. '•"'••:'
            UNJTEO STATeS;£Nyj*ONMeNTAL''PROTECTION AGENCY
                    .  . '.WASHINGTON. D c >04«Q. .•••.'
J.rov«Bb«r 28,, 1989
Mr. William Eeilly ;           ' '        '
Administrator
US Environmental Protection Agency
Washington, D.C.  20410

Dear Mr. Reillys

     In 1988 the Agency asked the Science Advisory Board to
review two  document*;  "A cancer Risk-specific  Cose Estimate  for
2,3,7,a~TCDDtt  and  "Estimating  Exposue  to  2,3,f,S-TCDO".     In
response, the  SAS Executive' Committee- (1C); appointed a "Dioxin"
Panel,  co-chaired by  Dr. , Bernard Goldstein of the  Robert wood
Johnson Medical  School' and Dr.  Nancy Kim of the  New York stare
Department  of  Health,.   The  Panel  conducted  a  public meeting  in
November, 1938, to review the document*.  On 'October 24, 1989,  Dr.
Kim presented the attached report to the EC, • which was approved by
the EC.            .  •         _   .  '

      The EC believes 'that.the "Dioxin" Panel has done an
outstanding job of reviewing two very  fine.Agency documents.
Both the Panel and the Agency are to be .congratulated on their
efforts, neither' of  which was easy,  given the lack of scientific
consensus and the heightened public concern  surrounding the
topic,            -               •-fl-

     it should b* noted that th« "Dioxin" Panel was not asked.
nor did it  choose, to  address d.i-' 
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   ,  Th«\ EC .'.conclude* .that- 'the - existinf t! •• U«S-ls4*«d;;.i'riaH:- •;•. •'/.-. - .' ; ."
assessment foir  2,3,7, 8-TCOO  lacks a fina- scientific foundation. '
How* v«r, until  th«  n*w  approach** ar* fully d«v«lop«d and    ; -
peer-previewed,  estimates ftamed on othar mcd«l» ar« «qually   ,
quest ion'ablev-- -unfortunately^- thf •ji'ir«ction '«iid"«xt of ;.«iy:
change from th« LMS-bas«d  rislc'estimat* that might r«ault from
the application of  mor* appropriat* models cannot b« dfttenain«d
at this time."'    '      '•• •  •    '  ';•.-"'• . '':• , "". "••'.^     •      •   •'

     The Panal  was  favorably  impressed  by th* exposure document.
They" found that '.indirect, routes of exposure,  via food 'Chain
contamination,'  result in higher exposures to the general
population than 'do'  direct  environmental exposures.' 'This
exposure model-based conclusion 'has- 'important implications and
should, be tested -by comparing predictions • with environmental
measurements ,    •        .                "

     The SAB appreciates the 'opportunity of addressing these
inportant, but '-difficult,  questions. -We look forward to the
Agency's formal response to1 this review,

                      Sincerely,
                                             Ph . D .
                           Chair, Executive Committee
                           Science Advisory Board

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•A)
\^
   November 28, 1989
                  ,          .  .
   Dr. Raymond C. • LoeHr-   ••'      .       .-'-',
   Chairman     '                 ''••'•.'         • '    '
   Executive Committee   • •.     •                  '  ••
   Science Advisory loard  (A-loiF)                    .
   U.S. Environmental Protection Agency          '
   401 -M Street,  S.W.   •  "
   Washington, D.C,  20460

   Subject:  Science Advisory loard'a Dioxin Panel review o>f
   documents from the Office of.Research and'Development relating to
   the risk and exposure' assessment of. 2,3,7,s~TCOD,

   Dear Dr. Loehr,   .       "•.'..                .

        The Ad Hoc Panel on Dioxin of the science. Advisory Board's
   Executive Committee  met in Washington, DC on November 29-30, :;-f •
   to review two  draft  documents on 2,3»?,8-TGDD: "A Cancer Risk-
   Specific Dose  Estimate  for 2,3,7,S-1TCDD11' (including appendices^
   and "Estimating Exposure to 2,3»"7»a-fCDD",                  .

        The Panel concluded that both documents were carefully
   constructed/well written, and represented a significant effcr1:
   on the part of EPA to document and explain how the hazard and
   exposure scientific  data have been analyzed.  The Panel in
   particular commends  the EPA Oioxin Working Group fothaving
   alertly initiated an analysis of the extent to whish new
   scientific information concerning 2,3,7,8-TCDD can b« factorea
   into risk assessment.'            .                 .^»-v   . -,

        The Panel's review focused on the scientific validity of. *-»
   statements and judgments in the documents as they, were writte-.
   The Panel has  not:reviewed the process by which EPA arrived 31
   the judgments  expressed in these documental nor -has it concer-*J
   itself with the degre«  of unanimity of the EPA working Group.   ;
   specific written chatge from  EPA or the' EPA science Advisory
   Board was received by the Panel.

        The'Panel has taken into account the oral comments made -,
   the public during the course  of  th« committee meeting.  It r.im.

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               t- •.'..'•• , ..^•.•••••?-^\4>.<<-lW-V-*^»^^^                                     'TVC;.",:•*« Vf.< • '>* "2*


the Novemiser.:^9-3Q^;iij^Hi^                                           • ••.
siibaission* were^tece'iy^^                                          •" '.-  •
Panel member*.  •'.•-• •• •%1^;:-^:^                                 .-,'•..'"   •

'  :   Understanding the biological effects of the dioxin« presents
one of the most intriguing challenges  in modern biology.    ;     \  -
Research' in this' area' has been particularly exciting for 'the.   •   .'   .
insights,it• has•given into.exposure assessment,  including the  *
role' of bioavailability, and for its potential  for  linking  •
receptor interactions with modern toxicology, including the
mechanism of carcinogenesis.  While there was extensive
discussion of these active research areas, the  Panel did not lose
sight of the fact that it had ;a relatively prosaic  task: the
provision of advice concerning the scientific adequacy  of
documents.   •     .*•'•.•••     •   . •.           •       .   '.  • ' -
     The document "A cancer Risk specific Estimate for  2,3,7,8-
TCDD"  contains the background and rationale for the EPA Working
Group's new risk specific 'dose for 2,3,7,8-TCDD,  in order  to
help focus its review, the. Panel -chose to summarize -the cancer
Risk document as containing five key points*  These points,  and
the Panel's response, are  as follows:

     1.   The Panel generally agrees with the EPA Working Group1*
          criticism of the Linearized Multistage Model*  While
          there are promising alternative models which  may  be
          expected to more accurately reflect the biological
          basis of 2,3,7,8-TCDD carcinogenesis, such newer  models
          need to be further developed and validated.

