EPA/600/R-10/030 | October 2011 | www.epa.gov/ncea United States Environmental Protection Agency Fact andbo National Center for Environmental Assessment Office of Research and Development, Washington, DC 20460 ------- EPA/600/R-10/030 October 2011 HIGHLIGHTS of the Exposure Factors Handbook National Center for Environmental Assessment Office of Research and Development U.S. Environmental Protection Agency Washington, DC 20460 ------- Disclaimer This document has been reviewed in accordance with U.S. Environmental Protection Agency policy and approved for publication. Mention of trade names or commercial products does not constitute endorsement or recommenda- tion for use. Preferred Citation: U.S. Environmental Protection Agency (U.S. EPA). (2011) Highlights of the Exposure Factors Handbook. National Center for Environmental Assessment, Washington, DC; EPA/600/R-10/030. Available from the National Technical Information Service, Springfield, VA and online at http://www.epa.gov/ncea. ii Exposure Factors Handbook—Highlights ------- Authors, Contributors, and Acknowledgements The U.S. Environmental Protection Agency (U.S. EPA), Office of Research and Development, National Center for Environmental Assessment (NCEA) was responsible for the preparation of the Highlights of the Exposure Factors Handbook and the Exposure Factors Handbook: 2011 Edition. The Highlights document was prepared by ICF International under Contract No. EP-C-09-009. Dr. Linda Phillips served as the Work Assignment Manager for this Highlights document and is a contributing author on both the Highlights document and the Exposure Factors Handbook: 2011 Edition. Westat, Inc., and Versar, Inc., provided technical assistance to the U.S. EPA in the development of the Exposure Factors Handbook: 2011 Edition under contracts with the U.S. EPA. Ms. Jacqueline Moya served as the Work Assignment Manager for the development of d\e Exposure Factors Handbook: 2011 Edition under these contracts, providing overall direction and technical assistance, and is a contributing author on both the Highlights document and the Exposure Factors Handbook: 2011 Edition. Highlights Exposure Factors Handbook: 2011 Edition Authors U.S. EPA Linda Phillips Jacqueline Moya ICF International Kimberly Osborn Heather Simpson Elizabeth Dederick Design and Graphics ICF International Stephanie Bogue Editing U.S. EPA Terri Konoza Website U.S. EPA Maureen Johnson Authors U.S. EPA Jacqueline Moya Linda Phillips Laurie Schuda Westat, Inc. Robert Clickner Rebecca Jeffries Birch NaaAdjei Peter Blood Kathleen Chapman Rey de Castro Kathryn Mahaffey Versar, Inc. Patricia Wood Adria Diaz Ron Lee Word Processing Westat, Inc. Versar, Inc. ECFlex, Inc. IntelliTech Systems, Inc. Editing ECFlex, Inc. IntelliTech Systems, Inc. The authors wish to acknowledge the important contributions of the following U.S. EPA individuals who conducted additional analyses for the Exposure Factors Handbook: 2011 Edition, as summarized in this Highlights document: David Hrdy, Office of Pesticide Programs Henry Kahn, National Center for Environmental Assessment David Miller, Office of Pesticide Programs James Nguyen, Office of Pesticide Programs Aaron Niman, Office of Pesticide Programs Allison Nowotarski, Office of Pesticide Programs Sheila Piper, Office of Pesticide Programs Kristin Rury, Office of Pesticide Programs Bernard Scheneider, Office of Pesticide Programs Nicolle Tulve, National Exposure Research Laboratory Julie Van Alstine, Office of Pesticide Programs Philip Villanueva, Office of Pesticide Programs In addition, the U.S. EPAs National Exposure Research Laboratory (NERL) made an important contribution to the Exposure Factors Handbook: 2011 Edition by conducting additional analyses of the National Human Activity Pattern Survey (NHAPS) data. U.S. EPA input to the NHAPS data analysis came from Karen A. Hammerstrom and Jacqueline Moya from NCEA-Washington Division; William C. Nelson from NERL-Research Triangle Park; and Stephen C. Hern, Joseph V. Behar (retired), and William H. Englemann from NERL-Las Vegas. The U.S. EPAs Office of Water and Office of Pesticide Programs made important contributions by conducting analyses of the U.S. Department of Agricultures Continuing Survey of Food Intakes by Individuals (CSFII) data and the Centers for Disease Control and Preventions (CDC) National Health and Nutrition Examination Survey (NHANES) data to provide general population food intake rates. Authors, Contributors, and Acknowledgements ill ------- Foreword The Exposure Factors Handbook was first published by the U.S. Environmental Protection Agency (U.S. EPA) in 1989. It was revised in 1997 and again in 2011 by the U.S. EPA's Office of Research and Development (OPvD), National Center for Environmental Assessment (NCEA). The purpose of the Handbook is to provide exposure/risk assessors with information on behavioral and physiological factors that can be used in assessing exposures among both adults and children. The 2011 edition of the Exposure Factors Handbook incorporates new factors and data provided in the 2008 Child-Specific Exposure Factors Handbook (U.S. EPA, 2008) as well as other relevant information published through July 2011. This Highlights document was developed to provide a brief overview of the contents of the Exposure Factors Handbook: 2011 Edition and to facilitate access to its exposure factors recommendations. As such, it contains a subset of the information provided in the complete Handbook. This Highlights document is a product of the U.S. EPA's Exposure Factors Program. The Program has three main goals: (1) provide updates to the Exposure Factors Handbook, (2) identify exposure factor data gaps and needs in consultation with clients, and (3) develop companion documents to assist clients in the use of exposure factors data. The activities under each goal are supported by and respond to the needs of the various program offices. NCEA invites you to visit its Web site at www.epa.gov/ncea where you can view and download chapters from the Exposure Factors Handbook: 2011 Edition. Each chapter in the Handbook presents recommended values for the exposure factors covered in the chapter as well as a discussion of the underlying data used in developing the recommendations. U.S. EPA intends to update its Web site periodically so that the information provided by the Exposure Factors Program is current and relevant. David Bussard Director, Washington Division National Center for Environmental Assessment Becki Clark Acting Director National Center for Environmental Assessment IV Exposure Factors Handbook—Highlights ------- Contents 1. Introduction 1 2. Variability and Uncertainty 5 3. Ingestion of Water and Other Select Liquids 7 4. Non-Dietary Ingestion Factors 9 5. Ingestion of Soil and Dust 11 6. Inhalation Rates 15 7. Dermal Exposure Factors 19 8. Body Weight 25 9. Intake of Fruits and Vegetables 27 10. Intake of Fish and Shellfish 29 11. Intake of Meats, Dairy Products, and Fats 33 12. Intake of Grain Products 35 13. Intake of Home-Produced Foods 37 14. Total Food Intake 41 15. Human Milk Intake 43 16. Activity Factors 45 17. Consumer Products 51 18. Lifetime 53 19. Building Characteristics 55 20. References 57 Contents ------- List of Tables and Figures Table 1-1. Considerations Used to Rate Confidence in Recommended Values 2 Figure 1-1. Schematic Diagram of Exposure Pathways, Factors, and Routes 4 Table 3-1. Recommended Values for Drinking Water Ingestion Rates 8 Table 3-2. Recommended Values forWater Ingestion While Swimming 8 Table 4-1. Summary of Recommended Mouthing Frequency and Duration 10 Table 5-1. Recommended Values for Daily Soil, Dust, and Soil + Dust Ingestion (mg/day) 13 Table 6-1. Recommended Long-Term Exposure (MoreThan 30 Days) Values for Inhalation (Males and Females Combined) 16 Table 6-2. Recommended Short-Term Exposure (LessThan 30 Days) Values for Inhalation (Males and Females Combined) 17 Table 7-1. Recommended Values forTotal Body Surface Area, Children (Males and Females Combined) and Adults by Sex 20 Table 7-2. Recommended Values for Surface Area of Body Parts 21 Table 7-3. Recommended Values for Mean Solids Adherence to Skin 22 Table 8-1. Recommended Values for Body Weight 26 Table 9-1. Recommended Values for Intake of Fruits and Vegetables, Edible Portion, Uncooked 28 Table 10-1. Recommended Per Capita and Consumer-Only Values for Fish Intake (g/kg-day), Edible Portion, Uncooked 30 Table 10-2. Recommended Values for Recreational Marine Fish Intake 31 Table 11-1. Recommended Values for Intake of Meats, Dairy Products, and Fats, Edible Portion, Uncooked . 34 Table 12-1. Recommended Values for Intake of Grains, Edible Portion, Edible Portion, Uncooked 36 Table 13-1. Summary of Recommended Values for Intake of Home-Produced Foods 38 Table 14-1. Recommended Values for Per Capita Total Food Intake 42 Table 15-1. Recommended Values for Human Milk and Lipid Intake Rates for Exclusively Breast-Fed Infants 44 Table 16-1. Recommended Values for Activity Patterns 46 Table 16-2. Recommended Values for Occupational Mobility 48 Table 16-3. Recommended Values for Population Mobility 49 Table 17-1. Consumer Product Use Studies Included in the Exposure Factors Handbook 52 Table 18-1. Recommended Values for Expectation of Life at Birth: 2005 53 Table 19-1. Recommendations—Residential Parameters 55 Table 19-2. Summary of Recommended Values for Non-Residential Building Parameters 56 vi Exposure Factors Handbook—Highlights ------- 1. Introduction 1.1 Purpose This Highlights document presents an overview of the information provided in the U.S. Environmental Protection Agency's (U.S. EPA) Exposure Factors Handbook: 2011 Edition (U.S. EPA, 2011). Excerpts of each chapter of the Handbook and summaries of key recommendations for each of the exposure factors are provided. 1.2 About the Handbook The Exposure Factors Handbook: 2011 Edition, hereafter referred to as the Exposure Factors Handbook or Handbook, is the update of an earlier version prepared in 1997 (U.S. EPA, 1997). Its purpose is to (1) summarize data on human behaviors and characteristics that affect exposure to environ- mental contaminants, and (2) recommend values to use for these factors. These recommendations are not legally binding on any U.S. EPA program and should be interpreted as sug- gestions that program offices or individual exposure assessors can consider and modify as needed. Many of these factors are best quantified on a site- or situation-specific basis. The decision as to whether to use site-specific or national values for an assessment may depend on the quality of the compet- ing data sets as well as on the purpose of the specific assess- ment. The Handbook includes full discussions of the issues that assessors should consider in deciding how to use these data and recommendations. The Handbook reviews and summarizes data on the various factors used in the exposure assessment. It contains 19 chapters: an introduction (Chapter 1), a discussion about the variability and uncertainty in assessing exposure factors (Chapter 2), and non-chemical specific data on exposure factors in the following areas: • ingestion of water and other select liquids (Chapter 3); • non-dietary ingestion factors (Chapter 4); • ingestion of soil and dust (Chapter 5); • inhalation rates (Chapter 6); • dermal exposure factors (Chapter 7); • body weight (Chapter 8); intake of fruits and vegetables (Chapter 9); intake offish and shellfish (Chapter 10); intake of meats, dairy products, and fats (Chapter 11); intake of grain products (Chapter 12); intake of home-produced foods (Chapter 13); total food intake (Chapter 14); human milk intake (Chapter 15); activity factors (Chapter 16); consumer products (Chapter 17); lifetime (Chapter 18); and building characteristics (Chapter 19). 1.3 Intended Audience The Exposure Factors Handbook is intended for use by expo- sure assessors and risk assessors, both within and outside the U.S. EPA, as a reference tool and primary source of exposure factor information. It may be used by scientists, economists, and other interested parties as a source of data and/or U.S. EPA recommendations on numeric estimates for behavioral and physiological characteristics needed to estimate expo- sure to environmental agents. 1.4 Selection of Studies for the Handbook Information in the Exposure Factors Handbook and in this Highlights document has been summarized from studies documented in the scientific literature and other publicly available sources. Studies were chosen that were seen as useful and appropriate for estimating exposure factors for both adults and children. The Handbook contains summa- ries of selected studies published through July 2011. Certain studies described in the Handbook are designated as "key," that is, the most up-to-date and scientifically sound for deriving recommendations for exposure factors. The recom- mended values for most exposure factors are based on the results of the key studies (see Section 1.5 in the Exposure Factors Handbook). Other studies designated as "relevant," meaning applicable or pertinent, but not necessarily the most important, are also summarized in the Handbook. 1. Introduction ------- 1.5 Approach Used to Develop Recommendations for Exposure Factors U.S. EPA's procedure for developing recommendations included study review and evaluations, considering single versus multiple key studies, evaluating the variability of a factor across the population, and identifying uncertainties in the data. Based on these evaluations, U.S. EPA assigned a confidence rating to each factor. This qualitative rating is not intended to represent an uncertainty analysis; rather, it represents U.S. EPA's judgment on the quality of the underlying data used to derive the recommendation. Table 1-1 summarizes the factors used in selecting studies for con- sideration in the Handbook and in evaluating data limita- tions. It should be noted that while U.S. EPA has developed recommendations for each exposure factor, different values may be appropriate in consideration of policy, precedent, strategy, or other factors such as site-specific information. Table 1 1. Considerations Used to Rate Confidence in Recommended Values General Assessment Factors Increasing Confidence Decreasing Confidence Soundness Adequacy of Approach Minimal (or defined) Bias The studies used the best available methodol- ogy and capture the measurement of interest. As the sample size relative to that of the target population increases, there is greater assur- ance that the results are reflective of the target population. The response rate is greater than 80 percent for in-person interviews and telephone surveys, or greater than 70 percent for mail surveys. The studies analyzed primary data. The study design minimizes measurement errors. There are serious limitations with the approach used; the study design does not accurately capture the measurement of interest. The sample size is too small to represent the popula- tion of interest. The response rate is less than 40 percent. The studies are based on secondary sources. Uncertainties with the data exist due to measurement error. Applicability and Utility Exposure Factor of Interest Representativeness Currency Data Collection Period The studies focused on the exposure factor of interest. The studies focused on the U.S. population. The studies represent current exposure conditions. The data collection period is sufficient to estimate long-term behaviors. The purpose of the studies was to characterize a related factor. Studies are not representative of the U.S. population. Studies may not be representative of current expo- sure conditions. Shorter data collection periods may not represent long-term exposures. Clarity and Completeness Accessibility Reproducibility Quality Assurance The study data could be accessed. The results can be reproduced or the method- ology can be followed and evaluated. The studies applied and documented quality assurance/quality control measures. Access to the primary data set was limited. The results cannot be reproduced, the methodology is hard to follow, and the author(s) cannot be located. Information on quality assurance/quality control was limited or absent. Variability and Uncertainty Variability in Population Uncertainty The studies characterize variability in the population studied. The uncertainties are minimal and can be identified. Potential biases in the studies are stated or can be determined from the study design. The characterization of variability is limited. Estimates are highly uncertain and cannot be char- acterized. The study design introduces biases in the results. Exposure Factors Handbook—Highlights ------- Table 1 1. Considerations Used to Rate Confidence in Recommended Values (continued) Evaluation and Review General Assessment Factors Peer Review Number and Agreement of Studies Increasing Confidence The studies received high level of peer review (e.g., they are published in peer reviewed journals). The number of studies is greater than 3. The results of studies from different researchers are in agreement. Decreasing Confidence The studies received limited peer review. The number of studies is 1 from different researchers The results of studies are in disagreement. 1.6 The Use of Age Groups When Assessing Exposure When the Exposure Factors Handbook was published in 1997, no specific guidance existed with regard to which age group- ings should be used when assessing children's exposure. More recently, U.S. EPA established a consistent set of age groupings and published guidance on this topic (U.S. EPA, 2005). The 2011 edition of the Handbook attempts to present data in a manner consistent with the U.S. EPAs recommended set of age groupings for children. To this date, no specific guidance is available with regard to age groupings for presenting adult data. Therefore, adult data (i.e., >21 years of age) are presented using the age groups defined by the authors of the individual studies. No attempt was made to re-analyze the data using a consistent set of age groups for adults. In cases where data were analyzed by U.S. EPA, age categories were defined as finely as possible based on adequacy of sample size. The selection of rates (e.g., inhalation, ingestion, dermal) to be used for exposure assessments depends on the life stage of the exposed population and the specific activity levels of this popu- lation during various exposure scenarios. The recommended values for adults and children (including infants) for use in various exposure scenarios are presented in each chapter. 