiratory-
11    related emergency department visits, hospital admissions, and/or mortality. Recent animal
12    toxicological studies support descriptions of modes of action for these respiratory effects and
13    augment support for biological plausibility for the role  of Os in reported effects. With regard to
14    mode of action, evidence indicates that antioxidant capacity may modify the risk of respiratory
15    morbidity associated with 63 exposure. In addition, based on the consistency of findings across
16    studies and evidence for the coherence of results from different scientific disciplines, strong
17    evidence indicates that certain populations are at increased risk of Ch-related effects. These
18    include populations identified in previous reviews  (i.e., people with asthma, children, older
19    adults, outdoor workers) and populations identified since the last review (i.e., people with certain
20    genotypes related to anti-oxidant and/or anti-inflammatory status;  people with reduced intake of
21    certain nutrients, such as Vitamins C and E).
22           Evidence for adverse respiratory health effects attributable to "long-term" or repeated
23    daily 63 exposures is much stronger than in previous reviews,  and the ISA concludes there is
24    likely to be a causal relationship between such OT, exposures and adverse respiratory health
25    effects. Uncertainties related to the extrapolation of data generated by rodent toxicology studies
26    to the understanding of health effects in humans have been reduced by studies in non-human
27    primates and by recent epidemiologic studies. The evidence available in this review includes new
28    epidemiologic studies using a variety of designs and analysis methods, conducted by different
29    research groups in different locations, evaluating the relationships between long-term Os
30    exposures and measures of respiratory morbidity and mortality. New evidence supports
31    associations between long-term or repeated 63 exposures and the development of asthma, with
32    several studies reporting interactions between genetic variants and such OT, exposures. Studies
33    also report associations between long-term or repeated  63 exposure and asthma prevalence,
34    asthma severity and control, respiratory symptoms among asthmatics,  and respiratory mortality.
35           In considering the specific exposure concentrations reported to elicit respiratory effects,
36    we note that recent evidence includes controlled human exposure studies reporting lung function

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 1    decrements and pulmonary inflammation in healthy adults engaged in intermittent, moderate
 2    exertion following 6.6 hour exposures to Oj concentrations as low as 60 ppb, and lung function
 3    decrements and respiratory symptoms following exposures to concentrations as low as 70 ppb.
 4    Compared to the evidence available in the last review, these studies have strengthened support
 5    for the occurrence of abnormal and potentially adverse respiratory effects following short-term
                                                •yo
 6    exposures to Oj, concentrations below 80 ppb.   It is reasonable to judge exposures to such Oj,
 1    concentrations to be potentially important from a public health perspective given the following:

 8       1.  The respiratory effects reported following  exposures to 63 concentrations of 60 and 70
 9          ppb, while at moderate exertion, can reasonably be judged adverse based on ATS criteria
10          and past advice from CASAC.
11
12       2.  The controlled human exposure studies reporting these respiratory effects were conducted
13          in healthy adults, while at-risk groups (e.g., asthmatics) could experience larger and/or
14          more serious effects.
15
16       3.  These respiratory effects are coherent with the serious health outcomes that have been
17          reported in epidemiologic studies (e.g., respiratory-related hospital admissions,
18          emergency department visits, and mortality).
19          Exposure estimates from the second draft HREA for urban case study areas indicate that,
20    in areas just meeting the current 63 standard, approximately 10 to 20% of children would
21    experience one or more exposures of concern to Os concentrations of 60 ppb or above. In the
22    case study areas evaluated in the HREA, this corresponds to over 2 million children experiencing
23    approximately 4 million such exposures, including over 200,000 asthmatic children. Nationally,
24    far more children would be expected to experience such exposures of concern in areas where the
25    current standard is just met. On average over the years evaluated in the HREA, approximately 3
26    to 8% of children are estimated to experience two or more exposures of concern to Os
27    concentrations of 60 ppb or greater. For the worst-case years (i.e., years with air quality patterns
28    resulting in the highest exposure estimates), approximately 10 to 25% of children could
29    experience one or more exposures of concern at or above 60 ppb, and up  to 14% could
30    experience two or more.
31          Although the current standard more effectively limits exposures of concern at or above
32    higher O^ concentrations (i.e., 70, 80 ppb), up to about 8% of children are estimated to
33    experience exposures of concern at/above 70 ppb  in the worst-case city and year (i.e., city and
34    year with the largest estimates). In the worst-case  city and year, about 2% of children were
      78 Cf. Misisssippi. 723 F. 3d at 262 ("Perhaps more studies like the Adams studies will yet reveal that the 0.060 ppm
      level produces significant adverse decrements that simply cannot be attributed to normal variation in lung
      function.")
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 1    estimated to experience two or more exposures of concern to O?, concentrations of 70 ppb or
 2    greater.
 3          Though we focus on children in these analyses of O^ exposures, we also recognize that
 4    exposures to 8-hour average 63 concentrations at or above 60, 70, or 80 ppb could be of concern
 5    for some adult populations. As discussed above,  the patterns of exposure estimates over years
 6    and across cities are similar in adult asthmatics, older adults, and children, though smaller
 7    percentages of adult populations are estimated to experience exposures of concern. Thus, the
 8    results for children are one part of a broader range of potentially at-risk populations that also
 9    includes asthmatic adults and older adults.
10          Consistent with estimates of exposures of concern, the second draft HREA also estimates
11    that under air quality conditions just meeting the current O^ NAAQS, hundreds of thousands of
12    asthmatic children would be expected to experience Cb-induced lung function decrements that
13    are large enough to be potentially adverse in people with lung disease. On average over the years
14    evaluated in the HREA, the current standard is estimated to allow about 14% to 19% of children
15    in urban case study areas, including asthmatic children, to experience one or more (^-induced
16    lung function decrements > 10%. This corresponds to about 300,000 asthmatic children.
17    Nationally, far more children would be expected to experience such Os-induced lung function
18    decrements. About 8% to 12% of children are estimated to experience two or more decrements >
19    10%, on average. In the worst-case years, approximately 17% to 22% of children in the urban
20    case study areas are estimated to experience one  or more decrements > 10% and about 10% to
21    14% are estimated to experience two or more such decrements. As with exposures of concern,
22    the current standard more effectively limits larger Os-induced lung function decrements (i.e., >
23    15%, 20%). However, up to about 7% of children are estimated to experience one or more 63-
24    induced decrements > 15% in the worst-case city and year analyzed in the HREA (and as high as
25    about 4% for two or more decrements).
26          Recent epidemiologic studies also provide support, beyond that available in the last
27    review, for associations between short-term O?, exposures and a wide range of adverse
28    respiratory outcomes (including respiratory-related hospital admissions, emergency department
29    visits, and mortality) and with total mortality. Associations with morbidity and mortality are
30    stronger during the warm or summer months, and remain robust after adjustment for co-
31    pollutants. In one U.S. and several Canadian studies, associations with respiratory morbidity or
32    mortality  were reported in locations that would have met the current Os standard. Even in some
33    study locations where the current standard was not met, considering reported concentration-
34    response functions or cut-point analyses in the context of available air quality data indicate the
35    existence  of Os-health effect associations on the  subsets of days with ambient O^ concentrations
36    below 75  ppb. Taken together, these studies and  associated air quality data indicate a relatively

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 1    high degree of confidence in the occurrence of (^-associated hospital admissions, emergency
 2    department visits, and mortality at ambient concentrations that meet the current standard.
 3           The HREA epidemiology-based risk estimates in 12 urban cases study areas indicate
 4    thousands of 63-associated hospital admissions, emergency department visits, and deaths per
 5    year for air quality conditions associated with meeting the current standard. Based on area-wide
 6    O3 concentrations from the upper portions of seasonal distributions, a focus that we judge
 7    appropriate given the greater certainty in O3-attributable effects at higher concentrations,
 8    hundreds to thousands of Cb-associated deaths per year are estimated for air quality  associated
 9    with the current standard in urban case study areas, indicating the potential for substantial public
10    health risk. As recognized above in  section 3.2.3.2, we note greater uncertainty in Os-attributable
11    effects at lower concentrations, which are subject to increases upon air quality adjustment.
12    Although there are additional uncertainties in quantifying risks by applying concentration-
13    response functions from epidemiology studies to adjusted Os air quality, the general magnitude
14    of risk estimates suggests the potential for a substantial  number of (^-associated deaths and
15    adverse respiratory events nationally when the current standard is met.
16           In addition to the evidence and exposure/risk information discussed above, we also take
17    note of the CAS AC advice provided to the EPA Administrator on the proposed reconsideration
18    of the 2008 decision establishing the current standard and the advice of the CAS AC 63 Panel
19    thus far in the current review. In commenting on the proposed reconsideration, the prior CAS AC
20    63 Panel emphatically recommended revision of the standard to one with a lower level based
21    entirely on the evidence and information in the record for the 2008 standard, which has been
22    substantially strengthened in the current review (Samet, 2011; Samet, 2012). Based  on review of
23    the first draft PA in the current review, the current CASAC 63 Panel also described  the draft PA
24    as providing strong scientific rationale for consideration of lower standard levels (Frey and
25    Samet, 2012).
26           In consideration of all of the above, staff reaches the preliminary conclusion that  the
27    available evidence and exposure and risk information clearly calls into question the  adequacy of
28    public health protection provided by the current primary standard. This evidence and information
29    provides strong support for the occurrence of a range of adverse respiratory effects,  and
30    mortality, under air quality conditions that would meet the current standard. Based on the
31    analyses in the second draft HREA, we conclude that the exposures and risks projected to remain
32    upon meeting the current standard are indicative  of risks that can reasonably be judged to be
33    important from a public health perspective. Thus, staff concludes that the evidence and
34    information provides strong support for giving consideration to revising the current primary
35    standard in order to provide increased public health protection against an array of adverse health
36    effects that range from decreased lung function and respiratory symptoms to more serious

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1    indicators of morbidity (e.g., including emergency department visits and hospital admissions),
2    and mortality. We further conclude that it is not appropriate to consider alternative standards
3    with levels higher than the current standard, which would decrease public health protection. In
4    consideration of all of the above, staff draws the preliminary conclusion that it is appropriate for
5    the Administrator to consider revision of the current primary Os standard to provide increased
6    public health protection.
7
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25            J Allergy Clin Immunol 121: 903-909. http://dx.doi.0rg/10.1016/j.jaci.2007.12.004

26    Ross, MA; Persky, VW; Scheff, PA; Chung, J; Curtis, L; Ramakrishnan, V; Wadden, RA; Hryhorczuk, DO. (2002).
27            Effect of ozone and aeroallergens on the respiratory health of asthmatics. Arch Environ Occup Health 57:
28            568-578. http://dx.doi.org/10.1080/00039890209602090

29    Salam, MT; Islam, T; Gauderman, WJ; Gilliland, FD. (2009). Roles of arginase variants, atopy, and ozone  in
30            childhood asthma. J Allergy Clinlmmunol 123: 596-602. http://dx.doi.org/10.1016/jjaci.2008.12.020

31    Samet, J.M. Clean Air Scientific Advisory Committee (CASAC) Response to Charge Questions on the
32            Reconsideration of the 2008 Ozone National Ambient Air Quality  Standards.  EPA-CASAC-11-004.
33            March 30, 2011.  Available online at:
34            http://yosemite.epa.gov/sab/sabproduct.nsf/0/F08BEB48C1139E2A8525785E006909AC/$File/EPA-
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36    Samoli, E; Zanobetti, A; Schwartz, J; Atkinson, R; Le Tertre, A; Schindler,  C; Perez, L; Cadum, E; Pekkanen, J;
37            Paldy, A; Touloumi, G; Katsouyanni, K. (2009). The temporal pattern of mortality responses to ambient
3 8            ozone in the APHEA project. J Epidemiol  Community Health 63: 960-966.
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40    Scannell, C; Chen, L; Aris, RM; Tager, I; Christian, D; Ferrando, R; Welch, B; Kelly, T; Balmes, JR. (1996).
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42            24-29.
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  4     Schildcrout, JS;  Sheppard, L; Lumley, T; Slaughter, JC; Koenig, JQ; Shapiro, GG. (2006). Ambient air pollution
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18     Silverman, RA; Ito, K. (2010). Age-related association of fine particles and ozone with severe acute asthma in New
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28     Stafoggia, M; Forastiere,  F; Faustini, A; Biggeri, A; Bisanti, L; Cadum, E; Cernigliaro, A; Mallone, S; Pandolfi, P;
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32     Stieb, DM; Szyszkowicz, M; Rowe, BH; Leech, JA. (2009). Air pollution and emergency department visits for
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35     Strickland, MJ; Darrow, LA; Klein, M; Flanders, WD; Sarnat,  JA; Waller, LA; Sarnat, SE; Mulholland, JA; Tolbert,
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 1          4   CONSIDERATION OF ALTERNATIVE PRIMARY STANDARDS

 2          Having reached the conclusion that the currently available scientific evidence and
 3    exposure/risk information calls into question the adequacy of the current 63 standard, we next
 4    consider the following overarching question:
 5         •   What is the range of potential alternative standards that are supported by the
 6             currently available scientific evidence and exposure/risk information, as reflected
 7             in the ISA and HREA respectively?
 8    To address this overarching question, in the sections below we evaluate a series of more specific
 9    questions related to the major elements of the NAAQS: indicator (section 4.1), averaging time
10    (section 4.2), form (section 4.3), and level (section 4.4). In addressing these questions, we
11    consider the currently available scientific evidence and exposure/risk information, including the
12    evidence  and information available at the time of the last review and that newly available in the
13    current review, as assessed in the ISA and the second draft HREA. In so doing, we note that the
14    final decision by the Administrator in this review will consider these elements collectively in
15    evaluating the health protection afforded by the primary standard.l

16         4.1    INDICATOR
17          In the last review, EPA focused on 63 as the most appropriate indicator for a standard
18    meant to provide protection against ambient photochemical oxidants. In this review, while the
19    complex atmospheric chemistry in which 03 plays a key role has been highlighted, no
20    alternatives to 63 have been advanced as being a more appropriate indicator for ambient
21    photochemical oxidants. More  specifically, the ISA noted that Os is the only photochemical
22    oxidant (other than NO2) that is routinely monitored and for which a comprehensive database
23    exists (ISA  section 3.6).  Data for other photochemical oxidants (e.g., PAN, H2O2, etc.) typically
24    have been obtained only as part of special field studies. Consequently, no data on nationwide
25    patterns of occurrence are available for these other oxidants;  nor are extensive data available on
26    the relationships of concentrations and patterns of these oxidants to those of 63 (ISA section 3.6).
27          We further note that meeting an O^ standard can be expected to provide some degree of
28    protection against potential health effects that may be independently associated with other
29    photochemical oxidants, even though such effects are not discernible from currently available
30    studies indexed by 03 alone. That is, since the precursor emissions that lead to the formation of
31    63 generally also lead to the formation of other photochemical oxidants, measures leading  to
      :We also take note of the 1997 review (discussed in section 1.3.1.2.3), in which O3 background concentrations were
      an additional consideration in selecting a standard. Background O3 is discussed in more detail in chapter 2 of this
      second draft PA.

                                                 4-1

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 1    reductions in population exposures to Os can generally be expected to lead to reductions in
 2    population exposures to other photochemical oxidants. Taken together, we conclude that 63
 3    remains the most appropriate indicator for a standard meant to provide protection against
 4    photochemical oxidants.2

 5         4.2   AVERAGING TIME
 6           The EPA established the current 8-hour averaging time3 for the primary Oj, NAAQS in
 7    1997 (62 FR 38856). The decision on averaging time in that review was based on numerous
 8    controlled human exposure and epidemiologic studies reporting associations between 6 to 8 hour
 9    Os concentrations and adverse respiratory effects (62 FR 38861). It was also noted that a
10    standard with a max 8-hour averaging time is likely to provide substantial protection against
11    respiratory effects associated with 1-hour peak OT, concentrations. Similar conclusions were
12    reached in the last Os NAAQS  review and thus, the 8-hour averaging time was retained in 2008.
13           In the current review, we first consider the following question related to averaging time:
14         •  To what extent does the available evidence continue to support the
15             appropriateness of  a standard with an 8-hour averaging time?
16    In reaching conclusions related to this question, staff considers causality judgments from the
17    ISA, as well as results from the specific controlled human exposure and epidemiologic studies
18    that informed those judgments. These considerations are described below in more detail.
19           As an initial consideration with respect to the most appropriate averaging time for the 63
20    NAAQS, we note that the strongest evidence for Os-associated health effects is for respiratory
21    effects following short-term exposures. More specifically, the ISA concludes that evidence
22    relating short-term 63 exposures to respiratory effects is "sufficient to infer a causal
23    relationship." The ISA also judges that short-term exposures to OT, are "likely to cause" both
24    cardiovascular effects and mortality (U.S. EPA, 2013, section 2.5.2). Therefore, as in past
25    reviews, the strength of the available scientific evidence provides strong support for a standard
26    that protects the public health against short-term exposures to 03.
27           In first considering the level of support available for specific short-term averaging times,
28    we note the evidence available  from controlled human exposure studies. As discussed in more
29    detail in chapter 3 of this second draft PA, substantial health effects evidence from controlled
30    human exposure studies demonstrates that a wide range of respiratory effects (e.g., pulmonary
31    function decrements, increases  in respiratory symptoms, lung inflammation, lung permeability,
      2The D.C. Circuit upheld the use of O3 as the indicator for photochemical oxidants based on these same
      considerations. American Petroleum Inst. v. Costle, 665 F. 2d 1176, 1186 (D.C. Cir. 1981).
      3This 8-hour averaging time reflects daily max 8-hour average O3 concentrations.

                                                 4-2

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 1    decreased lung host defense, and airway hyperresponsiveness) occur in healthy adults following
 2    6.6 hour exposures to 63 (EPA 2013, section 6.2.1.1). Compared to shorter exposure durations
 3    (e.g., 1-hour), studies evaluating 6.6 hour exposures in healthy adults have reported respiratory
 4    effects at lower Oj, exposure concentrations and at more moderate levels of exertion.
 5          We also note the strength of evidence from epidemiologic studies that have evaluated a
 6    wide variety of populations (e.g., including at-risk lifestages and populations, such as children
 7    and people with asthma, respectively). A number of different averaging times are used in 63
 8    epidemiologic studies, with the most common being the max 1-hour concentration within a 24-
 9    hour period (1-hour max), the max 8-hour average concentration within a 24-hour period (8-hr
10    max), and the 24-hour average. These studies are discussed in chapter 3 of this second draft PA,
11    and are assessed in detail in chapter 6 of the ISA (U.S. EPA, 2013). Limited evidence from time-
12    series and panel epidemiologic studies comparing risk estimates across averaging times does not
13    indicate that one exposure metric is more consistently or strongly associated with respiratory
14    health effects or mortality, though the ISA notes some evidence for "smaller O^ risk estimates
15    when using a 24-hour average exposure metric" (EPA 2013, section 2.5.4.2; p. 2-31). For single-
16    and multi-day average Os concentrations, lung function decrements were associated with 1-hour
17    max, 8-hour max,  and 24-hour average  ambient 63  concentrations, with no strong difference in
18    the consistency or magnitude of association among the averaging times (EPA 2013, p. 6-71).
19    Similarly, in studies of short-term exposure to Os and mortality, Smith et al. (2009) and Darrow
20    et al. (2011) have reported high correlations between risk estimates calculated using 24-hour
21    average, 8-hour max, and 1-hour max averaging times (EPA 2013, p. 6-253). Thus, the
22    epidemiologic evidence alone does not  provide a strong basis for distinguishing between the
23    appropriateness of 1-hour, 8-hour, and 24-hour averaging times.
24          Considering the health information discussed above, we conclude that an 8-hour
25    averaging time remains appropriate for  addressing health effects associated with short-term
26    exposures to ambient 63. An 8-hour averaging time is  similar to the exposure periods evaluated
27    in controlled human exposure studies, including recent studies that provide evidence for
28    respiratory effects following exposures  to 63 concentrations below the level of the current
29    standard. In addition, epidemiologic studies provide evidence for health effect associations with
30    8-hour 03 concentrations, as well as with 1-hour and 24-hour concentrations. As in previous
31    reviews, we note that a standard with an 8-hour averaging time (combined with an appropriate
32    standard form and level) would also be  expected to provide substantial protection against health
33    effects attributable to 1-hour and 24-hour exposures (e.g., 62 FR 38861, July 18, 1997).
34          The ISA also concludes that long-term 63 exposures are "likely to cause" respiratory
35    effects (US EPA, 2013, chapter 7). Thus, in this review we also consider the extent to which
36    currently available evidence and exposure/risk information suggests that a standard with an 8-

                                                4-3

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 1    hour averaging time can provide protection against respiratory effects associated with longer
 2    term exposures to ambient O3. In doing so, staff considers the following question:
 3         •   To what extent does the available evidence and exposure/risk information indicate
 4             that a standard with the current 8-hour averaging time could provide protection
 5             against long-term exposures to ambient Os?
 6    In considering this issue in the last review of the O3 NAAQS, staff noted that "because long-term
 7    air quality patterns would be improved in areas coming into attainment with an 8-hr standard, the
 8    potential risk of health effects associated with long-term exposures would be reduced in any area
 9    meeting an 8-hr standard" (U.S. EPA, 2007, p. 6-57).
10          In the current review, we further evaluate this issue, with a focus on the "long-term" O3
11    metrics reported to be associated with mortality or morbidity in recent epidemiologic studies. As
12    discussed in section 3.1.3, much of the recent evidence for such associations is based on studies
13    that defined long-term O3 in terms of seasonal averages of daily max concentrations  (e.g.,
14    seasonal averages of 1-hour or 8-hour daily max concentrations).
15          As an initial consideration, we note the risk results from the second draft HREA for
16    respiratory mortality associated with long-term O3 concentrations. As discussed in section
17    3.2.3.2, HREA analyses indicate that as air quality is adjusted to just meet the current 8-hour
18    standard, most urban case study areas are estimated to experience reductions in respiratory
19    mortality associated with long-term O3 concentrations based on the seasonal averages of 1-hour
20    daily max O3 concentrations evaluated in the study by Jerrett et al. (2009) (U.S. EPA, 2014,
21    chapter 7). As air quality is adjusted to meet lower potential alternative standard levels, for
22    standards based on 3-year averages of the annual fourth-highest daily max 8-hour O3
23    concentrations, respiratory mortality risks are estimated to be reduced further in urban case study
24    areas (section 4.4.2.3,below). This analysis indicates that an O3 standard with an 8-hour
25    averaging time, when coupled with an appropriate form and level, can reduce respiratory
26    mortality reported to be associated with "long-term" O3 concentrations.
27          In further considering the study by Jerrett et al. (2009), we compare long-term O3
28    concentrations following model adjustment in urban case study areas (i.e., adjusted to meet the
29    current and potential alternative 8-hour standards) to the concentrations present in  study cities
30    that provided the basis for the positive and  statistically significant association with respiratory
31    mortality. As indicated below (Table 4-3), this comparison suggests that a standard with an 8-
32    hour averaging time can decrease seasonal averages of 1-hour daily max O3 concentrations, and
33    can maintain those O3 concentrations below the seasonal average where we have the most
34    confidence in the reported concentration-response relationship with respiratory mortality (see
35    section 4.4.1 for further discussion).
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 1           The second draft HREA also conducted analyses evaluating the impacts of reducing
 2    regional NOx emissions on the seasonal averages of 8-hour daily max 63 concentrations.4
 3    Seasonal averages of 8-hour daily max 03 concentrations reflect long-term metrics that have
 4    been reported to be associated with respiratory morbidity effects in several recent 63
 5    epidemiologic studies (e.g., Islam et al., 2008; Lin et al., 2008; Salam et al., 2009). The HREA
 6    analyses indicate that the large majority of the U.S. population lives in locations where reducing
 7    NOx emissions would be expected to result in decreases in seasonal averages of daily max 8-
 8    hour ambient Os concentrations (U.S. EPA, 2014, chapter 8). Thus, consistent with the
 9    respiratory mortality risk estimates noted above, this analysis suggests that reductions in 63
10    precursor emissions in order to meet a standard with an 8-hour averaging time would also be
11    expected to reduce the types of long-term 03 concentrations that have been reported in recent
12    epidemiologic studies to be associated with respiratory morbidity.
13           Taken together, we conclude that a standard with an 8-hour averaging time, coupled with
14    the current 4* high form and an appropriate level, would be expected to provide appropriate
15    protection against the long-term 63 concentrations that have been reported to be associated with
16    respiratory morbidity and mortality.  This issue is considered further,  within the  context of
17    specific potential alternative standard levels,  in section 4.4 below.

18         4.3   FORM
19           The "form" of a standard defines the air quality statistic that is to be compared to the
20    level of the standard in determining whether an area attains the standard. The foremost
21    consideration in selecting a form for potential alternative primary standards is the adequacy of
22    the public health protection provided by the combination of the form and the other elements of
23    the standard. As such, in reaching staff conclusions regarding the appropriate form(s) to consider
24    for a potential alternative primary OT, standard, we consider the following question:
25         •   To what extent do the available evidence and/or information continue to support
26              the appropriateness of a standard with a form defined  by the 3-year average of
27              annual 4th-highest 8-hour daily max Os concentrations?
28           The EPA established the current form of the primary O3 NAAQS in 1997 (62 FR 38856).
29    Prior to that time, the standard had a "1-expected-exceedance" form.5 An advantage of the
30    current concentration-based form recognized in the 1997 review is that such a form better
31    reflects the continuum of health effects associated with increasing ambient 63 concentrations.
             4Analyses are based on regional NOX reductions, which are effective in bringing down peak ambient O3
      concentrations, but can have variable impacts on seasonal mean concentrations.
             5For a standard with a 1-expected-exceedance form to be met at an air quality monitoring site, the fourth-
      highest air quality value in 3 years, given adjustments for missing data,  must be less than or equal to the level of the
      standard.
                                                 4-5

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 1    Unlike an expected exceedance form, a concentration-based form gives proportionally more
 2    weight to years when 8-hour 63 concentrations are well above the level of the standard than to
 3    years when 8-hour O?, concentrations are just above the level of the standard. It was judged
 4    appropriate to give more weight to higher 63 concentrations, given that available health evidence
 5    indicated a continuum of effects associated with exposures to varying concentrations of Os, and
 6    given that the extent to which public health is affected by exposure to ambient O^ is related to the
 7    actual magnitude of the 63 concentration, not just whether the concentration is above a specified
 8    level.
 9           During the 1997 review, EPA considered a range of alternative "concentration-based"
10    forms, including the second-, third-, fourth- and fifth-highest daily max 8-hour concentrations in
11    an 03 season. The fourth-highest daily max was selected, recognizing that a less restrictive form
12    (e.g., fifth highest) would allow a relatively large percentage of sites to experience 63 peaks well
13    above the level of the standard, and would allow more days on which the level of the standard
14    may be exceeded when attaining the standard (62 FR 38856). Consideration was also given to
15    setting a standard with a form that would provide a margin of safety against possible but
16    uncertain chronic effects, and would provide greater stability to ongoing control programs.6 A
17    more restrictive form was not selected, recognizing that the differences in the  degree of
18    protection afforded by the alternatives were not well enough understood to use any such
19    differences as a basis for choosing the most restrictive forms (62 FR 38856).
20           In the 2008 review, EPA additionally considered the potential value of a percentile-based
21    form. In doing so, EPA recognized that such  a statistic  is useful for comparing datasets of
22    varying length because it samples approximately the same place in the distribution of air quality
23    values, whether the dataset is several months or several years long. However,  EPA concluded
24    that a percentile-based statistic would not be  effective in ensuring the same degree of public
25    health protection across the country. Specifically, a percentile-based form would allow more
26    days with higher air quality values in locations with longer 63 seasons relative to places with
27    shorter 03 seasons.
28           Thus, in the 2008 review EPA concluded that a form based on the nth-highest max Os
29    concentration would more effectively ensure that people who live in areas with different length
30    03 seasons receive the same degree of public health protection. Based on analyses for forms
31    specified in terms of an nth-highest concentration (n ranged from 3 to 5), advice from CAS AC,
      6 See American Trucking Assn's v. EPA, 283 F. 3d 355, 374-75 (D.C. Cir. 2002) (less stable implementation
      programs may be less effective, and therefore EPA can consider programmatic stability in determining the form of a
      NAAQS).
                                                 4-6

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 1    and public comment,7 the Administrator concluded that a 4th-highest daily max should be
 2    retained (73 FR 16465). In reaching this decision, the Administrator recognized that "the
 3    adequacy of the public health protection provided by the combination of the level and form is a
 4    foremost consideration" (73 FR 16475).
 5           The Administrator also recognized that it is important to have a form that provides
 6    stability with regard to implementation of the standard. In the case of Os, for example, he noted
 7    the importance of a form insulated from the impacts of the meteorological events that are
 8    conducive to Os formation. Such events could have the effect of reducing public health
 9    protection, to the extent they result in frequent shifts between meeting and violating the standard
10    due to meteorological conditions. The Administrator noted that such frequent shifting could
11    disrupt an area's ongoing implementation plans and associated control programs (73 FR 16474).
12    In its notice of proposed rulemaking to reconsider the 2008 standard, the EPA did not propose to
13    reconsider the form of the standard.
14           In the current review, we consider the extent to which newly available information
15    provides support for consideration of alternative forms. In so doing, we take note of the
16    conclusions of prior reviews summarized above. We recognize the value of an nth-high statistic
17    over that of an expected exceedance or percentile-based form in the case of the 63 standard, for
18    the reasons summarized above. We  additionally take note of the importance of stability in
19    implementation to achieving the level of protection specified by the NAAQS. Specifically, we
20    note that to the extent that areas engaged in implementing the 63 NAAQS frequently shift from
21    meeting to violating the standard, it is possible that ongoing implementation plans and associated
22    control programs could be disrupted, thereby reducing public health protection.
23           In light of this, while giving foremost consideration to the adequacy of public health
24    protection provided by the combination of all elements of the standard, including the form, we
25    consider particularly findings from prior reviews with regard to the use of the nth-high metric.
26    As noted above, the 4th-highest daily max was selected in 1997 in recognition of the public
27    health protection provided by this form, when coupled with an appropriate averaging time and
28    level, and recognizing that such a form can provide stability for  implementation programs. The
29    currently available evidence and information does not call into question these conclusions from
30    previous reviews. Therefore, we conclude that it would be appropriate to retain the current 4* -
      7 In the 2008 review, one group of commenters expressed the view that the standard was not adequate and supported
      a more health-protective form (e.g., a second- or third-highest daily max form). Another group of commenters
      expressed the view that the standard was adequate and did not provide any views on alternative forms that would be
      appropriate should the Administrator consider revisions to the standard. The Administrator considered the protection
      afforded by the combination of level and form in revising the standard in 2008 to 75 ppb, as a 3 -year average of the
      annual fourth-highest daily max 8-hour concentrations (73 FR 16475).
                                                 4-7

-------
 1    highest daily max form for an O^ standard with an 8-hour averaging time and a revised level, as
 2    discussed below.

 3         4.4  LEVEL
 4          In considering potential alternative standards levels to provide greater protection than that
 5    afforded by the current standard against (Vrelated adverse health effects, we address the
 6    following overarching question.
 7         •  For an Os standard defined in terms of the current indicator, averaging time, and
 8             form, what alternative levels are appropriate to consider in order to provide
 9             adequate public health protection against short- and long- term exposures to Os
10             in ambient air?
11    In considering this question, we take into account the experimental and epidemiologic evidence
12    as presented in the ISA, as well as the uncertainties and limitations associated with this evidence
13    (section 4.4.1). In addition, we consider the quantitative estimates of exposure and risk provided
14    by the HREA, as well as the uncertainties and limitations associated with these risk estimates
15    (section 4.4.2).

16         4.4.1   Evidence-based Considerations
17          In this section, we consider the available evidence from controlled human exposure and
18    epidemiologic studies, including the uncertainties and limitations associated with that evidence,
19    within the context of potential alternative  standard levels. We consider both the exposure
20    concentrations at which controlled human exposure studies provide evidence for health effects,
21    and the ambient 63 concentrations present in locations where epidemiologic studies have
22    reported health effect associations (see also section 3.1).
23    Controlled human  exposure studies
24          We consider the following question related to controlled human exposure studies:
25         •  To what extent does the available evidence from controlled human exposure
26             studies provide support for consideration of potential alternative standard levels
27             lower than 75 ppb?
28    To inform our conclusions regarding this question, we consider the lowest 63 concentrations at
29    which various effects have been evaluated and statistically significant effects reported. We also
30    consider the potential for reported effects to be adverse, including in at-risk populations.
31          As discussed in section 3.1.2.1, in healthy adults group mean Os-induced lung function
32    decrements exhibit  a smooth dose-response relationship without evidence of a threshold from  40
33    to 120 ppb Os (US EPA, 2013, Figure 6-1). The lowest Os exposure concentration for which
34    statistically significant decrements have been reported is 60 ppb (Brown, 2006; Kim et al., 2011).

                                                4-8

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 1    The ISA concludes that mean FEVi is clearly decreased by 6.6-hour exposures to O^
 2    concentrations of 60 ppb and higher in young, healthy adults during moderate exertion (US EPA,
 3    2013, p. 6-9). As discussed in section 3.1.3, such a decrease in mean lung function meets the
 4    ATS criteria for an adverse response given that a downward shift in the distribution  of FEVi
 5    would result in diminished reserve function, and therefore would increase risk from  further
 6    environmental insult. In addition, the ISA notes that following exposures to 60 ppb O^ 10% of
 7    healthy individuals experience FEVi decrements > 10% (U.S. EPA, 2013, page 6-19). A 10%
 8    decrement in FEVi is accepted by ATS as an  abnormal response, and based on advice received
 9    from CASAC in previous reviews, such decrements could be adverse in people with lung disease
10    (section 3.1.3).
11          As discussed in section 3.1.2.1, one recent controlled human exposure study  has reported
12    Os-induced pulmonary inflammation (PMN influx to the ELF) following exposures  of young,
13    healthy adults to Os concentrations of 60 ppb  (Kim et al., 2011), the lowest concentration at
14    which inflammatory responses have been evaluated in human studies. Induction of pulmonary
15    inflammation is evidence that injury has occurred. The possibility of chronic effects due to
16    repeated inflammatory events has been evaluated in animal studies. Repeated events of acute
17    inflammation can have several potentially adverse outcomes including: induction of a chronic
18    inflammatory state; altered pulmonary structure and function, leading to diseases such as asthma;
19    altered lung host defense response to inhaled microorganisms, particularly in potentially at-risk
20    populations such as the very young and old; and, altered lung response to other agents such as
21    allergens or toxins (U.S. EPA, 2013, Section 6.2.3).  Thus, lung injury and the resulting
22    inflammation, particularly if experienced repeatedly, provide a mechanism by which Os may
23    cause other more serious respiratory effects (e.g., asthma exacerbations) and possibly
24    extrapulmonary effects.
25          With respect to respiratory symptoms, a recent study by Schelegle et al. (2009) reported a
26    statistically significant increase in respiratory symptoms in young, healthy adults following 6.6
27    hour exposures to an average Os concentration of 70 ppb. This study also reported a statistically
28    significant decrease in FEVi following such exposures. As discussed in section 3.1.3, the
29    occurrence of both lung function decrements and respiratory symptoms meets criteria established
30    by the ATS defining an "adverse" respiratory response. Although some studies have reported
31    that respiratory symptoms develop during exposures at 60 ppb, the increases in symptoms in
32    these studies have not reached statistical significance by the end of the 6.6 hr exposures (Adams
33    2006; Schelegle et al., 2009).8
      8Adams (2006) reported an increase in respiratory symptoms in healthy adults during a 6.6 hour exposure protocol
      with an average O3 exposure concentration of 60 ppb. This increase was significantly different from initial
      respiratory symptoms, but not from filtered air controls.
                                                 4-9

-------
 1          Based on the results discussed above and in section 3.1.2.1, we conclude that controlled
 2    human exposure studies provide evidence of potentially adverse lung function decrements and
 3    airway inflammation in healthy individuals following exposures to 60 ppb Os, and evidence of
 4    respiratory symptoms combined with lung function decrements (an "adverse" response based on
 5    ATS criteria) following exposures to 70 ppb. In reaching these conclusions, we recognize that
 6    most studies have not evaluated exposure concentrations below 60 ppb, and that 60 ppb does not
 7    necessarily reflect an exposure concentration below which effects no longer occur. Specifically,
 8    given the occurrence of airway inflammation following exposures to 60 ppb and higher, it may
 9    be reasonable to expect that inflammation would also occur following exposures to 63
10    concentrations somewhat below 60 ppb. Although some studies show that respiratory symptoms
11    develop during exposures at 60 ppb, they have not reached statistical significance by the end of
12    the 6.6 hr exposures (Adams 2006; Schelegle et al. 2009). Thus, respiratory symptoms combined
13    with lung function decrements are likely to occur to some degree in healthy individuals with 6.6-
14    hr exposures to concentrations below 70 ppb. Further, we note that these controlled human
15    exposure studies were conducted in healthy adults and that people with asthma, including
16    asthmatic children,  are likely to be more sensitive to Os-induced respiratory effects. Therefore,
17    these exposure concentrations are more likely to cause adverse respiratory effects in children and
18    adults with asthma, and more generally in people with respiratory disease.
19          In further considering effects following exposures to O^ concentrations below 75 ppb, in
20    section 3.1.4.1 we discuss panel studies highlighted in the ISA for the extent to which monitored
21    ambient Os concentrations reflect exposure concentrations in their study populations (U.S. EPA,
22    2013, section 6.2.1.2). These panel studies used on-site monitoring to evaluate Os-attributable
23    lung function decrements in individuals engaged in outdoor recreation, exercise, or work. Table
24    3-2 includes  Os  panel studies that report analyses of Cb-attributable lung function decrements for
25    Oj, concentrations at or below 75 ppb, and that measure 63 concentrations with monitors located
26    in the areas where study subjects were active (e.g., on site at summer camps or in locations
27    where exercise took place). Consistent with the results of controlled human exposure studies
28    discussed above, these panel studies report associations with lung function decrements for
29    subjects exposed to on-site monitored Os concentrations below 75 ppb. Associations in panel
30    studies have  been reported for a wider range of populations than has been evaluated in controlled
31    human exposure studies, including children.
32          In considering controlled human exposure studies of other Os-induced effects, we note
33    that airway hyper-responsiveness and impaired lung host defense capabilities have been reported
34    in healthy adults engaged in moderate exertion following exposures to 63 concentrations as low
35    as 80 ppb, the lowest concentration evaluated for these effects. As discussed in section 3.1.2.1,
36    these physiological effects have been linked to aggravation of asthma and increased

                                                4-10

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 1    susceptibility to respiratory infection, potentially leading to increased medication use, increased
 2    school and work absences, increased visits to doctors' offices and emergency departments, and
 3    increased hospital admissions. These are all indicators of adverse Os-related morbidity effects,
 4    which are  consistent with, and provide plausibility for, the adverse morbidity effects and
 5    mortality effects observed in epidemiologic studies.
 6           In revisiting the question above, we conclude that the available controlled human
 7    exposure evidence supports an upper end of the range of potential alternative standard levels for
 8    consideration no higher than 70 ppb. For 6.6 hour exposures at 70 ppb, lung function decrements
 9    and respiratory symptoms, a combination of effects that meet ATS criteria for an adverse
10    response (as discussed in section 3.1.3), have been demonstrated in healthy adults in controlled
11    human exposure studies.9 In addition, potentially adverse respiratory effects, including lung
12    function decrements and airway inflammation, have been demonstrated following 6.6 hour
13    exposures to Os concentrations below 70 ppb (i.e., at 60 ppb, as discussed below). A level of 70
14    ppb would also be below the lowest-observed-effects level for effects such as airway hyper-
15    responsiveness and impaired host-defense capabilities in healthy adults while at prolonged
16    moderate exertion. As discussed in section 3.1.2.1 of this second draft PA, such physiological
17    effects have been linked to aggravation of asthma and increased susceptibility to respiratory
18    infection, potentially leading to increased medication use, increased school and work absences,
19    increased visits to doctors' offices and emergency departments, and increased hospital
20    admissions.
21           Based on the above considerations, we also conclude that the evidence from controlled
22    human exposure studies supports setting the  lower end to the range of alternative O?, standards at
23    60 ppb.  Potentially adverse lung function decrements and pulmonary inflammation have been
24    demonstrated to occur at in healthy adults at 60 ppb. This is a short-term exposure concentration
25    that may be reasonably concluded to elicit adverse effects in at-risk groups. Pulmonary
26    inflammation, particularly if experienced repeatedly, provides a mechanism by which 63 may
27    cause other more serious respiratory morbidity effects (e.g., asthma exacerbations) and possibly
28    extrapulmonary effects.
29    Epidemiologic evidence
30           We also consider what the information from  epidemiologic studies indicates with regard
31    to potential alternative standard levels appropriate for consideration. Based on the information in
32    section 3.1.4.2 of this second draft PA (see Table 3-3), we first note that several epidemiologic
      'Although some studies report that respiratory symptoms develop during exposures to 60 ppb O3, these effects have
      not reached statistical significance by the end of the 6.6 hour exposures (Adams, 2006; Schelegle et al., 2009). Thus
      respiratory symptoms, in combination with lung function decrements, are likely to occur to some degree in healthy
      individuals following exposures to O3 concentrations somewhat below 70 ppb.
                                                 4-11

-------
 1    studies have reported positive and statistically significant associations with hospital admissions,
 2    emergency department visits, and/or mortality in study areas where ambient 63 concentrations
 3    would have met the current standard (i.e., with its level of 75 ppb). This includes Canadian
 4    multicity studies in which the majority of study cities would have met the current standard over
 5    entire study periods (Cakmak et al., 2006; Dales et al., 2006; Katsouyanni  et al., 2009; Stieb et
 6    al., 2009), and a U.S. single-city study conducted in a location likely to have met the current
 7    standard over the entire study period (Mar and Koenig, 2009).

 8           In further evaluating these studies, and building upon our conclusions based on controlled
 9    human exposures studies, as discussed above, we consider the  following question related to the
10    epidemiologic evidence:

11       •   To what  extent have U.S. and Canadian epidemiologic studies reported associations
12           with mortality or morbidity in locations likely to have met potential alternative Os
13           standards with levels from 70 to 60 ppb?
14           Addressing this question can provide important insights into the extent to which O^-
15    health effect associations are present for distributions of ambient 63 concentrations that would be
16    allowed by various potential alternative standards. To the extent Os health  effect  associations are
17    reported in study areas that would have met potential alternative standards, we have greater
18    confidence that exposures to ambient 63 concentrations allowed by such alternatives could result
19    in the types of clearly adverse effects evaluated in these studies.10 Therefore, our focus in this
20    section is to consider what these studies convey regarding the extent to  which health effects may
21    be occurring (i.e., as indicated by associations) under air quality conditions allowed by potential
22    alternative standards. Specifically, we consider the numbers of study locations likely to have  met
23    potential  alternative standards with levels of 70, 65, and 60 ppb during  study periods (Table 4-1).
24
       See ATA III, 283 F.3d at 370 (EPA justified in revising NAAQS when health effect associations are observed at
      levels allowed by the NAAQS).

                                                4-12

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 1   Table 4-1.   Numbers of epidemiologic study locations likely to have met potential
 2                alternative standards with levels of 70, 65, and 60 ppb

Study
Cakmak et al.
(2006)
Dales et al.
(2006)
Katsouyanni et
al. (2009)
Katsouyanni et
al. (2009)
Mar and Koenig
(2009)
Stieb et al.
(2009)
Result
Positive and statistically
significant association with
respiratory hospital
admissions
Positive and statistically
significant association with
respiratory hospital
admissions
Positive and statistically
significant associations with
respiratory hospital
admissions
Positive and statistically
significant associations with
total and cardiovascular
mortality
Positive and statistically
significant associations with
asthma emergency
department visits
Positive and statistically
significant association with
respiratory emergency
department visits
Cities
10 Canadian
cities
11 Canadian
cities
12 Canadian
cities
12 Canadian
cities
Single city:
Seattle
7 Canadian
cities
Number of study cities meeting potential
alternative standards during entire study
period
70 ppb
7
5
9
7
0
5
65 ppb
6
4
9
5
0
4
60 ppb
2
0
5
1
0
3
 3          No U.S. or Canadian studies reported positive and statistically significant health effect
 4   associations when all study locations would have met a standard with a level from 70 to 60 ppb
 5   over the entire study period. However, for the studies by Cakmak et al. (2006), Katsouyanni et
 6   al. (2009), and Stieb et al. (2009), the majority of study locations would likely have met a
 7   standard with a level of either 70 or 65 ppb (Cakmak et al., 2006; Katsouyanni et al., 2009; Stieb
 8   et al., 2009).  In contrast, the majority of locations in these studies would likely have violated a
 9   standard with a level of 60 ppb. While there is uncertainty in ascribing the multicity effect
10   estimates  reported in these Canadian studies to ambient concentrations that would have met
11   standards  with levels of 70 or 65  ppb  (i.e., given that some study locations would have violated
12   such standards over at least part of the study period), reported multicity effect estimates are
13   largely influenced by locations meeting these potential alternative standards.
14          As with our consideration of the current standard (section 3.1.4.2), we next consider the
15   extent to which epidemiologic studies have characterized 63 health effect associations, including
16   confidence in those associations,  for various portions of distributions of ambient Os
17   concentrations. In considering such analyses within the context of potential alternative standards,
                                               4-13

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 1    we focus on the extent to which epidemiologic studies report health effect associations for air
 2    quality distributions restricted to ambient pollutant concentrations below one or more
 3    predetermined cut-points. As discussed in section 3.1.4.2, such "cut-point" analyses can provide
 4    information on the magnitude and statistical precision of effect estimates for defined
 5    distributions of ambient concentrations, which may in some cases include distributions that
 6    would be allowed by potential alternative standards. Specifically, we consider the following
 7    question:

 8       •   To what extent do cut-point analyses from epidemiologic studies report health effect
 9           associations at ambient Os concentrations that are likely to be allowed by potential
10           alternative standards with levels from 70 to 60 ppb?
11           As with our consideration of the current standard in section 3.1.4.2 of this second draft
12    PA, we evaluate the cut-point analyses presented in the U.S. multicity study by Bell et al. (2006).
13    These cut-point analyses can provide insights into the magnitude and statistical precision of
14    health effect associations for different portions of the distribution of ambient concentrations,
15    including insights into the ambient concentrations below which uncertainty in reported
16    associations becomes notably greater. Our analysis of air quality data associated with the cut-
17    points evaluated by Bell et al., and uncertainties associated with that analysis, is  described
18    elsewhere in this document (section 3.1.4.2). In this section, we consider what these cut-point
19    analyses indicate with regard to the potential for health effect associations to extend to ambient
20    Os concentrations likely to be allowed by a revised Os NAAQS with a level below 75 ppb.
21           We particularly focus on the lowest cut-point for which the association between 63 and
22    mortality was reported to be statistically significant (i.e., 30 ppb, as discussed in section 3.1.4.2).
23    Based on the 63 air quality concentrations that met the criteria for inclusion in the 30 ppb cut-
24    point analysis, 84% of study areas had 3-year averages of annual 4* highest 8-hour daily max Os
25    concentrations at or below 70 ppb over the entire study period (Table 4-2). In addition, 64% of
26    study areas had 3-year averages of annual 4th highest  8-hour daily max 63 concentrations at or
27    below 65 ppb (Table 4-2). In contrast, the majority of study areas had 4*  highest concentrations
28    above 60 ppb. While there are uncertainties in interpreting these cut-point analyses within the
29    context of potential alternative standard levels, they suggest that the majority of the air quality
30    distributions that provided the basis for a positive and statistically significant association with
31    mortality would have been allowed by a standard with a level of 70 or 65 ppb, but would have
32    violated a standard with a level of 60 ppb. For higher cut-points, all of which also resulted in
33    statistically significant associations with mortality, the majority of study cities had 3-year
34    averages of annual 4th highest 8-hour daily max concentrations greater than 70 ppb.
35

                                                 4-14

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 1    Table 4-2.
 2
            Number of study cities with 3-year averages of 4  highest 8-hour daily max
            concentrations greater than 70, 65, or 60 ppb, for various cut-point analyses
            presented in Bell et al. (2006)
 4
 5
 6
 7
 8
 9
10
11
12
13
14
15
16
17

18
19
20
21
22
23


Number (%) of
Cities with 4th
highest >70 (any
3-yr period; 1987-
2000)
Number (%) of
Cities with 4th
highest >65 (any
3-yr period; 1987-
2000)
Number (%) of
Cities with 4th
highest >60 (any
3-yr period; 1987-
2000)
Cut-point for 2-day moving average across monitors and cities (24-h avg)
25

0 (0%)


3 (3%)


16
(16%)

30

16
(16%)


35
(36%)


61
(62%)

35

55
(56%)


77
(79%)


86
(88%)

40

82
(84%)


89
(91%)


94
(96%)

45

89
(91%)


94
(96%)


95
(97%)

50

92
(94%)


95
(97%)


96
(8%)

55

94
(96%)


95
(97%)


96
(8%)

60

95
(97%)


95
(97%)


96
(8%)

All

95
(97%)


95
(97%)


96
(8%)

       In considering the implications of these analyses for potential alternative standard levels,
we also note the important uncertainties described in section 3.1.4. Several of these uncertainties
become increasingly important as health effect associations are evaluated for lower ambient Os
concentrations, such as when considering associations reported at the lower ends of the
distributions of ambient 63. These include uncertainties that could obscure presence of potential
thresholds, affecting our characterization of confidence in O^ health  effect associations over
distributions of ambient concentrations; uncertainty in the extent to which the relatively low
ambient Os concentrations present in some study areas cause or contribute to reported effects;
and uncertainty in the extent to which we were able to identify the air quality data associated
with health effects in some published analyses (particularly for the subset analyses by Bell et al.,
2006) (section 3.1.4.2).
       We next consider the extent to which epidemiologic studies employing longer-term
ambient 63 concentration metrics can inform our consideration of potential alternative standard
levels. In doing so, we consider the following question:

      •  To what extent does the available evidence indicate that a standard with a level
          from 70 to 60 ppb, combined with the current 8-hour averaging time and 4th high
          form, could  provide protection from long-term exposures to ambient Os
          concentrations for which there is evidence of health effects?
       We first note that, as discussed in section 3.1.4.3 of this second draft PA, virtually all of
the study cities that provided the basis for the positive and statistically significant association
                                                4-15

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 1    between long-term Os and respiratory mortality (Jerrett et al., 2009) would have violated the
 2    current standard, and therefore potential alternative standards with lower levels. Thus, as with
 3    our consideration of the current standard in section 3.1.4.3, while the study by Jerrett et al.
 4    (2009) contributes to our understanding of health effects associated with ambient 63
 5    (summarized in section 3.1.2), it is less informative regarding the extent to which those health
 6    effects may be occurring under air quality conditions that would meet potential alternative
 7    standards.
 8           To further evaluate this issue, we use the adjusted air quality in urban case study areas, as
 9    described in the second draft HREA, to consider the extent to which just meeting alternative 63
10    standards with levels of 70, 65, and 60 ppb could maintain long-term 63  concentrations below
11    those in the cities that provided the basis for the positive and statistically significant association
12    with respiratory mortality reported by Jerrett et al. (2009).u Upon adjustment of air quality in
13    U.S. urban case study areas to meet the current and potential alternative 8-hour standards,
14    seasonal average 1-hour daily max concentrations were calculated and compared to the
15    concentrations in study cities.
16           As discussed in section 3.1.4.3, Jerrett et al. (2009) reported that when seasonal averages
17    of 1-hour daily max 63 concentrations12 ranged from 33 to 104 ppb, there was no statistical
18    deviation from a linear concentration-response relationship between 63 and respiratory mortality
19    across 96 U.S. cities (U.S. EPA,  2013, section 7.7). However, as discussed in section 3.1.4.3, we
20    have the greatest confidence in the reported linear concentration-response function for "long-
21    term" Os concentrations above the first quartile (i.e., 53.2 ppb), given the notable widening in
22    confidence intervals for lower concentrations (based on visual inspection of Figure 3-6 in section
23    3.1.4.3); the limited evidence noted by study authors for a threshold at 56 ppb;13 and the fact that
24    most study cities contributing to the linear function had OT, concentrations in the highest three
25    quartiles (accounting for approximately 72% of the respiratory deaths in  the cohort, based on
26    Table 2 in  the published study).
27           Given the above, we note the extent to which long-term 03 concentrations  (i.e., seasonal
28    average of 1-hour daily max) in urban case study areas are estimated to be at or below 53  ppb
      1: Air quality in U. S. urban case study areas was adjusted to just meet the current 8-hour standard at 75 ppb, as well
      as potential potential alternative 8-hour standards at 70 ppb, 65 ppb, and 60 ppb, as described in the second draft
      HREA (chapter 4). After a given adjustment, seasonal average 1-hour daily max concentrations were calculated.
      12
       Jerrett et al. (2009) evaluated the April to September averages of 1 -hour daily max O3 concentrations across 96
      U.S. metropolitan areas from 1977- 2000. In urban areas with multiple monitors, April to September  1-hour daily
      max concentrations from each individual monitor were averaged. This step was repeated for each year in the study
      period. Finally, each yearly averaged O3 concentrations was then averaged again to yield the single averaged 1-hour
      daily max O3 concentration depicted on the x-axis of Figure 3-6 below.
      13The ISA does not reach conclusions regarding the potential for a threshold in the association between "long-term"
      O3 concentrations and respiratory mortality.
                                                   4-16

-------
 1    following model adjustment to meet potential alternative standards with levels of 70, 65, and 60
 2    ppb. To the extent air quality adjustment to just meet potential alternative short-term standards
 3    results in long-term concentrations near or below 53 ppb, we have greater confidence in the
 4    degree to which those short-term standards could protect against the health effects associated
 5    with longer term Os exposures. Though there is uncertainty associated with these comparisons
 6    (e.g., due to uncertainty in the potential for a threshold to exist; uncertainty in the long-term
 7    concentration below which confidence intervals widen notably, based on visual inspection of
 8    concentration-response function in the published  study; and the limited number of urban case
 9    study  areas for which adjusted air quality is available), this analysis can provide insight into the
10    extent to which various alternative short-term standards would be expected to maintain long-term
11    Os concentrations below those where we have the most confidence in the reported concentration-
12    response relationship with respiratory mortality.
13           Table 4-3 indicates that when considering recent (i.e., unadjusted) air quality, 2 of 12
14    urban case study areas had seasonal average 1-hour daily max O^ concentrations at or below 53
15    ppb in all of the years examined. When air quality was adjusted to just meet the current 8-hour
16    standard (75 ppb in Table 4-3), 6 of 12 urban case study areas had seasonal  average 1-hour daily
17    max Oj, concentrations at or below 53 ppb in all of the years examined. When air quality is
18    further adjusted to just meet potential alternative standards with lower levels, seasonal averages
19    of 1-hour daily max O^ concentrations are estimated to be at or below 53 ppb in 9 of 12 urban
20    case study areas (70 ppb level), 10 of 12 urban case study areas (65 ppb level), and 11 of 11
21    urban case study areas (60 ppb level).14 Though as noted above there are important uncertainties
22    associated with interpreting these comparisons, they suggest that in many locations across the
23    U.S. a standard with an 8-hour averaging time, when combined with the current 4th high form
24    and an appropriate  standard level, would be expected to maintain seasonal averages of 1-hour
25    daily max Os concentrations below those where analyses indicate the most confidence in the
26    concentration-response relationship with respiratory mortality reported by Jerrett et al. (2009).
      14As described in the second draft HREA, a standard level of 60 ppb was not evaluated in New York City (U.S.
      EPA, 2014, chapter 4).
                                                 4-17

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1   Table 4-3.   Seasonal averages of 1-hour daily max Os concentrations in U.S. urban case
2               study areas for recent air quality and air quality adjusted to just meet the
3               current and potential alternative standards.

Atlanta
Baltimore
Boston
Cleveland
Denver
Detroit
Houston
Los Angeles
New York City
Philadelphia
Sacramento
Saint Louis
Air Quality
Adjusted to:
Recent
75
70
65
60
Recent
75
70
65
60
Recent
75
70
65
60
Recent
75
70
65
60
Recent
75
70
65
60
Recent
75
70
65
60
Recent
75
70
65
60
Recent
75
70
65
60
Recent
75
70
65
60
Recent
75
70
65
60
Recent
75
70
65
60
Recent
75
70
65
60
2006
(Adj Yrs 2006-2008)
65
53
50
47
45
60
54
52
49
46
49
48
46
44
43
51
49
47
45
41
63
62
60
58
53
50
50
48
47
45
53
48
47
46
45
65
58
55
52
50
53
47
44
36
NA
56
51
49
47
45
66
55
52
50
47
58
53
50
47
44
2007
(Adj Yrs 2006-2008)
63
52
49
46
44
59
54
51
49
46
50
49
47
45
43
52
50
48
45
41
63
61
59
58
53
54
52
50
49
46
48
46
45
44
43
61
59
56
53
51
54
47
45
36
NA
59
52
50
48
46
59
50
48
46
44
58
53
51
48
45
2008
(Adj Yrs 2008-2010)
57
53
49
46
44
57
53
51
48
46
46
49
48
46
44
53
51
48
45
41
63
63
62
59
53
51
NA
51
49
46
47
47
46
45
43
64
60
57
54
52
55
51
48
39
NA
57
54
51
49
47
65
54
51
49
46
52
51
50
48
45
2009
(Adj Yrs 2008-2010)
50
47
44
42
40
52
49
48
46
44
45
45
44
43
41
49
47
45
43
40
58
58
58
56
51
48
NA
49
47
45
47
48
47
46
44
62
60
58
54
52
48
47
45
38
NA
51
49
47
45
43
61
51
49
47
44
51
50
48
46
43
2010
(Adj Yrs 2008-2010)
56
52
49
46
44
60
55
53
50
48
49
48
48
46
44
54
51
48
45
42
60
60
58
55
50
52
NA
52
50
47
46
46
46
45
44
57
58
56
53
50
55
51
48
39
NA
58
54
52
49
47
55
48
46
44
42
55
54
52
49
46
                                             4-18

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 1          Based on the above analyses, we conclude that the available epidemiologic evidence is
 2    consistent with the available evidence from controlled human exposure studies in providing
 3    support for consideration of a standard level in the range of 70 to 60 ppb. Compared to the
 4    current standard, a standard level from within this range would expected to be more effective at
 5    maintaining short-term and long-term ambient Os concentrations below those where the evidence
 6    indicates (^-associated mortality and/or morbidity.
 7          In reaching overall staff conclusions about an appropriate range of standard levels for
 8    consideration, we further evaluate the results of the exposure and risk assessments that are based
 9    on modeling changes in the entire distribution of ambient 63 concentrations to simulate just
10    meeting potential alternative standards. These results are discussed below in section 4.4.2.

11         4.4.2   Air Quality-, Exposure-, and Risk-Based Considerations
12          Beyond considering the available evidence, we also consider the extent to which specific
13    potential alternative standard levels, in conjunction with the current averaging time and form (3-
14    year average of annual 4* highest 8-hour daily max), could reduce estimated Os exposures and
15    health risks. In the first draft PA (U.S. EPA, 2012b), we concluded that the available evidence
16    supports conducting further exposure and risk analyses of potential alternative  standard levels in
17    the range of 70 down to 60 ppb. Based on these conclusions, the second draft HREA evaluates
18    exposures and risks estimated to be associated with potential alternative standard levels from the
19    upper (70 ppb), middle (65 ppb), and lower (60 ppb) portions of this range. In considering these
20    analyses in this second draft PA, we consider the following question:
21         •   To what extent does the available exposure and risk information  provide support
22             for considering potential alternative standard levels from 70 to 60 ppb, when
23             combined with the current 8-hour averaging time and 4th high form?
24    In considering exposure and risk analyses, we emphasize the nature and magnitude of the Os
25    exposures and health risks estimated to remain upon just meeting each alternative standard level,
26    and the changes in exposures and risks estimated for each alternative level when compared to the
27    current standard. Section  4.4.2.1 below discusses our exposure-based  considerations. Sections
28    4.4.2.2 and 4.4.2.3 discuss our consideration of estimates of lung function risks and estimates of
29    epidemiology-based mortality/morbidity risks, respectively.

30         4.4.2.1  Exposure-Based Considerations
31          As discussed in more detail in section 3.2.2 of this second draft PA, the exposure
32    assessment presented in the second draft HREA (U.S. EPA, 2014) provides estimates of the
33    number and percent of people exposed to Os concentrations at or above benchmark
34    concentrations of 60, 70,  and 80 ppb, while at moderate or greater  exertion. Estimates of such

                                               4-19

-------
 1   "exposures of concern" provide perspective on the potential public health impacts of Os-related
 2   effects, including for effects that cannot currently be evaluated in a quantitative risk assessment.
 3   The approach taken in the second draft HREA to estimating exposures of concern, and the key
 4   uncertainties associated with exposure estimates, are summarized in section 3.2.2 for air quality
 5   adjusted to just meet the current standard and are discussed in more detail in chapter 5 of the
 6   second draft HREA (U.S. EPA, 2014). As discussed in section 3.2.2, when evaluating potential
 7   alternative standard levels we focus on modeled exposures for school-age children (ages 5-18),
 8   noting that percentages of asthmatic school-age children estimated to experience exposures of
 9   concern are  virtually indistinguishable from those for all children, and that patterns of exposure
10   in children represent a broader range of at-risk populations, which includes adult asthmatics and
11   older adults.
12          In this section, we consider the following question:

13         •  To what extent are potential alternative standards with revised levels estimated to
14             reduce the occurrence of Os exposures  of concern, compared to the current
15             standard, and what are the nature and magnitude of the exposures remaining
16             for each alternative standard level evaluated?
17   Key results related to this question are summarized below (Figures 4-1 to 4-4). Figures 4-1 and
18   4-2 present estimates of one or more exposures of concern, and Figures 4-3 and 4-4 present
19   estimates of two or more exposures of concern.
                                               4-20

-------
1    Figure 4-1.  Percent of children estimated to experience one or more exposures of concern at or above 60, 70, or 80 ppb for air
2                quality adjusted to just meet the current and potential alternative standards (averaged over 2006 to 2010)
                      60 ppb benchmark
70 ppb benchmark
80 ppb benchmark
                75 ppb    70 ppb    65 ppb    60ppb     75 ppb    70 ppb   65 ppb    60ppb    75 ppb     70 ppb    65 ppb     60ppb
        -Atlanta
        -Baltimore
        -Boston
        -Chicago
        -Cleveland
        -Dallas
        -Denver
        -Detroit
         Houston
        -Los Angeles
        -New York
         Philadelphia
         Sacramento
         St. Louis
         Washington
                                                                4-21

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1
2
3
Figure 4-2.  Percent of children estimated to experience one or more exposures of concern at or above 60, 70, or 80 ppb for air
                    adjusted to just meet the current and potential alternative standards (worst-case year from 2006 to
             20101*)
                       60 ppb  benchmark
                                                     70 ppb benchmark
     80 ppb benchmark
                 75 ppb    70 ppb    65 ppb    60ppb   75 ppb    70 ppb
                                                                  6 5 ppb
7 5 ppb
70 ppb    65 ppb    60ppb
                                                         Standard Level
              >  Atlanta
            —•—Baltimore
            —*—Boston
              X  Chicago
              '!•:  Cleveland
              •  Dallas
            —i—Denver
            	Detroit
                Houston
              +•  Los Angeles
            —•—New York
            —*— Philadelphia
                Sacramento
            —t—St. Louis
                Washington
      "Worst-case" year refers to the year in each urban case study area with the largest percentage of children estimated to experience exposures of concern.
                                                                 4-22

-------
1   Figure 4-3.  Percent of children estimated to experience two or more exposures of concern at or above 60, 70, or 80 ppb for air
2                quality adjusted to just meet the current and potential alternative standards (averaged over 2006 to 2010)
                    60 ppb benchmark
70 ppb benchmark
80 ppb benchmark
              75ppl)    70 ppb    65 ppb    60 ppb    75 ppb    70 ppb    65 ppb    60 ppb   75 ppb    70 ppb    65 ppb    60 ppb
        -Atlanta
        -Baltimore
        -Boston
        -Chicago
        -Cleveland
        -Dallas
        -Denver
        -Detroit
         Houston
        -Los Angeles
        -NewYork
         Philadelphia
         Sacramento
         St. Louis
         Washington
                                                               4-23

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1
2
Figure 4-4.  Percent of children estimated to experience two or more exposures of concern at or above 60, 70, or 80 ppb for air
            quality adjusted to just meet the current and potential alternative standards (worst-case year from 2006 to 2010)
                   60 ppb  benchmark
                                                 70 ppb benchmark
80 ppb benchmark
              75 ppb    70ppb    65ppb   60ppb   75ppb    70ppb    65ppb    60ppb  75ppb
                                                       Standard Level
                                                                                      70 ppb    65 ppb    60 ppb
4
 —»—Atlanta
 —•—Baltimore
 —*—Boston
    Chicago
  i|i  Cleveland
 -•-Dallas
 —>—Denver
 	Detroit
    Houston
  >  Los Angeles
 -•-New York
    Philadelphia
    Sacramento
  —St. Louis
    Washington
                                                               4-24

-------
 1          As illustrated above in Figures 4-1 to 4-4, adjusting air quality to just meet progressively
 2    lower potential alternative standard levels reduces estimated exposures of concern consistently
 3    across urban case study areas. These results reflect the consistent reductions in the highest
 4    ambient 63 concentrations upon model adjustment, as summarized in section 3.2.1 and as
 5    discussed in more detail in the second draft HREA (U.S. EPA, 2014, chapter 4). Based on
 6    Figures 4-1 to 4-4 and the associated details described in the second draft UREA (U.S. EPA
 7    2014, chapter 5), we take note of the following with regard to exposures of concern for specific
 8    potential alternative standard levels:

 9    1.  For a standard level of 70 ppb:
10          a.  On average over the years 2006 to 2010,  a standard with a level of 70 ppb is
11             estimated to allow approximately 3 to 11% of children in urban case study areas to
12             experience one or more exposures of concern at or above 60 ppb (approximately 30 to
13             70% reduction, relative to current standard). Summing across urban case study areas,
14             these percentages correspond to over 1 million children experiencing over 1.5 million
15             exposures of concern at or above 60 ppb  during a single 63 season. Of these children,
16             over 100,000 are asthmatics.
17
18          b.  On average over the years 2006 to 2010,  a standard with a level of 70 ppb is
19             estimated to allow approximately 0.5 to 3.5% of children in urban case study areas to
20             experience two or more exposures of concern at or above 60 ppb (approximately 50
21             to 85% reduction, relative to current standard).
22
23          c.  In the worst-case years (i.e., those with the largest exposure estimates), a standard
24             with a level of 70 ppb is estimated to allow approximately 5 to 19% of children in
25             urban case study  areas to experience one or more exposures of concern at or above 60
26             ppb, and approximately 2 to 9% to  experience two or more.
27
28          d.  On average over the years 2006 to 2010,  a standard with a level of 70 ppb is
29             estimated to allow approximately 1% or less of children to experience one or more
30             exposures of concern at or above 70 ppb  (approximately 55 to 90% reduction, relative
31             to current standard), and far less than 1% to experience two or more such exposures
32             (approximately 65 to 100% reduction, relative to current standard).
33
34          e.  In the worst-case years, approximately 3% or less of children are estimated to
35             experience one or more exposures of concern at or above 70 ppb, and less than 1%
36             are estimated to experience two or more such exposures.
37
38          f.  A standard with a level of 70 ppb is estimated to allow less than 1% of children to
39             experience one or more exposures of concern at or above 80 ppb, even in the worst-
40             case years. No children are estimated to experience two or more such exposures.
41
42    2.  For a standard level of 65 ppb:
                                               4-25

-------
 1          a.  On average over the years 2006 to 2010, a standard with a level of 65 ppb is
 2              estimated to allow approximately 4% or less of children in urban case study areas to
 3              experience one or more exposures of concern at or above 60 ppb (approximately 70 to
 4              100% reduction, relative to current standard). Summing across urban case study
 5              areas, these percentages correspond to almost 500,000 children experiencing
 6              approximately 500,000 exposures of concern at or above 60 ppb during a single Os
 7              season. Of these children,  almost 50,000 are asthmatics.
 8
 9          b.  On average over the years 2006 to 2010, a standard with a level of 65 ppb is
10              estimated to allow less than 1% of children to experience two or more exposures of
11              concern at or above 60 ppb (approximately 85 to 100% reduction, relative to current
12              standard).
13
14          c.  In the worst-case years, a standard with a level of 65 ppb  is estimated to allow
15              approximately 9% or less of children to experience one or more exposures of concern
16              at or above 60 ppb, and approximately 3% or less to experience two or more such
17              exposures.
18
19          d.  On average over the years 2006 to 2010, a standard with a level of 65 ppb is
20              estimated to allow less than 1% of children to experience one or more exposures of
21              concern at or above 70 ppb (approximately 90 to 100% reduction, relative to current
22              standard), and no children to experience two or more such exposures (100%
23              reduction, relative to current standard). Even in the worst-case years, a level of 65
24              ppb is estimated to allow less than 1% of children to experience exposures of concern
25              at or above 70 ppb.
26
27          e.  A standard with a level of 65 ppb is estimated to allow virtually no children to
28              experience exposures of concern at or above 80 ppb, even in the worst-case years.
29
30    3.  For a standard level of 60 ppb:
31          a.  On average over the years 2006 to 2010, a standard with a level of 60 ppb is
32              estimated to allow approximately 1% or less of children to experience one or more
33              exposures of concern at or above 60 ppb (approximately 90 to 100% reduction,
34              relative to current standard), and virtually no children to experience multiple such
35              exposures.
36
37          b.  In the worst-case years, a standard with a level of 60 ppb  is estimated to allow
38              approximately 2% or less of children to experience one or more exposures of concern
39              at or above 60 ppb, and virtually no children to experience multiple such exposures.
40
41          c.  On average over the years 2006 to 2010, a standard with a level of 60 ppb is
42              estimated to eliminate exposures of concern at or above 70 ppb (100% reduction,
43              relative to current standard) or 80 ppb. Even in years with the highest exposure
44              estimates, virtually no children are estimated to experience such exposures.
                                               4-26

-------
 1          In further considering these exposure estimates, we take note of the associated
 2    uncertainties, as discussed in more detail in section 3.2.2 of this second draft PA. These include
 3    (1) individual variability in responsiveness to O^ exposures; (2) potential to underestimate
 4    exposures in most highly exposed populations; and (3) potential to overestimate exposures in
 5    populations who alter behavior in response to high Os days (i.e., spend less time being active
 6    outdoors).

 7         4.4.2.2  Risk-Based Considerations: Lung Function
 8          As discussed above in more detail in section 3.2.3.1 of this second draft PA, the
 9    assessment of lung function risks presented in the second draft HREA (U.S. EPA, 2014)
10    provides estimates of the number and percent of people experiencing (Vinduced lung function
11    decrements greater than or equal to 10, 15, and 20%. In the last review, CAS AC advised EPA to
12    focus on decrements of 10% or greater when considering people with pre-existing lung disease
13    (Samet, 2011).
14          Lung function risk estimates are based on an updated dose-threshold model that estimates
15    FEVi responses for individuals following short-term exposures to O^ (McDonnell, Stewart, and
16    Smith, 2010), reflecting methodological improvements since the last review (U.S. EPA, 2014,
17    section 6.2.4). The approach taken in the second draft HREA to estimating Os-induced lung
18    function decrements, and the key uncertainties associated with these estimates, are summarized
19    in section 3.2.3.1 for air quality adjusted to just meet the  current standard and are discussed in
20    more detail in chapter 6 of the HREA (U.S. EPA, 2014).
21          As discussed in section 3.2.3.1, in evaluating potential alternative standard levels we
22    focus on modeled exposures for school-age children, with an emphasis on asthmatic children.  As
23    with exposures of concern, the percentages of all school age children and asthmatic school age
24    children estimated to experience particular (Vinduced lung function decrements are virtually
25    indistinguishable.
26          In this section, we consider the following question:

27         •   To what extent are potential alternative standards with revised levels estimated to
28             decrease the occurrence of Os-induced lung function decrements, compared to
29             the current standard, and what are the nature and magnitude of the decrements
30             remaining for each alternative standard level evaluated?
31    Key results related to this question are summarized below (Figures 4-5 to 4-8). Figures 4-5 and
32    4-6 present estimates of one or more Os-induced lung function decrements, and Figures 4-7 and
33    4-8 present estimates of two or more decrements.
                                               4-27

-------
1    Figure 4-5.  Percent of children estimated to experience one or more Os-induced lung function decrements greater than 10,15,
2                or 20% for air quality adjusted to just meet the current and potential alternative standards (averaged over 2006
3                to 2010)
4
5
                      Decrements > 10%
                                  Decrements > 15%
                                                                                               Decrements > 20%
                 75ppb
70ppb
6S ppb     60 ppb
75 ppb     70ppb      65ppb
        Standard Level
60 ppb    .". |i|il.     70 ppb     65 ppb
60 pph
        -Atlanta
        -Baltimore
        -Boston
        -Chicago
        -tlevelancl
        -Dallas
        -Denver
        -Detroit
         Houston
        -Los Angeles
        -NewYork
         Philadelphia
         Sacramento
         St Louis
         Washington
                                                                 4-28

-------
1    Figure 4-6.  Percent of children estimated to experience one or more Os-induced lung function decrements greater than 10,15,
2                or 20% for air quality adjusted to just meet the current and potential alternative standards (worst-case year from
3                2006 to 2010)
4
          25%
           0'..
                        Decrements > 10%
Decrements > 15%
Decrements > 20%
                 75ppl>      70ppl>     65pph     OOppb  75ppb    70ppb    65ppb    60ppb  75ppb      70ppb      65ppb
                                                             Standard Level
                                                        60 ppb
        -Atlanta
        -Baltimore
        -Boston
        -Chicago
        -Cleveland
        -Dallas
        -Denver
        -Detroit
         Houston
        -Los Angeles
        -New York
         Philadelphia
         Sacramento
         St Louis
         Washington
                                                                 4-29

-------
1    Figure 4-7.  Percent of children estimated to experience two or more Os-induced lung function decrements greater than 10,
2                15, or 20% for air quality adjusted to just meet the current and potential alternative standards (averaged over
3                2006 to 2010)
4
      ? c
      C o
      81
      T-
      £
      o» 5
      •o ^
      O o,
      'c o
14
                    Decrements > 10%
                                                Decrements > 15%
                                                   Decrements > 20%
           12".
           10'.;.
           8%
           (,"..
           4%
           2'\.
           0"o
               75ppb
              70|)|>b     65ppb
60ppb   75ppb    70ppb     GSppb
                Standard Level
60ppb   75ppb    70ppb     65ppb
60 ppb
        -Atlanta
        -Baltimore
        -Boston
        -Chicago
        -Cleveland
        -Dallas
        -Denver
        -Detroit
         Houston
        -Los Angeles
        -New York
         Philadelphia
         Sacramento
         St Louis
         Washington
                                                                 4-30

-------
1    Figure 4-8.  Percent of children estimated to experience two or more Os-induced lung function decrements greater than 10,
2                15, or 20% for air quality adjusted to just meet the current and potential alternative standards (worst-case year
3                from 2006 to 2010)
                     Decrements > 10%
Decrements > 15%
                                                                         Decrements > 20%
75 ppb    70pph   65ppb    60 ppb   75 ppb
  70ppb    65ppb
  Standard Level
                                                                           60 ppb  75ppb   70 ppb    6Sppb    GOppb
        -Atlanta
        -Baltimore
        -Boston
        -Chicago
        Cle. eland
        -Dallas
        -Denver
        -Detroit
        Houston
        -Los Angeles
        -New York
        Philadelphia
        Sacramento
        St Louis
        Washington
                                                                4-31

-------
 1          As illustrated above in Figures 4-5 to 4-8, adjusting air quality to just meet progressively
 2    lower potential alternative standard levels consistently reduces the percent of children estimated
 3    to experience potentially adverse lung function decrements. These results reflect the consistent
 4    reductions in the highest ambient 63 concentrations upon model adjustment (section 3.2.1; U.S.
 5    EPA, 2014, chapter 4).16 Based on Figures 4-5 to 4-8 and the associated details described in the
 6    second draft UREA (U.S. EPA 2014, chapter 6), we take note of the following with regard to
 7    specific potential alternative standard levels:

 8    1.  For a standard level of 70 ppb:
 9              a.  On average over the years 2006 to 2010, a standard with a level of 70 ppb is
10                 estimated to allow approximately 11 to 17% of children in urban case study areas,
11                 including asthmatic children, to experience one or more Os-induced lung function
12                 decrements > 10% (approximately 6 to 27% reduction, relative to current
13                 standard) per season. Summing across case study areas, these percentages
14                 correspond to approximately 260,000 asthmatic children experiencing
15                 approximately 1 million total occurrences of Cb-induced lung function
16                 decrements greater than or equal to  10%.
17
18              b.  On average over the years 2006 to 2010, a standard with a level of 70 ppb is
19                 estimated to allow approximately 6  to 11% of children, including asthmatic
20                 children, to experience two or more Os-induced lung function decrements > 10%
21                 (approximately 8 to 30% reduction, relative to current standard).
22
23              c.  In the worst-case years, a standard with a level of 70 ppb is estimated to allow
24                 approximately 14 to 20% of children, including asthmatic children, to experience
25                 one or more Os-induced lung function decrements >10%, and approximately  7 to
26                 13% to experience two or more such decrements.
27
28              d.  On average over the years 2006 to 2010, a standard with a level of 70 ppb is
29                 estimated to allow approximately 2  to 4% of children, including asthmatic
30                 children, to experience one or more Os-induced lung function decrements > 15%,
31                 and approximately 1 to 2.5% of children to experience two or more such Os-
32                 induced decrements. In the worst-case years, approximately  3 to 5% of children
33                 are estimated to experience one or more Os-induced lung function decrements
34                 >15%, and approximately 1 to 3% are estimated to experience two or more such
35                 decrements.
36
37              e.  A  standard with a level of 70 ppb is estimated to allow 2% or fewer children  to
38                 experience any Os-induced lung function decrements > 20%, even in the worst-
39                 case years. Approximately 1% or fewer children are estimated to experience two
      16The impact of the dose threshold in the lung function risk model is that O3-induced FEV1 decrements result
      primarily from exposures to O3 concentrations above about 40 ppb (US EPA, 2013, chapter 6).

                                               4-32

-------
 1                 or more Os-induced lung function decrements > 20%, even in the worst-case
 2                 years.
 3
 4    2.  For a standard level of 65 ppb:
 5             a.  On average over the years 2006 to 2010, a standard with a level of 65 ppb is
 6                 estimated to allow approximately 3 to 15% of children, including asthmatic
 7                 children, to experience one or more Os-induced lung function decrements > 10%
 8                 (approximately 20 to 77% reduction, relative to current standard). Summing
 9                 across urban case study areas, these percentages correspond to approximately
10                 190,000 asthmatic children experiencing almost 750,000 total occurrences of Os-
11                 induced lung function decrements > 10%.
12
13             b.  On average over the years 2006 to 2010, a standard with a level of 65 ppb is
14                 estimated to allow approximately 1 to 9% of children, including asthmatic
15                 children, to experience two or more Os-induced lung function decrements > 10%
16                 (approximately 20 to 80% reduction, relative to current standard).
17
18             c.  In the worst-case years, a standard with a level of 65 ppb is estimated to allow
19                 approximately 4 to 18% of children to experience one or more Os-induced lung
20                 function decrements > 10%, and approximately 2 to 11% to experience two or
21                 more such decrements.
22
23             d.  On average over the years 2006 to 2010, a standard with a level of 65 ppb is
24                 estimated to allow approximately 3% or less of children to experience one or
25                 more Os-induced lung function decrements > 15%,  and approximately 2% or less
26                 of children to experience two or more such Os-induced decrements. In the worst-
27                 case years, approximately 4% or less of children are estimated to experience one
28                 or more Os-induced lung function decrements > 15%, and up to approximately
29                 2.5% are estimated to experience two or more such decrements.
30
31             e.  A standard with a level of 65 ppb is estimated to allow less than 1.5% of children
32                 to experience any Os-induced lung function decrements > 20%, even in the worst-
33                 case years. A standard with a level of 65 ppb is estimated to allow less than 1% of
34                 children to experience two or more Os-induced lung function decrements > 20%,
35                 even in the worst-case years.
36
37    3.  For a standard level of 60 ppb:
38             a.  On average over the years 2006 to 2010, a standard with a level of 60 ppb is
39                 estimated to allow approximately 5 to 11% of children, including asthmatic
40                 children, to experience one or more Os-induced lung function decrements > 10%
41                 (approximately 35 to 77% reduction, relative to current standard). Summing
42                 across urban case study areas, these percentages correspond to approximately
43                 140,000 asthmatic children experiencing approximately 500,000 total occurrences
44                 of Os-induced lung function decrements >  10%.
45
                                               4-33

-------
 1              b.  On average over the years 2006 to 2010, a standard with a level of 60 ppb is
 2                 estimated to allow approximately 2 to 6% of children to experience two or more
 3                 Os-induced lung function decrements > 10% (approximately 40 to 70% reduction,
 4                 relative to current standard).
 5
 6              c.  In the worst-case years, a standard with a level of 60 ppb is estimated to allow
 7                 approximately 5 to 13% of children to experience one or more Os-induced lung
 8                 function decrements > 10%, and approximately 2 to 7% to experience two or
 9                 more such decrements.
10
11              d.  A standard with a level of 60 ppb is estimated to allow less than about 3% of
12                 children to experience any Os-induced lung function decrements > 15% and less
13                 than 1% to experience decrements greater than 20%, even in years with the
14                 highest exposure estimates.  A standard with a level of 60 ppb is estimated to
15                 allow less than 1.5% of children to experience two  or more Os-induced lung
16                 function decrements > 15% and less than 0.5% to experience two or more
17                 decrements > 20%, even in  years with the highest exposure estimates.