     2.   The Panel agrees that since the determination by  EPA of
          a risk specific  dose of 0.006 pg/kg/day in 1985,  no  n**
          'information has.appeared to permit reevaluation of tfie
          risk specific dose through the use of the standard
         • Linearized Multistage Model approach .{i.e.. there  are
    •• •    neither new. long -term animal studies nor epidemiologic
          'studies which appropriately could be used to  •.  ^
          recalculate the  risk specific dose using the  previous
         • model).       .   ,                              ,;,

     3.   The Panel fully  agrees that a series of important%nd
          exciting mechanistically oriented studies have
          much new insight into the toxicological effects of
          2,3,7,8-TCDD and related compounds, and that  such
          information is likely to be of major significance to
          regulatoryDecisions concerning 2*3,7,8-TCDD.  There
          has been a parallel  increase in the understanding of
          cancer biology.  The Panel commends.EPA for reviewir

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'.;  ' ^•r^ms^^^'^i^^^li^^ci^ai^^
  -' '•   '•-V.". '';.'"•.;;!'-'": .•i'i.l'-;-'.' '>:'"-•'•';-•.•.!. ;';^.-V,;-':; •''';-;J:^v..;';r;""'tj?:^':-^v'^'>V.^-":-:;1"v:-.•:='',>'
      4 .
          .                                                      .
          . conrtrflijig.v2V3V7fjHF^                            1985
          .Hs.k^spe.eific;;do's*:,of ^i^idf'-'pg/itg/aiiy; -TUB panel did -
                              ^                                  '•
                                     ''''   ''''' '' '    ' '
 -  , ..-5.. ' -..'/AS7' there; is '^lio;y«as6Il'^^vn%c4ssariiy^fceliev«•.ti^at  a new'
     --  '   nechanistt model would lead to a relaxation of -the  risX
        " . ' v ;sp!ec.if ic , dose •. for. ;2> 3^r7.f'8-TCbO-indue«d ' cancer, ' in  th«
       \ \  absence of a validated model suitable to recalculat* a   '
           • risk specific .dose,,; ''the -'Panel docs not concur with th«
           EPA  Workiftf Group's "science policy" decision to. change
    '  ,  • :  the  risX specific dose.  Further, the Panel agrees with
       " ' •  the  EPA document that there is no specific scientific
         .pathway that would allow determination of the extent' to
         ''which such 'a  change 'might occur. 'The 'Panel 'therefore
           finds no scientific basis at -this time for the  proposed
           change 'in 'risk, specific dose for 'the causation  of  •
       ,  '  cancer by 2,3>7,8-TCDD.-  '   '             "

     The Panel thus concluded that at the present time the
important  new  scientific evidence ' about 2,3,7, 8-TCDD does not
compel  a change . in ' the current" -assessment of the carcinogenic
risk of 2, 3, 7, 8-TCDD to humans.   EPA may for policy 'reasons' set a
different  'risk. specific: dose number 'for. the cancer risk of
2,3,7 , 8-TCDD,  but the Panel . finds no scientific basis for .such a
change  at  this- time.  The Panel does not exclude the possibility
that the actual risks of dioxin-induced cancer for humans may b«
less than  or greater than those currently -estimated by the Agency
'using  a linear extrapolation approach..      '

    '   EPA  is strongly urged to 'build upon their excellent review
of  the  new scientific data ''relevant to, i,3,7f 8-TCDD
carcinogenesis. by 'moving rapidly to develop and -validate  a new
risk model capable of more accurately estimating the risk of
human  cancer caused' by the dioxins and "related compounds .  Other
recommendations by the Panel, including a need for. further focus
on  reproductive effects, and for enhanced use of exposure data in ^
epidemiologic  studies, are detailed in the Panel report which is -I
attached .                    .  -

      The Panel also urges EPA to remain abreast of advances  in
our knowledge  of 2 ,3, 7, 8-TCDD, particularly at the mechanistic
level,  and to  continue oversight of relevant epidemiological
findings as these 'become .available in the peer-reviewed
literature.             '

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                 ....- . ,  •   .                . ...-.  ,      ,
   ..r
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                                          >.   . .  ..
                                  Exposure and -for • cancer 'and -non-'
 cancf r :'riisk:dv6htsy'*can 'and should 'be accomplished In the
>rela'tiv*ly':';niear^;f«tiire-lsy-; pursuing an. active 'research program in
 this ''•''' ''     "      '    •'                  ''
      We ' appreciate • the -opportunity to conduct this particular
                   '  '  '  '   '    '   "   '
                      Sincerely
                     Bernard D.  Goldstein
                     Chairman •
                     Ad-Hoc Dioxin Panel
                      Nancy Kfm
                      Co Chair
                      Ad Hoc Dioxin Panel

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              D 'SrATESENVlRON'MENTAL PROTECTION AGENCY

              ".'•.';      .VASHING'TCV D'C •^^•jO  "'''.
                                 -• !390
                                               THE
Raymond C. Loehr, Ph.D,
Chair, Executive Committee
Science Advisory Board
U.S. Environmental Protection Agency
Washington, D,C.  204SQ

Dear Ray:

     Thank you for your November 28, 1989, letter which  forwarded
the^Seience Advisory Board  (SAB) Dioxin Panel's review of two
documents from the Office of Research and Development  (QRD)
relating to risk and exposure assessment of 2,3,7,8-tetrachloro-
dibenzo-fi-dioxin (2,3,7,8-TCDD).  The Agency appreciates the -crk
of both the Dioxin Panel and the Executive Committee in  carrying
out their respective reviews and providing their insightful
comments.      '                             •

     I was very pleased to'  see  the extent to which 'the SAB
reviewers agreed with the EPA working group on many of the
difficult,issues presented  by the 2,3,7,i-TCDD data base.  The
discussion by the SAB of'the science supporting the lisk Spec;:;r
Dose  (RsD) for 2,3,7,8-TCDD was especially helpful.  The cor.c;-^j
views of the EPA working group  and the SAB reviewers have cleir;/
defined for the agency the  areas of scientific consensus and --•?
areas where such a consensus has not yet "been achieved.

     The comments of the Panel  on the document entitled, "A
Cancer Risk Specific Estimate for 2,3,7,8-1000," 'have  been
forwarded to th* authors of that document.  In addition,
discussions'have already begun  within the Agency's Risk
Assessment Council both to.  address work necessary to develop
alternative approaches to modeling potential cancer risk
associated wit* 2,3,7,8-TCDD exposure, as suggested by the  FI--?.
and to consider the Panel's comments on the science policy
approach, to selecting a risk-specific dose for 2»3,7f8-TCDD  i.
presented in the Agency's draft document.