1.7 Considering Life Stage When Calculating Exposure and Risk In recent years, there has been an increased concern regarding the potential impact of environmental exposures among chil- dren and other susceptible populations such as older adults and pregnant/lactating women. As a result, U.S. EPA and others have developed policy and guidance, and undertaken research to better incorporate life-stage data into human health risk assessment (Brown et al., 2008). A framework for consider- ing life stages in human health risk assessments was developed by U.S. EPA in the report entitled, A Framework for Assessing Health Risks of Environmental Exposures to Children (U.S. EPA, 2006). Although the framework discusses the importance of incorporating life stages in the evaluation of risks to children, the approach can also be applied to other life stages that may have their own unique susceptibilities, such as older individuals. 1.8 Fundamental Principles of Exposure Assessment The definition of exposure as used by the International Programme on Chemical Safety (IPCS, 2001) is the "contact of an organism with a chemical or physical agent, quantified as the amount of chemical available at the exchange boundaries of the organism and available for absorption." This means contact with the visible exterior of a person such as the skin, and open- ings such as the mouth, nostrils, and lesions. The individuals activity patterns as well as the concentration of the chemical will determine the magnitude, frequency, and duration of the exposure. The exposure becomes an absorbed dose when the chemi- cal crosses an absorption barrier. When the chemical or its metabolites interact with a target tissue, it becomes a target tissue dose, which may lead to an adverse health outcome. This approach has been used historically in exposure assessments and exposure modeling. It is usually referred to as the source- to-dose approach. In recent years, person-oriented approaches and models have gained popularity. This approach is aimed at accounting for cumulative and aggregate exposures to individu- als (Georgopoulos, 2008; Price et al., 2003). The person-ori- ented approach can also take advantage of information about the individuals susceptibility to environmental factors (e.g., genetic differences) (Georgopoulos, 2008). There are three approaches to calculate exposures: (1) the point- of-contact approach, (2) the scenario evaluation approach, and (3) the dose reconstruction approach (U.S. EPA, 1992). The data presented in the Handbook are generally useful for evaluating exposures using the scenario evaluation approach. See Section 1.10 in the Exposure Factors Handbook for more detailed infor- mation on exposure assessment, including dose equations and the use of exposure factors in probabilistic analyses. Figure 1-1 provides a schematic diagram that shows the linkages of a select number of exposure pathways with the exposure factors pre- sented in the Handbook and the corresponding exposure routes. 1. Introduction ------- Figure 1-1. Schematic Diagram of Exposure Pathways, Factors, and Routes Environmental Pathways Exposure Factors Exposure Route X 'O Q 3 (, ~ (Q ^ (5' i Time Indoors (Ch. 16) Volume of Residence (Ch. 19) Building Characteristics (Ch. 19) Air Exchange Rates (Ch. 19) Inhalation Rate (Ch. 6) Time Outdoors (Ch. 16) Inhalation Non-Dietary Ingestion (Ch. 4) Soil and Dust Ingestion (Ch. 5) Time Playing on Sand/Gravel, Grass, and Dirt (Ch. 16) Body Surface Area (Ch. 7) Soil Adherence (Ch. 7) Ingestion Dermal Contact Time Swimming (Ch. 16) Body Surface Area (Ch. 7) Inhalation Rate (Ch. 6) Time Showering/Bathing (Ch. 16) Human Milk Intake (Ch. 15} Ingestion of Water and Other Select Liquids (Ch. 3) 1 Ingestion Inhalation Dermal Dermal Contact Inhalation Inhalation Dermal Contact Ingestion Intake of Fruits and Vegetables (Ch. 9) Intake of Grain Products (Ch. 12) Total Food Intake |Ch. 14) Intake of Home-Produced Foods (Ch. 13) Human Milk Intake (Ch. 15} Intake of Meats, Dairy Products, and Fats (Ch. 11) Intake of Fish and Shellfish (Ch. 10) Ingestion Human Milk Intake (Ch. 15) Total Food Intake (Ch. 14) Ingestion Notes: The pathways presented are selected pathways. This diagram is not meant to be comprehensive. Consumer Products (Ch. 17), such as perfume, are not shown on this diagram. Humans can be exposed to consumer products through all pathways and routes. Body Weight (Ch. 8) and Lifetime (Ch. 18) potentially modify all exposure pathways. ------- 2. Variability and Uncertainty 2.1 Variability versus Uncertainty Accounting for variability and uncertainty is fundamental to exposure assessment and risk analysis. Characterizing and communicating uncertainty and variability should be done throughout all the components of the risk assessment process (NRC, 1994). Thus, careful consideration of the variabilities and uncertainties associated with the exposure factors information used in an exposure assessment is of utmost importance. This section highlights some of the fundamental concepts of variability and uncertainty related to exposure factors data, as presented in Chapter 2 of the Exposure Factors Handbook. 2.2 Types of Variability Variability in exposure potential is a function of the vari- ability in human exposure factors (i.e., those related to an individual's location, activity, behavior or preferences at a particular point in time, or physiological characteristics such as body weight), as well as variations in contaminant concentrations (i.e., those related to pollutant emission rates and physical/chemical processes that affect concentrations in various media, e.g., air, soil, food, and water). Four types of variability can be distinguished: across locations (spatial), over time (temporal), within an individual (intra-individ- ual), and among individuals (inter-individual). 2.3 Types of Uncertainty Uncertainty in exposure analysis is related to the lack of knowledge concerning one or more components of the assessment process. U.S. EPA (1992) classified uncertainty in exposure into three broad categories: (1) uncertainty regarding missing or incomplete information needed to fully define exposure and dose (scenario uncertainty), (2) uncertainty regarding some parameter (parameter uncer- tainty), and (3) uncertainty regarding gaps in scientific theory required to make predictions on the basis of causal inferences (model uncertainty). Because uncertainty in exposure assessment is fundamen- tally tied to a lack of knowledge concerning important exposure factors, strategies for reducing uncertainty neces- sarily involve reduction or elimination of knowledge gaps. Strategies for reducing uncertainty include: (1) collection of new data using a larger sample size, an unbiased sample design, a more direct measurement method, or a more appropriate target population; and (2) use of more sophis- ticated modeling and analysis tools, if data quality allows. 2.4 How the Exposure Factors Handbook Addresses Variability and Uncertainty The Exposure Factors Handbook attempts to characterize vari- ability of each of the exposure factors presented. Variability is addressed by presenting data on the exposure factors in one of the following three ways: (1) as tables with percen- tiles or ranges of values for various life stages, demographi- cal variables, geographical regions, and sociodemographic variables where available and applicable; (2) as probability 2. Variability and Uncertainty ------- distributions with specified parameters including confidence intervals; or (3) as a qualitative discussion. The Exposure Factors Handbook addresses uncertainty by pro- viding qualitative discussions of the limitations associated with each of the studies used to derive recommendations. Confidence ratings are also provided based on U.S. EPA's judgment of the data underlying such recommendations. For more information about variabil- ity and uncertainty, refer to Chapter 2 of the Exposure Factors Handbook at http://www.epa.gov/ncea/efh/pdfs/efh- chapter02.pdf. Detailed information on vari- ability versus uncertainty is provided in Section 2.1, types of variability in Section 2.2, addressing variability in Section 2.3, types of uncertainty in Section 2.4, reducing uncer- tainty in Section 2.5, analyzing variability and uncertainty in Section 2.6, literature review of variability and uncertainty analysis in Section 2.7, and presenting results of variability and uncertainty analysis in Section 2.8. Exposure Factors Handbook—Highlights ------- 3. Ingestion of Water and Other Select Liquids 3.1 Introduction Water ingestion can be a pathway of exposure to environ- mental chemicals. Contamination of water may occur at the water supply source (ground water or surface water); during treatment (e.g., toxic by-products may be formed during chlorination); or post-treatment (e.g., leaching of lead or other materials from plumbing systems). People may be exposed to contaminants in water when consum- ing water directly as a beverage, indirectly from foods and drinks made with water, or incidentally while swimming. Estimating the magnitude of the potential dose of envi- ronmental contaminants from water ingestion requires information on the quantity of water consumed. Chapter 3 of the Exposure Factors Handbook provides information on ingestion of water consumed as a beverage, ingestion of other select liquids, and ingestion of water while swimming. Highlights of these data are provided here. 3.2 Recommended Exposure Factors Drinking Water Ingestion Rates: The recommended drinking water ingestion rates for general population chil- dren <3 years of age are based on an analysis of data from the U.S. Department of Agriculture's 1994-1996 and 1998 Continuing Survey of Food Intakes by Individuals (CSFII) (Kahn and Stralka, 2008a; Kahn, 2008). The recommended drinking water ingestion rates for individuals >3 years of age are based on the U.S. EPA analysis of 2003-2006 data from the National Health and Nutrition Examination Survey (NHANES). The CSFII data set includes survey response data for more than 20,000 people nationwide. The NHANES data set includes survey responses from more than 18,000 people nationwide. These recommended rates repre- sent both consumption of water as a beverage (direct intake) and water used in preparing foods and beverages (indirect intake). The recommended intake rates for pregnant and lactating women are also based on an analysis of data from CSFII (Kahn and Stralka, 2008b). The recommended data represent intake from community (site-specific) water supplies and do not include intake from bottled water or water intrinsic in purchased foods that may be widely dis- tributed. Table 3-1 provides the recommended per capita and consumer-only drinking water ingestion rates. Per capita rates include all survey participants whether or not they ingested any water from the source during the survey period. Consumer-only rates exclude individuals who did not ingest water from the source during the survey period. Overall, the confidence rating for the recommendations for drinking water ingestion rates is medium to high. Water Ingestion Rates While Swimming: The recom- mended values for water ingestion rates during swimming for children and adults are presented in Table 3-2. These values are based on a study by Dufour et al. (2006), which estimated water ingestion of 53 swimmers (12 adults and 41 children under 18 years of age) during a 45-minute swim- ming period at an outdoor pool. The overall confidence in the recommendations for ingestion of water while swimming is low. Data on the amount of time spent swimming are provided in Chapter 16 of the Exposure Factors Handbook. 3. Ingestion of Water and Other Select Liquids ------- Table 3-1. Recommended Values for Drinking Water Ingestion Rates3 Age Group Birth to <1 month 1 to <3 months 3 to <6 months 6to<12 months 1 to <2 years 2 to <3 years 3 to <6 years 6 to <11 years 11 to <1 6 years 16 to <18 years 18 to <21 years >21 years >65 years All ages Pregnant women Lactating women Mean ml/day ml/ kg-day 95th Percent! I e ml/day ml/ kg-day Per Capita1' 184 227 362 360 271 317 327 414 520 573 681 1,043 1,046 869 819° 1,379° 52 48 52 41 23 23 18 14 10 9 9 13 14 14 13° 21c 839° 896° 1,056 1,055 837 877 959 1,316 1,821 1,783 2,368 2,958 2,730 2,717 2,503° 3,434° 232° 205° 159 126 71 60 51 43 32 28 35 40 40 42 43° 55° Mean ml/day ml/ kg-day 95th Percentile ml/day ml/ kg-day Consumers Onlyd 470° 552 556 467 308 356 382 511 637 702 816 1,227 1,288 1,033 872° 1,665° 137° 119 80 53 27 26 21 17 12 10 11 16 18 16 14° 26° 858° 1,053° 1,171° 1,147 893 912 999 1,404 1,976 1,883 2,818 3,092 2,960 2,881 2,589° 3,588° 238° 285° 173° 129 75 62 52 47 35 30 36 42 43 44 43° 55° a Ingestion rates for combined direct and indirect water from community water supply. For multiple percent! les, see Chapters of the Exposure Factors Handbook. b Per capita intake rates are generated by averaging consumer-only intakes over the entire population (including those individuals that reported no intake). ° Estimates are less statistically reliable based on guidance published in the Joint Policy on Variance Estimation and Statistical Reporting Standards on NHANES III and CSFII Reports: NHIS/NCHS Analytical Working Group Recommendations (NCHS, 1993). d Consumer-only intake represents the quantity of water consumed only by individuals that reported consuming water during the survey period. The source of data for children <3 years is the 1994-1996 and 1998 CSFII (Kahn and Stralka, 2008a; Kahn, 2008); for individuals >3 years and all ages, the source of data is the U.S. EPA analysis of 2003-2006 NHANES data. The source of data for pregnant and lactat- ing women is the 1994-1996 and 1998 CSFII (Kahn and Stralka, 2008b). Table 3-2. Recommended Values for Water Ingestion While Swimming Age Group Children Adults Mean ml/ event" 37 16 ml/ hour 49 21 Upper Percentile ml/ event* 90b 53° ml/ hour 120b 71° a Participants swam for 45 minutes. b 97th percentile. ° Maximum value. Source: Dufour et al., 2006. For more information about the key studies used to derive the recommended water ingestion rate values, refer to Chapter 3 of the Exposure Factors Handbook at http://www.epa.gov/ncea/efh/pdfs/efh-chapter03.pdf. Detailed information on water ingestion studies among the general population is included in Section 3.3, and studies regarding pregnant and lactating women can be found in Section 3.4. Section 3.5 presents relevant studies on water intake among individuals located in hot climates or engaging in high activity levels. Section 3.6 presents information on ingestion of water while swim- ming or diving. Limited information on the ingestion of select liquids is also provided in Section 3.3. Exposure Factors Handbook—Highlights ------- 4. Non-Dietary Ingestion Factors 4.1 Introduction Adults and children have the potential for exposure to toxic substances through non-dietary ingestion when these sub- stances are transferred from treated surfaces to the hands or objects that are mouthed. Mouthing behavior includes all activities in which objects, including fingers, are touched by the mouth or put into the mouth except for eating and drinking, and includes licking, sucking, chewing, and biting (Groot et al., 1998). Adults mouth objects such as cigarettes, pens and pencils, or their hands. Young children mouth objects, surfaces, or their fingers as they explore their environment. Data on mouthing frequency (e.g., contacts per hour or contacts per minute) and/or duration of mouth- ing events (how long each contact lasts, expressed in units of seconds or minutes) are required in order to estimate the magnitude of exposure to toxic substances through this behavior. Chapter 4 of the Exposure Factors Handbook provides information on mouthing behaviors and their fre- quency and duration in children and adults. Highlights of these data are provided here. 4.2 Recommended Exposure Factors Hand-to-Mouth and Object-to-Mouth Frequencies: Mouthing frequencies are expressed in units of contacts per hour, between either any part of the hand (including fingers and thumbs) and the mouth, or between an object or surface and the mouth. The recommended hand-to- mouth frequencies are based on data from Xue et al. (2007). The recommendations for frequency of object-to-mouth contact are based on data from Xue et al. (2009). Xue et al. (2007, 2009) report a secondary analysis of data from several studies summarized in Chapter 4 of the Exposure Factors Handbook, as well as data from unpublished studies. Table 4.1 presents the recommended values for mouthing frequency. The overall confidence rating for hand-to-mouth and object-to-mouth contact frequency is low. Hand-to-Mouth and Object-to-Mouth Duration: Recommendations for duration of object-to-mouth con- tacts are based on data from Juberg et al. (2001), Greene (2002), and Beamer et al. (2008). Recommendations for hand-to-mouth duration are not provided because the algo- rithm to estimate exposures from this pathway is not time dependent. Table 4-1 presents the recommended values for mouthing duration. The overall confidence rating for hand- to-mouth and object-to-mouth duration is low. For more information about the key studies used to derive the recommended mouth- ing frequency and duration values, refer to Chapter 4 of the Exposure Factors Handbook at http://www.epa.gov/ncea/efh/ pdfs/efh-chapter04.pdf. Detailed information about studies on mouthing frequency in children is included in Section 4.3, and studies regarding mouthing duration are provided in Section 4.4. Information on mouthing prevalence (i.e., the number or percentage of children performing specific mouthing behaviors at a certain age) is provided in Section 4.5. 4. Non-Dietary Ingestion Factors ------- Table 4-1. Summary of Recommended Mouthing Frequency and Duration Age Group Birth to <3 months 3 to <6 months 6to<12 months 1 to <2 years 2 to <3 years 3 to <6 years 6 to <11 years 11 to <1 6 years 16 to <21 years Age Group Birth to <3 months 3 to <6 months 6 to <12 months 1 to <2 years 2 to <3 years 3 to <6 years 6 to <11 years 11 to <1 6 years 16to<21 years Age Group Birth to <3 months 3 to <6 months 6to<12 months 1 to <2 years 2 to <3 years 3 to <6 years 6 to <11 years 11 to <1 6 years 16 to <21 years Hand-to-Moutha Indoor Frequency (contacts/hour) Mean - 28 19 20 13 15 7 - - 95th Percentile - 65 52 63 37 54 21 - - Outdoor Frequency (contacts/hour) Mean - - 15 14 5 9 3 - - 95th Percentile - - 47 42 20 36 12 - - Object-to-Mouthb Indoor Frequency (contacts/hour) Mean - 11 20 14 9.9 10 1.1 - - 95th Percentile - 32 38 34 24 39 3.2 - - Mean Duration (minutes/hour)0 - 11d 9f 7" 101 - - - - Outdoor Frequency (contacts/hour) Mean - - - 8.8 8.1 8.3 1.9 - - 95th Percentile - - - 21 40 30 9.1 - - 95th Percentile Duration (minutes/hour)0 - 26e 193 22h 11' - - - - 8 Source: Xue et al., 2007. b Source: Xue et al., 2009. c Source: Juberg et al., 2001 ; Greene, 2002; and Beamer et al., 2008. d Mean calculated from Juberg et al., 2001 (Oto 18 months) and Greene, 2002 (3 to 12 months). e Calculated 95th percentile from Greene, 2002 (3 to 12 months). f Mean calculated from Juberg et al., 2001 (Oto 18 months); Greene, 2002 (3 to 12 months); and Beamer et al., 2008 (6 to 13 months). 