18          In further considering these exposure estimates, we take note of the associated
19    uncertainties, as discussed in more detail in section 3.2.2 of this second draft PA. In addition to
20    the uncertainties in exposure estimates noted above, these include the relative lack of exposure-
21    response information for key at-risk populations (i.e., children and asthmatics), since most
22    controlled human exposures studies are conducted in healthy adults.

23         4.4.2.3  Risk-Based Considerations: Epidemiology-Based Mortality and Morbidity
24          The epidemiology-based risk assessments presented in the second draft HREA  (U.S.
25    EPA, 2014, chapter 7) provide estimates of total mortality,  respiratory hospital admissions and
26    emergency department visits, and asthma exacerbations associated with short-term Os
27    concentrations. The HREA also presents estimates of respiratory mortality associated with long-
28    term17 concentrations. In evaluating these risk estimates, we consider the following question:

29         •   To what extent are potential alternative standards with revised levels estimated to
30             decrease Os health risks, compared to the current standard,  and what are the
31             nature and magnitude of the health risks remaining  for each alternative standard
32             level evaluated?

33          As discussed in more detail in section 3.2.3.2 of this second draft PA, in considering this
34    question we are mindful that the model-based approach used to adjust air quality in the second
       Estimates of respiratory mortality associated with long-term O3 concentrations are based on the study by Jerrett et
      al. (2009). Consistent with the O3 metric used in the study, risk estimates are based on seasonal averages of 1-hour
      daily max O3 concentrations.

                                                4-34

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 1    draft HREA has important implications for risk estimates developed by applying concentration-
 2    response relationships from epidemiologic studies (section 3.2.1). In particular, we note the
 3    uncertainty associated with using such concentration-response relationships to estimate risks for
 4    model-adjusted air quality with spatial and temporal patterns of ambient 63 that are different
 5    from those present in the epidemiologic study locations. In addition, given the use of linear
 6    concentration-response relationships, risk estimates are equally influenced by decreasing high O^
 1    concentrations and increasing low 63 concentrations following model adjustment, when the
 8    increases and decreases are of equal magnitude. These and other uncertainties associated with
 9    risk estimates are discussed in section 3.2.3.2.
10           Key results from the second draft HREA (U.S. EPA, 2014, chapter 7) are summarized
11    below for estimates of total mortality associated with short-term 03 concentrations (Figures 4-9
12    and 4-10), respiratory hospital admissions associated with short-term 63 concentrations (Figure
13    4-11), and respiratory mortality associated with long-term Os concentrations (Figure 4-12). The
14    other morbidity effects evaluated in the second draft HREA  (i.e., respiratory emergency
15    department visits and asthma  symptoms associated with short-term concentrations) exhibit
16    patterns across standard levels that are similar to those reported for total mortality and respiratory
17    hospital admissions (U.S. EPA, 2014, chapter 7).
18           As discussed in section 3.2.3.2,  for total mortality associated with  short-term 63
19    concentrations we consider estimates of risk based on the full distributions of area-wide 03
20    concentrations (Figure 4-9) and estimates of risk associated with various portions of those
                                1 &
21    distributions  (Figure 4-10).  In doing so, we recognize the reduced certainty in a linear
22    concentration-response relationship at the lower ends of air quality distributions, and the greater
23    certainty in increased incidence and severity of effects at higher exposure  concentrations
24    (discussed in more detail in section 3.2.3.2).19
      18The second draft HREA does not present distributions of risk over distributions of area-wide concentrations for
      other epidemiology-based risk endpoints (U.S. EPA, 2014, chapter 7).
      19As discussed in section 3.1.2.2, as ambient concentrations increase the potential for exposures to higher O3
      concentrations also increases. Thus with increasing ambient concentrations, controlled human exposure and animal
      lexicological studies provide greater certainty in the increased incidence, magnitude, and severity of O3-attributable
      effects.

                                                  4-35

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1    Figure 4-9.  Estimates of Total Mortality Associated with Short-Term Os Concentrations in Urban Case Study Areas (Air
2                Quality Adjusted to Current and Potential alternative standard levels) - Total Risk
3
4
                          2007 Model Adjustment
                                          2009 Model  Adjustment
                  75epb
70ppb
                                        65ppb
                                                    SQppb
                                   75ppb
                                               70pcb
                                                                                                             -Atlanta. GA
                                                                                                             -Baltimore. MO
                                                                                                             -Boston. MA
                                                                                                             -Cleveland. OH
                                                                                                             -Oenvtr.CO
                                                                                                             -Detroit Ml
                                                                                                             - Houston. TX
                                                                                                             •Los Angeles. CA
                                                                                                             -New York. NY
                                                                                                             -Philadelphia. PA
                                                                                                             -Sacramento. CA
                                                                                                             -St Louis. MO
                                                                 4-36

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1   Figure 4-10. Estimates of Total Mortality Attributable to Days with 8-Hour Area-Wide Os Concentrations at or above 20, 40,
2              or 60 ppb, Summed Across Urban Case Study Areas (Air Quality Adjusted to Current and Potential alternative
3              standard levels)
         IOIMII)
                       2007 Model Adjustment
        2009 Model Adjustment
4
5
6
               All days    20+ppb    40+ppb   60+ppb
All days    20+ppb    40+ppb   60+ppb
                                                          4-37

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1   Figure 4-11. Estimates of Respiratory Hospital Admissions Associated with Short-Term Os Concentrations in Urban Case
2                Study Areas (Air Quality Adjusted to Current and Potential alternative standard levels) - Total Risk
                        2007 Model Adjustment
2009 Model Adjustment
3
4
                                                                                                           -Attent*. CA

                                                                                                           -atfemore. MO

                                                                                                           -Sotteo.MA

                                                                                                           -Ctt.«l»«->So. CA

                                                                                                           -H loun. MO
                                                               4-38

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1    Figure 4-12. Estimates of Respiratory Mortality Associated with long-term Os Concentrations in Urban Case Study Areas (Air
2                Quality Adjusted to Current and Potential alternative standard levels) - Total Risk
                        2007 Model Adjustment
                                               2009 Model Adjustment
                                                                                                                 -Atlanta, GA
                                                                                                                 •Baltimore. MO
                                                                                                                 -Boston. MA
                                                                                                                 -Cleveland. OH
                                                                                                                 -Denver. CO
                                                                                                                 -Detroit. Ml
                                                                                                                 - Houston. TX
                                                                                                                 -Los Angeles, CA
                                                                                                                 -NevvYork.NY
                                                                                                                 -Philadelphia. PA
                                                                                                                 - Sacramento, C A
                                                                                                                 -St. Louis.MO
                 75ppb
70ppb
65PPb
60ppb
75ppb
70ppb
6Sppb
60ppb
                                                                  4-39

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 1           Based on Figures 4-9 to 4-12 and the associated details described in the second draft
 2    HREA (U. S. EPA 2014, chapter 7), we take note of the following for a standard level of 70 ppb:

 3    1.  Total mortality associated with short-term Os concentrations:
 4              a.   A standard level of 70 ppb results in modest changes in total risk, compared to the
 5                  current standard. Across urban case study areas, risks are estimated to decrease by
 6                  up to approximately 5%.  These risk reductions are estimated most consistently for
 7                  the model year with generally higher Os-associated risks (2007).  In the year with
 8                  generally lower risks (2009), a standard level of 70 ppb results in either no change
 9                  or small reductions in estimated risks in most urban case study areas. In one area
10                  (Detroit) for the 2009 model year, (^-associated mortality is estimated to increase
11                  by approximately 4%, compared to the current standard (see section 3.2.3.2 for
12                  further discussion of increased risk estimates following model adjustment20).
13
14              b.   When summed across urban case study areas, a standard level of 70 ppb is
15                  estimated to reduce Os-associated total mortality by approximately 4% (2007
16                  model year) and 2% (2009 model year), compared to the current standard. For
17                  days with area-wide concentrations at or above 40 ppb, a standard level of 70  ppb
18                  is estimated to reduce (^-associated total mortality by approximately 9% (2007
19                  model year) and 8% (2009 model year). For days with area-wide concentrations at
20                  or above 60 ppb, a standard level of 70 ppb is estimated to reduce (^-associated
21                  total mortality by approximately 50%  (2007 model year) and 70% (2009 model
22                  year).21
23
24    2.  Respiratory hospital admissions associated with short-term 63 concentrations: Compared to
25       the current standard, changes in total risk estimated for a standard level of 70 ppb are similar
26       to the changes in total risks  estimated for total mortality (U.S. EPA, 2014, chapter 7).
27
28    3.  Respiratory mortality associated with long-term 63 concentrations: A standard level of 70
29       ppb reduces total risk, compared to the current standard. Across  urban case study areas, risks
30       are estimated to decrease by up to approximately  8%.  These risk reductions are estimated
31       most consistently for the model year with generally higher Os-associated risks (2007). In the
32       year with generally lower 63 concentrations (2009), a standard level of 70 ppb results in
33       either no change or small reductions in estimated risks in most urban case study areas. In one
34       area (Detroit) for the 2009 model year, (^-associated mortality is estimated to increase by
35       approximately 1%, compared  to the current standard.
      20 As discussed in more detail above (section 3.2.3.2), because of the influence of the entire distribution of ambient
      O3 concentrations on total risk estimates, the impacts of adjusting air quality to just meet potential alternative
      standards are more modest, and are less directionally consistent across urban case study areas, than observed for
      exposures of concern or O3-induced lung function decrements.
      21These results reflect the fact that increases in area-wide O3 concentrations upon model adjustment occur primarily
      at relatively low concentrations (i.e., at or below area-wide concentrations of approximately 45 ppb) (U.S. EPA,
      2014, section 4.3.3.2 and appendix 7B).

                                                 4-40

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 1           Based on Figures 4-9 to 4-12 and the associated details described in the second draft
 2    HREA (U. S. EPA 2014, chapter 7), we take note of the following for a standard level of 65 ppb:

 3    1.  Total mortality associated with short-term Os concentrations:
 4              a.  A standard level of 65 ppb results in small changes in total risk, compared to the
 5                 current standard. Across most urban case study areas, risks are estimated to
 6                 decrease by up to approximately 9%. In one area (New York City), risks are
 7                 estimated to decrease by up to approximately 22%.22 These risk reductions are
 8                 estimated most consistently for the model year with generally higher 63-
 9                 associated risks (2007). In the year with generally lower risks (2009), a standard
10                 level of 65 ppb results in smaller reductions in estimated risks in most urban case
11                 study areas. In one area (Detroit) for the 2009 model year, Os-associated mortality
12                 is estimated to increase by approximately 1% compared to the current standard.
13
14              b.  When summed across urban case study areas, a  standard level of 65 ppb is
15                 estimated to reduce Cb-associated total mortality by approximately 11% (2007
16                 model year) and 8% (2009 model year), compared to the current standard. For
17                 days with area-wide concentrations at or above 40 ppb, a standard  level of 65 ppb
18                 is estimated to reduce (^-associated total mortality by almost 40% (2007 and
19                 2009 model years). For days with area-wide concentrations at or above 60 ppb, a
20                 standard level of 65 ppb is estimated to reduce (^-associated total  mortality by
21                 over 80% (2007 and 2009 model years).
22
23    2.  Respiratory hospital admissions associated with short-term Os concentrations: Compared to
24       the current standard, changes in total risk estimated for a standard level of 65  ppb are similar
25       to the changes in total risk estimated for total mortality (U.S. EPA, 2014, chapter 7).
26
27    3.  Respiratory mortality associated with long-term Os concentrations: A standard level of 65
28       ppb reduces total risk, compared to the current standard. Across most urban case study areas,
29       risks are estimated to decrease by up to approximately 10%. In one area (New York City),
30       risks are estimated to decrease by up to approximately 22%. Risk reductions are estimated
31       across all urban case study areas  and in both model years evaluated, with larger reductions
32       estimated for 2007 (i.e., the model year with generally higher (^-associated risks).

33           Based on Figures 4-9 to 4-12 and the associated details described in the second draft
34    HREA (U.S. EPA 2014, chapter 7), we take note of the following for a standard level of 60 ppb:

35    1.  Total mortality associated with short-term Os concentrations:
36              a.  A standard level of 60 ppb is estimated to reduce total risk, compared to the
37                 current standard, in all urban case study areas. Across urban case study areas,
      22As discussed in the second draft HREA (U.S. EPA, 2014, section 4.5), the New York and Los Angeles urban case
      study areas required the largest reductions in NOX in order to meet the existing and potential alternative standards.
      The HDDM-based O3 estimates become more uncertain for larger changes in precursor emissions, and the HREA
      notes less overall confidence in results for New York and Los Angeles.


                                                4-41

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 1                 risks are estimated to decrease by up to approximately 15%. Estimated risk
 2                 reductions are larger for the model year with generally higher Os-associated risks
 3                 (2007).
 4
 5              b.  When summed across urban case study areas, a standard level of 60 ppb is
 6                 estimated to reduce Os-associated total mortality by approximately 14% (2007
 7                 model year) and 10% (2009 model year), compared to the current standard. For
 8                 days with area-wide concentrations at or above 40 ppb, a standard level of 60 ppb
 9                 is estimated to reduce (^-associated total mortality by approximately 50% (2007
10                 and 2009 model years). For days with area- wide concentrations at or above 60
1 1                 ppb, a standard level of 60 ppb is estimated to reduce (^-associated mortality by
12                 over 95% (2007 and 2009 model years).
13
14    2.  Respiratory hospital admissions associated with short-term Os concentrations: Compared to
15       the current standard, changes in total risk estimated for a standard level of 60 ppb are similar
16       to the changes in total risk estimated for total mortality (U.S. EPA, 2014, chapter 7).
17
18    3.  Respiratory mortality associated with long-term Os concentrations: A standard level of 60
19       ppb reduces total risk, compared to the current standard. Across urban case study areas, risks
20       are estimated to decrease by up to approximately 17%. Risk reductions are estimated across
21       all urban case study areas and in both model years evaluated, with larger reductions
22       estimated for 2007 (i.e., the model year with generally higher Os-associated risks).

23           In further considering these risk estimates, we take note of the associated uncertainties, as
24    discussed in more detail in section 3.2.3.2 of this second draft PA. These include (1) the national
25    representativeness of urban case study areas in terms of the 63 response to reductions in NOx
26    emissions; (2) the shape of the concentration-response function at lower ambient concentrations;
27    (3) the use of concentration-response relationships developed for particular populations in
28    particular locations to estimate health risks in different populations and locations; (4) the
29    applications of concentration-response relationships to model-adjusted air quality, given the
30    altered spatial/temporal patterns of ambient 63 and the potential for increases in relatively low
31    Os concentrations to increase risk estimates; and (5) the possibility for reductions in risk
32    associated with reductions in PM and/or NC>2 resulting from control
33         4.5   CASAC ADVICE
34           In the fall of 201 1, rather than revising the Os NAAQS as part of the reconsideration
35    process, EPA coordinated further proceedings on the reconsideration rulemaking with the current
36    ongoing periodic review. Accordingly, in this section we are briefly describing CASAC advice
37    from the reconsideration of the 2008 final decision as well as CASAC advice received during the
38    current review as it pertains to potential alternative standards.
                                                4-42

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 1          Consistent with their advice in 2008, CASAC reiterated during the reconsideration its
 2    support for an 8-hour primary 63 standard with a level ranging from 60 to 70 ppb, combined
 3    with the current form. Specifically, in response to EPA's solicitation of their advice during the
 4    reconsideration, the CASAC letter (Samet 2010) to the Administrator stated:
 5          CASA Cfully supports EPA 's proposed range of0.060 - 0.070 parts per million
 6          (ppm)for the 8-hour primary ozone standard. CASAC considers this  range to be
 1          justified by the scientific evidence as presented in the Air Quality Criteria for
 8          Ozone and Related Photochemical Oxidants (March 2006) and Review of the
 9          National Ambient Air Quality Standards for Ozone: Policy Assessment of
10          Scientific and Technical Information, OAQPS Staff Paper (July 2007).
11
12          Similarly, in response to EPA's request for additional advice on the reconsideration in
13    2011, CASAC reaffirmed their conclusion that "the evidence from controlled human and
14    epidemiological studies strongly supports the selection of a new primary ozone standard within
15    the 60 - 70 ppb range for an 8-hour averaging time" (Samet, 2011). CASAC further concluded
16    that this range "would provide little margin of safety at its upper end" (Samet, 2011, p. 2).
17          In the first draft PA, staff concluded that the available evidence provides support for
18    conducting further exposure and risk analyses of potential alternative standard levels in the range
19    of 60 to 70 ppb (USEPA, 2012b).  In response, CASAC noted that the draft PA provided "a
20    strong scientific rationale for consideration of ozone levels (8 hour averages) of 60 ppb to 70
21    ppb" (Frey and Samet, 2012).

22         4.6   PRELIMINARY STAFF CONCLUSIONS ON ALTERNATIVE PRIMARY
23              STANDARDS FOR CONSIDERATION
24          Staffs consideration of alternative primary Os standards builds upon our conclusion,
25    discussed in section 3.4, that the overall body of evidence and exposure/risk  information calls
26    into question the adequacy of public health protection afforded by the current standard,
27    particularly for at-risk populations. In section 3.4, we further conclude that it is appropriate in
28    this review to consider alternative standards that would increase public health protection,
29    compared to the current standard,  and that it is not appropriate to consider alternative standards
30    with levels higher than the current standard, which would decrease public health protection.
31          As an initial matter, for the reasons discussed in section 4.1 above, we conclude it is
32    appropriate to continue using Os as the indicator for the standard that protects against exposures
33    to ambient Os and other photochemical oxidants. For the reasons discussed in sections 4.2 and
34    4.3 above, we also conclude that it is appropriate for the Administrator to consider retaining the
35    current averaging time and form. In the remainder of this section, we present our more focused
36    discussion on the range of alternative levels that, in  our judgment, it is appropriate for the
37    Administrator to consider.

                                               4-43

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 1           For a standard that is defined in terms of the current indicator, averaging time, and form,
 2    we reach the conclusion that, depending on the public health policy judgments made by the
 3    Administrator, the evidence and information available in this review supports consideration of
 4    alternative levels from 70 down to 60 ppb (section 4.4, above).23 Compared to the current
 5    standard, a revised standard with a level from 70 to 60 ppb would be expected to increase public
 6    health protection against both short- and long-term Os exposures, including for members of at-
 7    risk populations. The scientific evidence and exposure/risk estimates that could support revised
 8    standards with levels from the upper, middle, and  lower portions of this range are summarized
 9    below, with a specific focus on levels of 70 ppb, 65 ppb, and 60 ppb. Key exposure/risk
10    information is summarized in Tables 4-4 and 4-5,  and Figure 4-13.
11
      23 As discussed in sections 3.1.2, 3.2, and 3.4 of this second draft PA, we further conclude that it would not be
      appropriate to consider a standard level higher than 75 ppb, which would decrease public health protection
      compared to the current standard.

                                                 4-44

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1
2
Table 4-4.   Summary of Estimated Exposures of Concern for Potential alternative
              standard levels of 70, 65, and 60 ppb in Urban Case Study Areas
                                                                                   24
Benchmark
Level
Alternative
Standard
Level (ppb)
Average %
Children
Exposed25
Number of Children (5
to 18 years)
[Number of Asthmatic
Children]26
Average %
Reduction from
Current
Standard
% Children -
Worst Year and
Worst Area
One or more exposures of concern per season
> 70 ppb
> 60 ppb
70
65
60
70
65
60
0.1-1.2
0-0.2
0
3.3-10.2
0-4.2
0-1.2
95,000 [10,000]
16,000 [1,600]
0 [0]
1,177,000 [122,000]
392,000 [40,000]
69,000 [7,000]
73
95
100
46
80
96
3.2
0.5
0.1
18.9
9.5
2.2
Two or more exposures of concern per season
> 70 ppb
> 60 ppb
70
65
60
70
65
60
0-0.1
0
0
0.5-3.5
0-0.8
0-0.2
3,000 [360]
0 [0]
0 [0]
319,000 [33,000]
65,000 [7,000]
3,800 [400]
95
100
100
61
92
100
0.4
0
0
9.2
2.8
0.3
3
4
      As illustrated above in Figures 4-1 to 4-4, all alternative standard level s evaluated in the HREA were effective at
     limiting exposures of concern at or above 80 ppb. Therefore, Table 4-4 focuses on exposures of concern at or above
     the 70 and 60 ppb benchmark concentrations.

     25Estimates for each urban case study area were averaged for the years evaluated in the second draft HREA (2006 to
     2010). Ranges reflect the ranges across urban case study areas.

     26Numbers of children exposed in each urban case study area were averaged over the years 2006 to 2010. These
     averages were then summed across urban case study areas. Numbers are rounded to nearest thousand unless
     otherwise indicated.
                                                    4-45

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1    Table 4-5.
2
Summary of Estimated Lung Function Decrements for Potential alternative
standard levels of 70, 65, and 60 ppb in Urban Case Study Areas
Lung
Function
Decrement
Alternative
Standard
Level
Average %
Children27
Number of Children (5
to 18 years) [Number of
Asthmatic Children]28
Average %
Reduction from
Current Standard
% Children
Worst Year and
Area
One or more decrements per season
> 10%
> 15%
> 20%
70
65
60
70
65
60
70
65
60
11-17
3-15
5-11
2-4
0-3
1-2
1-2
0-1
0-1
2,547,000 [263,000]
1,931,000 [195,000]
1,392,000 [139,000]
564,000 [58,000]
355,000 [36,000]
224,000 [22,000]
189,000 [20,000]
107,000 [11,000]
57,000 [6,000]
15
31
45
26
50
67
32
59
77
20
18
13
5
4
o
J
2.1
1.4
0.7
Two or more decrements per season
> 10%
> 15%
> 20%
70
65
60
70
65
60
70
65
60
5.5-11
1.3-8.8
2.1-6.4
0.9-2.4
0.1-1.8
0.2-1.0
0.3-0.8
0-0.5
0-0.2
1,418,000 [146,000]
1,020,000 [102,000]
743,000 [74,000]
274,000 [28,000]
169,000 [17,000]
100,000 [10,000]
84,000 [9,000]
40,000 [4,000]
22,000 [2,000]
17
37
51
29
54
71
34
66
83
13
11
7.3
3.1
2.3
1.4
1.1
0.8
0.4
     27Estimates in each urban case study area were averaged for the years evaluated in the second draft HREA (2006 to
     2010). Ranges reflect the ranges across urban case study areas.

     28Numbers of children estimated to experience decrements in each study urban case study area were averaged over
     2006 to 2010. These averages were then summed across urban case study areas. Numbers are rounded to nearest
     thousand unless otherwise indicated.
                                                  4-46

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1   Figure 4-13. Estimates of Total Mortality Attributable to Days with 8-Hour Area-Wide O
2               Concentrations at or above 20, 40, or 60 ppb - Risks Summed Across Urban
3               Case Study Areas and Expressed Relative to 75 ppb
4
5
                                                              I 75ppb
                                                              i 70 ppb
                                                              i 65 ppb
                                                              . 60 ppb
                Total risk
20* ppb
40* ppb
60* ppb
                                            4-47

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 1           As an initial observation, we note that controlled human exposure studies provide the
 2    most certain evidence indicating the occurrence of health effects in humans following exposures
 3    to specific Os concentrations. As discussed above and in section 3.1.2.1,  controlled human
 4    exposure studies have reported a variety of respiratory effects in healthy  adults following
 5    exposures to Os concentrations of 60, 70, or 80 ppb, and higher. The largest respiratory effects,
 6    and the broadest range of effects, have been reported following exposures to 80 ppb Os or higher,
 7    in part because most exposure studies have been conducted at these higher concentrations.
 8    Exposures to Os concentrations of 80 ppb or higher have been reported to decrease lung function,
 9    increase airway inflammation, increase respiratory symptoms, result in airway
10    hyperresponsiveness, and decrease lung host defenses in healthy adults. Most of these effects
                                                                                        9Q
11    have also been reported in healthy adults following exposures to lower Os concentrations.
12    Exposures to Os concentrations of 70 ppb have been reported to decrease lung function and
13    increase respiratory symptoms, a combination that meets the ATS criteria for an "adverse"
14    response (section 3.1.3). Exposures to Os concentrations of 60 ppb have been demonstrated to
15    decrease lung function, with decrements in some individuals large enough to be judged an
16    abnormal response by ATS, and which could be adverse in individuals with lung disease.
17    Exposures to Os concentrations of 60 ppb have also been reported in one study to increase
18    airway inflammation, which provides a mechanism by which Os may cause other more serious
19    respiratory effects (e.g., asthma exacerbations).
20           Compared to the current standard, the second draft HREA estimates that a revised
21    standard with a level of 70 ppb would reduce exposures of concern to Os concentrations of 60,
22    70, and 80 ppb, with such a standard level estimated to be most effective at limiting exposures at
23    or above the higher health benchmark concentrations. On average over the years 2006 to 2010, a
24    standard with a level of 70 ppb is estimated to allow only up to about 1% of children (i.e., ages 5
25    to 18) to experience exposures of concern at or above 70 ppb (73% reduction,  compared to
26    current standard),  and far less than 1% to experience two or more such exposures (95%
27    reduction, compared to current standard). In the worst-case location and year (i.e., location and
28    year with the largest exposure estimate), about 3% of children are estimated to experience one or
29    more exposures of concern at or above 70 ppb, and less than 1% are estimated to experience two
30    or more. A standard with a level of 70 ppb is estimated to allow far less than 1% of children to
31    experience exposures of concern at or above the 80 ppb benchmark concentration, even in the
32    worst-case year (Table 4-4).
      29Though airway hyperresponsiveness and lung host defense have not been evaluated following exposures to O3
      concentrations below 80 ppb. The extent to which these respiratory effects occur following lower exposure
      concentrations is not clear from the available evidence, though we have no basis for concluding that an exposure
      concentration of 80 ppb reflects an effects threshold.
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 1          A standard with a level of 70 ppb is estimated to allow about 3 to 10% of children to
 2    experience one or more exposures of concern at or above 60 ppb in a single 63 season.
 3    Compared to the current standard, this reflects about a 46% reduction, on average across urban
 4    case study areas. A standard with a level of 70 ppb is estimated to allow about 1% to 4% of
 5    children to experience two or more exposures of concern at or above 60 ppb. In the worst-case
 6    location and year, a standard set at 70 ppb is  estimated to allow about 19% of children to
 7    experience one or more exposures of concern at or above 60 ppb, and 9% to experience two or
 8    more such exposures (Table 4-4).
 9          Compared to the current standard, the second draft HREA estimates that a revised
10    standard with a level  of 70 ppb would also reduce (Vinduced lung function decrements in
11    children. A level of 70 ppb is estimated to be most effective at limiting the occurrences  of
12    moderate and large lung function decrements (i.e., FEVi decrements > 15% and > 20%,
13    respectively). On average over the years 2006 to 2010, a standard with a level of 70 ppb is
14    estimated to allow about 2 to 4% of children  to experience one or more moderate Os-induced
15    lung function decrements (i.e., > 15%), which would be of concern for healthy people, and about
16    1 to 2.5% of children to experience two  or more such decrements (approximately 30% reduction,
17    compared to the current standard). In the worst-case location and year, up to 5% of children are
18    estimated to experience one or more (Vinduced lung function decrements > 15%, and up to 3%
19    are estimated to experience two  or more such decrements. A standard set at 70 ppb is estimated
20    to allow about 2% or fewer children to experience large (Vinduced lung function decrements
21    (i.e., > 20%), and to allow about 1% or fewer children to experience two or more such
22    decrements, even in the years  and locations with the largest exposure estimates (Table 4-5).
23          On average over the years 2006 to 2010, a standard set at 70 ppb is estimated to allow
24    about 11 to 17% of children to experience one or more moderate Os-induced lung function
25    decrements (i.e., > 10%), which could be adverse for people with lung disease. This reflects an
26    average reduction of about 15%, compared to current standard. A standard with a level of 70 ppb
27    is also estimated to allow about 6 to 11% of children to experience two or more such decrements
28    (17% reduction, compared to current standard). In the worst-case location and year, a standard
29    set at 70 ppb is estimated to allow about 20% of children, including asthmatic children,  to
30    experience one or more Os-induced lung function decrements >  10%, and  13% to experience two
31    or more such decrements (Table 4-5).
32          With regard to our analyses of epidemiologic studies we note that,  compared to the
33    current standard, a revised standard with a level of 70 ppb would be more effective in
34    maintaining short-term ambient  Oj concentrations below those present in locations that provided
35    the basis for positive  and statistically significant health effect associations. In particular, the
36    study by Mar and Koenig (2009) reported positive and statistically significant associations with

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 1    respiratory emergency department visits in Seattle, a location that met the current standard over
 2    the entire study period but that would have violated a revised standard with a level of 70 ppb. In
 3    addition, most of the Canadian study cities evaluated by Dales et al. (2006), who reported
 4    positive and statistically significant associations with respiratory hospital admissions, would
 5    have met the current standard over the entire study period but would have violated a revised
 6    standard with a level of 70 ppb over at least part of the study period (Table 4-1). Finally,
 7    compared to the current standard, fewer of the study cities evaluated by Katsouyanni et al.
 8    (2009) (for mortality and hospital admissions) and Bell et al. (for the 30  ppb cut-point) would
 9    have met a revised standard with a level of 70 ppb (Tables 4-1, 4-2).30
10           With regard to long-term 63 concentrations, air quality analyses indicate that in 9 out of
11    the 12 urban case study areas a revised standard with a level of 70 ppb would be expected to
12    maintain long-term 63 concentrations below those where the study by Jerrett et al. (2009)
13    indicates the most confidence in the reported association with respiratory mortality. This is
14    compared to 6 out of 12 areas for the current standard.
15           In further considering the potential implications of epidemiology studies for potential
16    alternative  standard levels, we note that the emphasis given to  estimates  of Cb-associated
17    mortality or morbidity risks will depend in large part on the extent to which key uncertainties in
18    these estimates are emphasized (e.g., uncertainties in applying concentration-response
19    relationships from epidemiologic studies to adjusted air quality with different spatial/temporal
20    distributions of ambient 63). To the extent emphasis is placed on estimates of (^-associated
21    mortality and morbidity risks, it could be judged appropriate to focus on estimates of total risk
22    (i.e., based on the full distributions of ambient Os concentrations) and/or on estimates of risk
23    associated with 63 concentrations in the upper portions of ambient distributions.
24           A focus on total risks could be judged appropriate to the extent greater emphasis is placed
25    on the possibility that concentration-response relationships remain linear over the entire
26    distributions of ambient 63 concentrations, and thus to the extent greater emphasis is placed on
27    the potential for mortality and/or morbidity to be affected by changes in  relatively low O?,
28    concentrations (as discussed above and in  section 3.2.3.2). When summed across urban case
29    study areas, a standard with a level of 70 ppb is estimated to reduce total mortality associated
30    with short-term 03 exposures by about 2 to 3%, compared to the current standard (with
31    reductions up to about 5% for individual urban case study areas).31 Based on a  national modeling
32    analysis, the majority of the U.S. population would be expected to experience modest reductions
33    in such risks upon reducing precursor emissions. A standard with a level of 70  ppb is estimated
      30Though in the analyses presented in both of these studies, the majority of cities evaluated would have met a
      standard with a level of 70 ppb over the entire study periods.
      31 Similar changes are estimated for respiratory morbidity associated with short-term O3 concentrations.

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 1    to reduce respiratory mortality associated with long-term Os concentrations by up to about 8% in
 2    urban case study areas. For both short- and long- term metrics, risk reductions are larger, and are
 3    estimated more consistently across urban case study areas, in a year with relatively higher 03
 4    concentrations.
 5           A focus on risks associated with Os concentrations in the upper portions of ambient
 6    distributions may reasonably be judged appropriate in light of the overall evidence indicating
 7    increasing magnitude, severity, and incidence of (Vattributable effects as exposure
 8    concentrations increase, as well as the greater uncertainty associated with the shapes of
 9    concentration-response curves for Oj, concentrations in the lower portions of ambient
10    distributions (section 3.2.3.2 and 3.4). There is no single ambient concentration below which
11    uncertainty in Os-attributable effects increases notably in all locations, for all health endpoints,
12    and in all populations. Therefore, we consider the distribution of mortality associated with
13    various portions of the distribution of area-wide Os concentrations (Figure 4-13, above).
14           For days with area-wide concentrations at or above 20 ppb, a standard with  a level of 70
15    ppb is estimated to reduce mortality associated with short-term 63 exposures by about 2 to 3%
16    compared to the current standard, when Os-associated deaths are summed across urban case
17    study areas. For days with area-wide concentrations at or above 40 ppb, a standard with a level
18    of 70 ppb is estimated to reduce mortality associated with short-term 63 exposures by about 8 to
19    9% compared to the current standard. For days with area-wide concentrations at or  above 60 ppb,
20    a standard with a level of 70 ppb  is estimated to reduce (Vassociated mortality by about 50% to
21    70% (Figure 4-13).32
22           Based on all of the above considerations, we conclude that a standard with a level of 70
23    ppb would be expected to provide additional incremental protection over that provided by the
24    current Os standard. A level of 70 ppb could be supported to the extent more emphasis is placed
25    on the public health importance of higher 63 exposure concentrations (e.g., > 70, 80 ppb), larger
26    (Vinduced lung function decrements (e.g., > 15, 20%), and estimates of multiple occurrences of
27    exposures of concern and Os-induced lung function decrements. In addition, a revised standard
28    with a level of 70 ppb would be expected to be more effective than the current standard at
29    maintaining short- and long-term ambient Os concentrations below those where we have the
30    most confidence in associations with mortality and morbidity. Overall across the U.S., such a
      32Fewer than 10% of total O3-associated deaths are attributable to days with such high area-wide concentrations, due
      to the relatively small number of days with area-wide concentrations of 60 ppb or above.
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 1    standard would also be expected to reduce risks of (^-associated mortality and morbidity,
 2    particularly the portions of the risk associated with relatively high ambient concentrations.33
 3           Next, we consider a standard with a level of 65 ppb. A level of 65 ppb is well-below the
 4    lowest 63 exposure concentration (i.e., 80 ppb) that has been reported to elicit a wide range of
 5    effects, including: lung function decrements, airway inflammation, respiratory symptoms, airway
 6    hyperresponsiveness, and decreased lung host defense in healthy adults, as noted above. A
 7    standard level of 65 ppb is also somewhat below the lowest exposure concentration at which the
 8    combined occurrence of respiratory symptoms and lung function decrements has been reported
 9    (i.e., 70 ppb), a combination judged adverse by the ATS (section 3.1.3). A level of 65 ppb is
10    above the lowest exposure concentration demonstrated to result in lung function decrements
11    large enough to be judged an abnormal response by ATS, and that could be adverse in
12    individuals with lung disease. A level of 65 ppb is also above the lowest exposure concentration
13    at which pulmonary inflammation has been reported (i.e., 60 ppb).
14           Compared to the current standard and a revised standard with a level of 70 ppb, the
15    second draft HREA estimates that a standard with a level of 65 ppb would reduce exposures of
16    concern to the range of Os benchmark concentrations  analyzed (i.e., 60, 70, and 80 ppb). The
17    HREA estimates that meeting a standard with a level of 65 ppb would eliminate exposures of
18    concern at or above 80 ppb in urban case study areas.  Such a standard is estimated to allow far
19    less than  1% of children to experience one or more exposures of concern at or above the 70 ppb
20    benchmark level, even in the years and locations with the largest exposure estimates, and is
21    estimated to eliminate the occurrence of two or more exposures at or above 70 ppb (Table 4-4).
22           In addition, on average over the years 2006 to  2010, a standard with a level of 65 ppb is
23    estimated to allow between 0 and about 4% of children in urban case study areas to experience
24    exposures of concern at or above 60 ppb. This reflects an 80% reduction (on average across
25    areas), relative to the current standard. A standard with a level of 65 ppb is estimated to allow
26    less than  1% of children to experience two or more exposures of concern at or above 60 ppb (>
27    90% reduction, compared to current standard). In the worst-case location and year, about 10% of
28    children are estimated to experience one or more exposures of concern  at or above 60 ppb, with
29    about 3% estimated to experience two or more such exposures (Table 4-4).
30           Compared to the current standard and a revised standard with a level of 70 ppb, the
31    second draft HREA estimates that a standard with a level of 65 ppb would also reduce the
      33In reaching this conclusion we recognize that, as discussed in detail in chapter 3 (sections 3.2.1 and 3.2.3.2),
      reducing NOX emissions to meet alternative O3 standards could result in increases in relatively low ambient
      concentrations. When we consider the epidemiologic-based estimates in light of all of the health effects evidence,
      and the considerations discussed more fully in section 3.2.3.2 above, we have greater certainty in the health benefits
      of reducing high ozone concentrations, and appreciable uncertainty regarding estimates of risk at lower
      concentrations. Accordingly, we judge that the range of levels discussed here is appropriate.
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 1    occurrence of Os-induced lung function decrements. A level of 65 ppb is estimated to allow
 2    about 4% or less of children to experience (Vinduced lung function decrements > 15% (50%
 3    reduction, compared to current standard), even considering the worst-case location and year.
 4    Such a standard is estimated to allow about 2% or less of children to experience two or more
 5    such decrements. A standard set at 65 ppb is estimated to allow about 1% or less of children to
 6    experience large Os-induced lung function decrements (i.e., > 20%), even in the worst-case year
 7    and location (Table 4-5).
 8           On average over the years 2006 to 2010, a standard with a level of 65 ppb is estimated to
 9    allow about 3 to 15% of children to experience one or more moderate Cb-induced lung function
10    decrements (i.e., >  10%), which could be adverse for people with lung disease. This reflects an
11    average reduction of about 30%, relative to current standard. A standard with a level of 65 ppb is
12    also estimated to allow about 1 to 9% of children to experience two or more such decrements
13    (37% reduction, compared to current standard). In the worst-case location and year, a  standard
14    set at 65 ppb is estimated to allow up to about 18% of children to experience one or more 03-
15    induced lung function decrements > 10%, and up to 11% to experience two or more such
16    decrements (Table  4-5).
17           With regard to 63 epidemiologic studies we note that, compared to the current standard
18    and a standard with a level of 70 ppb, a revised standard with a level of 65 ppb would be more
19    effective in maintaining short-term ambient O?, concentrations below those present in locations
20    that provided the basis for positive and statistically significant health effect associations. In
21    addition to the studies by Mar and Koenig (2009) and Dales et al.  (2006) (discussed above for a
22    level of 70 ppb), a revised standard with a level of 65 ppb would not allow the ambient 03
23    concentrations that provided the basis for mortality associations in most of the Canadian study
24    cities evaluated  by  Katsouyanni  et al. (2009) (Table 4-1).34 In addition, fewer of the study cities
25    evaluated by Bell et al. (for the 30 ppb cut-point) would have met a revised standard with a level
26    of 65 ppb (Table 4-2).35
27           With regard to long-term O^ concentrations, air quality analyses indicate that in 10 out of
28    the 12 urban case study areas a revised standard with a level of 65 ppb would be expected to
29    maintain long-term Os concentrations below those where the study by Jerrett et al. (2009)
30    indicates the most confidence in the reported association with respiratory mortality. This is
31    compared to 6 out of 12 areas for the current standard and  9 out of 12 for a standard with a level
32    of 70 ppb (Table 4-3).
      34As discussed above, most of the study cities evaluated by Katsouyanni et al. (2009) for mortality would have met
      the current standard and a revised standard with a level of 70 ppb.
      35Though the majority of cities evaluated, based on the 30 ppb cut point analysis, would have met a standard with a
      level of 65 ppb over the entire study period (Table 4-2).
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 1          Compared to the current standard and a revised standard with a level of 70 ppb, the
 2    second draft HREA estimates that a revised standard with a level of 65 ppb would generally
 3    reduce (^-associated mortality and morbidity risks based on estimates that use the full
 4    distributions of ambient 63 concentrations. When summed across urban case study areas, a
 5    standard with a level of 65 ppb is estimated to reduce total mortality associated with short-term
 6    Os exposures by about 10%, compared to the current standard (Figure 4-13). Risks of respiratory
 7    mortality associated with long-term exposures were reduced by up to about 10%, compared to
 8    the current standard. As with a level of 70 ppb discussed above, reductions are estimated to be
 9    larger and more consistent across urban case study areas for the year with relatively higher
10    ambient 63 concentrations.
11          Similar to a standard with a level of 70 ppb, risk estimates indicate that a standard with a
12    level of 65 ppb more effectively reduces mortality associated with the upper portions of
13    distributions of ambient OT, concentrations. For days with area-wide concentrations at or above
14    40 ppb, a standard level of 65 ppb is estimated to reduce (^-associated total mortality by about
15    40%, when summed across cities. For days with area-wide concentrations at or above 60 ppb, a
16    standard level of 65 ppb is estimated to reduce Cb-associated total mortality by more than 80%
17    (Figure 4-13).
18          In summary, the rationale to support a level of 65 ppb would emphasize the potential
19    public health significance of exposures of concern to 60 and 70 ppb 03, as well as 80 ppb, and of
20    Os-attributable health effects that could occur across the range of ambient 63 concentrations.
21    Compared to a level  of 70 ppb, a level of 65 ppb would place more emphasis on evidence from
22    controlled human exposure studies showing lung function decrements and pulmonary
23    inflammation in healthy adults at 60 ppb 63. A standard with a level of 65 ppb would also place
24    more emphasis on the potential for mortality and morbidity to be caused by the relatively low
25    ambient 63 concentrations present in locations that would have met a standard with a level of 70
26    ppb, and on the potential for further reductions in health risks, beyond those estimated for a level
27    of 70 ppb. In addition, compared to a standard with a level of 70  ppb, a level of 65 ppb would
28    place relatively less emphasis on the uncertainties associated with the evidence for 63-
29    attributable health effects at lower exposure and ambient concentrations, and less emphasis on
30    uncertainties in the public health significance of O^ exposure and risk estimates for lower
31    ambient concentrations.
32          We next consider a standard with a level of 60 ppb. A level  of 60 ppb is well-below the
33    lowest 63 exposure concentration that has been reported to elicit a wide range of potentially
34    adverse respiratory effects in healthy adults (i.e., 80 ppb), as noted above. A level of 60 ppb is
35    also well-below the concentration where the combined occurrence of respiratory symptoms and
36    lung function decrements was observed, a combination judged adverse by the ATS (discussed in

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 1    section 3.1.3). A level of 60 ppb corresponds to the lowest exposure concentration demonstrated
 2    to result in lung function decrements large enough to be judged an abnormal response by ATS,
 3    and that could be adverse in individuals with lung disease. A level of 60 ppb also corresponds to
 4    the lowest exposure concentration at which pulmonary inflammation has been reported.
 5          Based on the HREA analyses of Os exposures of concern, a standard with a level of 60
 6    ppb is estimated to eliminate exposures of concern at or above the 70 and 80 ppb benchmark
 7    concentrations and to be more effective than higher standard levels at limiting exposures of
 8    concern at or above 60 ppb. On average over the years 2006 to 2010, a standard with a level of
 9    60 ppb is estimated to allow between 0 and about 1% of children in urban case study areas to
10    experience exposures of concern at or above 60 ppb.  This reflects a 96% reduction (on average
11    across areas), compared to the current standard. A standard with a level of 60 ppb is estimated to
12    allow virtually no children to experience two or more exposures of concern at or above 60 ppb.
13    In the location and year with the highest exposure estimate, about 2% of children are estimated
14    to experience exposures of concern at or above 60 ppb, with far less than 1% estimated to
15    experience two or more such exposures (Table 4-4).
16          Based on the HREA analyses of Cb-induced lung function decrements, a standard with a
17    level of 60 ppb would be expected to be more effective than a level of 70 or 65 ppb at limiting
18    the occurrence of (Vinduced lung function decrements. A standard with a level of 60 ppb is
19    estimated to allow about 2% or less of children to experience one or more Os-induced lung
20    function decrements > 15% (almost 70% reduction, compared to current standard),  and about 1%
21    or less to experience two or more such decrements (3% in the location and year with the largest
22    estimates). A standard set at 60 ppb is estimated to allow about 1% or less of children to
23    experience large (Vinduced lung function decrements (i.e., > 20%), even in the worst-case
24    locations and year (Table 4-5).
25          On average over the years 2006 to 2010, a standard with a level of 60 ppb is estimated to
26    allow about 5 to 11% of children, including asthmatic children, to experience one or more Oj-
27    induced lung function decrements > 10%. This reflects an average reduction of about 45%,
28    compared to current standard. A standard with a level of 60 ppb  is also estimated to allow about
29    2 to 6% of children to experience two or more such decrements (51% reduction, compared to
30    current standard). In the worst-case location and year, a standard set at  60 ppb is estimated to
31    allow up to about 13% of children to experience one  or more Os-induced lung function
32    decrements > 10%, and 7% to experience two or more such decrements (Table 4-5).
33          A revised standard with a level of 60 ppb would be more effective than a level of 70 or
34    65 ppb at maintaining short-term  ambient Oj concentrations below those present in U.S. and
35    Canadian  epidemiologic study locations during study periods. Specifically, in all of the U.S. and
36    Canadian  epidemiologic studies evaluated, the majority of study cities had ambient Os

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 1    concentrations that would likely have violated a standard with a level of 60 ppb. This includes
 2    the studies noted above, for which the majority of study cities would have met the current
 3    standard or a revised standard with a level of either 70 or 65 ppb (Tables 4-1 and 4-2).
 4          With regard to long-term Oj, concentrations, air quality analyses indicate that in all of the
 5    urban case study areas evaluated a revised standard with a level of 60 ppb would be expected to
 6    maintain long-term Os concentrations below those where the study by Jerrett et al. (2009)
 7    indicates the most confidence in the reported association with respiratory mortality. This is
 8    compared to 6 out of 12 areas for the current standard, 9 out of 12 for a standard with a level of
 9    70 ppb, and 10 out of 12 for a standard with a level of 65 ppb (Table 4-3).
10          A standard with a level of 60 ppb would also be estimated to reduce epidemiology-based
11    mortality and  morbidity risks, compared to the current standard and potential alternative
12    standards with levels of 70 or 65 ppb. Across urban case study areas, a standard set at 60 ppb is
13    estimated to reduce total mortality associated with short-term Os concentrations by up to 15%,
14    and respiratory mortality associated with long-term Os concentrations by up to 17%. Estimated
15    risk reductions are larger for the model year with generally higher (^-associated risks (2007).
16    When summed across urban case study areas, a standard set at 60 ppb is estimated to reduce total
17    (^-associated mortality by about 10% (2009) and 14% (2007), compared to the current standard
18    (Figure 4-13).
19          As for standard levels of 70 and 65 ppb, risk estimates indicate that a standard with a
20    level of 60 ppb more effectively reduces mortality associated with the upper portions of
21    distributions of ambient Os concentrations. For days with area-wide concentrations at or above
22    40 ppb, a standard set at 60 ppb is estimated to reduce (^-associated total mortality by
23    approximately 50%. For days with area-wide concentrations at or above 60 ppb, a standard level
24    of 60 ppb is estimated to reduce Cb-associated total mortality by over 95% (Figure 4-13).
25          Overall we note that, compared to a standard with a level of 70 or 65 ppb, a level of 60
26    ppb would place relatively more emphasis on the potential public health significance of the  Oj
27    exposures and Os-attributable health effects that could occur at lower ambient concentrations. A
28    standard with a level of 60 ppb would reflect placing a relatively large emphasis on the evidence
29    from controlled human exposure studies reporting lung function decrements and pulmonary
30    inflammation in some healthy adults following exposures to 60 ppb Os, and relatively little
31    emphasis on the uncertainties associated with the public health significance of these effects. A
32    standard with a level of 60 ppb would also emphasize the importance of the small number of
33    studies that reported health effect associations in locations that would have met a revised
34    standard with a level of 65 ppb (Table 4-1), and on the potential for further reductions in health
35    risks, beyond those estimated for a level of 65 ppb. In addition, compared to a standard with a
36    level of 65 ppb, a level of 60 ppb would place relatively little emphasis on the uncertainties

                                                4-56

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 1    associated with the evidence for Os-attributable health effects at lower exposure and ambient
 2    concentrations, and little emphasis on uncertainties in the public health significance of 63
 3    exposure and risk estimates for lower ambient concentrations.
 4          Based on our consideration of the available scientific evidence and exposure/risk
 5    information, we also conclude that standard levels below 60 ppb are not appropriate for
 6    consideration in this review. In reaching this conclusion, we take particular note of the following:

 7       •  The HREA estimates that meeting a standard with a level from 70 to 60 ppb would
 8          effectively reduce exposures of concern and lung function decrements. In particular, a
 9          level from the low end of this range could virtually eliminate exposures of concern, even
10          for the lowest health benchmark concentration supported by the available controlled
11          human exposure evidence (i.e., 60 ppb). To the extent lower exposure concentrations may
12          result in  adverse respiratory effects in some individuals, a standard level from 70 to 60
13          ppb  (particularly at or near  60 ppb) would be expected to also reduce exposures to 63
14          concentrations somewhat below 60 ppb.
15
16       •  A revised standard with a level from 70 to 60 ppb would be more effective than the
17          current standard at maintaining short- and long-term ambient 63 concentrations below
18          those in locations that provided the basis for positive and statistically significant health
19          effect associations in epidemiologic studies. In particular, in all of the U.S. and Canadian
20          epidemiologic studies evaluated, the majority of study cities had ambient 63
21          concentrations that would likely have violated a  standard with a level of 60 ppb.
22
23       •  To the extent emphasis is placed on epidemiology-based mortality and/or morbidity risk
24          estimates, meeting a standard with a level from 70 to 60 ppb would generally reduce such
25          risks across the majority of the U.S. This is particularly the case for risks associated with
26          ambient  Os concentrations from the upper portions of seasonal distributions. Given that
27          uncertainty in quantitative estimates of (^-associated mortality and morbidity increases
28          with the  magnitude of NOx reductions required to simulate potential alternative
29          standards, risk estimates associated with standard levels below 60 ppb would be
30          associated with increasing uncertainty.

31          Given the above, we conclude that, compared to standard levels from 70 to 60 ppb, the
32    extent to which  standard levels below 60 ppb could result in further public health improvements
33    becomes notably less certain. Therefore, we conclude that it is not appropriate to consider
34    standard levels below 60 ppb in this review.

35         4.7   KEY UNCERTAINTIES AND AREAS FOR FUTURE RESEARCH AND
36               DATA COLLECTION
37          It is important to highlight the uncertainties associated with establishing standards for 63
38    during and after completion of the NAAQS review process. Research needs go beyond what is
39    necessary to understand health effects, population  exposures, and risks of exposure for purposes


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 1    of setting standards. Research can also support the development of more efficient and effective
 2    control strategies. In this section, we highlight areas for future health-related research, model
 3    development, and data collection activities to address these uncertainties and limitations in the
 4    current body of scientific evidence.
 5           As has been presented and discussed in the ISA, particularly chapters 4 through 7, the
 6    scientific body of evidence informing our understanding of health effects associated with long-
 7    and short-term exposures to 63 has been broadened and strengthened since the 63 NAAQS
 8    review completed in 2008. Still, we have concluded that OT, health research needs and priorities
 9    have not changed substantially since the 2007 63 Staff Paper (EPA 2007). Key uncertainties and
10    research needs that continue to be high priority for future reviews of the health-based standards
11    are identified below:
12           (1) An important aspect of risk characterization and decision making for air quality
13    standard levels for the OT, NAAQS is the characterization of the shape of exposure-response
14    functions for Os, including the identification of potential population threshold levels. Recent
15    controlled human exposure studies of measurable lung function effects provide evidence for a
16    smooth dose-response curve without evidence of a threshold for exposures between 40 and 120
17    ppb 63 (US EPA, 2013, Figure 6-1). Considering the importance of estimating health risks in the
18    range below 80 ppb 63, additional research is needed to evaluate responses in healthy and
19    especially asthmatic individuals in the range of 40 to 70 ppb for 6-8 hr exposures while engaged
20    in moderate exertion.
21           (2) Similarly, for health endpoints reported in epidemiologic studies such as hospital
22    admissions, ED visits, and premature mortality, an important aspect of characterizing risk is the
23    shape of concentration-response functions for 63, including identification of potential population
24    threshold levels. Most of the recent studies and analyses continue to show no evidence for a clear
25    threshold in the relationships between Os concentrations commonly observed in the U.S. during
26    the 63 season and these health endpoints, though evidence indicates less certainty in the shape of
27    the concentration-response curve at the lower end of the distribution of O^ concentrations.
28    However, there continues to be heterogeneity in the  Os-mortality relationship across cities (or
29    regions),  including effect modifiers that are also expected to vary regionally, which are sources
30    of uncertainty. Additionally, whether or not exposure errors, misclassification of exposure, or
31    potential  impacts of other copollutants may be obscuring potential population thresholds is still
32    unknown.
33           (3) The extent to which the broad mix of photochemical oxidants and more generally
34    other copollutants in the ambient air (e.g., PM, NC>2, 862, etc.) may play a role in modifying or
35    contributing to the observed associations between ambient 03 and various morbidity effects and
36    mortality continues to be an important research question. Ozone has long been known as an

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 1    indicator of health effects of the entire photochemical oxidant mix in the ambient air and has
 2    served as a surrogate for control purposes. A better understanding of sources of the broader
 3    pollutant mix, of human exposures, and of how other pollutants may modify or contribute to the
 4    health effects of 63 in the ambient air, and vice versa, is needed to better inform future NAAQS
 5    reviews.
 6          (4) As epidemiologic research has continued to be an important factor in assessing the
 7    public health impacts of 63, methodological issues in epidemiologic studies have received
 8    greater visibility and scrutiny. There remains a need to further examine alternative modeling
 9    specifications and control of time-varying factors, and to better understand the role of
10    copollutants in the ambient air.  Additionally, there remains uncertainty around the role of
11    temperature as a potential confounder or effect modifier in epidemiologic models.
12          (5) Recent animal toxicological evidence, combined with limited evidence from
13    controlled  human exposure studies of cardiovascular morbidity and epidemiologic studies of
14    cardiovascular mortality, have provided evidence of both direct and indirect effects on the
15    cardiovascular system. However,  additional work will need to examine biologically plausible
16    mechanisms of cardiovascular effects, expand upon preliminary evidence from controlled human
17    exposure studies, address inconsistencies observed in epidemiologic studies of cardiovascular
18    morbidity, and determine the extent to which Oi is directly implicated or works together with
19    other pollutants in causing adverse cardiovascular effects in both at-risk and the general
20    populations.
21          (6) Most epidemiologic studies of short-term exposure effects have employed time-series
22    or case-crossover study designs and have been conducted in large populations. These study
23    designs remain subject to uncertainty due to use of ambient fixed-site data serving as a surrogate
24    for ambient exposures, and to the difficulty of determining the impact of any single pollutant
25    among the mix of pollutants in  the ambient air. Measurements made at stationary outdoor
26    monitors have been used as independent variables for air pollution, but the accuracy with which
27    these measurements actually reflect subjects' exposure is not yet fully understood. Also,
28    additional  research is needed to improve the characterization of the degree to which discrepancy
29    between stationary monitor measurements and actual pollutant exposures introduces error into
30    statistical estimates of pollutant effects in epidemiologic studies.
31          (7) Recent studies of "long-term" 63 often evaluate associations with daily maximum
32    concentrations, averaged over the Os season. Research is needed to better understand the extent
33    to which health effects associated with  such long-term  metrics are attributable to long-term
34    average  concentrations versus the repeated occurrence  of daily maximum concentrations.
35          (8) Improved understanding of human  exposures to ambient O?, and to related
36    copollutants is an important research need. Population-based information on human exposure for

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 1    healthy adults and children and at-risk populations, including people with asthma, to ambient O^
 2    concentrations, including exposure information in various microenvironments, is needed to better
 3    evaluate current and future O^ exposure models. Such information is needed for sufficient
 4    periods to facilitate evaluation of exposure models throughout the 63 season.
 5          (9) Information is needed to improve inputs to current and future population-based Os
 6    exposure and health risk assessment models. Collection of time-activity data over longer time
 7    periods is needed to reduce uncertainty in the modeled exposure distributions that form an
 8    important part of the basis for decisions regarding NAAQS for Os and other air pollutants.
 9    Research addressing energy expenditure and associated breathing rates in various population
10    groups, particularly healthy children and children with asthma, in various locations, across the
11    spectrum of physical activity, including sleep to vigorous exertion, is needed.
12          (10) An important consideration in the Os NAAQS review is the characterization of
13    background levels. There still remain substantial uncertainties in the characterization of 8-hr
14    daily max Os background concentrations. Further research to improve the evaluation of the
15    global and regional models which have been used to characterize estimates of background levels
16    would improve understanding of the role of non-U.S. anthropogenic emissions on Os levels over
17    the U.S.

18         4.8  SUMMARY OF PRELIMINARY STAFF CONCLUSIONS ON PRIMARY
19              STANDARD
20          In this section, we summarize our preliminary conclusions regarding the primary 63
21    standard. Staff conclusions in the final PA will be informed by our consideration of the available
22    scientific evidence as assessed in the ISA, air quality/exposure/risk information assessed in the
23    final HREA, recommendations received  from CAS AC based on their review of this second draft
24    document, and comments received from  members of the public.
25          As an initial matter, as discussed in section 3.4, staff concludes that reducing precursor
26    emissions to achieve Os concentrations that meet the current standard will provide important
27    improvements in public health protection. This initial conclusion is based on (1) the strong body
28    of scientific evidence indicating a wide range of adverse health outcomes attributable to
29    exposures to O?, concentrations found in  the ambient air and  (2) estimates indicating decreased
30    Oj, exposures and health risks upon meeting the current standard, compared to recent air quality.
31    Strong support for this conclusion is provided by the available health evidence and HREA
32    estimates of Os exposures of concern and Os-induced lung function risks. Some support for this
33    conclusion is also provided by HREA estimates of (^-associated mortality and  morbidity.
34          In considering the available evidence and information, staff further concludes that the Os-
35    attributable health effects estimated to be allowed by air quality that meets the current primary

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 1    standard for O^ can reasonably be judged important from a public health perspective. Thus, we
 2    conclude that the available health evidence and exposure/risk information call into question the
 3    adequacy of the public health protection provided by the current standard. This conclusion is
 4    based on consideration of the scientific evidence assessed in the ISA, including controlled human
 5    exposure and epidemiologic studies, as well as animal toxicology studies; the air quality,
 6    exposure, and risk analyses presented in the second draft HREA for air quality that just meets the
 7    current standard; and advice received from CAS AC in their review of the first draft PA and in
 8    previous reviews.
 9           In reaching the above conclusion regarding the current standard, we also reach
10    preliminary conclusions for the Administrator's consideration in making decisions on the
11    elements of a potential alternative primary O^ standard, as summarized below. We recognize that
12    selecting from  among potential alternative standards will necessarily reflect consideration of
13    qualitative and quantitative uncertainties inherent in the relevant evidence and in the assumptions
14    of the quantitative exposure and risk assessments. Any such standard should protect public health
15    against health effects associated with exposure to 63, alone or in combination with related
16    photochemical oxidants, taking into account both evidence-based and exposure- and risk-based
17    considerations, and the nature and degree of uncertainties in such information. In reaching
18    conclusions about these ranges of potential alternative standards for consideration, we are
19    mindful that the Act requires primary standards that, in the judgment of the Administrator, are
20    requisite to protect public health with an adequate margin of safety. The primary standards  are to
21    be neither more nor less stringent than necessary. Thus, the Act does not require that primary
22    NAAQS be set at zero-risk levels, but rather at levels that reduce risk sufficiently to protect
23    public health with an adequate margin of safety.
24           The degree of public health protection provided by the standard is due to the collective
25    impact of the elements of the standard, including the indicator, averaging time, level, and form.
26    Staffs preliminary conclusions on each of these elements are summarized below.

27    (1)     It is appropriate to continue to use O^ as the indicator for a standard that is intended to
28           address effects associated with exposure to 63, alone or in combination with related
29           photochemical oxidants.  Based on the available information staff preliminarily concludes
30           that there is no basis for considering any alternative indicator at this time. Meeting an 03
31           standard can be expected to provide some degree of protection against potential health
32           effects that may be independently associated with other photochemical oxidants, even
33           though  such effects are not discernible from currently available studies indexed by 63
34           alone. Staff notes that control of ambient 63 levels is generally understood to provide the
35           best means of controlling photochemical oxidants in general, and thus of protecting

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 1           against effects that may be associated with individual species and/or the broader mix of
 2           photochemical oxidants, independent of effects specifically related to 63.
 O
 4    (2)     It is appropriate to continue to use an 8-hour averaging time for the primary 63 standard.
 5           (a)     Staff preliminarily concludes that an 8-hour averaging time remains appropriate
 6                  for addressing health effects associated with short-term exposures to ambient 03.
 7                  An 8-hour averaging time is similar to the exposure periods evaluated in
 8                  controlled human exposure studies, including recent studies that provide evidence
 9                  for respiratory effects following exposures to 63 concentrations below the level of
10                  the current standard. In addition, epidemiologic studies provide evidence for
11                  health effect associations with 8-hour 03 concentrations, as well as with 1-hour
12                  and 24-hour  concentrations. A standard with an 8-hour averaging time (combined
13                  with an appropriate standard form and level) would also be expected to provide
14                  substantial protection against health effects attributable to  1- and 24-hour
15                  exposures.
16
17           (b)     Staff also preliminarily concludes that a standard with an 8-hour averaging time
18                  can provide protection against respiratory effects associated with longer term 63
19                  exposures. Analyses in the HREA show that as  air quality  is adjusted to just meet
20                  the current 8-hour standard, most study areas are estimated to experience
21                  reductions in respiratory mortality associated with long-term Os concentrations,
22                  indicating that an 03 standard with an 8-hour averaging time can reduce
23                  respiratory mortality reported to be associated with long-term 63 concentrations.
24                  Moreover, the large majority of the U.S. population lives in locations where
25                  reducing NOx emissions would be expected to result in modest decreases in warm
26                  season averages of daily 8-hour ambient 63 concentrations. This suggests that
27                  reductions in precursor emissions in order to meet a standard with an 8-hour
28                  averaging time would also be expected to reduce the types of long-term 63
29                  concentrations that have been associated with respiratory morbidity in
30                  epidemiologic studies.
31
32                  In addition, an analysis in the PA of whether just meeting the current or
33                  alternative 63 standards, with 8-hour averaging times, would be expected to
34                  maintain long-term 63 concentrations (i.e., seasonal average of 1-hour daily max)
35                  below those present in most of the cities that provided the basis for a positive and
36                  statistically significant association with respiratory mortality (Jerrett et al., 2009).

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 1                  This suggests that a standard with an 8-hour averaging time can maintain seasonal
 2                  averages of 1-hour daily max 63 concentrations below those that provided the
 3                  basis for the association with respiratory mortality (and below the concentration at
 4                  which study authors noted limited evidence of an effects threshold). Taken
 5                  together, these analyses suggest that a standard with an 8-hour averaging time,
 6                  coupled with the current 4* -highest form and an appropriate level, could provide
 7                  appropriate protection against the long-term 63 concentrations reported to be
 8                  associated with respiratory morbidity and mortality.
 9
10    (3)     It is appropriate to revise the level of the standard since the evidence and information
11           from the exposure and risk assessments in this review provide strong support for
12           consideration of an 63 standard with a level that would provide increased health
13           protection for at-risk groups, including people with asthma, especially children; the
14           lifestages of children and older adults; people with certain genetic variants; people with
15           reduced intake of certain nutrients; and outdoor workers against an array of adverse
16           health effects. These health effects range from decreased lung function, pulmonary
17           inflammation, and respiratory symptoms to serious indicators of respiratory morbidity
18           including ED visits and hospital admissions for respiratory causes, respiratory and all-
19           cause, non-accidental mortality. We also conclude that exposures of concern and health
20           risks projected to  remain upon meeting the current standard, based on the exposure and
21           risk assessments, are indicative of risks to these populations and lifestages that can
22           reasonably be judged to be important from a public health perspective. This reinforces
23           our conclusion that consideration should be given to revising the level of the standard so
24           as to provide increased public health protection.
25
26           It is appropriate to consider a standard level within the range of 70 ppb to 60 ppb,
27           reflecting our judgment that a standard set within this range could provide an appropriate
28           degree of public health protection and would result in important improvements in
29           protecting the health of at-risk populations and lifestages. Standard levels within this
30           range that were considered in staff analyses of air quality, exposure, and risk include 70,
31           65 and 60  ppb, representative of levels within the upper, middle, and lower parts of this
32           range, respectively. Further, it would not be appropriate to consider increasing the level
33           of the current standard, thereby decreasing public health protection.
34
35    (4)     It is appropriate to continue to use the 4* -highest daily max form  of the standard. Staff
36           notes that the 4th-highest daily max was selected in 1997 in recognition of the public

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 1            health protection provided by this form, when coupled with an appropriate averaging

 2            time and level, combined with its stability for implementation programs. The currently

 3            available evidence and exposure/risk information does not call into question these

 4            conclusions from previous reviews. Therefore, we reach the preliminary conclusion that

 5            it is appropriate to consider retaining the current 4* -highest daily max form for an Os

 6            standard with an 8-hour averaging time and a revised level, as discussed above.


 7          4.9   REFERENCES

 8    Adams, W. C. (2006) Comparison of chamber 6.6 hour exposures to 0.04-0.08 ppm ozone via square-wave and
 9            triangular profiles on pulmonary responses. Inhalation Toxicol. 18: 127-136.
10            http://dx.doi.org/10.1080/08958370500306107

11    Bell, ML; Peng, RD; Dominici, F. (2006). The exposure-response curve for ozone and risk of mortality and the
12            adequacy of current ozone regulations. Environ Health Perspect 114: 532-536.

13    Brown, JS; Bateson, TF; McDonnell, WF. (2008). Effects of exposure to 0.06 ppm ozone on FEV1 in humans: A
14            secondary analysis of existing data. Environ Health Perspect 116: 1023-1026.
15            http://dx.doi.org/10.1289/ehp.11396

16    Cakmak, S; Dales, RE; Judek, S. (2006). Respiratory health effects of air pollution gases: Modification by education
17            and income. Arch Environ Occup Health 61: 5-10. http://dx.doi.org/10.3200/AEOH.61.L5-10

18    Dales, RE; Cakmak, S; Doiron, MS. (2006). Gaseous air pollutants and hospitalization for respiratory disease in the
19            neonatal period. Environ Health Perspect 114: 1751-1754. http://dx.doi.org/10.1289/ehp.9044

20    Darrow, LA; Klein, M; Sarnat, JA; Mulholland, JA; Strickland, MJ; Sarnat, SE; Russell, AG; Tolbert, PE. (201 la).
21            The use of alternative pollutant metrics in time-series studies of ambient air pollution and respiratory
22            emergency department visits. JExpo Sci Environ Epidemiol 21: 10-19.
23            http://dx.doi.org/10.1038/jes.2009.49

24    Frey, C.; Samet, J.M. (2012). CASAC Review of the EPA's Policy Assessment for the Review of the Ozone National
25            Ambient Air Quality Standards (First External Review Draft - August 2012). EPA-CASAC-13-003.
26            November 26, 2012. Available online at:

27    Jerrett, M; Burnett, RT; Pope, CA, III; Ito, K; Thurston, G; Krewski, D;  Shi, Y; Calle, E; Thun, M. (2009). Long-
28            term ozone exposure and mortality. N Engl J Med 360: 1085-1095.
29            http://dx.doi.org/10.1056/NEJMoa0803894

30    Katsouyanni, K; Samet, JM; Anderson, HR; Atkinson, R; Le Tertre, A; Medina, S; Samoli, E; Touloumi, G;
31            Burnett, RT; Krewski, D; Ramsay, T; Dominici, F; Peng, RD; Schwartz, J; Zanobetti, A. (2009). Air
32            pollution and health: A European and North American approach (APHENA). (Research Report 142).
33            Boston, MA:  Health Effects Institute. http://pubs.healtheffects.org/view.php?id=327

34    Kim, CS; Alexis, NE;  Rappold, AG; Kehrl,  H; Hazucha, MJ; Lay, JC; Schmitt, MT; Case, M; Devlin, RB; Peden,
35            DB; Diaz-Sanchez, D. (2011). Lung function and inflammatory responses in healthy young adults exposed
36            to 0.06 ppm ozone for 6.6 hours. Am J Respir Crit Care Med 183: 1215-1221.
37            http://dx.doi.org/10.1164/rccm.201011-1813OC

3 8    Mar, TF; Koenig, JQ. (2009). Relationship between visits to emergency  departments for asthma and ozone exposure
39            in greater Seattle, Washington. Ann Allergy Asthma Immunol 103: 474-479.
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  1    McDonnell, WF; Stewart, PW; Smith, MV. (2010). Prediction of ozone-induced lung function responses in humans.
  2            Inhal Toxicol 22: 160-168. http://dx.doi.org/10.3109/08958370903089557

  3    Samet, J.M. (2010) Review of EPA's Proposed Ozone National Ambient Air Quality Standard (Federal Register,
  4            Vol. 75, Nov. 11, January 19, 2010). EPA-CASAC-10-007. February 19, 2010. Available online at:

  5    Samet, J.M. (2011) Clean Air Scientific Advisory Committee (CASAC)  Response to Charge Questions on the
  6            Reconsideration of the 2008 Ozone National Ambient Air Quality Standards. EPA-CASAC-11-004.
  7            March 30, 2011. Available online at:
  8            http://yosemite.epa.gov/sab/sabproduct.nsf/0/F08BEB48C1139E2A8525785E006909AC/$File/EPA-
  9            CASAC-ll-004-unsigned+.pdf

10    Schelegle, ES; Morales, CA; Walby, WF; Marion, S; Allen, RP. (2009).  6.6-hour inhalation of ozone concentrations
11            from 60 to 87 parts per billion in healthy humans. Am J Respir  Crit Care Med 180: 265-272.
12            http://dx.doi.org/10.1164/rccm.200809-1484OC

13    Smith, RL; Xu,  B; Switzer, P. (2009b). Reassessing the relationship between ozone and short-term mortality in U.S.
14            urban communities. Inhal Toxicol 21: 37-61. http://dx.doi.org/10.1080/08958370903161612

15    Stieb, DM; Szyszkowicz, M; Rowe, BH; Leech, JA. (2009). Air pollution and emergency department visits for
16            cardiac and respiratory conditions: A multi-city time-series analysis. Environ Health Global Access Sci
17            Source 8: 25. http://dx.doi.org/10.1186/1476-069X-8-25

18    U.S. Environmental Protection Agency. (2012). Health Risk and Exposure Assessment for Ozone, First External
19            Review Draft, U.S. Environmental Protection Agency, Research Triangle Park, NC. EPA 452/P-12-001.

20    U.S. Environmental Protection Agency. (2013). Integrated Science Assessment for Ozone and Related
21            Photochemical Oxidants (Final Report). U.S. Environmental Protection Agency, Washington, DC,
22            EPA/600/R-10/076F.

23    U.S. Environmental Protection Agency. (2014). Health Risk and Exposure Assessment for Ozone, Second External
24            Review Draft. Office of Air Quality Planning and Standards, Research Triangle Park, NC. EPA-452/P-14-
25            004a.
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 1               5  ADEQUACY OF THE CURRENT SECONDARY STANDARD

 2          This chapter presents staffs considerations and preliminary conclusions regarding the
 3    adequacy of the current secondary Os NAAQS. In doing so, we pose the following overarching
 4    question:
 5         •  Does the currently available scientific evidence- and exposure/risk-based
 6            information, as reflected in the ISA and WREA, support or call into question the
 7            adequacy and/or appropriateness of the protection afforded by the current
 8            secondary Os standard?
 9          In addressing this overarching question, we pose a series of more specific questions, as
10    discussed in sections 5.1 through 5.5 below. We consider the nature of Os-induced effects,
11    including the nature of the exposures that drive the biological and ecological response and
12    related biologically-relevant exposure metrics (section 5.1); the scientific evidence and
13    exposure/risk information, including that of associated ecosystem services, regarding (a) tree
14    growth, productivity and carbon storage (section  5.2), (b) crop yield loss (section 5.3), (c) visible
15    foliar injury (section 5.4), and (d) other welfare effects (section 5.5).  Section 5.6 describes
16    advice and recommendations received from CASAC.  In section 5.7, we revisit the overarching
17    question of this chapter and present preliminary staff conclusions on the adequacy of the current
18    secondary standard.

19         5.1  NATURE OF EFFECTS AND BIOLOGICALLY-RELEVANT EXPOSURE
20              METRIC
21         •  Does the current evidence alter our conclusions from the previous review
22            regarding the nature of Os-induced welfare effects?
23          The current body of Os welfare effects evidence confirms the conclusions reached in the
24    last review on the nature of Os-induced welfare effects and is summarized in the ISA as follows
25    (U.S. EPA, 2013, p. 1-8):
26          The welfare effects ofOs can be observed across spatial scales, starting at the
27          subcellular and cellular level, then the whole plant and finally, ecosystem-level
28          processes. Ozone effects at small spatial scales, such as the leaf of an individual
29          plant, can result in effects along a continuum of larger spatial scales. These
30          effects include altered rates of leaf gas exchange, growth, and reproduction at the
31          individual plant level, and can result in broad changes in ecosystems, such as
32          productivity, carbon storage, water cycling, nutrient cycling, and community
33          composition.
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 1           This body of evidence has been expanding since the phytotoxic effects of Os were first
 2    identified by Richards, et al in 1958 who showed that "63 was a constituent of smog that caused
 3    foliar injury on grapes in California" (Flagler, 1998). In the half century that has followed, a
 4    large number of studies have been conducted both in and outside of the U.S. to examine the
 5    impacts of 63 on plants and their associated ecosystems.  Taken together, these studies
 6    demonstrate that Os -induced effects that occur at the subcellular and cellular levels, at sufficient
 7    magnitudes propagate up to produce larger scale effects that affect the whole organism.  In
 8    addition, the studies assessed in this review have further increased our understanding of the
 9    molecular, biochemical and physiological mechanisms that explain how plants are affected by
10    63, in the absence of other stressors, particularly in the area of genomics (U.S. EPA, 2013,
11    Chapter 9, section 9.3).  Based on its assessment of this extensive body of science, the ISA
12    determined that a causal relationship exists between exposure to 03 in ambient air and visible
13    foliar injury effects on vegetation, reduced vegetation growth, reduced productivity in terrestrial
14    ecosystems, reduced yield and quality of agricultural crops and alteration of below-ground
15    biogeochemical cycles (U.S. EPA 2013, Table 1-2).  Additionally, the ISA determined that a
16    likely to be causal relationship exists between exposures to 63 in ambient air and reduced carbon
17    sequestration in terrestrial  ecosystems, alteration of terrestrial ecosystem water cycling and
18    alteration of terrestrial community composition (U.S. EPA, 2013,  Table 1-2).
19           From this set of effects that the ISA has concluded to be causally or likely causally
20    related to 03 in ambient air, we focus primarily on three categories of effects (i.e., visible foliar
21    injury; impacts on tree growth, productivity and carbon storage; and crop yield loss). As
22    recognized in the ISA, controlled exposure studies, which are the best method for isolating or
23    characterizing the role of 63 in inducing the observed plant effects, "have clearly shown that
24    exposure to  63 is causally  linked to visible  foliar injury, decreased photosynthesis, changes in
25    reproduction, and decreased growth" in vegetative species (U.S. EPA 2013, p. 1-15). These plant
26    level effects are also linked to a cascade of other ecosystem level effects.  For example, studies at
27    larger spatial scales support the controlled exposure study results and indicate that "ambient Os
28    exposures can effect ecosystem productivity, crop yield, water cycling, and ecosystem
29    community composition" (U.S. EPA 2013, p. 1-15).  Thus, 63 effects on vegetation may have
30    implications at the individual, species, population and whole ecosystem level, including
31    associated ecosystem  services.l
             1 Ecosystem services are the benefits that people obtain from ecosystems and have been stated to include
      "provisioning services such as food and water; regulating services such as regulation of floods, drought, land
      degradation, and disease; supporting services such as soil formation and nutrient cycling; and cultural services such
      as recreational, spiritual, religious, and other nonmaterial benefits" according to the Millennium Ecosystem
      Assessment (UNEP, 2003; U.S. EPA, 2013, p. Ixxii).