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     The  comments of the Panel on the document entitled,
 "Estimating Exposure to 2,3,7,3-TC0D,M have been-', forwarded
 to  the  Office of Health and Environmental Assessment' in ORD
 for consideration' daring -revision- of1 .that'document.  The comple-
 mentary nature'-and' important substance of these comments will
 encourage Agency staff to maJce'significant improvements'in this
 already veil-received, document.       '•     -         .<'••••

     I  will provide a more detailed response on the.Agency's
 disposition of your comments in the next few months as the Risk
 Assessment  Co.uncil and ORD bring their deliberations on these
 documents to a Close*'  Thank you again for your efforts in
 reviewing these two documents,                *
                                       Sin
                                        William K.  Reilly
< *
\ m,

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       CD A      0;S. Eiivifemriiintal      Wtthlngton, DC?
       CUM- i  :   Prot«ctkm Ag»ncy '  ••; " EPA-SAB-EC-90-003
      Report of the ad hoc Dioxin Panel
      of the Science Advisory Board
      Review of Draft Documents: "A Cancer
      Risk-Specific Dose Estimate for 2,3,7,8
      TCDD" and "Estimating Exposure to
      2,3,7,8 tCOD"
A SCIENCE ADVISORY BOARD REPORT                  NOVEMBER Tili

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                             ....
          Science Advisory Board
            Ad Hoc Dioxin Panel  '
         REVIEW'- OF DRAFT;                  ,


"A CANCER RISK-SFECIPIC''ix}Sl^'ESTiMAfE''FOR
                    AMD  •   "  '


   "ESTIMATING EXtOSTOS TO  2 , 3 , 7 , 8-TC0D"

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                                     "•       ••
3.2
               .     .                                 .
          3.1. 3  Mechanistically Or ient«d Re»*arch     •
          3*1.4  Relaxation of the Rimk Specif ic Dose  for
                . TCDD Carcinogenesis  .  '     • '  .     .
          3.1.5  Chang« of the Riak Specific Dose for
                 TCDO catcinog«n«sis ,   ,''    _   "•••''   -
          Comments on -Specif ic- Issues  '     >.     '  .
          S.2-,1  Mechanisms      •.•'•.      •      •  . •
            2.2  Research' Needs;  '           .           •
            2.3  Development and Selection of a Model
                 toxicology of Related Compounds
                                 '''
       2
       2
4.0
       2.6'  Pharnacokinetics  : •  • ;
       2*7  Keproduetion and .Immuno-Toxicity
Conunents on EPA's Draft Document "'Estimating
Exposure to 2,3,7, 8-fGDD"
                                                         6
                                                         8
                                                         8
                                                       10
                                                       10
                                                       11
                                                       11

                                                       12
4.1
4.2















overall comments .'-on IPA's Draft Exposure' Document
Comment's on Specific .Issues
4.2.1' Use. of " the Best. 'Data • .
4.2.2 Pathways of 'Exposure
4,2.3 Indirect Exposure ' • ,
' 4.2.4 Scenarios
4.2.S Exposure and Epidemiology
4 ..2 ; 6 . Estimating Exposure in the Absence
• 'of Empirical Data ' '
4.2.7 , Rely .More on . Field ' Sampling . .Data and '
•• ' Less on Dispersion Modeling Results
4.2.8 . Verifiable' Exposure "Estimates
4.2.9 Incorporation , of the. 'Most Reiable .
1 Exposure Assessment Information
4.2.10 Rigorot**.; characterization of
Uncertainty:' . ' •
4 . 2 . 11 Phanucokinetics
12
13
13
13
14
14
IS

16

1?
IS

It

'IS
It

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           ......  ....... ^.....-.,;"I988'':;a'n;:A«I;''lielc^finiel^ief;(iici«ati»t8-was:
•convened,by' the'EPA Science Advisory Board to review'the•June,  .
1988 'external\reyieVdz»fts"of Vm^*tries:'':'Of'.i^^^ocuments."  ''' •  '  •
concerning 2,3,7,p-Tptrachloro^                       *A Cancer
                                                               .
•Appendices)'  prepare'd'/'fcy:;-'aii::drit^^^                             by
 Dr  Peter Preuss of th« Office of Research and Development; and
 "Estimating Exposure ;to 2t3t'f,B-'TCQV« prepared toy the Exposure
 Assessment Group under the direction of Dr. Michael Callahan;

      The Panel, chaired by Dr. Bernard Goldstein, functioned in,
 part as two separate, subpanels, one of ''which /focused on the
 cancer risk document and the other, chaired by Dr* Nancy Kim, on
 the exposure document*  During part of the time the subpanels met
 separately.   At other times a plenary session was held at which
 each subpanel had the opportunity to offer comments on both of
 the documents.'  However, responsibility for-the-written critique
 of  the two'documents.was independently assigned to each of the
 subpanels.             '

      The Panel's review focused on the scientific validity of the
 statements and judgments within the documents.. ' To a lesser
 extent, the Panel also reviewed the appendices as free standing
 scientific documents.'  The review of 'these appendices took into
 account EPA statements' that, the appendices served as background
 documents'and did not-necessarily represent the EPA'Working
 Group's collective judgment as to the 'science.
      Understanding the biological effects of 'the dioxins presents
 one of the most intriguing challenges in modern biology.
 Research In this area has been .particularly'exciting for the
 •insights it has given into exposure assessment! including the
 role of bioavailability, and in its potential for linking
 receptor interactions with modern toxicology, including the
 mechanism of carcinogenesis.  The /anel strongly commends EPA  Cor
 initiating, a review of this info .-jiwtion and' for considering the
 implications of this'new data to .'issues central to the regulation
 of TCDD.  We recommend that EPA's^ Valuation'of the*.risks of-.  •  •
 dioxin be an' ongoing process as new 'data on hazard and exposure
 are published.•       •            '           '

 3,0  comments on EPA•» Draft Document "A cancer Risfc-Sp«cific
 Dose Estimate f**** f, fr. 7. S-TCDP"

      The-'Subpanel reviewing the cancer risk document consist«d of

                           * •* ' '  3

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                                                w^^"^^-^:^^^^
                                                !£?:'2,f~''''t"•''"^:' "•:"**. i, •"'•'. , •  ' -rH''/^jJ>"^^

                                                !•«••"'*:•!'''.'.i.i* ' •".• '..-I-. "-'-"^ •.."'•.• , ••.. * .   •
                  iDjr||l«j^sd!«^                               .
                  .ME^I^^^^
                 "••y|rv:| s document makes it clear that there is no
           specific scientific pathway that will allow
           determination of the extent to which such * change
           should occur.

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                                                         .•agrees- :
     th«r* ar« many probl*MB inherent in using th* U4S model for
TCDD, agr««« that thera  is no currently availabl* 'alternate- •-
validated •»eKlil/agr««s  that there ar«' no new studiea which. could
'be used to recalculat* tho risk sp«citic dose with the IMS model,
-and agrees that there in exciting new data about the mechanism of
action, of; TCDD that pbinti toward; .the.. development of a ' new model
suitable for estimating  the risk specific dose for TCDD
carcinogenesis.  However, the Panel does net agree that this'new
information necessarily  leads to a belief, that the 1985 RsD of
p.006 "pg/kg/d'ay is  t?>o gtfinfent.  This is the crucial point of
disagreement with the EPA Working Group.  Iks the Panel does not
concur with the assumption; .that a new mechanism model of TCDD
carcinogenesis would necessarily result in a relaxation of the
risk specific dose, it can not possibly concur with the proposed
change from the isSSSsD of 0.006 pf/kg/day to Q.I pg/kg/day.
                ^; ' *' • *. '  *    •   .
   The Panel's response  to each of these points is described in
more detail below:       •''••    '                ;

3.1.1  The Adequacy; of	j:heLinearized Multistage m.odel

     The Panel agrees with the general thrust of the EPA working
Group's critique of the  Linearized Multistage Model  (see page
21), but would make the  point more.forcefully. In particular, the
Committee believes  that  there'are a number of models, in addition
to the Linearized Multistage Model which incorporate the concept
of low dose linearity.   Some of these can also account for TCDD's
promoting effects on the selective clonal expansion of
preneoplastic foci.  Further development and validation of these
alternatives to the" IMS  model are needed and encouraged.