9 Calculated 95th percentile from Greene, 2002 (3 to 12 months) and Beamer et al., 2008 (6 to 13 months). h Mean and 95th percentile from Greene, 2002 (12 to 24 months). 1 Mean calculated from Juberg et al., 2001 (19 to 36 months); Greene, 2002 (24 to 36 months); and Beamer et al., 2008 (20 to 26 months). i Calculated 95th percentile from Greene, 2002 (24 to 36 months) and Beamer et al., 2008 (20 to 26 months). - No data. 10 Exposure Factors Handbook—Highlights ------- 5. Ingestion of Soil and Dust 5.1 Introduction The ingestion of soil and dust is a potential route of exposure to environmental chemicals for both adults and children. Children, in particular, may ingest significant quantities of soil due to their tendency to play on the floor indoors and on the ground outdoors and their tendency to mouth objects or their hands. Children may ingest soil and dust through deliberate hand-to-mouth movements, or unin- tentionally by eating food that has dropped on the floor. Adults may also ingest soil or dust particles that adhere to food, cigarettes, or their hands. Thus, understanding soil and dust ingestion patterns is an important part of estimat- ing overall exposures to environmental chemicals. At this point in time, knowledge of soil and dust ingestion patterns within the United States is somewhat limited. Chapter 5 of the Exposure Factors Handbook explains the concepts of soil ingestion, soil pica, and geophagy; defines soil, indoor and outdoor settled dust, and dust ingestion; and presents rec- ommended values for amounts of soil and dust ingested for adults and children. This information is summarized here. Definitions: The Centers for Disease Control and Prevention's (CDC) Agency for Toxic Substances and Disease Registry (ATSDR) held a workshop in June 2000 in which a panel of soil ingestion experts developed definitions for soil ingestion, soil-pica, and geophagy to distinguish aspects of soil ingestion patterns that are important from a research perspective (ATSDR, 2001). The Exposure Factors Handbook uses the definitions that are based on those devel- oped by participants in that workshop: * Soil ingestion is the consumption of soil. This may result from various behaviors including, but not limited to, mouthing, contacting dirty hands, eating dropped food, or consuming soil directly. • Soil-pica is the recurrent ingestion of unusu- ally high amounts of soil (i.e., on the order of 1,000-5,000 mg/day or more). * Geophagy is the intentional ingestion of earths and is usually associated with cultural practices. In the Exposure Factors Handbook, soil, indoor and outdoor settled dust, and dust ingestion are defined generally as: • Soil. Particles of unconsolidated mineral and/or organic matter from the earth's surface that are located outdoors, or are used indoors to support plant growth. It includes particles that have settled onto outdoor objects and surfaces (outdoor settled dust). * Indoor Settled Dust. Particles in building interiors that have settled onto objects, surfaces, floors, and carpeting. These particles may include soil particles that have been tracked or blown into the indoor envi- ronment from outdoors as well as organic matter. • Outdoor Settled Dust. Particles that have settled onto outdoor objects and surfaces due to either wet or dry deposition. Note that it is not possible to distinguish between soil and outdoor settled dust, because outdoor settled dust generally would be present on the upper- most surface layer of soil. For the purposes of providing recommended values in the Exposure Factors Handbook, soil ingestion includes both soil and outdoor settled dust, and dust ingestion includes indoor settled dust only. 5. Ingestion of Soil and Dust 11 ------- 5.2 Recommended Exposure Factors Table 5-1 shows the central tendency recommendations for daily ingestion of soil, dust, or soil + dust, in mg/day. It also shows the high-end recommendations for daily inges- tion of soil, in mg/day. The high-end recommendations are subdivided into a general population soil ingestion rate, an ingestion rate for "soil-pica," and an estimate for individuals who exhibit "geophagy." The soil pica and geophagy recom- mendations are likely to represent acute high soil ingestion episodes or behaviors at an unknown point on the high end of the distribution of soil ingestion. The recommendations for children are based on various key studies presented in Chapter 5 of the Exposure Factors Handbook (Vermeer and Frate, 1979; Wong, 1988; Calabrese etal., 1989, 1991, 1997a,b; Barnes, 1990; Davis etal., 1990; Van Wijnen et al., 1990; Calabrese and Stanek, 1993, 1995; Stanek and Calabrese, 1995; Hogan et al., 1998; Stanek et al., 1998; Davis and Mirick, 2006; Ozkaynak et al., 2010). Studies estimating adult soil ingestion are extremely limited, and only two of these are considered to be key studies (Vermeer and Frate, 1979 and Davis and Mirick, 2006). There are no available studies estimating the ingestion of dust by adults. Therefore, the assumption used by the U.S. EPA Integrated Exposure Uptake Biokinetic (IEUBK) model for lead in children (i.e., 45% soil, 55% dust contri- bution) was used to derive estimates for soil and dust using the soil + dust value derived from Davis and Mirick (2006). The soil ingestion recommendations in Table 5-1 are intended to represent ingestion of a combination of soil and outdoor settled dust, without distinguishing between these two sources. The source of the soil in these recommenda- tions could be outdoor soil, indoor containerized soil used to support growth of indoor plants, or a combination of both. The inhalation and subsequent swallowing of soil particles is accounted for in these recommended values, therefore, this pathway does not need to be considered separately. These recommendations are called "soil." The dust ingestion recommendations in Table 5-1 include soil tracked into the indoor setting, indoor settled dust, and air-suspended particulate matter that is inhaled and swal- lowed. Central tendency "dust" recommendations are pro- vided, in the event that assessors need recommendations for an indoor setting or inside a transportation vehicle scenario in which dust, but not outdoor soil, is the exposure medium of concern. The soil + dust recommendations would include: soil, either from outdoor or containerized indoor sources; dust that is a combination of outdoor settled dust, indoor settled dust, and air-suspended particulate matter that is inhaled, subsequently trapped in mucous and moved from the respiratory system to the gastrointestinal tract; and a soil-origin material located on indoor floor surfaces that was tracked indoors by building occupants. Soil and dust recommendations represent the mass of ingested soil or dust on a dry-weight basis. The overall confidence rating for the soil and dust recommendations is low. 12 Exposure Factors Handbook—Highlights ------- Table 5-1. Recommended Values for Daily Soil, Dust, and Soil + Dust Ingestion (mg/day) Age Group 6 weeks to <1 year 1 to <6 years 3 to <6 years 6 to <21 years Adult Soil" General Population Central Tendency0 30 50 - 50 20' High End General Population Upper Percentiled - - 200 - - Soil-Pica6 - 1,000 - 1,000 - Geophagy* - 50,000 - 50,000 50,000 Dustb General Population Central Tendency9 30 60 - 60 30' General Population Upper Percentileh - - 100 - - Soil + Dust General Population Central Tendency0 60 1001 - 100' 50 General Population Upper Percentileh - - 200 - - a Includes soil and outdoor settled dust. b Includes indoor settled dust only. 0 Davis and Mirick, 2006; Hogan et al., 1998;VanWijnen et al., 1990; Calabrese and Stanek, 1995; Davis et al.,1990. d Ozkaynak et al., 2010; Stanek and Calabrese, 1995; rounded to one significant figure. 8 ATSDR, 2001; Calabrese and Stanek, 1993; Calabrese et al., 1989/Barnes, 1990/Calabrese et al., 1991; Calabrese et al., 1997a, b; Stanek et al., 1998;Vermeer and Frate, 1979; Wong, 1988. ' Vermeer and Frate, 1979. 9 Hogan et al, 1998. h Ozkaynak et al., 2010; rounded to one significant figure. 1 Total soil and dust ingestion rate is 110 mg/day; rounded to one significant figure it is 100 mg/day. ' Estimates of soil and dust were derived from the soil + dust and assuming 45% soil and 55% dust. - No data. For more information about the key studies used to derive the recommended inges- tion of soil and dust values, refer to Chapter 5 of the Exposure Factors Handbook at http://www.epa.gov/ncea/efh/pdfs/efh- chapter05.pdf. Detailed information on meth- odologies and the studies on soil and dust ingestion is included in Section 5.3. Information regarding the limitations of the study method- ologies is provided in Section 5.4. 5. Ingestion of Soil and Dust 13 ------- This page intentionally left blank 14 Exposure Factors Handbook—Highlights ------- 6. Inhalation Rates 6.1 Introduction Ambient and indoor air are potential sources of exposure to toxic substances. Adults and children can be exposed to contaminated air during a variety of activities in different environments. They may be exposed to contaminants in ambient air, and may also inhale chemicals from the indoor use of various consumer products. U.S. EPA (1992) defines exposure as the chemical concentration at the boundary of the body. In the case of inhalation, the situation is compli- cated; the anatomy and physiology of the respiratory system as well as the characteristics of the inhaled agent diminishes the pollutant concentration in inspired air (potential dose) such that the amount of a pollutant that actually enters the body through the lung (internal dose) is less than that measured at the boundary of the body. When constructing risk assessments that concern the inhalation route of expo- sure, one must be aware of any adjustments that have been employed in the estimation of the pollutant concentration to account for this reduction in potential dose. Assessors may not always need to select and use inhalation rates when evaluating exposure to air contaminants; for example, IRIS and Superfund risk values (i.e., Reference Concentrations (RfCs) and Unit Risks) already incorporate inhalation rates. However, Chapter 6 of the Exposure Factors Handbook pro- vides recommended inhalation rates for both long-term and short-term exposure scenarios where these factors are needed. The data are summarized in this Highlights document. 6.2 Recommended Exposure Factors The recommended inhalation rates for adults and children are based on three recent studies (Brochu et al., 2006; U.S. EPA, 2009; and Stifelman, 2007), as well as an additional study of children (Arcus-Arth and Blaisdell, 2007). Long- term inhalation is repeated exposure for more than 30 days, up to approximately 10% of the life span in humans (more than 30 days). Long-term inhalation rates for adults and children (including infants) are presented as daily rates (m3/day). Short-term exposure is repeated exposure for more than 24 hours, up to 30 days. Short-term inhalation rates are reported for adults and children (including infants) performing various activities in m3/minute. The Exposure Factors Handbook provides recommendations for both long- and short-term exposure inhalation rates. Values for short- versus long-term are necessary because the length of exposure influences the type and severity of any effects associated with the exposure. Table 6-1 presents the long-term mean and 95th percentile data, by age group, for males and females combined. Table 6-2 presents the short-term data by activity level. The short- term values represent averages of the activity level data from the one key study from which short-term inhalation rate data were available (U.S. EPA, 2009). The overall confi- dence rating in the inhalation rates is medium. 6. Inhalation Rates 15 ------- Long-term exposure is repeated exposure for more than 30 days for adults and children (including infants). Short-term exposure is repeated exposure for more than 24 hours, up to 30 days, for adults and children (including infants) performing various activities. Table 6-1. Recommended Long-Term Exposure (MoreThan 30 Days) Values for Inhalation (Males and Females Combined) Age Group6 Birth to <1 month 1 to <3 months 3 to <6 months 6to<12 months Birth to <1 year 1 to <2 years 2 to <3 years 3 to <6 years 6 to <11 years 11 to <1 6 years 16to<21 years 21 to <31 years 31 to <41 years 41 to <51 years 51 to <61 years 61 to <71 years 71 to <81 years 81 years and older Mean m3/day 3.6 3.5 4.1 5.4 5.4 8.0 8.9 10.1 12.0 15.2 16.3 15.7 16.0 16.0 15.7 14.2 12.9 12.2 Sources Used for Means a a, b a, b a, b a, b, c, d a, b, c, d a, b, c, d a, b, c, d a, b, c, d a, b, c, d a, b, c, d b, c, d b, c, d b, c, d b, c, d b, c, d b,c b,c 95th Percentile'"" m3/day 7.1 5.8 6.1 8.0 9.2 12.8 13.7 13.8 16.6 21.9 24.6 21.3 21.4 21.2 21.3 18.1 16.6 15.7 Sources Used for 95th Percentiles a a, b a, b a, b a, b, c a, b, c a, b, c a, b, c a, b, c a, b, c a, b, c b, c b, c b, c b, c b, c b,c b,c 8 Arcus-Arth and Blaisdell, 2007. b Brochu et al., 2006. c U.S. EPA, 2009. d Stifelman, 2007. e When age groupings in the original reference did not match the U.S. EPA's age groupings used for the Handbook, means from all age groupings in the original reference that overlapped U.S. EPA's age groupings by more than 1 year were averaged, weighted by the number of observations contributed from each age group. Similar calculations were performed for the 95th percentiles. See Table 6-25 of the Exposure Factors Handbookhr concordance with U.S. EPA's age groupings. ' Some 95th percentile values may be unrealistically high and not representative of the average person. 9 For multiple percentiles, seeTables 6-4, 6-6 to 6-8, 6-10, 6-14, and 6-15 in the Exposure Factors Handbook; none available for Stifelman, 2007. 16 Exposure Factors Handbook—Highlights ------- Table 6-2. Recommended Short-Term Exposure (Less Than 30 Days) Values for Inhalation (Males and Females Combined) Activity Level Sleep or Nap Sedentary/Passive Light Intensity Age Group years Birth to <1 year 1 to <2 years 2 to <3 years 3 to <6 years 6 to <11 years 11 to <1 6 years 16 to <21 years 21 to <31 31 to <41 41 to <51 51 to <61 61 to <71 71 to <81 81 years and older Birth to <1 year 1 to <2 years 2 to <3 years 3 to <6 years 6 to <11 years 11 to <1 6 years 16 to <21 years 21 to <31 years 31 to <41 years 41 to <51 years 51 to <61 years 61 to <71 years 71 to <81 years 81 years and older Birth to <1 year 1 to <2 years 2 to <3 years 3 to <6 years 6 to <11 years 11 to <1 6 years 16to<21 years 21 to <31 years 31 to <41 years 41 to <51 years 51 to <61 years 61 to <71 years 71 to <81 years 81 years and older Mean m3/minute 3.0x10-3 4.5x10-3 4.6x10-3 4.3x10-3 4.5x10-3 5.0x10-3 4.9x10-3 4.3x10-3 4.6x10-3 5.0x10-3 5.2x10-3 5.2x10-3 5.3x10'3 5.2x10'3 3.1x10-3 4.7x10-3 4.8x10'3 4.5x10'3 4.8x10-3 5.4x10-3 5.3x10'3 4.2x10'3 4.3x10-3 4.8x10'3 5.0x10-3 4.9x10-3 5.0x10-3 4.9x10'3 7.6x10-3 1.2x10-2 1.2x10-2 1.1x10-2 1.1x10'2 1.3x10-2 1.2x10-2 1.2x10'2 1.2x10'2 1.3x10-2 1.3x10-2 1.2x10'2 1.2x10-2 1.2x10-2 95th Percentile8 m3'minute 4.6x10-3 6.4x10'3 6.4x10'3 5.8x10-3 6.3x10-3 7.4x10-3 7.1 x10'3 6.5x10-3 6.6x10-3 7.1 x10'3 7.5x10-3 7.2x10-3 7.2x10-3 7.0x10-3 4.7x10-3 6.5x10-3 6.5x10-3 5.8x10'3 6.4x10-3 7.5x10-3 7.2x10-3 6.5x10-3 6.6x10-3 7.0x10-3 7.3x10-3 7.3x10-3 7.2x10-3 7.0x10-3 1.1x10'2 1.6x10-2 1.6x10-2 1.4x10'2 1.5x10-2 1.7x10-2 1.6x10-2 1.6x10-2 1.6x10-2 1.6x10-2 1.7x10-2 1.6x10-2 1.5x10-2 1.5x10-2 6. Inhalation Rates 17 ------- Table 6-2. Recommended Short-Term Exposure (Less Than 30 Days) Values for Inhalation (Males and Females Combined) (continued) Activity Level Moderate Intensity High Intensity Age Group years Birth to <1 year 1 to <2 years 2 to <3 years 3 to <6 years 6 to <11 years 11 to <1 6 years 16 to <21 years 21 to <31 years 31 to <41 years 41 to <51 years 51 to <61 years 61 to <71 years 71 to <81 years 81 years and older Birth to <1 year 1 to <2 years 2 to <3 years 3 to <6 years 6 to <11 years 11 to <1 6 years 16to<21 years 21 to <31 years 31 to <41 years 41 to <51 years 51 to <61 years 61 to <71 years 71 to <81 years 81 years and older Mean m3/minute 1.4x10'2 2.1x10-2 2.1x10-2 2.1x10'2 2.2x10'2 2.5x10-2 2.6x10'2 2.6x10'2 2.7x10-2 2.8x10-2 2.9x10'2 2.6x10-2 2.5x10-2 2.5x10-2 2.6x10-2 3.8x10'2 3.9x10-2 3.7x10-2 4.2x10'2 4.9x10'2 4.9x10-2 5.0x10'2 4.9x10'2 5.2x10-2 5.3x10-2 4.7x10'2 4.7x10-2 4.8x10-2 95th Percentile8 m3'minute 2.2x10'2 2.9x10-2 2.9x10-2 2.7x10'2 2.9x10-2 3.4x10-2 3.7x10'2 3.8x10'2 3.7x10-2 3.9x10-2 4.0x10'2 3.4x10-2 3.2x10-2 3.1x10-2 4.1x10-2 5.2x10'2 5.3x10-2 4.8x10-2 5.9x10'2 7.0x10-2 7.3x10-2 7.6x10-2 7.2x10'2 7.6x10-2 7.8x10-2 6.6x10-2 6.5x10-2 6.8x10-2 a For multiple percentiles, seeTables 6-17 and 6-19 in the Exposure Factors Handbook. Source: U.S. EPA, 2009. For more information about the key studies used to derive the recommended inhalation rate values, refer to Chapter 6 of the Exposure Factors Handbook at http://www.epa.gov/ncea/efh/pdfs/efh- chapter06.pdf.These studies are discussed in Section 6.3 and information on other relevant studies is provided in Section 6.4. 18 Exposure Factors Handbook—Highlights ------- 7. Dermal Exposure Factors 7.1 Introduction Dermal exposure can occur during a variety of activities in different environmental media and microenvironments (U.S. EPA, 1992a, 1992b, 2004). These include: * water (e.g., bathing, washing, swimming); • soil (e.g., outdoor recreation, gardening, construction); • sediment (e.g., wading, fishing); " liquids (e.g., use of commercial products); • vapors/fumes (e.g., use of commercial products); and * solids or residues (e.g., soil/dust or chemical residues on carpets, floors, counter tops, outdoor surfaces, or clothing). Chapter 7 of the Exposure Factors Handbook provides informa- tion on factors that affect dermal exposure, including body surface area, dermal adherence of solids to the skin, film thick- ness of liquids on the skin, transfer of chemical residues from surfaces to the skin, and other factors. However, recommended values are only provided for skin surface area and adherence of solids to the skin. Factors that influence dermal uptake (i.e., absorption) and internal dose, including chemical-specific factors, are not provided in the Handbook. 