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 1          Our consideration of O^ welfare effects and the significance or weight to place on a given
 2    study or exposure/risk assessment result, is informed by the understanding, based on the entire
 3    body of vegetation effects science, that a variety of other factors can either mitigate or exacerbate
 4    the Os-plant interactions and are recognized sources of uncertainty and variability.  These
 5    include: 1) multiple genetically-influenced determinants of 63 sensitivity; 2) changing sensitivity
 6    across growth stages; 3) co-occurring stressors and/or modifying environmental factors; 4) a
 7    paucity of information on most of the 43,000 U.S. plant species (U.S. EPA 2013, section 9.4.8;
 8    U.S. EPA 2006; U.S. EPA, 2007, section 7.4.2).
 9         •  Does the current evidence continue to support a cumulative, seasonal exposure
10            index as a biological-relevant and appropriate metric for assessment of the
11            evidence and exposure/risk information?
12          In this review, the ISA assessment of the full  body of currently available evidence stated
13    the following regarding biological indices (U.S. EPA, 2013, p. 2-44):
14          The main conclusions from the 1996 and 2006 0j AQCDs regarding indices
15          based on ambient exposure remain valid. These key conclusions can be restated
16          as follows:
17              •    ozone effects in plants are cumulative;
18              •   higher O3 concentrations appear to be more important than lower
19                 concentrations in eliciting a response;
20              •   plant sensitivity to Os varies with time of day and plant development
21                 stage;
22              •    quantifying exposure with indices that cumulate hourly Os concentrations
23                 and preferentially weight the higher concentrations improves the
24                 explanatory power of exposure/response models for growth and yield,
25                 over using indices based on mean and peak exposure values.
26          Thus, the current evidence, as in other recent  reviews, continues to support a cumulative,
27    seasonal exposure index as a biologically-relevant and appropriate metric for assessment of the
28    evidence and exposure/risk information.  To this point, the available body of evidence provides a
29    wealth of information on the aspects of 63 exposure that are most important in influencing plant
30    response. While a variety of "factors with known or  suspected bearing on the exposure-response
31    relationship, including concentration, time of day, respite time, frequency of peak occurrence,
32    plant phenology, predisposition, etc.," have been identified (U.S. EPA, 2013, section 9.5.2), the
33    importance of the duration of the exposure and the relatively greater importance of higher
34    concentrations over lower in determining plant response to 63 have been well documented (U.S.
35    EPA, 2013, section 9.5.3).  Much of this work was completed by the mid-1990s, and was
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 1    summarized in the 1996 Criteria Document (U.S. EPA, 1996), while the additional newer work
 2    is assessed in the subsequent 2006 Criteria Document and 2013 ISA.
 3          In conjunction with this research on plant response to Os exposures, others have
 4    developed "mathematical approaches for summarizing ambient air quality information in
 5    biologically meaningful forms for 63 vegetation effects assessment purposes ..." (U.S. EPA,
 6    2013, section 9.5.3). A large set of exposure indices have been developed that use a variety of
 7    functions to weight factors that have been shown to influence vegetation exposure-response
 8    relationships (U.S. EPA, 2013, section 9.5.2).  As discussed in the ISA, several indices have
 9    been developed to attempt to incorporate some of the biological, environmental, and exposure
10    factors that influence the magnitude of the biological response and contribute to observed
11    variability (U.S. EPA, 2013, section 9.5.2).  As with any summary statistic, these exposure
12    indices retain information  on some, but not all, characteristics of the original observations.
13          Flux models have been identified in recent years to take into account more of the factors
14    that influence the response and contribute to observed variability (U.S. EPA, 2013, section
15    9.5.4). We note that "some researchers have claimed that using flux models can be used to better
16    predict vegetation responses to 63 than exposure-based approaches..." because flux models
17    estimate the ambient 03 concentration that actually enters the leaf (i.e., flux or deposition) (U.S.
18    EPA, 2013, p. 9-114).  However, "[f]lux calculations are data intensive and must be carefully
19    implemented" (U.S. EPA,  2013, p. 9-114). Further, "[t]his uptake-based approach to quantify
20    the vegetation impact of Os requires inclusion of those factors that control the diurnal and
21    seasonal 63 flux to vegetation (e.g., climate patterns,  species and/or vegetation-type factors and
22    site-specific factors)" (U.S. EPA, 2013, p. 9-114). Each species has different amounts of internal
23    detoxification potential that may protect species to differing degrees. This balance between 63
24    flux and detoxification processes has been termed the "effective flux".  Accordingly, the
25    "models have to distinguish between stomatal and non-stomatal components of 03 deposition to
26    adequately estimate actual concentration reaching the target tissue of a plant to elicit a response"
27    and "[determining this Os uptake via canopy and stomatal conductance relies on models to
28    predict flux and ultimately the 'effective' flux" (U.S.  EPA, 2013, pp. 9-114).  The lack of
29    detailed  species- and site-specific data required for flux modeling in the U.S. and the lack of
30    understanding of detoxification processes have made this technique less viable for use in
31    vulnerability and risk assessments at the national scale in the U.S. (U.S. EPA, 2013, section
32    9.5.4).
33          Thus, in the last two reviews of the O^ secondary standard, completed in 1997 and 2008,
34    the EPA concluded that the risk to vegetation comes primarily from cumulative exposures to 63
35    over a season or seasons and, in both reviews, the EPA proposed, as one alternative, a secondary
36    standard set in terms of such a form (61 FR 65716, 72 FR 37818). Although in both reviews the

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 1    secondary standard was revised to be identical to a revised primary standard (with an 8-hour
 2    averaging time), the Administrator, in both cases, also concluded, consistent with CASAC
 3    advice, that a cumulative, seasonal index was the most biologically relevant way to relate
 4    exposure to plant growth response (62 FR 38856, 73 FR 16436).  Most recently, in the 2010
 5    proposed reconsideration of the 2008 decision, the EPA again proposed to conclude that 63
 6    exposure indices that cumulate differentially weighted hourly concentrations are the best
 7    candidates for relating exposure to plant growth responses and proposed to set the secondary
 8    standard only in terms of one such form, the W126 (75 FR 2938).
 9           Based on the long-established conclusions and long-standing supporting evidence
10    described above, we continue to focus on the aspects of ambient 63 exposures that have
11    biological relevance and the biologically-relevant exposure indices or metrics that have been
12    designed in light of this consideration, i.e., cumulative seasonal indices. Since the review
13    completed in 1997, which was the first to focus on cumulative indices, attention has been given
14    primarily to two different cumulative index forms: SUM06 and W126. The SUM06 index is a
15    threshold-based approach described as the sum of all hourly 63 concentrations greater or equal to
16    0.06 ppm observed during a specified daily and seasonal time window (U.S. EPA, 2013, section
17    9.5.2).  The W126 index is a non-threshold approach described as the sigmoidally weighted sum
18    of all hourly 63 concentrations observed during a specified daily and seasonal time window,
19    where each hourly Os concentration is given a weight that increases from 0 to 1  with increasing
20    concentration (Lefohn et al, 1988; Lefohn and Runeckles, 1987; U.S. EPA, 2013, section 9.5.2).
21    The EPA used the W126 index to consider welfare effects in the last review, as well as the 2010
22    proposed reconsideration of the 2008 decision; this approach received support from CASAC, as
23    discussed in section 5.6 below. Consistent with the ISA conclusions regarding the
24    appropriateness of considering cumulative exposure indices for 63 effects of concern based on
25    the evidence available in this review, we again conclude that the current evidence continues to
26    support a cumulative, seasonal exposure index as a biologically-relevant and appropriate metric
27    for assessment of the evidence and exposure/risk information, and in particular,  the W126
28    cumulative, seasonal metric (U.S. EPA, 2013, p. 2-44 and section 9.5.2).
29         •   Within what paradigm may  it be appropriate to consider the potential adversity
30             of public welfare effects of Os?
31           The Clean Air Act requires that a secondary standard be protective against those known
32    or anticipated 63 effects that are "adverse" to the public welfare, not all identifiable (Vinduced
33    effects. Unlike the use of the terms adverse, injury or damage in the scientific literature, in the
34    NAAQS policy context, these terms have been interpreted in a particular way. Specifically, 03-
35    induced "injury" to vegetation has been defined as encompassing all plant reactions, including
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 1    reversible changes or changes in plant metabolism (e.g., altered photosynthetic rate), altered
 2    plant quality or reduced growth that does not impair the intended use or value of the plant. In
 3    contrast, "damage" has been defined to include only those injury effects that reach sufficient
 4    magnitude as to also reduce or impair the intended use or value of the plant to the public and thus
 5    potentially become adverse to the public welfare. Examples of vegetation effects that have been
 6    classified as damage include reductions in aesthetic values (e.g., foliar injury in ornamental
 7    species) as well  as losses in terms of weight, number,  or size of harvestable plant parts. Biomass
 8    loss in tree species can also be considered damage or adverse to the public welfare if it includes
 9    slower growth in species harvested for timber or other fiber uses. In the context of evaluating
10    effects on single plants or species grown in monocultures such as managed forests, this construct
11    continues to remain useful (73 FR 16492/96).
12           However, given the increasing scientific literature linking Os effects on plants or species
13    to effects at the community or ecosystem level, a more expansive construct or paradigm of what
14    constitutes Os "damage" beyond that of the individual or species level  is appropriate. A number
15    of broader paradigms have been discussed in the literature (72 FR 37890; Hogsett et al., 1997;
16    Young and Sanzone, 2002). In the 2008 review, the Administrator expressed support for relying
17    on a definition of "adverse" discussed in section IV.A.3 of the proposal (62 FR 37889-37890)
18    that embeds "the concept of 'intended use' of the ecological receptors and resources that are
19    affected, and applies that concept beyond the species level to the ecosystem level" (73 FR
20    16496). For example, in the 2008 rulemaking notice,  the Administrator took note of "a number
21    of actions taken by Congress to establish public lands that are set aside for specific uses that are
22    intended to provide benefits to the public welfare, including lands that are to be protected so as to
23    conserve the scenic value and the natural vegetation and wildlife within such areas, and to leave
24    them unimpaired for the enjoyment of future generations" (73 FR 16496).
25          Since the 2008 O?, review, our approach to assessing adversity to the public welfare in
26    NAAQS reviews has continued to evolve. In particular, we consider the concept of ecosystem
27    services in a broader paradigm. An extensive look at the range of services than can be provided
28    by ecosystems is described in the Millennium Ecosystem Assessment (MEA, 2005). Ecosystem
29    services can be generally defined as the benefits that individuals and organizations obtain from
30    ecosystems. The EPA has previously defined ecological goods and services for the purposes of
31    benefits assessment as the "outputs of ecological functions or processes that directly or
32    indirectly contribute to social welfare or have the potential to do so in the future. Some outputs
33    may be bought and sold, but most are not marketed" and has relied on this definition in
34    regulatory impact analyses  for previous NAAQS  reviews (U.S. EPA, 2006b).  In the review of
35    the secondary NAAQS for oxides of nitrogen and sulfur, EPA recognized that changes in
36    ecosystem services may be used to aid in characterizing a known or anticipated adverse effect to

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 1    public welfare and that an evaluation of adversity to the public welfare might consider the
 2    likelihood, type, magnitude, and spatial scale of the effect, as well as the potential for recovery
 3    and any uncertainties relating to these conditions (77 FR 20232). In the context of this review,
 4    ecosystem services are being evaluated and assessed in the REA as one way to characterize the
 5    possible public welfare benefits received from ecosystem resources and how those services
 6    might be expected to change under air quality scenarios representing the current and potential
 7    alternative secondary standards (U.S. EPA, 2014, chapter 5). Thus, in considering the evidence
 8    and exposure risk information associated with the welfare endpoints identified below, in the
 9    context of consideration of adequacy of the current standard in this chapter and potential
10    alternative standards in chapter 6, we consider also how they fit  within this paradigm.

11         5.2   FOREST TREE GROWTH, PRODUCTIVITY AND CARBON STORAGE
12           This section considers the current evidence  and exposure/risk information to inform
13    consideration of the adequacy  of the protection provided by the current standard from known and
14    anticipated  adverse welfare effects of Os related to  growth, productivity, and carbon storage of
15    forest trees, and other associated effects.  Trees are important from a public welfare perspective
16    because they provide many valued services to humans. In addition to the aesthetic value
17    discussed below in 5.4, these include: food, fiber, timber, other forest products, habitat,
18    recreational opportunities, climate regulation, erosion control, air pollution removal, hydrologic
19    and fire regime stabilization (U.S. EPA, 2014,  section 6.1, Figure 6-1, section 6.4, Table 6-12).
20    This section includes a discussion of the policy-relevant evidence and weight-of-evidence
21    conclusions discussed in the ISA (section 5.2.1) and the exposure/risk results, including
22    associated ecosystem services  (section 5.2.2) described in the second draft WREA. Important
23    uncertainties and limitations in the available information are discussed throughout the sections.
24    These discussions highlight the information we consider relevant to answering the overarching
25    question and associated policy-relevant questions included in this section.
26         5.2.1   Evidence-based Considerations
27         •  To what extent has  scientific information become available that alters or
28            substantiates our prior conclusions of Os-related effects on forest tree growth,
29            productivity and carbon storage and of factors that influence associations between
30            Os concentrations and these effects?
31           Research published since the 2006 AQCD substantiates prior conclusions regarding 63-
32    related effects on forest tree growth, productivity and carbon storage.  Information supporting
33    these previous conclusions comes from a variety of different types of studies and which cover an
34    array of different species, endpoints and exposure methods.  One subset of studies focused on

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 1    underlying mechanisms as they relate to growth, productivity and carbon storage including:
 2    reduced carbon dioxide uptake due to stomatal closure (U.S. EPA 2013, section 9.3.2.1); the
 3    upregulation of genes associated with plant defense, signaling, hormone synthesis and secondary
 4    metabolism (U.S. EPA 2013, section 9.3.3.2); the down regulation of genes related to
 5    photosynthesis and general metabolism (U.S. EPA 2013, section 9.3.3.2); loss of carbon
 6    assimilation capacity due to declines in the quantity and activity of key proteins and enzymes
 7    (U.S. EPA,  2013, section 9.3.5.1); and negative impacts on the efficiency of the photosynthetic
 8    light reactions (U.S. EPA, 2013, section 9.3.5.1). These new studies "have increased knowledge
 9    of the molecular, biochemical and cellular mechanisms occurring in plants in response to (V,
10    adding  "to the understanding of the basic biology of how plants are affected by oxidative
11    stress..." (U.S. EPA, 2013, p. 9-11).
12           The recent studies cover a variety of exposure methods, species, and settings. In
13    particular, a recent meta-analysis indicates a relationship between 63 concentrations in the
14    northern hemisphere and effects with the potential to affect growth (i.e., stomatal conductance
15    and photosynthesis) (U.S. EPA, 2013,  section 9.4.3.1; Wittig et al., 2007).  A second meta-
16    analysis, which quantitatively compiled peer-reviewed studies from the past 40 years, found that
17    ambient concentrations reported in those studies significantly decreased annual total biomass
18    growth (7%) across the studies (U.S. EPA, 2013, section 9.4.3.1). The ISA states that these two
19    meta-analyses demonstrate the coherence of Os effects on plant photosynthesis and growth
20    across numerous studies and species using a variety of experimental techniques", and including  a
21    recent study, that "recent meta-analyses have generally indicated that 63 reduced carbon
22    allocation to roots (Wittig et al., 2009; Grantz et al., 2006)" (U.S. EPA, 2013, pp. 9-45 to 9-46).
23           Recent field-based studies also have added to the evidence base. For example, a study
24    conducted in forest stands in the southern Appalachian Mountains found that "the cumulative
25    effects  of ambient levels of Os decreased seasonal stem  growth by 30-50% for most tree species
26    in a high Oj, year in comparison to a low 63 year (McLaughlin et al., 2007a). The authors also
27    reported that high  ambient Os concentrations can increase whole-tree water use and in turn
28    reduce  late-season streamflow (McLaughlin et al., 2007b)" (U.S. EPA, 2013, p. 9-43).
29    Additionally, a recent study has provided concentration-response information for tree seedlings
30    of an additional  species beyond the 11  previously studied (Gregg, et al., 2003). This study on
31    cottonwood expands the dataset of studied species such  that the 12 species for which C-R
32    functions are available in this review include deciduous, coniferous, eastern, western, sensitive
33    and tolerant species (U.S. EPA 2013, section 9.6.2;  U.S. EPA, 2014, section 6.2, Figure 6-2,
34    Table 6-1).
35           The "previous Os AQCDs concluded that there is strong evidence that exposures to Os
36    decreases photosynthesis and growth in numerous plant species" and that "[s]tudies published

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 1    since the 2008 review support those conclusions" (U.S. EPA, 2013, p. 9-42). The previously
 2    available strong evidence included the development of robust concentration-response (C-R)
 3    functions for tree seedling biomass loss in 11 species under the National Health and
 4    Environmental  Effects Research Laboratory-Western Ecology Division (NHEERL-WED)
 5    program. This series of experiments used open-top-chambers (OTC) to study seedling growth
 6    response under a variety of Os exposures (ranging from near background to well above current
 7    ambient concentrations) and growing conditions (U.S.  EPA 2013, section 9.6.2, Lee and Hogsett,
 8    1996).
 9          We additionally recognize that, because trees are long lived, in addition to the effects of
10    Oj, exposures over the annual growing season, trees and other perennials can also cumulate
11    effects across multiple years. For example, growth affected by a reduction in carbohydrate
12    storage in one year may result in the limitation of growth in the following year, so that effects
13    "carry over"  from one year to another (U.S. EPA, 2013, section 9.4.8; Andersen, et al., 1997).  In
14    past reviews, such carry-over effects have been documented in the growth of some tree seedlings
15    and in roots.  A number of recent studies based on the FACE exposure method in a planted forest
16    at the Aspen  FACE site in Wisconsin have augmented and supported the earlier information.
17    These studies observed tree growth responses over  seven years beyond the seedling growth stage
18    and growing  in field settings more similar to natural forest stands than OTC studies. In addition
19    to affecting tree heights, diameters, and main stem volumes in the aspen community, elevated Os
20    was reported to change intra- and inter-species competition (Kubiske et al., 2006; Kubiske et al.,
21    2007). For example, Oi treatments increased the rate of conversion from a mixed aspen-birch
22    community to a birch dominated community, potentially changing intra- and inter-species
23    competition.
24          The EPA comparison of biomass results from the first seven years of the recent study by
25    Kubiske et al (2007) to that predicted using the C-R function established from the earlier OTC
26    experiments indicated close agreement (U.S. EPA 2013, Section 9.6.3).  Accordingly, the ISA
27    concludes that "[o]verall, the studies at the Aspen FACE experiment were consistent with many
28    of the open-top chamber (OTC) studies that were the foundation of previous Oj NAAQS
29    reviews" and that "[tjhese {recent} results strengthen the understanding of Os effects on forests
30    and demonstrate the relevance of the knowledge gained from trees grown in OTC studies" (U.S.
31    EPA 2013, p. 2-38). In addition to growth effects, these scientists also found that elevated Os
32    decreased birch seed weight, germination, and bud  starch levels as well as aspen bud size. The
33    effects on birch seeds could lead to a negative impact on species regeneration, while the bud
34    effects may have been related to the observed delay in  spring leaf development and have the
35    potential to alter carbon metabolism of overwintering buds.  These latter effects likely have
36    implications  for the subsequent growing season (i.e. carry-over effects) in the following year,
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 1    including effects on forest biomass, buds and seeds that carry into subsequent years (U.S. EPA,
 2    2013, section 9.4).
 3          The recent studies, in combination with the entire body of evidence, form the basis for
 4    the ISA determinations that: 1) there is a causal relationship between 63 exposures and reduced
 5    vegetative growth; 2) there is a causal relationship between O?, exposures and biomass
 6    accumulation, including altered carbon allocation to below ground tissues,  rates of leaf and root
 7    production, and turnover and decomposition that can alter below-ground biogeochemical cycles;
 8    and 3) there is likely to be a causal relationship between O?, exposure and a reduction in carbon
 9    sequestration in terrestrial ecosystems (U.S. EPA, 2013, Table 2-2). Therefore, the current
10    evidence base substantiates prior conclusions of Cb-related effects on tree growth, productivity
11    and carbon storage. The results from some of these studies are discussed more fully under
12    different questions below.
13         •   To what extent have important uncertainties in the evidence identified in the last
14             review been reduced and/or new uncertainties emerged?
15          As stated above, the ISA concludes that the new evidence confirms, strengthens or
16    expands our understanding of Os effects on plants. Much of this new evidence is focused on the
17    molecular and genetic level, providing very important new mechanistic information that in some
18    cases enhances our understanding of the complexity of the Os-plant response. This information
19    has, in general, reduced overall uncertainties at the subcellular and cellular scales.  However,
20    because these studies were primarily conducted using artificial exposure conditions and model
21    plants, uncertainties remain regarding the extent to which these plant responses reflect those in
22    other plant species and exposure conditions (U.S. EPA, 2013, section 9.3.6).  With regard to O^
23    impacts at the whole plant, species, and ecosystem scales, recent information has informed our
24    understanding of associated uncertainties in a variety of ways.
25          Importantly, one key uncertainty has been significantly reduced. This relates to the C-R
26    functions we have used in previous reviews to estimate tree seedling biomass loss for different
27    Os exposure  conditions (U.S. EPA, section 9.6). As these functions were derived from OTC
28    experiments, an associated uncertainty has been with regard to the extent to which they reflected
29    concentration-response relationships for field conditions.  In the current review, EPA staff have
30    conducted an analysis comparing OTC data with field-based data for one crop and  one tree
31    species (U.S. EPA, 2013, section 9.6.3.2). One comparison was done using soybean OTC data
32    from the National Crop Loss Assessment Network (NCLAN)2 and field-based data (Soy FACE),
            2 The NCLAN program was conducted from 1980 to 1987 at five different locations across the US. At
      each site, open top chambers were used to expose plants to Os treatments that represented the range of
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 1    as discussed in section 5.3 below.  The second was done using aspen seedling OTC data from the
 2    NHEERL-WED and field-based data (Aspen FACE). The result of the aspen analysis, similar to
 3    that for soybean, showed very close agreement between the predictions based on NHEERL-
 4    WED data and Aspen FACE observations, even when comparing the results of experiments that
 5    used different exposure methodologies, different genotypes, locations, and durations. Based on
 6    this analysis, the ISA additionally stated that "the [C-R] function based on one year of growth
 7    was applicable to subsequent years" (of the six-year dataset) (U.S. EPA, 2013, section 9.6.3.2).
 8    This information reduces the uncertainties associated with potential impacts of other
 9    experimental factors on the Os-plant response. Other studies, such as the meta-analyses
10    discussed in the ISA and below, also demonstrate the coherence of 63 growth effects across
11    numerous studies and species that used a variety of experimental techniques. While recognizing
12    that uncertainties may remain for some individual species for which the database is relatively
13    less robust (such as the more recent information on cottonwood), taken together, this information
14    substantially reduces uncertainties  associated with use of the tree seedling OTC-derived C-R
15    functions to predict the response of trees beyond the seedling stage in field settings.  Thus, in the
16    current review, the ISA and WREA have continued to use these functions to estimate tree growth
17    response for different cumulative O3 exposures (U.S. EPA, 2013, section 9.6.2; U.S. EPA, 2014,
18    section 6.2).
19           Other uncertainties associated with studying or modeling Os impacts on trees, including
20    those identified in the last review, still remain, due in part to a lack of additional research but
21    also due to the growth characteristics of trees which present a unique set of experimental
22    challenges.  For example, while trees are long-lived, with life spans which range from decades to
23    centuries, most studies are designed to take place within an annual or 2-3 year timeframe, which
24    represents only a small fraction of the lifetime of a tree. Further, trees grow very large, making it
25    difficult to use controlled exposure environments beyond the seedling or sapling growth stage.
26    Additionally, sensitivity to 63 varies over the life of the tree so that different growth stages of the
27    tree may be more or less sensitive and this variation in growth-stage sensitivity is species-
28    specific. Thus, while some limited information exists regarding tree sensitivity beyond the
29    seedling growth stage (e.g. aspen, cottonwood) and in some species for both seedling and mature
30    trees within a species (e.g., red oak), it  remains uncertain to what degree effects observed  on
31    trees during one growth stage (e.g., seedling) can be extrapolated to trees at other growth stages.
32    An analysis in the WREA comparing seedling to adult tree biomass loss,  discussed in 5.2.2

      concentrations that occur in different areas of the world. The NCLAN focused on the most important U.S
      agricultural crops (Heagle et al, 1989; http://www.ars.usda.gov/Main/docs.htm?docid=12462).
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 1    below, informs our consideration of this remaining uncertainty (U.S. EPA, 2014, section
 2    6.2.1.1).
 3           Lastly, we recognize that exposures in one year have the potential to cause effects not
 4    observed until a subsequent year (termed "carry over" effects). While recent studies provide
 5    evidence of some carry-over effects and the potentially serious implications they could have for
 6    associated ecosystems and services, the true extent of this effect is unclear because most studies
 7    on the effects of 63 on growth do not measure or take into account the possibility of carry-over
 8    effects in subsequent years. Additionally, uncertainties remain regarding the extent of
 9    compounding of growth effects across multiple years for different air quality conditions. These
10    uncertainties affect our characterization of such impacts, particularly the quantitative aspects, for
11    differing exposure scenarios.  Therefore our characterization of subsequent growing season
12    effects is uncertain, affecting our ability to fully describe impacts of observed annual biomass
13    losses, particularly in quantitative terms. In section 5.2.2 below, the potential variation of
14    growth effect compounding across  multiple years is discussed further drawing on the WREA
15    evaluation of this (U.S. EPA, 2014, section 6.2.1.4). Further discussion of these tree-related
16    uncertainties that are relevant in the context of informing our understanding of the quantitative
17    and qualitative exposure and risk results are discussed in the appropriate sections below.
18          •   What are the ecosystem services potentially affected by Os effects on tree growth,
19             productivity and carbon storage and to what extent are they important from a
20             public welfare perspective?
21           A variety of ecosystem services are potentially affected by 63 impacts on tree growth,
22    productivity and carbon storage. The ISA  identifies as causal the relationship of 03 and reduced
23    productivity in terrestrial ecosystems and alteration of below ground biogeochemical cycles.  It
24    further identifies as likely to be a causal relationship (^impacts on reduced carbon sequestration
25    in terrestrial ecosystems; alteration of terrestrial ecosystem water cycling;  alteration of terrestrial
26    community composition (U.S. EPA, 2013, Table 9-19).  These effects are important to the
27    public welfare, and in particular include those associated with national parks, national refuges
28    and other protected areas ranging to the harvesting of timber for commercial uses.  The
29    ecosystem services most directly affected by biomass loss include: (1) habitat provision for
30    wildlife, (2) carbon storage, (3) provision of food and fiber, and (4) pollution removal (see also
31    U.S. EPA, 2014, Figure 6-1).3  Less direct impacts can occur on process-related effects such as
32    nutrient and hydrologic cycles.
             3 The impacts of O3 in ambient air on some of these services are characterized in the WREA, as described
      in section 5.2.2 below.

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 1           With regard to the extent of Os impact on carbon transport or allocation to roots,
 2    information from a few recent individual studies have shown mixed results, including negative,
 3    non-significant, and positive effects on root biomass and root: shoot ratio. However, as assessed
 4    in the ISA, "[gjenerally, there is clear evidence that Os reduces carbon transport or allocation to
 5    roots", although (U.S. EPA, 2013, p. 9-44).
 6          •   To what extent does the available evidence indicate the occurrence of Os-related
 7             effects on forest growth, productivity and carbon  storage attributable to
 8             cumulative exposures at lower ambient Os concentrations than previously
 9             established or to exposures that might be expected to occur under the current
10             standard?
11           The evidence available in this review indicates that Cb-induced effects on tree growth,
12    productivity and carbon storage occur as a result of cumulative exposure concentrations similar
13    to those identified in the previous review and that these effects can occur at exposures associated
14    with air quality conditions that might be expected to meet the current standard. We first consider
15    the evidence on Oj, effects on growth, particularly for tree seedlings, and that supports the C-R
16    functions describing the relationship between cumulative 63 exposure and reduction in growth
17    (relative biomass loss). As described above, this evidence base currently includes functions for
18    12 species.4 Figure 5-1, below (based on species-specific composite functions described in the
19    ISA and WREA),  illustrates the appreciable variation in sensitivity across individual  species
20    (U.S. EPA 2013, section 9.6.2; U.S. EPA, 2014, section 6.2, Table 6-1 and Figure 6-2). For
21    example, in seven or the 12 species, the W126 index value for which 2% seedling biomass loss is
22    estimated is below 8 ppm-hours and in the other five species, the W126 value for which 2%
23    biomass loss is estimated is above 18 ppm-hours.  Within the  group of seven more sensitive
24    species, the most sensitive are cottonwood and black cherry (U.S. EPA 2014, section 6.2).
             4 Among the 12 species, in addition to the functions for 11 species studied in the FACE research, is the
      field study by Gregg et al (2003) for cottonwood.  As noted in discussion of uncertainties above, there is only the
      single study available for this species which focused on a gradient of O3 exposure extending from the New York
      metropolitan area which may contribute uncertainty to the quantitative characterization of C-R.

                                                 5-13

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      DQ
      Ct.
          CO
          d>

          CD
          CJ
          o _

          CNj
          CD

          CD
          CD
   Red Maple
   Sugar Maple
   Red Alder
   Tulip Poplar
   Ponderosa Pine
   White Pine
   Loblolly Pine
d  Virginia Pine
d  Cottonwood
•  Aspen
•  Black Cherry
•  Douglas Fir
                 0
             10
20
30
40
50
                                                     W126
 2    Figure 5-1.  Relative biomass loss in seedlings for 12 studied species in response to seasonal
 3                ozone concentrations in terms of seasonal W126 index values (U.S. EPA 2014,
 4                Figure 6-2).
 5           In considering the evidence for the two most sensitive species, we recognize the more
 6    limited quantitative information for cottonwood.  The C-R function for this species is based on
 7    the study by Gregg et al (2003) which described 63 effects on growth on eastern cottonwood
 8    (Populus deltoides) saplings along an Os gradient between urban New York City and downwind
 9    rural areas for the years 1992,  1993 and 1994.  While the authors additionally studied
10    cottonwood response in a companion controlled OTC experiment, the C-R function described
11    here is based on the field data and reflects the single study (U.S. EPA, 2013,  sections 9.2.5 and
12    9.6.3). Given these factors, as noted in consideration of uncertainties above,  we recognize there
13    may be additional uncertainty in this function.
14           Using the 11  concentration-response (C-R) functions for tree  seedlings from the FACE
15    research, and with the addition of the cottonwood C-R function, Figure 5-2 below presents three
16    approaches for characterizing the median response function (U.S. EPA, 2014, section 6.2.1.2 and
17    Figure 6-4).  The first approach used a composite function developed from the C-R functions for
18    all 52  tree seedling studies (across the 12 species) combined (red line). The second  approach
19    used only the median C-R function, when available, for each of the 12 tree species included
20    (green line)5. The third approach used a stochastic sampling method to randomly select a C-R
             ' For some species, only one study was conducted so that C-R function was used.

                                                5-14

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 1
 2
 3
 4
 5
 6
 7
 8
 9
10
11
12
     function for each species from the studies conducted for that species. For some species only one
     study was available (e.g., Red Maple), and for other species there were as many as 11 studies
     available (Ponderosa Pine). The process was repeated 1,000 times (grey lines), and the median
     value was plotted for biomass loss values of 1% to 7%, and 10% (the bar associated with each
     median point denotes the 25th and 75th percentile values. This third approach provides an
     illustration of the effect of within-species variability on estimates of the median species. The
     median W126 values are similar, when using all of the studies or just the  composite C-R function
     for each species; however, the median value is higher when within-species variability is included
     (U.S. EPA, 2014, section 6.2.1.2). Among these three approaches, the median seasonal W126
     index value for which a two percent biomass loss is estimated in seedlings for the studied species
     ranges between approximately 7 and 14 ppm-hrs.
                 E  °
                 S.  "
                 CL
                         0  1
                                        5  Q  1  8   9  10 11 12 13  14  15
                                         Percent Biomass Loss
13   Figure 5-2. Relationship of tree seedling percent biomass loss with seasonal W126 index.
14               (From U.S. EPA 2014, Figure 6-4)
15          We further consider several recent studies that have provided important evidence of
16   growth effects occurring in the field at ambient exposure concentrations, including some
17   exposure concentrations which are at or below the level of the current standard.  For example,
18   the study by McLaughlin et al., (2007a, b) investigated the effects of ambient 63 on tree growth
19   (measured by change in stem circumference) in the field at 3  forest sites (Cade's Cove, Look
                                               5-15

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 1    Rock and Oak Ridge) in the southern Appalachian Mountains for three years (2001, 2002, 2003)
 2    (U.S. EPA, 2013, section 9.4.5).  Compared to the growth observed in 2001 (base year), the
 3    authors reported that ambient Os exposures, decreased seasonal stem growth by 30-50% for most
 4    tree species in a high O^ year (2002), relative to the 2001 baseline. As shown in Table 5-6 below
 5    (modified from Table 6-4 in U.S. EPA, 2014), the seasonal W126 index values ranged from
 6    approximately 9 to 20 ppm-hours in the low Os year (2003) and from approximately 18 to 40
 7    ppm-hours in the high Oj, year (2002), across the three sites.  When these exposure
 8    concentrations for the three years are expressed in terms of the 4th highest daily maximum 8-hour
 9    average concentration, the values range from 71 to 90 ppb during the low year (2003) to 82 -
10    102 ppb during the high year (2002). The 3-year average of these 4th highest daily maximums6
11    for the period 2001-2003 are 76 ppb, 93 ppb, and  87 ppb for Cade's Cove, Look Rock, and Oak
12    Ridge, respectively.  Thus, while two of the years at Cade's Cove had annual values at or below
13    75 ppb, the concentrations at all sites for the 2001- 2003 period appear to exceed the current
14    standard. Only one species, tulip poplar, has data for all three years and was present at all three
15    sites (U.S. EPA, 2014, Table 6-4).  This subset of data is what is shown in table 5-1 below.

16    Table 5-1. Ozone concentrations associated with effects on tulip poplar in southern
17              Appalachian Mountains (2001-2003).
Ambient Os concentrations for Mclaughlin et al., 2007A


2001
2002
2003
2001-
2003
Cade's Cove
Max4
high
(ppm)
75
82
71
76
W126
(ppm-
hrs)
15
18
9
N/A
AAir quality values obtaim
rounded to nearest whole \
circumference compared t<
B Study results for percent
Percent change
in
circumference6
baseline
-62%
N/A

Look Rock
Max4
high
(ppm)
86
102
90
93
W126
(ppm-
hrs)
23
40
20
28
Percent change
in
circumference6
baseline
-26%
-38%

Oak Ridge
Max4
high
(ppm)
85
99
78
87
W126
(ppm-
hrs)
20
32
11
21
Percent change
in
circumference6
baseline
-49.6%
7.5%

;d from http://www.epa.sov/ttn/airs/airsaqs/detaildata/downloadaqsdata.htm. W126
>pm-hr. 2002 and 2003 study results measured as % change in tulip poplar stem
3 2001 baseline.
change in circumference of Tulip Poplar from WREA Table 6-4.
18
19
20
       Based on the table above, appreciable growth reductions occurred in tulip poplar at all
three sites during a high Os year (2002), though it spanned a rather large range of -26% to -62%.
            6 This is the form of the current standard. Thus, the current standard is met when the 3-year average of the
      4th highest daily maximum 8-hour concentrations is at or below 75 ppb.
                                               5-16

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 1    The results of this study are hard to interpret given the different exposure base lines, magnitude
 2    of changes in subsequent year exposures, and other undocumented site-specific factors. The
 3    study findings do show, however, that higher Os concentrations (above the current standard)
 4    significantly reduced growth compared to that in a lower O^ year.
 5          With regard to evidence of effects associated with exposures that may be allowed by the
 6    current standard, we additionally consider the study by Gregg et al (2003) referenced above that
 7    documented Cb-induced growth loss on eastern cottonwood (Populus deltoides) saplings along
 8    an Os gradient between urban New York City and downwind rural areas for the years 1992, 1993
 9    and 1994 (U.S. EPA, 2013, section 9.2.5). Fourth highest daily max 8-hour average
10    concentrations during the experimental period (July 7 - Sept 20) ranged from 0.056 ppm to
11    0.098 ppm along the gradient (data in 2008 Os docket) while W126 index values ranged from 1.9
12    to 12 ppm-hrs. At  some sites, the highest daily maximum 8-hour average ambient concentrations
13    (0.056 ppm, 0.072  ppm, and 0.073 ppm) were below the level of the current standard, indicating
14    that the standard would likely have been met. Figure 5-3 below shows the growth suppression
15    response of the cottonwood saplings to the range of Os exposures occurring along the gradient.

                     ro
                     m
90
80
70-


50
40-
30-
20
10-
 0
                                    = -6.1902x + 87.149  R2 = 0.8622
                                      0.073
                                            0.078
                                                                  .088
                                                     0.098
                                                               .086
                          0.0    2.0     4.0    6.0    8.0    10.0   12.0    14.0
                                         Ozone Exposure
16                                       (W126, ppm-hrs)

17    Figure 5-3. Association of Os with cottonwood biomass in gradient downwind of New
18               York City (Gregg et al., 2003). Symbol Key: Squares (1992); Circles (1993);
19               Triangles (1994); Shaded (urban); open (rural). Figure modified from Gregg et al.,
20               2003 and U.S. EPA, 2007 Figure 7-17 to add 8-hour average concentrations (red
21               font).
                                               5-17

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 1          We additionally recognize some limitations in the extent to which some studies that look
 2    at Os-induced effects on tree growth, productivity and carbon storage can inform consideration
 3    of effects that might occur under air quality conditions that meet the current standard.  In some
 4    cases this is because studies were designed to look only at what is happening under ambient
 5    conditions and/or above ambient conditions and the ambient conditions often did not meet the
 6    standard. In addition, because tree growth is known to be affected by cumulative exposures,
 7    studies do not commonly provide exposure concentration data pertaining to daily 8-hour
 8    averages. Unless hourly 63 concentration data are provided, translation from one index to
 9    another is not usually feasible. Thus, to consider effects that might occur under conditions that
10    meet the current standard we have traditionally relied on monitored hourly  63 air quality data to
11    calculate both types of exposure metrics (i.e. cumulative and 8-hour average) used in
12    combination with the robust tree seedling C-R functions developed in OTC studies (as described
13    above) to predict the magnitude of the growth effects associated with exposure concentrations at
14    or below that of the current standard. These tree seedling C-R functions are also used in the
15    WREA estimates of effects on tree growth that might be expected to remain under air quality
16    conditions that just meet the current secondary standard (discussed in section 5.2.2 below).
17         •   To what extent does currently available evidence suggest locations where the
18            vulnerability of sensitive species, ecosystems and/or their associated services to
19             Os-related effects on forest tree growth, productivity and carbon storage would
20             have special significance to the public welfare?
21          Areas with special significance to the public welfare include federally designated Class I,
22    non-Class I national parks, and other areas set aside to provide similar public welfare benefits.
23    Therefore Table 5-2 provides some examples of Class I sites where the current secondary
24    standard is met but W126 index values fall above 15 ppm-hours. At W126 index values above
25    15 ppm-hours, relative biomass loss in seedlings might be expected to range from less than 1%
26    to more than 30% across the  12 species for which C-R functions have been developed (as
27    described above).  Relative biomass loss above 5% might be expected in seedlings of six of the
28    12 species and above 2% in seedlings (but less than 5%) in a seventh, indicating that if present in
29    these specially protected areas, meeting the current standard may not prevent W126 index values
30    that may cause these levels of growth effect.
31
32
                                                5-18

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1   Table 5-2. Examples of counties containing Class I areas where recent air quality might be
2             expected to meet the current standard and where 3-yr W126 index values are
3             above 15 ppm-hrs.
Monitor ID
806710041
806710041
806710041
80830101
80830101
4005800
4005800
4005800
49053013
49053013
49053013
49053013
49053013
49037010
49037010
49037010
Years
2008-2010
2009-2011
2010-2012
2006-2008
2007-2009
2006-2008
2007-2009
2010-2012
2006-2008
2007-2009
2008-2010
2009-2011
2010-2012
2006-2008
2007-2009
2010-2012
3-yr 8-
hrmax
71
74
73
71
69
70
68
72
71
70
70
70
73
71
70
69
3-yr W1 26
(annual values)
15
(16,11,18)
17
(11,18,21)
19
(18,21,18)
18
(24, 18, 14)
16
(18, 14, 15)
19
(22,19, 22)
15
(19,22,11)
18
(15, 18, 20)
21
(24, 19, 20)
18
(19, 20, 15)
18
(20, 15, 21)
18
(15,21,18)
20
(21,18,22)
18
(19, 18, 18)
16
(18, 18, 13)
15
(14, 14, 17)
State/Co.
Colorado/ La Plata
Colorado/ La Plata
Colorado/ La Plata
Colorado/
Montezuma
Colorado/
Montezuma
Arizona/ Coconino
Arizona/ Coconino
Arizona/ Coconino
Utah/ Washington
Utah/ Washington
Utah/ Washington
Utah/ Washington
Utah/ Washington
Utah/ San Juan
Utah/ San Juan
Utah/ San Juan
Class I Area
Weminuche
WAa
Weminuche WA
Weminuche WA
Mesa Verde NPb
Mesa Verde NP
Grand Canyon
NP
Grand Canyon
NP
Grand Canyon
NP
Zion NP
Zion NP
Zion NP
Zion NP
Zion NP
Canyonlands
NP
Canyonlands
NP
Canyonlands
NP
Based on data from http://www.epa.qov/ttn/airs/airsaqs/detaildata/downloadaqsdata.htm
a = Wilderness Area; b= National Park
                                           5-19

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 2
 3
 4
 5

 6
 7
     5.2.2  Exposure/Risk-based Considerations
       The WREA presents a number of quantitative analyses of cumulative exposure and risk
related to tree growth, productivity and carbon storage for air quality scenarios intended to
inform our consideration of exposure and risk for considerations associated with the current
standard (see Table 5-3 below, U.S. EPA, 2014, chapter 6).

Table 5-3. Exposure, risk and ecosystem services analyses related to tree growth,
           productivity and carbon storage.

WREA
estimates*



Species Level
Effects




Ecosystem Level
Effects
Percent of total
geographic area6 with
annual relative
biomass loss above
2%
Number of assessed
Class 1 areas with
annual relative
biomass loss above
2%
Ecosystem Services
• Economic surplus to timber producers and
consumers (WREA, Table 6-11)
• Carbon storage, nationally (WREA, Table 6-18)
• Carbon storage, in 5 urban areas (WREA, Table
6-20)
• Air pollutant removal in 5 urban areas (WREA,
Table 6-21)



ft See WREA chapter 6.
BThe total geographic area includes the contiguous U.S..
 9
10
11
12
13
14
15
16
17
18
19
20
21
22
       The relevant quantitative exposure and risk analyses for tree biomass loss, productivity
and carbon storage include:
       1) Species-specific and composite biomass loss estimates.
       2) National-scale assessments for: a) basal area weighted relative biomass loss for tree
          seedlings; b) timber production; c) carbon sequestration.
       3) Case study-scale assessments for: a) carbon sequestration; b) air pollution removal.
     •   For what air quality scenarios were exposures and risks estimated? What
         approaches were used to estimate W126 exposures for those conditions?  What
         are associated limitations and uncertainties?
       In the analyses related to Os effects on tree growth, productivity and carbon storage,
quantitative estimates were developed for five air quality scenarios by the methodology
summarized in Table 5-4 below. In general, this methodology involved two steps. The first is
derivation of the average W126 value (across the three years) at each monitor location. This
value is based on unadjusted  data for recent conditions and model-adjusted concentrations for the
                                          5-20

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1    four other scenarios. The development of model adjusted concentrations was done for each of 9

2    regions independently (see U.S. EPA, 2014, section 4.3.4.1).  In the second step, national-scale

3    spatial surfaces (W126 values for each model grid cell) were created using the monitor-location
4    values and the Voronoi Neighbor Averaging (VNA) spatial interpolation technique (details on

5    the VNA technique are presented in U.S. EPA, 2014 Appendix 4A).
6    Table 5-4. Summary of methodology by which national surface of average W126 index
7                values was derived for each air quality scenario.
           Scenario
                                    Development of W126 values for Each Air Quality Scenario
      Monitor-location-specific calculations
           and any model adjustment
Derivation of national surface of
  average W126 index values
     Recent Conditions
     (2006-2008)
An annual W126 index value is calculated for each
year at each monitor location, using the highest 3-
month period. A location-specific 3-year W126 was
calculated by averaging annual W126 index values
from 3 consecutive years which may have used
different 3-month periods..
     Current Standard
2006-2008 hourly Oa concentrations at each monitor
location are model-adjustedA to create a three year
record of Oa concentrations that just meets the
current standard (see WREA, section 4.3.4).
A seasonal W126 index value is calculated for each
year at each monitor location using the same 3-
month period for each year (which is the highest as a
3-yr average and is highest in at least one of the
years). A location-specific average is derived from
these three index values.
     Average W126 Index
     of 15ppm-hrs
     Average W126 Index
     of 11 ppm-hrs
     Average W126 Index
     of 7 ppm-hrs
Hourly Oa concentrations at each monitor location,
within each modeling region, are model-adjusted to
create a record for which the highest location-specific
average index value in the region (the controlling
location) just meets the scenario target index value.

A seasonal W126 index value is calculated for each
year (of 2006-2008 period) at each monitor location,
using the same 3-month period for each year (which
is the highest in at least one of the  years). A location-
specific average is derived from these three  index
values.
The VNA method is applied to
the monitor-location average
W126 values to create a
national distribution of W126
values within model grid-cells
for each scenario.
     AThe model-based adjustment approach is based on regional emission reduction scenarios at monitor sites
     followed by spatial interpolation for broader spatial coverage. See WREA, chapters 4 and 7, and Appendices
     4A and 7A).
                                                    5-21

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 1
 2          During the recent conditions period (2006 through 2008), the average W126 index values
 3    (across the three-year recent conditions period) at the monitor locations ranged from below 10
 4    ppm-hrs to 48.6 ppm-hrs (U.S. EPA 2014, Figure 4-4 and Table 4-1). Across the nine modeling
 5    regions, the maximum average W126 index values ranged from 48.6 ppm-hrs in the west region
 6    down to 6.6 ppm-hrs in the northwest region.  After model-adjustment of the 2006-2008 data to
 7    just meet the current standard in each region, the region-specific maximum values range from
 8    18.9 ppm-hrs in the west region to 2.6 ppm-hrs in the northeast region (U.S. EPA, 2014, Table 4-
 9    1). After application of the VNA technique to the current standard scenario monitor location
10    values, the average W126 values was below 15 ppm-hrs across the national  surface with the
11    exception of a very small area of the southwest region (near Phoenix) where the  average W126
12    values was near or just above 15 ppm-hrs. A lowering of the highest values occurred with
                                                                                         r\
13    application of the interpolation method as a result of estimating W126 values at a 12x12 km grid
14    resolution rather that at the exact location of a monitor. This indicates one uncertainty associated
15    with this aspect of the approach to estimating W126 values  for the model-adjusted air quality just
16    meeting the current standard.
17          The WREA also recognizes other sources of uncertainty for the W126 estimates for each
18    air quality scenario and qualitatively characterizes the magnitude of uncertainty and potential for
19    directional bias. These sources of uncertainty are described in more detail in the WREA Chapter
20    4 and summarized below. Because the W126 estimates generated in the air quality analyses are
21    inputs to the vegetation risk analyses for biomass loss and foliar injury, any  uncertainties in the
22    air quality analyses are propagated into the those analyses (U.S. EPA 2014,  section 8.5).
23          An important large uncertainty in the analyses is the assumed response of the W126
24    concentrations to emissions reductions needed to meet the existing standard (U.S. EPA, 2014,
25    section 8.5.1). We note that any approach to characterizing  63  air quality over broad geographic
26    areas based on concentrations at monitor locations will convey inherent uncertainty. The model-
27    based adjustments, based on U.S.-wide emissions reductions in oxides of nitrogen (NOx), do not
28    represent air quality distributions from an optimized control scenario that just meets the current
29    standard (or target W126 values for other scenarios), but  characterize one potential distribution
30    of air quality across a region when all monitor locations meet the standard (U.S.  EPA 2014,
                                                5-22

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 1    section 4.3A2).7  An additional uncertainty comes from the creation of a national W126 surface
 2    using the VNA technique to interpolate recent air quality measurements of 63. In general, spatial
 3    interpolation techniques perform better in areas where the Os monitoring network is denser.
 4    Therefore, the W126 estimated in the rural areas  in the West, Northwest, Southwest, and West
 5    North Central with few or no monitors (Figure 2-1) are more uncertain than those estimated for
                                      o
 6    areas with more dense monitoring . Additionally, the surface is created from the three-year
 7    average at the monitor locations, rather than creating a surface for each year and then averaging
 8    across years at each grid cell; the potential impact of this on the resultant estimates is considered
 9    in the WREA (U.S. EPA, 2014, Appendix 4A).
10         •   What are the nature and magnitude of exposure- and risk-related estimates for
11             tree growth, productivity, and carbon storage under recent conditions or
12             conditions remaining upon meeting the current standard? To what extent are
13             these exposures and risks important from a  public welfare perspective?
14           The WREA used the C-R functions for 12 species described above with information on
15    the distribution of those species across the U.S., and average W126 exposure estimates to
16    estimate relative biomass loss for each of the studied species for each national air quality
17    scenario (U.S. EPA, 2014, section 6.2.1.3 and Appendix 6A).  For example, the estimates of
18    relative biomass loss of Ponderosa Pine for air quality model-adjusted to just meet the current
19    standard are illustrated in Figure 5-4 below. While relative biomass loss below 2% is estimated
20    for most areas where this species is found, estimates in some areas of the southwest fall in a bin
21    defined as 2.01-4% biomass loss (U.S. EPA 2014, Figure 6-7 and Appendix 6A).
22
23
24
25
26
27
             7 Because our analyses used U.S.-wide NOx emissions reductions to simulate just meeting the existing
      standard independently in each region, there are broad regional reductions in O3 even in meeting standards in urban
      areas when targeting a few high-ozone urban monitors for reductions.  However, the assumption of broad regional or
      national NOx reductions are not unreasonable given current EPA regulations such as the Clean Air Interstate Rule
      (CAIR), which requires NOx cuts across the Eastern U.S. to reduce regional ozone transport, and the multitude of
      onroad and offroad mobile source rules that will lead to reduction in NOx from these sources across the country in
      future years.
                                                 5-23

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               Relative BiomassLoss
                    | 1.01% -2%
                    I 2,01%-4%
                     4.01%-7%
                     7 01%-10%
                     10.01%-15%
                     15.01%-20%
                    I 20.01%-20%
 2   Figure 5-4.  Relative biomass loss of Ponderosa Pine for air quality model-adjusted to just
 3                meet the current standard (U.S. EPA 2014, Figure 6-7).
 4          The WREA also developed national-scale estimates of 63 biomass ecosystem-level
 5   impacts considering the 12 studied species together (U.S. EPA 2014, section 6.8, Table 6-22).
 6   This was done using the species-specific biomass loss C-R functions, information on prevalence
 7   of the studied species across the U.S., and a weighting approach based on proportion of the basal
 8   area that each species contributes. The RBL values for multiple tree species were weighted by
 9   their basal  area and combined into a weighted RBL value. The weighted relative biomass loss
10   (wRBL) is intended to inform our understanding of the potential magnitude of the ecological
11   effect that could occur in some ecosystems.  Specifically, the more basal area that is affected in a
12   given ecosystem, the larger the potential ecological effect. A wRBL value for each grid cell is
13   generated by weighting the RBL value for each studied tree  species found within that grid cell by
14   the proportion of basal area it contributes to the total basal area of all tree species within the grid
15   cell, and then summing those individual wRBLs.  The percent of total basal area that exceeds a
16   2% weighted relative biomass loss in the recent conditions scenario is 10.1% (U.S. EPA 2014,
17   Table 6-24).  Based on the average W126 values estimated for the air quality scenario just
                                               5-24

-------
 1    meeting the current standard across the contiguous U.S., the WREA estimates 0.8 % of the total
 2    geographic area to have a wRBL above 2% (U.S. EPA 2014, Table 6-24).
 3          We also consider WREA estimates (quantitative and qualitative) of effects on several
 4    ecosystem services.  First, impacts on growth related to 63 concentrations in federally-designated
 5    Class I areas were derived from an average weighted RBL value (discussed above) for 145 of the
 6    155 Class I areas (U.S. EPA 2014, section 6.8.1). Given established objectives for Class I areas
 7    (e.g., to maintain in perpetuity), effects in Class I areas may be considered to have the potential
 8    to adversely affect the intended use of the ecosystem, i.e.,  to maintain in pristine natural
 9    conditions for future generations.   For the recent conditions scenario, this analysis estimates
10    wRBL values above 2% in 13 of the 145 assessed Class I areas.  In comparison, the analysis
11    estimates wRBL values above 2% in only 2 areas based on average W126 values estimated for
12    the current standard scenario (U.S. EPA 2013, Table 6-26).
13          The WREA also presents national-scale estimates of the effects of biomass loss on timber
14    production and agricultural harvesting,  as well as on carbon  sequestration.  The WREA used the
15    Oj, C-R functions for tree seedlings to calculate relative biomass loss.  Because the forestry and
16    agriculture sectors are related, and trade-offs occur between  the sectors, the WREA also
17    calculated  the resulting market-based welfare effects of O?, exposure in the forestry and
18    agriculture sectors. In the analyses for commercial timber production, based on the average
19    W126 values estimated for the air quality scenario just meeting the existing standard, relative
20    biomass losses (RBL) estimates were below one percent in all regions except the Southwest,
21    Southeast, Central, and South regions (U.S. EPA, 2014, section 6.3, Table  6-8) (see U.S. EPA,
22    2014, Table 6-14 for clarification  on region names)). Relative biomass losses remain above one
23    percent for the average W126 scenarios for 15 and 11 ppm-hrs in parts of the Southeast, Central,
24    and South  regions, and for the 7 ppm-hr scenario in the Southeast and South regions (U.S. EPA,
25    2014, section 6.3, Table 6-8).
26          In addition to estimating changes in forestry and agricultural yields, the WREA presents
27    estimated changes in consumer and producer/farmer surplus associated with the change in yields.
28    Changes in biomass affect individual tree species, but the overall effect on forest ecosystem
29    productivity depends on the composition of forest stands and the relative sensitivity of trees
30    within those stands.  Economic welfare impacts resulting from just meeting the existing and
31    alternative standards were largely similar between the forestry and agricultural sectors —
32    consumer surplus, or consumer gains, generally increased in both sectors because higher
33    productivity under lower 63 concentrations increased total yields and reduced market prices.
34    Comparisons are not straightforward to interpret due to market dynamics.  For example, because
35    demand for most forestry and agricultural commodities is  not highly responsive to changes in

                                                5-25

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 1    price, there were more examples for which producer surplus, or producer gains declines.  In
 2    some cases, lower prices reduce producer gains more than can be offset by higher yields.9 In
 3    general, the WREA estimates benefits for agricultural yield of approximately 1 billion dollars
 4    from differences in average W126 index values representing recent conditions from those
 5    representing model-adjusted air quality for the current standard (U.S. EPA 2014, section 6.3).
 6    The national-scale analysis of carbon dioxide (CO2) sequestration estimates substantially more
 7    storage under the current standard compared to recent conditions (U.S. EPA 2014, section 6.6.1,
 8    Table 6-18, Appendix 6B). In considering the significance of the potential climate and
 9    ecosystem service impact, we also take note of the large uncertainties associated with this
10    analysis (see U.S. EPA 2014, Table 6-27).
11           We additionally consider the WREA estimates of tree growth and ecosystem services
12    provided by urban trees over a 25-year period, for five urban areas based on case-study scale
13    analyses that quantified the effects of biomass loss on carbon sequestration and pollution
14    removal (U.S. EPA 2014, sections 6.6.2 and 6.7).10 The urban areas included in this analysis
15    represent diverse geography in the Northeast, Southeast, and Central regions, although do not
16    include an urban area in the western part of the U.S. Estimates of the effects of Os-related
17    biomass loss on carbon sequestration indicate the potential for an increase of somewhat more
18    than a million metric tons of COz equivalents for average W126 values associated with meeting
19    for the current standard  scenario as compared to recent conditions. Somewhat smaller increases
20    are estimated for the three W126 scenarios in comparison to the current standard scenario (U.S.
21    EPA 2014, section 6.6.2 and Appendix 6D).
22           In addition to the quantitative assessments discussed above, qualitative assessments for
23    some ecosystem services, such  as commercial non-timber  forest products and recreation (U.S.
24    EPA, 2014, section 6.4), aesthetic and non-use values (U.S. EPA, 2014, section 6.4), increased
25    susceptibility to insect attack and fire damage (U.S. EPA, 2014,  sections 5.3 and 5.4,
26    respectively), were also conducted.  Other ecological effects that are causally or likely causally
27    associated with Os exposure such as terrestrial productivity, water cycle, biogeochemical cycle,
28    and community composition (U.S. EPA 2013, Table 9-19) were not directly addressed in the
29    WREA due to a lack of sufficient quantitative information.
             9 The relative biomass loss estimates were also used with the Forest and Agricultural Sector Optimization
      Model with Greenhouse Gases (FASOMGHG). FASOMGHG is a national-scale model that provides a complete
      representation of the U.S. forest and agricultural sectors' impacts of meeting alternative standards. FASOMGHG
      simulates the allocation of land over time to competing activities in both the forest and agricultural sectors.
      FASOMGHG results include multi-period, multi-commodity results over 60 to 100 years in 5-year time intervals
      when running the combined forest-agriculture version of the model. See Chapter 6, Section 6.3 of the WREA for a
      discussion of economic welfare and consumer and producer surplus.
             10 The model, iTree, a peer-reviewed suite of software tools provided by USFS was used in this analysis.

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 1           There is substantial heterogeneity in plant responses to 03, both within species, between
 2    species, and across regions of the U.S. The (Vsensitive tree species are different in the eastern
 3    and western U.S. — the eastern U.S. has far more species. Ozone exposure and risk is somewhat
 4    easier to assess in the eastern U.S. because of the availability of more data and the greater
 5    number of species to analyze. In addition, there are more 63 monitors in the eastern U.S. but
 6    fewer national parks (U.S. EPA, 2014, chapter 8).
 7         •   What are the uncertainties associated with both quantitative and  qualitative
 8             information?
 9           Several key limitations and uncertainties, which may have a large impact on both overall
10    confidence and confidence in individual analyses, are discussed here. Key uncertainties
11    associated with the assessment of impacts on ecosystem services at the national and case-study
12    scales, as well as across species, U.S. geographic regions and future years include those
13    associated with the following seedling C-R functions, as well as interpolated and model-adjusted
14    Os concentrations used to estimate W126 exposures in the REA air quality scenarios.  The
15    uncertainties in the W126 exposure estimates are discussed above at the beginning of section
16    5.2.2.
17           With regard to the seedling C-R functions, the description of Figure 5-2 above provides
18     some characterization of the variability of individual study results and the impact of that on
19     estimates of W126 index values that might elicit different percentages of biomass loss in tree
20     seedlings (U.S. EPA, 2014, section 6.2.1.2). Even though the evidence shows that there are
21     additional species adversely affected by Ch-related biomass loss, the WREA only has C-R
22     functions available to quantify this loss for 12 tree species and 10 crop species. This absence of
23     information only allows a partial characterization  of the Os-related biomass loss impacts in trees
24     and crops associated with recent 63 index values and with just meeting the existing and
25     potential alternative secondary standards. In addition, there are uncertainties inherent in these C-
26     R functions, including the extrapolation of relative biomass loss rates from tree seedlings to
27     adult trees and  information regarding within-species variability. The overall confidence in the
28     C-R function varies by species based on the number of studies available for that species. Some
29     species have low within-species variability (e.g., many agricultural crops) and high
30     seedling/adult comparability (e.g., Aspen), while other species do not (e.g., Black Cherry). The
31     uncertainties in the C-R functions for biomass loss and in the air quality analyses are propagated
32     into the analysis of the impact of biomass loss on ecosystem services, including provisioning
33     and regulating services (U.S. EPA, 2014, Table 6-27).  The WREA characterizes the direction
34     of potential influence of C-R function uncertainty  as unknown, yet its magnitude as high,
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 1    concluding that further studies are needed to determine how accurately the assessed species
 2    reflect the larger suite of (Vsensitive tree species in the U.S. (U.S. EPA, 2014, Table 6-27).
 3          Another uncertainty associated with interpretation of the WREA biomass loss-related
 4    estimates concerns the potential for underestimation of compounding of growth effects across
 5    multiple years of varying concentrations.  Though tree biomass loss impacts were estimated
 6    using air quality scenarios of 3-year average W126 values, the WREA also conducted an
 7    analysis to compare the impact of using a variable compounding rate based on yearly variations
 8    in W126 exposures to that of using a W126 index value averaged across three years. The WREA
 9    compared the compounded values for two examples.  In both examples, one species (Tulip Polar
10    and Ponderosa Pine) and one climate region where that species occurred (Southeast and
11    Southwest regions) were chosen and air quality values associated with just meeting the existing
12    standard of 75 ppb were used.  Within each region the WREA analysis used both the W126 value
13    at each monitor in the region for each year and the three-year average W126 value using the
14    method described in  Chapter 4.  The results show that the use of the three-year average W126
15    index value may underestimate RBL values slightly, but the approach does not account for
16    moisture levels or other environmental factors that could affect biomass loss (U.S. EPA, 2014,
17    section 6.2.1.4 and Figure 6-13).  In considering these results, we note that in both regions and in
18    all three years, the three-year average W126 value is sometimes above and sometimes below the
19    individual year W126 index  value.
20          In the national-scale analyses of timber production, agricultural harvesting, and carbon
21    sequestration, the WREA used the FASOMGHG model, which includes functions for carbon
22    sequestration, assumptions regarding proxy species, and non-W126 C-R functions for three
23    crops. However, FASOMGHG does not include agriculture and forestry on public lands,
24    changes in exports due to O^ into international trade projections, or forest adaptation. Despite
25    the inherent limitations and uncertainties, the WREA concludes that the FASOMGHG model
26    reflects reasonable and appropriate assumptions for a national-scale assessment of changes in
27    the agricultural and  forestry sectors due to changes in vegetation biomass associated with O3
28    exposure (U.S. EPA, 2014,  sections 6.3, 6.5, 6.6, and 8.5.2).

29          In the case study analyses of five urban areas, the WREA used the iTree model, which
30    includes an urban tree inventory for each area and species-specific pollution removal and carbon
31    sequestration functions. However, iTree does not account for the potential additional VOC
32    emissions from tree growth, which could contribute to Oi formation.  Despite the inherent
33    limitations and uncertainties, the WREA concludes that the iTree model reflects reasonable and

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 1     appropriate assumptions for a case study assessment of pollution removal and carbon
 2     sequestration for changes in biomass associated with O^ exposure (U.S. EPA, 2014, sections
 3     6.6.2, 6.7, and 8.5.2).

 4          The overall effect of the combined set of uncertainties on confidence in the interpretation
 5    of the results of the analyses is difficult to quantify. Due to differences in available information,
 6    the degree to which each analysis was able to incorporate quantitative assessments of uncertainty
 7    differed.

 8         5.3   CROP YIELD LOSS
 9          This section considers the current evidence and exposure/risk information to inform
10    consideration of the adequacy of the protection provided by the current standard from known and
11    anticipated adverse welfare effects of 63 related to crop yield and other associated effects. Crops
12    are important from a public welfare perspective because they provide food and fiber services to
13    humans.  This section includes a discussion of the policy-relevant science and weight-of-
14    evidence conclusions discussed in the ISA (section 5.3.1) and the exposure/risk results (section
15    5.3.2) described in the second draft WREA.  Important uncertainties and limitations in the
16    available information are discussed throughout the sections.  These discussions highlight the
17    information we consider relevant to answering the overarching question and associated policy-
18    relevant questions included in this section.
19         5.3.1   Evidence-based Considerations
20          Ozone can interfere with carbon gain (photosynthesis) and allocation of carbon.  As a
21    result of decreased carbohydrate availability, fewer carbohydrates are available for plant growth,
22    reproduction, and/or yield.  For seed-bearing plants, these reproductive effects will culminate in
23    reduced  seed production or yield. The detrimental  effect of Os on crop production has been
24    recognized since the 1960s, and current Os concentrations in many areas across the U.S. are high
25    enough to cause yield loss in a variety of agricultural crops including, but not limited to,
26    soybeans, wheat, potatoes,  watermelons, beans, turnips, onions, lettuces, and tomatoes.
27    Increases in  Oj concentration may further decrease yield in these sensitive crops while also
28    causing yield losses in less sensitive crops (U.S. EPA 2013, section 9.4.4). The ISA concluded
29    that the evidence is sufficient to determine that there is a causal relationship between Oj,
30    exposure and reduced yield and quality of agricultural crops (U.S. EPA 2013, Table 2-2).
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 1         •  To what extent has scientific information become available that alters or
 2            substantiates our prior conclusions regarding Os-related crop yield loss and of
 3            factors that influence associations between Os levels and crop yield loss?
 4          In general, the vast majority of the new scientific information has substantiated our prior
 5    conclusions regarding 63 crop yield loss.  On the whole, this evidence supports previous
 6    conclusions that exposure to 63 decreases growth and yield of crops.  The ISA describes average
 7    yield loss reported across a number of meta-analytic studies have been published recently for
 8    soybean wheat, rice, semi-natural vegetation, potato, bean and barley (U.S. EPA 2013, section
 9    9.4.4.1). Meta-analysis allows for the objective development of a quantitative consensus of the
10    effects of a treatment across a wide body of literature. Further, several new exposure studies
11    continue to show decreasing yield and biomass in a variety of crops with increased 63 exposure
12    (U.S. EPA 2013, section 9.4.4.1, Table 9-17).  Research has linked increasing OT, concentration
13    to decreased photosynthetic rates and accelerated aging (U.S. EPA 2013, section 9.4.4) in leaves,
14    which are related to yield. Recent research has highlighted the effects of 63 on crop quality.
15    Increasing O^ concentration decreases nutritive quality of grasses,  decreases macro- and micro-
16    nutrient concentrations in fruits and vegetable crops (U.S. EPA 2013,  section 9.4.4). The
17    findings of these studies did not change our understanding of (Vrelated crop loss and little
18    information has  emerged on factors that influence associations between 03 levels and crop yield
19    loss.
20         •  To what extent have important uncertainties identified in the last review been
21            reduced and/or new uncertainties emerged?
22          Important uncertainties have been reduced regarding the confidence placed in using crop
23    exposure-response functions, especially for soybean.  In general, the ISA reports consistent
24    results across exposure techniques and across crop varieties.
25          Two important uncertainties have been reduced regarding the C-R functions for yield
26    effects of Os in crop species, especially for soybean.  First, in the last several reviews, the extent
27    to which C-R functions developed in OTC predicted plant responses in the field and under
28    different exposure conditions was not clear. In this review, staff from the EPA's ORD/NCEA
29    performed an analysis comparing OTC data with field-based data for one crop and  one tree
30    species (U.S. EPA, 2013, section 9.6.3.2).  The crop comparison was done using soybean OTC
31    data from NCLAN and field-based data from Soy FACE. The NCLAN studies were undertaken
32    in the early to mid 1980's and provide the largest, most uniform database on the effects of Os on
33    agricultural crop yields (U.S. EPA 1996; U.S. EPA 2006; U.S. EPA 2013, sections 9.2, 9.4, and
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 1    9.6). n The Soy FACE experiment was a chamberless field-based exposure study in Illinois that
 2    was conducted from 2001 - 2009 (U.S. EPA 2013, section 9.2.4). Yield loss in soybean from O3
 3    exposure at the Soy FACE field experiment was reliably predicted by soybean C-R functions
 4    developed in NCLAN (U.S. EPA, 2013, Section 9.6). This analysis supports the robustness and
 5    use of the C-R functions developed in NCLAN to predict relative yield loss to O3 exposure.
 6           A second area of uncertainty that was reduced is that regarding the application of the
 7    NCLAN C-R functions, developed in the 1980s, to more recent cultivars currently growing in the
 8    field. However, recent studies continue to find yield loss levels in crop species studied
 9    previously under NCLAN that reflect the earlier findings.  There has been little new evidence
10    that crops are becoming more tolerant of O3 (U.S. EPA, 2006a; U.S. EPA 2013).  This is
11    especially evident in the research on soybean.  In a meta-analysis of 53 studies, Morgan et al.
12    (2003) found  consistent deleterious effects of O3 exposures on soybean from studies published
13    between 1973 and 2001. Further, Betzelberger et al. (2010) has recently utilized the SoyFACE
14    facility to compare the impact of elevated O3 concentrations across 10 soybean cultivars to
15    investigate intraspecific variability of the O3 response.  The C-R  functions derived for these 10
16    current cultivars were similar to the response functions derived from the NCLAN studies
17    conducted in the 1980s (Heagle, 1989), suggesting there has not been any selection for increased
18    tolerance to O3 in more recent cultivars. The 2013 ISA reported comparisons between yield
19    predictions based on data from cultivars used in NCLAN studies, and yield data for modern
20    cultivars from SoyFACE (U.S. EPA, 2013, section 9.6.3). They confirm that the average
21    response of soybean yield to O3  exposure has not changed in current cultivars. Thus, staff
22    concludes that at least for soybean, uncertainties associated with  use of the NCLAN generated C-
23    R functions to estimate biomass loss in recent cultivars has been  reduced.
24         •   To what extent does the available evidence indicate the occurrence of Os-related
25             effects on crop yield loss attributable to cumulative exposures at lower ambient Os
26             concentrations than previously established or to exposures at or below the level of
27             the  current standard?
28           Very little evidence has emerged to indicate a lower level cumulative exposures  that can
29    affect crop yield (levels of concern), that have been based on C-R functions from OTC
             11 The NCLAN protocol was designed to produce crop exposure-response data representative of the areas
      in the U.S. where the crops were typically grown. In total, 15 species (e.g., corn, soybean, winter wheat, tobacco,
      sorghum, cotton, barley, peanuts, dry beans, potato, lettuce, turnip, and hay [alfalfa, clover, and fescue]), accounting
      for greater than 85 percent of U.S. agricultural acreage planted at that time, were studied. Of these 15 species, 13
      species including 38 different cultivars were combined in 54 cases representing unique combinations of cultivars,
      sites, water regimes, and exposure conditions. Crops were grown under typical farm conditions and exposed in
      open-top chambers to ambient O3, sub-ambient O3, and above ambient O3.

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 1    experiments. As described above, the new evidence has strengthened the basis for using the
 2    information from the C-R functions.
 3          Where the current evidence on crop yield loss is not in terms of parts per billion
 4    concentrations over a specific exposure period such as eight hours, assessing whether O^
 5    concentrations associated with meeting the current standard would allow crop yield effects is
 6    more complex. Where feasible, we have attempted to characterize the Os exposures associated
 7    with crop yield loss in terms of seasonal W126 index and we have separately considered the
 8    extent to which such index values might be expected to occur in agricultural locations that meet
 9    the current standard. For example, Sedgwick and Sumner counties in Kansas met the level of the
10    3-year 8-hr standard of 75 ppb in 2011. However, the W126 for 2011 in those counties was  19
11    ppm-hours and would be predicted to result in a 9% yield loss for soybean grown in those
12    counties.
13         •   To what extent does currently available evidence suggest locations where the
14             vulnerability of sensitive species, ecosystems and/or their associated services to
15             Os-related crop yield loss would have special significance to the public welfare?
16          During the previous NAAQS reviews, there were very few studies that estimated Os
17    impacts on crop  yields at large geographical scales (i.e., regional, national or global). Recent
18    modeling studies of the historical iimpact of 63 concentrations found that increased 63 generally
19    reduced crop yield,  but the impacts varied across regions and crop species (U.S. EPA, 2013,
20    Section 9.4.4.1). The largest Cb-induced crop yield losses were estimated to occur in high-
21    production areas exposed to  elevated 63 concentrations, such as the Midwest and the Mississippi
22    Valley regions of the United States. Among crop species, the estimated yield loss for wheat and
23    soybean were higher than rice and maize. Additionally, satellite and ground-based 63
24    measurements have been used to assess yield loss caused by Os over the continuous tri-state area
25    of Illinois, Iowa, and Wisconsin. The results indicate that O?,  concentrations during the assessed
26    period reduced soybean yield, which correlates well with the previous results from FACE- and
27    OTC-type experiments (U.S. EPA 2013,  section 9.4.4.1).
28          Thus, the recent scientific literature continues to support the conclusions of the 1996 and
29    2006 Criteria Documents and 2013 ISA that ambient 63 concentrations can reduce the yield of
30    major commodity crops in the U.S. and support the use of crop C-R functions based on OTC
31    experiments. Agricultural areas that would be likely to have the most significance to the public
32    welfare would be those high production areas for sensitive crops that also are exposed to high OT,
33    concentrations, such as areas in the Midwest and Mississippi Valley regions.
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 1         5.3.2   Exposure/Risk-based Considerations
 2          Two main analyses are conducted in the second draft WREA to estimate Os impacts
 3    related to crop yield. Annual yield losses are estimated for 10 commodity crops and these
 4    estimates are then additionally used to estimate 63 impacts on producer and consumer economic
 5    surpluses (Table 5-5 below; U.S. EPA, 2014, sections 6.2, 6.5).

 6    Table 5-5. Exposure, risk and ecosystem services analyses related to crop yield.

REA estimates
Crop-level impact*
Annual Relative Yield Loss
Corn, Cotton, Potato, Sorghum,
Soybean, Winter Wheat
Agri-Ecosystem Services6
Economic surplus to crop producers
and consumers
ASee section 6.2 WREA. 3See section 6.5 WREA.
 7
 8         •  For what air quality scenarios were exposures and risks estimated? What
 9            approaches were used to estimate W126 exposures for those conditions?  What
10            are associated limitations and uncertainties?
11          The WREA crop analyses described here were performed for five air quality scenarios by
12    the methodology summarized in Table 5-4 above.  In general, this methodology involved two
13    steps. The first is derivation of the average W126 value (across the three years) at each monitor
14    location. This value is based on unadjusted data for recent conditions and model-adjusted
15    concentrations for the 4 other scenarios. The development of model adjusted concentrations was
16    done for each of 9 regions independently (see U.S. EPA, 2014, section 4.3.4.1).  In the second
17    step, national-scale  spatial surfaces (W126 values for each model grid cell) were created using
18    the monitor-location values and the Voronoi Neighbor Averaging (VNA) spatial interpolation
19    technique (details on the VNA technique are presented in U.S. EPA, 2014 Appendix 4A). The
20    results of model adjustments on estimated average W126 values and grid cell estimates produced
21    from the VNA interpolation approach is summarized in section 5.2.2 above. A lowering of the
22    highest values occurred with application of the interpolation method as a result of estimating
                               9                                                       	
23    W126 values at a 12x12 km  grid resolution rather that at the exact location of a monitor. This
24    indicates one uncertainty  associated with this aspect of the approach to estimating W126 values
25    for the model-adjusted air quality just meeting the current standard. Other areas of uncertainty
26    associated with the model adjustment and VNA interpolation approach are briefly summarized in
27    section 5.2.2 above  and described in more detail in the WREA (U.S. EPA, 2014, chapter 4 and
28    Appendix 4A).
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 1         •  What is the nature and magnitude of the cumulative exposure- and risk-related
 2            estimates for crop yield loss associated with remaining upon simulating just
 3            meeting the current Os standard? What are the uncertainties associated this
 4            information?
 5           The WREA presents estimates of crop yield loss for the five air quality scenarios
 6    described above using C-R functions for commodity crops across the country (U.S. EPA, 2014,
 7    section 6.5). The largest reduction in Oj, exposure-related crop yield loss occurs when moving
 8    from the recent conditions scenario to that for just meeting the current standard (U.S. EPA, 2014,
 9    section 6.5). In the analyses for agricultural harvest, the largest estimates of yield changes  also
10    occur when comparing the recent conditions scenario to that for the current standard. Under
11    recent conditions, the West, Southwest, and Northeast regions generally have the highest yield
12    losses.  For the three average W126 scenarios, relative yield losses for winter wheat12 are less
13    than one percent. For soybeans, yield losses for these scenarios range from just above 1  percent
14    to below one percent (U.S. EPA 2014, section 6.5).
15           The WREA estimates of Os-attributable percent yield loss based on average W126 values
16    estimated for just meeting the current standard are relatively small (0.0 - 2.72%, U.S. EPA 2014,
17    section 6.5, Appendix 6B).  In considering these estimates, we recognize the significant
18    uncertainties associated with several aspects of the analyses.  Because the W126 estimates
19    generated in the air quality analyses are inputs to the vegetation risk analyses for biomass loss,
20    crop loss and foliar injury, any uncertainties in the air quality analyses are propagated into the
21    those analyses (U.S. EPA 2014, Table 6-27, section 8.5).
22         •  To what extent are the exposures and risks remaining upon simulating just
23            meeting the current Os standard important from a public welfare perspective?
24           From a public welfare prospective, the O?, attributable risks to crops estimated for
25    conditions that just meet the current standard are  small.  As discussed in the WREA and
26    summarized above, there are multiple areas of uncertainty associated with these estimates,
27    including those associated with the model-based adjustment methodology as well as those
28    associated with projection of yield loss at the estimated 63 concentrations (U.S. EPA, 2014,
29    Table 6-27, section 8.5).
             12 Among the major crops, because winter wheat and soybeans are more sensitive to ambient O3 levels than
      other crops we include these crops for this discussion.

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 1         •  What are the ecosystem services potentially affected by Os-related crop yield loss
 2            and to what extent are they important from a public welfare perspective? To
 3            what degree can the magnitude of the O3 effect on these services be qualitatively
 4            or quantitatively characterized?
 5          The WREA presents national-scale estimates of the  effects of biomass loss on timber
 6    production and agricultural harvesting, as well as on carbon sequestration (U.S. EPA 2014,
 7    section 6.5).  Because the forestry and agriculture sectors are related, and trade-offs occur
 8    between the sectors, the WREA also calculated the resulting market-based welfare effects of Os
 9    exposure in the forestry and agriculture sectors. Overall effect on agricultural yields and
10    producer and consumer surplus depends on the (1) ability of producers/farmers to substitute
11    other crops that are less Os sensitive, and (2) responsiveness, or elasticity, of demand and supply
12    (U.S. EPA, 2014, sections 6.5, 8.2.1.3). Estimated  (Vattributable economic welfare impacts on
13    agricultural sectors associated with air quality conditions model-adjusted to just meet the existing
14    and potential alternative W126 standard levels were largely similar between the forestry and
15    agricultural sectors. Estimates of consumer surplus, or consumer gains, were generally higher
16    under those conditions (compared to recent conditions) in both sectors because higher
17    productivity under lower O?, concentrations increased total yields and reduced market prices
18    (U.S. EPA 2014, Table 6-16). Because demand for most forestry and agricultural commodities
19    is not highly responsive to changes in price, there were more examples for which producer
20    surplus,  or producer gains,  decline. For agricultural welfare, annualized combined consumer and
21    producer surplus gains were estimated to be $2.6 trillion for model adjustment to meet the
22    current standard.  Combined gains were essentially unchanged in comparisons of the  current
23    standard scenario to the average W126 scenario for  15 ppm-hrs, but gains increased by $21
24    million for the W126 scenario for 11 ppm-hrs and $231 million for the W126 scenario for 7
25    ppm-hrs. In some cases, lower prices reduce producer gains more than can be offset by higher
26    yields (U.S. EPA, 2014, Table 6-17).
27          The WREA discusses multiple areas of uncertainty associated with these estimates  (also
28    summarized above), including those associated with the model-based adjustment methodology as
29    well as those associated with projection of yield loss at the estimated 63 concentrations (U.S.
30    EPA, 2014, Table 6-27, section 8.5).

31         5.4  VISIBLE FOLIAR INJURY
32          Visible foliar injury resulting from exposure to 63 has been well characterized and
33    documented over several decades of research on many tree, shrub, herbaceous, and crop species
34    (U.S. EPA, 2013, 2006, 1996, 1984, 1978).  The significance of O3 injury at the leaf and whole
35    plant levels depends on an array of factors and there is difficulty in relating visible foliar injury

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 1    symptoms to other vegetation effects such as individual tree growth, or effects at population or
 2    ecosystem characteristics (U.S. EPA, 2013, p. 9-39). Visible foliar injury by itself, however, can
 3    impact the public welfare through damaging or impairing the intended use of the affected entity
 4    or the service it provides. For example, ways by which Os-induced visible foliar injury may
 5    impact the public welfare thus include: 1) visible damage to ornamental species or leafy crops
 6    (spinach, lettuce, tobacco) that affects the economic value, yield, or usability of that plant (U.S.
 7    EPA 2007, section 7.4.1; Abt Associates, Inc. 1995); 2) visible damage to plants with special
 8    cultural significance (e.g., those used in tribal practices); 3) visible damage to species occurring
 9    in natural settings valued for their scenic beauty and/or recreational appeal, including in areas
10    specially designated for more protection (i.e., federal Class I areas) (73 FR 16490). Given
11    limitations in the available information pertaining to the first two categories,13 the discussions of
12    the evidence and exposure/risk information in sections 5.4.1 and 5.4.2 below focus primarily on
13    what is known about visible foliar injury that has been shown to occur in natural settings valued
14    for their scenic beauty and/or recreational appeal.
15           At the time of the last review, the following was known:
16           1) Ozone causes diagnostic visible injury symptoms on studied bioindicator species.
17           2) Soil moisture is a major confounding effect that can decrease the incidence and
18              severity of visible foliar injury under dry conditions and visa versa.
19           3) The most extensive dataset regarding visible foliar injury incidence across the U.S.
20             was that collected by the U. S. Forest Service (USFS) Forest Health Monitoring/Forest
21             Inventory and Analysis (FHM/FIA) Program.
22           4) Staff analyses of county level air quality data and USFS biomonitoring data showed
23             that for each year within  a four year period (2001 - 2004) the percentage of counties
24             having a biosite with visible foliar injury ranged between  11-30% at an 8-hour average
25             annual level of 0.074 ppm (U.S. EPA, 2007, section 7.6.3.2).
26           In the remainder of this section, we consider how the currently available evidence and
27    exposure/risk information informs our understanding of the relationship that exists between
28    visible foliar injury and exposures to Os in ambient air and consideration of the  adequacy of
29    protection provided by the current standard. The policy-relevant evidence and weight-of-
30    evidence conclusions drawn from the ISA are discussed in section 5.4.1, and the exposure/risk
31    and associated ecosystem services estimates from the second draft WREA, are discussed in
32    section 5.4.2. Important uncertainties and limitations in each type of available information are
33    also discussed in these two sections.
             13 Qualitative information regarding potential cultural impacts of O3-induced visible foliar injury is noted in
      section 5.5 and Appendix 5A).