     The Panel does.agree that no 'validated model is available
to'day to replace the LHS for calculation of an RsD for TCDD
carcinogenesis.   '

3.1.2'  The Availability, of ffev Infomatien For Use in the LM$
       Modal    '•''.-'.

     The Panel concurs that no new epidemiological or long ten
animal studies aril  available that would appropriately, allow
recalculation of the RsD using the linearized multistage model.
However, the Panel  wishes to emphasize the likelihood that
epidemiological data, may well become available in tty& near •
future, particularly if  appropriate attention is p&M to exposure
and body burden,

3.1,3  Mechanist.ieg^ly_.0riented Research

   .  The Panel agreef*that there is-much exciting new information

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^^^9^^^^^ji^^^i^^^}2-tS;^9^cxa^ carcinogenieity • which'
•• ,;;p;e*|&ni^                            It "-commends, the Working -   •'•
  Group for »ddr«ssing this issue and 'for its. careful and  well*
- . writteipr^Af&i.Qf V*h*;.'pta> jipetV ; ,; In ' agreement • with'-' th*'.- EPA •
' .• Working ':-*Sv••..'  ; • • ';  '••      '       •'        :  '.

 >;;3U1.4  Relaxation >of the aisle' Specific Dose .for "TCDD
 ••' i ,   .  Carcinoaeneais  •.'.' ' . •  •.'•;. •

       A highly significant area of disagreement with the  SPA
  Working Group is the Panel1* failure to concur with the
  contention that .a. new nodal of TCDD carcinogenesis would
  necessarily lead to a relaxation of the existing RsD.    Some
  member's of the Committee were of- the opinion that a -receptor-
  based model, could eventually support EPA's  contention that the
  Linearized Multistage model overestimates the upper confidence
  limit for the carcinogenicity of TCDD  (i.e, .006 is too
  stringent) .   other committee members' felt that it was not
  possible at present to predict whether the  receptor-based  model
  would lead to a less or more stringent RsD.

  3.1.5   hange of the  is  • Spcife Pose ............ fjor.. JC-PD Carcineqepes is
     .  The Panel agrees with the EPA Working Group that there  is
  currently no specific scientific pathway -that would' allow
  determination of the. extent of change in the existing RsD  for
  TCDD carcinogenesis.  Accordingly,, the Panel believes that at
  present there is no firm scientific basis for a change.  In
  particular, as the' t Panel does not support the contention that a
  new model would necessarily result in a reduction in the
  stringency of the RsD, the. Panel thus concludes that at the
  present time the important new scientific evidence  about TCOD
  does not compel a change in the current assessment  of the
  carcinogenic risk of dioxin to humans 'by the existing approach.
  EPA may for policy reasons set a different RsD for  TCDD
  carcinogenesis, but the Panel finds 'no scientific basis  for such
  a change at this time* ' The Panel does not exclude  the   *•*••
  possibility that the actual risks of dioxin- induced camsr for
  humans may be. less than or ' greater than those currently vestiaaced
  by the. Agency using, a linear extrapolation approach.      'V-
       3. 2. Comments on Ssgcig,ie |.sjsueg

       3-2.1  Mechanisms.

       While there Is still considerable uncertainty  as  to  the

                                   6

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                 : invpl v*;/ ; • • '?
                                                  -the :J>ahelT = '• '; ^T:>'';'
;:6oncli(i^s^tliSli .,£t 'is., likely 'that 'receptor- mediated, mechanism* '*'
pl1iy;'ii.''Wl*-.;in:'.-tlii* process as,in''''many;"of th* biological effoust*-
';o£ ;'TC13l?$';:>:lii'ta3R(l. r«ebgiiitibn» reeeptor-1'if and"' binding,'  ••  ••••''•  ''
,sBtabii;ia[atio».'.of'-..th*- r*ceptp^ligand-''eofl^>l    fCDD increases the. effective concentration  of Ah
           receptor  '

           o    Estradiol increases the concentration  of estrogen
               . receptor              •.
           o    Glucoeorticoids increase the concentration  of '
                glucocorticoid receptor

      d)    The biological activity of hormone receptors is
           activated with only partial occupancy of  the hormone
           responsive element on DNA  (about 20%) and this ia
           similar to the Ah receptor

      e)    TCDD exposure may decrease 'the  incidence  of hormone-
           related tumors in rodents, which further  supports m
          'mediated role for earcinogenesis.

      f)    TCDD modulates a variety of growth regulatory genes,
           including the estrogen and glucocorticoid receptors.

      Modeling of .receptor mediated event (s) follows the classic

        .   '                      7

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                               .


                                                                   '
     :Xf-,'thi*' type ,of modeling i* /conducted^ it 'iiaay • i*ad .to '  .    •"'
 cdnclusloi* by *ome  that }a v threshold; :*icist»V'rIow*ver,' a 'receptor
 based model will be linear at low do»«,  when receptor* are not :•
 saturated*   A« dose increases,  receptor binding will be
 saturated, . thus' describing a curvilinear dose-response      '   . '
 relationship,' .  •••    ..-.;,„•  ,   " --1  .'''•"•"'"'..••.'.

  •  , It is also important to note that if TCDO is acting    •
 similarly'' (an agonist or antagonist) at the Ah receptor then
 there, 'is likely to  be partial occupancy by an "endogenous ligand"
.which means that receptor-mediated effects of TCDD may be
 additive to background.

     3.2.2  Research Needs. ,

     The Subpanel recommends the following research:

     a)    more work 'understanding the biophysics of the
           interaction between dioxin and. its receptor, and
           specific  DNA recognition sequences - rate constants,
           equilibrium analyses, thermodynamics 'etc.

     b)    role of receptor in carcinogenesis

     c)   • role' of gene transcription in careinogenesis

    ' d)   -relationship between receptor occupancy and gene
           products           '    .                   . -

     e)    identification and function ,of the endogenous ligand

     f)  •  role of steroid hormones in carcinogenesis
                oncogenes and 'tumor suppressor genes (effects of
                glucocorticoids, estrogen and Ah receptor binding
                to DMA)
                growth' factors (oncogenes)  and Ah receptor action

     g)    A 'number  of models,' in addition to the LMS model
           incorporate the concept of low-dose 'linearity.  Some of
           these can also account explicitly for TCDP's promoting
           effects on the selective clonal expansion of
           preneoplastic foci. -'Further development and validation
           of these  alternatives to the IMS model are needed and
           encouraged.