7.2 Recommended Exposure Factors Body Surface Area: The recommended mean and 95th percentile total body surface area values are summarized in Table 7-1. These data are based on body weight and height data, used with empirical formulae, to estimate skin surface area for various age groups. For children under 21 years of age, the recommendations for total body surface area are based on the U.S. EPA analysis of NHANES 1999-2006 body weight and height data. These data are presented for the standard age groupings recommended by U.S. EPA (2005) for male and female children combined. For adults 21 years and over, the recommendations for total body surface area are based on the U.S. EPA analysis of NHANES 2005-2006 body weight and height data for males and females. The recommendations for the percentage of the total body surface area represented by individual body parts are provided in Table 7-2. The percentages are based on data from U.S EPA (1985) for children under 2 years of age and adults, and Boniol et al. (2007) for children over 2 years of age. Table 7-2 also provides age-specific body part surface areas (m2) that were obtained by multiplying the mean body part percentages by the total body surface areas presented in Table 7-1. Overall confidence in the body surface area factors is medium for total surface area and low for surface area of individual body parts. Adherence of Solids to Skin: The adherence factor (AF) describes the amount of material that adheres to the skin per unit of surface area. Although most research in this area has focused on soils, a variety of other solid residues can accumulate on the skin, including household dust, sedi- ments, and commercial powders. The recommended dermal AFs represent the amount of material on the skin at the time of measurement. U.S. EPA (1992b) recommends interpret- ing AFs as representative of contact events. Assuming that the amount of solids measured on the skin represents accu- mulation between washings and that people wash at least once per day, these adherence values can be interpreted as daily contact rates (U.S. EPA, 1992b). The rate of solids accumulation on skin over time has not been well studied, but probably occurs fairly quickly. Therefore, pro-rating the adherence values for exposure time periods of less than one day is not recommended. 7. Dermal Exposure Factors 19 ------- Soil adherence values are based on field studies that con- sidered factors such as activity, sex, age, field conditions, and clothing worn (Holmes et al., 1999; Kissel et al., 1996; Shoaf et al., 2005). Recommended mean AF values are summarized in Table 7-3 according to common activities. Overall confidence in the soil AFs is low. Table 7 1. Recommended Values forTotal Body Surface Area, Children (Males and Females Combined) and Adults by Sex Age Group Mean 95th Percentile8 m2 Males and Females Combined1' Birth to <1 month 1 to <3 months 3 to <6 months 6to<12 months 1 to <2 years 2 to <3 years 3 to <6 years 6 to <11 years 11 to <1 6 years 16to<21 years 0.29 0.33 0.38 0.45 0.53 0.61 0.76 1.08 1.59 1.84 0.34 0.38 0.44 0.51 0.61 0.70 0.95 1.48 2.06 2.33 Adult Males0 21 to 30 years 30 to <40 years 40 to <50 years 50 to <60 years 60 to <70 years 70 to <80 years 80 years and over 2.05 2.10 2.15 2.11 2.08 2.05 1.92 2.52 2.50 2.56 2.55 2.46 2.45 2.22 Adult Females0 21 to 30 years 30 to <40 years 40 to <50 years 50 to <60 years 60 to <70 years 70 to <80 years 80 years and over 1.81 1.85 1.88 1.89 1.88 1.77 1.69 2.25 2.31 2.36 2.38 2.34 2.13 1.98 a For multiple percentiles, seeTables 7-9 (for males and females-combined data), 7-10, and 7-11 in the Exposure Factors Handbook. b Source: U.S. EPA Analysis of NHANES 1999-2006 data. c Source: U.S. EPA Analysis of NHANES 2005-2006 data. 20 Exposure Factors Handbook—Highlights ------- Table 7-2. Recommended Values for Surface Area of Body Parts Age Group Head Trunk Arms Hands Legs Feet Source Mean Percent of Total Surface Area Birth to <1 month 1 to <3 months 3 to <6 months 6 to <12 months 1 to <2 years 2 to <3 years 3 to <6 years 6 to <11 years 11 to <1 6 years 16 to <21 years Adult Males— 21+ years Adult Females — 21+ years 18.2 18.2 18.2 18.2 16.5 8.4 8.0 6.1 4.6 4.1 6.6 6.2 35.7 35.7 35.7 35.7 35.5 41.0 41.2 39.6 39.6 41.2 40.1 35.4 13.7 13.7 13.7 13.7 13.0 14.4 14.0 14.0 14.3 14.6 15.2 12.8 5.3 5.3 5.3 5.3 5.7 4.7 4.9 4.7 4.5 4.5 5.2 4.8 20.6 20.6 20.6 20.6 23.1 25.3 25.7 28.8 30.4 29.5 33.1 32.3 6.5 6.5 6.5 6.5 6.3 6.3 6.4 6.8 6.6 6.1 6.7 6.6 a b c Mean Surface Area by Body Partd m2 Birth to <1 month 1 to <3 months 3 to <6 months 6to<12 months 1 to <2 years 2 to <3 years 3 to <6 years 6 to <11 years 11 to <1 6 years 16 to <21 years Adult Males— 21+ years Adult Females — 21+ years 0.053 0.060 0.069 0.082 0.087 0.051 0.061 0.066 0.073 0.075 0.136 0.114 0.104 0.118 0.136 0.161 0.188 0.250 0.313 0.428 0.630 0.759 0.827 0.654 0.040 0.045 0.052 0.062 0.069 0.088 0.106 0.151 0.227 0.269 0.314 0.237 0.015 0.017 0.020 0.024 0.030 0.028 0.037 0.051 0.072 0.083 0.107 0.089 0.060 0.068 0.078 0.093 0.122 0.154 0.195 0.311 0.483 0.543 0.682 0.598 0.019 0.021 0.025 0.029 0.033 0.038 0.049 0.073 0.105 0.112 0.137 0.122 e f c 95th Percentile Surface Area by Body Part9 m2 Birth to <1 month 1 to <3 months 3 to <6 months 6 to <12 months 1 to <2 years 2 to <3 years 3 to <6 years 6 to <11 years 11 to <1 6 years 16to<21 years Adult Males— 21+ years Adult Females — 21+ years 0.062 0.069 0.080 0.093 0.101 0.059 0.076 0.090 0.095 0.096 0.154 0.121 0.121 0.136 0.157 0.182 0.217 0.287 0.391 0.586 0.816 0.960 1.10 0.850 0.047 0.052 0.060 0.070 0.079 0.101 0.133 0.207 0.295 0.340 0.399 0.266 0.018 0.020 0.023 0.027 0.035 0.033 0.046 0.070 0.093 0.105 0.131 0.106 0.070 0.078 0.091 0.105 0.141 0.177 0.244 0.426 0.626 0.687 0.847 0.764 0.022 0.025 0.029 0.033 0.038 0.044 0.061 0.100 0.136 0.142 0.161 0.146 e f c 8 Source: U.S. EPA, 1985. b Source: Boniol et al., 2007. c U.S. EPA analysis of NHANES 2005-2006 data and U.S. EPA, 1985. d Children's values calculated as mean percentages of body part times mean total body surface area. e U.S. EPA analysis of NHANES 1999-2006 data and U.S. EPA, 1985. Percentages based on small number of observations for this age group. ' Boniol et al., 2007 and U.S. EPA Analysis of NHANES 1999-2006 data; some body parts and age groups presented by Boniol et al. (2007) were combined to be consistent with the body part categories and age groups used here. 9 Children's values calculated as mean percentage of body part times 95th percentile total body surface area. Note: Surface area values reported in m2 can be converted to cm2 by multiplying by 10,000 cm2/m2. 7. Dermal Exposure Factors 21 ------- Table 7-3. Recommended Values for Mean Solids Adherence to Skin Face Arms Hands Legs Feet mg/cm2 Children Residential (indoors)3 Daycare (indoors & outdoors)1" Outdoor sports0 Indoor sportsd Activities with soil6 Playing in mud* Playing in sediment9 - - 0.012 - 0.054 - 0.040 0.0041 0.024 0.011 0.0019 0.046 11 0.17 0.011 0.099 0.11 0.0063 0.17 47 0.49 0.0035 0.020 0.031 0.0020 0.051 23 0.70 0.010 0.071 - 0.0022 0.20 15 21 Adults Outdoor sportsh Activities with soil' Construction Activities' 0.0314 0.0240 0.0982 0.0872 0.0379 0.1859 0.1336 0.1595 0.2763 0.1223 0.0189 0.0660 - 0.1393 - ' Based on weighted average of geometric mean soil loadings for 2 groups of children (ages 3 to 13 years; N = 10) playing indoors. Source: Holmes et al., 1999. 1 Based on weighted average of geometric mean soil loadings for 4 groups of daycare children (ages 1 to 6.5 years; N = 21) playing both indoors and outdoors. Source: Holmes et al., 1999. : Based on geometric mean soil loadings of 8 children (ages 13 to 15 years) playing soccer. Source: Kissel et al., 1996. 1 Based on geometric mean soil loadings of 6 children (ages a 8 years) and 1 adult engaging inTae Kwon Do. Source: Kissel et al., 1996. ' Based on weighted average of geometric mean soil loadings for gardeners and archeologists (ages 16 to 35 years). Source: Holmes et al., 1999. Based on weighted average of geometric mean soil loadings of 2 groups of children (age 9 to 14 years; N = 12) playing in mud. Source: Kissel et al., 1996. ' Based on geometric mean soil loadings of 9 children (ages 7 to 12 years) playing in tidal flats. Source: Shoaf et al., 2005. 1 Based on weighted average of geometric mean soil loadings of 3 groups of adults (ages 23 to 33 years) playing rugby and 2 groups of adults (ages 24 to 34 years) playing soccer. Source: Holmes et al., 1999; Kissel et al., 1996. Based on weighted average of geometric mean soil loadings for 69 gardeners, farmers, groundskeepers, landscapers, and archeolo- gists (ages 16 to 64 years) for faces, arms, and hands; 65 gardeners, farmers, groundskeepers, and archeologists (ages 16 to 64 years) for legs; and 36 gardeners, groundskeepers, and archeologists (ages 16 to 62 years) for feet. Source: Holmes et al., 1999; Kissel et al., 1996. Based on weighted average of geometric mean soil loadings for 27 construction workers, utility workers, and equipment operators (ages 21 to 54 years) for faces, arms and hands; and based on geometric mean soil loadings for 8 construction workers (ages 21 to 30 years) for legs. Source: Holmes et al., 1999. • No data. 22 Exposure Factors Handbook—Highlights ------- For more information about the key studies used to derive the dermal exposure factors, refer to Chapter 7 of the Exposure Factors Handbook at http://www.epa.gov/ncea/efh/pdfs/efh-chapter07.pdf. Detailed information on surface area studies is included in Section 7.3, and studies regarding adher- ence of solids to the skin are described in Section 7.4. Data on the film thickness of liquids on human skin is provided in Section 7.5, and information on residue transfer studies is provided in Section 7.6 of the Handbook. Information on other factors that may affect dermal exposure (e.g., frequency and duration of hand contact and thickness of the skin) is provided in Section 7.7. For guidance on how to use skin surface area and dermal AFs, as well as other factors, readers are referred to Dermal Exposure Assessment: Principles and Applications (U.S. EPA, 1992b) and Risk Assessment Guidelines for Superfund (RAGs) Part E (U.S. EPA, 2004). Additional information on con- sumer products use and activity factors that may affect dermal exposure is presented in Chapters 16 and 17 of the Exposure Factors Handbook. 7. Dermal Exposure Factors 23 ------- This page intentionally left blank 24 Exposure Factors Handbook—Highlights ------- 8. Body Weight 8.1 Introduction Body weight is one of several physiological factors needed to calculate potential exposures. The average daily dose (ADD) is a dose that is typically normalized to the average body weight of the exposed population. If exposure occurs only during childhood years, the average child body weight during the exposure period should be used to estimate risk (U.S. EPA, 1989). Conversely, if adult exposures are being evaluated, an adult body weight value should be used. Chapter 8 of the Exposure Factors Handbook provides rec- ommendations for body weight for the general U.S. popula- tion. These recommendations are highlighted here. 8.2 Recommended Exposure Factors Data on body weight come from the U.S. EPA analysis of NHANES 1999-2006 data. The recommendations for body weight are summarized in Table 8-1. The recommended values represent mean body weights in kilograms for the age groups for children recommended by U.S. EPA in Guidance for Monitoring and Assessing Childhood Exposures to Environmental Contaminants (U.S. EPA, 2005) and for adults. If percentile data are needed, Tables 8-3 through 8-5 in the Exposure Factors Handbook can be used to select the appropriate data for percentiles or mean values. However, use of upper percentile body weight values is not routinely recommended for calculating ADDs because inclusion of an upper percentile value in the denominator of the ADD equation would be a non-conservative approach. The mean recommended value for adults (80 kg) is different from the 70 kg commonly assumed in U.S. EPA risk assessments. Assessors are encouraged to use values that most accurately reflect the exposed population. When using values other than 70 kg, however, exposure assessors should consider if the dose estimate will be used to estimate risk by combin- ing it with a dose-response relationship that was derived assuming a body weight of 70 kg. If such an inconsistency exists, the assessor may need to adjust the dose-response relationship as described in the appendix to Chapter 1 of the Exposure Factors Handbook. Overall confidence in the body weight recommendations is high. For more information aboutthe key studies used to derive the recommended body weight values, refer to Chapter 8 of the Exposure Factors Handbook at http://www.epa.gov/ ncea/efh/pdfs/ef h-chapter08.pdf. Detailed information on the key body weight study is pro- vided in Section 8.3 and relevant body weight studies are discussed in Section 8.4. Sections 8.5 and 8.6 present relevant studies on pregnant women and fetal weight. 8. Body Weight 25 ------- Table 8-1. Recommended Values for Body Weight Age Group Birth to <1 month 1 to <3 months 3 to <6 months 6 to <11 months 1 to <2 years 2 to <3 years 3 to <6 years 6 to <11 years 11 to <1 6 years 16 to <21 years Adults Mean" kg 4.8 5.9 7.4 9.2 11.4 13.8 18.6 31.8 56.8 71.6 80.0 a For multiple percentile values, see availableTables 8-3 through 8-5 in the Exposure Factors Handbook. Body weight data for males and females are presented separately in Tables 8-4 and 8-5. Source: U.S. EPA analysis of NHANES 1999-2006 data. 26 Exposure Factors Handbook—Highlights ------- 9. Intake of Fruits and Vegetables 9.1 Introduction The American food supply is generally considered to be one of the safest in the world. Nevertheless, fruits and vegetables may become contaminated with toxic chemicals by several different pathways. Ambient pollutants from the air may be deposited on or absorbed by the plants, or dissolved in rainfall or irrigation waters that contact the plants. Pollutants may also be absorbed through plant roots from contaminated soil and ground water. The addition of pesticides, soil additives, and fertilizers may also result in contamination of fruits and vegetables. To assess exposure through this pathway, information on fruit and vegetable ingestion rates is needed. Chapter 9 of the Exposure Factors Handbook provides information on and recommendations for fruit and vegetable ingestion rates. This information is highlighted here. 9.2 Recommended Exposure Factors Table 9-1 presents a summary of the recommended values for per capita and consumer-only intake of total fruits and total vegetables. These values are based on the U.S. EPA analysis of NHANES 2003-2006 data. NHANES collected 24-hour dietary intake data via interviews conducted on 2 non-consecutive days. U.S. EPA converted intake data on the foods people reported eating to the quantities of agricultural commodities eaten (e.g., an apple pie may contain the com- modities apples, flour, fat, sugar, and spices), and estimated intake rates for fruits and vegetables. Consumer-only intake is defined as the quantity of fruits and vegetables consumed by individuals during the survey period. These data are gen- erated by averaging intake across only the individuals in the survey who consumed these food items. Per capita intake rates are generated by averaging consumer-only intakes over the entire population (including those individuals that reported no intake). The U.S. EPA analysis was conducted using childhood age groups that differed slightly from U.S. EPAs Guidance on Selecting Age Groups for Monitoring and Assessing Childhood Exposures to Environmental Contaminants (U.S. EPA, 2005). However, for the purposes of the recom- mendations presented here, childhood data were placed in the standardized age categories closest to those used in the analysis. Overall confidence in the averages is medium-high, low for some individual fruits and vegetables with small sample size, and low in the long-term upper percentiles. 9. Intake of Fruits and Vegetables 27 ------- Table 9-1. Recommended Values for Intake of Fruits and Vegetables, Edible Portion, Uncookeda-b Age Group Per Capita Mean g/kg-day 95th Percentile g/kg-day Consumers Only Mean g/kg-day 95th Percentile g/kg-day Total Fruits Birth to 1 year 1 to <2 years 2 to < 3 years 3 to <6 years 6 to <11 years 11 to <1 6 years 16to<21 years 21 to <50 years >50 years 6.2 7.8 7.8 4.6 2.3 0.9 0.9 0.9 1.4 23.0° 21.3C 21.3C 14.9 8.7 3.5 3.5 3.7 4.4 10.1 8.1 8.1 4.7 2.5 1.1 1.1 1.1 1.5 25.8° 21.4C 21.4C 15.1 9.2 3.8 3.8 3.8 4.6 Total Vegetables Birth to 1 year 1 to <2 years 2 to < 3 years 3 to <6 years 6 to <11 years 11 to <1 6 years 16to<21 years 21 to <50 years >50 years 5.0 6.7 6.7 5.4 3.7 2.3 2.3 2.5 2.6 16.2° 15.6C 15.6C 13.4 10.4 5.5 5.5 5.9 6.1 6.8 6.7 6.7 5.4 3.7 2.3 2.3 2.5 2.6 18.1° 15.6C 15.6C 13.4 10.4 5.5 5.5 5.9 6.1 Individual Fruits and Vegetables— See Tables 9-5 and 9-6 in the Exposure Factors Handbook a Analysis was conducted using slightly different childhood age groups than those recommended in Guidance on Selecting Age Groups for Monitoring and Assessing Childhood Exposures to Environmental Contaminants (U.S. EPA, 2005). Data were placed in the standardized age categories closest to those used in the analysis. b For multiple percentiles, seeTables 9-3 and 9-4 in the Exposure Factors Handbook. c Estimates are less statistically reliable based on guidance published in the Joint Policy on Variance Estimation and Statistical Reporting Standards on NHANES III and CSFII Reports: NHIS/NCHS Analytical Working Group Recommendations (NCHS, 1993). Source: U.S. EPA analysis of NHANES 2003-2006 data. For more information about the key studies used to derive the recommended values for intake of fruits and vegetables, refer to Chapter 9 of the Exposure Factors Handbook at http://www.epa.gov/ ncea/efh/pdfs/efh-chapter09.pdf. Detailed information on the intake studies is provided in Section 9.3. Section 9.4 presents information on the conversion between intake rates for wet weight and dry weight (i.e., the weight of the food consumed after the moisture content has been removed). For more information on consumption of individual fruits and vegetables, refer to Chapter 9 of the Exposure Factors Handbook. For more information on potential contaminant loss to cooking and conversions necessary to account for such losses, refer to Chapter 13 of the Exposure Factors Handbook. 