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 1         5.4.1   Evidence-based Considerations
 2         •  To what extent has scientific information become available that alters or
 3            substantiates our previous conclusions of Os-related visible foliar injury and of
 4            factors that influence associations between Os exposures or concentrations and
 5            visible foliar injury?
 6          Recent research continues to build and substantiate the previous conclusions and findings
 7    drawn from several decades of research on many tree, shrub, herbaceous, and crop species (U.S.
 8    EPA, 2013, 2006, 1996, 1984, 1978) that O3-induced visible foliar injury symptoms are well
 9    characterized and considered  diagnostic on certain bioindicator plant species. Diagnostic usage
10    for these plants has been verified experimentally in exposure-response studies, using exposure
11    methodologies such as continuous stirred tank reactors (CSTRs), open-top chambers (OTCs),
12    and free-air fumigation (FACE). Although there remains a lack of robust exposure-response
13    functions that would allow prediction of visible foliar injury severity and incidence under
14    varying air quality and environmental conditions, experimental and observational evidence has
15    clearly established a consistent association of the presence of visible injury symptoms with Os
16    exposure, with greater exposure often resulting in greater and more prevalent injury (U.S. EPA
17    2013, section 9.4.2). This new research includes: 1) controlled exposure studies conducted to
18    test and verify the Os sensitivity and response of potential new bioindicator plant species; 2)
19    multi-year field  surveys in several National Wildlife Refuges documenting the presence of foliar
20    injury in valued  areas; 3) ongoing data collection and assessment by the USDA Forest Service
21    FUM/FIA program, including multi-year trend analysis (U.S. EPA 2013, section 9.4.2). These
22    recent studies, in combination with the entire body of available evidence, thus form the basis for
23    the ISA determinations of a causal relationship between ambient Os exposure and the occurrence
24    of Os-induced visible foliar injury on sensitive vegetation across the U.S. (U.S. EPA 2013, p. 9-
25    42).
26          With regard to evidence from controlled exposure studies, a recent study of 28 plant
27    species confirmed prior findings of 63 causing predictable diagnostic visible foliar injury
28    symptoms on some species of plants. This study selected 28 plant species, most of which grow
29    naturally throughout the northeast and midwest US, including in national parks and wilderness
30    areas, that were  suspected of being Oj, sensitive, and exposed them to four different 63
31    concentrations (30, 60, 90, and 120 ppb) in continuously stirred tank reactor (CSTR) chambers
32    (Kline et al., 2008). Two  experiments were conducted in each year of the study (2003 and 2004).
33    Plants were exposed to 63 for 7 hours a day, five days a week over the course of each
34    experiment.  Specifically, in 2003, the first experiment lasted from July 14 to August 21and
35    included 29 days of 63 exposure and the second from September 9 to 30 and included 16
36    exposure days. In 2004, the first experiment was conducted from July 13 to August 10 with 21

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 1    Os exposure days and the second from August 27 to September 24, including 21 days of Os
 2    exposure.  Though the exposures were cumulative over the course of the study, exposures were
 3    reported only in terms of the target exposure concentration for each experiment. The study
 4    reported Os-induced responses in 12, 20, 28 and 28 of the 28 tested species at the 30, 60, 90 and
 5    120 ppb exposure concentrations14, respectively.  Based on their findings, the authors suggest
 6    that American sycamore, aromatic sumac, bee-balm, buttonbush, common milkweed, European
 7    dwarf elderberry, New England aster, snowberry and swamp milkweed would make the most
 8    useful bioindicator species. Some of these species are native to U.S. locations designated of
 9    national significance (discussed further below).  The staff additionally concludes that given that
10    the exposure protocol was designed to create a continuous exposure level, not a fluctuating one,
11    this study shows that Cb-induced foliar injury can occur from 7-hour exposures repeated over
12    multiple days at Oj, concentrations that are below the 75 ppb level of the current standard.15
13    While this type of controlled study provides clear evidence of cause and effect, it also has
14    limitations. The authors, recognizing this cautioned that "extrapolation of these CSTR results to
15    the field must be done carefully, since CSTR/greenhouse conditions ... are not representative of
16    natural environmental conditions" (Kline et al., 2008).
17           A string of recently published multi-year field studies provide a complimentary line of
18    field-based evidence by documenting the incidence of visible foliar injury symptoms on a variety
19    of Os-sensitive species over multiple years and across a range of cumulative, seasonal exposure
20    values in several eastern and midwestern Class I national wildlife refuges (NWRs) (U.S. EPA
21    2013, section 9.4.2.1; Davis and Orendovinci 2006; Davis 2007a, b; Davis 2009).  Some of these
22    studies also included information regarding soil moisture stress using the Palmer Drought
23    Severity Index (PDSI). While environmental conditions and species varied across the four
24    NWRs, visible foliar injury was documented to a greater or lesser degree at each site. As
25    discussed further below, visible foliar injury incidence  in these types of areas has greater
26    significance to the public welfare.
27         •  To what extent have important uncertainties identified in the last review been
28            reduced and/or new uncertainties emerged?
29           The studies mentioned above also provide additional information regarding an important
30    uncertainty indentified in the previous review, i.e., the role of soil moisture in influencing visible
             14 Two of the target exposure levels, 30 and 60 ppb, fall below the level of the current standard (75 ppb).
      The mean exposure concentrations achieved in the CTSRs for the 30 ppb target level for each year and study were
      27.9, 26.3, 27.1, and 29.3 ppb and for the 60 ppb target level were 56.6, 55.8, 57.9, and 59.0 ppb, for 2003 study 1,
      2003 study 2, 2004 study 1, and 2004 study 2, respectively.
             15 The current standard is met when the 3-year average of the 4th highest daily maximum 8-hour average
      concentrations is at or below 75 ppb.

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 1    foliar injury response (U.S. EPA 2013, section 9.4.2).  These studies confirm that adequate soil
 2    moisture creates an environment conducive to greater visible foliar injury in the presence of 63
 3    than drier conditions. As stated in the ISA, "[a] major modifying factor for Os-induced visible
 4    foliar injury is the amount of soil moisture available to a plant during the year that the visible
 5    foliar injury is being assessed ... because lack of soil moisture generally decreases stomatal
 6    conductance of plants and, therefore, limits the amount of Os entering the leaf that can cause
 7    injury" (U.S. EPA, 2013, p. 9-39). As a result, "many studies have shown that dry periods in
 8    local areas tend to decrease the incidence and severity of (Vinduced visible foliar injury;
 9    therefore, the incidence of visible foliar injury is not always higher in years and areas with higher
10    O3, especially with co-occurring drought (Smith, 2012; Smith et al., 2003)" (U.S. EPA, 2013, p.
11    9-39). This "... partial 'protection' against the effects of Os afforded by drought has been
12    observed in field experiments (Low et al., 2006) and modeled in computer simulations
13    (Broadmeadow and Jackson, 2000)" (U.S. EPA, 2013, p. 9-87).  In considering the extent of any
14    protective role of drought conditions, however, the ISA also notes that other studies have shown
15    that "drought may exacerbate the effects of 63  on plants (Pollastrini et al., 2010; Grulke et al.,
16    2003)" and that "[t]here is also some evidence that 63 can predispose plants to drought stress
17    (Maier-Maercker, 1998)". Accordingly, the ISA concludes that "the nature of the response is
18    largely species-specific and will depend to some extent upon the sequence in which the stressors
19    occur" (U.S. EPA, 2013, p. 9-87).  Such uncertainties associated with  describing the potential for
20    foliar injury and its severity or extent of occurrence for any given air quality scenario due to
21    confounding by soil moisture levels make it difficult to identify an appropriate degree of annual
22    protection (as well as ambient Os exposure conditions that might be expected to provide that
23    protection).
24         •  To what extent does the available evidence indicate the occurrence of Os-related
25            visible foliar injury attributable to  cumulative exposures at lower ambient Os
26            concentrations than previously established or to exposures at or below the level of
27            the current standard?
28          Recently available evidence confirms that available in previous reviews that visible foliar
29    injury can occur when sensitive plants are exposed to elevated O^ concentrations in a
30    predisposing environment (i.e. adequate soil moisture (U.S. EPA, 2013, section 9.4.2). Recent
31    evidence also continues to indicate the occurrence of visible foliar injury at cumulative ambient
32    Os exposures previously established. Since the 2006 03 AQCD, results from several multi-year
33    field  surveys and experimental screenings of (Vinduced visible foliar injury on vegetation also
34    show that visible foliar injury can occur under conditions where the annual 8-hour average Os
35    concentrations are at or below the level of the current standard, as discussed here.  Limited
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 1    information exists regarding the incidence of visible foliar injury occurring in areas that have
 2    design values that meet the current 3-year average 8-hour standard.
 3          To facilitate comparison with other studies reporting foliar injury response to W126
 4    cumulative exposures, we obtained air quality data from EPA's AQS database for monitors in
 5    each study location and calculated the  12-hr W126 values and obtained the maximum 4*  high 8-
 6    hour average values for a subset of the most recent years included in each study (Table 5-6).  As
 7    the shaded rows in Table 5-6 below show, in the years 2002/2003 and 2004 in the Cape Romain
 8    National Wildlife Refuge in SC, and the Seney National Wildlife Refuge in Michigan,
 9    respectively, the 4th highest daily maximum 8-hour average 63 concentrations were at or below
10    the level of the current standard. We additionally note that the Cape Romain site met the current
11    standard of 75 in every 3-year period during the study and has consistently met the standard from
12    2001 to 2012.16 Under these air quality conditions, three species exhibited (Vinduced stipple
13    (winged sumac, Chinese tallow tree, and wild grape). In 2002, 32% of the examined wild grape
14    plants, 20% of the winged sumac plants, and 4.6% of the Chinese tallow tree plants, respectively,
15    were symptomatic (Davis 2009). At the same time, the 12 hour W126 value was 20 ppm-hrs. In
16    2003, when air quality was somewhat improved, foliar injury declined, with only 13.3% of wild
17    grape showing ozone stipple at a maximum 4th high 8-hr of 74 ppb and a W126  of 11 ppm-hr.
18    The PSDI values were 0.27 and 2.45 in 2002 and 2003, respectively. These values show that
19    2003 was a wetter year than 2002, though 2002 would have been considered within the normal
20    soil moisture range.
21          At the Seney NWR site, by comparison, the annual W126 level was similar in 2004 to
22    that at Cape Romain in 2003, and the annual 8-hour average level was below that of the current
23    standard, though the 3-year average design values were above that of the current standard for that
24    year. Not surprisingly, given the lower 63  air quality in 2004, the Seney study reported injury
25    ranging from about 2% on common milkweed to about 6% on spreading dogbane. Though this
26    study does not provide the PDSI values, the authors provided some discussion of a possible
27    relationship stating that "the incidence of ozone injury on spreading dogbane, but not other
28    species, was weakly, but not significantly, related to the drought index (PDSI)... .However this
29    relationship was too weak to be used for predictive purposes." The authors then conclude that
30    "[nevertheless, the threshold SUM06 ozone level needed to induce stipple on sensitive plants
31    within the Seney refuge is likely 5000 ppb-hrs under the environmental conditions of these
32    surveys." On the basis of the above, the staff concludes that these studies confirm that visible
33    foliar injury has been shown to occur in the field at W126 index values ranging  down to 10 ppm-
            1 ''Design values (concentrations in the form of the standard) for this monitoring site during this period are
      presented in the file available at: http://www.epa.gov/airtrends/values.html

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 1    hrs and provide limited evidence that such foliar injury can occur in areas with special public
 2    welfare significance during periods that meet the current standard.

 3    Table 5-6.    Visible foliar injury incidence in four National Wildlife Refuges.
Name/ Site #/ Ref .A
Cape Remain NWR, SCI
4501 90046 (Davis, 2009)
Moosehorn NWR, ME/ 230090102
(Davis, 2007a)
Seney NWR, Ml/ 261 530001
(Davis, 2007b)
NWR, NJ/ 34001 0005/
(Davis and Orendovici, 2006)
Year6
2002
2003
2002
2003
2004
2002
2003
2004
2001
2002
2003
AStudies (cited above) reported exposures in terms
calculated exposures in terms of the current 8-hr an
B0nly recent years with available W126 data were ir
4th highest daily maximum
8-hr average
0.075 ppm
0.074 ppm
0.1 ppm
0.083 ppm
0.082 ppm
0.083 ppm
0.076 ppm
0.074 ppm
0.095 ppm
0.092 ppm
0.085 ppm
12hr.W126
20 ppm-hr
11 ppm-hr
24 ppm-hr
22 ppm-hr
14 ppm-hr
11 ppm-hr
15 ppm-hr
10 ppm-hr
39 ppm-hr
53 ppm-hr
36 ppm-hr
% Plants with
visible injury
5-32
3-13
0-17
0-13
3-10
0-13
1-6
2-6
0-45
0-4
0-4
Df SUM06 form. EPA staff, using AQS data for the same monitors,
d W126 forms : http://www.epa.gov/ttn/airs/airsaqs/
eluded in Table.
 4
 5
 6
 1
 8
 9
10
11
12
13
14
15
       By far the most extensive field-based dataset of visible foliar injury incidence is that
obtained by of the USDA Forest Service FHM/FIA biomonitoring network program. A trend
analysis of data from the sites located in the Northeast and North Central U.S. for the 16 year
period (1994-2009) (Smith, 2012) provides additional evidence of foliar injury occurrence in the
field as well as some insight into the influence of changes in air quality and soil moisture on
visible foliar injury and the difficulty inherent in predicting foliar injury response under different
air quality/soil moisture scenarios (Smith, 2012; U.S. EPA 2013, section 9.2.4.1). In this study
ambient exposures were expressed in terms of the SUM06 cumulative index coupled with a
measure  of the number of peak hourly concentrations above 100 ppb (N100).  Soil moisture
conditions were generated using both the Palmer Drought Severity Index (PSDI) and the plant
moisture availability index (MI). Foliar injury was expressed in terms of the biosite index (BI)17.
              Biosite index (BI) is the average score (proportion of leaves with injury "amount" x mean severity of
      symptoms on injured leaves "severity") for each species averaged across all species on the biosite multiplied by
      1,000.
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 1    The authors observed that over this 16-year period, "injury indices have fluctuated annually in
 2    response to seasonal ozone concentrations and site moisture conditions. Sites with and without
 3    injury occur at all ozone exposures but when ambient concentrations are relatively low, the
 4    percentage of uninjured sites is much greater than the percentage of injured sites; and regardless
 5    of ozone exposure, when drought conditions prevail, the percentage of uninjured sites is much
 6    greater than the percentage of injured sites" (Smith, 2012). The authors further note that while
 7    "both site moisture and ozone exposure play a role in foliar injury expression ... the interplay
 8    among these three factors is unique for each year and possibly each site. Extreme moisture
 9    deficits decrease  foliar injury, ... [and] ...  [i]n no year do high ozone exposures override the
10    controlling effect of site moisture, although at the  other end of the scale, injury severity is
11    minimized under conditions of low ozone exposure regardless of site moisture conditions. This
12    implies a necessary threshold of ozone exposure for injury to occur...." "In a similar analysis,
13    Rose and Coulston (2009) reported a high percentage of biosites with injury across the Southern
14    region in 2003, a year when SUM06 values >10 ppm-h were widespread at the same time that
15    the land area was in moisture surplus or balance."  Thus, Rose and Coulston (2009) also "found
16    evidence that it is the co-occurrence of sufficient moisture and elevated ozone that determine
17    whether injury occurs to bioindicator plants, not ozone exposure alone." Regarding the role of
18    peak ozone concentrations (>100 ppb 63), Smith (2012) reported that over the 16-year period
19    concentrations above 100 ppb have declined, and that this "... may account for the observed
20    decrease in the severity of ozone-induced foliar injury to ozone sensitive bioindicator plants in
21    eastern forests."  They also note that "[tjhere is no compelling evidence, however, that moderate
22    ozone concentrations, as reflected in seasonal mean SUM06 data, are on the decline...." "This
23    may explain why injury continues to be detected on many of the same sites every year..." The
24    authors thus conclude that, "[although it is reasonable to remain concerned about long-term
25    impacts  of ozone pollution on our forest ecosystems, the findings of this biomonitoring survey
26    point to  a declining risk of probable impact on eastern forests over the 16-year period from 1994
27    to 2009"
28          In a similar assessment of the USDA Forest Service FHM/FIA data in the West, six years
29    (2000 to 2005) of biomonitoring data for 63 injury were evaluated for the three coastal states of
30    California, Oregon and Washington (Campbell et  al., 2007; U.S. EPA 2013, section 9.4.2.1).
31    Campbell et al., 2007 found that "... ozone injury occurs frequently (25 to 37 percent of sampled
32    biosites) in California forested ecosystems demonstrating that ozone is present at phytotoxic
33    levels."  This study concluded that, "in California, an estimated 1.3 million acres of forest land
34    and 596 million cubic feet of wood are at moderate to high risk to impacts from ozone.
35    However, [m]ore years of data are needed to discern any trends." Though this study does not
36    discuss the role of soil moisture in describing  the results, the criteria used to select the

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 1    biomonitoring sites include one that considers soil conditions. The best sites are identified as
 2    those with low drought potential and good fertility.  Thus, given the relatively high 63
 3    concentrations that occur in California and the likelihood that many of the biomonitoring sites
 4    occur in areas that have sufficient soil moisture, the high percentage of sampled biosites with
 5    foliar injury is not unexpected.18
 6           These recent studies continue to provide evidence of Cb-induced foliar injury occurring in
 7    many areas across the U.S. and augment our understanding of Ch-related visible foliar injury and
 8    of factors that influence associations between 63 exposures or concentrations and visible foliar
 9    injury such as soil moisture.
10          •    To what extent does currently available evidence suggest locations where the
11              vulnerability of sensitive species, ecosystems and/or their associated services to
12              Os-related visible foliar injury would have special significance to the public
13              welfare?
14           As mentioned above, federally designated Class I areas are afforded stringent protections
15    under the 1977 amendments to the Clean Air Act (Act). The Act gives federal land managers of
16    Class I areas "the responsibility to protect all air quality related values (AQRVs).. .from
17    deterioration.... In order to determine if deterioration is occurring, baseline AQRVs must be
18    established" (Davis, 2009).  Because of this need and the significance of these areas, studies
19    often focus on these sites. For example, a study by Kohut (2007) was undertaken to assess the
20    risks of (Vinduced visible foliar injury on 63 bioindicators (i.e., (Vsensitive vegetation) in 244
21    parks managed by the NFS.  Kohut (2007) estimated Os exposure using hourly O^ monitoring
22    data collected at 35 parks from 1995 to 1999, estimated 63 exposure at 209 additional  parks
23    using kriging, a spatial  interpolation technique, and qualitatively assessed risk. Kohut (2007)
24    applied a subjective evaluation based on three criteria: (1) the frequency of exceedance of foliar
25    injury thresholds19'20 using several 63 exposure metrics (i.e., SUM06, W126 and N100), (2) the
26    extent that low soil moisture constrains Os uptake during periods of high exposure,  and (3) the
27    presence of 63 sensitive species within each park. Based on these criteria, Kohut (2007)
             18 Staff additionally notes that a large proportion of O3 monitoring sites in California did not meet the
      current standard during the study period (see: http://www.epa.gov/airtrends/values.html).
             19 Kohut (2007) uses the term "foliar injury thresholds". In the WREA foliar injury analyses, we use the
      term "benchmarks" or "benchmark criteria" to avoid implying that foliar injury could not occur below these levels.
             20 Consistent with advice from CAS AC (Frey and Samet, 2012a), the WREA modified the approach used
      by Kohut (2007) to apply the W126 metric.  The WREA analysis, described in section 5.2.2 below developed and
      considered these different W126 benchmarks for foliar injury after further investigation into the benchmarks applied
      in Kohut (2007), which were derived from biomass loss rather than visible foliar injury. Kohut cited a threshold of
      5.9 ppm-hrs for highly sensitive species from Lefohn (1997), which was based on the lowest W126 estimate
      corresponding to a 10% growth loss for black cherry. For soil moisture, Kohut (2007) qualitatively assessed whether
      there appeared to be an inverse relationship between soil moisture and high O3 exposure.

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 1    concluded that the risk of visible foliar injury was high in 65 parks (27 percent), moderate in 46
 2    parks (19 percent), and low in 131 parks (54 percent).  Thus, while this study suggests that there
 3    may be a reason for concern in as much as 46% of the parks, there were a number of important
 4    limitations associated with this study (described in footnotes 8 and 9 below) that weakened this
 5    conclusion. Given the importance of this kind of assessment, the WREA used Kohut (2007) as
 6    the conceptual basis for the subsequent WREA national-scale and screening-level analyses,
 7    though numerous modifications were made to the approach to make it applicable to the context
 8    of this Os NAAQS review (see section 5.4.2 below).
 9          In addition, as described above, several recently published studies (U.S. EPA 2013,
10    section 9.4.2.1; Davis and Orendovici 2006; Davis 2007a, b; Davis 2009, Kohut 2007) were
11    conducted in federally protected areas including federally designated Class I areas and national
12    parks. These studies confirm that visible foliar injury has been observed in these areas under
13    annual air quality conditions with ambient concentrations at or below the level of the current
14    standard and at W126 index values within the CAS AC range recommended in past reviews.
15    This evidence continues to suggest that Os-sensitive species and their associated ecosystems and
16    services continue to remain vulnerable to visible foliar injury incidence in  areas that have been
17    afforded special protection by Congress and that have  special significance to the public welfare.
18         5.4.2  Exposure-/Risk-based Considerations
19          The WREA presents a number of analyses considering air quality conditions associated
20    with increased prevalence of visible foliar injury and potential associated welfare impacts (see
21    Table 5-7 below, U.S. EPA, 2014, Chapter 7).  An initial analysis included the development of
22    benchmark criteria reflecting different prevalences of visible foliar injury or of the occurrence of
23    elevated injury in conjunction with different W126 exposures and in some cases, soil moisture
24    conditions. These criteria were then used in a national scale screening level assessment to
25    characterize potential risk of foliar injury incidence under 2006-2010 conditions in 214 national
26    parks. The last analysis was a case study assessment on three national parks, which also
27    provides limited characterization of the associated ecosystem services. Despite the limitations
28    and uncertainties associated with these analyses, and recognizing that the air quality conditions
29    in most cases (prior to any model  adjustment) did not meet the current standard, staff believes
30    that they help inform our understanding of the relationship between soil moisture and foliar
31    injury incidence, as well as provide limited support for our conclusion of a risk of visible foliar
32    injury incidence under air quality  conditions likely to meet the current standard in areas of
33    special significance to the public welfare.
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 1    Table 5-7. Exposure, risk and ecosystem services analyses related to visible foliar injury.

WREA
estimates
Ecosystem Level Effects
Proportion of USFS biosites with
foliar injury incidence, degree of
injury, and soil moisture at various
W126-based benchmarks
Percent of 214 national parks
exceeding criteria based on USFS
biosite dataset analysis during years
considered
Ecosystem Services
Case study of 3 national parks characterized impacts
using available visitor and use data, including monetary
data for activities and visitor expenditures:
• Utilized Willingness-to-Pay studies for scenic
impairment;
• Assessed the overall cover of sensitive species;
• Compared sensitive species cover to trails and
overlooks; and,
• Estimated percent of park area with Oa concentrations
above different W126 index values averaged over
three consecutive years.
B The screening-level assessment of 214 national parks additionally included observations based on the model-
based adjustments to just meet the current standard and targets for the three W126 scenarios (discussed below) but
did not conduct a full analysis using these data.
 3         •   For what air quality scenarios were exposures and risks estimated? What
 4             approaches were used to estimate W126 exposures for those conditions?  What
 5             are associated limitations and uncertainties?
 6           Three types of foliar injury analyses were performed in the WREA and are considered
 7    below. They include an analysis using U.S. Forest Service biosite data, a National Park
 8    screening-level assessment and a National Park case study (focused on three parks).  The
 9    analysis of U.S. Forest Service (USFS) biosite data was done using 03 concentrations estimated
10    for a national-scale surface of concentrations (at a 12 km grid cell resolution in contiguous U.S.)
11    using interpolation methodology applied to concentrations at Os monitor locations (U.S. EPA,
12    2014, section 4.3.2, Appendix 4A). The analysis of USFS data used surfaces for each year from
13    2006 through 2010 (U.S. EPA, 2014, Appendix 4A, section 4.2). In both the National Park
14    screening-level assessment and the case study analysis, observations related to air quality were
15    made for five air quality scenarios  by the methodology summarized in Table 5-4 above.21
16           The W126 index values in the individual years from 2006 to 2010 ranged from less than
17    5 ppm-hrs to 25 ppm-hrs.  Concentration estimates varied appreciably across the five years with
              In general, this methodology involved two steps. The first is derivation of the average W126 value
      (across the three years) at each monitor location.  This value is based on unadjusted data for recent conditions and
      model-adjusted concentrations for the 4 other scenarios. The development of model adjusted concentrations was
      done for each of 9 regions independently (see U.S. EPA, 2014, section 4.3.4.1). In the second step, national-scale
      spatial surfaces (W126 values for each model grid cell) were created using the monitor-location values and the
      Voronoi Neighbor Averaging (VNA) spatial interpolation technique (details on the VNA technique are presented in
      U.S. EPA, 2014 Appendix 4A).
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 1    the median index values across grid cells ranging from a low of 5.5 ppm-hrs in 2009 to 11 ppm-
 2    hrs in 2006 (U.S. EPA, 2014, Appendix 4A, section 4.2). During the recent conditions period
 3    (2006 through 2008), the average W126 index values (across the three-year recent conditions
 4    period) at the monitor locations ranged from below 10 ppm-hrs to 48.6 ppm-hrs (U.S. EPA 2014,
 5    Figure 4-4 and Table 4-1).  After model-adjustment of the 2006-2008 data to just meet the
 6    current standard in each region, and subsequent application of the VNA technique to the current
 7    standard scenario monitor location values, the average W126 values were below 15 ppm-hrs
 8    across the national surface with the exception of a very small area of the southwest region (near
 9    Phoenix) where the average W126 values was near or just above 15 ppm-hrs.  A lowering of the
10    highest values occurred with application of the interpolation method as a result of estimating
                               9                                                         	
11    W126 values at a 12x12 km grid resolution rather that at the exact location of a monitor.  This
12    indicates one uncertainty associated with this aspect of the approach to estimating W126 values
13    for the model-adjusted air quality just meeting the current standard.  Other uncertainties are
14    summarized  in section 5.2.2 above.
15         •  What are the nature and magnitude of the cumulative exposure- and risk-related
16            estimates for visible foliar injury under recent conditions or conditions meeting
17            the current Os standard?
18           As an initial matter, we consider the analysis of the biomonitoring site data from the
19    USDA Forest Service FHM/FIA Network, described in section 7.2 of the WREA.22  Using this
20    dataset and associated data for soil moisture conditions during the sample years along with
21    ambient air 63 concentrations based on monitoring data from 2006 to 2010 and spatial
22    interpolation methodology (as described above), the proportion of sites with any or elevated
23    foliar injury are observed to increase with increasing annual W126 index values up to specific
24    values after which there is little change in proportion of affected sites with higher W126 values
25    (see Figure 5-5 below; U.S. EPA, 2014, section 7.2). The proportion of sites metric is derived by
26    first ordering the data (across sites  and sample years) by W126 index value estimated for that site
27    and year. Then for each W126 index value the proportion of sites exceeding the selected biosite
28    index value for all observations at or below that W126  index value is calculated. The WREA
29    repeated this using a biosite index value greater than zero, indicating presence of any foliar
30    injury, and an index value >5,  corresponding to a USFS cutoff for "low" or more injury (USFS,
31    2011).
32           When looking only at presence or absence of foliar injury ("any injury") with the
33    exception of 2008, the proportion of sites across all W126 index values with foliar injury exceeds
            22 Data were not available for several western states (Montana, Idaho, Wyoming, Nevada, Utah, Colorado,
      Arizona, New Mexico, Oklahoma, and portions of Texas).

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 1    15 percent; in 2006, it exceeds 20 percent, while in 2008 the proportion of sites with foliar injury
 2    across all W126 index values was just below 15 percent (U.S.EPA, 2014, section 7.2.3, Figure 7-
 3    8). When categorized by moisture levels, the data demonstrate a distinct pattern. In general, the
 4    WREA concludes that the results of these foliar injury analyses demonstrate a similar pattern -
 5    the proportion of sites showing the presence of any foliar injury (biosite>0) or at least little foliar
 6    injury (biosite>5) increases from zero to about 20% and 6% respectively (Figure 5-5 below).
 7    This increase occurs with increasing W126 index values up to approximately 10 ppm-hrs for any
 8    foliar injury (biosite index >0), with little change in proportion of sites with any injury at higher
 9    W126 values. The data for sites during normal moisture years are very similar to the dataset as a
10    whole, with an overall proportion of close to 18 percent for presence of any foliar injury, and
11    close to 6 percent for sites exceeding a biosite index of 5. Among the sites with relatively wet
12    season (average Palmer Z => 1), the highest proportion of sites observed is much higher for both
13    index categories of injury and the relationship with annual W126 index value is much steeper.
14    Much lower proportions of sites are reached for both injury categories at sites with relatively dry
15    seasons (average Palmer Z < -1.24),  potentially indicating that drought may provide some
16    protection from foliar injury  as discussed in the ISA (U.S. EPA, 2014, section 7.2.3, Figures 7-10
17    and 7-11).  This information  provides insight into the relationship between soil moisture and
18    foliar injury and the issue of whether drought provides protection from foliar injury. For both
19    categories of injury, there is relatively little change in the proportion of sites beyond a W126 of
20    20 ppm-hrs. There are two important observations that can be made from these analyses: (1) the
21    proportion of sites exhibiting foliar injury rises  rapidly at increasing W126 index values below
22    10 ppm-hrs, and (2) there is relatively little change in the proportions above W126 index values
23    of 20 ppm-hrs.
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                                                   Biosite Index > 0
                       2
                       Q_
                       O
                       2
                       Q_
                                              BO 00
                                         10
                                                   20         30


                                                   W126(ppm-hrs)



                                                    Biosite Index > 5
                                                                       40
                                          10
                                                    20         30


                                                    W126(ppm-hrs)
                                                                         40
3    Figure 5-5.  Cumulative proportion of sites with a) any foliar injury or b) elevated injury

4                present, by moisture category (U.S. EPA 2014, Figures 7-10 and 7-11).


5           We additionally consider the WREA screening-level assessment in 214 parks in the

6    contiguous U.S. that employed benchmark criteria developed from the above analysis (Table 5-
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         9^ 9 A
 1    8).  ,  For example, annual Oj, concentrations corresponding to a W126 seasonal index value of
 2    10.46 ppm-hrs represents the 63 exposure concentration above which a consistent percentage of
 3    all biosites (17.7 percent) showed any injury, without consideration of soil moisture.  The W126
 4    benchmarks across the six scenarios range from 3.05 ppm-hrs (five percent of biosites, normal
 5    moisture, any injury) up to 46.87 ppm-hrs (five percent of biosites, dry, elevated injury). For the
 6    scenario of 10% biosites with injury, W126 values were approximately 4, 6, and 25 ppm-hours
 7    for wet, normal and dry  years, respectively. The national-scale screening-level assessment
 8    includes 42 parks with 63 monitors and 214 parks with 63 exposure estimated from the
 9    interpolated O3 surface for individual years from 2006 to 2010 (U.S. EPA, 2014, Appendix 7A).
10    These data were combined with lists from the NFS of the parks containing Os sensitive
11    vegetation species (NFS, 2003, 2006).  Based on NFS  lists, 95 percent of the parks in this
12    assessment contain at least one Os-sensitive species. This analysis for recent air quality
13    conditions, estimates that 58 percent of parks exceeded the benchmark criteria corresponding to
14    the base scenario (W126>10.46 ppm-hrs, 17.7 percent of biosites, all moisture categories, any
15    injury) for at least three  years in the period from 2006  to 2010, and 34 percent of parks would
16    exceed the benchmark criteria for the elevated injury scenario (five percent of biosites, multiple
17    moisture categories, elevated foliar injury) for at least three years (U.S. EPA, 2014, section
18    7.3.2).25 Based on model-adjustments to meet the current standard, none of the 214 parks have
19    average W126 index values that would exceed the annual benchmark criteria for the base
20    scenario (W126>10.46  ppm-hrs).
21
             23 The parks assessed here include lands managed by the NFS in the continental U.S., which includes
      National Parks, Monuments, Seashores, Scenic Rivers, Historic Parks, Battlefields, Reservations, Recreation Areas,
      Memorials, Parkways, Military Parks, Preserves, and Scenic Trails.
             24 The WREA applied different foliar injury benchmarks in this assessment after further investigation into
      the benchmarks applied in Kohut (2007), which were derived from biomass loss rather than visible foliar injury.
      Kohut cited a threshold of 5.9 ppm-hrs for highly sensitive species from Lefohn (1997), which was based on the
      lowest W126 estimate corresponding to a 10% growth loss for black cherry. For soil moisture, Kohut (2007)
      qualitatively assessed whether there appeared to be an inverse relationship between soil moisture and high O3
      exposure.
             25 The lack of national surfaces of O3 concentrations for each of three years in each scenario (as described
      earlier and summarized in Table 5-3) precluded derivation of similar estimates (of parks with W126 index values
      above any of the benchmark criteriaafter model-adjustment of air quality to just meet the current standard, although
      we note that the W126 averaged across three years in all 214 parks was below 10.46 ppm-hrs (the individual year
      benchmark criteria for the base scenario) (U.S. EPA, 2014, section 7.3.2).

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 1   Table 5-8. Benchmark criteria for Os exposure and relative soil moisture used in
 2              screening-level assessment of parks (from U.S. EPA 2014, Table 7-5).
Description
Any injury, without
considering soil
moisture conditions
(Base Scenario)
Any injury,
considering soil
moisture conditions
5% of biosites,
Injury s 5
17.7% of all biosites with any foliar
injury (consistent proportion of all
biosites showed injury in years with
W126 index value above this value)
5% of biosites showing any foliar
injury, by relative moisture category
10% of biosites showing any foliar
injury, by relative moisture category
15% of biosites showing any foliar
injury, by relative moisture category
20% of biosites showing any foliar
injury, by relative moisture category
5% of biosites showing foliar injury
equal or greater than 5 on the biosite
injury index (e.g., 5% of leaf shows
injury in 10% of the leaves), by
relative moisture category
Normal
(-1.251)
Dry
(Palmer Z<-1)
W126>10.46
(soil moisture not considered)
W126>3.05
W126>5.94
W126>8.18
N/A
W126>12.23
W126>3.76
W126>4.42
W126>4.69
W126>5.65
W126>7.02
W126>6.16
W126>24.61
N/A
N/A
W126>46.87
 4          Lastly, we consider the WREA case study analysis which focused on characterizing the
 5   ecosystem services potentially associated with visible foliar injury in three specific national
 6   parks (case study assessment). The parks included were Great Smoky Mountains National Park
 7   (GRSM), Rocky Mountain National Park (ROMO), and Sequoia/Kings National Parks (SEKI).
 8   For each park, the potential impact of (Vrelated foliar injury on recreation (cultural services)
 9   was considered in light of information on visitation patterns, recreational activities and visitor
10   expenditures.  For example, visitor spending in 2011 exceeded $800 million, $170 million and
11   $97 million dollars in GRSM, ROMO and SEKI, respectively. This assessment also included
12   percent cover of species sensitive to foliar injury and focused on the overlap between recreation
13   areas within the park and elevated W126 concentrations. Ozone concentrations in GRSM have
14   been among the highest in the eastern U.S. In the recent conditions scenario, the grid cells
15   representing 44 percent of GRSM had three year average W126 value  above 15 ppm-hrs. After
16   adjustments to just meet the current standard, no grid cell had a three-year average W126 value
17   above 7 ppm-hrs. In the recent conditions scenario for ROMO, three-year average W126 values
18   for all grid cells were abovelS ppm-hrs. In the current standard scenario, values for 59 percent
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 1    of the park were below 7 ppm-hrs. For SEKI, three-year average W126 values for all grid cells
 2    were above 15 ppm-hrs in the recent conditions scenario, but dropped below 7 ppm-hrs for the
 3    current standard scenario (U.S. EPA, 2014, section 7.4).
 4           In summary, these analyses indicate that O?, concentrations in U.S. national parks in
 5    recent years correspond to W126 index values at which some foliar injury may occur, with
 6    variation associated with relative soil moisture conditions. None of the 214 parks assessed are
 7    estimated to exceed the annual benchmark criteria for the base scenario (W126 >10.46 ppm-hrs)
 8    after adjusting air quality to meet the current standard. Although model-adjusted scenarios to
 9    just meet the current standard indicate substantial reductions in three-year average W126 index
10    values estimated by the VNA approach, some individual  year values may range higher. The case
11    study analysis of three parks indicates the potential for appreciable ecosystem services impact
12    associated with foliar injury,  although it might be expected that such impact would relate more to
13    severe and/or widespread foliar injury occurrences. While these analysis indicate the potential
14    for foliar injury to occur under conditions that meet the current standard, the extent of foliar
15    injury that might be expected under such conditions is unclear  from these analyses.
16         •  To what extent are the exposures and risks remaining upon simulating just
17            meeting the current Os standard important from a public welfare perspective?
18           The screening level assessment, as described above, indicates that risk of visible foliar
19    injury is likely to be lower in some national parks after simulating just meeting the current
20    standard. Based on the national-scale analysis, visible foliar injury would likely continue to
21    occur at lower Oj, exposures,  including some sensitive species  growing in areas (e.g., National
22    Parks and other Class I areas) that may provide important cultural ecosystem services to the
23    public.  Staff notes that such occurrences might reasonably be  considered to have some
24    importance from a public welfare  perspective, as discussed in section 5.1 above.
25         •  What are the ecosystem services potentially affected by visible foliar injury, to
26            what degree can the magnitude of these effects be qualitatively or quantitatively
27            characterized, and to what extent are they important from a public welfare
28            perspective?
29           The ecosystem services most likely to be affected by Cb-induced foliar injury are cultural
30    services, including aesthetic value and outdoor recreation. Aesthetic value and outdoor
31    recreation depend on the perceived scenic beauty of the environment.  Many outdoor recreation
32    activities directly depend on the scenic value of the area,  in particular scenic viewing, wildlife-
33    watching, hiking, and camping. These activities and services are of significant importance to
34    public welfare as they are enjoyed by millions of Americans every year and generate millions of
35    dollars  in economic value (U.S. EPA, 2014, Chapter 5, Chapter 7). These aesthetic values are at
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 1    risk of impairment because of Os-induced damage directly due to foliar injury.  Other ecosystem
 2    services that have also been found to be associated with Os-sensitive plants include those that fall
 3    under the categories of provisioning. For example, several tribes have indicated that many of the
 4    known confirmed Os-sensitive species (including bioindicator species) are culturally significant
 5    (see Appendix 5A).  Although data are not available to explicitly quantify these negative effects
 6    on ecosystem services, several qualitative analyses conducted in the WREA are summarized
 7    below.
 8          To assess the effects of visible foliar injury on recreation, the WREA reviewed the
 9    National Survey on Recreation and the Environment (NSRE), as well as the 2006 National
10    Survey of Fishing, Hunting, and Wildlife-Associated Recreation (FHWAR) and a 2006 analysis
11    done for the Outdoor Industry Foundation (OIF). According to the NSRE,  some of the most
12    popular  outdoor activities are walking,  including day hiking and backpacking; camping; bird
13    watching; wildlife watching; and nature viewing. Participant satisfaction with these activities
14    can depend on the quality of the natural scenery, which can be adversely affected by Os-related
15    visible foliar injury.  According to the FHWAR and the OIF reports, the total expenditures across
16    wildlife watching activities, trail-based activities, and camp-based activities are approximately
17    $230 billion dollars annually. While the WREA could not quantify the magnitude of the impacts
18    of Os  damage to the scenic beauty and outdoor recreation, the existing losses associated  with
19    current Os-related foliar injury are reflected in reduced outdoor recreation expenditures (U.S.
20    EPA,  2014, section 7.1).
21          The WREA also assessed Os impacts on cultural ecosystem services related to foliar
22    injury at three national parks - Great Smoky Mountains National Park, Rocky Mountain
23    National Park, and Sequoia/Kings National Parks - by considering information on visitation
24    patterns, recreational activities and visitor expenditures.  The analysis included percent cover of
25    species sensitive to foliar injury and focused on the overlap between recreation areas within the
26    park and elevated W126 concentrations.  All three of these park units are in areas that are known
27    to have high ambient Os concentrations, have vegetation maps, and have species that are
28    considered Os sensitive.  Using GIS, the NFS vegetation maps were compared to the national Os
29    surface to illustrate where foliar injury may be occurring, particularly with respect to park
30    amenities such as trails (U.S. EPA, 2014, section 7.4).
31          Great Smoky Mountains National Park is prized,  in part, for its rich species diversity.
32    The large mix of species includes 37 Os-sensitive species and many areas contain several
33    sensitive species.  With 3.8 million hikers using the trails every year and those hikers willing to
34    pay (WTP) over $266 million for that activity, even a small benefit of reducing Os damage in the
35    park could result in a significant economic value. Ozone concentrations in Great Smoky
36    Mountains National Park have been among the highest in the eastern U.S. - at times twice as

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 1    high as neighboring cities such as Atlanta (U.S. EPA, 2014, p. 7-52).  Unlike Great Smoky
 2    Mountains National Park, sensitive species cover in Rocky Mountain National Park is driven by
 3    a few Os-sensitive species (7 species) and most notably by Quaking Aspen.  This is significant in
 4    that many of the visitors to Rocky Mountain National Park visit specifically to see this tree in its
 5    fall foliage. Given 1.5 million hikers in Rocky Mountain National Park and their $70 million
 6    WTP for the hiking experience, even a small improvement in the scenic value could be
 7    economically significant (U.S. EPA, 2014, section 7.4.2, p. 7-56).  Sequoia/Kings National Parks
 8    is home to 12 identified sensitive species. Again,  although the EPA is not able to quantify the
 9    impact of this scenic damage on hiker satisfaction for hikers in  Sequoia/Kings National Parks
10    and their $26 million WTP for the experience, even a small improvement in the scenic value
11    could be economically significant ((U.S. EPA, 2014, section 7.4.3, p. 7-63).
12         •   What are the uncertainties associated with this information and what is the level
13             of confidence associated with  those estimates?
14           Uncertainties associated with these analyses are discussed in the WREA, sections 7.3.2
15    and 8.5.3, and in WREA Table 7.23. As  discussed in the WREA (section 8.5.3), evaluating soil
16    moisture is more subjective than evaluating Oj, exposure because of its high spatial  and temporal
17    variability within the Os season, and there is considerable subjectivity in the categorization of
18    relative drought.  The WREA generally concludes that the spatial and temporal resolution for the
19    soil moisture data is likely to underestimate the potential of foliar injury that could  occur in some
20    areas.  In addition, there is lack of a clear threshold for drought below which visible foliar injury
21    would not occur.  In general, low soil moisture reduces the potential for foliar injury, but injury
22    could still occur, and the degree of drought necessary to reduce potential injury is not clear. Due
23    to the absence of biosite injury data in the Southwest region and limited biosite data in the West
24    and West North Central regions, the benchmarks applied may not be applicable to these regions.
25           There are also important uncertainties in the estimated Os concentrations for the different
26    air quality scenarios evaluated (U.S. EPA, 2014, section 8.5), as discussed earlier in this section.
27    In general, this interpolation method under-predicts higher 12-hr W126 exposures.  Due to the
28    important influence of higher exposures in determining risks to plants, the potential for the VNA
29    interpolation approach to under-predict higher W126 exposures could result in an under-
30    estimation of risks to vegetation in some  areas.  The WREA applied the benchmarks from the
31    national-scale analysis to a screening-level analysis of 214 national parks and case  studies of
32    three national parks. Therefore, uncertainties in the foliar injury benchmarks and in the air
33    quality analyses are propagated into the national park analyses. The uncertainties associated
34    with air quality assessments include those resulting from use of an unevenly distributed
35    monitoring network with fewer monitors  in rural and western sites to drive a VNA  interpolation
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 1    and the use of model-adjusted air quality to generate alternative air quality scenarios including
 2    just meeting the current standard (these uncertainties are described in more detail above).
 3    Additional uncertainties are associated with the national park analyses. Specifically,
 4    survey estimates of participation rates, visitor spending/economic impacts, and willingness-to-
 5    pay are inherently uncertain. These surveys potentially double-count impacts based on the
 6    allocation of expenditures across activities but also potentially exclude other activities with
 7    economic value. Each survey uses different survey methods, so it is not appropriate to generalize
 8    across the surveys. In general, the national level surveys apply standard approaches, which
 9    minimize potential bias. Other sources of uncertainty are associated with the mapping, including
10    park boundaries, vegetation species cover, and park amenities, such as scenic overlooks and
11    trails.  In general, the WREA concludes that there is high confidence in the park mapping (U.S.
12    EPA, 2014, Table 7-23)..

13         5.5   OTHER WELFARE EFFECTS
14          In addition to the welfare effects discussed in the previous sections, there is evidence of
15    other Oj, effects, such as those related to climate impacts that we consider here. In this section,
16    the WREA national-scale analyses of the effects of insect damage to forests related to elevated
17    Os exposures are considered in section 5.5.1, and a case study-scale characterization of the effect
18    community composition changes on forest susceptibility and fire regulation in California is
19    considered in section 5.5.2.  As above, these sections, where possible, consider the WREA
20    information regarding risk remaining under model adjusted conditions just meeting the current
21    standard and associated uncertainties (U.S. EPA 2014, section 8.5).  Chapters 5, 6, and 7 of the
22    WREA also qualitatively assessed additional ecosystem services, including regulating services
23    such as hydrologic cycle and pollination; provisioning services such as commercial non-timber
24    forest products; and cultural services with aesthetic and non-use values. The information
25    associated with these latter effects is insufficient to inform the target protection of the standard.
26    The effects of Os on climate are also considered in section 5.5.3 below, drawing primarily on the
27    evidence presented in the ISA (U.S.  EPA 2013, chapter 10).
28         5.5.1   Forest Susceptibility to Insect Infestation
29          Ozone in ambient air can contribute to increased susceptibility of some forests to
30    infestation by some chewing insects, including the southern pine beetle and western bark beetle
31    (U.S. EPA 2013, chapter 9; U.S. EPA 2014, sections 5.3.3 and 5.4). These infestations can cause
32    economically significant damage to tree stands and the associated timber production.  The
33    WREA described the potential impacts of this effect on timber markets (U.S. EPA 2014, section
34    5.4). In the short-term, the immediate increase in timber supply that results from the additional

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 1    harvesting of damaged timber depresses prices for timber and benefits consumers. In the longer-
 2    term, the decrease in timber available for harvest raises timber prices, potentially benefitting
 3    producers. The United States Forest Service (USFS) reports timber producers have incurred
 4    losses of about $1.4 billion (2010$), and wood-using firms have gained about $966 million, due
 5    to beetle outbreaks between 1977 to 2004.  It is not possible to attribute a portion of these
 6    impacts resulting from the effect of Os on trees'  susceptibility to insect attack; however, the
 7    losses are embedded in the estimates cited.
 8           To provide some quantitative estimates related to insect infestation-related risks, the
 9    WREA reported the estimates of 3-year average W126 values in areas estimated to be at risk of
10    greater than 25% timber loss  (high loss) due to pine beetle infestation. This was done for all six
11    WREA air quality scenarios.  For example, for the recent conditions scenario, approximately 57
12    percent of the at-risk area has W126 estimates above 15 ppm-hrs, with the percentage dropping
13    to approximately five percent in the current standard scenario (U.S. EPA 2014, section 5.4).
14         5.5.2  Fire Regulation
15           Evidence indicates that fire regime regulation may also be negatively affected by Os
16    exposure (U.S. EPA 2013, chapter 9; U.S. EPA 2014, section 5.3.3).  For example, Grulke et al.
17    (2008) reported various lines  of evidence indicating that 63 exposure may contribute to southern
18    California forest susceptibility to wildfires by increasing leaf turnover rates and litter, increasing
19    fuel loads on the forest floor.  According to the National Interagency Fire Center, in the U.S. in
20    2010 over 3 million acres burned in wildland fires and an additional 2 million acres were burned
21    in prescribed fires. From 2004 to 2008, Southern California alone experienced, on average, over
22    4,000 fires per year burning, on average, over 400,000 acres per fire. The California Department
23    of Forestry and Fire Protection (CAL FIRE) estimated that losses to homes due to wildfire were
24    over $250 million in 2007 (CAL FIRE, 2008). In 2008, CAL FIRE's costs for  fire suppression
25    activities were nearly $300 million (CAL FIRE,  2008).
26           The WREA developed maps that overlay the mixed conifer forest area of California with
27    areas of moderate or high fire risk defined by CAL FIRE and with recent W126 concentrations
28    and surfaces adjusted to just meet existing and alternative standards.  The highest fire risk and
29    highest 63 concentrations overlap with each other, as well as with significant portions of mixed
30    conifer forest. In the recent concentrations scenario, over 97 percent of mixed conifer forest area
31    has average W126 values over 7 ppm-hrs with a moderate to severe fire risk, and 74 percent has
32    average W126 values over  15 ppm-hrs with a moderate to severe fire risk.  The scenario for air
33    quality adjusted to just meet the current standard, almost all of the mixed conifer forest area with
34    a moderate to high fire risk shows a reduction in Os to below a W126 index value of 7 ppm-hrs
35    (average across three years of scenario). In the scenario for an average W126 index value of 15
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 1    ppm-hrs, all but 0.18 percent of the area has average index values below 7 ppm-hrs, and for the
 2    W126 scenarios of 11 and 7 ppm-hrs, all of the moderate to high fire threat area has estimated
 3    average W126 values below 7 ppm-hrs (U.S. EPA 2014, section 5.3.3, figure 5-3).
 4         5.5.3   Ozone Effects on Climate
 5          Tropospheric O3 is a major greenhouse gas, third in importance after carbon dioxide
 6    (CC>2) and methane  (CH4). While the developed world has successfully reduced emissions of O3
 7    precursors in recent decades, many developing countries have experienced large increases in
 8    precursor emissions and these trends are expected to continue, at least in the near term (U.S.
 9    EPA 2013, section 10.3.6.2). Projections of radiative forcing due to changing O3 over the 21st
10    century show wide variation, due in large part to the uncertainty of future emissions of source
11    gases (U.S. EPA 2013, section 10.3.6.2). In the near-term (2000-2030), projections of O3
                                                    r\
12    radiative forcing range from near zero to +0.3 W/m , depending on the emissions scenario (U.S.
13    EPA 2013, section 10.3.6.2; Stevenson et al., 2006). Reduction of tropospheric O3
14    concentrations could therefore provide an important means to slow climate change in  addition to
15    the added benefit of improving surface air quality (U.S. EPA, 2013, section 10.5).
16          It is clear that increases in tropospheric O3 lead to warming.  However the precursors of
17    O3 also have competing effects on the greenhouse gas  CH4, complicating emissions reduction
18    strategies. A decrease in CO or VOC emissions would enhance OH concentrations, shortening
19    the lifetime of CH4, while a decrease in NOx emissions could depress OH concentrations in
20    certain regions and lengthen the CH4lifetime (U.S. EPA, 2013, section 10.5).
21          Abatement of CH4 emissions would likely provide the most straightforward means to
22    address O3-related climate change since CH4 is itself an important precursor of background O3
23    (West et al., 2007; West et al., 2006; Fiore et al., 2002). A reduction of CH4 emissions would
24    also improve air quality in its own right.  A set of global abatement measures identified by West
25    and Fiore (2005) could reduce CH4 emissions by 10%  at a cost savings, decrease background O3
26    by about 1 ppb in the Northern Hemisphere summer, and lead to a global net cooling of 0.12
27    W/m2. West et al. (2007) explored further the benefits of CH4 abatement, finding that a 20%
28    reduction in global CH4 emissions would lead to greater cooling per unit reduction in  surface O3,
29    compared to 20% reductions in VOCs or CO (U.S. EPA, 2013, section  10.5).
30          Important uncertainties remain regarding the effect of tropospheric O3  on future climate
31    change. To address these uncertainties, further research is needed to: (1) improve knowledge of
32    the natural atmosphere; (2) interpret observed trends of O3 in the free troposphere and remote
33    regions; (3) improve understanding of the CH4 budget, especially emissions from wetlands and
34    agricultural sources, (4) understand the relationship between regional O3 radiative forcing and

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 1    regional climate change; and (5) determine the optimal mix of emissions reductions that would
 2    act to limit future climate change (U.S. EPA, 2013, section 10.5).
 3          The IPCC has estimated the effect of the tropospheric 63 change since preindustrial times
 4    on climate has been estimated to be about 25-40% of the anthropogenic CC>2 effect and about
 5    75% of the anthropogenic CTLj effect. There are large uncertainties in the radiative forcing
 6    estimate attributed to tropospheric 63, making the effect of tropospheric 63 on climate more
 7    uncertain than the effect of the long-lived greenhouse gases (U.S. EPA, 2013, section 10.5).
 8          Radiative forcing does not take into account the climate feedbacks that could amplify or
 9    dampen the actual surface temperature response.  Quantifying the change in surface temperature
10    requires a complex climate simulation in which all important feedbacks and interactions are
11    accounted for.  As these processes are not well understood or easily modeled, the surface
12    temperature response to a given radiative forcing is highly uncertain and can vary greatly among
13    models and from region to region within the same model (U.S. EPA, 2013, section 10.5).
14         5.5.4   Additional Effects
15          Recent information available since the last review considers the effects of Os on chemical
16    signaling in insect and wildlife interactions. Specifically, studies on 63 effects on pollination and
17    seed dispersal, defenses against herbivory and predator-prey interactions all consider the ability
18    of 63 to alter the chemical signature of VOCs emitted during these pheromone-mediated events.
19    The effects of Os on chemical signaling between plants, herbivores and pollinators as well as
20    interactions between multiple trophic levels is an emerging area of study that may result in
21    further elucidation of 63 effects at the species, community and ecosystem-level (U.S. EPA, 2013,
22    p. 9-98).

23         5.6  CASAC ADVICE
24          Following the 2008 decision to revise the secondary standard by setting it identical to the
25    revised primary standard, CASAC conveyed additional advice to the Administrator regarding
26    that decision.  Shortly after that, several petitioners filed suit challenging the decision and in
27    September 2009, the EPA announced its intention to reconsider the 2008 standards, issuing a
28    notice of proposed rulemaking in January 2010 (FR 75 2938). Soon after, the EPA solicited
29    CASAC review of that proposed rule and in January 2011  solicited additional advice.  This
30    proposal was based on the scientific and technical record from the 2008 rulemaking, including
31    public comments and CASAC advice and recommendations. As further described in section
32    1.2.2 above, the EPA in the fall of 2011 did not promulgate final rulemaking in that process but
33    decided to coordinate further proceedings on the reconsideration rulemaking with this ongoing

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 1    periodic review. Accordingly, we are describing CASAC advice related to the 2008 final
 2    decision and the subsequent reconsideration in this section, as well as advice on the NAAQS
 3    review that was initiated in September 2008.

 4          In April 2008, the members of the CASAC Ozone Review Panel sent a letter to EPA
 5    stating that  "[i]n our most-recent letters to you on this subject - dated October 2006 and March
 6    2007 - ...  the Committee recommended an alternative secondary  standard of cumulative form
 7    that is substantially different from the primary Ozone NAAQS in averaging time, level and form
 8    — specifically, the W126 index within the range of 7 to 15 ppm-hours, accumulated over at least
 9    the 12 'daylight' hours and the three maximum ozone months of the summer growing season "
10    (Henderson, 2008). The letter continued:

11          The CASAC now wishes to convey, by means of this letter, its additional,
12          unsolicited advice with regard to the primary and secondary Ozone NAAQS. In
13          doing so, the participating members of the CASAC Ozone Review Panel are
14          unanimous in strongly urging you or your successor as EPA Administrator to
15          ensure that these recommendations be considered during the next review cycle for
16          the Ozone NAAQS that will begin next year ... The CASAC was also greatly
17          disappointed that you failed to change the form of the secondary standard to
18          make it different from the primary standard. As stated in the preamble to the
19          Final Rule, even in the previous 1996 ozone review,  "there was general
20          agreement between the EPA staff, CASAC, and the Administrator, ...  that a
21          cumulative, seasonal form was more biologically relevant than the previous 1-
22          hour and new 8-hour average forms (61 FR 65716) "for the secondary
23          standard.	Unfortunately, this scientifically-sound approach of using a
24          cumulative exposure index for welfare effects was not adopted...
25          In response to the EPA's solicitation of their advice on the Agency's proposed
26    rulemaking as part of the reconsideration, CASAC conveyed their support as follows (Samet,
27    2010).
28          CASAC also supports EPA 's secondary ozone standard as proposed: a new
29          cumulative, seasonal standard expressed as an annual index of the sum of
30          weighted hourly concentrations (i.e.,  the Wl26form), cumulated over 12 hours
31          per day (Sam to 8pm) during the consecutive 3-month period within the ozone
32          season with the maximum index value, set as a level within the range of 7 to [1]5
33          ppm-hours. This W126 metric can be supported as an appropriate option for
34          relating ozone exposure to vegetation responses, such as visible foliar injury and
3 5          reductions in plant grow th. We found the Agency's reasoning,  as stated in the
36          Federal Register notice of January 19, 2010, to be supported by the extensive
37          scientific evidence considered in the last review cycle. In choosing the Wl26 form
38         for the secondary standard, the Agency acknowledges the distinction between the
39          effects of acute exposures to ozone on human health and the effects of chronic
40          ozone exposures on welfare, namely that vegetation effects are more dependent on
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 1          the cumulative exposure to, and uptake of, ozone over the course of the entire
 2          growing season (defined to be a minimum of at least three months).
 3          In advice offered so far in the current review, which is considering an updated scientific
 4    and technical record since the 2008 rulemaking, CASAC indicated that a conclusion that the
 5    current standard is inadequate to protect vegetation and ecosystems is "warranted" although the
 6    foundation needs to be broadened beyond analysis focused on Class I areas and trees to include
 7    "effects on sensitive crops, trees in regions outside of Class I areas, and additional ecosystem
 8    impacts" (Frey and Samet, 2012b, p. 2).  The Panel additionally endorsed the first draft PA
 9    discussions and conclusions on biologically relevant exposure metrics, stating that "the focus on
10    the W126 form is appropriate" and that "there is a strong justification made for using a
11    cumulative and weighted exposure standard for welfare effects (i.e. the W126)..." (Frey and
12    Samet, 2012b, p. 2).

13         5.7   PRELIMINARY STAFF CONCLUSIONS ON ADEQUACY OF
14              SECONDARY STANDARD
15          This section presents preliminary staff conclusions for the Administrator to consider in
16    deciding whether the existing secondary Os standard is adequate and whether it should be
17    retained or revised. Our conclusions are based on consideration of the assessment and integrative
18    synthesis of information presented in the ISA, as well as our analyses of air quality distributions;
19    analyses in the second draft WREA; and the comments and advice of CASAC  and public
20    comment on an earlier draft of this document and the ISA and WREA, as discussed above.
21    Taking into consideration the responses to specific questions discussed above,  we revisit the
22    overarching policy question for this chapter:
23         •  Does the currently available scientific evidence and exposure/risk information, as
24            reflected in the ISA and REA, support or call into question the adequacy and/or
25            appropriateness of the protection afforded by the current secondary Os standard?
26          There is a longstanding evidence base on the  phytotoxic effects of Os.  Since first
27    identified by Richards, et al in 1958, numerous studies have been conducted on the effects of Os
28    on plants and their associated ecosystems.  Taken together, these studies demonstrate that 63 -
29    induced effects that occur at the subcellular and cellular levels, at sufficient magnitudes
30    propagate up to produce larger scale effects that affect the whole organism. In particular in this
31    review, many of the recent studies have focused on and further increased our understanding of
32    the molecular, biochemical and physiological mechanisms that explain how plants are affected
33    by 63, in the absence of other stressors, particularly in the area of genomics (U.S. EPA, 2013,
34    Chapter 9, section  9.3).
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 1          Based on its assessment of this extensive body of science, the ISA determined that a
 2    causal relationship exists between exposure to 63 in ambient air and visible foliar injury effects
 3    on vegetation, reduced vegetation growth, reduced productivity in terrestrial ecosystems, reduced
 4    yield and quality of agricultural crops and alteration of below-ground biogeochemical cycles
 5    (U.S. EPA 2013, Table 1-2).  Additionally, the ISA determined that a likely to be causal
 6    relationship exists between exposures to Os in ambient air and reduced carbon sequestration in
 7    terrestrial ecosystems, alteration of terrestrial ecosystem water cycling and alteration of
 8    terrestrial community composition (U.S. EPA, 2013, Table 1-2).
 9          Recent studies also continue to provide evidence that adverse vegetation effects are
10    attributable to cumulative seasonal Os exposures. On the basis of the entire body of evidence in
11    this regard, the ISA concludes that "quantifying exposure with indices that cumulate hourly 63
12    concentrations and preferentially weight the higher concentrations improves the explanatory
13    power of exposure/response models for growth and yield, over using indices based on mean and
14    peak exposure values" (U.S. EPA, 2013, p. 2-44).  Thus, as in other recent reviews, the evidence
15    continues to provide a strong basis for concluding that it is appropriate to judge impacts of Os  on
16    vegetation, related effects and services, and the level of public welfare protection achieved, using
17    a cumulative, seasonal exposure metric, such as the W126-based metric.  In addition, CAS AC
18    has  consistently since the  1997 review expressed support for the use of such a metric, including
19    most recently in its letter on the first draft PA (Frey and Samet, 2012b,  p. 2).  Thus, based on the
20    long-established conclusions and long-standing supporting evidence described above, we
21    continue to conclude that the most appropriate and biologically-relevant way to relate O^
22    exposure to plant growth,  and to determine what would be adequate protection for public welfare
23    effects attributable to the presence of Os in the ambient air, is to express exposures in terms  of a
24    cumulative seasonal form, and in particular the W126 metric. Accordingly, in considering the
25    current evidence and exposure/risk information with regard to the adequacy of public welfare
26    protection it affords, staff has considered both the evidence of vegetation and welfare impacts  in
27    areas of the U.S. likely to  have met the current standard, as well as air quality information
28    regarding W126 index values (and evidence of effects associated with those values) in areas
29    likely to have met the current standard.
30          We further take note of CAS AC advice in the last review, where they have recognized
31    that the current secondary standard is of an averaging time and form pertaining more to 63
32    effects on human health than to the effects of 63 exposure on welfare. In so doing, they
33    emphasized the dependency of vegetation effects on the cumulative exposure to and uptake of 03
34    over the course of the entire growing season (Henderson, 2006). Accordingly, we recognize
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 1    potential uncertainty in the level of protection provided by the current standard from vegetation
 2    related effects, due to its averaging time and form.
 3           Based on the considerations described in the sections above and summarized below, we
 4    preliminarily conclude that the currently available evidence and exposure/risk information calls
 5    into question the adequacy of public welfare protection provided by the current standard and
 6    provides support for considering potential alternative standards to achieve greater public welfare
 7    protection, especially for sensitive vegetation and ecosystems in federally protected Class I and
 8    similar areas.
 9           As an initial matter, we note that the CAA does not require that a secondary standard be
10    protective of all effects associated with a pollutant in the ambient air, but only those considered
11    adverse to the public welfare (as described in section 1.3.2 above). In judging whether particular
12    known or anticipated effects should be considered adverse, the Administrator considers a number
13    of factors, including the intended use of the affected entity(s) and the location(s) in which those
14    effects occur or are predicted to occur. In this regard, effects that have been observed in
15    federally protected Class I areas which are afforded special protections under the CAA may have
16    greater significance to the public welfare.  In this context, staff has given particular consideration
17    to recent study findings of welfare-related effects in such areas, in combination with information
18    on air quality during the study periods to inform our conclusions regarding the nature and scope
19    of welfare effects in such protected areas, including areas where the current standard is met or
20    likely to have been met.
21           Regarding visible foliar injury, new research includes: 1) controlled exposure studies; 2)
22    multi-year field surveys; 3) US FS FIA biomonitoring program surveys and assessments. In
23    addition to supporting the ISA  causal determination, these studies also address some
24    uncertainties indentified in the  previous review (i.e., influence of soil moisture on visible injury
25    development) and further show that visible foliar injury can occur under conditions where 8-hour
26    average Os concentrations are or would be expected to be below the level of the current standard
27    (e.g., Kline et al., 2008, as discussed in section  5.4.1 above). Incidence of visible foliar injury
28    symptoms on (Vsensitive vegetation has also been documented in the field in federally
29    protected areas that have met the current standard. As one example, in Cape Romain National
30    Wildlife Refuge in SC, where air quality data indicate 63 concentrations have met the current
31    standard over the period from 2001-2012, recent study findings indicate that three species have
32    exhibited Os-induced visible foliar injury (winged sumac, Chinese tallow tree, and wild grape).
33    In at least one of the studied locations, up to 32 % of the wild grape plants examined showed
34    foliar injury  symptoms during years where 8-hour Os concentrations were similar to the level of
35    the current standard (U.S. EPA 2013, section 9.4.2.1).  Importantly, these Ch-induced vegetation

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 1    effects were found in Class I areas which have identified Os-impacts to vegetation as an air
 2    quality related value that should be protected commiserate with its congressionally recognized
 3    public welfare significance (75 FR 3024). A staff air quality assessment identified Class I areas
 4    with recent air quality that met the current standard but was above a W126 index value of 15
 5    ppm-hrs (Table 5-2 above). Given evidence of the potential occurrence of visible foliar injury at
 6    W126 index values of this magnitude, staff concludes that air quality levels that are at or below
 7    the level of the current standard may allow levels of visible foliar injury incidence to occur in
 8    areas of special  significance to the public welfare.
 9          Results from the exposure and risk assessments also indicate visible foliar injury at sites
10    with air quality  likely to meet the current standard.  In the national-scale analysis of the presence
11    or absence of foliar injury across the years 2006-2010 in U.S. National Forest sites with annual
12    W126 index values of from 7 to 15 ppm-hrs, the percent of sites indicating the presence of foliar
13    injury generally ranges from about 5 to 20 percent, varying with soil moisture conditions for the
14    year.  Across  all sites, regardless of the year's soil moisture conditions, these analyses find an
15    increase in the proportion of sites showing the presence of foliar injury or elevated foliar injury
16    with increasing  W126 index values up to W126 values of approximately 10 ppm-hrs (see U.S.
17    EPA 2014, Figure 7-10).  Using this relationship, a National Park screening assessment (214
18    parks) found that 58% of the parks analyzed exceeded a W126 of 10.46 ppm-hrs, which is
19    associated with  17.7% injury prevalence. Data indicate large reductions in injury prevalence
20    with incrementally lower W126 index values. Just meeting the current standard would bring all
21    parks  under 10.46 ppm-hrs. However, as noted above, there are important uncertainties
22    associated with  the model-adjusted air quality used in these assessments (U.S. EPA, 2014, Table
23    7-23,  section 8.5.2) that we note in considering what the adjustment results convey with regard to
24    W126 conditions associated with just meeting the current standard.
25          We  also note that visible foliar injury is associated with important cultural and
26    recreational ecosystem  services to the public, such as scenic viewing, wildlife-watching,  hiking,
27    and camping, that are of significance to the public welfare and enjoyed by millions of Americans
28    every  year,  generating millions of dollars in economic value (U.S. EPA 2014, section 7.1). In
29    addition, several tribes have indicated that many of the known confirmed (Vsensitive species
30    (including bioindicator species) are culturally significant (see Appendix 5A).  These ecosystem
31    services are at risk of impairment because of Ch-induced damage  directly due to foliar injury,
32    though data is not available to explicitly quantify these negative effects. Thus, while it is unclear
33    to what extent Os-induced visible foliar injury impacts these services, we conclude it is
34    appropriate to consider the potential for these effects to contribute to adverse effects on public
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 1    welfare in considering the adequacy and appropriateness of the protection afforded by the current
 2    standard.
 3          Tree biomass loss is another (Vinduced effect that is important from a public welfare
 4    perspective, both alone and in conjunction with associated ecosystem-level impacts. This effect
 5    occurs in both Class I and non-Class I areas and its importance comes from whether this effect
 6    reduces the intended use of the plant or its associated ecosystems in a way that is relevant to the
 7    public welfare. Recent studies confirm and extend the evidence of Os-related effects on tree
 8    growth, productivity and carbon storage.  Analysis of existing data conducted by the EPA staff
 9    and discussed in the ISA has substantially reduced the uncertainty associated with using OTC C-
10    R functions to predict tree growth effects in the field, as described in section 5.2.1 above (U.S.
11    EPA, 2013, section 9.6.3.2). Based on the 12 individual tree seedling C-R functions, seven of
12    the 12 species show 2% seedling biomass loss at a W126 index value below 8 ppm-hrs and in the
13    other five species at a W126 value above  18 ppm-hrs. Within the group of seven more sensitive
14    species, the most sensitive are cottonwood and black cherry (U.S. EPA 2014, section 6.2).
15    Based on the median composite C-R functions, the W126 index values associated with a 2%
16    biomass loss range from approximately 7  to 14 ppm-hrs (U.S. EPA, 2014, Figure 6-4,  section
17    6.2.1.2).  Recent studies have provided  additional evidence on tree biomass or growth  effects
18    associated with multiple year exposures in the field, including the potential for compounding and
19    carry-over effects. These effects could lead to  a negative impact on species regeneration and
20    have implications for the subsequent growing  season in the following year (U.S. EPA, 2013,
21    section 9.4), as recognized in recent advice from CASAC (Frey and Samet, 2012b).
22    Accordingly, in considering WREA biomass loss estimates, we also consider the WREA
23    evaluation of a potential for underestimation of such effects (U.S. EPA, 2014, section 6.2.1.4).
24    While it is not possible at this time to identify  the extent or magnitude of such effects in the field
25    under exposure levels that may be associated with the current standard, their occurrence, when of
26    a magnitude of concern, on federally protected lands or any associated impacts on ecosystem
27    services  such as habitat quality, hydrologic regimes, carbon storage or  air pollution removal in
28    areas important to the public might reasonably be concluded to be significant to public welfare.
29    We additionally take note  of the WREA findings with regard to urban areas where tree CC>2
30    sequestration and air pollutant removal  are important public welfare services.
31          With  respect to crops, the detrimental effect of Os on crop production has been
32    recognized since the 1960s, and recent O?, concentrations in many areas across the U.S. are high
33    enough that they might be expected to cause yield loss in a variety of agricultural crops
34    including, but not limited to, soybeans,  wheat, potatoes, watermelons, beans, turnips, onions,
35    lettuces, and  tomatoes (U.S. EPA, 2013, section 9.4.4). In general, the vast majority of the new
36    scientific information confirms prior conclusions that exposure to Oi can decrease growth and
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 1    yield of crops.  Recent research has highlighted the effects of Os on crop quality. Increasing O^
 2    concentration decreases nutritive quality of grasses, decreases macro- and micro-nutrient
 3    concentrations  in fruits and vegetable crops (U.S. EPA 2013, section 9.4.4). Recent studies
 4    continue to find yield loss levels in crop species studied previously under NCLAN that reflect
 5    the earlier findings.  There has been little published evidence that crops are becoming more
 6    tolerant of O3 (U.S. EPA, 2006a; U.S. EPA 2013).  This is especially evident in the research on
 7    soybean.  The 2013 ISA reported comparisons between yield predictions based on data from
 8    cultivars used in NCLAN studies, and yield data for modern cultivars from SoyFACE (U.S.
 9    EPA, 2013, section 9.6.3). They confirm that the average response of soybean yield to O3
10    exposure has not changed in current cultivars. In addition, satellite and ground-based 63
11    measurements have been used to assess yield loss caused by Os over the continuous tri-state area
12    of Illinois, Iowa, and Wisconsin. The results showed that Os concentrations reduced soybean
13    yield, which correlates well with the  previous results from FACE- and OTC-type experiments
14    (U.S. EPA, 2013, section 9.4.4.1).  Thus, the recently available evidence, as assessed in the ISA,
15    continues to support the conclusions  of the 1996 and 2006 Criteria Documents that ambient 63
16    concentrations  can reduce the yield of major commodity crops in the U.S.
17           The currently available evidence, as assessed in the ISA, continues to support the use of
18    C-R functions based on OTC experiments. Further, important uncertainties have been reduced
19    regarding the exposure-response functions for crop yield loss, especially for soybean.  In general,
20    the ISA reports consistent results across exposure techniques and across crop varieties (U.S. EPA
21    2013, section 9.6.3.2). Based on the  crop C-R functions, the W126 index values associated with
22    a five percent yield loss range from approximately 12 to 17 ppm-hrs. The  lower end of the range
23    would be more protective of soybeans which are the second-most planted field crop in the U.S.
24    (http://www.ers.usda.gov/topics/crops/soybeans-oil-crops/background.aspx).  Staff analyses of
25    recent monitoring data (2009-2011) indicate that 63 concentrations in multiple agricultural areas
26    in the U.S. that meet the current standard correspond to W126 index levels above 12 ppm-hrs.
27           The information for other welfare effects, including those with causal or likely causal
28    relationships with 03 (i.e., alteration  of ecosystem water cycling, changes in climate), is limited
29    with regard to our ability to consider potential impacts of air quality conditions associated with
30    the current standard, although the WREA provides some perspective on this issue with regard to
31    susceptibility to insect attack and fire regime change. We note, however, the importance of these
32    effects  categories to the public welfare.
33           Given all of the above, staff reaches the preliminary conclusion that the available
34    evidence  and exposure and risk information calls into question the adequacy of public welfare
35    protection provided by the current standard, and provides  strong support to giving consideration

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 1    to revising the current secondary standard to provide increased public welfare protection. More
 2    specifically, staff preliminarily concludes that it is appropriate for the Administrator to consider
 3    revision of the current secondary Os standard to increase protection against Os-attributable tree
 4    biomass loss, crop yield loss, and visible foliar injury, and particularly for those effects
 5    associated with cumulative, seasonal exposures that occur in specially protected natural areas.  In
 6    reaching conclusions on options for the Administrator's consideration, we note that the final
 7    decision to retain or revise the current secondary Oj, standard is a public welfare policy judgment
 8    to be made by the Administrator as to what standards would be requisite (i.e., neither more nor
 9    less stringent than necessary) to protect the public welfare from any known or anticipated
10    adverse welfare effects. This final decision will draw upon the available scientific evidence for
11    Os-attributable welfare effects and on analyses of vegetation and ecosystem exposures and public
12    welfare risks based on impacts to vegetation,  ecosystems and their associated services, including
13    judgments about the appropriate weight to place on the range of uncertainties inherent in the
14    evidence and analyses. In determining the requisite level of protection for crops and trees, the
15    Administrator will need to weigh the importance of the predicted risks of these effects in the
16    overall context of public welfare protection, along with a determination as to the appropriate
17    weight to place on the associated uncertainties and limitations of this information.
18           As noted in section 1.3.2  above, our general approach to informing these judgments,
19    recognizes that the available welfare effects evidence reflects a continuum consisting of higher
20    Os concentrations at which scientists generally agree that welfare effects are likely to occur,
21    through lower concentrations at which the likelihood and magnitude of a response become
22    increasingly uncertain. Therefore, in presenting conclusions here, we are mindful that the
23    Administrator's ultimate judgment on the adequacy of protection afforded by the current
24    standard will most appropriately  reflect an interpretation of the available scientific evidence and
25    exposure/risk information that neither overstates nor understates the strengths and limitations of
26    that evidence and information.

27          5.8   REFERENCES
28    Abt Associates, Inc. (1995). Ozone NAAQS benefits analysis: California crops. Report to U.S. EPA, July.
29    Andersen, CP; Wilson, R; Plocher, M; Hogsett, WE. (1997). Carry-over effects of ozone on root growth and
30           carbohydrate concentrations of ponderosa pine seedlings. Tree Physiol 17: 805-811.
31    Betzelberger, AM;  Gillespie, KM; McGrath, JM; Koester, RP; Nelson, RL; Ainsworth, EA.  (2010). Effects
32           ofchronic elevated ozone concentration on antioxidant capacity, photosynthesis and seed yield of 10
33           soybeancultivars. Plant Cell Environ 33: 1569-1581. http://dx.doi.0rg/10.llll/j.1365-3040.2010.02165.x
34    Broadmeadow, MSJ; Jackson, SB. (2000). Growth responses of Quercus petraea, Fraxinus excelsior and
35           Pinussylvestris to elevated carbon dioxide, ozone and water supply. New Phytol 146: 437-
36           451.http://dx.doi.org/10.1046/j.l469-8137.2000.00665.x
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  1     Campbell, SJ; Wanek, R; Coulston, JW. (2007). Ozone injury in west coast forests: 6 years of monitoring -
  2            Introduction. Portland, OR: U.S. Department of Agriculture.

  3     Davis, DD. (2007a). Ozone-induced symptoms on vegetation within the Moosehorn National Wildlife Refuge in
  4            Maine. Northeast Nat 14: 403-414. http://dx.doi.org/10.1656/1092-6194(2007)14r403:OSOVWT12.0.CO:2

  5     Davis, DD. (2007b). Ozone injury to plants within the Seney National Wildlife Refuge in northern Michigan.
  6            Northeast Nat 14:  415-424.

  7     Davis, DD. (2009). Ozone-induced stipple on plants in the Cape Remain National Wildlife Refuge, South Carolina.
  8            Southeastern Naturalist 8: 471-478.

  9     Davis, DD; Orendovici, T.  (2006). Incidence of ozone symptoms on vegetation within a National Wildlife Refuge in
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11     Federal Register 1996. National Ambient Air Quality Standards for Ozone; Proposed Rule. 40 CFR 50; Federal
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13     Federal Register 1997. National Ambient Air Quality Standards for Ozone; Final Rule. 40 CFR 50; Federal Register
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15     Federal Register 2007. National Ambient Air Quality Standards for Ozone; Proposed Rule. 40 CFR 50; Federal
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17     Federal Register 2008. National Ambient Air Quality Standards for Ozone; Final Rule. 40 CFRparts 50 and 58;
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19     Federal Register 2010. National Ambient Air Quality Standards for Ozone; Proposed Rule. 40 CFR 50 and 58;
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21     Federal Register 2012. National Ambient Air Quality Standards for Oxides of Nitrogen and Sulfur; Final Rule. 40
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23     Fiore, AM; Jacob, DJ; Field, BD; Streets, DG; Fernandes, SD; Jang, C. (2002). Linking ozone pollution and climate
24            change: The case for controlling methane. Geophys Res Lett 29: 1919.
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26     Flagler, RB. (1998). Recognition of air pollution injury to vegetation: A pictorial atlas (2nd ed.). Pittsburgh, PA: Air
27            & Waste Management Association.

28     Frey, C. and Samet, J.M. (2012a) CASAC Review of the EPA's Policy Assessment for the Review of the Ozone
29            National Ambient Air Quality Standards (First External Review Draft-August 2012).  EPA-CASAC-13-
30            003. November 26, 2012.

31     Frey, C. and Samet, J.M. (2012b) CASAC Review of the EPA's Health Risk and Exposure Assessment for Ozone
32            (First External Review Draft - Updated August 2012) and Welfare Risk and Exposure Assessment for
33            Ozone (First External Review Draft-Updated August 2012).  EPA-CASAC-13-002. November 19, 2012.

34     Grantz, DA; Gunn, S; Vu, HB. (2006). O3 impacts on plant development: A meta-analysis of root/shoot allocation
35            and growth. Plant Cell Environ 29: 1193-1209. http://dx.doi.0rg/10.llll/j.1365-3040.2006.01521.x

36     Gregg, JW; Jones, CG; Dawson, TE. (2003). Urbanization effects on tree growth in the vicinity of New York City
37            [Letter]. Nature 424: 183-187. http://dx.doi.org/10.1038/nature01728
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  1     Grulke, NE; Johnson, R; Esperanza, A; Jones, D; Nguyen, T; Posch, S; Tausz, M. (2003). Canopy transpiration of
  2            Jeffrey pine in mesic and xeric microsites: O3 uptake and injury response. Trees Struct Funct 17: 292-298.

  3     Grulke, NE; Minnich, RA; Paine, TD; Seybold, SJ; Chavez, DJ; Fenn, ME; Riggan, PJ; Dunn, A. (2008).
  4            Airpollution increases forest susceptibility to wildfires: A case study in the San Bernardino Mountains in
  5            southern California. In A Bytnerowicz; MJ Arbaugh; AR Riebau; C Anderson (Eds.), Wildland fires and
  6            air pollution; Section III: Ecological Impacts of Forest Fires and Air Pollution (pp. 365-403). Amsterdam,
  7            The Netherlands: Elsevier Ltd. http://dx.doi.org/10.1016/S1474-8177(08)00017-X

  8     Heagle, AS. (1989). Ozone and crop yield*. Annu Rev Phytopathol 27: 397-423.
  9            http://dx.doi.org/10.1146/annurev.py.27.090189.002145

10     Heck, WW; Cowling, EB. (1997).The need for a long term cumulative secondary ozone standard - An ecological
11            perspective. EM January: 23-33.