      3.2.3  Development anff Selection- of a Model.

     Many of the toartc effects of TCDO,  including tumor
 promotion, appear to be receptor-mediated.  Thejiioxin receptor

-------
which is: mostly tv related;:.%o; w^^^^S^iS^^m^^'^'^^
grcwtl*.:ebnttptfi(^
IGF rece^te-ty" -ipctfar' -t»y*pidriiotmon«'-ric^
receptor; .^t^*rvmppMJ^vn«tfewi!Mxy;' iifa"':ri^;i^t&ij^t':'tGr .t&V' •=-•'"'
responses^-''"fiMuei-specific* factersr'l^-a^i^cp;^-'-:.•'"'<' ;":>. '.;:'-;"
«peci«»-*i»«ei;^ics'faetorf;'"control.-the 'hEti^r^lid;-;,iai» *xt*nt-bf "•'•:•
these .receptors-mediated'1 responses. \Thu's,Vaoi|*-.:,,',   '      •'

     Mechanistically,, all data to date, are consistent with the
concept that most, if not all, of the biological events,
including tuaor promotion, elicited by TCOD are'mediated
initially through the stereospecific binding of TCDO to a
receptor protein and the subsequent modulation of'gene
expression.  Evidence for this concept comes from 'a number of
studies;  genetic, 'Structure- activity.' relations, and those
examining the molecular interaction of the TCDD-receptor'complex
with specific responsive elements upstream from identified genes.
This model is remarkably'similar'to that-described for a number
of hormonal'systems, and in fact'the Mi receptor has been
suggested to be a member of a supergene family including the
glucocorticoid, estrogen, and thyroid hormone receptors .

     Based on the hypothesis that the binding of TCDD to the
receptor"may be the initial' event in the biological responses to
this compound, it may be possible to utilize receptor binding
theory, and/or actual binding kinetic data to derive a model that
estimates & dose of TCDD necessary to produce a particular
response.  However, it should be recognized that there are likely
to be a number of events subsequent to receptor binding which
eventually lead to the final biological response, in'this case
tumor development or tumor suppression.' Some of these events
include binding of the ligand:receptor complex to specific DNA
sequences as well as gene transcription and translation.
Furthermore, there are' likely''to be a number of tissue* and
developmentally specific'regulatory factors, both positive and
negative, that modulate these events.  Some evidence for this has
been presented, at least for the P450 gene  .  Receptor binding
may or may not. be the rate-limiting event in the processes
leading to tumor development.

     Classical receptor theory suggests that at low doses
(concentrations) there will be a linear relationship between
ligand concentration and binding. Thus receptor binding theory
does not  itself allow us to disassociate risk assessment  froa  a
low dose-linear model, nor does  it allow us, .at this time, to
determine the'slope of a dose-response curve for TCDO.

-------
•".•-••   ....-,•••;'.••.•--..•;• *",

-•"

this  tinnr'to'. 'rijle^put^tK*; jp^^
.other • mechanismsT*; •-'• rurtheraio^*,^''ithf^'
-------
. been ;:pbse;rved ;lj^t&«3^i£i*£i^^
                                                             ___ .. . .
                -
                                             '        '         '
 except ions - •• of ' -; 2 O'^aiid}; 4$:;:j^t£^             *;'                    .

    •  Recogniz ing ' .the"' iiaportanc;* ' of ^ exposure &easur«m«nt» in human
' studies , ,' th« Subpanel suggested that . some - existing cpideroiologic
 studies-, such';as':-,the Ai:r."'Fo;rs!B::^n^                            ' ..;'-
 useful information en health outcomes if the existing data arc   ' '
 reanalyzed' according to new exposure information.  The NIOSH    • -
 mortality study of 7000 dioxin-exposed U.S. Chemical Workers and
' the- medical study of a subset of these workers should provide   '
 useful information for the next EPA dioxin risk assessment .
 Because the evidence is that substantial exposure to Agent Orange
 did not occur' on' average '.for ground troops in Vietnam, studies  of
 .this group probably, will 'not Contribute useful information to
 dioxin risk assessments.-".'          •  '    .      .    -    '

      The subpanel suggested that there may be value in
 considering whether -existing studies might be analyzed together
 •in a met a- ana lysis.  The; International Agency- for .Research on
 cancer (I ARC) has organized an International Dioxin Registry to
 compile data from , studies of dioxin-exposed workers conducted in
 several countries in, hopes of increasing 'statistical power for
 evaluation of 'rare outcomes 'in merged analyses. . Data from this
 effort may contribute useful information in future risk analyses.

      The Subpanel suggested, that EPA consider whether the
 epidemiologic data from the Yusbo and Yucheng populations might
 provide useful information for future. risk assessments, since the
 effect of furans in animals are mechanistically like those' of
 dioxins.               "                  '

      3.2.6  Pfaaramaeekinet ics .

    ,  The Subpanel commended the- EPA initial .exploratory efforts
 in the area of pharmaeokinetic modeling and 'encourages further
 work in this area.   -'..',..''''

      3.2.7  Reproduction. and Immno-TOxicitv*

      in the- appendices to the document, EPA has provided short
 r; views of 2 other endpoints associated with TCDD, reproductive
 And immunotoxicity*  By definition, however, thes* endpoints . are
 ttxcluded from the final discussion which is exclusively focused
.-JSP ^cancer.  The Subpanel .has two comments on. -this general
 strategy!  (1) the mechanisms of TCDD- induced reproductive and
 immunotoxicity may be relevant to understanding TCDD-induced
 carcinogenesis (for instance, oncogene activation, growth.
 dysregulation, disrupted cell; cell communication, inhibition of
 immune surveillance) , and (2) if the science eventually supports

                   •              11               *

-------
               • ' ' ' . • r '• .' '• . l "'••"' "'-A' •'• ..'• J."'[rt!* I Jjj%*''*:V'^ '"•> '
              ^^'^^y^^^^^^Ly^^^--^^^ ft. , • :,.^f-.,..  .. r^^i-^,-^
              :\,de^reas^:inj^s|c|f^|^^|||^r^
              bh';/c4^cer;Q(ai^ii^|;pf^SgjeiBSife^feased'.'pii:-rr'educirig:::V- ':'••'"•
. cancer.' .-eisfe.. *lon«);.'^dpei!^^tAfis|||;            •.which. > might, • permit:
human' .«epP^ur««v.tb-^TCPOii:imy^^                                 ;•. :;,,
effect*;.' on. r«pr^u<^.ioifi^;op(:';p08i;ibi*';>iMim                 ' /r -.;>.  .'" • ' -
  '.    The Subpanel r«comm«nd» that, th.« appendices on reproductiv* •
 and ' ironunotoxicity be expanded to include relevant information on
 related compounds (dibenzofurana and PCBs) and- that- 'the •
 mechanistic information be drawn out More' specifically in' the
 appendices1'                       '                  '
-4*0  Conmenfi on SPA * s 'raf t 'Document. "Est.ffian  Exosure to
    Dr.  Nancy Kin chaired the Dioxin Exposure Subpanel which al«o
 included;'  Dr.  Edward Calabrese,* Or* Warren Grummet; Or. Michael
 Gochfeld;  Dr. Raymond Klicius; and Dr. Stephen Rappaport.   Dr.
 Dennis  Paustenbach, a member of the Subpanel who was unable to
 attend  the' meeting 'also .contributed written comments on exposure
 as  did  Dr  James Falco, a scientific advisor 'to the subpanal,  and
 Or  Linda Birnbaum, .a member of the cancer risk subpanel.