28 Exposure Factors Handbook—Highlights ------- 10. Intake of Fish and Shellfish 10.1 Introduction Contaminated finfish and shellfish are potential sources of human exposure to toxic chemicals. Pollutants are carried in the surface waters, but also may be stored and accumu- lated in the sediments as a result of complex physical and chemical processes. Consequently, finfish and shellfish are exposed to these pollutants and may become sources of contaminated food. Accurately estimating exposure to toxic chemicals in fish requires information about the nature of the exposed population (i.e., general population, subsistence fishers) and their intake rates. Because the catch of recre- ational and subsistence fishermen is not "diluted" by fish from other water bodies, these individuals and their families represent the population that is most vulnerable to exposure by intake of contaminated fish from a specific location. Chapter 10 of the Exposure Factors Handbook provides rec- ommended values for fish intake for the general population and recreational marine anglers. Highlights of Chapter 10 are presented here. 10.2 Recommended Exposure Factors General Population: Recommendations for general popu- lation intake (presented in Table 10-1) are based on the U.S. EPA analysis of NHANES 2003-2006 data. The overall confidence in the recommendations is medium-high for the mean and low for the long-term upper percentiles. Recreational Marine Anglers: The recommended values for recreational marine anglers are presented in Table 10-2. These values are based on the surveys of the National Marine Fisheries Service (NMFS, 1993). The overall confidence in these recommendations is low-medium for adults and low for children. Recreational Freshwater Anglers and Native American Fishers: Recommended values are not provided for rec- reational freshwater anglers or Native American fishers because these data are limited to certain geographic areas and cannot be readily generalized to these populations as a whole; however, data from several relevant studies are pro- vided in the Exposure Factors Handbook (see Sections 10.5 and 10.6). The following general observations can be made for freshwater recreational anglers: the range of average consumption for anglers from rivers, lakes, and ponds from Alabama, Connecticut, Indiana, Maine, Michigan, Minnesota, North Dakota, and Wisconsin varies from 5 to 51 g/day (includes all survey respondents); the consump- tion rate offish from rivers in Georgia and Tennessee ranges from 20 to 70 g/day; and the consumption rate offish from three lakes in Washington averages 10 g/day for adults. A summary of intake rates for Native American anglers is pro- vided in Table 10-6 of the Exposure Factors Handbook. 10. Intake of Fish and Shellfish 29 ------- Table 10-1. Recommended Per Capita and Consumer-Only Values for Fish Intake (g/kg-day). Edible Portion, Uncookeda-b Age inYears Per Capita N % Consuming Mean 95th percentile Consumers Only N Mean 95th percentile Finfish All Birth to 1 year 1 to <2 years 2 to <3 years 3 to <6 years 6 to <11 years 11 to <1 6 years 16 to <21 years 20 to <50 years Females 13 to 49 years 50+ years 16,783 865 1,052 1,052 978 2,256 3,450 3,450 4,289 4,103 3,893 23 2.6 14 14 15 15 15 15 23 22 29 0.16 0.03 0.22 0.22 0.19 0.16 0.10 0.10 0.15 0.14 0.20 1.1 0.0C 1.2C 1.2° 1.4 1.1 0.7 0.7 1.0 0.9 1.2 3,204 22 143 143 156 333 501 501 961 793 1,088 0.73 1.3 1.6 1.6 1.3 1.1 0.66 0.66 0.65 0.62 0.68 2.2 2.9C 4.9C 4.9° 3.6° 2.9C 1.7 1.7 2.1 1.8 2.0 Shellfish All Birth to 1 year 1 to <2 years 2 to <3 years 3 to <6 years 6 to <11 years 11 to <1 6 years 16 to <21 years 20 to <50 years Females 13 to 49 years 50+ years 16,783 865 1,052 1,052 978 2,256 3,450 3,450 4,289 4,103 3,893 11 0.66 4.4 4.4 4.6 7.0 5.1 5.1 13 11 13 0.06 0.0 0.04 0.04 0.05 0.05 0.03 0.03 0.08 0.06 0.05 0.4 0.0C 0.0° 0.0° 0.0 0.2 0.0 0.0 0.5 0.3 0.4 1,563 11 53 53 56 158 245 245 605 474 435 0.57 0.42 0.94 0.94 1.0 0.72 0.61 0.61 0.63 0.53 0.41 1.9 2.3C 3.5° 3.5° 2.9C 2.0C 1.9 1.9 2.2 1.8 1.2 Total Finfish and Shellfish All Birth to 1 year 1 to <2 years 2 to <3 years 3 to <6 years 6 to <11 years 11 to <1 6 years 16to<21 years 20 to <50 years Females 13 to 49 years 50+ years 16,783 865 1,052 1,052 978 2,256 3,450 3,450 4,289 4,103 3,893 29 3.1 17 17 18 22 18 18 31 28 36 0.22 0.04 0.26 0.26 0.24 0.21 0.13 0.13 0.23 0.19 0.25 1.3 0.0° 1.6° 1.6C 1.6 1.4 1.0 1.0 1.3 1.2 1.4 4,206 30 183 183 196 461 685 685 1,332 1,109 1,319 0.78 1.2 1.5 1.5 1.3 0.99 0.69 0.69 0.76 0.68 0.71 2.4 2.9° 5.9° 5.9C 3.6C 2.7° 1.8 1.8 2.5 1.9 2.1 a Analysis was conducted using slightly different childhood age groups than those recommended in Guidance on Selecting Age Groups for Monitoring and Assessing Childhood Exposures to Environmental Contaminants (U.S. EPA, 2005). Data were placed in the standardized age categories closest to those used in the analysis. b For multiple percentiles, seeTables 10-7 through 10-12 in the Exposure Factors Handbook. c Estimates are less statistically reliable based on guidance published in the Joint Policy on Variance Estimation and Statistical Reporting Standards on NHANES III and CSFII Reports: NHIS/NCHS Analytical Working Group Recommendations (NCHS, 1993). Source: U.S. EPA analysis of NHANES 2003-2006 data. 30 Exposure Factors Handbook—Highlights ------- Table 10-2. Recommended Values for Recreational Marine Fish Intake Age Group Per Capita8 Mean (g/day) 95th Percentile (g/day) Atlantic 3 to <6 yearsb 6 to <11 yearsb 11 to <16yearsb 16to<18yearsb >18 years 2.5 2.5 3.4 2.8 5.6 8.8 8.6 13 6.6 18 Gulf 3 to <6 yearsb 6 to <11 yearsb 11 to <16yearsb 16to<18yearsb >18 years 3.2 3.3 4.4 3.5 7.2 13 12 18 9.5 26 Pacific 3 to <6 yearsb 6 to <11 yearsb 11 to <16yearsb 16to<18yearsb >18 years 0.9 0.9 1.2 1.0 2.0 3.3 3.2 4.8 2.5 6.8 a Represents per capita values for recreational fishing population only. Data from U.S. EPA analysis of NMFS (1993) assumed to represent adults >18 years. Per capita values represent both survey individuals who ate recreational fish during the survey period and those that did not, but may eat recreationally caught fish during other periods. b Recommendations for children were estimated based on the ratios of marine fish intake for general population children to that of adults using data from EPA's analysis of CSFII data (seeTable 10-31 of the Exposure Factors Handbook), multiplied by the adult recreational marine fish intake rates for the Atlantic, Gulf, and Pacific regions, using data from NMFS (1993) (seeTable 10-50 of the Exposure Factors Handbook).The ratios of each age group to adults >18 years were calculated separately for the means and 95th percentiles. For more information about the key studies used to derive fish and shell- fish intake values, refer to Chapter 10 of the Exposure Factors Handbook at http://www.epa.gov/ncea/efh/pdfs/efh-chapter10.pdf. Detailed informa- tion on fish intake studies among the general population is included in Section 10.3. Information on marine recreational studies is included in Section 10.4, and details of freshwater recreational studies are found in Section 10.5. Section 10.6 presents information about Native American studies of fish intake and Section 10.7 discusses other populations. Serving size studies are included in Section 10.8 and other factors to be considered for fish consumption (e.g., dry weight vs. wet weight) are discussed in Section 10.9. 10. Intake of Fish and Shellfish 31 ------- This page intentionally left blank 32 Exposure Factors Handbook—Highlights ------- 11. Intake of Meats, Dairy Products, and Fats 11.1 Introduction Meats, dairy products, and fats may become contaminated with toxic chemicals by several pathways. These food sources can become contaminated if animals are exposed to con- taminated media (i.e., soil, water, or feed crops). To assess exposure through this pathway, information on meat, dairy, and fat ingestion rates is needed. Chapter 11 of the Exposure Factors Handbook provides information and recommenda- tions on ingestion rates for meats, dairy products, and fats. These data are highlighted in this document. 11.2 Recommended Exposure Factors The recommended ingestion rates for total meat, dairy, and fats are presented in Table 11-1. The data for meats and dairy products are based on the U.S. EPA analyses of NHANES 2003-2006 data. The data for fats are based on the U.S. EPA analysis of datafrom the 1994-1996/1998 ContinuingSurvey of Food Intakes by Individuals (CSFII) (U.S. EPA, 2007). NHANES and CSFII collected 24-hour dietary intake data via interviews conducted on 2 non-consecutive days. U.S. EPA converted intake data on the foods people reported eating to the quantities of agricultural commodities eaten (e.g., beef stew may contain the commodities beef, potatoes, carrots, and other vegetables), and estimated intake rates for meats, dairy products, and fats. Both consumer-only and per capita intake recommendations are given in Table 11-1. Consumer-only intake is defined as the quantity of meats, dairy products, or fats consumed by individuals during the survey period averaged across only the individuals who con- sumed these food items during the survey period. Per capita intake rates are generated by averaging consumer-only intakes over the entire population. The U.S. EPA analysis of NHANES data was conducted using childhood age groups that differed slightly from U.S. EPAs Guidance on Selecting Age Groups for Monitoring and Assessing Childhood Exposures to Environmental Contaminants (U.S. EPA, 2005). However, for the purposes of the recommendations pre- sented here, childhood data were placed in the standardized age categories closest to those used in the analysis. Overall confidence in the values for intake of meats, dairy products, and fats is medium-high for the averages and low for the long-term upper percentiles. For more information about the key studies used to derive the recommended values for meat, dairy product, and fat intake, refer to Chapter 11 of the Exposure Factors Handbook at http://www.epa.gov/ncea/efh/ pdfs/efh-chapter11.pdf. Detailed information on studies of meat and dairy product intake is provided in Section 11.3, and information on studies of fat intake is found in Section 11.4. For more information on the consumption of specific meats, dairy products, and fats, refer to Chapter 11 of the Exposure Factors Handbook. Information on the conversion between wet-weight and dry-weight intake rates is provided in Section 11.5, and informa- tion on the conversion between wet-weight and lipid-weight intake rates is provided in Section 11.6. 11. Intake of Meats, Dairy Products, and Fats 33 ------- Table 11-1. Recommended Values for Intake of Meats, Dairy Products, and Fats, Edible Portion, Uncooked Age Group Per Capita Mean g/kg-day 95th Percentile g/kg-day Consumers Only Mean g/kg-day 95th Percentile g/kg-day Total Meats9- b- c Birth to 1 year 1 to <2 years 2 to <3 years 3 to <6 years 6 to <11 years 11 to <1 6 years 16to<21 years 21 to <50 years >50 years 1.2 4.0 4.0 3.9 2.8 2.0 2.0 1.8 1.4 5.4d 10.0d 10.0d 8.5 6.4 4.7 4.7 4.1 3.1 2.7 4.1 4.1 3.9 2.8 2.0 2.0 1.8 1.4 8.1d 10.1d 10.1d 8.6 6.4 4.7 4.7 4.1 3.1 Total Dairy Products8- b- ° Birth to 1 year 1 to <2 years 2 to <3 years 3 to <6 years 6 to <11 years 11 to <1 6 years 16 to <21 years 21 to <50 years >50 years 10.1 43.2 43.2 24.0 12.9 5.5 5.5 3.5 3.3 43.2d 94.7d 94.7d 51.1 31.8 16.4 16.4 10.3 9.6 11.7 43.2 43.2 24.0 12.9 5.5 5.5 3.5 3.3 44.7d 94.7d 94.7d 51.1 31.8 16.4 16.4 10.3 9.6 Individual Meat and Dairy Products— See Tables 11-5 and 11-6 in the Exposure Factors Handbook Total Fatse-f Birth to <1 month 1 to <3 months 3 to <6 months 6to<12 months 1 to <2 years 2 to <3 years 3 to <6 years 6 to <11 years 11 to <1 6 years 16 to <21 years 21 to <31 years 31 to <41 years 41 to <51 years 51 to <61 years 61 to <71 years 71 to <81 years >81 years 5.2 4.5 4.1 3.7 4.0 3.6 3.4 2.6 1.6 1.3 1.2 1.1 1.0 0.9 0.9 0.8 0.9 16 12 8.2 7.0 7.1 6.4 5.8 4.2 3.0 2.7 2.3 2.1 1.9 1.7 1.7 1.5 1.5 7.8 6.0 4.4 3.7 4.0 3.6 3.4 2.6 1.6 1.3 1.2 1.1 1.0 0.9 0.9 0.8 0.9 16 12 8.3 7.0 7.1 6.4 5.8 4.2 3.0 2.7 2.3 2.1 1.9 1.7 1.7 1.5 1.5 a Analysis was conducted using slightly different childhood age groups than those recommended in Guidance on Selecting Age Groups for Monitoring and Assessing Childhood Exposures to Environmental Contaminants (U.S. EPA, 2005). Data were placed in the standardized age categories closest to those used in the analysis. b For multiple percentiles, seeTables 11-3 and 11-4 in the Exposure Factors Handbook. c Source: U.S. EPA analysis of NHANES 2003-2006 data. d Estimates are less statistically reliable based on guidance published in the Joint Policy on Variance Estimation and Statistical Reporting Standards on NHANES III and CSFII Reports: NHIS/NCHS Analytical Working Group Recommendations (NCHS, 1993). e For multiple percentiles, seeTables 11-31 and 11-33 in the Exposure Factors Handbook. f Source: U.S. EPA, 2007. 34 Exposure Factors Handbook—Highlights ------- 12. Intake of Grain Products 12.1 Introduction Grain products may become contaminated with toxic chemicals by several different pathways. Ambient air pol- lutants may be deposited on or absorbed by the plants, or dissolved in rainfall or irrigation waters that contact the plants. Pollutants may also be absorbed through plant roots from contaminated soil and ground water. The addition of pesticides, soil additives, and fertilizers may also result in contamination of grain products. To assess exposure through this pathway, information on ingestion rates of grain products is needed. Chapter 12 of the Exposure Factors Handbook provides information and recommendations on ingestion rates of grain products for the general population. Highlights of these data are provided here. 12.2 Recommended Exposure Factors Table 12-1 presents a summary of the recommended values for per capita and consumer-only intake of total grain products. The U.S. EPA analysis of NHANES 2003-2006 data was used in selecting recommended intake rates. NHANES collects 24-hour dietary intake data via inter- views conducted on 2 non-consecutive days. U.S. EPA converted intake data on the foods people reported eating to the quantities of agricultural commodities eaten (e.g., an apple pie may contain the commodities apples, flour, fat, sugar, and spices), and estimated intake rates for total grain products. Consumer-only intake is defined as the quantity of grain products consumed by individuals during the survey period. These data are generated by averaging intake across only the individuals in the survey who consumed these food items. Per capita intake rates are generated by averaging consumer-only intakes over the entire popula- tion (including those individuals who reported no intake). The U.S. EPA analysis was conducted using childhood age groups that differed slightly from U.S. EPAs Guidance on Selecting Age Groups for Monitoring and Assessing Childhood Exposures to Environmental Contaminants (U.S. EPA, 2005). However, for the purposes of the recommendations pre- sented here, childhood data were placed in the standardized age categories closest to those used in the analysis. Overall confidence in the recommended values is medium-high for the averages and low for the long-term upper percentiles. For more information about the key studies used to derive the recommended grain intake rates, refer to Chapter 12 of the Exposure Factors Handbook at http://www.epa.gov/ ncea/efh/pdfs/efh-chapter12.pdf. Detailed information on the grain intake studies are presented in Section 12.3, and information on the conversion between dry (after the moisture content has been removed from food weight) and wet intake rate is pro- vided in Section 12.4. For more information on consumption of specific grain products refer to Chapter 12 of the Exposure Factors Handbook. 12. Intake of Grain Products 35 ------- Table 12-1. Recommended Values for Intake of Grains, Edible Portion, Edible Portion, Uncooked3 Age Group Per Capita Mean g/kg-day 95th Percentile g/kg-day Consumers Only Mean g/kg-day 95th Percentile g/kg-day Total Grains'* Birth to 1 year 1 to <2 years 2 to <3 years 3 to <6 years 6 to <11 years 11 to <1 6 years 16to<21 years 20 to <50 years >50 years 3.1 6.4 6.4 6.2 4.4 2.4 2.4 2.2 1.7 9.5° 12.4C 12.4C 11.1 8.2 5.0 5.0 4.6 3.5 4.1 6.4 6.4 6.2 4.4 2.4 2.4 2.2 1.7 10.3° 12.4C 12.4C 11.1 8.2 5.0 5.0 4.6 3.5 Individual Grain Products— See Tables 12-5 and 12-6 in the Exposure Factors Handbook a Analysis was conducted using slightly different childhood age groups than those recommended in Guidance on Selecting Age Groups for Monitoring and Assessing Childhood Exposures to Environmental Contaminants (U.S. EPA, 2005). Data were placed in the standardized age categories closest to those used in the analysis. b For multiple percentiles, seeTables 12-3 and 12-4 in the Exposure Factors Handbook. c Estimates are less statistically reliable based on guidance published in the Joint Policy on Variance Estimation and Statistical Reporting Standards on NHANES III and CSFII Reports: NHIS/NCHS Analytical Working Group Recommendations (NCHS, 1993). Source: U.S. EPA analysis of NHANES 2003-2006 data. 36 Exposure Factors Handbook—Highlights ------- 13. Intake of Home-Produced Foods 13.1 Introduction Ingestion of home-produced foods can be a pathway for exposure to environmental contaminants. Home-produced foods can become contaminated in a variety of ways. Ambient pollutants in the air may be deposited on plants, adsorbed onto or absorbed by the plants, or dissolved in rainfall or irrigation waters that contact the plants. Pollutants may also be adsorbed onto plant roots from contaminated soil and water. Finally, the addition of pesticides, soil additives, and fertilizers to crops or gardens may result in contamination of food products. Meat and dairy products can become con- taminated if animals consume contaminated soil, water, or feed crops. Farmers, as well as rural and urban residents who consume home-produced foods, may be potentially exposed if these foods become contaminated. Exposure via the con- sumption of home-produced foods may be a significant route of exposure for these populations (U.S. EPA, 1989, 1996). Assessing exposures to individuals who consume home- produced foods requires knowledge of intake rates of such foods. Chapter 13 provides recommended ingestion rates of home-produced food. The data presented may be used to assess exposure to contaminants in foods grown, raised, or caught at a specific site. These data are highlighted here. 13.2 Recommended Exposure Factors Data from the 1987-1988 Nationwide Food Consumption Survey (NFCS) were used to generate intake rates for home- produced foods (USDA, 1987-1988). The recommended values for mean and upper percentile (i.e., 95th percentile) intake rates for the various food groups for consumers only are presented in Table 13-1. Adjustments may be made to account for preparation losses (see Section 13.3.2 of the Handbook). Table 13-1 also provides mean and 95th per- centile per capita intake rates for populations that garden, farm, or raise animals based on an analysis by Phillips and Moya (2011). The per capita data have been adjusted to account for preparation losses. Overall confidence in the recommended values for intake of home-produced foods is low-medium for means and short-term distributions and low for long-term distributions. For more information about the key studies used to derive the recommended values for intake of home-produced foods, refer to Chapter 13 of the Exposure Factors Handbook at http://www.epa.gov/ncea/efh/pdfs/efh- chapter13.pdf. Detailed information on the key studies for intake of home-produced food is included in Section 13.3, and detailed information on the relevant study is provided in Section 13.4. For more information on con- sumption of specific home-produced foods refer to Chapter 13 of the Exposure Factors Handbook. 