12     Henderson, R. (2006) Letter from CAS AC Chairman Rogene Henderson to EPA Administrator Stephen Johnson.
13            October 24, 2006, EPA-CASAC-07-001.

14     Henderson, R. (2008) Letter from CAS AC Chairman Rogene Henderson to EPA Administrator Stephen Johnson.
15            April 7,2008, EPA-CASAC-08-009.

16     Hogsett, WE; Weber, JE; Tingey, D; Herstrom, A; Lee, EH; Laurence, JA. (1997). Environmental auditing: An
17            approach for characterizing tropospheric ozone risk to forests. J Environ Manage 21: 105-120.
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19     IPCC (Intergovernmental Panel on Climate Change). (2007). Climate change 2007: Impacts,  adaptation and
20            vulnerability. Cambridge, UK: Cambridge University Press.

21     Kline, LJ; Davis, DD; Skelly, JM; Savage, JE; Ferdinand, J. (2008). Ozone sensitivity of 28 plant selections exposed
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24     Kubiske, ME; Quinn, VS; Heilman, WE; McDonald, EP; Marquardt, PE; Teclaw, RM; Friend, AL; Karnoskey, DF.
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27     Kubiske, ME; Quinn, VS; Marquardt,  PE; Karnosky, DF.  (2007).  Effects of elevated atmospheric CO2  and/or O3 on
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3 5     Lefohn, AS; Runeckles, VC.  (1987). Establishing standards to protect vegetation - ozone exposure/dose
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 1                6   CONSIDERATION OF ALTERNATIVE SECONDARY
 2                                            STANDARDS

 3          To the extent that the information available in this review suggests that revision of the
 4    current secondary standard is appropriate to consider, as discussed in chapter 5, staff has
 5    evaluated the available body of evidence, and exposure, risk and air quality information with
 6    regard to the support for consideration of alternative standards, as articulated by the following
 7    overarching question:
 8         •  What alternative secondary standards are supported by the currently available
 9             scientific evidence, exposure/risk information and air quality analyses?
10          To assist us in interpreting the currently available scientific evidence and the results of
11    recent quantitative exposure/risk analyses to address this question, we have focused on a series
12    of more  specific questions in sections 6.1, 6.2 and 6.3 below. We consider both the scientific
13    and technical information available at the time of the last review and information newly available
14    since the last review which has been critically analyzed and characterized in the ISA.
15    Specifically, we consider the currently available scientific evidence and technical information in
16    the context of decisions regarding the basic elements of the NAAQS: indicator, (section 6.1);
17    averaging time and form (section 6.2); and level (section 6.3).  CASAC advice on potential
18    alternative standards is described in section 6.4 and preliminary staff conclusions on potential
19    alternative standards are discussed in section 6.5. Section 6.6 summarizes preliminary staff
20    conclusions on adequacy of the current standard and potential alternative standards appropriate
21    to consider. Key uncertainties in this review and areas in which future research and data
22    collection would better inform the next review are identified in section 6.7.

23         6.1 INDICATOR
24          With regard to the indicator for potential alternative secondary standards, we consider the
25    following question.
26         •  Does the information  available in this review continue to support  Os as the
27             indicator for ambient air photochemical oxidants?
28          In the last review of the air quality for Oj, and other photochemical oxidants and of the 63
29    standard, as in other prior reviews, the EPA focused on a standard for Os as the most appropriate
30    surrogate for ambient photochemical  oxidants.  Ozone  is a long-established surrogate for
31    ambient photochemical  oxidants, among which it is by far the most widely studied with regard to
32    effects on welfare and specifically on vegetation. The  information  available in this review adds
33    to our understanding of the atmospheric chemistry for photochemical oxidants and Os in
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 1    particular (as described in the ISA, sections 3.2 and 3.6, and summarized in section 2.2 in this
 2    document). The 1996 Staff Paper noted that the database on vegetation effects is generally
 3    considered to raise concern at levels found in the ambient air for Os and, therefore, control of
 4    ambient O?, levels has previously been concluded to provide the best means of controlling other
 5    photochemical oxidants of potential welfare concern (U.S. EPA, 1996b, p. 277).  In the current
 6    review, while the complex atmospheric chemistry in which Os plays a key role has been
 7    highlighted, no alternatives to 63 have been advanced as being a more appropriate surrogate for
 8    ambient photochemical oxidants.  Ozone continues to be the only photochemical oxidant other
 9    than nitrogen dioxide that is routinely monitored and for which a comprehensive database exists
10    (U.S. EPA, 2013, section 3.6). Thus, staff concludes that 63 remains the appropriate pollutant
11    indicator for use in a secondary NAAQS that provides protection for public welfare from
12    exposure to all photochemical oxidants.

13         6.2  FORM AND AVERAGING TIME
14          In considering potential forms and averaging times alternative to that of the current
15    secondary standard (i.e.  4* high daily maximum 8-hour average, averaged over 3 years) we
16    address several specific  questions.
17         •  To what extent does the currently available information provide support for
18             considering forms different from that of the current secondary standard?
19          In characterizing the current evidence, the ISA states that "[n]o recent information is
20    available since 2006 that alters the basic conclusions put forth in the 2006 and 1996 Oi AQCDs"
21    with regard to biologically relevant exposure indices (U.S. EPA, 2013, section 2.6.6.1). Based
22    on the current state of knowledge and the best available data assessed in this review, the ISA
23    therefore concludes that exposure indices that cumulate and differentially weight the higher
24    hourly average concentrations over a season and also include the mid-level values continue to
25    offer the most defensible approach for use in developing response functions and in defining
26    indices for vegetation protection (U.S. EPA, 2013, section 2.6.6.1). In particular, the available
27    body of evidence provides a wealth of information, compiled over several decades, on the
28    aspects of 63 exposure that are most important in influencing plant response.  As discussed in the
29    ISA, the importance of the duration of the exposure and the relatively greater importance of
30    higher concentrations (over lower concentrations) in determining plant response to Os  have been
31    well documented (U.S. EPA, 2013, section 9.5.3).  Building on this research,  other work has
32    been focused on developing "mathematical approaches for summarizing ambient air quality
33    information in biologically meaningful forms for 63 vegetation effects assessment purposes ..."
34    (U.S. EPA, 2013, section 9.5.3), including those known as cumulative, concentration weighted
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 1    forms (i.e. SUM06, W126). Much of this work was completed by the mid-1990s, and was
 2    summarized in the 1996 Criteria Document (CD) (U.S. EPA, 1996a, section 5.5).
 3          On the basis of this longstanding and extensive evidence demonstrating that the risk to
 4    vegetation comes from cumulative seasonal exposures, the EPA in the 1997 and 2008 reviews, as
 5    well as in the 2010 proposed rulemaking to reconsider the 2008 decision, recognized the
 6    importance of cumulative, seasonal exposures as a primary determinant of plant responses to Os
 7    in ambient air (61 FR 65741-42; 62 FR 38878; 72 FR 37893, 37896, 37900, 37904; 73 FR
 8    16488-90, 16493-94; 75 FR 3000, 3010, 3012).  For example, in the 1996 notice of proposed
 9    rulemaking, the Administrator recognized that the scientific evidence supported the conclusion
10    that "a cumulative seasonal exposure index is more biologically relevant than a single event or
11    mean index" (61 FR 65742). In the 2008 review, CAS AC recognized that an important
12    difference between the effects of short-term exposures to O?, on human health and the effects of
13    63 exposures on welfare is that "vegetation effects are more dependent on the cumulative
14    exposure to, and uptake of, Os over the course of the entire growing season" (Henderson, 2006).
15    In that review, the CAS AC 63 Panel members were unanimous in supporting the final Staff
16    Paper recommendation that "protection of managed agricultural crops and natural terrestrial
17    ecosystems requires a secondary Ozone NAAQS that is substantially different from the primary
18    ozone standard in averaging time, level and form" (Henderson, 2007).  Accordingly, in both the
19    1997 and 2008 reviews as well as the 2010 reconsideration, the Administrator proposed a
20    secondary standard with a cumulative seasonal form as an appropriate policy option (61 FR
21    65742-44; 72 FR 37899-905; 75 FR 3012-3027).
22          Over the past two decades, several indices have been considered with regard to their
23    representation of Os exposure in terms best describing its effects on vegetation.  The 1996 CD
24    and 1996 Staff Paper evaluated different types of forms to determine which performed the best in
25    describing the available data on plant response to Os  exposures. These documents noted that a
26    number of forms (e.g., the one event, mean and unweighted cumulative SUMOO) are unable to
27    reliably predict plant response because they either ignore the role of duration or ignore the
28    disproportionate impact of higher concentrations by weighting all concentrations equally (U.S.
29    EPA, 1996b, p. 224).  Other forms that were considered include multicomponent forms.
30    Because these forms take into account many other relevant factors (e.g., plant growth stage,
31    predisposition from earlier exposures), they consistently predict plant response best of all the
32    different exposure forms. However, due to being species-specific and highly complex, they were
33    not considered suitable for more general application in the context of standard setting (U.S. EPA,
34    1996b, pp. 224-225). On the other hand, it was also found that concentration-weighted forms
35    that take into account the role of duration and concentration perform almost as well as the
36    multicomponent forms. These include several threshold forms (e.g., SUM06, AOT60) and

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 1    sigmoidally weighted cumulative indices (e.g., W126) (U.S. EPA, 1996a, pp. 5-84 to 5-136; U.S.
 2    EPA, 1996b, pp. 223-227). Given that these cumulative concentration-weighted forms all were
 3    able to similarly predict plant response on the datasets for which they were evaluated (i.e.
 4    NCLAN), it was not possible to distinguish between them on this basis.  Partly as a result,
 5    CAS AC deliberations in 1995 did not produce a consensus on which form would be best suited
 6    for a secondary NAAQS. As discussed further in 6.3 below, a workshop held in January of 1996
 7    provided a consensus recommendation on the SUM06 form as appropriate for use in secondary
 8    standards, while also recognizing that a W126 form could also be appropriate (Heck and
 9    Cowling, 1997). Subsequent to this, the final 1996 Staff Paper and 1996 proposal notice both
10    identified the SUM06 form as appropriate to consider and propose, respectively (U.S. EPA,
11    1996b, p. 285, 61 FR 65716).  In selecting the SUM06 form, it was noted that while it imposed a
12    threshold even while evidence was lacking for a discernible threshold for Os-related vegetation
13    effects, it had the benefit of not including concentrations considered to be from background
14    sources, which was an important feature (U.S. EPA, 1996b, pp. 223-227).
15          In the subsequent review, the form of the standard was revisited in light of continued
16    evidence that there remained a lack of discernible threshold for vegetation effects in general, and
17    newer estimates of Os concentrations associated with background sources that were lower than in
18    the previous review so that their inclusion was less of a concern. On these bases, the 2007 Staff
19    Paper recommended consideration of the W126 index1 as the basis for the form of a distinct
20    secondary standard (U.S. EPA, 2006, pp. 9-11 to 9-15 and pp. AX9-159 to AX9-187; U.S. EPA,
21    2007, pp. 7-15/16). The EPA then proposed two options for the secondary standard, one of
22    which was to adopt a cumulative, seasonal standard based on the W126 index, while the other
23    option was a secondary  standard identical to the proposed revised primary standard (72 FR
24    37818).  The CASAC Panel in that review expressed preference for the W126 index (Henderson,
25    2006).  In EPA's proposed reconsideration of the 2008 decision, the Agency proposed only the
26    option of a cumulative, seasonal  standard based on the W126 function (75 FR 2938).
27          In this review, we conclude that specific features associated with the W126 index still
28    make it the most appropriate cumulative concentration-weighted form for use in the context of
29    the secondary 63 NAAQS review.  In particular, the W126 index does not apply an arbitrary
30    exposure threshold below which concentrations are not included. Given the acknowledged range
31    in vegetation sensitivity and the continued lack of evidence of an exposure threshold for effects
32    above a W126 index of zero, such a feature is desirable. In addition, we conclude the W126
            1 The W126 is a non-threshold approach described as the sigmoidally weighted sum of all hourly O3
      concentrations observed during a specified diurnal and seasonal exposure period, where each hourly O3
      concentration is given a weight that increases from 0 to 1 with increasing concentration (Lefohn et al, 1988; Lefohn
      and Runeckles, 1987; U.S. EPA, 2013, section 9.5.2).
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 1    sigmoidal weighting function provides the best way to weight concentrations associated with
 2    background sources. Thus, we conclude that the W126 form is best matched to the evidence
 3    associated with vegetation effects, as well as addressing the policy-relevant issue of how to
 4    weight exposures associated with background sources.
 5         •  To what extent does the currently available information provide support for
 6             consideration of a cumulative seasonal form derived as a sum of weighted Os
 7             concentrations over daylight hours (8:00 am to 8:00 pm) for the 3 month period
 8             having the highest sum within the Os season?
 9          For a standard with a  cumulative seasonal form, including one defined in terms of the
10    W126 exposure index, the NAAQS element of "averaging time" is appropriately considered in
11    terms of exposure periods - diurnal and seasonal — over which the index would be summed in
12    any given year. In the EPA's consideration of such a standard in both the 1997 and 2008
13    reviews, the diurnal period of interest was identified to be the daylight hours, which were defined
14    for these purposes as spanning the 12-hour period from 8 am to 8 pm during the growing season.
15    The seasonal period of interest was identified as the consecutive 3 month period with the
16    maximum W126 index value that occurs within the monitored Os season.  Since many species of
17    vegetation have growing seasons longer than 3-months in some locations within the U.S., this
18    seasonal period is viewed as the minimum duration that can appropriately serve as a surrogate
19    for the range of growing seasons associated with U.S. vegetation (72 FR 37883; U.S. 2013,
20    section 9.5.3, p. 9-112/13.  As discussed below, the evidence available in this review continues
21    to provide support for use of these periods in considering a cumulative seasonal secondary
22    standard (U.S. EPA, 2013, section 9.5.3).
23          For the majority of plants, the diurnal conditions of maximum 63 uptake occur mainly
24    during the daytime hours (U.S. EPA, 2013, section 9.5.3.2). This is because, in general,  (1)
25    plants have the highest stomatal conductance during the daytime; (2) atmospheric  turbulent
26    mixing is greatest during the  day in many areas; (3) the high temperature and high light
27    conditions that typically promote the formation of tropospheric Os also promote physiological
28    activity in vegetation (U.S. EPA, 2013, section 9.5.3.2). In consideration of such a cumulative
29    metric in the prior review, the EPA has identified the  12-hour period from 8 am to 8 pm as
30    appropriately capturing the diurnal window with most relevance to the photosynthetic process
31    (72 FR 37900; 75 FR 3013).  In so doing, the EPA recognized, as did CASAC that in some parts
32    of the country this period may not include all daytime hours or exposures of importance to
33    vegetation, thus potentially underestimating the impact of 63 at those sites (72 FR 37900-01; 75
34    FR 3013-14; Henderson, 2007, p. 3, pp. C-22-23).
35          In addition to daytime uptake, a number of studies have also reported O?, uptake at night
36    in some species (U.S. EPA, 2013, section 9.5.3.2). Typically the rate of stomatal conductance at

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 1    night is much lower than during the day.  Several field studies have attempted to quantify night-
 2    time 63 uptake with a variety of methods.  Across the studies discussed in the ISA, nocturnal
 3    conductance ranged from negligible to 25% of daytime values (U.S. EPA, 2013, section 9.5.3.2).
 4    In some studies the percent of nocturnal uptake varied by season and drought conditions.
 5    However, many of these studies did not link the night-time flux to measured effects on plants,
 6    making it difficult to know whether the impacts on the plant from nocturnal exposures are
 7    greater or less than those from similar daytime exposures, and whether or not they should be
 8    considered as separate impacts or as additive or synergistic with impacts from the preceding
 9    daytime exposure. In addition to the uncertainties associated with understanding the plant
10    response to nocturnal uptake, there are also uncertainties associated with the extent of its
11    occurrence. For significant nocturnal stomatal flux and Os effects to occur, a susceptible plant
12    with nocturnal stomatal conductance and low defenses must be growing in an area with relatively
13    high night-time 63 concentrations (often high elevation sites) and appreciable nocturnal
14    atmospheric turbulence. It is unclear how many areas there are in the U.S. where these conditions
15    occur. It may be possible that these conditions exist in mountainous areas of southern California,
16    front-range of Colorado and the Great Smoky Mountains of North Carolina and Tennessee.
17    More information  is needed in locations with high night-time O^ to assess the local O^ patterns,
18    micrometeorology and responses of potentially vulnerable plant species (U.S. EPA, 2013,
19    section 9.5.3.2).
20          In consideration of such uncertainties regarding the importance and extent of nocturnal
21    exposures associated with plant uptake, and whether and how they might be incorporated into a
22    national index, staff continues to focus on the 12-hour daytime exposure period of 8:00 am to
23    8:00 pm, consistent with CASAC advice in the last review (Henderson, 2007, p. 3).  In so doing,
24    we recognize the variability in daylight hours across the country and across the 63 seasons, such
25    that this period will not always include  all the daylight hours in all areas. Thus, a focus on this
26    set period for all locations has the potential to underestimate the impact of 63 exposures in some
27    areas, although, given that available monitoring data indicates that the daily increase in Os
28    concentrations generally does not begin until after 8  am (U.S. EPA, 2013, section 3.6.3.2), as
29    well as our additional focus on the 3-month period with the highest index (as discussed below),
30    the extent of such  underestimation is unclear.  We note, however, the variability in daylight
31    hours nationwide in areas to which a W126-based secondary standard would apply as well as in
32    areas where studies have been conducted that form the basis for consideration of such a standard
33    is an important consideration in identifying the appropriate elements for a W126-based
34    secondary  standard.
35          With regard to identification of the seasonal period over which to cumulate exposures,
36    EPA notes that a plant is vulnerable to 03 pollution as long as it has foliage and is

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 1    physiologically active (U.S. EPA, 2013, section 9.5.3, p. 9-112), i.e. during its growing season.
 2    The length of vegetative growing seasons varies depending on the type or species of vegetation
 3    and where it grows. For example, as discussed in the ISA, annual crops are typically grown for
 4    periods of two to three months while perennial species may be photosynthetically active longer,
 5    and up to 12 months each year for some species (U.S. EPA 2013, section 9.5.3, p. 9-112). In
 6    general, the period of maximum physiological activity and thus, potential Os uptake for
 7    vegetation coincides with some or all of the intra-annual period defined as the 63 season, which
 8    varies on a state-by-state basis (U.S. EPA, 2013, Figure 3-24, p. 3-83). This is because the high
 9    temperature and high light conditions that typically promote the formation of tropospheric O?,
10    also promote physiological activity  in vegetation (U.S. EPA, 2013, section 9.5.3, p. 9-112).
11           The exposure periods used in studies of Os effects on vegetation reflect this
12    understanding, with crop studies typically using shorter seasonal exposure periods, while studies
13    of longer lived trees and other perennial vegetation often extend for the entire annual  growing
14    season or in some cases over multiple growing seasons.  Specifically, the ISA notes that "[m]ost
15    of the crop studies done through NCLAN had exposures less than three months with an average
16    of 77 days. Open-top chamber studies of tree seedlings,  compiled by the EPA, had an average
17    exposure of just over three months or 99 days. In more recent FACE experiments, SoyFACE
18    exposed soybeans for an average of approximately  120 days per year and the  Aspen FACE
19    experiment exposed trees to an average of approximately 145 days per year of elevated Os,
20    which included the entire growing season at those particular sites. Further, the U.S. Forest
21    Service and federal land managers have typically used the 6 months from April through
22    September as the accumulation period (U.S, EPA, 2013, section 9.5.3.2, p. 9-112).  However,
23    despite  the possibility that plants may be exposed to ambient 63 longer than 3 months in some
24    locations, the ISA notes that "[t]he exposure period in the vast majority of 63 exposure studies
25    conducted in the U.S. has been much shorter than 6 months..." and "there is generally a lack of
26    exposure experiments  conducted for longer than 3 months" (U.S. EPA, 2013, section 9.5.3.2, p.
27    9-112)
28           As a result, analyses of effects in terms of the W126 exposure index have typically
29    defined the index in terms of a 3-month exposure period or at least in terms of periods shorter
30    than 6 months (e.g. SoyFACE, AspenFACE) (U.S,  EPA, 2013, p.  112). In addition, the O3
31    season within which Os monitoring is required is shorter than 6 months in many areas in the
32    country, yet longer than 3 months in all locations (U.S. EPA, 2013, section 3.6.2, p. 3-83). Thus,
33    in the last review, the EPA proposed use of the consecutive 3-month period within the O^  season
34    having the maximum W126 index value. A 3-month exposure period was also supported by
35    CAS AC in advice provided both during the last review and on the 2010 proposed reconsideration
36    (Henderson, 2006; Samet, 2010). In revisiting this  issue in the current review, the EPA

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 1    conducted a new analysis to further inform the consideration of the most appropriate seasonal
 2    accumulation period (U.S. EPA, 2013, section 9.5.3).  This analysis calculated and compared the
 3    3- and 6-month maximum W126 values for over 1,200 AQS  and CASTNET EPA monitoring
 4    sites for the years 2008-2009. The two accumulation periods were found to have highly
 5    correlated metrics (U.S. EPA, 2013, Figure 9-13). The two accumulation periods were centered
 6    on the yearly maximum for each monitoring site, and it is possible that this correlation would be
 7    weaker if the two periods were not temporally aligned (U.S. EPA, 2013, section 9.5.3). The
 8    analysis indicates that in the U.S., W126 cumulated over 3 months and W126 cumulated over 6
 9    months are proxies of one another, as long as the period in which daily W126 is accumulated
10    corresponds to the seasonal maximum. Therefore, it is expected that either statistic will predict
11    vegetation response equally well.
12         •  Are there other aspects of the form that are appropriate to consider that
13             contribute to welfare protection provided by  a cumulative seasonal standard?
14          In considering a secondary standard in terms of the W126 exposure index with daylight
15    12-hour averaging time and maximum consecutive 3-month cumulative exposure period, we find
16    it appropriate to evaluate the protection that might be afforded by a form limited to a single year
17    or one that is based on evaluation of W126 index values across multiple years. In so doing, we
18    are mindful  that the protection provided by the secondary standard derives from the combination
19    of all elements of the standard. Accordingly, the discussion below explores the information
20    relevant to consider in conjunction with identification  of standard level, as well as whether there
21    is a lack of support in the current information for either single or multi-year options.
22          In considering an annual form of a standard, we particularly take note of Cb-induced
23    vegetation effects that can occur as a result of a single year's exposure. These include visible
24    foliar injury symptoms, growth reduction in annual species, and crop yield loss in annual crops.
25    The following discussion considers these effects, in the context of their potential public welfare
26    significance, with regard to the extent to which a W126-based standard with an annual form or
27    one based on evaluation across multiple years may be  able to provide appropriate protection.
28          Visible foliar injury that occurs on public lands that have been afforded special
29    protections (e.g., Class I areas) is an annual effect with potential public welfare significance,
30    particularly when the injury is of some severity. However, we recognize the complexity
31    associated with defining Os exposure conditions that might consistently provide appropriate
32    protection from this endpoint. As summarized in section 5.4.2 and described more completely in
33    the WREA,  over 80% of USFS biosites show no foliar injury in a wide variety of tree species
34    under air quality conditions (2006-2010) that include a broad range of W126 index values (U.S.
35    EPA 2014, section 7.2). The WREA USFS biosite analysis additionally suggested a reduction in
36    prevalence of sites with visible foliar injury with W126 index values below approximately 10
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 1    ppm-hrs. However, the full body of evidence indicates wide variability in this endpoint, such
 2    that although evidence shows visible foliar injury can occur under very low cumulative Os
 3    concentrations, ".. .the degree and extent of visible foliar injury development varies from year to
 4    year and site to site..., even among co-members of a population exposed to similar 03 levels, due
 5    to the influence of co-occurring environmental and genetic factors" (U.S.  EPA 2013, section
 6    9.4.2, p. 9-38). In particular, drought conditions which can frequently occur with high seasonal
 7    Oj, concentrations can potentially offer some protection so that the visible foliar injury that might
 8    be expected based only on 63 exposure conditions does not develop.  Accordingly, staff
 9    recognizes the challenges associated with characterizing the role of relative soil moisture, and its
10    appreciable spatial and temporal variability.  For example, the WREA analysis of the
11    relationship between foliar injury at USFS biosites and soil moisture data found foliar injury to
12    be less prevalent in years when sites were drier (U.S. EPA, 2014, section 7.2 and Figure 7-10).
13    The uncertainties associated with describing the potential for the occurrence of foliar injury and
14    its severity or extent of occurrence for any given set of Os exposure conditions, limit our ability
15    to identify annual ambient 63 exposure conditions that might be expected to provide an
16    appropriate degree of protection. Thus, the evidence for this endpoint does not appear to provide
17    support for the necessity of consideration of a single year form.
18          Another annual effect with the potential for public welfare significance is that of reduced
19    yields in annual  commodity crops.  It has been well documented that certain important
20    commodity crops are sensitive to O?, and that achieving the optimum level of crop  yields is of
21    special importance to the public welfare.  Although the impact of this effect can be monetized,
22    determining what the optimum yields are is less straightforward. This is because optimizing the
23    public welfare associated with annual crop production is not necessarily the same as maximizing
24    the annual yield but instead by achieving the maximum levels of producer and consumer
25    surpluses.  These latter objectives depend less on the magnitude of the annual 03 exposure and
26    more on the management strategies employed by the agricultural community during that year,
27    strategic planting choices that are made from year to year, and environmental factors (e.g.,
28    drought) which can in large part offset these concerns (U.S. EPA, 2014, Chapter 6, section 6.5).
29    Thus, since the optimum annual yield is not necessarily equivalent to the greatest public welfare
30    value, it is difficult to know what degree of protection from Os would be requisite  in any given
31    year. Thus, as in the 2008 review, we do not believe that a public welfare  benefit of optimizing
32    crop yields by protection of commodity crops from annual 63 impacts is necessarily achievable
33    through the secondary NAAQS (73 FR 16492, 16497). Further, depending on the  level of
34    protection being considered for other vegetation effects (i.e. seedling biomass loss), crops may
35    indirectly receive protection.  Thus, similar to the annual  foliar injury effect, the uncertainties
36    associated with identifying at what point annual yield loss in commodity crops becomes adverse

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 1    to the public welfare make it difficult to identify an appropriate degree of protection, particularly
 2    when considering the effect of a single year.
 3          In contrast to impacts on annual species that accrue in the single growing season in which
 4    the Os exposures occur, annual effects in perennial  species can be "carried over" into the
 5    subsequent year where they affect growth and reproduction (U.S. EPA, 2013, pp. 9-43 to 9-44
 6    and p. 9-86). In addition, when these effects occur  over multiple years due to elevated Os
 7    exposures across several years, they are compounded, increasing the potential for effects at the
 8    ecosystem level and associated ecosystem services that may be of significance to the public
 9    welfare.  For example, in perennial species, Os-induced reduction in photosynthesis decreases
10    the amount of carbohydrate produced by and available to the plant for growth and storage. The
11    plant often responds to decreases in carbohydrate production by reallocating the remaining
12    carbohydrate to above ground growth at the expense of storage in and growth of the roots (U.S.
13    EPA, 2013, section 9.4.3.1). When fewer carbohydrates are available in the roots, less energy is
14    available for root-related functions such as water and nutrient acquisition.  By inhibiting the
15    amount of carbohydrate transfer to the roots, 63 also can disrupt the symbiotic relationship that
16    exists between some plants and mycorrhizal fungi in the soil. Mycorrhizal  fungi have been
17    shown to improve the uptake of nutrients, protect host plant roots against pathogens, and produce
18    plant growth hormones (U.S. EPA, 2007, 7.3.3.2).  Thus, such effects of elevated 63 in a given
19    year may affect the plant's resistance in a subsequent year, with multiple such years having the
20    potential for larger impacts.  However, where there is variation across years such that lower 03
21    years with lesser impact occur between elevated 63 years, it may be that the longer-term impacts
22    are tempered.
23          Effects of elevated 63 years on perennial plants, when they occur over several years, may
24    also contribute to effects on ecosystem services, i.e. alteration of below-ground biogeochemical
25    cycles, and alteration of both above- and below- ground terrestrial community composition and
26    terrestrial ecosystem water cycling (U.S. EPA, 2013, Table 9-19). Ozone has also been shown to
27    affect plant reproduction in numerous ways (U.S. EPA, 2007, 7.3.3.3; U.S. EPA, 2013, 9.4.3.1).
28    These effects, when they occur at sufficient magnitude for a single species, may result in
29    impaired recruitment and loss of the species from the stand or community. This has the potential
30    to change the community composition and biodiversity. If these effects occur in multiple plant
31    species and/or over multiple years, they can result in a reduction in the productivity and carbon
32    sequestration of terrestrial ecosystems. Such  ecosystem-related effects and others discussed in
33    the ISA may be considered to reflect impacts of critical 03 exposures over the longer term. We
34    additionally note that as compared to intermittent (or single year) critical 63 exposures, multiple
35    years of such exposures might be expected to result in larger impacts on forested areas, i.e.
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 1    increased susceptibility to other stressors such as insect pests, disease, co-occurring pollutants
 2    and harsh weather, due to the compounding or carry-over effects on tree growth.
 3           Given the above, we find it reasonable to conclude that the public welfare significance of
 4    the effects that can occur as a result of multiple-year O^ exposures are greater than those
 5    associated with a single year. Thus, to the extent that the Administrator's focus for public
 6    welfare protection to be afforded by the secondary Os standard is on long-term effects that occur
 7    in sensitive tree species in natural forested ecosystems including in federally protected areas such
 8    as Class I areas or on lands  set aside by States, Tribes and public interest groups to provide
 9    similar benefits to the public welfare, a standard with a form that evaluates the cumulative
10    seasonal index across multiple years (in combination with an appropriate level) might be
11    considered to provide an appropriate match to the nature of Os-related effects on vegetation most
12    at risk of being adverse to the public welfare and thus, upon which the secondary 03 standard is
13    focused.
14           Although cumulative, seasonal exposure values of interest for vegetation effects have
15    been expressed in terms of a single season (e.g., W126 index values for a season's  exposure of
16    tree seedlings), we recognize that it is also appropriate to consider a form that is evaluated over a
17    multiple-year period, such as three years (U.S. EPA, 2007;  72 FR 37901; 75 FR 3021). Such an
18    aspect to the form specifies the number of years for which monitoring data are considered in
19    judging attainment with a standard. For example, under  a standard with a single year form, a
20    monitor may be judged to meet the standard based on a single year of data, while under a
21    standard with a form requiring evaluation over a multi-year period, a monitor is not judged to
22    have met the standard until  a complete multi-year record is available. For metrics with
23    substantial year-to-year variability, a multi-year evaluation period can provide stability in air
24    quality management programs, thus facilitating achievement of the protection intended by a
25    standard, while a standard with an annual form has the potential to contribute to challenges to
26    implementation of air pollution control programs in areas identified as not meeting the standard
27    that, through variability in the metric, meet the  standard level in other years.
28           For a W126-based potential standard, the multi-year form identified for consideration in
29    the last review was the average cumulative seasonal metric over three consecutive years (75 FR
30    3027).  Such a multi-year form remains appropriate to consider to provide stability to an
31    alternative secondary standard, just as the multi-year form provides for the current  standard
32    (average over three years of annual fourth-highest daily maximum 8-hour average 63
                     r\
33    concentrations).  In considering the issue of stability in the context of such a form, we first note
34    the inter-annual variability of seasonal W126 index, which is not unexpected given the logistic
             2 See ATA III, 283 F. 3d at 374-75 (recognizing programmatic stability as a legitimate consideration in the
      NAAQS standard-setting process).
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 1    weighting function and also inter-annual variability in meteorological conditions which
 2    contribute to 63 formation (see Appendix 2C). The staff analysis in Appendix 2C describes the
 3    variability in annual W126 values in relation to variability in the 3-year average, which indicates
 4    that a standard based on an annual W126 index would be expected to have a lower degree of
 5    year-to-year stability relative to a standard based on a form that averages seasonal indices across
 6    three consecutive years. A more stable standard can be expected to contribute to greater public
 7    welfare protection by limiting year-to-year disruptions in ongoing control programs that would
 8    occur if an area was frequently shifting in and out of attainment due to extreme year-to-year
 9    variations in meteorological conditions. 283 F. 3d at 374. Thus, we recognize the public welfare
10    benefit of having a standard of a form with more year-to-year stability.
11          In considering the  relative value of a multi-year form for an alternative secondary
12    standard in affording the desired protection, we also take note of the influence such a form might
13    be expected to have on air quality conditions and the associated public welfare protection. For
14    example a W126-based standard with an annual form would have a level defining the maximum
15    cumulative seasonal index. Where air quality is attained that reliably meets such a standard, the
16    cumulative seasonal index values would be at or lower than the level of the standard in all years
17    and, given the significant inter-annual variability in seasonal W126 values (described above),
18    would be appreciably below the standard level in many years.  Alternatively, for a standard with
19    a form that averages the cumulative seasonal index values across three consecutive years,  the
20    seasonal index would be above the level in some years, but would have to be below it in others
21    within the same 3-year period, restricting there to no more than two years out of three to have
22    indices above the level, and depending  on magnitude of each year's index, potentially no more
23    than one.
24          In our consideration of this aspect of form for a cumulative seasonal secondary standard,
25    we additionally take note of advice from CASAC on this topic in prior reviews.  For example, in
26    comments provided on the final Staff Paper in 2007, CASAC expressed the view that "[i]f multi-
27    year averaging is employed to increase the stability of the secondary standard, the level of the
28    standard should be revised downward to assure that the desired threshold is not exceeded in
29    individual years" (Henderson, 2007). Accordingly, in considering all elements for a revised
30    standard, including level, as well as form, we note the importance of considering the potential  for
31    single-year 63 exposures that would result in adverse effects to public welfare. As noted above,
32    a standard with a form that averages across three years can also control year-to-year variability
33    and individual year concentrations.  In so noting, we recognize the availability of air quality
34    analyses that can inform our consideration of the likely extent of such control (e.g., Appendix
35    2C).  Additionally, we note the potential that, depending on type of effects and the magnitude
36    which may be judged adverse, low 03 years within each three-year period might play a

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 1    countervailing role with regard to the extent of Os-attributable impacts that might pose public
 2    welfare significance.  The WREA analyses on the potential for biomass loss estimates based on a
 3    3-year average to underestimate the cumulative impact on growth inform this point. Those
 4    limited analyses indicate the potential for underestimation, although of relatively small
 5    magnitude (U.S. EPA, 2014, section 6.2.1.4). We further recognize the role of public policy
 6    judgments in drawing conclusions regarding adversity of effects to public welfare.
 7          In light of the relationships described above, the appropriate level and form combination
 8    will depend on the Administrator's objectives for the target level of protection.  In articulating
 9    these objectives it will be appropriate to evaluate the nature of the O^ induced effects and their
10    significance or importance to the public welfare,  as well as the role that year-to-year exposure
11    variability can play in public welfare impacts. For example, to the extent that the
12    Administrator's priority for public welfare protection is against long-term effects in natural
13    forested ecosystems, and given uncertainty with regard to the extent to which effects from
14    single-year exposures may be judged adverse, articulation of a target level of protection in terms
15    of a longer-term condition, such as through a form that averages the index across multiple years,
16    may be appropriate.
17         •  What does the available information indicate with regard to protection of welfare
18             from cumulative Os exposures  that might be afforded by alternative secondary
19             standards based on the form of the current standard (a 3-year average of 4th high
20             8-hour average concentrations)?
21          In staff consideration of the primary standard in chapter 4, staff preliminarily concludes it
22    is appropriate to consider alternative primary standards of the same form and averaging time as
23    the current primary standard.  Thus, although the discussion in this chapter, with regard to the
24    secondary standard, indicates the appropriateness of considering an alternative secondary
25    standard with a cumulative seasonal form, we also recognize that, to the extent that the
26    Administrator may find it more effective to control air quality using the same form for both the
27    primary and secondary standards, it may be practical to consider the extent to which a standard
28    in the form of the primary standard might be expected to also reduce and provide protection from
29    cumulative seasonal exposures of concern.  For example, if a clear and robust relationship was
30    found to exist between 8-hour daily peak 03 concentrations and cumulative, seasonal exposures,
31    the averaging time and form of the current standard  might be concluded to  have the potential to
32    be effective as a surrogate. Addressing this point, the ISA describes the results of a recent focus
33    study that examined the diel variability in Oj, concentrations in six rural areas between 2007 and
34    2009 (U.S. EPA, 2013, pp. 3-131  to 3-133). The ISA reported that "[tjhere was considerable
35    variability in the diel  patterns observed in the six rural focus areas" with the three mountainous
36    eastern sites exhibiting a "generally flat profile with little hourly variability in the median

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 1    concentration and the upper percentiles", while the three western rural areas demonstrated a
 2    "clear diel pattern to the hourly 63 data with a peak in concentration in the afternoon similar to
 3    those seen in the urban areas", which was especially obvious at the San Bernardino National
 4    Forest site, 90 km east of Los Angeles at an elevation of 1,384 meters (U.S. EPA, 2013, p. 3-
 5    132).  Thus, while the western sites that are influenced by upwind urban plumes may have
 6    increased cumulative seasonal values coincident with increased daily 8-hour peak Os
 7    concentrations, this analysis indicates that, in sites without such an urban influence (the eastern
 8    sites in this analysis), such a relationship does not occur (U.S. EPA, 2013, section 3.6.3.2).
 9    Thus, the lack of such a relationship indicates that in some locations, Os air quality patterns can
10    lead to elevated cumulative, seasonal 63 exposures without the occurrence of elevated daily
11    maximum 8-hour average Os concentrations (U.S. EPA, 2013, section 3.6.3.2). Further staff
12    notes that the prevalence and geographic extent of such locations is unclear, since as in the last
13    review, there continue to be relatively fewer monitors in the West, including in high elevation
14    remote sites. In considering the findings of this analysis, we additionally recognize, however,
15    that in general, the cumulative seasonal values for the eastern rural sites, where cumulative
16    seasonal 63 concentrations appear to be relatively less related to daily maximum  8-hour
17    concentrations, are lower than those of the western, urban-influenced sites.
18           In addition to the focus study described in the ISA (U.S. EPA, 2013, section 3.6.3.2), we
19    considered analyses of air quality monitoring data and air quality modeling  analyses. Chapter 2
20    of this document characterizes recent monitoring data on O?, air quality in rural areas. While
21    approximately 80% of the 63 monitoring network is urban focused, about 120 rural monitors are
22    divided among CASTNET, NCore, and POMs sites (Chapter 2, pp. 2-2 to 2-3, Figure 2.1).
23    Specifically, as stated in  chapter 2 "[although rural monitoring sites tend to be less directly
24    affected by anthropogenic pollution sources than urban  sites, rural sites can be affected by
25    transport of O?, or 03 precursors from upwind urban areas and by local  anthropogenic sources
26    such as motor vehicles, power generation, biomass combustion, or oil and gas operations" (U.S.
27    EPA, 2013, section 3.6.2.2).  In addition, OT, tends to persist longer in rural than in urban areas
28    due to lower rates of chemical scavenging in non-urban environments.  At higher elevations,
29    increased 63 concentrations can also result from stratospheric intrusions (U.S. EPA, 2013,
30    sections 3.4, 3.6.2.2). As a result, Os concentrations measured in some rural sites can be higher
31    than those measured in nearby urban areas (U.S. EPA, 2013, section 3.6.2.2) and the ISA
32    concludes that "cumulative exposures for humans and vegetation in rural areas can be
33    substantial, and often higher than cumulative exposures in urban areas" (U.S. EPA, 2013, p. 3-
34    120). These known differences between urban and rural sites suggest that there is the potential
35    for an inconsistent relationship between 8-hour daily peak OT, concentrations and cumulative,
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 1    seasonal exposures in those areas where protection of Os-sensitive vegetation may be most
 2    needed.
 3          In addition, as was done in both the 1997 and 2008 reviews, staff has analyzed
 4    relationships between Os levels in terms of the current averaging time and form and a W126
 5    cumulative form, based on recent air quality data. One analysis describes the W126 index values
 6    and current standard design values at each monitor for two periods: 2001-2003 and 2009-2011
 7    (e.g., Appendix 2B, Figures 2B-2 and 2B-3). This shows that between the two periods, during
 8    which broad scale 63 precursor emission reductions occurred, 63 concentrations in terms of both
 9    metrics were reduced.  There is a fairly strong, positive degree of correlation between the two
10    metrics (Appendix 2B).3 Focusing only on the latter dataset (2009-2011), it can be seen that at
11    monitors just meeting the current standard (3-year average fourth-highest daily maximum 8-hour
12    average concentration equal to 0.075 ppm), W126 values (in this case 3-year averages) varied
13    from less than 9 ppm-hrs to approximately 20 ppm-hrs (Appendix 2B, Figure 2B-3b). At sites
14    with a 3-year average fourth-highest daily maximum 8-hour average concentration at or below a
15    potential alternative primary standard level of 70 ppb, 3-year W126 index values range from 5 to
16    18 ppm-hrs, with very few above 15 ppm-hrs. An alternative presentation of such data for recent
17    3-year periods back to 2006 - 2008 indicate that among the counties with 03 concentrations that
18    met the current standard, the number with 3-year W126 index values  above 15 ppm-hrs ranges
19    from fewer than 10 to 24 (Appendix 2B, Figure 2B-9). In general during this longer period,
20    W126 index values above 15 ppm-hrs and meeting the current standard were pre-dominantly in
21    Southwest region. As the first analysis in Appendix 2B (for the 2001-2003 and 2009-2011
22    periods) indicates, monitors in the West and Southwest tend to have higher W126 values relative
23    to their design values than do monitors in other regions. This pattern is noteworthy because the
24    Southwest region has a less dense monitoring network than regions in the Eastern US (see Figure
25    2-1), so that the extent to which this pattern occurs throughout these regions is uncertain.
26    Although single-year W126 index values  were not separately analyzed in this analysis of the
27    monitor data, it indicates appreciable variation in cumulative, seasonal Os concentrations among
28    monitor locations meeting different levels of a standard of the current form.
29          Analyses of the WREA air quality scenarios indicate the potential for O^ precursor
30    emission reductions achieving 63 concentrations that just meet different 8-hour standards to
31    produce a significant reduction in 3-year W126 index values.  For example, for the current
32    standard scenario, nearly all model-adjusted monitors are at or below an estimated 3-year
33    average W126 value of 15 ppm-hrs (as summarized in section  5.2.2 above and described in U.S.
            3 Appendix 2B additionally observes that the program implemented for reducing precursor emissions,
      especially NOx, appears to have been an effective strategy for lowering both design values and W126 values.
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 1    EPA, 2014, Table 4-1). Those monitors above 15 ppm-hrs would be limited to large urban areas
 2    in the southwestern U.S. (i.e., Phoenix, Los Angeles and Denver).  When meeting a 4th high 8-
 3    hour average scenario of 70 ppb, averaged across 3 years, nearly all monitors in the U.S. would
 4    meet a 3-year W126 of 11 ppm-hrs, though some monitors in the southwest would remain
 5    between 11 and 15 ppm-hrs. At 65 ppb, all locations are at or below 11 ppm-hrs. Thus, similar
 6    to the monitoring analysis, the modeling analysis generally indicates reductions in W126 levels
 7    with reduced Os concentrations in terms of the current standard averaging time and form.  This
 8    suggests that depending on the level for a standard of the current averaging time and form, a
 9    degree of welfare protection may be afforded.  The extent to which such protection provides
10    adequate  public welfare protection additionally depends on the level of protection identified by
11    the Administrator for the public welfare in terms of the W126 index. In so noting, however, we
12    recognize the importance of also considering uncertainties in both the model-adjustment analyses
13    and those based on monitoring data. These uncertainties, including those related to monitor
14    coverage, the extent to which recent data can be expected to describe future relationships, and
15    modeling approaches, among others, should be kept in mind when assessing the strength of this
16    apparent relationship.

17         6.3 LEVEL
18          In considering potential levels for alternative secondary standards, we have taken into
19    account scientific evidence characterized in the ISA and exposure and risk estimates for different
20    air quality scenarios analyzed in the WREA, as well as the uncertainties and limitations in this
21    information. We consider this information together with regard to support for alternative
22    standards that might be appropriate to consider to provide the requisite protection from adverse
23    effects to public welfare. Drawing from section 6.2 above, our discussion here is primarily in
24    terms of the W126 sigmoidally-weighted metric, cumulated over the 12 daylight hour period
25    (8:00 am  to 8:00 pm) for the consecutive three month period with the maximum index value
26    within the growing season. In addition to considering the information in the context of a single
27    growing season, we also consider it in the context of a form for this W126 metric averaged
28    across 3 consecutive growing seasons for reasons discussed in section 6.2 above.
29          In the discussion below, we turn first to consideration of the currently available scientific
30    evidence  as assessed and characterized  in the ISA. We then consider the WREA findings with
31    regard to  vegetation, ecosystem and ecosystem services effects or risks estimated for different air
32    quality scenarios. We  additionally take note of important uncertainties and limitations in the
33    evidence  and exposure/risk analyses. Lastly, we take note of judgments to be made by the
34    Administrator in drawing conclusions regarding effects and risks that represent adverse
35    environmental effects to public welfare. In so doing, we identify key considerations with regard

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 1    to the currently available evidence, exposure/risk information and associated uncertainties in
 2    identifying levels that may be appropriate to consider for a cumulative seasonal secondary
 3    standard. Such levels are described in section 6.5 below which describes preliminary staff
 4    conclusions regarding alternative secondary standards appropriate to consider in this review.
 5         •  What does the currently available evidence indicate with regard to the range of
 6             W126-based index values that may provide protection from vegetation effects of
 7             03?
 8          In considering this question in terms of a cumulative seasonal W126-based index, we
 9    consider first quantitative evidence for O^ exposure effects on plant growth, productivity and
10    related endpoints.  In so doing, we draw on the C-R functions derived from the evidence on tree
11    seedlings and crops assessed in the ISA which are further described in the WREA and
12    summarized in sections 5.2.1 and 5.3.1 (U.S. EPA 2013, section 9.6; U.S. EPA, 2014, section
13    6.2).  It is important to note that these functions are used to provide estimates of growth and yield
14    reduction in tree seedlings and crops that might be expected to result from exposure over a single
15    growing season to various 63 concentrations expressed in terms of a W126 index (Figure 5-1
16    above).
17          Table 6-1 below presents estimates of relative yield and biomass loss for the studied
18    species of crops and tree seedlings, respectively, for a growing season exposure to  a number of
19    W126 levels.  In this table, we have included observations related to 2% relative biomass loss in
20    tree seedlings and  5% relative crop yield loss. These values are consistent with advice from
21    CASAC thus far in this review (Frey and Samet, 2012) on factors on which to base consideration
22    of levels for a secondary standard (see section 6.4 below), and with values given focus in the
23    1996 consensus-building workshop, described below. The observations in Table 6-1 for each
24    W126 index value include relative biomass or crop yield loss estimates for the median across the
25    studied species, as well as the proportion of species with estimates below 2%, 5% or 10%, as
26    examples of benchmarks that may be of interest in different contexts.
27          Staff recognizes Table 6-1  as a useful way to consider the magnitude of biomass and crop
28    yield loss estimates across the  12 and 10 studied species,  respectively, for the purposes of
29    informing consideration of potential levels for alternative secondary standards based on the
30    W126 index.  The different index levels can be considered with regard to the magnitude of
31    median species response and the proportion of species with responses expected to be below the
32    various benchmarks. For example, at an 63 exposure equivalent to a W126 index value of 7
33    ppm-hrs, the median tree seedling response across the 12 studied species is projected to be near
34    or below 2% reduction in growth compared to that for the control plants exposed to W126 index
35    values of zero (Table 6-1; U.S. EPA, 2014, section 6.2, Appendix 6A). Seven of the 12 species
36    are projected to have smaller than 2% reduction in growth, while three other species are

                                                6-17

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 1   projected to have a reduction between 2 and 5%, for a total of 10 of 12 species projected to have
 2   less than 5% reduction in growth, at a W126 index value of 7 ppm-hrs. The remaining two
 3   species, black cherry and cottonwood, are projected to have reductions just over 15% and 40%,
 4   respectively, at 7 ppm-hrs and above (Table 6-1). The median growth reduction response
 5   projected for a W126 index value of 15 ppm-hrs is approximately 5%, with responses less than
 6   2% projected for five of the twelve studied species and less than 5% for six, while less than 10%
 7   reduction in growth is projected for ten of the twelve species.  Somewhat similar estimates are
 8   projected for a W126 index value of 17 ppm-hrs, with the median growth reduction response
 9   projected to be 6%, and also with five of the twelve species less than 2%, nine less than 10% and
10   a tenth just over 10% (Table 6-1). Crop yield loss estimates are also described in Table 6-1.
11
                                              6-18

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1    Table 6-1.  Seedling and crop growth or yield reductions estimated for
2               season.
                                                                            exposure over a
W126 value
for exposure
period
21 ppm-hrs
19 ppm-hrs
17 ppm-hrs
15 ppm-hrs
13 ppm-hrs
11 ppm-hrs
9 ppm-hrs
7 ppm-hrs
Tree seedling growth reduction (biomass loss)A
BMedian species w. 7.7 % loss (varying lower)
3/12 species w. < ~2%c loss; 5/12 w. < 5% loss
7/12 species w. <10% loss; 10/12 <15% loss
BMedian species w. 6.8 % loss (varying lower)
3/12 species w. < -2% loss; 5/12 w. <5% loss
7/12 w. <10% loss; 10/12 w. <15% loss
BMedian species w. 6.0 % loss (varying lower)
5/12 species w. < -2% loss; 5/12 w. <5% loss
9/12 w. <10% loss; 10/12 w. <15% loss
BMedian species w. 5.2 % loss (varying lower)
5/12 species w. < -2% loss; 6/12 w. <5% loss
10/12 species w. <10% loss
BMedian species w. 4.4% loss (varying lower)
5/12 species w. < -2% loss; 7/12 w. <5% loss
10/12 species w.<10% loss
BMedian species w. 3.5% loss (varying lower)
5/12 species w. < -2% loss; 8/12 w. <5% loss
10/12 species w. <10% loss
BMedian species w. 2.5% loss (varying lower)
5/12 species w. < -2% loss; 10/12 w. <5% loss
BMedian species w. <2% loss (varying lower)
7/12 species w. < -2% loss; 10/12 w. <5% loss
Note: Most sensitive
species are
cottonwood (relative
biomass loss
estimates > 40% for
W126>7) and black
cherry (relative
biomass loss
estimates > 15% for
W126>7).
Crop yield lossA
Median species0 = 7.7 % loss
4/10 species w. < 5% loss
3/10 species w. >5,<10% loss
3/10 species w. >10,<20% lossE
Median species0 = 6.4 % loss
5/10 species w. < 5% loss
3/10 species w. >5, <10% loss
2/10 species w. >10,<20% loss
Median species0 = 5.1 % loss
5/10 species w. < 5% loss
3/10 species w. >5, <10% loss
2/10 species w. >10,<20% loss
Median species0 <5% loss
6/10 species w. < 5% loss
4/10 species w. >5, <10% loss F
Median species0 <5% loss
7/10 species w. < 5% loss
3/10 species w. >5, <10% loss
Median species0 <5% loss
9/10 species w. < 5% loss
1/10 species w. >5, <10% loss a
Median species0 <5% loss
All species < 5% loss
Median species0 <5% loss
All species < 5% loss
A Estimates here are based on the C-R functions described in WREA, section 6.2 and discussed in section 5.2.1
B This median value is the composite median from WREA, Figure 6-4 (also discussed in section 5.2.1). The note in parentheses
refers to the median of the stochastic sampling estimate shown in WREA Figure 6-4 (and Figure 5-2 in this document).
c In making comparisons, biomass loss estimates described as < 2 refer to values < 2.04.
D This median is the composite median from WREA, Figure 6-5 (also discussed in section 5.2.1).
E Kidney bean , potato, and winter wheat >15%.
F Cotton, kidney bean, potato, & soybean >5%.
G Kidney bean at 5.7% loss.
4          With respect to W126 index values associated with different degrees of protection for
5   visible foliar injury, we first recognize the value of this endpoint in its long-standing use as a
6   well established bioindicator of Os exposure, as described in the ISA (U.S. EPA 2013, section
7   9.4.2).
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 1           In addition to the role of visible foliar injury as an indicator, we note that the aesthetic
 2    aspects of visible foliar injury itself have the potential to be important to public welfare (as
 3    described in section 5.4 above).  Analyses such as those presented in the WREA, and
 4    summarized in section 5.4.2 above, provide approaches by which foliar injury observations
 5    under existing air quality may be analyzed. However, there is very little information on which to
 6    base judgments of the prevalence and/or severity of injury that might be considered adverse. We
 7    further recognize that there is substantial variability such that "the degree and extent of visible
 8    foliar injury development varies from year to year and site to site ...  even among co-members of
 9    a population exposed to similar Os levels, due to the influence of co-occurring environmental
10    and genetic factors" (U.S. EPA, 2013, p. 9-38). Thus, based on consideration of the evidence,
11    staff recognizes the lack of a consistent or generally predictable relationship between particular
12    W126 exposures and visible foliar injury incidence, given the influence of and variability in
13    relative soil moisture and other environmental factors. We  additionally note uncertainty in what
14    can be concluded from foliar injury in relation to plant health, productivity and ecological
15    function as "it is not presently possible to determine, with consistency across species and
16    environments, what degree of injury at the leaf level has significance to the vigor of the whole
17    plant" (U.S. EPA, 2013, p. 9-39). Thus, on the basis of the evidence, we are not able to identify
18    a range of appropriate W126 index values.
19           In further considering the available information pertaining to the question above, we
20    additionally recognize conclusions that have been drawn by expert committees with regard to
21    these endpoints (i.e., tree seedling growth, crop yields and visible foliar injury).  For example, in
22    their review of staff documents during the Os NAAQS review completed in 1997 review, the
23    CAS AC 63 panel members expressed a wide range of opinions on aspects of the evidence
24    important to consider in judging the adequacy of the 63 secondary standard and in considering
25    the form and level that would be appropriate for a secondary 03 standard (Wolff, 1996).
26    Subsequent to CAS AC  meetings in 1995 on this topic, a consensus-building workshop sponsored
27    by the Southern Oxidant Study group was held on the topic of the Os secondary standard in
28    January 1996 (Heck and Cowling, 1997).  This workshop was attended by 16 scientists with
29    backgrounds in agricultural, managed forest, natural systems, and air quality, all of whom were
30    leaders in their fields and whose research formed the basis of much of the research examined in
31    the 1996 Criteria Document.  These scientists expressed their judgments on what standard
32    level(s) would provide vegetation with protection from (Vrelated adverse effects that would be
33    adequate, in their view.4'5 As the 1997 workshop publication indicates, the scientists at the 1996
             4 At the time of the workshop, the secondary O3 standard being reviewed by EPA was a 1-hour average of
      0.08 ppm (identical to the primary standard at that time). In 1997, EPA concluded the review by revising both
      standards to a longer averaging time of 8 hours with a level of 0.08 ppm (62 FR 38856).
                                                6-20

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 1    workshop also reached consensus views regarding the types of exposures that were important in
 2    eliciting plant response and the types of metrics that were best at predicting these responses
 3    (Heck and Cowling, 1997). Before coming to agreement on daily and seasonal durations and
 4    forms pertinent to a distinct secondary standard, the participants discussed and identified
 5    endpoints to consider for natural, forest and agricultural ecosystems.6  With regard to form of the
 6    standard, participants concurred with either the SUM06 or W126 metrics, with consensus finally
 7    reached for SUM06, with some qualification regarding implications for a threshold.  The
 8    participants identified the ranges they felt should be considered for each of three endpoints.
 9    Overall, the SUM06 values ranged from 8 to 20 ppm-hr (corresponding to W126 values ranging
10    from 5 to  17 ppm-hr, based on EPA analysis focused on conditions in NCLAN studies).7 This
11    overall range reflected ranges for each of the three endpoints, with the following considerations
12    (Heck and Cowling, 1997).
13              -   Crops (yield reductions): SUM06  of 15-20 ppm-hrs (13-17 ppm-hrs, W126).  This
14                  range was recognized to generally consider <10% yield loss in more than 75% of
15                  species.
16              -   Trees (growth effects): SUM06 of 10-16 ppm-hrs (7 to  14 ppm-hrs, W126). This
17                  range was recognized to generally consider 1-2% per year growth reduction; in so
18                  doing,the group identified a need to consider the potential for year-to-year
19                  compounding of impacts in long-lived perennial species.
20              -   Visible Foliar Injury: SUM06 of 8 to 12 ppm-hrs (5 to 9 ppm-hrs, W126).
21           Since the publication of 1996 workshop report and conclusion of the 1997 NAAQS
22    review, the evidence base has continued to expand as described in the 2006 CD and 2013 ISA
23    (U.S. EPA, 2006; U.S. EPA, 2013).  With regard to tree growth effects and crop yield reductions,
24    results of additional studies conducted in the field have confirmed the tree seedling biomass loss
25    and crop yield loss  concentration-response relationships derived from earlier studies that used
26    open top chambers  (U.S. EPA 2013, section 9.6). Further, similar data, although from an
             5 The workshop publication describes the primary objective for the workshop as having been to assemble
      knowledgeable scientists to develop a group consensus on "various critical components associated with a possible
      revised secondary ozone standard" (Heck and Cowling, 1997).
             6 For natural ecosystems, they focused on foliar injury as an indicator. For forest ecosystems, concluded
      the data did not support selection of an indicator of effects on forest structure or function. As a result, they
      identified two indicators pertinent to the systems:  growth effects on seedlings from species of natural forest stands
      (1-2% per year reduction), and growth effects on seedlings and saplings from tree plantations (1-2% per year
      reduction).  For agricultural systems, the participants focused on protection against crop yield reductions, with their
      acknowledgment of high uncertainties at 5% leading them to a crop yield endpoint of 10% yield reduction (Heck
      and Cowling, 1997).
             'During the last review, W126 index values corresponding to the SUM06 values cited in the report were
      estimated using the NCLAN crop loss data, a key dataset considered by workshop participants (see Appendix 7B of
      2007 Staff Paper; Appendix 6A of this document).
                                                  6-21

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 1    ambient gradient study (outside New York City) rather than a controlled experiment, are
 2    available for an additional, apparently quite sensitive species, the cottonwood (Gregg, 2003).
 3          In the 2008 review, CASAC provided comments related to a cumulative seasonal
 4    secondary standard in the context of their comments on the draft and final Staff Papers and on
 5    the final decision (Henderson, 2006; Henderson, 2007; Henderson, 2008). In all instances, they
 6    conveyed support for establishment of a distinct secondary standard with a cumulative seasonal
 7    form.  While the EPA, in the 2007 Staff Paper and 2007 notice of proposed rulemaking,
 8    recognized a broader range of W126 values as appropriate for consideration with regard to a
 9    distinct secondary standard, the CASAC Panel focused on a range they described as
10    approximately equivalent to that identified by the 1996 workshop participants (Henderson, 2007,
11    pp. 3, C-27).8  In the  CASAC Panel 2006-2007 advice on levels for such a standard, their
12    suggestion was a focus on levels for a W126 index approximately equivalent to a SUM06 range
13    of 10 to 20 ppm-hr (Henderson, 2006, 2007, 2008), which they estimated in 2007 to be a range
14    from 7 (or 7.5) to 15 ppm-hrs. Based on their consideration of the information available in that
15    review (e.g., with regard to potential magnitude of effects across multiple years), the CASAC
16    Panel further advised that "[i]f multi-year averaging is employed to increase the stability of the
17    secondary standard, the level of the standard should be revised downward to assure that the
18    desired threshold is not  exceeded in individual years"  (Henderson, 2007, p. 3). The CASAC
19    advice provided on the 2010 proposed reconsideration and thus far in this review is summarized
20    in section 6.4 below.
21          In considering the evidence briefly summarized above in the context of levels for a
22    W126-based standard, we recognize that given the different types of (Vinduced effects, genetic
23    variability within and between species, and environmental modifiers of effects that also
24    contribute to variability, it is not feasible to identify a  range of cumulative seasonal exposures
25    from the vegetation effects evidence which would provide a consistent degree of protection for
26    all species.  In so doing, we note the importance of considering this evidence in several
27    dimensions that pertain  to judgments required by the Administrator regarding public welfare
28    significance. For example, we take note of the usefulness of considering the cumulative seasonal
29    exposure at which the median species response or the  majority of the species' responses are
30    expected to be below minimal response benchmarks of interest and at which only a very few
31    species' responses are expected to exceed more substantial  response benchmarks.  Before
32    articulating such considerations with regard to specific benchmarks and index values, we first
33    consider the WREA  findings in the context of the following question.
            8 Appendix C of the March 26, 2007 CASAC letter used a 2001 ambient concentration dataset and other
      factors, rather than study data considered in the 1996 workshop, in estimating an "equivalency" between the two
      indices.
                                                6-22

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 1         •  What are the nature and magnitude of risks to vegetation estimated for the
 2             average W126 index scenarios evaluated in the WREA, and what is the
 3             magnitude of risk reduction from risks estimated for air quality conditions
 4             estimated for the current standard?
 5          In considering the WREA estimates here we take note of uncertainties in the extent to
 6    which the results for each modeled air quality scenario represent cumulative seasonal Os
 7    exposures that would be expected to occur across the three years represented in each scenario. In
 8    general, each scenario is represented by a dataset of 3-year average W126 index values across
 9    the national modeling area. Thus, the results estimated for the various analyses performed do not
10    reflect any year-to-year variability that would be expected in single year results. Rather, they
11    reflect average estimates for the three year period modeled. Such estimates do not account for
12    the potential for compounding of effects in perennial species that has been discussed previously.
13    Limited analyses in the WREA describe the potential for the  WREA estimates to underestimate
14    cumulative biomass-related effects in perennial species (as noted in sections 6.2 and 5.2.2 above
15    and described in detail in U.S. EPA, 2014, chapter 6, 6.2.1.4). This potential for underestimation
16    is recognized in the context of the uncertainties associated with other aspects of the different
17    analyses in section 6.9 of the WREA (e.g., U.S. EPA, 2014, Table 6-27). We additionally note
18    that the limited WREA compounding analyses do not take into account other variables which can
19    affect the magnitude of these effects in the field.
20          In considering the question posed above, we focus particularly on WREA estimates
21    related to 63 effects on plant biomass and associated ecosystem services effects.  In  so doing, we
22    note the relationships among effects on individual plants to other ecosystem components and
23    functions, such as carbon sequestration and air pollutant removal (U.S. EPA 2013, section
24    9.4.3.4; U.S. EPA, 2014, sections 6.6 and 6.7), as well as market responses to changes in timber
25    and agricultural production (U.S. EPA, 2014, sections 6.3 and 6.5). We additionally recognize
26    other biomass-related responses, such as non-timber forest products, and other Os-attributable
27    ecosystem responses for which we have primarily qualitative characterizations of impacts (U.S.
28    EPA, 2014, chapters).
29          We turn first to the WREA estimates for a range of effects related to biomass loss, which
30    are based on application of the C-R functions for seedlings of 12 tree species described in the
31    ISA (U.S. EPA, 2013, section 9.6.2) and the WREA (U.S. EPA, 2014, section 6.2).  First we
32    note (as considered above) the range of responses for the individual species for which C-R
33    functions have been developed. These twelve species vary appreciably in sensitivity of growth
34    reduction (in terms of relative biomass loss, or RBL) in response to O?, exposure. For example,
35    2% seedling biomass loss is estimated to occur following exposure represented by W126 index
36    values below 10 ppm-hours for seven of the studied species and at or above approximately 20

                                               6-23

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 1    ppm-hours in the other five studied species (Figure 5-1 above). The WREA presents three
 2    approaches for characterizing a median response across the species (Figure 5-2; U.S. EPA 2014,
 3    section 6.2.1.2). Across the three approaches, the median seasonal W126 index value for which
 4    a 2% biomass loss is estimated in seedlings for the studied species ranges between approximately
 5    7 and 14 ppm-hrs (see description in section 5.2.1 above).
 6           We additionally consider the WREA estimates of overall ecosystem-level effects from
 7    biomass loss considering the 12 studied species together (U.S. EPA 2014, section 6.8).  The
 8    WREA analysis used the species-specific biomass loss C-R functions, information on prevalence
 9    of the studied species across the U.S., and a weighting approach based on proportion of the basal
10    area within each grid cell that each species contributes. A weighted RBL value for each grid cell
11    is generated by weighting the RBL value for each studied tree species found within that grid cell
12    by the proportion of basal area it contributes to the total basal area of tree species within the grid
13    cell, and then summing those individual weighted RBLs. Based on the average W126 values
14    estimated for the air quality scenario just meeting the current standard across the contiguous
15    U.S., the WREA estimates 0.8 percent of the total geographic area to have a weighted relative
16    biomass loss above 2% (Table 6-2 below; U.S. EPA 2014, Table 6-24).  In the W126 air quality
17    scenarios for 15, 11, and 7 ppm-hrs (average across three years), the percent of total area having
18    weighted relative biomass loss greater than two percent was 0.7 percent, 0.5 percent and 0.2
19    percent, respectively (Table 6-2 below; U.S. EPA 2014, Table 6-25).   In considering these
20    estimates, we note that the values for percentages of basal area include many grid cells in which
21    none of the 12 studied species are found.  Thus, since only 64 percent of grid cells contained one
22    or more of the 12 species, these values are likely to be low and illustrate the potential
23    uncertainties associated with the limited number studied tree species for which C-R functions
24    exist (U.S. EPA, 2014, section 6.8).
25
                                                6-24

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 1   Table 6-2. Percent of assessed geographic area exceeding 2% weighted relative biomass
 2              loss in WREA air quality scenarios.
 3
 4
 5
 6
 7
 8
 9
10
11
12
13
14
15
16
17

Percent of total area with
wRBL>2%
	 Air Quality Scenarios 	
Conditions just
meeting the current
standard*
0.8 %
W126 index scenarios6
15ppm-hrs
0.7 %
11 ppm-hrs
0.5 %
7 ppm-hrs
0.2 %
A This analysis uses air quality values that are estimated per model grid cell using the W126 value assigned to the grid cell
based on application of the VNA method to the monitor-location W126 values that are the average at that location across
the 3 years of W126 values for the model-adjusted dataset that just meets the current standard (fourth-highest daily
maximum 8-hour concentration, averaged over 3 consecutive years of 75 ppb).
B The national distribution of W126 values within model grid-cells for each scenario reflects model adjustment of 2006-
2008 Os concentrations at monitoring sites such that the average W126 index at the controlling location in each of the
modeling regions just meets the scenario target index value, followed by application of the VNA interpolation methodology
(see U.S. EPA, 2014, section 4.3.4.1 and Appendix 4A).
       We next consider the wRBL estimates from the WREA analysis of 145 (of the 155)
federally-designated Class I areas for which there was sufficient information regarding 63-
sensitive species (U.S. EPA, 2014,  section 6.8.1, Table 6-26, Appendix 6E). These 145 parks
had at least one Os-sensitive tree species for which a C-R function for RBL was available. Using
the C-R functions for the species found within each park, the WREA calculated an average
wRBL value for each park for the 3-year average W126 index values estimated in those locations
for the current standard and three W126 air quality scenarios.  Under conditions model-adjusted
to just meet the current standard, the average wRBL in 2 of the 145 parks is estimated to be
above 2%, as presented in Table 6-3 below. We compare this estimate to those for the W126
scenarios.  For the W126 scenarios of 15 and  11 ppm-hrs, the estimated weighted RBL is greater
than 2% in two of the 145 parks, while it is great than 2% in only 1 park for the 7 ppm-hrs
scenario.
                                               6-25

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 1   Table 6-3. Number of Class I areas (of 145 assessed) with weighted relative biomass loss
 2              greater than 2%.

Number of Class 1 areas with
wRBL>2%
	 Air Quality Scenarios 	
Conditions just meeting
the current standard*
2
3-Year Average W126 index
15 ppm-hrs
2
11 ppm-hrs
2
scenarios6
7 ppm-hrs
1
A The wRBL is estimated per model grid cell (in which there are any of the 12 studied species) from W126 value assigned to the
grid cell based on application of the VNA method to the monitor-location W126 values that are the average at that location across
the 3 years of W126 values for the model-adjusted dataset that just meets the current standard (fourth-highest daily maximum 8-
hour concentration, averaged over 3 consecutive years of 75 ppb).
B The national distribution of W126 values within model grid-cells for each scenario reflects model adjustment of 2006-2008 Os
concentrations at monitoring sites such that the average W126 index at the controlling location in each of the modeling regions
just meets the scenario target index value, followed by application of the VNA interpolation methodology (see U.S. EPA, 2014,
section 4.3.4.1 and Appendix 4A).
 4          With respect to crops, based on the C-R functions described in the ISA and additionally
 5   analyzed in the WREA, a 5% median relative yield loss (RYL) for all studied crop cases occurs
 6   within the range of W126 index values from 12-17 ppm-hrs (U.S. EPA 2014, Figure 6-5). The
 7   species-specific C-R functions project less than 5% yield loss for 6 out of 10 species for O^
 8   exposure equivalent to a seasonal W126 index value of 15 ppm-hrs and for all of the 10 studied
 9   species after an exposure equivalent to a seasonal W126 index of 7 ppm-hrs (Table 6-1  above,
10   U.S. EPA 2014, section 6.2 and Appendix 6A). For soybeans, less than 5% yield loss was
11   estimated for the W126 index value of 12 ppm-hrs (U.S. EPA 2014, Figure 6-3). The WREA
12   estimates of crop yield loss for the modeled air quality scenarios are summarized in Table 6-4
13   below (details  are provided in U.S. EPA 2014, section 6.5.1 and Appendix 6B). For the recent
14   air quality conditions scenario, the means for all crops were less than  5% loss across all states.
15   Crop yield loss estimates for all states were also less than 5% in the air quality scenario
16   representing conditions just meeting the current standard (U.S. EPA, 2014,  section 6.5.1 and
17   Appendix 6B).
18
                                               6-26

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1   Table 6-4. Estimated mean yield loss (and range across states) due to
2              important crops.
                                                                           exposure for two
Crop
Corn
Soybean
Air r^iolitw ^f*onorirto
rMl \J(UQII Ly WwGI IQI 1 WO ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
Recent
Conditions
(2006-2008)
<5%c
(0.01-0.88)
<5%
(0.69-8.30)
Conditions just
meeting the current
standard*
<5%
(0.0-0.01)
<5%
(0.01-1.39)
Average W126 index scenarios6
15ppm-hrs
<5%
(0.0-0.01)
<5%
(0.01-1.13)
11 ppm-hrs
<5%
(0.0-0.0)
<5%
(0.01 - 0.75)
7 ppm-hrs
<5%
(0.0-0.0)
<5%
(0.01 - 0.59)
A The crop yield loss is estimated per grid cell (and per FASOMGHG region) from W126 value assigned to the cell based on
application of the VNA method to the monitor-location W126 values that are the average at that location across the 3 years of
W126 values for the model-adjusted dataset that just meets the current standard (fourth-highest daily maximum 8-hour
concentration, averaged over 3 consecutive years of 75 ppb).
B The national distribution of W126 values within grid cells for each scenario reflects model adjustment of 2006-2008 Os
concentrations at monitoring sites such that the average W126 index at the controlling location in each of the modeling regions
just meets the scenario target index value, followed by application of the VNA interpolation methodology (see U.S. EPA 2014
section 4.3.4.1 and Appendix 4A).
c Mean yield loss is the mean across modeling units. The range presented in parentheses below the mean represents the
minimum and maximum estimates across modeling units (U.S. EPA 2014, Appendix 6B).
 3
 4          As explained above, however, comparisons of the WREA's air quality scenarios for the
 5    national-scale estimates of timber production and consumer and producer surpluses are not
 6    straightforward to interpret due to market dynamics. Estimates for the recent conditions and
 7    current standard scenarios are compared to the three W126 scenarios. In general, substantially
 8    greater economic surpluses (approximately 51  billion in terms of 2010 dollars) are estimated
 9    from the comparison of the recent conditions (2006-2008) scenario to the current standard
10    scenario. The vast majority of these economic  surpluses are estimated for agricultural
11    production.  Differences of the average W126 scenarios from the current standard scenario are
12    much smaller (U.S. EPA 2014, Appendix 6B).
13          Because increases in timber production represent increased tree growth and concurrent
14    carbon sequestration, we also consider WREA estimates of the potential increase in carbon
15    storage that potentially could occur for different air quality scenarios (U.S. EPA 2014, section
16    6.6.1). Comparisons of the W126 scenarios to the current standard scenario with regard to
17    carbon sequestration estimates do not indicate  an appreciable difference for the W126 scenario
18    of 15 ppm-hrs. The majority of the enhanced carbon sequestration potential in the forest biomass
19    increases over time, for alternatives, is predicted to occur for the W126 scenarios of 11 and 7
20    ppm-hrs.  Over 30 years, the current standard scenario projection is 89,184 million metric tons of
21    CC>2 equivalents (MMtCC^e). The WREA estimates additional sequestration potential of 13,  593
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 1    and 1,600 MMtCC^e, for the W126 scenarios of 15, 11 and 7 ppm-hrs, respectively, as compared
 2    to the current standard baseline (U.S. EPA 2014, Table 6-18)9. We also take note of the
 3    relatively smaller estimates for carbon sequestration associated with improved crop yields (over
 4    30 years) in the agricultural sector, which indicate little difference among the different W126
 5    scenarios.
 6           We additionally consider the WREA estimates for five urban areas of how reduced
 7    growth of Os-sensitive trees in urban forests may affect the ecosystem services of air pollutant
 8    removal and carbon sequestration  (U.S. EPA, 2014, sections 6.6.2 and 6.7 and Appendix 6D).
 9    With regard to air pollutant removal, the WREA estimated metric tons of carbon monoxide,
10    nitrogen dioxide, ozone and sulfur dioxide removed under the modeled air quality scenarios.  In
11    considering these estimates we note the general assumptions made  to estimate order of
12    magnitude effects of O^ removal by trees on 03 concentrations in the five urban areas and the
13    associated uncertainties (U.S. EPA 2014, sections 6.7 and 6.9 and Appendix 6D). Estimates for
14    all five areas indicate increased pollutant removal for air quality model-adjusted from recent
15    conditions to just meet the current standard, with much smaller difference where they exist
16    between the current standard and three W126 scenarios (Table 6-5  below).  With respect to
17    carbon sequestration, relative to the scenario representing just meeting the current standard,
18    again the largest difference is generally observed with the existing  conditions scenario (Table 6-
19    5). This is because  of the largest difference in W126 estimates occurring between these two
20    scenarios. In addition to the small differences in W126 index values among the current standard
21    and W126 scenarios for these five areas, which contribute to the  similarities among scenarios, we
22    also note that as only 2 or 3 tree species were able to be  assessed in each city, these results may
23    underestimate the overall impacts  nationally, although other areas of uncertainty (recognized
24    below) may tend to contribute to the opposite potential (U.S. EPA 2014, Table 6-27).
25
             91 million metric tons of carbon dioxide equivalents (MMtCO2e) is equivalent to 208,000 passenger
      vehicles or the electricity to run 138,000 homes for 1 year as calculated by the EPA Greenhouse Gas Equivalencies
      Calculator (updated September 2013and available at http://www.epa.gov/cleanenergy/energy-
      resources/calculator. html).
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 1   Table 6-5. Estimated effect of Os-sensitive tree growth-related impacts on the ecosystem
 2              services of air pollutant removal and carbon sequestration in five urban case
 3              study areas.
Case Study Area

Atlanta
Baltimore
Chicago
Syracuse
Tennessee urban

Atlanta
Baltimore
Chicago
Syracuse
Tennessee urban
Air Oii^ilitw Qf*onarinc
^^11 \XUCIII LV WwGI ICil 1 vw
Recent
Conditions
(2006-2008)
Conditions just
meeting the
current
standard*
Average W126 index scenarios6
15ppm-hrs
15 ppm-hrs
15 ppm-hrs
Air Pollutant Removal (metric tons, CO, N02, 03, S02)
33,000
8,500
355,000
1,500
474,000
35,800
9,200
359,000
1,700
511,000
35,800
9,200
359,000
1,700
511,000
36,000
9,200
361,000
1,700
516,000
36,300
9,200
365,000
1,700
522,000
Million Metric Tons of C02 Equivalents, Carbon Storage (cumulative over 25 years)
1.2
0.5
16.9
0.14
18.0
1.32
0.57
17.05
0.17
19.67
1.32
0.57
17.05
0.17
19.67
1.32
0.57
17.10
0.17
19.89
1.34
0.57
17.21
0.17
20.16
A Results are derived from estimates per model grid cell (in which there are any of the 12 studied species) from W126 value
assigned to the grid cell based on application of the VNA method to the monitor-location W126 values that are the average at
that location across the 3 years of W126 values for the model-adjusted dataset that just meets the current standard (fourth-
highest daily maximum 8-hour concentration, averaged over 3 consecutive years of 75 ppb).
B The national distribution of W126 values within model grid-cells for each scenario reflects model adjustment of 2006-2008 Os
concentrations at monitoring sites such that the average W126 index at the controlling location in each of the modeling regions
just meets the scenario target index value, followed by application of the VNA interpolation methodology (see U.S. EPA, 2014,
section 4.3.4.1 and Appendix 4A).
 4
 5
 6
 1
 8
 9
10
11
12
13
14
15
       With regard to foliar injury, we take note of the WREA analyses of the nationwide
dataset (2006- 2010) for U.S. Forest Service biosites described in section 5.4.2 above, including
the presentation indicating that the proportion of biosites with injury varies with soil moisture
conditions and O?, W126 index values, and that the proportion of biosites with injury severity
greater than 5  also varied with soil moisture (U.S. EPA 2014, Chapter 7, Figure 7-11). The
evidence of Cb-attributable visible foliar injury incidence occurring in USFS biosites shows that
the proportion of biosites showing foliar injury incidence increases steeply with W126 index
values up to approximately 10 ppm-hrs.  At W126 index levels greater than approximately 10
ppm-hrs the proportion of sites showing foliar injury incidence is relatively constant.
       In reflecting across the range of W126 estimates identified in various WREA analyses,
we first note the  substantial benefits and reductions in biomass-related risks estimated for air
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 1    quality adjusted to just meet the current standard.  Additional incremental benefits or risk
 2    reduction, generally of relatively smaller magnitude, is estimated across the W126 scenarios.  In
 3    considering this information discussed above in the context of identifying levels appropriate to
 4    consider for a W126-based standard, we first take note of associated uncertainties in the context
 5    of the following question.

 6         •   What are important uncertainties and limitations in the evidence and
 7             exposure/risk analyses?
 8           In considering the evidence and exposure/risk information summarized above and the
 9    weight to place on this information, we are mindful of the uncertainties and limitations
10    associated with several key aspects of this information. We first consider the uncertainties
11    associated with the evidence underlying the tree seedling and crop C-R functions, given the
12    importance of these functions for many of the ecosystem service analyses described in the
13    WREA.  Several key uncertainties associated with this information are listed here.

14           •  Uncertainty regarding the extent to which the  subset of studied tree  and crop species
15              encompass the total number of 63 sensitive species in the nation and to what extent it
16              is representative of U.S. vegetation as a whole, given that information  is available for
17              only a small fraction of the  number of total species of trees  and  crops grown in the
18              U.S. (U.S. EPA, 2013,  section 9.6, U.S. EPA, 2014, Table 6-27).

19           •  Uncertainties regarding  intra-species variability due to the different  numbers of studies
20              that exist for different species so that the weight of evidence is not the  same for each
21              species. Those species with more than one  study show variability in response and C-R
22              functions. The potential variability in less well studied species is therefore unknown
23              (U.S. EPA, 2013,  pp. 9-123/125, U.S. EPA, 2014, section 6.2.1.2, and  Table 6-27).

24           •  Uncertainty regarding the extent to which tree seedling C-R functions can be used to
25              represent mature trees since seedling sensitivity has been shown in  some cases to not
26              reflect mature tree O?, sensitivity in  the same  species  (U.S. EPA, 2013, section 9.6,
27              U.S. EPA, 2014, section 6.2.1.1 and Tables 6-5 and 6-27).

28           •   Uncertainty in the relationship of Os effects on tree seedlings (e.g.,  relative biomass
29              loss) in one or a few growing seasons to effects that might be expected to accrue over
30              the life of the trees extending into adulthood (U.S. EPA, 2013, pp. 9-52/53, U.S.
31              EPA, 2014, section 6.2.1.4 and Table 6-27).