      The Dioxin Exposure Subpanel 's comments on EPA's draft
 "Estimating Exposure to 2,3,7,8-TCDD" appear below, where  the
 document is referred to as the "exposure document."  Page  numbers
 and references are from the' exposure document, except where
 otherwise  noted,  •      "      ,      '  ''       ,

      4,1  overall Comments on EPA's Draft Exposure Document,

    .  This  update of 2,3,7,8-TCDD exposure document' is an
 improvement over the earlier' assessment because it includes new
 data, 'expands consideration of- pathways, and .addresses  additional
 phenomena.  It is a credible document and is one of the better
 exposure assessments.  The important section on the- uncertainty
 evaluation .fives the reader, an understanding about the  magnitud«
•of  this factor.    .    ' . •    •          •        ,

      •The, .-exposure document showed .that indirect routes  of
 exposure,  that' is dietary- impacts, will usually predominate the
 level, .^f; risk for -the general, population,  this hypothesis «hou Id
 "be  valMff'£ed using 'environmental modeling and _ field measuroents.
 •EPA TCDD" exposure 'assessments should focus on' indirect  sources  cf
 TCDD.

      The exposure document's .Executive Summary is excellent,
 Several points from that Executive Summary should be emphasi2«i
 and reiterated throughout the report.  For example, when
 assessing  actual -sites, whatever monitoring data, are available
 should  be  used and are preferable to the estimation methods m

                               .  12

-------
                                                             •'.
                iio^mf ivd^^ tliafe:^|*^                • throughout " *
 tho doc^iinent whenever appropriate;  T^           al*6 recommends •
 thit^tht'^oi!^                                      measuring.   .'
 human ''lniaj<&.:v>is. to;' monitor ;/ ;peopifc::1iiid/^^             -monitoring
 should bft us«d when  possible.  These data will «stai3lish g«n«i a 1
 •xposure and identify subsets of ,th« population (i.«. , fish
' eaters., • 'small ch ildren , :• people with pica) '.who.; -nay • have •• elevated
 exposures!" .above;              ''"''' '         "
           4 . 2 .
:     ' The Subpanel recommends that' the document distinguish
 between excellent versus poor experimental work and thorough
 studies versus 'cursory' examination.  Not all data should be given
 the same weight.-  Foe example, the plant uptake data should be
 reviewed with this in mind,  The 'conflict between data which are'
 discussed may 'be because the' radiolabelled TCOO used by cicucci  •
 and Sacchi (pp.  44-45} may be only 60-80% pure as reported by
 Marple (p. 13).   The Wipf data (p. 43) did not suffer from this
 shortcoming and the 'Subpanel' recommends that these data be
 reviewed to consider weighing the Wipf data ttore heavily and
 revising the presentation of the Wipf data.

     ' The data supporting appreciable uptake of TCDD by plants are
 weak.  The soil-to-plant "ratio data must.be interpreted
.carefully, since this phenomenon, is dependent. on soil type and
 aging.  Further, there may be a dramatic reduction in the
 relationship at very low 'levels such that, as the concentration
 decreases, lesser amounts 'are available. to be absorbed by the
 plant.  The Subpanel recommends that the published work on the
 eye lodienes be reviewed to evaluate if -plant uptake is likely to
 be less than. estimated.     • .        '              .
      The uptake of TCDD by grazing animals (page 5)  is perhaps
 the  weakest discussion in the document. , Dr. George Fries, us DA,
 has described an approach which may provide a good . estimate of
 the magnitude of the 'exposure; due to ingestion of food from
 grazing' animals.  The Subpanel recommends that this approach b«
 included in the i'.:,iument.      •     .•  "              . .
                 s -                     .

      4,'2v2 . . Pat-nvrays....of.-.ExpQsnre.     .  • .
                     •         ••
      The"- Subpanel recommends that a number of specific question*
 be- addressed in the final report. '

      a)   Are TCDD concentrations higher on small particular**
           which may be poorly captured by air pollution control
  ' .       ' devices?  «^

      b)   What is the impact of declining performance or

                                 13

-------
                   _                                  removal .of
                   ^                             • .  • . .    '' ;.

                                                 of- TCDD in vet
                                                  '    •
               ^
          pi-bportiori of the population with. high exposure (i.«. ,
          'the ^limited nuabiir of children with pica  eating 7g of
                          !            "
     e)   Are photolysis  and vapor phase  diffusion,  rather than
          runoff , the major processes  for mobilization  from soil?

     f)   What  is the impact of  the  environmental  fate  of TCDD in
          soil  and -fly 'ash? '  •      '.            .
            ,      '• '   r • '

     4 * 2 .3 . \ indirect; Exposure.  '       _     •   *

     The modeling activities in  the  exposure document clearly
imply that  indirect routes  of .exposure (dietary  impacts)  appear
to predominate'.'- ''This; can be seen in 'Tables 6-6-  and  €-16  which
show that,  in all scenarios which consider dietary sources,  the
ingest ion of beef, fish,  and dairy products contributed ' more than
82% of the  total exposure.

     The Subpanel .' makes two recommendations regarding this
important implication*  . First/ the Agency should validate the
modeling' outcomes with' environmental' monitoring.  Sensitivity
analyses should be conducted to' prioritize the various  data gaps
prior  to undertaking such monitoring studies*  To  improve
understanding of  indirect exposure to  2,3,7,8-TCDD,  it  (and
perhaps  its _ congeners) 'should  -be '-added: to the  market-basket
survey.  Second,  the. revised document  should conclude that
exposure' assessments' should particularly  focus upon  indirect
sources  of  TCDD.                         •

     The exposure scenarios generally  concentrated on average
• estimates , ' ' The ' Subpanel  recommends  that  the revised document
discuss  the potential for two  different types  of situations which
'could  lead  to much highec^e-xposures  than  the average.   One
situation  is  illustrate l;by the  pica child or  adult. Average
soil ingcstion  level's ven-e  used  in estimating  soil exposures, but
this subpopulation may  hj^r@'^exposures '.which are,- more. than one-
hundred  times greater. than  the average.   The second  situation
would  involve a dramatic  increase in exposure.  For  example, an
individual  who  ingests  a  highly  contaminated fish  may have a
pulse  exposure  which would  be  orders of magnitude  higher  than th*
average  daily exposure.   The  size of each population should be
estimated.          **

     4.2.4;  Scenarios.                - •

                                 14

-------
    .                                         16  to; 19, should be  ••
 rftcvaluat«d using other data  because neither pase represents an
'average :*xiltirif:'''plmte';vrtor.r;a-;new 'modern stata-of-the-art
 facility. :"-;;fh
-------
     .                         .-that volatiization
 acc&unted-for ,-in\ off-site as well' 'as. on-site- analysis;. '  This • will
 avoid bia« which could inflate dairy and befif ingestion related
' eatposuresv • 'It would also insure consistency of analysis'across.  '
 exposure estimates.,-,.' "• '    •    •      •'  . •  '  ',  •   , •'    • ''•••' '   •

      Partitioning phenomena between vapor phase and particulat*-
 bound TCDD in air and dissolved and particulate-bound TcDD are '
 not; defined.-.'. Since the environmental behavior is dependent on
 the extent of partitioning, it is recommended that development of
•'descriptions of these phenomena be undertaken* '•-' ' .-'- ,

      Hie dilution of deposited TCDD-contaminated particulate with
 uncontaminated soil is not calculated.  A mixing depth for
 particulates of 1 cm top soil (stated on p.  239) is presented
 without justification*  The revised exposure document should
 include basis for the -selection of this specific depth.   Research
 to develop a dilution model -analogous to the mixing model
 developed for dilution of land-eroded particulates' should be
 carried out so that parallel phenomena are treated In like
 manner.            ,

      4.2.5  fixposure and Epidemiology.