13. Intake of Home-Produced Foods 37 ------- Table 13-1. Summary of Recommended Values for Intake of Home-Produced Foods3 Age Group Consumers Only, Unadjusted1"-0 (g/kg-day) Mean 95th Percentile Age Group Per Capita for Populations that Garden (or Farm), Adjusted"1-6 (g/kg-day) Mean 95th Percentile Home-Produced Fruits* 1 to 2 years 3 to 5 years 6 to 11 years 12 to 19 years 20 to 39 years 40 to 69 years >70 years 8.7 4.1 3.6 1.9 2.0 2.7 2.3 60.6 8.9 15.8 8.3 6.8 13.0 8.7 1 to <2 years 2 to <3 years 3 to <6 years 6 to <11 years 11 to <16 years 16 to <21 years 21 to <50 years 50+ years 1.0(1.4) 1.0(1.4) 0.78(1.0) 0.40(0.52) 0.13(0.17) 0.13(0.17) 0.15(0.20) 0.24(0.31) 4.8(9.1) 4.8(9.1) 3.6(6.8) 1.9(3.5) 0.62(1.2) 0.62(1.2) 0.70(1.3) 1.1 (2.1) Home-Produced Vegetables9 1 to 2 years 3 to 5 years 6 to 11 years 12 to 19 years 20 to 39 years 40 to 69 years >70 years Age Group 5.2 2.5 2.0 1.5 1.5 2.1 2.5 19.6 7.7 6.2 6.0 4.9 6.9 8.2 Consumers Only, Unadjusted1"-0 (g/kg-day) Mean 95th Percentile 1 to <2 years 2 to <3 years 3 to <6 years 6 to <11 years 11 to <16 years 16 to <21 years 21 to <50 years 50+ years Age Group 1.3(2.7) 1.3(2.7) 1.1 (2.3) 0.80(1.6) 0.56(1.1) 0.56(1.1) 0.56(1.1) 0.60(1.2) 7.1 (14) 7.1 (14) 6.1 (12) 4.2(8.1) 3.0(5.7) 3.0(5.7) 3.0(5.7) 3.2(6.1) Per Capita for Populations that Farm (or Raise Animals)d-e (g/kg-day) Mean 95th Percentile Home-Produced Meats'1 1 to 2 years 3 to 5 years 6 to 11 years 12 to 19 years 20 to 39 years 40 to 69 years >70 years 3.7 3.6 3.7 1.7 1.8 1.7 1.4 10.0 9.1 14.0 4.3 6.2 5.2 3.5 1 to <2 years 2 to <3 years 3 to <6 years 6 to <11 years 11 to <1 6 years 16 to <21 years 21 to <50 years 50+ years 1.4(1.4) 1.4(1.4) 1.4(1.4) 1.0(1.0) 0.71 (0.73) 0.71 (0.73) 0.65(0.66) 0.51 (0.52) 5.8(6.0) 5.8(6.0) 5.8(6.0) 4.1 (4.2) 3.0(3.1) 3.0(3.1) 2.7(2.8) 2.1 (2.2) Home-Produced Dairy 1 to 2 years 3 to 5 years 6 to 11 years 12 to 19 years 20 to 39 years 40 to 69 years >70 years _i - - - - - " - - - - - - " 1 to <2 years 2 to <3 years 3 to <6 years 6 to <11 years 11 to <1 6 years 16 to <21 years 21 to <50 years 50+ years 11 (13) 11 (13) 6.7 (8.3) 3.9(4.8) 1.6(2.0) 1.6(2.0) 0.95(1.2) 0.92(1.1) 76 (92) 76 (92) 48 (58) 28 (34) 12(14) 12(14) 6.9(8.3) 6.7 (8.0) 38 Exposure Factors Handbook—Highlights ------- Table 13-1. Summary of Recommended Values 1 of Home-Produced Foods3 (cont Age Group Consumers Only, Unadjusted1"-0 (g/kg-day) Mean 95th Percentile Age Group or Intake nued) Per Capita for Populations that Farm (or Raise Animals)d-e (g/kg-day) Mean 95th Percentile Home-Caught Fish' 1 to 2 years 3 to 5 years 6 to 11 years 12 to 19 years 20 to 39 years 40 to 69 years >70 years - - 2.8 1.5 1.9 1.8 1.2 - - 7.1 4.7 4.5 4.4 3.7 - - - - - - - - - - - - - - - - - - - - - a Analysis was conducted prior to the Agency's issuance of Guidance on Selecting Age Groups for Monitoring and Assessing Childhood Exposures to Environmental Contaminants (U.S. EPA, 2005). b Not adjusted to account for preparation or post-cooking losses. c Source: U.S. EPA Analysis of 1987-1988 MFCS. d Adjusted for preparation and post-cooking losses. e Source: Phillips and Moya, 2011. ' For consumers only, multiple percentiles are available inTable 13-5 in the Exposure Factors Handbook. 9 For consumers only, multiple percentiles are available inTable 13-10 in the Exposure Factors Handbook. h For consumers only, multiple percentiles are available inTable 13-15 in the Exposure Factors Handbook. ' Data not presented for age groups/food groups where less than 20 observations were available or data not available for that age or food group. ' For consumers only, multiple percentiles are available inTable 13-20 in the Exposure Factors Handbook. 13. Intake of Home-Produced Foods 39 ------- This page intentionally left blank 40 Exposure Factors Handbook—Highlights ------- 14.Total Food Intake 14.1 Introduction Contamination of foods may occur as a result of environ- mental pollution of the air, water, or soil, or the intentional use of chemicals such as pesticides or other agrochemicals. Ingestion of contaminated foods is a potential pathway of exposure to such contaminants. To assess chemical exposure through this pathway, information on dietary composition is sometimes needed. Chapter 14 of the Exposure Factors Handbook provides data on total food intake and diet com- position. Recommended values for total food intake are highlighted here, and information on the proportion of the total diet made up by the major food groups is provided in Section 14.3.1 of the Handbook. 14.2 Recommended Exposure Factors The recommended values for total food intake are based on the U.S. EPA analysis of NHANES 2003-2006 data. Total food intake was defined as intake of the sum of all foods, beverages, and water ingested. A summary of recommended values for total food intake is presented in Table 14-1. Total intake recommendations are provided as per capita rates, which are generated by averaging consumer-only intakes over the entire population. Overall confidence in the recom- mendations for total food intake is medium. In an earlier analysis, U.S. EPA (2007) derived distributions to characterize (1) total food intake among various groups in the U.S. population, subdivided by age, race, geographic region, and urbanization; (2) the contribution of various food categories (e.g., meats, grains, vegetables) to total food intake among these populations; and (3) the contribution of various food categories to total food intake among indi- viduals exhibiting low- or high-end consumption patterns of a specific food category (e.g., individuals below the 10th percentile or above the 90th percentile for fish consump- tion). This analysis was based on data from USDA's CSFII 1994-1996, 1998 (USDA, 2000). Data on these specific contributions to total intake are provided in Tables 14-4 through 14-11 in the Exposure Factors Handbook. For more information about the key study used to derive the total food intake values, refer to Chapter 14 of the Exposure Factors Handbook at http://www.epa.gov/ncea/efh/ pdfs/efh-chapter14.pdf. Detailed information on the key study for total intake as well as a key study on the composition of the diet are provided in Section 14.3 of the Exposure Factors Handbook. 14.Total Food Intake 41 ------- Table 14-1. Recommended Values for Per Capita Total Food Intake Age Group Mean 95th Percentile8 g/kg-day Children Birth to <1 year 1 to <3 years 3 to <6 years 6 to <11 years0 11 to <1 6 years'1 16 to <21 years'1 91 113 79 47 28 28 208b 185b 137 92 56 56 Adults 20 to <50 years 50 years and older 29 29 63 59 Note:Total food intake was defined as intake of the sum of all foods, beverages, and water ingested. a For multiple percentiles, seeTable 14-12 of the Exposure Factors Handbook. b Estimates are less statistically reliable based on guidance published in the Joint Policy on Variance Estimation and Statistical Reporting Standards on NHANES III and CSFII Reports: NHIS/NCHS Analytical Working Group Recommendations (NCHS, 1993). c Based on data for ages 6 to <13 years. d Based on data for ages 13 to <20 years. Source: U.S. EPA analysis of NHANES 2003-2006 data. 42 Exposure Factors Handbook—Highlights ------- 15. Human Milk Intake 15.1 Introduction Human lactation is known to impart a wide range of benefits to nursing infants, including protection against infection, increases in cognitive development, and avoidance of aller- gies due to intolerance to cow's milk (AAP, 2005). Ingestion of human milk has also been associated with a reduction in risk of postneonatal death in the United States (Chen and Rogan, 2004). The American Academy of Pediatrics recommends exclusive breast-feeding for approximately the first six months and supports the continuation of breast- feeding for the first year and beyond if desired by the mother and child (AAP, 2005). However, contaminants may find their way into human milk of lactating mothers because mothers are themselves exposed, thus making human milk a potential source of exposure to toxic substances for nursing infants. Estimating the magnitude of the potential dose to infants from human milk requires information on the milk intake rate (quantity of human milk consumed per day) and the duration (months) over which breast-feeding occurs. Information on the fat content of human milk is also needed for estimating dose from human milk residue concentra- tions that have been indexed to lipid content. Chapter 15 of the Exposure Factors Handbook provides recommendations for human milk intake rates and lipid intake rates. These data are highlighted here. 15.2 Recommended Exposure Factors A summary of recommended values for human milk and lipid intake rates is presented in Table 15-1. These values are based on data from Pao et al. (1980), Dewey and Lonnerdal (1983), Butte et al. (1984), Neville et al. (1988), Dewey et al. (199la, b), Butte et al. (2000), and Arcus-Arth et al. (2005). These studies presented data by month, and these month-by-month intakes were composited to yield intake rates for the standardized age groups by calculating weighted averages. Recommendations were converted to mL/day using a density of human milk of 1.03 g/mL rounded to two significant figures. The overall confidence in the rec- ommended values for human milk and lipid intake rates is medium. For more information about the key studies used to derive the recommended human milk intake values, refer to Chapter 15 of the Exposure Factors Handbook at http://www.epa.gov/ ncea/efh/pdfs/ef h-chapter15.pdf. Detailed information on human milk intake studies is included in Section 15.3. Key studies on lipid content and lipid intake from milk are discussed in Section 15.4, and a relevant study on lipid intake is included in Section 15.5. Section 15.6 discusses other factors that influence the initia- tion, continuation, and amount of human milk intake. 15. Human Milk Intake 43 ------- Table 15-1. Recommended Values for Human Milk and Lipid Intake Rates for Exclusively Breast-Fed Infants Age Group Mean ml/day mL/kg-day Upper Percentile3 ml/day mL/kg-day Human Milk Intake Birth to <1 monthb-c 1 to <3 monthsb-c-d-e-f 3to<6 monthsb"c"d"e"f"9"h 6to<12 monthsb"c"d"f"9"h 510 690 770 620 150 140 110 83 950 980 1,000 1,000 220 190 150 130 Lipid Intake1 Birth to <1 monthb-c 1 to<3 monthsb"c"d"e-f 3to<6 monthsb"c"d"e"f"9"h 6to<12 monthsb"c"d"f"9"h 20 27 30 25 6.0 5.5 4.2 3.3 38 40 42 42 8.7 8.0 6.1 5.2 a Upper percentile is reported as mean plus two standard deviations. b Neville etal., 1988. c Arcus-Arth et al., 2005. d Pao et al., 1980. e Butte etal., 1984. f Dewey and Lonnerdal, 1983. a Butte etal., 2000. h Dewey etal., 1991 b. ' The recommended value for the lipid content of human milk is 4.0 percent. See Section 15.4 of the Exposure Factors Handbook. 44 Exposure Factors Handbook—Highlights ------- 16. Activity Factors 16.1 Introduction Individual or group activities are important determinants of potential exposure because toxic chemicals introduced into the environment may not cause harm to an individual until an activity is performed that subjects the individual to contact with those contaminants. The types of activities and time spent on these activities varies among individuals on the basis of, for example, culture, ethnicity, hobbies, loca- tion, sex, age, socioeconomic characteristics, and personal preferences. Chapter 16 of the Exposure Factors Handbook summarizes data on how much time individuals spend participating in various activities in various microenviron- ments and on the frequency of performing various activi- ties. Information is also provided on occupational mobility and population mobility. Highlights of this information are provided here. 16.2 Recommended Exposure Factors Activity Factors: The recommended values for activity factors are summarized in Table 16-1. Note that, except for swimming, all activity factors are reported in units of minutes/day. Time spent swimming is reported in units of minutes/month. These data are based on two key studies presented in this chapter: a study of children's activity pat- terns in California (Wiley et al., 1991) and the National Human Activity Pattern Survey (NHAPS) (U.S. EPA, 1996). The recommendations for total time spent indoors and the total time spent outdoors are based on the U.S. EPA re-analysis of the source data from Wiley et al. (1991) for children <1 year of age and U.S. EPA (1996) for childhood age groups > 1 year of age. For adults 18 years and older, the recommended values are taken directly from the source document (U.S. EPA, 1996). The overall confidence in the recommendations for activity factors is medium for the mean and low for the upper percentile. Occupational Mobility: Table 16.2 presents the recom- mended values for occupational mobility for males and females. These values are derived from Carey (1988, 1990). The overall confidence in the recommendations for occupa- tional mobility is medium. Population Mobility: There are two key studies from which the population mobility recommendations were derived: the U.S. Bureau of the Census American Housing Survey (U.S. Bureau of the Census, 2008) and Johnson and Capel (1992). Table 16-3 presents the recommendations for population mobility. The overall confidence in these recommendations is medium. 16. Activity Factors 45 ------- Table 16-1. Recommended Values for Activity Patterns Age Group Mean 95th Percentile Source Time Indoors (total) minutes/day Birth to <1 month 1 to <3 months 3 to <6 months 6 to <12 months 1 to <2 years 2 to <3 years 3 to <6 years 6 to <11 years 11 to <1 6 years 16 to <21 year 18 to <65 years >65 years 1,440 1,432 1,414 1,301 1,353 1,316 1,278 1,244 1,260 1,248 1,159 1,142 - - - - - - - - - - - - a b c, d Time Outdoors (total) minutes/day Birth to <1 month 1 to <3 months 3 to <6 months 6to<12 months 1 to <2 years 2 to <3 years 3 to <6 years 6 to <11 years 11 to <1 6 years 16 to <21 year 18 to <65 years >65 years 0 8 26 139 36 76 107 132 100 102 281 298 - - - - - - - - - - - - a b c, e Time Indoors (at residence) minutes/day Birth to <1 year 1 to <2 years 2 to <3 years 3 to <6 years 6 to <11 years 11 to <1 6 years 16to<21 years 18 to <65 years >65 years 1,108 1,065 979 957 893 889 833 948 1,175 1,440 1,440 1,296 1,355 1,275 1,315 1,288 1,428 1,440 b c Showering minutes/day Birth to <1 year 1 to <2 years 2 to <3 years 3 to <6 years 6 to <11 years 11 to <1 6 years 16 to <21 years 15 20 22 17 18 18 20 - - 44 34 41 40 45 b 46 Exposure Factors Handbook—Highlights ------- Table 16-1. Recommended Values for Activity Patterns (continued) Age Group Mean 95th Percentile Source Bathing minutes/day Birth to <1 year 1 to <2 years 2 to <3 years 3 to <6 years 6 to <11 years 11 to <1 6 years 16 to <21 years 19 23 23 24 24 25 33 30 32 45 60 46 43 60 b Bathing/Showering minutes/day 18 to <65 years >65 years 17 17 - - c Swimming minutes/month Birth to <1 year 1 to <2 years 2 to <3 years 3 to <6 years 6 to <11 years 11 to <1 6 years 16to<21 years 18 to <65 years >65 years 96 105 116 137 151 139 145 45' 40f - - 181 181 181 181 181 181 181 b c Playing on Sand/Gravel minutes/day Birth to <1 year 1 to <2 years 2 to <3 years 3 to <6 years 6 to <11 years 11 to <1 6 years 16 to <21 years 18 to <65 years >65 years 18 43 53 60 67 67 83 Of Of - 121 121 121 121 121 - 121 - b c Playing on Grass minutes/day Birth to <1 year 1 to <2 years 2 to <3 years 3 to <6 years 6 to <11 years 11 to <1 6 years 16 to <21 years 18 to <65 years >65 years 52 68 62 79 73 75 60 60f 121* - 121 121 121 121 121 - 121 - b c 16. Activity Factors 47 ------- Table 16-1. Recommended Values for Activity Patterns (continued) Age Group Mean 95th Percentile Source Playing on Dirt minutes/day Birth to <1 year 1 to <2 years 2 to <3 years 3 to <6 years 6 to <11 years 11 to <1 6 years 16 to <21 years 18 to <65 years >65 years 33 56 47 63 63 49 30 Of Of - 121 121 121 121 120 - 120 - b c a U.S. EPA analysis of source data from Wiley et al. (1991). Average for boys and girls, whole population. b U.S. EPA re-analysis of source data from U.S. EPA (1996). = U.S. EPA, 1996. d Total minutes per 24 hours (1,440) minus time outdoors, doers only. B Sum of minutes spent outdoors away from the residence and minutes spent outdoors at the residence. Doers only. ' Median value, mean not available in U.S. EPA (1996). • Percentiles were not calculated for sample sizes less than 10 or in cases where the mean was calculated by summing the means from multiple locations or activities. Note: All activities are reported in units of minutes/day, except swimming, which is reported in units of minutes/month.There are 1,440 minutes in a day.Time indoors and outdoors may not add up to 1,440 minutes due to activities that could not be classified as either indoors or outdoors. Table 16-2. Recommended Values for Occupational Mobility Age Group All ages, >1 6 years 16-24 years 25-29 years 30-34 years 35-39 years 40-44 years 45-49 years 50-54 years 55-59 years 60-64 years 65-69 years >70 years MedianTenure (years) Men* 7.9 2.0 4.6 7.6 10.4 13.8 17.5 20.0 21.9 23.9 26.9 30.5 MedianTenure (years) Women* 5.4 1.9 4.1 6.0 7.0 8.0 10.0 10.8 12.4 14.5 15.6 18.8 48 Exposure Factors Handbook—Highlights ------- Table 16-2. Recommended Values for Occupational Mobility (continued) Age Group 16-24 years 25-34 years 35-44 years 45-54 years 55-64 years >64 years Total, >1 6 years Occupational Mobility Rateb-c (percent) 12.7 6.6 4.0 1.9 1.0 0.3 5.3 8 Source: Carey (1988). b Source: Carey (1990). c Occupational mobility rate = percentage of persons employed in an occupation who had voluntarily entered it from another occupation. Table 16-3. Recommended Values for Population Mobility Residential Occupancy Period" Current ResidenceTimeb Mean 12yrs 13yrs 95th Percentile 33yrs 46yrs a Source: Johnson and Capel (1992). b Source: U.S. Bureau of the Census (2008). For more information about the key studies used to derive the recommended activity factors, refer to Chapter 16 of the Exposure Factors Handbook at http://www.epa.gov/ ncea/efh/pdfs/efh-chapter16.pdf. Detailed information on relevant studies of activity patterns is provided in Section 16.3. Studies on occupational mobility are discussed in Section 16.4, and studies on population mobility are discussed in Section 16.5. 