32           •  Uncertainties associated with estimating the national scale ecosystem-level impacts
33              using weighted relative biomass loss (U.S.  EPA, 2014, section 6.8,  and Table 6-27)

34           •  Uncertainties associated with potential biomass loss in federally  designated Class I
35              areas (U.S. EPA, 2014, section 6.8. and Table 6-27)

36           Turning to consideration of the air quality conditions estimated for the  various air quality
37    scenarios, we take note of the following uncertainties associated particularly with  estimates of 63
38    exposures in rural areas nationally. These are described  more completely in chapter 4 of the

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 1    WREA (see for example, U.S. EPA, 2014, section 4.4) and summarized in chapter 8 of the REA
 2    (U.S. EPA, 2014, section 8.5).

 3          •  Uncertainties in O?, exposures due to a lack of rural monitors, especially in the western
 4              U.S. and at high elevation sites.

 5          •  Uncertainties associated with the method (VNA) used to interpolate monitor values to
 6              estimate W126 index values in locations without monitors.

 7          •  Uncertainties in model-adjusted estimates of 63 concentrations associated with
 8              meeting the current standard and potential alternative W126-based standards.
 9          Numerous ecosystem services assessments were described in the WREA. These
10    assessments relied heavily on models, which also relied on the inputs of the seedling and crop C-
11    R functions and model-adjusted air quality estimates. Thus, including the uncertainties from the
12    first two categories discussed above, additional uncertainties associated with the ecosystem
13    services models include the following.

14          •  Uncertainties associated with use of the iTree model to estimate pollution removal and
15              carbon storage in 5 urban area case studies, including uncertainties in the base
16              inventory of city trees, the functions used for air pollution removal and carbon storage
17              (U.S. EPA, 2014, sections 6.6.2, 6.7, and Table 6-27).

18          •  Uncertainties associated with use of the FASOMGHG model for national timber and
19              crop production, including use of median C-R functions for crops in  FASOM and
20              crop proxy and forest type assumptions to fill in where there was insufficient data
21              (U.S. EPA, 2014, sections 6.3, 6.5, 6.6.1, and Table 6-27).

22          •  Uncertainties associated with use of the FASOMGHG model to estimate national scale
23              carbon sequestration, including those  associated with the functions for carbon
24              sequestration (U.S. EPA, 2014, sections 6.2.1.1, 6.6.1, and Table 6-27).

25          In addition to biomass loss and  crop yield loss, the WREA estimates the incidence and/or
26    severity of C^-induced visible foliar injury, both at the national and national park scales.
27    Numerous uncertainties are associated with these assessments and include the following.

28          •  Uncertainties associated with our understanding of the number and sensitivity of 63
29              sensitive species (U.S. EPA, 2014, sections 7.2.1, 7.5 and Table 7-22).

30          •  Uncertainties associated with spatial assignment of foliar injury biosite data to 12x12
31              km grids (U.S. EPA, 2014, sections 7.2.1, 7.5 and Table 7-22).

32          •  Uncertainties associated with availability of biosite sampling data in some locations in
33              the western U.S. (U.S. EPA, 2014, sections 7.2.1, 7.5 and Table 7-22).

34          •  Uncertainties associated with soil moisture threshold for foliar injury  (U.S. EPA,
35              2014,  sections 7.2.2, 7.2.3, 7.5 and Table 7-22).
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 1           •  Uncertainties associated with spatial resolution of soil moisture data, time period for
 2              soil moisture data, drought categories and the combination of soil moisture and
 3              biosite data (U.S. EPA, 2014, sections 7.3.3.2, 7.5 and Table 7-22).
 4           •  Uncertainties associated with 63 exposure data of vegetation and recreational areas
 5              within parks (U.S. EPA, 2014, sections 7.4, 7.5 and Table 7-22).
 6           •  Uncertainties associated with surveys of recreational activities (U.S. EPA, 2014,
 7              sections 7.1.1.2,  7.5 and Table 7-22).
 8           Additionally, there is uncertainty associated with the extent to which the endpoints and
 9    associated risk estimates considered above represent effects reasonably judged adverse in the
10    context of public welfare.  All of these uncertainties are important to considerations below in the
11    context of target levels of protection with regard to weight to be placed on various lines of
12    evidence and assessment results.
13         •  What considerations may be important to the Administrator's judgments on  the
14             public welfare significance of Os associated vegetation effects that may be
15             expected under air quality conditions associated with different levels  for a
16             seasonal cumulative standard?
17           Our consideration  of this question is intended to provide a public welfare context for
18    consideration of the evidence and exposure/risk information discussed  above, which includes the
19    nature and magnitude of observed and predicted effects at various levels of cumulative seasonal
20    exposures.  We also note the importance of considering information in  an integrated manner,
21    rather than focusing only on results from any one analysis. For example, we find it  appropriate,
22    in considering the evidence  with regard to seedling growth reduction (or biomass loss), to
23    consider the WREA estimates of affected area based on tree basal area together with estimates of
24    individual species responses based simply on the evidence-based C-R functions, and in light of
25    other potential  impacts summarized above. In so doing in section 6.5 below, we take into
26    account considerations relevant to public welfare policy judgments required of the
27    Administrator,  such as those described here.
28           As recognized in sections  1.3.2 and 5.1, the Clean Air Act specifies that secondary
29    standards protect against known or anticipated adverse effects to public welfare. In the
30    Administrator's judgment as to the standards that would be requisite (i.e., neither more nor less
31    stringent than necessary) to  protect the public welfare under the Act, she will consider a number
32    of factors including 1) what can be considered to constitute an adverse  effect to the public
33    welfare; 2) the  nature and magnitude of the effects and the risks that remain  after meeting the
34    level of the current standard; and, 3) what is necessary to achieve the requisite (no more and no
35    less) degree of protection. In the 2008 decision by which the current standard was established,
36    the Administrator considered these factors in judging the previously-existing standard to not
37    provide the requisite public  welfare protection. At that time the Administrator found that the
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 1    exposure- and risk-based analyses available in that review indicated that adverse effects to
 2    vegetation would be predicted to occur under air quality conditions associated with just meeting
 3    the then-current standard. The effects identified were "visible foliar injury and seedling and
 4    mature tree biomass loss in Os-sensitive vegetation" (73 FR 16496). In so noting, the
 5    Administrator indicated that he believed that "the degree to which such effects should be
 6    considered to be adverse depends on the intended use of the vegetation and its significance to
 7    public welfare" (73 FR 16496).  With regard to consideration of intended  use, the Administrator
 8    took note of the specific uses of public lands set aside by Congress and intended to provide
 9    benefits to the public welfare, "including lands that are to be protected so  as to conserve the
10    scenic value and the natural vegetation and wildlife within such areas,  and to leave them
11    unimpaired for the enjoyment for future generations" such as Class I areas (73 FR 16496). The
12    Administrator also recognized areas set aside by States, Tribes and public interest groups with
13    the intent "to provide similar benefits to the public welfare, for residents on State and Tribal
14    lands, as well as for visitors to those areas" (73 FR 16496).10
15           In the Administrator's judgments in the 2008 review, he did not identify specific criteria
16    or benchmarks or an overall level of protection from adverse environmental effects to public
17    welfare judged to be requisite under the Act.n As noted above, the scientists at the 1996
18    workshop identified ranges of cumulative seasonal index values (e.g., in terms of SUM06 or
19    W126) in the context of considering a degree of protection for vegetation  effects defined in terms
20    of relative yield loss in crops and relative biomass loss in tree seedlings. In considering this
21    information in the context of a secondary standard, judgments are required by the Administrator
22    with regard to the degree that these or other benchmarks and other effects should be judged
23    adverse to the public welfare. In considering levels for a W126-based  secondary standard that
24    may be appropriate to consider, we recognize that the statute requires that a secondary standard
25    be protective against only those known or anticipated Cb effects that are "adverse" to the public
26    welfare, not all identifiable Cb-induced effects. Thus, we recognize both the importance of
27    scientific consensus statements that have been made regarding vegetation-related endpoints  and
28    Os exposure levels that might protect against such key endpoints and the importance of placing
29    such conclusions in the context of consideration of the public welfare more broadly.
             10 In considering areas that have not been afforded such special protection, ranging from vegetation used
      for residential or commercial ornamental purposes, such as land use categories that are heavily managed for
      commercial production of commodities such as agricultural crops, timer and ornamental vegetation, the
      Administrator indicated his expectation that protection of sensitive natural vegetation and ecosystems might be
      expected to also provide some degree of additional protection for heavily managed commercial vegetation (73 FR
      16496).
             11 In remanding the 2008 decision on the secondary standard back to EPA, the Court indicated this
      omission, as described in section 1.2.2 above.
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 1           As discussed in section 5.1 and recognized by the EPA in prior reviews, staff recognizes
 2    the importance of a more expansive construct or paradigm that addresses what constitutes
 3    adverse effects of Cb to public welfare.  In so doing, we also recognize several aspects or
 4    dimensions of vegetation effects for consideration within this paradigm.  These include the
 5    likelihood, type, magnitude, and spatial scale of the effect, as  well as the potential for recovery
 6    and any uncertainties relating to these conditions (77 FR 20231). As in the last review, we also
 7    continue to recognize that the public welfare significance of Cb-induced effects on sensitive
 8    vegetation growing within the U.S. can vary, depending on the nature of the effect, the intended
 9    use of the sensitive plants or ecosystems, and the types of environments in which the sensitive
10    vegetation and ecosystems are located. Any given Cb-related effect on vegetation and
11    ecosystems (e.g., biomass loss, foliar injury), therefore, may be judged to have a different degree
12    of impact on the public welfare depending, for example, on whether that effect occurs in a Class
13    I area, a city park, or in commercial cropland.  In the 2008 review, the Administrator judged it
14    appropriate that this variation in the significance of Cb-related vegetation  effects should be taken
15    into consideration in judging the level of ambient Cb that is requisite to protect the public welfare
16    from any known or anticipated adverse effects (73 FR 16496). For example, in considering
17    visible foliar injury and seedling and mature tree biomass loss in Cb-sensitive vegetation
18    expected under alternative air quality scenarios, the Administrator noted that "the degree to
19    which such effects should be considered to be adverse depends on the intended use of the
20    vegetation and its significance to the public welfare" (73 FR 16496). Further, the rulemaking
21    notice stated that "[i]n considering what constitutes a vegetation effect that is adverse from a
22    public welfare perspective, the Administrator believes it is appropriate to  continue to rely  on the
23    definition of 'adverse,' ... that imbeds  the concept of "intended use" of the ecological receptors
24    and resources that are affected, and applies that concept beyond the species level to the
25    ecosystem level." The notice went on to state that "[i]n so doing, the Administrator has taken
26    note of a number of actions taken by Congress to establish public lands that are set aside for
27    specific uses that are intended to provide benefits to the public welfare, including lands that are
28    to be protected so as to conserve the  scenic value and the natural vegetation and wildlife within
29    such areas,  and to leave them unimpaired for the enjoyment of future generations" (73 FR
30    16496). Such public lands that are protected areas of national  interest include national parks and
31    forests, wildlife refuges, and wilderness areas.
32           We also consider effects on ecosystem  services in considering adversity to public
33    welfare. For example, the WREA has  evaluated the economic value of ecosystem services
34    affected by 63 and how those services  might be expected to change under different air quality
35    scenarios representing the current and potential alternative standards (U.S. EPA, 2014, chapter
36    6).

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 1           Thus, we recognize several important considerations in evaluating levels of protection
 2    and levels for a cumulative seasonal W126-based standard including: the extent of areas
 3    expected to be affected nationwide and the magnitude of those effects; the extent of effects in
 4    areas of national significance; the extent to which these impacts might be judged significant from
 5    a public welfare perspective and associated uncertainties in the information. Accordingly, we
 6    recognize that the range of alternative standard levels that may be appropriate to consider differs
 7    based on the weight placed on different aspects of the evidence and on different aspects of the
 8    quantitative exposure/risk information, and the associated uncertainties, as well as on public
 9    welfare policy decisions regarding the public welfare significance of the effects considered and
10    the approaches for considering benchmarks for growth or biomass loss and other vegetation
11    effects of Os. As described in chapter 1, our objective is to identify the range of policy options
12    supported by the current evidence- and exposure/risk-based information and with consideration
13    of the role of the Administrator's public welfare judgments.  In so doing, we recognize support
14    for consideration of a broad range of W126 index values, which we discuss in section 6.5, with
15    recognition of the different judgments that might provide support for different parts  of such a
16    range.

17         6.4 CASACADVICE
18           In our consideration of potential alternative standards, in addition to the evidence-based,
19    risk/exposure-based, and air quality information discussed above, we also consider the advice
20    and recommendations of CASAC in EPA's proposed 2010 reconsideration of the 2008 decision,
21    as well as comments received thus far in the current review,  in the context of its review of the
22    ISA, and earlier drafts of this  document and the WREA. We have additionally considered public
23    comments received to date, some of which have suggested a lack of new information for support
24    of a distinct secondary standard and  others that urge the consideration of a secondary standard
25    with a cumulative seasonal form using the W126 metric and a level within the range of 7 to 15
26    ppm-hrs.12
27           In response to the EPA's solicitation of CASAC's  advice on the Agency's proposed
28    rulemaking as part of the reconsideration,13 CASAC conveyed their support for a secondary
29    standard distinct from the primary standard, noting that "vegetation effects  are more dependent
             12 Public comment received thus far in this review are in the docket EPA-HQ-OAR-2008-0699, accessible
      at www.regulations.gov.
             13 The reconsideration proposal included a proposed new cumulative, seasonal secondary standard,
      expressed as an index of the annual sum of weighted hourly concentrations (the W126 index), cumulated over 12
      hours per day during the consecutive 3-month period within the Os season with the maximum index value, averaged
      over three years, set within a range of 7 to 15 ppm-hour (75 FR 3027).
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 1    on the cumulative exposure to, and uptake of, ozone over the course of the entire growing
 2    season" (Samet, 2010).
 3          CASAC also supports EPA 's secondary ozone standard as proposed:  a new
 4          cumulative, seasonal standard expressed as an annual index of the sum of
 5          weighted hourly concentrations (i.e., the Wl26form), cumulated over 12 hours
 6          per day (Sam to 8pm) during the consecutive 3-month period within the ozone
 1          season with the maximum index value, set as a level within the range of 7 to [1]5
 8          ppm-hours. This W126 metric can be supported as an appropriate option for
 9          relating ozone exposure to vegetation responses, such as visible foliar injury and
10          reductions in plant growth.  We found the Agency's reasoning ... to be supported
11          by the extensive scientific evidence considered in the last review cycle.
12          In advice offered so far in the current review, which considers an updated scientific and
13    technical record since the 2008 rulemaking, the CASAC stated that "the focus [of the first draft
14    PA] on the W126 form is appropriate" (Frey and Samet, 2012, p.  2). They further commented
15    with regard to the support provided in the first draft PA for the consideration of such a form for a
16    secondary standard (Frey and Samet, 2012, p. 2).
17          There is a strong justification made for using a cumulative and weighted exposure
18          standard for welfare effects (i.e. the W126), and for the utility of using a 3-month
19          daylight exposure metric. Averaging across years is not recommended because a
20          single high exposure year could have lasting effects because of the perennial
21          nature of many plants and the lag times associated with propagating effects
22          through ecosystem trophic levels. Aver aging would obscure such critical impacts
23          and lead to inadequate protection against welfare effects.
24    Additionally, in advice regarding consideration of levels, their advice indicated that "[o]ptions
25    for levels [of a secondary standard] should be based on factors including predicted  5% loss of
26    crop yield and predicted 1-2% loss for trees" (Frey and Samet, 2012, p. 2).

27         6.5  PRELIMINARY STAFF CONCLUSIONS ON ALTERNATIVE STANDARD
28          Staffs consideration of alternative secondary Os standards builds on our conclusion from
29    section 5.7 above that the body of evidence, in combination with the results of the WREA, calls
30    into question the adequacy of the current secondary standard and  provides support for
31    consideration of alternative standards. In sections 6.1 to 6.3 above, we consider how the
32    currently available scientific evidence and exposure/risk information inform decisions regarding
33    the basic elements of the NAAQS: indicator (6.1), form and averaging time (6.2), and level (6.3).
34    In so doing, we consider both the information available at the time of the last review and
35    information newly available since the last review which has been critically analyzed and
36    characterized in the 2013 ISA. As an initial matter, with regard to the indicator, we conclude
37    that based on the available science it is still appropriate to continue to use measurements of Os in
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 1    accordance with federal reference methods as the indicator to address effects associated with
 2    exposure to ambient 63 alone or in combination with related photochemical oxidants.
 3           In considering alternative standards, staff has considered the available body of evidence
 4    as comprehensively assessed in the ISA, the risk and exposure information presented in the
 5    second draft REA and CASAC advice and public comment thus far in this review with regard to
 6    support for consideration of options that are different from the current standard, as articulated by
 7    the following overarching question
 8       •  To what extent does the currently available scientific evidence- and exposure/risk
 9          based information, as reflected in the ISA and WREA, support consideration of
10          alternatives to the current Os standard to provide increased protection from
11          ambient Os exposures?
12          In considering potential forms alternative to that of the current standard, we note that the
13    form for the current secondary standard is the 4th highest daily maximum 8-hour average,
14    averaged over three years. As discussed in chapter 5 and section 6.2 above, the longstanding
15    evidence regarding the fundamental aspects of Os exposure that are directly responsible for
16    inducing vegetation response indicates that plant response to 63 is driven by the cumulative
17    exposure to Os during the growing season, rather than by a single event (U.S.  EPA, 2013, section
18    2.6.6.1). This cumulative exposure depends on both the total duration of the exposure (from
19    repeated 63 episodes) and the concentrations of those exposures (higher concentrations having a
20    disproportionate impact over lower concentrations).  On the basis of this longstanding and
21    extensive evidence, the ISA concludes that exposure indices that cumulate and differentially
22    weight the higher hourly  average concentrations over a season and also include the mid-level
23    values offer the most defensible approach for use in developing response functions and in
24    defining indices for vegetation protection (U.S. EPA, 2013, section 2.6.6.1).
25          CASAC advice in the 2008 review and on the 2010 proposed reconsideration has
26    additionally recognized that the nature of the exposures relevant to vegetation response is well
27    described by a cumulative seasonal form and has supported the use of such a form for a
28    secondary O3 standard (Henderson, 2006;  Samet, 2010).  The current CASAC O3 Panel has
29    expressed similar views,  stating "[tjhere is a strong justification made for using a cumulative and
30    weighted exposure standard for welfare effects (i.e. the W126)..." (Frey and Samet, 2012, p. 2).
31    We also note that on the basis of the evidence and exposure/risk information available in the two
32    previous reviews, and in consideration of CASAC  advice, the Administrator has recognized the
33    importance of protecting  vegetation from cumulative, seasonal  exposures and proposed such a
34    form as an appropriate reasonable policy option (61 FR 65741-44; 62 FR 37899-905; 75 FR
35    3012-3027).
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 1          Thus, in considering alternative forms of the standard we conclude that it is reasonable
 2    and appropriate to consider a cumulative, concentration-weighted form to provide protection
 3    against cumulative, seasonal exposures to Os that are known or anticipated to harm sensitive
 4    vegetation or ecosystems.  Such a form is specifically designed to directly measure the kind of
 5    63 exposures that can cause harm to vegetation and would have a distinct advantage over the
 6    form of the current standard in characterizing air quality conditions potentially of concern for
 7    vegetation and demonstrating that the desired degree of protection against those conditions was
 8    being achieved.
 9          In considering the appropriate index for a cumulative  seasonal form, we recognize that a
10    number of different cumulative concentration weighted  indices have been developed and have
11    been evaluated in the scientific literature and in past NAAQS reviews in terms of their ability to
12    predict vegetation response and their usefulness in the NAAQS context (U.S. EPA, 2006, pp. 9-
13    11 to 9-15 and pp. AX9-159 to AX9-187; U.S. EPA, 2007, pp. 7-15/16). While these various
14    forms have different strengths and limitations, as noted in the ISA (U.S. EPA, 2013,  section 9.5),
15    the W126 index14 has some important aspects not shared by other non-sigmoidally weighted
16    cumulative indices. For example, given the lack of discernible threshold for vegetation effects in
17    general, we recognize the fact that the W126 metric does not have a cut-off in its weighting
18    scheme (down to about 30 ppb below which the weighting factor is effectively zero), such that it
19    includes consideration of potentially  damaging lower Os concentrations. Additionally, the W126
20    metric also adds increasing weight to hourly concentrations from about 40 ppb to about 100 ppb,
21    an important feature because "as hourly concentrations become higher, they become increasingly
22    likely to overwhelm plant defenses and are known to be more detrimental to vegetation"  (U.S.
23    EPA, 2013, p. 9-104).  We additionally take note of CASAC advice in the 2008 review and on
24    the 2010 proposed reconsideration recommending the use of the W126 index for a cumulative
25    seasonal form for a secondary O?, standard (Henderson,  2006; Samet, 2010).  Similarly, the
26    current CASAC 63 Panel has indicated that a focus on a W126 form is appropriate (Frey and
27    Samet, 2012) Therefore, on the basis of the  strength of the evidence and advice from CASAC,
28    we conclude that the W126 index is the most appropriate cumulative seasonal form to consider
29    in the context of the secondary Oi NAAQS  review.
30          We next turn to the exposure  periods - diurnal and seasonal - over which the W126
31    index would be summed in any given year.  As discussed in section 6.2 above, the currently
32    available information continues to provide support for a definition of the diurnal period of
            14 The W126 is a non-threshold approach described as the sigmoidally weighted sum of all hourly O3
      concentrations observed during a specified diurnal and seasonal exposure period, where each hourly O3
      concentration is given a weight that increases from 0 to 1 with increasing concentration (Lefohn et al, 1988; Lefohn
      and Runeckles, 1987; U.S. EPA, 2013, section 9.5.2).

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 1    interest as the 12-hour period from 8 am to 8 pm (U.S. EPA, 2013, section 9.5.3). In prior
 2    reviews, the EPA has identified the 12-hour period from 8 am to 8 pm as appropriately capturing
 3    the diurnal window with most relevance to the photosynthetic process (72 FR 37900; 75 FR
 4    3013) and CASAC has generally supported the 12 hour daylight period (Henderson, 2006, 2007).
 5    In light of the continued support in the evidence base, and no evidence on this issue differing
 6    from that in previous reviews, we again conclude that it is appropriate to use the 12-hour period
 7    from 8 am to 8 pm to cumulate daily 63 exposures.  On this basis, we conclude that the 12-hour
 8    diurnal window (8:00 am to 8:00 pm) represents the portion of the diurnal exposure period that is
 9    most relevant to predicting or inducing plant effects related to photosynthesis and growth and
10    thus is an appropriate diurnal period to use in conjunction with a W126 cumulative metric.
11          With regard to a seasonal period of interest, the current evidence base continues to
12    provide support for a seasonal period with a minimum duration of three months (U.S. EPA,
13    2013, section  9.5.3). Included in the currently available evidence is a new analysis that
14    compared 3- and 6-month maximum W126 values for over 1,200 AQS and CASTNET EPA
15    monitoring sites for the years 2008-2009 that found that the two accumulation periods were
16    highly correlated (U.S. EPA, 2013, section 9.5.3, Figure 9-13). Thus, although we recognize that
17    the selection of a single seasonal time period over which to cumulate Os exposures for a national
18    standard necessarily represents a balance of factors, given the significant variability in growth
19    patterns and lengths of growing season among vegetative species growing within the U.S., we
20    conclude it is  appropriate to identify the seasonal W126 index value as that derived from the
21    consecutive 3-month period within the Os season with the highest W126 index value.  We note
22    that such a 3-month exposure period was also supported by CASAC in advice provided during
23    the last review and on the 2010 proposed reconsideration (Henderson, 2006; Samet, 2010).
24          With regard to form, we additionally consider the period of time over which a cumulative
25    seasonal W126-based standard should be evaluated.  In so doing, we have considered the support
26    for both a single year standard and one with a form averaged over three years (section 6.2). We
27    recognize that there are a number of Cb-induced effects that have the potential for public welfare
28    significance within the annual timeframe (i.e. reduced crop yields and visible foliar injury).
29    However, as noted in section 6.2 above, there are uncertainties associated with these effects that
30    make it difficult to determine the degree of annual protection needed to protect the public
31    welfare from any known or anticipated adverse effects. On the other hand, annual effects in
32    perennial species can be "carried over" into the subsequent year where they affect growth and
33    reproduction (U.S. EPA, 2013, pp. 9-43 to 9-44 and p. 9-86).  When these annual effects occur
34    over multiple  years due to elevated Os exposures across several years, they have the further
35    potential to be compounded, increasing the potential  for effects at the population and ecosystem
36    level, including effects on associated ecosystem services that may be of greater significance to

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 1    the public welfare. These impacted services can include alteration of below-ground
 2    biogeochemical cycles, and alteration of both above- and below- ground terrestrial community
 3    composition and terrestrial ecosystem water cycling (U.S. EPA, 2013,  Table 9-19) and
 4    reductions in productivity and carbon sequestration in terrestrial ecosystems. We additionally
 5    note that multiple years of critical 63 exposures might be expected to result in larger impacts on
 6    forested areas, i.e. increased susceptibility to other stressors such as insect pests, disease, co-
 7    occurring pollutants and harsh weather, than intermittent occurrences of such exposures due to
 8    the compounding  or carry-over effects on tree growth.
 9           Given the above, we conclude that the public welfare significance of the effects that can
10    occur as a result of multiple year 63 exposures are greater than those associated with a single
11    year. Thus, to the extent that the Administrator's priority for public welfare protection to be
12    afforded by the  secondary 03 standard is on long-term effects that occur in sensitive tree species
13    in natural forested ecosystems including federally protected areas  such as Class I areas or on
14    lands set aside by  States, Tribes and public interest groups to provide similar benefits to the
15    public welfare, a standard with a form that evaluates the cumulative seasonal index across
16    multiple years might be considered to provide an appropriate match to the nature of (Vrelated
17    effects  on vegetation upon which the secondary O^ standard is focused. In considering such
18    forms, we focus on one that averages the W126 index values across three years, as discussed in
19    section 6.2 above.
20           We take note, however, of comments from CASAC on this matter, in particular their
21    comment in the current review that"...[a]veraging across years is not recommended because a
22    single high exposure year could have lasting effects because of the perennial nature of many
23    plants and the lag  times associated with propagating effects through ecosystem trophic levels.
24    Averaging would  obscure such critical impacts and lead to inadequate  protection against welfare
25    effects" (Frey and Samet, 2012, p. 2). We recognize that annual effects on perennials can
26    propagate into subsequent years, and thus first consider the available analyses  of year-to-year
27    variability in W126 index values. For example, based on an analysis of the inter-annual
28    variability of seasonal W126 index values (using 2008-2010 data from the AQS database), the
29    W126 index values can vary significantly from year to year (see Appendix 2C). This is not
30    unexpected given  the logistic weighting function and also inter-annual variability in
31    meteorological conditions which contribute to 63 formation (see Appendix 2C). As a result,
32    areas that meet a three-year average standard form for which there is substantial inter-annual
33    variability of seasonal W126 index, are likely to have some years that are below the level of the
34    standard and others that are at or above.  Given this fact, several important implications  should
35    be noted. First, in regard to implications for potential long-term compounding of vegetation or
36    ecosystem effects, it would be expected that annual impacts in years with cumulative air quality

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 1    below that of the three year average would allow species to do better than the target level of
 2    protection expected to be achieved on average across the three year period.  Thus, staff note the
 3    importance, when considering an appropriate level for a form that averages W126 index values
 4    across three years, of considering the extent to which the cumulative effect of different average
 5    W126 exposures across the three-year period would be judged adverse.
 6            Additionally, in regard to implications for standard stability, a standard based on an
 7    annual W126 index would be expected to have a lower degree of year-to-year stability relative to
 8    a standard based on a form that averages seasonal indices across three consecutive years, given
 9    the potential for large year-to-year variability in annual W126 values in areas across the country.
10    Thus, a  three-year evaluation period can contribute to greater public welfare protection by
11    limiting year-to-year disruptions in ongoing control programs that would occur if an area was
12    frequently shifting in and out of attainment due to extreme year-to-year variations in
13    meteorological conditions.  This greater stability in air quality management programs thus
14    facilitates achievement of the protection intended by a standard.
15          Thus, to the extent that the Administrator puts greater weight on protecting those effects
16    associated with multi-year exposures and given the described public welfare benefit of having a
17    standard of a form with more year-to-year stability, we conclude that it is appropriate to consider
18    a secondary standard form that averages the seasonal W126 index values across three
19    consecutive years to achieve the appropriate target level of protection for longer-term effects,
20    including compounding, and to achieve greater stability in air quality management programs, and
21    thus, public welfare protection, than might result from an annual standard.
22          Turning to consideration of an appropriate range of levels for a W126 based standard, we
23    first note that the available Ch-related vegetation effects evidence reflects a continuum from
24    relatively higher 63 concentrations, at which scientists generally agree that vegetation effects are
25    likely to occur, through lower concentrations at which the likelihood and magnitude of a
26    response become increasingly uncertain.  Further, we recognize the different types of Cb-induced
27    effects and genetic variability within and between species which contribute variability to
28    observed responses across species. In light of this, we recognize the role of the Administrator's
29    judgments regarding the adversity of the  known and anticipated effects to the public welfare.
30    Thus, the EPA has developed a paradigm to assist the Administrator in putting the available
31    science  and exposure/risk information into the context of public welfare (as discussed in section
32    5.1 above).  This paradigm has evolved over the course of the Os NAAQS reviews and has also
33    been informed by similar constructs developed for other secondary NAAQS reviews.  Most
34    recently, this paradigm has expanded to include consideration of adversity in terms of effects on
35    the ecosystem services associated with identified Cb-induced  effects (see discussion in 6.3
36    above).

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 1          In considering the range of W126 index values most recently cited by CAS AC, which
 2    generally correspond to conclusions from the 1996 workshop, we note that the tree seedling
 3    biomass loss percentages were per-year percentages, with consideration of longer-term impacts.
 4    Staff is mindful of this in light of our consideration of a potential alternative standard with a
 5    multi-year form. We additionally take note of the workshop objectives to identify values that
 6    might provide protection of vegetative components of natural ecosystems (recognizing foliar
 7    injury as the indicator), protection of some aspect of the integrity of forest ecosystems (using
 8    growth effects on seedlings as surrogate) and protection against crop yield reductions (while
 9    acknowledging uncertainties). In considering the range that derives, at least in part, from this
10    workshop, we additionally recognize the need for our purposes with regard to a secondary Oj,
11    standard, to consider the public welfare significance of identified effects,  as discussed in section
12    6.3 above. We find that this need to consider public welfare significance  may lead to
13    identification of a somewhat different range of W126 index values as appropriate to consider for
14    levels for a W126-based standard.15
15          In considering potential levels  for an alternative standard based on the W126 metric, we
16    find it useful to  consider the observations of biomass loss and crop yield loss in Table 6-1 above.
17    In so doing, we  take note of the different index value estimates with regard to number of studied
18    species below different response benchmarks, as well as the median response. For example, we
19    note that the tree seedling relative biomass loss estimates for  15-17 ppm-hrs include five of the
20    twelve studied species below 2%, five to six species below 5% and nine to ten species below
21    10%, as  well as  a median species response of 5 to 6%. At these index values, the median crop
22    yield loss estimate across studied crops is just at or below 5% (and eight often are below 10%).
23    At the lower end of the index values in Table 6-1, the tree seedling estimates for 7 ppm-hrs
24    include ten species below 5%, seven below 2% and a median response just at or below 2%.  We
25    additionally consider the WREA estimates which indicate 143 or 144 of the 145 assessed Class I
26    areas with tree seedling weighted relative biomass loss estimates below 2% for air quality
27    scenarios representing W126 values of 15 and below.  Such estimates are of particular relevance
28    to judgments required of the Administrator regarding effects of public welfare importance.
29    Further we note other WREA estimates indicating potential benefits for effects related to public
30    welfare,  such as carbon sequestration and pollutant removal.  In so doing, however, we also take
31    note of the appreciable uncertainty in these quantitative estimates, and the policy judgements
32    required of the Administrator with regard to consideration of such uncertainties.
33          On the basis  of all the considerations described above, including the evidence and
34    exposure/risk analyses, and advice from CASAC, we conclude that an appropriate range of
            15 We additionally recognize variability in derivation of W126 estimates generally equivalent to SUM06
      estimates from the 1996 workshop, as noted in section 6.3 above.
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 1    W126 index values for the Administrator to consider in identifying a target degree of public
 2    welfare protection, extends from 7 ppm-hrs to 15 ppm-hrs or somewhat higher (as further
 3    described below).  In so doing, we primarily consider the evidence- and exposure/risk-based
 4    information for cumulative seasonal O^ exposures represented by W126 index values (including
 5    those represented by the WREA average W126 scenarios) associated with biomass loss in
 6    studied tree species, both in and outside areas that have been afforded special protections.  We
 7    additionally recognize foliar injury as an important 63  effect which, depending somewhat on
 8    severity and spatial extent, may reasonably be concluded to be of public welfare significance
 9    when occurring in nationally protected areas. However, we additionally take note of the
10    appreciable variability in this endpoint, as summarized in chapter 5 and section 6.3 above, which
11    poses challenges to giving it primary emphasis in identifying potential alternative standard
12    levels.  Similarly, we give less emphasis to consideration of crop yield loss in our consideration
13    of potential standard levels here and in section 6.3 above, noting the median estimates of
14    approximately 5% or lower for W126 index levels at and below 17 ppm-hrs. We also note the
15    range of factors affecting annual crop yields, including those related to the role of management
16    strategies as recognized in sections 5.3 and 6.2 above which complicate the identification of a
17    degree of impact that can be considered adverse to the public welfare.  On the other hand, tree
18    biomass loss can be an indicator of more significant ecosystem-wide effects which might
19    reasonably be concluded to be significant to public welfare. For example, when it occurs over
20    multiple years at a sufficient magnitude, it  is linked to an array of effects on other ecosystem-
21    level processes, such as nutrient and water cycles, changes in above and below ground
22    communities, carbon storage and air pollution removal (U.S. EPA, 2014, Figure 5-1), that have
23    the potential to be adverse to the public welfare.
24          In focusing on trees and their associated ecosystem services, we first note that the studied
25    tree species vary widely in their sensitivity to Os-induced relative biomass loss.  For example,
26    2% seedling biomass loss is estimated to occur with cumulative seasonal 63 exposure in terms of
27    W126 index values below 10 ppm-hrs for seven of the  studied species and at or above
28    approximately 20 ppm-hrs in the other five studied species (Figure 5-1 above). The median
29    W126 index value (across studied species) for which a 2% biomass loss is estimated ranges
30    between approximately 7 and 14 ppm-hrs,  among the three approaches presented in the WREA
31    (see description in section 5.2.1).  In considering the potential magnitude of the ecosystem
32    impact of tree species, we focus on the WREA estimates of weighted relative biomass loss for
33    the W126 air quality scenarios (U.S. EPA,  2014, section 6.8). For the current standard and the
34    three W126 scenarios, these estimates indicate weighted relative biomass loss less than or equal
35    to 2% in 143-144 of 145 assessed nationally protected Class I areas. To the extent that emphasis
36    is given to such estimates for nationally protected Class I areas and for appreciable percentages

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 1    of forested areas nationwide, a W126 index value extending up to 15 ppm (or perhaps somewhat
 2    higher) may be appropriate to consider.
 3           In considering the evidence-based information regarding tree seedling growth effects and
 4    specifically biomass loss, we recognize an array of W126 index values that may be appropriate
 5    to consider depending on the weight placed on different policy-related objectives with regard to
 6    proportions of the 12 studied tree species at or below different growth response benchmarks and
 7    on associated uncertainties. For example, conclusions may be reached regarding the higher index
 8    values (e.g., up to 17 ppm-hrs) to the extent weight is placed on W126 index values for which
 9    tree seedling C-R functions project less than 2% biomass loss in approximately half of the
10    studied species and less than 10% biomass loss in the large majority of studied species and on
11    index values for which weighted RBL is below 2% in nearly all assessed Class I areas, and to the
12    extent that estimates associated with the remaining species are judged too variable and/or
13    uncertain. For index values of 15 or 17 ppm-hrs, the species-specific composite C-R functions
14    indicate relative biomass loss less than 2% in at least five of the 12 studied species and less than
15    10% in at least nine or ten, in addition to an estimated median  across studied species of
16    approximately 5-6% . Additionally, the WREA estimates for all three W126  scenarios include
17    weighted RBL below 2% in 143 to 144 of 145 assessed Class I areas. Alternatively, to the
18    extent weight is given to median biomass across tree species of no more than 2% based on the
19    evidence-based C-R functions, and to the potential, while uncertain, for appreciable gains in
20    carbon sequestration, a focus on the lower  end of the range (e.g., down to 7 ppm-hr)  may be
21    appropriate.
22           Thus, in staffs view, the evidence- and exposure/risk-based information relevant to tree
23    biomass loss and the associated ecosystem services important to the public welfare support
24    consideration of a W126-based secondary standard with index values within  the assessed range
25    of 7-15 ppm-hrs or somewhat higher (e.g., 17  ppm-hrs). We consider such a range for a
26    potential alternative cumulative seasonal W126-based standard, averaged over three  years.  In  so
27    doing, we take note of CAS AC's advice regarding the importance of considering the lasting or
28    carry-over effects that can derive from single year exposures of perennial plants, and recognize
29    the importance of considering the available evidence and exposure/risk based information related
30    to such effects, as well as associated uncertainties. We additionally recognize uncertainty
31    associated with any characterization of a relationship between  the level of protection afforded for
32    cumulative growth-related effects by potential alternative W126-based standards of single year
33    or three-year average form. Lastly, we are mindful of the public welfare judgments required of
34    the Administrator with regard to the public welfare significance of identified effects  and the
35    requisite level of protection, as well as the  appropriate weight to assign the range of uncertainties
36    inherent in the evidence and analyses.

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 1           In also noting the potential ecosystem services benefits related to tree biomass loss for
 2    potential alternative W126-based standards in light of the qualitative and semi-quantitative
 3    information in the WREA regarding the types and potential magnitude of impacts on associated
 4    services, we recognize, in particular that impacts on climate can reasonably be concluded
 5    significant from a public welfare perspective and CC>2 sequestration has been identified as a
 6    potentially important tool for managing anthropogenic impacts on climate. However, we
 7    additionally take note of significant uncertainties and limitations associated with WREA
 8    estimates related to carbon sequestration.  Thus, in selecting a target level of protection for forest
 9    trees and their associated ecosystem services, the Administrator will need to exercise judgments
10    regarding the  appropriate weight to place on the potential for benefits to the public welfare with
11    respect to ecosystem  services of carbon storage and urban air pollution removal associated with
12    tree growth, as well as the large uncertainties associated with this information.
13           We further recognize that public welfare considerations taken into account by the
14    Administrator may have the potential to affect the target protection judged requisite by the
15    Administrator and the associated range of W126 index values.  For example, to the extent the
16    Administrator chooses to put more weight on effects associated with longer-term conditions, it
17    may be appropriate to evaluate the significance of these longer term effects to the public welfare,
18    as well as the role that year-to-year exposure variability can play in realizing the potential public
19    welfare impacts.  In so doing, the Administrator may put weight on a  range of percentages of
20    biomass loss (either greater or less than 2%) with an objective to achieve substantial protection
21    of a large proportion of the studied species.  Thus, in considering a range of 3-year average
22    W126 index values appropriate to provide the target protection, we recognize that the
23    Administrator may consider a range somewhat beyond the staff identified range.
24           In considering the lower end of the staff-identified range, the Administrator would need
25    to put more weight on the uncertainties that suggest the analyses may be underestimating the
26    public welfare impacts associated with different cumulative exposure levels.  These uncertainties
27    can include the relatively small number of Os sensitive species for which we  have robust C-R
28    functions included in the analyses, Os-sensitive species for which we  have no C-R function, the
29    lack of information regarding the relationship of 63 effects  on tree seedlings (e.g., relative
30    biomass loss) that occur in one or a few growing seasons to longer-term effects that might be
31    expected to accrue over the life of the trees extending  into adulthood, the paucity of ambient air
32    monitoring data in some areas (e.g., the west) that leads to less than complete national coverage,
33    recognition that co-occurring stressors may in some cases exacerbate  predicted Os-induced
34    effects, and the limited number of WREA urban area case studies, uncertainties associated with
35    the model-adjusted air quality exposure surfaces,and the inability to quantify some potentially
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 1    important associated ecosystem services and incremental impacts (i.e. for insect damage, fire
 2    regimes).
 3          In considering a range somewhat above that of the staff-identified range, the
 4    Administrator would need to put more weight on the uncertainties suggesting the potential for
 5    overestimating the beneficial public welfare impacts that might be achieved at 3-year average
 6    levels within the staff-identified range.  These uncertainties include the lack of information
 7    (particularly quantitative) on the relationship of tree seedling Oj, effects (e.g., relative biomass
 8    loss) that occur in one or a few growing seasons to longer-term effects that might be expected to
 9    accrue over the life of the trees extending into adulthood, recognition that co-occurring stressors
10    or environmental factors (e.g., drought) may in some cases mitigate predicted Cb-induced effects,
11    the variability in number of C-R functions available for each of the 12 studied tree species, and
12    information concerning the extent to different endpoints and effects might be considered adverse
13    to public welfare . Given these and potentially other uncertainties, the Administrator may choose
14    to select a higher range  of levels judged to have less potential to provide overprotection.
15          Lastly, we also conclude that, to the extent the Administrator finds it useful to consider
16    the public welfare protection that might be afforded by a revised primary standard, this is
17    appropriately judged through the use of a cumulative seasonal W126-based exposure metric.
18    Such a use could inform a judgment of whether the primary  standard would be expected to
19    achieve the level of public welfare protection concluded to be requisite under the Act in terms of
20    a metric considered appropriate to judging impacts on public welfare.  See Mississippi. 723 F. 3d
21    at 272-73.  The staff further concludes that the drawing of conclusions with regard to the public
22    welfare protection afforded by such a standard, as well as identification of the requisite level of
23    protection for such a standard, should entail consideration of the air quality conditions likely to
24    be achieved in terms of the cumulative seasonal W126-based metric described above. In such a
25    consideration, such as through the review of overlap analyses discussed in section 6.2 above,
26    staff further concludes it is important to take into account associated uncertainties, including
27    those associated with the limited monitor coverage in many rural areas, including those in the
28    west and southwest and at high elevation sites.

29         6.6 SUMMARY OF PRELIMINARY CONCLUSIONS ON THE SECONDARY
30             STANDARD
31          Staff preliminary conclusions are informed by our consideration of the available
32    scientific evidence as assessed in the ISA, the air quality/exposure/risk information in the second
33    draft WREA, advice from CAS AC thus far in this review and in prior reviews, and public
34    comment thus far in this review. Staff conclusions in the final PA will be further informed by
35    comments from CAS AC and the public on this draft document and by the final WREA.

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 1           Staff preliminary conclusions on policy options that are appropriate for the
 2    Administrator's consideration in making decisions on the secondary standards for 63, together
 3    with supporting conclusions from sections 5.7 and 6.5 above, are briefly summarized below. In
 4    reaching conclusions on alternative standards to provide requisite protection for public welfare
 5    effects associated with ambient 63 exposures, staff has considered these standards in terms of the
 6    basic elements of the NAAQS: indicator, form, averaging time, and level.  In drawing these
 7    conclusions, we are mindful that the Act requires secondary standards to be set so that, in the
 8    Administrator's judgment, they are requisite to protect public welfare from known or anticipated
 9    adverse environmental effects, such that the standards are to be neither more nor less stringent
10    than necessary. Thus, the Act does not require that NAAQS be set at zero-risk levels, but rather
11    at levels that reduce risk sufficiently to protect public welfare from adverse effects.
12              (1) Staff preliminarily concludes, based on the combined  consideration of the body of
13                  evidence and the results from the quantitative exposure/risk assessment, that the
14                  available evidence and exposure/risk information call  into question the adequacy
15                  of the  public welfare protection provided by the current standard and it is
16                  appropriate to consider revising the standard to provide greater public welfare
17                  protection.
18              (2) In considering an appropriate target level of protection for a revised standard,
19                  staff additionally preliminarily concludes that it is appropriate to judge Os public
20                  welfare impacts using the cumulative seasonal W126-based metric.
21                     a.   To the extent the Administrator finds it useful to consider the extent of
22                         public welfare protection that might be afforded by a revised primary
23                         standard, staff preliminarily concludes that public welfare protection is
24                         appropriately judged through the use of the cumulative seasonal W126-
25                         based metric.
26              (3) With regard to indicator, staff preliminarily concludes that it is appropriate to
27                  continue to use 63 as the indicator for a standard that is intended to address
28                  welfare effects associated with exposure to Os,  alone or in combination with
29                  related photochemical oxidants. Based on the available information,  staff
30                  preliminarily concludes that there is no basis for considering an alternative
31                  indicator at this time.
32              (4) With regard to averaging time and form, staff preliminarily concludes that it is
33                  appropriate to consider a revised secondary standard in terms of the cumulative,
34                  seasonal, concentration-weighted form, the W126 index.  With regard to

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 1                 definition of the W126 index for this purpose, staff makes the additional
 2                 preliminary conclusions.
 3                     a.  It is appropriate to consider the consecutive 3-month period within the O^
 4                        season with the maximum index value as the seasonal period over which
 5                        to cumulate hourly Os exposures. Staff notes that the maximum 3-month
 6                        period generally coincides with maximum biological activity for most
 7                        vegetation, making the 3-month duration a suitable surrogate for longer
 8                        growing seasons.
 9                     b.  It is appropriate to cumulate daily exposures for the 12-hr period from 8
10                        am to 8  pm, generally representing the daylight period during the 3-month
11                        period identified above.
12                     c.  It is appropriate to consider a form that averages W126 index values
13                        across three consecutive years. Staff concludes it is appropriate to
14                        consider this form in conjunction with appropriate levels in order to
15                        provide  the desired degree of public welfare protection from 03 effects
16                        across multiple years.
17          With regard to level for a standard as described above, we preliminarily conclude  that it
18    is appropriate to give consideration to a range of levels from somewhat above 15 ppm-hrs to 7
19    ppm-hrs, expressed in terms of the W126 index. Staff additionally notes that, consideration of
20    the support provided by the information available in this review will depend on public welfare
21    policy judgments by the Administrator regarding the protection of public welfare. This range
22    reflects staff judgment that a standard set within this range could provide an appropriate degree
23    of public welfare protection.

24         6.7 KEY UNCERTAINTIES AND AREAS FOR FUTURE RESEARCH AND
25             DATA COLLECTION
26          Staff believes it is important to highlight key uncertainties associated with establishing
27    secondary  standards for 63. Such key uncertainties and recommendations for welfare-related
28    research, model development,  and data gathering are outlined below.  In some cases, research in
29    these areas can go beyond aiding standard setting to aiding in the development of more efficient
30    and effective control strategies. We note, however, that a full set of research recommendations
31    to meet standards implementation and strategy development needs is beyond the scope of this
32    discussion. Based on items highlighted in chapter 9 of the ISA and chapter 5 and 6 herein, we
33    have identified the following key uncertainties, research questions and data gaps that have been
34    highlighted in this review of the welfare-based secondary standard. The first set of key
                                                6-48

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 1    uncertainties and research recommendations discussed below is that associated with the
 2    extrapolation to plant species and environments outside of specific experimental or field study
 3    conditions. The second set of key uncertainties and research recommendations pertain to our
 4    ability to assess the impact of Os on other welfare effects categories such as climate, ecosystem
 5    components such as wildlife, and whole ecosystem structure and function.  Third, we identify
 6    research areas related to the development of approaches, tools, or methodologies useful in
 7    characterizing the relationship between Oj, and public welfare in a policy context.  These three
 8    areas are described below.
 9           There have been five decades of research regarding Os effects on plants and much
10    information has been compiled in previous reviews.  One of the most important research results
11    for the review of the secondary Os standard is C-R relationships for plant species.  This review
12    uses C-R functions from 22 crop and tree species. However, there are tens of thousands of plant
13    species in the U.S. (USDA, NRCS. 201416) and 66 plant species have been identified as O3
14    sensitive on National Park Service and US Fish and Wildlife Service lands17.  Studies using large
15    numbers of native plant species across regions where those species are indigenous,  might be
16    expected to reduce uncertainties associated with extrapolating plant response for a given level  of
17    Os using composite response functions across differing regions  and climates. Research on
18    additional species might additionally improve our understanding of the full range of response of
19    plant species to Os.  Studies focused on fruits and vegetables might assist in reducing
20    uncertainties associated with Os effects on agriculture. Particular focus is suggested on
21    organically grown vegetables that may receive less intensive management than conventionally
22    grown crops. Recent studies indicate that watermelons may be particularly sensitive to Os
23    exposure (U.S. EPA, 2013, section 9.4.4.1) and older studies indicate grapes, honeydew melon,
24    lemons and oranges may also be Os sensitive (Abt Associates Inc., 1995).
25           National visible foliar injury surveys can indicate how widespread Os effects may be
26    within the US.  However, there remain uncertainties  about the nature of the effects indicated by
27    the observed foliar injury.  These include uncertainty associated with estimating the risk to
28    vegetation of differing amounts of Os-induced visible foliar injury over the plant's leaf area and
29    the relationship between relative soil moisture and the incidence and severity of foliar injury in
30    sensitive species, as well as the extent to which visible foliar injury impacts ecosystem services
31    (e.g., tourism).
             16 USD A, NRCS. 2014. The PLANTS Database (http://plants.usda.gov. 3 January 2014). National Plant
      Data Team, Greensboro, NC 27401-4901 USA.
             17See http://www2.nature.nps.gov/air/Pubs/pdf/flag/NPSozonesensppFLAG06.pdf
                                                6-49

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 1           Some new information has emerged linking effects on tree seedlings with larger trees and
 2    similarities in results between exposure techniques (U.S. EPA 2013, section 9.6). Uncertainties
 3    remain in this area and in relationships between effects on individual plants and ecosystem
 4    effects.  There are also uncertainties in extrapolating from Os effects on juvenile to mature trees
 5    and from trees grown in the open versus those in a closed forest canopy in a competitive
 6    environment. Uncertainties in extrapolating individual plant response spatially or to higher
 7    levels of biological organization, including ecosystems, could be informed by research that
 8    explores and better quantifies the nature of the relationship between 63, plant response and
 9    multiple biotic and abiotic stressors, including those associated with climate change. Because
10    these uncertainties are multiple and significant due to the complex interactions involved, new
11    research will likely require a combination of manipulative experiments with model ecosystems,
12    community and ecosystem studies along natural Os gradients, and extensive modeling efforts to
13    project landscape-level, regional, national and international impacts of 63.
14           Uncertainties associated with projections of the effects of Os on the ecosystem processes
15    of water, carbon, and nutrient cycling, particularly at the stand and community levels might be
16    addressed through research on the effects on below ground ecosystem processes in response to
17    Os exposure  alone and in combination with other stressors.  These below-ground processes
18    include interactions of roots with the soil or microorganisms, effects of 63 on structural or
19    functional components of soil food webs and potential impacts on plant species diversity,
20    changes in the water use of sensitive trees, and if the sensitive tree species is  dominant, potential
21    changes to the hydrologic cycle at the watershed and landscape level. Research on competitive
22    interactions under different Os exposures might improve our understanding of how Os may
23    affects biodiversity or genetic diversity. Such research could be strengthened by modern
24    molecular methods to quantify impacts on diversity.
25           Important interactions with biotic and abiotic stressors have been identified in this
26    review. More tools and research would improve our understanding of relationships between Os
27    exposure and stressors such as insect infestations, plant diseases, drought and potential stressors
28    from climate change. It is also important to understand how such interactions may affect
29    ecosystem services such as CO2 sequestration; food and fiber production; wildlife habitat and
30    water resources.
31           One of the most important uncertainties in this review is the characterization of air
32    quality in rural areas where there is limited monitoring. More comprehensive monitoring  in
33    these areas would reduce uncertainties associated with Os exposures in many rural areas.   Areas
34    of particular uncertainty include protected natural areas in the western U.S, including those at
35    high elevation, as well as those downwind of recently expanded oil and gas development areas.
36    Uncertainties associated with quantifying exposure in areas with and without monitors might be

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 1    addressed through additional work on interpolation methods and air quality models that are

 2    tailored to estimating cumulative seasonal exposures, as well as on more refined spatial grids and

 3    complex terrain.


 4          6.8  REFERENCES

 5    Abt Associates, Inc. (1995). Ozone NAAQS benefits analysis: California crops. Report to U.S. EPA, July.

 6    Federal Register 1996. National Ambient Air Quality Standards for Ozone; Proposed Rule. 40 CFR 50; Federal
 7            Register 61: 65716

 8    Federal Register 1997. National Ambient Air Quality Standards for Ozone; Final Rule. 40 CFR 50; Federal Register
 9            62:38856

10    Federal Register 2007. National Ambient Air Quality Standards for Ozone; Proposed Rule. 40 CFR 50; Federal
11            Register 72: 37818

12    Federal Register 2008. National Ambient Air Quality Standards for Ozone; Final Rule. 40 CFR 50 and 58; Federal
13            Register 73:16436

14    Federal Register 2010. National Ambient Air Quality Standards for Ozone; Proposed Rule. 40 CFR 50 and 58;
15            Federal Register 75 FR: 2938

16    Federal Register 2012. National Ambient Air Quality Standards for Oxides of Nitrogen and Sulfur; Final Rule. 40
17            CFR 50; Federal Register 77 FR 20218

18    Frey, C. and Samet,  J.M. (2012) CASAC Review of the EPA's Policy Assessment for the Review of the Ozone
19            National Ambient Air Quality Standards (First External Review Draft-August 2012).  EPA-CASAC-13-
20            003. November 26, 2012. Available online at:

21    Gregg, JW;  Jones, CG; Dawson, TE. (2003). Urbanization effects on tree growth in the vicinity of New York City
22            [Letter]. Nature 424: 183-187. http://dx.doi.org/10.1038/nature01728

23    Heck, WW; Cowling, EB. (1997).The need for a long term cumulative secondary ozone standard - An ecological
24            perspective. EM January: 23-33.

25    Henderson,  R. (2006) Letter from CASAC Chairman Rogene Henderson to EPA Administrator Stephen Johnson.
26            October 24, 2006, EPA-CASAC-07-001.

27    Henderson,  R. (2007) Letter from CASAC Chairman Rogene Henderson to EPA Administrator Stephen Johnson.
28            March 26, 2007, EPA-CASAC-07-002.

29    Henderson,  R. (2008) Letter from CASAC Chairman Rogene Henderson to EPA Administrator Stephen Johnson.
30            April 7,2008, EPA-CASAC-08-009.

31    Samet, J.M. (2010) Clean Air Scientific Advisory Committee (CASAC) Review of EPA's Proposed Ozone National
32            Ambient Air Quality Standard. EPA-CASAC-10-007. January 19, 2010. Available online at:
3 3            http://yosemite.epa.gov/sab/sabproduct.nsf/264cb 1227d55e02c85257402007446a4/610BB57CFAC8A41C
34            852576CF007076BD/$File/EP A-CASAC-10-007-unsigned.pdf

3 5    USD A, NRCS. 2014. The PLANTS Database (http://plants.usda.gov. 3 January 2014). National Plant Data Team,
36            Greensboro, NC 27401-4901 US A
                                                     6-51

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 1    U.S. EPA (1996a). Air quality criteria for ozone and related photochemical oxidants [EPA Report]. (EPA/600/P-
 2            93/004AF). U.S. Environmental Protection Agency, Research Triangle Park, NC.

 3    U.S. EPA (1996b). Review of national ambient air quality standards for ozone: Assessment of scientific and
 4            technical information: OAQPS staff paper [EPA Report]. (EPA/452/R-96/007). Research Triangle Park,
 5            NC. http://www.ntis.gov/search/product.aspx?ABBR=PB96203435

 6    U.S. EPA (2006). Air Quality Criteria for Ozone and Related Photochemical Oxidants (2006 Final).  U.S.
 7            Environmental Protection Agency, Washington, DC. EPA/600/R-05/004aF-cF.  March 2006. Available at:
 8            http://www.epa.gOv/ttn/naaqs/standards/ozone/s o3crcd.html

 9    U.S. EPA (2007). Review of the national ambient air quality standards for ozone: Policy assessment of scientific
10            and technical information: OAQPS staff paper [EPA Report].  (EPA/452/R-07/003). Research Triangle
11            Park, NC. http://www.epa.gov/ttn/naaqs/standards/ozone/data/2007_01_ozone_staff_paper

12    U.S. EPA (2013). Integrated Science Assessment of Ozone and Related Photochemical Oxidants (Final). U.S.
13            Environmental Protection Agency, Washington, DC. EPA/600/R-10/076F

14    U.S. EPA (2014). Welfare Risk and Exposure Assessment for Ozone,  Second External Review Draft. Office of Air
15            Quality Planning and Standards,  Research Triangle Park, NC, 27711.  EPA-452/P-14-003a

16    Wolff, G.T. (1996) Letter to EPA Administrator Carol Browner, RE: Closure by the Clean Air Scientific Advisory
17            Committee (CASAC) on the Secondary Standard Portion of the Staff Paper for Ozone. EPA-SAB-CASAC-
18            LTR-96-002, April 4, 1996.
                                                      6-52

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                                     APPENDICES
Appendix 2A. Supplemental Air Quality Modeling Analyses of Background O?,	2A-1
Appendix 2B. Monitoring Data Analysis of Relationships Between Current Standard and
             W126 Metric	2B-1
Appendix 2C. Inter-annual Variability in W126 Index Values: Annual and 3-Year Average
             Metrics (2008-2010)	2C-1
Appendix 3 A. Modes of Action Summary	3A-1
Appendix 3B. Recent Studies of Respiratory-related Emergency Department Visits
             and Hospital Admissions	3B-1
               Hospital Admissions for All Respiratory Causes	3B-1
               Cause-Specific Hospital Admissions	3B-5
               Emergency Department Visits for All Respiratory Causes	3B-7
               Cause-Specific Emergency Department Visits	3B-7
Appendix 3C. At-risk Populations	3C-1
Appendix 3D. Air Quality Data for Locations of Key Epidemiological Studies 	3D-1
Appendix 5A. Ozone-Sensitive Plant Species Used by Some Tribes	5A-1
Appendix 6 A. Calculation of Approximate Equivalent 12-hr SUM06 and 12-hr W126	6A-1
          January 2013                                 Draft - Do Not Quote or Cite

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 i                                    APPENDIX 2A


 2          SUPPLEMENTAL AIR QUALITY MODELING ANALYSES OF
 3                              BACKGROUND OZONE
 4

 5   Table of Contents

 6   List of Figures 	   2

 7   List of Tables 	   4

 8   1.     Introduction 	   5

 9   2.     Description of modeling methodologies 	   6

10         a. 2007 GEOS-Chem/CMAQ zero-out modeling	   7

11         b. 2007 GEOS-Chem/CAMx source apportionment modeling	   12

12   3.     Estimates of seasonal-average background ozone levels 	  15

13   4.     Distributions of background ozone levels 	 22

14   5.     Contribution of various processes and sources to total background ozone  	   30

15   6.     Estimates of the fractional background contribution to total ozone in 12 specific

16         areas  	  37

17   7.     Background ozone and W126 	  39

18   8.     Summary 	  39

19   9.     References 	  42

20
                                          2A-1

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21    List of Figures

22    Figure la. Modeling domain used in 2007 CMAQ and CAMx modeling  	 10
23
24    Figure Ib. Density scatterplot comparing CMAQ base daily peak 8-hour ozone predictions
25    against observed 8-hour ozone peaks paired in space and time for all sites during April-
26    October 2007	10
27
28    Figure Ic. Bias in seasonal mean (April-October) maximum daily 8-hour ozone predictions in
29    the 2007 CMAQ base simulation  	11
30
31    Figure Id. Relationship between CMAQ estimations of MDA8 natural background ozone and
32    daily model biases	11
33
34    Figure 2a. Density scatterplot comparing CAMx base daily peak 8-hour ozone predictions
35    against observed 8-hour ozone peaks paired in space and time for all sites during April-October
36    2007	14
37
38    Figure 2b. Bias in  seasonal mean (April-October) maximum daily 8-hour ozone predictions in
39    the 2007 CAMx base simulation	14
40
41    Figure 3a. April-October average MDA8 ozone (ppb) at monitoring locations across the U.S. as
42    estimated by a 2007 CMAQ base simulation	18
43
44    Figure 3b. April-October average natural background MDA8 ozone (ppb) at monitoring
45    locations across the U.S. as estimated by a 2007 CMAQ zero out simulation	 18
46
47    Figure 3c. April-October average North American background MDA8 ozone (ppb) at monitoring
48    locations across the U.S. as estimated by a 2007 CMAQ zero out simulation	19
49
50    Figure 3d. April-October average United States background MDA8 ozone (ppb) at monitoring
51    locations across the U.S. as estimated by a 2007 CMAQ zero out simulation	19
52
53    Figure 4a. Ratio of natural background to total April-October average MDA8 ozone at
54    monitoring locations across the U.S. as estimated based on 2007 CMAQ simulations	20
55
56    Figure 4b. Ratio of N. American background to total April-October average MDA8 ozone at
57    monitoring locations across the U.S. as estimated based on 2007 CMAQ simulations	20
58
59    Figure 4c. Ratio of U.S. background to total April-October average MDA8 ozone at
60    monitoring locations across the U.S. as estimated based on 2007 CMAQ simulations	21
61
62    Figure 4d. Ratio of sources other than U.S. anthropogenic emissions to total April-October
63    average MDA8 ozone at monitoring locations across the U.S. as estimated by a 2007 CAMx
64    source apportionment simulation	21
65
66    Figure 5a. Distribution of  natural background MDA8 ozone (ppb) at monitoring locations
67    across the U.S. (Apr-Oct),  binned by base modeled site-day MDA8, as estimated by 2007

                                                 2A-2

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 68    CMAQ simulations	  25
 69
 70    Figure 5b.  Distribution of N. American background MDAS ozone (ppb) at monitoring
 71    locations across the U.S. (Apr-Oct), binned by base modeled site-day MDAS, as estimated by
 72    2007 CMAQ simulations	  25
 73
 74    Figure 5c.  Distribution of U.S. background MDAS ozone (ppb) at monitoring locations across
 75    the U.S. (Apr-Oct), binned by base modeled site-day MDAS, as estimated by 2007 CMAQ
 76    simulations	  26
 77
 78    Figure 5d.  Distribution of MDAS ozone contributions from non-U.S. manmade sources (ppb)
 79    at monitoring locations across the U.S. (Apr-Oct), binned by base modeled site-day MDAS, as
 80    estimated by 2007 CAMx simulations	  26
 81
 82    Figure 6a.  Distribution of natural background MDAS ozone fractions at monitoring locations
 83    across the  U.S. (Apr-Oct), binned by base modeled site-day MDAS, as estimated by 2007
 84    CMAQ simulations	  27
 85
 86    Figure 6b.  Distribution of N. American background MDAS ozone fractions at monitoring
 87    locations across the U.S. (Apr-Oct), binned by base modeled site-day MDAS, as estimated by
 88    2007 CMAQ simulations	  27
 89
 90    Figure 6c.  Distribution of U.S. background MDAS ozone fractions at monitoring locations
 91    across the  U.S. (Apr-Oct), binned by base modeled site-day MDAS, as estimated by 2007
 92    CMAQ simulations	  28
 93
 94    Figure 6d.  Distribution of MDAS ozone fractions from non-U.S. anthropogenic sources at
 95    monitoring locations across the U.S. (Apr-Oct), binned by base modeled site-day MDAS, as
 96    estimated by the 2007 CAMx simulation	28
 97
 98    Figure 7. April-October 95th percentile United States background MDAS ozone (ppb) at
 99    monitoring locations across the U.S. as estimated by a 2007 CMAQ base simulation	  29
100
101    Figure 8a.  Difference in April-October average MDAS ozone (ppb) at monitoring locations
102    across the  U.S. between the USB scenario and the NAB scenario  	  32
103
104    Figure 8b.  Difference in April-October average MDAS ozone (ppb) at monitoring locations
105    across the  U.S. between the NAB scenario and the NB scenario	32
106
107    Figure 9a.  Percentage of April-October average MDAS ozone that is apportioned to
108    boundary conditions as estimated at monitoring locations by a 2007 CAMx simulation	33
109
110    Figure 9b.  Percentage of April-October average MDAS ozone that is apportioned to U.S.
Ill    anthropogenic sources as estimated at monitoring locations by  a 2007 CAMx simulation	33
112
113    Figure 9c.  Percentage of April-October average MDAS ozone that is apportioned to purely
114    biogenic emissions as  estimated at monitoring locations by a 2007 CAMx simulation	34
115

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116    Figure 9d. Percentage of April-October average IV1DA8 ozone that is apportioned to
117    climatological fire emissions as estimated at monitoring locations by a 2007 CAMx simulation ... 34
118
119    Figure 9e. Percentage of April-October average IV1DA8 ozone that is apportioned to
120    anthropogenic emissions from in-domain Canadian and Mexican sources as estimated at
121    monitoring locations by a 2007 CAMx simulation	35
122
123    Figure 9f. Percentage of April-October average IV1DA8 ozone that is apportioned to Category 3
124    marine vessel emissions beyond U.S. territorial waters as estimated  at monitoring locations by
125    a 2007 CAMx simulation	35
126
127    Figure 9g. Percentage of April-October average MDA8 ozone that is apportioned to Gulf of
128    Mexico point sources as estimated at monitoring locations by a 2007 CAMx simulation	  36
129
130
131    List of Tables
132
133    Table la. April-October average MDA8 ozone, average MDA8 ozone from sources other than
134    U.S. manmade emissions, and the fractional contribution of these background sources in the
135    12 REA urban study areas, as estimated by a 2007  CAMx simulation	  37
136
137    Table Ib. Average MDA8 ozone, average MDA8 ozone from sources other than U.S.
138    manmade emissions, and the fractional contribution of these background sources in the 12 REA
139    areas, as estimated by a 2007 CAMx simulation using site-days in which base MDA8 ozone
140    exceeded 60 ppb	38
141
142    Table Ic. Fractional contribution of non-U.S. manmade emissions sources in the 12 REA urban
143    study areas, as estimated by a 2007 CAMx simulation using means and medians of daily MDA8
144    fractions	38
145
146    Table Id. April-October average MDA8 ozone, average MDA8 ozone from USB, and the
147    fractional contribution of these background sources in the 12 REA urban study areas, as
148    estimated by two  separate 2007 CMAQ simulations	38
149
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150    1.      Introduction

151           One of the aspects of ozone that is unusual relative to the other pollutants with National
152    Ambient Air Quality Standards (NAAQS) is that, periodically, in some locations, an appreciable fraction of
153    the observed ozone results from sources or processes other than local and regional anthropogenic
154    emissions of ozone precursors (Fiore et al., 2002).  Any ozone formed by processes other than the
155    chemical conversion of local or regional ozone precursor emissions, such as nitrogen oxides (NOx) or
156    volatile organic emissions (VOC), is generically referred to as "background" ozone. As part of this review
157    of the ozone NAAQS, EPA completed an extensive review of the known aspects of background ozone
158    and summarized the findings in the Integrated Science Assessment (ISA) in March 2013 (USEPA, 2013).
159    The purpose of this appendix is to present the results from supplemental air quality modeling analyses
160    related to background ozone that were completed by EPA subsequent to the ISA. While these updated
161    analyses use a recent base year (2007) and consider an alternative modeling methodology which can
162    better account for non-linear ozone chemistry in some conditions, the results are largely consistent with
163    previous determinations about the magnitude of background ozone contributions across the U.S.

164           Away from the surface, ozone can have an atmospheric lifetime on the order of weeks.  As a
165    result, background ozone can be transported long distances at heights above the boundary layer and,
166    when meteorological conditions are favorable, be available to mix down to the surface and add to the
167    total  ozone loading from non-background sources.  Generically, background ozone can originate from
168    natural sources of ozone and ozone precursors, as well as from far upwind manmade emissions of ozone
169    precursors. Natural sources of ozone precursor emissions such as wildfires, lightning, and vegetation
170    can lead to ozone formation by chemical reactions with other natural sources1. Another important
171    natural component of background is ozone that is naturally formed in the stratosphere through
172    interactions of UV light with atomic oxygen  (O2). Stratospheric ozone can periodically mix down to the
173    surface at high concentrations, especially at higher altitude locations. The manmade portion of the
174    background includes any ozone formed due to anthropogenic sources of ozone precursors emitted far
175    away from the local area (e.g., international emissions). Finally, both biogenic and international
176    anthropogenic emissions of methane, which can be chemically converted to ozone over relatively long
177    time  scales, can also contribute to global background ozone levels.

178           The precise definition of background ozone can vary depending upon  context, but it generally
179    refers to ozone that is formed by sources or processes that cannot be influenced by actions within the
180    jurisdiction of concern. In the first draft policy assessment document (EPA, 2012), EPA presented three
181    specific definitions of background ozone: natural background, North  American background, and U.S.
182    background.  Natural background (NB) was the narrowest definition of background and it was defined as
183    the ozone that would exist in the absence of any manmade ozone precursor emissions. The other two
184    previously-established definitions of background presume that the U.S. has little influence over
185    anthropogenic emissions outside our continental or domestic borders. North American background
186    (NAB) is defined as that ozone that would exist in the absence of any manmade ozone precursor
        Ozone formed through reactions between natural emissions and local anthropogenic emissions (e.g., biogenic
       VOC with man-made NOx) is generally not considered to be background ozone.
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187    emissions inside of North America.  U.S. background (USB) is defined as that ozone that would exist in
188    the absence of any manmade emissions inside the United States. It is important to note that each of
189    these three definitions of background ozone requires photochemical modeling simulations to estimate
190    what the residual ozone concentrations would be were the various anthropogenic emissions to be
191    removed.

192           As noted in the first draft policy assessment, EPA has revised several aspects of our
193    methodology for estimating the change in health risk and exposure that would result from a revision to
194    the ozone NAAQS. First, risk estimates are now based on total ozone concentrations as opposed
195    previous reviews which only considered risk above background levels. Second, EPA is now using air
196    quality models to estimate the spatial patterns of ozone that would result from attaining various levels
197    of the NAAQS, as opposed to simplistic rollback techniques that required the estimation of a background
198    ozone "floor" beyond which the rollback would not take place. Both of these revisions have had the
199    indirect effect of obviating the need for estimating background ozone levels as part of the ozone risk
200    and exposure assessment (REA).  Regardless, EPA expects that a well-founded understanding of the
201    fractional contribution of background sources and processes to surface ozone levels  will be valuable
202    towards informing policy decisions about the NAAQS.  Section 2 of this document will describe the
203    supplemental air quality modeling simulations that have recently been completed by EPA to bolster our
204    understanding of background ozone.  Section 3 will present the results from the updated analyses and
205    provide estimates of average background ozone levels, and how they can vary in time and space across
206    the U.S.  Based on the same modeling, Section 4 will consider the entire spectrum of variable
207    background ozone levels with special emphasis on areas and times in which background can approach or
208    exceed the level of the NAAQS. Section 5 will utilize the supplemental air quality modeling estimates to
209    determine the relative importance of specific components of background ozone.  Section 6 will present
210    estimates of the overall fraction of ozone that is estimated to  result from background sources or
211    processes in each of the 12 urban case study areas in the epidemiology study based analyses in Chapter
212    7 of the Risk and Exposure Assessment (REA) (EPA, 2014) based on the updated modeling. Finally,
213    Section 7 will conclude with a limited analysis of how background ozone levels impact longer-term
214    ozone metrics that may be important from a welfare perspective (i.e., W126).

215    2.     Description of modeling methodologies

216           As noted above, air quality models are typically used to estimate background ozone as it is quite
217    difficult to measure directly.  Without special monitoring, it is  impossible to determine how much of the
218    ozone measured by a monitor originated from sources that are considered background. Even the most
219    remote monitors within the U.S. can periodically be affected by U.S. anthropogenic emissions.  Previous
220    modeling studies have estimated what background levels would be in the absence of certain sets of
221    emissions by simply comparing the ozone differences between a base model simulation and a control
222    simulation in which emissions were removed. This basic approach is often referred to as "zero out"
223    modeling or "emissions perturbation" modeling. Examples of zero out modeling include the three major
224    studies summarized in the ISA (Zhang et al., 2011; Emery et al., 2012, Lin et al., 2013).  It is important to
225    note that the specific concepts  of NB, NAB, and USB are all explicitly tied to zero-out modeling, as those
226    definitions are based on estimating what remains in the absence o/specific sets of man-made emissions.

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227    EPA has conducted and will describe updated air quality modeling for a 2007 base year that employs a
228    regional air quality model nested within a coarser-scale global chemical transport model to estimate NB,
229    NAB, and USB levels when the respective manmade emissions are zeroed. This modeling is described in
230    detail in section 2a.

231           While the zero-out approach has traditionally been used to estimate background ozone levels,
232    the methodology has some acknowledged limitations. First, from a policy perspective, the purely
233    hypothetical and ultimately unrealizable zero manmade emissions scenarios have limited application in
234    this regard. Secondly, the assumption that background ozone is what is left after specific emissions have
235    been removed within the model simulation can be misleading in locations where ozone chemistry is
236    highly non-linear. Depending upon the local composition of ozone precursors, NOx emissions
237    reductions can either increase or decrease ozone levels in the immediate vicinity of those reductions.
238    For those specific urban areas in which NOx titration of ozone can be significant, zero-out modeling can
239    result in inflated estimates of background ozone when these NOx emissions are completely and
240    unrealistically removed. Paradoxically, in certain times and locations in a zero-out scenario there can be
241    more background ozone than actual ozone within the model (EPA, 2014).

242           A separate modeling technique attempts to circumvent these limitations by apportioning the
243    total ozone within the model to its contributing source terms. This basic approach is referred to as
244    "source apportionment" modeling. While source apportionment modeling has not been previously used
245    in the context of estimating background ozone levels as part of an ozone NAAQS review, it has
246    frequently been used in other regulatory settings to estimate the "contribution" to ozone of certain sets
247    of emissions (EPA 2005, EPA 2011). The source apportionment technique provides a means of
248    estimating the contributions of user-identified source categories to ozone formation in a single model
249    simulation. This is achieved by using multiple tracer species to track the fate of ozone precursor
250    emissions (VOC and NOx) and the ozone formation caused by these emissions.  The methodology is
251    designed so that all ozone and precursor concentrations are attributed to the selected source categories
252    at all times without perturbing the inherent chemistry.  The zero out  modeling attempts to determine
253    what ozone be in the absence of background sources. The source apportionment modeling attempts to
254    determine how much of the modeled ozone has resulted from background sources.  EPA has conducted
255    and will describe new source apportionment modeling that employs a regional air quality model nested
256    within a coarser-scale global chemical transport model to assess the contributions of boundary
257    conditions and other potential background sources (e.g., wildfires, biogenic emissions, and
258    Canadian/Mexican emissions). This modeling is described in detail in section 2b.

259    a.  2007 GEOS-Chem/CMAQ zero-out modeling:

260           In order to provide estimates of the overall fraction of ozone that is estimated to result from
261    background sources in each of the 12 REA urban study areas, EPA conducted new modeling that utilized
262    the same model base year (2007) as was used  in the ozone modeling that inform the risk and exposure
263    analyses (EPA, 2014, Appendix 4b). The EPA modeling used a model configuration similar to that of
264    Emery (2012), in that it nested a regional-scale (12 km) air quality model inside a global air quality model
                                                  2A-7

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265    simulation with a much coarser horizontal grid resolution (2.0 by 2.5 degrees). Figure la shows a map of
266    the model domain.

267           The global scale simulation utilized the GEOS-Chem model, version v8-03-02, except for the
268    chemistry package which was from version v8-02-01. The emissions estimates used in the 2007 base
269    year modeling were aggregated from a variety of sources, starting with the global Emissions Database
270    for Global Atmospheric Research (EDGAR) emission inventory. These initial estimates were then
271    improved by utilizing various area-specific inventories, such as the 2005 National Emissions Inventory
272    (NEI) for the U.S. portions of the domain, and available inventories for Asia, Canada, Europe, and
273    Mexico. In addition to the anthropogenic estimates, emissions were specified for a variety of
274    background sources including: lightning NO, soil NOx, wildfires, and biogenic VOC emissions. The
275    wildfire data is from the Global Fire Emissions Database (GFED). The biogenic VOC estimates were
276    simulated by the Model of Emissions of Gases and Aerosols from Nature (MEGAN) version 2.1. The
277    meteorological data is based on the Goddard Earth Observing System Model, Version 5  (GEOS-5)
278    analysis fields.  More information on the global simulation is available within Henderson et al. (2013).
279    This reference also provides a broad evaluation of the ability of this specific GEOS-Chem configuration to
280    provide accurate lateral boundary conditions of ozone to finer-scale regional simulations. Using satellite
281    retrievals from the Tropospheric Emissions Spectrometer (TES), Henderson et al. (2013) concluded that
282    the GEOS-Chem ozone prediction biases and errors are generally within TES uncertainty estimates. For
283    instance, for the ozone season month of August, model predictions are within plus or minus 20 percent
284    of the satellite estimates between nearly 80 percent of the time, with slightly better performance along
285    the southern boundary.

286           The lateral boundary conditions from the global model were then used as inputs for a 12 km
287    horizontal resolution, CMAQ version 4.7.1, model simulation. Four scenarios were modeled: 1) a 2007
288    base case simulation which was the basis of the air quality modeling performed for the 2nd draft ozone
289    REA and is described in more detail in Appendix 4b of EPA (2014), 2) a  natural background run with
290    anthropogenic ozone precursor emissions2 removed in both the global and regional  models, 3) a North
291    American background run with anthropogenic ozone precursor emissions removed across North
292    America (global and regional model simulations), and 4) a U.S. background run with  anthropogenic
293    ozone precursor emissions were removed over the U.S (global and regional model simulations).
294    Detailed analyses of EPA's 2007 zero out modeling results are provided in sections 3 through 6 of this
295    appendix.

296           An operational model performance evaluation was completed for surface ozone in the 2007
297    base simulation as described separately (EPA 2014, Appendix 4b).  For the purposes of this analysis, EPA
298    assessed the model ability to reproduce measured daily maximum 8-hour (MDA8) ozone values and
299    seasonal mean MDA8 ozone concentrations for the period April to October 2007. As noted earlier, the
300    base year modeling in this analysis used climatological monthly-average wildfire emissions which are not
       2  In the global model all ozone precursor species were removed (i.e., VOC, NOx, CO), except for methane which
       was reset to pre-industrial levels to reflect natural contributions. In the regional modeling, the methane levels
       were left unchanged.

                                                   2A-8

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301    intended to capture discrete events from specific fires that occurred in 2007, so perfect correlation
302    between observations and model predictions should not be expected.  Figure Ib provides a density
303    scatterplot of the observed and predicted daily 8-hour ozone peaks paired in space and time for the
304    2007 CMAQ base. As can be seen, the majority of pairs line up along the 1:1 line.  There is a tendency
305    for the model to overestimate site-days with low 8-hour ozone peaks, and underestimate the site-days
306    with higher peak ozone values. Modeled 8-hour ozone peak concentrations exhibited relatively small
307    bias and error compared to the observations. The average bias in IV1DA8 ozone estimates was 3.5 ppb.
308    Figure Ic depicts the spatial bias patterns in IV1DA8 ozone at all sites that measured valid ozone data for
309    at least 100 days during the April-October period. CMAQ overestimations are greatest along the Gulf
310    Coast region, along the Atlantic coastline, and over the central U.S.  The majority of underestimated
311    seasonal mean MDA8 occurs within southern California. The model performance for the 2007 base
312    simulation is equivalent or better than typical state-of-the-science photochemical  model performance
313    recently reported in the literature (Simon et al, 2012).