      Epidemiology studies of human populations have yielded
 little information on health effects,  but are a fruitful source
 of information on human exposure.  Improved understanding of
 exposure is essential for designing studies of human health
 affects.  This 'is very clear in the targeting of herbicide
 manufacturing workers.  It is also clear that studies of Vietnam
 veterans as a group, have failed because of lack of good exposure
 data.   Epidemiological studies, of veterans or'other occupational
 groups with known and adequate exposure data should'be pursued.
 However,, the subpanel recommends that the'exposure document
 emphasize that without food exposure data, the epideniologic
 studies are meaningless.                  '


      4.2.6  'Estimating Exposures, in the 'Absence of Empirical
             pata
                                           •.**.  ' '
      The document provided exposure estimates'.in the absence of
 reliable empirical data.  In .the absenei, of data, any approach
 that is proposed cannot be refuted or validated.  The Subpanel
 recommends'that the reader be alerted when'an estimate from a
 given pathway has a particularly large uncertainty associated
 with it and that the document note that an exposure estimate nay
 be too uncertain to be reliable*  The exposure document only
^rea'ches this latter conclusion for plant uptake of 2»3,7,a-TCDD
 (pp. 45, 205} after «apining that the plant uptake data were
 conflicting.  {The problems with the plant uptake data are
 discussed in detail under section 2.2.2.)

                                 16

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     The data-" on- the-, "division: of" 2,3,7,8-1
the vapor and, particulitervphase' is-also.; weak",./-'' TJh«-'S^paniel:i--';^;:';i-^'
'recommends that  the /reader" 'ber"-s'pecifIcaily' al*r^ed:''.to''::ti&«:;:''; vi;':-v:v'V ;'
particular ..weakness, "in /scenarlos^usi'ng- these'" data »•.'_•• •'•;".••-'•','•.••.':• ..•'"• '   _

     on page  220 the: exposure document states,  "There are
virtually no  data concerning the division of 2,3,7,8-TCDD
emissions between the vapor  and- particulate .-phase for stack;. '';"
emissions in. the U.s.A."' , From' 'the*" foregoing quotes,' it is  ' ':  .
apparent that the authors''of this exposure document are net sure
what, percentage  of. .'.2,3 f'7r8-fCBD .from ''incinerator stack-..emissions-
is in the vapor  or particulate  phase.   Nevertheless,\the exposure
document states  on page 220:  "For  our scenarios we .assumed 63%
to be in the  vapor phase  and 37% particulate, since these values
are reported  in  two  studies  (Hagenmeier et al«? 1985; Scheidl et
al., 1985)."  In Hagenmeier,. et al, various sampling methods for
FCDD and PCDFs in stack gases'were  compared,  . It specifically
stated that "the distribution of PCDD/PCDF between filter dust,
condensate and iropinger does not'allow to distinguish between
particle bound and gaseous PCDD and PCDF  in the stack gas."

     It is also  impossible to determine the distribution'of
2,3,7,8-TCDD.released  from incinerators in the vapor and
particulate phases based'on  information on the'release of'total
CODs in the vapor and particulate phases  since 2,3,7,8-TCDD makes
up such a small  fraction, of  all CDDs  released (cf. Table 6*27).

     Other exposure -estimates.' which are based on little or no
data include;   (1) vapor  inhalation from  landfill or. contaminated
soil scenarios,  and- (2) all  pathways  from incinerator 'fly'ash
stack emissions.           '

     4.2.7  Rely More  on  Field  Sampling Dataand Less on
            Dispersion  Modeling_Jtesults     •      •     . •  •

     The Executive Summary of,the exposure document (p, 1)
states:  "It  should  be  emphasized that when assessing particular
sites, monitoring data  may be available,  or measurements, may'be
made, that would preclude the necessity-of part or all of the
estimation methods described 'here.11  This essential principle
receives very little'attention  throughout the development of this
exposure document..   While it is mentioned several C^mes in the
exposure document, the'emphasis is  clearly on developing an
approach to estimating exposures regardless of how much date are '
available.           .                    •     '..*:.••

     An example  of  a particular problem is the exposure estimate
to 2,3,7,8-TCDD  from incinerator fly  ash, which was deposited on
cattle fodder, which was  'consumed by  beef cattle which were
subsequently  ingested*   If EPA  were presented with such an
estimate, it  would ppobably  instruct  the  submitter to "measure"

                                 17

-------
                                                            'sUl
the "level  that:is-'prese;nt^tov$^                  so :many''"..;
assumptions must be made to estimate human exposure 2,3,7,8-
from beef  derived from cattle ingesting fodder contaminated with

is seriously  questioned and the Subpanel recommends that this be
highlighted in the document.   A preferable alternative approach
to exposure estimation would be to measure the level of 2f3,7/8-
TCDD in the matrix of concern (in the above example, in beef) and
then to proceed with the exposure assessment.  '     . '•'.     •  ,    "

      4*2.8 . Vcrif iafole ^xpQ§yre'':Eistimatp3*  '   •"•''."       '  ,'•

      The exposure estimates rely heavily on dispersion models and
exposure parameter values that are highly dependent on site-
specific characteristics.  Further, a critical factor  like
deposition velocity of particles receives little attention as
does estimating the concentration of 2,3,7,8-TCDD in a,particular
matrix.  If field sampling data are available  and if they
correspond to the modeled values,  one does not know whether this
is because all .the attendant 'uncertainties canceled each other
out  or whether the modeled value's were indeed  "accurate;**  Th«
Subpanel recommends that research be undertaken to verify and
improve the modelling estimates.

      4,2.9 Incorporation. ;_eif': the'Most Reliable Exposure
            4g s e s spen t | ri f o'rm a t i o_fl   .  " .

      The exposure document should include information  on the  low
bioavailability of 2,3,7,8-TCDD on fly ash as  compared to 'soil in
those scenarios which assess exposure to fly ash*   The work of
van  de Berg,  et al {1S83, 1985},  is cited which suggests a  lower
bioavailability of 2,3,7,8-TCDD from fly ash than from soil.


      4.1,10 ,  R i go rous Ch a rae t e rri za t ion of Uncer t a in ty.

      The exposure document presents its uncertainty analysis  in
Chapter 7, The Subpanel commends the Agency for the detailed;
presentation  on uncertainty.  , This characterization is an
important  element in the risk assessment process and the Agency
.has  done a commendable job in this particular  document.   jc-

      In Tables 7-1 to 7-17, the uncertainty analysis of aome
parameter  variables for .various/exposure pathways is given-,,-  Far
example, Table 7-1 on soil dilution .factor presents 'uncertainties
for  three  parameters* . "quantity of erosion from contaminated
area", "quantity of'eroded soil deposited on adjacent  field",, ar.j
"mathematical model to assess the rate of 2,3,7,8-TCDD in soil
placed on  adjacent field"., The Subpanel recommends that
uncertainties surroupiing other variables, such as soil
characteristics, land use,  elimatological conditions,  and hew tn*
landfill  is contaminated with 2,3,7,8-TCDD, be addressed.