17. Consumer Products 49 ------- This page intentionally left blank 50 Exposure Factors Handbook—Highlights ------- 17. Consumer Products 17.1 Introduction Consumer products may include cleaners, solvents, paints, pesticides, personal care products, or other types of products used in and around the home. These products may contain toxic or potentially toxic chemical constituents to which people may be exposed as a result of their use. Potential routes of exposure to consumer products or chemicals released from consumer products during use include inges- tion, inhalation, and dermal contact. Non-users, including children, can be passively exposed to chemicals in these prod- ucts. Because people spend a large amount of time indoors, the use of household chemicals in the indoor environment can be a principal source of exposure (Franklin, 2008). Limited information is available on how the various prod- ucts are used by consumers, including the many ways in which these products are handled, the frequency and dura- tion of contact, and the measures consumers may take to minimize exposure/risk (Steenbekkers, 2001). Chapter 17 of the Exposure Factors Handbook summarizes available information regarding the amount used, frequency of use, and duration of use for various consumer products typically found in consumer households. Due to the large range and variation among consumer products and their exposure pathways, it is not feasible to recommend specific exposure values as has been done in other chapters of the Exposure Factors Handbook. However, Table 17-1 summarizes information about the various consumer product studies described in Chapter 17 of the Exposure Factors Handbook. Users are encouraged to refer to the Handbook for more detailed information about these studies. 17. Consumer Products 51 ------- Table 17-1. Consumer Product Use Studies Included in the Exposure Factors Handbook Source CTFA, 1993 Westat, 1987a Westat, 1987b Westat, 1987c Abt, 1992 U.S. EPA, 1996 Bass etal., 2001 Weegels and van Veen, 2001 Loretz et al.,2005 Loretz etal. ,2006 Hall etal., 2007 Loretz etal. ,2008 Sathyanarayana et al., 2008 Study Summary of the Results of Surveys of the Amount and Frequency of Use of Cosmetic Products by Women Household Solvent Products: A National Usage Survey National Usage Survey of Household Cleaning Products National Household Survey of Interior Painters Methylene Chloride Consumer Products Use Survey Findings National Human Activity Pattern Survey (NHAPS) What's Being Used at Home: A Household Pesticide Survey Variation of Consumer Contact with Household Products: A Preliminary Investigation Exposure Data for Cosmetic Products: Lipstick, Body Lotion, and Face Cream Exposure Data for Personal Care Products: Hairspray, Spray Perfume, Liquid Foundation, Shampoo, Body Wash, and Solid Antiperspirant European Consumer Exposure to Cosmetic Products, a Framework for Conducting Population Exposure Assessments Exposure Data for Cosmetic Products: Facial Cleanser, Hair Conditioner, and Eye Shadow Baby Care Products: Possible Sources of Infant Phthalate Exposure Description The Cosmetic, Toiletry and Fragrance Association (CTFA) conducted three surveys on frequency of use of various cosmetic products. A nationwide survey was conducted to determine con- sumer exposure to common household products believed to contain methylene chloride or its substitutes. A nationwide telephone survey was conducted to gather information on cleaning activities performed in the interior of homes during the previous year; some participants were re-interviewed or asked to keep diaries of activities. A survey of household members who had painted the interior of the home during the last 12 months prior to the survey date; participants were asked questions relating to frequency and time spent for interior painting activities, the amount of paint used, and protective measures used, (i.e., wearing gloves, hats, and masks or keeping a window open). A telephone survey of nearly 5,000 households was conducted to gather data on use of paint strippers, non- automotive spray paint, and adhesive removers in order to estimate the percent of the population using these products. Data were collected on the duration and frequency of selected activities and the time spent in selected microen- vironments via 24-hour diaries; data were also collected on duration and frequency of use of selected consumer products such as microwave ovens and paints. A survey (one-to-one interview) was conducted to assess the use of pesticide products in homes with children; the study obtained information on what pesticides were used, where they were used, and how frequently they were used. A survey was conducted to determine consumer exposure to common household products that are used once a day or every other day (i.e., dishwashing detergent, all-purpose cleaners, and hair styling products). A nationwide survey was conducted to estimate the usage (i.e., frequency of application and amount used per appli- cation) of lipstick, body lotion, and face cream in women. A nationwide survey was conducted to determine the usage (i.e., frequency of use and amount used) of hair- spray, spray perfume, liquid foundation, shampoo, body wash, and solid antiperspirant in women. A probabilistic European population model of exposure for six cosmetic products (i.e., body lotion, deodorant/ antiperspirant, lipstick, facial moisturizer, shampoo, and toothpaste) was developed using market information and a controlled products use study. Data from a study conducted in 2005 were used to estimate frequency of use and usage amount for facial cleanser, hair conditioner, and eye shadow. This study estimated dermal exposure to phthalates in infants via the dermal application of personal care products; products studied were baby lotion, baby powder, baby shampoo, diaper cream, and baby wipes. Exposure Factors Handbook Section 17.3.1 17.3.2 17.3.3 17.3.4 17.3.5 17.3.6 17.3.7 17.3.8 17.3.9 17.3.10 17.3.11 17.3.12 17.3.13 52 Exposure Factors Handbook—Highlights ------- 18. Lifetime 18.1 Introduction The length of an individuals life is an important factor to consider when evaluating cancer risk because the dose estimate is averaged over an individual's lifetime. Because the averaging time is found in the denominator of the dose equation, a shorter lifetime would result in a higher poten- tial risk estimate, and conversely, a longer life expectancy would produce a lower potential risk estimate. Chapter 18 of the Exposure Factors Handbook provides information and recommendations for life expectancy. These data are high- lighted here. 18.2 Recommended Exposure Factors The life expectancy values presented in Table 18-1 are based on data from Xu et al. (2010). These data are based on information compiled from death certificates. Using data for 2007, life expectancy for an average person in the United States is 78 years. If sex is a factor considered in the assess- ment, note that the average life expectancy value for females is higher than for males. It is recommended that the assessor use the appropriate value of 75 years for males or 80 years for females. If race is a consideration in assessing exposure for individuals, note that the life expectancy is longer for Whites than for Blacks. Therefore, assessors are encouraged to use values that most reflect the exposed population. Tables 18-4 and 18-5 in the Exposure Factors Handbook provide life expectancy data for Whites and Blacks separately. The recommended value of 78 for the total population is dif- ferent than the 70 years commonly assumed for the general population in U.S. EPA risk assessments. The Integrated Risk Information System (IRIS) does not use a 70-year life- time assumption in the derivation of RfCs and RfDs, cancer slope factors, or unit risks. Therefore, using a value differ- ent than 70 years will not result in an inconsistency with the toxicity data. Overall confidence in the life expectancy recommendations is high. Table 18-1. Recommended Values for Expectation of Life at Birth: 2005 Population Total Males Females Life Expectancy (years) 78 75 80 Source: Xu et al.,2010. For more information about the key study used to derive the recommended lifetime values, refer to Chapter 18 of the Exposure Factors Handbook at http://www.epa.gov/ncea/efh/pdfs/ efh-chapter18.pdf. Detailed information on the key study on lifetime is included in Section 18.3. 18. Lifetime 53 ------- This page intentionally left blank 54 Exposure Factors Handbook—Highlights ------- 19. Building Characteristics 19.1 Introduction Unlike previous chapters in the Exposure Factors Handbook that focus on human behavior or characteristics that affect exposure, Chapter 19 focuses on building characteristics. Assessment of exposure in indoor settings requires informa- tion on the availability of the chemical(s) of concern at the point of exposure, characteristics of the structure and micro- environment that affect exposure, and human presence within the building. Chapter 19 of the Exposure Factors Handbook provides recommended values on residential and non-residential building characteristics that affect exposure in an indoor environment. Information from Chapter 19 is highlighted here. 19.2 Recommended Exposure Factors Table 19-1 presents the recommendations for residential building volumes and air exchange rates. The U.S. EPA 2010 analysis of the 2005 Residential Energy Consumption Survey (REGS) is the basis of the recommended housing volumes (U.S. DOE, 2008a). The residential air exchange rate is based on the perfluorocarbon tracer (PFT) database (Koontz and Rector, 1995). Table 19-2 presents the rec- ommendations for non-residential buildings. These data come from the Commercial Building Energy Consumption Survey (CBECS) (U.S. DOE, 2008b). The recommended air exchange rates for non-residential buildings come from Turk et al. (1987). The overall confidence ratings are medium for residential and non-residential build- ing volumes. The data for air exchange rates are limited. Therefore, the recommendations for this factor have been assigned low confidence ratings and these values should be used with caution. Information on several other factors for which specific recommendations are not provided, are also presented in Chapter 19 of the Handbook. Table 19-1. Recommendations—Residential Parameters Volume of Residence 492 m3 (central estimate)3 154 m3 (lower percentile)b Air Exchange Rate 0.45 ACHC (central estimate)1 0.18 ACH (lower percentile)6 a Average value presented inTable 19-6 in the Exposure Factors Handbook recommended for use as a central estimate for all single family homes, including mobile homes and multi-family units. b 10th percentile values recommended to be used as a lower percentile estimate. c ACH = air changes per hour. d Median value recommended to be used as a central estimate (Table 19-24 in the Exposure Factors Handbook). e 10th percentile value recommended to be used as a lower percentile value (Table 19-24 in the Exposure Factors Handbook). Source: U.S. EPA analysis of U.S. DOE, 2008a; Koontz and Rector, 1995. 19. Building Characteristics 55 ------- Table 19-2. Summary of Recommended Values for Non-Residential Building Parameters Volume of Building (m3)a-b Vacant Office Laboratory Non-refrigerated warehouse Food sales Public order and safety Outpatient healthcare Refrigerated warehouse Religious worship Public assembly Education Food service Inpatient healthcare Nursing Lodging Strip shopping mall Enclosed mall Retail other than mall Service Other All buildings6 Air Exchange Rate'-9 Mean0 4,789 5,036 24,681 9,298 1,889 5,253 3,537 19,716 3,443 4,839 8,694 1,889 82,034 15,522 11,559 7,891 287,978 3,310 2,213 5,236 5,575 Mean (SD)1.5(0.87) ACH Range 0.3-4.1 ACH 10th Percentiled 408 510 2,039 1,019 476 816 680 1,133 612 595 527 442 17,330 1,546 527 1,359 35,679 510 459 425 527 0.60 ACH ' U.S. EPA analysis of U.S. DOE, 2008b. b Volumes were calculated assuming a ceiling height of 20 feet for warehouses and enclosed malls and 12 feet for other structures (seeTable 19-20 of Exposure Factors Handbook). c Mean values are recommended as central estimates for non-residential buildings (seeTable 19-20 of Exposure Factors Handbook). d 10th percentile values are recommended as lower estimates for non-residential buildings (seeTable 19-20 of Exposure Factors Handbook). e Weighted average assuming a ceiling height of 20 feet for warehouses and enclosed malls and 12 feet for other structures (seeTable 19-20 of Exposure Factors Handbook). ' Air exchange rates for commercial buildings (seeTable 19-27 of Exposure Factors Handbook). 9 Turketal., 1987. SD = Standard deviation. ACH = Air changes per hour. Source: U.S. EPA analysis of U.S. DOE, 2008a; Koontz and Rector, 1995. 56 Exposure Factors Handbook—Highlights ------- 20. References Chapter 1 Brown, R.; Barone, S.; Kimmel, C. (2008) Children's health risk assessment: Incorporating a lifestage approach into the risk assessment process. Birth Defects Res B Dev Reprod Toxicol (83)6:511—521. Georgopoulos, P.G. (2008) A multiscale approach for assessing the interactions of environmental and biological systems in a holistic health risk assessment framework. Water Air Soil Pollut: Focus 8:3—21. IPCS (International Programme on Chemical Safety). (2001) Glossary of exposure assessment-related terms: A compilation. IPCS Exposure Terminology Subcommittee, International Programme on Chemical Safety, World Health Organization. Available online at http://www.who.int/ipcs/publications/methods/harmonization/en/compilation_nov2001 .pdf. Price, P.S.; Chaisson, C.E; Koontz, M.; Ryan, B.; Wilkes, C.; Macintosh, D.; Georgopoulos, P.G. (2003) Construction of a comprehensive chemical exposure framework using person-oriented modeling. The Lifeline Group. Developed for The Exposure Technical Implementation Panel American Chemistry Council; Contract # 1388. U.S. EPA (Environmental Protection Agency). (1992) Guidelines for exposure assessment. Office of Health and Environmental Assessment, Office of Research and Development, Washington, DC; EPA/600/Z-92/001. Available online at http://www.epa.gov/raf/publications/guidelines-for-exposure-assessment.htm. U.S. EPA (Environmental Protection Agency). (1997) Exposure factors handbook. National Center for Environmental Assessment, Office of Research and Development, Washington, DC; EPA/600/P-95/002Fa,b,c. Available from the National Technical Information Service, Springfield, VA, and online at http://www.epa.gov/ncea/efh/. U.S. EPA (Environmental Protection Agency). (2005) Guidance on selecting age groups for monitoring and assessing childhood exposures to environmental contaminants. Risk Assessment Forum, Office of Research and Development, Washington DC; EPA/630/P-03/003-F. Available at http://www.epa.gov/raf/publications/guidance-on-selecting-age-groups.htm. U.S. EPA (Environmental Protection Agency). (2006) A framework for assessing health risk of environmental exposures to children. National Center for Environmental Assessment, Office of Research and Development, Washington, DC; EPA/600/R-05/093F. Available from the National Technical Information Service, Springfield, VA, and online at http://cfpub.epa.gov/ncea/cfm/recordisplay.cfm?deid= 158363. U.S. EPA (Environmental Protection Agency). (2011) Exposure factors handbook: 2011 edition. National Center for Environmental Assessment, Office of Research and Development, Washington, DC; EPA/600/R-09/052F. Available from the National Technical Information Service, Springfield, VA, and online at http://www.epa.gov/ncea. Chapter 2 NRC (National Research Council). (1994) Science and judgment in risk assessment. National Academy Press, Washington, DC. U.S. EPA (Environmental Protection Agency). (1992) Guidelines for exposure assessment. Office of Health and Environmental Assessment, Office of Research and Development, Washington, DC; EPA/600/Z-92/001. Available online at http://www.epa.gov/raf/publications/guidelines-for-exposure-assessment.htm. 20. References 57 ------- Chapter 3 Dufour, A.P.; Evans, O.; Behymer, T.D.; Cantu, R. (2006) Water ingestion during swimming activities in a pool: A pilot study. J Water Health 4(4):425-430. Kahn, H. (2008) Letter from Henry Kahn to Jacqueline Moya, EPA, providing supplemental data to Estimated daily average per capita water ingestion by child and adult age categories based on USDA's 1994-96 and 1998 continuing survey of food intakes by individuals (September 18, 2008). Kahn, H.; Stralka, K. (2008a) Estimated daily average per capita water ingestion by child and adult age categories based on USDA's 1994-96 and 1998 continuing survey of food intakes by individuals. J Exp Sci Environ Epidemiol 19(4):396-404. Kahn, H; Stralka, K. (2008b) Estimates of water ingestion for women in pregnant, lactating, and non-pregnant and non- lactating child-bearing age groups based on USDA's 1994-96, 1998 continuing survey of food intakes by individuals. Hum Ecol Risk Assess Int J14(6):1273-1290. NCHS (National Center for Health Statistics). (1993) Joint policy on variance estimation and statistical reporting standards on NHANES III and CSFII reports: HNIS/NCHS Analytic Working Group recommendations. Human Nutrition Information Service (HNIS)/Analytic Working Group. Agricultural Research Service, Survey Systems/Food Consumption Laboratory, Riverdale, MD. Chapter 4 Beamer, P.; Key, M.E.; Ferguson, A.C.; Canales, R.A.; Auyeung, W; Leckie, J.O. (2008) Quantified activity pattern data from 6 to 27-month-old farmworker children for use in exposure assessment. Environ Res 108(2):239-246. Greene, M.A. (2002) Mouthing times for children from the observational study. U.S. Consumer Product Safety Commission, Bethesda, MD. Groot, M.E.; Lekkerkerk, M.C.; Steenbekkers, L.P.A. (1998) Mouthing behavior of young children: An observational study. Wageningen Agricultural University, Wageningen, The Netherlands. Juberg, D.R.; Alfano, K.; Coughlin, R.J.; Thompson, K.M. (2001) An observational study of object mouthing behavior by young children. Pediatrics 107(1):135—142. Xue, J.; Zartarian, V.; Moya, J.; Freeman, N.; Beamer, P.; Black, K; Tulve, N.; Shalat, S. (2007) A meta-analysis of children's hand-to-mouth frequency data for estimating nondietary ingestion exposure. Risk Anal 27(2):4l 1^20. Xue, J.; Zartarian, V.; Tulve, N.; Moya, J.; Freeman, N.; AuYeung, W; Beamer, P. (2009) A meta-analysis of children's object- to-mouth frequency data for estimating nondietary ingestion exposure. Accepted for publication in the J Expo Sci Environ Epidemiol. Chapter 5 ATSDR (Agency for Toxic Substances and Disease Registry). (2001) Summary report for the ATSDR soil-pica workshop. ATSDR, Atlanta, GA. March 20, 2001. Available online at: http://www.atsdr.cdc.gov/NEWS/soilpica.html. Barnes, R.M. (1990) Childhood soil ingestion: How much dirt do kids eat? Anal Chem 62:1024-1033. Calabrese, E.J.; Stanek, E.J. (1993) Soil pica: Not a rare event. J Environ Sci Health A28(2):373-384. Calabrese, E.J.; Stanek, E.J. (1995) Resolving intertracer inconsistencies in soil ingestion estimation. Environ Health Perspect 103(5):454-456. 