314           Certainly some remote monitoring locations are more affected by background sources than
315    other locations in the network. However, this and numerous other analyses have  shown that even the
316    most remote ozone monitoring locations in the U.S. are periodically affected by U.S. manmade
317    emissions. In this analysis we carefully assess model performance to ensure that model error does not
318    influence the characterization of background ozone. As noted in the recent ISA (EPA, 2013), there is
319    greater confidence in the ability of the model to predict mean contributions from background sources
320    rather than individual events. Beyond the statistical analyses summarized in the previous paragraph and
321    in appendix 4b of the 2nd draft ozone REA (EPA, 2014), it is valuable to attempt to diagnose the model
322    ability to account for background ozone within the simulation.  EPA assessed whether any correlation
323    existed between daily model biases and daily background ozone estimates. Figure Id shows that at
324    high-elevation sites (i.e., sites more than  1km above sea level) the highest estimates of natural
325    background ozone tend occur on  days with greatest overestimation. Conversely, the site-days with the
326    lowest natural background estimates tend to occur when the model underestimates the observed daily
327    peaks at these sites.  This relationship between background estimates and simulation bias appears to be
328    constrained to the mountainous portion of the Western U.S. Figure Id also shows that estimates of
329    natural background ozone greater than 60 ppb are associated with large over-predictions. However,
330    based on the relatively low model bias and the general lack of correlation between daily bias values and
331    background estimates, EPA believes that  these model estimates can be used to help characterize
332    background ozone levels over the U.S. Although the highest background estimates should be
333    considered with caution.
                                                   2A-9

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334


335


336


337
            I2US2 domain       .
            >,y origin; .24UOO
-------
341
342

343
344

345
               ^r CO
                      *
                      O             *
                       ft  „„„,_, O K L f
                             mi...
                      '  O&'^fr

^"^r  tb   ,   f*S   0°,
        "ffi_*_
            ^       ..&
Figure Ic.  Bias in seasonal mean (April-October) maximum daily 8-hour ozone predictions in the 2007
CMAQ base simulation.
         	60-
*
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t^d > 10 ppb under
i— H 6-10 ppb under
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346

347
348
                     Low               Med               High
                Elevation of site (m MSU: Low (< 500): Med (500-1000): High <> 1000)
Figure Id. Relationship between CMAQ estimations of MDA8 natural background ozone and daily
model biases.
                                                 2 A-11

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349    b.  2007 GEOS-Chem/CAMx source apportionment modeling:

350           The same global modeling described above was used to assign lateral boundary conditions to
351    the regional-scale (12 km) CAMx v5.0 source apportionment simulations. Wherever possible, the
352    emissions and meteorological inputs in the CAMx modeling were chosen to mimic the 2007 base CMAQ
353    simulation described earlier.  Figure la shows a map of the model domain.

354           As with the CMAQ base case, a limited operational model performance evaluation was also
355    completed for surface ozone  in the 2007 base simulation. For the purposes of this analysis, EPA
356    assessed the model ability to reproduce measured daily maximum 8-hour (MDA8) ozone values and
357    seasonal mean MDA8 ozone concentrations for the period April to October 2007.  Figure 2a provides a
358    density scatterplot of the observed and predicted daily 8-hour ozone peaks paired in space and time for
359    the 2007 CAMx base simulation. As can be seen, the majority of pairs line up along the 1:1 line. Again,
360    there is a tendency for the model to overestimate site-days with low 8-hour ozone peaks and
361    underestimate the site-days with higher peak ozone values.  Modeled 8-hour ozone peak concentrations
362    exhibited relatively small bias and error compared to the observations.  The average bias in MDA8 ozone
363    estimates was 3.5 ppb.  Figure 2b depicts the spatial bias patterns in MDA8 ozone at all sites that
364    measured valid ozone data for at least 100 days during the April-October period. CAMx overestimations
365    are greatest along the Gulf Coast region, along the Atlantic and Pacific coastlines, and within the
366    southeastern U.S. The majority of underestimated seasonal mean MDA8 occurs in California away from
367    the coastline.

368           The apportionment tools in CAMx utilized here to estimate the contribution of background
369    sources are well-established and have previously been peer-reviewed (UNC, 2009). EPA used the
370    Anthropogenic Precursor Culpability Assessment (APCA) tool in this analysis. The APCAtool attributes
371    ozone production to manmade sources whenever ozone is determined to result from a combination of
372    anthropogenic and biogenic emissions (Environ, 2011). The APCA methodology defines natural ozone as
373    the production resulting from the interaction of biogenic VOC with biogenic NOx emissions.  Eleven
374    separate source categories were tracked in the source apportionment analysis, including five boundary
375    condition terms and six in-domain sectors:

376       •   Boundary condition terms:
377              o   Northern edge
378              o   Eastern edge
379              o   Southern edge
380              o   Western edge
381              o   Top boundary
382
383       •   In-domain sectors:
384              o   U.S. anthropogenic emissions
385              o   Point sources located within the Gulf of Mexico
386              o   Category 3 marine vessels outside State boundaries
387              o   Climatologically-averaged wildfire emissions

                                                 2 A-12

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388
389

390
391
392
393
394
395
396
397

398
           o  Biogenic emissions
           o  Canada/Mexico emissions (only those sources within the domain)

       It should be noted that the source apportionment modeling conducted here does not allow for
replication of natural background because of the construct of boundary conditions. The boundary
conditions for our applications can include ozone and/or ozone precursors that were originally
generated by natural sources, as well as ozone produced from far upstream anthropogenic emissions
(e.g., Asia). It is not possible to disentangle these two terms. Instead, the source apportionment
modeling is primarily used to help estimate background into the U.S., which is assumed to be the
contributions from nine of the modeled sectors; that is, everything except  U.S. anthropogenic emissions
and point sources located within the Gulf of Mexico.
399
400
401

402
        <
        o
                                   50
                                                      100
                                                                        150
                                     MDA8 observations (ppb)
Figure 2a. Density scatterplot comparing CAMx base daily peak 8-hour ozone predictions against
observed 8-hour ozone peaks paired in space and time for all sites during April-October 2007.
                                                  2 A-13

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403

404
405
Figure 2b. Bias in seasonal mean (April-October) maximum daily 8-hour ozone predictions in the 2007
CAMx base simulation.
406    3.     Estimates of seasonal-average background ozone levels

407           This section of the appendix provides estimates of seasonal average background ozone levels
408    over the U.S. As noted in the introduction and as discussed in detail in the ISA, background ozone values
409    can vary significantly in space and time.  There can be atypical episodes of higher background ozone
410    concentrations amidst the routine days that drive seasonal average background. The highest
411    background episodic concentrations are typically associated with stratospheric intrusions or wildfires.
412    These background "events" can be difficult to model as they require event-specific model inputs. The
413    primary goal of the EPA modeling was to estimate the seasonal average background concentrations
414    between April and October 2007. Previous analyses have shown that this is the period in which average
415    background levels are highest (Zhang et al., 2011). This section of the appendix focuses on seasonal
416    mean levels of background. (Section 4 will consider the upper range of possible background  ozone.)

417           The analysis focus on the maximum daily 8-hour ozone average in ppb. This metric is referred to
418    as MDA8. This section will first present model estimates of seasonal mean ozone levels in the base
419    simulation.  This will be followed by estimates of NB, NAB, and USB from the CMAQ zero out modeling.
420    After discussing the magnitudes of background levels, the section switches to a consideration of the
421    relative percentage of background to total ozone across the U.S. This portion of the text will utilize both
422    the CMAQ zero out and CAMx source apportionment modeling.

423           Figure 3a displays the 2007 base case, CMAQ model-predicted, seasonal mean (April-October)
424    MDA8 ozone concentrations in grid cells with active monitoring locations over the U.S. The model
425    results are shown at the monitoring site level as opposed to in the default gridded format to  foster
426    subsequent site-level estimates of background magnitudes. Each grid cell containing an Air Quality
427    System (AQS) ozone monitor that was collecting valid data in 2007 was identified and the model

                                                  2 A-14

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428    background estimates were extracted for those grid cells and displayed accordingly. The base
429    predictions are provided for context to allow easier interpretation of the following plots which isolate
430    specific background levels. As can be seen, most of the U.S. experiences seasonal mean IV1DA8 ozone
431    levels greater than 50 ppb in the base case simulation. The median value over the 1,294 monitoring
432    locations is 52.5 ppb.

433           Figure 3b provides an estimate of what seasonal-average IV1DA8 would be in a natural
434    background scenario, using the 2007 EPA zero out modeling. Again, in this GEOS-Chem/CMAQ
435    simulation, all anthropogenic ozone precursor emissions were removed from both the global and
436    regional simulations, and methane levels were adjusted to pre-industrial levels in the global simulation.
437    As shown,  natural background ozone levels range from approximately 15-35 ppb with the highest values
438    occurring over the higher-elevation sites in the western U.S. The median value over these locations is
439    24.2 ppb, and more than 50 percent of the sites have natural background levels of 20-25 ppb. The
440    highest modeled estimate of seasonal average, natural background, IV1DA8 ozone is 34.3 ppb at the
441    high-elevation CASTNET site (Gothic) in Gunnison County, CO.

442        Figures 3c and 3d show the same information for the North American and U.S. background
443    scenarios.  In these model runs, all anthropogenic ozone precursor emissions were removed from the
444    U.S., Canada, and Mexico (NAB scenario) and then only the U.S. (USB scenario). The figures show that
445    there is not a large difference between the NAB and USB scenarios. Seasonal mean IV1DA8 NAB and USB
446    ozone levels range from 25-50 ppb, with the most frequent values estimated in the 30-35 ppb bin. The
447    median seasonal mean background levels are 31.5 and 32.7 ppb (NAB and USB, respectively). Again, the
448    highest levels of background are predicted over the intermountain western U.S.  Locations with NAB and
449    USB concentrations greater than 40 ppb are confined to  Colorado, Nevada, Utah, Wyoming, northern
450    Arizona, eastern California, and parts of New Mexico.  Similar to NB, the highest NAB and USB levels
451    were modeled to occur at the Gothic CO site (46.7/47.7). This remote rural site is located 2,926 meters
452    (9,600 feet) above mean sea level and should not be considered representative of background ozone at
453    lower-altitude, more-populated regions. The high USB and NAB values along the Gulf Coast are most
454    likely due to model biases.

455           Absolute model estimates of various background definitions are useful, but they can be
456    influenced by any local biases and errors in the modeling. A separate way to look at the role of
457    background in seasonal mean ozone levels is to consider the fractional contribution of NB, NAB, and USB
458    to total ozone at each location. Considering the proportional role of background allows for an
459    informative comparison between the two modeling approaches without having to  account for the
460    differences in base case biases and errors. Figures 4a, 4b, and 4c show the estimated fractional
461    contribution of NB, NAB, and USB to total seasonal average MDA8 ozone levels at the monitoring
462    locations from the CMAQ zero out modeling. The modeling estimates that approximately 35-80 percent
463    of the seasonal average MDA8 ozone at monitoring locations is due to natural background sources. A
464    majority sites have NB fractions between 40 and 60 percent. The mean natural background proportion
465    over all sites is 47 percent. That is, when all global anthropogenic emissions are removed and global
466    methane levels in GEOS-Chem are restored to pre-industrial levels, seasonal average MDA8 levels are
467    reduced by approximately half.  The fractional proportions of NAB and USB are very similar.  In both

                                                  2 A-15

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468    cases, most sites have background fractions that range from 50 to 80 percent.  The mean NAB fraction
469    (to seasonal mean MDA8) is 63 percent.  The mean USB fraction is 66 percent.

470           As noted in the introduction, the advantage of the source apportionment modeling is that all of
471    the modeled ozone is attributed to various source terms and thus this approach is not affected by the
472    confounding occurrences of background ozone values exceeding the base ozone values as can happen in
473    the zero out modeling (i.e., background proportions > 100%). Consequently, one would expect the
474    fractional background levels to be lower in the source apportionment methodology as a result of
475    removing this artifact. It is also important to remember that the terms NB, NAB, and USB are explicitly
476    linked to the zero out modeling approach.  (USB is the ozone that would exist in the absence of U.S.
477    anthropogenic emissions.)  In contrast, the source apportionment modeling performed here provides
478    estimates the amount of IV1DA8 ozone that is attributable to U.S. anthropogenic emissions relative to
479    total base model ozone. Figure 4d shows the relative contribution from sources other than U.S.
480    anthropogenic emissions to total seasonal mean MDAS ozone based on the 2007 source apportionment
481    modeling.  The fractional contribution fields between CMAQ zero out USB estimates and CAMx source
482    apportionment estimates of source other than U.S. anthropogenic emissions are quite similar. The
483    spatial patterns in Figures 4c and 4d are consistent, with the highest fractional  contributions from
484    sources other than U.S. anthropogenic emissions occurring along U.S. borders and over the
485    intermountain western States. The source apportionment modeling estimates that approximately 40-
486    80% of the seasonal average MDAS ozone at monitoring locations is due to sources other than
487    manmade ozone precursor emissions from the U.S. A majority of sites have non-U.S. fractions between
488    40 and 70 percent. The mean proportion attributable to international and natural sources over all sites
489    is 59 percent. Despite the differences in the methodologies this is very similar to the mean USB
490    estimate of 66 percent from the zero out modeling.

491

492

493
                                                 2 A-16

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494
495
496

497

498
                                                                                          Ozone (ppb)
                                                                                             < 20 (0)
                                                                                             20 - 25 (0)
                                                                                         0  25-30 (6)
                                                                                         0  30-35(10)
                                                                                         0  35-40 (38)
                                                                                         O  40-45(112)
                                                                                         O  45-50 (264)
                                                                                         O  50-55 (488)
                                                                                             55 - 60 (300)
                                                                                             > 60 (75)
Figure 3a. April-October average	„-„.
estimated by a 2007 CMAQ base simulation.
  M ,- > i , n

MDA8 ozone (ppb) at monitoring locations across the U.S. as
499
500
501
    f    *  *
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                                                            ^ *^^^^^^ ^^ '
                                                                                                 -  I
•                                                                                                2
                                                                                               nmwrfrfi
                                                                                  Ozone (ppb)
                                                                                     < 20 (104)
                                                                                     20 - 25 (740)
                                                                                     25-30(331)
                                                                                     30 - 35 (119)
                                                                                     35 - 40 (0)
                                                                                  O 40-45 (0)
                                                                                  O 45-50 (0)
                                                                                     50 - 55 (0)
                                                                                     55 - 60 (0)
                                                                                     > 60 (0)

Figure 3b. April-October average natural background MDA8 ozone (ppb) at monitoring locations
across the U.S. as estimated by a 2007 CMAQ zero out simulation.
                                                    2 A-17

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502
503
504
505
506
           o,
                                                                                         Ozone (ppb)
                                                                                            <20(0)
                                                                                            20-25 (0)
                                                                                            25-30 (396)
                                                                                            30-35 (628
                                                                                        Q  35-40(147)
                                                                                        O  40-45(121)
                                                                                        O  45-50(2)
                                                                                            50-55 (0)
                                                                                            55-60 (0)
                                                                                            > 60 (0)
Figure 3c. April-October average North American background MDA8 ozone (ppb) at monitoring
locations across the U.S. as estimated by a 2007 CMAQ zero out simulation.
507
508
509
                                                                                         Ozone (ppb)
                                                                                            •= 20 (0)
                                                                                            20-25 (0)
                                                                                            25-30(127)
                                                                                            30-35 (842)
                                                                                            35 - 40 (188)
                                                                                        O  40-45(132)
                                                                                        O  45-50 (5)
                                                                                        ©  50-55 (0)
                                                                                        0  55-60 (0)
                                                                                        0  > 60 (0)
Figure 3d. April-October average United States background MDA8 ozone (ppb) at monitoring
locations across the U.S. as estimated by a 2007 CMAQ zero out simulation.
                                                    2 A-18

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510
511
512

513

514
                                                                                          < 40% (154)

                                                                                          40 - 50% (752)

                                                                                          50-60% (371)

                                                                                          60-70% (12)

                                                                                          70-80% (3)

                                                                                          > 30% (1l
Figure 4a. Ratio of natural background to total April-October average MDA8 ozone at monitoring
locations across the U.S. as estimated based on 2007 CMAQ simulations.
515

516
517
                                                                                          <40%<0)
                                                                                          40-50% (21)
                                                                                          50-60% (539)
                                                                                          60-70% (475)
                                                                                          70 - 80% (223)
                                                                                          > 80% (35)
Figure 4b. Ratio of A/. American background to total April-October average MDA8 ozone at
monitoring locations across the U.S. as estimated based on 2007 CMAQ simulations.
                                                   2 A-19

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518

519
520

521
522
523
524
525
Figure 4c.  Ratio of U.S. background to total April-October average MDA8 ozone at monitoring
locations across the U.S. as estimated based on 2007 CMAQ simulations.
                                                                                      < 40% (0)
                                                                                      40 - 50% (343)
                                                                                      50 - 60% (483)
                                                                                      SO - 70% (237)
                                                                                  O  70-80% (178)
                                                                                      > 80% (52)
Figure 4d. Ratio of sources other than U.S. anthropogenic emissions to total April-October average
MDA8 ozone at monitoring locations across the U.S. as estimated by a 2007 CAMx source
apportionment simulation.
                                                 2A-20

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526    4.     Distributions of background ozone levels

527           As a first-order understanding, it is valuable to be able to characterize seasonal mean levels of
528    background ozone. However, it is well established that background levels can vary substantially from
529    day-to-day. From an implementation perspective, the values of background ozone on possible
530    exceedance days is a more meaningful distinction. The first draft policy assessment (EPA, 2012)
531    considered this issue in detail, via summaries of the existing 2006 zero out modeling (Henderson et al.,
532    2012), and concluded that "results suggest that background concentrations on the days with the highest
533    total ozone concentrations are not dramatically higher than typical seasonal average background
534    concentrations." Based on this finding, the 1st draft policy assessment determined that "anthropogenic
535    sources within the U.S. are largely responsible for 4th highest 8-hour daily maximum ozone
536    concentrations." This portion of the appendix will consider the entire spectrum of variable background
537    ozone levels with special emphasis on days in which base model ozone concentrations approach or
538    exceed the level of the NAAQS.

539           The 2007 modeling agrees with the finding from  the previous 2006-based modeling analyses
540    that the highest modeled ozone site-days tend to have background ozone levels similar to  mid-range
541    ozone days. Figures 5a-5c show the distribution of April-October IV1DA8 background levels (NB, NAB,
542    and USB, respectively) from the CMAQ zero out runs. As noted in section 2, zeroing out emissions can
543    remove the effects of local NOx titration  and result in modeled background values that are higher than
544    the base model ozone. The "box and whisker" plots shown in these figures display four key features of
545    the distributions:

546       a.  the median concentration (black horizontal line)  per bin,
547
548       b.  the inter-quartile range (blue colored box) which represents the 25th-75th percentile range in
549           values within the distribution,
550
551       c.  the "whiskers" (dark gray vertical lines with top and bottom whiskers) which represent the
552           range of values within 1.5 times the inter-quartile range, and
553
554       d.  the "outliers" (gray points) which are any values  outside the whiskers.

555           As can be seen in Figure 5a, natural background values do not vary greatly as a function of the
556    base modeled ozone.  Recall that the seasonal average natural background IV1DA8 ozone values were
557    modeled to range from 15-35 ppb across the U.S. with a  median value of 24 ppb.  The highest values
558    were at the high-elevation sites in the western U.S. Based on the distributional analysis, the 75th
559    percentile values are on the order of 30 ppb.  Natural background levels exceeding 40-45 ppb are
560    considered to be statistical outliers, due to their infrequency.  Figure 5b shows the same type of
561    distributions but for NAB instead of NB.  NAB values are generally 6-12 ppb higher than their NB
562    counterparts,  due to the affect of higher  global methane values and the influence of anthropogenic
563    emissions from Asia. It was previously reported (in section 3) that the median seasonal average NAB
564    IV1DA8 values were 31.5 ppb. Based on the distributions, it can be seen that 75th percentile values  are

                                                   2A-21

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565    approximately 40 ppb; it is rare for NAB MDAS values to exceed 50-55 ppb.  NAB values are constant in
566    magnitude once the base ozone exceeds 50 ppb indicating that the higher base ozone values are driven
567    by non-NAB sources (i.e., North American emissions).  Finally in Figure 5c, the USB MDAS distributions
568    by base model MDAS are shown.  The results are similar to NAB.

569           Figure 5d shows the results from the source apportionment modeling of non-U.S. anthropogenic
570    source contributions to MDAS ozone (i.e., the nine source apportionment categories other than U.S.
571    anthropogenic emissions and Gulf of Mexico point sources). This non-counterfactual approach is
572    expected to give a better indication of background levels at low concentrations.  At low levels, almost all
573    of the ozone is determined to be from background origins. The CAMx modeling shows that
574    contributions from non-U.S. anthropogenic emissions peak when base ozone ranges from 45-55 ppb and
575    then drop off slightly at higher base MDAS values.  The source apportionment modeling of non-U.S.
576    impacts (similar to USB) indicates slightly lower background levels than the zero out modeling. The 75th
577    percentile values are generally less than 35 ppb, compared to 40 ppb in the zero out modeling. It is rare
578    to have background impacts greater than 55ppb.  Interestingly, when base model MDAS ozone exceeds
579    70 ppb, it is rare to have background impacts greater than 45 ppb in the CAMx source apportionment
580    modeling.

581           Figures 6a-6d show the equivalent plots as 5a-5d, but use background fractions (background
582    MDAS / base MDAS) as the dependent variable instead of the absolute background concentrations.
583    These plots show the same effect; that is, the proportional relative contribution of background sources
584    and processes decreases as peak ozone increases.  For natural background (Figure 6a), the  median
585    fractions drop from 50% background for values between 45-50 ppb to only 35% background for base
586    MDAS values between 70-75 ppb. For NAB and USB (Figures  6b and 6c), the median fractions drop from
587    70% background for values between 45-50 ppb to only 45% background for base MDAS values between
588    70-75 ppb. The source apportionment modeling (Figure 6d) estimates less of a proportional role of non-
589    U.S. anthropogenic emissions. In  that modeling, the median fractions drop from 65% background for
590    values between 45-50 ppb to only 35% background for base MDAS values between 70-75 ppb. A key
591    observation, as noted in  the first draft policy assessment document, is that the relative importance of
592    background decreases on days most likely to violate the NAAQS. An additional policy-relevant finding
593    from the distributional analyses is that the relative role of background sources would be increased  if the
594    level of the NAAQS were lowered. At 60 ppb, the modeling suggests that the median fractional
595    contribution from background is 45-55 percent, but there can be cases where background comprises 80-
596    90 percent of the total ozone.

597           Many of the cases when background ozone is estimated to contribute in large proportions to
598    relatively high ozone days may be eligible for consideration as exceptional events, but again, this
599    modeling is not designed to resolve specific events that occurred in 2007. While there is greater
600    confidence in the model's ability to predict mean contributions from background sources than from
601    individual events, it is also useful to briefly consider the upper end of the background ozone
                                                  2A-22

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602    distributions. Figure 7 shows the 95th percentile3 USB estimates from the zero out modeling.  The 95th
603    percentile MDAS USB ozone levels range from 35-60 ppb, with the most frequent values residing in the
604    35-40 and 40-45 ppb bins. The median 95th percentile background USB ozone level is 42.0 ppb.  As with
605    the seasonal mean MDAS USB, the highest levels of high background days (i.e.,  95th percentile days) are
606    observed over the intermountain western U.S. At these locations, 95th percentile USB levels can exceed
607    50 ppb. Background values at the 95th percentile end of the distribution are 4-12 ppb higher than the
608    mean background values at the same locations.

609
       3 During the April-October period, there were 214 days of modeling results.  Thus, the 95th percentile values
       represent approximately the 10th highest days from the distribution.
                                                   2A-23

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610
611




612


613
         n
         a.
         0.50-

         CO



         i

         •o



         I-
         U)
         it
         U
         a
         CD
         id

               <2E  25-30  30-35  25-40  ^0-^5 45-50 50-55  55-50  50-55  65-70 70-75 75-80  80-86  85-90  90-95 96-100 > 100
                               Bins of Base Model MDA8 Ozone (ppb)





Figure 5a. Distribution of natural background MDA8 ozone (ppb) at monitoring locations across the


U.S. (Apr-Oct), binned by base modeled site-day MDA8, as estimated by 2007 CMAQ simulations.
         i
         •o
         u
         re
         m

         c
         n
         u
         E

         <
614


615


616
        <25  25-30  30-35  35-40 40-45 45-50  50-55  55-60  60-65 65-70 70-75  75-30  SO-S5  85-90 90-95 95-100 > 100

                               Bins of Base Model MDA8 Ozone (ppb)




Figure 5b. Distribution of N. American background MDA8 ozone (ppb) at monitoring locations across


the U.S. (Apr-Oct), binned by base modeled site-day MDA8, as estimated by 2007 CMAQ simulations.
                                                    2A-24

-------
        a.' :•
        Q
        •D
        i
        o
        O)
        CD
        w
           -
617
618
619

620
       <25  26-30 30-35 35-40 40-45  45-50 50-55 55-60  60-65 65-70 70-75  75-80  80-85 85-90  90-95  95-100 > 130
                            Bins of Base Model MDA8 Ozone (ppb)
Figure 5c. Distribution of U.S. background MDA8 ozone (ppb) at monitoring locations across the U.S.
(Apr-Oct), binned by base modeled site-day MDA8, as estimated by 2007 CMAQ simulations.
621
622
623
624
                                                            0BBB
       <25  25-30 30-35 35-40  40-45  45-50 50-55 55-60  60-6-5 65-70 70-75  75-80  80-85 85-90  90-95 95-100 >130
                            Bins of Base Model MDA8 Ozone (ppb)
Figure 5d. Distribution of MDA8 ozone contributions from non-U.S. manmade sources (ppb) at
monitoring locations across the U.S. (Apr-Oct), binned by base modeled site-day MDA8, as estimated
by 2007 CAMx simulations.
                                               2A-25

-------
           1.25-
625
626
627

628
                <25  26-30  30-35  36-40 40-45 46-50  50-55  55-60 60-65 65-70  70-75  75-80
                                       Bins of Base Model MDA8 Ozone (ppb)
                                                                                  &3-9E SJ-100 > 100
Figure 6a. Distribution of natural background MDA8 ozone fractions at monitoring locations across
the U.S. (Apr-Oct), binned by base modeled site-day MDA8, as estimated by 2007 CMAQ simulations.
           1.25-
629
630
631
632
         <25  25-30  30-35 35-40 40-45  45-60  50-55 55-60 60-65  6E-70  70-7E 75-30 80-85  85-90  90-95 96-100 > 100
                               Bins of Base Model MDA8 Ozone (ppb)
Figure 6b. Distribution of N. American background MDA8 ozone fractions at monitoring locations
across the U.S. (Apr-Oct), binned by base modeled site-day MDA8, as estimated by 2007 CMAQ
simulations.
633
                                                    2A-26

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634
635
636
           1.25-
         5>1.00-
         m
         u
         ffi
           o.oo-
                <25  26-30  30-35  3E-40 40-4E
                                                                          SE  SB-BO  &0-9E SE-130 > 100
                                      Bins of Base Model MDA8 Ozone (ppb)
Figure 6c. Distribution of U.S. background MDA8 ozone fractions at monitoring locations across the
U.S. (Apr-Oct), binned by base modeled site-day MDA8, as estimated by 2007 CMAQ simulations.
           1.25 -
637
638
639
640

641
    o.oo-
         e25  25-30  30-35 35-40  40-45  4E-EO  EO-EE EE-cO  EO-"  ?E-73  73-~E 7E-33  80-S5  85-90 90-95 95-100 > 100
                               Bins of Base Model MDA8 Ozone (ppb)
Figure 6d. Distribution of MDA8 ozone fractions from non-U.S. anthropogenic sources at monitoring
locations across the U.S. (Apr-Oct), binned by base modeled site-day MDA8, as estimated by the 2007
CAMx simulation.
                                                    2A-27

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642
643
644

645

646
                                                                                               20-25(0)

                                                                                               26-30(01

                                                                                               30-35(0)

                                                                                               36-40(485)

                                                                                               40-45(571)

                                                                                            Q 45-50(116)

                                                                                               50-55(116)

                                                                                               55 - 60 (5)

                                                                                               > 60 (0)
Figure 7. April-October 95th percentile United States background MDA8 ozone (ppb) at monitoring
locations across the U.S. as estimated by a 2007 CMAQ base simulation.
                                                     2A-28

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647    5.      Contribution of various processes and sources to total background ozone

648           This section will utilize the supplemental 2007 air quality modeling estimates to determine the
649    relative importance of specific elements of background ozone.  Comparing the differences between the
650    three zero out scenarios can provide some information about the role of certain sets of emissions.
651    Figure 8a compares the NAB (zero out North American manmade emissions) and USB (zero out U.S.
652    manmade emissions) scenarios. The difference between these two runs is the inclusion of
653    anthropogenic emissions within the Canada and Mexico portions of the modeling domain. These
654    emissions contribute less than 2 ppb to the seasonal mean IV1DA8 ozone levels over most of the U.S.
655    There are 70 sites, near an international border, where the modeling estimates Canadian/Mexican
656    seasonal average impacts of 2-4 ppb. While not shown, the modeled peak single day impacts from
657    these specific international emissions sources can approach 25 ppb (e.g., San Diego, Buffalo NY).  Figure
658    8b compares the NB (zero out all manmade emissions and reset GEOS-Chem methane values to pre-
659    industrial levels) to the NAB.  The difference between these two runs is the inclusion of global methane
660    emissions related to recent human activity as well as anthropogenic emissions outside of North America.
661    These emissions are estimated to contribute 6-15 ppb to seasonal mean ozone levels over the U.S. The
662    most frequent bin is the 8-10 ppb increase. It is not possible  via these runs to parse out what fraction of
663    this change is due to international emissions as opposed to methane emissions, but the ISA summarized
664    existing modeling (Zhang et a/., 2011) that suggested that the rise in methane from pre-industrial levels
665    to present-day levels led to increases in seasonal average ozone levels of 4-5 ppb. The greatest impacts
666    from these sources occurs over the western U.S., where international emissions would  be expected to
667    have the largest impacts.

668           Figures 9a-9g show the fractional contribution to total seasonal mean IV1DA8 values of
669    individual source sectors that were tracked in the CAMx source apportionment modeling. Figure 9a
670    shows the impact from the regional model boundary conditions. The ozone entering the model domain
671    via the boundary conditions could have a variety of origins including: a) natural sources of ozone and
672    ozone precursors (including methane) emanating from outside the domain, b) anthropogenic sources of
673    ozone precursors (including methane) from international emitters, and c) some fraction of U.S.
674    emissions (natural and  anthropogenic) which are exported and then re-imported into the domain via
675    synoptic-scale recirculation. Thus, one should not presume that the boundary condition contribution is
676    directly tied to any particular background definition. At most locations, boundary conditions
677    contributed 40-60 percent of the total IV1DA8 seasonal mean  at sites across the U.S. The highest
678    proportional impacts from the boundary conditions (the top  boundary contributes negligibly) are along
679    the coastlines and the intermountain West.

680           Figure 9b shows the source apportionment contribution (to seasonal mean MDA8) from the
681    most significant sector that was tracked: U.S. anthropogenic  ozone precursor emissions. Again the most
682    common outcome at an individual site was that 40-60% of the seasonal mean ozone values originated
683    from U.S. anthropogenic emissions. The locations with smaller fractional contributions (e.g., 10-20
684    percent) from U.S. sources are generally located in places where ozone values are typically low such as
685    the Pacific Northwest.  Figures 9c-9g display the fractional contributions from the other five in-domain
686    sectors listed in section 2.  The impacts from these sectors are briefly summarized below:

                                                 2A-29

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687        •   Biogenic emissions:
688               o   Most frequent bin: 3-5 percent
689               o   Highest site-specific contribution: 10-20 percent
690               o   Region with greatest impacts: Great Plains states where soil NOx emissions are large
691        •   Climatologically-average fire emissions:
692               o   Most frequent bin: 0-1 percent
693               o   Highest site-specific contribution: 3-5 percent
694               o   Region with greatest impacts: California, Kansas/Oklahoma region
695        •   Within-domain Canadian/Mexican manmade emissions:
696               o   Most frequent bin: 0-1 percent
697               o   Highest site-specific contribution: 10-20 percent
698               o   Region with greatest impacts: Sites along international borders (NY, VT, CA, AZ, TX)
699        •   Category 3 marine vessels outside U.S. territorial waters:
700               o   Most frequent bin: 0-1 percent
701               o   Highest site-specific contribution: 10-20 percent
702               o   Region with greatest impacts: Coastal sites (especially southern CA)
703        •   Gulf of Mexico point sources4:
704               o   Most frequent bin: 0-1 percent
705               o   Highest site-specific contribution: 1-3 percent
706               o   Region with greatest impacts: Sites in southeast TX and southern LA
707
708

709

710
         This sector was also included as part of U.S. anthropogenic source impacts in Figure 9b, but is broken out
       separately in Figure 9g.
                                                    2A-30

-------
711

712
713
714
715

716
717
718
719
Figure 8a.  Difference in April-October average MDA8 ozone (ppb) at monitoring locations across the
U.S. between the USB scenario and the NAB scenario. The difference between these two runs isolates
the impact of within-the-domain anthropogenic emissions from Canada and Mexico.
                                                                                     Ozone (ppb)

                                                                                       < 1 (0)
                                                                                       1 - 2 (0)
                                                                                       2-3(0)
                                                                                       3-4(0)
                                                                                       4-5(0)
                                                                                    O 6-8(141)
                                                                                    O 8-10(821)
                                                                                    O 10-12(267)
                                                                                       12-15(65)
Figure 8b. Difference in April-October average MDA8 ozone (ppb) at monitoring locations across the
U.S. between the NAB scenario and the NB scenario. The difference between these two runs isolates
the impact of the rise in global methane emissions from the pre-industrial and anthropogenic
emissions from outside North America.
                                                 2A-31

-------
720
721
722

723

724
725
726
727
                                       ^  Norlk
                                  G R E A
                                ^^^^
                                9\   «o
                                                c&Q
                                          U n i I e^T^
                                          Stale
                               Mexico
                                                                                      3-5%|0)
                                                                                      5-10%(0)
                                                                                      10-20%(0)
                                                                                      20-40% (212)
                                                                                      40-60% (849)
                                                                                      > 60% (232)
Figure 9a.  Percentage of April-October average MDA8 ozone that is apportioned to boundary
conditions as estimated at monitoring locations by a 2007 CAMx simulation.
                                                                                   O  10-20% (59)
                                                                                      20-40% (441)
                                                                                      40-60% (791)
                                                                                      > 60% (0)
Figure 9b. Percentage of April-October average MDA8 ozone that is apportioned to U.S.
anthropogenic sources as estimated at monitoring locations by a 2007 CAMx simulation.
                                                 2A-32

-------
728
729
730
731
732
733
734
735
                                                                                           0-1% (42)
                                                                                           1 - 3% (332)
                                                                                           3 - 5% (527)
                                                                                        O 5-10% (362)
                                                                                        O 10-20% (30)
                                                                                           20-40%(0)
                                                                                           40-60%(0)
                                                                                           > 60% (0)
Figure 9c. Percentage of April-October average MDA8 ozone that is apportioned to purely biogenic
emissions as estimated at monitoring locations by a 2007 CAMx simulation.
                                                                                           0-1% (1,104)
                                                                                           1-3% (181)
                                                                                           3 - 5% (8)
                                                                                           5-10%(0)
                                                                                       O  10-20%(0|
                                                                                           20-40%(0)
                                                                                           40-60%(0)
                                                                                           > 60% 10)
                                Mexico

                                                                   Somces: USG.S. ESRI'TAIIA. AND, Soul
Figure 9d. Percentage of April-October average MDA8 ozone that is apportioned to climatological fire
emissions as estimated at monitoring locations by a 2007 CAMx simulation.
                                                    2A-33

-------
736
737
738
739
740
741
742
743
744
745
                                                                                         0-1% (704)
                                                                                         1 - 3% (407)
                                                                                         3-5% (124)
                                                                                         5-10% (49)
                                                                                      O 10-20% (9)
                                                                                         20-40%(0)
                                                                                         40-60%(0)
                                                                                         > 60% (0)
Figure 9e. Percentage of April-October average MDA8 ozone that is apportioned to anthropogenic
emissions from in-domain Canadian and Mexican sources as estimated at monitoring locations by a
2007 CAMx simulation.
                                                                                         0-1% (974)
                                                                                         1-3% (193)
                                                                                         3-5% (66)
                                                                                         5-10% (56)
                                                                                      O 10-20% (4)
                                                                                         20-40%(0)
                                                                                         40-60%(0)
                                                                                         > 60% (0)
Figure 9f.  Percentage of April-October average MDA8 ozone that is apportioned to Category 3 marine
vessel emissions beyond U.S. territorial waters as estimated at monitoring locations by a 2007 CAMx
simulation.
                                                   2A-34

-------
746
                                                                                         °- 1% (1.275)
                                                                                         1-3% (18)
                                                                                         3-5% (01
                                                                                      O 5-10% 10)
                                                                                      O 10-20% (0)
                                                                                         20-40%(0)
                                                                                         40 -60% (0)
                                                                                         > 60% (0)
747    Figure 9g. Percentage of April-October average MDA8 ozone that is apportioned to Gulf of Mexico
748    point sources as estimated at monitoring locations by a 2007 CAMx simulation.
749
                                                   2A-35

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750    6.      Estimates of the fractional background contribution to total ozone in 12 specific areas
751
752
753
754
755
756
757
758
759
760
761
762
763
764
765
766
767
768
769
770
771

772
       This penultimate section of the appendix presents estimates of the overall fraction of ozone that
is estimated to result from background sources or processes based on the updated modeling in each of
the 12 urban case study areas in the epidemiology study based analyses in Chapter 7 of the Risk and
Exposure Assessment (REA). Tables la-lc summarize the CAMx-estimated fractional contributions of
sources other than U.S. anthropogenic emissions to total ozone in each of the 12 areas. Table la shows
that the fractional contributions from sources other than anthropogenic emissions within the U.S. to
seasonal mean IV1DA8 levels can range from 43 to 66 percent across these 12 urban areas. These
fractions are consistent with the national ratios summarized in section 3, although the urban fractions of
background tend to be smaller than at rural sites. As shown in section 4, the fractional contributions
from background are smaller on days with high modeled ozone (i.e.,  days that may exceed the level of
the NAAQS). Table Ib provides the fractional contributions from these non-U.S. sources, only
considering days in which base model IV1DA8 ozone was greater than 60 ppb. As expected, the fractional
background contributions are less and range from 31 to 55 percent.  Rather than taking the fractions of
the seasonal means (as in Table  la), Table Ic displays the mean and median daily IV1DA8 background
fractions. These metrics may be more appropriate for application to health studies, but as can be seen
the fractional contribution to backgrounds calculated via this approach are very similar to the Table la
calculations. For completeness sake, although EPA expects the source apportionment results to provide
a more realistic estimate of fractional background values, for completeness, we also provide USB
fractions based on zero out modeling for the 12 cities (see Table Id). The results are similar to the
source apportionment findings (compare against Table la), but the zero out technique provides slightly
higher background proportions.
All days, CAMx
Model MDAS seasonal mean
Model MDAS seasonal mean
from emissions other than
U.S. anthropogenic sources
Fractional contribution from
background
ATL
59.3
25.3
0.43
BAL
54.4
25.9
0.48
BOS
43.0
26.2
0.61
CLE
48.9
25.7
0.52
DEN
47.3
31.3
0.66
DET
39.1
23.3
0.60
HOU
48.5
27.0
0.56
LA
51.1
29.1
0.57
NYC
45.4
24.5
0.54
PHI
48.7
24.2
0.50
SAC
46.4
29.7
0.64
STL
49.8
24.3
0.49
773
774
775
776
Table la. April-October average MDAS ozone, average MDAS ozone from sources other than U.S.
manmade emissions, and the fractional contribution of these background sources in the 12 REA urban
study areas, as estimated by a 2007 CAMx simulation.
                                                  2A-36

-------
Only days w/ base
MDA8 > 60 ppb
Model MDAS seasonal mean
Model MDAS seasonal mean
from emissions other than
U.S. anthropogenic sources
Fractional contribution from
background
ATL
74.0

25.4

0.34
BAL
75.3

23.7

0.31
BOS
70.7

24.4

0.35
CLE
72.0

25.4

0.35
DEN
67.5

37.3

0.55
DET
68.9

24.4

0.35
HOU
70.3

28.0

0.40
LA
74.4

31.9

0.43
NYC
74.1

23.5

0.32
PHI
74.0

22.9

0.31
SAC
68.3

32.1

0.47
STL
70.0

25.4

0.36
777

778
779
780

781

782
Table Ib. Average MDAS ozone, average MDAS ozone from sources other than U.S. manmade
emissions, and the fractional contribution of these background sources in the 12 REA areas, as
estimated by a 2007 CAMx simulation using site-days in which base MDAS ozone exceeded 60 ppb.

Mean of daily MDAS
background fractions
Median of daily MDAS
background fractions
ATL
0.46
0.43
BAL
0.53
0.51
BOS
0.68
0.73
CLE
0.58
0.54
DEN
0.69
0.69
DET
0.64
0.66
HOU
0.59
0.59
LA
0.61
0.60
NYC
0.61
0.63
PHI
0.56
0.54
SAC
0.67
0.66
STL
0.52
0.49
783

784
785

786

787
Table Ic.  Fractional contribution of non-U.S. manmade emissions sources in the 12 REA urban study
areas, as estimated by a 2007 CAMx simulation using means and medians of daily MDAS fractions.
All days, CMAQ
Model MDAS seasonal mean
Model MDAS seasonal mean
from USB emissions
Fractional contribution from
background
ATL
58.6
30.0
0.51
BAL
55.6
29.9
0.54
BOS
45.2
28.5
0.63
CLE
51.8
31.6
0.61
DEN
57.1
42.2
0.74
DET
43.5
31.7
0.73
HOU
49.4
33.0
0.67
LA
54.8
33.3
0.61
NYC
47.7
29.1
0.61
PHI
50.5
29.4
0.58
SAC
51.9
34.4
0.66
STL
52.6
32.0
0.61
788

789
790
791
Table Id. April-October average MDAS ozone, average MDAS ozone from USB, and the fractional
contribution of these background sources in the 12 REA urban study areas, as estimated by two
separate 2007 CMAQ simulations.
                                               2A-37

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792    7.     Background ozone and W126

793           As discussed in section 5 of the second draft policy assessment, EPA is considering the adequacy
794    of the current secondary standard to protect against welfare effects.  One metric that has been
795    considered previously as a potential cumulative seasonal index is the W126 metric. The W126 index is a
796    sigmoidally weighted sum of all hourly O3 concentrations observed during a specified daily and seasonal
797    time window, where each hourly O3 concentration is given a weight that increases from 0 to 1 with
798    increasing concentration (Lefohn et al, 1988). The weights are defined such that values of 0.060 ppm
799    get a weight of ~0.3; 0.070 ppm values get a weight of ~0.6; and 0.085 ppm values get a weight of ~0.9.
800    The remainder of this section uses the 2007 zero out modeling to conduct a limited assessment of the
801    role of background ozone on W126 levels over the U.S.

802           The analysis of background influence on W126 is not as detailed as the analyses related to
803    seasonal mean IV1DA8 ozone.  Instead of considering impacts at every monitoring location, EPA assessed
804    NB,  NAB, and  USB influences at four sample locations: Atlanta GA, Denver CO, Farmington NM,  and
805    Riverside CA.  Each of these four locations had relatively high observed values of W126 in 2010-2012.
806    Atlanta is an urban area in the  Eastern U.S. with high primary ozone design values but relatively low
807    levels  of seasonal background ozone.  Riverside and Denver also have high primary ozone design values
808    but are in the Western U.S. where background ozone levels are generally higher. Farmington NM was
809    chosen as a site that has relatively lower primary ozone design values along with its relatively high W126
810    levels. The varying characteristics of each of these locations perhaps allows broader national
811    extrapolation  of the 4-site results.

812           In  previous  EPA reviews of the O3 NAAQS, the influence of background ozone was estimated
813    according to a counterfactual (i.e., how much ozone would exist in the absence of certain sets of
814    emissions). In the current review, EPA is supplementing the counterfactual assessment with analyses
815    that estimate  the fraction of the existing ozone that is due to background sources. This has important
816    ramifications for assessing the  influence of background on W126 concentrations, because of the non-
817    linear  weighting function used  in the metric which emphasizes high ozone hours (e.g., periods in which
818    ozone is greater than ~60 ppb). As an example, consider a sample site in the intermountain western
819    U.S. region with very high modeled estimates of U.S background  (e.g., seasonal mean USB of 45 ppb
820    with some days as high as 65 ppb). Even at this high background location, the calculated annual W126
821    values in the USB scenario are quite low, on the order of 3 ppm-hrs.  Most sites in the domain where
822    background levels are lower than the  location cited above will have even smaller background W126
823    estimates, on  the order of 1 ppm-hrs, which is consistent with values mentioned in past reviews (USEPA,
824    2007). Using the counterfactual scenarios, background ozone has a relatively small impact on W126
825    levels  across the U.S.

826           However, because of the non-linear weighting function used in the W126 calculation, the sum of
827    the W126 from the  USB scenario and the W126 resulting from US anthropogenic sources will not equal
828    the total W126. In most cases, the sum of those two components will be substantially less than total
829    W126. As  a result, EPA believes it  is more informative to estimate the fractional contribution of
830    background ozone to W126 levels. The 5-step methodology for assessing the fractional influence of

                                                  2A-38

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831    background ozone to annual W126 levels in the four locations is described below.  The fractional
832    influence methodology essentially places higher weights on background fractions on days that are going
833    to contribute most substantially to the yearly W126 value.

834               •  Step la: Calculate the IV1DA8 ozone values from the base and the three zero out
835                  modeling scenarios at each grid cell containing a site in an area.
836               •  Step Ib: Calculate the W126 daily index for the base model scenario.
837               •  Step 2: For each site, find the three months with highest summed W126 daily indices.
838               •  Step 3: Normalize the daily IV1DA8 values in the base, NB,  NAB, and USB scenarios by the
839                  corresponding W126 daily index from the base scenario.
840               •  Step 4: Calculate the average W126-weighted IV1DA8 values over the three month
841                  period for each of the four scenarios  (base, NB, NAB, USB).
842               •  Step 5: Calculate the NB/Base, NAB/Base, and USB/Base ratios based on step 4 outputs.
843                  These values represent an estimate of the fractional influence of background ozone on
844                  modeled W126 levels.

845           Figure 7a shows the estimated fractional influence of the three background definitions on  W126
846    levels in Atlanta, Denver, Farmington, and Riverside.  Based on this limited assessment, natural
847    background sources are estimated to contribute 29-50% of the total modeled W126 with the highest
848    relative influence in the intermountain western U.S. (e.g., Farmington NM) and the lowest relative
849    influence in the eastern U.S. (e.g., Atlanta). U.S. background is estimated to contribute 37-65% of the
850    total modeled W126. Figure 7b compares the relative influence of background on W126 versus seasonal
851    mean IV1DA8 ozone.  The proportional impacts of background are slightly less for the W126 metric  than
852    for seasonal mean IV1DA8 (discussed in section 2.4.2), because of the weighting function that places
853    more emphasis on higher ozone days when background fractions are generally lower.

854           There are several caveats associated with this analysis. First, only the  zero out modeling was
855    used to assess the fractional influence of background sources on W126. The source apportionment
856    approach estimated slightly smaller relative contributions for seasonal mean IV1DA8 levels, so from that
857    perspective the zero out estimates could represent the high end of background influence on W126.
858    Additionally, the methodology used for this analysis relies on daily IV1DA8 values as a surrogate (the data
859    were readily available) for the 8a-8p time period relevant to the W126 metric.  The key conclusion from
860    this cursory analysis is that background ozone may comprise a non-negligible portion of current W126
861    levels across the U.S. This fractional influence is greatest in the intermountain western U.S. and are
862    slightly smaller than the seasonal mean IV1DA8 metric. In the counterfactual cases, when non
863    background sources are completely removed, the remaining W126 levels are low (< 3 ppm-hrs).
                                                  2A-39

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864

865
866
867

868
869
            100%
                  Farmington
                          Denver
Riverside
 Atlanta
Figure 7a. Fractional contribution of background sources to W126 levels in four sample locations.
Model estimates based on 2007 CMAQ zero out modeling.
           100%
                                                                        MDA8
                                                                       IW126
                  Farmington
                          Denver
Riverside
Atlanta
Figure 7b.  Fractional contribution of U.S. background to seasonal mean MDA8 ozone and W126 levels
in four sample locations. Model estimates based on 2007 CMAQ zero out modeling.
                                                2A-40

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870    8.     Summary

871           The precise definition of background ozone can vary depending upon context, but it generally
872    refers to ozone that is formed by sources or processes that cannot be influenced by local control
873    measures. Background ozone can originate from natural sources of ozone and ozone precursors, as well
874    as from upwind manmade emissions of ozone precursors.  In order to help further characterize
875    background ozone levels over the U.S., EPA has completed additional air quality modeling analyses
876    subsequent to the lst-draft policy assessment. As shown above, the results are largely consistent with
877    previous determinations about the magnitude of background ozone contributions across the U.S.

878           For a variety of reasons, it is challenging to present a comprehensive summary of all the
879    components and implications of background  ozone.  In many forums the term "background" is used
880    generically and the lack of specificity can lead to confusion as to what sources are being considered.
881    Additionally, it is well established that the impacts of background sources can vary greatly over space
882    and time which makes it difficult to present a simple summary of background ozone levels.  Further,
883    background ozone can be generated by a variety of processes, each of which can lead to differential
884    patterns in space and time, and which often have different regulatory ramifications.  Finally, background
885    ozone is difficult to measure and thus, typically requires air quality modeling which has inherent
886    uncertainties and potential errors and biases. Even with all of these complexities in mind, EPA believes
887    the following concise and step-wise summary of background ozone is appropriate as based on previous
888    modeling exercises and the more recent EPA analyses summarized herein.

889        •  The most fundamental definition of background is "natural background" (NB).  NB ozone is that
890           which is produced by processes other than  manmade emissions.  Examples of sources of natural
891           background include: stratospheric ozone intrusions, wildfire emissions, and biogenic emissions
892           from vegetation and soils. To date, NB ozone has  been estimated to be that ozone that would
893           exist in the absence of anthropogenic ozone precursor emissions worldwide.  Modeling analyses
894           have shown that NB levels can vary in time and space. As shown in Section 3, April-October
895           average NB levels  range from approximately 15-35 ppb with the highest values in the spring and
896           at higher-elevation sites.
897
898        •  More expansive definitions of background include North American background  (NAB) and U.S.
899           background (USB). These definitions represent the ozone that originates from sources and
900           processes other than North American or U.S. anthropogenic sources. Sources of NAB and USB
901           include all the same sources of natural background, plus manmade ozone precursors emitted
902           outside the North America or the U.S. Modeling analyses have shown that NAB and USB
903           background levels can vary in time and space. As discussed in Section 3, seasonal mean NAB
904           and USB background levels range from approximately 25-45 ppb with the highest values in the
905           spring and at higher-elevation sites.  USB levels are slightly higher than NAB, usually by less than
906           2 ppb.
907
                                                  2A-41

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908        •   Estimates of seasonal mean background ozone levels are valuable in terms of a first-order
909            characterization, however because levels can vary significantly from day-to-day, it is also
910            instructive to consider the distribution of daily model estimates of background ozone over a
911            season. Typically, model background is slightly higher in the April-June period than in the later
912            portion of the ozone season (July-October) (EPA, 2012). More importantly, the modeling shows
913            that the days with highest ozone levels, on average, have similar background levels to days with
914            lower values. As a result, the proportion of total ozone that has background origins is smaller
915            on high ozone days (e.g., days > 70 ppb) than the more common lower ozone days that drive
916            seasonal means. Section 4 provides information about the distribution of background ozone
917            fractions. Based on the source apportionment modeling, it is  shown that U.S. anthropogenic
918            emissions typically comprise the majority of the total ozone on site-days with base modeled
919            ozone  MDAS values greater than 60 ppb.
920
921        •   While it is important to recognize that most high ozone days (i.e., potential exceedance days)
922            are estimated to be driven predominantly by non-background emissions, the recent EPA
923            modeling also shows times and locations in which background contributions are estimated to
924            approach 60-80 ppb. As described in Sections 4 and 6 of this document, these occurrences are
925            relatively infrequent. While the modeling was not expressly developed to capture these types
926            of events, ambient observations have also shown relatively rare events where background
927            ozone  sources (wildfires, stratospheric intrusions) have overwhelmingly contributed to an
928            ozone  exceedance.  From a policy perspective, these background events must be viewed in the
929            context of their relative infrequency and the existing mechanisms within the Clean Air Act (e.g.,
930            exceptional event policy, 179B international determinations) that help ensure States are not
931            required to control for events that are inherently outside their ability to influence. While
932            background ozone levels can approach and periodically exceed the NAAQS at some locations,
933            these conditions are not a constraining factor in the selection  of a NAAQS. The Clean Air Act
934            requires the NAAQS to be set at a level requisite to protect public health and welfare. Case law
935            makes it clear that attainability and technical feasibility are not relevant considerations. In
936            previous reviews, EPA assessed the proximity of potential levels to peak background levels as a
937            secondary consideration between levels where health and welfare was protected.
938
939        •   Section 5 shows that the contributions to background are multi-dimensional.  Daily peak 8-hour
940            ozone  values over the U.S. are a function of local and regional anthropogenic  emissions,
941            anthropogenic emissions from outside the U.S. (including shipping emissions), natural and
942            anthropogenic methane emissions, wildfire emissions, and purely natural sources. While local
943            and  regional controls are still considered to be the most effective at reducing local ozone levels,
944            any  measures to reduce the international contributions or methane-induced background will
945            also be valuable.
946
947        •   In previous ozone NAAQS reviews, EPA estimated risk from exposure only to ozone
948            concentrations above background. In the first drafts of the REA and PA for the current ozone

                                                   2A-42

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949           review, EPA estimated risk from exposure to total measured ozone concentrations, which
950           include those concentrations from background sources. EPA will continue to provide estimates
951           of risk from exposure to total ozone, consistent with CASAC advice, in the second draft policy
952           assessment. The recent EPA modeling was completed to assist in determining, in a limited
953           sense, the risk attributable to background ozone.  The fractional values of background
954           contributions in the 12 REA study areas (43-66 percent) could be used  as first order
955           approximations of the risk due to ozone background.
956

957    9.     References

958    Arunachalam, S. (2009). Peer Review of Source Apportionment Tools in CAMx  and CMAQ. Prepared
959           under EPA Contract #EP-D-07-102, Institute of the Environment, University of North Carolina,
960           Chapel Hill, NC, 42pp,
961           http://www.epa.gov/scram001/reports/SourceApportionmentPeerReview.pdf.

962    Emery, C; Jung, J; Downey, N; Johnson,  J; Jimenez, M; Yarwood, G; Morris, R. (2012). Regional and global
963           modeling estimates of policy relevant background ozone over the United States. Atmospheric
964           Environment, 47: 206-217. http://dx.doi.Org/10.1016/i.atmosenv.2011.ll.012.

965    Environ (2011). User's Guide: Comprehensive Air Quality Model with Extensions, Version 5.40; Novato
966           CA, 306pp.  http://www.camx.com/files/camxusersguide v5-40.aspx.

967    Fiore, A; Jacob, DJ; Liu, H; Yantosca, RM; Fairlie, TD; Li, Q. (2003). Variability in surface ozone background
968           over the United  States: Implications for air quality policy. J Geophys Res, 108: 4787.
969           http://dx.doi.org/10.1029/2003JD003855.

970    Henderson, BH; Possiel N; Akhtar F; Simon H. (2012). Memo to the Ozone NAAQS Review Docket EPA-
971           HQ-OAR-2012-0699: Regional and Seasonal Analysis of North American Background Ozone
972           Estimates from Two Studies.
973           http://www.epa.gOV/ttn/naaqs/standards/ozone/s o3 2008 td.html.

974    Lefohn, A. S.; Laurence, J. A.; Kohut, R. J. (1988). A comparison of indices that describe the relationship
975           between exposure to ozone and reduction in the yield of agricultural crops. Atmos. Environ. 22:
976           1229-1240.

977    Simon, H., Baker, K.P., Phillips, S. (2012) Compilation and interpretation of photochemical model
978           performance statistics published between 2006 and 2012. Atmospheric Environment, 61, 124-
979           139.

980    U.S. Environmental Protection Agency (2005). Technical Support Document for the Final Clean Air
981           Interstate Rule Air Quality Modeling. Office of Air Quality Planning and Standards, Research
982           Triangle Park, NC, 285pp.  http://www.epa.gov/cair/technical.html.

983    U.S. Environmental Protection Agency.  (2007). Review of the National Ambient Air Quality Standards for
984           Ozone: Policy Assessment of Scientific and Technical Information - OAQPS Staff Paper, U.S.
985           Environmental Protection Agency, Research Triangle Park, NC.  EPA 452/R-07-007.
                                                  2A-43

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 986    U.S. Environmental Protection Agency (2011). Air Quality Modeling Final Rule Technical Support
 987           Document. Office of Air Quality Planning and Standards, Research Triangle Park, NC, 363pp.
 988           http://www.epa.gov/airtransport/CSAPR/techinfo.html.

 989    U.S. Environmental Protection Agency (2012). Policy Assessment for the Review of the Ozone National
 990           Ambient Air Quality Standards: First External Review Draft. EPA-452/P-12-002, 297pp.

 991    U.S. Environmental Protection Agency. (2013). Integrated Science Assessment for Ozone and Related
 992           Photochemical Oxidants, U.S. Environmental Protection Agency, Research Triangle Park, NC.
 993           EPA/600/R-10/076.

 994    U.S. Environmental Protection Agency. (2014). Health Risk and Exposure Assessment for Ozone, Second
 995           External Review Draft, U.S. Environmental Protection Agency, Research Triangle Park, NC. EPA
 996           xxx/P-xx-xxx.

 997    Zhang, L; Jacob, DJ; Downey, NV; Wood, DA; Blewitt, D; Carouge, CC; Van donkelaar, A; Jones, DBA;
 998           Murray, LT; Wang, Y. (2011). Improved estimate of the policy-relevant  background ozone in the
 999           United States using the GEOS-Chem global model with 1/2 2/3 horizontal resolution over North
1000           America. Atmospheric Environment 45: 6769-6776.
1001           http://dx.doi.0rg/10.1016/i.atmosenv.2011.07.054.
                                                   2A-44

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 i                                           APPENDIX 2B

 2                   MONITORING DATA ANALYSIS OF RELATIONSHIPS
 3                   BETWEEN CURRENT STANDARD AND W126 METRIC

 4          Presented here are monitoring data analyses evaluating  relationship between ozone (63)
 5   concentrations in the averaging time and form of the current secondary standard (3-year average
 6   of the annual 4th highest daily maximum 8-hour concentrations, in parts per billion), and a three-
 7   year W126 metric (3-year average of the annual maximum 3-month sum of weighted daytime
 8   concentrations, in parts per million-hours).  We also consider the responsiveness of these two
 9   metrics to historical changes in air quality related to ozone precursor emissions.
10          For this analysis, we chose to examine monitoring data  from a base period (2001-2003)
11   as well as a recent period (2009-2011).  The base period was chosen to represent air quality
12   conditions before the implementation of the 1997 national ambient air quality standard
13   (NAAQS) for O3 (0.08 ppm). In 2004, EPA designated 113 areas  as nonattainment for the 1997
14   standard, which required many areas to begin precursor emissions  control  programs for the first
15   time. At about the same time, EPA began implementation of the NOx Budget Trading Program
16   under the NOx State Implementation Plan, also known as the "NOx SIP Call1," which required
17   summertime reductions in NOx emissions from power plants and other large sources throughout
18   the Eastern U.S. These programs were successful in reducing peak O3 concentrations, especially
19   in the Eastern U.S., and as a result only 8 of the original 113 nonattainment areas were still
20   violating the  1997 O3 NAAQS during the 2009-2011 period.
21          Hourly O3 concentration data were retrieved from EPA's Air Quality System (AQS)
22   database2 for both periods, and used to calculate design values  for  the current standard as well as
23   3-year average W126 values for both periods.  The procedures  for  calculating design values for
24   the current standard from hourly O3 concentration data are described in 40 CFR Part 50,
25   Appendix P, and the procedures for calculating the 3-year average W126 values are described in
26   section 4.3.1. of the 2nd draft Welfare Risk and Exposure Assessment (WREA).  There were 838
27   monitoring sites with sufficient data to calculate these values for both periods.  In  order to
28   identify regional patterns in the relationships, these sites were grouped into the nine NOAA
            1 http://www.epa.gov/airmarkets/progsregs/nox/sip.html
            2 EPA's Air Quality System (AQS) database is a national repository for many types of air quality and
     related monitoring data.  AQS contains monitoring data for the six criteria pollutants dating back to the 1970's, as
     well as more recent additions such as PM2.5 speciation, air toxics, and meteorology data. At present, AQS receives
     hourly O3 monitoring data collected from nearly 1,400 monitors operated by over 100 state,  local, and tribal air
     quality monitoring agencies.
                                               2B-1

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29    climate regions (Karl and Koss, 1984) used in the WREA. Figure 2B-1 presents a map of these
30    regions, which are color-coded to match the scatter plots in the subsequent figures.
31          Figures 2B-2a, 2B-2b, 2B-3a and 2B-3b show scatter plots of the design values for the
32    current standard (x-axis) versus 3-year average W126 values (y-axis) for the base period and
33    recent period, respectively. Most monitors in the U.S. both exceeded the current standard of 75
34    ppb and a three-year average W126 value of 15 ppm-hrs during the base period.  During the
35    recent period, both the design values and 3-year average W126 values were much lower, and
36    there also appears to be less scatter between the two metrics. In both periods, the highest design
37    values and W126 values occurred in the West region which includes California.  Finally, it is
38    worth noting that monitors in the Southwest and West regions tend to have higher W126 values
39    relative to their design values than in other regions.
40          Figure 2B-4 shows a scatter plot of the design values for the current standard for the base
41    period (x-axis) versus for the recent period (y-axis), while Figure 2B-5 shows this same
42    relationship based  on the 3-year average W126 values.  The relationship between the two periods
43    appears to be fairly linear for both metrics, indicating that larger decreases in these metrics
44    tended to occur at monitors with higher base values.  Figures 2B-6 and 2B-7 show design values
45    for the current standard and 3-year average W126 values, respectively, compared to the unit
46    changes in those values between the base period and recent period. Figures 2B-6 and 2B-7 show
47    the difference between each point and the one-to-one lines in Figures 2B-4 and 2B-5,
48    respectively. In particular, these figures highlight that there were some monitors where design
49    values for the current standard and/or W126 values increased. However, those monitors also
50    tended to have lower base values, and were mostly located outside of areas subject to emissions
51    controls under the  1997  standard.
52          Finally, Figure 2B-8 compares the unit change in design values (in ppb; x-axis) to the
53    unit change in 3-year average W126 values (in ppm-hrs; y-axis).  This figure shows that in most
54    locations, the current standard metric and the W126 metric exhibit similar responses to changes
55    in precursor emissions.  In particular, the NOx SIP Call, which was implemented in the states
56    east of the Mississippi River, was effective at reducing both design values and W126 values at
57    nearly all monitors in the Eastern U.S. The relationship was much more variable in the
58    remaining regions, where emissions  control programs were mostly local and limited to areas
59    which were violating the NAAQS.
60          Based on this analysis of ambient monitoring data, we can make the following general
61    conclusions about the relationship between the design value metric for the current O^ standard
62    and the 3-year average W126 metric:
63       1.  There is a fairly strong, positive degree of correlation between the two  metrics.
                                               2B-2

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64
65
66
67
68
69
70
71
72
73
74
75
76

77
78
   2.  Monitors in the West and Southwest regions tend to have higher W126 values relative to
       their design values than in other regions.
   3.  Reducing precursor emissions,  especially NOx, is an effective strategy for lowering both
       design values and W126 values. In particular, regional control programs such as the NOx
       SIP call are effective at reducing both metrics over a broad area.

       In addition, Figure 2B-9 examines the number of counties with 8-hour design values
meeting the current standard and 3-year average W126 index values greater than  15 ppm-hrs.
Most of these counties were located in the Southwest region of the country. There were no
counties in any of the studied 3-year periods that had design values less than or equal to 65 ppb
and 3-year average W126 index values greater than 15 ppm-hrs.
            Central
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Figure 2B-l.Map of the 9 NOAA climate regions (Karl and Koss, 1984), color coded to
            match the subsequent scatter plots.
                                               2B-2

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                                            2B-5

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                                           2B-6

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Figure 2B-3b. Design values for the current Os standard in ppb (x-axis) versus 3-year
           average W126 values in ppm-hrs (y-axis) based on ambient monitoring data
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                                             2B-7

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104   Figure 2B-4.Design values for the current Os standard in ppb based on ambient
105              monitoring data for 2001-2003 (x-axis) versus 2009-2011 (y-axis).
                                             2B-8

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                                            2B-9

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Figure 2B-6. Design values for the current Os standard in ppb based on ambient
           monitoring data for 2001-2003 (x-axis) versus unit (ppb) change in design
           values from 2001-2003 to 2009-2011 (y-axis).
                                            2B-10

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Figure 2B-7. Three-year average W126 values in ppm-hrs based on ambient monitoring
           data for 2001-2003 (x-axis) versus unit (ppm-hr) change in 3-year average
           W126 values from 2001-2003 to 2009-2011 (y-axis).
                                            2B-11

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Figure 2B-8. Unit (ppb) change in design values for the current Os standard from 2001-
           2003 to 2009-2011 (x-axis) versus unit (ppm-hr) change in 3-year average
           W126 values from 2001-2003 to 2009-2011 (y-axis).
                                            2B-12

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       (§45-
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 j-
                                                   Regions
                                                      IQhioValley
                                                      Rockies
                                                      Southeast
                                                      South
                                                      Southwest
                                                      West
                                                                  12-
^ 9-
13
O
O
•5 B-
                                                                       E  ,_
                                                                          0-
                         -
                         -
                         -
                          •
                          *.
                         -•
                         -
                         -
                           -
                            •
                                           • i
                                           o
127
128
129
130
131

132
133
134
                               Years
                                                                                                              Regions
•                                                                                                                  Rockies
                                                                                                                  Southwes"
                                                                                              Years
Figure 2B-9. Number of counties where the 8-hour design value is meeting the current standard and 3-year average W126
            index value is greater than 15 ppm-hrs (left), and number of counties where  the 8-hour design value is less than
            or equal to 70 ppb and 3-year average W126 index value is greater thanlS ppm-hrs (right)3.
       REFERENCES
Karl, T.R. and Koss, W.J., 1984: "Regional and National Monthly, Seasonal, and Annual Temperature Weighted by Area, 1895-1983." Historical Climatology
       Series 4-3, National Climatic Data Center, Asheville, NC, 38 pp.
               No counties in any of the studied 3-year periods were at or below a 3-year average of 4th highest daily maximum 8-hour averages of 65 ppb and also

                                                                   2B-13               Draft - Do Not Quote or Cite
above a 3-year W126 index value of 15 ppm-hrs
                 January 2014

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 1                                         APPENDIX 2C

 2           INTER-ANNUAL VARIABILITY IN W126 INDEX VALUES:
 3    COMPARING ANNUAL AND 3-YEAR AVERAGE METRICS (2008-2010)

 4      2C.1 OVERVIEW
 5          This appendix describes an analysis comparing values for a single-year or annual W126
 6   metric to a W126 metric averaged over three consecutive years. The purpose of this analysis is
 7   to compare values based on a 3-year average of annual W126 indices to values based on a single
 8   annual W126 index.  The deviations of the annual W126 index values in 2008, 2009, and 2010
 9   from the 2008-2010 average W126 index values are presented.

10      2C.2 GENERAL DATA PROCESSING
11          The air quality data for this analysis originated from EPA's Air Quality System (AQS)
12   data base, the official repository of ambient air measurements. The data used in this analysis
13   consisted of W126 index values calculated from hourly ozone concentrations measured at 1082
14   ozone monitors nationwide. Ozone monitors must have submitted data to AQS for at least 75%
15   days in their  required ozone monitoring season in 2008,  2009, and 2010 to be included in the
16   analysis.

17      2C.3 RESULTS & CONCLUSION
18          The figure below shows a scatter plot of the deviations in the annual W126 index from
19   the 3-year average by monitor.  The solid curves represent the average deviation in a moving
20   window along the x-axis for each year. From this figure, it is apparent that the highest annual
21   W126 index  value occurred in 2008 for most monitoring locations, the lowest annual W126
22   index value occurred in 2009 for most monitoring locations, and the 2010 W126 index value was
23   generally somewhere in between. It is also apparent that the inter-annual variability in the W126
24   index increases along with the 3-year average. For monitors with 3-year average W126 values
25   near 15 ppm-hrs, the average deviation was +3.5  ppm-hrs in 2008 and -3.8 ppm-hrs in 2009.
26   This represents a 1-year swing of-7.3 ppm-hrs.
27          The model-based air quality adjustments in the 2n  draft of the Os Welfare REA show
28   that reducing NOx emissions is effective for reducing 3-year average W126 levels. In Appendix
29   2B, the analyses based on ambient monitoring data also  show that large-scale reductions in NOx
30   emissions are associated with lower W126 levels. Finally, the data analysis presented in this
31   appendix shows that the inter-annual variability in the annual W126 index tends to decrease  with
32   decreasing W126 levels. Thus, it is expected that reductions in NOx emissions will not only

                                             2C-1

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33    result in lower 3-year average W126 levels, but also result in less inter-annual variability
34    associated with annual W126 levels.
35          The W126 index is based on a logistic weighting function that increases the weights
36    assigned to hourly ozone concentrations very rapidly. Hourly ozone concentrations of 50 parts
37    per billion are given a weight of about 10% while concentrations of 80 parts per billion are given
38    a weight of nearly 90%. The annual W126 index is calculated as a 3-month sum of weighted
39    ozone concentrations during daylight hours, which amounts to a sum of roughly 1100 weighted
40    hourly concentrations. Thus, even a modest change in the average daily ozone level may have a
41    significant impact upon the annual W126 index. Since ozone formation is heavily influenced by
42    meteorology, the inter-annual variability in meteorological conditions tends to cause a large
43    inter-annual variability in the W126 index.
44          In conclusion, this evaluation indicates the extent to which a form for the secondary
45    ozone standard that averages the annual W126 index values over three consecutive years might
46    be expected to account for the annual variability in this index since the 3-year period would be
47    expected to include year(s) below as well as above the 3-year average.
48
                                               2C-2

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                  Annual W126 Index vs. 3-Year Average W126 Index
49
50

51
52
      «J
      I
      Q
        o 2008
        n 2009
        A 2010
                                5          10         20
                         3-Year Average W126 Index, 2003-2010
                                                                50
Figure 2C-1. Deviation of the annual W126 index values in 2008, 2009, and 2010 (y-axis)
         from the 3-year average W126 index value (x-axis).
                                     2C-3

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 1                                              APPENDIX 3A

 2                                  MODES OF ACTION SUMMARY

 3           The initial key event in the toxicity pathway of O^ is the formation of secondary
 4    oxidation products in the respiratory tract (ISA, section 5-3, U.S. EPA, 2013). This mainly
 5    involves direct reactions with components of the extracellular lining fluid (ELF)1. The resulting
 6    secondary oxidation products transmit signals to the epithelium, pain receptive nerve fibers and,
 7    if present, immune cells (i.e.,  eosiniphils, dendritic cells and mast cells). Thus, the effects of 63
 8    are mediated by components of ELF and by the multiple cell types found in the respiratory tract.
 9    Further, oxidative stress2 is an implicit part of this initial key event.
10           Another key  event in the toxicity pathway of Os is the activation of neural reflexes which
11    lead to lung function decrements. Evidence is accumulating that secondary oxidation products
12    are responsible for this effect. Different receptors on bronchial sensory nerves (i.e., C-fibers)
13    have been shown to  mediate separate effects of 63 on pulmonary function. For example, pain
14    (i.e., nociceptive) sensory nerves are involved in  the involuntary truncation of inspiration which
15    results in decreases in FVC, FEVi, tidal volume and pain upon deep inspiration. Ozone exposure
16    also results in activation of vagal sensory nerves  and a mild increase in airway obstruction
17    measured as increased sRaw.  Activation of neural reflexes also results in extrapulmonary effects
18    such as slow resting  heart rate (i.e., bradycardia).
19           Initiation of inflammation is also a key event in the toxicity pathway of O^. Secondary
20    oxidation products, as well as cell signaling molecules (i.e., chemokines and cytokines)  from
21    airway epithelial cells and white blood cells (i.e., macrophages), have been implicated in the
22    initiation of inflammation.  Airways neutrophilia has been demonstrated in bronchoalveolar
23    lavage fluid (BALF), mucosal biopsy and induced sputum samples. Influx of other cells (i.e.
24    mast cells,  monocytes and macrophages) also occur. Inflammation further contributes to
25    Os-mediated oxidative stress.  It should be noted that inflammation, as measured by airways
             1 The ELF is a complex mixture of lipids (fats), proteins, and antioxidants that serve as the first barrier and
      target for inhaled O3. The antioxidant substances present in the ELF appear in most cases to limit interaction of O3
      with underlying tissues and to prevent penetration of O3 deeper into the lung. However, as the ELF thickness
      decreases and becomes ultra thin in the alveolar region, it may be possible for direct interaction of O3 with the
      underlying epithelial cells to occur. The formation of secondary oxidation products is likely related to the
      concentration of antioxidants present and the quenching ability of the ELF.
              Oxidative stress reflects an imbalance between the systemic manifestation of reactive oxygen species,
      such as superoxide, and a biological system's ability to readily detoxify the reactive intermediates or to repair the
      resulting damage.

                                                  3A-1

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 1    neutrophilia, is not correlated with decrements in pulmonary function as measured by
 2    spirometry.
 3           A fourth key event in the toxicity pathway of 63 is alteration of epithelial barrier
 4    function. Increased permeability3 occurs as a result of damage to tight junctions between
 5    epithelial cells subsequent to Os-induced injury and inflammation. It may play a role in allergic
 6    sensitization and in airway hyperresponsiveness (AHR). Genetic susceptibility has been
 7    associated with this pathway.
 8           A fifth key event in the toxicity pathway of Oi is the sensitization of bronchial smooth
 9    muscle. Airway hyperresponsiveness (AHR), or increased bronchial reactivity, can be both a
10    rapidly occurring and a persistent response. The mechanisms responsible for early and later AHR
11    are not well-understood. Tachykinins, peptides that can excite neurons and cause smooth muscle
12    contraction, and the secondary oxidation products of Os have been proposed as mediators of the
13    early response and inflammation-derived products have been proposed as mediators of the later
14    response. Other chemical signaling molecules (i.e., cytokines and chemokines) have been
15    implicated in the AHR response to Os in animal models. Antioxidants may confer protection.
16           A sixth key event in the toxicity pathway of Os is the modification of innate/adaptive
17    immunity. While the majority  of evidence for this key event comes from animal studies, there
18    are several  studies suggesting that this pathway may also be relevant in humans. Ozone exposure
19    of human subj ects resulted in recruitment of activated innate immune  cells to the airways.
20    Animal studies further linked Os-mediated activation of the innate immune system to the
21    development of nonspecific AHR, demonstrated an interaction between allergen and Os in the
22    induction of nonspecific AHR, and found that Os acted as an adjuvant for allergic sensitization
23    through the activation of both  innate and adaptive immunity. These studies provide evidence that
24    Os can alter host immunologic response and lead to immune system dysfunction. These
25    mechanisms may underlie the  exacerbation and induction of asthma, as well as decreases in lung
26    host defense.
27           Another key event in the toxicity pathway of Os is airways remodeling. Persistent
28    inflammation and injury, which are observed in animal models of chronic  and intermittent
29    exposure to Os, are associated with morphologic changes such as mucous cell metaplasia4 of
             3 Cells in epithelium are very densely packed together, leaving very little intercellular space. All epithelial
      cells rest on a basement membrane, a thin sheet of fibers that acts as scaffolding on which epithelium can grow and
      regenerate after injuries. Epithelial tissue is innervated but avascular; it must be nourished by substances diffusing
      from the blood vessels in the underlying tissue. Injury to epithelial cells, such as caused by oxidative stress, can
      cause the epithelium to become more permeable to substances in the underlying vasculature.
             4 Metaplasia is the reversible replacement of one differentiated cell type with another mature differentiated
      cell type. The change from one type of cell to another may generally be a part of normal maturation process or
                                                 3A-2

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 1    nasal epithelium, bronchiolar metaplasia of alveolar ducts and fibrotic changes in small airways
 2    (see Section 7.2.3 of the ISA, U.S. EPA 2013). Mechanisms responsible for these responses are
 3    not well-understood. However, a recent study in mice demonstrated a key role for a signaling
 4    pathway in the deposition of collagen in the airway wall following chronic intermittent exposure
 5    to 63. Chronic intermittent exposure to 63 has also been shown to result in effects on the
 6    developing lung and immune system.
 7           Systemic inflammation and vascular oxidative/nitrosative stress are also key events in the
 8    toxicity pathway of 03. Extrapulmonary effects of O^ occur in numerous organ systems,
 9    including the cardiovascular, central nervous, reproductive, and hepatic systems (see
10    Sections 6.3 to 6.5 and Sections 7.3 to 7.5 of the ISA, U.S. EPA, 2013). It has been proposed that
11    lipid oxidation products resulting from reaction of 63 with lipids and/or cellular membranes in
12    the ELF are responsible for systemic responses; however, it is not known whether they gain
13    access to the circulation. Alternatively, release of diffusible mediators from the lung into the
14    circulation may initiate or propagate inflammatory responses in the circulation or other organ
15    systems.
16           Responses to 63 exposure are variable within the population. Studies have shown a large
17    range of pulmonary function responses to O?, among healthy young adults. Since individual
18    responses were relatively consistent across time in some of these studies, it was thought that
19    responsiveness reflected an intrinsic characteristic of the subject (Mudway and Kelly, 2000).
20    Other responses to 03 have also been characterized by a large degree of inter-individual
21    variability. For example, inter-individual variability in the neutrophilic response has been noted
22    in human subjects. Two studies demonstrated a 3- to 20-fold difference in airways neutrophilia,
23    under different exposure conditions (Schelegle et al.,  1991 and Devlin et al., 1991, respectively).
24    Reproducibility of intraindividual responses to 63 exposures in human subjects, measured as
25    sputum neutrophilia, was demonstrated by Holz et al (1999). While the basis for the observed
26    inter-individual variability in responsiveness to 63 is not clear, both dosimetric and mechanistic
27    factors are likely to contribute. These are discussed in sections 5.4.1 and 5.4.2 in the ISA (U.S.
28    EPA, 2013). Section 5.4.2 of the ISA discusses studies that provide evidence for the mechanisms
29    that may underlie the variability in  responsiveness seen among individuals. Certain functional
30    genetic polymorphisms, pre-existing conditions or diseases, nutritional status, lifestages, and co-
31    exposures contribute to altered risk of  (Vinduced effects.
32

      caused by some sort of abnormal stimulus. In  simplistic terms, it is as if the original cells are not robust enough to
      withstand the new environment, and so they change into another type more suited to the new environment. If the
      stimulus that caused metaplasia is removed or ceases, tissues return to their normal pattern of differentiation.

                                                 3A-3

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 1    3.1   REFERENCES

 2    Devlin, RB; Mcdonnell, WF; Mann, R; Becker, S; House, DE; Schreinemachers, D; Koren, HS. (1991). Exposure of
 3            humans to ambient levels of ozone for 6.6 hours causes cellular and biochemical changes in the lung. Am J
 4            Respir Cell Mol Biol 4: 72-81.

 5    Holz, O; Torres, RA; Timm, P; Mucke, M; Richter, K; Koschyk, S; Magnussen, H. (1999). Ozone-induced airway
 6            inflammatory changes differ between individuals and are reproducible. Am J Respir Crit Care Med 159:
 7            776-784.

 8    Mudway, IS; Kelly, FJ. (2000). Ozone and the lung: A sensitive issue. Mol Aspects Med 21:  1-48.

 9    Schelegle, ES; Siefkin, AD; McDonald, RJ. (1991). Time course of ozone-induced neutrophilia in normal humans.
10            Am J Respir Crit Care Med 143: 1353-1358.