                                 18

-------
   •  Th* exposure doeimeht1?.
made kore quantitative,  -instead^of ''li^ieal^ng;;,th^>^ \tua'4tity<'
of «ro«ion from the contaminated area ranges b«tween 0*'$ and 306
tons '"par/ ie're-yewr and • that. thelvaiueVfcsed ''wasr f 5 :tons per: acre~;;
year, th« Subpanel r«comncnds that th« «xposur« docxment stater/- ''
the uncertainty in .terms' of a 'deviation.,:'••,:'• By , stating the     ,
uncertainty of each parameter value in thi» manner, the magnitude
of the uncertainty for the entire exposure assessment can be
determined by multiplying the uncertainty factor of each
parameter'.- In addition, the parameters that "drive" the exposure-
assessment could be identified and prioritised for verification
with field sampling results.  .''••-'-.•..'

     4.2.11  Pharrnacekinetics.     •

     The exposure document outlines two  pharmacokinetic
approaches for relating exposure with tissue levels pf TCDD.  The
first,, referred to as the "Commoner Approach,11 is described on
pp. 128-130.  It refers to the use of a single-compartment open
model with'first-order elimination to describe TCDD disposition
in the body; this model was presented'by Commoner, "et al, at two
symposia in 198§-86, Although the model itself is
straightforward, several errors in developing equations (5-1) to
(5-4) detract from the description.

     The Subpanel recommends that the document be corrected
either to be consistent with the treatment of Commoner,'et al, or
to follow a similar approach which employs other constants which
may be desired.  For example, the agency may wish to include an
absorption factor to account for fractional bioavailability.

     The second pharmacokinetic approach outlined in pp. 130-137
describes development-of a physiologically based pharmacokinetic
model (PBPK) where none currently exists.-  The'document suggests
that one such model developed for 2,3,7,8-TCDF by King, et al
(1983), may be adapted'to TCDD. -'While the tissue compartments,
volumes, and perfusion rates of the King's model may be
appropriate for TCDD, the binding and metabolism of TCDD may be
sufficiently different from that of TCDF to require a somewhat
different structure. 'Furthermore, because the half life of TCDD
in humans is greater than that predicted from observations in the
rat, it may not be"possible to rely entirely upon-rodent species '
in developing such a PBPK model.  The Subpanel agrees with the
Agency that development of a PBPK model for TCDD is an important
task which should be pursued with high priority.  However, the
Subpanel recommends that these potential -limitations be included -
in the document.
                                19

-------
Chairman'- '':
     Dr. 'BernaTd'-rCipldstein.'  ' .;• ..i.-^-.', .-.- ..•-.;: •' '. t/./ .., ' ,. •     '  _  '.
       '  ;.. Department ' of '- Environmental and Community , Medicine
          UMDNJ -Robert Hood Johnson M*dical School '      •
        '. 675 Hoes Lane   '. •   '-   -'' ' V • ',   '•'"'''•''  ;"  ../
          Pisd«ta«ayf  KJ  08854 '. -^   ;'-;v  -;'•""
     Dr> Nancy K.  Kim                       ,
       .   .Dirfteto,rf  division of -Environmental' Health-
          New  Yorlc Department of Healtli
          2; University Plaza  '.-'•-'-   .  ' .  -
          Albany,  NY  12203
                       DIOXIN RISK StJBPANEL
 hairman
     Dr. Bernard Goldstein  .          •
           Department of Environmental and Community Medicin*
           UMDNJ-Robert Wood Johnson Medical • School
           67S  Hoes Lane     . .         ' •  '
           Piscataway, NJ  08SS4

|f ember s /Consultants       .       "       ;         '

     Dr» Linda S, Birnbaum
           National Institute of Environmental Health  Science*
           MD C3-02
           P.O. Box 12233           •   .
           Research Triangle Park, NC  27709

     Dr. Marilyn A. Fingerhut
           NIOSH                                   '   '
           5555 .Ridge Avenue
           Cincinnati, OH  45213

     Dr. Tom Gasiewicz
           Department of Biophysics
           Box EKSC             ,         .      •   '
           University of Rochester
          . 575 Elmwood Avenue
         '  RochesterT"NY  14642
                                 20

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          National Center  for Toxicological R*»«arch
                                      ' '      '
          Mail Prop A3-02   ••     "4  '.•'•'- .
          F.p..;.pp.^;i.22».r.. .••••.    .• .     ,   '   . •
          RescarclH triangle ParX,  NC  27?0i
     Or.
          Environftental Health Center
         ' Roon '-120 •,..-.'       '       '  •  '•
          Tunney. •''*.- 'Pasture       -     '      •.
          Ottawa, Ontario,  Canada  K1A OL2

     Dr. Ellen Silbergeld /
          Environmental Defense Fund
          161i P Street,  H.W.
          Washington,  D.C.   20036

     Dr. Thomas Starr  •-
          CUT   "                          •
          P.O. Bqx 12137
          Research Triangle Park, NC  2770§
                      •DZOXIK EXPOSURE PANEL
Chairman
     Dr. Nancy Kim              .   • .             •
          Director,  Division of Environmental Health
          2 University- Plaza  •               • •  .
          Albany, NY  12203

Members/consultants  '        '         '          •  '

     Dr. Edward  Calabrese
          N-344  Merrill Science center
          University of Massachusetts
          Aoherst, Kh  01003

     Dr. Warren ..Czrumiett
          DOW chemical, U.S,A.
        .  1897 Building
          Midland, Ml  48667

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    . Dr.'
     •'••'"  UMDNJ-Robort Wood 'Johnson Medical School
      ''•'   Environnental and CoBuaunity Medicine  -
        ''•          '' "''   '     ''               '
    ,Dr* Raymond
          Enviroxua«nt Canada  .       ,
          Hull, Quebec, Canada  K1A OH3

    .Dr. Dennis Paustenbach
          CheroRisk, McLaren      •
          Environmental Enginnaering
                     "  ''
          980 Atlantic Avenue  ,
          Alameda, CA  94501

     Dr. Stephen H. Eappaport
          Department of Bioroedical and Environmental
               Health Sciences
          Earl Warren Hall i Room 317
          School of Public Health
          University of California
          Berkeley, CA   94720
          Secretary
     Dr. C. Richard
          science Advisory Board  (A-loiF)
         'U.S. Environmental Protection Agency
          Washington, D.c.  20460

g t a f ,f _ • S ecr .e t a rv        "   .    .

     Ms. Mary L. Winston
          Science Advisory Board  (A-101F)
          U.S. Environmental Protection Agency
          Washington, D.C.  20460

Acting __ Sta_f f .Director ;

     Mrs, Kathleen Convay
          Science Advisory Board  (A-1Q1F)
          U.S. Environmental' Protection Agency
          Washington, D.C.  20460

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