58 Exposure Factors Handbook—Highlights ------- Calabrese, E.J.; Barnes, R.; Stanek, E.J. Ill; Pastides, H.; Gilbert, C.; Veneman, P.; Wang, X.; Lasztity, A.; Kostecki, P.T. (1989) How much soil do young children ingest: An epidemiologic study. In: Petroleum Contaminated Soils, Lewis Publishers, Chelsea, MI; pp. 363-397 and RegulToxicol Pharm 10:123-137. Calabrese, E.J.; Stanek, E.J.; Gilbert, C.E. (1991) Evidence of soil-pica behavior and quantification of soil ingested. Hum Exp Toxicol 10:245-249. Calabrese, E.J.; Stanek, E.J.; Pekow, P.; Barnes, R.M. (1997a) Soil ingestion estimates for children residing on a Superfund site. Ecotoxicol Environ Saf 36:258—268. Calabrese, E.J.; Stanek, E.J.; Barnes, R.M. (1997b) Soil ingestion rates in children identified by parental observation as likely high soil ingesters. J Soil Contam 6(3):271—279. Davis, S.; Mirick, D. (2006) Soil ingestion in children and adults in the same family. J Exp Anal Environ Epidemiol 16:63-75. Davis, S.; Waller, P.; Buschbom, R.; Ballou, J.; White, P. (1990) Quantitative estimates of soil ingestion in normal children between the ages of 2 and 7 years: Population based estimates using aluminum, silicon, and titanium as soil tracer ele- ments. Arch Environ Health 45:112-122. Hogan, K.; Marcus, A.; Smith, R.; White, P. (1998) Integrated exposure up take biokinetic model for lead in children: Empirical comparisons with epidemiologic data. Environ Health Perspect 106(6):1557—1567. Ozkaynak, H., Xue, J., Zartarian, V.G., Glen, G., Smith, L. (2010) Modeled estimates of soil and dust ingestion rates for children. Risk Anal online prepublication copy. Stanek, E.J.;Calabrese, E.J. (1995) Soil ingestion estimates for use in site evaluations based on the best tracer method. Hum Ecol Risk Assess 1:133-156. Stanek, E.J.; Calabrese, E.J.; Mundt, K.; Pekow, P.; Yeatts, K.B. (1998) Prevalence of soil mouthing/ingestion among healthy children aged 1 to 6. J Soil Contam 7(2):227-242. Van Wijnen, J.H.; Clausing, P.; Brunekreff, B. (1990) Estimated soil ingestion by children. Environ Res 51:147—162. Vermeer, D.E.; Frate, D.A. (1979) Geophagia in rural Mississippi: Environmental and cultural contexts and nutritional implications. Am J Clin Nutr 32:2129-2135. Wong, M.S. (1988) The role of environmental and host behavioural factors in determining exposure to infection withAscaris lumbricoldes and Trichuris trichiura. Ph.D. Thesis, Faculty of Natural Sciences, University of the West Indies. Chapter 6 Arcus-Arth, A; Blaisdell, R.J. (2007) Statistical distributions of daily breathing rates for narrow age groups of infants and children. Risk Anal 27(1):97-110. Brochu, P.; Ducre-Robitaille, J.; Brodeur, J. (2006) Physiological daily inhalation rates for free-living individuals aged 1 month to 96 years, using data from doubly labeled water measurements: A proposal for air quality criteria, standard calculations and health risk assessment. Hum Ecol Risk Assess 12:675-701. Stifelman, M. (2007) Using doubly-labeled water measurements of human energy expenditure to estimate inhalation rates. Sci Total Environ 373:585-590. 20. References 59 ------- U.S. EPA (Environmental Protection Agency). (1992) Guidelines for exposure assessment. Office of Health and Environmental Assessment, Office of Research and Development, Washington, DC; EPA/600/Z-92/001. Available online at http://www.epa.gov/raf/publications/guidelines-for-exposure-assessment.htm. U.S. EPA (Environmental Protection Agency). (2009) Metabolically-derived human ventilation rates: A revised approach based upon oxygen consumption rates. National Center for Environmental Assessment, Office of Research and Development, Washington, DC; EPA/600/R-06/129E Available from the National Technical Information Service, Springfield, VA. Chapter 7 Boniol, M.; Verriest, J.P.; Perdeux, R.; Dore, J-E (2007) Proportion of skin surface area of children and young adults from 2 to 18 years old. J Investig Dermatol 128:461-464. Holmes, Jr., K.K.; Shirai, J.H.; Richter, K.Y.; Kissel, J.C. (1999) Field measurement of dermal loadings in occupational and recreational activities. Environ Res 80:148-157, Section A. Kissel, J.C.; Richter, K.; Fenske, R. (1996) Field measurements of dermal soil loading attributable to various activities: Implications for exposure assessment. Risk Anal 16(1):116-125. Shoaf, M.B.; Shirai, J.H.; Kedan, G.; Schaum, J.; Kissel, J.C. (2005) Child dermal sediment loads following play in a tide flat. J Expo Anal Environ Epidemiol 15:407-412. U.S. EPA (Environmental Protection Agency). (1985) Development of statistical distributions or ranges of standard factors used in exposure assessments. Office of Health and Environmental Assessment, Office of Research and Development, Washington, DC; EPA/600/8-85/010. Available from the National Technical Information Service, Springfield, VA, PB85-242667. U.S. EPA (Environmental Protection Agency). (1992a) Guidelines for exposure assessment. Office of Health and Environmental Assessment, Office of Research and Development, Washington, DC; EPA/600/Z-92/001. Available online at http://www.epa.gov/raf/publications/guidelines-for-exposure-assessment.htm. U.S. EPA (Environmental Protection Agency). (1992b) Dermal exposure assessment: Principles and applications. Office of Health and Environmental Assessment, Office of Research and Development, Washington, DC; U.S. EPA/600/8-91/91. Available from the National Technical Information Service, Springfield, VA, and online at http://www.epa.gov/ncea. U.S. EPA (Environmental Protection Agency). (2004) Risk assessment guidance for Superfund (RAGS), Volume I: Human health evaluation manual, Part E. Washington, DC; EPA/540/R-99/005. U.S. EPA (Environmental Protection Agency). (2005) Guidance on selecting age groups for monitoring and assessing childhood exposures to environmental contaminants. Risk Assessment Forum, Office of Research and Development, Washington DC; EPA/630/P-03/003-F. Available at http://www.epa.gov/raf/publications/guidance-on-selecting-age-groups.htm. Chapter 8 U.S. EPA (Environmental Protection Agency). (1989) Risk assessment guidance for Superfund, Volume I: Human health evaluation manual. Office of Emergency and Remedial Response, Washington, DC; EPA/540/1-89/002. U.S. EPA (Environmental Protection Agency). (2005) Guidance on selecting age groups for monitoring and assessing childhood exposures to environmental contaminants. Risk Assessment Forum, Office of Research and Development, Washington DC; EPA/630/P-03/003-F. Available at http://www.epa.gov/raf/publications/guidance-on-selecting-age-groups.htm. 60 Exposure Factors Handbook—Highlights ------- Chapter 9 NCHS (National Center for Health Statistics). (1993) Joint policy on variance estimation and statistical reporting standards on NHANES III and CSFII reports: HNIS/NCHS Analytic Working Group recommendations. Human Nutrition Information Service (HNIS)/Analytic Working Group. Agricultural Research Service, Survey Systems/Food Consumption Laboratory, Riverdale, MD. U.S. EPA (Environmental Protection Agency). (2005) Guidance on selecting age groups for monitoring and assessing childhood exposures to environmental contaminants. Risk Assessment Forum, Office of Research and Development, Washington DC; EPA/630/P-03/003-F. Available at http://www.epa.gov/raf/publications/guidance-on-selecting-age-groups.htm. Chapter 10 NCHS (National Center for Health Statistics). (1993) Joint policy on variance estimation and statistical reporting standards on NHANES III and CSFII reports: HNIS/NCHS Analytic Working Group recommendations. Human Nutrition Information Service (HNIS)/Analytic Working Group. Agricultural Research Service, Survey Systems/Food Consumption Laboratory, Riverdale, MD. NMFS (National Marine Fisheries Service). (1993) Data tapes for the 1993 NMFS provided to U.S. EPA. National Center for Environmental Assessment. U.S. EPA (Environmental Protection Agency). (2005) Guidance on selecting age groups for monitoring and assessing childhood exposures to environmental contaminants. Risk Assessment Forum, Office of Research and Development, Washington DC; EPA/630/P-03/003-F. Available at http://www.epa.gov/raf/publications/guidance-on-selecting-age-groups.htm. Chapter 11 NCHS (National Center for Health Statistics). (1993) Joint policy on variance estimation and statistical reporting standards on NHANES III and CSFII reports: HNIS/NCHS Analytic Working Group recommendations. Human Nutrition Information Service (HNIS)/Analytic Working Group. Agricultural Research Service, Survey Systems/Food Consumption Laboratory, Riverdale, MD. U.S. EPA (Environmental Protection Agency). (2005) Guidance on selecting age groups for monitoring and assessing childhood exposures to environmental contaminants. Risk Assessment Forum, Office of Research and Development, Washington DC; EPA/630/P-03/003-F. Available at http://www.epa.gov/raf/publications/guidance-on-selecting-age-groups.htm. U.S. EPA (Environmental Protection Agency). (2007) Analysis of fat intake based on the U.S. Department of Agriculture's 1994-96, 1998 continuing survey of food intakes by individuals (CSFII). National Center for Environmental Assessment, Washington, DC; EPA/600/R-05/021F. Available from the National Technical Information Service, Springfield, VA, and online at http://www.epa.gov/ncea. Chapter 12 NCHS (National Center for Health Statistics). (1993) Joint policy on variance estimation and statistical reporting standards on NHANES III and CSFII reports: HNIS/NCHS Analytic Working Group recommendations. Human Nutrition Information Service (HNIS)/Analytic Working Group. Agricultural Research Service, Survey Systems/Food Consumption Laboratory, Riverdale, MD. U.S. EPA (Environmental Protection Agency). (2005) Guidance on selecting age groups for monitoring and assessing childhood exposures to environmental contaminants. Risk Assessment Forum, Office of Research and Development, Washington DC; EPA/630/P-03/003-F. Available at http://www.epa.gov/raf/publications/guidance-on-selecting-age-groups.htm. 20. References 61 ------- Chapter 13 Phillips, L.; Moya, J. (2011) Estimation of age-specific per capita home-produced food intake among populations that garden, farm, or raise animals. J Expo Anal Environ Epidemiol advance online publication: 27 April 2011:1-8. USDA (U.S. Department of Agriculture). (1987-1988) Dataset: Nationwide food consumption survey 1987/88 household food use. Washington, DC. 1987/88 NFCS Database. U.S. EPA (Environmental Protection Agency). (1989) Risk assessment guidance for Superfund (RAGS), Volume I: Human health evaluation manual, Part A. Office of Solid Waste and Emergency Response, Washington, DC; EPA/540/1-89/002. Available online at http://www.epa.gov/oswer/riskassessment/ragsa/index.htm. U.S. EPA (Environmental Protection Agency). (1996) Soil screening fact sheet guidance. Office of Solid Waste and Emergency Response, Washingtion, DC; EPA/540/F-9 5/041. Available online at http://www.epa.gov/superfund/health/conme- dia/soil/index.htm. U.S. EPA (Environmental Protection Agency). (2005) Guidance on selecting age groups for monitoring and assessing childhood exposures to environmental contaminants. Risk Assessment Forum, Office of Research and Development, Washington DC; EPA/630/P-03/003-F. Available at http://www.epa.gov/raf/publications/guidance-on-selecting-age-groups.htm. Chapter 14 NCHS (National Center for Health Statistics). (1993) Joint policy on variance estimation and statistical reporting standards on NHANES III and CSFII reports: HNIS/NCHS Analytic Working Group recommendations. Human Nutrition Information Service (HNIS)/Analytic Working Group. Agricultural Research Service, Survey Systems/Food Consumption Laboratory, Riverdale, MD. USDA (U.S. Department of Agriculture). (2000) 1994-96, 1998 continuing survey of food intakes by individuals (CSFII). CD-ROM. Agricultural Research Service, Beltsville Human Nutrition Research Center, Beltsville, MD. Available from the National Technical Information Service, Springfield, VA; PB-2000-500027. U.S. EPA (Environmental Protection Agency). (2007) Analysis of total food intake and composition of individual's diet based on USDA's 1994—96, 1998 continuing survey of food intakes by individuals (CSFII). National Center for Environmental Assessment, Washington, DC; EPA/600/R-05/062F. Available from the National Technical Information Service, Springfield, VA, and online at http://www.epa.gov/ncea. Chapter 15 AAP (American Academy of Pediatrics). (2005) Breast feeding and the use of human milk. Policy statement. Pediatrics. 115(2):496-506. Available online at http://aappolicy.aappublications.org/cgi/content/fiill/pediatrics;115/2/496. Arcus-Arth, A.; Krowech, G.; Zeise, L. (2005) Human milk and lipid intake distributions for assessing cumulative exposure and risk. J Expos Anal Environ Epidemiol 15:357—365. Butte, N.F.; Garza, C.; Smith, E.O.; Nichols, B.L. (1984) Human milk intake and growth in exclusively breast-fed infants. JPediatr 104:187-195. Butte, N.; Wong, W; Hopkinson, J.; Smith E.; Ellis, J. (2000) Infant feeding mode affects early growth and body composition. Pediatrics 106:1355-1366. Chen, A.; Rogan, WJ. (2004) Breastfeeding and the risk of postneonatal death in the United States. Pediatrics 113:435—439. Dewey, K.G.; Lonnerdal, B. (1983) Milk and nutrient intake of breast-fed infants from 1 to 6 months: Relation to growth and fatness. J Pediatr Gastroenterol Nutr 2:497-506. 62 Exposure Factors Handbook—Highlights ------- Dewey, K.G.; Heinig, J.; Nommsen, L.A.; Lonnerdal, B. (199 la) Maternal versus infant factors related to human milk intake and residual volume: The DARLING study. Pediatrics 87:829-837. Dewey, K.G.; Heinig, J.; Nommsen, L.; Lonnerdal, B. (199 Ib) Adequacy of energy intake among breast-fed infants in the DARLING study: Relationships to growth, velocity, morbidity, and activity levels. J Pediatr 119:538-547. Neville, M.C.; Keller, R.; Seacat, J.; Lutes, V.; Neifert, M.; et al. (1988) Studies in human lactation: Milk volumes in lactating women during the onset of lactation and full lactation. Am J Clin Nutr 48:1375—1386. Pao, E.M.; Hines, J.M.; Roche, A.E (1980) Milk intakes and feeding patterns of breast-fed infants. J Am Diet Assoc 77:540-545. Chapter 16 Carey, M. (1988) Occupational tenure in 1987: Many workers have remained in their fields. Mon Labor Rev October 1988:3-12. Carey, M. (1990) Occupational tenure, employer tenure, and occupational mobility. Occup Outlook Quart Summer 1990:55-60. Johnson, T.; Capel, J. (1992) A monte carlo approach to simulating residential occupancy periods and its application to the general U.S. population. U.S. EPA, Office of Air Quality and Standards, Research Triangle Park, NC. U.S. Bureau of the Census. (2008) American housing survey for the United States in 2007. U.S. Government Printing Office, Washington, DC. U.S. EPA (Environmental Protection Agency). (1996) Descriptive statistics tables from a detailed analysis of the National Human Activity Pattern Survey (NHAPS) data. Office of Research and Development, Washington, DC; EPA/600/R-96/148. Wiley, J.A.; Robinson, J.P.; Cheng, Y.; Piazza, T; Stork, L.; Plasden, K. (1991) Study of children's activity patterns. California Environmental Protection Agency, Air Resources Board Research Division, Sacramento, CA. Chapter 17 Abt Associates. (1992) Methylene chloride consumer products use survey findings. Prepared by Abt Associates, Inc. for the U.S. Consumer Product Safety Commission, Bethesda, MD. Bass, J.; Ortega, L.; Rosales, C.; Petersen, N.; Philen, R. (2001) What's being used at home: A household pesticide survey. Pub Health 9(3): 138-144. CTFA (Cosmetic, Toiletry and Fragrance Association). (1983) Summary of the results of surveys of the amount and frequency of use of cosmetic products by women. Prepared by Environ Corporation, Washington, DC, for CTFA Inc., Washington, DC. Franklin, P. (2008) Household chemicals: Good housekeeping or occupational hazard. Eur Respir J 31:489—491. Hall, B.; Tozer, S; Safford, B; Coroama, M; Steiling, W; Leneveu-Duchemin, MC; McNamara C.; Gibney, M. (2007) European consumer exposure to cosmetic products, a framework for conducting population exposure assessments. Food Chem Toxicol 45(11):2097-2108. Loretz, L.; Api, A.; Barraj, L.; Burdick, J.; Dressier, W; Gettings, S.; Hsu, H.; Pan, Y.; Re, T; Renskers, K.; Rothenstein, A.; Scrafford, C.; Sewall, C. (2005) Exposure data for cosmetic products: Lipstick, body lotion, and face cream. Food Chem Toxicol 43:279-291. 20. References 63 ------- Loretz, L.; Api, A.; Barraj, L.; Burdick, J.; Davis, D.; Dressier, W.; Gilbert!, E.; Jarrett, G.; Mann, S.; Pan, Y.; Re, T.; Renskers, K.; Scrafford, C.; Vater, S. (2006) Exposure data for personal care products: Hairspray, spray perfume, liquid foundation, shampoo, body wash, and solid antiperspirant. Food ChemToxicol 44:2008-2018. 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Available at http://www.eia.doe.gov/emeu/cbecs. 64 Exposure Factors Handbook—Highlights ------- &EPA United States Environmental Protection Agency PRESORTED STANDARD POSTAGE & FEES PAID EPA PERM IT NO. G-35 National Center for Environmental Assessment Office of Research and Development Washington, DC 20460 Official Business Penalty for Private Use $300 Recycled/Recyclable Printed on paper that contains a minimum of 50% postconsumer fiber content processed chlorine free ------- |