11    U.S. EPA (2013).  Integrated Science Assessment of Ozone and Related Photochemical Oxidants (Final Report).
12            U.S. Environmental Protection Agency, Washington, DC. EPA/600/R-10/076F. Available at:
13            http://www.epa.gov/ttn/naaqs/standards/ozone/s_o3_2008_isa.html
                                                      3A-4

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 1                                            APPENDIX 3B

 2                      RECENT STUDIES OF RESPIRATORY-RELATED
 3                   EMERGENCY DEPARTMENT VISITS AND HOSPITAL
 4                                            ADMISSIONS

 5    Hospital Admissions for All Respiratory Causes
 6          The APHENA study (APHENA is for Air Pollution and Health: A European and North
 7    American Approach) analyzed air pollution and health outcome data from existing Canadian,
 8    European, and U.S. multi-city studies and examined the influence of varying model specification
 9    to control for season and weather (Katsouyanni et al., 2009). The U.S.-based portion of the
10    APHENA study utilized the National Morbidity, Mortality, and Air Pollution Study (NMMAPS)
11    cohort which, for the Katsouyanni et al. (2009) analysis, comprised respiratory hospital
12    admissions  among individuals 65 years of age and older from 14 US cities with Oj, data from
13    1985-1994 (7 cities had summer only 63 data). For the year round analysis, Katsouyanni et al.
14    (2009) reported consistently positive, and statistically significant in models with 8 degrees of
15    freedom per year (U.S. EPA, 2013, section 6.2.7.2), associations between 1-hour 63
16    concentrations and respiratory hospital  admissions across the datasets from the U.S., Canada, and
17    Europe (U.S. EPA 2013, Figure 6-15).5 In co-pollutant models adjusting for PMio, O3 effect
18    estimates remained positive, though effect estimates were somewhat attenuated in the U.S. and
19    European datasets, possibly due to the PM sampling schedule (U.S. EPA 2013, Figure  6-15).
20    Effect estimates for the warm season were larger than for the year-round analysis in the
21    Canadian dataset, but generally similar in magnitude to the year-round analysis in the U.S. and
22    European datasets.
23          Several additional multicity studies examined respiratory disease hospital admissions in
24    Canada and Europe. Cakmak et al. (2006) reported a statistically significant increase in
25    respiratory hospital admissions in 10 Canadian cities (4.4% increase per 20 ppb increase in 24-
26    hour average Os, 95% CI: 2.2, 6.5%). In analyses of potential effect modifiers of the Os-
27    respiratory hospital admission relationship, individuals with an education level less than the 9th
28    grade were found to be at greater risk. Dales et al. (2006) reported a 5.4% (95% CI: 2.9, 8.0%)
29    increase in neonatal respiratory hospital admissions for a 20 ppb increase in 24-hour average O^
             The study by Katsouyanni et al. (2009) evaluated different statistical models. Although the investigators
      did not identify the model they deemed to be the most appropriate for comparing the results across study locations,
      they did specify that "overall effect estimates (i.e., estimates pooled over several cities) tended to stabilize at high
      degrees of freedom" (Katsouyanni et al., 2009).  In discussing of the results of this study, the ISA focused on models
      with 8 degrees of freedom per year (US EPA, 2012a, section 6.2.7.2).

                                                3B-1

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 1    concentrations in 11 Canadian cities from 1986 to 2000. In contrast, Biggeri et al. (2005) did not
 2    detect an association between short-term Oj, exposure and respiratory hospital admissions in four
 3    Italian cities from 1990 to 1999.
 4          In addition to the large multi-city studies discussed above, several smaller-scale studies
 5    have also reported associations with total respiratory hospital admissions. Specifically, Lin et al.
 6    (2008) reported a positive association between 63 and pediatric (i.e., <18 years) respiratory
 7    admissions in an analysis of 11 geographic regions in New York  state from 1991 to 2001, though
 8    results were not presented quantitatively. In co-pollutant models with PMio, the authors reported
 9    that region-specific 63 associations with respiratory hospital admissions remained relatively
10    robust.

11    Cause-Specific Hospital Admissions
12          With regard to cause-specific respiratory outcomes, the limited evidence available in the
13    last review indicated that the strongest findings were for ambient 63 associated asthma and
14    chronic obstructive  pulmonary disease (COPD) respiratory hospital admissions (U.S. EPA 2013,
15    6.2.7.2). Since the last review, a few additional studies have investigated cause-specific
16    respiratory admissions (i.e., COPD, asthma, pneumonia) in relation to 63 exposure (Medina-
17    Ramon et al, 2006;  Yang et al., 2005; Zanobetti and Schwartz, 2006;  Silverman and Ito, 2010).
18          Medina-Ramon et al. (2006) examined the association between short-term ambient 03
19    concentrations and Medicare hospital admissions for COPD among individuals >  65 years of age
20    for COPD in 35 cities in the U.S. for the years 1986-1999. The authors reported an increase in
21    COPD admissions for lag 0-1 day in the warm season for a 30 ppb increase in 8-h max Os
22    concentrations. The authors found no evidence for such associations in cool season or in year
23    round analyses. In a co-pollutant model with PMio, the association between 03 and COPD
24    hospital admissions remained robust. In Vancouver from 1994-1998,  a location with low ambient
25    O3 concentrations (U.S. EPA, 2013, Table 6-26), Yang et al. (2005) reported  a statistically non-
26    significant increase in COPD admissions per 20 ppb increase in 24-hour average Oj
27    concentrations. In two-pollutant models with every-day data for NO2, SO2, CO, and PMio, Os
28    risk estimates remained robust, though not statistically significant (U.S. EPA, 2013, Figure 6-20;
29    Table 6-29). In addition, Wong et al. (2009) reported increased Os-associated COPD admissions
30    during periods of increased influenza activity in Hong Kong.
31          The ISA assessed a study that evaluated asthma-related hospital admissions in New York
32    City (U.S. EPA, 2013, section 6.2.7.2) (Silverman and Ito, 2010). This study  examined the
33    association of 8-hour max Os concentrations with severe acute asthma admissions (i.e., those
34    admitted to the Intensive Care Unit [ICU]) during the warm season in the years 1999 through

                                               3B-2

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 1    2006 (Silverman and Ito, 2010)). The investigators reported positive associations between O^ and
 2    ICU asthma admissions for the 6- to 18-year age group for a 30 ppb increase in max 8-hour
 3    average Os concentrations, but little evidence of associations for the other age groups examined
 4    (<6 years, 19-49, 50+, and all ages). However, positive associations were observed for each
 5    age-stratified group and all ages for non-ICU asthma admissions, but again the strongest
 6    association was reported for the 6- to 18-years age group. In two-pollutant models, Os effect
 7    estimates for both non-ICU and ICU hospital admissions remained robust to adjustment for
 8    PM2.s. In an additional analysis, using a smooth function, the authors examined whether the
 9    shape of the concentration-response curve for O?, and asthma hospital admissions (i.e., both
10    general and ICU for all ages) is linear. When comparing the curve to a linear fit line, the authors
11    found that the linear fit was a reasonable approximation of the concentration-response
12    relationship between O?, and asthma hospital admissions, but the limited data density at relatively
13    low 63 concentrations contributes to uncertainty in the shape of the concentration-response
14    relationship at the low end of the distribution of Os concentrations (U.S. EPA, 2013, Figure 6-
15    16).
16          In contrast to COPD and asthma, the evidence for pneumonia-related admissions was less
17    consistent. Medina-Ramon et al. (2006) examined the association between short-term ambient Oi
18    concentrations and Medicare hospital admissions  among individuals > 65 years of age for
19    pneumonia. The authors reported an increase in pneumonia hospital admissions in the warm
20    season for a 30 ppb increase in 8-hour max 63 concentrations, with no evidence of an association
21    in the cool season or year round. In two-pollutant models restricted  to days for which PMio data
22    was available, the association between Oj, exposure and pneumonia hospital  admissions
23    remained robust. In contrast, Zanobetti and Schwartz (2006) reported a decrease in pneumonia
24    admissions for a 20 ppb increase in 24-hour average O^ concentrations in Boston for the average
25    of lags 0 and 1 day.
26          The magnitude of associations with respiratory-related hospital admissions may be
27    underestimated due to behavioral modification in  response to forecasted air quality (U.S. EPA,
28    2013, section 4.6.6). Recent studies (Neidell and Kinney, 2010; Neidell, 2009) conducted in
29    Southern California demonstrates that controlling for avoidance behavior increases 63 effect
30    estimates for respiratory hospital admissions, specifically for children and older adults. This
31    study shows that on days where no  public alert warning of high 63 concentrations was issued,
32    there was an increase in asthma hospital admissions. Although only one study has examined
33    averting behavior and this study is limited to the outcome of asthma hospital admissions in one
34    location and time period (i.e., Los Angeles, CA for the years 1989-1997), it does provide
35    preliminary evidence indicating that some epidemiologic studies may underestimate associations

                                               3B-3

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 1    between 03 and health effects by not accounting for behavioral modification when public health
 2    alerts are issued.

 3    Emergency Department Visits for All Respiratory Causes
 4           A large single-city study conducted in Atlanta by Tolbert et al. (2007), and subsequently
 5    reanalyzed by Darrow et al. (2011) using different air quality data and evaluating associations
 6    with different metrics, provides evidence for associations between short-term exposures to
 7    ambient 63 concentrations and respiratory emergency department visits. Tolbert et al. (2007)
 8    reported an increase in respiratory emergency department visits for a 30 ppb increase in 8-hour
 9    max Oj, concentrations during the warm season. In copollutant models with CO, NC>2, and PMio,
10    limited to days in which data for all pollutants were  available, associations between 63 and
11    respiratory emergency department visits remained positive, but were attenuated. Darrow et al.
12    (2011) reported the strongest associations with respiratory emergency department visits for 8-
13    hour daily max, 1-hour daily max, and day-time Os exposure metrics (all associations positive
14    and statistically significant), while positive, but statistically non-significant, associations were
15    reported with 24-hour average and commuting period exposure metrics. In addition, a negative
16    association was observed when using the night-time exposure metric (U.S. EPA, 2013,  Figure 6-
17    17). The results of Darrow et al. (2011) suggest that averaging over nighttime hours may lead to
18    smaller 63 effect estimates for respiratory emergency department visits due to dilution of
19    relevant Os concentrations (i.e., the higher concentrations that occur during the daytime); and
20    potential negative confounding by other pollutants (e.g., CO, NO2) during the nighttime hours
21    (U.S. EPA, 2013, section 6.2.7.3)

22    Cause-Specific Emergency Department Visits
23           In evaluating asthma emergency department visits in an all-year analysis, a Canadian
24    multi-city study (Stieb et al., 2009) reported that 24-hour Os concentrations were positively
25    associated with emergency department visits for asthma at lag 1 and lag 2. Though the authors
26    did not present seasonal analyses, they stated that no associations were observed with emergency
27    department visits in the winter season, suggesting that the positive associations reported in the
28    all-year analysis were due to the warm season (Stieb et  al., 2009). In addition to asthma, the
29    authors reported that Oj was positively associated with  COPD emergency department visits in
30    all-year analyses, but that associations with COPD visits were statistically significant only for the
31    warm season (i.e., April-September).
                                                3B-4

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 1           Several single-city studies have also provided evidence for positive associations between
 2    asthma emergency department visits and ambient O?, concentrations. Ito et al. (2007) reported
 3    positive and statistically significant associations with asthma emergency department visits in
 4    New York City during the warm season, and an inverse association in the cool season, for a 30
 5    ppb increase in 8-hour max 63 concentrations. In two-pollutant models with PM2.5, NC>2, 862,
 6    and CO, the authors found that 63 risk estimates were not substantially changed during the warm
 7    season (U.S. EPA, 2013, Figure 6-20; Table 6-29).
 8           Strickland et al. (2010) examined the association between 63 exposure and pediatric
 9    asthma emergency department visits (ages 5-17 years) in Atlanta using air quality data over the
10    same years as Darrow et al. (2011) and Tolbert et al. (2007), but using population-weighting to
11    combine daily pollutant concentrations across monitors. Strickland et al. (2010) reported an
12    increase in emergency department visits for a 30 ppb increase in 8-hour max OT, concentrations
13    in an all-year analysis. In seasonal analyses, stronger associations were observed during the
14    warm season (i.e., May-October) than the cold season. In co-pollutant analyses that included CO,
15    NO2, PM2.5 elemental carbon, or PM2.5 sulfate, Strickland et al. (2010) reported that Os risk
16    estimates were not substantially changed. The authors also examined the concentration-response
17    relationship between 03 exposure and pediatric asthma emergency department visits and
18    reported that positive associations with Os persist at 8-hour ambient Os concentrations (3-day
19    average of 8-hour daily max concentrations) at least as low as 30 ppb.
20          In a single-city study conducted in Seattle, WA, Mar and Koenig (2009) examined the
21    association between 03 exposure and asthma emergency department visits for children (< 18)
22    and adults (> 18). For children, positive and statistically significant associations were reported
23    across multiple lags, with the strongest associations observed at lag 0 and lag 3. Ozone was also
24    found to be positively associated with asthma emergency department visits for adults at all lags,
25    except at lag 0. The slightly different lag times for children and adults suggest that children may
26    be more immediately responsive to  O^ exposures than adults (Mar and Koenig, 2009).
27          In addition to the U.S. single-city studies discussed above, a single-city study conducted
28    in Alberta, Canada (Villeneuve et al., 2007) provides support for the findings from Stieb et al.
29    (2009), but also attempts to identify those lifestages at greatest risk for Os-associated asthma
30    emergency department visits. Villeneuve et al. reported an increase in asthma emergency
31    department visits in an all-year analysis across all ages with associations being stronger during
                                                3B-5

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  1    the wanner months. When stratified by age, the strongest associations were observed in the

  2    warm season for individuals 5-14 and 15-44. These associations were not found to be

  3    confounded by the inclusion of aeroallergens in age-specific models.


  4    3.2   REFERENCES

  5    Biggeri, A; Baccini, M; Bellini, P; Terracini, B. (2005). Meta-analysis of the Italian studies of short-term effects of
  6            air pollution (MISA), 1990-1999. Int J Occup Environ Health 11: 107-122.

  7    Cakmak, S; Dales, RE; Judek, S. (2006b). Respiratory health effects of air pollution gases: Modification by
  8            education and income. Arch Environ Occup Health61: 5-10. http://dx.doi.org/10.3200/AEOH.61.L5-10

  9    Dales, RE; Cakmak, S; Doiron, MS. (2006). Gaseous air pollutants and hospitalization for respiratory disease in the
10            neonatal period. Environ Health Perspect 114: 1751-1754. http://dx.doi.org/10.1289/ehp.9044

11    Darrow, LA; Klein, M; Sarnat, JA; Mulholland, JA; Strickland, MJ; Sarnat, SE; Russell, AG; Tolbert, PE. (2011).
12            The use of alternative pollutant metrics in time-series studies of ambient air pollution and respiratory
13            emergency department visits. J Expo Sci Environ Epidemiol 21: 10-19.

14    Jto, K; Thurston, GD; Silverman, RA. (2007b). Characterization of PM2.5, gaseous pollutants, and meteorological
15            interactions in the context of time-series health effects models. J Expo Sci Environ Epidemiol 17: S45-S60.

16    Katsouyanni, K; Samet, JM; Anderson, HR; Atkinson, R; Le Tertre, A; Medina, S; Samoli, E; Touloumi, G;
17            Burnett, RT; Krewski, D; Ramsay, T; Dominici, F;  Peng, RD; Schwartz, J; Zanobetti, A. (2009). Air
18            pollution and health: A European and North American approach (APHENA). (Research Report 142).
19            Boston, MA: Health Effects Institute. http://pubs.healtheffects.org/view.php?id=327

20    Lin, S; Bell, EM; Liu, W; Walker, RJ; Kim, NK; Hwang, SA. (2008a). Ambient ozone concentration and hospital
21            admissions due to childhood respiratory diseases in New York State, 1991-2001. EnvironRes 108: 42-47.
22            http://dx.doi.0rg/10.1016/j.envres.2008.06.007

23    Mar, TF; Koenig, JQ. (2009). Relationship between visits to  emergency departments for asthma and ozone exposure
24            in greater Seattle, Washington. Ann Allergy Asthma Immunol 103: 474-479.

25    Medina-Ramon, M; Zanobetti, A; Schwartz, J. (2006). The effect of ozone and PM10 on hospital admissions for
26            pneumonia and chronic obstructive pulmonary disease: A national multicity study. Am J Epidemiol 163:
27            579-588. http://dx.doi.org/10.1093/aje/kwj078

28    Neidell, M. (2009). Information, avoidance behavior, and health: The effect of ozone on asthma hospitalizations.
29            Journal of Human Resources 44: 450-478.

30    Neidell, M; Kinney, PL. (2010). Estimates of the association between ozone and asthma hospitalizations that
31            account for behavioral responses to air quality information. Environ Sci Pol 13: 97-103.
32            http://dx.doi.0rg/10.1016/j.envsci.2009.12.006

33    Silverman, RA; Ito, K. (2010). Age-related association of fine particles and ozone with severe acute asthma in New
34            York City. J Allergy Clin Immunol 125: 367-373. http://dx.doi.org/10.1016/jjaci.2009.10.061

3 5    Stieb, DM; Szyszkowicz, M; Rowe, BH; Leech, JA. (2009).  Air pollution and emergency department visits for
36            cardiac and respiratory conditions: A multi-city time-series analysis. Environ Health Global Access  Sci
37            Source 8: 25. http://dx.doi.org/10.1186/1476-069X-8-25
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  1     Strickland, MJ; Darrow, LA; Klein, M; Flanders, WD; Sarnat, JA; Waller, LA; Sarnat, SE; Mulholland, JA; Tolbert,
  2            PE. (2010). Short-term associations between ambient air pollutants and pediatric asthma emergency
  3            department visits. Am J Respir Crit Care Med 182: 307-316. http://dx.doi.org/10.1164/rccm.200908-
  4            1201OC

  5     Tolbert, PE; Klein, M; Peel, JL; Sarnat, SE; Sarnat, JA. (2007). Multipollutant modeling issues in a study of ambient
  6            air quality and emergency department visits in Atlanta. J Expo Sci Environ Epidemiol 17: S29-S35.
  7            http://dx.doi.org/10.1038/sj.jes.7500625

  8     U.S. EPA (2013). Integrated Science Assessment of Ozone and Related Photochemical Oxidants (Final Report).
  9            U.S. Environmental Protection Agency, Washington, DC. EPA/600/R-10/076F. Available at:
10            http://www.epa.gov/ttn/naaqs/standards/ozone/s_o3_2008_isa.html

11     Villeneuve, PJ; Chen, L; Rowe, BH; Coates, F. (2007). Outdoor air pollution and emergency department visits for
12            asthma among children and adults: A case-crossover study in northern Alberta, Canada. Environ Health
13            Global Access Sci Source 6: 40. http://dx.doi.org/10.1186/1476-069X-6-40

14     Wong, CM; Yang, L; Thach, TQ; Chau, PY; Chan, KP; Thomas, GN; Lam, TH; Wong, TW; Hedley, AJ; Peiris, JS.
15            (2009). Modification by influenza on health effects of air pollution in Hong Kong. Environ Health Perspect
16            117: 248-253. http://dx.doi.org/10.1289/ehp.11605

17     Yang, Q; Chen, Y; Krewski, D; Burnett, RT; Shi, Y; Mcgrail, KM. (2005). Effect of short-term exposure to low
18            levels of gaseous pollutants on chronic obstructive pulmonary disease hospitalizations. Environ Res 99: 99-
19            105. http://dx.doi.0rg/10.1016/j.envres.2004.09.014

20     Zanobetti, A; Schwartz, J. (2006). Air pollution and emergency admissions in Boston, MA. J Epidemiol Community
21            Health 60: 890-895. http://dx.doi.org/10.1136/iech.2005.039834
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 1                                           APPENDIX 3C

 2                                    AT-RISK POPULATIONS

 3    People with Specific Genetic Variants
 4          Overall, for variants in multiple genes there is adequate evidence for involvement in
 5    populations being more at-risk than others to the effects of Os exposure on health (U.S. EPA,
 6    2013, section 8.1). Controlled human exposure and epidemiologic studies have reported evidence
 7    of Os-related increases in respiratory symptoms or decreases in lung function with variants
 8    including GSTM1, GSTP1, HMOX1, and NQO1. NQO1 deficient mice were found to be
 9    resistant to (^-induced AHR and inflammation, providing biological plausibility for results of
10    studies in humans. Additionally, studies of rodents have identified a number of other genes that
11    may affect Os-related health outcomes, including genes related to innate immune signaling and
12    pro- and anti-inflammatory genes, which have not been investigated in human studies.
13    People with Asthma
14          Previous 63 AQCDs identified individuals with asthma as a population at increased risk
15    of Os-related health effects. Multiple new epidemiologic studies included in the ISA have
16    evaluated the potential for increased risk of Os-related health effects in people with asthma,
17    including: lung function; symptoms; medication use; airway hyperresponsiveness (AHR); and
18    airway inflammation (also measured as exhaled nitric oxide fraction, or FeNO). A study of
19    lifeguards in Texas reported decreased lung function with short-term 63 exposure among both
20    individuals with and without asthma, however, the decrease was greater among those with
21    asthma (Thaller et al., 2008). A Mexican study of children ages 6-14 detected an association
22    between short-term 63 exposure and wheeze,  cough, and bronchodilator use among asthmatics
23    but not non-asthmatics, although this may have been the result of a small non-asthmatic
24    population (Escamilla-Nufiez et al., 2008). A study  of modification by AHR (an obligate
25    condition among asthmatics) reported greater short-term (^-associated decreases in lung
26    function in elderly individuals with AHR, especially among those who were obese (Alexeeff et
27    al., 2007). With respect to airway inflammation, in one study, a positive association was reported
28    for airway inflammation among asthmatic children following short-term 63 exposure, but the
29    observed association was similar in magnitude to that of non-asthmatics (Barraza-Villarreal et
30    al., 2008). Similarly,  another study of children in California reported an association between 63
31    concentration and FeNO that persisted both among children with and without asthma as well as
32    those with and without respiratory allergy (Berhane et al., 2011). Finally, Khatri  et al. (2009)
33    found no association between short-term 63 exposure and altered lung function for either

                                               3C-1

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 1    asthmatic or non-asthmatic adults, but did note a decrease in lung function among individuals
 2    with allergies.
 3          New evidence for difference in effects among asthmatics has been observed in studies
 4    that examined the association between O^ exposure and altered lung function by asthma
 5    medication use. A study of children with asthma living in Detroit reported a greater association
 6    between short-term Os and lung function for corticosteroid users compared with
 7    noncorticosteroid users (Lewis et al., 2005). Conversely,  another study found decreased lung
 8    function among noncorticosteroid users compared to users, although in this study, a large
 9    proportion of non-users were considered to be persistent asthmatics (Hernandez-Cadena et al.,
10    2009). Lung function was not related to short-term Oj, exposure among corticosteroid users and
11    non-users in a study taking place during the winter months in Canada (Liu et al., 2009).
12    Additionally, a study of airway inflammation reported a counterintuitive inverse association with
13    63 of similar magnitude for all groups of corticosteroid users and non-users (Qian et al., 2009).
14          Controlled human exposure studies that have examined the effects of Os on adults with
15    asthma and healthy controls are limited. Based on studies reviewed in the 1996 and 2006 63
16    AQCDs, subjects with asthma appeared to be more sensitive to acute effects of 63 in terms of
17    FEVi and inflammatory responses than healthy non-asthmatic subjects. For instance, Horstman
18    et al. (1995) observed that mild-to-moderate asthmatics, on average, experienced double the
19    Os-induced FEVi decrement of healthy subjects (19% versus 10%, respectively, p = 0.04).
20    Moreover, a statistically significant positive correlation between FEVi responses to 03 exposure
21    and baseline lung function was observed in individuals with  asthma, i.e., responses increased
22    with severity of disease. Minimal evidence exists suggesting that individuals with asthma have
23    smaller Os-induced FEVi  decrements than healthy subjects (3% versus 8%, respectively)
24    (Mudway et al., 2001). However, the asthmatics in that study also tended to be older than the
25    healthy subjects,  which could partially explain their lesser response since FEVi responses to O^
26    exposure diminish with age. Individuals with asthma also had significantly more neutrophils in
27    the BALF  (18 hours postexposure) than similarly exposed healthy individuals (Peden et al.,
28    1997; Scannell et al., 1996; Basha et al., 1994). Furthermore, a study examining the effects of O^
29    on individuals with atopic asthma and healthy controls reported that greater numbers of
30    neutrophils, higher levels of cytokines and hyaluronan, and greater expression of macrophage
31    cell-surface markers were observed in induced sputum of atopic asthmatics compared with
32    healthy controls (Hernandez et al., 2010).  Differences in Os-induced epithelial cytokine
33    expression were noted in bronchial biopsy samples  from asthmatics and healthy controls (Bosson
34    et al., 2003). Cell-surface marker and cytokine expression results, and the presence of
35    hyaluronan, are consistent with Os having greater effects on innate and adaptive immunity in
36    these asthmatic individuals. In addition, studies have demonstrated that O^ exposure leads to

                                                3C-2

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 1    increased bronchial reactivity to inhaled allergens in mild allergic asthmatics (Kehrl et al., 1999;
 2    Torres et al., 1996) and to the influx of eosinophils in individuals with pre-existing allergic
 3    disease (Vagaggini et al., 2002; Peden et al., 1995). Taken together, these results point to several
 4    mechanistic pathways which could account for the enhanced sensitivity to Os in subjects with
 5    asthma (see Section 5.4.2.2 in the ISA).
 6           Toxicological studies provide additional evidence of the biological basis for the greater
 7    effects of Os among those with asthma or AHR (U.S. EPA, 2013, section 8.2.2). In animal
 8    toxicological studies, an asthmatic phenotype is modeled by allergic sensitization of the
 9    respiratory tract. Many of the studies that provide evidence that O^ exposure is an inducer of
10    AHR and remodeling utilize these types of animal models. For example, a series of experiments
11    in infant rhesus monkeys have shown these effects, but only in monkeys sensitized to house dust
12    mite allergen. Similarly, adverse changes in pulmonary function were demonstrated in mice
13    exposed to 63; enhanced inflammatory responses were in rats exposed to 63, but only in animals
14    sensitized to allergen. In general, it is the combined effects of Os and allergic sensitization which
15    result in measurable effects on pulmonary function. In a pulmonary fibrosis model, exposure 63
16    for 5 days increased pulmonary inflammation and fibrosis, along with the frequency of
17    bronchopneumonia in rats. Thus, short-term exposure to O^ may enhance damage in a previously
18    injured lung (U.S. EPA, 2013, section 8.2.2).
19           In the 2006  Os AQCD, the potential for individuals with asthma to have greater risk of
20    Os-related health effects was supported by a number of controlled human exposure studies,
21    evidence from toxicological studies, and a limited number of epidemiologic studies. In section
22    8.2.2, the ISA reports that in the recent epidemiologic literature some, but not all, studies report
23    greater risk of health effects among individuals with asthma. Studies examining effect measure
24    modification of the relationship between short-term 63 exposure and altered lung function by
25    corticosteroid use provided limited evidence of Os-related health effects. However, recent studies
26    of behavioral responses have found that studies do not take into account individual behavioral
27    adaptations to forecasted air pollution  levels (such as avoidance and reduced time outdoors),
28    which may underestimate the observed associations in studies that examined the effect of 03
29    exposure on respiratory health (Neidell and Kinney, 2010). This could explain some
30    inconsistency observed among recent epidemiologic studies. The evidence from controlled
31    human exposure studies provides support for increased detriments in FEVi and greater
32    inflammatory responses to 63 in individuals with asthma than in healthy individuals without a
33    history of asthma. The collective evidence for increased risk of Os-related health effects among
34    individuals with asthma from controlled human exposure studies is supported by recent
35    toxicological studies which provide biological plausibility for heightened risk of asthmatics to
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 1    respiratory effects due to Os exposure. Overall, the ISA finds there is adequate evidence for
 2    asthmatics to be an at-risk population.

 3    Children
 4          Children are considered to be at greater risk from Os exposure because their respiratory
 5    systems undergo lung growth until about 18-20 years of age and are therefore thought to be
 6    intrinsically more at risk for Os-induced damage (U.S. EPA, 2006b). It is generally recognized
 7    that children spend more time outdoors than adults, and therefore would be expected to have
 8    higher exposure to 63 than adults. The ventilation rates also vary between children and adults,
 9    particularly during moderate/heavy activity. Children aged 11 years and older and adults have
10    higher absolute ventilation rates than children aged 1-11 years. However, children have higher
11    ventilation rates relative to their lung volumes, which tends to increase dose normalized to lung
12    surface area. Exercise intensity has a substantial effect on ventilation rate, with high intensity
13    activities resulting in nearly double the ventilation rate during moderate activity among children
14    and those adults less than 31 years of age. For more information on time spent outdoors and
15    ventilation rate differences by age group, see Section 4.4.1 in the ISA (U.S. EPA, 2013).
16          The 1996 Oj, AQCD reported clinical evidence that children, adolescents,  and young
17    adults (<18 years of age) appear, on average, to have nearly equivalent spirometric responses to
18    Os exposure, but have greater responses than middle-aged and older adults (U.S. EPA, 1996a).
19    Symptomatic responses (e.g., cough, shortness of breath, pain on deep inspiration) to 63
20    exposure, however, appear to increase with age until early adulthood and then gradually decrease
21    with increasing age (U.S. EPA, 1996). Complete lung growth and development is not achieved
22    until 18-20 years of age in women and the early 20s for men; pulmonary function is at its
23    maximum during this time as well.
24          Recent epidemiologic studies have examined different age groups and their risk to
25    Os-related respiratory hospital admissions and emergency department (ED) visits. Evidence for
26    greater risk in children was reported in several studies. A study in Cyprus of short-term O^
27    concentrations and respiratory hospital admissions (HA) detected possible effect measure
28    modification by age with a larger association among individuals <  15 years of age compared
29    with those > 15 years  of age; the effect was apparent only with a 2-day lag (Middleton et al.,
30    2008). Similarly, a Canadian study of asthma-ED visits reported the strongest (Vrelated
31    associations among 5- to 14-year olds compared to the other age groups (ages examined 0-75+)
32    (Villeneuve et al., 2007). Greater (^-associated risk in asthma-related ED visits were also
33    reported among children (<15 years) as compared to adults (15 to 64 years) in a study from
34    Finland (Halonen et al., 2009). A study of New York City hospital admissions demonstrated an
35    increase in the association between 63 exposure and  asthma-related hospital admissions for 6- to

                                               3C-4

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 1    18-year olds compared to those < 6 years old and those > 18 years old (Silverman and Ito, 2010).
 2    When examining long-term Os exposure and asthma HA among children, associations were
 3    determined to be larger among children 1 to 2 years old compared to children 2 to 6 years old
 4    (Lin et al., 2008). A few studies reported positive associations among both children and adults
 5    and no modification of the effect by age.
 6          The evidence reported in epidemiologic studies is supported by recent toxicological
 7    studies which observed (Vinduced health effects in immature animals. Early life exposures of
 8    multiple species of laboratory animals, including infant monkeys, resulted in changes in
 9    conducting airways at the cellular, functional, ultra-structural, and morphological levels. The
10    studies conducted on infant monkeys are most relevant for assessing effects  in children. Carey et
11    al. (2007) conducted a study of Os exposure in infant rhesus macaques, whose respiratory tract
12    closely resemble that of humans. Monkeys were exposed either acutely or in episodes designed
13    to mimic human exposure. All monkeys acutely exposed to 63 had moderate to marked
14    necrotizing rhinitis, with focal regions of epithelial exfoliation, numerous infiltrating neutrophils,
15    and some eosinophils. The distribution, character, and severity of lesions in  episodically exposed
16    infant monkeys were similar to that of acutely exposed animals. Neither exposure protocol for
17    the infant monkeys produced mucous cell metaplasia proximal to the lesions, an adaptation
18    observed in adult monkeys exposed in another study (Harkema et al., 1987). Functional and
19    cellular changes in conducting airways were common manifestations of exposure to Os among
20    both the adult and infant monkeys (Plopper et al., 2007). In addition, the lung structure of the
21    conducting airways in the infant monkeys was significantly stunted by 63 and this aberrant
22    development was persistent 6 months postexposure (Fanucchi et  al., 2006).
23          Age may also affect the inflammatory response to 63 exposure. Toxicological studies
24    reported that the difference in effects among younger lifestage test animals may be due to
25    age-related changes in antioxidants levels and sensitivity to oxidative stress. Further discussion
26    of these  studies may be found in section 8.3.1.1 of the ISA (U.S.  EPA, 2013, p. 8-18).
27          The previous and recent human clinical and toxicological studies reported evidence of
28    increased risk from O^ exposure for younger ages, which provides coherence and biological
29    plausibility for the findings from epidemiologic studies. Although there was some inconsistency,
30    generally, the epidemiologic studies reported positive associations among both children and
31    adults or just among children. The interpretation of these studies  is limited by the lack of
32    consistency in comparison age groups and outcomes examined. However, overall, the
33    epidemiologic, controlled human exposure, and toxicological studies provide adequate evidence
34    that children are potentially at increased risk of (Vrelated health effects.
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 1    Older Adults
 2          The ISA notes that older adults are at greater risk of health effects associated with O3
 3    exposure through a variety of intrinsic pathways (U.S. EPA, 2013, section 8.3.1.2). In addition,
 4    older adults may differ in their exposure and internal dose. Older adults were outdoors for a
 5    slightly longer proportion of the day than adults aged 18-64 years. Older adults also have
 6    somewhat lower ventilation rates than adults aged 31 - less than 61 years. For more information
 7    on time spent outdoors and ventilation rate differences by age group, see Section 4.4 in the ISA
 8    (U.S. EPA,  2013). The gradual decline in physiological processes that occur with aging may lead
 9    to increased risk of O3-related health effects (U.S. EPA, 2006a). Respiratory symptom responses
10    to Os exposure appears to increase with age until  early adulthood and then gradually decrease
11    with increasing age (U.S. EPA, 1996a); lung function responses to O3 exposure also decline
12    from early adulthood (U.S. EPA, 1996a). The reductions of these responses with age may put
13    older adults at increased risk for continued O3 exposure. In addition, older adults, in general,
14    have a higher prevalence of preexisting diseases compared to younger age groups and this may
15    also lead to increased risk of O3-related health effects (U.S. EPA, 2013, section 8.3.1.2). With
16    the number of older Americans increasing in upcoming years (estimated to increase from 12.4%
17    of the U.S. population to 19.7% between 2000 to  2030, which is approximately 35 million and
18    71.5 million individuals, respectively) this group  represents a large population potentially at risk
19    of O3-related health effects (SSDAN CensusScope, 2010a; U.S. Census Bureau, 2010).
20          The majority of recent studies reported greater effects of short-term O3 exposure and
21    mortality among older adults, which is consistent with the findings of the 2006 O3 AQCD. A
22    study (Medina-Ramon and Schwartz, 2008) conducted in 48 cities across the U.S. reported larger
23    effects among adults >65 years old compared to those < 65 years; further investigation of this
24    study population revealed a trend of O3-related mortality risk that gets larger with increasing age
25    starting at age (Zanobetti and Schwartz, 2008).  Another study conducted in 7 urban centers in
26    Chile reported similar results, with greater effects in adults >65 years old (Cakmak et al., 2007).
27    More recently, a study conducted in the same area reported similar associations between O3
28    exposure and mortality in adults aged < 64 years old and 65 to 74 years old, but the risk was
29    increased among older age groups (Cakmak et al., 2011). A study performed in China reported
30    greater effects in populations >45 years old (compared to 5 to 44 year olds), with statistically
31    significant effects present only among those >65 years old (Kan et al., 2008). An Italian study
32    reported higher risk of all-cause mortality associated with increased O3 concentrations among
33    individuals >85  year old as compared to those 35  to 84 years old (Stafoggia et al., 2010). The Air
34    Pollution and Health: A European and North American Approach (APHENA) project examined
35    the association between O3 exposure and mortality for those <75 and > 75 years of age. In

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 1    Canada, the associations for all-cause and cardiovascular mortality were greater among those
 2    >75 years old. In the U.S., the association for all-cause mortality was slightly greater for those
 3    <75 years of age compared to those >75 years old in summer-only analyses. No consistent
 4    pattern was observed for CVD mortality. In Europe, slightly larger associations for all-cause
 5    mortality were observed in those <75 years old in all-year and summer-only analyses. Larger
 6    associations were reported among those <75years for CVD mortality in all-year analyses, but the
 7    reverse was true for summer-only analyses (Katsouyanni et al., 2009).
 8           With respect to epidemiologic studies of Os exposure and hospital admissions, a positive
 9    association was  reported between short-term 63 exposure and respiratory hospital admissions for
10    adults >65 years old but not for those adults aged  15 to 64 years (Halonen et al., 2009).  In the
11    same study, no association was observed between Oj, concentration and respiratory mortality
12    among those >65 years  old or those 15 to 64 years old. No modification by  age (40 to 64 year
13    olds versus >64  year olds) was observed in a study from Brazil examining O?, levels and COPD
14    ED visits.
15           Although some outcomes reported mixed findings regarding an increase in risk for older
16    adults, recent epidemiologic studies report consistent positive associations between short-term
17    Os exposure and mortality in older adults. The evidence from mortality studies is consistent with
18    the results reported in the 2006 63 AQCD and is supported by toxicological studies providing
19    biological plausibility for increased risk of effects in older adults. Also, older adults may be
20    experiencing increased  exposure compared to younger adults. Overall, the ISA (U.S. EPA 2013)
21    concludes adequate evidence is available indicating that older adults are at increased risk of
22    O3-related health effects.

23    People with Diets Lower in Vitamins C and E
24           Diet was not examined as a factor potentially affecting risk in previous Os AQCDs, but
25    recent studies have examined modification of the association between Oj, and health effects by
26    dietary factors. Because Oj mediates some of its toxic effects through oxidative stress, the
27    antioxidant status of an individual is an important factor that  may contribute to increased risk of
28    Os-related health effects. Supplementation with vitamins C and E has been  investigated in a
29    number of studies as a means of inhibiting Os-mediated damage.
30           Two epidemiologic studies have examined effect measure modification by diet and found
31    evidence that certain dietary components are related to the effect O^ has on  respiratory outcomes.
32    In one recent study the effects of fruit/vegetable intake and Mediterranean diet were examined.
33    Increases in these food patterns, which have been  noted for their high vitamins C and E and
34    omega-3 fatty acid content, were positively related to lung function in asthmatic children living

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 1    in Mexico City, and modified by Os exposure (Romieu et al., 2009). Another study examined
 2    supplementation of the diets of asthmatic children in Mexico with vitamins C and E (Sienra-
 3    Monge et al., 2004). Associations were detected between short-term Os exposure and nasal
 4    airway inflammation among children in the placebo group but not in those receiving the
 5    supplementation.
 6          The epidemiologic evidence is supported by controlled human exposure studies,
 7    discussed in section 8.4.1 of the ISA (U.S.  EPA 2013), that have shown that the first line of
 8    defense against oxidative stress is antioxidants-rich extracellular lining fluid (ELF) which
 9    scavenge free radicals and limit lipid peroxidation. Exposure to  63 depletes antioxidant levels in
10    nasal ELF probably due to scrubbing of Cb; however, the concentration and the activity of
11    antioxidant enzymes either in ELF or plasma do not appear to be related to 63 responsiveness.
12    Controlled studies of dietary antioxidant supplementation have demonstrated some protective
13    effects of a-tocopherol (a form of vitamin E) and ascorbate (vitamin C) on spirometric measures
14    of lung function after 63 exposure but not on the intensity of subjective symptoms and
15    inflammatory responses. Dietary antioxidants have also afforded partial protection to asthmatics
16    by attenuating postexposure bronchial hyperresponsiveness. Toxicological studies discussed in
17    section 8.4.1 of the ISA (U.S. EPA 2013) provide evidence of biological plausibility to the
18    epidemiologic and controlled human exposure studies.
19          There is adequate evidence that individuals with diets lower in vitamins C and E are at
20    risk for Os-related health effects. The evidence from  epidemiologic studies is supported by
21    controlled human exposure and toxicological studies.

22    Outdoor Workers
23          Studies included in the 2006 63 AQCD reported that individuals who participate in
24    outdoor activities or work outside to be a population  at increased risk based on consistently
25    reported associations between 63 exposure and respiratory health outcomes in these groups (U.S.
26    EPA, 2006b). Outdoor workers are exposed to ambient Oj concentrations for a greater period of
27    time than individuals who spend  their days indoors. As discussed in Section 4.7 of the ISA (U.S.
28    EPA, 2013) outdoor workers sampled during the work shift had a higher ratio of personal
29    exposure to fixed-site monitor concentrations than health clinic workers who spent most of their
30    time indoors. Additionally, an increase in dose to the lower airways is possible during outdoor
31    exercise due to both increases in  the amount of air breathed (i.e., minute ventilation) and a shift
32    from nasal to oronasal breathing. The association between FEVi responses to Os exposure and
33    minute ventilation is discussed more fully in  Section 6.2.3.1 of the 2006 Os AQCD.
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  1            Previous studies have shown that increased exposure to O^ due to outdoor work leads to

 2    increased risk of Cb-related health effects, specifically decrements in lung function (U.S. EPA,

 3    2006b). The strong evidence from the 2006 Os AQCD which demonstrated increased exposure,

 4    dose, and ultimately risk of Os-related health effects in this population supports the conclusion

 5    that there is adequate evidence to indicate that increased exposure to 63 through outdoor work

 6    increases the risk of Os-related health effects.


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15    Basha, MA; Gross, KB; Gwizdala, CJ; Haidar, AH; Popovich, J, Jr. (1994). Bronchoalveolar lavage neutrophilia in
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18     Kan, H; London, SJ; Chen, G; Zhang, Y; Song, G; Zhao, N; Jiang, L; Chen, B. (2008). Season, sex, age, and
19            education as modifiers of the effects of outdoor air pollution on daily mortality in  Shanghai, China: The
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22     Katsouyanni, K; Samet, JM; Anderson, HR; Atkinson, R; Le Tertre, A; Medina, S; Samoli, E; Touloumi, G;
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24            pollution and health: A European and North American approach (APHENA). (Research Report 142).
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26     Kehrl, HR; Peden, DB; Ball, BA; Folinsbee, LJ; Horstman, DH. (1999). Increased specific airway reactivity of
27            persons with mild allergic asthma after 7.6 hours of exposure to 0.16 ppm ozone. J Allergy Clin Immunol
28             104: 1198-1204.

29     Khatri, SB; Holguin, FC; Ryan, PB; Mannino, D; Erzurum, SC; Teague, WG. (2009). Association of ambient ozone
30            exposure with airway inflammation and allergy  in adults with asthma. J Asthma 46: 777-785.
31            http://dx.doi.org/10.1080/02770900902779284

32     Lewis, TC; Robins, TG; Dvonch, JT; Keeler, GJ; Yip, FY; Mentz, GB; Lin, X; Parker, EA; Israel, BA; Gonzalez, L;
3 3            Hill, Y. (2005). Air pollution-associated changes in lung function among asthmatic children in Detroit.
34            Environ Health Perspect 113: 1068-1075.

35     Lin, S; Liu, X; Le, LH; Hwang, SA. (2008b). Chronic exposure to ambient ozone and asthma hospital admissions
36            among children. Environ Health Perspect 116: 1725-1730. http://dx.doi.org/10.1289/ehp.11184

37     Liu, L; Poon, R; Chen, L; Frescura, AM; Montuschi, P; Ciabattoni, G; Wheeler, A; Dales, R.  (2009).  Acute effects
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40     Medina-Ramon, M; Schwartz, J. (2008). Who is more vulnerable  to die from ozone air pollution? Epidemiology 19:
41            672-679.
                                                      3C-10

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  1     Middleton, N; Yiallouros, P; Kleanthous, S; Kolokotroni, O; Schwartz, J; Dockery, DW; Demokritou, P; Koutrakis,
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  4     Mudway, IS; Stenfors, N; Blomberg, A; Helleday, R; Dunster, C; Marklund, SL; Frew, AJ; Sandstrom, T; Kelly, FJ.
  5            (2001). Differences in basal airway antioxidant concentrations are not predictive of individual
  6            responsiveness to ozone: A comparison of healthy and mild asthmatic subjects. Free Radic Biol Med 31:
  7            962-974.

  8     Neidell, M; Kinney, PL. (2010). Estimates of the association between ozone and asthma hospitalizations that
  9            account for behavioral responses to air quality information. Environ Sci Pol 13: 97-103.
10            http://dx.doi.0rg/10.1016/j.envsci.2009.12.006

11     Peden, DB; Boehlecke, B; Horstman, D; Devlin, R. (1997). Prolonged acute exposure to 0.16 ppm ozone induces
12            eosinophilic airway inflammation in asthmatic subjects with allergies. J Allergy Clin Immunol 100: 802-
13            808.

14     Peden, DB; Setzer, RW, Jr; Devlin, RB. (1995). Ozone exposure has both a priming effect on allergen-induced
15            responses and an intrinsic inflammatory action in the nasal airways of perennially allergic asthmatics. Am J
16            RespirCrit Care  Med 151: 1336-1345.

17     Plopper, CG; Smiley-Jewell, SM; Miller, LA; Fanucchi, MV; Evans, MJ; Buckpitt, AR; Avdalovic, M; Gershwin,
18            LJ; Joad, JP; Kajekar, R; Larson, S; Pinkerton, KE; Van Winkle, LS; Schelegle, ES; Pieczarka, EM; Wu,
19            R; Hyde, DM. (2007). Asthma/allergic airways disease: Does postnatal exposure to environmental
20            toxicants promote airway pathobiology? Toxicol Pathol 35: 97-110.
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22     Romieu, I; Barraza-Villarreal, A; Escamilla-Nunez, C; Texcalac-Sangrador, JL; Hernandez-Cadena, L; Diaz-
23            Sanchez, D; De Batlle, J; Del Rio-Navarro, BE. (2009). Dietary intake, lung function and airway
24            inflammation in Mexico City school children exposed to air pollutants. Respir Res 10: 122.

25     Scannell,  C; Chen, L; Aris, RM; Tager, I; Christian, D; Ferrando, R; Welch, B; Kelly, T; Balmes, JR. (1996).
26            Greater ozone-induced inflammatory responses in subjects with asthma. Am J Respir Crit Care Med  154:
27            24-29.

28     Sienra-Monge, JJ; Ramirez-Aguilar, M; Moreno-Macias, H; Reyes-Ruiz, NI; Del Rio-Navarro, BE; Ruiz-Navarro,
29            MX; Hatch, G; Crissman, K; Slade, R; Devlin, RB; Romieu, I. (2004). Antioxidant supplementation and
3 0            nasal inflammatory responses among young asthmatics exposed to high levels of ozone. Clin Exp Immunol
31            138: 317-322. http://dx.doi.0rg/10.llll/j.1365-2249.2004.02606.x

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3 6            http://www.censusscope.org/us/chart_age.html

37     Stafoggia, M; Forastiere, F; Faustini, A; Biggeri, A; Bisanti, L; Cadum, E; Cernigliaro, A; Mallone, S; Pandolfi, P;
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39            mortality: A population-based case-crossover analysis.  Am J Respir Crit Care Med 182: 376-384.
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41     Thaller, El; Petronella,  SA; Hochman, D; Howard, S; Chhikara,  RS; Brooks, EG. (2008). Moderate increases in
42            ambient PM2.5 and ozone are associated with lung function decreases in beach lifeguards. J Occup Environ
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                                                       3C-11

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                                                       3C-12

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 1            APPENDIX 3-D: AMBIENT O3 CONCENTRATIONS IN LOCATIONS OF
 2            HEALTH STUDIES

 3          Annual 4th highest daily maximum Oj, concentrations for all U.S. monitors operating
 4   during the 1975 - 2010 period were retrieved from EPA's AQS database. These data were used
 5   to calculate 63 design values for the 2008 8-hour 63 NAAQS of 0.075 parts per million (ppm)
 6   according to 40 CFR part 50, Appendix P. Design values were calculated for each 63 monitor
 7   and each 3-year period between 1975-1977 and 2008-2010 whenever sufficient data were
 8   available.

 9                           Ozone Design Values in Study Locations

10      Ozone monitors were matched to 200 health study locations on a case-by-case basis, using
11   the following guidelines:

12      1)  Areas defined by a Metropolitan Statistical Area (MSA) were matched with 63 monitors
13          by incorporating all  of the monitors located in within the MSA boundaries.

14      2)  Areas not represented by a MSA were matched to monitors by incorporating all of the
15          monitors in the county central to location of the health study area.

16      3)  In some cases, EPA staff made judgment calls. For example, EPA staff matched the Los
17          Angeles, CA study area to the Los Angeles-Long Beach-Santa Ana, CA MSA defined by
18          Los Angeles  County, CA  and Orange County, CA, while the Long Beach, CA study area
19          was matched to Los Angeles County, CA and the Santa Ana,  CA study area was matched
20          to Orange County, CA.

21          In some cases, EPA staff matched two or more study areas to the same county or MSA.
22   In other cases, a study area was matched to a MSA and another study area was matched to a
23   county within the same MSA. For each 3-year period, the area design value was determined by
24   the monitor reporting the highest design value in the county or MSA.  This has two implications
25   for the design values:

26      1)  Design values are sensitive to changes in the monitoring network. The addition or
27          discontinuation of Oj monitors in an area may cause increases or decreases in the design
28          value trend.

29      2)  Only valid design values are reported. According to 40 CFR  Part 50, Appendix P, design
30          values greater than the level of the NAAQS  (0.075 ppm) are always valid, while design
31          values less than or equal to 0.075  ppm must have 75% annual data completeness in order
32          to be valid. This may cause anomalies in the design value trend. For example, a monitor
33          may report a  valid design  value based on as few as 12 days of data, or a monitor with less
34          than 75% annual data completeness may have valid design values in some 3-year periods
35          and invalid design values  in others.

                                              3D-1

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36        We have identified design values for the U.S. O^ epidemiologic studies identified in Sections
37    3.1.4.2 and 3.1.4.3 of the second draft Policy Assessment (see Tables 3D-1 and 3D-2,
38    respectively).  For each study, design values were identified for the cities evaluated and for the
39    years over which the study was conducted.  These design values are reported in tables A-l to A-
40    22 of the Wells et al, 2012 memo "Analysis of Recent U.S. Ozone Air Quality Data to Support
41    the 63 NAAQS Review and Quadratic Rollback Simulations to Support the First Draft of the
42    Risk and Exposure Assessment".

43    Table 3D-1   Number of Study Cities from Epidemiologic Studies Using Short-Term Os
44                   Metrics with 3-Year Averages of Annual 4th Highest Daily Maximum  8-hour
45                   O3 Concentrations > 75, 70, 65, or 60 ppb1
Study
Belletal.20042
Bell et al. 2006, 2007, 2008
Cakmakal. 2006
Dales etal. 2006
Franklin & Schwartz, 2008
Katsouyanni et al. 20093
Katsouyannietal. 20095
Katsouyanni etal. 20096
Medina-Ramon et al. 2006
Schwartz, 2005
Stieb et al. 2009
Zanobetti & Schwartz,
2008a,b
Number
of Cities
95
98
10
11
18
894
14
12
26'
14
7
48
Study
Period
1987-2000
1987-2000
1993-2000
1986-2000
2000-2005
1987-1996
1987-1996
1987-1996
1986-1999
1986-1993
1992-2003
1989-2000
Number
(Percent) of
Cities >75
89 (94%)
92 (94%)
3 (30%)
4 (36%)
17 (94%)
83 (93%)
12 (86%)
4 (33%)
24 (92%)
13 (93%)
2 (29%)
44 (92%)
Number
(Percent) of
Cities >70
91 (96%)
94 (96%)
3 (30%)
6 (55%)
18 (100%)
84 (94%)
12 (86%)
6 (50%)
24 (92%)
13 (93%)
2 (29%)
45 (94%)
Number
(Percent) of
Cities >65
93 (98%)
96 (98%)
4 (40%)
7 (64%)
18 (100%)
86 (97%)
14 (100%)
7 (58%)
26 (100%)
14 (100%)
3 (43%)
47 (98%)
Number
(Percent) of
Cities >60
94 (99%)
97 (99%)
8 (80%)
10 (91%)
18(100%)
88 (99%)
14(100%)
11 (92%)
26(100%)
14(100%)
4 (57%)
47 (98%)
      1 For U.S. study areas, we used EPA's Air Quality System (AQS) (http://www.epa.gov/ttn/airs/airsaqsA) to identify
      8-hour O3 concentrations. For Canadian study areas, we used publically available air quality data from the
      Environment Canada National Air Pollution Surveillance Network (http://www.etc-
      cte.ec.gc.ca/napsdata/main/aspxX We followed the data handling protocols for calculating design values as detailed
      in 40 CFR Part 50, Appendix P.

      2We also evaluated the bayes-adjusted effect estimates for individual cities presented by Bell et al. (2004). None of
      the cities for which individual city effect estimates were statistically significant would have met the current standard
      over the study period.

      3 U.S. cities; examining mortality

      4 Study authors included 90 cities in their analyses; air quality data that met completeness criteria described above
      were available for 89 cities

      5 U.S. cities; examining morbidity

      6 Canadian cities; examining mortality and morbidity

      7 Study authors included 27 cities in their analyses; air quality data that met completeness criteria described above
      were available for 26 cities
                                                    3D-2

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46    Table 3D-2    Number of Study Cities from Epidemiologic Studies Using Long-Term Os
47                   Metrics with 3-Year Averages of Annual 4th Highest Daily Maximum 8-hour
48                   Os Concentrations > 75, 70, 65, or 60 ppb


Study
Islam etal. 2008, 2009
Jerrett et al. 2009
Lin etal. 2008
Meng etal. 2010
Moore etal. 2008
Salam etal. 2009
Zanobetti & Schwartz 2011


Number
of Cities
11s
949
2610
7
8
II11
105


Study
Period
1994-2003
1977-2000
1991-2001
1997-2002
1980-2000
1992-2005
1985-2006
Number
(Percent) of
Cities with
Maximum
cone >75
11 (100%)
91 (97%)
24 (92%)
7 (100%)
8 (100%)
12 (100%)
100 (95%)
Number
(Percent) of
Cities with
Maximum
cone >70
11 (100%)
92 (98%)
24 (92%)
7(100%)
8(100%)
12 (100%)
104 (99%)
Number
(Percent) of
Cities with
Maximum cone
>65
11 (100%)
93 (99%)
26(100%)
7 (100%)
8 (100%)
12 (100%)
104 (99%)
Number
(Percent) of
Cities with
Maximum
cone >60
11 (100%)
94(100%)
26(100%)
7 (100%)
8 (100%)
12 (100%)
104 (99%)
49

50
       Study authors included 12 cities in their analyses, air quality data that met completeness criteria described above
      were available for 11 cities
      9 Study authors included 96 cities in their analyses, air quality data that met completeness criteria described above
      were available for 94 cities
      10 Study authors included 27 cities in their analyses, air quality data that met completeness criteria described
      above were available for 26 cities
      11 Study authors included 12 cities in their analyses, air quality data that met completeness criteria described
      above were available for 11 cities

                                                    3D-3

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51      Relationship between average 24-hour and highest 8-hour Os concentrations for cities
52                                  analyzed by Bell et al. (2006)

53          Bell et al. (2006) reported associations between mortality and 24-hour average 63
54   concentrations (i.e., averaged across monitors in cities with multiple monitors) in a multi-city
55   study of 98 U.S. cities. Positive associations persisted in a series of analyses that restricted 63
56   concentrations to those below various cut points (cut points ranged from 5 to 60 ppb in 5 ppb
57   increments). To facilitate consideration of these cut point analyses for the second draft of the 63
58   Policy Assessment, so as to match the form and averaging time of the existing primary standard,
59   we evaluated the relationship between 24-hour average Os concentrations, averaged across
60   monitors in cities with multiple monitors, and the highest 8-hour daily maximum Os
61   concentrations among the individual monitors in each city.

62          EPA staff retrieved daily 24-hour average and 8-hour maximum Os concentrations
63   reported to EPA by monitors in the 98 study areas defined in Bell et al. (2006) during the 1987-
64   2012 period from EPA's Air Quality System (AQS) database. Next, EPA staff obtained the
65   study area boundaries from the published study (Bell et al., 2006) and used them to determine
66   which Os  monitoring sites were associated with each study area. The 24-hour average 03
67   concentrations were averaged spatially across all available monitors within each study area on
68   each day where monitoring data were collected. Next, days where  the area-wide 24-hour average
69   concentration (i.e., averaged spatially across monitors in areas with multiple monitors) was
70   greater than 60 ppb were removed from the data. Based on the data remaining (i.e., with 24-hour
71   average concentrations of 60 ppb or  below), the annual 4th highest 8-hour daily maximum
72   concentrations were identified for each study area and for each year from 1987-2012 (Table 3D-
73   3). This process was repeated by further removing days with area-wide 24-hour average
74   concentrations greater than  55 ppb, 50 ppb, etc.,  down to 5 ppb,  and re-calculating the same
75   statistics after each removal. The resulting dataset consisted of the annual 4th highest 8-hour
76   daily maximum concentrations for all study areas.

77
                                               3D-4

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78    Table 3D-3   Number of Study Cities with 4th Highest 8-hour Daily Maximum
79                   Concentrations Greater Than the Level of the Current Standard and
80                   Potential Alternative Standards For Various Cut-Point Analyses Presented
81                   in Bell et al. (2006)12

                                    Cut-point for 2-day moving average across monitors and cities (24-h avg)
                           20      25      30      35      40      45       50       55       60       All

       Number (%) of Cities
       with 4th highest >75  0(0%)    0(0%)   12(12%)  52(53%)  77(79%) 88(90%)  93(95%)  94(96%)  94(96%)  94(96%)
       (any year; 1987-2000)

       Number (%) of Cities
       with 4th highest >70  0(0%)    3(3%)   31(32%)  77(79%)  86(88%) 93(95%)  94(96%)  94(96%)  95(97%)  95(97%)
       (any year; 1987-2000)

       Number (%) of Cities
       with 4th highest >65  0(0%)   10(10%)  58(59%)  84(86%)  93(95%) 94(96%)  94(96%)  94(96%)  94(96%)  94(96%)
       (any year; 1987-2000)

       Number (%) of Cities
       with 4th highest >60  1(1%)   36(37%)  74(76%)  93(95%)  96(8%)  97(99%)  97(99%)  97(99%)  97(99%)  97(99%)
       (any year; 1987-2000)
82

83
      12 Study authors included 98 cities in their analyses, air quality data only available for 95

                                                     3D-5

-------
84     Relationship between average and highest 8-hour daily maximum Os concentrations for
85                    New York City, as analyzed by Silverman and Ito (2010)

86          EPA staff retrieved daily maximum 8-hour Os concentrations for the 13 monitors in the
87   New York City area used in the Silverman and Ito (2010) study for April-August of 1999-2006
88   from the AQS database. Next, EPA staff spatially averaged these concentrations across monitors
89   for each day during this period, and then paired them with the highest 8-hour daily maximum
90   value reported across the 13 monitors on each day.

91          Next, the range  of observed average daily maximum 8-hour concentrations was broken
92   into 5 ppb increments.  The number of days where the area-wide average daily maximum 8-hour
93   concentration fell within the increment and the number of days where one or more monitored 8-
94   hour daily maximum values were greater than 75, 70, 65 and 60 ppb were recorded for each 5
95   ppb increment. These numbers are summarized in Table 3D-4.

96   Table 3D-4   Summary statistics for Observed Oi Concentrations in the New York City
97                 Area, April - August 1999 - 2006

                                          2-day moving average across monitors (ppb)

                      11 to  20   21 to 25  26 to 30    31 to 35   36 to 40   41 to 45   46 to 50  51 to 55  56 to 60
                      (62 days)  (92 days)  (178 days)  (206 days)  (236 days) (196 days) (153 days) (111 days) (71 days)
98

99
Days > 75 ppb
Days > 70 ppb
Days > 65 ppb
Days > 60 ppb
0
0
0
0
0
0
0
0
1
1
1
2
0
4
6
7
1
1
5
12
2
12
18
39
9
17
37
67
15
23
42
61
20
30
45
53
                                               3D-6

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100     Relationship between average and highest 8-hour daily maximum Os concentrations for
101                         Atlanta, as analyzed by Strickland et al. (2010)

102          For our assessment of the Strickland et al. (2010) study, based in the Atlanta metropolitan
103   area, we retrieved 8-hour daily maximum concentration data for 4 of the 5 monitors used in the
104   study during the study period (May-October, 1993-2004) from the AQS database.  The 5th
105   monitor was a part of the Southeastern Aerosol Research and Characterization (SEARCH)
106   network, which does not report data to EPA. EPA staff calculated the area-wide average of the
107   8-hour daily maximum concentrations for each day, and  compared to population-weighted
108   average concentrations obtained from the author. The correlation between the arithmetic average
109   values and the population-weighted average values was very high (R = 0.985), thus EPA staff
110   deemed the  arithmetic average to be a suitable surrogate for the population-weighted average
111   used in the study. Finally, 3-day moving averages were calculated from the daily area-wide
112   average values (matching the air quality metric used in the study), and paired with the highest
113   monitored 8-hour daily maximum value occurring during each 3-day period.

114          Next, the range of observed average daily maximum 8-hour concentrations was broken
115   into 5 ppb increments.  The number of days where the area-wide average daily maximum 8-hour
116   concentration fell within the increment and the number of days where one or more monitored 8-
117   hour daily maximum values were greater than 75, 70, 65 and 60 ppb were recorded for each 5
118   ppb increment. These numbers are summarized in Table 3D-5.

119   Table 3D-5   Summary statistics for Observed O^ Concentrations in  the Atlanta Area,
120                 April - August 1999 - 2006

                                       3-day moving average across monitors (ppb)
               26-30    31-35    36-40    41-45    46-50    51-55    56-60     61-65    66-70    71 to 75  76 to 80
              (75 days)  (144 days) (165 days) (210 days)  (235 days)  (244 days)  (272 days) (234 days)  (169 days) (124 days) (106 days)
122
Days > 75
Days > 70
Days > 65
Days > 60
0
0
1
1
0
0
0
2
2
6
8
15
2
6
19
33
10
20
38
68
24
49
75
115
53
81
118
152
80
111
147
173
89
107
133
147
87
96
106
116
87
95
100
102
                                                3D-7

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123    Relationship between annual and highest 1-hour daily maximum Os concentrations for 12
124                         study areas, as analyzed by Jerrett et al. (2009)

125          The Jerrett et al. (2009) study used a long-term metric based on seasonal averages of 1-
126   hour daily maximum 63 concentrations to evaluate associations between respiratory mortality
127   and long-term or repeated exposures to 63. Authors divided study cities into quartiles based on
128   these seasonal averages of 1-hour daily 63 concentrations. Using AQS, we identified the 3-year
129   averages of annual 4th highest daily maximum 8-hour 63 concentrations in study cities during the
130   study period. Table 3D-6 presents the means and maximums of these concentrations over the
131   study period.

132          In addition, for the 12 urban case study areas included in the epidemiology-based risk
133   assessment of the 2nd draft of the Health REA we identified the seasonal  averages of 1-hour daily
134   maximum concentrations (i.e., the 63 metric evaluated by Jerrett et al., 2009) for air quality
135   adjusted to the current  and alternative standards.  Specifically, for adjusted air quality "quarterly"
136   averages of 1-hour concentrations for April-June and July-August were calculated for each area
137   and year.  The quarterly values were considered to be valid if valid daily maximum 1-hour
138   values were available for at least 75% of the days in the quarter.  The two quarterly values were
139   then averaged, as was done by Jerrett et al. (2009) to generate the long-term metric used in the
140   study. This process was repeated for the various model-based adjustment scenarios in each of
141   the 12 study areas.  Summary statistics based on this seasonal average of daily 03 concentrations
142   are presented in Table 3D-7 for recent air quality and for air quality adjusted to just meet the
143   current and alternative standards.

144
                                                 3D-8

-------
145
146
                                                        th
Table 3D-6    Three-Year Averages of Annual 4   Highest Daily Maximum 8-hour O
                                   ,13
               Concentrations in 94  Study Areas Examined in Jerrett et al. (2009)

*t
0)
D
l/>
O
Q.
X
0)
0)
00
tc
OJ
tc
^
_QJ
t
tc
D
!T
4-»
LO
0)
_O
0)
4->
c
LO
0)
4->
U
Cities in the highest three
quartiles of average
exposure15
City
Charleston, WV
Chicago, IL
Colorado Springs, CO
Corpus Christi, TX
Detroit, Ml
Flint, Ml
Ft. Lauderdale, FL
Kansas City, MO
Lansing, Ml
Madison, Wl
Minneapolis, MN
New Orleans, LA
Orlando, FL
Portland, OR
Providence, Rl
Salinas, CA
San Antonio, TX
San Francisco, CA
San Jose, CA
Seattle, WA
Tacoma, WA
Vallejo, CA
Wichita, KS
Charleston, SC
Charlotte, NC
Chattanooga, TN
Cincinnati, OH
Cleveland, OH
Columbia, SC
Columbus, OH
Dallas/Ft Worth, TX
Dayton, OH
Denver, CO
Mean over
study
period
81
103
62
82
95
83
74
87
81
82
74
86
79
81
110
68
85
88
91
78
78
74
75
79
97
90
101
98
85
93
106
95
83
Max over
study
period
99
114
66
89
103
91
79
97
90
102
80
99
82
91
124
74
92
96
103
88
88
82
81
90
112
97
119
108
109
103
118
122
91
       13 Jerrett et al. (2009) examined 96 MSAs; this analysis included the 94 cities that met data completeness criteria
       described above, after linking monitors to MSAs (see lines 10-28, above).
       14 Based on visual inspection of Figure 1 in Jerrett et al. (2009)
       15 Based on visual inspection of Figure 1 in Jerrett et al. (2009)
                                                    3D-9

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El Paso, TX
Evansville, IN
Fresno, CA
Gary, IN
Greely, CO
Greensboro, NC
Greenville, SC
Harrisburg, PA
Houston, TX
Huntington, WV
Indianapolis, IN
Jackson, MS
Jacksonville, FL
Jersey City, NJ
Johnstown, PA
Kenosha, Wl
Knoxville, TN
Lancaster, PA
Las Vegas, NV
Lexington, KY
Little Rock, AR
Los Angeles, CA
Memphis, TN
Milwaukee, Wl
Nashville, TN
Nassau, NY
New Haven, CT
New York City, NY
Newark, NJ
Norfolk, VA
Oklahoma City, OK
Philadelphia, PA
Phoenix, AZ
Pittsburgh, PA
Portland, ME
Portsmouth, NH
Racine, Wl
Raleigh, NC
Reading, PA
Richmond, VA
Riverside, CA
Roanoke, VA
85
93
112
91
69
89
86
94
121
94
93
79
81
106
90
101
91
94
80
88
86
193
94
103
94
NA16
116
118
90
91
86
117
86
101
106
92
102
90
99
94
196
83
96
100
123
105
75
100
94
103
140
103
103
98
87
118
107
114
97
101
85
99
107
248
103
117
106
NA
136
129
105
101
93
136
96
123
117
104
124
104
114
104
245
95
' Air quality data did not meet completeness criteria described above




                                               3D-10

-------

Rochester, NY
Sacramento, CA
San Diego, CA
Shreveport, LA
South Bend, IN
Springfield, MA
St Louis, MO
Steubenville, OH
Syracuse, NY
Tampa, FL
Toledo, OH
Trenton, NJ
Tucson, AZ
Ventura, CA
Washington, DC
Wilmington, DE
Worcester, MA
York, PA
Youngstown, OH
89
110
121
83
90
102
105
82
85
85
93
112
76
118
105
103
92
95
93
99
118
141
88
102
115
122
99
96
91
108
124
82
132
116
116
102
107
103
147
                                              3D-11

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148
149
150
Table 3D-7  Long-Term Os Concentrations in 12 Urban Case Study Areas (Using the
            Metric Evaluated by Jerrett et al., 2009) for Recent Air Quality and Air
            Quality Adjusted to Meet Standard Levels of 75, 70, 65, and 60 ppb

Atlanta
Baltimore
Boston
Cleveland
Denver
Detroit
Houston
Los Angeles
New York City
Philadelphia
Sacramento
Saint Louis
Air Quality
Adjusted to:
Recent
75
70
65
60
Recent
75
70
65
60
Recent
75
70
65
60
Recent
75
70
65
60
Recent
75
70
65
60
Recent
75
70
65
60
Recent
75
70
65
60
Recent
75
70
65
60
Recent
75
70
65
60
Recent
75
70
65
60
Recent
75
70
65
60
Recent
75
70
65
60
2006
(Adj Yrs 2006-2008)
65
53
50
47
45
60
54
52
49
46
49
48
46
44
43
51
49
47
45
41
63
62
60
58
53
50
50
48
47
45
53
48
47
46
45
65
58
55
52
N/A
53
47
N/A
N/A
N/A
56
51
49
47
45
66
55
52
50
47
58
53
50
47
44
2007
(Adj Yrs 2006-2008)
63
52
49
46
44
59
54
51
49
46
50
49
47
45
43
52
50
48
45
41
63
61
59
58
53
54
52
50
49
46
48
46
45
44
43
61
59
56
53
N/A
54
47
N/A
N/A
N/A
59
52
50
48
46
59
50
48
46
44
58
53
51
48
45
2008
(Adj Yrs 2008-2010)
57
53
49
46
44
57
53
51
48
46
46
49
48
46
44
53
51
48
45
41
63
63
62
59
53
51
N/A
51
49
46
47
47
46
45
43
64
60
57
54
N/A
55
51
N/A
N/A
N/A
57
54
51
49
47
65
54
51
49
46
52
51
50
48
45
2009
(Adj Yrs 2008-2010)
50
47
44
42
40
52
49
48
46
44
45
45
44
43
41
49
47
45
43
40
58
58
58
56
51
48
N/A
49
47
45
47
48
47
46
44
62
60
58
54
N/A
48
47
N/A
N/A
N/A
51
49
47
45
43
61
51
49
47
44
51
50
48
46
43
2010
(Adj Yrs 2008- 2010)
56
52
49
46
44
60
55
53
50
48
49
48
48
46
44
54
51
48
45
42
60
60
58
55
50
52
N/A
52
50
47
46
46
46
45
44
57
58
56
53
N/A
55
51
N/A
N/A
N/A
58
54
52
49
47
55
48
46
44
42
55
54
52
49
46
151
                                            3D-12

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152    REFERENCES

153    Bell, ML; Dominici, F. (2008). Effect modification by community characteristics on the short-term effects of ozone
154            exposure and mortality in 98 US communities. Am J Epidemiol 167: 986-997.
155            http://dx.doi.org/10.1093/aje/kwm396

156    Bell, ML; Kim, JY; Dominici, F. (2007). Potential confounding of paniculate matter on the short-term association
157            between ozone and mortality in multisite time-series studies. Environ Health Perspect 115: 1591-1595.
158            http://dx.doi.org/10.1289/ehp.10108

159    Bell, ML; Peng, RD; Dominici, F. (2006). The exposure-response curve for ozone and risk of mortality and the
160            adequacy of current ozone regulations. Environ Health Perspect 114: 532-536.

161    Cakmak, S; Dales, RE; Judek, S. (2006a). Do gender, education, and income modify the effect of air pollution gases
162            on cardiac disease? J Occup Environ Med 48: 89-94.
163            http://dx.doi.org/10.1097/01.jom.0000184878.11956.4b

164    Cakmak, S; Dales, RE; Judek, S. (2006b). Respiratory health effects of air pollution gases: Modification by
165            education and income. Arch Environ Occup Health 61: 5-10. http://dx.doi.org/10.3200/AEOH.61.L5-10

166    Dales, RE; Cakmak, S; Doiron, MS. (2006). Gaseous air pollutants and hospitalization for respiratory disease in the
167            neonatal period. Environ Health Perspect 114: 1751-1754. http://dx.doi.org/10.1289/ehp.9044

168    Franklin, M; Schwartz, J. (2008). The impact of secondary particles on the association between ambient ozone and
169            mortality. Environ Health Perspect 116:  453-458.

170    Islam, T; Berhane, K; McConnell, R; Gauderman, WJ; Avol, E; Peters, JM; Gilliland, FD. (2009).  Glutathione-S-
171            transferase (GST) PI, GSTM1, exercise, ozone and asthma incidence in school children. Thorax 64: 197-
172            202. http://dx.doi.org/10.1136/thx.2008.099366

173    Islam, T; McConnell, R; Gauderman, WJ; Avol, E; Peters, JM; Gilliland, FD. (2008). Ozone, oxidant defense genes
174            and risk of asthma during adolescence. Am J Respir Crit Care Med 177: 388-395.
175            http://dx.doi.org/10.1164/rccm.200706-863OC

176    Jerrett, M; Burnett, RT; Pope, CA, III; Ito, K; Thurston, G; Krewski, D; Shi, Y; Calle, E; Thun, M. (2009). Long-
177            term ozone exposure and mortality. N Engl J Med 360: 1085-1095.
178            http://dx.doi.org/10.1056/NEJMoa0803894

179    Katsouyanni, K; Samet, JM; Anderson, HR; Atkinson, R; Le Tertre, A; Medina, S; Samoli, E; Touloumi, G;
180            Burnett, RT; Krewski, D; Ramsay, T; Dominici, F; Peng, RD; Schwartz, J; Zanobetti, A. (2009). Air
181            pollution and health: A European and North American approach (APHENA). (Research Report 142).
182            Boston, MA: Health Effects Institute.

183    Lin, S; Liu, X; Le, LH; Hwang, SA. (2008b). Chronic exposure to ambient ozone and asthma hospital admissions
184            among children. Environ Health Perspect 116: 1725-1730. http://dx.doi.org/10.1289/ehp. 11184

185    Medina-Ramon, M; Zanobetti, A; Schwartz, J. (2006). The effect of ozone and PM10 on hospital admissions for
186            pneumonia and chronic obstructive pulmonary disease: A national  multicity study. Am  J Epidemiol 163:
187            579-588. http://dx.doi.org/10.1093/aje/kwj078

188    Meng, YY; Rull, RP; Wilhelm, M; Lombardi, C;  Balmes, J; Ritz, B. (2010). Outdoor air pollution and uncontrolled
189            asthma in the San Joaquin  Valley, California. J Epidemiol Community Health 64: 142-147.
190            http://dx.doi.org/10.1136/jech.2008.083576
                                                       3D-13

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191     Moore, K; Neugebauer, R; Lurmann, F; Hall, J; Brajer, V; Alcorn, S; Tager, I. (2008). Ambient ozone
192             concentrations cause increased hospitalizations for asthma in children: An 18-year study in Southern
193             California. Environ Health Perspect 116: 1063-1070.

194     Salam, MT; Islam, T; Gauderman, WJ; Gilliland, FD. (2009). Roles of arginase variants, atopy, and ozone in
195             childhood asthma. J Allergy Clinlmmunol 123: 596-602. http://dx.doi.org/10.1016/jjaci.2008.12.020

196     Schwartz, J. (2005a). How sensitive is the association between ozone and daily deaths to control for temperature?
197             Am J Respir Crit Care Med 171: 627-631.

198     Schwartz, J. (2005b). Who is sensitive to extremes of temperature? A case-only analysis. Epidemiology 16: 67-72.
199

200     Stieb, DM; Szyszkowicz, M; Rowe, BH; Leech, JA. (2009). Air pollution and emergency department visits for
201             cardiac and respiratory conditions: A multi-city time-series analysis. Environ Health Global Access Sci
202             Source 8: 25. http://dx.doi.org/10.1186/1476-069X-8-25

203     Zanobetti, A; Schwartz, J. (2011). Ozone and survival in four cohorts with potentially predisposing diseases. Am J
204             Respir Crit Care Med 184: 836-841. http://dx.doi.org/10.1164/rccm.201102-0227OC

205     Zanobetti, A; Schwartz, J. (2008a). Is there adaptation in the ozone mortality relationship: A multi-city case-
206             crossover analysis. Environ Health 7: 22. http://dx.doi.org/10.1186/1476-069X-7-22

207     Zanobetti, A; Schwartz, J. (2008b). Mortality displacement in the association of ozone with mortality: An analysis
208             of 48 cities in the United States. Am J Respir Crit Care Med 177: 184-189.
209             http://dx.doi.org/10.1164/rccm.200706-823OC

210
                                                         3D-14

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Appendix 5A
Ozone-Sensitive Plant SpeciesA Used by Some Tribes*
*(Based on Feedback from 3 Tribes)
Common Name
(other common names)
Red alder (Oregon alder, Western alder)
Speckled alder (Tag alder, Gray alder, Hoary
alder)
Groundnut (Wild bean, American potato bean)
Spreading Dogbane (Common dogbane)
Common milkweed
New England Aster
Green ash
Twinberry
Bee-balm
Virginia creeper
Jack pine
Lodgepole pine
White pine
Black poplar (Balsam poplar)
Quaking aspen (Trembling aspen)
Black cherry
Choke cherry
Douglas fir
Allegheny blackberry (Common blackberry)
Thimbleberry
Cutleaf coneflower (Coneflower, Golden glow)
Pussy willow
Shinning willow
American elder (White elder)
Red elderberry
Sassafras
Goldenrod
Huckleberry
Wild grape
European wine grape
Scientific Name
Alnus rubra
Alnus rugosa (Alnus incana)
Apios americana
Apocynum androsamifolium
Asclepias syriaca
Aster novae-angliae
Symphyotrichum novae-angliae
Fraxinus pennsylvanica
Lonicera involucrate
Monarda didyma
Parthenocissus quinquefolia
Pinus banksiana
Pinus contorta
Pinus strobus
Populus balsamifera
trichocarpa
Populus tremuloides
Prunus serotina
Prunus virginiana
Pseudotsuga menziesii
Rubus allegheniensis
Rubus parviflorus
Rudbeckia laciniata
Salix discolor
Salix lucida
Sambucus canadensis
Sambucus racemosa
Sassafras albidum
Solidago altissima
Vaccinium membranaceum
Vitis spp.
Vitis vinifera
Confirmed bioindicator
species
Y
Y
Y
Y
Y


Y

Y
Y



Y
Y


Y
Y
Y


Y
Y


Y

Y
ASpecies included in this list are identified in one or more of the following sources:
!)SP2007(www.2.nature.nDS.20v/air/Pubs/Ddf/fla2/NPSozonesensDDFLAG06.Ddf)
2) NFS O^ Bioindicators 2006 (www.nature.nDS.sov/air/Pubs/bioindicators/index.cfm)

3) Kline et al., 2008; 4) Davis, 2007/ 2009; 5) Flagler, et al., eds., 1998
6) USDA FS FHM/FIA: Ozone Bioindicator Sampling and Estimation
(www.nrs.fs.fed.us/fia/tODics/ozone/Dubs/Ddfs/ozone%20estimation%20document.Ddf) and
Ozone Injury in West Coast Forests: 6 Years of Monitoring (2007).
     5A-1

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             5A-2

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 1                                       APPENDIX 6A
 2
 3        Calculation of Approximate Equivalent 12-hr SUM06 and 12-hr W126
 4
 5
 6    SOURCE:  2007 Staff Paper, Appendix 7B (U.S. EPA, 2007).
 1          Despite various metrics reported in the vegetation effects literature, there is no standard
 8    method for calculating equivalent levels between metrics. The maximum 3-month 12-hr
 9    SUM06 of 25 ppm-hr secondary standard that was proposed in the last review (62 FR
10    38877) was based on a yield loss prevention of approximately 10% in 50% of crop cases
11    studied in the National Crop Loss Analysis Network (NCLAN) experiments. For
12    consistency, staff judged it appropriate to use the NCLAN experiments to derive
13    equivalents between the 12-hr SUM06 and W126.  For example, below are the 12-hr
14    SUM06 and W126 NCLAN equations to protect 50% of crop cases from a specified
15    percent yield loss (Lee and Hogsett 1996):
16
Metric
12-hr SUM06
1 2-hr W 126
Weibull Equation
Predicted Relative Yield Loss = 1- exp(-[SUM06/87.42]A1.82)
Predicted Relative Yield Loss = 1- exp(-[W126/96.05]A1.48)
17
18    In the first equation, solving for a SUM06 of 25 ppm-hr equals a predicted relative yield
19    loss of 10%. Solving the second equation for a 10% yield loss equals a W126 of 21 ppmhr.
20    Thus, staff considers a 12-hr SUM06 of 25 ppm-hr and a 12-hr W126 of 21 ppm-hr
21    approximately equivalent.
22

23    REFERENCES
24
25    Lee, E. H.; Hogsett, W. E. (1996) Methodology for calculating inputs for ozone secondary standard benefits
26          analysis: part II. Report prepared for Office of Air Quality Planning and Standards, Air Quality Strategies
27          and Standards Division, U.S. Environmental Protection Agency, Research Triangle Park, N.C., March.

28    U.S. EPA (U.S. Environmental Protection Agency). (2007). Review of the national ambient air quality standards for
29          ozone: Policy assessment of scientific and technical information: OAQPS staff paper [EPA Report].
30          (EPA/452/R-07/003). Research Triangle Park, NC.
31          http://www.epa.gov/ttn/naaqs/standards/ozone/data/2007_0 l_ozone_staff_paper

32
33
                                               6A-1

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United States                             Office of Air Quality Planning and Standards             Publication No. EPA-452/P-14-002
Environmental Protection                   Health and Environmental Impacts Division                                 January 2014
Agency                                         Research Triangle Park, NC

-------